Previous Article | Next Article ![]()
Journal of Virology, April 2005, p. 4764-4773, Vol. 79, No. 8
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.8.4764-4773.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Departments of Pathology,1 Neurology,2 Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, California,4 Department of Neurosciences, The Cleveland Clinic Foundation, Cleveland, Ohio3
Received 27 August 2004/ Accepted 1 December 2004
|
|
|---|
|
|
|---|
CD8+ T cells are the primary effectors of virus control during coronavirus-induced encephalitis (17). They enter the CNS parenchyma and suppress viral replication via a combination of perforin-mediated cytolysis and gamma interferon (IFN-
) secretion (17, 27). Although cellular components of both innate and adaptive arms of the immune system are recruited into the CNS during coronavirus-induced acute encephalitis, only a limited number of the broad potential spectrum of MMP mRNAs are induced (33). MMP-9 mRNA levels are not increased; however, the ability of inflammatory cells to extravasate through blood vessels and traverse the BBB during coronavirus-induced encephalitis correlates with increased levels of preformed MMP-9 protein derived from neutrophils (34). Only MMP-3, MMP-12, and TIMP-1 mRNA expression increases within the CNS in response to acute coronavirus encephalitis (33). To reach parenchymal sites of viral infection, CD8+ T cells must overcome both the physical barrier represented by the BBB as well as the CNS parenchymal ECM (2, 12, 23, 25, 32). By contrast, CD4+ T cells, vital for parenchymal CD8+ T-cell survival, are retained within the subarachnoid spaces and perivascular areas (17, 27). The potential role(s) of MMP-3, MMP-12, and TIMP-1 in regulating the differential CD8+ and CD4+ T-cell migration into the CNS parenchyma during acute virus-induced encephalitis was examined by analysis of mRNA derived from both CNS resident and inflammatory cells and by immunohistochemistry. Astrocytes were the prominent source of MMP-3 in both infected immunocompetent and infected immunosuppressed mice. By contrast, MMP-12 was expressed by multiple CNS resident and infiltrating cell types. However, similar to MMP-3, MMP-12 expression in resident cells was enhanced in immunosuppressed mice. Enhanced MMP expression in the CNS of immunosuppressed mice correlated with increased viral replication, increased IFN-ß mRNA levels, and increased TIMP-1 mRNA induction in CNS resident cells, suggesting virus-induced MMP activation. However, in the presence of an inflammatory response TIMP-1 protein expression was undetectable in astrocytes, microglia-macrophages, or CD8+ T-cell effectors, which localized to the areas of parenchymal infection. By contrast, TIMP-1 protein was almost exclusively expressed by CD4+ T cells localized to the perivascular and subarachnoid spaces. The differential expression of TIMP-1 by perivascular CD4+ T cells, and its absence from parenchymal CD8+ T cells, suggests a novel role for TIMP-1 in regulating differential T-cell recruitment into the CNS parenchyma during coronavirus-induced encephalitis.
|
|
|---|
Isolation of CNS-derived cells. Cells were isolated from the CNS of mice perfused via intracardiac injection of 50 ml of PBS. For CNS inflammatory cells, including neutrophils, macrophages, NK cells, microglia, and T cells, brains were homogenized in RPMI medium supplemented with 25 mM HEPES (pH 7.2) and 1% fetal bovine serum by the use of ice-cold Tenbroeck tissue homogenizers. For CNS resident cells, including an astrocyte-enriched population and oligodendroglia, tissues were minced at 4°C and digested with trypsin (0.25% final concentration) for 30 min at 37°C with agitation. Digestion was terminated by addition of an equal volume of ice-cold RPMI medium containing 20% fetal calf serum. For both types of preparations, cells were suspended in 30% Percoll (Pharmacia, Piscataway, N.J.) and concentrated onto 1 ml of 70% Percoll by centrifugation at 800 x g for 20 min at 4°C (3, 34). Cells were collected from the 30%Percoll-70% Percoll interface and washed twice with RPMI medium prior to analysis.
