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Journal of Virology, December 2000, p. 11137-11144, Vol. 74, No. 23
0022-538X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Disruption of Virion Host Shutoff Activity Improves
the Immunogenicity and Protective Capacity of a Replication-Incompetent
Herpes Simplex Virus Type 1 Vaccine Strain
Brian J.
Geiss,1
Tracy J.
Smith,2
David A.
Leib,2,3 and
Lynda A.
Morrison1,*
Department of Molecular Microbiology and
Immunology, Saint Louis University School of Medicine, St. Louis,
Missouri 63104,1 and Departments of
Ophthalmology and Visual Sciences2 and
Molecular Microbiology,3 Washington
University School of Medicine, St. Louis, Missouri 63110
Received 21 June 2000/Accepted 31 August 2000
 |
ABSTRACT |
The virion host shutoff (vhs) protein encoded by herpes simplex
virus type 1 (HSV-1) destabilizes both viral and host mRNAs. An HSV-1
strain with a mutation in vhs is attenuated in virulence and induces
immune responses in mice that are protective against corneal infection
with virulent HSV-1, but it has the capacity to establish latency.
Similarly, a replication-incompetent HSV-1 strain with a mutation in
ICP8 elicits an immune response protective against corneal challenge,
but it may be limited in viral antigen production. We hypothesized
therefore that inactivation of vhs in an ICP8
virus would
yield a replication-incompetent mutant with enhanced immunogenicity and
protective capacity. In this study, a
vhs
/ICP8
HSV-1 mutant was engineered.
BALB/c mice were immunized with incremental doses of the
vhs
/ICP8
double mutant or vhs
or ICP8
single mutants, or the mice were mock immunized,
and protective immunity against corneal challenge with virulent HSV-1
was assessed. Mice immunized with the
vhs
/ICP8
mutant showed prechallenge serum
immunoglobulin G titers comparable to those immunized with
replication-competent vhs
virus and exceed those of mice
immunized with the ICP8
single mutant. Following corneal
challenge, the degrees of protection against ocular disease, weight
loss, encephalitis, and establishment of latency were similar for
vhs
/ICP8
and vhs
virus-vaccinated mice. Moreover, the double deleted
vhs
/ICP8
virus protected mice better in all
respects than the single deleted ICP8
mutant virus. The
data indicate that inactivation of vhs in a replication-incompetent
virus significantly enhances its protective efficacy while retaining
its safety for potential human vaccination. Possible mechanisms of
enhanced immunogenicity are discussed.
 |
INTRODUCTION |
Herpes simplex virus type 1 (HSV-1)
is a common human pathogen, infecting approximately 80% of individuals
by adulthood (49). The virus typically enters the body at
epithelial and mucosal surfaces, where lytic infection of epithelial
cells and fibroblasts leads to infection of sensory neurons innervating
the mucosa and to the rapid establishment of latent infection in the
neuronal cell bodies. In this latent reservoir, HSV infection is
maintained for the life of the host. Either initial infection or
reactivation can result in serious human disease, including rare but
devastating encephalitis and keratitis, which is the second most common
cause of nontraumatic corneal blindness (49). A vaccine to
obviate or therapeutically alleviate these HSV-1-mediated diseases is a
desirable goal.
Development of an antiviral vaccine requires consideration of both
safety and immunogenicity. An effective balance between these can be
difficult to achieve, especially when faced with HSV that has a complex
and persistent lifestyle. Immunization with live attenuated virus has
the potential advantages of generating immune responses to a broad
spectrum of viral proteins and induction of type 1 T-cell as well as
humoral responses. In the development of prototypic live virus
vaccines, several viral proteins that regulate host cell and viral
synthetic processes have been manipulated to advantage. During
infection, one of the earliest viral activities is that mediated by the
virion host shutoff (vhs) protein, a product of the UL41 gene. This
viral tegument component exerts its effects immediately upon entry into
the cell, prior to viral gene expression (13, 39). The vhs
protein is associated with degradation of both cellular and viral mRNAs
(24-26, 36, 39, 43) and endoribonucleolytic activity
(9, 52), and the destabilization of viral messages mediated
by vhs has been theorized to promote the switch from transcription of
one kinetic class of viral genes to the next (43). We have
previously shown that mice immunized with an HSV-1 strain that is
deficient in vhs activity, UL41NHB, are significantly protected against
corneal challenge with virulent HSV-1 in a model of HSV-1-induced
ocular disease (47). Replication of challenge virus in the
cornea and acute and latent infection of the trigeminal ganglia all are
reduced in mice immunized with UL41NHB compared with mice immunized
with UV-inactivated virus. Protection against shedding of HSV-1 from
the cornea after UVB radiation-induced reactivation can also be
achieved by therapeutic immunization of latently infected mice
(46). A second viral gene that has been modified in vaccine
approaches is UL29, which encodes ICP8. Numerous viral gene products
are expressed by cells infected with ICP8
virus,
including the major viral glycoproteins gB and gD, but because ICP8 is
essential for virus DNA replication (6, 27, 48, 50), progeny
virions are not produced. We have shown that prophylactic immunization
of mice with a replication-incompetent HSV-1 strain deficient in ICP8,
