PMID- 26122661 OWN - NLM STAT- MEDLINE DCOM- 20151026 LR - 20230207 IS - 1540-9538 (Electronic) IS - 0022-1007 (Print) IS - 0022-1007 (Linking) VI - 212 IP - 8 DP - 2015 Jul 27 TI - Therapeutic antiviral T cells noncytopathically clear persistently infected microglia after conversion into antigen-presenting cells. PG - 1153-69 LID - 10.1084/jem.20142047 [doi] AB - Several viruses can infect the mammalian nervous system and induce neurological dysfunction. Adoptive immunotherapy is an approach that involves administration of antiviral T cells and has shown promise in clinical studies for the treatment of peripheral virus infections in humans such as cytomegalovirus (CMV), Epstein-Barr virus (EBV), and adenovirus, among others. In contrast, clearance of neurotropic infections is particularly challenging because the central nervous system (CNS) is relatively intolerant of immunopathological reactions. Therefore, it is essential to develop and mechanistically understand therapies that noncytopathically eradicate pathogens from the CNS. Here, we used mice persistently infected from birth with lymphocytic choriomeningitis virus (LCMV) to demonstrate that therapeutic antiviral T cells can completely purge the persistently infected brain without causing blood-brain barrier breakdown or tissue damage. Mechanistically, this is accomplished through a tailored release of chemoattractants that recruit antiviral T cells, but few pathogenic innate immune cells such as neutrophils and inflammatory monocytes. Upon arrival, T cells enlisted the support of nearly all brain-resident myeloid cells (microglia) by inducing proliferation and converting them into CD11c(+) antigen-presenting cells (APCs). Two-photon imaging experiments revealed that antiviral CD8(+) and CD4(+) T cells interacted directly with CD11c(+) microglia and induced STAT1 signaling but did not initiate programmed cell death. We propose that noncytopathic CNS viral clearance can be achieved by therapeutic antiviral T cells reliant on restricted chemoattractant production and interactions with apoptosis-resistant microglia. FAU - Herz, Jasmin AU - Herz J AD - National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892. FAU - Johnson, Kory R AU - Johnson KR AD - National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892. FAU - McGavern, Dorian B AU - McGavern DB AD - National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892 mcgavernd@mail.nih.gov. LA - eng GR - R01 AR068983/AR/NIAMS NIH HHS/United States GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20150629 PL - United States TA - J Exp Med JT - The Journal of experimental medicine JID - 2985109R RN - 0 (CD11c Antigen) RN - 0 (STAT1 Transcription Factor) RN - 0 (Stat1 protein, mouse) RN - 45PG892GO1 (Evans Blue) SB - IM CIN - J Exp Med. 2015 Jul 27;212(8):1141-2. PMID: 26216603 MH - Analysis of Variance MH - Animals MH - Antigen-Presenting Cells/*immunology MH - CD11c Antigen/metabolism MH - Evans Blue MH - Flow Cytometry MH - Immunohistochemistry MH - Immunotherapy, Adoptive/*methods MH - Lymphocytic Choriomeningitis/immunology/*therapy MH - Lymphocytic choriomeningitis virus/*immunology MH - Mice MH - Mice, Inbred C57BL MH - Microarray Analysis MH - Microglia/*virology MH - STAT1 Transcription Factor/metabolism MH - Signal Transduction/immunology MH - T-Lymphocytes/*cytology/*immunology PMC - PMC4516789 EDAT- 2015/07/01 06:00 MHDA- 2015/10/27 06:00 PMCR- 2016/01/27 CRDT- 2015/07/01 06:00 PHST- 2014/10/29 00:00 [received] PHST- 2015/06/04 00:00 [accepted] PHST- 2015/07/01 06:00 [entrez] PHST- 2015/07/01 06:00 [pubmed] PHST- 2015/10/27 06:00 [medline] PHST- 2016/01/27 00:00 [pmc-release] AID - jem.20142047 [pii] AID - 20142047 [pii] AID - 10.1084/jem.20142047 [doi] PST - ppublish SO - J Exp Med. 2015 Jul 27;212(8):1153-69. doi: 10.1084/jem.20142047. Epub 2015 Jun 29.