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J Virol, July 1998, p. 5351-5359, Vol. 72, No. 7
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

In Vivo Immune Evasion Mediated by the Herpes Simplex Virus Type 1 Immunoglobulin G Fc Receptor

Thandavarayan Nagashunmugam, John Lubinski, Liyang Wang, Lester T. Goldstein, Benjamin S. Weeks,dagger Periasamy Sundaresan,Dagger Eugene H. Kang,§ Gary Dubin,parallel and Harvey M. Friedman*

Infectious Diseases Division, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104-6073

Received 29 December 1997/Accepted 25 March 1998

    ABSTRACT
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Herpes simplex virus (HSV) glycoproteins gE and gI form an immunoglobulin G (IgG) Fc receptor (Fcgamma R) that binds the Fc domain of human anti-HSV IgG and inhibits Fc-mediated immune functions in vitro. gE or gI deletion mutant viruses are avirulent, probably because gE and gI are also involved in cell-to-cell spread. In an effort to modify Fcgamma R activity without affecting other gE functions, we constructed a mutant virus, NS-gE339, that has four amino acids inserted into gE within the domain homologous to mammalian IgG Fcgamma Rs. NS-gE339 expresses gE and gI, is Fcgamma R-, and does not participate in antibody bipolar bridging since it does not block activities mediated by the Fc domain of anti-HSV IgG. In vivo studies were performed with mice because the HSV-1 Fcgamma R does not bind murine IgG; therefore, the absence of an Fcgamma R should not affect virulence in mice. NS-gE339 causes disease at the skin inoculation site comparably to wild-type and rescued viruses, indicating that the Fcgamma R- mutant virus is pathogenic in animals. Mice were passively immunized with human anti-HSV IgG and then infected with mutant or wild-type virus. We postulated that the HSV-1 Fcgamma R should protect wild-type virus from antibody attack. Human anti-HSV IgG greatly reduced viral titers and disease severity in NS-gE339-infected animals while having little effect on wild-type or rescued virus. We conclude that the HSV-1 Fcgamma R enables the virus to evade antibody attack in vivo, which likely explains why antibodies are relatively ineffective against HSV infection.

    INTRODUCTION
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Herpes simplex virus (HSV) establishes latency within sensory ganglia and periodically reactivates to produce recurrent infections. Latency is one mechanism used by HSV to evade immune attack, since during latency few if any viral proteins are produced and the virus remains hidden from the host. But how does the virus evade host immunity during recurrent infection? Virus can generally be recovered from lesions for several days after reactivation despite an already primed immune system.

HSV encodes at least 11 glycoproteins (48), several of which are essential for virus replication since they mediate virus entry or egress (30, 40, 53). Others are nonessential for replication in vitro yet are conserved in nature, suggesting an important role in vivo. Glycoproteins gE and gI are among the nonessential HSV glycoproteins. gE and gI form a hetero-oligomer complex that functions as a receptor for the Fc domain of immunoglobulin G (IgG) (5, 32, 33, 41). gE alone acts as a lower affinity IgG Fc receptor (Fcgamma R), binding IgG aggregates but not IgG monomers, while the gE-gI complex acts as a higher-affinity Fcgamma R, binding both IgG monomers and aggregates (6, 12).

IgG Fcgamma Rs are fairly widely distributed among human pathogens. Cells infected by HSV type 2 (HSV-2) (42), varicella-zoster virus (36), and cytomegalovirus (37) express virus-encoded IgG Fcgamma Rs. Certain protozoa (schistosomes and trypanosomes) (15, 50) and bacteria (for example, staphylococci [protein A] and streptococci [protein G]) (7, 47) also express IgG Fc binding proteins. Therefore, understanding the role of the HSV-1 Fcgamma R in immune evasion may have broad implications for understanding microbial pathogenesis.

Initial studies of the HSV Fcgamma R focused on its role in binding nonimmune IgG (1, 8, 11); however, the Fcgamma R preferentially binds anti-HSV IgG by a process called antibody bipolar bridging (16, 51). This occurs when an HSV antibody molecule binds to its antigenic target by its Fab end and the Fc domain of the same molecule binds to the HSV-1 Fcgamma R. In vitro studies indicate that the HSV Fcgamma R inhibits complement-enhanced antibody neutralization (16), antibody-dependent cellular cytotoxicity (13), and attachment of granulocytes to the Fc domain of antibodies on HSV-infected cells (51). These results support a possible role for the Fcgamma R in immune evasion and form the basis for studying the biologic relevance of the HSV-1 Fcgamma R in vivo.

gE and gI play an important role in virus spread from cell to cell (2, 9, 10). This has created an obstacle to investigate the role of the HSV-1 Fcgamma R in pathogenesis, since HSV-1 gE or gI null viruses are practically avirulent (2, 10, 43), probably because of their inability to spread. Therefore, to study the role of the Fcgamma R in virulence it was necessary to develop HSV-1 mutant viruses that are deficient in Fc binding while retaining other gE and gI functions. Using this rationale, an HSV-1 mutant virus that has a four-amino-acid insert within the gE IgG Fc binding domain was generated (3, 14). This Fcgamma R- virus remained intact for virus spread at the skin inoculation site in mice and caused disease comparable in severity to that caused by wild-type and marker-rescued viruses. In the presence of anti-HSV IgG, the Fcgamma R- virus was significantly more susceptible to antibody attack than Fcgamma R+ strains, indicating that the HSV Fcgamma R promotes immune evasion in vivo.

