Abstract
The necessity for pathogen recognition of viral infection by the innate immune system in initiating early innate and adaptive host defenses is well documented. However, little is known about the role these receptors play in the maintenance of adaptive immune responses and their contribution to resolution of persistent viral infections. Here, we demonstrate a non-redundant functional requirement for both nucleic acid-sensing Toll-like receptors (TLR) and RIG-I-like receptors (RLR) in the control of a mouse model of chronic viral infection. Whereas the RLR pathway was important for production of type I interferons and optimal CD8+ T cell responses, nucleic acid-sensing TLRs were largely dispensable. In contrast, optimal anti-viral antibody responses required intact signaling through nucleic acid-sensing TLRs, and the absence of this pathway correlated with less virus-specific antibody and deficient long-term virus control of a chronic infection. Surprisingly, absence of the TLR pathway had only modest effects on antibody production in an acute infection with a closely related virus strain, suggesting that persistent TLR stimulation may be necessary for optimal antibody responses in a chronic infection. These results indicate that innate virus recognition pathways may play critical roles in the outcome of chronic viral infections through distinct mechanisms.
Introduction
Chronic viral infections such as those caused by human immunodeficiency virus (HIV) and hepatitis B and C viruses are a major global health problem infecting millions worldwide (1). The mechanisms of immune-mediated control of chronic viral infections in humans or mouse models have been well studied and are multifaceted. Virus-specific CD8+ T cells are important for elimination of virally infected cells and gradually lose effector function throughout the course of infection (2–4). In addition, exhausted CD8+ T cells express multiple inhibitory receptors, which further limit their function (5–9). In addition to CD8+ T cells, CD4+ T cells also play an important role through both help to CD8+ T cells and to B cells for antibody responses, which contribute to virus control (4, 10–15). Despite this depth of understanding regarding adaptive immune mechanisms of virus control, little is known regarding the role of innate immune recognition of virus during the control of chronic viral infections and how innate immune activation may influence pathogenesis.
The innate immune system senses virus infection primarily, but not exclusively, through the recognition of viral nucleic acid. The main pattern recognition receptors involved in sensing of viral nucleic acid include RIG-I-like receptors (RLRs), expressed by most cells, and Toll-like receptors (TLRs), which are expressed primarily by macrophages, dendritic cells (DCs) and also B cells (16–18). The RLRs RIG-I and MDA5 detect cytosolic viral RNA replication intermediates and signal through the adaptor MAVS (IPS-1/VISA/Cardif) to initiate the production of type I interferons (IFN) and other inflammatory cytokines, whereas the nucleic acid-sensing TLRs, TLR3 (dsRNA), TLR7 (ssRNA) and TLR9 (DNA) rely on the adaptors MyD88 and TRIF and localize to endosomes in an UNC93B-dependent manner. Signaling is abrogated in cells with a missense mutation in Unc93b1, termed ‘3d’ because it affects TLRs 3, 7, and 9 (19, 20). Recognition of virus by pattern recognition receptors is known to be important for both restricting early virus replication through the induction of antiviral genes, but also by initiating adaptive immune responses.
In order to study the role of these pathways in controlling chronic viral infection, we used a mouse model of infection with lymphocytic choriomeningitis virus (LCMV), comparing differences between acute and chronic infections. Type I IFNs (IFN-α/β) have previously been shown to be important for control of both acute and chronic LCMV infections (21–23), and for optimal CD8+ T cell responses (24). However, the role of innate immune nucleic-acid recognition pathways in the induction of type I IFN by LCMV, a single-stranded RNA virus, has been controversial, as either MAVS or MyD88-dependent pathways have been implicated during response to an acute infection (25, 26). In addition, because MyD88 is needed in a CD8+ T cell-intrinsic manner for proper LCMV-specific CD8+ T cell expansion, the role of the TLR pathway in controlling LCMV infection has been difficult to differentiate from its effects on other MyD88-dependent signaling pathways (27). Furthermore, whether these pathways are engaged differently during chronic infection, and the relative importance of RLR and TLR pathways for adaptive immune responses and virus control during both acute and chronic infections are not known. In order to address these important questions, and circumvent the intrinsic CD8+ T cell defect in Myd88−/− mice, we used Mavs−/− and Unc93b13d/3d (3d) mice to examine the role of RLRs and nucleic acid-sensing TLRs, respectively, for: early and long-term virus control; production of type I IFNs; and the generation and maintenance of CD8+ T cell and antibody responses in both acute and chronic LCMV infections. We find that in Mavs−/− mice, type I IFN production, inhibition of early virus replication, and CD8+ T cell responses were severely affected, leading to delayed but eventual clearance of both acute and chronic LCMV infections. In contrast, in 3d mice, type I IFN production, early virus control and CD8+ T cell responses were not greatly affected and these mice were able to clear acute LCMV infection normally. Surprisingly, despite the ability of these mice to clear acute infection, control of chronic infection was severely impaired correlating with a defect in antibody responses and progressive CD8+ T cell exhaustion. These results demonstrate critical roles for innate immune recognition of virus in maintaining adaptive immune responses during chronic viral infection.
