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In this thesis I describe two viruses. In the first part I illustrate why only some of us are infected during an outbreak with norovirus, the virus causing the yearly appearing “winter vomiting disease”. I also describe a norovirus strain, which has circumvented the factor that normally prevents the virus to infect parts of the population. The other virus discussed in the thesis is tick-borne encephalitis virus (TBEV). TBEV is, as the name implies, transmitted to humans from ticks and while most infections are asymptomatic, some patients develop tick-borne encephalitis (TBE), with severe symptoms including meningitis or encephalitis. We have found two host genetic factors involved in the immune response, which affect the risk of TBE. Division of Molecular Virology Department of Clinical and Experimental Medicine Faculty of Health Sciences SE-581 85 Linköping Department of Forensic Genetics and Forensic Toxicology National Board of Forensic Medicine SE-587 58 Linköping HOST GENETIC RISK FACTORS TO VIRAL DISEASES A DOUBLE-EDGED SWORD ELIN KINDBERG Studies of host genetic risk factors to viral diseases describe how our genes affect the risk of being infected, or to develop disease after infection with a specific virus. With increased knowledge of why susceptibility to infectious diseases differs between individuals it may be possible to improve treatment and to foresee who are at risk for a certain infection. However, a genetic setup that makes an individual resistant to one pathogen can make him or her more susceptible to another - like a double-edged sword. HOST GENETIC RISK FACTORS TO VIRAL DISEASES A DOUBLEEDGED SWORD STUDIES ON NOROVIRUS AND TICK-BORNE ENCEPHALITIS VIRUS ELIN KINDBERG MEDICAL DISSERTATIONS No.1183 LINKÖPING UNIVERSITY 2010 In this thesis I describe two viruses. In the first part I illustrate why only some of us are infected during an outbreak with norovirus, the virus causing the yearly appearing “winter vomiting disease”. I also describe a norovirus strain, which has circumvented the factor that normally prevents the virus to infect parts of the population. The other virus discussed in the thesis is tick-borne encephalitis virus (TBEV). TBEV is, as the name implies, transmitted to humans from ticks and while most infections are asymptomatic, some patients develop tick-borne encephalitis (TBE), with severe symptoms including meningitis or encephalitis. We have found two host genetic factors involved in the immune response, which affect the risk of TBE. Division of Molecular Virology Department of Clinical and Experimental Medicine Faculty of Health Sciences SE-581 85 Linköping Department of Forensic Genetics and Forensic Toxicology National Board of Forensic Medicine SE-587 58 Linköping HOST GENETIC RISK FACTORS TO VIRAL DISEASES A DOUBLE-EDGED SWORD ELIN KINDBERG Studies of host genetic risk factors to viral diseases describe how our genes affect the risk of being infected, or to develop disease after infection with a specific virus. With increased knowledge of why susceptibility to infectious diseases differs between individuals it may be possible to improve treatment and to foresee who are at risk for a certain infection. However, a genetic setup that makes an individual resistant to one pathogen can make him or her more susceptible to another - like a double-edged sword. HOST GENETIC RISK FACTORS TO VIRAL DISEASES A DOUBLEEDGED SWORD STUDIES ON NOROVIRUS AND TICK-BORNE ENCEPHALITIS VIRUS ELIN KINDBERG MEDICAL DISSERTATIONS No.1183 LINKÖPING UNIVERSITY 2010