Abstract
Human metapneumovirus (hMPV) is a major cause of upper and lower respiratory infections in children and adults. Recent work from our group demonstrated that hMPV G glycoprotein is an important virulence factor, responsible for inhibiting innate immune responses in airway epithelial cells. Myeloid dendritic cells (DCs) are potent APCs and play a major role in initiating and modulating the innate and adaptive immune responses. In this study, we found that TLR4 plays a major role in hMPV-induced activation of monocyte-derived DCs (moDCs), as downregulation of its expression by small interfering RNA significantly blocked hMPV-induced chemokine and type I IFN expression. Similar results were found in bone marrow-derived DCs from TLR4-deficient mice. moDCs infected with a virus lacking G protein expression produced higher levels of cytokines and chemokines compared with cells infected with wild-type virus, suggesting that G protein plays an inhibitory role in viral-induced cellular responses. Specifically, G protein affects TLR4-dependent signaling, as infection of moDCs with recombinant hMPV lacking G protein inhibited LPS-induced production of cytokine and chemokines significantly less than did wild-type virus, and treatment of moDCs with purified G protein resulted in a similar inhibition of LPS-dependent signaling. Our results demonstrate that hMPV G protein plays an important role in inhibiting host innate immune responses, likely affecting adaptive responses too.
Human metapneumovirus (hMPV) is a recently identified RNA virus belonging to the Paramyxoviridae family, which includes several major human and animal pathogens (1). Epidemiological studies indicate that hMPV is a significant human respiratory pathogen with worldwide distribution (2, 3). It is associated with respiratory illnesses in children, adults, and immunocompromised patients, ranging from upper respiratory tract infections to severe bronchiolitis and pneumonia (4–6). Evidence suggests that the virus may also cause repeated infection throughout life (7, 8).
TLRs have been shown to be involved in the activation of innate immune responses by recognizing different pathogen-associated molecular patterns (9–13). Their role in virus-triggered cellular signaling is stimulus- and cell type-dependent (reviewed in Ref. 14). After recognition of their own pathogen-associated molecular patterns following viral infection, TLRs trigger intracellular signaling pathways that are necessary to the induction of inflammatory cytokines, chemokines, as well as type I IFNs. Respiratory syncytial virus (RSV) fusion protein, the envelope proteins of mammary tumor virus, and murine leukemia virus have been shown to activate TLR4 (15, 16), but their role in other viral infections, such as hMPV, is not known.
Dendritic cells (DCs) play a pivotal role in shaping antiviral immune responses in the respiratory tract. They can efficiently sense invading pathogens by TLRs and, because of their strategic localization at mucosal sites, are involved in the response to viral infections (17, 18). We have previously shown that hMPV is able to infect human monocyte-derived DCs (moDCs) and plasmacytoid DCs (pDCs), and that infection of these two cell types can effectively block the production of type I IFN in response to TLR agonists (19). Similarly, following infection with hMPV, mice showed a significant inhibition of IFN-α production in the lung in response to intranasal inoculation with TLR3 or TLR9 agonists (20). However, the mechanisms of inhibition of innate immune responses by hMPV are not known.
Since the discovery of hMPV in 2001, several research groups have developed vaccine candidates that may be used to protect different risk groups against hMPV-induced respiratory disease. Recombinant hMPV lacking G protein expression (rhMPV-ΔG) exhibited reduced replication in the upper and lower respiratory tracts of Syrian hamsters and African green monkeys (21, 22). We have previously shown that rhMPV-ΔG induces higher levels of cytokines, chemokines, and type I IFN in cultured human alveolar epithelial cells, compared with wild-type recombinant hMPV (rhMPV-WT) (23). The mechanisms underlying rhMPV-ΔG attenuation, as well as the role of the hMPV G protein in modulating host cell responses, are largely unknown. Although reduced attachment ability might contribute to the observed attenuation of rhMPV-ΔG in vivo, it is possible that hMPV G protein has an inhibitory role in immune cell activation, similar to what we have recently reported in airway epithelial cells, leading to reduced secretion of proinflammatory and/or antiviral molecules upon infection, therefore affecting innate and adaptive immune responses.
