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Journal of Virology, April 2001, p. 3885-3895, Vol. 75, No. 8
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.75.8.3885-3895.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Herpes Simplex Virus Type 1 Promoter Activity
during Latency Establishment, Maintenance, and Reactivation in
Primary Dorsal Root Neurons In Vitro
Jane L.
Arthur,1,*
Cinzia G.
Scarpini,1
Vivienne
Connor,1
Robin H.
Lachmann,2
Aviva M.
Tolkovsky,3 and
Stacey
Efstathiou1
Division of Virology, Department of
Pathology,1 Department of
Medicine,2 and Department of
Biochemistry,3 University of Cambridge,
Cambridge, United Kingdom
Received 18 September 2000/Accepted 17 January 2001
 |
ABSTRACT |
A neonatal rat dorsal root ganglion-derived neuronal culture system
has been utilized to study herpes simplex virus (HSV) latency
establishment, maintenance, and reactivation. We present our initial
characterization of viral gene expression in neurons following
infection with replication-defective HSV recombinants carrying
-galactosidase and/or green fluorescent protein reporter genes under
the control of lytic cycle- or latency-associated promoters. In this
system lytic virus reporter promoter activity was detected in up to
58% of neurons 24 h after infection. Lytic cycle reporter
promoters were shut down over time, and long-term survival of neurons
harboring latent virus genomes was demonstrated. Latency-associated
promoter-driven reporter gene expression was detected in neurons from
early times postinfection and was stably maintained in up to 83% of
neurons for at least 3 weeks. In latently infected cultures, silent
lytic cycle promoters could be activated in up to 53% of neurons by
nerve growth factor withdrawal or through inhibition of histone
deacetylases by trichostatin A. We conclude that the use of recombinant
viruses containing reporter genes, under the regulation of lytic and
latency promoter control in neuronal cultures in which latency can be
established and reactivation can be induced, is a potentially powerful
system in which to study the molecular events that occur during HSV
infection of neurons.
 |
INTRODUCTION |
A defining characteristic of
herpesviruses is the ability to establish latent infections in their
natural hosts. Herpes simplex virus (HSV) establishes latent infection
in neurons of the peripheral nervous system, predominantly in sensory
ganglia innervating the site of primary infection (25, 53,
58). Latent virus has the capacity to reactivate, which can give
rise to a peripheral lesion in the dermatome relating to the affected
ganglia (reviewed in reference 63). During latency the
virus genome exists in a form lacking detectable free ends, consistent
with the presence of episomal or concatemeric DNA (16, 31,
38). The latency-associated transcripts (LATs) are transcribed
from a region within the repeats, mapping antisense to the IE110 gene,
giving rise to a family of colinear RNAs (54; reviewed in
reference 58). The LAT region is the only region of the
genome that is abundantly transcribed during latency, giving rise to
RNAs which are predominantly nuclear and consist of two highly
abundant, nonpolyadenylated RNAs of 2 and 1.5 kb, termed major LATs.
The precise mechanism of synthesis of major LATs is unclear
(3), although there is compelling evidence that these
transcripts are introns derived from a less abundant 8.5-kb
polyadenylated precursor RNA termed a minor LAT (1, 3, 17, 32,
39, 65, 67). The function of the LATs is uncertain;
investigations using mouse models have shown that LATs are not
essential for the establishment or maintenance of a latent infection or
for reactivation (5, 23, 52). There is evidence, however,
indicating that LATs can increase the number of neurons in which
latency is established. Furthermore, LAT null mutants exhibit a reduced
reactivation phenotype in vivo (35, 45, 57), and a 0.38-kb
region located downstream of the promoter has been demonstrated to play
a significant role in enhancing reactivation (7, 21, 34).
The molecular mechanisms by which HSV establishes and maintains latency
and subsequently reactivates are not fully resolved (reviewed in
reference 36). A popular hypothesis is that latency is
established via a "default" mechanism as a result of failure of the
virus to enter the productive cycle. This proposal is consistent with
observations that virus mutants which are defective or severely impaired in the ability to initiate a normal lytic cycle of gene expression can establish latency (10, 13, 27, 29).
Furthermore, wild-type viruses can establish latency in sensory ganglia
that do not innervate the site of peripheral infection and which show no prior evidence of immediate-early (IE) gene expression (26, 50). Consistent with this view, it was demonstrated that the numbers of LAT+ neurons remained constant in the
transition from acute to latent infection and that only a minor
proportion of these neurons contained virus antigen (Ag) when examined
during acute infection (28, 45). A corollary of the
"default" hypothesis is that the expression of productive cycle
genes and the establishment of latency are mutually exclusive pathways.
However, a number of independent calculations imply that latently
infected neurons carry multiple copies of the viral genome (16,
42, 44, 46); hence, it has been proposed that latency may be
established after an abortive acute infection involving limited
replication of the viral genome (46, 50). The biological
significance of the "high-copy" latently infected neurons has been
demonstrated in two recent reactivation studies. Sawtell
(43) showed a direct correlation between latency copy
number and reactivation propensity. Studies in our laboratory indicate
that reactivation occurs at a higher frequency and with enhanced
kinetics in cervical ganglia from levels where there is evidence for
virus gene expression prior to the establishment of latency, as opposed
to neighboring ganglia where latency is established in the absence of
detectable gene expression (26).
