Abstract
Acute hepatitis A caused by hepatitis A virus (HAV) infection is accompanied by severe liver injury in adult patients, and the liver injury is associated with the production of chemokines. Herein, we investigated the mechanism of how HAV infection induces the production of CXCR3 and CCR5 chemokines, such as CXCL10, CCL4 and CCL5. The production of CXCL10, CCL4 and CCL5 was markedly increased by HAV (HM-175/18f) infection in the culture of primary human hepatocytes and HepG2 cells. In particular, CXCL10 was produced in HAV-infected cells, not in neighboring uninfected cells. Moreover, these chemokines were significantly increased in the sera of acute hepatitis A patients. The production of IFN-λs was also robustly induced by HAV infection, and the blocking of secreted IFN-λs partially abrogated the production of CCL4 and CCL5 in HAV-infected cells. However, CXCL10 production was not decreased by the blocking of IFN-λs. Instead, CXCL10 production was reduced by silencing the expression of RIG-I-like receptor (RLR) signal molecules, such as mitochondrial antiviral signaling protein and interferon regulatory factor 3, in HAV-infected cells. In conclusion, HAV infection strongly induces the production of helper 1 T cell-associated chemokines, particularly CXCL10 via RLR signaling, even without secreted IFNs.
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Introduction
Hepatitis A virus (HAV), which belongs to the family Picornaviridae, is transmitted via fecal to oral routes and is endemic in developing countries1, 2. Primary HAV infection tends to be asymptomatic in children but often causes acute hepatitis A (AHA) accompanied with severe liver injury in adults3. In AHA patients, the virus is eliminated after extensive immune-mediated liver injury4, and a lifelong immunity is established. Inactivated virus-based vaccines are now available in developed countries, and vaccination results in a dramatic decline of the incidence of AHA in these countries2, 5.
After the picornaviral infection of host cells, cytosolic viral dsRNA intermediates are recognized by melanoma differentiation-associated protein 5 (MDA-5), which belongs to retinoic acid-inducible gene-I (RIG-I)-like receptors (RLRs), and endosomal dsRNA intermediates are recognized by Toll-like receptor 3 (TLR3)6,7,8. Intracellular signals from RLRs are transmitted via an adaptor protein called mitochondrial antiviral signaling protein (MAVS), thus leading to the interferon regulatory factor 3 (IRF3)- and nuclear factor kappa B (NF-κB)-dependent production of type I and III interferons (IFNs) and proinflammatory cytokines6, 7, 9.
Despite this mechanism of IFN induction, HAV is known to minimally stimulate IFN response in the infected liver3. In chimpanzee studies, the amount of viral RNA is substantially higher in the HAV-infected liver compared to the hepatitis C virus (HCV)-infected liver. However, a type I IFN response is barely detected in the HAV-infected liver, whereas it is robustly evoked in the HCV-infected liver10. This may be because HAV has several mechanisms that strongly impair the induction of IFNs in the infected cells4, 11,12,13,14. First, 3ABC, which is an intermediate product of HAV polyprotein processing, targets MAVS for proteolysis12. HAV also cleaves TRIF via another precursor, 3CD, thus resulting in interference with TLR3 signaling11, and HAV 3C protease cleaves the NF-κB essential modulator (NEMO), which is an upstream molecule in the NF-κB pathway14. Collectively, HAV antagonizes the innate immune response triggered by its dsRNA intermediates, which leads to the abrogation of type I IFN production in infected cells. Although plasmacytoid dendritic cells (pDCs) can produce type I IFNs by sensing enveloped HAV particles, they disappear from the liver two weeks after peak viremia15, which indicates that a pDC-dependent type I IFN response is transient during HAV infection.