d301, similarly reduces acute infection of the cornea and
trigeminal ganglia and latent infection in the nervous system compared
to that in mice immunized with UV-inactivated virus (29).
Immunization with d301 elicits humoral (29) and
cytolytic T-cell (3) responses. We have demonstrated that protection against acute infection and disease after corneal challenge is long-lived (30) and is dependent on both
HSV-immune antibodies and T cells (31).
Evidence of safety and immunogenicity in potential vaccine strains must
be carefully extrapolated from mice to humans. UL41NHB is profoundly
attenuated in mice, showing decreased capacity to replicate when
inoculated intracranially or onto the scarified cornea. UL41NHB also
establishes latency with reduced frequency and reactivates poorly upon
explant of infected trigeminal ganglia (42). Despite these
properties, UL41NHB theoretically retains the potential to cause
disease in vaccinated humans because it is replication competent.
d301, in contrast, is avirulent even in immunocompromised
mice (L. A. Morrison and D. Knipe, unpublished observation). In
addition, there is no amplification of viral DNA in the vaccinated host
or latent infection in the nervous system (8). The adequacy
of the immune response to a replication-incompetent virus remains a
concern, however, because production of immunogenic viral proteins is
limited to cells initially infected by the vaccine virions. We
hypothesized that a vaccine strain defective in both vhs and ICP8
functions would be as immunogenic as vhs
virus, with
improved immunogenicity and protective capacity over an
ICP8
virus. A vhs
/ICP8
double
mutant HSV-1 strain therefore was constructed and compared, using a
mouse model of corneal infection with HSV-1, to vhs
,
replication-incompetent and ICP8
, replication-competent
viruses for immunogenicity and protection against disease and latent
and fatal infection.
 |
MATERIALS AND METHODS |
Cells and viruses.
Vero and S2 cells were cultured as
previously described (15). S2 cells stably express the ICP8
(single-stranded DNA-binding protein; product of UL29) of HSV-1
(15). Replication-incompetent ICP8
mutants
d301 (15) and HD-2 (lacZ+
[15]), derived from KOS1.1 (21), were
propagated on this cell line. Replication-competent vhs
mutants UL41NHB (42) and BGS41
(lacZ+) (42), derived from KOS, and
wild-type HSV-1 strains KOS, KOS1.1, and microplaque (mP)
(19) were propagated on Vero cells. Cell lysate stocks of
all viruses were prepared by infection of S2 or Vero monolayers as
previously described (30) and were used for in vitro assays.
Partially purified, cell-free virus stocks were prepared as previously
described (30) and were used for immunization studies.
Uninfected control lysates and supernatants were prepared in the same
manner as infected stocks. Titers of virus stocks were determined by
standard plaque assay (22).
Generation of
41
29.
vhs/ICP8-deficient virus was
constructed by insertional inactivation of the UL29 gene in the vhs
mutant virus UL41NHB. Briefly, 1 µg of pICP8-LacZ plasmid DNA,
containing the UL29 open reading frame (ORF) disrupted by a human
cytomegalovirus (HCMV) IE:
-galactosidase (
-Gal cassette
(7), and 1 µg of infectious UL41NHB DNA were cotransfected
into S2 cells using Lipofectamine (Gibco BRL). Cultures were collected
when they reached 100% cytopathic effect (CPE), then frozen, thawed,
sonicated, and serially diluted onto S2 cell monolayers. Blue plaques
were picked 72 h after the addition of agarose overlay
supplemented with X-Gal (160 µg/ml). Isolates were plaque purified
three times and analyzed for replication deficiency by comparing plaque
formation on the complementing S2 cell line and noncomplementing Vero cells.
Southern blot analysis.
To confirm disruption of UL29 and
UL41, 1 µg of viral DNA from each plaque isolate was digested with
HpaI or EcoRV (New England Biolabs),
electrophoresed on a 1% agarose gel, and transferred to nitrocellulose
membranes for Southern hybridization. A 2-kb PstI/EcoRI fragment from pUL41 (42)
was used to probe for the presence of an HpaI restriction
site in the UL41 locus. A 2-kb NotI fragment of p8BS
(15) was used to probe for the presence of a lacZ
insertion in the UL29 locus. Southern blotting was performed as
described elsewhere (38, 40), using the Alk Phos Direct Southern hybridization kit (Amersham Life Science), according to the
manufacturer's directions. Images were obtained using a Storm
PhosphorImager (Molecular Dynamics).
Northern blot analysis and mRNA degradation assay.
Total
cytoplasmic RNA was prepared from monolayer cultures of infected or
mock-infected Vero cells as described previously (42).
Monolayer cultures of 5 × 105 to 5 × 106 cells were mock infected or infected at a multiplicity
of infection (MOI) of 20 with KOS, KOS1.1, HD-2,
41
29, or BGS41
in the presence of actinomycin D (10 µg/ml). Mock-infected plates
received Vero cell lysate only. Cytoplasmic RNAs were harvested at
8 h postinfection and analyzed for mRNA degradation by Northern
blot analysis probing for glyceraldehyde-3-phosphate dehydrogenase
(GAPDH) (14, 42). Filters were first probed for GAPDH,
stripped, and then reprobed for the 28S ribosomal subunit as a loading
control. Phosphorimages were scanned on a Storm 860 PhosphorImager
(Molecular Dynamics) and quantified. The level of GAPDH for
mock-infected cells was set at 100% and compared with the
28S-normalized GAPDH values of virus-infected cells.
Multistep growth assay.
S2 cell monolayers in 12-well plates
were infected with KOS, KOS1.1, BGS41, HD-2, or
41
29 virus at
