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1 Department of Virus Diseases, Walter Reed Army Institute of Research, Silver Spring, MD, USA
2 Division of Retrovirology, Walter Reed Army Institute of Research, Rockville, MD, USA
3 Infectious Disease Directorate, Naval Medical Research Institute, Silver Spring, MD, USA
4 Department of Microbiology and Immunology, Georgetown University School of Medicine, Washington DC, USA
Correspondence
Dupeh R. Palmer
dupeh.palmer{at}na.amedd.army.mil
| ABSTRACT |
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| INTRODUCTION |
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We have reported previously that infection with DENV serotype 2 (DENV-2) results in reduced expression of dendritic cell (DC) surface molecules required for T-cell stimulation (Palmer et al., 2005
). One implication of this study is that less-virulent forms of DENV-2 are less likely to replicate in DCs or subvert their function, whilst, ideally, remaining sufficiently immunogenic. Infection and activation of DCs by attenuated viruses probably contribute to vaccine efficacy in humans; however, pre-clinical selection strategies for candidate vaccines do not include their evaluation in DC cultures. An understanding of the nature of DC interactions with a prototypic vaccine might be useful in understanding the vaccine's immunogenicity.
The YFV vaccine is a live-attenuated virus vaccine derived by passage in fertilized hen's eggs. YF-VAX (Sanofi-Pasteur) is the commercially available YFV strain 17D (YFV-17D) vaccine. This study evaluated the interactions of YF-VAX and DENV-2 with DCs in an effort to understand the nature of their immunogenicity in more detail. The YFV vaccine derives from the YFV Asibi isolate and has been administered to over 400 million individuals since its development in 1936 (Theiler & Smith, 1937
). A single inoculation with the vaccine induces long-lasting protection (Groot & Riberiro, 1962
), with up to 97 % of vaccine recipients displaying neutralizing antibodies 19 years after inoculation, and stimulates high titres of neutralizing antibodies to the envelope structural protein and complement-fixing antibodies to the non-structural protein NS1 (Brandriss et al., 1990
; Poland et al., 1981
; Putnak & Schlesinger, 1990
; Reinhardt et al., 1998
; Schlesinger et al., 1986
). Additionally, this vaccine elicits CD8+ and CD4+ gamma interferon (IFN-
)-producing T cells following primary and secondary vaccinations in human (Co et al., 2002
; Reinhardt et al., 1998
) and mouse models (van Kooyk & Geijtenbeek, 2003
). The reasons behind the robust immunogenicity are unknown. However, it is clear that multiple passages of the parent strain in tissue culture (up to 200 times) generate a viral population that is optimally immunogenic, whilst lacking the severely debilitating and often fatal symptoms that characterize YFV infections. Only 32 aa (
0.5 % of the total) separate the vaccine strain from the YFV Asibi parental strain (Hahn et al., 1987
). However, further attenuation leads to poor virus immunogenicity (Fox et al., 1942
).
Both YFV-17D and wild-type YFV replicate productively in human monocytes and macrophages including Kupffer cells (Barros et al., 2004
; Liprandi & Walder, 1983
; Marianneau et al., 1999b
). Replication of YFV-17D in human DCs has also been detected using plaque assays (Barba-Spaeth et al., 2005
; Brandler et al., 2005
) and by detection of intracellular non-structural protein NS4A and NS4B (Barba-Spaeth et al., 2005
; Querec et al., 2006
). Similar to previous findings (Querec et al., 2006
), we have shown here that YF-VAX-activated DCs exhibited increased surface expression of major histocompatibility complex class II (MHCII), as well as co-stimulatory molecules needed for DC stimulation of homologous T cells. However, stimulation of DCs by YF-VAX, unlike stimulation by the DENV-2 live-attenuated vaccine PDK50 and its wild-type parent, occurred with diminishing, possibly abortive, virus replication in the cells. Microscopy experiments showed that intracellular localization of YF-VAX was largely confined to lysosomal compartments in contrast to infectious wild-type DENV-2, which localized to both the trans-Golgi and lysosomes. These results suggest that YF-VAX is rapidly processed in DCs, which may constitute an important factor in promoting optimal DC/T-cell interactions.
| METHODS |
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Human DCs.
DCs were generated by positive selection of CD14+ cells (Miltenyi Biotech) from peripheral blood mononuclear cells collected from normal, healthy, seronegative, consenting donors in accordance with a human subject protocol approved by The Walter Reed Army Institute Human Use Research Committee. Enriched CD14+ cells were cultured for 7 days in complete RPMI (1 % L-glutamine, 1 % penicillin/streptomycin, 1 % sodium pyruvate, 1 % essential amino acids, 50 mM 2-mercaptoethanol and 10 % heat-inactivated fetal bovine serum) in the presence of recombinant human (rh) granulocytemacrophage colony-stimulating factor (Leukine, 100 ng ml1; Immunex) and rhIL-4 (50 ng ml1; R&D Systems) at 37 °C, 5 % CO2 and 95 % relative humidity.
