West Nile and Usutu viruses are efficiently inactivated in platelet concentrates by UVC light using the THERAFLEX UV-Platelets system.

BACKGROUND AND OBJECTIVES: West Nile virus (WNV) and Usutu virus (USUV) are mosquito-borne flaviviruses (Flaviviridae) that originated in Africa, have expanded their geographical range during the last decades and caused documented infections in Europe in the last years. Acute WNV and USUV infections have been detected in asymptomatic blood donors by nucleic acid testing. Thus, inactivation of both viral pathogens before blood transfusion is necessary to ensure blood product safety. This study aimed to investigate the efficacy of the THERAFLEX UV-Platelets system to inactivate WNV and USUV in platelet concentrates (PCs). MATERIALS AND METHODS: Plasma-reduced PCs were spiked with the virus suspension. Spiked PC samples were taken after spiking (load and hold sample) and after UVC illumination on the Macotronic UV illumination machine with different light doses (0.05, 0.1, 0.15 and 0.2 (standard) J/cm2). Virus loads of WNV and USUV before and after illumination were measured by titration. RESULTS: Infectivity assays showed that UVC illumination inactivated WNV and USUV in a dose-dependent manner. At a UVC dose of 0.2 J/cm2, the WNV titre was reduced by a log10 factor of 3.59 ± 0.43 for NY99 (lineage 1) and 4.40 ± 0.29 for strain ED-I-33/18 (lineage 2). USUV titres were reduced at the same UVC dose by a log10 factor of 5.20 ± 0.70. CONCLUSIONS: Our results demonstrate that the THERAFLEX UV-Platelets procedure is an effective technology to inactivate WNV and USUV in contaminated PCs.

[Recommendations for the diagnostic and therapy of behavioural and psychological symptoms of dementia (BPSD)].

INTRODUCTION: The «Recommendations for the Diagnosis and Treatment of Behavioral and Psychological Symptoms of Dementia (BPSD)¼ were developed in parallel with the Swiss National Dementia Strategy 2014-2019 under the auspices of the Swiss Society for Geriatric Psychiatry and Psychotherapy (SGAP) and mark the beginning of a series of recommendations for geriatric psychiatric disorders. They depict the evidence-based state of knowledge about diagnostics and therapy, based on the clinical experience of the experts, and are designed for interprofessional and interdisciplinary use. The non-pharmacological intervention options and pharmacotherapy are discussed in detail. This paper is the revised version of the 2014 publication and compiles the development in this area for everyday clinical practice.

Localization of nitric oxide-producing hemocytes in Aedes and Culex mosquitoes infected with bacteria.

Mosquitoes are significant vectors of various pathogens. Unlike vertebrates, insects rely solely on innate immunity. Hemocytes play a crucial role in the cellular part of the innate immune system. The gaseous radical nitric oxide (NO) produced by hemocytes acts against pathogens and also functions as a versatile transmitter in both the immune and nervous systems, utilizing cyclic guanosine monophosphate (cGMP) as a second messenger. This study conducted a parallel comparison of NO synthase (NOS) expression and NO production in hemocytes during Escherichia coli K12 infection in four vector species: Aedes aegypti, Aedes albopictus, Culex pipiens molestus, and Culex pipiens quinquefasciatus. Increased NOS expression by NADPH diaphorase (NADPHd) staining and NO production by immunofluorescence against the by-product L-citrulline were observed in infected mosquito hemocytes distributed throughout the abdomens. NADPHd activity and citrulline labeling were particularly found in periostial hemocytes near the heart, but also on the ventral nerve chord (VNC). Pericardial cells of Ae. aegypti and Cx. p. molestus showed increased citrulline immunofluorescence, suggesting their involvement in the immune response. Oenocytes displayed strong NADPHd and citrulline labeling independent of infection status. This comparative study, consistent with findings in other species, suggests a widespread phenomenon of NO's role in hemocyte responses during E. coli infection. Found differences within and between genera highlight the importance of species-specific investigations.

Faces capture spatial attention only when we want them to: An inattentional blindness EEG study.