In AHA, severe liver injury is associated with the infiltration of immune cells to the liver4, 16,17,18. Immune cells are recruited to peripheral inflammatory tissues through the action of various chemokines19. Notably, the expression of CXCL10, a representative CXCR3 chemokine, is elevated in the early stage of HAV infection in chimpanzees10. Moreover, various chemokines are significantly increased in the sera of AHA patients, including CXCL10, CCL4 and CCL520, 21, which recruit CXCR3- or CCR5-expressing cytotoxic CD8+ and helper 1 CD4+ T cells. In virus-infected cells, the production of these chemokines is usually stimulated by type I IFNs22,23,24,25. This led us to investigate the mechanism of how chemokines are produced despite a minimal type I IFN response in HAV-infected cells. We found that HAV infection robustly induces the production of CXCR3 and CCR5 chemokines, such as CXCL10, CCL4 and CCL5, and demonstrated that in HAV-infected cells, CXCL10 is produced in a MAVS- and IRF3-dependent but IFN-independent manner.
Results
CXCL10, CCL4, and CCL5 are robustly produced from HAV-infected cells
In the present study, we used the HM-175/18f strain of HAV. HepG2 cells and PHHs from two different donors were inoculated with high titer HAV (200 GE/cell for HepG2 and 500 GE/cell for PHHs) and robust replication of HAV was observed in these cells (Fig. 1A and B). In immunofluorescence staining, almost all of the HepG2 cells (Fig. 1C) and around 50% of the PHHs (Fig. 1D) expressed HAV antigens after the infection at 200 GE/cell and 500 GE/cell, respectively. Of note, the signal of HAV antigens in each infected cell was much less in PHHs than in HepG2 cells (Fig. 1C and D). Next, we determined whether HAV infection induces the production of chemokines for CXCR3 and CCR5, which are chemokine receptors expressed by cytotoxic CD8+ T cells and helper 1 CD4+ T cells. In HAV-infected PHHs, the robust production of CXCL10, CCL4 and CCL5 was observed at the mRNA and protein levels (Fig. 2A), and these data were confirmed in HAV-infected HepG2 cells (Fig. 2B). UV-inactivated, replication-defective HAV induced chemokine expression in significantly less extent compared with replication-competent virus (Fig. 2C). Immunofluorescence co-staining revealed that CXCL10 was expressed in HAV-infected cells, but not in uninfected neighboring cells (Fig. 2D and Supplementary Fig. 1). We also studied CXCL10, CCL4 and CCL5 in the serum samples of AHA patients. We found that these chemokines were significantly increased in the sera from AHA patients compared to those from healthy controls (Fig. 2E). Collectively, these data show that HAV infection causes the robust production of CXCL10, CCL4, and CCL5.
IFN-λs are produced from HAV-infected cells
Next, we examined the production of IFN-β and IFN-λs in HAV-infected cells because the production of CXCR3 chemokines and CCR5 chemokines can be induced by IFNs23, 25,26,27. After HAV infection, the production of IFN-λ1 and -λ2 was strongly induced at the mRNA and protein levels in PHHs (Fig. 3A). However, IFN-β was minimally produced after HAV infection (Fig. 3A). We also studied IFN production in HepG2 cells and found that HAV-infected HepG2 cells produced IFN-λ1 and -λ2 but not IFN-β in the early stage of infection (Fig. 3B). Collectively, these data demonstrate that HAV-infected cells robustly produce IFN-λs rather than IFN-β.
