Enteroviruses initiate infection at the intestinal epithelium but can spread systemically to cause severe disease. Although both MDA5 and TLR3 have been implicated in enterovirus sensing, the mechanisms by which the intestinal epithelium detects these viruses remain poorly defined. To address this, we infected human intestinal organoids (enteroids) with echovirus 11 (E11) and compared responses in models differentiated to mimic either crypt-like or villus-like epithelium. Villus-like enteroids produced significantly more type III interferons (IFN-lambdas) following E11 infection or treatment with the dsRNA mimetic poly I:C, and exhibited heightened responsiveness to IFN-lambda signaling. Single-cell RNA sequencing (scRNA-seq) of infected enteroids revealed that E11 broadly infected epithelial cell types, but IFN-lambda expression was largely restricted to mature enterocytes. Notably, enterocyte differentiation was also associated with upregulation of innate immune genes. Using CRISPR-Cas9 knockout enteroids, we found that TLR3 signaling was essential for intestinal IFN-lambda responses to E11 infection, whereas loss of MAVS, the adaptor for MDA5, had no effect. Together, these data support a model in which mature enterocytes serve as key sensors of enterovirus infection via TLR3, triggering a localized IFN-lambda response that may help restrict viral spread.
Identifying needs in adult rehabilitation to support the clinical implementation of robotics and allied technologies: an Italian national survey
IntroductionRobotics and technological interventions are increasingly being explored as solutions to improve rehabilitation outcomes but their implementation in clinical practice remains very limited. Understanding patient