Previous research on emotional face processing has shown that emotional faces such as fearful faces may be processed without visual awareness. However, evidence for nonconscious attention capture by fearful faces is limited. In fact, studies using sensory manipulation of awareness (e.g., backward masking paradigms) have shown that fearful faces do not attract attention during subliminal viewings nor when they were task-irrelevant. Here, we used a three-phase inattentional blindness paradigm and electroencephalography to examine whether faces (fearful and neutral) capture attention under different conditions of awareness and task-relevancy. We found that the electrophysiological marker for attention capture, the N2-posterior-contralateral (N2pc), was elicited by face stimuli only when participants were aware of the faces and when they were task-relevant (phase 3). When participants were unaware of the presence of faces (phase 1) or when the faces were irrelevant to the task (phase 2), no N2pc was observed. Together with our previous work, we concluded that fearful faces, or faces in general, do not attract attention unless we want them to.

Attentional selection is a sufficient cause for visual working memory interference.

Visual attention and visual working memory (VWM) are intertwined processes that allow navigation of the visual world. These systems can compete for highly limited cognitive resources, creating interference effects when both operate in tandem. Performing an attentional task while maintaining a VWM load often leads to a loss of memory information. These losses are seen even with very simple visual search tasks. Previous research has argued that this may be due to the attentional selection process, of choosing the target item out of surrounding nontarget items. Over two experiments, the current study disentangles the roles of search and selection in visual search and their influence on a retained VWM load. Experiment 1 revealed that, when search stimuli were relatively simple, target-absent searches (which did not require attentional selection) did not provoke memory interference, whereas target-present search did. In Experiment 2, the number of potential targets was varied in the search displays. In one condition, participants were required to select any one of the items displayed, requiring an attentional selection but no need to search for a specific item. Importantly, this condition led to memory interference to the same extent as a condition where a single target was presented among nontargets. Together, these results show that the process of attentional selection is a sufficient cause for interference with a concurrently maintained VWM load.

Fixation-related electrical potentials during a free visual search task reveal the timing of visual awareness.

It has been repeatedly claimed that emotional faces readily capture attention, and that they may be processed without awareness. Yet some observations cast doubt on these assertions. Part of the problem may lie in the experimental paradigms employed. Here, we used a free viewing visual search task during electroencephalographic recordings, where participants searched for either fearful or neutral facial expressions among distractor expressions. Fixation-related potentials were computed for fearful and neutral targets and the response compared for stimuli consciously reported or not. We showed that awareness was associated with an electrophysiological negativity starting at around 110 ms, while emotional expressions were distinguished on the N170 and early posterior negativity only when stimuli were consciously reported. These results suggest that during unconstrained visual search, the earliest electrical correlate of awareness may emerge as early as 110 ms, and fixating at an emotional face without reporting it may not produce any unconscious processing.

Tuning to non-veridical features in attention and perceptual decision-making: An EEG study.

When searching for a lost item, we tune attention to the known properties of the object. Previously, it was believed that attention is tuned to the veridical attributes of the search target (e.g., orange), or an attribute that is slightly shifted away from irrelevant features towards a value that can more optimally distinguish the target from the distractors (e.g., red-orange; optimal tuning). However, recent studies showed that attention is often tuned to the relative feature of the search target (e.g., redder), so that all items that match the relative features of the target equally attract attention (e.g., all redder items; relational account). Optimal tuning was shown to occur only at a later stage of identifying the target. However, the evidence for this division mainly relied on eye tracking studies that assessed the first eye movements. The present study tested whether this division can also be observed when the task is completed with covert attention and without moving the eyes. We used the N2pc in the EEG of participants to assess covert attention, and found comparable results: Attention was initially tuned to the relative colour of the target, as shown by a significantly larger N2pc to relatively matching distractors than a target-coloured distractor. However, in the response accuracies, a slightly shifted, "optimal" distractor interfered most strongly with target identification. These results confirm that early (covert) attention is tuned to the relative properties of an item, in line with the relational account, while later decision-making processes may be biased to optimal features.

Seroprevalence of tick-borne encephalitis virus in wild and domestic animals in northern Germany.

