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1 Department of Microbiology and Immunology and Center for Molecular and Tumor Virology, Louisiana State University Health Sciences Center, Shreveport, LA 71130-3932, USA
2 Department of Molecular Microbiology, Brown University, Providence, RI 02912, USA
3 Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7290, USA
Correspondence
Kate D. Ryman
kryman{at}lsuhsc.edu
| ABSTRACT |
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| INTRODUCTION |
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Age dependence of disease severity can be reproduced by infection of suckling mice with Sindbis virus (SB), the prototypic alphavirus. Most SB strains cause acute, fatal disease in newborn animals, regardless of inoculation route. However, mice rapidly develop resistance to disease during their first 2 weeks of life, developing only subclinical infection and protective immunity as adults (Griffin, 1976
; Johnson et al., 1972
; Trgovcich et al., 1999
). Many host-encoded factors influence SB virulence and disease, including the type I interferon (IFN-
/
) response (Labrada et al., 2002
; Ryman et al., 2000
, 2005
), regulators of apoptosis (Johnston et al., 2001
; Levine et al., 1996
; Lewis et al., 1999
; Liang et al., 1998
) and components of the adaptive immune response (Griffin & Johnson, 1977
; Griffin et al., 1983
). Furthermore, neuronal differentiation has been identified as a critical factor in the concurrent development of resistance to SB replication, virus-mediated apoptosis and fatal encephalomyelitis (Griffin, 2005
). However, attempts to link ontogeny of these factors causally to the molecular underpinnings of age-dependent resistance to fatal SB infection have been largely inconclusive.
Historically, SB infections of mice have been studied as acute encephalomyelitis of newborn animals (Johnson et al., 1972
), focusing on neurological aspects of disease and often isolating these events by administering the virus intracerebrally. However, recent studies illustrate that intracerebral inoculation combined with the inadvertent use of partially attenuated, cell culture-adapted SB strains has biased disease towards encephalopathy (Klimstra et al., 1999
; Trgovcich et al., 1996
, 1997
). Exacerbated neurological signs associated with these laboratory SB strains are linked to the accumulation of positively charged amino acid mutations in the E2 attachment protein and coincident acquisition of heparan sulfate (HS) proteoglycan-binding capability (Klimstra et al., 1998
, 1999
), which appears to promote non-productive binding and sequestration by HS structures exposed to virus in serum, limiting viraemic potential and dissemination. In contrast, when cDNA clone-derived, wild-type SB strain TR339 is administered to newborn mice by subcutaneous inoculation to mimic the bite of an infected mosquito vector, the rapidly fatal infection resembles systemic inflammatory-response syndrome (SIRS) closely, with uncontrolled pathogen replication, systemic hyperinduction of inflammatory cytokines and little or no evidence of encephalomyelitis (Klimstra et al., 1999
), more consistent with Old World alphavirus disease manifestations in very young humans. Compared with commonly used laboratory strains, TR339 does not interact efficiently with HS or cell surfaces (Klimstra et al., 1998
) and probably reflects the cell-attachment and replication characteristics of the original SB AR339 isolate.
The current studies represent the first characterization of age-related resistance to SB disease in mice infected subcutaneously with the wild-type TR339 virus, known to be free of cell culture-acquired HS-binding mutations (Klimstra et al., 1998
). We have focused upon the age-dependent alteration in the systemic inflammatory disease caused by TR339 and examined the replication of TR339-based viruses and non-propagative replicons by using in vivo imaging technology, thereby elucidating and quantifying the earliest events in the infection of extraneural sites after subcutaneous inoculation. Our results indicate that, when virus is inoculated subcutaneously, a dramatic restriction of peripheral replication and systemic inflammatory response occurs in older mice prior to significant neuroinvasion or encephalitic disease. Moreover, the age-dependent resistance to infection can be observed at the level of the first infected cell, consistent with potentiation of the efficacy of induced innate immune-response components that restrict genome replication.
| METHODS |
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Construction of virus cDNA clones and stock production.
