Journal of Virology, November 1998, p. 8884-8892, Vol. 72, No. 11
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
A Functional Role for Neutralizing Antibodies in Borna Disease:
Influence on Virus Tropism outside the Central Nervous
System
L.
Stitz,1,*
K.
Nöske,1,
O.
Planz,1
E.
Furrer,1
W. I.
Lipkin,2 and
T.
Bilzer3,*
Institut für Impfstoffe,
Bundesforschungsanstalt für Viruskrankheiten der Tiere,
Tübingen,1 and
Institut
für Neuropathologie, Heinrich-Heine-Universität,
Düsseldorf,3 Germany, and
Laboratory for Neurovirology and Microbial Pathogenesis,
University of California, Irvine, California2
Received 6 April 1998/Accepted 13 July 1998
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ABSTRACT |
Borna disease virus (BDV) is a negative-strand RNA virus that
infects the central nervous systems (CNS) of warm-blooded animals and
causes disturbances of movement and behavior. The basis for neurotropism remains poorly understood; however, the observation that
the distribution of infectious virus in immunocompetent rats is
different from that in immunoincompetent rats indicates a role for the
immune system in BDV tropism: whereas in immunocompetent rats virus is
restricted to the central, peripheral, and autonomic nervous systems,
immunoincompetent rats also have virus in nonneural tissues. In an
effort to examine the influence of the humoral immune response on BDV
pathogenesis, we examined the effects of passive immunization with
neutralizing antiserum in immunoincompetent rats. Serum transfer into
immunoincompetent rats did not prevent persistent CNS infection but did
result in restriction of virus to neural tissues. These results
indicate that neutralizing antibodies may play a role in preventing
generalized infection with BDV.
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INTRODUCTION |
Borna disease virus (BDV) is a newly
classified RNA virus that causes persistent central nervous system
(CNS) infection in warm-blooded animals (24). The
manifestations of infection, which range from subtle disturbances of
learning and memory to dramatic abnormalities of movement and behavior,
are determined largely by the presence or absence of the immune
response (15, 19; reviewed in references
4 and 28). Both T- and B-cell reactions are observed after infection, and the generation of a T-cell
response has been demonstrated to be critical in the development of the
dramatic form of disease. Major histocompatibility complex class
I-restricted cytotoxic T cells exert an important role in pathogenesis
through destruction of virus-infected CNS cells, including neurons
(3, 21, 29).
In contrast, little is known about the role of the humoral immune
response during BDV infection. Antibodies to BDV antigens have been
detected in various species, including humans (reviewed in references
9 and 11); however, their
significance in pathogenesis or control of infection is uncertain.
Indeed, even the spectrum of antibodies in infected animals remains
controversial. Whereas some investigators report no evidence of
neutralizing antibodies at any stage of infection (5, 14,
19), others find neutralizing activity in serum and cerebrospinal
fluid of chronically infected animals (7, 15, 18). The two
targets of neutralizing activity appear to be BDV gp18, an atypical
glycoprotein (10), and the major glycoprotein, gp84/94
(8, 26). In the experimental model used most frequently,
rats are infected as adults (AD) (15, 19), when the cellular
and humoral immune responses are intact and their activation results in
immunopathology. In contrast, infection of immunoincompetent animals,
either newborns (NB), nudes, or AD subjected to immunosuppressive
therapies, does not result in clinical disease (14, 15, 19, 29,
32, 33). Antiviral antibodies do not appear to contribute to
immunopathology in the brain (19, 33). In rats infected with
BDV, immune competence is important not only to neuropathogenesis but
also to control of viral dissemination. Whereas BDV is restricted to
the neural tissues in AD infected immunocompetent animals, it is found
in both neural and extraneural tissues in neonatally infected rats (12) and AD infected rats treated with cyclosporine (CSA)
(31, 33).
It has not been possible to discriminate between the impacts of the
cellular and humoral immune responses from previous work with BDV
models of immunosuppression or tolerance. Thus, to address the
hypothesis that the humoral response to BDV plays a role in controlling
the extraneural spread of virus, we administered antibodies to BDV to
NB infected rats and AD infected rats immunosuppressed by treatment
with CSA.
