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Published in: Virology Journal 1/2004

Open Access 01-12-2004 | Research

Persistent expression of chemokine and chemokine receptor RNAs at primary and latent sites of herpes simplex virus 1 infection

Authors: W James Cook, Martha F Kramer, Russell M Walker, Timothy J Burwell, Holly A Holman, Donald M Coen, David M Knipe

Published in: Virology Journal | Issue 1/2004

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Abstract

Inflammatory cytokines and infiltrating T cells are readily detected in herpes simplex virus (HSV) infected mouse cornea and trigeminal ganglia (TG) during the acute phase of infection, and certain cytokines continue to be expressed at lower levels in infected TG during the subsequent latent phase. Recent results have shown that HSV infection activates Toll-like receptor signaling. Thus, we hypothesized that chemokines may be broadly expressed at both primary sites and latent sites of HSV infection for prolonged periods of time. Real-time reverse transcriptase-polymrease chain reaction (RT-PCR) to quantify expression levels of transcripts encoding chemokines and their receptors in cornea and TG following corneal infection. RNAs encoding the inflammatory-type chemokine receptors CCR1, CCR2, CCR5, and CXCR3, which are highly expressed on activated T cells, macrophages and most immature dendritic cells (DC), and the more broadly expressed CCR7, were highly expressed and strongly induced in infected cornea and TG at 3 and 10 days postinfection (dpi). Elevated levels of these RNAs persisted in both cornea and TG during the latent phase at 30 dpi. RNAs for the broadly expressed CXCR4 receptor was induced at 30 dpi but less so at 3 and 10 dpi in both cornea and TG. Transcripts for CCR3 and CCR6, receptors that are not highly expressed on activated T cells or macrophages, also appeared to be induced during acute and latent phases; however, their very low expression levels were near the limit of our detection. RNAs encoding the CCR1 and CCR5 chemokine ligands MIP-1α, MIP-1β and RANTES, and the CCR2 ligand MCP-1 were also strongly induced and persisted in cornea and TG during the latent phase. These and other recent results argue that HSV antigens or DNA can stimulate expression of chemokines, perhaps through activation of Toll-like receptors, for long periods of time at both primary and latent sites of HSV infection. These chemokines recruit activated T cells and other immune cells, including DC, that express chemokine receptors to primary and secondary sites of infection. Prolonged activation of chemokine expression could provide mechanistic explanations for certain aspects of HSV biology and pathogenesis.
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Literature
1.
go back to reference Whitton LJ, Oldstone MBA: The immune response to viruses. Fields Virology, 4th ed (Edited by: Knipe D M and Howley P M). Philadelphia, PA, Lippincott, Williams and Wilkins 2001, 285-320. Whitton LJ, Oldstone MBA: The immune response to viruses. Fields Virology, 4th ed (Edited by: Knipe D M and Howley P M). Philadelphia, PA, Lippincott, Williams and Wilkins 2001, 285-320.
2.
go back to reference Leib DA, Coen DM, Bogard CL, Hicks KA, Yager DR, Knipe DM, Tyler KL, Schaffer PA: Immediate-early regulatory gene mutants define different stages in the establishment and reactivation of herpes simplex virus latency. J Virol 1989, 63: 759-768.PubMedCentralPubMed Leib DA, Coen DM, Bogard CL, Hicks KA, Yager DR, Knipe DM, Tyler KL, Schaffer PA: Immediate-early regulatory gene mutants define different stages in the establishment and reactivation of herpes simplex virus latency. J Virol 1989, 63: 759-768.PubMedCentralPubMed
3.
go back to reference Chen S-H, Garber DA, Schaffer PA, Knipe DM, Coen DM: Persistent elevated expression of cytokine transcripts in ganglia latently infected with herpes simplex virus in the absence of viral replication and reactivation. Virology 2000, 278: 207-216. 10.1006/viro.2000.0643CrossRefPubMed Chen S-H, Garber DA, Schaffer PA, Knipe DM, Coen DM: Persistent elevated expression of cytokine transcripts in ganglia latently infected with herpes simplex virus in the absence of viral replication and reactivation. Virology 2000, 278: 207-216. 10.1006/viro.2000.0643CrossRefPubMed
4.
