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Journal of Virology, August 2000, p. 7478-7484, Vol. 74, No. 16
0022-538X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Evasion of Host Defenses by Measles Virus:
Wild-Type Measles Virus Infection Interferes with Induction of
Alpha/Beta Interferon Production
Denise
Naniche,1,*
Annie
Yeh,2
Danelle
Eto,1
Marianne
Manchester,1
Robert M.
Friedman,2 and
Michael
B. A.
Oldstone1
Division of Virology, Department of
Neuropharmacology, Scripps Research Institute, La Jolla, California
92037,1 and Department of Pathology,
Uniformed Services University of the Health Sciences, Bethesda,
Maryland 208142
Received 21 December 1999/Accepted 17 May 2000
 |
ABSTRACT |
Measles is a highly contagious disease currently responsible for
over one million childhood deaths, particularly in the developing world. Since alpha/beta interferons (IFNs) are pivotal players both in
nonspecific antiviral immunity and in specific cellular responses,
their induction or suppression by measles virus (MV) could influence
the outcome of a viral infection. In this study we compare the IFN
induction and sensitivity of laboratory-passaged attenuated MV strains
Edmonston and Moraten with those of recent wild-type viruses isolated
and passaged solely on human peripheral blood mononuclear cells (PBMC)
or on the B958 marmoset B-cell line. We report that two PBMC-grown
wild-type measles isolates and two B958-grown strains of MV induce 10- to 80-fold-lower production of IFN by phytohemagglutinin-stimulated
peripheral blood lymphocytes (PBL) compared to Edmonston and Moraten
strains of measles. Preinfection of PBL with these non-IFN-inducing MV
isolates prevents Edmonston-induced but not double-stranded-RNA-induced
IFN production. This suggests that the wild-type viruses can actively
inhibit Edmonston-induced IFN synthesis and that this is not occurring
by double-stranded RNA. Furthermore, the wild-type MV is more sensitive
than Edmonston MV to the effect of IFN. MV is thus able to suppress the
synthesis of the earliest mediator of antiviral immunity, IFN-
/
.
This could have important implications in the virulence and spread of MV.
 |
INTRODUCTION |
Measles is a highly contagious
disease responsible for many childhood deaths, particularly in the
developing world. Despite the generation of a vigorous immune response
against measles virus (MV), immunity to other pathogens is depressed.
This transient generalized immunosuppression allows the establishment
of opportunistic infections and leads to many of the complications
associated with measles (reviewed in reference 14).
Indirect evidence suggests that the mortality and morbidity of measles
is correlated with the extent of viral replication. MV infection in
previously vaccinated individuals who demonstrate weak or partial
immunity is systematically milder than in cases of nonvaccinated
individuals (7, 36). Early control of MV replication may
thus determine the severity of the disease.
The principal actors in the early nonspecific immune response are
alpha/beta interferon (IFN-
/
) induction, complement activation, natural killer cell (NK) and macrophage activation, and IFN-
and
interleukin-12 (IL-12) production. Although MV infection of cell lines
in vitro has been shown to induce IFN (47), the results concerning wild-type MV infection in vivo are conflicting and inconclusive. Active IFN-
/
has been documented in vivo after natural infection by MV in one study and shown to be absent in another
(6, 39, 45). Levels of serum IFN and of the IFN-inducible 2'-5' oligoadenylate-synthetase (2-5A) gene transcript have been shown
to rise after MV immunization with the live attenuated vaccine (45). With regard to other innate defense mechanisms, MV
does not appear to hamper either complement activation in vitro or IFN-
production in vivo (16, 40). However, MV has been
shown to depress IL-12 synthesis in vitro and to dampen NK cell
activity in vivo (15, 18, 37). We wanted to study the effect
of MV on the IFN-
/
response since IFN-
/
, along with IL-12,
are pivotal players in limiting early virus spread as well as in the
activation and priming events of antigen-presenting cells.
IFN-
/
induces the expression of a number of cellular genes such
as 2-5A, double-stranded RNA-dependent protein kinase (PKR) and Mx,
which confer antiviral properties to the cell (17, 46). In
addition to the antiviral function, IFN-
/
have potent effects in
regulating the specific immune response (41). They are
thought to enhance differentiation of dendritic antigen-presenting
cells and to contribute to prolonging T-lymphocyte lifespan (22,
26). Viruses have thus evolved mechanisms to counter the
antiviral effects of IFN or, in some cases, to suppress its production.