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MATERIALS AND METHODS |
Experimental animals and immunosuppression.
Male and female
Lewis rats at an age of 4 to 5 weeks were treated with the
immunosuppressive drug CSA (25 mg/kg/day subcutaneously) or
cyclophosphamide (CY) (10 mg/kg/day intraperitoneally [i.p.]) for 28 consecutive days starting 1 day before infection (33).
Virus and infection.
The Giessen strain He/80 of BDV was
used for this study (13). The virus originated from the
brain of a naturally infected horse and was passaged twice in rabbit
brain, thereafter in MDCK cells, and finally twice in brains of newborn
rats. Immunosuppressed AD rats (designated CSA or CY rats) and
untreated AD rats (designated AD) as well as NB rats (within 24 h
after birth) were infected intracerebrally (i.c.) in the left brain
hemisphere with 0.05 ml of a 1:10 dilution of the stock virus
corresponding to 5 × 103 focus-forming units (FFU).
Clinical evaluation.
All experimental animals were examined
daily and weighed, and disease symptoms were scored by two independent
observers using a scale from 0 to 3 based on the general state of
health and the appearance of neurological signs (score 1, slight
incoordination and vigilance; score 2, distinct ataxia or slight
paresis; score 3, marked paresis or paralysis).
Infectivity assays and viral antigen detection.
Virus
infectivity of homogenates of brains and several organs of BDV-infected
rats was determined on rabbit embryonal brain cells by indirect
immunofluorescence with a rat anti-BDV hyperimmune serum or
BDV-specific monoclonal antibody (MAb) (34). Titrations were
carried out in flat-bottomed 96-well microtiter plates (29). Briefly, BDV-susceptible primary rabbit embryonal brain cells were
incubated for 7 days with organ homogenates, fixed with 4% formaldehyde-phosphate-buffered saline (PBS), and treated with 0.5%
Triton X-100-PBS. Nonspecific binding of immunological reagents was
blocked by incubation of plates with 10% fetal calf serum-PBS. Alternatively, a guinea pig cell line (CRL 1405) was used for titration
assays, and immunohistochemistry was performed (7a). Primary
antibodies (BDV-specific MAbs or BDV-specific polyclonal antibodies)
were added, followed by a secondary antispecies peroxidase-labeled antibody. The reaction was visualized with
ortho-phenyldiamine and H2O2.
Additionally, tissue homogenates were used as antigens (Ags) in Western
blot analyses, and the presence of virus-specific Ag was detected
either by MAbs or polyclonal antisera from persistently infected rats.
Antibody titration and neutralization assay.
All antisera
were tested in twofold dilutions on persistently BDV-infected MDCK
cells by use of the indirect immunofluorescence method. Additionally,
all sera were tested in a solid-phase enzyme-linked immunosorbent assay
(ELISA) and by Western blot analysis with a purified nucleoprotein
(p40) and phosphoprotein (p24) from BDV-infected rats (34).
Virus neutralization was performed as described previously (10). Briefly, 50 FFU of BDV was incubated with serial
twofold dilutions of heat-inactivated serum (56°C, 30 min) for 1 h. The reaction mixture was added to rabbit embryonal brain cells and incubated for 6 days. The dilution of serum required to reduce the
number of FFU by 50% was defined as the 50% neutralization titer
(NT50).
Serum transfusion.
Blood was collected from chronically
infected (more than 15 weeks) rats, pooled, assayed for
NT50, and used for transfusion into BDV-infected
immunosuppressed or NB animals.
Histology and immunochemistry.
Tissue preparation,
antibodies, and immunochemistry were as previously described
(29). Materials were either frozen in isopentane at
150°C or fixed in buffered formalin. Cryostat sections were fixed
in isopropanol. All tissue sections were stained with
hematoxylin-eosin. Encephalitic infiltrates were scored on an arbitrary
scale ranging from 0 to 3 based on the number of infiltrates per
section and the number of cell layers in each infiltrate (score 1, up
to 5 small infiltrates/section; score 2, more than 5 small
infiltrates/section or more than 3 infiltrates with multiple layers;
score 3, more than 10 small infiltrates or more than 5 infiltrates with
multiple layers). Immunochemistry was carried out on cryostat sections for the presence of BDV Ags as well as determinants of lymphocyte subsets, macrophages, and major histocompatibility complex class I and
class II Ags. The Ags were defined by the following antibodies: BDV Ag,
38/17C1; T cells and thymocytes, OX-52; CD4+ T helper
cells, OX-52 or OX-19 plus OX-35, OX-38, or W3/25; CD8+
cells, OX-8; macrophages, ED1; RT1A class I, Ox-18; and RT1B class II,
OX-6. The BDV-specific MAb was from our own laboratory (34);
the other MAbs were purchased from Serotec (Cambridge, United Kingdom).
