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Type I Interferons and NK Cells Restrict Gammaherpesvirus Lymph Node Infection
ABSTRACT
Gammaherpesviruses establish persistent, systemic infections and cause cancers. Murid herpesvirus 4 (MuHV-4) provides a unique window into the early events of host colonization. It spreads via lymph nodes. While dendritic cells (DC) pass MuHV-4 to lymph node B cells, subcapsular sinus macrophages (SSM), which capture virions from the afferent lymph, restrict its spread. Understanding how this restriction works offers potential clues to a more comprehensive defense. Type I interferon (IFN-I) blocked SSM lytic infection and reduced lytic cycle-independent viral reporter gene expression. Plasmacytoid DC were not required, but neither were SSM the only source of IFN-I, as IFN-I blockade increased infection in both intact and SSM-depleted mice. NK cells restricted lytic SSM infection independently of IFN-I, and SSM-derived virions spread to the spleen only when both IFN-I responses and NK cells were lacking. Thus, multiple innate defenses allowed SSM to adsorb virions from the afferent lymph with relative impunity. Enhancing IFN-I and NK cell recruitment could potentially also restrict DC infection and thus improve infection control.
IMPORTANCE Human gammaherpesviruses cause cancers by infecting B cells. However, vaccines designed to block virus binding to B cells have not stopped infection. Using a related gammaherpesvirus of mice, we have shown that B cells are infected not via cell-free virus but via infected myeloid cells. This suggests a different strategy to stop B cell infection: stop virus production by myeloid cells. Not all myeloid infection is productive. We show that subcapsular sinus macrophages, which do not pass infection to B cells, restrict gammaherpesvirus production by recruiting type I interferons and natural killer cells. Therefore, a vaccine that speeds the recruitment of these defenses might stop B cell infection.
INTRODUCTION
Epstein-Barr virus (EBV) and Kaposi's sarcoma-associated herpesvirus (KSHV) persist in B cells and cause cancers (1). Reducing their B cell infections is therefore an important therapeutic goal. Limited viral gene expression (2) makes established infections difficult to clear. The early events of host colonization may provide better targets. However, control mechanisms must be defined in vivo: inferring mechanisms from in vitro studies has proven problematic because immune function and its evasion are context dependent. Thus, EBV gp350-specific antibodies block B cell infection, and CD8+ T cells kill infected B cells in vitro, but vaccinations to induce these effectors have not reduced infection rates (3).
The early events of human infections are difficult to analyze because they predate clinical presentation (4). However, gammaherpesviruses long predate human speciation (5), and peak viral diversity in genes that interact with host-diverse functions suggests that viral coevolution has since acted to counter host divergence. Therefore, human and other mammalian gammaherpesviruses should colonize their hosts in similar ways. Murid herpesvirus 4 (MuHV-4) realistically infects laboratory mice (6) and so can experimentally reveal events of likely relevance to EBV and KSHV. Eighty percent to 90% of its genes have clear homologs in EBV and KSHV (7), and even where there is genetic diversity, for example, in CD8+ T cell evasion, function appears to be conserved.
EBV is hypothesized to enter new hosts by infecting B cells. However, naive B cells rarely meet environmental antigens directly, with their default response to antigen alone being apoptosis (8); rather, they meet antigens presented on myeloid cells in lymph nodes (LN) (9). MuHV-4 host colonization conforms to this paradigm, with infection first reaching B cells in LN via dendritic cells (DC) (10); submucosal lymphoid tissue is colonized later (11). MuHV-4 exploits myeloid/lymphoid cell contact for spread (12), making B cell infection difficult to block directly. However, blocking myeloid infection could potentially restrict B cell infection indirectly. Viral exploitation of endocytic scavenging pathways (13, 14) makes myeloid cell entry difficult to block, but virus production by myeloid cells might be susceptible. Of note, not all myeloid infection is productive: subcapsular sinus macrophages (SSM) communicate with B cells (15) and are infected by MuHV-4 yet restrict its spread (16). To reveal mechanisms capable of in vivo infection control, we sought to understand how SSM restrict MuHV-4 replication.