    MATERIALS AND METHODS
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Cells and antibodies. African green monkey kidney cells (Vero) were grown in Dulbecco's modified Eagle's medium supplemented with 10% fetal bovine serum, 20 µg of gentamicin per ml, and 20 mM HEPES (pH 7.3). Anti-gE monoclonal antibody (MAb) 1BA10 (17) and anti-gI MAb Fd69 (39) were previously described. Pooled human IgG (165 mg/ml) was purchased from the Michigan Department of Public Health, Lansing. This reagent is prepared by pooling serum from thousands of normal donors. Characteristics of the pooled human anti-HSV IgG are as follows: anti-HSV-1 enzyme-linked immunosorbent assay (ELISA) titer, 1:150,000; anti-gE ELISA titer, 1:30,000, anti-gI ELISA titer, 1:10,000; neutralizing antibody titer against wild-type or Fcgamma R- mutant virus in the absence of complement, 100 µg/ml. In addition, by Western blot analysis, human anti-HSV IgG recognizes purified HSV-1 glycoproteins gC, gD, gE, and gH, and in an immunoprecipitation assay the IgG reacts comparably with wild-type gE and a mutant form of gE that has four amino acids inserted at position 339. The human anti-HSV IgG nonimmune serum was obtained from HSV-1- and HSV-2-seronegative donors (18) and purified on a protein G affinity column (Sigma Chemical Co., St. Louis, Mo.). Murine anti-HSV serum was pooled from mice 2 to 4 weeks after recovering from wild-type HSV-1 flank infection. IgG was purified from serum on a protein A affinity column (Bio-Rad Laboratories, Hercules, Calif.). The neutralizing titer of murine anti-HSV IgG in the absence of complement was 50 µg/ml against wild-type and Fcgamma R- mutant virus.

Viruses. Wild-type HSV-1 strain NS is a low-passage-number clinical isolate and was used for the generation of mutant viruses (18). To construct a gE null virus (NS-gEnull), the entire gE coding sequence was excised from pCMV3gE-1 with XbaI and cloned into pSPT18 (14). A 1.1-kb HpaI-BglII fragment from amino acids 124 to 508 (Fig. 1B) was excised, and the HpaI site was changed to a BglII site. A 4.3-kb fragment derived from pD6P (22) containing the Escherichia coli beta -galactosidase gene under the control of the HSV ICP6 promoter was cloned into the BglII site. The resultant vector contains 374 bp of NS DNA sequences 5' and 225 bp 3' of the ICP6::lacZ cassette and was used to construct the gE null virus. The XbaI fragment containing the flanking sequence vector was isolated, and 750 ng was cotransfected into Vero cells with 1.0 µg of NS DNA by the calcium phosphate transfection method. Four hours later, the DNA-calcium phosphate mixture was removed and cells were shocked with 15% glycerol. Cells were harvested when cytopathic effects were noted in 30 to 40% of cells, and cells were sonicated to prepare a virus pool. Recombinant gE null virus expressing beta -galactosidase was selected by infecting Vero cells and overlaying with 0.5% agarose, 5.0% fetal bovine serum, and 300 µg of 5-bromo-D-galactopyranoside (X-Gal). Blue plaques were picked and purified twice in X-Gal agarose overlay and once by limiting dilution. Virus was purified from supernatant fluids of infected Vero cells on a 5 to 70% sucrose gradient.

Rescued virus, rNS-gEnull, was prepared by cotransfection of Vero cells with 1.0 µg of NS-gEnull DNA and 1.5 µg of wild-type gE fragment purified from pCMV3gE-1 (14). Progeny viruses were examined by immunoperoxidase staining using anti-gE MAb 1BA10 to confirm expression of gE on the surface of infected cells (29). Plaques were purified by limiting dilution, and virus pools were prepared.

gE linker insertion plasmids H339 and H406 (14) were used to generate recombinant viruses NS-gE339 and NS-gE406, respectively. Plasmid H339 has a four-amino-acid XhoI linker inserted after gE amino acid 339, which is within the IgG Fc binding domain (3, 14). Plasmid H406 contains the same four amino acids inserted after gE amino acid 406, which lies outside the IgG Fc binding domain (Fig. 1B) (3, 14). To construct recombinant viruses, 1.0 µg of NS-gEnull DNA was cotransfected with 1.5 µg of plasmid H339 or H406, and recombinants were selected by immunoperoxidase staining using anti-gE MAb 1BA10 and purified by limiting dilution.


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FIG. 1.   (A) Southern blot of wild-type, gE mutant, and rescued viruses. NS, NS-gEnull, rNS-gEnull, NS-gE339, rNS-gE339, and NS-gE406 were digested with NruI alone (lanes 1 to 6) or with NruI and XhoI to detect XhoI linkers in NS-gE339 and NS-gE406 (lanes 7 to 12). The blot was probed with a 1.1-kb HpaI-BglII gE fragment. The position of the 2.4-kb gE band is shown on the right, and positions (in kilobases) of DNA size markers are shown on the left. (B) Model of HSV-1 gE, a 550-amino-acid glycoprotein. Sig, predicted signal sequence, amino acids 1 to 23; # # #, the domain on gE, amino acids 235 to 264, that interacts with gI to form a hetero-oligomer complex (3); ***, the region of gE, amino acids 235 to 380, which comprises the IgG Fc binding domain (3, 14); bullet bullet bullet , the gE domain of homology with mammalian Fcgamma Rs. gE amino acids 322 to 359 have 46% identity and 66% similarity with domain 2 of human Fcgamma RII (14). TM refers to the predicted transmembrane domain of gE, amino acids 420 to 444. Arrows at amino acids 339 and 406 indicate the positions of four amino acids (ARAA) inserted within and outside, respectively, the IgG Fc binding domain. HpaI and BglII sites were used to delete gE amino acids 124 to 508. The ICP6::lacZ cassette was cloned into this site to generate the gE null virus. The shaded balloons indicate potential N-linked glycosylation sites at gE amino acids 124 and 243. C's mark the cysteine positions in the extracellular domain of gE at amino acids 63, 88, 271, 280, 289, 297, 314, 323, and 359.

