Abstract
Gene delivery has potential for treating ocular disease and a number of delivery systems have been tested in animal models. However, several viral vectors have been shown to trigger undesirable transient inflammatory responses in the eye. Previously, it was shown that an attenuated Herpes simplex virus vector (hrR3) transduced numerous cell types in the anterior and posterior segments of monkey eyes, but this was accompanied by inflammation. In the retina, retinal pigment epithelial cells were the predominant cell type transduced by hrR3. IL-6 is an important pro-inflammatory cytokine and may play a role in the response to the hrR3 vector. Infection of human ARPE-19 cells with hrR3 resulted in increased IL-6 expression and secretion 3 to 4 hours post-infection. In the presence of acyclovir (70 nM) or in cells infected with UV-inactivated hrR3, IL-6 was not up-regulated indicating viral replication was required. Expression of the HSV-1 α and β genes may be necessary but was not sufficient for NF-κB activation and IL-6 up-regulation. The translocation of NF-κB into the nucleus also occurred between 3 and 4 hours post-infection, coincident with increased IL-6 expression. Inhibition of NF-κB translocation by an Adenovirus vector expressing a dominant negative IκB (AdIκBam) inhibited IL-6 up-regulation, indicating that NF-κB plays a role in increasing IL-6 expression in APRE-19 cells. The hrR3 virus lacks viral ribonucleotide reductase (RR) activity, thus RR is not required for NF-κB activation or IL-6 up-regulation in ARPE-19 cells.
Keywords: ARPE-19 cells, Herpes Simplex Virus vector (hrR3), IL-6, ACV, NF-κB
1. Introduction
The eye is an immunologically privileged organ where inflammatory responses are suppressed. Many factors are responsible for this suppression including the presence of the blood-aqueous barrier, high levels of transforming growth factor beta-2 (TGFβ-2) (Jampel et al. 1990; Massague 1990; Streilein and Cousins 1990), complement inhibitors (Medawar 1948; Medof et al. 1987; Lass et al. 1990; Bora et al. 1993; Streilein 1993; Bardenstein et al. 1994; Streilein 1995) and the intraocular expression of Fas ligand (Griffith et al. 1995), However, ocular immune privilege can be compromised following infection with several pathogens. Herpes simplex virus (HSV) is a common human pathogen that infects epithelial cells. Corneal infection with HSV-1 typically causes epithelial cell damage and conjunctivitis. If the infection involves the deeper layers of the, scarring with loss of vision can occur. HSV also causes uveitis and acute retinal necrosis (Liesegang 1988; Kaufman et al. 1998; Liesegang 1999).
Ocular gene delivery has significant promise for dealing with various blinding diseases. Several viral-based vector systems including Adeno-associated virus (AAV), Adenovirus (AV), HSV, Lentiviral vectors (LV), and Baculoviruses (BV) have been used for ocular gene delivery in animal models or cell culture (Borras et al. 2002; Borras 2003; Liu et al. 2007a; 2007b). The majority of animal studies with viral vectors have used rodent models where gene delivery is well in tolerated. In contrast, studies with rabbits have shown that ocular AV vector delivery triggers an inflammatory response (Borras et al. 1996). Non-human primates also develop ocular inflammation in response to AV, HSV, and LV even though the vectors do not replicate in the eye (Liu et al. 1999; Borras et al. 2002); unpublished data). These observations suggest that fundamental mechanistic differences in the induction of ocular inflammation exist between rodents and other species. The transient inflammatory responses in primate eyes can be reduced by lowering the dose of the vector but this reduces transduction efficiency. Although the inflammation is transient, this side effect must be eliminated if ocular gene therapy is to advance.
The HSV-ribonucleotide reductase null mutant hrR3 is a replication-competent avirulent Herpes Simplex Virus type 1 (HSV-1) carrying an insertion of the lacZ gene into the ICP6 (UL39) gene (Goldstein and Weller 1988). The ICP6 protein encodes the large subunit of the viral ribonucleotide reductase (RR) enzyme and hrR3 lacks functional RR. HSV-RR mutants are capable of establishing latency, but do not reactivate in rodents and are attenuated for virulence (Jacobson et al. 1989; Brandt et al. 1991; Idowu et al. 1992). They also do not cause acute necrotizing retinal disease when injected intravitreally in the rodent eye (Brandt et al. 1997; Spencer et al. 2000; Spencer et al. 2001).
We previously demonstrated that hrR3 could be used to deliver a foreign gene into rat, mouse, and monkey eyes (Liu et al. 1999; Spencer et al. 2000; Spencer et al. 2001). In the monkey study, transgene (lacZ) expression was detected in trabecular meshwork (TM) cells and in non-pigmented ciliary epithelial cells (NPE) following intracameral delivery. Expression of the lacZ transgene was predominantly detected in retinal-pigmented epithelial (RPE) cells. Sporadic retinal ganglion cells (RGC) were also transduced in eyes receiving virus intravitreally (Liu et al. 1999). A transient but significant inflammatory response in the anterior chamber, as well as mild vitritis and retinitis, was also observed in hrR3 transduced monkey eyes (Liu et al. 1999).
The pro-inflammatory cytokine Interleukin-6 (IL-6) is an important mediator of inflammation and has chemotactic activity for neutrophils and macrophages, activates T-lymphocytes, stimulates the secretion of immunoglobulin, and triggers the release of acute phase proteins (Planck et al. 1992; Feghali and Wright 1997). The local production of IL-6 by resident cells and infiltrating inflammatory cells has been detected in a variety of ocular inflammatory conditions (De Vos et al. 1992; Biswas et al. 2006). Studies have shown that cultured human RPE cells constitutively produce IL-6 and that either lipopolysaccharide (LPS) or IL-1 increases IL-6 production 2–5 fold (Chiba et al. 1993). Thus, the induction of IL-6 in RPE cells could be an early trigger of the retinal inflammatory response we observed following hrR3 delivery in primate eyes.
The IL-6 promoter contains consensus binding sites for the NF-κB family of transcription factors and NF-κB is required for the induction of IL-6 as well as other genes in several cell types (www.nf-kb.org; (Rong et al. 1992; Matsusaka et al. 1993; Patel et al. 1998; Amici et al. 2001; Paludan 2001; Hargett et al. 2006; Melchjorsen et al. 2006). There are seven different NF-κB family proteins that dimerize to form 15 possible complexes: p105, p50, p100, p52, p65, c-rel, and RelB. Antibodies to the p65 proteins are frequently used to monitor NF-κB in cells (Carmody and Chen 2007). The NF-κB proteins are normally sequestered in the cytoplasm through binding to IκB proteins which suppresses expression of NF-κB regulated genes including IL-6 (Tam et al. 2000). Upon the receipt of an inflammatory stimulus, the IκB proteins are phosphorylated leading to polyubiquitination and proteosomal degradation (Delhase et al. 1999) and the release of NF-κB to the nucleus. Given that NF-κB controls IL-6 expression and that HSV-1 activates NF-κB, it is possible that NF-κB plays a role in IL-6 induction by HSV-1 in human RPE cells.