approximately 100 PFU/well and were incubated at 37°C for 0 to
36 h. At each time point, monolayers were scraped, collected, and
frozen at
80°C. Titers were determined by standard plaque assay.
Animals and inoculations.
Female BALB/c mice (6 weeks of
age), purchased from the National Cancer Institute, were housed in
accordance with Public Health Service (1) and institutional
guidelines and were rested for 1 week before use. Mice were immunized
subcutaneously (s.c.) in each rear flank with 20 µl of partially
purified virus suspended in low-endotoxin normal saline. Twenty-four
days after immunization, mice were anesthetized with pentobarbital
sodium (Nembutal) and challenged with HSV-1 mP in a 5-µl volume after
bilateral scarification of the corneas (5). Doses of
immunizing and challenge viruses are indicated in the text.
ELISA.
Blood was collected from the tail veins of immunized
mice 5 days prior to challenge. HSV-1-specific immunoglobulin G (IgG) titers in sera were determined by enzyme-linked immunosorbent assay
(ELISA) as described previously (28). Briefly, Immulon-2 96-well microtiter plates (Dynex Technologies) were incubated with
lectin-purified HSV-1 KOS glycoprotein (37) for 48 h at 4°C and blocked with phosphate-buffered saline (PBS) containing 5%
goat serum (GIBCO) for 2 h at 20°C. Serial twofold dilutions of
sera in PBS plus 0.1% Tween 20 were added in duplicate to plates and
were incubated for 2 h at 20°C. Wells were washed and incubated for 2 h with biotinylated goat anti-mouse IgG (Caltag), followed by 30-min incubation with streptavidin-HRP (Zymed). Wells were developed by the addition of 0.4 mg of o-phenylenediamine
(OPD; Sigma)/ml plus 0.05% hydrogen peroxide and read at 490 and 630 nm with an EL340 microplate reader (BIOTEK). HSV-specific serum IgG
concentrations were calculated based on comparison to a standard curve
generated from serum for which the HSV-specific IgG concentration is
known. HSV-specific IgG concentration in the standard serum had been
previously determined by comparison to dilutions of purified IgG
captured on an anti-kappa-coated plate (28). Geometric mean titers plus or minus the standard error of the mean (SEM) were calculated for each immunizing dose.
Acute replication.
Acute replication of mP in the cornea was
assayed on days 0 through 4 postchallenge as previously described
(30).
Clinical disease.
Blepharitis and weight change were
monitored as clinical signs of HSV-induced disease. Blepharitis was
scored in a masked manner to avoid bias. Disease was estimated on a
scale of 0 to 4: 0, no apparent disease; 1, slight swelling and
erythema of the eyelid; 2, moderate swelling and crusty exudate; 3, periocular lesions, severe swelling, and depilation; and 4, severe
lesions, swelling, and depilation. Weight change was assessed daily
from days 0 through 8. The mean weight change plus or minus the
standard error of the mean compared with initial body weight was
calculated daily for each group.
Latent and lethal infections.
Thirty days after challenge,
surviving mice were sacrificed, and trigeminal ganglia were explanted
to Vero cell monolayers as previously described (31).
Reactivation was scored by the presence of CPE at 10 days postexplant.
Monolayers showing no CPE after 10 days were scraped and homogenized
using a minibead beater (BioSpec Products). Homogenized samples were
incubated with fresh Vero monolayers and observed for 3 days for CPE.
The proportion of mice in each group surviving challenge infection was
recorded at 30 days postchallenge.
Statistics.
The difference in means for antibody titers and
weight loss on individual days was determined by the Student
t test (BGS41 or
41
29 versus HD-2). The severity of
blepharitis was compared between groups using the nonparametric
Kruskal-Wallis test; the parametric general linear models test yielded
similar results. Differences in keratitis incidence, reactivation
frequencies, and survival were compared by chi-square analysis of 2 by
2 contingency tables.
 |
RESULTS |
Construction and in vitro characterization of a
vhs
/ICP8
HSV-1 mutant.
To test the
hypothesis that ablation of the UL41 gene (vhs) in a
replication-incompetent HSV-1 strain would enhance the immune response
to vaccination, a virus was constructed that contained disrupted UL41
and UL29 genes. Infectious DNA from the replication-competent, vhs
strain, UL41NHB, was cotransfected with a plasmid,
p8BS, containing a portion of the UL29 gene in which a 2-kb
NotI fragment was replaced with a cytomegalovirus IE1
promoter:
-galactosidase cassette. This insertion disrupts the open
reading frame of the essential UL29 gene, as previously reported
(15). Recombinant plaques that developed on an
ICP8-complementing cell line were screened by blue-white selection in
the presence of X-Gal. Isolates that exhibited blue staining and
replication incompetence were subjected to Southern blot analysis to
verify disruption of UL29 and UL41. A probe spanning a portion of the
UL41 locus confirmed the presence of a stop codon containing a unique
HpaI restriction site (42; data not
shown). EcoRV digestion of the wild-type genome yields a
14.8-kb fragment that encompasses the UL29 locus. Insertion of
lacZ into the UL29 locus would increase its size by 3.1 kb but would also introduce an additional EcoRV site in the
middle of lacZ. Thus, a probe spanning the lacZ
insertion point in the UL29 locus would yield 2 bands of 4.6 and 13.3 kb and confirm disruption of UL29. One isolate that exhibited the
appropriate banding pattern by Southern analysis (Fig.
1) was designated
41
29.