Prior to flow cytometry, nonspecific binding was minimized by incubation with purified rat anti-mouse FcIII/IIR monoclonal antibody (MAb) (2.4G2; BD PharMingen, San Diego, Calif.) diluted in PBS containing 2% mouse serum and 0.5% bovine serum albumin (Sigma Chemical Company, Saint Louis, Mo.) for 15 min at 4°C. Surface expression was determined with MAb specific for CD8 (53-6.7), CD4 (GK1.5), NK1.1 (PK136), Ly-6G and Ly-6C (RB6-8C5), major histocompatibility complex class II (2G9), CD45 (30-F11), CD11b (M1/70) (all from BD PharMingen), and F4/80 (Cl:A3-1) (Serotech, Raleigh, N.C.). Oligodendroglia were identified using MAb O4 as previously described (9). Cells were stained for 30 min on ice and isolated using a FACSDiVa flow cytometer (Becton Dickinson, Mountain View, Calif.). Populations identified were CD4+ T cells (CD45hiCD4+), CD8+ T cells (CD45hiCD8+), NK cells (CD45hiNK1.1+), neutrophils (CD45hiLy6GhiCD11b+), macrophages (CD45hiF4/80+major histocompatibility complex class II+), microglia (CD45low), oligodendroglia (CD45O4+), and an astrocyte-enriched population (CD45O4). Approximately 60% of the astrocyte-enriched population expressed glial fibrillary acidic protein (GFAP) as determined by staining with anti-GFAP MAb (Dako, Carpenteria, Calif.).
Gene expression analysis. RNA was prepared from the brains of individual mice (n = 3 to 5/group) by homogenization in guanidine isothiocyanate and isolated by centrifugation through 5.7 M cesium chloride as previously described (22). RNA from cell populations isolated from the CNS by fluorescence-activated cell sorting (FACS) was prepared from four to seven pooled mice per group by the use of Trizol reagent (GIBCO BRL, Rockville, Md.). Splenic CD4+ T cells were prepared by positive selection using anti-L3T4-coated magnetic beads (Miltenyi Biotech Inc., Auburn, Calif.). Purity was assessed by flow cytometry using fluorescein isothiocyanate (FITC)-labeled anti-CD4, phycoerythrin-labeled anti-CD8+, and FITC-labeled anti-CD19 (BD PharMingen). CD4+ T cells were enriched to >96%. Purified CD4+ T cells were activated by incubation for 12 h in RPMI medium containing 10% fetal calf serum, 500 ng of phorbol myristate acetate (PMA)/ml, and 1 µM ionomycin. RNA from untreated and activated CD4+ T-cell populations was prepared using Trizol reagent (GIBCO BRL). DNA was eliminated with a DNA-Free kit (Ambion, Austin, Tex.). Reverse transcription used AMV reverse transcriptase (Promega, Madison, Wis.) (22). Semiquantitative RNA expression used an ABI 5700 SDS PCR thermocycler (Applied Biosystems, Foster City, Calif.) and SYBR green reagents. Primer pairs used for analysis are described in Table 1. Amplification linearity of each primer pair was confirmed to have a correlation coefficient of >0.98 by measuring fivefold dilutions of cDNA samples. Cycle threshold (Ct) values are defined as the cycle number at which fluorescence exceeded a threshold value of 0.5. Levels were normalized relative to ubiquitin mRNA and converted to a linearized value using the following formula: 1.8(Ctubiquitin Ctgene x) x 105.
|
View this table: [in a new window] |
TABLE 1. Real-time PCR primer sequences
|
CD4+ T-cell purification. Splenocytes were depleted of B cells by adsorption onto 150-mm-diameter plates coated with goat anti-mouse immunoglobulin (ICN Pharmaceuticals, Costa Mesa, Calif.). Following B-cell depletion, CD4+ T cells were purified by positive selection using anti-CD4 (MAb GK1.5)-coated magnetic beads (Miltenyi Biotec Inc.). Purity was assessed by flow cytometry using phycoerythrin-labeled anti-CD8+ antibody (clone 53-6.7), FITC-labeled anti-CD4 MAb (clone GK1.5), and FITC-labeled anti-CD19 MAb (clone 1D3) (BD PharMingen). CD4+ T cells were enriched to >98%. CD4+ T cells were activated by incubation in the presence of 500 ng of PMA/ml and 1 µM ionomycin for 12 h at 37 C. RNA was extracted as described above, and the mRNA expression levels determined by real-time PCR was compared to the results seen with untreated CD4+ T cells relative to the housekeeping ubiquitin mRNA expression.
