Lukashevich I S, Maryankova R, Vladyko A S, Nashkevich N, Koleda S, Djavani M, Horejsh D, Voitenok N N, Salvato M S
Department of Pathology, University of Wisconsin, Madison, Wisconsin, USA.
J Med Virol. 1999 Dec;59(4):552-60.
Cells of the mononuclear and endothelial lineages are targets for viruses which cause hemorrhagic fevers (HF) such as the filoviruses Marburg and Ebola, and the arenaviruses Lassa and Junin. A recent model of Marburg HF pathogenesis proposes that virus directly causes endothelial cell damage and macrophage release of TNF-alpha which increases the permeability of endothelial monolayers [Feldmann et al. , 1996]. We show that Lassa virus replicates in human monocytes/macrophages and endothelial cells without damaging them. Human endothelial cells (HUVEC) are highly susceptible to infection by both Lassa and Mopeia (a non-pathogenic Lassa-related arenavirus). Whereas monocytes must differentiate into macrophages before supporting even low level production of these viruses, the virus yields in the culture medium of infected HUVEC cells reach more than 7 log10 PFU/ml without cellular damage. In contrast to filovirus, Lassa virus replication in monocytes/macrophages fails to stimulate TNF-alpha gene expression and even down-regulates LPS-stimulated TNF-alpha mRNA synthesis. The expression of IL-8, a prototypic proinflammatory CXC chemokine, was also suppressed in Lassa virus infected monocytes/macrophages and HUVEC on both the protein and mRNA levels. This contrasts with Mopeia virus infection of HUVEC in which neither IL-8 mRNA nor protein are reduced. The cumulative down-regulation of TNF-alpha and IL-8 expression could explain the absence of inflammatory and effective immune responses in severe cases of Lassa HF.
单核细胞系和内皮细胞系的细胞是导致出血热(HF)的病毒的靶细胞,这些病毒包括丝状病毒马尔堡病毒和埃博拉病毒,以及沙粒病毒拉沙病毒和胡宁病毒。最近提出的马尔堡出血热发病机制模型认为,病毒直接导致内皮细胞损伤以及巨噬细胞释放肿瘤坏死因子-α,这会增加内皮细胞单层的通透性[费尔德曼等人,1996年]。我们发现拉沙病毒在人单核细胞/巨噬细胞和内皮细胞中复制,但不会对它们造成损伤。人内皮细胞(HUVEC)对拉沙病毒和莫佩亚病毒(一种与拉沙病毒相关的非致病性沙粒病毒)的感染高度敏感。虽然单核细胞在支持这些病毒的低水平产生之前必须分化为巨噬细胞,但感染的HUVEC细胞培养基中的病毒产量可达7 log10 PFU/ml以上,且不会造成细胞损伤。与丝状病毒不同,拉沙病毒在单核细胞/巨噬细胞中的复制不会刺激肿瘤坏死因子-α基因表达,甚至会下调脂多糖刺激的肿瘤坏死因子-α mRNA合成。白细胞介素-8(一种典型的促炎CXC趋化因子)的表达在感染拉沙病毒的单核细胞/巨噬细胞和HUVEC中,在蛋白质和mRNA水平上也受到抑制。这与莫佩亚病毒感染HUVEC形成对比,在莫佩亚病毒感染中,白细胞介素-8的mRNA和蛋白质均未减少。肿瘤坏死因子-α和白细胞介素-8表达的累积下调可以解释拉沙出血热严重病例中缺乏炎症反应和有效免疫反应的原因。