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1 Department of Molecular Cell Biology and Immunology, VU University Medical Center Amsterdam, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
2 Department of Clinical Virology, University of Göteborg, Guldhedsgatan 10B, S-413 46 Göteborg, Sweden
Correspondence
Teunis B. H. Geijtenbeek
t.geijtenbeek{at}vumc.nl
| ABSTRACT |
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These authors contributed equally to this work. ![]()
| INTRODUCTION |
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In addition to painful cold sores and blisters, HSV can cause ocular herpes stromal keratitis, making it the major infectious cause of blindness in the western world (discussed in Pepose et al., 2006
). In addition, HSV can cause life-threatening infections in individuals with inadequate cellular immune responses, such as newborns or immunocompromised patients. This indicates that, under normal conditions, dissemination of HSV throughout the body is prevented by the immune system. In addition, HSV has evolved strategies to escape our immune system and cause latent infection.
As sentinels of the immune system, dendritic cells (DCs) have an important regulatory function. Due to their specific location in the subepithelium and dermis, DCs are a target for invading pathogens such as human immunodeficiency virus type 1 (HIV-1), human cytomegalovirus (HCMV) and measles virus (MV) (Halary et al., 2002
; Burleigh et al., 2006
; de Witte et al., 2006
). These viruses target DCs for infection, dissemination and immune evasion by targeting the DC-specific C-type lectin DC-SIGN.
HSV-1 has developed several mechanisms to escape immune surveillance by DCs. DCs express the HSV entry receptors HVEM (Hve-A) and nectin-2 (Hve-B), as well as heparan sulfates, which mediate attachment of HSV-1. DCs are productively infected with HSV (Coffin et al., 1998
; Salio et al., 1999
; Kruse et al., 2000a
; Mikloska et al., 2001
), resulting in apoptosis (Pollara et al., 2003
). Moreover, HSV-1 infection strongly affects DC function by interfering with DC maturation, including downregulation of co-stimulatory molecules as well as CD83 and CD1 molecules and major histocompatibility complex class I (Mikloska et al., 2001
; Raftery et al., 2006
; Kummer et al., 2007
). HSV-1 infection also decreases interleukin (IL)-12 production and lowers the allostimulatory capacity of DCs (Kruse et al., 2000b
; Theodoridis et al., 2007
).
The C-type lectin DC-SIGN expressed by DCs plays an important role in attachment and dissemination of various viruses. In addition, Halary et al. (2002)
demonstrated that herpesvirus family member HCMV interacts with DC-SIGN; however, the authors concluded that HSV-1 glycoproteins do not bind to DC-SIGN (Halary et al., 2002
; Burleigh et al., 2006
; de Witte et al., 2006
).
To get a better understanding of HSV pathology and to determine targets to enhance the immune response to HSV, it is essential to understand the molecular interactions of HSV with DCs. Here, we investigated the receptors involved in the interaction between human monocyte-derived DCs and HSV. We demonstrated that HSV-1 and -2 interact with DC-SIGN via glycoproteins gB and gC. Binding of HSV to DCs depended on both heparan sulfate proteoglycans and DC-SIGN. Our data demonstrate that DC-SIGN not only increases DC infection by HSV-1 but also captures HSV-1 for transmission to permissive target cells. Thus, DC-SIGN is an attachment receptor for HSV-1 that contributes to the infectivity and transmission of HSV.
| METHODS |
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Immature DCs were cultured as described previously (Sallusto & Lanzavecchia, 1994
). Briefly, purified human monocytes were differentiated into immature DCs in the presence of IL-4 (500 U ml–1) and granulocyte–macrophage colony-stimulating factor (800 U ml–1) (both from Schering-Plough). To generate mature DCs, immature DCs were incubated for 24 h with 10 ng lipopolysaccharide (LPS) ml–1 derived from Salmonella typhosa (Sigma).