The results of our study indicate that TLR4 plays an important role in hMPV-induced secretion of proinflammatory cytokines and chemokines, as well as type I IFN in moDCs, and that G protein inhibits moDC cellular responses by affecting TLR4-dependent signaling.
Materials and Methods
Recombinant hMPV preparation
The hMPV strain CAN97-83, referred to as naive hMPV, was obtained from the Centers for Disease Control (Atlanta, GA) with permission from Dr. Guy Boivin at the Research Center in Infectious Diseases, Regional Virology Laboratory, Laval University (Quebec City, QC, Canada). The virus was propagated in LLC-MK2 cells (American Type Culture Collection, Manassas, VA) in serum-free Opti-MEM (Invitrogen Life Technologies, Carlsbad, CA) containing 1 μg trypsin/ml, followed by purification on a 60% sucrose cushion. rhMPV-WT and rhMPV-ΔG were generated by a reverse genetic technology, using the CAN97-83 as backbone, as previously described (23). The virus titer was determined by a cell-based immunoassay, as previously described (20).
Preparation of purified hMPV G protein
The construct for G protein purification was created by PCR using hMPV antigenome as a template with EcoRI and XhoI restriction sites added at the 5′ and 3′ ends. The 3′ primer contained a histidine tag for subsequent protein purification. The primer sequences used for PCR are available upon request. The PCR fragment was first cloned into TOPO cloning vector (Invitrogen Life Technologies) and then digested with the appropriate enzymes, followed by ligation into the pCAGGS vector. Plasmid was purified by ion exchange (EndoFree kit; Qiagen, Chatsworth, CA) and sequenced, prior to transfection, into MAX FreeStyle 293 cells grown in suspension, as recommend by the manufacturer (Invitrogen Life Technologies). After 3 d, cell pellets were collected and resuspended in buffer NT1-10-G containing 51 mM n-octyl-β-d-glucopyranoside (OG). After overnight incubation on a shaker, the reaction mixture was centrifuged and the supernatant was pipetted into a 1-ml disposable column containing Ni2+ resin, which was pre-equilibrated with 0.5 ml buffer NT1-10-G with 51 mM OG. The flow-through fraction was reapplied to the column twice. The column was then washed with NTI-25-G containing 37 mM OG, and the protein was eluted in 0.5 ml NTI-500-G with 37 mM OG. Imidazole, a chemical used for disrupting Ni2+–histidine interaction, was eliminated by passing the purified protein through PD-10 column (Amersham Biosciences, Piscataway, NJ). Eluted protein in NTI-10-G buffer with 37 mM OG was then quantified using a BCA protein assay kit from Thermo Fisher Scientific (Waltham, MA). Purified G was run on 10% SDS-PAGE to verify preservation of highly glycosylated forms characteristic of the naive viral protein, as previously shown (23).
Purification of moDCs and viral infection
MoDCs were generated from human PBMCs, as previously described (19). Briefly, whole blood from healthy adult donors, after dextran sedimentation, was layered on top of Ficoll-Hypaque, and after centrifugation the layer of mononuclear cells was collected. CD14+ cells were isolated by immunomagnetic selection following the manufacturer’s instruction (purity, >93%) (Miltenyi Biotec, Auburn, CA). These CD14+ cells were cultured for 7 d in RPMI 1640 supplemented with 2 mmol/liter l-glutamine, 10% FBS, 50 μM 2-ME, and 100 UI/ml penicillin-streptomycin medium containing GM-CSF (100 ng/ml) and IL-4 (20 ng/ml). IL-4 was purchased from R&D Systems (Minneapolis, MN), and recombinant human GM-CSF was from PeproTech (Rocky Hill, NJ). One-third of the medium and 100% of each cytokine were replaced every other day. moDCs were used on the seventh day of culture in all experiments. Cells were infected with naive hMPV, rhMPV-WT, or rhMPV-ΔG at a multiplicity of infection (MOI) of 2 (unless otherwise specified) in the presence of 1 μg/ml trypsin (19). Uninfected cells, treated with cell culture media containing same amounts of sucrose and trypsin of infected cells, were defined as mock-infected cells. In some experiments moDCs were also exposed to UV-inactivated (nonreplicating) preparations of rhMPV-WT or rhMPV-ΔG (24). In experiments investigating hMPV interference with TLR4 signaling, 2 × 105 cells were infected with rhMPV-WT or rhMPV-ΔG, at MOI of 2, for 24 h. Cell supernatants were removed and cells were then stimulated with LPS (Escherichia coli K12 LPS; InvivoGen, San Diego, CA) at a final concentration of 100 ng/ml in fresh media. Cell supernatants were harvested 24 h later to measure cytokine, chemokine, and type I IFN secretion.
