Inhibition of HSV-1 by chemoattracted neutrophils: supernatants of corneal epithelial cells (HCE) and macrophages (THP-1) treated with virus components chemoattract neutrophils (PMN), and supernatants of PMN treated with these conditioned media inhibit viral growth

The role of PMNs (neutrophils) in corneal herpes was studied using an in vitro system. Human corneal cells (HCE) and macrophages (THP-1) infected with HSV-1 or treated with virus components (DNA or virus immune complexes) released chemokines, which attracted PMNs. Highly reactive oxygen species were detected in PMNs. PMNs inhibited HSV when overlaid onto infected HCE cells (50:1). PMNs incubated with the supernatants of HCE cells treated with virus components released H2O2 and myeloperoxidase. These inhibited virus growth. PMNs released NO and MIG, which may differentiate CD4 T cells to Th1. PMNs participate in innate immune responses, limit virus growth, and initiate immunopathology.

The host responses to corneal herpes simplex virus type-1 (HSV-1) infection elicit vigorous inflammation and neovascularization [1][2][3]. When HSV-1 is inoculated into the mouse cornea, infectious virus disappears from the afflicted lesions 4 to 5 days postinfection (PI) [4,5]. How HSV-1 is eliminated and what triggers subsequent immunopathological lesions is still not well understood. Previously, we reported that human corneas contain a high copy number of HSV DNA and deposited HSV immune complexes (HSV-IC) [6]. Human corneal epithelial cells (HCE) and human corneal fibroblasts have been shown to release IL-6 via TLR-3 and -9 [7]. These viral components cause new vessels to be leaky so that leukocytes can pass through them in the afflicted cornea [8]. Here, we attempt to identify chemotactic factors released from corneal cells and macrophages treated with virus components and to study factors released from activated PMNs, which may inhibit virus growth during herpetic corneal infection.
Kinetic and viral-dose-dependent (from m.o.i. = 0.1 to 100.0) release of chemokines (IL-8, Gro-a and a cytokine, GM-CSF, from HSV-treated HCE monolayers) were assayed by ELISA (R&D Systems, Minneapolis, MN). Induction of chemotaxis of PMNs by these supernatants, recombinant IL-8, rGro-a and rGM-CSF and these recombinant proteins plus the corresponding antibodies (R&D Systems) were assayed on 96-well HTS chemotaxis chamber plates (5.0-lm pore size. Corning Life Science, MA) using the alamarBlue (AB) bio-staining method (Invitrogen). Rabbit IgG was used as an antibody control. Wells with serum-free RPMI 1640 served as controls. PMNs (5 9 10 5 cells/well) were added to the upper inserts and incubated at 37°C for 2 hours, then the inserts were removed, and 10 ll of AB was added to the bottom wells. After incubation for 18 hours, the number of PMNs in the bottom wells was estimated by absorbance at 570 nm with 600 nm as a reference wavelength. A standard curve was generated with a serial twofold dilution from 1 9 10 6 to 1.25 9 10 5 of PMNs.
The activated state of PMNs mixed with supernatants obtained from HCE and/or THP-1 cells treated with HSV-1 components was observed under a fluorescence microscope after incubation for 30 minutes with 10 lM aminophenyl fluorescein (APF, Assay Designs, Ann Arbor, MI) [9]. Release of type 1 interferons, TNF-a and MIG from PMNs treated with recombinant chemokines and rGM-CSF, supernatants of HCE or THP-1 cells treated with viral components was assayed by ELISA (interferon-a [PBL Interferon Source, Piscataway, NJ], interferon-b [FUJIRE-BIO, Tokyo] and TNF-a [R&D Systems]). For the assay of MIG, equal numbers of PMNs and peripheral CD4 T cells were mixed with the supernatants obtained from viruscomponent-treated HCE cells. After incubation for 24 hours, supernatants were assayed by ELISA (R&D Systems). PMNs (1 9 10 6 cells/well) were mixed with supernatants of HCE and/or THP-1 cells treated with HSV-1 components, and the amount of H 2 O 2 and myeloperoxidase (MPO) released from the PMNs was measured using a Cayman H 2 O 2 assay kit (Cayman Chemical Co. Ann Arbor, MI) and a human MPO enzyme immunometric assay kit (Assay Design, Ann Arbor, MI). NO release from the treated PMNs was assayed using a total NO/Nitrite/Nitrate assay kit (R&D Systems), which converts the nitrate into nitrite using nitrate reductase. Endogenous nitrite concentrations were subtracted from the values obtained after nitrate reductase treatment.
To measure the viral inhibitory activities of H 2 O 2 and MPO, HSV-1 (100 PFU/0.1 ml of Mckrae and/or MP strain) was mixed with serially twofold diluted H 2 O 2 (3,500 to 438 ng/ml) or MPO (25.0 to 3.12 ng/ml) for one hour at 37°C. After the incubation, the virus titer was estimated. Vero cells pretreated with 3,500 to 438 ng/ml of H 2 O 2 were used as a control for the cytotoxicity of H 2 O 2 . Experiments were repeated three times, and the results were statistically analyzed by Student's t-test.
