Evidence map›Paper›PMID 35788177›Full record

ArticleEmerging microbes & infections2022

Human Borna disease virus 1 encephalitis shows marked pro-inflammatory biomarker and tissue immunoactivation during the course of disease.

Jessica Rauch, Johanna Friederike Steffen, Birgit Muntau, Jana Gisbrecht, Kirsten Pörtner, Christiane Herden, Hans Helmut Niller, Markus Bauswein, Dennis Rubbenstroth, Ute Mehlhoop and 2 more

Open access · goldAbstract read
In one paragraph

Article in Emerging microbes & infections, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

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  5. Structural insights into the dynamic mechanism of bornavirus polymerase.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

12 authors at 5 institutions in 2 countries.

Jessica RauchBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Johanna Friederike SteffenBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Birgit MuntauBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Jana GisbrechtBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Kirsten PörtnerDepartment of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.
Christiane HerdenInstitute for Veterinary Pathology, Justus-Liebig-University Gießen, Gießen, Germany.ORCID 0000-0003-1858-2267
Hans Helmut NillerInstitute of Clinical Microbiology and Hygiene, Regensburg University Hospital, Regensburg, Germany.
Markus BausweinInstitute of Clinical Microbiology and Hygiene, Regensburg University Hospital, Regensburg, Germany.
Dennis RubbenstrothFriedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany.ORCID 0000-0002-8209-6274
Ute MehlhoopBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Petra AllartzBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Dennis TappeBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Bernhard Nocht Institute for Tropical Medicine · DEUniversity Hospital Regensburg · DEFriedrich-Loeffler-Institut · DEJustus-Liebig-Universität Gießen · DERobert Koch Institute · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human Borna disease virus 1 (BoDV-1) encephalitis is a severe emerging disease with a very high case-fatality rate. While the clinical disease, case definitions, diagnostic algorithms and neuropathology have been described, very little is known about the immunological processes of human BoDV-1 encephalitis. Here, we analyzed serum and cerebrospinal fluid (CSF) samples from 10 patients with fatal BoDV-1 encephalitis for changes of different cytokines, chemokines, growth factors and other biomarkers over time. From one of these individuals, also autoptic formalin-fixed brain tissue was analyzed for the expression of inflammatory biomarkers by mRNA levels and immunostaining; in a further patient, only formalin-fixed brain tissue was available and examined in addition. A marked and increasing immune activation from the initial phase to the last phase of acute BoDV-1 encephalitis is shown in serum and CSF, characterized by cytokine concentration changes (IFNγ, IL-5, IL-6, IL-9, IL-10, IL-12p40, IL-13, IL-18, TGF-β1) with a predominantly pro-inflammatory pattern over time. IFNγ production was demonstrated in endothelial cells, astrocytes and microglia, IL-6 in activated microglia, and TGF-β1 in endothelial cells, activated astrocytes and microglia. This was paralleled by an increase of chemokines (CCL-2, CCL-5, CXCL-10, IL-8) to attract immune cells to the site of infection, contributing to inflammation and tissue damage. Pathologically low growth factor levels (BDNF, β-NGF, PDGF) were seen. Changed levels of arginase and sTREM further fostered the pro-inflammatory state. This dysbalanced, pro-inflammatory state likely contributes importantly to the fatal outcome of human BoDV-1 encephalitis, and might be a key target for possible treatment attempts.

Indexed as

Borna disease virusEncephalitisBiomarkersChemokinesCytokinesEndothelial CellsFormaldehydeHumansInterleukin-6Transforming Growth Factor beta1BiomarkersChemokinesCytokinesFormaldehydeInterleukin-6Transforming Growth Factor beta1astrocyteBoDV-1bornaviruschemokinecytokinemicroglia

Identifiers

PMID35788177
PMCPMC9336484
OpenAlexW4283825443

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.