Cold Sore Virus’s Path in Brain Revealed

Summary: Research has shown that HSV-1, the virus responsible for cold sores, can spread into specific areas of the brain and may contribute to neurodegenerative diseases. Mapping HSV-1’s path reveals it targets regions crucial for functions like sleep, movement, and mood regulation.

The study also found that HSV-1 activates the brain’s immune cells, causing inflammation that could persist even after the virus clears. This prolonged inflammation may be a trigger for neurological diseases.

Understanding HSV-1’s interactions in the brain could inform future treatments. The findings offer vital clues on how this common virus may play a role in the onset of diseases like Alzheimer’s.

Key Facts:

  1. HSV-1 targets brain areas like the hypothalamus, impacting mood and hormonal control.
  2. HSV-1 activates microglia, the brain’s immune cells, causing persistent inflammation.
  3. Chronic inflammation from HSV-1 may lead to neurological and neurodegenerative diseases.

Source: University of Colorado

Herpes simplex virus type 1 (HSV-1), the cause of the common cold sore, can spread into the central nervous system and preferences for certain parts of the brain.

Study results published today in the Journal of Virology are among the first to recognize how this common virus infiltrates the brain, leading to a better understanding of how HSV-1 may trigger neurological diseases.

This shows a brain.
Researchers also found HSV-1 in regions of the brain that produce serotonin and norepinephrine, as well as the hypothalamus, a critical center of appetite, sleep, mood, and hormonal control within the brain. Credit: Neuroscience News

“Recently, this common virus has been implicated in neurodegenerative diseases, such as Alzheimer’s disease, but no clear route of central nervous system invasion has been established,” says Christy Niemeyer, PhD, assistant professor of neurology at the University of Colorado Anschutz Medical Campus and co-first and corresponding author.

“Identifying how HSV-1 can get into the brain and what brain regions are vulnerable is key in understanding how it initiates disease.”

Once HSV-1 enters the brain, researchers also wanted to determine if the virus migrates at random or to specific areas. They were able to map where and how the virus travels within the brain and infects critical brain regions that control many vital functions, such as the brain stem, which controls sleep and movement.

Researchers also found HSV-1 in regions of the brain that produce serotonin and norepinephrine, as well as the hypothalamus, a critical center of appetite, sleep, mood, and hormonal control within the brain.

“Even though the presence of HSV-1 is not causing full-blown encephalitis in the brain, it can still affect how these regions function,” says Niemeyer.

Niemeyer and coauthors also show how HSV-1 interacts with the brain’s key immune cells; microglia. They found that microglia became “inflamed” when interacting with HSV-1, but in some brain regions, inflamed microglia persisted even after the virus was no longer detected.

“Identifying the role of microglia provides helpful clues to the consequences of HSV-1 infection, and how it triggers neurological diseases,” says Niemeyer.

“Persistently inflamed cells can lead to chronic inflammation, a known trigger for a number of neurological and neurodegenerative diseases. This research offers important takeaways in better understanding how viruses interact with overall brain health as well as the onset of pervasive neurological diseases.”

About this neurology research news

Author: Kelsea Pieters
Source: University of Colorado
Contact: Kelsea Pieters – University of Colorado
Image: The image is credited to Neuroscience News

Original Research: Closed access.
Olfactory and trigeminal routes of HSV-1 CNS infection with regional microglial heterogeneity” by Christy Niemeyer et al. Journal of Virology


Abstract

Olfactory and trigeminal routes of HSV-1 CNS infection with regional microglial heterogeneity

Herpes simplex virus type 1 (HSV-1) primarily targets the oral and nasal epithelia before establishing latency in the trigeminal ganglion (TG) and other peripheral ganglia.

HSV-1 can also infect and become latent in the central nervous system (CNS) independent of latency in the TGs.

Recent studies suggest entry to the CNS via two distinct routes: the TG-brainstem connection and olfactory nerve; however, to date, there is no characterization of brain regions targeted during HSV-1 primary infection.

Furthermore, the immune response by microglia may also contribute to the heterogeneity between different brain regions. However, the response to HSV-1 by microglia has not been characterized in a region-specific manner.

This study investigated the time course of HSV-1 spread within the olfactory epithelium (OE) and CNS following intranasal inoculation and the corresponding macrophage/microglial response in a C57BL/6 mouse model.

We found an apical to basal spread of HSV-1 within the OE and underlying tissue accompanied by an inflammatory response of macrophages. OE infection was followed by infection of a small subset of brain regions targeted by the TG in the brainstem and other cranial nerve nuclei, including the vagus and hypoglossal nerve.

Furthermore, other brain regions were positive for HSV-1 antigens, such as the locus coeruleus (LC), raphe nucleus (RaN), and hypothalamus while sparing the hippocampus and cortex.

Within each brain region, microglia activation also varied widely. These findings provide critical insights into the region-specific dissemination of HSV-1 within the CNS, elucidating potential mechanisms linking viral infection to neurological and neurodegenerative diseases.

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  1. It’s also been determined that having the APOE4 Alzheimer’s gene makes it easier for HSV1 to cross the blood-brain barrier.

    Amyloids have anti-microbial purposes, produced to fight chronic viruses like HSV1.

    In Taiwan, the public’s health records are accessible to educational institutes for research purposes with names encrypted to respect privacy. With that database, an anecdotal study of 8362 people with HSV1 compared to 25086 randomly selected sex- and age-matched controls without HSV1 determined that people with HSV1 were 2.5 times as likely to develop dementia (95% CI: 2.351-2.795, P < 0.001).

    However, people taking anti-herpetic drugs to treat oral cold sores had their risk of dementia reduced by 90% (adjusted HR = 0.092 [95% CI 0.079-0.108], P < 0.001).

    Reducing the risk of dementia may be as simple as mildly using Valtrex over the course of adulthood to prevent it. That was anecdotal evidence though, not a clinical trial. People taking anti-herpetic drugs to treat cold sores might've had the most extreme cases of HSV1. Or wealthier people might've been more likely to get drug treatments, there's a known association between socioeconomic status and risk of dementia.

    I doubt we'll see clinical trials strong enough to get that approved though because Valtrex has been out long enough that generic is available, so the money isn't there for drug manufacturers. And clinical trials for preventing dementia would have to take place over the course of decades, see if the longer people use it, the lower their risk. Testing it on seniors who already have MCI or dementia is probably too late.

    2018, Anti-herpetic Medications and Reduced Risk of Dementia in Patients with Herpes Simplex Virus Infections—a Nationwide, Population-Based Cohort Study in Taiwan

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