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Published on: June 14, 2020
Microglia and a functional type I IFN pathway are required to counter HSV-1-driven brain lateral ventricle
Christopher D Conrady1, Min Zheng, Nico van Rooijen
1Department of Microbiology and Immunology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Abstract:
HSV-1 is the leading cause of sporadic viral encephalitis, with mortality rates approaching 30% despite treatment with the antiviral drug of choice, acyclovir. Permanent neurologic deficits are common in patients that survive, but the mechanism leading to this pathology is poorly understood, impeding clinical advancements in treatment to reduce CNS morbidity. Using magnetic resonance imaging and type I IFN receptor-deficient mouse chimeras, we demonstrate HSV-1 gains access to the murine brain stem and subsequently brain ependymal cells, leading to enlargement of the cerebral lateral ventricle and infection of the brain parenchyma. A similar enlargement in the lateral ventricles is found in a subpopulation of herpes simplex encephalitic patients. Associated with encephalitis is an increase in CXCL1 and CXCL10 levels in the cerebral spinal fluid, TNF-α expression in the ependymal region, and the influx of neutrophils of encephalitic mouse brains. Reduction in lateral ventricle enlargement using anti-secretory factor peptide 16 reduces mortality significantly in HSV-1-infected mice without any effect on expression of inflammatory mediators, infiltration of leukocytes, or changes in viral titer. Microglial cells but not infiltrating leukocytes or other resident glial cells or neurons are the principal source of resistance in the CNS during the first 5 d postinfection through a Toll/IL-1R domain-containing adapter inducing IFN-β-dependent, type I IFN pathway. Our results implicate lateral ventricle enlargement as a major cause of mortality in mice and speculate such an event transpires in a subpopulation of human HSV encephalitic patients.
Insights
Herpes simplex virus type 1 (HSV-1) encephalitis causes brain swelling, increasing mortality. Reducing this swelling in mice with a novel peptide significantly lowered deaths, suggesting a new therapeutic target for HSV-1 brain infections.
Area of Science:
- Neuroscience
- Immunology
- Virology
Background:
- Herpes simplex virus type 1 (HSV-1) is a primary cause of viral encephalitis.
- Current treatments, like acyclovir, have limitations, with high mortality and frequent neurological deficits.
- The mechanisms driving HSV-1-induced central nervous system (CNS) pathology remain unclear.
Purpose of the Study:
- To investigate the mechanisms of HSV-1 entry and spread within the murine brain.
- To identify factors contributing to mortality and neurological deficits in HSV-1 encephalitis.
- To explore potential therapeutic strategies targeting HSV-1-induced CNS pathology.
Main Methods:
- Utilized magnetic resonance imaging (MRI) and type I interferon (IFN) receptor-deficient mouse chimeras.
- Analyzed cerebrospinal fluid (CSF) for inflammatory mediators (CXCL1, CXCL10, TNF-α).
- Assessed the impact of anti-secretory factor peptide 16 on mortality and viral load.
Main Results:
- HSV-1 infection led to lateral ventricle enlargement and parenchymal infection in mice, mirroring findings in some human patients.
- Encephalitis correlated with increased CXCL1/CXCL10 and TNF-α, and neutrophil infiltration.
- Anti-secretory factor peptide 16 significantly reduced mortality by mitigating lateral ventricle enlargement.
- Microglial cells were identified as key mediators of CNS resistance via a type I IFN-dependent pathway.
Conclusions:
- Lateral ventricle enlargement is implicated as a major contributor to mortality in HSV-1 encephalitis.
- Anti-secretory factor peptide 16 shows promise in reducing mortality in HSV-1-infected mice.
- This study highlights the critical role of microglial cells and type I IFN signaling in controlling HSV-1 CNS infections.
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