Parental and DC-SIGN-transfected CHO (van Gisbergen et al., 2005b
), K562 (van Gisbergen et al., 2005a
) and Raji cells (Geijtenbeek et al., 2000
; Geijtenbeek & van Kooyk, 2003
) were generated and cultured as described previously. The HSV-1 strains Syn17+ and KOS321, an HSV-1 clinical isolate, HSV-1 strain v44 containing a VP16–green fluorescent protein fusion protein (HSV-1–GFP) and HSV-2 strain 333 were grown on green monkey kidney (GMK) cells. A plaque titration assay was performed to determine viral titres (as p.f.u.). HSV-1 proteins gB and gC were purified as described previously (Trybala et al., 2000
): virus lysate (strain KOS321) was passed through columns containing anti-gC (C4H12) or anti-gB (B11D8) mAb. Subsequently, the columns were washed and the proteins eluted with 0.1 M glycine/HCl (pH 2.4). Following neutralization, the material was centrifuged to near dryness over a microcentrifugal concentrator with a 30 kDa cut-off (PallGelman Sciences) and then resuspended in PBS and centrifuged again. The final product was resuspended in a small volume of PBS and stored at –70 °C.
Fluorescent bead adhesion assay.
Streptavidin-coated beads (TransFluorSpheres, 488/645 nm, 1.0 µm; Molecular Probes) were incubated with a biotinylated F(ab')2 fragment goat anti-mouse antibody (6 µg ml–1; Jackson Immunoresearch), followed by overnight incubation with mAbs against HSV gB or gC at a concentration of 10 µg ml–1 at 4 °C. The beads were washed and incubated overnight with HSV-1 or purified HSV gB or gC at 4 °C. HIV-1 gp120 beads were produced as described previously (Lekkerkerker et al., 2004
). An adhesion assay was performed as follows (Geijtenbeek et al., 2000
; Geijtenbeek & van Kooyk, 2003
): 1x105 cells were incubated with beads for 45 min at 37 °C. To determine the specificity of adhesion, cells were pre-treated with mannan (1 mg ml–1), EGTA (10 mM) or blocking antibodies against DC-SIGN (20 µg ml–1) for 15 min at 37 °C. Binding was measured by flow cytometry.
To investigate the role of heparan sulfates, immature DCs (1x105 cells per well) were seeded in a total volume of 30 µl PBS and heparinase III (Prozyme) was added at a concentration of 0.1 IU ml–1. The plate was incubated for 1 h at room temperature. After 1 h, the cells were washed with TSA [20 mM Tris/HCl (pH 7.6), 150 mM NaCl, 1 mM CaCl2, 2 mM MgCl2, plus 0.5 % BSA] and used directly for subsequent experiments. The efficiency of digestion was evaluated by staining the cells with mAb 10E4 (against heparan sulfates) and mAb 3G10 (against
heparan sulfate, which recognizes digested heparan sulfate chains). The cells were analysed by flow cytometry. A strong reduction in the mean fluorescence intensity of heparan sulfate staining and a positive staining of the population with mAb 3G10 confirmed efficient treatment.
DC-SIGN–Fc binding.
Recombinant DC-SIGN consists of the extracellular portion of DC-SIGN (aa 64–404) fused at the C terminus to the human IgG1 Fc domain. DC-SIGN–Fc was produced in CHO K1 cells after transfection with the DC-SIGN-Sig-pIgG1-Fc vector (5 µg per 1x106 cells). The soluble DC-SIGN–Fc-binding ELISA was performed as described previously (Geijtenbeek et al., 2002
). Briefly, different concentrations of HSV-1, -2 or purified HSV-1 gB and gC were coated onto ELISA plates overnight at room temperature. Non-specific binding was blocked by incubating the plate with TSA for 1 h at 37 °C. Soluble DC-SIGN–Fc supernatant was added for 1 h at 37 °C. Unbound DC-SIGN–Fc was washed away and binding was determined using an HRP-conjugated goat anti-human Fc antibody. Specificity was determined (unless indicated otherwise) in the presence of mannan (1 mg ml–1) or EGTA (10 mM). The amount of HSV coated onto the plate was detected using anti-gB and HRP-conjugated goat anti-mouse Fc antibodies.
HSV-1 infection and transmission.
Immature DCs, Raji or Raji/DC-SIGN cells (5x104 cells) were seeded in a round-bottomed 96-well plate in complete RPMI 1640. The cells were pre-incubated with medium, a blocking antibody against DC-SIGN (AZN-D1; 20 µg ml–1), an isotype control (IgG1; 20 µg ml–1) or mannan (1 mg ml–1) for 1 h at 37 °C in 5 % CO2 before infecting them with different concentrations of HSV-1 Syn17+. The virus/DC mixture was incubated at 37 °C for 24 h. Next, the cells were stained with mAb against HSV gB for 30 min at 4 °C, followed by a 1 : 50 dilution of FITC-conjugated goat anti-mouse IgG for 30 min at 4 °C. Finally, the cells were fixed with 2 % paraformaldehyde (PFA) in PBS and gB expression was measured by flow cytometry.