Statistical analysis. Results from three or more samples per experiment are represented as means ± standard deviations (SD) as analyzed using the Student's t test. Results from duplicate experiments are presented as means ± ranges.
|
|
|---|
![]() View larger version (34K): [in a new window] |
FIG. 1. Selective up-regulation of MMP-3, MMP-12, and TIMP-1 mRNA during viral encephalitis. (A) MMP-3, MMP-12, and TIMP-1 mRNA expression in brains of naïve and infected mice determined by semiquantitative real-time PCR. Data representing the average ± SD for three to five mice per group are presented in units relative to ubiquitin mRNA expression levels. (B) Flow cytometric analysis of CD45-expressing brain cells isolated from naïve or infected mice at day 6 p.i. (C) Comparison of MMP-3, MMP-12, and TIMP-1 mRNA expression in the CD45 CNS resident cells, CD45low microglia, and CD45hi bone-marrow-derived cells from infected mice at day 6 p.i. Data represent the average results of three separate experiments. Error bars represent SD. N.D., not detectable. N.A., not applicable.
|
Immunosuppression increases MMP and TIMP mRNA expression. The contribution of inflammation to expression of MMP-3, MMP-12, and TIMP-1 mRNA in the CNS was examined by comparing immunocompetent with immunosuppressed mice at day 6 p.i. Immunosuppression eliminated the CD45hi inflammatory cells, resulting in a flow cytometric pattern identical to that seen with naïve mice (Fig. 2A). Furthermore, expression of neutrophil- and macrophage-specific mRNA (elastase and myeloperoxidase) decreased to undetectable levels in the CNS of the immunosuppressed mice, in contrast to the results seen with untreated mice (data not shown). Consistent with the uncontrolled virus replication in the absence of adaptive immunity (Fig. 2B) (3, 22, 33), levels of mRNA encoding the viral nucleocapsid protein increased approximately sevenfold in the CNS of infected immunosuppressed compared to immunocompetent mice at day 6 p.i. (data not shown). Immunosuppression further increased MMP-3, MMP-12, and TIMP-1 mRNA expression compared to the levels expressed in the CNS of immunocompetent mice (Fig. 3). Similar to the results seen with the CNS of infected immunocompetent mice, expression levels of mRNAs encoding other MMPs (MMP-2, MMP-9, and MMP-14) or TIMPs (TIMP-2 and TIMP-3) were not significantly altered in the CNS of infected immunocompromised mice (33; data not shown). In immunosuppressed mice, MMP-3 mRNA expression was confined to CD45 resident cells, whereas MMP-12 mRNA was expressed by both CNS resident CD45 cells and CD45low microglia (Fig. 3). Therefore, the ubiquitous MMP-12 mRNA expression and more restricted expression of MMP-3 mRNA were independent of inflammation (Fig. 3). Immunosuppression resulted in a further increase in TIMP-1 mRNA expression, albeit only within the CD45 CNS cells (Fig. 3). Thus, increased expression of TIMP-1 by CNS resident cells may represent a physiological attempt to compensate for potentially destructive effects of enhanced MMP-3 and MMP-12 expression. These data suggest that virus replication directly triggers up-regulation of MMP-3, MMP-12, and TIMP-1 mRNA expression. However, it is not clear whether the reduced mRNA expression detected in the immunocompetent hosts reflects reduced virus replication, inflammation, or a combination of both factors.
![]() View larger version (29K): [in a new window] |
FIG. 2. Absence of inflammatory cells and increased infectious virus following immunosuppression. (A) Flow cytometric analysis of CNS-derived cells prepared from JHMV-infected immunosuppressed mice and wild-type controls at day 6 p.i. (A) Note the absence of CD45hi bone-marrow-derived inflammatory cells and retention of CD45low microglia. (B) Increased infectious virus levels in the CNS of immunosuppressed versus untreated infected mice. Data represent the average of duplicate determinations for a minimum of three mice in each group.
|
![]() View larger version (18K): [in a new window] |
FIG. 3. Enhanced MMP-3, MMP-12, and TIMP-1 mRNA expression in the CNS of immunosuppressed hosts following infection. The results of a comparison of the levels of MMP-3, MMP-12, and TIMP-1 mRNA expression in unfractionated brain, CD45 CNS resident cells, and CD45low microglia derived from untreated infected and immunosuppressed infected mice at day 6 p.i. are shown. Data represent average results of two separate experiments. Error bars represent ranges of experimental results.
