Pathophysiology Nodes

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5 shared nodes are defined in this module.

Cell Types

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neural stem cell CL:0000047 Cell Ontology (CL) Relation: this mechanism module involves this cell type This mechanism module involves neural stem cell (CL:0000047). CL:0000047 is a cell type from the Cell Ontology. neural progenitor cell CL:0011020 Cell Ontology (CL) Relation: this mechanism module involves this cell type This mechanism module involves neural progenitor cell (CL:0011020). CL:0011020 is a cell type from the Cell Ontology. radial glial cell CL:0000681 Cell Ontology (CL) Relation: this mechanism module involves this cell type This mechanism module involves radial glial cell (CL:0000681). CL:0000681 is a cell type from the Cell Ontology. neuron CL:0000540 Cell Ontology (CL) Relation: this mechanism module involves this cell type This mechanism module involves neuron (CL:0000540). CL:0000540 is a cell type from the Cell Ontology.

Biological Processes

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viral entry into host cell GO:0046718 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased viral entry into host cell (GO:0046718). GO:0046718 is a biological process from the Gene Ontology. INCREASED viral genome replication GO:0019079 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased viral genome replication (GO:0019079). GO:0019079 is a biological process from the Gene Ontology. INCREASED innate immune response GO:0045087 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased innate immune response (GO:0045087). GO:0045087 is a biological process from the Gene Ontology. INCREASED defense response to virus GO:0051607 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves dysregulated defense response to virus (GO:0051607). GO:0051607 is a biological process from the Gene Ontology. DYSREGULATED toll-like receptor signaling pathway GO:0002224 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased toll-like receptor signaling pathway (GO:0002224). GO:0002224 is a biological process from the Gene Ontology. INCREASED type I interferon-mediated signaling pathway GO:0060337 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves dysregulated type I interferon-mediated signaling pathway (GO:0060337). GO:0060337 is a biological process from the Gene Ontology. DYSREGULATED cell cycle GO:0007049 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves dysregulated cell cycle (GO:0007049). GO:0007049 is a biological process from the Gene Ontology. DYSREGULATED mitotic cell cycle GO:0000278 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves dysregulated mitotic cell cycle (GO:0000278). GO:0000278 is a biological process from the Gene Ontology. DYSREGULATED mitotic spindle organization GO:0007052 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves dysregulated mitotic spindle organization (GO:0007052). GO:0007052 is a biological process from the Gene Ontology. DYSREGULATED apoptotic process GO:0006915 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased apoptotic process (GO:0006915). GO:0006915 is a biological process from the Gene Ontology. INCREASED cell population proliferation GO:0008283 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves decreased cell population proliferation (GO:0008283). GO:0008283 is a biological process from the Gene Ontology. DECREASED neurogenesis GO:0022008 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves decreased neurogenesis (GO:0022008). GO:0022008 is a biological process from the Gene Ontology. DECREASED cerebral cortex development GO:0021987 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves abnormal cerebral cortex development (GO:0021987). GO:0021987 is a biological process from the Gene Ontology. ABNORMAL
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Notes

This is a mechanism module, not a broad TORCH, microcephaly, or congenital Zika syndrome disease entry. Use conforms_to only when the entry has evidence that a prenatal viral infection directly perturbs neural stem/progenitor or radial-glial biology. ZIKV-specific features such as AXL candidate entry receptor status, NS5/TBK1 immune evasion, calcifications, fetal diagnostic findings, ocular/systemic congenital findings, and antiviral response belong in the congenital Zika disease entry unless a later curator demonstrates that the branch is reusable across multiple congenital viral infections. This module intentionally overlaps downstream with neural_progenitor_centrosome_spindle_dysfunction for mitotic/centrosome and progenitor-pool branches; conforming disease entries can cite both modules when the evidence supports both the viral upstream lesion and the conserved progenitor-spindle/progenitor-pool skeleton.
H

