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Experimental West Nile virus infection provides lessons for recovery from enteric neuropathies
Joel C. Bornstein
Joel C. Bornstein
Published November 1, 2024
Citation Information: J Clin Invest. 2024;134(21):e185865. https://doi.org/10.1172/JCI185865.
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Commentary

Experimental West Nile virus infection provides lessons for recovery from enteric neuropathies

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Abstract

Loss of enteric neurons leading to long-term gastrointestinal dysfunction is common to many diseases, and the path to functional recovery is unclear. In this issue of the JCI, Janova et al. report that West Nile virus killed enteric neurons and glia via CD4+ and CD8+ T cells acting through the perforin and Fas ligand pathways. Enteric glial cells contributed to neurogenesis and at least partial replacement of affected neurons. While neurogenesis is important for recovery, dysmotility and disruptions to the network structure persisted. Following enteric injury, the contribution of neurogenesis and the conditions that support restoration of enteric neural circuits for functional recovery remain for further investigation.

Authors

Joel C. Bornstein

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Figure 1

After injury, several events and processes may contribute to the phenotypic differentiation of newborn enteric neurons in an adult ENS.

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After injury, several events and processes may contribute to the phenoty...
(i) Following injury, such as WNV infection, new neurons arise from reservoir cells, likely SLC18A2 glial cells, and receive contacts from intact axons in specific reflex pathways, usually within days. (ii) Input, whether synaptic or trophic, from these new synapses regulates the generation of a transcriptome consistent with the new neuron becoming part of the functional circuit served by the intact axon. ChAT, choline acetyltransferase. (iii) The new transcriptome sets the preferred projection direction of the new axon, with orally directed outgrowth being favored by ascending interneurons and excitatory motor neurons, intrinsic sensory neurons projecting circumferentially, and inhibitory motor neurons and descending interneurons extending anally. (iv) The glial scaffold facilitates branching of enteric axons as they diverge to their different targets (18), interneurons supply neurons in other ganglia over projection distances of more than 1 cm, and motor neurons enter the muscle, where they branch extensively. Synaptic connections are made between the original survivor and newborn neurons in the relevant pathway, selected by their expressed transcriptome. Activity in the pathway and retrograde feedback from downstream targets allow refinement of the transcriptome to its mature form.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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