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FIG. 1.
Southern blot analysis of recombinant virus genomes.
Viral DNAs were digested with EcoRV, electrophoresed, and
transferred to nitrocellulose membranes. The blot was probed with a
2-kb fragment of UL29 that was expected to hybridize to 4.6- and
13.3-kb fragments in a mutant virus and a single 14.8-kb fragment in
wild-type virus. Lanes are as indicated.
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|
Multistep growth assays were performed in ICP8-complementing S2 cells
to compare in vitro replication of

41

29 with wild-type
and
single-mutant viruses. Titers of vhs

/ICP8

41

29 were not significantly different from those of wild-type
KOS1.1, ICP8-defective HD-2, or vhs-defective BGS41 over several
rounds
of replication in culture (Fig.
2),
although slightly higher
titers of wild-type virus were consistently
observed after 36
h of culture. Growth kinetics of

41

29 were
also similar to those
of wild-type KOS and to UL41NHB and
d301, the HSV-1 strains used
in the original immunization
studies with single-mutant viruses
(
29,
47; data not
shown). Single-step growth assays revealed
identical kinetics among
wild-type, single-mutant, and double-mutant
viruses over a 24-h period
(data not shown). To verify ablation
of vhs activity in

41

29,
Northern blot analysis of GAPDH mRNA
levels in cells infected with
wild-type, ICP8