Our goals were to determine if IL-6 was induced following exposure of cultured human RPE cells to the hrR3 vector and whether induction required viral replication and NF-κB activation. The results show that exposure of ARPE-19 cells to hrR3 increased IL-6 synthesis beginning 3–4 h post-infection. Induction was not detected when cells were exposed to UV-inactivated virus or when acyclovir was present, indicating that viral replication was required. Inhibitors of NF-κB activation or expression of a dominant negative IκB blocked the IL-6 induction, indicating that NF-κB was involved.
2. Materials and Methods
2.1. Cell culture and hrR3 virus
ARPE-19 cells (Cat # CRL-2302, ATCC, Manassas, VA), were maintained in a 1:1 mixture of Dulbecco’s modified Eagle’s medium and Ham’s F12 medium containing 1.2 g/L sodium bicarbonate, 2.5mM L-glutamine, 15mM HEPES, 0.5 mM sodium pyruvate (pH 7.2), 10% fetal bovine serum (FBS), 100 u/ml penicillin G, and 100 μg/ml pstreptomycin sulfate at 37°C in 5% CO2. The hrR3 vector contains an insertion of the E. coli β-galactosidase gene into the large subunit of HSV-1 (KOS) ribonucleotide reductase (UL39, ICP6; (Goldstein and Weller 1988)). Figure 1 shows a schematic representation of the structure of hrR3 genome. High titer viral stocks were prepared as described previously (Grau et al. 1989). Briefly, Vero cells were infected at a multiplicity of infection (MOI) of 0.01 to 0.1. When the CPE reached 90–100%, the cells and media were harvested, frozen and thawed 3 times, and centrifuged at 2,000 × g for 10 min to remove debris. The virus was then pelleted through a cushion of 36% sucrose in RSB buffer (10mM Tris, pH 7.4, 10mM NaCl, 3 mM MgCl2) and resuspended in endotoxin free PBS (Visalli and Brandt 1993). The titers of the stocks were 1×1010 to 1×1011 plaque forming units (pfu) per ml. Note that the hrR3 virus replicates in ARPE-19 cells but not in monkey or rodent tissue (Brandt et al. 1991; Spencer et al. 2000); unpublished data). To prepare UV-inactivated hrR3, a 10 cm dish containing 1×107 hrR3 viral particles in 2.5 ml culture medium was exposed to the germicidal lamp (33 cm distance) in a class II biosafety cabinet for 1.5 h. Samples were exposed at ambient temperature. Inactivation was confirmed by assessing β-galactosidase expression as we described previously (Bultmann et al. 2001). Cell cultures were tested for mycoplasma using the MycoFluor™ Kit (Molecular Probes, Eugene, OR).
2.2. Construction of the recombinant IκBaM adenoviral vector (AdIκBa)
The plasmid pCMX-IκBaM contains a dominant negative version of IκB with mutations at S32 and S36 of the NH2-terminus, a COOH-terminal PEST sequence mutation, and was kindly provided by Dr. Inder M. Verma (The Salk Institute, La Jolla, CA). The AdEasy Adenoviral system (Stratagene, La Jolla, CA) was used for vector construction. Briefly, the IκBaM fragment was subcloned into pShuttle-CMV and the resultant pShuttle- IκBaM plasmid was then used to generate adenoviral recombinants through homologous recombination with the adenoviral backbone vector, pAdEasy-1, in BJ5183 bacterial cells (Stratagene, La Jolla, CA). After linearization with Pac I, the recombinant adenoviral vector DNA was transfected into HEK 293 cells to prepare vector stocks. A separate adenovirus vector expressing β-galactosidase (lacZ) alone (AdlacZ) was used as a control. Packaged virions were purified using a commercial kit (Cat # 70100, Puresyn, Inc., Malvern, PA). Viral titers were determined by optical density (particles per ml), and the recombinant vectors were then aliquotted and stored at −80°C. The titers of the AdIκBaM and AdlacZ vector stocks were 1.2×1012 and 3.76×1011 particles/ml respectively.
2.3. Analysis of IL-6
For immunoblotting, 7 × 106 ARPE-19 cells were infected with hrR3 at a multiplicity of infection (MOI) of 1. Following a 1 h absorption period, the unabsorbed virus was removed by rinsing the cells twice with PBS. The cells were then incubated in medium at 37°C. At 4, 8, and 12 h post-infection, the cells were washed twice with cold PBS containing protease inhibitor cocktail (Cat # P-8340, Sigma, St. Louis, MO), and collected in cold 1 x PBS with protease inhibitor cocktail, and centrifuged at 500 × g for 10 min. After removing the supernatant, 150 μl of Laemmli sample buffer (Cat # 161-0737, Bio-Rad, Hercules, CA) was added and the pellet was briefly sonicated. The protein concentration was measured with BCA Protein Assay Reagent (Cat # 23223, Pierce, Rockford, IL). After boiling for 5 min, equal amounts of protein were electrophoresed in a 12% denaturing polyacrylamide gel, and electrophoretically transferred to a nitrocellulose membrane. The membrane was blocked for 1 h with 5% nonfat dry milk in Genius I buffer (100mM maleic acid, 150 mM NaCl pH 7.5) containing 0.3% v/v Tween-20 and then incubated with the desired primary antibody. For IL-6, polyclonal rabbit anti-IL6 IgG was used at a 1:200 dilution (Ca t# SC-7290, Santa Cruz Biotechnology, Inc., Santa Cruz, CA) for 1.5 h at room temperature. After washing, the filters were incubated for 1.5 h at room temperature with goat anti-rabbit IgG-conjugated alkaline phosphatase at a 1:1000 dilution (Cat # A-3687, Sigma) and washed. The immunoblots were developed either with 5-bromo-4-chloro-3-indolyl phosphate nitroblue tetrazolium substrate (Cat # B5655, Sigma Aldrich, St. Louis, MO) or the enhanced chemiluminescence (ECL) system (Amersham Biosciences, Piscataway, NJ). Immunoblots were quantified using Scion Image 4.0.3.2 Software (Scion Corp., Frederick, MD).