Materials and Methods
Mice
C57BL/6 (CD45.2+) mice were purchased from the Jackson Laboratory or the National Cancer Institute. CD45.1+ P14 mice bearing the DbGP33-specific TCR were maintained in our animal colony. Mob (IFN-β) reporter mice were generously provided by R. Locksley (University of California, San Francisco, CA) (28). Mavs−/− mice were generously provided by Z. Chen (University of Texas, Southwestern Medical Center, Dallas, TX) (29) and crossed to C57BL/6 mice for at least eight generations. Unc93b1 “3d” mice on a C57BL/6 background were purchased from the Mutant Mouse Regional Resource Center (University of California, Davis, CA) (20). Myd88−/− mice on a C57BL/6 background were obtained from A. DeFranco (UCSF) (30). All experiments were done in accordance with University of California, San Francisco Institutional Animal Care and Use Committee guidelines.
Viral infections and virus titration
LCMV Armstrong and clone 13 were propagated on BHK cells and titered on Vero cells as previously described (31). For acute infection, mice were infected by intravenous (i.v.) injection with 2 × 106 PFU LCMV Armstrong (Arm). For chronic infection, mice were infected i.v. with either 2 × 105 or 2 × 106 PFU LCMV clone 13 where indicated.
Cell Sorting
Plasmacytoid DCs were sorted from uninfected and LCMV-infected spleens at day 1 post-infection. Plasmacytoid DCs were enriched by negative selection using a biotinylated antibody mixture (CD4, CD19, and Thy1.2), streptavidin microbeads, and an autoMACS instrument (Miltenyi Biotec). Enriched cells were then sorted using antibodies to B220 and Siglec-H with DAPI to exclude dead cells on a FACSAria (BD Biosciences). For CFSE-labeling, P14 cells were enriched from spleens of transgenic mice using a biotinylated antibody mixture (CD4, B220, I-Ab, NK1.1, CD11b, CD11c, and Ly6G), streptavidin microbeads, and an autoMACS instrument. The purity of P14 cells enriched by autoMACS was ~90% and the purity of FACS-sorted pDCs was ~98%.
Adoptive transfers and CFSE labeling
For non-carboxyfluorescein diacetate succinimidyl ester (CFSE)-labeled P14 adoptive transfers, 2 × 104 (acute) or 1 × 103 (chronic) CD45.1+ P14 cells were transferred into naïve CD45.2+ recipients one day prior to infection and analyzed day 5 or 8 post-infection. For transfer of CFSE-labeled P14 cells, P14 cells were first enriched using an autoMACS instrument as described above. Enriched P14 cells were then labeled in PBS containing 7 μM CFSE (Invitrogen) for 7 min at room temperature. CFSE labeling was quenched with FBS and cells were washed with RPMI-1640 medium. 1 × 106 labeled P14 cells were transferred one day prior to infection and analyzed 48 hours post-infection.
Flow cytometry, antibodies, and intracellular staining
MHC class I tetramers were a generous gift from R. Ahmed (Emory University School of Medicine, Atlanta, GA). All antibodies were purchased from BioLegend except for anti-human granzyme B (Invitrogen); anti-mouse Ly6C and CD62L (BD Pharmingen); anti-mouse CD4, CD16+CD32, B220, CD11b, CD19, and Ly6G (University of California, San Francisco Antibody Core Facility); and anti-mouse PDCA-1 (eBioscience). Intracellular cytokine staining was performed as previously described (2). Spleen cells were cultured 5 h in the presence of 1 μg/ml GolgiPlug (BD Biosciences) and 0.2 μg/ml of the indicated peptide prior to staining for surface markers and intracellular cytokines. Flow cytometry was performed on LSRFortessa or FACSCalibur (BD Biosciences) cytometers and analyzed with FlowJo 9.0.2 software (TreeStar).
Quantitative RT-PCR
RNA was isolated from snap-frozen tissues using TRIzol Reagent (Invitrogen). Following DNase treatment with a Turbo DNA-free kit (Ambion), cDNA was generated from total RNA using an M-MLV reverse transcriptase kit (Invitrogen). Gene expression was determined by quantitative PCR using FastStart Universal SYBR Green Master (ROX; Roche) on an ABI 7300 Real Time PCR System (Applied Biosystems). Expression of type I IFN RNA was normalized to glyceraldehyde 3-phosphate dehydrogenase (GAPDH). PCR primer pairs are as follows: GAPDH Fwd: 5′-GGTCTACATGTTCCAGTATGACTCCAC-3′; GAPDH Rev: 5′-GGGTCTCGCTCCTGGAAGAT-3′; IFN-β Fwd: 5′-CGCTGCGTTCCTGCTGTGCTT-3′; IFN-β Rev: 5′-AGGTGAGGTTGATCTTTCCATTCAG-3′; IFN-α Fwd: 5′-CTCCTAGACTCAKTCTGCA-3′; IFN-α Rev: 5′-ACACAGTGATSCTGTGGAA-3′ (32).
