LIMBIC ENCEPHALITIS OF HERPESVIRUS ETIOLOGY
https://doi.org/10.22627/2072-8107-2014-13-4-6-13
Abstract
Based on the literature data and our personal observations in the article discusses the types of variants of the course of nervous system caused by herpesviruses. In the description of a clinical case demonstrated a classic example of limbic encephalitis infectious etiology. The study involved 36 children with various neurological and infectious diseases: 19 children with the diagnosis - convulsions, 8 children with the diagnosis — epilepsy, 5 children with acute viral encephalitis, 3 children with neuropathies. It was established that in the genesis of diseases such as epilepsy, convulsive syndrome, limbic encephalitis, neuropathy peripheral nerves leading role belongs to of herpes virus infection, in which the dominant role belongs HHV-6 infection. Pathogenetically proved the impact of the virus on the receptor apparatus of glia with the disorder of the functional state of mitochondria of these cells. According to our own observations provided data that result in persistence of HHV-6 variant-in mono or in combination with other herpesviruses growing threat of epilepsy and other neurological disorders.
About the Authors
E. V. SimonovaRussian Federation
post-graduate student of Department of infectious diseases in children № 1 of the pediatric faculty; Russian National Research Medical University named after N. I. Pirogov; 117049, Moscow, 4th Dobryninsky
F. S. Kharlamova
Russian Federation
V. F. Uchaikin
Russian Federation
I. M. Drozdova
Russian Federation
L. P. Semenova
Russian Federation
A. E. Andzhel
Russian Federation
References
1. Iizuka T., Sakai F., Ide T. et al. Anti-NMDA receptor encephalitis in Japan: long-term outcome without tumor removal // Neurology. — February 2008. — 70 (7).
2. S. Long, Larry K. Pickering, Charles G. Prober Churchill Livingstone Inc. 1997. — P. 1821.
3. Боковой А.Г. Герпесвирусные инфекции у детей — актуальная проблема современной клинической практики // Детские инфекции. — 2010. — № 2. Bokovoy A.G. Gerpesvirusnyie infektsii u detey — aktualnaya prob-lema sovremennoy klinicheskoy praktiki [Herpesvirus infection in children — actual problem of modern clinical practice] //Detskie Infektsii. — 2010. — №2. — S. 3—7. (In Russ).
4. Salahuddin S.Z., Ablashi D.V., Markham P.D. et al. Isolation of a new virus, HBLV, in patients with lymphoproliferative disorders // Science. — 1986; 234: 596—601.
5. Braun D.K., Dominguez G., Pellett P.E. Human herpesvirus 6 // Clin. Microbiol. Rev., 1997.
6. Mori Y. Recent topics related to human herpesvirus 6 cell tropism // Cell Microbiol. 2009. — Jul; 11 (7): 1001—6.
7. Mori Y., Seya T., Huang H.L., Akkapaiboon P., Dhepakson P., Ya-manishi K. Human herpesvirus 6 variant A but not variant B induces fusion from without in a variety of human cells through a human her-pesvirus 6 entry receptor, CD46 // Journal Virol. — 2002. — Jul; 76 (13): 6750—61.
8. Kawabata A., Oyaizu H., Maeki T., Tang H., Yamanishi K., Mori Y. Analysis of a neutralizing antibody for human herpesvirus 6B reveals a role for glycoprotein Q1 in viral entry // J Virol. — 2011. — Dec; 85 (24): 12962—71.
9. Абатуров А.Е., Шостакович-Корецкая Л.Р. HHV-6-инфекция у детей // Журнал «Здоровье ребенка» / Инфекции у детей. — 3 (6), 2007. Abaturov A.E., Shostakovich-Koretskaya L.R. HHV-6-infektsiya u detey. [HHV-6 infection in children] // Zhurnal «Zdorove Rebenka» / Infektsii u Detey. — 3 (6), 2007. (In Russ).