, vhs

, or
vhs

/ICP8

virus was performed. Vero cells
were infected with virus at an
MOI of 20 in the presence of actinomycin
D, and at 8 h postinfection,
total RNA was extracted and
electrophoresed. Wild-type KOS- and
KOS1.1-infected cells showed
decreased levels of GAPDH message
compared to mock-infected cells (Fig.
3). Cells infected with
replication-incompetent HD-2 virus also showed a decrease in GAPDH
message, indicating that ICP8

virus has wild-type vhs
activity. Cells infected with BGS41 or

41

29 exhibited no decrease
in GAPDH message compared to the
mock-infected control, indicating that
vhs function is compromised
in these viruses. The vhs deletion, rather
than the effect of
actinomycin D, is responsible for the observed
decrease in vhs
activity because a similar decrease in activity was
detected in
S2 cell cultures infected with

41

29 in the absence of
the drug
(data not shown).

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FIG. 2.
Multistep growth curve in cultured cells. Replicate
monolayers of S2 cells were infected with approximately 100 PFU of
HSV-1 strain KOS, KOS1.1, HD-2, BGS41, or 41 29 and incubated for
the indicated periods of time. Monolayers were then collected, and
viral titers were determined by standard plaque assay. Two independent
experiments gave similar results.
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FIG. 3.
RNA degradation assay by Northern blot analysis. Graph
shows the percent of GAPDH RNA remaining from 28S-normalized KOS-,
KOS1.1-, HD-2-, BGS41-, and 41 29-infected Vero cells at 8 h
postinfection, relative to mock-infected cells in the presence of
actinomycin D. Two independent experiments gave similar results.
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|
Immunization studies.
To compare protective efficacy of a
vhs-defective, replication-incompetent HSV-1 with that of either
vhs-defective or replication-incompetent single mutants, a
dose-response experiment was performed. To control for expression of
-Gal by
41
29, the lacZ+ viruses HD-2
and BGS41 were used in this in vivo comparison. Groups of six BALB/c
mice were immunized s.c. with control supernatant or with 4 × 105 PFU, 1 × 105 PFU, or 2.5 × 104 PFU of either HD-2, BGS41, or
41
29 viruses.
Twenty-four days after immunization, mice underwent bilateral corneal
challenge with 8 × 105 PFU of virulent HSV-1 mP.
Seven parameters were monitored in this experiment: prechallenge IgG
titers, acute replication of challenge virus at the site of infection,
weight change, blepharitis, keratitis, survival, and reactivation of
virus from trigeminal ganglia of mice that survived infection.
Altogether, four experiments were performed that yielded remarkably
consistent results.
Prechallenge serum IgG.
It has been previously shown that
immunization with either ICP8
or vhs
mutant
viruses can elicit a humoral immune response (29, 47). As
one measure of immune induction, we determined whether inactivation of
vhs in a replication-incompetent virus alters serum antibody titer.
Sera were collected 19 days after immunization, and HSV-specific IgG
titers in individual serum samples were analyzed by ELISA. When
immunized with the 4 × 105 PFU dose of virus, all
mice showed similar high levels of HSV-specific IgG (Fig.
4). Groups immunized with the
105-PFU dose of BGS41 and
41
29 exhibited almost 1 log10 (six- to eightfold) higher than those immunized IgG
titer with HD-2 (P
0.002). At the 2.5 × 104 PFU dose, titers of mice immunized with BGS41 or
41
29 again were similar, and they exceeded the titers observed
with HD-2, although, due to variability within the HD-2 titers, this
difference was not statistically significant. Overall, the titer
induced by HD-2 immunization dropped more rapidly with decreasing dose.

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FIG. 4.
Prechallenge HSV-1-specific serum IgG titers. Serum was
collected from each of the mice immunized with 4 × 105 PFU (filled bars), 1 × 105 PFU
(striped bars), or 2.5 × 104 PFU (open bars) of the
indicated viruses and analyzed for HSV-specific IgG by ELISA.
C.S., control supernatant. Geometric mean titers ± SEM are from
groups of six mice and are shown for one representative experiment of
three performed. The difference in means was tested for significance by
the Student t test (BGS41 or 41 29 versus HD-2).
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Acute replication.
Mice were challenged by application of
virulent HSV-1 mP to the scarified corneas, and acute replication of
challenge virus was analyzed from days 0 through 4 postchallenge.
Immunization with any of the viruses prior to challenge significantly
reduced acute replication in the eye compared to control vaccination, and the magnitude of the protection was dose dependent (Fig.
5). In this and subsequent experiments,
however, there was no significant difference between the immunizing
viruses in their capacities to reduce acute replication.

