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Recent advances in CMV tropism, latency, and diagnosis during aging

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Abstract

Human cytomegalovirus (CMV) is one of the largest viruses known to cause human diseases. Chronic CMV infection, as defined by anti-CMV IgG serology, increases with age and is highly prevalent in older adults. It has complex biology with significant immunologic and health consequences. This article aims to summarize research findings presented at the 6th International Workshop on CMV and Immunosenescence that relate to advances in the areas of CMV tropism, latency, CMV manipulation of cell metabolism, and T cell memory inflation, as well as novel diagnostic evaluation and translational research of chronic CMV infection in older adults. Information summarized here represents the current state of knowledge in these important fields. Investigators have also identified a number of areas that deserve further and more in-depth investigation, including building more precise parallels between mouse CMV (mCMV) and human CMV (HCMV) research. It is hoped that this article will also stimulate engaging discussion on strategies and direction to advance the science to the next level.

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References

  • Aiello AE, Haan MN, Pierce CM, Simanek AM, Liang J (2008) Persistent infection, inflammation, and functional impairment in older Latinos. J Gerontol A Biol Sci Med Sci 63:610–618

    Article  PubMed  PubMed Central  Google Scholar 

  • Borza CM, Hutt-Fletcher LM (2002) Alternate replication in B cells and epithelial cells switches tropism of Epstein-Barr virus. Nat Med 8:594–599

    Article  CAS  PubMed  Google Scholar 

  • Britt W (2008) Manifestations of human cytomegalovirus infection: proposed mechanisms of acute and chronic disease. Curr Top Microbiol Immunol 325:417–470

    CAS  PubMed  Google Scholar 

  • Brodsky JL (2012) Cleaning up: ER-associated degradation to the rescue. Cell 151:1163–1167

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Buehler J, Zeltzer S, Reitsma J, Petrucelli A, Umashankar M, Rak M, Zagallo P, Schroeder J, Terhune S, Goodrum F (2016) Opposing regulation of the EGF receptor: a molecular switch controlling cytomegalovirus latency and replication. PLoS Pathog 12:e1005655

    Article  PubMed  PubMed Central  Google Scholar 

  • Calo S, Cortese M, Ciferri C, Bruno L, Gerrein R, Benucci B, Monda G, Gentile M, Kessler T, Uematsu Y, Maione D, Lilja AE, Carfi A, Merola M (2016) The human cytomegalovirus UL116 gene encodes an envelope glycoprotein forming a complex with gH independently from gL. J Virol 90:4926–4938

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chambers JW, Maguire TG, Alwine JC (2010) Glutamine metabolism is essential for human cytomegalovirus infection. J Virol 84:1867–1873

    Article  CAS  PubMed  Google Scholar 

  • Christianson JC, Shaler TA, Tyler RE, Kopito RR (2008) OS-9 and GRP94 deliver mutant alpha1-antitrypsin to the Hrd1-SEL1L ubiquitin ligase complex for ERAD. Nat Cell Biol 10:272–282

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ciferri C, Chandramouli S, Donnarumma D, Nikitin PA, Cianfrocco MA, Gerrein R, Feire AL, Barnett SW, Lilja AE, Rappuoli R, Norais N, Settembre EC, Carfi A (2015) Structural and biochemical studies of HCMV gH/gL/gO and pentamer reveal mutually exclusive cell entry complexes. Proc Natl Acad Sci U S A 112:1767–1772

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Czesnikiewicz-Guzik M, Lee WW, Cui D, Hiruma Y, Lamar DL, Yang ZZ, Ouslander JG, Weyand CM, Goronzy JJ (2008) T cell subset-specific susceptibility to aging. Clin Immunol 127:107–118

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dupont L, Reeves MB (2016) Cytomegalovirus latency and reactivation: recent insights into an age old problem. Rev Med Virol 26:75–89

    Article  PubMed  Google Scholar 

  • Fink A, Buttner JK, Thomas D, Holtappels R, Reddehase MJ, Lemmermann NA (2014) Noncanonical expression of a murine cytomegalovirus early protein CD8 T-cell epitope as an immediate early epitope based on transcription from an upstream gene. Viruses 6:808–831

    Article  PubMed  PubMed Central  Google Scholar 

  • Furman D, Jojic V, Sharma S, Shen-Orr SS, Angel CJ, Onengut-Gumuscu S, Kidd BA, Maecker HT, Concannon P, Dekker CL, Thomas PG, Davis MM (2015) Cytomegalovirus infection enhances the immune response to influenza. Sci Transl Med 7:281ra43

