Infectious Diseases 2023

Infectious Diseases 2023

The neuropathogenesis of HPAI H5Nx viruses in mammalian species

Trends in Neurosciences | 2023 18 September, 2023

A new article published in the scientific journal 'Trends in Neurosciences' reviews the virulence of H5Nx bird flu viruses on the nervous system of mammals in general and humans in particular. The highlights of the article:
Highly pathogenic avian influenza (HPAI) H5Nx viruses can cause neurological complications in many mammalian species, including humans. Neurological disease induced by HPAI H5Nx viruses in mammals can manifest without clinical respiratory disease.
HPAI H5Nx viruses are more neuropathogenic than other influenza A viruses in mammals. Severe neurological disease in mammals is related to the neuroinvasive and neurotropic potential of HPAI H5Nx viruses. Cranial nerves, especially the olfactory nerve, are important routes of neuroinvasion for HPAI H5Nx viruses. HPAI H5Nx viruses have a broad neurotropic potential and can efficiently infect and replicate in various CNS cell types. Vaccination and/or antiviral therapy might in part prevent neuroinvasion and neurological disease following HPAI H5Nx virus infection, although comprehensive studies in this area are lacking.