Resistance to the antiviral effects of IFN is mediated by active
inhibition of IFN-inducible gene function. IFN-resistant and -sensitive
strains of MV can be isolated by cell culture, and it has been
suggested that IFN-resistant strains of MV can contribute to the
establishment of persistent infection of the central nervous system
(CNS) (4). This is relevant to the rare cases of persistent
MV infection of the CNS giving rise to subacute sclerosing
panencephalitis (SSPE), a fatal disease. It is not known which MV
products contribute to IFN resistance, but studies in the closely
related Sendai virus have shown that the nonstructural C protein
counteracts the IFN-mediated antiviral state (12).
Virus infection must trigger IFN synthesis prior to the induction of
the antiviral state. Studies with viruses such as Sendai or vesicular
stomatitis virus (VSV) have shown that different strains of the same
virus can induce highly variable quantities of IFN-
/
. These
studies have shown that low-IFN-inducing viruses can actively suppress
the IFN production of the high-IFN-inducing strains (25,
28).
In this study we compare the IFN-
/
induction and sensitivity of
the laboratory-passaged attenuated Edmonston (MV-Ed) and Moraten
(vaccine strain) MVs with those of recent wild-type viruses isolated
and passaged solely on human peripheral blood mononuclear cells (PBMC)
or on the B958 marmoset B-cell line. We report that two PBMC-grown
wild-type MV isolates and two B958-grown strains of MV induce
significantly lower production of IFN by phytohemagglutinin (PHA)-stimulated peripheral blood lymphocytes (PBL) compared to the
MV-Ed laboratory strain of measles. Furthermore, our evidence indicates
that these wt MV strains are more sensitive to the effects of IFN and
actively inhibit IFN synthesis.
 |
MATERIALS AND METHODS |
Lymphocyte preparations, culture conditions, and MV
preparations.
PBMC were isolated by Ficoll-Hypaque centrifugation
from normal healthy donors. Adherent cells were eliminated by 2 h
of adherence to tissue-culture-treated plastic. PBL were cultured in
RPMI medium supplemented with 10% heat-inactivated fetal bovine serum
(FBS), 50 U of penicillin per ml, and 50 µg of streptomycin per ml.
Lymphocytes were cultured at a concentration of 106
cells/ml.
The MV Edmonston (MV-Ed; American Type Culture Collection, Rockville,
Md.) and Moraten strains (kindly provided by Alexandra Valsamakis,
Johns Hopkins School of Medicine, Baltimore, Md.) were passaged and
plaqued on mycoplasma-free Vero cells. Wild-type viruses were isolated
in measles outbreaks from 1991 to 1994 either on PBMC in the United
States (JW and IV) or on B958 cells in Spain (Bcl94 and FV93) (9,
35). JW-, IV-, Bcl94-, and FV93-Vero strains were obtained by
blindly passaging the parental wild-type viruses on Vero cells and
collecting the virus after 10 passages (23). Since the
parental wild-type isolates do not produce plaques on Vero cells, the
standard plaque assay could not be used to determine the titers of
these viruses. Titers of all viruses were thus determined by serial
dilutions on PBMC stimulated with 10 µg of PHA (Difco) per ml. After
4 days of infection, cells were lysed in 0.1% sodium dodecyl sulfate
(SDS) and applied to Nytran filters (Schleicher & Schuell) before being
probed with a 32P-radiolabeled DNA probe for the measles N
gene. The 50% tissue culture infective dose (TCID50) was
calculated on triplicate wells as previously described (9).
Supernatants of viruses were used for infections.
Flow cytometry for surface staining and for cell
proliferation.
Antibody I41 to measles hemagglutinin was kindly
provided by Ewa Bjorling at the Karolinska Institute, Stockholm,
Sweden. In order to label cells for flow cytometry, cells were
incubated for 30 min with primary antibody in phosphate-buffered saline containing 1% FBS and 0.05% sodium azide. Cells were washed twice and
incubated with a secondary antibody conjugated to phycoerythrin. After
30 min of incubation, cells were washed and fixed in 1% formaldehyde
prior to analysis on a FACScan (Becton Dickinson).
To measure cell proliferation by fluorescence decrease of
carboxyfluorescein succidmyl ester (CFSE; Molecular Probes, Eugene,
Oreg.), lymphocytes were labeled with CFSE prior to infection.
