Ocular infection with herpes simplex virus (HSV-1) may cause a
vision impairing inflammatory reaction in the corneal stroma called
herpetic stromal keratitis (HSK). The lesion in humans is one of the
common causes of nontraumatic corneal blindness.
1 In
murine models, HSK lesions appear to be immunopathologic mediated by
CD4
+ T cells of the Th1
phenotype.
2 3 4 Nevertheless, the pathogenesis of HSK
remains to be resolved, particularly the identity of agonists that
drive CD4
+ T cells to orchestrate the
inflammatory reaction. The most logical idea, that virus-derived
proteins or peptides expressed on invading Langerhans cells are
recognized by CD4
+ T cells, has been difficult to
prove. Thus, usually in immunocompetent mice viral antigens are not
evident when lesions express and progress.
5 Moreover, HSK
can be induced in athymic or SCID mice by adoptive transfer of
CD4
+ T cells without demonstrable HSV antigen
reactivity.
6 7 Another controversial idea is that HSK is
elicited by virus acting as a molecular mimic of a crucial corneal
autoantigen, which in turn induces autoreactive T cells to mediate
HSK.
8 9 Both the viral antigen and molecular mimicry
hypotheses predict that antigen recognition by host T cells occurs
during HSK lesion expression. In the present report we studied the
expression of herpetic ocular lesions in mice genetically incapable of
developing detectable immune responses to HSV infection. We show that
mice transgenic for the Vα and Vβ T-cell receptor chains that
recognize OVA (ovalbumin peptide, 323–339), when back-crossed to
RAG2-deficient mice (Tg-RAG mice),
10 fail to respond
immunologically to HSV and are highly susceptible to infection. Mice
usually die of encephalitis by 12 days after infection (p.i.). However,
before death such animals expressed clinical HSK to a magnitude
comparable to lesions evident at the same time after infection in
immunocompetent BALB/c and transgenic parent DO11.10 mice. Such lesions
were essentially identical histologically in all three groups with
CD4
+ T cells in the case of the Tg-RAG mice, all
expressing the KJ1-26.1+ TCR (T-cell reactivity) idiotype responsible
for OVA recognition. Our results were interpreted to mean that virus
persistence in the cornea of Tg-RAG mice drives proinflammatory
cytokine expression, which serves to activate invading
CD4
+ T cells other than by conventional
TCR-mediated T-cell activation. Such bystander activation of
CD4
+ T cells may represent a component of
clinical HSK in immunocompetent animals.