The secretion of IL-6 was quantified using a commercial ELISA kit (Ca t# 850.030.096, Cell Sciences Inc., Canton, MA) according to the instructions from the manufacturer. The lower limit of detection for IL-6 was 2 pg/ml. The results were quantified by reading the absorbance at 450 nm with an ELISA plate reader (Spectra MAX 250, Molecular Devices Corp., Sunnyvale, CA). Significant differences were determined using the paired t-test.
2.4. Analysis of IκBaM
For immunoblotting, ARPE-19 cells were transduced with different amounts of adenovirus vector. At 2 days post-transduction, lysates were prepared and immunoblotting was performed as described above. Mouse monoclonal anti- IκBa (H4) antibody (SC-1643, Santa Cruz, Santa Cruz, CA) and rabbit anti-mouse IgG conjugated with horseradish peroxidase (HRP) (SC-2031, Santa Cruz, Santa Cruz, CA) were used as the primary and secondary antibodies respectively. Immunoreactive bands were detected using the enhanced chemiluminescence (ECL) system (Amersham Biosciences, Piscataway, NJ). To confirm equal loading of the lanes, the blot was washed once with 1 x PBS, incubated with stripping buffer (0.2 M Glycine-HCL, pH 2.5, 0.05% Tween-20) at room temperature for 1 h, then rinsed with PBS. The blot was then blocked and re-probed with anti-goat actin polyclonal antibody (SC-1616, Santa Cruz, Santa Cruz, CA) followed by secondary bovine anti-goat IgG-HRP (SC-2350, Santa Cruz, Santa Cruz, CA).
For immunofluorescence, ARPE-19 cells were seeded in 4-well chamber slides at 50% confluence (Cat # 154526, Nalge Nunc International, Naperville, IL). Twenty-four hours later the cells were exposed to hrR3 or UV inactivated hrR3 at a MOI of 2. After a 1 h incubation at 37°C, the cells were washed twice with PBS and then incubated in medium at 37°C. At the desired time after virus exposure, the cells were washed three times with 0.05% BSA/PBS, fixed with 4% paraformaldehyde in PBS for 1 h at room temperature, and permeablized with 0.1% Triton X-100 in PBS for 10 min at room temperature with gentle agitation. The cells were then washed and blocked by incubating them in 5% normal donkey serum (Cat # 017-000-121, Jackson Immuno Research Laboratories, West Grove, PA) in 0.1 M TBS for 1 h. The cells were then incubated with polyclonal goat anti-human NF-κB p65 antibody (Cat # SC-372 G, Santa Cruz Biotechnology, Santa Cruz, CA) diluted 1:50 in 2.5% normal donkey serum for 1h at room temperature. Cells were then washed three times with 0.1 M TBS and reacted with Cy 3-conjugated AffiniPure Donkey Anti-Goat IgG (H+L) (Cat # 705-165-147, Jackson Immuno Research Laboratories, West Grove, PA) at a 1:100 dilution in 2.5% normal donkey serum for 1 h at room temperature. The cells were then stained with Hoechst 33342 (Cat # H21492, Molecular Probes, Inc., Eugene, OR) at concentration of 1 μg/ml in 0.1 M TBS for 5 min, washed twice with 0.1 M TBS, and rinsed once with distilled water. The slides were mounted with GEL/MOUNT (Cat # M01, Biomeda Corp., Foster City, CA) and fluorescence was observed with a Zeiss Axioplan 2 microscope equipped with an Axiocam HRm camera together with Axiovision 3.1 software (Carl Zeiss Microimaging Inc., Thornwood, NY).
2.5. Transduction with AdIκBa or AdlacZ
The ARPE-19 cells were grown to confluence in the culture medium containing 10% FBS. The cells were then transduced with the AdIκBa or AdlacZ at a MOI of 120. Following a 2 h absorption period, unabsorbed virus was removed by rinsing the cells twice with PBS, and the cells were incubated in medium at 37°C.
2.6. Analysis of NF-κB activation
The ARPE-19 cells were seeded in 4-well chamber slides (Cat # 154526, Nalge Nunc International, Naperville, IL). Twenty-four hours later the cells were transduced with AdIκBa or AdlacZ at MOI of 120. After a 2 h incubation period at 37°C, the cells were washed twice with PBS and then incubated at 37°C. At 24 hours after transduction, the cells were treated with IL-1β (100 ng/ml) for 1 h or hrR3 at a MOI of 2 for 8 h. After treatment, the cells were washed and NF-κB p65 was detected by immunofluorescence as described above.
2.7. In vitro growth curves
Monolayers of RPE cells in six-well tissue culture plates were infected with hrR3 at a MOI of 4 and incubated for 1 h at 37°C. The cells were then washed twice with PBS and were then incubated in complete growth medium at 37°C. Infected cells were scraped from the wells at various times post-infection and centrifuged at 3,000 × g. The supernatant was saved, and the cells were frozen and thawed three times in dry ice/ethanol to release the virus. Cellular debris was removed by centrifugation for 10 min at 2,000 × g and the resulting supernatant was combined with the culture medium. The total amount of virus per sample was then determined by standard plaque assay in triplicate on Vero cell monolayers.
2.8. Acyclovir (ACV) inhibition assay
The ARPE-19 cells were infected with hrR3 at a MOI of 2 in the presence of 70 nM acyclovir (Cat # 59277-89-3, Sigma, St. Louis, MO) to prevent viral DNA replication. At 3, 8, and 12 h post-infection, culture supernatants were collected and IL-6 was quantified in triplicate by ELISA as described above.
3. Results
3.1. Induction of IL-6 in ARPE-19 cells infected with hrR3
To determine if IL-6 was induced by hrR3, ARPE-19 cells were infected with hrR3 at a MOI of 1 and IL-6 expression was analyzed by immunoblotting using an anti-IL-6 antibody. Two major bands at approximately 40kDa and 28kDa were detected in hrR3-infected but not mock-infected cells in accordance with other studies showing that IL-6 is present in multiple forms in cells (May et al. 1989). Figure 2A shows that IL-6 expression was first detected at 4 h post-vector exposure and continued out to 12 h. In this particular blot, constitutive expression of IL-6 occurred at low levels. In other experiments (see below) levels of constitutive expression were higher. The reason for the variability in constitutive IL-6 expression in ARPE-19 cells is not presently known. The cells were not contaminated with mycoplasma and serum endotoxin levels were 10 Eu/ml. To determine if IL-6 secretion was increased in cells infected with hrR3, culture medium was collected and assayed for IL-6 using a commercially available ELISA kit. As shown in Figure 2B, cultured ARPE-19 cells constitutively secreted IL-6, as has been reported previously (Chiba et al. 1993). When compared to control cultures, significantly increased secretion of IL-6 was seen at 8 (p <0.05) and 12 h (p =<0.05) post-infection in cells exposed to hrR3. Increased IL-6 RNA was detected at 3 h post-infection by RT-PCR but this was not quantified (data not shown). These data indicate IL-6 production was increased in APRE-19 cells infected with hrR3 and that induction occurred between 3 and 4 hours after post-infection.