SSM are specialized sessile macrophages that filter the lymph; splenic marginal zone (MZ) macrophages (MZM) analogously filter the blood (17). Slow percolation of the lymph and blood past their filtering macrophages promotes pathogen adsorption. A potential hazard is that adsorbed pathogens then replicate in the filtering macrophages. Host defense against this has been studied by inoculating murine footpads (intrafootpad [i.f.] inoculation) with vesicular stomatitis virus (VSV): SSM infection is productive, but the resulting type I interferon (IFN-I) response protects peripheral nerves and prevents disease (18). SSM susceptibility yet neuronal protection suggests that SSM respond weakly to IFN-I, and weak MZM IFN-I responses are associated with enhanced immune priming (19). IFN-I responses to vaccinia virus Ankara also recruit NK cells, although the antiviral efficacy of this response was not shown (20).
Extrapolating such results to natural infections is not necessarily straightforward, as most viruses engage in host-specific IFN-I evasion (21). VSV normally infects cows rather than mice, vaccinia virus is not mouse adapted, and the Ankara strain has lost many immune evasion genes. In contrast, MuHV-4 evasion appears to be fully functional in laboratory mice (6). Natural MuHV-4 entry is probably via the upper respiratory tract (22), but i.f. infection is also productive (16) and allows comparison with data from other SSM studies. Both intranasal (i.n.) and i.f. inoculations lead to SSM infection that inhibits acute viral spread (16).
MuHV-4 evades IFN-I by targeting interferon regulatory factor 3 (IRF3) (23), TBK-1 (24), the IFN-I receptor (IFNAR) (25), STAT-1/2 (26), as well as other pathways (27) and associated defenses such as apoptosis/autophagy (28), NF-κB (29), and PML (30, 31). Nonetheless, disease in IFNAR-deficient mice (32, 33) indicates IFN-I-dependent restraint. IFN-I reduces MuHV-4 reactivation from latency in B cells (34), but heightened reactivation normally attenuates infection (35), and the acute phenotypes of IFNAR deficiency are more suggestive of increased lytic replication before B cell colonization. In the spleen, IFN-I restricts mainly macrophage infection (36). Here we show that IFN-I and NK cells are key components of the SSM barrier to MuHV-4 spread.
MATERIALS AND METHODS
Mice and immune depletions.
C57BL/6J, LysM-cre (37), and CD11c-cre (38) mice were infected at 6 to 12 weeks of age. Experiments were approved by the University of Queensland Animal Ethics Committee in accordance with Australian National Health and Medical Research Council guidelines. Virus was given i.f. in 50 μl (105 PFU) under isoflurane anesthesia. Phagocytic cells were depleted by i.f. administration of 50 μl clodronate-loaded liposomes (39) 3 and 5 days before infection, which was confirmed by CD169 loss around the subcapsular sinus (16). NK cells were depleted by intraperitoneal (i.p.) administration of 200 μg monoclonal antibody (MAb) PK136 (anti-NK1.1; Bio-X-Cell) 1 and 3 days before infection and every 2 days thereafter. Plasmacytoid DC (pDC) were depleted by i.p. injection of 400 μg MAb BX444 (anti-CD317; Bio-X-Cell) 1 and 3 days before infection and every 2 days thereafter. IFN-I signaling was blocked by i.p. injection of 200 μg MAb MAR1-5A3 (anti-IFNAR; Bio-X-Cell) 1 day before infection and every 2 days thereafter. Experimental groups were compared statistically by Student's two-tailed unpaired t test.
Cells and viruses.
BHK-21 cells and 3T3-50 cells, which express doxycycline-inducible MuHV-4 (MHV) open reading frame 50 (ORF50) (40), were grown in Dulbecco's modified Eagle's medium with 2 mM glutamine, 100 IU/ml penicillin, 100 μg/ml streptomycin, and 10% fetal calf serum (complete medium). MHV-green fluorescent protein (GFP) (41) expresses GFP from an EF1α promoter between ORFs 57 and 58. MHV-RG (11) has a viral M3 promoter driving LoxP-flanked mCherry upstream of GFP between ORFs 57 and 58. Cre switches its fluorochrome expression irreversibly from mCherry to GFP (MHV-G). Neither MHV-RG nor MHV-G is attenuated in C57BL/6 mice, and neither virus outgrows the other in a mixed infection (36). MHV-M50 has 416 bp of the murine cytomegalovirus (MCMV) IE1 promoter in the 5′ untranslated region of ORF50 exon 1. This deregulates the lytic switch, essentially abolishing viral latency (35). ORF50-negative (ORF50−) MuHV-4 has a 1,715-bp deletion in ORF50 exon 2, precluding lytic gene expression without complementation (40). The virus was grown and titers were determined in 3T3-50 cells with doxycycline (1 μg/ml). Other viruses were grown and titers were determined in BHK-21 cells (42).