10. Каражас Н.В., Малышев И.А., Рыбалкина Т.И., Калугина М.Ю., Бошьян Р.Е. и др. Герпесвирусная инфекция. Эпидемиология, клиника, диагностика, профилактика и лечение: Методические рекомендации. — № 41. — М., 2007. — С. 118. Karazhas N.V., Malyishev I.A., Ryibalkina T.I., Kalugina M.Yu., Boshyan R.E. i dr. Gerpesvirusnaya infektsiya. Epidemiologiya, klinika, diagnostika, profilaktika i lechenie. [Herpesvirus infection. Epidemiology, clinical features, diagnosis, prevention and treatment]: Metodicheskie rekomendatsii. — №41. — M., 2007. — S. 118. (In Russ).
11. Yamanishi K., Okuno T., Shiraki K. et al. Indentification of human herpesvirus-6 as a causal agent for exanthem subitum // Lancet. — 1988; 1: 1065—1067.
12. Josephs S.F., Salahuddin S.Z., Ablashi D.V., Schachter F., Wong Staal F., Gallo R.C. Genomic analysis of the human B-lymphotropic virus (HBLV) // Science. — 1986; 234 : 601—3.
13. Takahashi K., Sonoda, Higashi K., Kondo T., Takahashi H., Takahashi M. et al. Predominant CD4 T-lymphocyte tropism of human herpesvirus 6-related virus // J Virol. — 1989; 63 : 3161—3.
14. Liberto M.C., Iannello D., Capozza A.B. Altered cytokine production after human herpes virus type 6 infection // New Microbiol. — 1999. — Oct; 22 (4): 293—300.
15. Bressollette-Bodin C., Nguyen T.V., Illiaquer M., Besse B., Peltier C., Chevallier P., Imbert-Marcille B.M. Quantification of two viral transcripts by real time PCR to investigate human herpesvirus type 6 active infection // J Clin Virol. — 2014. — Feb; 59 (2): 94—9.
16. Lacroix A., Collot-Teixeira S., Mardivirin L., Jaccard A., Petit B., Piguet C., Sturtz F., Preux P.M., Bordessoule D., Ranger-Rogez S. Involvement of human herpesvirus-6 variant B in classic Hodgkin's lymphoma via DR7 oncoprotein // Clin Cancer Res. — 2010. — Oct. — 1; 16 (19): 4711—21.
17. Chi J., Gu B., Zhang C., Peng G., Zhou F. et al. Human herpesvirus 6 latent infection in patients with glioma // J Infect Dis. — 2012. — Nov; 206 (9): 1394—8.
18. http://hhv-6foundation.org/)(Leong, Seeley, 2007).
19. Alvarez-Lafuente, 2004; Chapenko, 2003; Berti, 2002; Soldan, 1997.
20. P.B. Challoner, K.T. Smith, J.D. Parker et al. Plaque-associated expression of human herpes virus 6 in multiple sclerosis // Proceedings of the National Academy of Sciences of the United States of America. — V. 92. — P. 7440—77444, 1995.
21. S.S. Soldan, R. Berti, N. Salem et al., K.I. Voumvourakis, D.K. Kit-sos, S. Tsiodras, G. Petrikkos and E. Stamboulis. Human herpesvirus 6 infection as a trigger of multiple sclerosis // Mayo Clinic Proceedings. — V. 85. — № 11. — P. 1023—1030, 2010.
22. Nora-Krukle Z., Chapenko S., Logina I., Millers A., Platkajis A., Murovska M. Human herpesvirus 6 and 7 reactivation and disease activity in multiple sclerosis. — Medicina (Kaunas). — Литва. — 2011; 47 (10): 527—31 // J Neurovirol. — 2001. — Dec; 7 (6) : 564—9.
23. Казмирчук В.Е., Мальцев Д.В. Диагностика и лечение инфекции, вызванной вирусом герпеса человека 6 типа // Журнал «Клиническая иммунология. Аллергология. Инфектология». — № 5. — Октябрь 2011 года. Kazmirchuk V.E., Maltsev D.V. Diagnostika i lechenie infektsii, vyizvannoy virusom gerpesa cheloveka 6 tipa. [Diagnosis and treatment of infections caused by human herpes virus type 6] // Zhurnal «Klinicheskaya Immunologiya. Allergologiya. Infektologiya». — №5. — Oktyabr. — 2011 god. (In Russ).