Neutralization of IFN-λs partially abrogates CCL4 and CCL5 production but not CXCL10 production in HAV-infected cells
IFN-λs were potently produced from HAV-infected cells. Thus, we investigated whether IFN-λs are responsible for the production of chemokines. We blocked the effect of IFN-λs by using neutralizing anti-IFN-λ antibody at a high dose, at a concentration sufficient to neutralize all three IFN-λs, IFN-λ1~3 28. The neutralization of IFN-λs abrogated the induction of interferon-stimulated genes (ISGs) such as IFI44 and OAS-1 in HAV-infected HepG2 cells (Fig. 4A). Accordingly, intracellular HAV RNA titer was slightly increased by neutralization of IFN-λs (Fig. 4B). However, the production of CXCL10 was not decreased by the neutralization of IFN-λs (Fig. 4C). Differently from CXCL10, production of CCL4 and CCL5 was partially abrogated by the neutralization of IFN-λs (Fig. 4C). As expected from the aforementioned result (IFN-β was not produced from HAV-infected HepG2 cells (Fig. 3B)), the production of chemokines was not decreased by neutralizing anti-IFN-β antibody or the vaccinia virus–encoded B18 receptor protein (VV-B18R), which competes with the IFN-α/βR for IFN binding29 (Fig. 4D). The neutralizing activity of anti-IFN-β antibody was confirmed by spiking experiments using recombinant IFN-β (Supplementary Fig. 2). These results indicate that in HAV-infected cells, CCL4 and CCL5 are induced, at least in part, by IFN-λs, whereas CXCL10 is induced independently of IFN-λs.
Silencing of MAVS or IRF3 expression abrogates the production of chemokines in HAV-infected cells
In HCV-infected cells, the CXCL10 promoter was recently shown to be activated by IRF3 independently of type I or III IFNs30. Therefore, we investigated whether CXCL10 is produced by a similar mechanism in HAV-infected cells. First, we tested if RIG-I or MDA-5 involved in the production of CXCL10 in HAV-infected cells. We found that the expression of CXCL10 was decreased by MDA-5 silencing (Supplementary Fig. 3), but not by RIG-I silencing (Supplementary Fig. 4). Our data are consistent with previous reports, which demonstrated that picornaviruses are recognized by MDA-5, not by RIG-I, leading to MAVS activation7, 8. Next, we knocked down the expression of MAVS, a downstream of RLRs and an upstream of IRF331, 32, via siRNA transfection in HepG2 cells. The efficient silencing of MAVS expression was confirmed at both the mRNA and protein levels (Fig. 5A and B). In HAV infection experiments, intracellular HAV RNA titer tended to be increased by MAVS silencing although the difference was not statistically significant (Fig. 5C). Importantly, the production of CXCL10, CCL4 and CCL5 was significantly decreased by MAVS silencing at the both mRNA and protein levels; however, it was not completely abolished (Fig. 5D and E).
Next, we examined the role of IRF3 in the production of chemokines in HAV-infected cells. Phosphorylation at S386 in its C-terminal regulatory region is a major determinant of IRF3 activation33,34,35.We found that HAV infection stimulates IRF3 phosphorylation at S386 in HepG2 cells (Fig. 6A). IRF3 expression was efficiently silenced by siRNA at both the mRNA and protein levels (Fig. 6B). Intracellular HAV RNA titer was increased by IRF3 silencing (Fig. 6C). The production of CXCL10, CCL4 and CCL5 was significantly decreased in IRF3-silenced, HAV-infected HepG2 cells at both the mRNA and protein levels; however, the production of CXCL10 protein was not completely abrogated (Fig. 6D and E). We also tested if NF-κB pathway involved in the production of CXCL10 in HAV-infected cells using a chemical inhibitor (BAY 11–7082) and a peptide inhibitor (SN50). However, both of these inhibitors did not reduce HAV-induced production of CXCL10 (Fig. 6F and G). Taken together, we conclude that CXCL10 is produced in HAV-infected cells in a MAVS and IRF3-dependent but IFN-independent manner.
Discussion
In the present study, we examined the production of CXCR3 and CCR5 chemokines and their expression mechanisms in HAV-infected cells. We demonstrated that CXCL10, CCL4 and CCL5 are robustly produced in HAV-infected cells. CCL4 and CCL5 are produced, at least in part, by secreted IFN-λs after HAV infection. However, CXCL10 is produced by a MAVS- and IRF3-dependent mechanism independently of IFNs.