Klimstra et al. (1998)
previously described construction of the consensus wild-type SB cDNA clone, pTR339. A pTR339-based cDNA clone encoding firefly luciferase (LUC; p39MCS-LUC) was constructed by introducing a second copy of the 26S subgenomic promoter downstream of the E1 gene driving LUC expression and confirmed by DNA sequencing (Retrogen). Infectious virus RNA was generated by in vitro transcription (mMessage mMachine; Ambion) from XhoI-linearized pTR339 or p39MCS-LUC DNA templates and electroporated into BHK-21 cells. Virus particles were harvested from the supernatant 1820 h after electroporation, clarified by centrifugation and titrated as p.f.u. ml1 on BHK-21 cells.
Construction of replicon cDNAs and replicon-particle production.
TR339-based replicon particles expressing LUC (39REP-LUC) were produced by packaging infectious replicon RNA transcripts in virus structural proteins provided in trans by helper RNAs as described previously for green fluorescent protein-expressing replicons (Ryman et al., 2002
). A replicon genome plasmid expressing LUC was constructed (p39REP-LUC), encoding the TR339 non-structural protein genes and LUC downstream of the 26S subgenomic promoter in place of the virus structural protein genes. In vitro-transcribed RNA from p39REP-LUC, glycoprotein (pINT) and capsid (pCH) helpers were co-electroporated into BHK-21 cells and 39REP-LUC replicon particles were harvested 24 h post-electroporation. From each preparation, 10 % was evaluated by serial passage on BHK-21 cells for the presence of cytopathic effect-inducing, propagation-competent virus recombinants or contaminants.
Morbidity and mortality studies.
Pups born to outbred CD-1 mice (Charles River Laboratories) within a 12 h period were pooled and randomized as 1012 pup litters. Virus inocula, diluted to contain 100 p.f.u. TR339 in a 50 µl volume (2x103 p.f.u. ml1), were administered subcutaneously in the ventral thorax. Mock-infected mice received 50 µl virus diluent. Virus-infected and corresponding mock-infected mice were weighed at 24 h intervals where appropriate. Mean survival time (MST) and percentage mortality were calculated.
Pathogenesis studies.
At predetermined intervals post-infection (p.i.), groups of three mice per treatment were selected randomly from different litters. The thoracic cavity was opened under isoflurane anaesthesia and blood was collected by cardiac puncture. Serum was separated from whole blood by using microtainer tubes (Becton Dickinson). Mice were perfused with PBS/1 % DCS for 10 min before harvest of hindlimb muscle and brain tissues. Tissues were homogenized in PBS/1 % DCS by one freezethaw and mechanical disruption, and clarified by centrifugation (13 000 g, 15 min, 4 °C). The supernatant was assayed for virus by plaque assay or for IFN-
/
.
Cytokine and hormone assays.
Serum IFN-
/
was measured by standard biological assay on L929 cells (Trgovcich et al., 1996
), using a commercially prepared IFN-
/
standard (Access Biomolecular) and encephalomyocarditis virus as indicator virus. Clarified muscle and brain homogenates were centrifuged to remove material precipitated during the acidification/neutralization procedure. Serum levels of tumour necrosis factor alpha (TNF-
), IFN-
and interleukin (IL)-6 were determined by sandwich ELISA (Pharmingen). Total (free and bound) serum corticosterone (CORT) levels were determined by using a radioimmunoassay kit according to the manufacturer's instructions (ICN).
Histopathology and in situ hybridization studies.
Three mice per treatment were selected randomly from different litters. Under anaesthesia, each mouse was perfused with 4 % paraformaldehyde (PFA) in PBS (pH 7.4) for 1015 min, fixed in 4 % PFA (pH 7.4) for 1 week, then decalcified in 4 % PFA, 8 % EDTA (pH 6.8, 4 °C) for up to 4 weeks. Tissues were paraffin-embedded and sectioned. Haematoxylin and eosin (H&E)-stained sections were viewed by light microscopy. In situ hybridization (ISH) analyses to detect virus genomic RNA in tissue sections were performed (Klimstra et al., 1999
). Radiolabelled riboprobes were generated by in vitro transcription from linearized plasmid DNA in the presence of [35S]UTP (Amersham Biosciences). Riboprobe complementary to a region in the subgenomic virus RNA was generated from AflII-linearized pGSV.SS (Trgovcich et al., 1996
). Riboprobe complementary to a region in the EBER-2 protein gene of EpsteinBarr virus controlled for non-specific probe hybridization.