ELISA
LCMV-specific IgG in serum was detected by solid-phase ELISA as previously described (31). Briefly, 96-well flat-bottom plates were coated with LCMV-infected BHK lysate, and then blocked with PBS containing 0.5% Tween 20 (Bio-Rad) and 10% FBS. After blocking, serially diluted serum was added and anti-mouse IgG conjugated to horseradish peroxidase was used as a secondary antibody (SouthernBiotech). 3, 3′, 5, 5′ tetramethylbenzidine was used as substrate. Antibody titers were determined as the reciprocal of the dilution that gave an optical density value (450 nm) reading more than two-fold above naïve control sera. For each graph, sera samples were analyzed by ELISA concurrently.
Statistical analysis
All statistical analysis was performed using a two-tailed unpaired Student’s t-test with Prism software (GraphPad Software, Inc.).
Results
Differential contributions of innate virus-sensing pathways to the control of an acute or chronic viral infection
To determine how innate virus-sensing pathways contributed to the control of a chronic viral infection, we used the LCMV model in which infection of wild-type (WT) mice with the Armstrong (Arm) strain results in acute infection and viral clearance within 8–10 days, whereas infection with a closely related variant, clone 13, results in chronic infection with viral persistence for several months (31). Whereas WT mice efficiently controlled virus by 8 days following infection with LCMV Arm, Mavs−/− mice had elevated virus titers in serum, spleen, and liver (Fig. 1A). In contrast, 3d mice had similar levels of virus control as in WT mice. Although Mavs−/− mice had high levels of virus at day 8 post-infection (p.i.), these mice eventually cleared virus from serum and tissues by day 15 or shortly thereafter. Furthermore, we did not detect any infectious virus in serum and multiple tissues, including brain and kidney, at day 30 and later post-infection (data not shown). These data suggest that although the RLR pathway is primarily important in controlling acute infection with LCMV, deficiency in one pathway alone is not sufficient for establishment of a chronic infection with LCMV Arm.
Since the necessity for virus-sensing pathways may differ in acute and chronic infections, we investigated the role of RLR and nucleic acid-sensing TLR pathways in a chronic viral infection with clone 13. Clone 13 has been well established to replicate and spread more rapidly within the first few days of infection when compared to Arm (33). Since the dose of clone 13 used in most studies, 2 million PFU per mouse, already seems to overcome effects of the innate response and rapidly lead to CD8+ T cell exhaustion in a WT host, for our initial studies, we infected WT, Mavs−/−, and 3d mice with a ten-fold lower dose of this strain and monitored virus clearance. Whereas WT mice eliminated virus in serum, spleen, and liver by day 44 p.i., similarly to acute infection with LCMV, Mavs−/− mice exhibited defective clearance of clone 13 at this time point, with higher levels of viremia at days 15 and 30 p.i., and detectable virus present in serum and tissues at day 44 following infection (Fig. 1B and C). Surprisingly, although nucleic acid-sensing TLRs were dispensable for clearance of acute LCMV infection, 3d mice failed to control infection with clone 13. Levels of virus in WT and 3d mice were relatively equivalent at day 15 p.i. (Fig. 1B), but 3d mice maintained elevated virus levels in serum and tissues throughout the course of observation. Consistent with these results, when infected with 2 × 106 PFU clone 13, 3d mice failed to clear virus at times as late as d160 p.i. (Fig. 1D). In contrast, with the higher dose of clone 13, kinetics of clearance in Mavs−/− mice were similar as that in WT mice indicating that the higher dose of virus likely overcomes MAVS-dependent effects on virus control (Fig. 1D). These data demonstrate that both the RLR and nucleic acid-sensing TLR pathways are necessary for control of LCMV infection. Importantly, though these receptors have the potential to activate similar downstream pathways, they act in seemingly non-redundant ways due to the differing necessity for these pathways in control of acute or chronic LCMV infections.
