Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA.
J Virol. 2011 Nov;85(21):11490-501. doi: 10.1128/JVI.05379-11. Epub 2011 Aug 24.
Sindbis virus (SINV) infection of the central nervous system (CNS) provides a model for understanding the role of the immune response in recovery from alphavirus infection of neurons. Virus clearance occurred in three phases: clearance of infectious virus (days 3 to 7), clearance of viral RNA (days 8 to 60), and maintenance of low levels of viral RNA (>day 60). The antiviral immune response was initiated in the cervical lymph nodes with rapid extrafollicular production of plasmablasts secreting IgM, followed by germinal center production of IgG-secreting and memory B cells. The earliest inflammatory cells to enter the brain were CD8(+) T cells, followed by CD4(+) T cells and CD19(+) B cells. During the clearance of infectious virus, effector lymphocytes in the CNS were primarily CD8(+) T cells and IgM antibody-secreting cells (ASCs). During the clearance of viral RNA, there were more CD4(+) than CD8(+) T cells, and B cells included IgG and IgA ASCs. At late times after infection, ASCs in the CNS were primarily CD19(+) CD38(+) CD138(-) Blimp-1(+) plasmablasts, with few fully differentiated CD38(-) CD138(+) Blimp-1(+) plasma cells. CD19(+) CD38(+) surface Ig(+) memory B cells were also present. The level of antibody to SINV increased in the brain over time, and the proportion of SINV-specific ASCs increased from 15% of total ASCs at day 14 to 90% at 4 to 6 months, suggesting specific retention in the CNS during viral RNA persistence. B cells in the CNS continued to differentiate, as evidenced by accumulation of IgA ASCs not present in peripheral lymphoid tissue and downregulation of major histocompatibility complex (MHC) class II expression on plasmablasts. However, there was no evidence of germinal center activity or IgG avidity maturation within the CNS.
辛德毕斯病毒(SINV)感染中枢神经系统(CNS)为了解免疫反应在甲型病毒感染神经元后恢复中的作用提供了模型。病毒清除分为三个阶段:传染性病毒的清除(第 3 天至第 7 天)、病毒 RNA 的清除(第 8 天至第 60 天)和低水平病毒 RNA 的维持(>第 60 天)。抗病毒免疫反应始于颈部淋巴结,迅速在外滤泡中产生分泌 IgM 的浆母细胞,随后在生发中心产生分泌 IgG 和记忆 B 细胞的浆细胞。最早进入大脑的炎症细胞是 CD8(+)T 细胞,其次是 CD4(+)T 细胞和 CD19(+)B 细胞。在清除传染性病毒的过程中,CNS 中的效应淋巴细胞主要是 CD8(+)T 细胞和 IgM 抗体分泌细胞(ASC)。在清除病毒 RNA 的过程中,CD4(+)T 细胞的数量多于 CD8(+)T 细胞,B 细胞包括 IgG 和 IgA ASC。感染后晚期,CNS 中的 ASC 主要是 CD19(+)CD38(+)CD138(-)Blimp-1(+)浆母细胞,很少有完全分化的 CD38(-)CD138(+)Blimp-1(+)浆细胞。也存在 CD19(+)CD38(+)表面 Ig(+)记忆 B 细胞。随着时间的推移,大脑中的抗体水平增加,SINV 特异性 ASC 的比例从第 14 天的总 ASC 的 15%增加到 4 至 6 个月的 90%,表明在病毒 RNA 持续存在期间特异性保留在 CNS 中。CNS 中的 B 细胞继续分化,这表现在外周淋巴组织中不存在 IgA ASC 的积累和浆母细胞中主要组织相容性复合物(MHC)II 类表达的下调。然而,CNS 中没有证据表明有生发中心活性或 IgG 亲和力成熟。