MicrobiologyBytes: Virology: Virus immunopathology Updated: June 3, 2009 Search

Virus Immunopathology

Detailed notes for these documents can be found in Chapter 6 of Principles of Molecular Virology.

CoverStandard Version: The 4th edition contains new material on virus structure, virus evolution, zoonoses, bushmeat, SARS and bioterrorism, CD-ROM with FLASH animations, virtual interactive tutorials and experiments, self-assessment questions, useful online resources, along with the glossary, classification of subcellular infectious agents and history of virology. (Amazon.co.uk)

Cover Instructors Version: The 4th edition contains new material on virus structure, virus evolution, zoonoses, bushmeat, SARS and bioterrorism, CD-ROM with all the Standard Version content plus all the figures from the book in electronic form and a PowerPoint slide set with complete lecture notes to aid in course preparation. (Amazon.co.uk)

Introduction:

The ultimate goal of anti-viral therapy - to completely restore all functions to the infected cell - is normally unattainable, since irreversible damage to cellular functions occurs very early in most virus infections. The more realistic goal for anti-viral therapy is to inhibit or halt:
  • virus replication
  • spread of the virus to uninfected cells
How many effective drugs against viruses are currently available to the clinician? (a handful). Therefore, immunity is far more important in viral infections than therapy.

Overview of the Immune System:

The immune system

Humoral Immunity:

The immune response

In addition to neutralization by antibodies, complement plays an important role in virus infections. Virolysis is the direct lysis of virus particles by antibodies plus complement.
Lachmann P.J. & Davies A. (1997) Complement and immunity to viruses.Immunol.Rev. 159:69-77.

 

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Cell Mediated Immunity (CMI)

The Role of MHC:

The molecular basis of antigen recognition by T cells is well understood. The TcR recognizes short antigen-derived peptide sequences presented in association with self MHC class I or MHC class II molecules at the surface of an antigen presenting cell (APC).

T cell recognition, therefore, involves direct cell-cell contact between the antigen-specific TcR on the T lymphocyte and an MHC compatible cell which presents the processed antigen in association with surface MHC molecules. The finding that self MHC molecules are involved in the recognition of antigen by T lymphocytes led to the concept of "MHC restriction" of T cell responses, and pointed to the important role that products of the major histocompatibility complex play in the cell mediated immune response. The major histocompatibility complex consists of a cluster of genes, most of which encode products with immunologically related functions.

In humans, the MHC is located on the short arm of chromosome 6 and spans approximately four megabases of DNA. It can be divided into three regions termed class I, class II and class III:

MHC molecules

In addition to the interaction between MHC/antigen and the TcR, MHC class I and class II molecules also bind to the CD8 and CD4 T cell surface molecules, respectively.

Thus, MHC class I molecules present antigen to CD8+ T cells:

Antigen presentation

Animation: Degradation and transport of antigens that bind MHC class I molecules
(needs Macromedia Shockwave Flash Player)

MHC class II molecules present antigen to CD4+ T cells:

Antigen presemtation

Animation: Degradation and transport of antigens that bind MHC class II molecules
(needs Macromedia Shockwave Flash Player)


Cell killing

Cytotoxic CD8+ T cells kill their targets by inducing apoptosis ("ap-a-tow-sis"):

Apoptosis

Poxvirus immunomodulation

(adapted from: Nash, P. (1999) Immunomodulation by viruses: the myxoma virus story. Immunol.Rev. 168: 103-20)

 

Evasion of immune responses by viruses:

Tortorella D. et al. (2000) Viral Subversion of the Immune System. Ann.Rev Immunol. 18: 861-926.
Orange JS, et al. Viral evasion of natural killer cells. Nat Immunol. 3: 1006-1012, 2002.
Seet B. et al. (2003) Poxviruses and Immune Evasion. Ann.Rev Immunol. 21: 377-423.


RNAi

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RNA interference (RNAi) is a mechanism where the presence of fragments of double-stranded RNA (dsRNA) interferes with the expression of a particular gene. Before RNAi was well characterized, it was called by several other names, including post transcriptional gene silencing and transgene silencing. Only after these phenomena were characterized at the molecular level was it obvious that they were the same phenomenon.

RNAi

Long dsRNAs (typically >200 nt) can be used to silence the expression of target genes in a variety of organisms. On introduction to cells, the long dsRNAs enter the RNA interference (RNAi) pathway.

  1. Long dsRNAs are processed into 20-25 nt small interfering RNAs (siRNAs) by an RNase III-like enzyme called Dicer (initiation step).
  2. siRNAs assemble into endoribonuclease-containing complexes known as RNA-induced silencing complexes (RISCs), unwinding in the process.
  3. The siRNA strands guide the RISCs to complementary cellular RNA molecules, where they cleave and destroy the cellular RNA (effector step).

In mammalian cells, introduction of long dsRNA (>30 nt) initiates a potent antiviral response mediated by interferons (see below), which consists of nonspecific inhibition of protein synthesis and RNA degradation. The interferon response can be bypassed, however, by the introduction or expression of siRNAs into cells, leading to specific ablation of a chosen gene.

Pretreatment of mammalian cells with synthetic siRNAs against viral sequences limits infection by viruses including polio, influenza and HIV. This, coupled with the recognized role of RNAi in antiviral immunity in plants, insects and nematodes indicates that RNAi might serve an antiviral function throughout evolution. In plants and invertebrates, RNAi is a form of nucleic acid-based adaptive immunity which contrasts with but also complements the complex protein-based adaptive immunity vertebrates have evolved.

Sarnow P, et al. MicroRNAs: expression, avoidance and subversion by vertebrate viruses. Nat Rev Microbiol. 2006 4: 651-9.


Interferons:

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Mechanisms of Antiviral Activity

There are 3 general mechanisms which are understood in some detail plus a number of others (in some cases specific to certain viruses) which are less well understood.
  1. 2,5-oligo A:
    Interferon action
  2. 68kD RNA-activated protein kinase - PKR:
    Interferon action
  3. MxA Protein:

The interferon-induced MxA protein belongs to the dynamin superfamily of large GTPases and accumulates in the cytoplasm. MxA is a component of the innate antiviral response and has previously been shown to inhibit the replication of some (but not all) viruses (Human MxA protein confers resistance to double-stranded RNA viruses of two virus families. 2007 J Gen Virol 88: 1319-1323).


Therapeutic Uses of IFN:

Virus Infections:
Chronic active hepatitis: HBV, HCV
Condylomata accuminata: (Genital warts - papilloma)
Tumours:
Hairy cell leukaemia
Kaposi's sarcoma: HHV-8 in AIDS patients(?)
Congenital conditions:
Chronic granulomatous disease - IFN gamma reduces bacterial infections.
Multiple sclerosis (MS):
Interferons (IFNs) were initially tested in patients with multiple sclerosis because of a belief that MS might be caused by a latent viral infection of the CNS. Although no virus has been convincingly linked to MS, promising results from pilot clinical studies and the observation that systemically administered IFN-β regulates gene expression within the CNS have provided further rationale for the use of these agents in patients with MS.

Conclusion:

IFN is a powerful weapon against viruses, but acts as a blunderbuss, not a magic bullet! As its cell-regulatory activities are becoming better understood, it is finding increasing use as a cancer treatment - e.g. IFN-α/HCL. The long term prospects for antiviral use are uncertain. Huge amounts of α-IFN are currently being used to treat HBV/HCV patients, but it is not clear how this treatment works and only a small proportion of patients respond to treatment.

 


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