Tick-borne encephalitis virus (TBEV) is a tick-transmitted flavivirus, which can infect humans and animals, sometimes even with a fatal outcome. Since many decades, TBEV is endemic in southern Germany, while only sporadic occurrence has been noted in northern parts of the country so far. Nevertheless, autochthonous human clinical cases are increasing in the federal state of Lower Saxony in north-western Germany, and several natural foci of TBEV transmission have recently been detected in this federal state. In order to shed more light on the current distribution of TBEV in Lower Saxony, the present study examined blood samples from wild and domestic animals for antibodies against TBEV. Overall, samples from 4,085 animals were tested by ELISA, including wild boar (N = 1,208), roe deer (N = 149), red deer (N = 61), fallow deer (N = 18), red foxes (N = 9), nutria (N = 9), raccoon dogs (N = 3), raccoons (N = 3), badgers (N = 1), European pine martens (N = 1), horses (N = 574), sheep (N = 266), goats (N = 67), dogs (N = 1,317) and cats (N = 399). Samples with an ELISA result of ≥60 Vienna units (VIEU)/ml were subjected to confirmatory serum neutralization tests (SNT). In total, 343 of 4,085 (8.4%) animals tested positive for anti-TBEV-IgG by ELISA, of which 60 samples were confirmed by SNT. Samples of 89 animals showed a cytotoxic effect in the SNT and were excluded from seroprevalence calculation, resulting in an overall seroprevalence of 1.5% (60/3,996). Seroprevalence was higher among wild animals (wild boar: 2.9% [34/1,190], roe deer: 2.7% [4/149], red deer: 1.7% [1/60], fallow deer: 5.6% [1/18]) than among domestic animals (dogs: 1.1% [15/1,317], horses: 0.8% [4/505], sheep: 0.4% [1/266]). No anti-TBEV-antibodies were detected in the other wild animal species as well as goats and cats. A notable clustering of positive samples was observed in districts where TBEV transmission foci have been described. Further clusters in other districts suggest the existence of so far undetected transmission foci, underlining the fact that both wild and domestic animals are useful sentinels for monitoring the spread of TBEV.

Attentional capture by fearful faces requires consciousness and is modulated by task-relevancy: A dot-probe EEG study.

In the current EEG study, we used a dot-probe task in conjunction with backward masking to examine the neural activity underlying awareness and spatial processing of fearful faces and the neural processes for subsequent cued spatial targets. We presented face images under different viewing conditions (subliminal and supraliminal) and manipulated the relation between a fearful face in the pair and a subsequent target. Our mass univariate analysis showed that fearful faces elicit the N2-posterior-contralateral, indexing spatial attention capture, only when they are presented supraliminally. Consistent with this, the multivariate pattern analysis revealed a successful decoding of the location of the fearful face only in the supraliminal viewing condition. Additionally, the spatial attention capture by fearful faces modulated the processing of subsequent lateralised targets that were spatially congruent with the fearful face, in both al and electrophysiological data. There was no evidence for nonconscious processing of the fearful faces in the current paradigm. We conclude that spatial attentional capture by fearful faces requires visual awareness and it is modulated by top-down task demands.

The actin-bundling protein Fascin-1 modulates ciliary signalling.

Primary cilia are microtubule-based cell organelles important for cellular communication. Since they are involved in the regulation of numerous signalling pathways, defects in cilia development or function are associated with genetic disorders, collectively called ciliopathies. Besides their ciliary functions, recent research has shown that several ciliary proteins are involved in the coordination of the actin cytoskeleton. Although ciliary and actin phenotypes are related, the exact nature of their interconnection remains incompletely understood. Here, we show that the protein BBS6, associated with the ciliopathy Bardet-Biedl syndrome, cooperates with the actin-bundling protein Fascin-1 in regulating filopodia and ciliary signalling. We found that loss of Bbs6 affects filopodia length potentially via attenuated interaction with Fascin-1. Conversely, loss of Fascin-1 leads to a ciliary phenotype, subsequently affecting ciliary Wnt signalling, possibly in collaboration with BBS6. Our data shed light on how ciliary proteins are involved in actin regulations and provide new insight into the involvement of the actin regulator Fascin-1 in ciliogenesis and cilia-associated signalling. Advancing our knowledge of the complex regulations between primary cilia and actin dynamics is important to understand the pathogenic consequences of ciliopathies.

Influence of RVFV Infection on Olfactory Perception and Behavior in Drosophila melanogaster.