Although animal models have proved invaluable in the study of HSV
pathogenesis, they are proving less amenable for investigations into
the regulatory mechanisms that function during the establishment of and
reactivation from latency. The problems are predominantly due to the
relatively small proportion of cells within ganglia in which latency is
established, the real and perceived asynchronicity of these molecular
events in vivo, and the difficulty of addressing latency-dedicated
functions of viral gene products that have a role in acute phase
replication. To overcome such difficulties, several labs have developed
in vitro models of latency using fibroblasts, neuroblastomas, or
primary cultures of sensory neurons which, in general, rely on
establishing latency through limiting virus replication and spread
through the use of antiviral agents or replication-defective virus
mutants (6, 18, 19, 60). Such in vitro model systems have
several advantages for the study of latency establishment and
reactivation. The cells are coordinately and directly infected,
negating the need for full replication competency, and high levels of
latency may be established. Further, reactivation is inducible in a
controlled and uniform manner. Consistent with latency in vivo, no
lytic cycle Ags are detectable, and in models utilizing primary
neurons, transcription of LATs occurs (14, 18, 20, 48,
56). The best-characterized neuronal model system is that of
Wilcox and coworkers (60-62), in which primary cultures
of embryonic or neonatal rat sensory neurons are infected with
wild-type virus in the presence of acyclovir (ACV). After several days,
the cultures are free of infectious virus and LATs are detected in a
large proportion of cells (14, 48). In this and other
neuron-based models, latency is dependent on the presence of nerve
growth factor (NGF) and latent virus can be reactivated by NGF
withdrawal, heat shock, or addition of activators of protein kinases
(6, 18, 59, 60). The viral genomes harbored in nonneuronal
systems are more resistant to reactivation stimuli, and reactivation of
gene expression can be induced only by the provision of IE110
(20). It is not yet clear whether this reflects
fundamental differences between the neuronal and nonneuronal models
with regard to the mechanisms of latency establishment and reactivation
employed (reviewed in reference 36).
In this paper we describe the development of a neonatal rat dorsal root
ganglion (drg)-derived neuronal culture system for the study of latency
establishment, maintenance, and reactivation. We present our initial
characterization of virus gene expression in neurons following
infection with replication-defective virus recombinants carrying
reporter genes under the control of lytic cycle- or latency-associated
promoters (LAPs). In this system we are able to show viral lytic cycle
gene expression and reporter promoter activation in a large proportion
of neurons within 24 h of infection, the shutdown of lytic cycle
reporter promoters over time, and the long-term survival of neurons
harboring latent viral genomes. LAP-driven reporter gene expression can
be detected in neurons at early times postinfection (p.i.) and is
stably maintained for the life of the culture. Further, activation of
the silent lytic cycle reporter promoters was attained in a significant
proportion of neurons by NGF withdrawal or histone deactylase
inhibition with trichostatin A (TSA). We conclude that the use of
recombinant viruses containing reporter genes under lytic and latent
promoter control in conjunction with neuronal cultures in which latency can be established and reactivation can be induced is a
potentially powerful system in which to study the molecular events that
occur during HSV infection of neurons.
 |
MATERIALS AND METHODS |
Cells and virus stocks.
All cell lines were grown in Glasgow
modified Eagle medium supplemented with 10% fetal bovine serum.
Glycoprotein H-negative (gH
) recombinant
viruses were grown and assayed on CR1 helper cells (8),
and all other viruses were propagated and assayed on Vero cells.
Cell-released virus stocks for infection of neuronal cultures were
prepared from infected tissue culture supernatants purified on a
continuous 5 to 25% Ficoll gradient (28,000 × g,
1.5 h) and were resuspended in endotoxin-free phosphate-buffered
saline (PBS).
Plasmids.
Plasmid pIMMB34 (8) contains HSV type
1 (HSV-1) nucleotides 41546 to 47856, from which nucleotides 43771 to
47103 are deleted to remove the first 427 bp of UL23 (thymidine kinase
[TK]) and all of UL22 (gH). Plasmid pIMMB36 was generated by
insertion of a human cytomegalovirus (CMV) IE promoter 1 (CMV IE1)
lacZ expression cassette from MV10 (64)
into the HpaI site between the gH and TK flanking sequences.
Plasmid pIE110LacZ has been described previously (26) and
contains the lacZ gene and simian virus 40 polyadenylation signal from pNASS
(Clontech Laboratories) under the control of the
IE110 promoter. The IE110 promoter was derived from KOS
(nucleotides 1294 to 2262) and extends from position
818 to position
+150 with respect to the transcription start site (33).
The plasmid pIMMb34lac1 was made by blunt-end cloning of the
HindIII/SalI cassette from pIE110LacZ into
HpaI-cut pIMMb34.
Construction of recombinant viruses.
All virus mutants were
constructed on an HSV-1 strain SC16 background. Unless stated
otherwise, all recombinant viruses were generated by cotransfection
into CR1 cells of 10 µg of parent-virus-infected-cell DNA with 3 to 6 µg of linearized plasmid DNA by a
CaCl2-dimethyl sulfoxide boost method
(55). gH
TK
recombinant transfection progeny were isolated by two passages at low
multiplicity (0.001 PFU/cell) in 5 µg of ACV/ml and were plaque
purified two or three times, and the phenotype of the isolated viruses
was checked biologically for resistance to ACV, lack of growth in a
noncomplementing cell line (Vero), and, where appropriate, by staining
for
-galactosidase (
-gal) activity.
Virus SC16L
A (described previously in reference 25)
contains the lacZ gene linked to the encephalomyocarditis
virus (EMCV) internal ribosome entry site (IRES) inserted approximately
1.5 kb downstream of the LAP.