Impaired CD8+ T cell function resulting from deficiency in innate virus-sensing pathways during acute and chronic infection
To understand the mechanism(s) by which the RLR and nucleic acid-sensing TLR pathways may affect the clearance of LCMV, we analyzed virus-specific CD8+ T cell responses, since CD8+ T cells are required for control of acute infection (34, 35), and chronic infection has been shown to lead to the loss of CD8+ T cell effector functions, which contributes to virus persistence (2, 4). At the peak of the CD8+ T cell response to acute LCMV infection, whereas ~25% and ~18% of CD8+ T cells in WT and 3d mice made IFN-γ in response to the GP33-41 and NP396-404 LCMV epitopes, respectively, only ~5% of CD8+ T cells in Mavs−/− mice responded to stimulation with these peptides (Fig. 2A). Furthermore, only ~1% or less of CD8+ T cells in Mavs−/− mice were able to make both IFN-γ and TNF-α to all epitopes, indicating a functional state of exhaustion (Fig. 2A and C). In addition to defective cytokine production, CD8+ T cells in Mavs−/−mice exhibited severely impaired production of granzyme B, in contrast to WT and 3d mice, which expressed equivalent levels (Fig. 2A). We did observe some minor differences between WT and 3d mice in the frequency of CD8+ T cells that made both IFN-γ and TNF-α in response to one epitope, GP276-86, but not to GP33-41 or NP396-404 (Fig. 2A and C). However, the response to this epitope in 3d mice was still greater than that in Mavs−/− mice, and due to the relatively low frequency of CD8+ T cells that respond to this peptide when compared to NP396 and GP33, it is likely that the dominant effect of these epitopes is enough to control the infection (Fig. 1A).
In addition to qualitative deficiencies, CD8+ T cells in Mavs−/− mice also exhibited quantitative differences in the number of LCMV-specific CD8+ T cells, as determined by tetramer staining at the peak of response (Fig. 2B). Mavs−/− mice had approximately fourfold fewer DbGP33-specific and three-fold fewer DbGP276-specific CD8+ T cells compared to WT mice. In contrast, 3d mice had roughly equivalent numbers of DbGP33-specific CD8+ T cells as WT mice, and although they had fewer DbGP276-specific CD8+ T cells, this difference was less than two-fold and was not statistically significant.
Functional exhaustion in CD8+ T cells is associated with altered expression of activation markers, and upregulation of multiple inhibitory receptors (3, 6). Consistent with previous reports describing higher expression of T cell immunoglobulin and mucin domain–containing molecule 3 (Tim-3) and programmed death 1 (PD-1) on virus-specific CD8+ T cells during chronic viral infection (5, 7–9), DbGP33-specific (Fig. 2D) and DbGP276-specific (Fig. S1A) CD8+ T cells in Mavs−/− mice expressed higher levels of these inhibitory receptors when compared to WT and 3d mice. In addition, LCMV-specific CD8+ T cells in Mavs−/−, but not 3d mice, had decreased expression of Ly6C, which decreases in expression on virus-specific T cells in chronically infected mice (3). These results demonstrate that the RLR pathway, but not nucleic acid-sensing TLRs, is critical for optimal CD8+ T cell responses and virus clearance during acute LCMV infection.
Next, we examined the role for the RLR and nucleic acid-sensing TLR pathways in maintaining CD8+ T cell function during chronic infection with LCMV. Similarly to acute infection, virus-specific CD8+ T cells in Mavs−/− mice were severely impaired in their ability to make IFN-γ and TNF-α at days 8, 15, and 44 p.i. in response to GP33 peptide (Fig. 2E and G). However, in contrast to the dispensability of nucleic acid-sensing TLRs for acute infection, absence of these TLRs led to a gradual loss of CD8+ T cell function during chronic infection. At days 8 and 15 following infection with clone 13, the frequency of CD8+ T cells making IFN-γ in response to GP33 (Fig. 2E) were roughly equivalent in WT and 3d mice, although the frequency of CD8+ T cells producing both IFN-γ and TNF-α varied slightly (Fig. 2G). Approximately 3% fewer CD8+ T cells in 3d mice expressed both IFN-γ and TNF-α in response to GP33 peptide at day 8, but not day 15 following infection when compared to WT (Fig. 2G). Though these differences in T cell function at days 8 and 15 were minimal, by day 44 p.i., LCMV-specific CD8+ T cells in 3d mice were severely exhausted, corresponding to their inability to control viral replication (Fig. 1B). At day 44, LCMV-specific CD8+ T cells in 3d mice had impaired production of both IFN-γ and TNF-α to levels comparable to those in Mavs−/− mice (Fig. 2E and G). Consistent with increased levels of viremia (Fig. 1B) and the altered functional status of virus-specific CD8+ T cells in Mavs−/− and 3d mice at day 44 p.i., these cells also expressed higher levels of the inhibitory receptors Tim-3 and PD-1 when compared to WT mice (Fig. 2H). Interestingly, Ly6C expression at day 44 was significantly decreased in Mavs−/− but not 3d mice and may indicate different rates of exhaustion since its expression has been shown to gradually decrease throughout the course of chronic infection in WT mice (3). Similar results were observed in response to GP276 peptide (Fig. S1B, D–E).
