Why the study?
Tonsils and Peyer's patches have long been believed to be the primary replication sites of enteroviruses, so the authors sought to localize viral markers in the small intestines of coxsackievirus B-infected mice.
Coxsackievirus B replicates in the epithelial cells of the murine small intestine rather than the germinating centers of Peyer's patches, challenging the traditional hypothesis of enterovirus replication sites.
Challenges traditional EV replication dogma in animal models; leaves open human disease relevance and clinical translation.
BACKGROUND: Enterovirus (EV) infections are associated with a broad range of diseases. Since the first experimental infection of primates with poliovirus (PV), tonsils and the Peyer's patches (PPs) have been believed to be the primary replication sites of EVs. Our aim was to localize different viral markers in the small intestines (SI) of coxsackievirus B (CVB) orally and intraperitoneally (i.p.) infected mice. METHODS: Transverse sections of SIs of both infected and control male outbred mice were collected at different intervals post-infection (p.i) and analyzed for presence of interferon-alpha (IFN-α) and viral protein VP1 by immunohistochemistry and in situ hybridization (ISH). Fluorescent marker, eGFP, was identified in cryosections of mice infected with eGFP-CVB3. RESULTS: In the infected SIs, we observed enlarged germinating centers (GCs) in the PPs; IFN-α was detected in the PPs and mucosal layer of the SIs. However, VP1, viral RNA and the eGFP were absent in the GCs of PPs at all stages of infection irrespective of the virus strains used. CONCLUSIONS: Virus was present in the epithelial cells but not in GCs of the PPs of the murine SIs. Our results do not support the hypothesis of EV replication in the PP especially in the GCs.
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Bopegamage et al. (2021) studied this question.
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