Evidence map›Paper›PMID 41772368›Full record

ArticleJournal of neurovirology2026

Neuropathogenesis of Usutu virus-associated disease in Eurasian blackbirds (Turdus merula) involves apoptosis through the extrinsic pathway.

Giuseppe Giglia, Gianfilippo Agliani, Bas B Oude Munnink, Reina S Sikkema, Maria Teresa Mandara, Christine Fast, Marleen Gosens, Eefje J A Schrauwen, Erwin de Bruin, Andrea Gröne and 1 more

Abstract read
In one paragraph

Article in Journal of neurovirology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Giuseppe GigliaDepartment of Veterinary Medicine, University of Perugia, Perugia, 06126, Italy.
Gianfilippo AglianiDivision of Pathology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, 3584 CL, the Netherlands.
Bas B Oude MunninkDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, 3000 CA, the Netherlands.
Reina S SikkemaDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, 3000 CA, the Netherlands.
Maria Teresa MandaraDepartment of Veterinary Medicine, University of Perugia, Perugia, 06126, Italy.
Christine FastInstitute of Novel and Emerging Infectious Disease, Friedrich-Loeffler Institut, Isle of Riems, D-17493, Germany.
Marleen GosensAcademy for Technology of Health and Environment, Avans University of Applied Science, Breda, 4817 LL, the Netherlands.
Eefje J A SchrauwenAcademy for Technology of Health and Environment, Avans University of Applied Science, Breda, 4817 LL, the Netherlands.
Erwin de BruinDivision of Pathology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, 3584 CL, the Netherlands.
Andrea GröneDivision of Pathology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, 3584 CL, the Netherlands.
Judith M A van den BrandDivision of Pathology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, 3584 CL, the Netherlands. j.m.a.vandenbrand@uu.nl.

Funding

Dutch Ministry of Agriculture, Nature and Food Quality, the Dutch Ministry of Health, Welfare and Sport, and Utrecht University 1300027028
6 · The paper itself

Abstract

Usutu virus (USUV) is a zoonotic arbovirus causing systemic and neuroinvasive diseases in birds and flu-like or sporadic neuroinvasive disease in humans. USUV-associated encephalitis is morphologically well-characterized in birds, while the mechanisms of cell-damage in spontaneously infected birds remain poorly understood. For the closely related West Nile virus, apoptosis significantly contributes to the pathogenesis of othoflavivirus-induced neuropathology. This study investigates the involvement of apoptosis in USUV-associated encephalitis in Eurasian blackbirds (Turdus merula). To determine the apoptosis involvement, immunohistochemistry for cleaved-caspase-3 (CC3), TUNEL-assay, and RT-qPCR to compare mRNA expression levels of caspase 8 (extrinsic pathway) and caspase 9 (intrinsic pathway) were performed on brains of USUV-infected (n = 26) and USUV-uninfected (n = 16) blackbirds, as well as Africa 3 and Europe 3 USUV-lineages. The results showed a higher CC3 expression in USUV-infected (m = 231,96 ± 117,033) compared to uninfected blackbirds (m = 22,00 ± 13,31) (p < 0.001). Similarly, higher TUNEL-positive cell counts were detected in USUV-infected (m = 197,00 ± 83,56) compared to uninfected blackbirds (m = 19,00 ± 16,08) (p < 0.01). No significant differences were detected comparing Africa 3 and Europe 3 lineages. Additionally, both caspases were upregulated in USUV-infected blackbirds. Caspase 8 was in average 4,37 ± 0,89 (CI α = 0,05) times higher in USUV-infected blackbirds (p < 0.0001), while caspase 9 expression was in average 1,82 ± 0,89 (CI α = 0,05) times higher in USUV-infected blackbirds (p < 0.01). Although both apoptotic pathways are involved, the extrinsic pathway is notably more active in USUV-infected blackbirds, highlighting its role in USUV-associated brain damage.

Indexed as

ApoptosisBird DiseasesBrainEncephalitis, ViralFlavivirusFlavivirus InfectionsSongbirdsAnimalsCaspase 3Caspase 8Caspase 9Caspase 3Caspase 8Caspase 9AvianCell-deathExtrinsic apoptosisNeuropathologyUsutu virus

Identifiers

PMID41772368
PMCPMC12953318

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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.