Viable thymocyte counts.
The entire thymus was removed and dissociated into a single-cell suspension. Viable thymocytes were identified by trypan blue exclusion, counted on a haemocytometer and expressed as percentage of mean viable thymocyte number in parallel mocks.
In vivo bioluminescence imaging and data quantification.
Inoculation with 39MCS-LUC virus or 39REP-LUC replicon particles was performed as described above. Imaging of luciferase activity in mice was performed on a charge-coupled device camera (Xenogen). Briefly, mice were anaesthetized by intraperitoneal injection of ketamine/xylazine (90 mg ketamine kg1 and 10 mg xylazine kg1) and 0.7 mg luciferin substrate kg1, approximately 10 min prior to imaging. Images were acquired for 210 s, depending on relative light emission from various sites of infection. Relative intensities of transmitted light from in vivo bioluminescence were represented as a pseudocolour image ranging from violet (least intense) to red (most intense) superimposed on the corresponding greyscale photograph by using LivingImage (Xenogen) image-analysis software. Data for photon flux from manually defined regions of interest were calculated.
| RESULTS |
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Proinflammatory-cytokine induction correlates with severe infection
We have previously characterized the fatal infection of TR339-infected neonatal animals as a SIRS-like disease with dysregulated proinflammatory-cytokine induction. Here, serum-cytokine levels were measured in 5D- and 11D-infected mice to determine whether a correlation existed between induction of the proinflammatory-cytokine cascade and the progressive attenuation of TR339 in mice of increasing age. Preliminary experiments evaluating serum samples collected at 24 h intervals p.i. indicated that cytokine induction occurred early in infection, but diminished to background levels by 72 h p.i. (data not shown). Consequently, serum cytokines were assayed at 6 h intervals until 48 h p.i. (Fig. 2
). Low levels of proinflammatory cytokines were measured in the serum of 11D-infected mice, suggestive of homeostasis and an appropriately controlled response to the pathogen. In contrast, a dysregulated, hyperinflammatory cytokine response was observed in 5D-infected mice. IFN-
levels peaked at 24 h p.i. at approximately 2000 pg ml1 (Fig. 2a
), TNF-
was first detectable in serum at 18 h p.i., peaking at 30 h p.i. in excess of 300 pg ml1 (Fig. 2b
), and the induction of IL-6 reached peak levels of 6000 pg ml1 by 30 h p.i. (Fig. 2c
). Overall, the cytokine profile in the 5D-infected mice was reminiscent of the SIRS-like disease described for TR339-infected neonatal animals (Klimstra et al., 1999
), although peak levels were generally somewhat lower, whereas little or no inflammatory-cytokine response was observed in 11D-infected mice.
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Age-dependent restriction of systemic TR339 replication
To determine whether the development of SIRS-like disease and age-dependent attenuation of infection correlated with quantitative and/or qualitative differences in virus replication, TR339 replication was measured in serum, hindlimb muscle and brain tissues of suckling mice inoculated subcutaneously at 5D or 11D (Fig. 4
). Overall, a similar pathogenetic sequence was observed in both age groups, consistent with early virus replication in peripheral tissues seeded by and sustaining a serum viraemia, with subsequent neuroinvasion and replication in the CNS. However, the onset of detectable viraemia was delayed by at least 12 h in 11D- vs 5D-infected mice and remained consistently at least 100-fold lower in magnitude (Fig. 4a
). Early replication in muscle and appearance of virus in the brain were correspondingly delayed and reduced significantly with increasing age, peaking at approximately 100-fold lower levels (Fig. 4b, c
, respectively). Importantly, this was true in serum and muscle early after subcutaneous inoculation, as well as in CNS tissues, indicating that suppressed virus production from early extraneural sites of infection in the older animals preceded the reduction in neuroinvasion and CNS replication. In both cases, virus clearance from serum began 34 days p.i., coincident with the appearance of TR339-specific antibody, which was not impaired significantly in the younger animals (data not shown). However, despite the degree of virus clearance from serum and the presence of TR339-specific antibody in 5D-infected mice, virus replication continued in muscle and brain without marked restriction or clearance. In mice infected at 11D, more limited replication and subsequent clearance of the virus from tissues between 6 and 8 days p.i. correlated with decreased proinflammatory-cytokine production and reduced morbidity, allowing survival.