go back to reference Kramer MF, Chen SH, Knipe DM, Coen DM: Accumulation of viral transcripts and DNA during establishment of latency by herpes simplex virus. J Virol 1998, 72: 1177-1185.PubMedCentralPubMed Kramer MF, Chen SH, Knipe DM, Coen DM: Accumulation of viral transcripts and DNA during establishment of latency by herpes simplex virus. J Virol 1998, 72: 1177-1185.PubMedCentralPubMed
5.
go back to reference Kramer MF, Coen DM: Quantification of transcripts from the ICP4 and thymidine kinase genes in mouse ganglia latently infected with herpes simplex virus. J Virol 1995, 69: 1389-1399.PubMedCentralPubMed Kramer MF, Coen DM: Quantification of transcripts from the ICP4 and thymidine kinase genes in mouse ganglia latently infected with herpes simplex virus. J Virol 1995, 69: 1389-1399.PubMedCentralPubMed
6.
go back to reference Stevens JG, Wagner EK, Devi-Rao GB, Cook ML, Feldman LT: RNA complementary to a herpesvirus alpha gene mRNA is prominent in latently infected neurons. Science 1987, 235: 1056-1059.CrossRefPubMed Stevens JG, Wagner EK, Devi-Rao GB, Cook ML, Feldman LT: RNA complementary to a herpesvirus alpha gene mRNA is prominent in latently infected neurons. Science 1987, 235: 1056-1059.CrossRefPubMed
7.
go back to reference Liu T, Khanna KM, Chen XP, Fink DJ, Hendricks RL: CD8+ T cells can block herpes simplex virus type 1 (HSV-1) reactivation from latency in sensory neurons. Journal of Experimental Medicine 2000, 191: 1459-1466. 10.1084/jem.191.9.1459PubMedCentralCrossRefPubMed Liu T, Khanna KM, Chen XP, Fink DJ, Hendricks RL: CD8+ T cells can block herpes simplex virus type 1 (HSV-1) reactivation from latency in sensory neurons. Journal of Experimental Medicine 2000, 191: 1459-1466. 10.1084/jem.191.9.1459PubMedCentralCrossRefPubMed
8.
go back to reference Khanna KM, Bonneau RH, Kinchington PR, Hendricks RL: Herpes simplex virus-specific memory CD8(+) T cells are selectively activated and retained in latently infected sensory ganglia. Immunity 2003, 18: 593-603. 10.1016/S1074-7613(03)00112-2PubMedCentralCrossRefPubMed Khanna KM, Bonneau RH, Kinchington PR, Hendricks RL: Herpes simplex virus-specific memory CD8(+) T cells are selectively activated and retained in latently infected sensory ganglia. Immunity 2003, 18: 593-603. 10.1016/S1074-7613(03)00112-2PubMedCentralCrossRefPubMed
9.
go back to reference Cantin EM, Hinton DR, Chen J, Opehshaw H: Gamma interferon expression during acute and latent nervous system infection by herpes simplex virus type 1. J Virol 1995, 69: 4898-4905.PubMedCentralPubMed Cantin EM, Hinton DR, Chen J, Opehshaw H: Gamma interferon expression during acute and latent nervous system infection by herpes simplex virus type 1. J Virol 1995, 69: 4898-4905.PubMedCentralPubMed
10.
go back to reference Halford WP, Gebhardt BM, Carr DJJ: Persistent cytokine expression in trigeminal ganglion latently infected with herpes simplex virus type 1. J Immunol 1996, 157: 3542-3549.PubMed Halford WP, Gebhardt BM, Carr DJJ: Persistent cytokine expression in trigeminal ganglion latently infected with herpes simplex virus type 1. J Immunol 1996, 157: 3542-3549.PubMed
11.
go back to reference Shimeld C, Whiteland JL, Williams NA, Easty DL, Hill TJ: Cytokine production in the nervous system of mice during acute and latent infection with herpes simplex virus type 1. Journal of General Virology 1997, 78: 3317-3325.CrossRefPubMed Shimeld C, Whiteland JL, Williams NA, Easty DL, Hill TJ: Cytokine production in the nervous system of mice during acute and latent infection with herpes simplex virus type 1. Journal of General Virology 1997, 78: 3317-3325.CrossRefPubMed
12.