Recombinant virus CS1 (Fig. 1) was
generated by coinfection of CR1 cells with 5 PFU of viruses SC16L
A
and SC16gH
TK
per cell
(8).

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FIG. 1.
Schematic of gH TK
recombinant viruses. All viruses were made
gH TK through the deletion of nucleotides
43771 to 47103 spanning the gH and TK coding sequences. Virus CS5
contains a CMV IE1 promoter-driven lacZ expression
cassette replacing gH and TK sequences. Virus
gH TK 110LacZ contains an IE110
promoter-driven lacZ expression cassette inserted at the
same locus. Virus CS1 contains an EMCV IRES-linked lacZ
gene inserted between the HpaI sites within major
LATs and was generated by the deletion of gH and TK from SC16
L A. Virus VC1 is derived from coinfection of CS1 and C12 and
consists of the CMV IE1 promoter-driven EGFP reporter gene cassette in
the Us5 locus from C12 on the CS1 backbone. In VC1 and CS1, -gal
expression is driven by the endogenous LAP.
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Virus CS5 contains the CMV IE1 promoter-driven lacZ cassette
inserted into the gH-TK locus by recombination with pIMMb36.
Virus gH
TK
110LacZ
contains the IE110 promoter-driven lacZ expression cassette
from pIMMB34lac1 replacing gH and TK coding sequences (Fig. 1).
Virus C12 (a gift from N. Babic) contains the CMV IE1 promoter-driven
enhanced green fluorescent protein (EGFP) cassette from pEGFP-C1
(Clontech) inserted in the nonessential Us5 locus.
Double-tagged recombinant virus VC1 (Fig. 1) was generated by
coinfection of CR1 cells with 5 PFU each of viruses CS1 and C12 per
cell. VC1 was isolated as described above, except that GFP+ plaques were identified under UV
illumination prior to picking.
Further confirmation of all viral structures was obtained by
restriction endonuclease digestion and Southern blot analysis.
drg-derived primary neuronal cultures.
drgs from
spinal levels C1 to L6 were removed from newborn (days 1 to 3)
Sprague-Dawley rats to F14+ (Ham's F14 medium
supplemented with 0.5 µg of amphotericin B/ml, 100 U of
penicillin/ml, 100 µg of streptomycin/ml, and 1% Ultroser G [USG;
GibcoBRL]). The drgs were incubated in trypsin-EDTA (GibcoBRL) for 15 min at 37°C and were mechanically dissociated by pipetting (approximately 50 passes), and any ganglionic debris remaining was
removed to fresh trypsin, reincubated, and dissociated further. The
cell suspensions were diluted in 5 volumes of
F14+ with 5% USG, pelleted (200 × g, 10 min), and then resuspended in growth medium
(F14+ containing 40 ng of NGF 2.5S/ml, 0.1× B27
supplement [USG; GibcoBRL], and 40 µM 5-fluoro-5'-deoxyuridine
[FdU]). Nonneuronal cells were removed by preplating on culture
dishes coated with 0.5 mg of rat tail collagen type VII/ml (3 h,
37°C, 5% CO2). The neuron-enriched cell
suspension was pelleted (200 × g, 10 min), resuspended
in growth medium containing 5% USG, and plated onto 13-mm coverslips coated with MATRIGEL (BD Biosciences) in 24-well culture dishes. Neurons were plated at an approximate density of 200 to 400/well or 800 to 1,000/well. Neuronal cultures were transferred to growth medium
lacking FdU (FdU
) 48 h prior to infection
(F14+ containing 40 ng of NGF/ml and 0.1× B27),
and virus infections were routinely performed at 5 × 105 or 1 × 106 PFU
per well in 300 µl of FdU
growth medium. To
control for variation in neuronal preparations, experiments were
conducted using coverslip cultures from a single drg preparation and
generally two to three coverslips were examined per data point.
Detection and quantitation of reporter gene expression.
Neuronal cultures were fixed in 2% paraformaldehyde-PBS for 20 min, permeabilized with 0.2% Triton-PBS (15 min), and incubated overnight at 4°C in 2% normal horse serum-PBS prior to the addition of specific antisera.
-Gal was detected using rabbit polyclonal antisera (5 Prime
3 Prime, Inc.) and an Alexa 488-conjugated goat
anti-rabbit immoglobulin G (IgG) antibody (Molecular Probes). Virus Ags
were detected with rabbit polyclonal antisera to HSV-1 (MacIntyre
strain; DAKO) and were visualized using the Alexa 488-conjugated goat
anti-rabbit IgG. Neuron-specific
-tubulin III (
-tub) was detected
using mouse monoclonal antibodies (Sigma) and Cy3-conjugated donkey
anti-mouse IgG (Amersham). IE110 expression was detected using
monoclonal antibody 17060 (mouse ascites fluid; binds N-terminal epitope) and rabbit polyclonal antiserum 191 (binds C-terminal epitope). Both antisera were kindly donated by R. Everett (Glasgow). Cell nuclei were counterstained with 100 ng of
4',6'-diamidino-2-phenylindole (DAPI)/ml. Fluorescence was
visualized using an Olympus I×70 inverted fluorescence microscope and
either a fluorescein isothiocyanate (FITC) filter (excitation, 455 to
495 nm; emission, 510 to 555 nm; Chroma) for Alexa and GFP only or a
DAPI-FITC-tetramethyl rhodamine isocyanate triple band-pass filter
(emission ranges, 425 to 465 nm, 500 to 540 nm, and 582 to 650 nm;
Chroma) allowing covisualization of Alexa-GFP (green), Cy3 (red), and
DAPI (blue) signals. Photographs were generated as digital images using
a color-chilled 3CCD camera (Hamamatsu) and Image-Pro Plus 4.0 software (Media Cybernetics). Photographic montages were prepared using Adobe
Illustrator 7.0.
