Evidence map›Paper›PMID 41020593›Full record

ReviewThe Journal of infectious diseases2025

Viral Infection and the Blood-Brain Barrier: Molecular Research Insights and Therapies.

Sarah A Boardman, Claire Hetherington, Thomas Hughes, Callum Cook, Ian Galea, Orla Hilton, Tom Solomon, Andrew D Luster, Stuart Allan, Evelyn Kurt-Jones and 5 more

Abstract readReview
In one paragraph

Review in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
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

15 authors.

Sarah A BoardmanInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0003-4385-6004
Claire HetheringtonInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0009-0003-9234-4459
Thomas HughesInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0002-1561-7615
Callum CookInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0009-0002-4982-066X
Ian GaleaClinical Neurosciences, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-1268-5102
Orla HiltonInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0002-1086-1627
Tom SolomonInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0001-7266-6547
Andrew D LusterCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Charlestown, Massachusetts, USA.ORCID 0000-0001-9679-7912
Stuart AllanDivision of Neuroscience, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.ORCID 0000-0001-9646-4456
Evelyn Kurt-JonesDivision of Infectious Diseases and Immunology, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, USA.ORCID 0000-0003-4669-2084
Joe ForthDepartment of Chemistry, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0001-7263-6364
Adjanie PatabendigeInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0003-1550-3084
Franklyn N EgbeInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0002-9547-4609
Cordelia DunaiInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0001-5799-2387
Benedict D MichaelInstitute of Infection, Veterinary and Ecological Science, Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0002-8693-8926

Funding

Wellcome Trust
6 · The paper itself

Abstract

The blood-brain barrier (BBB) protects the brain from pathogenic microorganisms. Neurologic complications from viral infections, including herpes simplex virus, varicella zoster virus, HIV, Japanese encephalitis virus, and SARS-CoV-2, are linked to BBB dysfunction and loss of barrier integrity. Increased BBB permeability associated with viral infections can occur through several mechanisms, such as direct neurotropism, Trojan horse mechanisms, or systemic infection and inflammation. Viruses cause direct and indirect immune-mediated damage. Understanding these neuroimmune mechanisms is critical to establish therapeutic strategies to protect BBB function. This review describes the effect of viral infection on the BBB, clinical methods to assess BBB integrity, and clinical management approaches to address viral-induced BBB damage.

Indexed as

Blood-Brain BarrierVirus DiseasesAnimalsCOVID-19HumansSARS-CoV-2blood-brain barriermechanismsvirology

Identifiers

PMID41020593
PMCPMC12718030

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.