go back to reference Morrison LA, Knipe DM: Mechanisms of immunization with a replication-defective mutant of herpes simplex virus 1. Virology 1996, 220: 402-413. 10.1006/viro.1996.0328CrossRefPubMed Morrison LA, Knipe DM: Mechanisms of immunization with a replication-defective mutant of herpes simplex virus 1. Virology 1996, 220: 402-413. 10.1006/viro.1996.0328CrossRefPubMed
13.
go back to reference Murphy CG, Lucas WT, Means R, Czajak S, Hale CL, Lifson JD, Kauer A, Johnson RP, Knipe DM, Desrosiers RC: Vaccine protection against simian immunodeficiency virus by recombinant strains of herpes simplex virus. J Virol 2000, 74: 7745-7753. 10.1128/JVI.74.17.7745-7754.2000PubMedCentralCrossRefPubMed Murphy CG, Lucas WT, Means R, Czajak S, Hale CL, Lifson JD, Kauer A, Johnson RP, Knipe DM, Desrosiers RC: Vaccine protection against simian immunodeficiency virus by recombinant strains of herpes simplex virus. J Virol 2000, 74: 7745-7753. 10.1128/JVI.74.17.7745-7754.2000PubMedCentralCrossRefPubMed
14.
go back to reference Sozzani S, Allavena P, Vecchi A, Mantovani A: The role of chemokines in the regulation of dendritic cell trafficking. J Leukoc Biol 1999, 66: 1-9.PubMed Sozzani S, Allavena P, Vecchi A, Mantovani A: The role of chemokines in the regulation of dendritic cell trafficking. J Leukoc Biol 1999, 66: 1-9.PubMed
15.
go back to reference von Andrian UH, MacKay CR: T-cell function and migration. N Engl J Med 2000, 343: 1020-1034. 10.1056/NEJM200010053431407CrossRefPubMed von Andrian UH, MacKay CR: T-cell function and migration. N Engl J Med 2000, 343: 1020-1034. 10.1056/NEJM200010053431407CrossRefPubMed
16.
go back to reference Thomas J, Kanangat S, Rouse BT: Herpes simplex virus replication-induced expression of chemokines and proinflammatory cytokines in the eye: implications in herpetic stromal keratitis. Journal of Interferon & Cytokine Research 1998, 18: 681-690.CrossRef Thomas J, Kanangat S, Rouse BT: Herpes simplex virus replication-induced expression of chemokines and proinflammatory cytokines in the eye: implications in herpetic stromal keratitis. Journal of Interferon & Cytokine Research 1998, 18: 681-690.CrossRef
17.
go back to reference Tumpey TM, Cheng H, Yan XT, Oakes JE, Lausch RN: Chemokine synthesis in the HSV-1-infected cornea and its suppression by interleukin-10. J Leukoc Biol 1998, 63: 486-492.PubMed Tumpey TM, Cheng H, Yan XT, Oakes JE, Lausch RN: Chemokine synthesis in the HSV-1-infected cornea and its suppression by interleukin-10. J Leukoc Biol 1998, 63: 486-492.PubMed
18.
go back to reference Kanangat S, Babu JS, Knipe DM, Rouse BT: HSV-1 mediated modulation of cytokine gene expression in a permissive cell line: Selective up-regulation of IL6 gene expression. Virology 1996, 219: 295-300. 10.1006/viro.1996.0250CrossRefPubMed Kanangat S, Babu JS, Knipe DM, Rouse BT: HSV-1 mediated modulation of cytokine gene expression in a permissive cell line: Selective up-regulation of IL6 gene expression. Virology 1996, 219: 295-300. 10.1006/viro.1996.0250CrossRefPubMed
19.
