While Lyme disease is the most recognized and prevalent tick-borne disease in the United States, other infections transmitted through tick bites can be equally or even more dangerous. One of these is the Powassan virus (POWV).

Erich Mackow, PhD, an internationally recognized virologist at Stony Brook University, is conducting research in an attempt to uncover one the most dangerous effects of POWV – neurologic damage.

Powassan virus is endemic to North America. It is present in about two percent of Long Island ticks and is injected into the skin during just a 15-minute tick bite.

POWV-infected patients have a 10 percent risk of fatal encephalitis and up to 50 percent of infected patients have long-term neurologic damage. Severe neurologic symptoms are associated with POWV infection in older patients.

Mackow is a Professor in the Department of Microbiology and Immunology in the Renaissance School of Medicine (RSOM). A core member of Stony Brook’s Center for Infectious Diseases, he is one of a number of scientists at Stony Brook University investigating ways to better target treatments of tick-borne infections.

Stony Brook Medicine has a clinic dedicated to treating Lyme disease and all tick-borne infections, such as POWV, and is home to the Regional Tick-Borne Disease Resource Center.

“The severity of Powassan encephalitis in the elderly remains an enigma as the mechanisms of the viral neuroinvasion remain virtually unknown,” says Mackow.

The role of age in severe infection

For this research, Mackow and his RSOM colleagues focus their investigation on analyzing all aspects of the neurological effects of POWV, defining viral proteins that direct neurovirulence, developing therapeutics and attenuated POWV vaccines, and assessing the role of cell senescence, the biological process when cells stop dividing, as an age-dependent cause of POWV encephalitis.

The deer tick anywhere in North America has the potential to transmit the Powassan virus, which can cause encephalitis and long-term neurologic damage in patients.

The team isolated a Powassan virus strain (L19) from ticks on Long Island and developed an animal model of POWV-induced encephalitis and age-dependent lethality. They established a mechanism for genetically altering POWV, and generated attenuated viral mutants that as vaccine candidates fail to cause disease and elicit protective immune responses.

Vaccines and therapeutic approaches for preventing POWV neuroinvasion are now being examined by the researchers and the role of age in the severity of POWV infection revealed.

“Our findings provide a foundational basis to understanding the mechanism of neurovirulent pathogens in the central nervous system, define the role of brain senescence in disease severity, and the potential to use responses that protect young mice from POWV lethality to develop targeted human therapeutics that protect the elderly from lethal POWV infections,” explains Mackow.

The investigators detail their discovery based on the age-dependent model and novel POWV genetics in a new paper published this month in the Journal of Virology.

The authors write that their laboratory results establish the age-dependent lethality of POWV in a murine [mouse] model that mirrors human POWV severity and long-term central nervous system pathology in the elderly.

Mackow, the lead author, said that only minimal infectious doses of the virus were highly lethal in older mice and that lethality increased >10-fold with age. The researchers also determined that POWV lethality is linked to central nervous system glial cell activation and age-dependent neuroinflammatory cytokine responses in the mice, essentially establishing mechanisms contributing to Powassan virus encephalitis.

The research aims to better understand how POWV enters into the brain of its host, age-dependent responses that increase disease severity, and the development of therapeutics and vaccines against the virus.

SOURCE: Stony Brook University