Herpes simplex virus cell-to-cell spread and ocular disease.
HSV has studied epithelial and neuronal cell junctions for many millions of
years in order to spread through mucosal, ocular and neuronal tissues.
These viruses move swiftly and efficiently between infected and uninfected
cells by cannibalizing the cell’s intracellular sorting machinery
to direct viral progeny to specific cell surfaces i.e. epithelial and
synaptic junctions (reviewed in Johnson and Huber 2002). For example,
several viral membrane proteins, e.g. gE/gI and gB, bind clathrin adaptor
proteins, acidic cluster binding proteins PACS-1 and PACS-2, as well
as other components of the trans-Golgi network (TGN)/endosomal sorting
machinery. These interactions determine movement of progeny viruses
(produced in the nucleus) to cell junctions. We have shown that nascent
HSV particles are specifically directed to epithelial cell junctions
and are not found on apical surfaces but instead accumulate in the
spaces between cultured epithelial cells (see Fig. 1 and Johnson et
al. 2001). We are attempting to define intracellular events and cellular
components that participate in this process. A model explaining how
sorting in the TGN can promote cell-to-cell spread of HSV is shown
in Fig. 2. HSV glycoproteins, gE and gI form a heterodimer known as
gE/gI and this complex localizes to the TGN by virtue of numerous sorting
domains in the cytoplasmic domains of these proteins.

This promotes virus envelopment in the TGN, and specifically in subcompartments of the TGN denoted B in Fig. 2. Virus particles that are sorted into compartments B are, in turn, directed to epithelial cell junctions by mechanisms used by the cell to sort cellular proteins to basolateral surfaces in polarized cells. Other cellular components are sorted to apical cell surfaces (A in Fig. 2) by virtue of sub-compartmentalization into other TGN compartments. In general, the molecular details of apical versus basolateral sorting in polarized cells are poorly understood and we believe that our studies should add to this understanding. By acting to move nascent virions to cell junctions, gE/gI can speed spread of virus between closely packed cells and produce directed spread. Moreover, gE/gI also binds cellular receptors that are concentrated at cell junctions, thereby promoting virus movement into adjacent cells.
Sorting
of HSV proteins and directed transport of virus particles also occurs
in neurons. Virus infecting neurons at axon tips move to the
nucleus along microtubules. Later (often after latent virus reactivates)
viral progeny are specifically delivered down axons via other microtubule
motors, and appear to be sorted away from dendrites. We are studying
HSV transport within sensory neurons following infection in the cornea.
Moreover, we can directly inject HSV into the trigeminal (TG) ganglia
and characterize virus movement back to the cornea (Fig. 3A). In
many cases, we track viruses by using recombinants expressing GFP or
fusion
proteins in which GFP or RFP is fused to a viral membrane protein
(Fig. 3B- see green axons of neurons infected in the TG ganglia and
projecting
into the cornea).
In
recent studies have we identified and characterized an HSV membrane
protein, US9, that functions to promote HSV cell-to-cell spread. Unlike
gE/gI, US9 functions solely in neurons. A US9- mutant was able to spread
normally in the cornea, moving to hundreds of other epithelial cells
by 2 days post-infection (see Fig. 4, green is GFP expressed by a recombinant
HSV and red is staining with anti-HSV antibodies). Spread of the US9-
virus was identical to wild type HSV-1 (not shown). However, US9 could
not spread from infected neurons to other cells in the nervous system.
In Fig. 5, viruses were injected into the retina, and spread from neuron
cell bodies in the retina to retinorecipient regions of the brain was
examined. The US9- mutant did not spread to any of the regions of the
brain (the SC, the LGN and SCN) that are connected to the retina. A
control wild type virus (w.t.) expressing GFP spread to all three regions.
We are attempting to characterize the molecular mechanisms by which
US9 promote this virus movement in neurons.
US9 apparently contains
sequences that couple HSV structural proteins onto microtubule motors
causing these viral building blocks to move down axons. Exiting cells,
HSV assembles, not in the cell body, but at axon tips. We are also
using the US9- mutant and other mutants to study HSV keratitis. One
particularly interesting question relates to the origin of HSV antigens
that cause this inflammatory disease in the cornea. There is clearly
persistent HSV in the cornea and this could trigger immune responses
that ultimately damage the cornea. Alternatively, infectious HSV that
reactivates in latently-infected neurons could reinfect the cornea
producing immunity that causes corneal scarring. Since the US9- mutant
cannot return to the cornea from infected neurons, we can test which
of these two possibilities is correct using mouse models.
Herpesvirus immune evasion.
The
second major focus of our research involves recognition of viruses
by the host’s immune system and evasion of this immunity. In
order to persist or remain latent for decades, herpesviruses have evolved
many carefully crafted mechanisms to modulate immune responses or avoid
recognition. Some years ago, we identified the first herpesvirus protein
that blocks detection of infected cells by CD8+ T lymphocytes. HSV
ICP47 inhibits TAP, the Transporter associated with Antigen Presentation,
a cellular protein that pumps antigenic peptides into the ER where
they are loaded onto MHC class I proteins (Fig. 6). Class I proteins
move from the ER through the Golgi apparatus to cell surface and present
antigenic peptides to the T cell receptors of T lymphocytes. By blocking
TAP, ICP47 inhibits recognition of HSV-infected cells by T cells. Since
those studies, a large number of viral inhibitors of TAP and other
steps in the MHC class I antigen presentation have been described.
