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Journal of Virology, July 2009, p. 6837-6848, Vol. 83, No. 13
0022-538X/09/$08.00+0 doi:10.1128/JVI.00379-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Debra L. Haas,2,
Spencer Poore,2
Sanjin Isakovic,2
Michelle Gahan,3
Suresh Mahalingam,3
Zhen F. Fu,1 and
Ralph A. Tripp2*
Department of Pathology, College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602,1 Department of Infectious Diseases, Center for Disease Intervention, College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602,2 Centre for Biomedical, Molecular and Chemical Sciences, University of Canberra, Canberra, ACT 2601, Australia3
Received 20 February 2009/ Accepted 30 March 2009
Human metapneumovirus (HMPV) has been identified as a worldwide agent of serious upper and lower respiratory tract infections in infants and young children. HMPV is second only to respiratory syncytial virus (RSV) as a leading cause of bronchiolitis, and, like RSV, consists of two major genotypes that cocirculate and vary among communities year to year. Children who have experienced acute HMPV infection may develop sequelae of wheezing and asthma; however, the features contributing to this pathology remain unknown. A possible mechanism for postbronchiolitis disease is that HMPV might persist in the lung providing a stimulus that could contribute to wheezing and asthma. Using immunohistochemistry to identify HMPV-infected cells in the lungs of mice, we show that HMPV mediates biphasic replication in respiratory epithelial cells then infection migrates to neuronal processes that innervate the lungs where the virus persists with no detectable infection in epithelial cells. After glucocorticoid treatment, the virus is reactivated from neural fibers and reinfects epithelial cells. The findings show that HMPV persists in neural fibers and suggest a mechanism for disease chronicity that has important implications for HMPV disease intervention strategies.
Published ahead of print on 8 April 2009.
Y.L. and D.H. contributed equally to this study.
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