Infectivity assays.
Infectious virus was quantified by a plaque assay (42). Virus dilutions were incubated with BHK-21 cells (2 h at 37°C), overlaid with complete medium–0.3% carboxymethylcellulose, cultured for 4 days, fixed (1% formaldehyde), and stained (0.1% toluidine blue) for plaque counting. Total virus (latent plus infectious) was quantified by an infectious center (IC) assay (42). Freshly isolated LN or spleen cells were layered onto BHK-21 cell monolayers and cultured as described above for plaque assays. To measure Cre-dependent viral fluorochrome switching, plaque or IC assays were performed at limiting dilution in 96-well plates (16 wells per dilution). After 4 days, each well was scored under UV illumination for green (GFP positive [GFP+], switched) and red (mCherry+, unswitched) fluorescence. Percent switching was calculated as 100 × green titer/(red titer + green titer).
Viral genome quantitation.
MuHV-4 genomic positions 24832 to 25071 were amplified by PCR (Rotor Gene 3000; Corbett Research) from 10 ng DNA (NucleoSpin Tissue kit; Macherey-Nagel). PCR products quantified with Sybr green (Invitrogen) were compared to a standard curve of a cloned template amplified in parallel and distinguished from paired primers by melting-curve analysis. Correct sizing was confirmed by electrophoresis and ethidium bromide staining. Cellular DNA in the same samples was quantified by amplifying a β-actin gene fragment.
Immunostaining.
Organs were fixed in 1% formaldehyde–10 mM sodium periodate–75 mM l-lysine (18 h at 4°C), equilibrated in 30% sucrose (24 h at 4°C), and then frozen in OCT. Six-micrometer sections were blocked with 0.3% Triton X-100–5% donkey serum (1 h at 23°C) and then incubated (18 h at 4°C) with primary antibodies to GFP (rabbit polyclonal antibody [PAb] or goat PAb; Abcam), B220 (rat MAb RA3-6B2; Santa Cruz Biotechnology), NKp46 (rat MAb 29A1.4; BioLegend), CD11c (hamster MAb N418), CD68 (rat MAb FA-11; Abcam), F4/80 (rat MAb CI:A3-1; Santa Cruz Biotechnology), mCherry (rabbit PAb; Badrilla), and CD169 (rat MAb 3D6.112; Serotec) and polyclonal rabbit sera to MuHV-4, raised by subcutaneous virus inoculation. This serum recognizes multiple lytic antigens, including the ORF65 capsid protein, the gp70 complement control protein, and gp150 (43). Sections were washed three times in phosphate-buffered saline (PBS); incubated (1 h at 23°C) with Alexa 568- or Alexa 647-donkey anti-rat IgG PAb, Alexa 488- or Alexa 568-donkey anti-rabbit IgG PAb (Life Technologies), Alexa 488-donkey anti-goat PAb, and Alexa 647-donkey anti-hamster IgG PAb (Abcam); washed three times in PBS; stained with 4′,6-diamidino-2-phenylindole (DAPI); and mounted in Prolong Gold (Life Technologies). Fluorescence was visualized with a Zeiss LSM 510/710 confocal microscope.
Flow cytometry.
To identify NK cells, dissociated spleen cells were blocked with anti-CD16/32 (BD Biosciences) and incubated with biotinylated anti-NKp46 MAb (BioLegend) and then with Alexa 488-conjugated streptavidin (Invitrogen). To identify pDC, spleen cells were blocked with 5% donkey serum and then incubated with antibodies to CD11c and BST-2 (rabbit PAb; Pierce Biotechnology) or Siglec-H (rat MAb 440c; Abcam), followed by Alexa 647-donkey anti-hamster IgG PAb plus Alexa 488-donkey anti-rat PAb or Alexa 488-donkey anti-rabbit PAb (Life Technologies). Cells were then washed twice in PBS and analyzed on an Accuri flow cytometer (BD Biosciences).
