Neurological Damage by Coronaviruses: A Catastrophe in the Queue!

Front Immunol. 2020 Sep 10:11:565521. doi: 10.3389/fimmu.2020.565521. eCollection 2020.

Abstract

Neurological disorders caused by neuroviral infections are an obvious pathogenic manifestation. However, non-neurotropic viruses or peripheral viral infections pose a considerable challenge as their neuropathological manifestations do not emerge because of primary infection. Their secondary or bystander pathologies develop much later, like a syndrome, during and after the recovery of patients from the primary disease. Massive inflammation caused by peripheral viral infections can trigger multiple neurological anomalies. These neurological damages may range from a general cognitive and motor dysfunction up to a wide spectrum of CNS anomalies, such as Acute Necrotizing Hemorrhagic Encephalopathy, Guillain-Barré syndrome, Encephalitis, Meningitis, anxiety, and other audio-visual disabilities. Peripheral viruses like Measles virus, Enteroviruses, Influenza viruses (HIN1 series), SARS-CoV-1, MERS-CoV, and, recently, SARS-CoV-2 are reported to cause various neurological manifestations in patients and are proven to be neuropathogenic even in cellular and animal model systems. This review presents a comprehensive picture of CNS susceptibilities toward these peripheral viral infections and explains some common underlying themes of their neuropathology in the human brain.

Keywords: Influenza; SARS-CoV-2; coronaviruses; cytokine storm; encephalitis; microglial priming; neuroinflammation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Betacoronavirus / immunology*
  • Blood-Brain Barrier / immunology
  • Blood-Brain Barrier / virology
  • COVID-19
  • Coronavirus Infections / complications*
  • Coronavirus Infections / immunology*
  • Coronavirus Infections / virology
  • Cytokines / blood
  • Disease Models, Animal
  • Humans
  • Microglia / immunology
  • Microglia / virology
  • Middle East Respiratory Syndrome Coronavirus / immunology*
  • Neurogenic Inflammation / complications*
  • Neurogenic Inflammation / immunology*
  • Neurogenic Inflammation / virology
  • Pandemics
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / immunology*
  • Pneumonia, Viral / virology
  • SARS-CoV-2
  • Severe Acute Respiratory Syndrome / complications*
  • Severe Acute Respiratory Syndrome / immunology
  • Severe Acute Respiratory Syndrome / virology
  • Severe acute respiratory syndrome-related coronavirus / immunology*

Substances

  • Cytokines