Labeling
was carried out for 10 min at 37°C at a concentration
of 2 × 10
6 cells/ml in culture medium containing 50 µM CFSE.
Cells were
washed twice to remove unincorporated dye and cultured with
PHA
and IL-2.
Analysis of MV-induced IFN production.
Labeled cells were
infected with various MV isolates at a multiplicity of infection (MOI)
of 0.003 TCID50/cell. For the Vero cell-grown isolates, the
equivalent MOI in PFU was 0.8 PFU/cell. The cells were incubated with
the virus stock for 3 h at 37°C, pelleted, and resuspended at
106 cells/ml in culture medium containing 5 µg of PHA
(U.S. Biochemicals) and 50 U of IL-2 (National Cancer Institute,
Biologicals, Bethesda, Md.) per ml. At 72 h postinfection,
supernatants were harvested and ultracentrifuged at 110,000 × g for 45 min to remove free virus. The virus-free supernatant
was assayed for IFN activity by a cytopathic effect (CPE) assay using
encephalomyocarditis virus (ECMV) (49). The cells were
analyzed for proliferation and surface expression of MV-hemagglutinin
by flow cytometry.
IFN treatments and assessing replication sensitivity to IFN.
Human PBL were plated at 2 × 105 cells/well in
round-bottom 96-well plates and incubated with various concentrations
of IFN-
/
(Sigma) diluted in complete culture medium. After
24 h, cells were pelleted and infected with virus at an MOI of
0.003 TCID50/cell. The cells were incubated with the virus
stock for 3 h at 37°C, pelleted, and resuspended in culture
medium containing 5 µg of PHA (U.S. Biochemicals) and 50 U of IL-2
per ml. Four days postinfection, cells were assayed for proliferation
and hemagglutinin expression by flow cytometry. Nucleoprotein
expression was assayed by dot blotting the cells onto Nytran membranes
(Schleicher & Schuell), probing with a 32P-labeled
nucleoprotein probe, and quantitation on a phosphorimager. The blots
were reprobed with a cyclophilin probe and quantitated as a control of
equal RNA content.
Coinfections and poly(I-C) treatments.
PBL were infected at
an MOI of 0.004 TCID50/cell for 2 h. Cells were washed
and resuspended in complete culture medium supplemented with 5 µg of
PHA (U.S. Biochemicals) and 50 U of IL-2 per ml. At 72 h
postinfection, the cells were infected with Edmonston at an MOI of
0.002 TCID50/cell (equivalent to an MOI of 0.5 PFU/cell) for 2 h or treated with 200 µg of poly(I-C) (Sigma) per ml.
Supernatants were harvested 48 h after the Edmonston infection and
24 h after poly(I-C) treatment.
Western blotting.
Infected or IFN-treated cells were lysed
in TNE (Tris, 10 mM; NaCl, 100 mM; EDTA, 1 mM; NP-40, 0.5%) 48 h
postinfection for HeLa cells and 72 h postinfection for human PBL.
The cells were lysed at 107 cells/ml, and the equivalent of
2 × 105 cells was boiled in lysis buffer (Tris-HCl,
100 mM; SDS, 4%; glycerol, 30%; dithiothreitol, 250 mM) and loaded
onto an 8% acrylamide gel and subjected to SDS-polyacrylamide gel
electrophoresis. The proteins were electrotransferred to polyvinylidene
difluoride membranes (Millipore) and subjected to Western blotting with
a specific antibody to STAT-1
/
(Pharmingen) and a rabbit
anti-mouse secondary peroxidase-conjugated antibody (Gibco). Enhanced
chemiluminescence was carried out with the Supersignal
Chemiluminescence System (Pierce) and exposed to Kodak Biomax film.
 |
RESULTS |
Attenuated strains of MV induce significantly more IFN than do
wild-type strains.
Experiments were designed to determine the
relative IFN induction potential of different strains of attenuated and
wild-type MV strains after infection of primary human PBL. PBL from
different donors were infected at an MOI of 0.003 TCID50
with the various MV strains. Following a 4-day incubation with PHA,
biologically active IFN present in virus-free supernatants was
quantified. The IFN activity was assayed by determining CPE reduction
of ECMV infection and standardized to international units. IFN-
/
was neutralized with anti-IFN-
antibodies. Table
1 shows that the attenuated Vero
cell-grown Edmonston strain of MV and the currently used vaccine strain
Moraten induced a high level of IFN production. In contrast, PBMC-grown
wild-type isolates JW and IV, as well as B958-grown isolates, induced
10- to 20-fold less IFN than did the Edmonston and Moraten strains.