RESULTS
IFNAR blockade increases MuHV-4 dissemination via LN.
We hypothesized that SSM are an important site of anti-MuHV-4 action for IFN-I. To test this hypothesis, we gave mice IFNAR-blocking antibody or not i.p., inoculated them with MuHV-4 by the i.f. route, and measured virus titers (Fig. 1). IFNAR blockade significantly increased day 6 titers in popliteal LN (PLN) and spleens (Fig. 1a). Assays of freeze-thawed samples established that the increased infection was predominantly latent. IFNAR blockade also increased footpad virus titers (Fig. 1b), so as i.f. MCMV spreads from footpads to PLN to spleen (16), the increased PLN and spleen titers could potentially have been secondary effects. However, PLN and spleen titers increased from day 3 to day 6, whereas footpad titers decreased (Fig. 1c). Therefore, IFN-I independently restricted lymphoid infection.
IFNAR blockade increases early LN infection.
Increasing PLN virus titers from day 3 to day 6 implied more B cell proliferation in IFNAR-blocked mice, as this is how MuHV-4 amplifies its latent load. Higher titers at day 3, when B cell infection is first detected (16), suggested that this was due to more initial B cell infection. PLN titers were also increased at day 1 (Fig. 1d). Increased viral genome copy numbers (Fig. 1e) indicated more PLN infection and not just more ex vivo reactivation. IFNAR blockade also increased day 1 PLN infection by MHV-M50. This virus has a murine cytomegalovirus IE1 promoter inserted into the ORF50 5′ untranslated region, essentially abolishing lymphoproliferation through forced lytic reactivation (35) (Fig. 1f). Therefore, IFNAR blockade increased PLN infection before the onset of virus-driven lymphoproliferation. IFNAR blockade did not significantly increase day 1 footpad infection by either wild-type (WT) or M50 MuHV-4. Therefore, it acted directly on PLN infection.
pDC are nonessential to restrict LN infection.
pDC produce copious amounts of IFN-I (44). To test whether they were required for IFN-I to restrict MuHV-4 spread, we gave mice a depleting antibody to CD317/tetherin/BST-2, which is expressed constitutively by pDC and inducibly by other cell types (45) (Fig. 1g and andh).h). This significantly increased day 3 virus titers in footpads but not in PLN or spleens. Therefore, pDC were nonessential for IFN-I to restrict acute lymphoid infection.
IFN-I restricts SSM infection.
We identified infected cells by immunostaining of PLN sections for virus-expressed GFP and lytic antigens (Fig. 2). Low-magnification images at day 1 (Fig. 2a) showed many more GFP+ cells around the subcapsular sinus of IFNAR-blocked mice (Fig. 2b). GFP+ cell numbers elsewhere in the PLN remained low.
Inflammation is associated with CD169+ SSM displacement (46). Virus infection ablated CD169 staining at day 6 more dramatically (Fig. 2c). The concomitant loss of subcapsular sinus CD68 expression, which marks macrophages and DC (47), was consistent with cell displacement or loss. Nonetheless, at day 1, when CD169 loss was less marked, IFNAR blockade significantly increased the number of CD68+ and CD169+ GFP+ cells around the subcapsular sinus (Fig. 2d and ande).e). B220+ B cells were closely associated with GFP+ cells but remained GFP−. While most myeloid cells express CD68, its restriction to endosomes and lysosomes limited detection sensitivity, as these are not always captured on sections. However, all GFP+ cells had a myeloid rather than a lymphoid morphology, and the vast majority (>90%) localized to the subcapsular sinus. Thus, they appeared to be SSM and possibly also other myeloid cells, such as dendritic cells, in the same site.
IFNAR blockade also increased MuHV-4 lytic antigen staining around the subcapsular sinus (Fig. 2e to tog).g). Lytic antigen and GFP staining only partly overlapped. GFP was expressed from an EF1α promoter, which operates independently of the viral lytic cycle (45), so GFP+ antigen-negative cells may have harbored latent genomes. The presence of GFP− antigen-positive cells indicated that GFP expression could also be shut off during lytic infection. No B220+ cells were viral antigen positive. Rather, IFNAR blockade increased lytic infection in myeloid cells.