Numbers of virus-specific CD8+ T cells in spleens were also measured by tetramer staining at days 8, 15, and 44 following clone 13 infection (Fig. 2F). Although numbers of DbGP33-specific cells in Mavs−/− and 3d mice were slightly lower when compared to WT at day 8 following infection, these differences were less than two-fold in magnitude (Fig. 2F). However, by day 44 following infection, 3d mice had a more than three-fold decrease in numbers of DbGP33-specific CD8+ T cells. Similar results were seen for DbGP276-specific CD8+ T cells (Fig. S1C). Mavs−/− mice had consistently lower frequencies of tetramer-positive cells within the CD8+ T cell population, but when total numbers of antigen-specific cells were evaluated, these deficiencies were largely offset by larger spleen sizes. This suggests that early CD8+ T cell exhaustion in Mavs−/− mice may prevent immune-mediated immunopathology. This is consistent with the observation that mice depleted of CD8+ T cells show reduced disruption of splenic architecture and increased splenic cellularity following infection with clone 13 (36). These data demonstrate that the RLR and nucleic acid-sensing TLR pathways play distinct roles in the regulation of virus-specific CD8+ T cell responses. Whereas RLR signaling is required early following either acute or chronic LCMV infection, nucleic acid-sensing TLRs are required only later during chronic infection to prevent persistence of virus and CD8+ T cell exhaustion.
MAVS deficiency leads to impaired type I IFN production early during infection
Because type I IFNs are known to play important roles in virus clearance and CD8+ T cell responses to LCMV, we sought to analyze the contribution of RLRs and nucleic acid-sensing TLRs to type I IFN production during acute and chronic LCMV infections. In order to determine the peak of type I IFN production, we performed a kinetic analysis by quantitative RT-PCR of type I IFN in spleens following infection with either LCMV Arm or clone 13 (Fig. 3A). Type I IFN production was transient, detectable as early as 8 h p.i., reaching peak levels at 16–24 h, and decreasing to near baseline levels by 72 h p.i. for both Arm and clone 13, consistent with previous reports (37). To identify type I IFN-producing cells, we used Mob (IFN-β) reporter mice, in which an internal ribosome entry site (IRES)-YFP cassette is inserted into the endogenous Ifnb1 locus downstream of the stop codon, preserving regulatory elements in the 3′-untranslated region, thus marking IFN-β-producing cells (28). When Mob mice were analyzed on day 1 p.i., at the peak of the type I IFN response, the majority of spleen cells (~90%) expressing YFP had surface markers consistent with plasmacytoid DCs (pDCs) (Fig. 3B). Because production of type I IFN by pDCs in response to virus has been shown to be dependent on expression of nucleic acid-sensing TLRs, (38), we generated Mob mice carrying the Unc93b13d/3d mutation (Mob-3d) and analyzed the ability of pDCs to produce IFN-β at day 1 following infection with LCMV Arm or clone 13 (Fig. 3C). In response to either strain, approximately 45% of pDCs in Mob mice expressed YFP at day 1 p.i., and this was dependent on nucleic acid-sensing TLRs, consistent with results seen using MyD88-deficient Ifna6 reporter mice (25). Furthermore, the transient expression of IFN-β by pDCs was equivalent in mice infected with either Arm or clone 13 at multiple times examined (Fig. 3D). Dependency of pDC IFN-α/β expression on nucleic acid-sensing TLRs in response to LCMV infection was verified by quantitative RT-PCR in sorted pDCs from LCMV-infected 3d mice, and levels were equivalent to those in Myd88−/− pDCs (Fig. 3E). Unexpectedly, when levels of IFN-β and IFN-α were determined in whole spleens of mice infected with LCMV Arm or clone 13 at day 1 p.i. by quantitative RT-PCR, there were no differences in levels of type I IFN transcripts in 3d mice compared to WT (Fig. 3F). These results are corroborated by recent reports showing that depletion of pDCs and loss of nucleic acid-sensing TLR signaling have no effects on levels of type I IFN in acute LCMV infection (26, 39). In contrast, there were large decreases in both IFN-α and IFN-β in Mavs−/− mice (Fig. 3F). For both acute and chronic infections, IFN-α expression was affected to a greater degree than IFN-β, and type I IFN expression in chronic infection was affected to a larger extent by MAVS-deficiency than in acute infection. Therefore, although nucleic acid-sensing TLRs, in pDCs, and the RLR pathway are both activated in response to infection, the RLR pathway is the primary innate pathway contributing to early type I IFN production in both acute and chronic LCMV infection.
