PMID- 30953871 OWN - NLM STAT- MEDLINE DCOM- 20190903 LR - 20190903 IS - 1872-6844 (Electronic) IS - 0920-1211 (Linking) VI - 153 DP - 2019 Jul TI - Infection with HHV-6 and its role in epilepsy. PG - 34-39 LID - S0920-1211(18)30622-3 [pii] LID - 10.1016/j.eplepsyres.2019.03.016 [doi] AB - Infection with Human Herpesvirus-6 (HHV-6) has been associated with different epilepsy syndromes, including febrile seizures and status epilepticus, acute symptomatic seizures secondary to encephalitis and temporal lobe epilepsy. This neurotropic DNA virus is ubiquitous and primary infection occurs in up to 80% of children by age two years. While two viral variants have been identified, HHV-6B is the one that has been primarily linked to disease in humans, including epilepsy. After initial viremia, the virus can establish chronic latency in brain tissue, peripherally in tonsils and salivary glands and infect several different cell lines by binding to the complement regulator CD-46. In this review we will focus on discussing the evidence linking HHV-6 infection to different epilepsy syndromes and analyzing proposed pathogenic mechanisms. CI - Published by Elsevier B.V. FAU - Bartolini, Luca AU - Bartolini L AD - Clinical Epilepsy Section, National Institute of Neurological Disorders and Stroke, NIH, 10 Center Drive, Bethesda, MD 20892, USA; Division of Neuroimmunology and Neurovirology, National Institute of Neurological Disorders and Stroke, NIH, 10 Center Drive, Bethesda, MD 20892, USA. Electronic address: luca.bartolini@nih.gov. FAU - Theodore, William H AU - Theodore WH AD - Clinical Epilepsy Section, National Institute of Neurological Disorders and Stroke, NIH, 10 Center Drive, Bethesda, MD 20892, USA. FAU - Jacobson, Steven AU - Jacobson S AD - Division of Neuroimmunology and Neurovirology, National Institute of Neurological Disorders and Stroke, NIH, 10 Center Drive, Bethesda, MD 20892, USA. FAU - Gaillard, William D AU - Gaillard WD AD - Center for Neuroscience, Children's National Medical Center, George Washington University, 111 Michigan Ave NW, Washington, DC 20010, USA. LA - eng PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Review DEP - 20190329 PL - Netherlands TA - Epilepsy Res JT - Epilepsy research JID - 8703089 SB - IM MH - Epilepsy/*complications/*virology MH - Herpesvirus 6, Human/genetics/*pathogenicity MH - Humans MH - Roseolovirus Infections/*complications/virology OTO - NOTNLM OT - Children OT - Epilepsy OT - Febrile seizures OT - HHV-6 OT - Seizures OT - Temporal lobe epilepsy EDAT- 2019/04/07 06:00 MHDA- 2019/09/04 06:00 CRDT- 2019/04/07 06:00 PHST- 2019/01/02 00:00 [received] PHST- 2019/03/18 00:00 [revised] PHST- 2019/03/24 00:00 [accepted] PHST- 2019/04/07 06:00 [pubmed] PHST- 2019/09/04 06:00 [medline] PHST- 2019/04/07 06:00 [entrez] AID - S0920-1211(18)30622-3 [pii] AID - 10.1016/j.eplepsyres.2019.03.016 [doi] PST - ppublish SO - Epilepsy Res. 2019 Jul;153:34-39. doi: 10.1016/j.eplepsyres.2019.03.016. Epub 2019 Mar 29.