IFN-I protects SSM independently of lytic infection.
IFN-I limits protein synthesis and thus should inhibit mainly viral lytic replication. Increased viral lytic antigen expression in SSM after IFNAR blockade was consistent with this idea. To test whether IFN-I could also act before the initiation of lytic infection, we gave mice anti-IFNAR antibody or not and then infected them by the i.f. route with MuHV-4 lacking its essential ORF50 lytic transactivator (Fig. 3). ORF50− MuHV-4 does not express new lytic genes without complementation. Thus, it is limited in vivo to lytic cycle-independent GFP expression (from an EF1α promoter). IFNAR blockade again increased GFP expression around the subcapsular sinus (Fig. 3a and andb)b) in CD68+ and CD169+ but not B220+ cells (Fig. 3c). Therefore, IFN-I also restricted SSM infection before the initiation of lytic gene expression.
Synergistic effects of IFN-I blockade and SSM depletion.
To compare the loss of IFN-I-mediated SSM defense with complete SSM loss, we gave mice either liposomal clodronate, anti-IFNAR antibody, both, or neither and then administered MHV-GFP by the i.f. route (Fig. 4). SSM depletion accelerates the spread of MuHV-4 to the spleen (16), and both SSM depletion and IFNAR blockade increased spleen infection after 6 days (Fig. 4a). SSM depletion and IFNAR blockade together increased both PLN and spleen infections significantly more than either one did alone. Therefore, SSM were not the only source or site of action of IFN-I, and IFN-I was not the only SSM defense.
Immunostaining of PLN for viral GFP and lytic antigens (Fig. 4b) also showed that SSM depletion and IFNAR blockade additively increased infection. All mice showed more GFP+ than viral antigen-positive cells, and most GFP+ cells were B220+ B cells (Fig. 4c). Thus, by this time, increased myeloid infection had fed through to increased B cell infection. The paucity of lytic antigen-positive cells at day 6 compared to day 3 (Fig. 2e) implied that other immune defenses had substituted for IFN-I to control lytic infection.
In spleens, IFNAR blockade and SSM depletion individually had little effect on GFP+ or virus-positive cell numbers but together caused a marked increase (Fig. 4d to tof).f). This applied across the red pulp, MZ, and white pulp (WP) (Fig. 4e), with WP B cells being prominently infected (Fig. 4f). i.f. liposomal clodronate does not deplete MZM (39), so it must have increased virus seeding to the spleen. IFNAR blockade increased SSM infection (Fig. 2), but this evidently entailed exposure to additional immune defenses, so SSM depletion more efficiently seeded PLN virus to the spleen. However, IFNAR blockade also promotes splenic MZM infection (38). Thus, together, SSM depletion and IFNAR blockade avoided virus holdup in the PLN and increased subsequent replication in the spleen.
Functional tracking of MuHV-4 replication in SSM.
Viral floxed reporter gene switching can track infection through specific cell types of Cre-transgenic mice. Cre switches MHV-RG irreversibly from red (mCherry) to green (GFP) fluorescence. SSM express LysM (16), so to test whether IFN-I restricts MHV-RG propagation in SSM, we gave IFNAR-blocking antibody or not and then i.f. MHV-RG to LysM-cre mice (Fig. 5). IFN-I blockade increased day 6 virus titers, most noticeably in spleens (Fig. 5a). It also significantly increased the proportion of fluorochrome-switched virus in footpads and PLN, which was otherwise negligible (Fig. 5b). Occasionally, mice had high levels of splenic virus switching. This possibly reflected replication in splenic MZM, as they also express LysM and switch ∼60% of the i.p. virus reaching splenic B cells (12). The splenic virus of most IFNAR-blocked mice was unswitched. Therefore, IFNAR blockade increased both the productivity of LysM+ cell infection in footpads and PLN and the rate of infection spread to the spleen but as separate effects: most virus still reached the spleen via LysM− cells.
MuHV-4 fluorochrome switching in infected cells.