Infection with YF-VAX 17D, parental S16803 and PDK50.
Unless otherwise stated, DC cultures were infected (or left uninfected) with YF-VAX, parental S16803 or PDK50 at an m.o.i. of 1 and placed in a humidified 5 % CO2 incubator at 37 °C. For DC-SIGN blocking experiments, DCs were pre-incubated with 10 µg anti-DC-SIGN antibody ml1 (clone 120612; R&D Systems), 1 h prior to infection. After 2.5 h, cells were washed twice to remove cell-free, unattached virus and cultured in complete RPMI (without cytokines) at a density of 1x106 cells ml1. Cells and/or media were analysed at different times as detailed in the figures. In some experiments, Vero cell controls were infected in the same manner as DCs. Control experiments also included uninfected DCs and DCs exposed to uninfected Vero cell supernatants.
Detection of YF-VAX and parental S16803 infection by FACS.
DCs were infected as described above. After 48 h, cells were fixed and permeabilized with Cytofix and CytoPerm (BD Biosciences) according to the manufacturer's recommendations. For DENV-2 detection, DCs were stained using fluorescein isothiocyanate (FITC)-labelled monoclonal antibody 2H2 (kindly provided by the Naval Medical Research Center, MD, USA). For YF-VAX detection, DCs were stained with anti-YFV-specific hyperimmune mouse ascites fluid (ATCC), followed by a secondary phycoerythrin (PE)-conjugated goat anti-mouse Ig antibody (BD Biosciences). Samples were analysed on a FACSCalibur (Becton Dickinson) using CELL QUEST software.
Western blot analyses.
Infected DCs and Vero cells were seeded in six-well plates at a concentration of 1x106 cells per well and kept at 37 °C in a CO2 incubator. After different time periods, cells were collected in 1.5 ml centrifuge tubes and washed twice with ice-cold PBS. Cell lysates were prepared in a Triton X-100-based buffer in the presence of appropriate protease and phosphatase inhibitors. The amount of protein in the cell lysate was determined using the BCA protein detection system (Bio-Rad). An aliquot of the cell lysate (10 µg protein per sample) was analysed by SDS-PAGE and the separated proteins were transferred to nitrocellulose membranes and subjected to Western blot analyses. Membranes were probed with polyclonal antibodies from anti-DENV-2 immune ascites fluid (a generous gift of Ms M. Simmons, Naval Medical Research Center, MD, USA) or anti-YFV-specific hyperimmune ascites fluid (ATCC). Bands were visualized using SuperSignal Chemiluminescence substrate from Pierce.
Cell-surface labelling.
To measure changes in cell-surface markers, DCs were infected with YF-VAX, parental S16803 or PDK50, or left uninfected, as described above. After 48 h incubation, cells were collected, washed and stained according to the manufacturer's recommendations using PE-conjugated monoclonal antibodies specific for CD40 (clone 5C3), CD80 (L307.4) or MHCII (G46-6) (BD Biosciences). Isotype-matched PE-labelled controls were included in each experiment. For DC-SIGN experiments, DCs were stained for CD80 and CD83 (HB15e).
Analyses of apoptotic cells.
The viability of infected DCs was compared with uninfected DCs at 48 h. Cells were stained with propidium iodide (PI) and FITC-conjugated Annexin V using an Annexin V : FITC Apoptosis Detection kit I (BD Biosciences) according to the manufacturer's recommendations. Samples were analysed on a FACSCalibur using CELL QUEST software.
Cytokine detection in culture supernatants.
Cells were infected with viruses as described above and cell-free media were collected and stored. IFN-
was measured by ELISA (PBL Biomedical Laboratories) according to the manufacturer's recommendations.
Fluorescence labelling of YF-VAX and DENV-2.
Sucrose-gradient-purified YF-VAX or parental S16803 was conjugated with Alexa Fluor 594 carboxylic acid succinimidyl ester according to the manufacturer's instructions and placed on a shaker overnight at 4 °C. The sample was dialysed (Pierce Slide-A-Lyser, 3000 molecular mass cut-off) exhaustively with PBS for 812 h at 4 °C. Fluorescently labelled viruses were then stored at 80 °C in small aliquots. Once thawed, 500 µl PBS was added to the virus. The mixture was centrifuged at 4 °C for 1 h at 15 000 r.p.m. using a fixed rotor to pellet the virus and remove any free dye remaining, before addition to DCs. The ratio of DC to virus particles was between 1 : 100 and 1 : 1000. Labelling did not alter viability, as DCs infected with labelled DENV-2 virus expressed viral antigens at 48 h post-infection as detected in staining experiments with FITC-labelled 2H2 monoclonal antibody (data not shown). Further confirmation of virus viability was obtained in plaque assay experiments (data not shown). As a control, mock-infected Vero cell supernatant was labelled with Alexa Fluor 594 carboxylic acid succinimidyl ester according to the manufacturer's instructions and placed on a shaker overnight at 4 °C. The supernatant was either dialysed or column purified to remove excess free dye from the preparation before addition to DCs.