All antibodies were diluted 1:500 to 1:1,000 in PBS. MAbs were reacted
with an avidin-biotin complex with peroxidase as the marker enzyme and
3,3-diaminobenzidine as the substrate. To avoid reactions of antimouse
secondary antibody with immunoglobulins of the rat, a rat-absorbed
horse antimouse antibody was used. All avidin-biotin complex reagents
were purchased from Vector (Burlingame, Calif.). After immunochemistry,
sections were counterstained with Meyer's hematoxylin or left
unstained.
In situ hybridization.
Two alternative methods were used.
35S-labeled RNAs or digoxigenin-labeled RNAs complementary
to BDV phosphoprotein p24 mRNAs were prepared from the BDV clone
pAF4 (17). Organs from experimental animals were fixed in
4% buffered paraformaldehyde and embedded in paraffin. Saggittal
sections (5 µm) were mounted on slides, and paraffin was removed with
xylene. After treatment with proteinase K and 0.05 N HCl to facilitate
penetration of the probe, hybridization was carried out overnight at
56°C with 5 ng of probe per slide. Slides were washed with 4 × SSC (1× SSC is 0.15 M NaCl plus 0.015 M sodium citrate)-70 mM
2-mercaptoethanol, incubated with RNase A to remove the unbound probe,
and washed with 2× SSC at 56°C. Finally, slides were placed in 50%
NTB solution (Eastman Kodak) at 37°C for 1 week and then developed
with D-19 (Eastman Kodak) and fixed with 27% sodium thiosulfate.
Digoxigenin hybridization was carried out overnight at 65°C with 20 ng of probe per slide by the standard protocol (Boehringer, Mannheim,
Germany). All slides were counterstained with hematoxylin.
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RESULTS |
BDV distribution in the CNS.
The distributions of BDV
protein and RNA in brains of infected rats were investigated
by immunohistochemistry with a 38/39-kDa-specific MAb (38/17C1)
and in situ hybridization with the BDV-specific DNA clone pAF4,
respectively. The distribution of BDV was also examined by virus
titration and Ag detection in Western blot analyses of dissected brain
regions. In most instances, the presence of virus could be verified by
using different methods. In AD rats, viral RNA was found as early as
day 3 to 6 after i.c. infection in neurons and astrocytes of both
hemispheres, with the highest concentration in layers 4 to 6 of the
cerebral cortex (Fig. 1a). Thereafter,
BDV spread rapidly within the gray matter, particularly in the cortex
and the hippocampal formation, where viral Ag was present in sectors
CA1 and CA3 (Fig. 1b) and CA4 but not in CA2 or dentate gyrus.
Subsequently, viral infection was found in ependymal and
subependymal cells of ventricles I to III and in the basal ganglia,
brain stem, and cerebellar cortex (Fig. 1c). Here, viral antigen
was detected in the perikarya, axons, dendrites, and nuclei of neurons
and in single astrocytes but not in oligodendrocytes, microglia,
chorioid plexus, vascular endothelium, or meninges. Between
days 14 and 24, BDV infection became more widespread
and reached the frontal cortex, trigeminal ganglion, deep
cerebellar nuclei, ganglion cell layer of the retina (Fig. 1d), and
ventral horn and roots (Fig. 1e; Table 1)
of the cervical and thoracic spinal cord. Thereafter, BDV was detected
in all parts of the CNS, including the cerebellum, spinal cord, and
spinal ganglia (Fig. 1f), and in all layers of the retina. Six weeks
after infection, virus was also seen in the meninges and in
oligodendrocytes but not in endothelial cells or microglia.

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FIG. 1.