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FIG. 5.
Acute replication of challenge virus in the corneal
epithelium. Mouse eyes were swabbed at the indicated times after
corneal challenge with 8 × 105 PFU of HSV-1 strain
mP. Immunizing doses of (A) 4 × 105 PFU, (B) 1 × 105 PFU, and (C) 2.5 × 104 PFU are
shown. Virus content in the tear film was assessed by standard plaque
assay. Values represent the geometric mean titer ± SEM from
groups of six mice and are from the same experiment as that shown in
Fig. 4.
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Body weight change.
During the progression of HSV-1 infection,
mice lose weight in a manner consistent with the severity of disease.
Thus, weight change can be used as a sensitive indicator of overall
health. Over the first 8 days postchallenge, mice immunized with
control supernatant quickly lost weight (Fig.
6). For each immunizing virus, weight
loss postchallenge was inversely proportional to the immunizing dose.
At the 4 × 105-PFU immunizing dose, all three viruses
inhibited weight loss to a similar degree (Fig. 6A). At the
105 PFU dose, HD-2-immunized mice consistently lost an
average of 1 g more than BGS41- or
41
29-immunized mice (Fig.
6B). The difference between HD-2 and
41
29 and BGS41 was
statistically significant from day 3 and beyond (P = 0.01 to 0.05). At later times during infection, HD-2-immunized
mice regained weight, but they did not recover to prechallenge weight.
Mice immunized with 2.5 × 104 PFU showed an even
greater disparity between the BGS41- and
41
29-immunized groups
and the HD-2-immunized group (Fig. 6C). BGS41- and
41
29-immunized groups consistently exhibited similar
weight losses, which were more moderate than that seen with the
HD-2 group. By day 8, BGS41- and
41
29-immunized mice had, in
fact, begun to regain weight. The greater weight loss in HD-2-immunized
mice was statistically significant beginning at 5 days postchallenge
(P
0.01).

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FIG. 6.
Change in body weight postchallenge. Baseline weights of
mice (~20 g) were obtained prior to corneal challenge with 8 × 105 PFU of HSV-1, and mice were weighed each day following
challenge through day 8. Immunizing doses of (A) 4 × 105 PFU, (B) 1 × 105 PFU, and (C)
2.5 × 104 PFU are shown. Values represent the mean
weight change per group of six mice and are from the same experiment as
that shown in Fig. 4.
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Blepharitis.
Disease of the eyelid resulting from virulent
HSV-1 infection was scored in a masked fashion from days 0 to 8 postinfection. Only occasional mild blepharitis was observed in groups
immunized with 4 × 105 PFU of any of the viruses,
compared to those given control immunizations (Fig.
7A), and
41
29-immunized mice
differed from HD-2-immunized mice only at 3 days postchallenge
(P < 0.013). Greater differences were observed,
however, when lower doses of immunizing virus were used. At
105 PFU, mice immunized with HD-2 exhibited significantly
more severe blepharitis from days 3 to 6, compared to those given BGS41
and
41
29 (P < 0.001 to 0.015), which subsided
after day 6 (Fig. 7B). Differential protection from blepharitis was
most pronounced at the 2.5 × 104 PFU dose, where
BGS41- and
41
29-immunized mice showed minimal disease, but
HD-2-immunized mice had significantly elevated scores from days 4 through 8 (P < 0.002 to 0.013) (Fig. 7C).

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FIG. 7.
Severity of blepharitis postchallenge. Blepharitis was
scored daily postchallenge in masked fashion. Immunizing doses of (A)
4 × 105 PFU, (B) 1 × 105 PFU, and
(C) 2.5 × 104 PFU are shown. Values represent the
mean score ± SEM for six mice per group and are from the same
experiment as that shown in Fig. 4 and 5.
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Experimental groups in which mortality was significant could not be
used for assessment of keratitis and reactivation frequencies.
Thus,
several experiments were performed using immunizing doses
of 1 × 10
5 PFU to address keratitis and latent infection and
2 × 10
4 PFU to assess survival. Data from three such
experiments were
pooled for these
analyses.
Keratitis and latent infection.
Keratitis was scored in masked
fashion at 9 days postchallenge. A higher frequency of severe
keratitis, defined as scores of 3+ or 4+, was consistently observed in
HD-2-immunized mice compared to mice immunized with
41
29 or BGS41
(Table 1). The incidence of severe
keratitis among mice immunized with
41
29 was not statistically
different from that of mice immunized with BGS41.
Latent infection of the trigeminal ganglia was assessed by explant
cocultivation assay in groups in which all or nearly all
mice survived
the challenge infection. Results pooled from two
experiments showed
that mice immunized with BGS41 and

