Abstract

Interleukin (IL) -21 is produced by Natural Killer T (NKT) cells and CD4+ T cells and is produced in response to virus infections, where IL-21 has been shown to be essential in adaptive immune responses. Cells from the innate immune system such as Natural Killer (NK) cells and macrophages are also important in immune protection against virus. These cells express the IL-21 receptor (IL-21R) and respond to IL-21 with increased cytotoxicity and cytokine production. Currently, however it is not known whether IL-21 plays a significant role in innate immune responses to virus infections. The purpose of this study was to investigate the role of IL-21 and IL-21R in the innate immune response to a virus infection. We used C57BL/6 wild type (WT) and IL-21R knock out (KO) mice in a murine vaginal Herpes Simplex Virus type 2 (HSV-2) infection model to show that IL-21 – IL-21R signalling is indeed important in innate immune responses against HSV-2. We found that the IL-21R was expressed in the vaginal epithelium in uninfected (u.i) WT mice, and expression increased early after HSV-2 infection. IL-21R KO mice exhibited increased vaginal viral titers on day 2 and 3 post infection (p.i.) and subsequently developed significantly higher disease scores and a lower survival rate compared to WT mice. In addition, WT mice infected with HSV-2 receiving intra-vaginal pre-treatment with murine recombinant IL-21 (mIL-21) had decreased vaginal viral titers on day 2 p.i., significantly lower disease scores, and a higher survival rate compared to infected untreated WT controls. Collectively our data demonstrate the novel finding that the IL-21R plays a critical role in regulating innate immune responses against HSV-2 infection.

Highlights

  • Herpes Simplex Virus type 2 (HSV-2) is an enveloped double stranded DNA virus [1] that replicates lytically in permissive cells of the epithelial linage causing mucocutaneous lesions as seen in genital herpes infections in humans [2]

  • We have studied the importance of IL-21 and the IL-21R in the innate immune response against HSV-2 infections in a murine intra-vaginal HSV-2 infection model

  • We found the IL-21R to be important for control of viral replication in the vagina during the innate phases of the immune response to HSV-2 and subsequently to limit disease progression

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Summary

Introduction

HSV-2 is an enveloped double stranded DNA virus [1] that replicates lytically in permissive cells of the epithelial linage causing mucocutaneous lesions as seen in genital herpes infections in humans [2]. NK cells constitute an important part of the early innate immune defence against herpes virus infections, and humans lacking NK cells are highly susceptible to herpes infections [6,7]. This is the case in murine models of herpes virus infections as Thapa et al showed that viral titers in the vagina and central nervous system (CNS) are higher in NK cell depleted mice challenged with a vaginal HSV-2 infection [8]. Ashkar et al found that mice lacking NK cells are highly susceptible to vaginal HSV-2 infection [9]. Central to NK cell derived anti-viral activity is the ability of NK cells to kill infected cells and to produce IFN-c [10,11]

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