3.2. hrR3 induces NF-κB activation
The IL-6 promoter contains binding sites for nuclear factor κB (NF-κB) and the requirement of NF-κB activation for IL-6 induction has been well documented (Rong et al. 1992; Matsusaka et al. 1993; Patel et al. 1998; Amici et al. 2001; Paludan 2001; Hargett et al. 2006; Melchjorsen et al. 2006). We therefore asked if NF-κB was activated in hrR3 infected ARPE-19 cells by measuring translocation of NF-κB from the cytoplasm to the nucleus. Figure 3 shows representative examples of control and hrR3-treated cells at 30 min (3A) and 8h (3B) post-infection. A quantitative analysis of the data showed that nuclear translocation of NF-κB was first detected at 4 h post-infection with hrR3 (Figure 3C). By 6 h post-infection, 51.9% of the nuclei were positive for NF-κB compared to 7.1% in the controls. By 8 h, 93.3% of the hrR3 nuclei were positive, compared to 3.2% in control cells. As a positive control, we also included IL-1β, which is a known activator of NF-κB (DiDonato et al. 1996). Treatment of ARPE-19 cells with IL-1β rapidly induced NF-κB nuclear translocation with 93.6% of cells positive at 30 min post-treatment (Figure 3C). There was no difference between the mock-only treated control and hrR3 infected cells at the 30 min time point. These results indicated that infection with hrR3 induces NF-κB translocation and that the timing of the translocation appeared to be co-incident with the IL-6 induction that occurred between 3 and 4 h post-infection.
3.3. Inhibition of NF-κB activation blocks IL-6 induction
To confirm that NF-κB activation was involved in the hrR3-induced IL-6 up-regulation, we generated an adenovirus vector expressing a dominant negative mutant of IκBaM. To confirm the expression of the IκBaM from the AdIκBaM vector, cell lysates from transduced ARPE-19 cells were immunoblotted and probed with a polyclonal antibody specific for IκBa. As shown in Figure 4A, dose-dependent expression of a 32kDa protein corresponding to IκBaM was seen in AdIκBaM-transduced ARPE-19 cells but not in mock-transduced cells. Lower molecular weight bands in the AdIκBaM-transduced lanes may be degradation products of the IκBaM protein. The higher molecular weight bands present in some of the blots with transduced samples are most likely post-translationally modified forms of IκBa. Probing the blots for actin confirmed the lanes were equally loaded (Figure 4A).
We next asked if the dominant negative IκBaM blocked IL-1β induced NF-κB nuclear translocation in ARPE-19 cells. Cells were first transduced with AdIκBaM or AdlacZ for 24 h and the cells were exposed to IL-1β for 1 h. Immunostaining for p65 showed that a strong nuclear staining was observed in IL-1β stimulated AdlacZ transduced cells (Figure 4B). In AdIκBaM transduced cells, NF-κB p65 was located exclusively in the cytoplasm (Figure 4B). The amount of AdIκBaM required to completely block IL-1β induced NF-κB nuclear translocation was 120 transducing units/per cell. At this dose, no cellular morphology change was observed under light microscopy (data not shown).
Having confirmed that the AdIκBaM vector blocked the IL-1β induced NF-κB activation, we then asked whether AdIκBaM inhibited hrR3 mediated NF-κB nuclear translocation. Cells were pretreated with AdIκBaM or AdlacZ for 24 h. The cells were then infected with hrR3 at a MOI of 2 for 8 h and p65 localization was assessed by immunofluorescence. Strong nuclear staining was observed after hrR3 infection in AdlacZ- transduced cells whereas in AdIκBaM-transduced cells, NF-κB p65 was localized exclusively in the cytoplasm (Figure 4C). These results indicated that the AdIκBaM inhibited hrR3 induced NF-κB nuclear translocation. We then asked if the induction of IL-6 by hrR3 could be blocked by AdIκBaM. ARPE-19 cells transduced by AdlacZ or AdIκBaM were infected with hrR3 at a MOI of 2 for 8 h and IL-6 expression was analyzed by western blotting. As shown in Figure 4D, hrR3 induction of IL-6 was reduced in cells expressing IκBaM but not in AdlacZ transduced cells suggesting that IL-6 induction by hrR3 requires NF-κB activation.
3.4. Viral replication is required for IL-6 induction
The hrR3 virus is capable of replicating in some cultured cell lines, but not in rodent eyes (Brandt et al. 1991; Brandt et al. 1997; Spencer et al. 2000). It was, therefore, of interest to determine if hrR3 replicated in ARPE-19 cells. As shown in Figure 5A, we found that the hrR3 virus showed a characteristic one step growth curve with an eclipse period lasting until 6–9 hours post-infection. Increased viral titers were seen at 9 hours post-infection and continued to increase up to 24 hours indicating hrR3 replicated in ARPE-19 cells.
To determine if viral replication was required for the induction of IL-6, we infected ARPE-19 cells with hrR3 in the presence of 70 nM acyclovir and assayed the culture medium for IL-6 by ELISA. The results plotted as fold-differences over the control cultures are shown in Figure 5B. There was little difference in IL-6 expression between hrR3 and hrR3 plus ACV-treated samples versus control samples at 3 h post-infection (p>0.05). At 8 h post-infection, there was an approximately 2-fold increase in secreted IL-6 in the hrR3 treated cells versus control cells, but not in hrR3 plus ACV-treated cells (p<0.05). The difference increased to 3-fold by 12 h post-exposure to hrR3 (p<0.05). The actual IL-6 concentrations (pq/ml/105 cells) at 8h were 73.0 ± 17, 148.0 ± 32, and 74.1 ± 16 for the control, hrR3 only, and hrR3 + ACV respectively. At 12 h the IL-6 concentrations were 66.0 ± 15, 198.8 ± 44, and 63.0 ± 12 pq/ml/105 cells respectively for the control, hrR3 only, and hrR3 + ACV cultures. These data indicate that hrR3 replication is required for the induction of IL-6 in ARPE-19 cells. To confirm that viral replication was required for hrR3-induced IL-6 expression, we asked if UV-inactivated hrR3 was able to induce IL-6. When ARPE-19 cells were exposed to UV-inactivated hrR3, immunostaining showed that NF-κB nuclear translocation was induced (Figure 5C). Immunoblotting showed that at 8 h post-hrR3 infection there was a 1.6-fold increase in IL-6 compared to the controls whereas there was no increase in cells exposed to UV-inactivated virus (Figure 5D). These results confirmed that viral replication was required for NF-κB activation and IL-6 induction in ARPE-19 cells.