24. Birnbaum T., Claudio S. Padovan, Bernd Sporer, Tobias A. Rupprecht, Harald Äusserer, Gundula Jaeger and Hans W. Pfister. Severe Meningoencephalitis Caused by Human Herpesvirus 6 Type B in an Immunocompetent Woman Treated with Ganciclovir // Clin Infect Dis. — 2005. — Mar 15; 40 (6): 887—9.
25. Denes E., L. Magy, K. Pradeau. Successful treatment herpesvirus 6 encephalomyelitis in immunocompetent patient // Emerg. Infect. Dis. — V. l0. — № 4. — Аpr. 2004.
26. Drobyski W.R., Knox K.K., Majewski D. and Carrigan D.R. Fatal encephalitis due to variant B human herpesvirus 6 infection in a bone marrow transplant recipient // N Engl J Med. — 1994; 330 : 1356—1360.
27. Kamei A., Fujiwara T., Hiraga S., Onuma R. and Ichinohe S. Acute disseminated demyelination due to primary human herpesvirus-6 infection // Eur J Pediatr. — 1997; 156 (9): 709—712.
28. Tal Kramer, Lynn W. Enquist. Alphaherpesvirus Infection Disrupts Mitochondrial Transport in Neurons. — V. 11. — Issue 5. — Р. 504— 514. — 17 May. — 2012.
29. Leon G. Epstein, Shlomo Shinnar, Dale C. Hesdorffer et al. Shinnar, Shumei Sun and the FEBSTAT study team. Epilepsia; Human herpes-virus 6 and 7 in febrile status epilepticus: The FEBSTAT study. — Published Online: June 14. — 2012.
30. Menkes, John H., 1928-Sarnat, Harvey B. Maria, Bernard L. Child neurology. — Philadelphia: Lippincott Williams & Wilkins. — 2006.
31. Simon D. Shorvon, Emilio Perucca, Jerome Engel Jr. The Treatment of Epilepsy, Wiley-Blackwell. — 3 edition. — August 18. — 2009.
32. Танцюра Л.Н. Анализ факторов риска трансформации фебрильных судорог в эпилепсию и их значимость // Украинский вестник психоневрологии. — 2009. — Т. 2. — №4 (37). Tantsyura L.N. Analiz faktorov riska transformatsii febrilnyih sudorog v epilepsiyu i ih znachimost. [Analysis of risk factors for transformation of febrile seizures in epilepsy and their significance] // Ukrainskiy Vestnik Psihonevrologii. — 2009. — T. 2. — №4 (37). (In Russ).
33. Berquin P. et al. Treatment of childhood refractory epilepsy // Arch. Pediatr. — 2012. — V. 19 (1). — Р. 3—8.
34. Евтушенко С.К. Разрушительные и труднокурабельные формы эпилепсии и эпилептические энцефалопатии у детей // Международный неврологический журнал. — 6 (52). — 2012. Evtushenko S.K. Razrushitelnyie i trudnokurabelnyie formyi epilepsii i epilepticheskie entsefalopatii u detey. [Destructive and difficult forms of epilepsy and epileptic encephalopathy in children] // Mezhdunarodnyiy Nevrologicheskiy Zhurnal. — 6 (52). — 2012. (In Russ).
35. Donati D., Akhyani N., Fogdell-Hahn A., Cermelli C. et al. Detection of human herpesvirus-6 in mesial temporal lobe epilepsy surgical brain resections // Neurology. — 2003. — Nov. 25; 61 (10) : 1405—11.
36. Okubo Y., Sekiya H., Namiki S., Sakamoto H., Iinuma S., Yamasaki M., Watanabe M., Hirose K., Iino M. Imaging extrasynaptic glutamate dynamics in the brain // Proceedings of the National Academy of Sciences. — 2010.— 107 (14): 6526.
37. Modulation of the cytokine network in human adult astrocytes by human herpesvirus-6a / S. Meeuwsen [et al.] // J. Neuroimmunol. — 2005. — V. 164. — № 1. — P. 37—47.
Review
For citations:
Simonova E.V., Kharlamova F.S., Uchaikin V.F., Drozdova I.M., Semenova L.P., Andzhel A.E. LIMBIC ENCEPHALITIS OF HERPESVIRUS ETIOLOGY. CHILDREN INFECTIONS. 2014;13(4):6-13. (In Russ.) https://doi.org/10.22627/2072-8107-2014-13-4-6-13