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/
induction have previously been associated with fatal TR339 infection of neonatal mice (Klimstra et al., 1999
/
both in vitro and in vivo in adult mice (Ryman et al., 2000
/
levels in serum from 5D- and 11D-infected mice (Fig. 6a
/
induction and serum viraemia. Indeed, levels of serum IFN-
/
in 5D-infected mice reached potentially harmful levels, abating slightly towards the day of death. In comparison, serum IFN-
/
peaked at significantly lower levels in 11D-infected mice. In both 5D- and 11D-infected mice, IFN-
/
appeared early in infection in the muscle where the primary sites of virus replication were also found (Fig. 6b
/
exhibited little difference. Thus, we must consider that the failure of the type I IFN system to contain the replication of this IFN-
/
-sensitive virus in 1D- and 5D-infected mice may be due to insufficient rapidity of IFN-
/
production relative to virus replication and dissemination.
|
All mice aged 5D, 8D and 11D, inoculated subcutaneously with 39MCS-LUC virus or 39REP-LUC replicon particles, had detectable LUC activity corresponding to virus replication in the ventral thorax (site of inoculation) when imaged 8 h p.i. (Fig. 7a, c
, respectively). A small, but not consistently significant, reduction in the mean RLU was observed between age groups (quantified in Fig. 7g
), suggesting that infection of the initially targeted cells was not greatly restricted with increasing age. By 24 h p.i., however, mean luciferase expression from 39MCS-LUC virus in the 5D-infected mice was significantly higher than in their 11D-infected counterparts and, whereas LUC signal had increased by over 10-fold in 5D-infected animals, no increase was observed in those infected at 11D. In the 39REP-LUC-inoculated animals, the reduction in mean LUC activity since 8 h p.i. was approximately 5-fold in 5D mice, compared with approximately 50-fold in 11D mice, from which we infer that non-specific antiviral mechanisms controlling replication may be more potent in the older animals.
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| DISCUSSION |
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In common with other SB strains (Griffin, 1976
; Trgovcich et al., 1999
), the outcome of TR339 infection was strongly dependent on the host's developmental status at the time of virus exposure, demonstrating that age-related virulence is neither confined to encephalomyelitic disease nor determined by differential cell-surface receptor expression. Transition from symptomatic to asymptomatic infection occurred gradually from 1D onward and continued beyond 11D through adulthood, leading us to speculate that the precipitous increase in survival between 5D and 11D occurs because a critical pathogenetic threshold is reached.
We have shown previously that TR339-infected newborn mice succumb near the peak of the proinflammatory-cytokine burst, possibly due to multiple-organ dysfunction (Klimstra et al., 1999
). Interestingly, the magnitude of the inflammatory response appears sufficiently diminished even in 5D-infected animals for them to survive this phase of infection, dying 34 days after cytokine levels have returned to baseline, in keeping with the observed extension in MST. The major inflammatory mediators TNF-
, IFN-
and IL-6 peaked at levels sufficiently high to cause extensive damage typically associated with SIRS (Conti et al., 2004
). Probably as a consequence of the extended disease course, more widespread replication in the CNS and evidence of encephalopathy were also observed in 5D-infected mice as the disease began to evolve from systemic hyperinflammatory presentation towards encephalomyelitis. Furthermore, high-level circulating cytokines, particularly TNF-
, are known to facilitate virus neuroinvasion from the bloodstream by damaging the cerebral microvascular endothelium of the bloodbrain barrier, damaging cells of the CNS directly and enhancing virus apoptotic potential (Brouckaert & Fiers, 1996
; Lustig et al., 1992a
; Wang et al., 2004
).