    Article  PubMed  PubMed Central  Google Scholar 

  • Goldeck D, Pawelec G, Norman K, Steinhagen-Thiessen E, Oettinger L, Haehnel K, Demuth I (2016) No strong correlations between serum cytokine levels, CMV serostatus and hand-grip strength in older subjects in the Berlin BASE-II cohort. Biogerontology 17:189–198

    Article  CAS  PubMed  Google Scholar 

  • Goodrum F (2016) Human cytomegalovirus latency: approaching the Gordian knot. Annu Rev Virol 3:333–357

    Article  CAS  PubMed  Google Scholar 

  • Goodrum F, Reeves M, Sinclair J, High K, Shenk T (2007) Human cytomegalovirus sequences expressed in latently infected individuals promote a latent infection in vitro. Blood 110:937–945

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Goodwin CM, Xu S, Munger J (2015) Stealing the keys to the kitchen: viral manipulation of the host cell metabolic network. Trends Microbiol 23:789–798

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Grzimek NK, Dreis D, Schmalz S, Reddehase MJ (2001) Random, asynchronous, and asymmetric transcriptional activity of enhancer-flanking major immediate-early genes ie1/3 and ie2 during murine cytomegalovirus latency in the lungs. J Virol 75:2692–2705

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Heldwein EE (2016) gH/gL supercomplexes at early stages of herpesvirus entry. Curr Opin Virol 18:1–8

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Holtappels R, Pahl-Seibert MF, Thomas D, Reddehase MJ (2000) Enrichment of immediate-early 1 (m123/pp89) peptide-specific CD8 T cells in a pulmonary CD62L(lo) memory-effector cell pool during latent murine cytomegalovirus infection of the lungs. J Virol 74:11495–11503

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Holtappels R, Thomas D, Podlech J, Reddehase MJ (2002) Two antigenic peptides from genes m123 and m164 of murine cytomegalovirus quantitatively dominate CD8 T-cell memory in the H-2d haplotype. J Virol 76:151–164

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hwang J, Purdy JG, Wu K, Rabinowitz JD, Shenk T (2014) Estrogen-related receptor alpha is required for efficient human cytomegalovirus replication. Proc Natl Acad Sci U S A 111:E5706–E5715

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Karrer U, Sierro S, Wagner M, Oxenius A, Hengel H, Koszinowski UH, Phillips RE, Klenerman P (2003) Memory inflation: continuous accumulation of antiviral CD8+ T cells over time. J Immunol 170:2022–2029

    Article  CAS  PubMed  Google Scholar 

  • Khan N, Shariff N, Cobbold M, Bruton R, Ainsworth JA, Sinclair AJ, Nayak L, Moss PA (2002) Cytomegalovirus seropositivity drives the CD8 T cell repertoire toward greater clonality in healthy elderly individuals. J Immunol 169:1984–1992

    Article  CAS  PubMed  Google Scholar 

  • Klenerman P, Oxenius A (2016) T cell responses to cytomegalovirus. Nat Rev Immunol 16:367–377

    Article  CAS  PubMed  Google Scholar 

  • Koch S, Larbi A, Ozcelik D, Solana R, Gouttefangeas C, Attig S, Wikby A, Strindhall J, Franceschi C, Pawelec G (2007) Cytomegalovirus infection: a driving force in human T cell immunosenescence. Ann N Y Acad Sci 1114:23–35

    Article  CAS  PubMed  Google Scholar 

  • Koyuncu E, Purdy JG, Rabinowitz JD, Shenk T (2013) Saturated very long chain fatty acids are required for the production of infectious human cytomegalovirus progeny. PLoS Pathog 9:e1003333

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kurz SK, Rapp M, Steffens HP, Grzimek NK, Schmalz S, Reddehase MJ (1999) Focal transcriptional activity of murine cytomegalovirus during latency in the lungs. J Virol 73:482–494

    CAS  PubMed  PubMed Central  Google Scholar 

  • Leng SX (2011) Role of chronic cytomegalovirus infection in T-cell immunosenescence and frailty: more questions than answers. J Am Geriatr Soc 59:2363–2365

    Article  PubMed  Google Scholar 

  • Leng SX, Li H, Xue QL, Tian J, Yang X, Ferrucci L, Fedarko N, Fried LP, Semba RD (2011a) Association of detectable cytomegalovirus (CMV) DNA in monocytes rather than positive CMV IgG serology with elevated neopterin levels in community-dwelling older adults. Exp Gerontol 46:679–684