41

29 had
a lower frequency of
reactivation than did those immunized with
HD-2 (Table
1). In a third
experiment using a lower challenge
dose, reactivation from ganglia of

41

29- and HD-2-immunized
mice was again significantly different
(
P < 0.026), but in this
case reactivation frequency
of BGS41-immunized mice was intermediate
(data not
shown).
Lethal infection.
Table 2 shows
mortality results pooled from three separate experiments in which
lethal infection was observed. Significantly fewer mice succumbed to
infection in groups immunized with BGS41 or
41
29 than in those
immunized with HD-2. Thus, the trend toward a reduction in lethality
and in reactivatable virus in the trigeminal ganglia is consistent with
the overall picture of stronger immune protection afforded by
immunization with
41
29.
 |
DISCUSSION |
Previous work with vhs-deficient (47) and
replication-incompetent (29, 30) viruses and viruses that
undergo a single round of replication in the host (11) had
suggested the utility of live attenuated viruses as an effective
approach to prophylactic vaccination against HSV. Postexposure
vaccination of mice with vhs
virus has also been shown to
have therapeutic benefit (46). Because vhs is a virion
component and is expressed as a
1 gene product, it would be present
upon infection and would also be synthesized de novo in cells infected
with ICP8-deficient vaccine viruses. This knowledge led us to
hypothesize that a vhs
/ICP8
double-mutant
virus might retain the distinct advantages of both the
vhs
and ICP8
single-mutant strains:
increased immunogenicity and safety, respectively. We have shown that
an HSV-1 strain lacking both vhs and ICP8 functions,
41
29, has
immunogenicity and protective capacity similar to that of a
replication-competent, vhs
single-mutant virus. In
addition,
41
29 promotes better protection from local and systemic
signs of disease and from latent and lethal infection than an
equivalent dose of the replication-incompetent ICP8
virus.
It is interesting that less blepharitis occurred after challenge of
mice immunized with BGS41 or
41
29 compared with HD-2. The
observations that nude mice develop more severe blepharitis than normal
mice (2) and that depletion of both CD4+ and
CD8+ T cells before challenge enhances development of
periocular skin lesions (16) suggest that T cells are
important in clearance of virus from periocular skin and in limiting
disease. Such a role for T cells in clearance from dermal lesions has
been reported (32-34, 51). It follows then that mice in
which a stronger or more competent immune response has been induced
would be able to more effectively prevent development of blepharitis
(41). It is interesting that a corresponding decrease in
virus shed into tear film was not observed in our experiments, although
the titers of virus in the periocular skin were not determined. In contrast to blepharitis, keratitis is mediated by an immunopathologic infiltration of the cornea in primary immune responses to virus infection (35) or to a neoantigen revealed by virus
infection (53). This raises two possibilities: that some
types of immune responses may be protective, while others are
pathogenic, and that a more protective type of response is induced by
vhs
viruses. Alternatively, HD-2 may not sufficiently
prime mice to mount a secondary, protective immune response in the eye
and eyelid. The slower kinetics of blepharitis development in HD-2- and
control supernatant-immunized mice supports this possibility.
Differences in protection from latent infection, as assessed by
frequency of reactivation of ganglia explanted from mice at 4 weeks
postchallenge, were observed in experimental groups in which immunizing
doses were
105 but not among survivors that had been
immunized with lower doses of virus. Protection from latent infection
may be the most difficult demand placed on a prophylactic vaccine
(30) because virus enters the nervous system quickly and
latency can be established in mouse trigeminal ganglia in the absence
of replication or clinical signs of disease (20, 23). It is
possible that the capacity of the double-mutant virus to protect mice
against latent infection as compared with that of the
ICP8
single mutant would be differentially enhanced if
greater immunizing doses or lower challenge doses were given. We
currently are examining this possibility.
-Gal is expressed in different locations and under control of
different promoters in the viruses used in this study.
-Gal is known
to be immunogenic when encoded by the virus (4), and thus it
could have influenced the strength of the immune response to HSV in a