go back to reference Melchjorsen J, Pedersen FS, Mogensen SC, Paludan SR: Herpes simplex virus selectively induces expression of the CC chemokine RANTES/CCL5 in macrophages through a mechanism dependent on PKR and ICP0. J Virol 2002, 76: 2780-2788. 10.1128/JVI.76.6.2780-2788.2002PubMedCentralCrossRefPubMed Melchjorsen J, Pedersen FS, Mogensen SC, Paludan SR: Herpes simplex virus selectively induces expression of the CC chemokine RANTES/CCL5 in macrophages through a mechanism dependent on PKR and ICP0. J Virol 2002, 76: 2780-2788. 10.1128/JVI.76.6.2780-2788.2002PubMedCentralCrossRefPubMed
20.
go back to reference Kurt-Jones E, Mandell L, Cerny A, Chan M, Zhou S, Reed G, Bronson R, Arnold MM, Knipe DM, Finberg RW: Neonatal herpes simplex infection: Herpes simplex virus 1 interaction with TLR2 contributes to lethal encephalitis. PNAS 2004, 101: 1315-1320. 10.1073/pnas.0308057100PubMedCentralCrossRefPubMed Kurt-Jones E, Mandell L, Cerny A, Chan M, Zhou S, Reed G, Bronson R, Arnold MM, Knipe DM, Finberg RW: Neonatal herpes simplex infection: Herpes simplex virus 1 interaction with TLR2 contributes to lethal encephalitis. PNAS 2004, 101: 1315-1320. 10.1073/pnas.0308057100PubMedCentralCrossRefPubMed
21.
go back to reference Lund J, Sato A, Akira S, Medzhitov R, Iwasaki A: Toll-like receptor 9-mediated recognition of Herpes simplex virus-2 by plasmacytoid dendritic cells. J Exp Med 2003, 198: 513-520. 10.1084/jem.20030162PubMedCentralCrossRefPubMed Lund J, Sato A, Akira S, Medzhitov R, Iwasaki A: Toll-like receptor 9-mediated recognition of Herpes simplex virus-2 by plasmacytoid dendritic cells. J Exp Med 2003, 198: 513-520. 10.1084/jem.20030162PubMedCentralCrossRefPubMed
22.
go back to reference Hempel DM, Smith KA, Claussen KA, Perricone MA: Analysis of cellular immune responses in the peripheral blood of mice using real-time RT-PCR. J Immun Methods 2002, 259: 129-138. 10.1016/S0022-1759(01)00502-6CrossRef Hempel DM, Smith KA, Claussen KA, Perricone MA: Analysis of cellular immune responses in the peripheral blood of mice using real-time RT-PCR. J Immun Methods 2002, 259: 129-138. 10.1016/S0022-1759(01)00502-6CrossRef
23.
go back to reference Overbergh L, Valckx D, Waer M, Mathieu C: Quantification of murine cytokine mRNAs using real time quantitative reverse transcriptase PCR. Cytokine 1999, 11: 305-312. 10.1006/cyto.1998.0426CrossRefPubMed Overbergh L, Valckx D, Waer M, Mathieu C: Quantification of murine cytokine mRNAs using real time quantitative reverse transcriptase PCR. Cytokine 1999, 11: 305-312. 10.1006/cyto.1998.0426CrossRefPubMed
24.
go back to reference Wen SF, Xie L, McDonald M, Digiacomo R, Chang A, Gurnani M, Shi B, Liu S, Indelicato SR, Hutchins B, Nielsen L: Development and validation of sensitive assays to quantitate gene expression after p53 gene therapy and paclitaxel chemotherapy using in vivo dosing in tumor xenograft models. Cancer Gene Therapy 2000, 7: 1469-1480. 10.1038/sj.cgt.7700257CrossRefPubMed Wen SF, Xie L, McDonald M, Digiacomo R, Chang A, Gurnani M, Shi B, Liu S, Indelicato SR, Hutchins B, Nielsen L: Development and validation of sensitive assays to quantitate gene expression after p53 gene therapy and paclitaxel chemotherapy using in vivo dosing in tumor xenograft models. Cancer Gene Therapy 2000, 7: 1469-1480. 10.1038/sj.cgt.7700257CrossRefPubMed
25.