|
) peaked at day 4 p.i., while that of other cytokines associated with innate immunity (interleukin-1 alpha [IL-1
], IL-1ß, IL-6, and IFN-ß) peaked at day 6 p.i. Expression of IFN-
mRNA and the mRNA encoding the chemokines CCL2 and CCL5 peaked at day 8 p.i., consistent with the maximal influx of CNS inflammatory cells (17, 33). The mRNA kinetics suggested an association between the induction of MMP-3, MMP-12, and TIMP-1 with cytokines associated with innate immunity. Potential mediators of virus-induced expression of MMP and TIMP mRNA were thus further examined by comparing mRNA from the CNS of infected immunocompetent and immunosuppressed mice. Immunosuppression did not alter IL-6 or TNF-
mRNA levels in the infected CNS (Fig. 4). By contrast, mRNA levels of IL-1
and IL-1ß, the other innate cytokines, decreased substantially. The most dramatic change was noted in the
10-fold up-regulation of IFN-ß mRNA expression in the CNS of infected immunosuppressed mice (Fig. 4). As expected, IFN-
, CCL2, and CCL5 mRNA expression decreased in the absence of inflammation (Fig. 4). Increased expression of MMP-3, MMP-12, and TIMP-1 mRNA in the CNS of infected immunosuppressed mice was thus associated with a dramatic increase in levels of IFN-ß and decrease in levels of IL-1
and IL-1ß. Although the possibility that IL-1
and IL-1ß negatively regulate MMP and TIMP expression cannot be ruled out, these data are consistent with the concept that virus-induced IFN-ß secretion by CNS resident cells may direct expression of the limited number of potential proteases as well as a single specific MMP inhibitor. |
View this table: [in a new window] |
TABLE 2. Kinetics of brain cytokine-chemokine mRNA expression in the CNS following JHMV infection
|
![]() View larger version (13K): [in a new window] |
FIG. 4. Expression of cytokines and chemokines in the brains of infected untreated and immunosuppressed infected mice. Relative levels of mRNA expression of cytokine (A) and chemokine (B) mRNA in brains of untreated control and immunosuppressed infected mice at day 6 p.i. are shown. Data represent the average results obtained for three to five mice per group. Error bars represent SD. *, P < 0.05.
|
![]() View larger version (65K): [in a new window] |
FIG. 5. Astrocyte expression of MMP-3 during virus-induced encephalitis. (A) Expression of MMP-3 mRNA in CNS resident and inflammatory cells isolated by FACS at day 6 p.i. Samples were pooled from four to seven mice/experiment. mRNA levels determined by real-time PCR are presented relative to ubiquitin mRNA expression levels. Data represent the average results of three experiments. (B) MMP-3 protein expression in the infected CNS. Arrows indicate cells giving positive results. (C) MMP-3 colocalizes with GFAP by confocal microscopy. MMP-3-expressing cells were detected with a tetramethyl rhodamine isothiocyanate conjugate (red). GFAP positive cells were detected with an FITC conjugate (green). Cells coexpressing MMP-3 and GFAP are yellow.
|
![]() View larger version (20K): [in a new window] |
FIG. 6. MMP-12 mRNA expression in CNS-derived cells. CNS resident and inflammatory cells were isolated by FACS from pools of four to seven infected mice/experiment at day 6 p.i. Data represent the average results of three experiments. MMP-12 mRNA levels were determined by real-time PCR and are presented relative to ubiquitin mRNA expression levels.
|
30% of the level detected in CD4+ T cells. Only minimal TIMP-1 mRNA was detected within any CNS resident cell population or within infiltrating macrophages (Fig. 7), contrasting with TIMP-1 expression by astrocytes during EAE (19, 21). The vast majority of cells expressing TIMP-1 protein in the encephalitic CNS localized to the perivascular and subarachnoid spaces (Fig. 6B), consistent with the localization of CD4+ T cells to these regions during acute coronavirus-induced encephalitis (27) (Fig. 7B). By contrast, CD8+ T cells localized predominantly within the CNS parenchyma during coronavirus infection (3, 17) (Fig. 7B). Coexpression of TIMP-1 and CD4 by cells localized to the perivascular areas and subarachnoid spaces confirms the restricted TIMP-1 protein expression by inflammatory CD4+ T cells recruited into the CNS during coronavirus-induced encephalitis (Fig. 7C). Only rare TIMP-1-expressing cells were detected in the CNS parenchyma (Fig. 7C). Although mRNA analysis suggested low levels of TIMP-1 expression by CD8+ T cells, NK cells, and cells within the CD45 population (Fig. 7A), no colocalization of TIMP-1 protein expression and CD8 or GFAP was detected either in the perivascular areas or within the CNS parenchyma (data not shown). Whether this reflects the insensitivity of the method used or the absence of TIMP-1 expression is unknown; however, the data clearly demonstrate abundant expression of TIMP-1 by the CD4+ T cells localized to the CNS perivascular regions.