4. Discussion
The injection of HSV, Ad, or LV vectors into the anterior chamber or vitreous of non-human primates triggers a transient inflammatory response (Liu et al. 1999; Borras et al. 2001); unpublished data). In contrast, injection of HSV vectors into rodent eyes does not trigger inflammation (Brandt et al. 1997; Spencer et al. 2000; Spencer et al. 2001), indicating that fundamental differences exist between rodent and non-human primates regarding inflammatory triggers. The goal of this work was to test the potential involvement of the pro-inflammatory cytokine IL-6 in triggering ocular inflammation by the attenuated hrR3 HSV vector in primates. We focused on RPE cells since they are one of two principle cell types transduced by this vector in the primate retina (Liu et al. 1999). Our results showed that exposure of ARPE-19 cells to hrR3 resulted in increased IL-6 expression beginning 3 to 4 h post-infection. The increased IL-6 expression required viral replication, as acyclovir blocked the increase and UV inactivated virus did not induce IL-6. In addition, the increase in IL-6 was dependent on the activation and nuclear translocation of NF-κB.
Increased expression of IL-6 was not seen until 3–4 h post-exposure of ARPE-19 cells to hrR3 and the timing of the induction coincided with translocation of NF-κB to the nucleus, suggesting that activation of NF-κB was required for IL-6 induction. This is consistent with findings in other cell types showing a role for NF-κB in regulating IL-6 expression (Matsusaka et al. 1993). The delayed IL-6 induction and NF-κB activation by hrR3 contrasts with IL-1β, where NF-κB nuclear translocation peaked 30 minutes after exposure. These results suggest that hrR3 and IL-1β use different pathways to activateNF-κB.
The activation of NF-κB at 3–4 h post-infection in ARPE-19 cells is similar to the timing of NF-κB activation in other cell types infected with HSV (Patel et al. 1998; Amici et al. 2001; Goodkin et al. 2003; Taddeo et al. 2003; Amici et al. 2006). A transient activation of NF-κB that occurs immediately upon infection has also been reported to occur in a human keratinocyte cell line (HaCaT) (Amici et al. 2006). This early activation occurs with UV-inactivated virus, suggesting that either viral attachment or entry is the trigger. In addition, viral attachment to U973 cells induces NF-κB activation after a lag of 3 h and this is due to gD binding to HveA (Teresa Sciortino et al. 2007). Our observation that UV-inactivated hrR3 virus did not induce NF-κB translocation or IL-6 induction at 30 min post-exposure suggests that this early pathway is not functional in ARPE-19 cells. However, more detailed studies will be required to confirm this. Our findings are also consistent with several reports showing HSV induces a persistent activation of NF-κB in several cell types (Rong et al. 1992; Patel et al. 1998; Amici et al. 2001; Taddeo et al. 2003; Gregory et al. 2004; Hargett et al. 2006).
Several studies have suggested that HSV immediate early and/or early proteins are required for the persistent NF-κB activation and induction of IL-6. In C33 cells, infection by HSV-1 with mutations in ICP-4 or ICP-27 did not activate NF-κB (Patel et al. 1998). In macrophages, where NF-κB activation was required for induction of RANTES, deletion of the ICP-0 gene prevented induction whereas deletion of ICP-4, ICP-27, and ICP-22 had no effect (Melchjorsen et al. 2002; Melchjorsen and Paludan 2003). In contrast, ICP-27 appears to be required for NF-κB activation in Hep-2 and CV-1 cells (Goodkin et al. 2003; Hargett et al. 2006). These results indicate that mechanism of activation of NF-κB depends on the cell type. The observation that acyclovir blocked IL-6 induction in ARPE-19 cells suggests that expression of the HSV α and β genes may be necessary, but is not sufficient for IL-6 induction and that some other event is required (Melchjorsen et al. 2006).
HSV expresses a distinct ribonucleotide reductase (RR) that consists of two heterogeneous protein subunits (Anderson et al. 1981; Dutia 1983; McLauchlan and Clements 1983; Bacchetti et al. 1984; Cohen et al. 1985; Frame et al. 1985; Bacchetti et al. 1986; Ingemarson and Lankinen 1987). Our data suggest that the HSV-1 RR activity is not needed for IL-6 induction and hrR3 replication in APRE-19 cells since the lacZ insertion in hrR3 disrupts the ICP-6 gene (Goldstein and Weller 1988).
The activation of NF-κB and induction of IL-6 at 3–4 h after exposure of the ARPE-19 cells coincides with the onset of expression of HSV-1 β genes and viral DNA replication. The fact that acyclovir, which blocks viral DNA replication but does not inhibit α or β gene expression, inhibits IL-6 induction indicates that viral DNA replication per se or some event requiring the onset of viral DNA replication is involved in the induction of IL-6. The presence of unmethylated CpG motifs in HSV DNA is recognized by TLR-9 (Lund et al. 2003), which can activate NF-κB, thus the TLR-9 pathway may be involved in IL-6 induction by hrR3. Infection of corneal cells with HSV-1 induces TLR-9 gene expression and the TLR-9 inhibitor iODM blocks IL-6 induction in these cells (Hayashi et al. 2006). Studies are underway to determine whether TLR-9 is involved in the IL-6 induction in ARPE-19 cells.
The activation of NF-κB also depends on the activation of protein kinase R (PKR), which phosphorylates IKK (Zamanian-Daryoush et al. 2000). The activation of PKR may be involved in the activation of NF-κB in HSV-infected cells (Taddeo et al. 2003). Additional evidence for the involvement of PKR in NF-κB activation comes fromthe observation that expression early in infection of the HSV-1 Us11 protein which blocks PKR, prevents NF-κB activation (Taddeo et al. 2003). Whether PKR is involved in NF-κB activation and IL-6 induction ARPE-19 cells will require additional studies.
In summary, we report several new findings regarding the induction of IL-6 by HSV-1 in human retinal pigment epithelial cells. Infection of ARPE-19 cells results in the activation of NF-κB and IL-6. We have also shown that IL-6 induction requires both the replication of HSV-1 and NF-κB activation. Our data also suggest that the expression of viral α and β genes may be necessary but is not sufficient for NF-κB activation and IL-6 induction and the viral ribonucleotide reductase enzymatic activity is not required for NF-κB activation and IL-6 induction.