Mechanistic Hypotheses

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Viral Neural Progenitor Cytopathy Model
viral_progenitor_cytopathy_model CANONICAL Evidence: 3
Evidence balance 3 support
Prenatal neurotropic virus reaches the developing fetal brain and infects neural stem cells, neural progenitors, or radial glia. Infection activates antiviral innate immune pathways and can directly disrupt cell-cycle, mitotic, centrosome, or phospho-TBK1 localization machinery. The combined viral replication, innate immune, and mitotic stress state increases apoptosis or premature differentiation, depletes the progenitor pool, and impairs neurogenesis, producing cortical thinning, microcephaly, simplified gyration, or other congenital cortical malformations.
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Discussions and Knowledge Gaps

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Which viral entry receptors or attachment factors determine susceptibility of human radial glia, outer radial glia, neural progenitors, endothelium, and fetal barrier tissues to congenital viral infection?
KNOWLEDGE GAP OPEN gap_viral_entry_receptor_tropism
Attached to: Fetal Brain Viral Exposure and Progenitor Infection
AXL expression highlights a plausible ZIKV susceptibility branch in human radial glia and organoids, but AXL is not established here as a required generic viral-module feature. Disease entries should decide whether their virus uses AXL, another TAM receptor, a distinct attachment factor, or a receptor-independent route, and whether receptor expression alone explains fetal-brain tropism.
Proposed experiments: Isogenic fetal-brain receptor and viral-strain tropism panel
Which congenital viral cortical-malformation mechanisms are faithfully captured by mouse, non-human primate organoid, human organoid, fetal slice, and postmortem human tissue systems, and which are model- or strain-specific?
HUMAN MODEL MISMATCH OPEN gap_viral_mcd_human_model_translatability
Attached to: Fetal Brain Viral Exposure and Progenitor Infection Neural Progenitor Apoptosis and Pool Depletion Impaired Neurogenesis and Congenital Cortical Malformation
The ZIKV evidence base spans hNPC culture, brain organoids, organotypic fetal slices, mouse models, and infected human fetal brain, but each system captures different aspects of gestational timing, placental crossing, immune competence, OSVZ/oRG biology, and strain-specific viral adaptation. Conforming disease entries should not treat one model as complete proof of the human congenital cortical malformation skeleton.

Used By Disorder Entries

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Pathograph

Use the checkboxes to hide or show graph categories. Hover nodes for evidence-backed metadata.
Pathograph: causal mechanism network for Viral Neural Progenitor Cytopathy Module Interactive directed graph showing how this shared module's pathophysiology nodes connect.