CHO, CHO/DC-SIGN and GMK cells (2x105) were seeded in a 96-well flat-bottomed plate for 24 h before infection with HSV-1 Syn17+ (1x107 p.f.u. per well). Cells were harvested after 48 h of infection and analysed for gB expression as described above.
For the transmission experiment, 1x104 DCs were pre-incubated with mannan (1 mg ml–1) for 30 min at 37 °C in 5 % CO2 before infecting them with different concentrations of HSV-1–GFP. After 2 h, the cells were washed extensively to remove unbound HSV-1 and added to 5x104 permissive target cells (GMK or Jurkat cells). After 18 and 40 h, immunofluorescent images were captured and cells were harvested. Staining with anti-CD1a–PE mAb was performed to exclude DCs. Cells were fixed with 2 % PFA in PBS and infection was analysed by measuring the amount of GFP by flow cytometry.
HSV-1 mRNA transcription.
DCs (1x105) were pre-incubated with medium containing a blocking antibody against DC-SIGN (AZN-D1; 20 µg ml–1), an isotype control (IgG1; 20 µg ml–1) or mannan (1 mg ml–1) for 30 min at 37 °C in 5 % CO2 before infection with HSV-1 Syn17+ at an m.o.i. of 1. After 6 h, the cells were washed extensively with PBS and mRNA was isolated using an mRNA capture kit (Roche). cDNA was synthesized using a reverse transcriptase kit (Promega). For quantitative real-time PCR analysis, PCR amplification was performed in the presence of SYBR Green, as described previously (Garcia-Vallejo et al., 2004
). Specific primers for HSV-1 thymidine kinase and GAPDH were designed using Primer Express version 2.0 (Applied Biosystems). Transcription was adjusted for GAPDH transcription and relative mRNA expression of HSV-1-infected control samples was set at 1.
Immunofluorescence microscopy.
DCs were incubated with HSV-1 Syn17+ at an m.o.i. of 5 for 2 h at 37 or 4 °C. The cells were washed extensively, fixed with 3 % PFA in PBS and permeabilized with 0.1 % saponine in PBS. After blocking with 2 % BSA and 0.1 % saponine in PBS, the cells were stained with anti-HSV-1 gB, mouse IgG2a anti-CD1a or anti-DC-SIGN (AZN-D1) for 45 min at room temperature. The cells were washed and the sections counterstained with isotype-specific Alexa Fluor-labelled anti-mouse antibodies for 30 min at room temperature. The cells were washed and mounted onto glass slides coated with 0.1 % poly-L-lysine and analysed by confocal microscopy [Leica AOBS SP2 confocal laser-scanning microscope system containing a DMIRE2 microscope with glycerol objective lens (PL APO x63/NA1.30)]. Images were acquired using Leica confocal software version 2.61.
Statistical analysis.
To compare the means of multiple groups, a one-way analysis of variance (ANOVA) was used. When the overall F-test was significant, differences were investigated further using a post-hoc Bonferroni test using Graphpad Prism software. To compare the statistical differences between groups, a two-sided unpaired Student's t-test was applied. For both tests, a P value of <0.05 was considered statistically significant.
| RESULTS |
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DC-SIGN is not an entry receptor for HSV-1 but enhances infection in cis
To determine whether DC-SIGN is an entry receptor for HSV-1, we used DC-SIGN-transfected CHO cells, expressing high levels of DC-SIGN (Fig. 4a
). CHO cells were not susceptible to HSV-1, in contrast to the permissive GMK cells, which were efficiently infected (Fig. 4b
). Even at high viral input, expression of DC-SIGN did not confer susceptibility to HSV-1, demonstrating that DC-SIGN is not an entry receptor for HSV-1 (Fig. 4b
). Next, we investigated the function of DC-SIGN in HSV-1 infection of permissive cells. Parental Raji cells are infected with HSV-1 as determined by gB expression on the cell surface. However, Raji cells expressing DC-SIGN were infected more efficiently by HSV-1, demonstrating that DC-SIGN enhances HSV-1 infection in cis (Fig. 4c
). The increased levels of infection were inhibited by mannan, demonstrating that the enhancement was specific for DC-SIGN. Thus, DC-SIGN functions as an attachment receptor for HSV to enhance HSV infection in cis.
