When studying viral encephalitis, the initial distribution of viral particles is very important to understand disease pathogenesis and to identify viral targets in the brain. Most viruses range in size from 20 to 300 nm, although the Pandoravirus is more than 700 nm in size1. The distribution of the viral particles in the acute phase of infection may depend on the size of the particles, the distribution of cellular receptors, or the affinity of the cellular receptors for viruses. In animal models, intracerebroventricular (ICV), intraperitoneal, direct placental, and intravenous (IV) infections have been used to study the pathogenesis of viral encephalitis. ICV inoculation with virus is often used to establish central nervous system (CNS) infections in mice. Studies using this technique report widespread infection, particularly of cells in the periventricular zones and in regions of the brain in direct contact with the cerebrospinal fluid (CSF), similar to the effects of viral ventriculoencephalitis. The small size of adeno-associated virus (AAV) particles (20 - 25 nm in diameter) facilitates their dissemination throughout the brain in ICV infections2-4. Intraperitoneal5, direct placental6, and IV injections7 represent hematogenic systemic administration. The penetration of viral particles through the blood-brain barrier (BBB) allows them to reach the parenchyma of the neonatal brain, representing diffuse microglial nodules8,9.
Cytomegalovirus (CMV) is a common virus that belongs to the herpes virus family. In the United States, 50% - 80% of the people have had CMV infection by age 40. CMV infections are rarely harmful but can cause diseases in immunocompromised patients and fetuses. Of all deliveries, 0.2% - 2% are born with CMV10, resulting in severe symptoms such as microcephaly, periventricular calcification, cerebellar hypoplasia, microphthalmia, and optic nerve atrophy11,12. Furthermore, mental retardation, sensorineural hearing loss, visual defects, seizure, and epilepsy occur in about 10% of non-fatally CMV-infected infants13,14. CNS dysfunction is the most common characteristic symptom of CMV congenital anomaly. More children are permanently disabled each year by congenital CMV than by Down syndrome, fetal alcohol syndrome, or spina bifida15. There are no vaccinations against CMV available at the present, calling for a need of a safe and effective vaccine. Studying the interaction of CMV particles with their receptors in the earliest phase of infection is important to understand the effect of vaccination.
Ventriculoencephalitis and diffuse microglial nodules are the two main pathological characteristics of CMV encephalitis16. It has been uncertain how the CMV particles (150 - 300 nm) spread through the brain in the acute phase of infection and how the distribution of cellular receptors and their affinity for viruses contribute to the viral spread. Kawasaki et al. have evaluated ICV and IV infections from the perspective of the distribution of particles and their receptors (β1 integrin) in the earliest phase of infection. We have found that the dissemination of CMV particles and the expression of β1 integrin are well correlated in the earliest phase of infection in both ICV and IV infections8. ICV infection is a model of ventriculoencephalitis and IV infection is a model of diffuse microglial nodules. Studying the dynamics of viral or fluorescent particles would give useful information on the effect of particle size, viral interactions with cellular receptors, and the mechanism of BBB penetration in the brain. The following protocol could be used to investigate any viral infection and viral vector in the CNS.