Viral fluorochrome switching can also be visualized in infected cells. The M3 promoter driving fluorochrome expression is active mainly in early/late lytic infection (48,–50). IFNAR blockade increased fluorochrome switching at day 6 in PLN and spleen cells of LysM-cre mice (Fig. 5c and andd).d). In both IFNAR-blocked and control mice, cellular fluorochrome switching exceeded that of recovered virions. GFP+ PLN cells were difficult to type with certainty but appeared to be myeloid, as none were B220+ (B cells). CD11c+ cells were also unswitched, consistent with few DC expressing LysM (39). Thus, IFNAR blockade increased viral lytic gene expression in LysM+ cells, but LysM− cells remained the main source of viral propagation.
MuHV-4 fluorochrome switching in CD11c-cre mice.
We next tracked MHV-RG replication in CD11c-cre mice (Fig. 6). Again IFNAR blockade increased virus titers (Fig. 6a), but now it also significantly increased the switching of virus recovered from spleens (Fig. 6b). Although the proportion of PLN virus that was switched was unchanged, PLN-infected cell switching increased (Fig. 6c and ande),e), and unlike LysM-cre mice, IFNAR-blocked CD11c-cre mice had GFP+ PLN B cells (Fig. 6f). These results were consistent with IFNAR blockade increasing the total amount of B cell infection but not altering its predominant route, which was via DC.
IFNAR blockade increased the fluorochrome switching of both splenic virus (Fig. 6b) and splenic infected cells (Fig. 6c and andd).d). Most GFP+ spleen cells were located around WP follicles (Fig. 6g) and were myeloid (CD11c+ CD169+), although GFP+ MZ B cells were also evident (Fig. 6h). Control mice also had GFP+ myeloid cells and B cells but fewer (Fig. 6d). Thus, again, IFNAR blockade increased virus spread but did not alter its predominant route.
NK cells are a second line of SSM defense.
The finding that IFNAR blockade did not increase MuHV-4 passage through SSM implied additional, IFN-I-independent restriction, before adaptive immunity comes into play (51). The important role of NK cells in controlling murine cytomegalovirus (52) suggested that they might also control MuHV-4. Although NK cells are activated by IFN-I (20), IFNAR blockade increased NK cell recruitment to MuHV-4-infected LN (Fig. 7a and andb),b), implying IFN-I independence in this context. To reveal NK cell function, we compared their depletion with IFNAR blockade: C57BL/6 mice were given anti-NK1.1 or anti-IFNAR antibody i.p. or left untreated and then given MHV-GFP i.f. (Fig. 7c and andd).d). After 1 day, both treatments significantly increased virus titers, with IFNAR blockade having a greater effect. PLN sections showed more viral GFP+ cells after IFNAR blockade and a smaller but still significant increase after NK cell depletion (Fig. 7a and ande).e). GFP+ cells of all groups clustered around the subcapsular sinus, and many were CD68+ and CD169+. Thus, NK cell depletion increased SSM infection.
Without IFN-I and NK cells, SSM pass infection to B cells.
SSM attack by NK cells potentially explained the failure of fluorochrome-switched virus to spread in IFNAR-blocked LysM-cre mice (Fig. 5). To test this hypothesis, we gave LysM-cre mice both NK-depleting and IFNAR-blocking antibodies before infecting them with MHV-RG. After 4 days, PLN virus titers of antibody-treated mice exceeded those of controls (Fig. 8a), and 25% of the recovered virus was fluorochrome switched (Fig. 8b). Spleen virus titers also increased, with >50% switching. Virus from footpads showed negligible switching. Thus, when both IFN-I and NK cells were disabled, more virus was produced and a greater proportion passed through LysM+ cells, presumably SSM. Day 4 would normally be too early for virus to have passed through MZM (Fig. 5). Thus, the switching of splenic virus probably reflected seeding from the PLN, while PLN virus also included seeding from footpads. However, accelerated MZM infection may have contributed, as SSM and MZM infections are likely to have similar immune restraints.