To assess the effect of isolated G protein on TLR4-dependent signaling, 2 × 105 moDCs were pretreated with purified G protein at different concentrations (2, 1, 0.5, 0.1, and 0.05 μg/ml) for 30 min, followed by the addition of LPS at a final concentration of 100 ng/ml. Cell supernatants were harvested at 24 h to measure cytokine, chemokine, and type I IFN production.
RNA interference and real-time PCR
TLR2, TLR3, and TLR4 expression was downregulated using 100 nM specific human TLR small interfering RNA (siRNA) sequences (ON-TARGETplus SMARTpool; Dharmacon) and the electroporation system from Amaxa Biosystems (Gaithersburg, MD), which uses cell type-specific buffers and reagents to allow high transfection efficiency in primary immune cells. Nontargeting sequences (siCONTROL pools; Dharmacon) were used as negative control. At 48 h posttransfection, moDCs were infected with hMPV and harvested at 24 h postinfection (hpi) to collect cell supernatants and extract total RNA, using an RNeasy kit (Qiagen), according to the manufacturer’s instructions. TLR2, TLR3, and TLR4, as well as cytokine, chemokine, and type I IFN gene expression levels, were determined by quantitative real-time PCR (qRT-PCR). Specific mRNAs were amplified by qRT-PCR using an Applied Biosystems (Foster City, CA) Assays-on-Demand 20× mix of primers and TaqMan MGB probes (FAM dye-labeled) for target genes, and 18S rRNA (VIC dye-labeled probe) TaqMan assay reagent (P/N 4319413E) for control. Separate tubes (singleplex) one-step RT-PCR was performed with 80 ng RNA for both target genes and endogenous control. The cycling parameters for one-step RT-PCR were: reverse transcription, 48°C for 30 min; AmpliTaq activation, 95°C for 10 min; denaturation, 95°C for 15 s; and annealing/extension, 60°C for 1 min (repeated 30 times) on an ABI 7000. Duplicate threshold cycle (Ct) values were analyzed in Microsoft Excel using the comparative Ct (ΔΔCT) method as described by the manufacturer (Applied Biosystems). The amount of target (2–ΔΔCT) was obtained by normalizing to an endogenous reference (18S) sample.
Establishment of bone marrow-derived DCs
TLR4−/− mice (C.C3-Tlr4Lps-d/J mice [BALB/c background], and C57BL/10ScSnJ and C57BL/10ScNJ mice [BL/10 background]) were purchased from The Jackson Laboratories. TLR7−/− mice (C57BL/6 ×129 F2 background) were obtained from Regeneron (Tarrytown, NY) and Dr. Richard Flavell (Howard Hughes Medical Institute, Yale University School of Medicine, New Haven, CT) and were further bred to the C57BL/6 background by backcrossing for seven successive generations (25). Bone marrow DCs were generated as previously described (26, 27). Briefly, bone marrow cells isolated from the femur and tibia were cultured in complete DC medium (RPMI 1640 supplemented with 10% FCS, 2 mM l-glutamine, penicillin, streptomycin, 1 mM sodium pyruvate, 0.02 M HEPES, and 50 μM 2-ME) supplemented with murine recombinant GM-CSF (PeproTech) at a final concentration of 20 ng/ml and seeded at 2 × 106 cells/ml in 6-well plates. Cells were gently washed every other day to replace the medium and to remove granulocytes and nonadherent T and B cells. After 8–9 d, cells loosely adhered and suspension cells were collected and seeded in 24-well plates at 5 × 105 cells/well. Their DC phenotype was confirmed based on the expression of several surface markers, including CD11b and CD11c, MHC class II, CD86, as well as CD80. The following day, cells were infected with hMPV (MOI 2) and supernatants were collected at different times postinfection to measure cytokine, chemokine, and type I IFN production.