For the purpose of enumeration, the total number of neurons present on
each coverslip was counted unless stated otherwise. The data in Table 2
were generated by making a series of photographs spanning the entire
coverslip and then counting neurons in alternate photographs. Data were
pooled from three coverslips per time point and represent counts from
136 photos (day 4 p.i.), 210 photos (day 7 p.i.), 159 photos
(day 20 p.i.), or 147 photos (uninfected, day 7). We have
determined that this method of counting gives an accurate assessment of
the percentage of neurons expressing
-gal. For example, following
infection with 106 PFU of CS1, the total number
of neurons on one coverslip from day 7 p.i. was 766, 674 of which
showed LAP-driven
-gal expression (88%). Counting every photograph
from this sample (79 in all) gave 160 neurons (21% of the total
neurons), 139 of which were
-gal+ (91%).
Counting alternate photographs (40 in all) gave 80 neurons (10% of
total), 69 of which were
-gal+ (86%). Thus,
the maximum variation between methods was 5%. A second coverslip from
this infection was photographed, yielding 71 photographs containing 159 neurons, 137 of which were
-gal+ (86%).
Counting alternate photographs (36 in all) gave 82 neurons, 71 of which
were
-gal+ (87%), indicating that the
variation between wells was minor.
Reactivation.
To withdraw NGF, the growth medium was
replaced with NGF
medium
(F14+ with 0.1× B27 and 0.1 µl of rabbit
anti-NGF antiserum [Sigma]/ml). To induce reactivation with TSA, the
growth medium was replaced with fresh growth medium containing 660 nM
TSA. Activation of silenced viral promoters was assessed by
immunohistochemical detection of
-gal (CS5 and
gH
TK
110LacZ) or by
direct visualization of GFP (VC1).
 |
RESULTS |
Establishment of primary neuronal cultures.
Primary
dissociated drg cultures were prepared from neonatal rats as described
in Materials and Methods. Variation in neuron numbers per well within a
drg preparation was tested in five separate preparations (A to E),
where two to four coverslips were fixed either 3 (A), 7 (B to D), or 14 (E) days after plating and were immunostained for the neuron-specific
marker
-tub. The total number of neurons per well was assayed, and
the maximum variation between wells was as follows: A, 1.2-fold; B,
1.1-fold; C, 1.3-fold; D, 1.4-fold; and E, 1.6-fold.
All recombinant viruses used (Fig. 1) were based on a strain SC16
gH
TK
backbone to limit
virus replication in neurons and eliminate secondary spread resulting
from productive infection of the nonneuronal population. Thus,
antiviral agents such as ACV are not required to control virus
infection in this model. Initial dose dilution experiments using
gH
TK
recombinant
viruses indicated that 5 × 105 to 1 × 106 PFU per well was optimal for establishing
viral gene expression in 40 to 70% of neurons by 24 h p.i. (data
not shown). This dose range corresponds to a theoretical multiplicity
of infection of approximately 50 to 100 PFU/cell; however, as has been
noted previously for neuronal culture systems, the majority of the
coverslip surface area is available for nonspecific binding of virions,
and thus, the actual multiplicity of infection is likely to be
significantly lower (4).
Characterization of primary infection.
To assess IE viral gene
expression, neuronal cultures were infected with
106 PFU of
gH
TK
recombinant
viruses/well carrying the lacZ reporter gene under the
control of the human CMV IE1 promoter or the HSV-1 IE110 promoter (Fig.
1). A single coverslip per virus was fixed at 1, 3, 4, and 6 days p.i.
and was immunostained for
-gal expression and
-tub as described
(Fig. 2). The
-gal+ neurons and total neurons in the
cultures were counted (Table 1).
Activation of the CMV IE1 and IE110 reporter promoters was observed
within 24 h of infection (Fig. 2c to f), and
-gal expression peaked at day 1 p.i. with the CMV IE1 promoter (CS5; 58%) and at
day 3 p.i. with the IE110 promoter
(gH
TK
110LacZ; 67%).
The intensity of
-gal staining was generally greater for the CMV
promoter than for the IE110 promoter. Following the initial burst of
reporter promoter activity, the number of
-gal+ neurons and the intensity of signal
declined with time p.i. and by day 6 p.i. fell to 1%
(gH
TK
110LacZ) or 10%
(CS5) of neurons expressing
-gal (Table 1). The range in neuron
numbers in this experiment makes it difficult to conclude whether the
decline in
-gal+ neurons from day 3 to day
6 p.i. (by 48 or 99%) is due to neuronal death or promoter
shutdown. However, the data indicate that it is unlikely that all
neurons in which the IE110 promoter was active died. Should the
detection of IE110 and CMV IE1 reporter promoter activity accurately
reflect expression of IE110 protein following neuronal infection, our
data would suggest that neurons can survive at least limited IE gene
expression. This raises the possibility that viral gene expression may
occur prior to the establishment of latency.

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FIG. 2.
