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Departments of
*
Laboratory Medicine and
Medicine, University of Washington, Seattle, WA 98195; and
Program in Infectious Diseases, Fred Hutchinson Cancer Research Center, Seattle, WA 98109
| Abstract |
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| Introduction |
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from blood mononuclear cells of patients
with recent recurrent herpetic lesions (9). In vitro,
IFN-
partially reverses the down-regulation of MHC class I after HSV
infection of epidermal cells and induces MHC class II expression
(10). As such, we sought to evaluate whether HSV has
developed an immune escape mechanism that could block recognition of
HSV-infected cells by CD4+ T cells. The HSV-1
ICP22 the product of the unique sequence 1 (US1) gene, is a
nucleotidylated and phosphorylated protein with properties of a
transcriptional factor required for the expression of a subset of late
viral genes (11). Our current findings demonstrate that
HSV-1 US1 gene expression in lymphoblastoid APC results in a
dramatically reduced ability to stimulate CD4+ T
cell clone proliferation and cytokine secretion. | Materials and Methods |
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HSV-1 (strain F), HSV-1 US1 deletion mutant (R325), HSV-1 unique sequence 3 (US3) deletion mutant (R7041), and respective repaired viruses (R4968, R7036) (12), HSV-1 unique sequence 12 (US12) deletion mutant (HV1.102), and HSV-2 (strain 186) were all grown and titered in Vero cells. HSV-2 ICP4 deletion mutant (hr259) (13) was propagated and titered on E5 cells.
All cell lines were maintained in complete medium, consisting of RPMI 1640 supplemented with antibiotics and 10% heat-inactivated bovine serum (Gemini Bio-Products, Woodland, CA). The study protocol was approved by the University of Washington Institutional Review Board.
EBV-transformed lymphoblastoid cell lines (B-LCL) and HSV-specific T
cell clones EB47, EB13, ES21, and ES37 were derived as previously
described (14). The T cell clones were established in
culture from a skin lesion biopsy (clones EB47 and EB13) or a blood
sample (clone ES21 and ES37) obtained from immunocompetent patients
with genital HSV-2 infection. The clonality of each T cell line was
assessed by PCR for TCR V
gene expression (Clontech Laboratories,
Palo Alto, CA, ). HIV-specific T cell clone 9G8 has been previously
described (15).
Plasmid expression vectors
The full coding sequence of US1 was amplified by PCR from HSV-1 viral DNA (strain F) using primers (5'-GGTGGTACCCGTTTTCAGGATGGCCGACATTTC-3') and (5'-GCCGGATCCTCCGCCCTTCCCGCCATTAA-3'). After a 5-min incubation at 94°C, the PCR was cycled 35 times at 94°C for 30 s, 60°C for 30 s, and 68°C for 3 min followed by a final extension at 68°C for 7 min using the High Fidelity PCR System (Boehringer Mannheim, Indianapolis, IN). The PCR product was cloned in the pCRII TOPO vector and sequenced using dye deoxy-terminator (Applied Biosystems Prism; Applied Biosystems, Foster City, CA). The US1 gene was then transferred in two fragments, XhoI-HindIII of 0.9 kb and HindIII-BamHIII of 0.5 kb, into pNS vector (16) opened by XhoI-BamHI.
Transfection
B-LCL were transfected using LipofectANIME (Life Technologies, Rockville, MD) according to the manufacturers protocol. Briefly, cells (3 x 106) were washed in serum-free RPMI 1640 and resuspended in 0.8 ml of Optimem (Life Technologies). Ten micrograms of purified plasmid DNA was mixed with 20 µl of LipofectAMINE in 0.2 ml of Optimem, incubated for 45 min at room temperature, and added to the B-LCL suspension in one well of a six-well plate. The cells were then incubated in a 5% CO2 humidified atmosphere for 5 h. After 24 h, the cells were washed and resuspended in fresh complete RPMI 1640 medium. G418 sulfate (Calbiochem, La Jolla, CA) was added on day 3 at 1 U/ml.
Ag-specific proliferation
B-LCL were infected for 18 h with the relevant virus at a multiplicity of infection (MOI) of 10, then washed and counted. After irradiation (10,000 rad), stimulator cells (105 cells/ml) were mixed with T cell clones (5 x 105 cells/ml) in the presence of 1 µg/ml of purified HSV glycoprotein B (gB) or glycoprotein (gD). Virus UV inactivation was achieved by exposing viral inoculum to an UV light source (10 cm from a GTO38 bulb) for 10 min.