    CAS  PubMed  PubMed Central  Google Scholar 

  • Leng SX, Qu T, Semba RD, Li H, Yao X, Nilles T, Yang X, Manwani B, Walston JD, Ferrucci L, Fried LP, Margolick JB, Bream JH (2011b) Relationship between cytomegalovirus (CMV) IgG serology, detectable CMV DNA in peripheral monocytes, and CMV pp65(495-503)-specific CD8+ T cells in older adults. Age (Dordr) 33:607–614

    Article  Google Scholar 

  • Li G, Kamil JP (2015) Viral regulation of cell tropism in human cytomegalovirus. J Virol 90:626–629

    Article  PubMed  PubMed Central  Google Scholar 

  • Li H, Margolick JB, Bream JH, Nilles TL, Langan S, Bui HT, Sylwester AW, Picker LJ, Leng SX (2014a) Heterogeneity of CD4+ and CD8+ T-cell responses to cytomegalovirus in HIV-infected and HIV-uninfected men who have sex with men. J Infect Dis 210:400–404

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Li H, Weng P, Najarro K, Xue QL, Semba RD, Margolick JB, Leng SX (2014b) Chronic CMV infection in older women: longitudinal comparisons of CMV DNA in peripheral monocytes, anti-CMV IgG titers, serum IL-6 levels, and CMV pp65 (NLV)-specific CD8(+) T-cell frequencies with twelve year follow-up. Exp Gerontol 54:84–89

    Article  PubMed  Google Scholar 

  • Li G, Nguyen CC, Ryckman BJ, Britt WJ, Kamil JP (2015) A viral regulator of glycoprotein complexes contributes to human cytomegalovirus cell tropism. Proc Natl Acad Sci U S A 112:4471–4476

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mao G, Li H, Ding X, Meng X, Wang G, Leng SX (2016) Suppressive effects of sirtinol on human cytomegalovirus (hCMV) infection and hCMV-induced activation of molecular mechanisms of senescence and production of reactive oxygen species. Mech Ageing Dev 158:62–69

    Article  CAS  PubMed  Google Scholar 

  • Mathei C, Vaes B, Wallemacq P, Degryse J (2011) Associations between cytomegalovirus infection and functional impairment and frailty in the BELFRAIL Cohort. J Am Geriatr Soc 59:2201–2208

    Article  PubMed  Google Scholar 

  • Mathei C, Adriaensen W, Vaes B, Van PG, Wallemacq P, Degryse J (2015) No relation between CMV infection and mortality in the oldest old: results from the Belfrail study. Age Ageing 44:130–135

    Article  PubMed  Google Scholar 

  • McArdle J, Schafer XL, Munger J (2011) Inhibition of calmodulin-dependent kinase kinase blocks human cytomegalovirus-induced glycolytic activation and severely attenuates production of viral progeny. J Virol 85:705–714

    Article  CAS  PubMed  Google Scholar 

  • McArdle J, Moorman NJ, Munger J (2012) HCMV targets the metabolic stress response through activation of AMPK whose activity is important for viral replication. PLoS Pathog 8:e1002502

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Munger J, Bajad SU, Coller HA, Shenk T, Rabinowitz JD (2006) Dynamics of the cellular metabolome during human cytomegalovirus infection. PLoS Pathog 2:e132

    Article  PubMed  PubMed Central  Google Scholar 

  • Munger J, Bennett BD, Parikh A, Feng XJ, McArdle J, Rabitz HA, Shenk T, Rabinowitz JD (2008) Systems-level metabolic flux profiling identifies fatty acid synthesis as a target for antiviral therapy. Nat Biotechnol 26:1179–1186

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Parry HM, Zuo J, Frumento G, Mirajkar N, Inman C, Edwards E, Griffiths M, Pratt G, Moss P (2016) Cytomegalovirus viral load within blood increases markedly in healthy people over the age of 70 years. Immun Ageing 13:1

    Article  PubMed  PubMed Central  Google Scholar 

  • Pawelec G, Akbar A, Caruso C, Solana R, Grubeck-Loebenstein B, Wikby A (2005) Human immunosenescence: is it infectious? Immunol Rev 205:257–268

    Article  CAS  PubMed  Google Scholar 

  • Poole E, Sinclair J (2015) Sleepless latency of human cytomegalovirus. Med Microbiol Immunol 204:421–429