Representative examples of mock-infected neuronal
cultures or cultures infected with 106 PFU of CS5 (CMV
IE1> -gal) or gH TK 110LacZ
(IE110> -gal) per well. Cultures were fixed and dually immunostained
for expression of -gal (FITC, green) and neuron-specific -tub
(Cy3, red) and were counterstained with DAPI to show all cell nuclei
(blue). An example is given of mock-infected cultures showing
identification of neurons by -tub staining (a and b, arrows).
Examples are given of -gal expression at day 1 p.i. in neurons
(i.e., yellow arrows) and nonneuronal cells (i.e., blue arrows) in
wells infected with CS5 (c, d) and
gH TK 110LacZ (e, f). An example of
-gal-negative neurons is indicated (white arrows). Examples are
given of -gal expression in CS5-infected (g, h) and
gH TK 110LacZ-infected (i, j) cultures at 15 days p.i., 24 h after the addition of 660 nM TSA. The small areas
of -gal fluorescence do not have nuclei and likely indicate
antibody binding to cellular debris. Digital photomicrographs
were taken as phase-contrast (a) or fluorescence images using either
the FITC filter for -gal (c, e, g, i) or the triple band-pass filter
(b, d, f, h, j) to allow covisualization of FITC, Cy3, and DAPI
fluorescence in which colocalization of -gal and -tub gives a
yellow-orange signal.
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Assessment of LAP activity during latent infection.
One of the
key characteristics of latently infected neurons is the detection of
nuclear LATs. To address whether the LAP is active in our neuronal
model, we have used the recombinant virus CS1, which contains an EMCV
IRES-linked lacZ reporter gene inserted approximately 1.5 kb
downstream of the LAP (Fig. 1). It has previously been demonstrated
that this expression cassette is not active during acute viral
infection of fibroblasts but is active from day 7 p.i. in drg
neurons in vivo (47). Following infection with 5 × 105 PFU of CS1/well, 484 out of 893 neurons
(54%) from a single well were positive for HSV Ags on day 1 p.i.
(Fig. 3a and b), consistent with our
previous observations for lacZ reporter gene expression. At
9 days p.i.
-gal expression in 3 separate wells was detected in 334 of 697 neurons (48%), 366 of 763 neurons (48%), and 321 of 721 neurons (46%). That is, a total of 1,021
-gal+ neurons in the 2,181 neurons counted
(47%) (Fig. 3c to f). Between days 1 and 9 p.i. there was an
average neuron loss of 19% (ranging from 15 to 22% of neurons/well).
Thus, even if all neurons lost from day 1 p.i. were from the HSV
Ag+ pool, 40 to 72% of the HSV
Ag+ neurons had survived to day 9 p.i.
Hence, we conclude that at minimum, 40% of neurons present at day
9 p.i. had survived some degree of HSV-1 protein expression.
However, we are not able to determine if any of the
-gal+ neurons (47% of the total neurons) at
day 9 p.i. had undergone prior viral protein expression.

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FIG. 3.
Representative examples of neuronal cultures infected
with 5 × 105 PFU of either CS1 (a to f) or VC1 (g, h,
j to m) per well or 3 × 105 PFU of VC1 (i, j) per
well. Fixed cultures were stained by dual (a to f, k, l) or single (g
to k, m, n) immunofluorescence to detect expression of viral gene
products (green; also see panel h) and/or -tub (red). Cultures were
counterstained with DAPI to show cell nuclei (blue) and were visualized
via fluorescence by using either the FITC filter to show FITC (a, c, k)
and GFP (g, i, m) or the triple band-pass filter to allow
covisualization of DAPI, Cy3 with FITC (b, d to f, k), or GFP signals
(h, m). Examples indicated are HSV Ag+, GFP+,
or -gal+ neurons (yellow arrows); HSV Ag+
nonneuronal cells (blue arrows); or neurons in which viral gene
products are not detected (white arrows). At day 1 p.i., HSV Ag
expression from CS1 (a, b) and CMV IE1 promoter-driven GFP expression
from VC1 (k, l) or IE110 (i, j) were detected in neurons and
nonneuronal cells. LAP-driven -gal expression was detected in a
proportion of neurons 9 days p.i. with CS1 (c to f) or 14 days p.i.
with VC1 (k, l), and higher magnifications show examples of the intense
(e) or average (f) -gal staining obtained. Addition of 660 nM TSA to
VC1-infected cultures 14 days p.i. resulted in detection of GFP
expression in some neurons 24 h later (m, n).
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Variation in
-gal expression levels was noted (compare Fig. 3e and
f) with intense
-gal staining observed in 8% of
-gal+ neurons (83 of 1,021
-gal+ neurons). This variation in expression
levels is consistent with previous observations in vivo for LATs and
LAP-driven
-gal expression and may reflect differences in LAP
activity in neuronal subtypes (26, 28, 42, 66).
In order to follow LAP activity over time p.i. and to assess stability
of latency in this system, cultures were infected with 106 PFU of CS1/well, and on days 4, 7, and
20 p.i., cells were fixed and immunostained (Table
2). Photographic maps (see Materials and
Methods) of three coverslips per time point were assessed, and on day
4 p.i., 55% of neurons counted (31 of 54, 38 of 67, and 33 of 64 neurons) showed
-gal expression, indicating that in a proportion of
neurons the LAT region is transcribed at early times p.i., consistent
with in vivo observations of LAP activity (28, 51). The
number of
-gal+ neurons increased from day 4 to 71% on day 7 p.i. (106 of 116, 100 of 147, and 118 of 191 neurons counted) and to 83% on day 20 p.i. (97 of 126, 77 of 89, and 93 of 105 neurons counted). The number of neurons
(475) enumerated from three uninfected control wells fixed
on day 7 was comparable to that observed for the CS1-infected wells at
this time. Thus, we conclude that stable LAP+
latency was established in the majority of neurons in these cultures. Again, the level of reporter gene expression varied between neurons, with about 10% displaying high levels of
-gal. The survival in the
previous experiment of the majority of CS1-infected neurons that
expressed HSV Ags at day 1 p.i. suggests that a proportion of the
LAP+ latently infected neurons had undergone some
viral gene expression prior to the establishment of latency.
