Identification of an important immunological difference between virulent varicella-zoster virus and its avirulent vaccine: viral disruption of dendritic cell instruction

Virulent varicella-zoster virus (VZV) can spread in immunocompetent humans, resulting in symptoms mostly of the skin. In contrast, vaccine Oka (V-Oka), the attenuated VZV vaccine strain, only rarely causes clinical reactions. The mechanisms underlying these pathogenetic differences are unclear. In t...

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Main Authors: Gutzeit, Cindy (Author) , Raftery, Martin J. (Author) , Peiser, Matthias (Author) , Tischer, Karsten B. (Author) , Ulrich, Martina (Author) , Eberhardt, Melanie (Author) , Stockfleth, Eggert (Author) , Giese, Thomas (Author) , Sauerbrei, Andreas (Author) , Morita, Craig T. (Author) , Schönrich, Günther (Author)
Format: Article (Journal)
Language:English
Published: 2010 Jul 1
In: The journal of immunology
Year: 2010, Volume: 185, Issue: 1, Pages: 488-497
ISSN:1550-6606
Online Access: Get full text
Author Notes:Cindy Gutzeit, Martin J. Raftery, Matthias Peiser, Karsten B. Tischer, Martina Ulrich, Melanie Eberhardt, Eggert Stockfleth, Thomas Giese, Andreas Sauerbrei, Craig T. Morita, and Günther Schönrich

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520 |a Virulent varicella-zoster virus (VZV) can spread in immunocompetent humans, resulting in symptoms mostly of the skin. In contrast, vaccine Oka (V-Oka), the attenuated VZV vaccine strain, only rarely causes clinical reactions. The mechanisms underlying these pathogenetic differences are unclear. In this study, we comparatively analyzed the ability of virulent VZV and V-Oka to modulate instruction of dendritic cells (DCs) by innate signals. DCs isolated from normal human skin were susceptible to infection with VZV and V-Oka. Moreover, inflammatory DCs, which play a crucial role in the stimulation of Th1 immune responses, accumulated in herpes zoster lesions. Infection of inflammatory DCs generated in vitro with virulent VZV or V-Oka resulted in upregulation of CD1c. Upon coculture with CD1c-restricted innate cells, DCs developed a mature phenotype whether infected with virulent VZV or V-Oka. Intriguingly, a striking difference was detected on the functional level. The release of IFN-gamma and IL-12, the signature cytokines of Th1 responses, was enhanced by V-Oka but blocked by virulent VZV. V-Oka and virulent VZV efficiently synergized with CD40L, eliminating the possibility that CD40 signaling was a target of VZV-associated immune evasion. Instead, virulent VZV selectively interfered with signaling through TLR2, which is known to sense VZV. Thus, virulent VZV subverts Th1-promoting instruction of human DCs by blocking TLR2-mediated innate signals that prime IL-12 production by DCs. Taken together, our results demonstrate a novel immune-evasion mechanism of virulent VZV that has been lost during the attenuation process leading to the VZV vaccine strain. 
650 4 |a Cells, Cultured 
650 4 |a Chickenpox Vaccine 
650 4 |a Coculture Techniques 
650 4 |a Dendritic Cells 
650 4 |a Herpes Zoster 
650 4 |a Herpesvirus 3, Human 
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650 4 |a Humans 
650 4 |a Immune Evasion 
650 4 |a Interleukin-12 
650 4 |a Middle Aged 
650 4 |a Monocytes 
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650 4 |a Th1 Cells 
650 4 |a Vaccines, Attenuated 
650 4 |a Virulence 
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