In some experiments, B-LCL were incubated for 1 h at 37°C before infection in the presence of gB or gD (1 µg/ml). Transfected B-LCL were irradiated (10,000 rad) and mixed at various dilutions with T cell clones in the presence of 1 µg/ml of either gB or gD.
For peptide stimulation, irradiated cells were incubated with 10 µg/ml of aa 571590 from HIV-1 envelope peptide epitope (VWGIKQLQARVLAVERYLKD) for 1 h on ice before being washed, irradiated, and used as stimulatory cells at various dilutions.
After 3 days of culture, cells were pulsed for 16 h with 0.5 µCi of [3H]thymidine (NEN, Boston, MA). [3H]Thymidine incorporation was determined with a liquid scintillation counter. Proliferation of T cell clones was performed in triplicate wells.
Cytokine titration
After 24-h culture, supernatants from triplicate wells were
pooled and tested for the presence of cytokines. Measurements of human
IL-2 and IFN-
were analyzed using a sandwich ELISA. Samples were
tested in duplicate. The coefficient of variation was always <10%.
Matched pair Abs were purchased from R&D Systems (IL-2; Minneapolis,
MN) and Endogen (IFN-
; Woburn, MA). The lowest detection limit for
the IL-2 assay is 5 and 0.5p g/ml for the IFN-
assay.
Cytotoxicity assay
Standard chromium release assays were performed. Briefly, autologous target B-LCL were infected for 18 h with relevant virus at an MOI of 10 in the presence of 100 µCi of 51Cr (NEN), washed, and counted. CD4+ T cell clones and 51Cr-labeled target B-LCL were cultured together using various E:T ratios. After 4 h at 37°C, 30 µl of supernatant was removed and counted in Lumaplates with a TopCount scintillation counter (Packard, Meriden, CT).
For redirected cytotoxicity assay, P815 FcR-positive mouse mastocytoma cells were infected at an MOI of 10 for 18 h in the presence of 51Cr. The labeled target cells were then mixed with T cells at various E:T ratios. Purified OKT3 Ab was added at a final concentration of 1 µg/ml.
Percent specific lysis was calculated as: 100 x [(cpm released with effectors) - (cpm released alone)]/[(cpm released by detergent) - (cpm released alone)]. Spontaneous release was always <20% of maximum release.
Flow cytometry
Standard procedures were used for flow cytometric analysis. B-LCL (1 x 106) were resuspended in PBS containing 1% FBS and 0.1% NaN3. The cells were incubated at 4°C for 30 min with either primary or PE-labeled mAbs of the appropriate specificity. When relevant, cells were washed and incubated for an additional 30 min at 4°C with PE-labeled goat anti-mouse Ig (Sigma, St. Louis, MO).
MHC class II molecule expression was evaluated using mAb B7.21 specific for the HLA-DP framework determinant, mAb SPV-L3 specific for the HLA-DQ framework, and mAb L-243 specific for the HLA-DR framework (14). Abs specific for CD80 and CD86 molecules were purchased from Becton Dickinson (Mountain View, CA).
Cytoplasmic staining was performed as previously described (17). Cells were fixed with 3.7% paraformaldehyde and permeabilized using a 0.01% Nonidet P-40 solution in PBS. The cells were then incubated with the rabbit antiserum R77 (12) and stained with an FITC-labeled goat anti-rabbit antiserum (Vector Laboratories, Burlingame, CA).
Relative fluorescence intensities were measured with a FACSCalibur (Becton Dickinson). Data were analyzed using WinMDI software (Joseph Trotter, The Scripps Clinic, La Jolla, CA).
| Results |
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Human B cells immortalized by EBV (B-LCL) have been widely used as
APC. We sought to evaluate whether B-LCL infected by HSV-1 were
impaired in their ability to efficiently stimulate
CD4+ T cell clones. Initially, we used
HSV-specific CD4+ T cell clones that were
isolated from two different donors with genital herpes. Two clones,
EB47 and EB13, were derived from the expansion of lesion-infiltrating T
cells from a skin biopsy of an HSV-2 buttock lesion. The clones were
CD3+/CD4+/CD8-
and were determined to recognize the HSV glycoproteins gB and gD,
respectively. Two other clones, ES21 and ES37, were isolated from a
peripheral blood sample from a different patient with genital HSV-2
infection and were found to be specific for the viral encoded gD.
Following stimulation with their respective Ag, the cytokine secretion
level for each T cell clone varied from low (clone ES21) to high (clone
EB13). The pattern was consistent between experiments (Table I
).
