Measles is an important cause of childhood morbidity and mortality in developing countries. Measles virus (MV) is transmitted via the respiratory route and causes systemic disease. Over the last decade, identification of new cellular receptors and studies in animal models have challenged the historic concepts of measles pathogenesis. It is thought that MV enters the host by infection of alveolar macrophages and/or dendritic cells in the airways, and is amplified in local lymphoid tissues. Viremia mediated by infected CD150+lymphocytes results in systemic dissemination. Infection of lymphocytes and dendritic cells in the respiratory submucosa facilitates basolateral infection of epithelial cells via the newly identified receptor Nectin-4. Concomitant and extensive epithelial damage may contribute to efficient transmission to the next host.

Additional Metadata
Keywords Measles virus, airway, cell adhesion, cell damage, dendritic cell, human, lung alveolus macrophage, lymphoid tissue, measles, nonhuman, pathogenesis, priority journal, respiratory tract mucosa, review, systemic disease, target cell, viremia, virus replication, virus transmission
Persistent URL dx.doi.org/10.1016/j.coviro.2012.03.005, hdl.handle.net/1765/39090
Journal Current Opinion in Virology
Citation
de Vries, R.D, Mesman, A.W, Geijtenbeek, T.B.H, Duprex, W.P, & de Swart, R.L. (2012). The pathogenesis of measles. Current Opinion in Virology (Vol. 2, pp. 248–255). doi:10.1016/j.coviro.2012.03.005