Furthermore, the Vero cell-adapted isolates of IV, JW, FV93, and Bcl94
viruses induced 10- to 20-fold-higher quantities of IFN than did their
respective parental viruses (Table 1). A certain degree of virus
replication appeared to be necessary for IFN induction since
UV-inactivated MV-Ed induced little IFN (313 to 500 U/ml) and
MV-Ed-infected nonstimulated PBMC, in which MV replicates poorly,
produced less IFN than PHA-stimulated cells (data not shown). There was
a high variability in the capacity and efficiency of PBL from different
donors to secrete IFN. The two experiments presented are representative
of the magnitude of variability observed on PBL from five different
healthy donors. All infections led to similar levels of surface
hemagglutinin expression on all lymphocyte types (B and T), and >75%
of the cells were infected by all of the viruses (data not shown).
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TABLE 1.
Wild-type MVs (strains IV, JW, Bcl94, and FV93) induce
10- to 80-fold less IFN- / than do the attenuated Edmonston,
Moraten, or Vero cell-adapted IV, JW, Bcl, and FV
virus strainsa
|
|
These results suggest that attenuation and/or passage of wild-type MV
on Vero cells transforms the viruses from a non-IFN-inducing
phenotype
to an IFN-inducing
phenotype.
Wild-type virus replication is more sensitive to IFN effects than
is Edmonston virus.
In order to determine whether the replication
of Edmonston and wild-type MV differed in their sensitivity to IFN, MV
expression levels were analyzed after treatment of PBL with exogenous
IFN prior to infection. PBL were treated with increasing quantities of
IFN for 24 h, followed by infection with Edmonston or wild-type MV
viruses. After 3 to 4 days, hemagglutinin expression was determined by
flow cytometry, and NP expression was determined by an RNA dot blot
using a radiolabeled DNA probe specific for measles NP. The replication
of Edmonston was relatively insensitive to the effects of IFN, whereas
the replication of wild-type MV strains JW and IV was reduced after IFN
treatment (Fig. 1). Both NP and hemagglutinin expression were decreased by 40 to 50% (Fig. 1).

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FIG. 1.
The replication of wild-type JW and IV viruses is more
sensitive to IFN than is that of Edmonston. Human PBL were incubated
overnight with various concentrations of IFN- / . Cells were
infected with Edmonston, IV, or JW viruses, and replication was assayed
at day 4 postinfection by quantification of NP RNA relative to
cyclophilin RNA by dot blot and phosphorimaging (A) and of surface
expression of hemagglutinin by flow cytometry (B).
|
|
In order to determine whether Edmonston and wild-type MVs could block
the IFN signal from being transduced in target IFN-

/
receptor-bearing cells, the levels of the signal transduction
intermediates STAT-1

and STAT-1

were assessed after MV infection.
These proteins have been shown to be upregulated by IFN treatment
(
21,
30). When HeLa cells were infected at an MOI of 0.1 or
0.5 PFU with Edmonston MV, the expression of STAT-1

and STAT-1
proteins increased to a level comparable to that observed after
IFN
treatment (Fig.
2A). The upregulation of
STAT-1 was dependent
on the virus dose. This finding is consistent with
a greater percentage
of cells being infected at a 0.5 MOI than at a 0.1 MOI. Since
wild-type IV and JW MVs do not infect HeLa cells and do not
themselves
induce significant levels of IFN, exogenous IFN-

was
added to
PBL cultures in order to assess the capacity of wild-type MV
to
block IFN signaling. Preinfection of PBL with IV or JW led to
slightly decreased levels of STAT-1

and -

proteins after IFN
treatment compared to IFN-treated uninfected cells (Fig.
2B).
The
slight differences suggest that MV is not significantly blocking
IFN
signal transduction. Events downstream of induction of the
STAT-1 gene
are thus likely to account for the above-described
resistance of MV-Ed
to IFN effects.

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FIG. 2.