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secretion in culture supernatant was concordant with the proliferative
activity under identical culture conditions. As expected, uninfected
B-LCL have the stimulatory capacity to induce a strong cytokine release
in the culture supernatant. In contrast, supernatants obtained using
HSV-infected B-LCL as stimulator cells contained much lower cytokine
titers, suggesting that HSV-infection of B-LCL greatly affects their
capacity to stimulate CD4+ T cell clones both at
the level of proliferation and for IL-2 or IFN-
secretion. HSV immediate-early gene expression is required to induce inhibition of CD4+ T cell activation
We next sought to define viral gene function associated with this
inhibitory effect. UV-inactivated HSV-2 did not induce inhibition of
CD4+ T cell proliferation as compared with
infectious HSV-2 (Table II
). As such, we
directed our efforts at evaluating viral-specific genes that were not
contained in the viral particle. We used an HSV-2 ICP4 mutant
(hr259). Since ICP4 is strictly required for expression of both early
and late proteins, this mutant expresses only immediate-early proteins
(ICP0, ICP6, ICP22, ICP27, and ICP47) (13). As clone EB47
is directed against the viral encoded gB, a late gene, we prevented any
potential competition between soluble Ag and viral particles by
preincubating the B-LCL with the glycoprotein before infection with the
ICP4 mutant. As shown in Table II
, B-LCL infection with the ICP4 mutant
hr259 resulted in a strong inhibition of both the T cell proliferation
and cytokine secretion. Although some IFN-
was detected with
HSV-2-infected B-LCL, the amount was significantly less than that
induced by uninfected B-LCL. These data suggested that expression of an
immediate-early HSV protein other than ICP4 was associated with this
inhibition of the T cell activation.
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We then tested whether the immediate-early protein ICP47, encoded
by the HSV-1 US12 gene, could affect B-LCL APC function. As
shown in Table III
, B-LCL infected by the
HSV-1 US12 deletion mutant (HV1.102) still lost their
capacity to fully activate the CD4+ T cell clone
EB47 in response to the purified gB. This inhibition was observed at
the level of T cell proliferation as well as with cytokine secretion,
suggesting that US12 gene expression is not required to
induce the inhibition of the T cell activation.
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secretion (B and C) in response
to the gB (clone EB47) or gD (clone ES37). This was observed when the
Ag was provided either before or after the cells were infected.
Moreover, even without addition of any soluble Ag, a significant T cell
activation was induced in the presence of B-LCL infected with
US1 mutant, suggesting that under these conditions the
endogenous viral glycoproteins gB and gD were efficiently processed
and presented to the respective CD4+ T cell
clones. In contrast, infection with the US3 deletion mutant
or repaired viruses resulted in a poor T cell activation similar to
that seen previously with wild-type HSV. These experiments indicated
that the impaired stimulatory capacity of HSV-infected B-LCL appeared
to be predominantly due to HSV-1 US1 gene expression.
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We next investigated whether the US1 gene product ICP22 was associated with the observed inhibition of the B-LCL APC function. The US1 gene was amplified by PCR from a DNA extract obtained from wild-type HSV-1 (strain F), and the PCR product was cloned into the eukaryotic cell expression vector pNS. Following amplification and purification, the expression vector was transfected into B-LCL using LipofectAMINE.
ICP22 protein expression was assessed using an intracellular staining
technique. Uninfected, HSV-1-infected, and US1-transfected
B-LCL were stained using a ICP22-specific rabbit antiserum and analyzed
by flow cytometry. As shown in Fig. 2
, following the same culture conditions as previously described for the T
cell proliferation assay, ICP22 was detected in HSV-1-infected B-LCL.
ICP22 was also detected with similar fluorescence intensity in all
B-LCL after stable transfection and G418 selection. To assess whether
ICP22 protein expression alone results in the observed inhibition,
drug-resistant B-LCL expressing the ICP22 viral protein were used as
APC in a T cell proliferation assay. As shown in Fig. 3
, B-LCL transfected with the control
vector coding for the
isoform of the mouse CD8 protein were
able to efficiently process and present soluble Ag to different
CD4+ T cell clones. In contrast, a strong
inhibition of T cell clone proliferation (Fig. 3
A) as
well as cytokine secretion (Fig. 3
, B and C) was
observed in the presence of the HSV-1 US1-transfected B-LCL.
