Herpes simplex virus hepatitis in macrophage-depleted mice: the role of massive, apoptotic cell death in pathogenesis

H Irie1, H Koyama, H Kubo

  • 1Department of Pathology, Teikyo University School of Medicine, Tokyo, Japan. h-irie@rb3.so-net.or.jp

Insights

Impaired macrophage response in mice infected with herpes simplex virus type 1 (HSV-1) led to acute yellow liver atrophy. This suggests inadequate immune cell function may underlie severe viral hepatitis, with liver damage potentially being apoptosis rather than necrosis.

Area of Science:

  • Hepatology
  • Immunology
  • Virology

Background:

  • Fulminant hepatitis can result from herpes simplex virus (HSV) or hepatitis virus infections.
  • The specific host conditions predisposing to severe viral hepatitis remain debated.

Purpose of the Study:

  • To investigate the role of impaired host defenses, specifically macrophage function, in the development of fulminant hepatitis.
  • To elucidate the mechanism of hepatic damage in severe viral hepatitis.

Main Methods:

  • Macrophage depletion in mice using silica administration.
  • Subsequent intravenous injection with herpes simplex virus type 1 (HSV-1).
  • Histopathological examination of liver tissues and assessment of viral replication and apoptosis.

Main Results:

  • Mice with depleted macrophages exhibited rapid mortality and characteristic signs of acute yellow atrophy (shrunken, yellowish, hemorrhagic livers).
  • Liver lesions showed confluent foci of apoptotic cells, extensive HSV replication, and DNA fragmentation indicative of apoptosis.
  • The observed hepatic damage pattern mimicked massive hepatic necrosis but was characterized by apoptosis.

Conclusions:

  • Inadequate macrophage response is a potential underlying condition for fulminant viral hepatitis.
  • Massive hepatic damage in this context may represent virus-induced apoptosis of liver cells, not solely necrosis.
  • This study highlights the critical role of immune surveillance in preventing severe outcomes of viral hepatitis.