A similar mechanism of CXCL10 production was recently reported in HCV infection. In HCV-infected Huh-7-TLR3 cells, CXCL10 production was independent of type I and III IFNs36. Instead, CXCL10 expression is directly regulated by IRF3 and NF-κB30. Notably, the CXCL10 promoter contains binding sites for IRF3 and NF-κB, and its transcriptional activity is directly activated by IRF3 and NF-κB30. Regarding the role of NF-κB, however, our current result with HAV-infected cells differs from the previous report with HCV-infected cells. Both of the NF-κB inhibitors (BAY 11–7082 and SN50) did not reduce HAV-induced production of CXCL10 (Fig. 6F and G), indicating that CXCL10 production is independent of NF-κB activation in HAV-infected cells unlike in HCV-infected cells. Our data is consistent with a recent report showing that the phospho-p65 component of NF-κB was not measurably increased in HAV-infected livers of mice lacking type I IFN receptor that support HAV replication and recapitulate the typical features of AHA in humans37.
HAV is known to evade the IFN response of the host. HAV disrupts the intracellular signals of RLRs by targeting MAVS for proteolysis through a precursor of its cysteine protease, 3ABC12. HAV also inhibits TLR3 signaling by cleaving TRIF via another precursor, 3CD11. However, our data indicate that HAV cannot completely suppress the innate response of hepatocytes. First, MAVS was not completely cleaved in HAV-infected HepG2 cells in the early stage of infection (data not shown). Incomplete MAVS cleavage might be due to the low level of viral protease proteins in the early stage of HAV infection. Second, the phosphorylation of IRF3 at S386 was observed in HAV-infected cells (Fig. 6A). Third, IFN-λs were robustly produced in PHHs after HAV infection (Fig. 3A). Whereas the production of IFN-λs after HCV infection was described in primary liver cell cultures38, PHHs27, 39, CD81- and mir-122-expressing HepG2 cells40, and Huh-7-TLR3 cells28, it should be noted that IFN-λ production in HAV-infected cells was firstly demonstrated in the present study. Due to this incomplete evasion from RLR signaling, CCL4 and CCL5 are produced by MAVS-, IRF3- and IFN-λ-dependent mechanisms in HAV-infected cells, and CXCL10 is produced by a MAVS- and IRF3-dependent but IFN-independent mechanism. Incomplete evasion from RLR signaling and the resultant production of chemokines have been similarly observed in HCV-infected cells and in HCV-infected chimpanzees30, 36.
Recently, it was demonstrated that mice lacking type I IFN receptor are permissive to HAV infection, recapitulating the typical features of AHA in humans37. The authors of this report suggested that the restricted host range of HAV results from an inability to hamper MAVS-mediated type I IFN production37. Their results are consistent with our current data in that HAV infection causes IRF3 phosphorylation and chemokine production independently of type I IFNs37. Their data are also consistent with our current data in that MAVS- or IRF3-knockout mice did not produce chemokines. However, our current study used materials originated from humans, e.g., human PHHs, human liver-derived cells and human patients’ sera. Moreover, we demonstrate that type III IFNs, rather than type I IFNs, are dominantly produced from human liver-derived cells after HAV infection37.
Acute HAV infection causes necroinflammatory liver injury, particularly in adult patients, and is characterized by the infiltration of numerous immune cells4, 16,17,18. The role of inflammatory chemokines in the recruitment of immune cells and liver injury has been thoroughly investigated in HCV infection23, 26, 41. Among various chemokines, CXCR3 chemokines and CCR5 chemokines have been extensively studied in viral hepatitis because they play a major role in T-cell recruitment to peripheral inflammatory sites26, 42. In particular, CXCR3 and CCR5 are involved in the recruitment of effector CD8+ T cells and helper 1 CD4+ T cells into the liver parenchyma and portal tracts, respectively, in HCV-infected livers43,44,45. Moreover, the expression levels of CXCR3 and CCR5 chemokines in the liver or the peripheral blood strongly correlate with the severity of hepatic inflammation in HCV infection46,47,48,49. Thus, CXCR3 and CCR5 chemokines may also play a critical role in hepatic inflammation in acute HAV infection. Notably, the expression of CXCL10 is upregulated in the early stage of HAV infection in chimpanzees10, and CXCL10, CCL4 and CCL5 are significantly increased in the sera of AHA patients (Fig. 2E)21.
