Evidence map›Paper›PMID 31026414›Full record

ReviewAnnual review of immunology2019

Neuroinflammation During RNA Viral Infections.

Robyn S Klein, Charise Garber, Kristen E Funk, Hamid Salimi, Allison Soung, Marlene Kanmogne, Sindhu Manivasagam, Shannon Agner, Matthew Cain

Open access · bronzeAbstract readReview
In one paragraph

Review in Annual review of immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

116 citing papers in PubMed, 1 synthesis or guideline pooled it, 157 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Synthetic viral RNA mimetics induce neuronal loss through microglial phagocytosis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Robyn S KleinDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA; email: rklein@wustl.edu.
Charise GarberDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA; email: rklein@wustl.edu.
Kristen E FunkDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA; email: rklein@wustl.edu.
Hamid SalimiDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA; email: rklein@wustl.edu.
Allison SoungDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA; email: rklein@wustl.edu.
Marlene KanmogneDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA; email: rklein@wustl.edu.
Sindhu ManivasagamDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA; email: rklein@wustl.edu.
Shannon AgnerDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Matthew CainDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA; email: rklein@wustl.edu.
Washington University in St. Louis · US

Funding

NATIONAL RESEARCH SERVICE AWARD-MEDICAL SCIENTISTT32GM007200 · NIGMS · WASHINGTON UNIVERSITY · PI YOKOYAMA, WAYNE M. · 1985 to 2024
$59.8M
West Nile Virus and host control of innate defensesU19AI083019 · NIAID · UNIVERSITY OF WASHINGTON · PI CLARK, EDWARD A · 2009 to 2018
$22.5M
TAM Receptors and Virus InfectionR01AI101400 · NIAID · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI DIAMOND, MICHAEL S, KLEIN, ROBYN S. · 2012 to 2021
$5.8M
Neuroprotection and repair during West Nile Virus EncephalitisR01NS052632 · NINDS · WASHINGTON UNIVERSITY · PI KLEIN, ROBYN S. · 2005 to 2020
$5.0M
NEUROPATHOGENESIS OF ZIKA VIRUS INFECTIONSR01NS104471 · NINDS · WASHINGTON UNIVERSITY · PI KLEIN, ROBYN S. · 2018 to 2020
$1.4M
NIAID NIH HHS R01 AI101400NIAID NIH HHS U19 AI083019NIGMS NIH HHS T32 GM007200NINDS NIH HHS R01 NS052632NINDS NIH HHS R01 NS104471
6 · The paper itself

Abstract

Neurotropic RNA viruses continue to emerge and are increasingly linked to diseases of the central nervous system (CNS) despite viral clearance. Indeed, the overall mortality of viral encephalitis in immunocompetent individuals is low, suggesting efficient mechanisms of virologic control within the CNS. Both immune and neural cells participate in this process, which requires extensive innate immune signaling between resident and infiltrating cells, including microglia and monocytes, that regulate the effector functions of antiviral T and B cells as they gain access to CNS compartments. While these interactions promote viral clearance via mainly neuroprotective mechanisms, they may also promote neuropathology and, in some cases, induce persistent alterations in CNS physiology and function that manifest as neurologic and psychiatric diseases. This review discusses mechanisms of RNA virus clearance and neurotoxicity during viral encephalitis with a focus on the cytokines essential for immune and neural cell inflammatory responses and interactions. Understanding neuroimmune communications in the setting of viral infections is essential for the development of treatments that augment neuroprotective processes while limiting ongoing immunopathological processes that cause ongoing CNS disease.

Indexed as

Immunity, InnateAnimalsBlood-Brain BarrierBrainHumansMicrogliaNeurogenic InflammationNeuroimmunomodulationRNA VirusesRNA Virus Infectionsblood-brain barrierbrain Trmencephalitismicroglianeuroinflammationneurovascular unitRNA virus

Identifiers

PMID31026414
PMCPMC6731125
OpenAlexW2941734675

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.