Abstract

Crimean-Congo hemorrhagic fever virus is one the most important and wide spread tick-borne viruses. Very little is known about the transmission from the tick and the early aspects of pathogenesis. Here, we generate human cutaneous antigen presenting cells—dermal dendritic cells and Langerhans cells—from umbilical cord progenitor cells. In order to mimic the environment created during tick feeding, tick salivary gland extract was generated from semi-engorged Hyalomma marginatum ticks. Our findings indicate that human dermal dendritic cells and Langerhans cells are susceptible and permissive to Crimean-Congo hemorrhagic fever virus infection, however, to different degrees. Infection leads to cell activation and cytokine/chemokine secretion, although these responses vary between the different cell types. Hyalomma marginatum salivary gland extract had minimal effect on cell responses, with some synergy with viral infection with respect to cytokine secretion. However, salivary gland extract appeared to inhibit antigen presenting cells (APCs) migration. Based on the findings here we hypothesize that human dermal dendritic cells and Langerhans cells serve as early target cells. Rather affecting Crimean-Congo hemorrhagic fever virus replication, tick saliva likely immunomodulates and inhibits migration of these APCs from the feeding site.

Highlights

  • IntroductionSince most of the infections besides nosocomial transmission are acquired through tick bite, we hypothesize that in subclinical cases the virus is cleared early after transmission from the tick

  • Crimean-Congo hemorrhagic fever (CCHF) is a viral, tick-borne zoonosis and is one of the high-priority pathogens identified in the World Health Organization as well as United States NationalInstitutes of Health (NIH)/National Institute of Allergy and Infectious Diseases (NIAID) priority A list because of its high case fatality rate, its public health impact and the difficulties in treatment and prevention [1]

  • Previous studies have shown that dendritic cells (DC) and monocytes are the main cells in circulation susceptible to CCHF virus (CCHFV) infection [7,8] and can serve as target cells for other hemorrhagic fever viruses [9,10]

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Summary

Introduction

Since most of the infections besides nosocomial transmission are acquired through tick bite, we hypothesize that in subclinical cases the virus is cleared early after transmission from the tick. Very little is known about the tick–virus–host interface and the early aspects of pathogenesis [2,6]. To elucidate this mechanism, we must identify the initial target cells. Previous studies have shown that dendritic cells (DC) and monocytes are the main cells in circulation susceptible to CCHFV infection [7,8] and can serve as target cells for other hemorrhagic fever viruses [9,10]. Two tissue-resident immune cell populations principally modulate immune activity within the skin; Langerhans cells (LC) and dermal dendritic cells (dDC) [11]

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