Trends in Microbiology
ReviewA cultured affair: HSV latency and reactivation in neurons
Section snippets
Herpesviruses rely on latency for long-term persistence
All herpesviruses use two contrasting infection strategies: productive (or lytic) replication and latency, constituting fundamentally different viral gene expression programs with contrary goals and outcomes. Latency maintains the viral genome for long periods without producing infectious progeny, but allows the virus to re-engage in productive replication, a process known as reactivation. This ensures long-term persistence as well as dissemination to new host cells or organisms. During latency
Establishment and maintenance of latency
The sensory neurons of the trigeminal ganglia (TG) innervate the lips, gingiva, and eyes, and are the principal site for HSV-1 latency in humans, although sympathetic and sensory neurons from the vestibular, geniculate, spiral, and sacral ganglia are also documented sites 2, 3. Viruses access the neurons through axon terminals and release the capsid, containing the viral linear double-stranded DNA genome, into the cytoplasm (Figure 1a). From there, the genome is transported over a comparatively
Reactivation: a race to the finish with multiple hurdles
To reactivate, a latent episome must extensively reorganize its chromatin, ensure that levels of IE gene expression are sufficient to overcome the virus-encoded miRs, and contend with antagonistic host responses. For every HSV-1 genome that produces infectious progeny, it is likely that a greater number will have begun the process but failed at some point. As viral activity increases, the likelihood of a strong counter-response from the host grows, and progression to each successive stage may
Importance of an active signaling program to maintain latency in neurons
It has been known for more than a century that applying trauma to a nerve to treat chronic pain (trigeminal neuralgia) can elicit an outbreak of herpetic lesions in the associated dermatome [62]. This eventually led to the realization that sensory ganglia are the source of reactivating virus, and that reactivation is most likely is due to loss of trophic support. Neurotrophins are growth factors that function in the nervous system to promote survival, proliferation, differentiation, axonal
Peeling back the layers of host control
Environmental triggers that cause HSV-1 reactivation in people include emotional stress, fever, UV exposure, hormonal changes, dental surgery, and cranial trauma. Whether these stimuli act directly on the infected neuron, or through some of many other cell types present in the ganglion, is unknown. The emerging consensus is that latency is intrinsic to neurons but that, in the context of a living host, there are additional inputs or layers that involve other cell types (Figure 2). Ganglia are
Concluding remarks
Many aspects of latency and reactivation need to be explored further (Box 1), and this will undoubtedly benefit from the increasing acceptance of cultured neuron models. The lack of simple methods to detect latent virus in live cells has made it particularly difficult to study the temporal or spatial relationships between known events. Do viruses first replicate in the neurons that support latency, explaining the presence of multiple episomes? Do all genomes engage in active lytic gene
Acknowledgments
This is a very active field with an extensive literature and we apologize to our many colleagues whose findings could not be cited directly. Work performed in our laboratories was supported by grants from the National Institutes of Health (AI073898, GM61139, S10RR017970, T32AI007647, and T32AI07180), the Vilcek Foundation, and a collaborative project grant from the New York University Langone Medical Center.
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