BDV distribution in AD rats. At 6 days after i.c.
infection, neurons (large cells) and astrocytes (small cells) are
infected (a); after 10 days, BDV infection has reached the hippocampus,
primarily the sector CA3 (b); after 24 days, BDV is in the granular and
molecular layer of the cerebellar cortex, primarily in Bergmann glia
and cell processes in the molecular layer (c), in the ganglion cell
layer of the retina (d) (arrows), and in the ventral horn and root of
the cervical spinal cord (e) (note the negative dorsal root); and at
day 30, BDV is in the ventral and dorsal horns of the spinal cord and a
spinal ganglion (f) (arrow) from the lower thoracic region. (a and d)
In situ hybridization of BDV RNA. Magnifications, ×180 (a) and ×460
(d). (b, c, e, and f) Immunohistochemistry with MAb 38/17C1.
Magnifications, ×480 (b), ×200 (c), ×280 (e), and ×180 (f).
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The distribution of virus was different in rats infected as NB or
treated with CSA or CY. Virus spread was most rapid in NB, e.g.,
reaching the spinal cord within 7 days (Table
2). Spread of virus infection in CSA and
CY rats was somewhat slower than in NB but faster than in AD. In NB,
the virus was disseminated more diffusely, leading to detection in
virtually all parts of the neo- and allocortex, cerebellum, brain stem,
and spinal cord. Interestingly, in NB, CSA rats, and CY rats, the
presence of BDV was not restricted to neuroectodermal cells but was
also detected early after infection in vessel walls, presumably smooth
muscle cells of the adventitia, and in meninges and choroid plexus.
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TABLE 2.
Distribution of BDV in neural and nonneural tissues
of NB infected Lewis rats after i.c. infection with BDV
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BDV distribution in the peripheral and autonomic nervous
systems.
In AD, 35 days after i.c. infection, BDV was found in
peripheral nerves and nerve fibers or ganglion cells of the autonomic nervous system in virtually all tissues investigated (Table 1). BDV
antigen was present in both large peripheral nerves (Fig. 2a) and small nerve fibers extending into
spindles of skeletal muscle. Striking evidence of autonomic nervous
system infection was seen in intestines (myenteric and submucosal
plexi), kidney (Fig. 2b), genital organs, lung, and heart.
Immunoreactivity was readily detected by day 42 in the thoracic part of
the vagus and recurrent laryngeal nerves (Fig. 2c).

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FIG. 2.
BDV distributions in the peripheral and autonomic
nervous systems of AD rats. BDV Ag was in the sciatic nerve (a), the
small nerve fibers of the autonomic nervous system in the kidney (b)
(arrows), and in the vagus and recurrent laryngeal nerves (c) at day 35 after i.c. infection. Immunohistochemistry was with MAb 38/17C1.
Magnifications, ×180 (a and b) and ×340 (c).
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In NB, CSA rats, and CY rats, dissemination through the peripheral and
autonomic nervous systems was observed earlier than in AD, with
viral nucleic acid and protein present in cranial nerves and ganglia as
early as day 12 and distal distribution by day 15 to spinal roots
and ganglia, brachial and lumbar plexi, ulnar and sciatic nerves, vagus
and recurrent laryngeal nerves, and small autonomic nerves to the
lung, heart, liver, spleen, kidney, and gut. In contrast, these neural
structures were not infected in AD until after day 35.
BDV infection in nonneural tissues.
In AD, viral nucleic acid
and Ag were detected only in epithelial cells of the proximal renal
tubuli after day 35 postinfection (p.i.) (Table 1); however, the
intensity of the staining of virus-specific Ag by immunohistochemistry
and the reaction seen in in situ hybridizations were rather weak. In
contrast, in NB and CSA rats, BDV was found in parenchymal cells of
many organs by immunohistochemistry and in situ hybridization after day
21 p.i. (Table 2). Organ cell infection was detected in NB as
early as day 21 in kidney (Fig. 3a and b)
and skin and liver (Fig. 3c). In CSA (data not shown) and NB rats,
virus was found within the liver in foci around the Glisson triangle
(10 weeks p.i.) (Fig. 4a). Infection
extended to the entire organ by 17 weeks p.i. (data not shown). The
kinetics of virus spread from small to large foci in the tubular
epithelium were similar. Interestingly, there were differences
between cardiac and skeletal muscle: CSA rats and NB had
viral protein and nucleic acid in nerve fibers and muscle spindle
fibers but not in skeletal myocytes, whereas viral products were
present in cardiac myocytes (Fig. 4c). In the intestines BDV was
present not only in the plexi but also in smooth muscle cells and in
epithelial cells (Fig. 4e). The distributions and time courses for
virus distribution were similar in NB, CSA rats, and CY rats.