In the present study, we showed the robust production of these chemokines in HAV-infected cells and elucidated the underlying mechanisms. This study provides useful information for regulating the expression of inflammatory chemokines, which are related to liver injury in HAV infection.
Materials and Methods
Cells and reagents
Huh-7.5 cells (Apath, Brooklyn, NY) and HepG2 cells (ATCC, Manassas, VA) were maintained at 37 °C with 5% CO2 in Dulbecco’s Modified Eagle Medium supplemented with 10% fetal bovine serum (WELGENE, Daegu, Korea), 4.5 g/L glucose, L-glutamine, and 1% penicillin/streptomycin (Invitrogen, Carlsbad, CA). Frozen vials of primary human hepatocytes (PHHs) were purchased from Invitrogen. After thawing, the PHHs were centrifuged at 150 × g for 5 minutes and incubated in 24-well plates overnight. The PHHs were maintained in Williams E Medium containing cell maintenance supplement reagents (Invitrogen).
Small interfering RNAs (siRNAs) against MAVS, IRF3, MDA-5, and RIG-I were obtained from Santa Cruz Biotechnology (Santa Cruz, CA), and siRNA transfection was performed using Lipofectamine RNAi MAX (Invitrogen). Neutralizing antibody against IFN-λ was purchased from R&D Systems (Minneapolis, MN) and used at 20 μg/mL, the concentration at which it is sufficient to neutralize IFN-λ1, -λ2 and -λ3 28. Neutralizing anti-IFN-β antibody and VV-B18R protein were purchased from PBL Assay Science (Piscataway, NJ) and eBioscience (San Diego, CA), respectively. An IFN-β enzyme-linked immunosorbent assay (ELISA) kit was purchased from Fujirebio (Tokyo, Japan), and IL-28A (IFN-λ2) and IL-29 (IFN-λ1) ELISA kits were purchased from RayBiotech (Norcross, GA). BAY 11–7082, an NF-κB chemical inhibitor was purchased from Calbiochem (San Diego, CA), and SN50, an NF-κB peptide inhibitor and its control peptide SN50M were purchased from Biomol Research Laboratories (Plymouth Meeting, PA).
HAV propagation and infection
A rapidly replicating, cell culture-adapted, cytopathic variant of HM-175 (HM-175/18f) HAV50, 51 was obtained from American Type Culture Collection (ATCC, VR-1402). For virus propagation, Huh-7.5 cells were infected with HM-175/18f virus at 5 genome equivalents (GE)/cell and maintained for more than 14 days. Viral stock was prepared after rendering infected cells to repeated free-thaw cycles. Virus-containing medium was concentrated with WELPROTTM virus concentration reagent (WELGENE). Chemokine induction was studied with PHHs and HepG2 cells. HepG2 cells are known to support HAV infection and replication52. HepG2 cells and PHHs were infected with HM-175/18f virus at 200 GE/cell and 500 GE/cell, respectively.
Serum samples of AHA patients
Eleven hospitalized patients diagnosed with AHA were recruited for the study. The eligibility criteria of this study included seropositivity for anti-HAV IgM and IgG antibodies, serum alanine aminotransferase (ALT) levels higher than three-fold the upper normal limit, and clinical manifestations consistent with acute hepatitis. This study was performed according to the ethical guidelines of the Declaration of Helsinki and was approved by the Institutional Review Board of KAIST. Written informed consents were obtained from all of the participants.