bystander fashion if expressed at different levels in cells infected by
the three mutant viruses.
-Gal-specific antibody responses in serum
from mice immunized with the double- or single-mutant viruses were
uniformly low (data not shown), suggesting therefore that
virus-expressed
-Gal had little impact on virus-specific immune responses.
With the exception of the vhs protein,
41
29 has the genetic
potential to express the same spectrum of immunogenic proteins as
ICP8-deficient HD-2. The equivalent immunogenicity of
41
29 and
BGS41 must be a function of increased viral-protein production due to
loss of vhs activity, and/or it is a function of decreased interference
with host antigen presentation functions such as major
histocompatibility complex (MHC) class I molecule synthesis and cell
surface expression. Viruses in which the vhs gene is deleted or
inactivated show prolonged viral message stability, resulting in an
accumulation of mRNAs of all three kinetic classes (24, 36, 39,
43) and a corresponding increase in the amount of IE, E, and L
viral proteins (24, 39). We found clear evidence for a lack
of vhs activity in the
41
29 double mutant, in contrast to
ICP8
mutants, by Northern blot analysis of cellular GAPDH
message. Thus, an increase in stability of both cellular and viral
mRNAs could be expected in cells infected with
41
29 rather than
ICP8
virus. We have not, however, obtained clear-cut
evidence of increased viral protein expression, and analyses of
specific viral proteins from different kinetic classes are in progress
to clarify this issue.
vhs of HSV-1 and HSV-2 has been shown to down-regulate synthesis of MHC
class I heavy chain molecules in human fibroblasts (18, 44),
resulting in decreased recognition and lysis of the infected cells by
MHC class I-restricted cytotoxic T lymphocytes (44). We have
extended these findings by demonstrating that HSV-1-infected mouse
fibroblasts exhibit lower cell surface expression of class I molecules
than cells infected with an HSV-1 strain lacking vhs (L. Thebeau and L. A. Morrison, unpublished observations). Notably, vhs-mediated loss of
class I molecules from the cell surface is independent of ICP47, which
has been shown to interfere transporter associated with antigen
processing (TAP) function in human cells (17) but not mouse
cells (45). Thus, maintenance of cell surface MHC class I
expression by vhs
/ICP8
virus may contribute
to its increased immunogenicity when compared to
replication-incompetent virus with wild-type vhs activity. Because the
vhs activity of HSV-2 is stronger than that of HSV-1 (10,
12), it will be interesting to assess the immunogenicity of an
HSV-2 vhs
/ICP8
mutant compared with an
ICP8
HSV-2 strain.
Whether maintenance of MHC class I expression results in enhanced
HSV-specific cytotoxic T-lymphocyte activity in mice immunized with
41
29 is not yet known. We have, however, demonstrated that antibody responses are increased in mice immunized with
41
29 as
compared to HD-2. By inference, this suggests that helper T-cell responses may be enhanced in mice immunized with vhs-deficient viruses.
The higher antibody titer correlates with better protective efficacy,
but it may be responsible for only certain aspects of the enhanced
protection. We have previously shown that serum antibody affects
development of encephalitis but does not alter acute replication in the
cornea when passively transferred at physiologic levels prior to
challenge (31). Regardless of the mechanism by which the
immunogenicity of replication-incompetent
41
29 is enhanced to
levels near that of replication-competent, vhs
virus, our
data argue that the inactivation of vhs is an important feature for the
future engineering of a safe and efficacious vaccine strain.
 |
ACKNOWLEDGMENTS |
We thank Li Zhu and John Patton for technical assistance and Mae
Gordon and Julia Beiser for expert statistical analyses. Helpful
discussions with Sam Speck, Skip Virgin, Peggy MacDonald, and members
of their laboratories are gratefully acknowledged.
This work was supported by GA97011 from the Fight for Sight Foundation
and Public Health Service awards CA75052 to L.A.M., EY10707 to D.A.L.,
and P30-EY02689 to the Department of Ophthalmology and Visual Sciences,
Washington University School of Medicine. D.A.L. is also supported by a
Robert E. McCormick scholarship from Research to Prevent Blindness.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Molecular Microbiology and Immunology, Saint Louis University School of
Medicine, 1402 S. Grand Blvd., St. Louis, MO 63104. Phone: (314)
577-8321. Fax: (314) 773-3403. E-mail: morrisla{at}slu.edu.
 |
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