MV-Ed does not inhibit IFN-inducible STAT-1
factor-mediated upregulation. (A) HeLa cells were infected at an MOI of
0.1 or 0.5 PFU of Edmonston or were treated with 1,000 or 10,000 U of
IFN- / per ml. At 48 h postinfection, cells were lysed. (B)
Human PBL were preinfected with IV or JW MV at an MOI of 0.004 TCID50. At 72 h postinfection, 1,000 U of IFN per ml
was added to the culture, and cells were lysed 24 h later. Lysates
were probed by Western blotting with an antibody recognizing both
STAT-1 (91 kDa) and STAT-1 (84 kDa). Enhanced chemiluminescence
was carried out as described in the text. This figure is representative
of several experiments.
|
|
Wild-type MV replicates less efficiently in IFN-treated
nonproliferating cells than in proliferating cells.
The inhibitory
effect of IFN on the replication of wild-type measles could be due to
the antiviral effects or to the antiproliferative effect of IFN on host
cells. We thus looked at the distribution of MV-infected cells among
the proliferating and nonproliferating cells. Cells were labeled with
CFSE to monitor proliferation. IFN treatment and infection were carried
out as described above. At 4 days postinfection cells were stained with
anti-hemagglutinin antibody and analyzed by flow cytometry. In
untreated cells, the majority of cells infected by wild-type virus were
proliferating cells (Fig. 3A). After IFN
treatment, IFN blocked efficient cell division as expected and there
were fewer dividing cells and fewer cells infected with wild-type MV
(Fig. 3B). However, in the case of Edmonston infection, IFN treatment
reduced the number of proliferating cells, but the proportion of
Edmonston-infected cells remained unchanged. Therefore, in IFN-treated
cells, Edmonston could compensate for the lack of dividing cells by
infecting more nonproliferating cells. Although these cells were not
multiplying, they were activated as previously determined by surface
expression of activation markers CD69 and CD71 (33). These
results suggest that the replication of wild-type MV is more restricted
than that of Edmonston in activated nondividing cells.

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FIG. 3.
Wild-type IV and JW strains replicate less efficiently
than does Edmonston in the nondividing population of IFN-treated cells.
Human PBL were labeled with CFSE and incubated overnight with 2,000 U
of IFN- / per ml. Cells were then infected with Edmonston, IV, or
JW viruses. Cell proliferation and surface expression of hemagglutinin
were quantitated by dual-color flow cytometry. Proliferation in the
absence of IFN (A) or in the presence of IFN (B) is plotted against
surface hemagglutinin expression. This figure is representative of
several experiments.
|
|
Preinfection with wild-type MV partially suppresses
Edmonston-induced but not poly(I-C)-induced IFN production.
In
order to determine whether the low-IFN-inducing phenotype of wild-type
MV was an active process, we preinfected cells with wild-type viruses.
PBL were infected with JW or IV viruses for 72 h prior to
coinfection with Edmonston. Quantitation of IFN from supernatants
harvested after the second infection showed that preinfection of PBL
with IV or JW inhibited approximately 75 to 80% of the IFN production
induced by Edmonston alone (Fig. 4). This
could not be due to downregulation of the major MV receptor CD46
leading to an inability of MV-Ed to infect target cells since neither
JW nor IV downmodulate CD46 (data not shown) nor do they have the
marker for downmodulation (amino acid Y at position 481 of the
hemagglutinin protein) (23).

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FIG. 4.
Preinfection of human PBL with IV or JW strains of MV
inhibits IFN production induced by Edmonston MV but not by poly(I-C) (P
I-C). Human PBL were infected with IV or JW at an MOI of 0.004 TCID50. At 72 h postinfection, cells were
superinfected with Edmonston at an MOI of 0.002 TCID50 (0.5 PFU) or treated with 200 µg of poly(I-C) per ml. Supernatants were
harvested and assayed for IFN- / biological activity 24 h
later for poly(I-C)-treated samples and 48 h later for
Edmonston-infected samples. The percent inhibition was calculated by
using the amount of IFN induced by Edmonston infection or poly(I-C)
alone as the maximum amount of IFN (denominator) compared to the amount
of IFN induced after preinfection and addition of MV-Ed or poly(I-C)
(numerator). The experiment represents the average obtained with PBL
from three donors.
|
|
In order to determine whether IV or JW could inhibit double-stranded
RNA induction of IFN, cells were preinfected as in the
previous
experiment and treated with 200 µg of poly(I-C) per ml.
The
supernatants were then assayed for IFN activity 24 h later.
Neither IV nor JW infection prevented poly(I-C)-induced IFN production
(Fig.