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Purdy JG, Shenk T, Rabinowitz JD (2015) Fatty acid elongase 7 catalyzes lipidome remodeling essential for human cytomegalovirus replication. Cell Rep 10:1375–1385

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rabinowitz JD, Purdy JG, Vastag L, Shenk T, Koyuncu E (2011) Metabolomics in drug target discovery. Cold Spring Harb Symp Quant Biol 76:235–246

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Reddehase MJ, Simon CO, Seckert CK, Lemmermann N, Grzimek NK (2008) Murine model of cytomegalovirus latency and reactivation. Curr Top Microbiol Immunol 325:315–331

    CAS  PubMed  Google Scholar 

  • Roberts ET, Haan MN, Dowd JB, Aiello AE (2010) Cytomegalovirus antibody levels, inflammation, and mortality among elderly Latinos over 9 years of follow-up. Am J Epidemiol 172:363–371

    Article  PubMed  PubMed Central  Google Scholar 

  • Sanchez EL, Lagunoff M (2015) Viral activation of cellular metabolism. Virology 479-480:609–618

    Article  CAS  PubMed  Google Scholar 

  • Schmaltz HN, Fried LP, Xue QL, Walston J, Leng SX, Semba RD (2005) Chronic cytomegalovirus infection and inflammation are associated with prevalent frailty in community-dwelling older women. J Am Geriatr Soc 53:747–754

    Article  PubMed  Google Scholar 

  • Schuren AB, Costa AI, Wiertz EJ (2016) Recent advances in viral evasion of the MHC Class I processing pathway. Curr Opin Immunol 40:43–50

    Article  CAS  PubMed  Google Scholar 

  • Seckert CK, Schader SI, Ebert S, Thomas D, Freitag K, Renzaho A, Podlech J, Reddehase MJ, Holtappels R (2011) Antigen-presenting cells of haematopoietic origin prime cytomegalovirus-specific CD8 T-cells but are not sufficient for driving memory inflation during viral latency. J Genet Virol 92:1994–2005

    Article  CAS  Google Scholar 

  • Seckert CK, Griessl M, Buttner JK, Scheller S, Simon CO, Kropp KA, Renzaho A, Kuhnapfel B, Grzimek NK, Reddehase MJ (2012) Viral latency drives ‘memory inflation’: a unifying hypothesis linking two hallmarks of cytomegalovirus infection. Med Microbiol Immunol 201:551–566

    Article  PubMed  Google Scholar 

  • Simon CO, Holtappels R, Tervo HM, Bohm V, Daubner T, Oehrlein-Karpi SA, Kuhnapfel B, Renzaho A, Strand D, Podlech J, Reddehase MJ, Grzimek NK (2006) CD8 T cells control cytomegalovirus latency by epitope-specific sensing of transcriptional reactivation. J Virol 80:10436–10456

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Snyder CM, Cho KS, Bonnett EL, van DS, Shellam GR, Hill AB (2008) Memory inflation during chronic viral infection is maintained by continuous production of short-lived, functional T cells. Immunity 29:650–659

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Spencer CM, Schafer XL, Moorman NJ, Munger J (2011) Human cytomegalovirus induces the activity and expression of acetyl-coenzyme A carboxylase, a fatty acid biosynthetic enzyme whose inhibition attenuates viral replication. J Virol 85:5814–5824

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Staras SA, Dollard SC, Radford KW, Flanders WD, Pass RF, Cannon MJ (2006) Seroprevalence of cytomegalovirus infection in the United States, 1988-1994. Clin Infect Dis 43:1143–1151

    Article  PubMed  Google Scholar 

  • Strandberg TE, Pitkala KH, Tilvis RS (2009) Cytomegalovirus antibody level and mortality among community-dwelling older adults with stable cardiovascular disease. JAMA 301:380–382

    Article  CAS  PubMed  Google Scholar 

  • Terry LJ, Vastag L, Rabinowitz JD, Shenk T (2012) Human kinome profiling identifies a requirement for AMP-activated protein kinase during human cytomegalovirus infection. Proc Natl Acad Sci U S A 109:3071–3076

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Torti N, Walton SM, Brocker T, Rulicke T, Oxenius A (2011) Non-hematopoietic cells in lymph nodes drive memory CD8 T cell inflation during murine cytomegalovirus infection. PLoS Pathog 7:e1002313

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Umashankar M, Petrucelli A, Cicchini L, Caposio P, Kreklywich CN, Rak M, Bughio F, Goldman DC, Hamlin KL, Nelson JA, Fleming WH, Streblow DN, Goodrum F (2011) A novel human cytomegalovirus locus modulates cell type-specific outcomes of infection. PLoS Pathog 7:e1002444