FACS analysis of DCs for infectivity
Simultaneous analysis of cell surface CD11c and MHC class II and intracellular hMPV Ags by moDCs was performed as previously described (19). Briefly, cells in suspension were washed once with an ice-cold wash solution (PBS with 1% heat-inactivated FCS) and stained with a PE-conjugated anti-human CD11c (BD Pharmingen, San Diego, CA) and PerCP-conjugated anti–HLA-DR (Miltenyi Biotec). To detect expression of intracellular viral Ags, cells were fixed with Cytofix/Cytoperm (BD Pharmingen, San Diego, CA) and permeabilized with Perm/Wash buffer (BD Pharmingen, Fallbrook, CA). Cells were then incubated with guinea pig anti-hMPV Ab (19), followed by a FITC-goat anti-guinea pig Ab (Zymed Laboratories, Carlsbad, CA). After the final step, cells were washed and then fixed in 200 μl of 2% paraformaldehyde in PBS. Cells were analyzed with a FACScan flow cytometer equipped with CellQuest software (both from BD Immunocytometry Systems, San Jose, CA). Analysis was performed in FlowJo software (Tree Star, La Jolla, CA).
Bio-Plex and ELISA
Human and mouse IFN-α and IFN-β concentrations were determined by commercial ELISAs according to the manufacturer’s instructions (PBL, Piscataway, NJ). Selected human and mouse cytokines and chemokines (IL-1α, IL-1β, IL-6, IL-8 [KC for mouse samples], IL-10, IL-12p40, IL-12p70, G-CSF, IFN-γ, IP-10, MIP-1α, MIP-1β, MCP-1, RANTES, and TNF-α) were quantified by a Luminex-based Bio-Plex system (Bio-Rad Laboratories, Hercules, CA) according to the manufacturer’s instructions. The lower limit of detection for all cytokines measured by this assay is 3 pg/ml.
Statistical analysis
Statistical analyses were performed by the Mann–Whitney U test using the InStat 3.05 biostatistics package (GraphPad Software, San Diego, CA). Unless otherwise indicated, mean ± SEM is shown.
Results
TLR4 complex is required for hMPV-induced activation of human moDCs
Among the 10 members of TLRs identified in humans, TLR2, 3, 4, 7, 8, and 9 have been shown to be involved in the innate response to viral stimulation (13, 28). TLR2 and TLR3 recognize components of CMV, herpesvirus, and measles viruses (29, 30) and they have also been shown to play an important role in RSV-induced cytokine production in monocytes (31) and in airway epithelial cells (32, 33). RSV F protein and envelope proteins of mammary tumor virus and murine leukemia virus have been shown to activate TLR4 (15, 16), and the role of TLR4 in the immune pathogenesis of RSV infection has been widely documented (15, 34). Overall, the role of TLRs in hMPV-induced signaling in immune cells is not known, with the exception of TLR7 in pDCs, which require its expression to be able to respond to hMPV infection (35).
