Key result
Whole body irradiation of 500 rads prior to Langat virus infection significantly prolonged the average day of death to 10.6 days compared to 8.9 days in controls and suppressed inflammatory CNS changes.
Whole body irradiation in mice prior to Langat virus infection suppresses the inflammatory response and antibody production, altering the clinical course from paralytic to non-paralytic death.
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Should not alter clinical management of viral encephalitis; hypothesis-generating for immunomodulation in flavivirus CNS models.
Summary 1. Irradiation in a whole body dose of 200 rads or more increased the sensitivity of mice to intraperitoneal infection with Langat virus so that the LD 50 was increased to about the intracerebral LD 50. 2. In mice given 500 rads before infection: (a) viraemia was prolonged by about 5 days; (b) the IgM response was depressed; (c) the IgG response was delayed by about 3 days and depressed in titre; (d) virus concentration in the brain rose continuously until death on about the tenth day while in the controls it reached a peak on the fifth day then subsided; (e) histological changes in the CNS were delayed and minimal even at death; (f) irradiated mice died with little evidence of paralysis while the controls died with severe paralysis. 3. In irradiated mice, protection was observed when antibody was administered on the third day following infection. Antibody given on the 3 days after infection to control mice aggravated the disease. 4. The results in this and the preceding paper are discussed in relation to the pathogenesis of encephalitis. It is concluded that neuronal damage is caused both by virus multiplication in neurones and by damage superimposed by inflammatory changes with associated oedema and hypoxia. The inflammatory changes appear to be due to an allergic reaction to virus-antibody complexes formed in the circulation and in the central nervous system. We are grateful to Miss S. J. Illavia, B.Sc., and Miss G. E. Fairbairn for their skilled technical assistance; to the Department of Radiotherapy at St Thomas's Hospital for providing time and staff to help with the irradiation experiments; and to Mr S. Peto of the Microbiological Research Establishment for statistical advice. This work was made possible by a generous grant from the Wellcome Trust and the Endowment Funds of St Thomas's Hospital.
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Webb et al. (1968) studied Langat virus encephalitis. Whole body irradiation vs. No irradiation was evaluated on Average day of death (ADD) after intracerebral inoculation of 100 ICLD50 Langat virus (p=<0.01). Whole body irradiation of 500 rads prior to Langat virus infection significantly prolonged the average day of death to 10.6 days compared to 8.9 days in controls and suppressed inflammatory CNS changes.
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