go back to reference Chen S-H, Lee LY, Garber DA, Schaffer PA, Knipe DM, Coen DM: Neither LAT nor open reading frame P mutations increase expression of spliced or intron-containing ICP0 transcripts in mouse ganglia latently infected with herpes simplex virus. J Virol 2002, 76: 4764-4772. 10.1128/JVI.76.10.4764-4772.2002PubMedCentralCrossRefPubMed Chen S-H, Lee LY, Garber DA, Schaffer PA, Knipe DM, Coen DM: Neither LAT nor open reading frame P mutations increase expression of spliced or intron-containing ICP0 transcripts in mouse ganglia latently infected with herpes simplex virus. J Virol 2002, 76: 4764-4772. 10.1128/JVI.76.10.4764-4772.2002PubMedCentralCrossRefPubMed
26.
go back to reference Babu JS, Thomas J, Kanangat D, Morrison LA, Knipe DM, Rouse BT: Viral replication is required for induction of ocular immunopathology by herpes simplex virus. J Virol 1996, 70: 101-107.PubMedCentralPubMed Babu JS, Thomas J, Kanangat D, Morrison LA, Knipe DM, Rouse BT: Viral replication is required for induction of ocular immunopathology by herpes simplex virus. J Virol 1996, 70: 101-107.PubMedCentralPubMed
27.
go back to reference Kramer MF, Cook WJ, Roth FR, Zhu J, Holman H, Knipe DM, Coen DM: Latent herpes virus infection of sensory neurons alters neuronal gene expression. J Virol 2003, 77: 9533-9541. 10.1128/JVI.77.17.9533-9541.2003PubMedCentralCrossRefPubMed Kramer MF, Cook WJ, Roth FR, Zhu J, Holman H, Knipe DM, Coen DM: Latent herpes virus infection of sensory neurons alters neuronal gene expression. J Virol 2003, 77: 9533-9541. 10.1128/JVI.77.17.9533-9541.2003PubMedCentralCrossRefPubMed
28.
go back to reference Weinberg JB, Lutzke ML, Efstathiou S, Kunkel SL, Rochford R: Elevated chemokine responses are maintained in lungs after clearance of viral infection. J Virol 2002, 76: 10518-10523. 10.1128/JVI.76.20.10518-10523.2002PubMedCentralCrossRefPubMed Weinberg JB, Lutzke ML, Efstathiou S, Kunkel SL, Rochford R: Elevated chemokine responses are maintained in lungs after clearance of viral infection. J Virol 2002, 76: 10518-10523. 10.1128/JVI.76.20.10518-10523.2002PubMedCentralCrossRefPubMed
29.
go back to reference Luster AD: The role of chemokines in linking innate and adaptive immunity. Curr Opin Immunol 2002, 14: 129-135. 10.1016/S0952-7915(01)00308-9CrossRefPubMed Luster AD: The role of chemokines in linking innate and adaptive immunity. Curr Opin Immunol 2002, 14: 129-135. 10.1016/S0952-7915(01)00308-9CrossRefPubMed
30.
go back to reference Whitley RJ: Herpes Simplex Viruses. Fields Virology, 4th ed (Edited by: Knipe D M and Howley P M). Philadelphia, PA, Lippincott, Williams and Wilkins 2001, 2461-2509. Whitley RJ: Herpes Simplex Viruses. Fields Virology, 4th ed (Edited by: Knipe D M and Howley P M). Philadelphia, PA, Lippincott, Williams and Wilkins 2001, 2461-2509.
31.
go back to reference Siscovick DS, Schwartz SM, Corey L, Grayston JT, Ashley R, Wang SP, Psaty BM, Tracy RP, Kuller LH, Kronmal RA: Chlamydia pneumoniae, herpes simplex virus type 1, and cytomegalovirus and incident myocardial infarction and coronary heart disease death in older adults : The Cardiovascular Health Study. Circulation 2000, 102: 2335-2340.CrossRefPubMed Siscovick DS, Schwartz SM, Corey L, Grayston JT, Ashley R, Wang SP, Psaty BM, Tracy RP, Kuller LH, Kronmal RA: Chlamydia pneumoniae, herpes simplex virus type 1, and cytomegalovirus and incident myocardial infarction and coronary heart disease death in older adults : The Cardiovascular Health Study. Circulation 2000, 102: 2335-2340.CrossRefPubMed
32.