Marker rescue of NS-gE339 virus was accomplished by cotransfecting Vero cells with virus DNA from NS-gE339 and wild-type gE DNA purified from pCMV3gE-1. Virus was harvested and used to infect cells in a 48-well plate at a concentration of 0.5 to 1 PFU/well. Virus was expanded from wells containing single plaques that were screened for rescue of Fcgamma R activity by using biotin-labeled nonimmune monomeric IgG, which was incubated with infected cells for 30 min at 4°C and then reacted with strepavidin-phycoerythrin (4). Viruses positive for immunofluorescence were purified three times by limiting dilution, and one clone, designated rNS-gE339, was chosen for further studies.

Southern blots were performed to confirm proper construction of mutant and rescued viruses. When infected Vero cells reached 100% cytopathic effects, DNA was extracted and 1.0 µg of DNA was digested with NruI alone or NruI and XhoI to detect XhoI linkers in NS-gE339 or NS-gE406. The blot was probed using a 1.1-kb HpaI-BglII fragment (Fig. 1B) deleted from gE in NS-gEnull virus.

Fluorescence-activated cell sorting analysis. Double-label staining was performed to detect gE expression and IgG Fc binding. Vero cells were infected at a multiplicity of infection of 5 for 16 h and harvested by using cell dissociation buffer (Gibco BRL, Grand Island, N.Y.). Cells were incubated for 60 min at 4°C with anti-gE MAb 1BA10 and biotin-labeled nonimmune monomeric human IgG (50 µg/ml). Cells were washed and then incubated with fluorescein isothiocyanate (FITC)-conjugated goat F(ab')2 anti-mouse IgG and strepavidin-phycoerythrin for 60 min at 4°C, fixed in 1% paraformaldehyde, and analyzed by dual-channel immunofluorescence (FACScan; Becton Dickinson). To detect gI expression, infected Vero cells were incubated with anti-gI MAb Fd69 (39) and FITC-conjugated goat F(ab')2 anti-mouse IgG.

Complement-enhanced antibody neutralization. Assays were performed by incubating 104 to 105 PFU of wild-type or mutant viruses with anti-HSV pooled human IgG at a concentration (100 µg/ml) that neutralized 50% of the virus in the absence of complement (16). Ten percent human serum obtained from an HSV-1- and HSV-2-seronegative donor, or heat-inactivated serum as a control, was added as source of complement for 60 min at 37°C, and titers were determined by plaque assay on Vero cells. Complement-enhanced antibody neutralization results are expressed as titer (log10) when virus is incubated with antibody plus heat-inactivated complement minus titer (log10) when virus is incubated with antibody plus active complement.

Murine flank model. The shaved right flanks of 5- to 6-week-old female BALB/c mice were denuded by using a depilatory cream. Twenty-four hours later, virus (5 × 103 to 5 × 105 PFU) in 10 µl of sterile Dulbecco modified Eagle medium was applied to the denuded flank several millimeters from the spinal column and scratched gently 30 times with a 27-gauge needle in an approximate 3- by 3-mm area (45, 46). Disease scores were recorded daily and expressed as the sum of the scores from days 3 to 8 postinfection. Disease at the inoculation site was scored as follows: 0 points for no disease; 0.5 for swelling without vesicles; 1.0 point for each vesicle or scab to a maximum daily score of 5 points. If vesicles or scabs became confluent, points were assigned based on the size of the confluent lesion. Swelling and lesions at locations separate from the site of inoculation were considered dermatomal or zosteriform lesions. Scoring of these lesions was the same as at the inoculation site except that a maximum daily score of 10 was used since a larger number of lesions could be counted over the greater skin area involved.

Mice were passively immunized intraperitoneally (44, 46) with pooled human anti-HSV IgG, murine anti-HSV IgG, or nonimmune human IgG 16 h prior to flank infection. Animals were scored for disease at the inoculation and zosteriform spread sites. Passive transfer experiments were performed with 200, 500, or 2,000 µg of IgG/mouse, concentrations which were selected based on previous reports using human antibodies for passive protection (24).

Viral titers of skin lesions. Mice were euthanized, and a 0.5-cm2 area of skin was excised from the inoculation site 1, 2, 3, or 5 days postinfection and stored at -70°C. Skin samples were thawed and Dounce homogenized, and virus titers were determined on Vero cells.

    RESULTS
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Characterization of HSV-1 gE mutant viruses. We previously reported that gE mutant viruses NS-gEnull and NS-gE339 are Fcgamma R-, and that NS-gE339 has a cell-to-cell spread phenotype similar to that of wild-type virus in epidermal keratinocyte (HaCaT) cells (52). We now report results that confirm proper construction of gE null virus NS-gEnull, gE mutant viruses NS-gE339 and NS-gE406, and gE rescued viruses rNS-gEnull and rNS-gE339, and we define the importance of the HSV-1 Fcgamma R in immune evasion by examining in vitro and in vivo characteristics of NS-gE339.