To determine the role of TLR2, TLR3, and TLR4 in hMPV infection, we downregulated their expression in human moDCs and assessed hMPV-induced secretion of type I IFN and proinflammatory mediators. Cells were transfected with either a scrambled siRNA, as control, or one targeting the specific TLR at a final concentration of 100 nM. This concentration was chosen as the one having the greatest effect on reduction of the target gene expression, without greatly affecting cell survival (data not shown) or viral replication (Supplemental Fig. 1). At 48 h posttransfection, moDCs were infected with naive hMPV and harvested at 24 hpi to collect cell supernatants and extract total RNA. Our results showed that hMPV infection of moDCs significantly downregulated expression of TLR4 (Fig. 1A) and that treatment with specific siRNA effectively blocked both basal and viral-regulated gene expression (80–90%). There was a significant reduction of IL-8, RANTES, and IFN-β gene expression in response to hMPV infection in TLR4-silenced cells, compared with scramble siRNA-treated cells (Fig. 1A), indicating the involvement of TLR4 in the expression of these viral-induced genes. To determine the effect of TLR4 gene silencing on the production of other immune mediators, supernatants of moDCs transfected with either scramble or TLR4 siRNA and infected with hMPV were assayed for cytokine and chemokine production. In agreement with our gene expression results, TLR4 silencing significantly reduced hMPV-induced secretion of cytokines and chemokines, such as IL-1β, IL-6, IL-10, TNF-α, and RANTES, as well as IFN-β (Fig. 1B).
In contrast, there was no significant difference in IL-8, RANTES, and IFN-β gene expression in response to hMPV infection in TLR2- and TLR3-silenced cells, compared with scramble siRNA-treated cells, although hMPV significantly upregulated mRNA levels of both TLRs (Supplemental Fig. 2A, 2B).
Similar to LPS, the primary ligand of TLR4, RSV engagement of TLR4, requires the presence of CD14 and MD-2 for signaling (34, 36). To confirm the involvement of TLR4 complex in hMPV-induced signaling, we downregulated CD14 and investigated hMPV-induced moDC responses, as described above. Similar to cells treated with siRNA for TLR4, CD14-silenced cells showed a significant reduction in cytokine, chemokine, and type I IFN gene expression (Fig. 2A) and protein secretion (Fig. 2B).
We further investigated the role of TLR4 in hMPV-induced cytokine and chemokine expression using bone marrow-derived DCs (BMDCs) from mice with two different types of TLR4 deficiency. C.C3-Tlr4Lps-d/J mice have a spontaneous point mutation in the intracellular domain of TLR4 that blocks LPS signaling (37), whereas C57BL/10ScNJ mice carry a deletion of the TLR4 gene that results in the absence of both mRNA and protein and, thus, is defective in the response to LPS stimulation (34, 37). Bone marrow cells isolated from these mice, along with their respective control mice, were differentiated into DCs using mouse rGM-CSF. Their DC phenotype was confirmed based on the expression of several surface markers, including CD11b and CD11c, MHC class II, CD86, as well as F4/80 (19). Once differentiated into DCs, cells were infected with naive hMPV and cell supernatants were collected at various times postinfection for the detection of cytokines, chemokines, and type I IFNs. BMDCs from C.C3-Tlr4Lps-d/J mice responded poorly to hMPV infection, compared with control cells, producing significantly less cytokines, including IL-1α, IL-1β, IL-6, IL-12, TNF-α, and G-CSF (Fig. 3A), and chemokines, such as KC, MIP-1α, and MIP-β, as well as IFN-α and IFN-β (Fig. 3B). Similar results were obtained in C57BL/10ScNJ mice (data not shown).
Because TLR7 has been shown to play an important role in hMPV-induced signaling in pDCs (35), we investigated whether it had a similar role in conventional DCs as well. Cells isolated from TLR7−/− mice were prepared as above and, after purity (>95%) and DC phenotype were confirmed by flow cytometry, cells were either infected with naive hMPV or treated with a known TLR7 agonist (CL097, 1 μg/ml; InvivoGen, San Diego, CA). Cell supernatant was harvested at 24 hpi to measure representative cytokines and chemokines. No change in hMPV-induced proinflammatory mediator secretion was observed in the absence of TLR7, whereas TLR7 was required for CL097-mediated production of cytokines and chemokines (Supplemental Fig. 3).
