PMID- 31554680 OWN - NLM STAT- MEDLINE DCOM- 20200604 LR - 20200604 IS - 1098-5514 (Electronic) IS - 0022-538X (Print) IS - 0022-538X (Linking) VI - 93 IP - 24 DP - 2019 Dec 15 TI - Herpes Simplex Virus 1 Replication, Ocular Disease, and Reactivations from Latency Are Restricted Unilaterally after Inoculation of Virus into the Lip. LID - 10.1128/JVI.01586-19 [doi] LID - e01586-19 AB - Ocular herpes simplex keratitis (HSK) is a consequence of viral reactivations from trigeminal ganglia (TG) and occurs almost exclusively in the same eye in humans. In our murine oro-ocular (OO) model, herpes simplex virus 1 (HSV-1) inoculation in one side of the lip propagates virus to infect the ipsilateral TG. Replication here allows infection of the brainstem and infection of the contralateral TG. Interestingly, HSK was observed in our OO model only from the eye ipsilateral to the site of lip infection. Thus, unilateral restriction of HSV-1 may be due to differential kinetics of virus arrival in the ipsilateral versus contralateral TG. We inoculated mice with HSV-1 reporter viruses and then superinfected them to monitor changes in acute- and latent-phase gene expression in TG after superinfection compared to the control (single inoculation). Delaying superinfection by 4 days after initial right lip inoculation elicited failed superinfecting-virus gene expression and eliminated clinical signs of disease. Initial inoculation with thymidine kinase-deficient HSV-1 (TK(del)) completely abolished reactivation of wild-type (WT) superinfecting virus from TG during the latent stage. In light of these seemingly failed infections, viral genome was detected in both TG. Our data demonstrate that inoculation of HSV-1 in the lip propagates virus to both TG, but with delay in reaching the TG contralateral to the side of lip infection. This delay is responsible for restricting viral replication to the ipsilateral TG, which abrogates ocular disease and viral reactivations from the contralateral side. These observations may help to understand why HSK is observed unilaterally in humans, and they provide insight into vaccine strategies to protect against HSK.IMPORTANCE Herpetic keratitis (HK) is the leading cause of blindness by an infectious agent in the developed world. This disease can occur after reactivation of herpes simplex virus 1 in the trigeminal ganglia, leading to dissemination of virus to, and infection of, the cornea. A clinical paradox is evidenced by the bilateral presence of latent viral genomes in both trigeminal ganglia, while for any given patient the disease is unilateral with recurrences in a single eye. Our study links the kinetics of early infection to unilateral disease phenomenon and demonstrates protection against viral reactivation when kinetics are exploited. Our results have direct implications in the understanding of human disease pathogenesis and immunotherapeutic strategies for the treatment of HK and viral reactivations. CI - Copyright (c) 2019 American Society for Microbiology. FAU - Poccardi, Nolwenn AU - Poccardi N AD - Institut de Biologie Integrative de la Cellule (I2BC), Departement de Virologie, CNRS, Gif-sur-Yvette, France. FAU - Rousseau, Antoine AU - Rousseau A AD - Institut de Biologie Integrative de la Cellule (I2BC), Departement de Virologie, CNRS, Gif-sur-Yvette, France. AD - CEA-Universite Paris Sud, INSERM U1184, Immunology of Viral Infections and Autoimmune Diseases, IDMIT departement, IBFJ, Fontenay-aux-Roses, France. AD - Universite Paris Sud, Centre Hospitalier Universitaire de Bicetre, Service d'Ophtalmologie, APHP, DHU Vision & Handicaps, Centre de reference maladies rares en ophtalmologie OPHTARA, Le Kremlin-Bicetre, France. FAU - Haigh, Oscar AU - Haigh O AD - CEA-Universite Paris Sud, INSERM U1184, Immunology of Viral Infections and Autoimmune Diseases, IDMIT departement, IBFJ, Fontenay-aux-Roses, France. FAU - Takissian, Julie AU - Takissian J AD - Institut de Biologie Integrative de la Cellule (I2BC), Departement de Virologie, CNRS, Gif-sur-Yvette, France. AD - Universite Paris Sud, Centre Hospitalier Universitaire de Bicetre, Service de Bacteriologie, APHP, Le Kremlin-Bicetre, France. FAU - Naas, Thierry AU - Naas T AUID- ORCID: 0000-0001-9937-9572 AD - Universite Paris Sud, Centre Hospitalier Universitaire de Bicetre, Service de Bacteriologie, APHP, Le Kremlin-Bicetre, France. FAU - Deback, Claire AU - Deback C AUID- ORCID: 0000-0001-9465-2381 AD - Universite Paris Sud, Hopital Paul Brousse, Service de Virologie, APHP, Villejuif, France. FAU - Trouillaud, Louise AU - Trouillaud L AD - CEA-Universite Paris Sud, INSERM U1184, Immunology of Viral Infections and Autoimmune Diseases, IDMIT departement, IBFJ, Fontenay-aux-Roses, France. FAU - Issa, Mohammad AU - Issa M AD - CEA-Universite Paris Sud, INSERM U1184, Immunology of Viral Infections and Autoimmune Diseases, IDMIT departement, IBFJ, Fontenay-aux-Roses, France. FAU - Roubille, Simon AU - Roubille S AD - Universite Claude Bernard Lyon 1, CNRS UMR 5310, INSERM U 1217, LabEx DEVweCAN, Institut NeuroMyoGene (INMG), team Chromatin Assembly, Nuclear Domains, Virus, Lyon, France. FAU - Juillard, Franceline AU - Juillard F AD - Universite Claude Bernard Lyon 1, CNRS UMR 5310, INSERM U 1217, LabEx DEVweCAN, Institut NeuroMyoGene (INMG), team Chromatin Assembly, Nuclear Domains, Virus, Lyon, France. FAU - Efstathiou, Stacey AU - Efstathiou S AD - Division of Virology, Department of Pathology, Cambridge University, Cambridge, United Kingdom. FAU - Lomonte, Patrick AU - Lomonte P AD - Universite Claude Bernard Lyon 1, CNRS UMR 5310, INSERM U 1217, LabEx DEVweCAN, Institut NeuroMyoGene (INMG), team Chromatin Assembly, Nuclear Domains, Virus, Lyon, France. FAU - Labetoulle, Marc AU - Labetoulle M AD - Institut de Biologie Integrative de la Cellule (I2BC), Departement de Virologie, CNRS, Gif-sur-Yvette, France marc.labetoulle@aphp.fr. AD - CEA-Universite Paris Sud, INSERM U1184, Immunology of Viral Infections and Autoimmune Diseases, IDMIT departement, IBFJ, Fontenay-aux-Roses, France. AD - Universite Paris Sud, Centre Hospitalier Universitaire de Bicetre, Service d'Ophtalmologie, APHP, DHU Vision & Handicaps, Centre de reference maladies rares en ophtalmologie OPHTARA, Le Kremlin-Bicetre, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191126 PL - United States TA - J Virol JT - Journal of virology JID - 0113724 RN - 0 (MicroRNAs) RN - 0 (latency associated transcript, herpes simplex virus-1) SB - IM MH - Animals MH - Cornea/virology MH - Female MH - Gene Expression Regulation, Viral MH - Genes, Viral/genetics MH - Herpesvirus 1, Human/genetics/*physiology MH - Keratitis, Herpetic/*virology MH - Lip/*virology MH - Mice MH - Mice, Inbred BALB C MH - MicroRNAs/genetics/metabolism MH - Trigeminal Ganglion/virology MH - Virus Latency/genetics/*physiology MH - Virus Replication/*physiology PMC - PMC6880161 OTO - NOTNLM OT - HSV-1 OT - keratitis OT - latency OT - neurons OT - reactivation OT - superinfection OT - trigeminal ganglion EDAT- 2019/09/27 06:00 MHDA- 2020/06/05 06:00 PMCR- 2020/05/26 CRDT- 2019/09/27 06:00 PHST- 2019/09/19 00:00 [received] PHST- 2019/09/19 00:00 [accepted] PHST- 2019/09/27 06:00 [pubmed] PHST- 2020/06/05 06:00 [medline] PHST- 2019/09/27 06:00 [entrez] PHST- 2020/05/26 00:00 [pmc-release] AID - JVI.01586-19 [pii] AID - 01586-19 [pii] AID - 10.1128/JVI.01586-19 [doi] PST - epublish SO - J Virol. 2019 Nov 26;93(24):e01586-19. doi: 10.1128/JVI.01586-19. Print 2019 Dec 15.