As observed previously for neonatal infection (Klimstra et al., 1999
), little evidence of inflammatory-cell infiltration was observed in peripheral or CNS tissues in 5D-infected mice, coinciding with dramatic reduction in thymocytes. This may be similar to the profound, apoptosis-induced loss of lymphocytes caused by the dysregulated inflammatory responses of SIRS and sepsis, which creates a hypoinflammatory phase in animals surviving the initial cytokine burst (Hotchkiss et al., 2003
). The proximal cause of death in the 5D-infected animals is attributed to virus- and cytokine-mediated pathologies coupled with a generalized cachexic retardation of development.
As virus replication becomes increasingly restricted beyond 5D, TR339 infection attenuates still further until all 11D-infected animals survive and clear the virus. A regulated, TH1-biased cytokine response was elicited with early induction of IL-12 (data not shown) and IFN-
, desirable for control and clearance of virus replication without permanent damage to the host. Inevitably, lower viraemic titres and circulating inflammatory-cytokine levels would result in reduced neuroinvasion and seeding of the CNS, augmenting the attenuating effects of advancing neuronal maturation. Interestingly, these mice developed mild, immune-mediated pathologies with occasionally pronounced paresis/paralysis, probably due to encephalomyelitis. The appearance of inflammatory infiltrates in 11D-infected animals coincided with dramatically lower levels of TNF-
and lymphocyte loss, but not with improved activation of these cells (K. D. Ryman, D. L. Browning & W. B. Klimstra, unpublished data). From the observation that mice lacking T and B cells develop age-dependent resistance to fatal SB infection similarly to normal animals (Griffin, 1976
), it is inferred that adaptive immune responses are not responsible for age-dependent survival, but they probably contribute to the evolution of the disease phenotype and clearance of the virus infection in survivors.
In vivo imaging studies demonstrated dramatic age-dependent restriction of SB replication and dissemination in peripheral tissues prior to neuroinvasion. Furthermore, as evidenced by the greater reduction in luciferase expression between 8 and 24 h p.i. in 11D-replicon-infected mice, an autocrine activity is involved that does not require virus spread. This is the first evidence that virus replication-inhibiting activities increase at the single-cell level with increasing age. Together, these data imply that the activity of one or more powerful mechanisms of host antiviral defence potentiates during this developmental phase, regardless of the disease phenotype, and that factors in addition to neuronal maturation impact the accrual of resistance to fatal SB infection.
Type I IFN is a primary antiviral defence mechanism against SB infection in vitro and in vivo (Ryman et al., 2000
, 2002
, 2005
), but the maturation of innate immune-mediated antiviral responses has been largely discounted as a mechanism controlling age-dependent disease attenuation because induction of IFN-
/
and IFN-stimulated genes parallels levels of virus replication, being most vigorous in neonatal animals (Griffin et al., 1994
; Labrada et al., 2002
; Lewis et al., 1999
; Trgovcich et al., 1999
; Vilcek, 1964
). However, changes in induction kinetics or the efficacy of innate immune mediators have not been examined. There is superficial similarity between the pathogenesis of TR339 in adult IFNAR1/ mice, which are unable to respond to induced IFN, and neonatal outbred mice, including extensive virus replication, induction of a SIRS-like cytokine profile and rapid mortality. However, an age-dependent reduction in the permissiveness of certain key tissues (e.g. skeletal muscle) clearly occurs in adults even in the absence of an effective IFN-
/
response (Ryman et al., 2000
). Data from the current studies are consistent with an increase in the effectiveness of induced IFN-
/
across the transition from fatal to subclinical infection. However, we conclude that additional factors, which remain to be identified, act in concert with a more effective innate immune response to restrict the replication potential of TR339 (and other SB strains) with increasing host age.
| ACKNOWLEDGEMENTS |
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Received 5 July 2006;
accepted 19 September 2006.
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