Acknowledgments
These studies were supported by the Retina Research Foundation, Houston, TX, EY07336, a Core Grant for Vision Research, EY016665, and an unrestricted grant from Research to Prevent Blindness, Inc. to the Department of Ophthalmology and Visual Sciences. The authors would like to thank Elizabeth Froelich for administrative assistance and Sharon Altmann, Jeremy Teuton, Radeekorn Akkarawongsa, Gilbert Jose, and Aaron Kolb for comments on the manuscript.
Footnotes
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References
- Amici C, Belardo G, Rossi A, Santoro MG. Activation of I kappa b kinase by herpes simplex virus type 1. A novel target for anti-herpetic therapy. J Biol Chem. 2001;276:28759–28766. doi: 10.1074/jbc.M103408200. [DOI] [PubMed] [Google Scholar]
- Amici C, Rossi A, Costanzo A, Ciafre S, Marinari B, Balsamo M, Levrero M, Santoro MG. Herpes simplex virus disrupts NF-kappaB regulation by blocking its recruitment on the IkappaBalpha promoter and directing the factor on viral genes. J Biol Chem. 2006;281:7110–7117. doi: 10.1074/jbc.M512366200. [DOI] [PubMed] [Google Scholar]
- Anderson KP, Frink RJ, Devi GB, Gaylord BH, Costa RH, Wagner EK. Detailed characterization of the mRNA mapping in the HindIII fragment K region of the herpes simplex virus type 1 genome. J Virol. 1981;37:1011–1027. doi: 10.1128/jvi.37.3.1011-1027.1981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bacchetti S, Evelegh MJ, Muirhead B. Identification and separation of the two subunits of the herpes simplex virus ribonucleotide reductase. J Virol. 1986;57:1177–1181. doi: 10.1128/jvi.57.3.1177-1181.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bacchetti S, Evelegh MJ, Muirhead B, Sartori CS, Huszar D. Immunological characterization of herpes simplex virus type 1 and 2 polypeptide(s) involved in viral ribonucleotide reductase activity. J Virol. 1984;49:591–593. doi: 10.1128/jvi.49.2.591-593.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bardenstein DS, Dietz Y, Lass JH, Medof ME. Localization of the complement membrane attack complex inhibitor (CD59) in human conjunctiva and lacrimal gland. Curr Eye Res. 1994;13:851–855. doi: 10.3109/02713689409015085. [DOI] [PubMed] [Google Scholar]
- Biswas PS, Banerjee K, Kinchington PR, Rouse BT. Involvement of IL-6 in the paracrine production of VEGF in ocular HSV-1 infection. Exp Eye Res. 2006;82:46–54. doi: 10.1016/j.exer.2005.05.001. [DOI] [PubMed] [Google Scholar]
- Bora NS, Gobleman CL, Atkinson JP, Pepose JS, Kaplan HJ. Differential expression of the complement regulatory proteins in the human eye. Invest Ophthalmol Vis Sci. 1993;34:3579–3584. [PubMed] [Google Scholar]
- Borras T. Recent developments in ocular gene therapy. Exp Eye Res. 2003;76:643–652. doi: 10.1016/s0014-4835(03)00030-7. [DOI] [PubMed] [Google Scholar]
- Borras T, Brandt CR, Nickells R, Ritch R. Gene therapy for glaucoma: treating a multifaceted, chronic disease. Invest Ophthalmol Vis Sci. 2002;43:2513–2518. [PubMed] [Google Scholar]
- Borras T, Gabelt BT, Klintworth GK, Peterson JC, Kaufman PL. Non-invasive observation of repeated adenoviral GFP gene delivery to the anterior segment of the monkey eye in vivo. J Gene Med. 2001;3:437–449. doi: 10.1002/jgm.210. [DOI] [PubMed] [Google Scholar]
- Borras T, Tamm ER, Zigler JS., Jr Ocular adenovirus gene transfer varies in efficiency and inflammatory response. Invest Ophthalmol Vis Sci. 1996;37:1282–1293. [PubMed] [Google Scholar]
- Brandt CR, Imesch P, Spencer B, Eliassi-Rad B, Syed NA, Untawale S, Robinson NL, Albert DM. The herpes simplex virus type 1 ribonucleotide reductase is required for acute retinal disease. Archives of Virology. 1997;142:883–896. doi: 10.1007/s007050050126. [DOI] [PubMed] [Google Scholar]
- Brandt CR, Kintner RL, Pumfery AM, Visalli RJ, Grau DR. The herpes simplex virus ribonucleotide reductase is required for ocular virulence. Journal of General Virology. 1991;72:2043–2049. doi: 10.1099/0022-1317-72-9-2043. [DOI] [PubMed] [Google Scholar]
- Bultmann H, Busse JS, Brandt CR. Modified FGF4 signal peptide inhibits entry of herpes simplex virus type 1. J Virol. 2001;75:2634–2645. doi: 10.1128/JVI.75.6.2634-2645.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carmody RJ, Chen YH. Nuclear factor-kappaB: activation and regulation during toll-like receptor signaling. Cell Mol Immunol. 2007;4:31–41. [PubMed] [Google Scholar]
- Chiba K, Inada K, Sakamoto S. Human cultured retinal pigment epithelial cells produce interleukin-6. Nippon Ganka Gakkai Zasshi. 1993;97:29–35. [PubMed] [Google Scholar]
- Cohen EA, Charron J, Perret J, Langelier Y. Herpes simplex virus ribonucleotide reductase induced in infected BHK-21/C13 cells: biochemical evidence for the existence of two non-identical subunits, H1 and H2. J Gen Virol. 1985;66(Pt 4):733–745. doi: 10.1099/0022-1317-66-4-733. [DOI] [PubMed] [Google Scholar]
- De Vos AF, Hoekzema R, Kijlstra A. Cytokines and uveitis, a review. Curr Eye Res. 1992;11:581–597. doi: 10.3109/02713689209001814. [DOI] [PubMed] [Google Scholar]
- Delhase M, Hayakawa M, Chen Y, Karin M. Positive and negative regulation of IkappaB kinase activity through IKKbeta subunit phosphorylation. Science. 1999;284:309–313. doi: 10.1126/science.284.5412.309. [DOI] [PubMed] [Google Scholar]
- DiDonato J, Mercurio F, Rosette C, Wu-Li J, Suyang H, Ghosh S, Karin M. Mapping of the inducible IkappaB phosphorylation sites that signal its ubiquitination and degradation. Mol Cell Biol. 1996;16:1295–1304. doi: 10.1128/mcb.16.4.1295. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dutia BM. Ribonucleotide reductase induced by herpes simplex virus has a virus-specified constituent. J Gen Virol 64 Pt. 1983;3:513–521. doi: 10.1099/0022-1317-64-3-513. [DOI] [PubMed] [Google Scholar]
