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Table 1 Neurodegenerative diseases and mechanisms underlying the viral-neurodegenerative links

From: Viruses and neurodegeneration: a growing concern

Virus

Family

Genome

Disease

Mechanism of pathogenesis

References

Cytomegalovirus (CMV)

Herpesviridae

dsDNA

Alzheimer’s Disease

Chronic inflammation during viral replication

[13]

Herpes simplex virus (HSV)

Herpesviridae

dsDNA

Alzheimers Disease

Associated with higher rate of APOE genotype

[108]

Parkinson’s Disease

Assumed to be neuroinflammation and immunological factors

[63]

Amyotrophic lateral sclerosis

Neuroinflammatory

[72]

Human herpesvirus-6 (HHV-6)

Multiple sclerosis

Promotes inflammatory cascade

[85]

Varicella zoster virus

Multiple sclerosis

Viral reactivation could trigger immune responses, in turn causing the demyelination of neurons

[86, 109]

Epstein‒Barr virus (EBV)

  

Parkinson’s Disease

Antigen mimicry

[66]

Human papillomavirus (HPV)

Papillomaviridae

dsDNA

Dementia

Systemic inflammation and impaired blood flow can lead to cognitive decline

[101, 109]

Human Immunodeficiency virus (HIV)

Retroviridae

ssRNA

Alzheimers Disease

Can infect macrophages in microglia

[51]

   

Huntington’s disease

Speed up the appearance of symptoms in HD

[24]

Influenza A

Orthomyxoviri-dae

-veRNA

Alzheimers Disease

Microglial activation due to immune activity against the virus

[52, 109]

Parkinson’s Disease

Occurrence is associated no mechanism uncovered

[67, 109]

SARS-CoV-2

Coronaviridae

ssRNA

Alzheimers Disease

Hyperinflammation and hypoxia

[53]

Amyotrophic lateral sclerosis

Neuroinflammation leads to notable decline in cases

[78]

Huntington's disease

Inflammatory effect caused by the infection can trigger early onset

[93]

Vascular dementia

Causative agent in the small vessel cerebrovascular complication

[102, 109]

Friedreich ataxia

Worsens the disease due to the effect on the complications of the disease such as diabetes and cardiomyopathy, sleep apnea and scoliosis

[103]

Hepatitis C virus (HCV)

Flaviviridae

ssRNA

Parkinson’s Disease

Dopaminergic neuronal toxicity

[65]

Epstein‒Barr virus (EBV)

Herpesviridae

dsDNA

Parkinson’s Disease

Antigen mimicry

[66]

Multiple sclerosis

Promotes inflammatory cascade

[85, 109]

Coxsackievirus B3 (CVB3)

Picornaviridae

ssRNA

Amyotrophic lateral sclerosis

Promoting immune cell infiltration and activation, includes an increase in cytokine and chemokine expression

[77]

Norovirus

Caliciviridae

RNA

Lewy body disease

Ulcerated lesion along with inflammation and fibrosis showed traces of norovirus related to alpha-synuclein

[96]