4). All poly(I-C)-treated samples produced similar quantities
of
IFN regardless of the pretreatment they had received. As a
control,
poly(I-C) incubated 24 h in medium alone and processed
with other
supernatants did not interfere with ECMV infection
in the biological
assay for IFN (data not
shown).
Therefore, wild-type MV can interfere with MV-Ed induced but not with
double-stranded-RNA-induced IFN production. However,
the inhibition of
Ed-induced IFN was not total. As is the case
for VSV, this may be due
to the presence, within the heterogeneous
virus pool, of some
subpopulations of variants exhibiting the
IFN-suppressive phenotype and
others the IFN-inducing phenotype
(
11,
24).
 |
DISCUSSION |
This study demonstrates that a series of wild-type viruses do not
induce production of significant quantities of IFN-
/
compared to
the attenuated Vero cell-grown Edmonston and Moraten strains of MV.
These wild-type MVs can actively suppress IFN production induced by
MV-Ed infection. Furthermore, 10 passages of the wild-type MVs on Vero
cells is sufficient to transform their phenotype from that of an IFN
suppressor to that of an IFN inducer. The replication of these
wild-type viruses is more sensitive to IFN treatment than is MV-Ed and
particularly to the IFN-induced growth arrest of target cells.
Many viruses have developed mechanisms to neutralize the antiviral
effects of the IFN system, thus potentially increasing the early spread
of virus. In particular, viruses have been shown to counter the
intracellular cascade of events triggered by IFN binding to the IFN
receptor. Strategies include blocking IFN receptor signal by
interfering with the JAK-STAT-1 pathway and/or preventing the
expression or activation of IFN-inducible gene products such as 2-5A
and PKR induced after signaling through the IFN receptor (46). Our results suggest that MV-Ed does not interfere with early STAT-1 protein induction or homeostasis but rather with an event
further downstream in the IFN response. MV-Ed infection induces
production of IFN and successful upregulation of the transcription activator STAT-1
/
. This is in contrast to two MV-related
paramyxoviruses, Sendai virus and simian virus 5 (SV5), which have been
shown to abrogate STAT-1 expression via two different mechanisms.
Sendai virus prevents upregulation of the STAT-1, whereas SV5 promotes the degradation of the STAT-1 protein (8, 12). This
indicates that, within the Paramyxoviridae family (within
this family, Sendai virus and SV5 are subclassified in the
paramyxovirus genus), multiple IFN escape strategies exist
(50). Further research may reveal various mechanisms
employed within the morbillivirus genus of which MV is a member.
Many studies have analyzed viral IFN resistance mechanisms; however,
little attention has been focussed on the viral infections which target
molecular events upstream of IFN secretion. Studies of Sendai virus and
of VSV indicate that, in addition to blocking the downstream effects of
IFN initiated by STAT-1, some virus strains actively suppress IFN
synthesis (25, 28). Our results show that the
non-IFN-inducing phenotype of wild-type PBMC-grown and B958-grown MV is
dominant over the IFN-inducing phenotype of Edmonston. This indicates
that these viruses, like Sendai virus and VSV, can interfere with the
pathway leading to IFN production. A virus which prevents IFN
production would have more time to spread before activation of the
specific immune response and thus be potentially more virulent. The
observation that wild-type MV prevents IFN induction by MV-Ed but not
by poly(I-C) suggests that MV-Ed induction of IFN occurs by a pathway
not involving double-stranded RNA. It has been shown for other viruses
(e.g., human immunodeficiency virus, herpes simplex virus,
cytomegalovirus) that viral protein-cell interactions alone can induce
IFN (1, 13, 42). Thus, one or more MV proteins may be
necessary for IFN induction by Edmonston, but preinfection by a
noninducing MV would prevent successful induction. Alternatively, since
CD46 engagement has recently been shown to transduce a signal leading to IFN production (19), CD46 binding affinity may influence the level of IFN produced. The exact mechanisms by which MV and other
IFN-suppressing viruses affect the regulation of IFN-
/
synthesis
are unknown.