A Southern blot was prepared from viral DNA digested with NruI or NruI plus XhoI to demonstrate XhoI linkers inserted in gE (Fig. 1A). The blot was probed with a 1.1-kb HpaI-BglII gE fragment deleted from NS-gEnull (Fig. 1B). Following NruI digestion, a 2.4-kb fragment containing the entire gE protein coding sequence was detected in all viruses except NS-gEnull (Fig. 1A, lanes 1 to 6). Digestion with NruI and XhoI revealed two DNA gE-1 fragments in NS-gE339 and NS-gE406, indicating the presence of XhoI linkers at the expected positions in these viruses (Fig. 1A, lanes 10 and 12). The absence of XhoI linkers in rNS-gE339 indicates rescue of this mutant (Fig. 1A, lane 11). To confirm that NS-gEnull contains the ICP6::lacZ gene, DNA was digested with NruI and analyzed by Southern blotting using lacZ as a probe. The expected 6.4-kb fragment was detected (result not shown). When the blot was probed with the 374-bp 5' gE-1 flanking sequence, the lacZ insert was demonstrated to be within gE (result not shown).

NS-gE339 is a gE+ gI+ Fcgamma R- mutant virus. A number of Fcgamma R- viruses have been studied previously (2, 9, 10); however, mutant viruses were gE null, which complicates efforts to separate Fcgamma R activity from other functions mediated by gE. Double-label flow cytometry was performed to measure both Fcgamma R activity and gE expression at the surface of cells infected with wild-type, gE mutant, or rescued viruses (Fig. 2). NS expresses gE and binds IgG (Fig. 2A). NS-gEnull does not express gE or bind IgG (Fig. 2B). NS-gE339 expresses gE but does not bind IgG (Fig. 2C), indicating that this mutant virus is gE+ Fcgamma R-. This was anticipated since the mutation was created within the gE Fc binding domain (Fig. 1B). NS-gE406 expresses gE and binds IgG (Fig. 2D), indicating that this mutant virus is gE+ Fcgamma R+, which was expected since the mutation was outside the gE Fc binding domain (Fig. 1B). rNS-gEnull expresses gE and binds IgG (Fig. 2E), indicating rescue of gE null. rNS-gE339 expresses gE and binds IgG (Fig. 2F), indicating rescue of the Fcgamma R phenotype. We conclude that NS and our panel of mutant and rescued viruses have the expected gE and Fc binding phenotypes. Our previous studies demonstrated that both gE and gI are required to bind nonimmune monomeric IgG (12). Therefore, NS-gE339 gI expression was measured at the surface of infected cells by flow cytometry and was found similar to expression of wild-type and rescued virus (not shown), which indicates that the phenotype of mutant virus NS-gE339 is gE+ gI+ Fcgamma R-.


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FIG. 2.   Double-label flow cytometry for gE expression and monomeric IgG binding. Cells were infected with wild-type, gE mutant, and rescued viruses and analyzed for gE expression by using MAb anti-gE 1BA10 and FITC F(ab')2 anti-mouse IgG (x axis) or for Fcgamma R activity by using biotin-labeled monomeric nonimmune IgG and strepavidin-phycoerythrin (y axis). Fluorescence in the upper right quadrant indicates both gE expression and IgG binding, fluorescence in the lower left quadrant indicates neither gE expression nor IgG binding, while fluorescence in the lower right quadrant indicates gE expression but no IgG binding. (A) NS; (B) NS-gEnull; (C) NS-gE339; (D) NS-gE406; (E) rNS-gEnull; (F) rNS-gE339.

NS-gE339 is defective in antibody bipolar bridging. We previously showed that an Fcgamma R- mutant virus is not capable of antibody bipolar bridging (16). Thus, Fcgamma R- virus or virus-infected cells are more susceptible to activities mediated by the IgG Fc domain, including complement activation and antibody-dependent cellular cytotoxicity (13, 16). We tested whether Fcgamma R- virus NS-gE339 is capable of antibody bipolar bridging by measuring its susceptibility to complement in an assay that detects complement-enhanced antibody neutralization (Fig. 3A). To this end, 104 to 105 PFU was incubated with human anti-HSV IgG and active complement, or heat-inactivated complement as a control, and the neutralization mediated by of the addition of complement was measured. Human anti-HSV IgG was used at a concentration of 100 µg/ml, which was the titer that neutralized 50% of each virus strain. Fcgamma R+ viruses NS, rNS-gE339, and rNS-gEnull showed only 0.2- to 0.5-log10 (2- to 3-fold) additional neutralization when complement was added to human HSV antibodies, while Fcgamma R- viruses NS-gE339 and NS-gEnull demonstrated 2- to 2.1-log10 (100- to 126-fold) additional neutralization in the presence of complement (P < 0.01, Fcgamma R- viruses compared with the Fcgamma R+ strains) (Fig. 3B). As controls, viruses were incubated with antibody or complement but not both. Differences in neutralization among the viruses emerged only when viruses were incubated with antibody plus complement. As an additional control, viruses were incubated with murine anti-HSV IgG. The HSV-1 Fcgamma R binds the Fc domain of human, but not murine, IgG (31); therefore, the viral Fcgamma R should not protect against complement-enhanced antibody neutralization using murine IgG as the source of antibody (16). When the panel of viruses was incubated with murine antibody plus complement, no differences were detected among the viruses (result not shown). Therefore, we conclude that the four-amino-acid insert in NS-gE339 renders the virus incapable of antibody bipolar bridging and that the NS-gE339 mutant virus is as susceptible to complement-enhanced antibody neutralization as is NS-gEnull virus.