In blood-feeding dipterans, olfaction plays a role in finding hosts and, hence, in spreading pathogens. Several pathogens are known to alter olfactory responses and behavior in vectors. As a mosquito-borne pathogen, Rift Valley Fever Virus (RVFV) can affect humans and cause great losses in livestock. We test the influence of RVFV infection on sensory perception, olfactory choice behavior and activity on a non-biting insect, Drosophila melanogaster, using electroantennograms (EAG), Y-maze, and locomotor activity monitor. Flies were injected with RVFV MP12 strain. Replication of RVFV and its persistence for at least seven days was confirmed by quantitative reverse transcription-PCR (RT-qPCR). One day post injection, infected flies showed weaker EAG responses towards 1-hexanol, vinegar, and ethyl acetate. In the Y-maze, infected flies showed a significantly lower response for 1-hexanol compared to uninfected flies. At days six or seven post infection, no significant difference between infected and control flies could be found in EAG or Y-maze anymore. Activity of infected flies was reduced at both time points. We found an upregulation of the immune-response gene, nitric oxide synthase, in infected flies. An infection with RVFV is able to transiently reduce olfactory perception and attraction towards food-related odors in Drosophila, while effects on activity and immune effector gene expression persist. A similar effect in blood-feeding insects could affect vector competence in RVFV transmitting dipterans.

Detection and Characterization of Alongshan Virus in Ticks and Tick Saliva from Lower Saxony, Germany with Serological Evidence for Viral Transmission to Game and Domestic Animals.

The newly discovered group of Jingmenviruses has been shown to infect a wide range of hosts and has been associated with febrile illness in humans. During a survey for Jingmenviruses in ticks from Lower Saxony, Germany, Alongshan virus (ALSV) was identified in Ixodes spp. ticks. Additional virus screenings revealed the presence of ALSV in the bodies and saliva of ticks collected at several locations in Lower Saxony. Vector competence studies that included Ixodes ricinus and Dermacentor reticulatus validated the replication of ALSV within those tick species. In vitro feeding experiments with ALSV-injected Ixodes ricinus demonstrated effective viral transmission during blood feeding. To evaluate the potential viral transmission during a natural blood meal, sera from wild game and domestic animals were investigated. One serum sample from a red deer was found to be positive for ALSV RNA, while serological screenings in game and domestic animals revealed the presence of ALSV-specific antibodies at different locations in Lower Saxony. Overall, those results demonstrate the broad distribution of ALSV in ticks in Lower Saxony and hypothesize frequent exposure to animals based on serological investigations. Hence, its potential risk to human and animal health requires further investigation.

Which processes dominate visual search: Bottom-up feature contrast, top-down tuning or trial history?

Previous research has identified three mechanisms that guide visual attention: bottom-up feature contrasts, top-down tuning, and the trial history (e.g., priming effects). However, only few studies have simultaneously examined all three mechanisms. Hence, it is currently unclear how they interact or which mechanisms dominate over others. With respect to local feature contrasts, it has been claimed that a pop-out target can only be selected immediately in dense displays when the target has a high local feature contrast, but not when the displays are sparse, which leads to an inverse set-size effect. The present study critically evaluated this view by systematically varying local feature contrasts (i.e., set size), top-down knowledge, and the trial history in pop-out search. We used eye tracking to distinguish between early selection and later identification-related processes. The results revealed that early visual selection was mainly dominated by top-down knowledge and the trial history: When attention was biased to the target feature, either by valid pre-cueing (top-down) or automatic priming, the target could be localised immediately, regardless of display density. Bottom-up feature contrasts only modulated selection when the target was unknown and attention was biased to the non-targets. We also replicated the often-reported finding of reliable feature contrast effects in the mean RTs, but showed that these were due to later, target identification processes (e.g., in the target dwell times). Thus, contrary to the prevalent view, bottom-up feature contrasts in dense displays do not seem to directly guide attention, but only facilitate nontarget rejection, probably by facilitating nontarget grouping.

Good-enough attentional guidance.

Theories of attention posit that attentional guidance operates on information held in a target template within memory. The template is often thought to contain veridical target features, akin to a photograph, and to guide attention to objects that match the exact target features. However, recent evidence suggests that attentional guidance is highly flexible and often guided by non-veridical features, a subset of features, or only associated features. We integrate these findings and propose that attentional guidance maximizes search efficiency based on a 'good-enough' principle to rapidly localize candidate target objects. Candidates are then serially interrogated to make target-match decisions using more precise information. We suggest that good-enough guidance optimizes the speed-accuracy-effort trade-offs inherent in each stage of visual search.