Pathophysiology

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Fetal Brain Viral Exposure and Progenitor Infection
trigger
A prenatal neurotropic virus crosses maternal-fetal or fetal-brain barriers and infects neural stem cells, neural progenitors, radial glia, or related fetal neuroepithelial cells. ZIKV data support this node through human iPSC-derived neural progenitor infection, human cortical progenitor and organoid infection, and fetal tissue/radial-glial susceptibility evidence. Virus-specific receptor and placental entry details belong in conforming disease entries.
neural stem cell CL:0000047 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves neural stem cell (CL:0000047). CL:0000047 is a cell type from the Cell Ontology. neural progenitor cell CL:0011020 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves neural progenitor cell (CL:0011020). CL:0011020 is a cell type from the Cell Ontology. radial glial cell CL:0000681 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves radial glial cell (CL:0000681). CL:0000681 is a cell type from the Cell Ontology.
viral entry into host cell GO:0046718 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased viral entry into host cell, annotated with symbiont entry into host cell (GO:0046718). GO:0046718 is a biological process from the Gene Ontology. INCREASED viral genome replication GO:0019079 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased viral genome replication (GO:0019079). GO:0019079 is a biological process from the Gene Ontology. INCREASED
Antiviral Innate Immune Activation
amplifier
Viral infection activates innate immune pathways in neural progenitor systems. In the ZIKV prototype, cerebral organoid studies support a TLR3- linked branch in which antiviral signaling intersects with neurogenesis, axon guidance, and apoptosis pathways. This node should be specialized in disease entries for the relevant pattern-recognition receptor, interferon pathway, viral immune-evasion factor, or host restriction mechanism.
neural progenitor cell CL:0011020 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves neural progenitor cell (CL:0011020). CL:0011020 is a cell type from the Cell Ontology. radial glial cell CL:0000681 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves radial glial cell (CL:0000681). CL:0000681 is a cell type from the Cell Ontology.
innate immune response GO:0045087 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased innate immune response (GO:0045087). GO:0045087 is a biological process from the Gene Ontology. INCREASED defense response to virus GO:0051607 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves dysregulated defense response to virus (GO:0051607). GO:0051607 is a biological process from the Gene Ontology. DYSREGULATED toll-like receptor signaling pathway GO:0002224 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased toll-like receptor signaling pathway (GO:0002224). GO:0002224 is a biological process from the Gene Ontology. INCREASED type I interferon-mediated signaling pathway GO:0060337 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves dysregulated type I interferon-mediated signaling pathway (GO:0060337). GO:0060337 is a biological process from the Gene Ontology. DYSREGULATED
Viral Mitotic and Centrosome Cytopathy
central effector
Viral infection perturbs cell-cycle progression, mitosis, centrosome integrity, spindle geometry, or centrosome-associated antiviral signaling in infected neural stem/progenitor cells and radial glia. This node is the point of convergence with the neural progenitor centrosome/spindle dysfunction module.
neural progenitor cell CL:0011020 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves neural progenitor cell (CL:0011020). CL:0011020 is a cell type from the Cell Ontology. radial glial cell CL:0000681 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves radial glial cell (CL:0000681). CL:0000681 is a cell type from the Cell Ontology.
cell cycle GO:0007049 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves dysregulated cell cycle (GO:0007049). GO:0007049 is a biological process from the Gene Ontology. DYSREGULATED mitotic cell cycle GO:0000278 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves dysregulated mitotic cell cycle (GO:0000278). GO:0000278 is a biological process from the Gene Ontology. DYSREGULATED mitotic spindle organization GO:0007052 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves dysregulated mitotic spindle organization (GO:0007052). GO:0007052 is a biological process from the Gene Ontology. DYSREGULATED
Neural Progenitor Apoptosis and Pool Depletion
effector
Viral replication, innate immune activation, and mitotic stress converge on increased apoptosis, cell death, premature differentiation, or reduced viability of neural progenitors and radial glia. The resulting depletion or distortion of the progenitor pool reduces cortical neuron output and disrupts the ventricular-zone scaffold.
neural stem cell CL:0000047 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves neural stem cell (CL:0000047). CL:0000047 is a cell type from the Cell Ontology. neural progenitor cell CL:0011020 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves neural progenitor cell (CL:0011020). CL:0011020 is a cell type from the Cell Ontology. radial glial cell CL:0000681 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves radial glial cell (CL:0000681). CL:0000681 is a cell type from the Cell Ontology.
apoptotic process GO:0006915 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased apoptotic process (GO:0006915). GO:0006915 is a biological process from the Gene Ontology. INCREASED cell population proliferation GO:0008283 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves decreased cell population proliferation (GO:0008283). GO:0008283 is a biological process from the Gene Ontology. DECREASED neurogenesis GO:0022008 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves decreased neurogenesis (GO:0022008). GO:0022008 is a biological process from the Gene Ontology. DECREASED
Impaired Neurogenesis and Congenital Cortical Malformation
outcome
Reduced progenitor survival, premature progenitor differentiation, disrupted ventricular-zone organization, and impaired neurogenesis produce congenital cortical malformations. ZIKV prototype outcomes include cortical thinning, microcephaly, simplified gyration or agyria-like malformation, and disrupted cortical layers; virus-specific imaging findings and extracortical/systemic congenital features belong in conforming disease entries.
neuron CL:0000540 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves neuron (CL:0000540). CL:0000540 is a cell type from the Cell Ontology.
neurogenesis GO:0022008 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves decreased neurogenesis (GO:0022008). GO:0022008 is a biological process from the Gene Ontology. DECREASED cerebral cortex development GO:0021987 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves abnormal cerebral cortex development (GO:0021987). GO:0021987 is a biological process from the Gene Ontology. ABNORMAL