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FIG. 3.   (A) Model showing the HSV-1 Fcgamma R blocking complement-enhanced antibody neutralization. On the left, an antibody molecule (red) binds to its target antigen (shown in green as HSV-1 glycoprotein gD) by its Fab domain. The absence of an Fcgamma R enables C1q (brown) to bind to the antibody Fc domain, leading to activation of complement and complement-enhanced antibody neutralization. On the right is shown an example of antibody bipolar bridging in which an antibody molecule (red) binds to its target antigen (green) by the Fab domain while the Fc domain of the same antibody molecule binds to the HSV-1 FcR (blue), which blocks the interaction of C1q (brown) with the IgG Fc domain. (B) Complement-enhanced antibody neutralization of Fcgamma R+ viruses NS, rNS-gE339, and rNS-gEnull and Fcgamma R- viruses NS-gE339 and NS-gEnull. Each virus was incubated with pooled human IgG at 100 µg/ml, which resulted in 50% neutralization in the absence of complement. Then 10% nonimmune human serum or heat-inactivated serum was added, and complement-enhanced neutralization was calculated by determining the additional neutralization mediated by including complement in the reaction. Results are the mean (± SEM) of three experiments.

NS-gE339 causes disease at the inoculation site in the mouse flank model. Previous studies showed that gE null viruses are virtually avirulent (43), likely because gE is required for virus spread (2, 10). Our intent was to develop an Fcgamma R- mutant virus that remained intact for cell-to-cell spread so that we could separate the multiple functions mediated by gE. We hypothesized that experiments using mice may enable us to separate Fcgamma R and cell spread functions, since murine IgG Fc does not bind to the HSV Fcgamma R (31). Therefore, the absence of an Fcgamma R should have no impact on disease in mice.

Fcgamma R- virus NS-gE339 was scratched onto the flanks of mice, and the skin lesions at the inoculation site were counted. At an inoculum of 5 × 105 PFU, NS-gE339 produced disease scores comparable to those of NS, NS-gE406, and rNS-gE339, while NS-gEnull produced few lesions (each virus compared with NS-gEnull, P < 0.001) (Fig. 4A). Additional experiments were performed with wild-type, NS-gE339, and rNS-gE339 viruses to determine if NS-gE339 produced comparable disease scores over a range of inocula. Figure 4B demonstrates that disease scores were similar for the three viruses when inoculated at 10- and 100-fold-lower doses. We conclude that Fcgamma R- mutant virus NS-gE339 differs from previously described gE mutants since it produces disease similar to those produced by wild-type and rescued viruses at the inoculation site.


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FIG. 4.   (A) Disease scores at the inoculation site in the mouse flank after infection by wild-type, NS, Fcgamma R+ mutant, NS-gE406, Fcgamma R- mutants, NS-gE339 and NS-gEnull, and rescued virus, rNS-gE339. An inoculum of 5 × 105 PFU was scratched onto the denuded flank of 10 BALB/c mice per group. The average (± SEM) cumulative disease scores from days 3 to 8 are shown at the inoculation site. (B) An inoculum of 5 × 104 or 5 × 103 PFU was scratched onto the denuded flank of each of five mice per group, and the mean (± SEM) cumulative disease scores from days 3 to 8 were calculated.

In the flank model, HSV-1 travels from the skin to the dorsal root ganglia and then returns to the skin by axonal transport to produce lesions in a zosteriform distribution (45, 46). Animals infected with NS, rNS-gE339, NS-gE339, or NS-gEnull were scored for zosteriform spread disease. NS-gEnull caused no disease, most likely because of defective spread. Fcgamma R- mutant NS-gE339 produced zosteriform lesions (at 5 × 105 PFU, NS-gE339 lesion scores were 21.5 ± 3.5 compared with NS-gEnull score of 0; P < 0.001); however, NS-gE339 caused less disease than NS, NS-gE406, or rNS-gE339 (NS scores were 41.5 ± 1.8, NS-gE406 scores were 37.3 ± 1.6, and rNS-gE339 scores were 38 ± 1.9; P < 0.01 compared with NS-gE339). Thus, NS-gE339 is intact for cell spread at the skin inoculation site; however, the virus may be partially defective in neuronal spread. In support of a possible neuronal spread defect is the observation that zosteriform lesions developed on average 1.3 to 1.4 days later in animals infected with NS-gE339 than rNS-gE339 or NS. We conclude that NS-gE339 is a gE+ gI+ Fcgamma R- mutant virus that is defective in antibody bipolar bridging but capable of causing disease scores similar to those of wild-type and rescued viruses at the inoculation site. By focusing on inoculation site disease rather than on zosteriform spread disease, we are now able to evaluate the role of the HSV-1 Fcgamma R in immune evasion without confounding interpretation of results because of defective cell spread.

Passive transfer of IgG. A second set of murine experiments was performed to evaluate the hypothesis that the HSV Fcgamma R is critical in pathogenesis because it mediates immune evasion. The experiments involved passive transfer of human anti-HSV IgG into mice and then infecting the mice with Fcgamma R- or Fcgamma R+ virus. These studies take advantage of the fact that human anti-HSV IgG is capable of binding to the HSV Fcgamma R by antibody bipolar bridging (16). We postulated that Fcgamma R- virus should be more readily inhibited by human anti-HSV IgG because the Fc domain of the antibody molecule would be available to mediate activities such as complement-enhanced antibody neutralization, antibody-dependent cellular cytotoxicity, and complement-dependent cellular cytotoxicity.