Cytometric bead array
The concentrations of chemokines (CXCL10, CCL4, and CCL5) in culture supernatants and patients’ sera were measured via cytometric bead array (CBA). Briefly, 50 μL of mixed capture beads and 50 μL of each sample were incubated for 1 hour at room temperature, and 50 μL of mixed phycoerythrin (PE) detection reagents was added to the bead-sample mixture and incubated for 2 hours at room temperature. The fluorescence of the beads was analyzed using an LSRII Flow Cytometer (BD Biosciences, San Jose, CA), and the data were analyzed using FlowJo software (Tree Star, San Carlos, CA).
Immunoblotting
Immunoblotting was performed as previously described53. Briefly, the cell lysate was prepared using RIPA buffer, and 10 μg of the cell lysate was loaded onto SDS-PAGE gels and analyzed using immunoblots. The antibodies used in immunoblotting are as follows: mouse monoclonal anti-MAVS (Santa Cruz Biotechnology), rabbit monoclonal anti-IRF3 (clone EPR2418Y, Abcam, Cambridge, MA), rabbit monoclonal anti-phospho IRF3 (S386) (clone EPR2346, Abcam), rabbit polyclonal anti-GAPDH (Santa Cruz Biotechnology), and mouse monoclonal anti-tubulin (Sigma-Aldrich, St. Louis, MO).
Confocal microscopy
Slide preparation and microscopic procedures were conducted as previously described53. Mouse monoclonal anti-HAV antibody (clone 7E7, Mediagnost GmbH, Reutlingen, Germany) and rabbit polyclonal anti-CXCL10 antibody (Abcam) were used as primary antibodies. Alexa Fluor® 488-conjugated goat anti-mouse IgG and Alexa Fluor® 594-conjugated goat anti-rabbit IgG (Invitrogen) were used as secondary antibodies. Nuclear staining was performed using Hoechst 33342 dye (Sigma-Aldrich).
RNA extraction, cDNA synthesis, and real-time quantitative PCR
Total RNA isolation, cDNA synthesis, and TaqMan real-time quantitative PCR were performed as previously described53. In brief, total RNA was isolated with the RNeasy Mini kit (Qiagen, Valencia, CA), and cDNA was synthesized using the High Capacity cDNA Synthesis Kit (Applied Biosystems, Foster City, CA). TaqMan Gene Expression Assays (Applied Biosystems) were used to determine the mRNA levels of target genes. The results were standardized to the mRNA level of an endogenous control, β-actin. Sequences of primers for HAV RNA titration were adopted from a previous report10.
Statistical analyses
Data from experiments using cell lines are presented as the means ± standard error of the means (s.e.m.). Unpaired t-tests or repeated-measures ANOVA were used to assess for statistical differences. All of the statistical analyses were conducted using GraphPad Prism version 5.01 (GraphPad Software, San Diego, CA). A P value less than 0.05 was considered statistically significant.
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Acknowledgements
This work was supported by a grant of the Korean Health Technology R&D Project, Ministry of Health and Welfare, Republic of Korea (HI13C1263). This work was also supported by National Research Foundation grant (NRF‑2014R1A2A1A10053662), which is funded by the Ministry of Science, ICT and Future Planning of Korea. This work was partly supported by Research Fund of Seoul St. Mary’s Hospital, The Catholic University of Korea.
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P.S.S. and E.C.S. designed the study, and P.S.S., S.H.H. and J.L. performed experiments. P.S.S., S.H.P., S.K.Y., W.J.C. and E.C.S. analyzed the data. P.S.S. and E.C.S. wrote the manuscript.
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Sung, P.S., Hong, SH., Lee, J. et al. CXCL10 is produced in hepatitis A virus-infected cells in an IRF3-dependent but IFN-independent manner. Sci Rep 7, 6387 (2017). https://doi.org/10.1038/s41598-017-06784-x
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DOI: https://doi.org/10.1038/s41598-017-06784-x
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