Assessment of latency establishment and reactivation using a
"double-tagged" recombinant virus.
A "double-tagged"
recombinant virus designated VC1 was constructed by incorporating a CMV
IE1 promoter-driven EGFP cassette into the nonessential Us5 locus (gJ)
on the CS1 backbone (Fig. 1). Following infection with 5 × 105 PFU of VC1/well, EGFP expression was
monitored in the living cultures daily and all wells showed comparable
high levels of neuronal infection on days 1 to 3 p.i. (not shown).
In order to generate a more accurate assessment of the numbers of
neurons infected, coverslips were fixed and immunostained for
-tub
on days 3 and 14 p.i. (Fig. 3g and h). CMV IE1-driven EGFP
expression was detected in 55% of neurons on day 3 p.i. and in
2% of neurons on day 14 p.i. (Table
3). Over this 11-day period the number of
GFP+ neurons decreased by an average of 404 neurons per well, which was greater than any discernible loss of
neurons (an average of 40 neurons/well). We estimate that 50 to 58% of
the neurons surviving on day 14 p.i. had undergone prior CMV IE1
promoter-driven expression, conclusively demonstrating that neurons can
survive at least limited activation of lytic viral promoters. To
determine the degree of LAP+ latency, further
coverslips fixed on day 14 p.i. were immunostained for
-gal
(Fig. 3a and k) and 38% of neurons harbored LAP+
latent genomes, 10% of which (76 of 749
-gal+
neurons) displayed the intense
-gal staining observed previously with CS1. In this experiment we were therefore unable to determine if
the LAP+ latent population had undergone prior
reporter gene expression. Thus, either neurons which survived initial
GFP expression went on to establish LAP+ latency,
and our
-gal staining failed to detect 12 to 20% of this
population, or the LAP+ population did not
undergo prior GFP expression. In both scenarios the potential exists
for a population of neurons in the culture to harbor latent genomes in
which the LAP is inactive.
To assess the number of neurons which harbored latent viral genomes
that were responsive to reactivation stimuli, further wells were
examined for GFP expression, initially on day 14 p.i. to estimate
the background number of GFP+ neurons in each
well and then again on day 15 p.i., 24 h after the
application of reactivation stimuli (NGF withdrawal or TSA). The number
of neurons exhibiting CMV IE1 promoter activity (i.e., GFP+) in the wells given normal medium remained
low at 2 to 6% (Table 4),
indicating that neither the change of medium nor the illumination for
fluorescence on day 14 p.i. had resulted in activation of GFP
expression. In contrast, GFP was observed in 31 to 68% of neurons
following the withdrawal of NGF or 26% of neurons given TSA (Fig. 3l
and m), an average increase of 6.3- or 4.3-fold above the pretreatment
estimates (Table 4). Activation of GFP expression was not observed in
nonneuronal cells following either treatment. To test the stability of
this latent population with the potential for activation, further wells
were left until day 27 p.i. and were then given the same
reactivation stimuli (Table 4). In the normal medium control, the
background level of GFP+ neurons on day 28 p.i. was 1 to 10% (Table 4). However, 31 to 39% of neurons were
GFP+ after NGF withdrawal (6.4-fold greater on
average than for medium containing NGF), and 33 to 39% of neurons were
GFP+ after addition of TSA (an average 6.5-fold
greater than for normal growth medium). On both days 15 and 28 p.i., the level of CMV IE1 activation observed with either NGF
withdrawal or TSA induction was similar to the level of
LAP+ latency observed on day 14 p.i.. We
noted that NGF withdrawal affected neuronal survival or
-tub
expression, with an average loss of 40 to 55% of neurons, compared to
the normally fed control, in the 24 h following withdrawal (Table
4). Further, we observed that activation of the CMV IE1 promoter by NGF
withdrawal (but not by TSA) decreased with extended time in culture and
speculate that this is a consequence of loss of an NGF-dependent
neuronal subpopulation from the cultures over time either through death or maturation to an NGF-independent state. TSA treatment at the dose
used (660 nM) did not result in adverse effects on either neuronal
numbers or morphology, and we conclude that this is the more
reproducible method of inducing CMV IE1 promoter activity in our model
system.
To confirm that activation of reporter promoters such as CMV IE1
reflected expression of native viral proteins in neurons, cultures
infected with 3 × 105 PFU/well were fixed
24 h p.i. and were immunostained for IE110 expression using a
mouse monoclonal antibody (Fig. 3i and j). Of 1,007 neurons (identified
by morphology) in which IE110 or GFP was detected, 972 neurons (97%)
showed dual expression of GFP and IE110, 27 (3%) stained for IE110
alone, and 8 (1%) were only GFP+ (example shown
in Fig. 3i). This indicates that activation of lytic cycle reporter
promoters accurately reflects the expression of native viral proteins.