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FIG. 3.
BDV distribution in NB infected rats. At 7 weeks p.i.
many of the distal tubuli in the kidney are infected, whereas the
glomerula remain free of infection (a and b); in the liver, infection
spreads out from the Glisson triangular (c). (a) Immunohistochemistry
with MAb 38/17C1; (b and c) In situ hybridization of BDV RNA; (c)
dark-field microscopy. Magnifications, ×240.
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FIG. 4.
BDV distributions in infected NB (a, c, and e) and
antibody-treated NB (NB-NT) (b, d, and f) rats. In NB, antigen is
diffusely expressed in liver (a), cardiac myocytes (c), and gut (e).
BDV infection of liver cells as well as of myenteric and epithelial
cells of the gut spreads from autonomic nerves, i.e., from the nerve
fibers of the Glisson triangle and the plexus submucosus and
myentericus, respectively. In NB-NT, cardiac myocytes (b) and smooth
muscle cells of the gut (f) are free of BDV Ag, whereas some liver
cells close to the nerve are obviously infected (d).
Immunohistochemistry was with MAb 38/17C1. Magnifications, ×240.
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Effect of neutralizing antibodies on virus distribution.
As a
first approach to test whether the humoral immune response might be
responsible for the restriction of BDV to neural tissues, NB and
CSA rats were treated i.p. with a serum pool containing neutralizing activity (NT50
1:1,024). A serum pool
obtained from uninfected rats containing no BDV-specific antibodies and no neutralizing activity was used as a control. One control group per
time point did not receive any serum. Results for NB and CSA rats were
identical; therefore, only data from NB infected rats are presented. NB
infected rats received an i.p. injection of serum with (NB-NT) or
without (NB-
) neutralizing antibodies immediately after infection
(beginning during the first 24 hours of life) for a period of 4, 6, or
8 weeks at 0.1 ml/10 g of body weight every fourth to sixth day. One
cohort received no serum (NB). Results of pilot studies that provided
the basis for adopting this schedule are illustrated in Table
3. Antibody titers in control NB and
serum recipient rats (NB-NT) were measured. Whereas antiviral
antibodies in NB (NB-NT) rats were detectable by ELISA as long as 3 weeks after transfer, neutralizing activity was detected only within 8 days after serum transfer (Table 3). NB controls and NB-
receiving
control serum did not show neutralizing serum activity
(NT50 < 1:32), although some animals had detectable
antibody titers beyond 4 weeks after infection (data not shown and
reference 19). In CSA rats injected with antisera,
antiviral antibodies were detected in serum by ELISA as long as 4 weeks
after transfer; neutralizing activity was observed for 8 days after
transfer (data not shown).
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TABLE 3.
Presence of antiviral antibodies and neutralizing
antibodies in sera of NB infected rats treated with neutralizing
antisera (NB-NT)a
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Irrespective of serum treatment, none of the NB had clinical symptoms
of Borna disease (BD), but, consistent with earlier reports (2,
6), they showed some growth retardation, as reflected by lower
body weight, than rats mock infected at birth.
NB, NB-NT, and NB-
were sacrificed 4, 6, 8, and 12 weeks after
infection and analyzed for the distribution of viral gene products. In
the CNS no differences between these cohorts at the level of
immunohistochemistry or virus nucleic acid were apparent by in situ
hybridization (data not shown).