After HSV-1 infection, release of IL-8, Gro-a and GM-CSF from HCE cells increased as early as 2 hours PI. IL-8 and Gro-a levels plateaued at 8 hours PI, from 0 to 257.8 ± 38.5 pg/ml and from 0 to 23.0 ± 5.8 pg/ml, respectively. The amount of GM-CSF released was 83.0 ± 11.4 pg/ml at 2 hours PI and reached 453.0 ± 56.2 pg/ml at 10 hours PI. Uninfected HCE did not release IL-8 or Gro-a, while a small amount of GM-CSF (73.5 ± 1.40) was released spontaneously.
Supernatants obtained from cells treated with the MP strain and its components were more potent in their ability to attract PMNs than those obtained from cells treated with the Mckrae strain, and therefore, the results obtained using the MP strain are described.  Fig. 1 (a (Fig. 1b and c). Control Vero cells pretreated with H 2 O 2 (from 438 ng to 3,000 ng/ml) supported Mckrae strain growth similar to untreated Vero cells. Therefore, H 2 O 2 inhibited HSV-1 directly. Slightly, though not significantly, more MPO was detectable in PMNs when they were treated with the supernatants of virus-treated HCE cells (Fig. 2a). When HSV-1 was mixed with MPO at 37°C for one hour, the virus titers decreased with increasing concentrations of MPO (p \ 0.01, Fig. 2b and c). PMNs released from 280 lmol to 430 lmol/ml of NO into the supernatant when they were mixed with HCE or THP-1 cell supernatants treated with HSVDNA and HSV-IC (Fig. 3). These levels of NO were significantly higher than those obtained from the untreated HCE supernatant control (p \ 0.01). NO does not directly inhibit viral growth at the range of concentrations obtained from treated HCE. In the local chemokine milieu, PMNs are activated and held at the afflicted site [10]. Following murine corneal inoculation, HSV-1 was cleared after initial exponential growth for 4-5 days [4]. This elimination of active virus growth may be explained at least in part by the innate immune system and the accumulated PMNs [4][5][6]11]. In our in vitro model system, PMNs were activated, as evidenced by the production of hROS [9], inhibited HSV spread, and did not support HSV growth. These data agree with the previous reports indicating that PMNs initiate virus clearance [4][5][6]. PMNs release various mediators such as TNF-a, H 2 O 2 , MPO and NO. TNF-a has been suggested to inhibit the virus [11,12], but in our study, it was not directly inhibitory. H 2 O 2 and MPO inhibited virus growth within the range of concentrations obtained from the treated and activated PMNs. In addition to H 2 O 2 and/or MPO, phagocytosis by PMNs was one of the major inhibitory factors, because at this early period of infection, the effects of anti-HSV antibody and T-cell-mediated immunity were only at the very beginning. Corneal herpes occurs most commonly as a reactivated virus infection, and therefore PMNs can recognize antibody-coated virus particles and infected cells with Fc receptor and inhibit virus growth and spread by ADCC [13]. In mice, the chronic phase of infection follows with strong stromal opacity and neovascularization. These are pathognomonic and characteristic of HSK. In these situations, accumulation of viral DNA and deposition of HSV-IC are well documented [6]. PMNs infiltrate the lesions and cause dense corneal haze. A previous report suggested the importance of NO in the defense against corneal herpes [14]. Interestingly, a low concentration of NO is one of the contributing factors for the differentiation of naïve peripheral CD4 T cells into Th1 T cells [15]. Nitrate ranging from 280-430 l/ml was detected in the supernatant of PMNs mixed with HCE supernatant treated with virus components (Fig. 3). This range of NO concentration may induce naïve CD4 T cells to differentiate to Th1 cells [15]. We added peripheral CD4 T cells to the supernatants obtained from the treated HCE cells plus PMN. However the amount of IFN-c released from CD4 T cells mixed with the PMN supernatant obtained from untreated HCE cells was not significantly different from that obtained from CD4T cells treated with HCE cells plus PMNs. Neutrophils recruited to the site are induced to produce other factors such as MIG, which is also known to induce and accumulate CD4 ? Th1 cells [16].

Treatment of HCE with Virus Components
Micro Mol/ml Fig. 3 Supernatants obtained from PMNs that had been mixed with HCE supernatants treated with HSV components was deproteinized using 10,000-MW-cutoff filters (R&D systems), and the total nitrite oxide (NO) in the samples was measured using an NO/Nitrite/Nitrate assay kit (R&D). The amount of NO in the PMN supernatants mixed with HCE supernatants treated with HSV DNA and HSV-IC was significantly higher, ranging from 280 to 430 lmol/ml, than in those from untreated HCE cells or the herring DNA control (p \ 0.01) When PMNs and CD4 T cells were mixed and incubated with HCE supernatants treated with HSV components, 2,500 to 3,000 pg/ml of MIG was released. These local environments may contribute to peripheral naïve CD4 T cell differentiation to Th1, but further study of this problem has to be done in the future.