go back to reference Gerszten RE, Garcia-Zepeda EA, Lim YC, Yoshida M, Ding HA, Gimbrone M. A. Jr, Luster AD, Luscinskas FW, Rosenzweig A: MCP-1 and IL-8 trigger firm adhesion of monocytes to vascular endothelium under flow conditions. Nature 1999, 398: 718-723. 10.1038/19546CrossRefPubMed Gerszten RE, Garcia-Zepeda EA, Lim YC, Yoshida M, Ding HA, Gimbrone M. A. Jr, Luster AD, Luscinskas FW, Rosenzweig A: MCP-1 and IL-8 trigger firm adhesion of monocytes to vascular endothelium under flow conditions. Nature 1999, 398: 718-723. 10.1038/19546CrossRefPubMed
33.
go back to reference Wald A, Link K: Risk of human immunodeficiency virus infection in herpes simplex virus type 2-seropositive persons: a meta-analysis. J Infect Dis 2002, 185: 45-52. 10.1086/338231CrossRefPubMed Wald A, Link K: Risk of human immunodeficiency virus infection in herpes simplex virus type 2-seropositive persons: a meta-analysis. J Infect Dis 2002, 185: 45-52. 10.1086/338231CrossRefPubMed
34.
go back to reference Brockman M, Knipe DM: Herpes simplex virus vectors elicit a durable antibody response in mice despite the presence of preexisting host immunity. J Virol 2002, 76: 3678-3687. 10.1128/JVI.76.8.3678-3687.2002PubMedCentralCrossRefPubMed Brockman M, Knipe DM: Herpes simplex virus vectors elicit a durable antibody response in mice despite the presence of preexisting host immunity. J Virol 2002, 76: 3678-3687. 10.1128/JVI.76.8.3678-3687.2002PubMedCentralCrossRefPubMed
35.
go back to reference Hocknell PK, Wiley RD, Wang X, Evans TG, Bowers WJ, Hanke T, Federoff HJ, Dewhurst S: Expression of human immunodeficiency virus type 1 gp120 from herpes simplex virus type 1-derived amplicons results in potent, specific, and durable cellular and humoral immune responses. J Virol 2002, 76: 5565-5580. 10.1128/JVI.76.11.5565-5580.2002PubMedCentralCrossRefPubMed Hocknell PK, Wiley RD, Wang X, Evans TG, Bowers WJ, Hanke T, Federoff HJ, Dewhurst S: Expression of human immunodeficiency virus type 1 gp120 from herpes simplex virus type 1-derived amplicons results in potent, specific, and durable cellular and humoral immune responses. J Virol 2002, 76: 5565-5580. 10.1128/JVI.76.11.5565-5580.2002PubMedCentralCrossRefPubMed
36.
go back to reference Coen DM, Fleming H.E.,Jr., Leslie LK, Retondo MJ: Sensitivity of arabinosyladenine-resistant mutants of herpes simplex virus to other antiviral drugs and mapping of drug hypersensitivity mutations to the DNA polymerase locus. J Virol 1985, 53: 477-488.PubMedCentralPubMed Coen DM, Fleming H.E.,Jr., Leslie LK, Retondo MJ: Sensitivity of arabinosyladenine-resistant mutants of herpes simplex virus to other antiviral drugs and mapping of drug hypersensitivity mutations to the DNA polymerase locus. J Virol 1985, 53: 477-488.PubMedCentralPubMed
Metadata
Title
Persistent expression of chemokine and chemokine receptor RNAs at primary and latent sites of herpes simplex virus 1 infection
Authors
W James Cook
Martha F Kramer
Russell M Walker
Timothy J Burwell
Holly A Holman
Donald M Coen
David M Knipe
Publication date
01-12-2004
Publisher
BioMed Central
Published in
Virology Journal / Issue 1/2004
Electronic ISSN: 1743-422X
DOI
https://doi.org/10.1186/1743-422X-1-5

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