Peripheral organs were also assayed for distribution of viral gene
products. Whereas NB and those having received control serum (NB-
)
had viral Ag (Fig. 4) and in some cases infectious virus in peripheral
organs at 4 weeks, rats treated with neutralizing antiserum (NB-NT) had
neither viral Ag nor virus in peripheral organs (Table
4). Figure 4 shows the presence of
virus-specific Ag in livers of untreated NB rats (Fig. 4a) but not in
treated NB rats (Fig. 4b). Similar results were obtained at 6 weeks
p.i. (Table 4). At 8 and 12 weeks p.i., rats that had received serum for 4, 6, or 8 weeks were tested. Infectious virus and viral Ag were
detected in the gut, lung, kidney, liver, and heart of treated rats at
8 weeks p.i. only in association with nerve fibers (data not shown and
Fig. 4); however, at 12 weeks p.i. and with treatment for only
4 weeks with antiserum containing neutralizing activity (NB-NT),
organ-specific cells near nerve fibers had viral Ag (data not
shown). Virus and viral Ag were found in organ-specific cells of
all organs tested in untreated NB and NB-
control rats (Table 4 and
Fig. 3 and 4).
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TABLE 4.
Presence of virus and viral Ag in brains and peripheral
organs of NB infected rats treated with antiserum or with
control serum
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Presence of neutralizing antibodies prevents virus infection of
susceptible rats.
In order to test whether neutralizing antibodies
might inhibit horizontal transmission of infection, NB rats treated
with neutralizing antibody serum pools were kept together with their mothers and/or with uninfected indicator rats. The same experiments were done in parallel with NB rats that had not received antibody transfers. The mothers of NB control rats as well as indicator rats
developed BD within 2 to 4 months after exposure. In sharp contrast,
neither the mothers nor the indicator rats housed with treated NB rats
had signs of disease, serum antibodies to BDV, or evidence of infection
at postmortem analysis (data not shown).
In vitro efficacy of neutralizing antibodies.
In vivo data
indicated that immune sera containing neutralizing antibodies
influenced BDV tropism and prevented the excretion of virus from NB and
CSA rats. Therefore, it was of interest to test whether neutralizing
antibodies could influence release of virus in vitro. We tested for the
presence of BDV in the supernatants of various persistently infected
cell lines and found that considerable amounts of virus were detected
in supernatants from those cultures, as exemplified for persistently
BDV-infected MDCK cells (Fig. 5). These
cells were then treated with dilutions of rat sera containing neutralizing activity or with control sera, where the serum-containing medium was left on the culture (Fig. 5) or replaced every second day
(data not shown). As indicated, neutralizing antisera had a
dose-dependent effect on virus titers in the supernatant of BDV-infected cells, whereas control sera from uninfected rats did not.
The intracellular virus titer was also reduced by neutralizing antisera
but never to an extent comparable to that for the extracellular virus
titer (maximal difference of one log10 unit between treated and control cultures).

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FIG. 5.
Presence of infectious virus in supernatants of
BDV-infected MDCK cells in the absence (upper panel) or presence (lower
panel) of antiviral antibodies with neutralizing activity. Normal serum
(upper panel) or neutralizing serum (lower panel) was added at day 0 at
the following dilutions: 1:50 ( ), 1:100 ( ), and 1:500 ( ).
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DISCUSSION |
BDV is regarded as a strictly neurotropic virus in immunocompetent
hosts. Whereas T cells have been shown to be most important in the
development of the immunopathological disease as well as in the
elimination of the virus from the host and thereby in protection from
disease, little is known about the biological role of anti-BDV antibodies. Here we present evidence for a biological role of neutralizing antibodies in persistent BDV infection. The presence of
neutralizing antibodies restricts BDV to neural tissue, and the absence
of those antibodies results in invasion of the virus into nonneural
tissue and infection in organ-specific cells. On the other hand, the
restriction of the virus to neural tissue can be restored by
transfusion of neutralizing antibodies if the treatment is started
before the virus can invade the nonneural tissue.
The role of T cells in the induction of and as an effector mechanism in
BD has been elucidated in recent years. Both CD4+ and
CD8+ T cells are involved in the immunopathogenesis of BD,
where CD4+ T cells act mainly as helpers and
CD8+ T cells act mainly as effector cells (reviewed in
references 4, 9, and 28).
Evidence that CD4+ T cells are involved in the synthesis of
antiviral antibodies has been published (20, 22, 29).