As the antibody used was directed against an N-terminal epitope,
synthesis of full-length IE110 was confirmed using a polyclonal
antiserum raised to C-terminal epitopes (data not shown). Consistent
with the recent observations of Chen and coworkers (9), we
observe that IE110 staining in neurons is predominantly cytoplasmic,
although some neurons display both nuclear and cytoplasmic staining. In
nonneuronal cells IE110 staining was generally nuclear.
To address the relevance of activation of the CMV IE1 promoter in
latently infected neurons, we compared the levels of TSA-induced activation with that of the HSV IE110 reporter promoter. Neuronal cultures were infected with CS5 or
gH
TK
110LacZ at
106 PFU/well and were left to establish latency.
On day 21 p.i. culture medium was replaced with either normal
growth medium or growth medium containing 660 nM TSA. The wells were
fixed 24 h later and were dually immunostained for
-gal and
-tub (Fig. 2g to j). The number of neurons expressing
-gal was
assessed (Table 5). Addition of normal
growth medium resulted in low levels (2%) of
-gal+ neurons for both viruses. Application of
medium containing TSA, however, resulted in 53% of neurons in
CS5-infected wells, or 18% of neurons in
gH
TK
110LacZ-infected
wells, showing expression of
-gal. Thus, activation of the CMV IE1
promoter following the addition of TSA reflects the response of a
legitimate HSV IE promoter. The difference in the levels of activation
observed may reflect the previously noted differences in promoter
strength or may indicate that the CMV IE1 promoter is more sensitive
than IE110 to TSA induction.
In conclusion, our data indicate that in this model system, following
infection with gH
TK
recombinant viruses, latent HSV genomes are harbored for extended periods in a state that remains responsive to reactivation stimuli.
 |
DISCUSSION |
In order to address fundamental questions regarding the molecular
mechanisms of latency establishment, maintenance, and reactivation, we
have established an in vitro model of neuronal latency using primary
cultures of dissociated drg and
gH
TK
recombinant
viruses bearing reporter genes under the control of IE gene promoters
(CMV IE1 and HSV-1 IE110) and the LAP. Following infection, HSV Ag- or
IE promoter-driven reporter gene expression is detectable in neurons
within 24 h. Reporter gene expression from either the CMV IE1 or
IE110 promoter peaked within the first 3 days p.i., with 58 to 67% of
neurons positive, depending on the infection dose used. This activation
of lytic viral reporter promoters reflected the initiation of viral
protein synthesis in neurons, as observed with the CS1 mutant (in 54%
of neurons) and in the dual detection of IE110- and CMV IE1-driven GFP
expression in 97% of neurons infected with VC1. Lytic phase reporter
promoter expression decreased from day 3 p.i., in terms of both
overall numbers of positive neurons and the intensity of signal, with loss of
-gal essentially complete by 6 to 8 days p.i.. Throughout the initial infection, CMV IE1 promoter activity in neurons is greater
and more prolonged than that observed for the IE110 promoter and may
reflect relative promoter strengths or differences in promoter
regulation in neurons. We have demonstrated that the loss of
-gal+ neurons from day 3 p.i. is not
accounted for by neuronal death, indicating reporter promoter shutdown
and suggesting that neurons can tolerate some degree of lytic phase
reporter gene expression. It will be of interest to examine expression
of the individual viral protein classes during neuronal infection in
this model to determine the extent of progression through the viral
gene cascade. The low frequency of IE promoter activity observed at later times (in 2 to 5% of neurons) most likely represents spontaneous abortive reactivation events; however, it is possible that in a
subpopulation of neurons, complete lytic cycle promoter shutdown does
not occur. More extensive analysis will be required to accurately determine the degree of neuronal death in this system and, in particular, to ascertain whether the expression of viral proteins such
as IE110 affects neuronal survival and latency establishment.
We have shown that following infection with 106
PFU of CS1/well, LAP activity is detected in 55% of neurons at early
times p.i. (day 4), as is observed for LAT expression in vivo
(28, 51). The signal intensity and numbers of
-gal+ neurons continue to increase with time
p.i. (up to 83% by day 21 p.i.), as has been noted for other
latency systems (29, 48). As total neuron numbers were not
determined in this experiment, we cannot rule out the possibility that
the increase in LAP+ neurons over time results
from selective loss of infected neurons in which the LAP is not active.
We observe a wide variation in LAP activity between infected neurons,
consistent with our previous observations of LATs and LAP activity in
vivo (2, 25) and with the findings that certain neuronal
subtypes are more permissive for LAT expression during latency in vivo
(28, 40, 66). Further studies are required to determine if
there is population restriction on latency establishment and LAP
activity in our model.
Following shutdown of lytic phase promoter activity, viral genomes are
harbored in neurons and can be induced to activate lytic phase
promoters using NGF withdrawal (49) or addition of TSA. In
latently infected ganglia, TSA has been reported to increase the number
of latently infected neurons undergoing reactivation during the first
22 h postexplant by 10-fold, with a commensurate increase in
infectious virus production. In this same study, the ICP0 promoter was
shown to be upregulated by TSA in the setting of the latent viral
genome in explanted ganglia (N. M. Sawtell and S. K. Burridge, Abstr. 24th Int. Herpesvirus Workshop, abstr. 2.0016, 1999).