![]() View larger version (57K): [in a new window] |
FIG. 7. TIMP-1 expression by CD4+ T cells. (A) CNS resident and inflammatory cells isolated by FACS were pooled from four to seven infected mice/experiment at day 6 p.i. Data represent the average results of three experiments. TIMP-1 mRNA levels were determined by real-time PCR are presented relative to ubiquitin mRNA expression levels. (B) Distribution of TIMP-1, CD4+ T, and CD8+ T cells in brains of infected mice. (C) Colocalization of TIMP-1 and CD4. TIMP-1-expressing cells were detected with a Cy3 conjugate (red). CD4+ T cells were detected with an FITC conjugate (green). Cells coexpressing TIMP-1 and CD4 are yellow.
|
![]() View larger version (17K): [in a new window] |
FIG. 8. MMP and TIMP expression in naïve versus activated CD4+ T cells. CD4+ T cells were purified by positive selection from BALB/c mice and activated with PMA and ionomycin for 12 h. MMP and TIMP mRNA levels in untreated and activated CD4+ T cells were determined by real-time PCR and are presented relative to ubiquitin mRNA expression levels.
|
|
|
|---|
In contrast to the apparent universal involvement of MMP-9, other MMP members are associated with different etiologies of CNS inflammation. For example, MMP-9, MMP-2, and MMP-7 are associated with HIV dementia (6), while MMP-8 is associated with bacterial meningitis (16). Only MMP-3 and MMP-12 mRNAs, in conjunction with neutrophil-derived preformed MMP-9 protein, are expressed during coronavirus-induced encephalitis (33, 34). Increased MMP-12 expression by a variety of cell types is consistent with increased expression during EAE (19, 21) and its association with active MS lesions (11, 20, 30, 32). Nevertheless, induction of this limited repertoire of MMPs during infection of the murine CNS is strikingly different from the diversity of MMPs induced during CD4+ T-cell-mediated CNS autoimmunity, which includes MMP-2, -3, -8, -9, -10, -12, -13, and -14 (11, 19, 21, 32). Possible explanations for this differential expression pattern within a single target organ include the diverse inflammatory cells recruited or the nature of the insult itself. During coronavirus infection, both innate and adaptive cellular components traffic into the CNS (3, 17, 34), resulting in an acute encephalomyelitis accompanied by myelin loss. CD8+ T cells are the major effectors of virus clearance (3, 17), while both CD4+ and CD8+ T cells contribute to myelin loss (3, 24). On the other hand, although CD4+ T cells are required for induction of EAE, prominent CD4+ T-cell recruitment into the CNS is accompanied by a variety of other cells, including macrophages (28). These observations suggest that the cytokine or chemokine milieu induced, rather than the infiltrating cells themselves or tissue damage, i.e., myelin destruction common to both EAE and the later stages of coronavirus-induced encephalomyelitis, may play regulatory roles in specific MMP induction. Coronavirus replication induces the expression of a variety of chemokines and cytokines prior to T-cell infiltration (10, 22, 26, 33). Similar kinetics of increases in MMP-3 and MMP-12 mRNA versus IL-1
, IL-1ß, and IFN-ß mRNA levels supported a correlation of CNS resident MMP mRNA induction and cytokines associated with innate, rather than adaptive, immunity.
Furthermore, immunosuppression did not inhibit MMP mRNA induction but rather specifically increased levels of MMP-3, MMP-12, and TIMP-1 mRNA. This suggests that virus replication itself is sufficient to induce the expression of a subset of MMPs in the absence of inflammation. Enhanced proteolytic activity in this case may be balanced by increased TIMP-1 expression. Similar to coronavirus infection of immunosuppressed hosts, TIMP-1 is expressed by CNS resident cells during EAE (19, 21). The notion that TIMP-1 expression may reflect an attempt of the target tissue to limit CNS damage potentially induced by MMPs is supported by a correlation between deceased TIMP-1 and increased MMP levels during MS exacerbations and a poor prognosis (11, 20, 31, 32). A critical role of TIMPs in regulating progression of CNS autoimmune disease is also clearly evident by the amelioration of EAE following treatment with MMP inhibitors (4, 11, 20, 32).