Immunofluorescent microscopy.
DCs were washed and incubated in PBS in the presence or absence of YF-VAX or parental S16803 for 90 min at 37 °C. Cells were fixed and permeabilized with cold methanol : acetone (1 : 1) for 10 min at 20 °C. Cells were washed three times in PBS and non-specific sites were blocked with 5 % goat serum for 30 min at 37 °C. Cells were incubated at room temperature for 1 h with FITC-conjugated CD107b (H4B4; Pharmingen) for detection of lysosomal-associated membrane protein 2 (LAMP-2) or EEA1 (clone 14; Transduction Laboratories) for detection of early endosomal antigen (5 µg ml1). In some experiments, NBD-C6-ceramide (2 nmol ml1; Molecular Probes) was added for detection of the trans-Golgi, as described previously (Rao et al., 1997
). After incubation, cells were washed three times with PBS and mounted on slides with Vectashield mounting medium and nail polish. Cells were examined with a Bio-Rad Radiance 2000 confocal microscope using a 60x oil-immersion objective. Data were collected using LaserSharp software.
In vitro viral replicase assay on endogenous viral RNA templates.
Vero cells or DCs (containing at least 1x106 cells per well) were infected with YF-VAX, PDK50 or parental S16803 at an m.o.i. of 1. Cells were harvested at 48 h post-infection, washed with PBS, centrifuged at 1200 r.p.m. in a bench-top centrifuge and resuspended in buffer containing 10 mM Tris/HCl (pH 8.0), 10 mM sodium acetate and 1.5 mM MgCl2. Cells were lysed by repeatedly passing through a 1 ml syringe fitted with a 27-gauge needle (>30 times), as described previously (Chu & Westaway, 1985
; Uchil & Satchidanandam, 2003
), and cell lysis was checked by microscopy. Cell lysates were centrifuged and the supernatants aliquoted, quick-frozen in ethanol/dry ice and stored at 80 °C until use. Protein concentrations were determined using a spectrophotometer (SpectraMax; Molecular Devices). Equal amounts of total protein from cell lysates were used in the replicase assays. Assays were carried out at 37 °C for 1 h in a total volume of 50 µl containing 50 mM Tris/HCl (pH 8.0), 10 mM magnesium acetate, 7.5 mM potassium acetate, 60 µg actinomycin D ml1 (to inhibit DNA-dependent RNA polymerase), 10 mM 2-mercaptoethanol, 5 mM phosphoenolpyruvate, 3 U pyruvate kinase ml1, 20 U RNAsin (Promega), 0.4 mM each of ATP, CTP and UTP (Roche Applied Science), 10 µCi [
-32P]GTP (800 Ci mmol1) and 20 µg virus-infected cell homogenate. Reactions were terminated by the addition of 0.5 M EDTA. The RNA products were disrupted from membranes with TNE-SDS [50 mM Tris/acetate (pH 7.6), 0.1 M sodium acetate, 1 mM EDTA, 2 % SDS] and extracted using an RNeasy kit (Qiagen). RNA products were dissolved in RNA loading buffer containing 7 M urea, 1x TBE and 0.5 % bromophenol blue, and viral RNA products were resolved by partially denaturing 3 % PAGE containing 7 M urea. RNA bands were visualized by autoradiography.
Plaque assay.
Viral titres in cell-culture supernatants were quantified by plaque formation on monolayers of Vero cells with an agarose double overlay, as described previously (Lambeth et al., 2005
). After a 56 day incubation period, plaques were detected by staining the monolayers with neutral red. The virus titre (p.f.u. ml1) was calculated as the mean number of virus plaques counted at a given dilution multiplied by the dilution factor.
Detection of YF-VAX by RT-PCR.
Approximately 1x106 DCs or Raji cells were left uninfected or infected with YF-VAX at an m.o.i. of 2, as described above. Cells were harvested every 24 h for 5 days. Following centrifugation, cell pellets were washed twice in ice-cold PBS. Total RNA was extracted from the final pellets using an RNAqueous RNA isolation kit (Ambion). After reverse transcription, 1 µl cDNA was amplified using YF-17D-specific primers (forward: 5'-CGCAACGAGTCGTGATTGCC-3'; reverse: 5'-TGCCAAAGTTGATGGCGCAT-3'). PCR products were separated by electrophoresis in 1 % agarose.
| RESULTS |
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production from autologous CD4+ T cells collected from an immune donor (data not shown), demonstrating that these cells were competent antigen-presenting cells. In contrast, parental S16803 was only capable of transient induction of MHCII (Fig. 1
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, a likely candidate for mediating immediate antiviral effects. YF-VAX readily induced IFN-
after 48 h in DC cultures. At this time point, the mean level of secreted IFN-
was 344±243 pg ml1 for three separate experiments. No IFN-
was detectable at 12 and 24 h, the time period coinciding with peak virus production and RNA expression levels.