It will now be of interest to determine the pattern of legitimate viral
gene expression following reactivation stimuli by using antisera to
specific protein classes. The ability of TSA to induce IE promoter
activation is noteworthy; Deshmane and Fraser (12)
determined that latent HSV DNA is associated with nucleosomes in vivo,
raising the possibility that chromatin modification may have an
important regulatory role in governing viral gene activity during
latency. It is conceivable that the acetylation of histones associated
with one or more IE gene promoters may be a critical step in
facilitating viral reactivation. Such a hypothesis is not without
precedent in herpesvirus latency. In the case of Epstein-Barr virus,
latent DNA is organized in nucleosomes (15) and a key step
in the switch from latency to the productive cycle is the expression of
the IE gene BZLF1 (11). Recently Jenkins and coworkers
(24) have determined that the acetylation of histones in
chromatin around the BZLF1 promoter region is involved in activation of
its expression. Alternatively, derepression of viral gene expression
through histone modification may be controlled by a viral gene product.
Hobbs and DeLuca (22) have recently demonstrated that
IE110 and TSA have similar effects on gene expression from cellular and
quiescent HSV genomes. They propose that like TSA, IE110 derepresses
gene expression by altering chromatin structure, possibly by reducing
the stability and abundance of proteins involved in histone metabolism
or by IE110 induction of proteins which bind and alter nucleosome
structure, such as Gadd45. Lastly, our TSA data may reflect a role for
a host cell product(s) controlled by chromatin condensation in the
initiation of reactivation. Such TSA-induced changes in neural gene
expression pathways have been demonstrated, and in PC12 cells TSA can
induce de novo synthesis of cellular factors that specifically block an
NGF-induced signal transduction pathway required for neurite outgrowth
(41). It is feasible that such blockage of NGF signal
transduction pathways by TSA may simulate the aspects of NGF withdrawal
that induce virus reactivation.
We have demonstrated that neurons can survive activation of IE reporter
promoters and also limited viral gene expression following infection
with TK
viruses; however, we are at present
unable to determine whether any of the LAP+ cells
present at late times p.i. had undergone prior viral gene expression.
Attempts to increase the proportion of neurons showing lytic cycle gene
expression by increasing the viral load resulted in significant
neuronal loss, indicating that there is a threshold for the control of
virus infection in this system. However, by using the
"double-tagged" virus VC1, it should be possible to follow the
infection of individual neurons in this system to determine if neurons
in which the CMV IE1 promoter is activated subsequently establish
latency. Although our focus was neuronal infection, it is clear that
nonneuronal cells were infected, and although no accurate assessment of
nonneuronal cell loss was taken, our general impression was that the
viruses used were cytotoxic to these cells. Furthermore, LAP-driven
-gal expression was not detected in nonneuronal cells and, following
TSA treatment, induction of reporter promoters was restricted to neurons.
If the default model of latency is absolute, then neurons that
initiated the viral gene cascade would not establish latency. Therefore, in our VC1 infection, for example, we could infer that the
majority of neurons were infected, that 38% entered
LAP+ latency directly, and that 55% initiated
viral gene expression which, but for the absence of TK, would result in
productive infection and presumably death of the cell. However, it is
known that latently infected neurons in vivo can harbor high-copy
latency (44, 46), suggesting that neurons can survive
limited viral gene expression, including DNA replication. Further,
there is evidence to suggest that although neurons may enter latency in
the absence of lytic cycle gene expression, efficient
establishment requires some IE110 expression (61).
Therefore, there may be multiple routes into latency, and the
activation of viral gene expression and subsequent survival of neurons
observed in our model system may well reflect what occurs in vivo. Our
observation that neurons survive the initiation of reporter promoter
activity and limited viral gene expression (at least IE110) is
consistent with the theory that there are two routes of latency
establishment. That is, in one population of neurons, virus directly
enters into latency and establishes low-copy infection, and in a second
population, there is an abortive infection where limited viral
replication could potentially give rise to high-genome-copy latency.
LATs may be expressed in all the latently infected cells, and the
variation in signal intensity could be directly related to virus copy
number. Alternatively, it is conceivable that LAT expression may be
restricted to one of the two latent populations, and in vivo it has
been shown that more neurons harbor viral DNA than are detected by in
situ hybridization for LATs (30, 37). Transcriptionally silent or "quiescent" viral genomes harbored long-term in
nonneuronal cells in vitro may reactivate but are resistant to many
stimuli that reactivate latent virus in LAT+
neuronal models in vitro and in vivo (20, 56). This has
led to the proposal that there are different degrees of viral genome repression which may be influenced by the host cell or route of entry
into latency (36). Thus, it will be of interest to
determine whether reactivation is restricted to
LAP+ neurons and, if not, whether the genomes
harbored in neurons which do not synthesize LATs are, like quiescent
genomes in nonneuronal cells, more resistant to reactivation stimuli.
Studies are currently under way to assess whether activation of CMV
IE1-driven GFP expression following TSA induction is restricted to
-gal+ neurons. Finally, although this model
uses replication-defective virus mutants to infect neurons in the
absence of the normal immunological controls present in vivo, this
system offers a potentially powerful tool for the analysis of the
primary molecular events that occur during latency establishment and reactivation.
 |
ACKNOWLEDGMENTS |
We thank Janet May for technical assistance and Nathalie Babic
for the provision of C12 virus and help with the establishment of the
neuronal culture system. We also thank Roger Everett for the provision
of IE110 antisera and Chris Preston for valuable comments on the manuscript.
This work was supported by the United Kingdom Medical Research Council.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Division of
Virology, Department of Pathology, University of Cambridge, Tennis
Court Rd., Cambridge CB2 1QP, United Kingdom. Phone: 44 1223 336915. Fax: 44 1223 336926. E-mail:
jla{at}mole.bio.cam.ac.uk.
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