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Umashankar M, Rak M, Bughio F, Zagallo P, Caviness K, Goodrum FD (2014) Antagonistic determinants controlling replicative and latent states of human cytomegalovirus infection. J Virol 88:5987–6002

    Article  PubMed  PubMed Central  Google Scholar 

  • Vanarsdall AL, Johnson DC (2012) Human cytomegalovirus entry into cells. Curr Opin Virol 2:37–42

    Article  CAS  PubMed  Google Scholar 

  • Vastag L, Koyuncu E, Grady SL, Shenk TE, Rabinowitz JD (2011) Divergent effects of human cytomegalovirus and herpes simplex virus-1 on cellular metabolism. PLoS Pathog 7:e1002124

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vescovini R, Biasini C, Fagnoni FF, Telera AR, Zanlari L, Pedrazzoni M, Bucci L, Monti D, Medici MC, Chezzi C, Franceschi C, Sansoni P (2007) Massive load of functional effector CD4+ and CD8+ T cells against cytomegalovirus in very old subjects. J Immunol 179:4283–4291

    Article  CAS  PubMed  Google Scholar 

  • Vescovini R, Biasini C, Telera AR, Basaglia M, Stella A, Magalini F, Bucci L, Monti D, Lazzarotto T, Dal MP, Pedrazzoni M, Medici MC, Chezzi C, Franceschi C, Fagnoni FF, Sansoni P (2010) Intense antiextracellular adaptive immune response to human cytomegalovirus in very old subjects with impaired health and cognitive and functional status. J Immunol 184:3242–3249

    Article  CAS  PubMed  Google Scholar 

  • Vysochan A, Sengupta A, Weljie AM, Alwine JC, Yu Y (2017) ACSS2-mediated acetyl-CoA synthesis from acetate is necessary for human cytomegalovirus infection. Proc Natl Acad Sci U S A 114:E1528–E1535

    Article  CAS  PubMed  Google Scholar 

  • Wang G, Walston J (2009) CMV infection and frailty: immunologic consequences and disease pathogenesis. In: Fulop T, Franceschi C, Hirokawa K, Pawlec G (eds) Handbook on immunosenescence: basic understanding and clinical applications. Springer, New York, pp 1305–1326

    Chapter  Google Scholar 

  • Wang GC, Kao WH, Murakami P, Xue QL, Chiou RB, Detrick B, McDyer JF, Semba RD, Casolaro V, Walston JD, Fried LP (2010) Cytomegalovirus infection and the risk of mortality and frailty in older women: a prospective observational cohort study. Am J Epidemiol 171:1144–1152

    Article  PubMed  PubMed Central  Google Scholar 

  • Wertheimer AM, Bennett MS, Park B, Uhrlaub JL, Martinez C, Pulko V, Currier NL, Nikolich-Zugich D, Kaye J, Nikolich-Zugich J (2014) Aging and cytomegalovirus infection differentially and jointly affect distinct circulating T cell subsets in humans. J Immunol 192:2143–2155

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wreghitt TG, Teare EL, Sule O, Devi R, Rice P (2003) Cytomegalovirus infection in immunocompetent patients. Clin Infect Dis 37:1603–1606

    Article  CAS  PubMed  Google Scholar 

  • Yu Y, Pierciey FJ Jr, Maguire TG, Alwine JC (2013) PKR-like endoplasmic reticulum kinase is necessary for lipogenic activation during HCMV infection. PLoS Pathog 9:e1003266

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhou M, Lanchy JM, Ryckman BJ (2015) Human cytomegalovirus gH/gL/gO promotes the fusion step of entry into all cell types, whereas gH/gL/UL128-131 broadens virus tropism through a distinct mechanism. J Virol 89:8999–9009

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This work is supported in part by NIH grants R01AI108907 and R21-AG-043874 [to S.X.L]; by 1R01AI116851-01A1 [to J.K.], 1R01AI079059 [to F.G.], and 1R01AG048021 [to J.N-Z., coI F.G.]; and by funding from the Milstein Medical Asian American Partnership (MMAAP) Foundation (www.mmaapf.org) [to S.X.L.].

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Leng, S.X., Kamil, J., Purdy, J.G. et al. Recent advances in CMV tropism, latency, and diagnosis during aging. GeroScience 39, 251–259 (2017). https://doi.org/10.1007/s11357-017-9985-7

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