Pooled human IgG was used as source of HSV antibodies. Passive immunization experiments were performed by intraperitoneal injection with 200 µg of IgG, 2,000 µg of IgG, or saline as a control; 16 h later, mice were infected in the flank with 5 × 105 PFU of Fcgamma R- virus NS-gE339 or Fcgamma R+ virus NS or rNS-gE339. Prior to infection, mouse serum was tested for neutralizing antibody titers. An intraperitoneal inoculation of 2,000 µg of anti-HSV IgG resulted in antibody neutralizing titers of 1:16 in the absence of complement, while an inoculum of 200 µg produced titers of <1:8. Passive transfer of antibody at each IgG concentration had little effect on Fcgamma R+ viruses; however, antibody significantly reduced disease scores in animals infected with Fcgamma R- virus and passively immunized with 200 µg of human anti-HSV IgG (P < 0.0001, NS-gE339 compared with NS or rNS-gE339) or 2,000 µg of human anti-HSV IgG (P < 0.001, NS-gE339 compared with NS or rNS-gE339) (Fig. 5A). We conclude that HSV antibody is significantly more effective in reducing disease scores of Fcgamma R- than Fcgamma R+ viruses.


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FIG. 5.   (A) Mice were passively immunized with 200 or 2,000 µg of human anti-HSV IgG, or saline (0 µg IgG) as a control, and then infected 16 h later with Fcgamma R+ virus NS or rNS-gE339 or Fcgamma R- virus NS-gE339. Ten mice were evaluated at each data point. Disease scores in saline controls were set as 100%, and as shown in Fig. 4A, these scores were similar for all three viruses. Percent disease scores at 200 or 2,000 µg of human anti-HSV IgG were calculated as [mean (± SEM) disease score in animals receiving human anti-HSV IgG/mean disease score in saline-treated animals] × 100. (B) Mice were passively immunized with 200 or 2,000 µg of nonimmune human IgG, or saline (0 µg of IgG) as a control. Five mice were included at each data point. Percent disease scores were calculated as [mean (± SEM) disease score in animals receiving nonimmune IgG/mean disease score in saline-treated animals] × 100. (C) Mice were passively immunized with 200 or 2,000 µg of murine anti-HSV IgG, or saline (0 µg of IgG), as a control. Five mice were included at each data point. Percent disease scores were calculated as [mean (± SEM) disease score in animals receiving murine anti-HSV IgG/mean disease score in saline-treated animals] × 100.

Mice were passively immunized with 200 or 2,000 µg of nonimmune human IgG to determine if antibodies must be capable of antibody bipolar bridging to have a greater effect on Fcgamma R- than Fcgamma R+ viruses. The IgG Fc domain of nonimmune IgG can bind to the HSV-1 Fcgamma R; however, the Fab domain does not bind to HSV antigens, and therefore nonimmune IgG is not capable of bipolar bridging. Nonimmune IgG had little effect on disease (Fig. 5B). Since nonimmune human IgG did not modify HSV-1 disease, we conclude that a more important function of the HSV-1 Fcgamma R is to block activities of the Fc domain of anti-HSV IgG.

As an additional control, mice were passively immunized with murine anti-HSV-1 IgG inoculated at 200 or 2,000 µg/mouse. This antibody is also not capable of antibody bipolar bridging because the Fc domain of murine IgG does not bind to the HSV-1 Fcgamma R (31). We postulated that murine anti-HSV IgG would have equal effects on Fcgamma R- and Fcgamma R+ viruses. Results shown in Fig. 5C support our hypothesis. We conclude that the role of the HSV-1 Fcgamma R is to protect the virus or virus-infected cell against human anti-HSV IgG.

To further demonstrate a role for the HSV-1 Fcgamma R in immune evasion, viral titers were performed on skin excised from the inoculation site. Animals were passively immunized with human anti-HSV IgG at 500 µg/animal, or saline as control, and then infected with wild-type or NS-gE339 virus (Fig. 6A). NS and NS-gE339 viruses grew to similar titers in saline control animals, which indicates that there is no defect in NS-gE339 replication in skin. Anti-HSV IgG had little effect on NS titers but had a dramatic effect on NS-gE339 titers. By day 1 postinfection, NS-gE339 titers were approximately 10-fold lower in antibody-treated animals than in saline controls, and by day 3, differences in titers reached approximately 10,000-fold (P < 0.01). Virus titers at day 3 were also measured in animals infected with rescued strain, rNS-gE339. Virus titers in saline-treated controls were 5.2 log10 ± 0.1 (1.6 × 105 PFU/ml), compared with 4.6 log10 ± 0.1 (4 × 104 PFU/ml) in animals treated with human anti-HSV IgG (mean ± standard error of the mean [SEM] of four animals each). Thus, the rescued strain showed fourfold differences in titers between antibody-treated and untreated animals. This contrasts sharply with the Fcgamma R- mutant strain, which showed 10,000-fold differences. Additional studies comparing the effects of murine anti-HSV IgG on virus titers in animals infected with Fcgamma R- mutant or rescued virus were performed (Fig. 6B). At 3 days postinfection, murine anti-HSV IgG had similar effects on the two virus strains, showing an approximate 2-log10 decrease in titers. We conclude that the Fcgamma R provides marked protection to the virus or infected cell against human, but not murine, anti-HSV IgG.