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We further investigated whether ICP22 expression was affecting the
B-LCL Ag presentation function at the level of Ag processing or
presentation. We used a previously described HIV-specific
CD4+ T cell clone (9G8), which recognizes a known
peptide epitope in gp160 protein (15). Corresponding
autologous B-LCL were transfected with either the HSV-1 US1
gene or the CD8
control vector. The cells were kept under G418
selection for 10 days to ensure that only transfected B-LCL were
present in the remaining culture. The drug-resistant B-LCL were
preincubated with the synthetic HIV-1 envelope peptide and then washed
to prevent T-T cell activation during the proliferation assay. As seen
in Fig. 4
, US1-transfected
B-LCL are again much less potent than vector control-transfected
B-LCL in stimulating T cell proliferation (A) and cytokine
secretion (B and C). Although some IFN-
secretion could be detected, the level of secretion dropped quickly
following the APC dilutions.
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We also assessed whether HSV-1 US1 transfection in
B-LCL induced modulation of cell surface proteins. Because transfected
B-LCL were less potent in presenting synthetic peptide to a
CD4+ T cell clone, we first looked at the
expression of different MHC class II molecules (DR, DQ, and DP). As
shown in Fig. 5
, analysis by flow
cytometry revealed no detectable difference between
US1-transfected cells and the vector control transfectant.
In humans, a decreased T cell response to recall Ags is often
associated with depressed costimulatory receptor expression (18, 19). Therefore, we analyzed whether US1 transfection
could affect the level of expression of the costimulatory molecules
CD80 and CD86. Again, we could not detect any significant modulation in
the cell surface expression level for either molecule.
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We next evaluated whether US1 gene expression could
also affect CD4+ T cell-mediated lytic activity.
For these experiments, we used the HIV-specific T cell clone 9G8
because of its high and stable lytic activity. B-LCL were infected with
the US1 deletion virus or the corresponding repaired virus
at a MOI of 10 and cultured overnight. The next day, the cells were
incubated with the relevant synthetic peptide and washed before being
used in a chromium release assay. As shown in Fig. 6
A, B-LCL infected with the
deletion mutant exhibited higher lytic activity than when infected with
the repaired virus. In agreement with this observation, B-LCL
transfected with HSV-1 US1 gene (Fig. 6
B) also
resulted in a similar decrease of the T cell lytic activity.
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Taken together, these results suggest that expression of the HSV-1 US1 gene in B-LCL or P815 cells lowers their susceptibility to CD4+ T cell-mediated lysis.
| Discussion |
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It is well documented that viral glycoprotein-specific CD4+ T cell clones proliferate and secrete lymphokines when stimulated with UV light-inactivated HSV in the presence of autologous PBL (20, 21, 22). To our knowledge, no virally encoded function has been previously identified that interferes with recognition of HSV-infected cells by human CD4+ T cells.
In this paper, we characterized a new immune evasion mechanism used by
HSV to interfere with the CD4+-mediated cellular
immune response. We have demonstrated that B-LCL infected by live HSV
are strongly inhibited in their ability to induce
CD4+ T cell clone proliferation and IL-2 or
IFN-
secretion. This inhibitory effect does not seem to be
restricted to a particular type of CD4+ T cell
clone or B-LCL line, as this result was reported for a total of five
different clones from three different patients. Moreover, we have shown
that T cell susceptibility to this inhibition was not restricted to
HSV-specific T cell clones in that an HIV-specific clone also shows
similar inhibition of its activation.
We reasoned that this effect on Ag presentation appeared to be related to early gene expression by the virus and demonstrated for HSV-1 that the immediate-early US1 gene was necessary and sufficient to induce the APC function inhibition. The HSV-1 ICP22, the product of the US1 gene, is a nucleotidylated and phosphorylated protein with properties of a transcriptional factor required for the expression of a subset of late viral genes (11). The coding domain of the US1 gene encodes two proteins, a full-length protein, ICP22, and a protein called US1.5 which is initiated from methionine 147 of ICP22 and which is colinear with the remaining portion of that protein. The two corresponding mRNAs are expressed by their own independent promoter (23). Our data do not allow us to determine which of either the ICP22 or US1.5 proteins is responsible for the APC function inhibition. Experiments to clarify that point are currently in progress.
Previous studies have reported that HSV-1 infection of monocytes and more recently of dendritic cells resulted in an impairment of their capacity to stimulate T cells. Following HSV-1 infection, human monocytes have been shown to lose their ability to induce resting T cell proliferation in response to superantigen (24). Similarly, HSV-1-infected human dendritic cells were unable to produce cytokines and were poorly stimulatory for allogeneic T cells (25). In this latter case, the virus was found to inhibit dendritic cell maturation. In our experiments, we have demonstrated that following the expression of the viral protein ICP22, HSV-1 is able to strongly inhibit the capacity of B-LCL to trigger an Ag-specific T cell activation. The inhibition is observed when the Ag is provided either as a soluble protein or as a synthetic peptide.