HMPV G protein inhibits viral-induced cytokine production in moDCs
We have recently shown that hMPV G protein is an important virulence factor, as its expression affects viral-induced cytokines, chemokines, as well as IFN production in airway epithelial cells (23). To determine whether this protein plays a role also in hMPV-induced signaling in primary immune cells, we infected human moDCs with recombinant hMPV and investigated the effect of G protein deletion on immune mediator production. Cells were infected with either rhMPV-WT or rhMPV-ΔG, and cell supernatants were collected at various times postinfection to measure levels of cytokines, chemokines, and type I IFN. moDCs infected with rhMPV-ΔG secreted significantly higher levels of cytokines, such as IL-6, IL-10, IFN-γ, TNF-α, IL-1β, and IL-12p70, and chemokines, such as RANTES and MIP-1α, when compared with cells infected with rhMPV-WT, at all time points tested (Fig. 4A). In contrast, rhMPV-ΔG infection induced significantly higher IFN-α and IFN-β production only at 6 h p.i, whereas there was no significant difference at later time points of infection (Fig. 4B). When cells were infected with ultraviolet-inactivated virus, there was very little or no type I IFN production, indicating the replication-dependent nature of these mediators. Other cytokine and chemokine secretion was at least in part independent of viral replication, with levels of mediators induced by ultraviolet-treated rhMPV-ΔG somewhat higher compared with rhMPV-WT.
Because the observed difference in the production of cytokines and chemokines could be due to higher infectivity of the virus lacking G protein expression, we determined rhMPV-WT and rhMPV-ΔG replication in moDCs using intracellular staining for hMPV proteins. moDCs were infected with hMPV and stained at different times postinfection with a polyclonal anti-hMPV Ab to detect intracellular Ag expression, as previously described (19). A similar percentage of cells was infected with both viruses at an early time point of infection (6 h), whereas there was a significant increase in Ag staining in moDCs infected with rhMPV-WT at 24 hpi compared with rhMPV-ΔG–infected cells (Fig. 5).
Because naive hMPV infection induced downregulation of TLR4 expression (Fig. 1A), similar to what has been described for LPS (38), we investigated whether rhMPV-ΔG affected TLR4 expression differently from rhMPV-WT infection. moDCs were treated with LPS or infected with rhMPV-WT or rhMPV-ΔG for various length of time and harvested to extract total RNA. TLR4 expression was measured by qRT-PCR. There was a time-dependent decrease in TLR4 mRNA levels after stimulation with both LPS and recombinant viruses, with significant TLR4 downregulation starting at 15 hpi, although we observed some difference between rhMPV-WT and rhMPV-ΔG infection in their ability to affect TLR4 expression at 6 hpi (Supplemental Fig. 4).
HMPV G protein blocks TLR4-mediated expression of immune mediators
We have recently shown that hMPV inhibits TLR-induced IFN-α production in moDCs and pDCs in a replication-dependent manner, suggesting that specific viral proteins affect TLR-mediated signaling pathways (19). To determine whether G protein expression could interfere with TLR4 signaling in hMPV-infected moDCs, leading to a reduction in proinflammatory mediator secretion, cells were infected with rhMPV-WT or rhMPV-ΔG. At 24 hpi, cells were washed and stimulated with LPS, and cell supernatants were harvested to measure cytokine and chemokine production. We found that LPS-induced secretion of cytokines, such as IL-6, IL-8, IL-10, IFN-γ, and TNF-α, as well as chemokines, such as RANTES and MIP-1β, were significantly inhibited by rhMPV-WT infection, but not by rhMPV-ΔG (Fig. 6A), suggesting an inhibitory role of G protein on TLR4-dependent signaling in the context of hMPV infection. There was a minor induction of type I IFN following LPS stimulation, which was not significantly affected by hMPV infection, either rhMPV-WT or rhMPV-ΔG (data not shown).