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To confirm these findings at the protein level, DCs were infected with HSV-1 at different m.o.i. in the presence of mannan, blocking antibodies against DC-SIGN or an isotype control. Strikingly, HSV-1 infection was strongly decreased by blocking DC-SIGN with either mannan or anti-DC-SIGN antibodies, whilst isotype antibodies did not have an effect (Fig. 5c, d
). These data showed that DC-SIGN enhances HSV-1 infection of DCs in cis.
DCs capture HSV-1 for transmission in a DC-SIGN-dependent manner
DC-SIGN has been shown previously to be important in viral transmission to target cells (Burleigh et al., 2006
; de Witte et al., 2006
). Therefore, we investigated whether DCs are also capable of transmitting HSV-1 via DC-SIGN. DCs were inoculated with HSV-1 for 2 h at 4 or 37 °C and washed extensively to remove unbound HSV-1. Co-localization of HSV-1 gB with CD1a and DC-SIGN was analysed by immunofluorescence confocal microscopy. We did not observe any internalized HSV-1 in DCs incubated with HSV-1 at 4 °C and viral particles were detected at the cell surface only sporadically (data not shown). In contrast, large numbers of viral particles were observed both intracellularly and at the cell surface of DCs incubated at 37 °C (Fig. 6a
). HSV-1 partially co-localized with DC-SIGN at the cell surface (Fig. 6a
). These data demonstrated that HSV-1 is internalized by DCs within 2 h and suggest that DC-SIGN on DCs is involved.
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| DISCUSSION |
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Here, we investigated the interaction of HSV and DCs. We demonstrated that HSV-1 glycoproteins gB and gC, as well as HSV-1 virus particles, interact with both soluble and cellular DC-SIGN. The interaction of DCs and gB was primarily mediated by DC-SIGN, whereas both heparan sulfates and DC-SIGN were involved in binding of gC to DCs. Our data demonstrated that DCs capture HSV-1 through DC-SIGN, which leads to efficient infection of DCs and virus transmission to permissive cells.
DC-SIGN is a receptor for various viruses, including HIV-1, Ebola virus, MV, dengue virus and, interestingly, the herpesvirus family member HCMV (Halary et al., 2002
; Burleigh et al., 2006
; de Witte et al., 2006
). Here, we demonstrated that DC-SIGN is also involved in HSV-1 interactions with DCs. Both gB and gC bound to soluble and cellular DC-SIGN. This is in contrast to a previous report that demonstrated that HSV-1 gB did not bind to DC-SIGN (Halary et al., 2002
). The recombinant HSV-1 gB used by those authors was produced in insect cells by overexpression, whereas gB and gC used in our experiments were purified from eukaryotic cells. Thus, differences in the cell type and method of production might account for the differences observed. Indeed, infection by HSV-1 induces glycosylation changes (Olofsson et al., 1980
; Nystrom et al., 2004
) and insect cells lack the glycosylation components necessary to generate glycosylations present in eukaryotic cells (Altmann et al., 1999
). Thus, gB and gC produced in eukaryotic cells represent the glycosylations observed in HSV-1 particles, which are recognized by DC-SIGN. However, we cannot exclude the possibility that other surface glycoproteins, such as gE and gD, can also mediate binding to DCs via DC-SIGN or other receptors.
In addition to HSV-1 binding to DC-SIGN, we detected binding of recombinant DC-SIGN to HSV-2, suggesting a similar interaction between HSV-2 and DC-SIGN on DCs. As gB is highly conserved throughout the family Herpesviridae, it is highly likely that HSV-2 also interacts with DCs via DC-SIGN, as HSV-1 gB and HSV-2 gB show 87 % nucleotide sequence identity (Sarmiento et al., 1979
; Little et al., 1981
; Cai et al., 1987
, 1988
; Cheshenko & Herold, 2002
) and 83 % amino acid sequence identity in their protein-coding regions (Dolan et al., 1998
).