The greater virus switching of antibody-treated mice argued that IFN-I and NK cells regulate MuHV-4 production in LysM+ cells. However, while PLN sections of antibody-treated mice showed more GFP+ cells than those of controls, their GFP+/mCherry+ cell ratios were similar (Fig. 8c). Therefore, IFN-I and NK cells also regulated LysM− infection. Most fluorochrome-positive PLN cells were myeloid rather than lymphoid (Fig. 8d and ande),e), consistent with fluorochrome expression being lytic while B cell infection was mainly latent (Fig. 2). Nonetheless GFP+ B cells (B220+) were evident in antibody-treated mice (Fig. 8e and andf).f). Thus, when IFN-I and NK cells were lacking, SSM passed MuHV-4 to B cells.
DISCUSSION
Extracellular fluid returning to the blood provides viruses with a ready-made vehicle of systemic spread. LN are a key checkpoint, and myeloid cells are the gatekeepers: migratory DC survey cell-associated antigens, and sessile SSM survey the afferent lymph. MuHV-4 infects both cell types, but only DC pass infection to B cells. IFN-I and NK cells protected SSM against productive infection by virions adsorbed from the lymph. Other innate immune effectors (53) may also contribute—the immune response is inherently multilayered, and with shared induction pathways, individual effectors rarely act alone—but IFN-I and NK cells had key roles.
A previous study of lung infection (54) found no significant NK cell contribution to MuHV-4 control. However, LN infection was not measured. The defensive role of NK cells identified here was consistent with human genetic deficiency phenotypes (55), prominent NK cell responses to EBV (56), and NK cell-mediated defense against EBV in chimeric mice (57). Protection by IFN-I argued against filtering macrophages being deliberately virus permissive (19); rather, the immune response consistently inhibits infection as it escalates from IFN-I to NK cells to adaptive responses, with each gaining functional prominence if upstream containment fails.
Host defense against viremia has anatomical as well as functional layers. Most extracellular fluid traverses more than one lymph node; for example, footpad-inoculated MuHV-4 passes from the PLN to the para-aortic LN (16), and splenic MZM filter the blood. Invasive virus inoculations are often more pathogenic than mucosal inoculations because they bypass the outer defenses: i.p. MuHV-4 reaches the spleen directly (12), and in this context, IFNAR blockade greatly increases macrophage infection (36), consistent with IFNAR−/− mice succumbing more rapidly to i.p. than to i.n. infection (32, 33). Although invasive inoculations cause more disease, host colonization is not necessarily enhanced, as viral genes now operate outside their normal evolutionary context. Thus, protecting against disease after an invasive inoculation is not the same as protecting against natural infection. For example, recombinant gp350 protected tamarins against EBV-induced disease but did not prevent natural human infection (3). Such outcomes emphasize the need to develop vaccine strategies that allow for viral immune evasion.
Natural MuHV-4 infection is probably nasal (22); we studied i.f. infection because the complexity of i.n. infection makes primary and secondary LN effects difficult to separate, but the SSM barrier is relevant to both (16), and increased spleen infection by i.n. MuHV-4 in IFNAR−/− mice (33) is consistent with IFN-I also restricting MuHV-4 passage through mucosa-associated LN. When the host response meets viral evasion, the outcome can depend on cell type, and IFN-I and NK cells evidently restricted MuHV-4 less in DC than in SSM. Most DC infection is initially latent (58). It may become lytic in vivo only after DC have migrated away from inflammatory infection sites and IFN-I signaling has subsided. Migratory DC may also be less IFN-I responsive than SSM (59). Nonetheless, antiviral states are inducible, and vaccine-primed T cells could potentially recruit IFN-I and NK cell responses upon virus challenge. CD4+ T cells control long-term MuHV-4 infection (60), interact with LN DC (61), and protect via IFN-II (62), which potentiates IFN-I (63). The efficacy of innate immunity in restricting SSM infection suggested that recruitment of these defenses might also be able to limit DC infection and thus reduce host colonization.
ACKNOWLEDGMENTS
We thank Orry Wyer for technical support and Helen Farrell for helpful discussion.
This work was supported by National Health and Medical Research Council grants 1060138, 1064015, and 1079180; Australian Research Council grant FT130100138; Queensland Health; the Sakzewski Foundation; and BELSPO (collaborative grant BelVir) (to P.G.S.). J.P.S. was supported by FCT SFRH/BSAB/113927/2015.
Funding Statement
The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.