- Feghali CA, Wright TM. Cytokines in acute and chronic inflammation. Front Biosci. 1997;2:d12–26. doi: 10.2741/a171. [DOI] [PubMed] [Google Scholar]
- Frame MC, Marsden HS, Dutia BM. The ribonucleotide reductase induced by herpes simplex virus type 1 involves minimally a complex of two polypeptides (136K and 38K) J Gen Virol. 1985;66(Pt 7):1581–1587. doi: 10.1099/0022-1317-66-7-1581. [DOI] [PubMed] [Google Scholar]
- Goldstein DJ, Weller SK. Factor(s) present in herpes simplex virus type 1-infected cells can compensate for the loss of the large subunit of the viral ribonucleotide reductase: characterization of an ICP6 deletion mutant. Virology. 1988;166:41–51. doi: 10.1016/0042-6822(88)90144-4. [DOI] [PubMed] [Google Scholar]
- Goodkin ML, Ting AT, Blaho JA. NF-kappaB is required for apoptosis prevention during herpes simplex virus type 1 infection. J Virol. 2003;77:7261–7280. doi: 10.1128/JVI.77.13.7261-7280.2003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Grau DR, Visalli RJ, Brandt CR. Herpes simplex virus stromal keratitis is not titer-dependent and does not correlate with neurovirulence. Invest Ophthalmol Vis Sci. 1989;30:2474–2480. [PubMed] [Google Scholar]
- Gregory D, Hargett D, Holmes D, Money E, Bachenheimer SL. Efficient replication by herpes simplex virus type 1 involves activation of the IkappaB kinase-IkappaB-p65 pathway. J Virol. 2004;78:13582–13590. doi: 10.1128/JVI.78.24.13582-13590.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Griffith TS, Brunner T, Fletcher SM, Green DR, Ferguson TA. Fas ligand-induced apoptosis as a mechanism of immune privilege. Science. 1995;270:118. doi: 10.1126/science.270.5239.1189. [DOI] [PubMed] [Google Scholar]
- Hargett D, Rice S, Bachenheimer SL. Herpes simplex virus type 1 ICP27-dependent activation of NF-kappaB. J Virol. 2006;80:10565–10578. doi: 10.1128/JVI.01119-06. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayashi K, Hooper LC, Chin MS, Nagineni CN, Detrick B, Hooks JJ. Herpes simplex virus 1 (HSV-1) DNA and immune complex (HSV-1-human IgG) elicit vigorous interleukin 6 release from infected corneal cells via Toll-like receptors. J Gen Virol. 2006;87:2161–2169. doi: 10.1099/vir.0.81772-0. [DOI] [PubMed] [Google Scholar]
- Idowu AD, Fraser-Smith EB, Poffenberger KL, Herman RC. Deletion of the herpes simplex virus type 1 ribonucleotide reductase gene alters virulence and latency in vivo. Antiviral Res. 1992;17:145–156. doi: 10.1016/0166-3542(92)90048-a. [DOI] [PubMed] [Google Scholar]
- Ingemarson R, Lankinen H. The herpes simplex virus type 1 ribonucleotide reductase is a tight complex of the type alpha 2 beta 2 composed of 40K and 140K proteins, of which the latter shows multiple forms due to proteolysis. Virology. 1987;156:417–422. doi: 10.1016/0042-6822(87)90422-3. [DOI] [PubMed] [Google Scholar]
- Jacobson JG, Leib DA, Goldstein DJ, Bogard CL, Schaffer PA, Weller SK, Coen DM. A herpes simplex virus ribonucleotide reductase deletion mutant is defective for productive acute and reactivatable latent infections of mice and for replication in mouse cells. Virology. 1989;173:276–283. doi: 10.1016/0042-6822(89)90244-4. [DOI] [PubMed] [Google Scholar]
- Jampel HD, Roche N, Stark WJ, Roberts AB. Transforming growth factor-beta in human aqueous humor. Curr Eye Res. 1990;9:963–969. doi: 10.3109/02713689009069932. [DOI] [PubMed] [Google Scholar]
- Kaufman HE, Barron BA, McDonald MB. The Cornea. 2. Butterworth-Heinemann; Boston: 1998. Chapter 10: Herpes simplex viral infections; Chapter 11: Varicella Zoster viral infection. [Google Scholar]
- Lass JH, Walter EI, Burris TE, Grossniklaus HE, Roat MI, Skelnik DL, Needham L, Singer M, Medof ME. Expression of two molecular forms of the complement decay-accelerating factor in the eye and lacrimal gland. Invest Ophthalmol Vis Sci. 1990;31:1136–1148. [PubMed] [Google Scholar]
- Liesegang TJ. Ocular herpes simplex infection: pathogenesis and current therapy. Mayo Clin Proc. 1988;63:1092–1105. doi: 10.1016/s0025-6196(12)65504-9. [DOI] [PubMed] [Google Scholar]
- Liesegang TJ. Classification of herpes simplex virus keratitis and anterior uveitis. Cornea. 1999;18:127–143. doi: 10.1097/00003226-199903000-00001. [DOI] [PubMed] [Google Scholar]
- Liu X, Brandt CR, Gabelt BT, Bryar PJ, Smith ME, Kaufman PL. Herpes simplex virus mediated gene transfer to primate ocular tissues. Exp Eye Res. 1999;69:385–395. doi: 10.1006/exer.1999.0711. [DOI] [PubMed] [Google Scholar]
- Liu X, Brandt CR, Rasmussen CA, Kaufman PL. Glaucoma gene therapy. Expert Review of Ophthalmology. 2007a;2:227–236. [Google Scholar]
- Liu X, Brandt CR, Rasmussen CA, Kaufman PL. Ocular drug delivery: molecules, cells, and genes. The Canadian Journal of Ophthalmology. 2007b;42:1–8. [PubMed] [Google Scholar]
- Lund J, Sato A, Akira S, Medzhitov R, Iwasaki A. Toll-like receptor 9-mediated recognition of Herpes simplex virus-2 by plasmacytoid dendritic cells. J Exp Med. 2003;198:513–520. doi: 10.1084/jem.20030162. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Massague J. The transforming growth factor-beta family. Annu Rev Cell Biol. 1990;6:597–641. doi: 10.1146/annurev.cb.06.110190.003121. [DOI] [PubMed] [Google Scholar]
- Matsusaka T, Fujikawa K, Nishio Y, Mukaida N, Matsushima K, Kishimoto T, Akira S. Transcription factors NF-IL6 and NF-kappa B synergistically activate transcription of the inflammatory cytokines, interleukin 6 and interleukin 8. Proc Natl Acad Sci U S A. 1993;90:10193–10197. doi: 10.1073/pnas.90.21.10193. [DOI] [PMC free article] [PubMed] [Google Scholar]