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| DISCUSSION |
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The limitation of YF-VAX replication in DCs might also have resulted from early production of IFN-
/
by a subpopulation of infected DCs that suppressed virus replication in neighbouring cells. The antiviral activity of IFN-
/
might also account for the rapid and productive infection detected in Vero cells, which do not produce IFN (Diaz et al., 1988
). However, detectable levels of IFN-
/
were apparent only after 48 h, a time point beyond peak viral activity, as detected by plaque assays and PCR. It is possible that small amounts of secreted IFN-
/
, undetectable by ELISA, participated in limiting early virus replication; however, this is unlikely to be the sole mechanism of suppression.
DCs express pathogen-recognition molecules, including the C-type lectin DC-SIGN, that recognize and internalize pathogens (van Kooyk & Geijtenbeek, 2003
). DC-SIGN mediates the internalization of a number of viruses including DENV, a flavivirus closely related to YFV (Navarro-Sanchez et al., 2003
; Tassaneetrithep et al., 2003
), many of which subvert DC antigen-processing and presenting functions (Alvarez et al., 2002
; Gardner et al., 2003
; Halary et al., 2002
). In contrast to these viruses, previous work has shown that YF-VAX is not internalized by DC-SIGN-expressing THP-1 cells (Navarro-Sanchez et al., 2003
) and our data on YF-VAX confirm this finding. Additionally, we found that expression of DC activation markers on DENV-2-infected DCs decreased in the presence of DC-SIGN-blocking antibody, but remained unaffected in YF-VAX-infected cultures, supporting the hypothesis that YF-VAX activation of DCs is independent of DC-SIGN engagement. Recent work has reported the involvement of Toll-like receptors 2, 7, 8 and 9 in YF-VAX activation of DCs (Querec et al., 2006
). Activation resulted in increased DC expression of cell-surface molecules. Moreover, we found enhanced secretion of IFN-
and stimulation of IFN-
-producing CD4+ T cells (data not shown). Of interest is the fact that, similar to PDK50, increased expression of cell-surface molecules on YF-VAX-infected DCs was sustained, even at 72 h, in contrast to cultures infected with DENV-2 parental S16803, where cell-surface molecule expression was suppressed or delayed. Although our results point to clear-cut DC maturation outcomes for attenuated and wild-type viruses, it is probable that attenuated viral strains will exhibit varying outcomes depending on the source of the viral stocks. To minimize virus modification, we utilized the commercial YF-VAX vaccine virus, which was propagated only once in Vero cells. Markedly different outcomes were found for DCs infected with virus stocks derived from infection of SW13 cells with full-length infectious YFV-17D plasmids, where lack of DC maturation has been reported (Barba-Spaeth et al., 2005
).
Our data showed that exposure to YF-VAX did not induce significant levels of DC apoptosis, lending further support to our conclusion on its restricted replication in DCs. In contrast, PDK50 and parental S16803 induced increased staining of Annexin V- and PI-positive cells. Apoptosis is a common outcome for replicating/virulent viruses including YFV (Catteau et al., 2003
; Despres et al., 1996
; Quaresma et al., 2005
) and is triggered by many factors including intracellular viral protein accumulation and the release of cytokine mediators that interfere with virus replication and/or initiate an inflammatory process. Virus replication and its potentially damaging consequences might impose limitations on the antigen-presenting functions of infected DCs, and we have demonstrated previously that induction of apoptosis in DENV-2-infected DC cultures interferes with their immunostimulatory functions (Palmer et al., 2005
), with important implications for the initiation of anti-DENV immune responses (Mathew et al., 1999
).
In summary, we compared DC infection by YF-VAX, the live-attenuated DENV vaccine PDK50 and the DENV-2 parental S16803 virus. Both YF-VAX and PDK50 effectively induced DC activation, but there were important differences between the viruses. In contrast to PDK50 and parental S16803, YF-VAX exhibited restricted replication in DCs, and DC-SIGN was not required for internalization. Additionally, most YF-VAX localized to lysosomes within DCs. We propose that these features permit the rapid processing of YF-VAX in DCs, contributing to its overall success as a vaccine.
| ACKNOWLEDGEMENTS |
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Received 5 June 2006;
accepted 19 September 2006.
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