Abstract
purpose. Herpes simplex virus (HSV)-1 infections of the human cornea range in severity from uncomplicated episodes that readily resolve to severe, recurring disease that invades the stroma, having a devastating permanent effect on vision. Recent published data implicate an apoptotic component to stromal HSV-1 infection. In a prior study, it was found that wild type (wt) HSV-1 infection induces, then blocks, apoptosis in epithelial cells derived from skin and that this block requires infected cell proteins (ICPs) synthesized between 3 and 6 hours post infection (hpi). This inhibition of apoptosis is in part dependent on the activation of inducible nuclear transcription factor κB (NF-κB).
methods. HSV-1-dependent apoptosis in rabbit corneal epithelial (SIRC) cells was compared with that in infected human epithelial (HEp-2) cells.
results. SIRC cells were sensitive to apoptotic cell death induced by environmental treatment with tumor necrosis factor (TNF)-α plus cycloheximide (CHX). HSV-1 stimulated the degradation of regulatory IκBα protein, resulting in nuclear translocation of NF-κB. This phenomenon was dependent on ICP synthesis. Neither wt nor apoptotic HSV-1 infection resulted in apoptosis in these cells. However, wt HSV-1-infected cells produced detectable levels of cleaved poly(ADP-ribose) (PARP). Inhibition of SIRC cell protein synthesis with CHX during wt HSV-1 infection led to a reduction in the amount of PARP cleavage. Whereas PARP cleavage defined cell death in most other cell types, its processing in SIRC cells was a reproducible characteristic of wt HSV-1 infection.
conclusions. This is the first report of such an effect, and it suggests that in corneal epithelial cells, activation of apoptotic pathways may be necessary for productive viral replication. Thus, efficient replication of HSV-1 in the corneal milieu proceeds via a different mechanism than it does in skin. However, it appears that NF-κB participates in inhibiting apoptosis during HSV-1 infection in both systems.
Herpes simplex virus (HSV)-1 infection is one of the major causes of ocular morbidity and blindness in the developed world. Scarring after severe or repeated infections may necessitate corneal transplantation to restore useful vision to the patient (see review).
1 Current research efforts have been focused on defining the mechanisms of herpetic eye disease, including ways in which viral infection of ocular structures differs from infection of the skin and mucous membranes. One new concept under increased scrutiny is the role that apoptosis plays in herpetic eye disease. Traditionally, HSV-1 infection was assumed to stem from successful viral replication leading to lysis of infected cells. However, it now appears that there is probably an apoptotic component as well. Human corneal epithelial cells obtained from patients with herpetic eye disease are positive for certain markers of apoptosis.
2 Consistent with these observations, ocular HSV-1 infection also causes apoptosis in mouse
3 4 and rabbit
5 model eye systems. These findings suggest that modulation of apoptosis by HSV-1 plays a role in the development of herpetic eye disease (see review).
6
Most of what is known about apoptosis during HSV-1 infection is derived from studies using the prototype human epithelial HEp-2 cell system (see review).
7 8 Briefly, stimulation of apoptosis by wild-type (wt) HSV-1 is independent of de novo viral protein synthesis,
9 10 requiring only transcription of the viral immediate early
ICP0 gene.
9 11 12 If left unchecked, this apoptosis would cause accelerated destruction of the infected cell, leading to decreased viral replication efficiency. However, infected cell proteins (both viral and cellular) are produced during a cell death “prevention window,” between 3 and 6 hours after wt HSV-1 infection, and they block the process from killing the cells.
9 Thus, HSV-1 viruses that do not produce these prevention factors, either as a result of pharmacologically blocking their synthesis or by possessing specific genetic mutations, are apoptotic. A cellular factor that participates in the inhibition of HSV-1-dependent apoptosis is the inducible nuclear transcription factor-κB (NF-κB),
13 a key regulator of immunity, growth, differentiation, and fate of mammalian cells (see review).
14 15 16 17 Thus, wt, but not apoptotic, HSV-1 infection induces the nuclear translocation and DNA binding activities of NF-κB.
Our goal was to determine whether HSV-1 modulates apoptosis in corneal cells as it does in the skin and whether NF-κB plays a role in its prevention in the corneal milieu. Although we expected that infection would proceed as we had previously found with human HEp-2 cells, we discovered that SIRC cornea cells are resistant to HSV-1-induced apoptosis. Although SIRC cells undergo apoptosis in response to environmental stimulants, infection with wt HSV-1 in the presence of a protein synthesis inhibitor or infection with an apoptotic HSV-1 did not lead to programmed cell death. Unexpectedly, we discovered that PARP, generally a marker of apoptotic processing, was cleaved during wt HSV-1 infection. Coincident with this, NF-κB translocated to the nuclei, and both effects were dependent on infected cell protein synthesis. These findings indicate that, although HSV-1 modulates NF-κB in both the skin and corneal cells, its replication in the cornea may proceed via a different mechanism than it does in skin. The implication of our results is that the activation of apoptotic pathways may be necessary for efficient viral replication in corneal epithelial cells.
The infected HEp-2 and SIRC cells were harvested by scraping directly into the medium. The cells were centrifuged at low speed (8000g), after which the cell pellets were washed in phosphate-buffered saline (PBS) containing 10 mM each of the protease inhibitors N-tosyl-l-phenyl-alanine-chloromethylketone (TPCK), phenylmethylsulfonyl fluoride (PMSF), and tosyl-l-lysine-chloromethylketone (TLCK). Cell pellets were resuspended in a lysis solution of 50 mM Tris-HCl (pH 7.5), 150 mM NaCl, and 5 mM EDTA containing TPCK, TLCK, and PMSF. The infected cells were then disrupted by sonication on ice, three times for 10 seconds at an output level of 2 with a sonifier (Branson; Danbury, CT). The protein concentration of each sample was determined by a modified Bradford protein assay, as recommended by the manufacturer (Bio-Rad Laboratories, Hercules, CA). All biochemical reagents were obtained from Sigma-Aldrich, unless stated otherwise.
Occurrence of NF-κB Translocation before PARP Processing in HSV-1-Infected SIRC Cells