More recently, we have probed HCMV for other, novel immune evasion
mechanisms. HCMV has about 2.5 times the coding capacity of HSV, so
that there is the potential to express a huge number of immunomodulatory
molecules. Moreover, HCMV replicates very slowly, increasing vulnerability
to host immune responses. To deal with the immune system HCMV expresses
an impressive array of immune evasion and immunomodulatory proteins.
Moreover, HCMV infects a relatively large number of cell types in the
body, including several that express MHC class II proteins. We became
interested in whether HCMV might block, not only the MHC class I pathway,
but also the MHC class II antigen presentation pathway.
Normally,
MHC class II functions in “professional” antigen
presenting cells to present exogenous antigens to CD4+ T lymphocytes.
By exogenous, we mean extracellular antigens that are taken up by endocytosis
or phagocytosis (refer to Fig. 7). Class II proteins are synthesized
in the ER as a complex of alpha, beta and invariant (Ii) chains that
move to the Golgi apparatus and on to MHC class II loading compartments
that are similar to lysosomes. In these acidic loading compartments,
class II proteins are loaded with peptides that are derived from proteins
taken up into endosomes, and degraded by acidic proteases. We recently
identified two HCMV proteins that inhibit the class II pathway in different
ways. HCMV US2 causes class II proteins present in the ER to be retrotranslocated
out of the ER and into the cytoplasm where the proteins are degraded
by proteasomes. HCMV US3 reduces binding of the invariant chain (Ii)
that normally stabilizes class II alpha/beta complexes in the ER and
sorts complexes to class II loading compartments. Without Ii, class
II complexes are mislocalized in cells and do not reach loading compartments.
These are two interesting examples of how HCMV can reduce recognition
by CD4+ T cells, in addition to evading CD8+ T cells.
By reducing class I and II proteins on the cell surface, viruses expose
themselves to natural killer (NK) cells that recognize cells with reduced
MHC proteins. To combat NK cells, HCMV expresses an MHC class I homologue,
UL18, that apparently replaces the lost surface class I. Recently,
we characterized a second HCMV protein, UL16, that reduces exposure
to another NK recognition receptor, NK2G-D. NK2G-D recognizes MICA
and MICB which are MHC class I proteins (see Fig. 8). Normally, HCMV
reduces surface MHC class I by inhibiting the class I pathway, but
also triggers high level transcription of the MICA and MICB genes that
are regulated by heat shock promoters. The appearance of MICA and MICB
on the surfaces alerts NK and T cells with NK2GD receptors that HCMV
is present. These lymphocytes become activated and would kill the HCMV-infected
cells, unless HCMV counters this. We found that UL16 binds MICB and
mislocalizes the cellular protein, reducing recognition by NK cells
(Dunn et al 2003). Our continuing studies involve mapping and identification
of other novel viral inhibitors of the immune system and detailed characterization
of how these viral proteins function. The work involves the cell biology
of antigen presentation pathways, use of recombinant virus expression
vectors, and characterization of T and NK cell recognition mechanisms.
Regulation of herpesvirus by cellular immunity and HSV corneal keratitis.
We are also interested in the role of CD8+ and CD4+ T lymphocyte responses in controlling HSV latency and triggering keratitis. There is evidence that anti-HSV T lymphocytes interact with HSV-infected neurons in a specific but yet benign manner. This is unlike the normal interaction between cytotoxic CD8+ T cells and cells they kill. Instead, expression of viral proteins and replication in neurons is curtailed but without harm to the neurons so that latency is established or maintained. Apparently, these T cells produce molecules e.g. cytokines, that dampen virus replication. In collaboration with others, we are beginning to dissect the HSV molecules that are recognized by these T cells and to understand how the T cells interact with neurons in this novel manner.
T cells can be beneficial in suppressing virus replication in neurons, however these cells can also cause major disease in the cornea. CD4+ and CD8+ T lymphocytes that recognize viral antigens in the eye are thought to be the major causes of inflammation that damages the cornea in keratitis. We are attempting to identify the T cell antigens and to determine how these antigens reach the cornea. One perplexing aspect of keratitis involves observations that there are very low or undetectable levels of HSV antigens present in the stroma (the deeper layer of the cornea) after HSV reactivation. One interesting possibility is that HSV membrane glycoproteins move very rapidly and in a directed fashion along axon microtubules from sensory neuron cell bodies in the ganglia to the stroma and these proteins then act as T cell antigens to promote inflammation. Indeed, there is evidence that mice infected with an HSV recombinant expressing a viral glycoprotein fused to GFP displays fluorescent signal transferred from ganglia into the cornea and long before virus appears in the cornea. Therefore, we are characterizing traffic of viral membrane proteins from the ganglia to the cornea by using fluorescent-tagged glycoproteins as described above. In addition, we are using T cell clones that recognize epitopes in the glycoprotein fusion proteins to characterize T cell recognition and traffic in HSV keratitis.