Heparan sulfates are glycosaminoglycan side chains of cell-surface proteoglycans that have been shown to mediate attachment of HSV (Spear, 2004
). On DCs, removal of heparan sulfates and blocking of DC-SIGN decreased HSV-1 binding, demonstrating that both DC-SIGN and heparan sulfates are involved in the binding of HSV-1 to DCs. This is similar to what we have observed previously for HIV-1, in which syndecan-3 on DCs, together with DC-SIGN, is important for attachment of HIV-1 to DCs (de Witte et al., 2007
). Therefore, in analogy with HIV-1, it is tempting to speculate that the core protein containing the heparan sulfate side chains involved in HSV-1 binding is the heparan sulfate proteoglycan syndecan-3.
Both HSV-1 gB and gC are important for binding of HSV-1 to target cells (Herold et al., 1991
; Spear, 2004
). Although binding significantly enhances the efficiency of HSV-1 infection, it is not essential for infection, in contrast to the entry receptors. Using soluble DC-SIGN and DC-SIGN-transfected cell lines, we demonstrated that both gB and gC interacted with DC-SIGN. The interaction of gB with DCs was completely dependent on DC-SIGN, whereas gC binding to DCs was partially mediated by DC-SIGN and heparan sulfates. These results suggest that gB has a higher affinity for DC-SIGN and gC for heparan sulfates. Indeed, it was shown previously that gB has a lower affinity for heparan sulfates than gC (Trybala et al., 2000
). We conclude that, although gB and gC are not essential for viral entry, they do enhance viral attachment to target cells.
DC-SIGN plays an important role in DC infection by different viruses as it enhances the infection of DCs in cis for various viruses, including HIV-1 and MV (Burleigh et al., 2006
; de Witte et al., 2006
). DC-SIGN is highly expressed on DCs and efficiently captures the glycan structures on the viral envelope glycoproteins. This interaction enhances the contact of the virus with its entry receptors, resulting in infection. This process is thought to be important for entry receptors that have a low affinity for the viral glycoproteins or are expressed at low levels on DCs. Here, we demonstrated that HSV-1 targets DC-SIGN for viral attachment and DC infection in cis, as the infection of DCs with HSV-1 could be inhibited by mannan and antibodies against DC-SIGN at both the mRNA and the protein levels. Notably, mannan blocked HSV-1 infection more efficiently than DC-SIGN antibodies. This could indicate the presence of an additional mannose-specific receptor on DCs or that mannan is more efficient in inhibiting DC-SIGN function. Upon infection of DCs with HSV-1, we observed two populations of infected DCs that differed in their expression of gB, suggesting that not all DCs are productively infected.
Using a CHO cell line, which is naturally non-permissive to HSV entry, we demonstrated that DC-SIGN by itself is not an entry receptor, as transfection of CHO cells with DC-SIGN did not result in HSV susceptibility of the cell line. Recently, Satoh et al. (2008)
demonstrated that transfection of a CHO cell line with a novel identified entry receptor resulted in HSV infection, verifying that the CHO cell line is able to sustain viral infection.
Our data demonstrated that DC-SIGN is also involved in HSV-1 capture and subsequent transmission to permissive target cells. Immunofluorescence analyses strongly suggested that HSV-1 is retained in vesicles and is transmitted efficiently to permissive target cells, as transmission was observed within 18 h. However, we cannot exclude the possibility that de novo virus production is also involved. These data suggest that DCs might facilitate dissemination throughout the body during primary infection or during complications such as herpes encephalitis.
Infection of DCs by HSV-1 downregulates the immunostimulating phenotype of DCs (Mikloska et al., 2001
; Novak & Peng, 2005
). Therefore, our data strongly suggest that HSV-1 targets DC-SIGN to infect DCs and escape immunity. Recently, we have shown that pathogens such as Mycobacterium tuberculosis and HIV-1 target DC-SIGN to modulate Toll-like receptor signalling and thereby immune responses (Gringhuis et al., 2007
; Hovius et al., 2008
). Therefore, HSV-1 interaction with DC-SIGN might also result in modulation of immune responses, especially as HSV-1 has been shown to trigger Toll-like receptors (Morrison, 2004
). Further studies are needed to investigate the effect of DC-SIGN binding of HSV-1 on DC signalling pathways.
In conclusion, we demonstrated that HSV-1 targets DC-SIGN for efficient infection of DCs and viral transmission to target cells. Our data suggest that DC-SIGN intervention strategies might prevent HSV-1 infection and dissemination.
| ACKNOWLEDGEMENTS |
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Received 15 April 2008;
accepted 5 June 2008.
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