Rats infected as AD have a vigorous antibody response to BDV that does
not contribute substantively to immunopathogenesis: BDV-specific
antibodies adoptively transferred to nonimmunocompetent recipients do not induce pathological changes or disease, and antibodies synthesized in rats infected as NB do not cause disease (19). Furthermore, rats immunosuppressed by CSA are
competent to mount a humoral immune response under distinct
experimental conditions but not a cellular immune reaction
(33). The biological role of antiviral antibodies in BDV
infection remains unclear, although antibodies against all known
BDV-specific Ags have been demonstrated in the sera of infected
individuals, including humans.
The presence of neutralizing antibodies had been controversial for a
long time. Experimental data that support or refute the presence of
neutralizing antibodies in serum and cerebrospinal fluid have been
presented (5, 7, 14, 15, 19). This controversy has been
addressed most recently in experiments where monospecific antibodies or
MAbs against the two viral glycoproteins gp18 and gp84/94 were found to
have neutralizing activity (8, 10, 16, 26). However, the
rather late appearance of detectable neutralizing antibodies makes it
difficult to determine whether they play an important biological role
in BDV infection. Therefore, we have tried to scrutinize the impact of
neutralizing antibodies by transfusing antiviral antibodies into
BDV-infected rats. We took advantage of in vivo systems in which the
virus spreads throughout the organism in the absence of a functional
immune system. In this context, it was important to analyze the
footprints of BDV infection in both immunocompetent and
immunoincompetent rats. In the present study we have therefore
investigated the tissue distribution of BDV in rats infected as AD or
NB and CSA- or CY-treated AD by locating viral mRNA, virus-specific
protein, and infectivity. In AD and CY rats, we found (i) BDV infection
in neurons as early as 3 to 6 days p.i. and in astrocytes by day
10 p.i., (ii) that virus persists in autonomic nerve fibers of
virtually all tissues, and (iii) that nonneural cells in the kidney and
gut can be infected in late chronic BD. The presence of virus in late
chronic disease of AD rats has been reported before (27).
Infection in NB and CSA rats disseminated more rapidly within the
nervous system and spread to organ-specific cells in many tissues,
including heart, lung liver, kidney, and intestines.
The extraneural distribution of virus in NB and CSA rats provided us
with a test system to investigate the impact of neutralizing antibodies
on virus spread within the organism as well as to other individuals,
due to the finding of infectious virus in the bladder. Transfusion of
sera which had been obtained from BDV-infected rats late after
infection, which contained neutralizing activity by in vitro assay,
resulted in significantly different distribution patterns of the virus.
At all time points tested, NB and CSA rats treated with neutralizing
antibodies had virus exclusively associated with neural structures,
i.e., in the brain or in fibers of peripheral nerves, comparable to the
case for immunocompetent rats, as long as neutralizing antibodies were
transfused. Discontinuation of antibody treatment resulted in renewed
dissemination throughout the body and distribution to organ-specific
cells, confirming the role of neutralizing antibodies in BDV
restriction to the nervous system. In several NB rats we found
antiviral antibodies even though the rats had not been transfused with
antiserum, confirming an earlier finding by Narayan et al.
(19); however, no neutralizing activity was detected in
those sera despite considerable ELISA titers of up to 1:5,120. Virus
was not transmitted to mothers or indicator rats by NB rats provided
that the latter had been treated with sera containing neutralizing
activity.
We have not determined when neutralizing antibodies need to be present
in order to restrict BDV to neural structures, because antibody
treatment was initiated immediately after infection of NB and CSA rats.
Interestingly, this early presence of neutralizing antibodies did not
prevent persistent infection of the brain and the presence of virus in
peripheral nerves, a finding that may be of interest for explaining
other persistent CNS infections.
The time of onset of a neutralizing antibody response might also
be the explanation for an observation reported earlier (27). Those authors had been able to detect BDV-specific RNA in
chronically infected rats in the blood between 3 and 12 weeks p.i.
Given that the neutralizing antibody response is generated as late as
10 to 15 weeks p.i. (10), this observation fits very well
with the concept of a need for neutralizing antibodies early after infection. Furthermore, Sierra-Honigmann et al. (27) have
demonstrated that BDV RNA was detectable only in the cellular
compartment (peripheral blood mononuclear cells) and not in the plasma.