Attentional prioritisation and facilitation for similar stimuli in visual working memory.

Visual working memory (VWM) allows for the brief retention of approximately three to four items. Interestingly, when these items are similar to each other in a feature domain, memory recall performance is elevated compared to when they are dissimilar. This similarity benefit is currently not accounted for by models of VWM. Previous research has suggested that this similarity benefit may arise from selective attentional prioritisation in the maintenance phase. However, the similarity effect has not been contrasted under circumstances where dissimilar item types can adequately compete for memory resources. In Experiment 1, similarity benefits were seen for all-similar over all-dissimilar displays. This was also seen in mixed displays, change detection performance was higher when one of the two similar items changed, compared to when the dissimilar item changed. Surprisingly, the similarity effect was stronger in these mixed displays then when comparing the all-similar and all-dissimilar. Experiment 2 investigated this further by examining how attention was allocated in the memory encoding phase via eye movements. Results revealed that attention prioritised similar over dissimilar items in the mixed displays. Similar items were more likely to receive the first fixation and were fixated more often than dissimilar items. Furthermore, dwell times were elongated for dissimilar items, suggesting that encoding was less efficient. These results suggest that there is an attentional strategy towards prioritising similar items over dissimilar items, and that this strategy's influence can be observed in the memory encoding phase.

Mirror blindness: Our failure to recognize the target in search for mirror-reversed shapes.

It is well known that visual search for a mirror target (i.e., a horizontally flipped item) is more difficult than search for other-oriented items (e.g., vertically flipped items). Previous studies have typically attributed costs of mirror search to early, attention-guiding processes but could not rule out contributions from later processes. In the present study we used eye tracking to distinguish between early, attention-guiding processes and later target identification processes. The results of four experiments revealed a marked human weakness in identifying mirror targets: Observers appear to frequently fail to classify a mirror target as a target on first fixation and to continue with search even after having directly looked at the target. Awareness measures corroborated that the location of a mirror target could not be reported above chance level after it had been fixated once. This mirror blindness effect explained a large proportion (45-87%) of the overall costs of mirror search, suggesting that part of the difficulties with mirror search are rooted in later, object identification processes (not attentional guidance). Mirror blindness was significantly reduced but not completely eliminated when both the target and non-targets were held constant, which shows that perfect top-down knowledge can reduce mirror blindness, without completely eliminating it. The finding that non-target certainty reduced mirror blindness suggests that object identification is not solely achieved by comparing a selected item to a target template. These results demonstrate that templates that guide search toward targets are not identical to the templates used to conclusively identify those targets.

Culex Y Virus: A Native Virus of Culex Species Characterized In Vivo.

Mosquitoes are vectors of various pathogens that cause diseases in humans and animals. To prevent the outbreak of mosquito-borne diseases, it is essential to control vector populations, as treatment or vaccination for mosquito-borne diseases are often unavailable. Insect-specific viruses (ISVs) have previously been described as being potentially helpful against arboviral disease outbreaks. In this study, we present the first in vivo characterization of the ISV Culex Y virus (CYV). CYV was first isolated from free-living Culex pipiens mosquitoes in 2010; then, it was found in several mosquito cell lines in a further study in 2018. For mammalian cells, we were able to confirm that CYV does not replicate as it was previously described. Additionally, we found that CYV does not replicate in honey bees or locusts. However, we detected replication in the Culex pipiens biotype molestus, Aedes albopictus, and Drosophila melanogaster, thus indicating dipteran specificity. We detected significantly higher mortality in Culex pipiens biotype molestus males and Drosophila melanogaster, but not in Aedes albopictus and female Culex pipiens biotype molestus. CYV could not be transmitted transovarially to offspring, but we detected venereal transmission as well as CYV in mosquitos' saliva, indicating that an oral route of infection would also be possible. CYV's dipteran specificity, transmission routes, and killing effect with respect to Culex males may be used as powerful tools with which to destabilize arbovirus vector populations in the future.

Mosquito-Borne Arboviruses Occurrence and Distribution in the Last Three Decades in Central Africa: A Systematic Literature Review.

