Abstract
In varicella-zoster virus (VZV)-infected primary human brain vascular adventitial fibroblasts (BRAFs), levels of beta interferon (IFN-β,) STAT1, and STAT2 transcripts as well as STAT1 and STAT2 protein were decreased. IFN-α transcript levels were increased but not secreted IFN-α protein levels. Compared to IFN-α-treated control results, in VZV-infected BRAFs, phosphorylated STAT1 did not translocate to the nucleus, resulting in impaired downstream expression of interferon-inducible antiviral Mx1. Overall, VZV interference with the type I interferon pathway may promote virus persistence in cerebral arteries.
TEXT
Varicella-zoster virus (VZV) vasculopathy is often protracted, perhaps due in part to persistent infection of arterial adventitial fibroblasts (1). A potential mechanism of virus persistence is evasion of the antiviral type I interferon (interferon alpha [IFN-α] and IFN-β) response (2) which induces antiviral interferon-inducible genes such as Mx1. Mx1 belongs to the dynamin superfamily of large GTPases (3, 4), is present in all vertebrates in one to three copies, and is strictly controlled by type I and type III interferons. Mx1 encodes the human MxA protein, which accumulates in the cytoplasm, recognizes viral nucleocapsids, and blocks viral replication. In human lung embryonic fibroblasts, VZV immediate-early protein (IE) 62 blocks phosphorylation of interferon regulatory factor 3 (IRF3) and subsequent induction of IFN-β (5). Similarly, in HEK 293T and MeWo cells, VZV IE61 degrades activated IRF3 (6), and in VZV-infected epidermal cells, IFN-α is downregulated and IFN-α-induced phosphorylated STAT1 (pSTAT1) is absent (7). Thus, we examined interference with type 1 IFN signaling in VZV-infected cerebrovascular adventitial fibroblasts as a potential mechanism for virus persistence.
Primary human brain vascular adventitial fibroblasts (BRAFs) (ScienCell, Carlsbad, CA) were seeded at 5,000 cells/cm2 in basal fibroblast medium supplemented with 2% fetal bovine serum (FBS), 1% fibroblast growth serum, and 1% 100× penicillin-streptomycin (ScienCell). After 24 h, medium was changed to basal fibroblast medium supplemented with 0.1% FBS and 1% 100× penicillin-streptomycin and replenished every 48 h for 1 week to establish quiescence. Quiescent BRAFs were cocultivated with VZV-infected or uninfected BRAFs or treated for 24 h with 1,000 U of IFN-α (PBL Interferon Source, Piscataway, NJ). VZV-infected BRAFs were analyzed at the height of the cytopathic effect (CPE) 3 days later and positive controls 24 h after treatment in 4 independent experiments. mRNA was analyzed by reverse-transcription PCR (RT-PCR) using SYBR green (8) and primers for IFN-α, IFN-β, STAT1, STAT2, Mx1, and GAPDH (glyceraldehyde 3-phosphate dehydrogenase; Fig. 1A). Primer efficiencies were 104%, 93%, 92%, 89%, 107%, and 102%, respectively. Data were normalized to GAPDH and analyzed using the delta delta threshold cycle (CT) method (9).
BRAFS were propagated on coverslips, fixed, and permeabilized (10). Mouse anti-VZV gE (Santa Cruz Biotechnology, Santa Cruz, CA) (1:500) was added in addition to another primary antibody: rabbit anti-STAT1 (Epitomics, Burlingame, CA) (1:200); rabbit anti-pSTAT1 (Epitomics) (1:300); or rabbit anti-Mx1 (Abcam, Cambridge, MA) (1:100). Secondary antibodies were 1:1,000 dilutions of both Alexa Fluor 594 donkey anti-mouse IgG and Alexa Fluor 488 donkey anti-rabbit IgG 488 (Life Technologies, Grand Island, NY). Coverslips were mounted with Vectashield containing DAPI (4′,6-]diamidino-2-phenylindole) (Vector Laboratories, Burlingame, CA) and visualized by microscopy.
For Western blotting, cells were lysed in radioimmunoprecipitation assay (RIPA) buffer (Roche), and 5 μg of the reaction mixture was electrophoresed through a 12% Tris-glycine gel, transferred to polyvinylidene difluoride (PVDF) membranes, and blocked using 1× casein (Vector Laboratories) diluted in 1× Tris-buffered saline (TBS)–0.05% Tween for 30 min at room temperature. Membranes were incubated overnight at 4°C with antibodies against STAT1, STAT2, and Mx1 (Abcam) diluted 1:100 in blocking buffer. β-Actin was diluted 1:5,000 for loading controls. After washing in blocking buffer at room temperature was performed, blots were incubated with secondary antibody horseradish peroxidase-labeled goat anti-rabbit IgG (H+L) (Jackson ImmunoResearch) diluted 1:10,000 for 30 min, washed in blocking buffer, and developed using Pico West chemiluminescent substrate (Thermo). Bands on blots were quantitated using an Alpha Innotech digital imaging system and ImageJ software (NIH).
