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Publication : Stress-induced unfolded protein response contributes to Zika virus-associated microcephaly.

First Author  Gladwyn-Ng I Year  2018
Journal  Nat Neurosci Volume  21
Issue  1 Pages  63-71
PubMed ID  29230053 Mgi Jnum  J:258026
Mgi Id  MGI:6116568 Doi  10.1038/s41593-017-0038-4
Citation  Gladwyn-Ng I, et al. (2018) Stress-induced unfolded protein response contributes to Zika virus-associated microcephaly. Nat Neurosci 21(1):63-71
abstractText  Accumulating evidence support a causal link between Zika virus (ZIKV) infection during gestation and congenital microcephaly. However, the mechanism of ZIKV-associated microcephaly remains unclear. We combined analyses of ZIKV-infected human fetuses, cultured human neural stem cells and mouse embryos to understand how ZIKV induces microcephaly. We show that ZIKV triggers endoplasmic reticulum stress and unfolded protein response in the cerebral cortex of infected postmortem human fetuses as well as in cultured human neural stem cells. After intracerebral and intraplacental inoculation of ZIKV in mouse embryos, we show that it triggers endoplasmic reticulum stress in embryonic brains in vivo. This perturbs a physiological unfolded protein response within cortical progenitors that controls neurogenesis. Thus, ZIKV-infected progenitors generate fewer projection neurons that eventually settle in the cerebral cortex, whereupon sustained endoplasmic reticulum stress leads to apoptosis. Furthermore, we demonstrate that administration of pharmacological inhibitors of unfolded protein response counteracts these pathophysiological mechanisms and prevents microcephaly in ZIKV-infected mouse embryos. Such defects are specific to ZIKV, as they are not observed upon intraplacental injection of other related flaviviruses in mice.
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