Most studies on MVs have been carried out with Edmonston or other
strains grown on the Vero cell line, which is defective in its response
to IFN. Indeed, earlier studies, carried out with Vero cell-grown MV
isolates by A. Billiau and collaborators, had suggested that virulent
measles strains induced less IFN than did attenuated strains (47,
48). The isolates termed "virulent" in the early studies were
adapted to Vero cells and so were most likely more attenuated than
natural MVs. However, that study did set a precedent for the hypothesis
that the virulence of MV may be associated with the ability to prevent
cellular IFN-
/
induction. Adaptation of MVs occurs as a
consequence of passage on Vero cells (38, 43). Thus, a
non-IFN-inducing virus growing on Vero cells would no longer have a
selective advantage in preventing IFN synthesis and could likely be
outcompeted by other variants in the population. Our results indicate
that 10 passages of non-IFN-inducing IV, JW, Bcl94, and FV93 MV strains
on Vero cells leads to an increase in IFN induction on PBL compared to
that of the parental-PBMC-grown MV. However, the phenotype change for
all of the viruses may not be complete since there was variability from
donor to donor. The number of Vero cells required to achieve a
completely IFN inducing phenotype undoubtedly varies according to the
virus strain and according to the number of mutations necessary to
change the phenotype. This is illustrated by recent evidence showing
that 10 passages of IV, JW, Bcl94, and FV93 on Vero cells leads to a
change of the amino acid in the hemagglutinin molecule responsible for
CD46 affinity and downmodulation (N to Y at amino acid 481). However, this phenotype conversion was not absolute, since only IV and JW
changed after 10 passages, whereas Bcl94 and FV93 did not
(23).
Mouse models of viral infection have clearly shown that disrupting the
IFN-
/
response undermines the immune response and leads to
massive viral replication. Infection of mice deficient in the
IFN-
/
receptor (IFNRI
/
) with VSV, lymphocytic
choriomeningitis virus, or vaccinia leads to a 103- to
105-fold increase in virus titer (32). However,
in the absence of IFN-
/
, IL-12 can compensate to boost the
cellular response and induce IFN-
secretion (5). For
certain viruses, the infection can thus be controlled, but it can give
rise to a persistent infection (32). Viruses, such as
hepatitis C virus or human immunodeficiency virus, known to cause
chronic infections in humans, have mechanisms both for blocking the
response to IFN (3, 44) and for affecting IL-12 synthesis
(27). Although MV rarely persists in its host, MV infection
in vitro has been shown to depress IL-12 production in both macrophages
and dendritic cells (10, 18). Macrophages, dendritic cells,
epithelial cells, and NK cells provide the initial sources of
IFN-
/
, IL-12, and IFN-
. MV may have established a redundancy
of mechanisms to slow the innate immune response to allow early
dissemination. The degree to which IFN-
/
induction and IL-12
synthesis are disrupted by MV may determine the virulence of a
particular strain. Such virulent measles strains could thus replicate
more efficiently and gain access more rapidly to the bone marrow and,
on rare occasions, to the CNS. Infection of bone marrow cells may be
important in the severity of measles, and some reports have suggested
that MV is present in the bone marrow osteoclasts of Paget's disease
patients (20, 31, 34). The CNS is persistently infected by
MV in the rare cases which lead to SSPE. The question as to whether the
potential to inhibit IFN-
/
and IL-12 determines virulence and/or
the potential to infect the bone marrow and possibly the CNS remains open.
These hypotheses are based on in vitro studies. Further studies in
existing monkey models (2, 29) may aid in determining whether suppression of IFN-
/
is an indicator of virulence. If the
pathogenesis of human infection in vivo mirrors the in vitro observations presented here and elsewhere, MV may be able to increase virulence by suppressing the synthesis of the earliest mediators of
antiviral immunity, IFN-
/
and IL-12. We are pursuing this hypothesis by isolating strains of wild-type MV from severe and mild
cases of measles and testing them for their capacity to inhibit IFN-
/
and IL-12 production in vitro.
 |
ACKNOWLEDGMENTS |
We thank Don Forthal at University of California at Irvine for
the original IV and JW isolates and Rafael Fernandez-Muñoz at the
University of Madrid for the original FV93 and Bcl94 isolates. We also
thank John Patterson for helpful discussions.
This work was supported by NIH grants AI39466 (M.B.A.O.) and AI41514
(M.M.) and WHO grant V21/181/119 (D.N.).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Division of
Virology, Department of Neuropharmacology, Scripps Research Institute, 10550 N. Torrey Pines Rd., La Jolla, CA 92037. Phone: (858) 784-8737. Fax: (858) 784-9981. E-mail: naniche{at}scripps.edu.
 |
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Journal of Virology, August 2000, p. 7478-7484, Vol. 74, No. 16
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