- May LT, Santhanam U, Tatter SB, Ghrayeb J, Sehgal PB. Multiple forms of human interleukin-6. Phosphoglycoproteins secreted by many different tissues. Ann N Y Acad Sci. 1989;557:114–119. discussion 119–121. [PubMed] [Google Scholar]
- McLauchlan J, Clements JB. Organization of the herpes simplex virus type 1 transcription unit encoding two early proteins with molecular weights of 140000 and 40000. J Gen Virol. 1983;64:997–1006. doi: 10.1099/0022-1317-64-5-997. [DOI] [PubMed] [Google Scholar]
- Medawar PB. Immunity to homologous grafted skin. III. The fate of skin homografts transplanted to the brain, to subcutaneous tissue, and to the anterior chamber of the eye. Br J Exp Pathol. 1948;29:58–69. [PMC free article] [PubMed] [Google Scholar]
- Medof ME, Walter EI, Rutgers JL, Knowles DM, Nussenzweig V. Identification of the complement decay-accelerating factor (DAF) on epithelium and glandular cells and in body fluids. J Exp Med. 1987;165:848–864. doi: 10.1084/jem.165.3.848. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Melchjorsen J, Paludan SR. Induction of RANTES/CCL5 by herpes simplex virus is regulated by nuclear factor kappa B and interferon regulatory factor 3. J Gen Virol. 2003;84:2491–2495. doi: 10.1099/vir.0.19159-0. [DOI] [PubMed] [Google Scholar]
- Melchjorsen J, Pedersen FS, Mogensen SC, Paludan SR. Herpes simplex virus selectively induces expression of the CC chemokine RANTES/CCL5 in macrophages through a mechanism dependent on PKR and ICP0. J Virol. 2002;76:2780–2788. doi: 10.1128/JVI.76.6.2780-2788.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Melchjorsen J, Siren J, Julkunen I, Paludan SR, Matikainen S. Induction of cytokine expression by herpes simplex virus in human monocyte-derived macrophages and dendritic cells is dependent on virus replication and is counteracted by ICP27 targeting NF-kappaB and IRF-3. J Gen Virol. 2006;87:1099–1108. doi: 10.1099/vir.0.81541-0. [DOI] [PubMed] [Google Scholar]
- Paludan SR. Requirements for the induction of interleukin-6 by herpes simplex virus-infected leukocytes. J Virol. 2001;75:8008–8015. doi: 10.1128/JVI.75.17.8008-8015.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Patel A, Hanson J, McLean TI, Olgiate J, Hilton M, Miller WE, Bachenheimer SL. Herpes simplex type 1 induction of persistent NF-kappa B nuclear translocation increases the efficiency of virus replication. Virology. 1998;247:212–222. doi: 10.1006/viro.1998.9243. [DOI] [PubMed] [Google Scholar]
- Planck SR, Dang TT, Graves D, Tara D, Ansel JC, Rosenbaum JT. Retinal pigment epithelial cells secrete interleukin-6 in response to interleukin-1. Invest Ophthalmol Vis Sci. 1992;33:78–82. [PubMed] [Google Scholar]
- Rong BL, Libermann TA, Kogawa K, Ghosh S, Cao LX, Pavan-Langston D, Dunkel EC. HSV-1-inducible proteins bind to NF-kappa B-like sites in the HSV-1 genome. Virology. 1992;189:750–756. doi: 10.1016/0042-6822(92)90599-k. [DOI] [PubMed] [Google Scholar]
- Spencer B, Agarwala S, Gentry L, Brandt CR. HSV-1 vector-delivered FGF2 to the retina is neuroprotective but does not preserve functional responses. Mol Ther. 2001;3:746–756. doi: 10.1006/mthe.2001.0307. [DOI] [PubMed] [Google Scholar]
- Spencer B, Agarwala S, Miskulin M, Smith M, Brandt CR. Herpes simplex virus-mediated gene delivery to the rodent visual system. Invest Ophthalmol Vis Sci. 2000;41:1392–1401. [PubMed] [Google Scholar]
- Streilein JW. Immune privilege as the result of local tissue barriers and immunosuppressive microenvironments. Curr Opin Immunol. 1993;5:428–432. doi: 10.1016/0952-7915(93)90064-y. [DOI] [PubMed] [Google Scholar]
- Streilein JW. Immunological non-responsiveness and acquisition of tolerance in relation to immune privilege in the eye. Eye. 1995;9(Pt 2):236–240. doi: 10.1038/eye.1995.46. [DOI] [PubMed] [Google Scholar]
- Streilein JW, Cousins SW. Aqueous humor factors and their effect on the immune response in the anterior chamber. Curr Eye Res. 1990;9(Suppl):175–182. doi: 10.3109/02713689008999439. [DOI] [PubMed] [Google Scholar]
- Taddeo B, Luo TR, Zhang W, Roizman B. Activation of NF-kappaB in cells productively infected with HSV-1 depends on activated protein kinase R and plays no apparent role in blocking apoptosis. Proc Natl Acad Sci U S A. 2003;100:12408–12413. doi: 10.1073/pnas.2034952100. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tam WF, Lee LH, Davis L, Sen R. Cytoplasmic sequestration of rel proteins by IkappaBalpha requires CRM1-dependent nuclear export. Mol Cell Biol. 2000;20:2269–2284. doi: 10.1128/mcb.20.6.2269-2284.2000. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Teresa Sciortino M, Medici MA, Marino-Merlo F, Zaccaria D, Giuffre M, Venuti A, Grelli S, Mastino A. Signaling pathway used by HSV-1 to induce NF-kappaB activation: possible role of herpes virus entry receptor A. Ann N Y Acad Sci. 2007;1096:89–96. doi: 10.1196/annals.1397.074. [DOI] [PubMed] [Google Scholar]
- Visalli RJ, Brandt CR. The HSV-1 UL45 18 kDa gene product is a true late protein and a component of the virion. Virus Res. 1993;29:167–178. doi: 10.1016/0168-1702(93)90057-t. [DOI] [PubMed] [Google Scholar]
- Zamanian-Daryoush M, Mogensen TH, DiDonato JA, Williams BRG. NF-kappa B Activation by Double-Stranded-RNA-Activated Protein Kinase (PKR) Is Mediated through NF-kappa B-inducing Kinase and Ikappa B Kinase. Mol Cell Biol. 2000;20:1278–1290. doi: 10.1128/mcb.20.4.1278-1290.2000. [DOI] [PMC free article] [PubMed] [Google Scholar]