Comparison of transcripts in VZV-infected BRAFs versus mock-infected BRAFs at 3 days postinfection (dpi) (Fig. 1B) revealed increased IFN-α mRNA (5.88-fold ± 0.50-fold) and decreased IFN-β (0.49-fold ± 0.12-fold), STAT1 (0.54-fold ± 0.03-fold), STAT2 (0.35-fold ± 0.08-fold), and Mx1 mRNA (0.19-fold ± 0.02-fold) levels (P < 0.05 for all transcripts analyzed). At 3 dpi, secreted IFN-α protein levels in VZV-infected BRAFs were not significantly higher (1.93-fold ± 1.3-fold) than in mock-infected BRAFs (1.16 pg/ml ± 0.57 in mock-infected BRAFs versus 2.6 pg/ml ± 1.51; P = 0.46; Fig. 1C). Western blotting detected bands corresponding to STAT1, STAT2, and Mx1 in IFN-α-treated BRAFs (Fig. 1D, lane 1). In mock-infected BRAFs, STAT1 and STAT 2 were detected (lane 2) but not Mx1; in VZV-infected BRAFs, only STAT1 was detected (lane 3).
Immunohistochemical analysis revealed VZV antigen in infected BRAFs (Fig. 2, all panels, A and C) but not in mock-infected BRAFs (all panels, D and F) or IFN-α-treated BRAFs (all panels, G and I). STAT1 (top left panel, green) was absent in VZV-infected BRAFs (top left panel, B and C) and in mock-infected BRAFs (top left panel, E and F) but was seen in both the nucleus and cytoplasm of IFN-α-treated BRAFs (positive control) (top left panel, H and I). Dual staining with antibody to pSTAT1 and VZV revealed pSTAT1 exclusively in the cytoplasm of VZV-infected BRAFs (top right panel, B and C). pSTAT1 was absent in mock-infected BRAFs (top right panel, E and F), while in IFN-α-treated BRAFs, pSTAT1 was predominantly in the nucleus (top right panel, H and I). Dual staining with antibody to Mx1 and VZV revealed no Mx1 protein in VZV-infected BRAFs (bottom left panel, B and C) or in mock-infected BRAFs (bottom left panel, E and F), but Mx1 was present predominantly in the cytoplasm of IFN-α-treated BRAFs (H and I).
Overall, compared to mock-infected cells, VZV-infected cells have significantly decreased IFN-β transcript levels, consistent with studies in other cell types that show decreased IRF3-dependent IFN-β production due to VZV interference with IRF3 (5, 6). Unexpectedly, while IFN-α transcript levels were significantly increased, secreted IFN-α protein levels were unchanged, suggesting that VZV may interfere with translation or secretion of IFN-α, consistent with the absence of intracellular IFN-α in VZV-infected epidermal cells (7). Levels of STAT1 and STAT2 transcripts and protein were also decreased in VZV-infected cells. Although no remarkable increase in IFN-α or IFN-β levels was found, STAT1 was still phosphorylated in VZV-infected cells. However, pSTAT1 did not translocate to the nucleus, where it typically acts as a transcriptional activator of interferon-inducible genes such as Mx1. Indeed, levels of Mx1 transcripts were decreased and protein was absent by Western blotting and immunohistochemistry in VZV-infected cells. Failure of pSTAT1 to accumulate in the nucleus is consistent with analyses in which herpes simplex virus 1 (HSV-1) protein ICP27 (the VZV open reading frame [ORF] 4 homolog) prevented translocation of pSTAT1 to the nucleus (11). VZV interference with the type I interferon pathway decreases expression of interferon-responsive antiviral genes such as Mx1, possibly promoting virus persistence in cerebral arteries.
ACKNOWLEDGMENTS
This work was supported by Public Health Service grants AG006127 and AG032958 (to D.G.) and NS 067070 (M.A.N.) from the National Institutes of Health. S.F.J. and N.L.B. are supported by training grant NS007321 to D.G. from the National Institutes of Health.
We thank Marina Hoffman for editorial review and Cathy Allen for manuscript preparation.
Footnotes
Published ahead of print 23 July 2014
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