The function of MHC class II molecules is to sample exogenous Ags for presentation to CD4+ T cells. Newly synthesized MHC class II heterodimers associate with the invariant chain (Li) in the endoplasmic reticulum (26). Once the complex reaches the endosomal system, Li is degraded leaving the class II binding site available for binding antigenic peptide (27). The peptide loading process is facilitated by the presence of H2-DM molecules involved in the dissociation of Li fragments from the class II peptide binding groove (28). Previous studies have demonstrated that the principle means of presenting a soluble peptide on human B cells involves peptide loading directly onto surface class II molecules (29, 30). Therefore, exogenously supplied peptides bypass the intracellular Ag-processing pathway. As such, inhibition of the B-LCL ability to stimulate CD4+ T cell clones appears to be the result of an Ag presentation rather than an Ag processing deficiency. Although we have yet to define the exact mechanisms of APC inhibition by HSV, ICP22 protein expression did not affect cell surface expression of any of the MHC class II molecules (DR, DQ, and DP) or costimulatory molecules like CD80 and CD86. However, the possibility cannot be excluded that other costimulatory molecules, like the recently described B7h (31), could play a role in the observed inhibition.
During T cell activation, engagement of receptors triggers an active accumulation of molecules at the interface of the T cell and the APC, which then increases the overall amplitude and duration of T cell signaling. This process is actively driven by the cytoskeleton (32). It has been shown that following HSV-1 infection, an early viral function induces cytoskeletal alterations (33). Therefore, it is tempting to speculate that US1 can prevent the triggering of a full, sustained T cell response by interfering with cytoskeletal rearrangements that allow the relay of extracellular stimulatory signals to the nucleus. The observed inhibition of T cell activation could also result from US1 interference with a signal transduction pathway. This could be achieved by decreasing the expression of essential components of a pathway, as was recently described for another herpesvirus, the human CMV (34). Experiments to define these hypotheses appear to be warranted.
HSV-specific cytotoxic activity in a bulk T cell population isolated from skin lesion biopsy has been shown to be associated with CD8+ as well as CD4+ T cells. Lesion-infiltrating CD4+ T lymphocytes may exert immune control over HSV reactivation not only through the secretion of cytokines but also through their lytic activity. HSV-1 is known to be able to inhibit CD4-meditated lysis of human fibroblasts through a mechanism not yet completely understood (35). We have found that following either viral infection or US1 gene transfection, B-LCL become less susceptible to lysis by CD4+ T cells. Moreover, in a redirected lysis assay, we observed that HSV-1-infected P815 cells also become less susceptible to T cell-induced lysis. A recent report showing that HSV-1 ICP22 protein can partially prevent Hep-2 cell-induced apoptosis (36) could provide an explanation for our observations.
It is thus of great interest that in mice, HSV-1 US1 deletion mutant failed to cause death following intracerebral, i.p., or intravaginal inoculation (37) as compared with the parental virus. Our studies suggest an immunological explanation for this observation. The enhanced APC function associated with the deletion mutant would result in an enhanced host response and hence lower mortality.
In summary, we have shown that upon HSV infection, B-LCL are much less
potent in inducing IFN-
secretion in CD4+ T
cells. In addition, the IL-2 secretion was also found to be strongly
inhibited. We propose that, upon HSV infection, the overall reduction
of cytokine levels may decrease the ability of the immune response to
control viral spread at the onset of an outbreak because of the
subsequent deficiency in antiviral cytokines, lower help for
CD8+ T cells, or decreased local
neutralizing Abs.
| Acknowledgments |
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| Footnotes |
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2 Current address: Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N, Room D3-100, Seattle, WA 98109. ![]()
3 Address correspondence and reprint requests to Dr. Lawrence Corey, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N, Room D3-100, Seattle, WA 98109. ![]()
4 Abbreviations used in this paper: ICP, infected cell protein; B-LCL, B-lymphoblastoid cell line; MOI, multiplicity of infection; US1, unique sequence 1; US3, unique sequence 3; US12, unique sequence 12; gB, glycoprotein B; gD, glycoprotein D; Li, invariant chain. ![]()
Received for publication November 15, 2000. Accepted for publication March 12, 2001.
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