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FIG. 6.   (A) Viral titers in skin excised from the inoculation site 1, 2, 3, or 5 days after infection with Fcgamma R+ virus NS or Fcgamma R- virus NS-gE339. Animals were passively immunized with 500 µg of human anti-HSV IgG or saline as a control and infected 16 h later. Data represent the mean (± SEM) of four (days 1 and 2), five (day 3), and eight (day 5) mice per group. (B) Viral titers in skin excised from the inoculation site 3 days postinfection with rescued Fcgamma R- virus rNS-gE339 or Fcgamma R- virus NS-gE339. Animals were passively immunized with 500 µg of murine anti-HSV IgG or saline as a control and infected 16 h later. Results are the mean (± SEM) of four mice except rNS-gE339 saline controls, which represent three mice.

    DISCUSSION
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Studies to define the biological relevance of the HSV-1 Fcgamma R have been hampered by the fact that gE null viruses are markedly attenuated in vivo, probably because of defects in cell spread. The approach in the present study was to alter only a small region within the gE IgG Fc binding domain so that we could isolate an Fcgamma R- mutant virus that retains other functions mediated by gE. We constructed gE mutant virus NS-gE339, which has the following phenotype: gE+, gI+, negative for binding nonimmune monomeric IgG, negative for antibody bipolar bridging, and intact for producing lesions at the skin inoculation site. Therefore, Fcgamma R- mutant virus NS-gE339 has the phenotype required for in vivo studies to define the role of the HSV-1 Fcgamma R in pathogenesis.

In prior experiments using cells transfected with gE linker insertion plasmids, we found that plasmid H339 did not form an Fcgamma R, whereas cells transfected with plasmid H406 expressed an Fcgamma R (3, 14). When these mutant genes were introduced into the HSV genome, the resulting HSV-1 virus, NS-gE339, failed to demonstrate Fcgamma R activity, while NS-gE406 had Fcgamma R activity similar to wild-type activity. These results indicate that the Fcgamma R phenotypes of gE linker insertion plasmids H339 and H406 were maintained when recombined into virus.

The mutation at gE amino acid 339 causes loss of Fcgamma R activity. This mutation lies within a cysteine-rich region of the molecule (Fig. 1B), which could raise concerns about whether the gE protein was grossly malformed. However, we believe that the mutation disrupts the Fcgamma R domain, as intended, for the following reasons. (i) The mutation at position 339 is within the gE domain homologous to the site on mammalian Fcgamma RII that binds IgG (14, 28), suggesting that this region is involved in IgG Fc binding. (ii) Prior studies using gD-gE fusion proteins demonstrated that a gE domain from amino acid 183 to 402 binds IgG (14). This includes the cysteine-rich domain of gE, which suggests that amino acids in this region form the Fcgamma R. Therefore, the mutation at position 339 is likely to be within the Fc binding domain. (iii) In NS-gE339, gE is expressed on the virus and at the infected cell surface. If the protein were grossly malfolded, we would not expect gE transport to remain intact. (iv) A four-amino-acid mutation at position 380, which is outside the cysteine-rich region, has been recombined into virus, and this mutant strain is also Fcgamma R- (18a). This suggests that gross alterations in structure are not required to disrupt Fcgamma R activity. (v) NS-gE339 causes disease similar to that caused by wild-type virus in skin, while NS-gEnull does not. If the mutation at 339 had grossly altered gE conformation, we would not expect virulence to remain intact in skin (2). Therefore, we conclude that the mutation at position 339 alters Fcgamma R activity because it disrupts the Fc binding domain.

Studies were performed with mice by using passive transfer of human anti-HSV IgG to determine if the HSV-1 Fcgamma R protects against antibody attack. Based on in vitro results that demonstrated that Fcgamma R+ viruses are capable of binding to and inhibiting activity of the IgG Fc domain, we postulated that passively transferred antibodies would have a greater effect on Fcgamma R- than Fcgamma R+ virus in vivo. Our results showed highly significant reduction in disease caused by Fcgamma R- virus NS-gE339 compared with Fcgamma R+ viruses NS and rNS-gE339. Results of passive transfer experiments using murine anti-HSV IgG or nonimmune human IgG further supported the hypothesis that the Fcgamma R protects by blocking Fc-mediated activities. Neither murine anti-HSV IgG nor human nonimmune IgG is capable of bipolar bridging. The former binds only by its Fab domain to HSV antigens, while the latter binds only by its Fc domain to the HSV Fcgamma R. Murine anti-HSV IgG inhibited disease scores of Fcgamma R- and Fcgamma R+ viruses in vivo to comparable extents, which supports the interpretation that antibody bipolar bridging accounts for the greater effects of human anti-HSV IgG on Fcgamma R- virus. Nonimmune human IgG had no effect on Fcgamma R- virus NS-gE339. This was expected, since this virus cannot bind IgG; however, the lack of effect on Fcgamma R+ virus indicates that binding of nonimmune human IgG to the HSV-1 Fcgamma R has no apparent impact on virulence.

Virus titers were measured in skin samples to support the conclusion that the HSV-1 Fcgamma R promotes immune evasion. We noted marked differences in virus titers in skin of mice passively immunized with human anti-HSV IgG and infected with Fcgamma R- virus. By day 3, NS-gE339 titers were 10,000-fold lower in animals immunized with human anti-HSV IgG compared with saline controls. In contrast, anti-HSV IgG had little effect on wild-type virus titers, since only small differences were detected between antibody-treated and saline controls and these differences were not detected until day 5 postinfection. Titers of the two viruses were similar in saline-treated controls, which indicates that the differences between NS and NS-gE339 cannot be explained by defective NS-gE339 cell-to-cell spread in skin. As controls, virus titers were also measured at the inoculation site 3 days after infection of animals passively immunized with murine anti-HSV IgG. As expected, murine antibody had similar effects on Fcgamma R+ and Fcgamma R- viruses. Therefore, differences in animals treated with human anti-HSV IgG are attributable to the effects of the HSV-1 Fcgamma R in modifying IgG Fc-mediated activity.

