PMID- 32125285 OWN - NLM STAT- MEDLINE DCOM- 20210202 LR - 20240411 IS - 1558-8238 (Electronic) IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 130 IP - 6 DP - 2020 Jun 1 TI - Tissue-resident T cell-derived cytokines eliminate herpes simplex virus-2-infected cells. PG - 2903-2919 LID - 132583 [pii] LID - 10.1172/JCI132583 [doi] AB - The mechanisms underlying rapid elimination of herpes simplex virus-2 (HSV-2) in the human genital tract despite low CD8+ and CD4+ tissue-resident T cell (Trm cell) density are unknown. We analyzed shedding episodes during chronic HSV-2 infection; viral clearance always predominated within 24 hours of detection even when viral load exceeded 1 x 107 HSV DNA copies, and surges in granzyme B and IFN-gamma occurred within the early hours after reactivation and correlated with local viral load. We next developed an agent-based mathematical model of an HSV-2 genital ulcer to integrate mechanistic observations of Trm cells in in situ proliferation, trafficking, cytolytic effects, and cytokine alarm signaling from murine studies with viral kinetics, histopathology, and lesion size data from humans. A sufficiently high density of HSV-2-specific Trm cells predicted rapid elimination of infected cells, but our data suggest that such Trm cell densities are relatively uncommon in infected tissues. At lower, more commonly observed Trm cell densities, Trm cells must initiate a rapidly diffusing, polyfunctional cytokine response with activation of bystander T cells in order to eliminate a majority of infected cells and eradicate briskly spreading HSV-2 infection. FAU - Roychoudhury, Pavitra AU - Roychoudhury P AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. AD - Department of Laboratory Medicine and. FAU - Swan, David A AU - Swan DA AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Duke, Elizabeth AU - Duke E AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Corey, Lawrence AU - Corey L AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. AD - Department of Laboratory Medicine and. AD - Department of Medicine, University of Washington, Seattle, Washington, USA. AD - Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Zhu, Jia AU - Zhu J AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. AD - Department of Laboratory Medicine and. FAU - Dave, Veronica AU - Dave V AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. AD - Department of Global Health and. FAU - Spuhler, Laura Richert AU - Spuhler LR AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Lund, Jennifer M AU - Lund JM AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. AD - Department of Global Health and. FAU - Prlic, Martin AU - Prlic M AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. AD - Department of Global Health and. AD - Department of Immunology, University of Washington, Seattle, Washington, USA. FAU - Schiffer, Joshua T AU - Schiffer JT AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. AD - Department of Medicine, University of Washington, Seattle, Washington, USA. AD - Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. LA - eng GR - T32 AI007509/AI/NIAID NIH HHS/United States GR - R01 AI111780/AI/NIAID NIH HHS/United States GR - R01 AI121129/AI/NIAID NIH HHS/United States GR - R01 AI134878/AI/NIAID NIH HHS/United States GR - P01 AI030731/AI/NIAID NIH HHS/United States GR - KL2 TR002317/TR/NCATS NIH HHS/United States GR - P30 AI027757/AI/NIAID NIH HHS/United States GR - R01 AI143773/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Cytokines) SB - IM MH - Animals MH - CD4-Positive T-Lymphocytes/*immunology/pathology MH - CD8-Positive T-Lymphocytes/*immunology/pathology MH - Chronic Disease MH - Cytokines/*immunology MH - Herpes Genitalis/*immunology/pathology MH - Herpesvirus 2, Human/*immunology MH - Humans MH - *Immunologic Memory MH - Mice PMC - PMC7260013 OTO - NOTNLM OT - Adaptive immunity OT - Cytokines OT - Immunology OT - T cells OT - Virology COIS- Conflict of interest: LC is on the scientific advisory board for and holds stock in Immune Design Corp. and is a coinventor listed on several patents involving potential HSV vaccine development (US patents 6,375,952; 6,413,518; 6,855,317; 6,962,709; 7,078,041; 7,431,934; 7,666,434; 7,744,903; 8,852,602; and 9,675,688 and European Patent Office, international publication number WO2001/023414). JTS received research funds from Genocea. EDAT- 2020/03/04 06:00 MHDA- 2021/02/03 06:00 PMCR- 2020/09/01 CRDT- 2020/03/04 06:00 PHST- 2019/08/16 00:00 [received] PHST- 2020/02/11 00:00 [accepted] PHST- 2020/03/04 06:00 [pubmed] PHST- 2021/02/03 06:00 [medline] PHST- 2020/03/04 06:00 [entrez] PHST- 2020/09/01 00:00 [pmc-release] AID - 132583 [pii] AID - 10.1172/JCI132583 [doi] PST - ppublish SO - J Clin Invest. 2020 Jun 1;130(6):2903-2919. doi: 10.1172/JCI132583.