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.