The RLR pathway is important for both early virus control and CD8+ T cell activation
Because both RLR and nucleic acid-sensing TLR-dependent pathways are activated early in response to LCMV infection, we assessed the contribution of these pathways to early virus control and CD8+ T cell activation, which may affect the long-term ability of mice deficient in either of these pathways to limit chronic infection. To determine the necessity of RLR and nucleic acid-sensing TLR pathways for early restriction of virus replication, we analyzed the level of virus in sera of mice infected with LCMV Arm or clone 13 at days 1, 3, and 5 p.i. Deficiency in MAVS resulted in significantly increased viral loads at almost all time points examined for both acute and chronic infection (Fig. 4A). In contrast, loss of nucleic acid-sensing TLRs had no appreciable effect on levels of virus for either acute or chronic infection.
In order to determine the effect of these pathways on early activation of virus-specific CD8+ T cells, we adoptively transferred wild-type CFSE-labeled CD45.1+ TCR Tg P14 cells, which recognize the LCMV GP33 epitope in the context of H-2Db, into CD45.2+ WT, Mavs−/−, or 3d recipient mice. Adoptively transferred mice were then infected with LCMV Arm or clone 13 and analyzed for proliferation and expression of various activation markers at 48 h p.i. (Fig. 4B). CD69 is induced in T cells upon stimulation with either antigen or IFN-α/β (40). However, we did not observe significant differences in CD69 expression on P14 cells transferred into Mavs−/− mice compared to those transferred into WT or 3d recipients (Fig. 4B). This may be due to the fact that direct effects of TCR stimulation on CD69 expression may compensate for the relatively lower IFN levels. Shortly following activation, antigen-specific CD8+ T cells also express CD25, the high-affinity IL-2 receptor α chain (41, 42). While in response to acute or chronic LCMV infection P14 cells transferred into WT and 3d mice expressed high levels of CD25, P14 cells transferred into Mavs−/− recipients showed a broader range of CD25 expression with both high and low-expressing cells (Fig. 4B). Granzyme B expression was also lower in Mavs−/− recipients, consistent with the observed phenotype in virus-specific CD8+ T cells at day 8 p.i. with LCMV Arm (Fig. 4B and Fig. 2A). In contrast to the observed defects in the activation of P14 cells transferred into Mavs−/− mice, these cells had no defect in proliferation, as measured by CFSE dilution, when compared to WT recipients (Fig. 4B). Conversely, P14 cells that were transferred into 3d mice exhibited no aberrant activation compared to WT recipients, but demonstrated slightly decreased proliferation with respect to WT and Mavs−/− recipients (Fig. 4B). Additionally, ~10% of donor P14 cells in 3d mice had not proliferated, compared to ~1–2% in WT and Mavs−/− mice, suggesting there may be a slight defect in recruitment of antigen-specific T cells in the absence of nucleic acid-sensing TLRs.
To determine how differences in early activation and viral load affected later CD8+ T cell responses, we assessed the numbers and function of P14 cells at day 5 and 8 p.i. with LCMV Arm (Fig. 4C) or clone 13 (Fig. 4D) following transfer into WT, Mavs−/−, or 3d mice. Similarly to results seen with endogenous LCMV-specific CD8+ T cells at day 8 p.i. (Fig. 2A and E), P14 cells in Mavs−/− recipients demonstrated decreased functionality at day 5 (Arm) and day 8 (Arm and clone 13) of LCMV infection by intracellular staining for both granzyme B and the effector cytokines IFN-γ and TNF-α (Fig. 4C and D). Although numbers of P14 cells in Mavs−/− mice were roughly equivalent to those in WT recipients at day 5 after acute infection, by day 8 they exhibited a roughly ten-fold decrease in relative numbers (Fig. 4C). P14 cells in Mavs−/− recipients exhibited a similar, though less dramatic, defect in chronically infected mice (Fig. 4D). In contrast, P14 cells transferred into 3d mice had levels of granzyme B, IFN-γ, and TNF-α expression similar to WT in both acute and chronic LCMV infections (Fig. 4C and D). Total numbers of P14 cells in 3d mice were slightly decreased compared to WT mice at day 5 and 8 p.i. with Arm, but showed a more pronounced, approximately three-fold decrease during clone 13 infection at day 8 (Fig. 4C and 4D) similar to results seen with endogenous DbGP33-specific cells (Fig. 2B and 2F). These results demonstrate that MAVS deficiency impacts both early virus control and CD8+ T cell activation. In contrast, nucleic acid-sensing TLRs do not contribute to early virus control but have a discernible impact on early recruitment and proliferation of antigen-specific CD8+ T cells.