A role for gE in epidermal spread is supported by the findings that gE null virus produces little disease at the inoculation site and small plaques in epidermal cells (52). In contrast, NS-gE339 is intact for epidermal spread, since virus skin titers, inoculation site disease scores, and epidermal cell plaque size (52) are comparable to those for wild-type virus. However, NS-gE339 causes less zosteriform spread disease than wild-type virus, suggesting that the mutant virus may be defective in epidermal-neuronal spread, neuronal transport, or transneuronal spread. Therefore, the gE domain interrupted by the mutation at position 339 disrupts spread in some cell types without affecting others, which suggests that different gE domains may mediate epidermal and neuronal spread.

Additional immune evasion strategies have been described for HSV-1. Glycoprotein gC binds complement components C3 and its enzymatic cleavage products, C3b, iC3b, and C3c (17, 34). gC prevents the interaction of properdin with C3b (29), and blocks C5 interaction with C3b (19, 34). These activities inhibit activation of the complement cascade, thereby protecting HSV-1 from complement-mediated neutralization (18, 21, 25, 38) or HSV-infected cells from complement-mediated injury (23). ICP47 is an immediate-early HSV-1 protein that interferes with the TAP (transporter associated with antigen processing) system, preventing HSV peptides from being expressed within the context of major histocompatibility complex class I antigens (20, 26, 49, 54). ICP47 inhibits peptide expression in human but not mouse cells (49, 54), while gC, gE, and gI also show species specificity for human immune proteins (18, 27, 31). Proof that immune evasion is important in vivo has been hampered by the species specificity of the interactions between viral proteins and the immune system. To circumvent this, the approach taken in this study was to passively transfer human IgG into mice, which enabled an assessment of the importance of human IgG-Fcgamma R interactions in pathogenesis.

Results of this study help explain why antibodies are relatively ineffective in modifying HSV infection; however, the experiments do not address which aspects of IgG Fc-mediated immunity, such as complement activation, antibody-dependent cellular cytotoxicity, or complement-dependent cellular cytotoxicity, are inhibited by the HSV-1 Fcgamma R. Our results suggest that virus neutralization in the absence of complement does not account for the effects of antibodies, since serum obtained from mice passively immunized with human anti-HSV IgG at 200 µg per mouse had a neutralizing titer of <1:8; nevertheless, this concentration had a marked effect on disease scores and viral titers of NS-gE339 virus.

The passive transfer murine model mimics conditions that exist following HSV vaccination, in that antibodies are present prior to infection. A modification of the model can be used to more closely simulate conditions during reactivation infection by delaying passive immunization with anti-HSV IgG until virus reaches the ganglion. Rabbit corneal infection can also be used to define the role of the Fcgamma R in reactivation disease, since virus reactivates spontaneously in this model (35), and passive transfer of IgG is not necessary because rabbit IgG Fc binds to the HSV-1 Fcgamma R (31). However, studies of reactivation disease will require an Fcgamma R- mutant virus that is intact for spread from ganglion to skin so that the role of gE in Fcgamma R activity and cell spread can be clearly distinguished. The experiments performed in this study define a role for the HSV-1 Fcgamma R in antibody evasion but do not address whether the Fcgamma R is most important during primary or reactivation infection.

The fact that the HSV-1 Fcgamma R blocks the effectiveness of antibodies administered prior to infection raises important questions regarding vaccine strategies to prevent HSV disease. Will the HSV-1 Fcgamma R reduce the effectiveness of vaccine-induced antibodies? If so, attempts to block HSV-1 immune evasion may require that gE and/or gI be included in a subunit vaccine. Vaccine strategies to block HSV Fcgamma R activity may be difficult to develop, since despite the high titers of antibodies to gE and gI in the pooled human IgG used for passive transfer studies, the antibodies did not effectively block Fcgamma R activity of wild-type virus. This was apparent in complement-enhanced antibody neutralization experiments that used pooled human IgG and in antibody passive transfer studies. In these experiments pooled human IgG did not block Fcgamma R activity since Fcgamma R+ virus did not escape antibody attack. Critical epitopes involved in forming the HSV Fcgamma R may be inaccessible to the immune system, or perhaps the epitopes are immunologically privileged because of sequence homology with mammalian Fcgamma Rs.

    ACKNOWLEDGMENTS

The first two authors contributed equally to this work.

This work was supported by NIH grant AI 33063.

We thank Stuart Isaacs and Ronald Collman for thoughtful comments on the manuscript and Cindy Friedman for help with the artwork.

    FOOTNOTES

* Corresponding author. Mailing address: 536 Johnson Pavilion, University of Pennsylvania, Philadelphia, PA 19104-6073. Phone: (215) 662-3557. Fax: (215) 349-5111. E-mail: hfriedma{at}mail.med.upenn.edu.

dagger Present address: Adelphi University, Biology Department, Garden City, NY 11530.

Dagger Present address: c/o Robert L. Martuza, Molecular Neurosurgery Laboratory, Georgetown Medical University, Washington, DC 20007.

§ Present address: Department of Surgery, Philadelphia, PA 19104-6073.

parallel Present address: SmithKline Beecham Biologicals, B-1330 Rixensart, Belgium.

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J Virol, July 1998, p. 5351-5359, Vol. 72, No. 7
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