To confirm the role of hMPV G protein in blocking TLR4 activation, moDCs were pretreated with either control buffer or purified G protein at different concentrations for 30 min and then stimulated with LPS. Cell supernatants were harvested to measure cytokine and chemokine secretion. Cells treated with LPS alone produced significant amounts of proinflammatory mediators, which were significantly reduced by pretreatment of cells with purified G protein in a dose-dependent manner (results are shown for a dose of 1 μg/ml) (Fig. 6B). An 80- to 90-fold reduction in secretion was observed for IL-6, IL-8, TNF-α, IP-10, and RANTES, whereas a 50- to 70-fold reduction was seen with other mediators such as IFN-γ, MCP-1, and MIP-1α. These results indicate that hMPV G protein indeed inhibits TLR4-dependent cellular signaling.
Discussion
The innate immune response represents a critical component of the host defense against viruses and is coordinated at the cellular level by activation of transcription factors that regulate the expression of inducible gene products with antiviral and/or inflammatory activity. As the immune system evolved to combat viral infections, viruses have developed strategies to evade the host immune responses, mainly by targeting the type I IFN system. hMPV is the second most common cause of epidemic respiratory infections in infants and young children, and it is a significant cause of respiratory tract infections in the elderly and immunocompromised patients (4–6). The availability of the reverse genetic system for negative sense RNA viruses has allowed the dissection of viral protein functions in viral replication as well as in cellular signaling. In a recent investigation, we have shown that hMPV G protein affects cellular signaling in airway epithelial cells (23). In this study, we found that TLR4 plays an important role in hMPV-induced secretion of proinflammatory cytokines and chemokines, as well as type I IFN in moDCs, and that hMPV G protein modulates cytokine and chemokine secretion in moDCs by targeting the TLR4-dependent signaling pathway.
Several viral envelope proteins, including RSV F protein and proteins of mammary tumor virus, murine leukemia virus, vescicular stomatitis virus (15, 16, 39), and, more recently, Ebola virus (40), have been shown to activate TLR4 in primary immune cells. Similar to LPS, the primary ligand of TLR4, RSV F protein requires the presence of CD14 and MD-2 for signaling (34, 36). TLR4 signaling has been shown to play an important role in controlling paramyxovirus infection. TLR4-deficient mice challenged with RSV exhibited impaired NK cell and CD14+ cell pulmonary trafficking, diminished NK cell function, and impaired IL-12 induction, in addition to impaired RSV clearance (15). In a model of alveolar macrophage depletion of TLR4-defective C3H/HeJ mice, we have shown that the early NF-κB response that occurs in the lung after RSV infection is dependent on alveolar macrophages and TLR4 (41). Furthermore, both TLR4 and the adapter molecule MyD88 have been shown to be required for optimal protection against viral challenge in a mouse model of RSV infection (42). Our results show that downregulation of TLR4 expression in human moDCs or lack of functional TLR4 in mouse BMDCs results in significantly reduced expression of hMPV-induced cytokine, chemokine, and type I IFN secretion, indicating an important role of this TLR in the activation of cellular signaling following hMPV infection. The presence of residual mediator production in both cell types suggests the presence of additional pathways, either TLR-dependent or -independent, involved in hMPV-induced proinflammatory gene expression in moDCs. We are currently investigating the role of TLR4 in the pathophysiology of hMPV infection using C.C3-Tlr4Lps-d/J or C57BL/10ScNJ mice, which are defective in TLR4 signaling.
RSV G protein has been shown to modulate cytokine and chemokine production in monocytes, as infection with a mutant RSV lacking the full-length G protein or the soluble part of G protein (sG) enhanced production of IL-6 and IL-8 (43). Addition of a specific peptide derived from RSV sG, the GC-rich region, inhibited proinflammatory responses elicited by LPS stimulation, indicating that RSV sG affects TLR4-dependent signaling (43). In our experiments, deletion of hMPV G protein resulted in enhanced production of cytokines and chemokines, with minor changes in type I IFN secretion, indicating an important role of this surface glycoprotein in modulating cellular signaling in moDCs. The enhanced response of moDCs to rhMPV-ΔG infection was not due to an increased ability of rhMPV-ΔG to replicate, as initial staining of viral proteins was similar in cells infected with rhMPV-ΔG, compared with rhMPV-WT. Both naive and recombinant viruses downregulated TLR4 expression, similar to what has been described for LPS (38), with rhMPV-ΔG inducing a later inhibition of TLR4 expression compared with rhMPV-WT. However, this finding is unlikely to explain the highly significant difference we observed in cytokine and chemokine secretion in response to rhMPV-ΔG at all time points of infection.