Nucleic acid-sensing TLRs are required for optimal antibody responses during chronic infection
Although both Mavs−/− and 3d mice failed to control low dose clone 13 infection with the same kinetics as WT mice (Fig. 1B and C), the differences in the kinetics of viral titers and LCMV-specific CD8+ T cell dysfunction suggested a different mechanism by which nucleic acid-sensing TLRs contributed to control of a persistent infection. One possibility is that viral recognition by nucleic acid-sensing TLRs may be responsible for low-level type I IFN production at later time points that contributes to virus control. However, we were unable to detect significant levels of type I IFN at various time points later during chronic infection by quantitative RT-PCR (data not shown), consistent with previous reports (37, 43). In addition to T cell-mediated immunity, antibodies have also been shown to be necessary for resolution of chronic LCMV infection (10). Therefore, we investigated the contributions of the RLR and nucleic acid-sensing TLR pathways to LCMV-specific antibody responses. Following acute infection with LCMV Arm, levels of LCMV-specific IgG were not significantly different at day 15 p.i. in either Mavs−/− or 3d mice, but at days 30 and 45 p.i., LCMV-specific IgG titers were approximately three-and two-fold decreased in 3d mice, respectively, compared to WT mice with no differences seen for Mavs−/− mice (Fig. 5A). In contrast, during chronic infection with LCMV, 3d but not Mavs−/− mice exhibited defective LCMV-specific IgG production throughout the course of infection that was more severe than during acute infection (Fig. 5B). At day 15 p.i., LCMV-specific IgG titers in clone 13 infected 3d mice were approximately ten-fold lower than those in WT mice, and at days 30 and 44 p.i., 3d mice had approximately twenty-fold less LCMV-specific IgG. In mice infected with 2 × 106 PFU clone 13, LCMV-specific antibody titers were similarly affected, with no differences between WT and Mavs−/− mice, but approximately fifteen- to one-hundredfold lower titers of anti-LCMV IgG at days 30, 45 and 60 p.i. in 3d mice compared to WT (Fig. 5C). These results demonstrate that impaired antibody production likely contributes to persistence of virus in mice deficient in signaling through nucleic acid-sensing TLRs. Furthermore, larger differences in antibody levels between WT and 3d mice in chronic when compared to acute infection suggests that continued stimulation through nucleic acid-sensing TLRs may play a role in maintaining antibody responses during chronic viral infection.
Discussion
Our results demonstrate clearly that both nucleic acid recognition pathways are involved in the recognition of LCMV and contribute to control of a chronic viral infection, but through distinct mechanisms. Recognition of viruses via innate pathways may exert their influence on chronic infection in a variety of ways: prevention of early virus replication and spread; initiation of adaptive immune responses; and maintenance of adaptive immune responses and virus control later in infection. Although the first two are not unique to chronic viral infections, they are nonetheless important for establishment of infection. It was apparent from our studies that although both the nucleic acid-sensing TLR pathway and the MAVS-dependent RLR pathway are engaged early during LCMV infection, the RLR pathway was of primary importance for the induction of type I IFNs, limiting early virus replication, and producing effective CD8+ T cell responses during both acute and chronic LCMV infections. This is in contrast to a report demonstrating compensation by RLR and TLR pathways for type I IFN and CD8+ T cell responses to influenza (44). The effect of the RLR pathway on control of LCMV infection is consistent with decreased levels of type I IFN, although effects from differences in other innate mediators cannot be excluded. Mavs−/− mice exhibited increased viral titers early during the course of infection consistent with studies in type I IFN receptor-deficient mice (21, 23). Importantly, viral clearance in Mavs−/− mice was not impaired as greatly as that in type I IFN receptor-deficient mice, consistent with our results showing other sources of type I IFN.
IFN-α/β has been shown to act as a ‘signal 3’ for CD8+ T cells and can induce the expression of granzyme B and CD25, among other genes (45, 46). Type I IFN receptor-deficient CD8+ T cells also express lower levels of granzyme B in response to LCMV infection, demonstrating a T cell-intrinsic requirement for type I IFN signaling (24). Interestingly, differences in CD25 expression can also affect levels of granzyme B, so virus-specific CD8+ T cells in Mavs−/− mice may have a compounded defect through both decreased IFN-α/β and IL-2 signaling (41, 42). It has also been shown that exposure to type I IFN or IL-2 affects cell death or proliferation, respectively, in LCMV-specific CD8+ T cells (24, 41). It will be interesting to see whether this contributes to decreased numbers of antigen-specific CD8+ T cells in Mavs−/− mice. Whether virus-specific CD8+ T cell dysfunction in Mavs−/− mice results more from defects in priming or is caused by elevated levels of antigen remains unclear, though both likely contribute. However, given the well-known role for CD8+ T cells in controlling chronic viral infections (47), and the normal antibody responses in Mavs−/− mice, it is likely that defective CD8+ T cell responses are a major cause of ineffective control of both acute and low dose chronic LCMV infections in Mavs−/− mice. Interestingly, despite early severe LCMV-specific CD8+ T cell defects, Mavs−/− mice control a high dose of clone 13 with kinetics similar to WT mice. The differences seen when using the lower and higher doses of clone 13 may result from the kinetics of CD8+ T cell exhaustion, which becomes faster in WT mice with high dose inoculation.