A strict cell association of BDV might represent a mechanism to escape
neutralizing antibodies. This concept is supported by our in vitro
studies presented here, in which intracellular virus was not eliminated from persistently infected cells.
Consistent with previous reports, NB (19, 25) and CSA
(33) rats had antibodies to BDV; however, none had
neutralizing activity. Herzog et al. (12) also found
differences in virus distribution between infected rats but concluded
that the immune status of the host was unlikely to account for these
differences, because CY rats and older athymic rats had a tissue
distribution of virus comparable to that in adult infected rats;
furthermore, they noted that i.c. inoculation results in blood-brain
barrier disruption and systemic dissemination of the virus irrespective of age or immune status.
In earlier work we found that a single treatment of rats with CY
resulted in only transient suppression of the immune system and that
immune reactions were restored within approximately 10 days after
treatment (22). Therefore, in the experiments described here
we used long-term-CSA- or CY-treated rats in addition to NB rats.
These data suggest that the presence of neutralizing antibodies during
the early phase after BDV infection determines whether the virus is
restricted to neural tissue or disseminates to infect peripheral organ
cells (in the absence of neutralizing antibodies); to postulate a role
for neutralizing antibodies in natural BD requires the assumption that
a neutralizing B-cell response is induced much earlier in vivo than is
measurable in vitro or, alternatively, that the neutralization assay
used in vitro is insensitive. Another explanation might be a lack
of correlation between neutralization of infectivity in vitro and
neutralizing activity of antibodies in vivo. Indeed, in other viral
systems no correlation has been found between minimal protective
serum concentrations in vivo and in vitro parameters such as
neutralization rate and neutralization capacity (1). The
critical determinant may be antibody avidity: antibodies below a
certain threshold of avidity may require high in vivo concentrations to
mediate protection, whereas antibodies with high avidity are effective
at significantly lower levels (1). The finding that
BDV-specific neutralizing antibodies appear rather late after
infection (10) agrees with findings for other
noncytopathic viral infections such as human immunodeficiency virus and hepatitis B virus in humans and lymphocytic choriomeningitis virus in mice. A general explanation for this observation remains unknown; for lymphocytic choriomeningitis virus, it was shown that B
cells secreting virus-specific neutralizing antibodies were eliminated
by virus-specific CD8+ T cells (23).
It is intriguing to consider the possibility that BDV persistence in
the periphery of immunoincompetent hosts (in the absence of a
neutralizing B-cell response) may contribute to the spread of virus
within populations as well as to other species (30).
 |
ACKNOWLEDGMENTS |
We thank Silke Gommel for outstanding technical assistance.
This work was supported by the Deutsche Forschungsgemeinschaft (DFG
grant Sti 71/2-2) (L.S. and O.P.), EC contract CHRX CT94-0670 (L.S.),
and the National Institutes of Health (NS29425) (W.I.L.). E.F. is the
recipient of a grant from the Schweizer Nationalfonds (SNF)
(83EU-048814). Part of this work was supported by a professorship for
Theoretical and Clinical Medicine from the Hermann- and
Lilly-Schilling-Stiftung (to L.S.) at the Justus-Liebig-University,
Giessen, Germany.
 |
FOOTNOTES |
*
Corresponding author. Mailing address for L. Stitz:
Institut für Impfstoffe, Bundesforschungsanstalt für
Viruskrankheiten der Tiere, Paul-Ehrlich-Str. 28, D-72076
Tübingen, Germany. Phone: 49 7071 967 250. Fax: 49 7071 967 105. E-mail: stitz{at}tue.bfav.de. Mailing address for T. Bilzer:
Institut für Neuropathologie, Heinrich-Heine-Universität,
Postfach 101007, 40001 Düsseldorf, Germany. Phone: 49 211 81 18658. Fax: 49 211 81 17804. E-mail: bilzer{at}uni-duesseldorf.de.
Dedicated to Professor V. ter Meulen on the occasion of his 65th
birthday.
Present address: Paul-Ehrlich-Institut, Langen, Germany.
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Journal of Virology, November 1998, p. 8884-8892, Vol. 72, No. 11
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.