Arboviruses represent a real public health problem globally and in the Central African subregion in particular, which represents a high-risk zone for the emergence and re-emergence of arbovirus outbreaks. Furthermore, an updated review on the current arbovirus burden and associated mosquito vectors is lacking for this region. To contribute to filling this knowledge gap, the current study was designed with the following objectives: (i) to systematically review data on the occurrence and distribution of arboviruses and mosquito fauna; and (ii) to identify potential spillover mosquito species in the Central African region in the last 30 years. A web search enabled the documentation of 2454 articles from different online databases. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) and the quality of reporting of meta-analyses (QUORUM) steps for a systematic review enabled the selection of 164 articles that fulfilled our selection criteria. Of the six arboviruses (dengue virus (DENV), chikungunya virus (CHIKV), yellow fever virus (YFV), Zika virus (ZIKV), Rift Valley fever virus (RVFV), and West Nile virus (WNV)) of public health concern studied, the most frequently reported were chikungunya and dengue. The entomological records showed >248 species of mosquitoes regrouped under 15 genera, with Anopheles (n = 100 species), Culex (n = 56 species), and Aedes (n = 52 species) having high species diversity. Three genera were rarely represented, with only one species included, namely, Orthopodomyia, Lutzia, and Verrallina, but individuals of the genera Toxorhinchites and Finlayas were not identified at the species level. We found that two Aedes species (Ae. aegypti and Ae. albopictus) colonised the same microhabitat and were involved in major epidemics of the six medically important arboviruses, and other less-frequently identified mosquito genera consisted of competent species and were associated with outbreaks of medical and zoonotic arboviruses. The present study reveals a high species richness of competent mosquito vectors that could lead to the spillover of medically important arboviruses in the region. Although epidemiological studies were found, they were not regularly documented, and this also applies to vector competence and transmission studies. Future studies will consider unpublished information in dissertations and technical reports from different countries to allow their information to be more consistent. A regional project, entitled "Ecology of Arboviruses" (EcoVir), is underway in three countries (Gabon, Benin, and Cote d'Ivoire) to generate a more comprehensive epidemiological and entomological data on this topic.

Effects of Color and Light Intensity on the Foraging and Oviposition Behavior of Culex pipiens biotype molestus Mosquitoes.

Mosquitoes are the most important vector of arboviruses; thus, controlling mosquito population is a key point for controlling these diseases. Two major factors that influence mosquito population size are the availability of blood hosts and suitable oviposition sites. Behavioral mechanisms by which Culex pipiens biotype molestus mosquitoes locate their hosts or oviposition sites are influenced by physical and chemical factors. The present study evaluated the impact of the colors (for human eyes) red, green, blue and yellow in combination with different light intensities on preferences for oviposition and foraging sites under laboratory conditions. We identified the color red as the overall favored color for both target behaviors, which was only surpassed by black as the foraging stimulus. Altogether, we described two new inexpensive and simple bioassays, which can be used as a mosquito-tracking method for behavioral tests and as an oviposition trap to monitor Culex pipiens biotype molestus populations.

Intact Type I Interferon Receptor Signaling Prevents Hepatocellular Necrosis but Not Encephalitis in a Dose-Dependent Manner in Rift Valley Fever Virus Infected Mice.

Rift Valley fever (RVF) is a zoonotic and emerging disease, caused by the RVF virus (RVFV). In ruminants, it leads to "abortion storms" and enhanced mortality rates in young animals, whereas in humans it can cause symptoms like severe hemorrhagic fever or encephalitis. The role of the innate and adaptive immune response in disease initiation and progression is still poorly defined. The present study used the attenuated RVFV strain clone 13 to investigate viral spread, tissue tropism, and histopathological lesions after intranasal infection in C57BL/6 wild type (WT) and type I interferon (IFN-I) receptor I knockout (IFNAR-/-) mice. In WT mice, 104 PFU RVFV (high dose) resulted in a fatal encephalitis, but no hepatitis 7-11 days post infection (dpi), whereas 103 PFU RVFV (low dose) did not cause clinical disease or significant histopathological lesions in liver and the central nervous system (CNS). In contrast, IFNAR-/- mice infected with 103 PFU RVFV developed hepatocellular necrosis resulting in death at 2-5 dpi and lacked encephalitis. These results show that IFNAR signaling prevents systemic spread of the attenuated RVFV strain clone 13, but not the dissemination to the CNS and subsequent fatal disease. Consequently, neurotropic viruses may be able to evade antiviral IFN-I signaling pathways by using the transneuronal instead of the hematogenous route.