In contrast to the multitude of early virus control and CD8+ T cell deficits in Mavs−/− mice, 3d mice demonstrated normal control of early virus replication for both acute and chronic infections and had relatively normal early CD8+ T cell responses. This is in contrast to Myd88−/− mice which fail to control acute LCMV infection and have a CD8+ T cell-intrinsic expansion defect (27), demonstrating that this effect is independent of nucleic acid-sensing TLRs. There was, however, a slight recruitment and proliferation defect early following infection when P14 cells were transferred into 3d mice. Because antigen-presenting cells, such as various subsets of conventional DCs, express a wide array of TLRs, this may indicate a role for nucleic acid-sensing TLRs in optimal activation and homing of antigen-presenting cells (17). However, the extent that this affected CD8+ T cell numbers and function is unclear. It has been shown that when different antigen doses were given, this affected recruitment of antigen-specific CD8+ T cells, but all recruited cells divided efficiently and demonstrated similar effector functions (48). Additionally, assuming ~10% take of transferred P14 cells, the precursor frequency of DbGP33-specific P14 cells in our transfer experiment was approximately a thousand-times greater than numbers of endogenous cells, thereby greatly increasing competition for antigen (49). Therefore, recruitment of endogenous CD8+ T cells in 3d mice may not be similarly affected, though this may account for slightly reduced numbers of DbGP276-specific T cells, a subdominant epitope for which competition may be more stringent (2, 50).
Although production of type I IFN by pDCs was dependent on nucleic acid-sensing TLRs, type I IFN has not been detected at later time points of chronic infection following transient production early in the response (37, 43). We were also not able to detect IFN-producing cells in Mob reporter mice at day 8 or 15 p.i. with clone 13 (data not shown), indicating an unlikely role for type I IFN in the maintenance of immune responses in 3d mice. In contrast, our data indicate a significant role for nucleic acid-sensing TLRs in controlling chronic infection through anti-viral antibody production. This is particularly interesting given a recent study showing that virus-specific CD4+ T cells gradually differentiate into T follicular helper (Tfh) cells during chronic LCMV infection, driving germinal center (GC) B cell development and antibody responses that assist in controlling persistent infection (12). Similar to our results in 3d mice, mice that lack CXCR5, which is necessary for Tfh interaction with GC B cells, had severe defects in antibody production that were more pronounced in chronic compared to acute LCMV infection (12). One possibility is that chronic stimulation of nucleic acid-sensing TLRs on DCs may drive Tfh differentiation which in turn drives antibody responses, and through the production of IL-21 can also function to maintain CD8+ T cell responses (11, 13, 15). Additionally, DCs in 3d mice may have disruptive presentation of exogenous antigens, which could impair the development of Tfh (20). Another, non-exclusive, possibility is that nucleic acid-sensing TLRs are required intrinsically for anti-viral B cell function. This could either be as an adjuvant effect from directly engaging TLR7 on virus-specific B cells (51), or through the maintenance of B cell function, as ‘exhausted’ B cells have recently been described during chronic infection of individuals with HIV (52). Due to the expression of TLR3 in DC subsets and TLR7 and 9 in both DCs and B cells (16), it will be important to determine which nucleic acid-sensing TLRs, in which cell types are necessary. Given the intertwined nature of DCs, Tfh, and B cells, it is likely that recognition of virus through these TLRs exerts its effect on antibody responses in multiple ways. Although our results imply different requirements for nucleic acid-sensing TLRs in the antibody response during acute and chronic viral infection, further studies are needed to determine if continuous TLR stimulation is necessary to maintain antibody responses. Since it is clear that different innate viral recognition pathways differentially impact adaptive immune responses, further understanding of the roles these pathways play in other chronic viral infections such as HIV, HCV, and HBV may lead to more targeted immune interventions.
Supplementary Material
Acknowledgments
We are grateful for the generosity of the following people: Richard Locksley for Mob mice; Anthony DeFranco for Myd88−/− mice; Art Weiss and Richard Locksley for use of various equipment; Hong Wu and Rafi Ahmed for tetramers and helpful discussion, respectively; and Anthony DeFranco and Lewis Lanier for critically reading the manuscript. We also thank Cliff McArthur, Zhi-en Wang, and Stephen Chmura for help with cell sorting and Kendall Madden and Abraham Noorbakhsh for technical assistance.
J.M.C. was supported by a Graduate Research Fellowship from the National Science Foundation. M.M. was supported, in part, by the Rosalind Russell Medical Research Center for Arthritis and National Institutes of Health Grant 1RO1AI074694.
Footnotes
The authors have no conflicting financial interests.
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