Abstract

Primary infection with varicella-zoster virus (VZV) causes varicella and the establishment of lifelong latency in sensory ganglion neurons. In one-third of infected individuals VZV reactivates from latency to cause herpes zoster, often complicated by difficult-to-treat chronic pain. Experimental infection of non-human primates with simian varicella virus (SVV) recapitulates most features of human VZV disease, thereby providing the opportunity to study the pathogenesis of varicella and herpes zoster in vivo. However, compared to VZV, the transcriptome and the full coding potential of SVV remains incompletely understood. Here, we performed nanopore direct RNA sequencing to annotate the SVV transcriptome in lytically SVV-infected African green monkey (AGM) and rhesus macaque (RM) kidney epithelial cells. We refined structures of canonical SVV transcripts and uncovered numerous RNA isoforms, splicing events, fusion transcripts and non-coding RNAs, mostly unique to SVV. We verified the expression of canonical and newly identified SVV transcripts in vivo, using lung samples from acutely SVV-infected cynomolgus macaques. Expression of selected transcript isoforms, including those located in the unique left-end of the SVV genome, was confirmed by reverse transcription PCR. Finally, we performed detailed characterization of the SVV homologue of the VZV latency-associated transcript (VLT), located antisense to ORF61. Analogous to VZV VLT, SVV VLT is multiply spliced and numerous isoforms are generated using alternative transcription start sites and extensive splicing. Conversely, low level expression of a single spliced SVV VLT isoform defines in vivo latency. Notably, the genomic location of VLT core exons is highly conserved between SVV and VZV. This work thus highlights the complexity of lytic SVV gene expression and provides new insights into the molecular biology underlying lytic and latent SVV infection. The identification of the SVV VLT homolog further underlines the value of the SVV non-human primate model to develop new strategies for prevention of herpes zoster.

Highlights

  • Varicella-zoster virus (VZV) is an endemic human neurotropic alphaherpesvirus and causative agent of both varicella and herpes zoster [1]

  • Varicella-zoster virus (VZV)–a ubiquitous human pathogen–infects most individuals during childhood, leading to chickenpox, after which the virus persists in the host for decades

  • We have revisited the genome-wide transcriptional activity of simian varicella virus (SVV) during lytic infection of kidney epithelial cells derived from two non-human primate species and validated expression of newly identified viral transcripts in lung tissue from SVV-infected animals

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Summary

Introduction

Varicella-zoster virus (VZV) is an endemic human neurotropic alphaherpesvirus and causative agent of both varicella and herpes zoster [1]. In one-third of infected individuals, VZV reactivates from latency to cause herpes zoster, which is often complicated by chronic pain in the affected dermatome [2,3] and can lead to severe disease in immunocompromised patients. The alphaherpesvirus simian varicella virus (SVV) was originally isolated from naturally infected monkeys that presented with a varicella-like disease, and is the closest known relative of VZV. Infection of non-human primates with SVV recapitulates virological, immunological and pathological features of VZV infection in humans [4], providing the opportunity to study the pathogenesis of varicella, latency and herpes zoster in vivo [5]. Given the close genetic relatedness between VZV and SVV, it is likely that the SVV transcriptome is complex

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