Three structural domains, that is, a leucine-rich region in the N-terminal ectodomain, a transmembrane region, and a Toll/IL-1R resistance domain in the intracellular region, are structural hallmarks of all known Toll/TLRs. Differential utilization of four Toll/IL-1R resistance-containing adapter molecules (i.e., MyD88, TIRAP, TRIF, and TRAM) by distinct TLRs leads to activation of downstream signaling pathways, findings based largely on studies in adapter knockout mice. Two major TLR signaling pathways have been identified, that is, one that is MyD88-dependent and gives rise to strong and early activation of NF-κB, and a TRIF-dependent, MyD88-independent pathway that primarily drives strong activation of IRF-3, with later activation of NF-κB. The MyD88-dependent pathway results in induction of highly NF-κB–dependent, proinflammatory genes (TNF-α, IL-1β, IL-6), whereas the MyD88-independent pathway leads to gene induction that is highly IRF-3–dependent (IFN-β, RANTES). TLR4 activates both pathways for gene expression, as it is the only TLR that uses both adapter proteins. In a recent study, Shingai et al. (44) have shown that addition of RSV sG protein suppresses the production of IFN-β in moDCs stimulated with LPS. RSV sG protein expression in HEK293 cells could inhibit the TLR adapter TRIF/TICAM-1–dependent activation of an IFN-stimulated responsive element in transient transfection assays, suggesting that RSV G targets this adapter to inhibit TLR3/4-dependent signaling. Our initial investigations have shown that infection of moDCs with rhMPV-ΔG affects primarily cytokine and chemokine production and much less type I IFN (only at early time points). Similarly, inhibition of TLR4-dependent signaling by hMPV G protein significantly modulates hMPV-induced cytokine and chemokine secretion, but not type I IFN. This could be due to a preferential inhibition of MyD88 versus TRIF in response to hMPV infection, or to the concomitant activation of TLR-independent pathways, such as the one dependent on protein kinase R, which has been shown to play a significant role in IFN production in response to certain viral infections (45, 46).
In conclusion, we show that hMPV G protein is an important virulence factor, as it inhibits production of important immune mediators not only in airway epithelial cells (23), but also in DCs, by targeting TLR4 signaling. This is an important finding, as inadequate TLR stimulation, with subsequent lack of Ab affinity maturation, has been recently identified as an important cause of vaccine failure and enhanced disease following administration of the formaline-inactivated RSV vaccine (47).
Acknowledgements
We thank Deborah Prusak for assistance with qRT-PCR work and Cynthia Tribble for assistance with the manuscript submission.
Footnotes
This work was supported in part by National Institute of Allergy and Infectious Diseases Grants P01 062885 and R01 AI079246. X.B. was supported by National Institute of Allergy and Infectious Diseases Training Grant T32 AI07536 and a Parker B. Francis award.
The online version of this article contains supplemental material.
Abbreviations used in this article:
- BMDC
bone marrow-derived dendritic cell
- Ct
threshold cycle
- DC
dendritic cell
- hMPV
human metapneumovirus
- hpi
hours postinfection
- moDCs
monocyte-derived dendritic cell
- MOI
multiplicity of infection
- OG
n-octyl-β-d-glucopyranoside
- pDC
plasmacytoid dendritic cells
- qRT-PCR
quantitative real-time PCR
- rhMPV-ΔG
recombinant human metapneumovirus lacking G protein
- rhMPV-WT
wild-type recombinant human metapneumovirus
- RSV
respiratory syncytial virus
- sG
soluble G
- siRNA
small interfering RNA.
References
Disclosures
The authors have no financial conflicts of interest.