It is difficult to discern whether increased MMP levels in immunosuppressed mice are directly associated with increased virus replication and concomitant reduced induction of IL-1
and IL-1ß, increased IFN-ß mRNA levels, or the lack of CNS inflammatory cells. Comparison of MMP and cytokine induction in the inflamed and immunosuppressed CNS implicated IFN-ß as a possible regulatory cytokine for MMP induction during virus-induced encephalitis. However, this concept contrasts with the role of IFN-ß as a useful therapeutic agent in some MS patients and with its inhibition of MMP secretion by T cells in vitro (15). The putative role of IFN-ß in inhibiting CD4+ T-cell-mediated autoimmune disease may reflect differences in MMP regulation during autoimmune disease and virus-mediated induction of IFN-ß. Alternatively, virus replication may induce MMP-3, MMP-12, and TIMP-1 mRNA and repress activation of other MMP and TIMP mRNAs via a complex of cytokine and/or chemokine synergistic interactions. For example, IL-1ß and TNF-
act synergistically to increase TIMP-1 mRNA while repressing TIMP-3 expression in brain microvascular cells (5). No changes in the restricted expression pattern of MMP-3, MMP-12, and TIMP-1 or in TNF-
and IL-6 mRNA levels in the infected CNS of immunocompromised mice compared to the results seen with control mice support the notion of virus-mediated regulation of MMP expression.
TIMP-1 is expressed by astrocytes during EAE (19, 21). TIMP-1 is also present within MS lesions (11, 20, 32) and has been detected in cerebrospinal fluid of MS patients during active disease and in patients with viral meningitis (6, 11, 14, 15, 20, 31, 32). By contrast, the majority of cells within the CNS expressing TIMP-1 during coronavirus-induced encephalitis are CD4+ T cells localized within the perivascular and subarachnoid spaces. The majority of CD8+ T cells, by contrast, are found within the CNS parenchyma, and only very rare TIMP-1-expressing cells were detected in the parenchyma. These data suggest that TIMP-1 expression by CD4+ T cells is inversely correlated with the ability to migrate into the CNS parenchyma. This concept is consistent with increased TIMP-1 expression in human peripheral CD4+ T cells versus CD8+ T cells (13), increased expression of TIMP-1 by activated peripheral murine CD4+ T cells, and the inability of B cells, which express low levels of TIMP-1, to traverse the BBB (1). Neutrophil-derived MMP-9 is critical for disruption of BBB integrity, thereby allowing inflammatory cells to enter the perivascular and subarachnoid spaces (11, 20, 31, 32, 34). The present data further show increased MMP-12 mRNA levels in CD4+ cells compared to CD8+ T cells, suggesting the possibility that expression of additional MMPs may be required for T cells to access the ECM-rich parenchyma. However, the differential expression of TIMP-1 by CD4+ T cells implies an additional regulatory role for TIMPs in preventing or delaying access to the CNS parenchyma. By contrast, CD8+ T cells, the primary effectors of CNS viral vclearance (2, 17), do not express TIMP-1 and traffic into the parenchyma in search of virus-infected cells (2, 27).
The analysis of MMP and TIMP mRNA expression by individual cell populations isolated from the inflamed CNS, coupled with immunohistochemistry, provides insight into the potential mechanisms contributing to the differential trafficking of T cells within the CNS during coronavirus-induced encephalitis (17, 27). These data suggest that the diversity of MMP and inhibitor expression plays a role in shaping CNS inflammatory processes and further suggest a direct correlation with the differential ability of inflammatory cells to access the CNS parenchyma during virus-induced encephalitis. Expression of TIMP-1 by CD4+ T cells provides a novel insight into differential T-cell trafficking into virus-infected tissue and emphasizes the importance of T-cell localization in controlling viral pathogenesis of the CNS.
|
|
|---|
This article has been cited by other articles:
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Copyright © 2009 by the American Society for Microbiology. For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»