Jeremy Dupaul-Chicoine, Michal Pyzik, Angela Pearson, Grégory Caignard, Silvia M. Vidal, Jeremy Schwartzentruber, Jacek Majewski, Nassima Fodil-Cornu, André Veillette, Pablo Cingolani, Huaijian Guo, Mathieu Blanchette, Anne Dumaine, Maya Saleh, Benoît Charbonneau, Gabriel André Leiva-Torres, Michael Leney-Greene, Marc Lathrop, Departments of Human Genetics and Medicine, McGill University = Université McGill [Montréal, Canada], Laboratory of Molecular Oncology [Montréal], Clinical Research Institute of Montréal, McGill University and Genome Quebec Innovation Centre, Departments of Biochemistry and Medicine, Laboratory of Molecular Oncology, Institut Armand Frappier (INRS-IAF), Institut National de la Recherche Scientifique [Québec] (INRS)-Réseau International des Instituts Pasteur (RIIP), and This project was conducted with support of CIHR Team grant (CTP-87520).
Herpes simplex encephalitis (HSE) is a lethal neurological disease resulting from infection with Herpes Simplex Virus 1 (HSV-1). Loss-of-function mutations in the UNC93B1, TLR3, TRIF, TRAF3, and TBK1 genes have been associated with a human genetic predisposition to HSE, demonstrating the UNC93B-TLR3-type I IFN pathway as critical in protective immunity to HSV-1. However, the TLR3, UNC93B1, and TRIF mutations exhibit incomplete penetrance and represent only a minority of HSE cases, perhaps reflecting the effects of additional host genetic factors. In order to identify new host genes, proteins and signaling pathways involved in HSV-1 and HSE susceptibility, we have implemented the first genome-wide mutagenesis screen in an in vivo HSV-1 infectious model. One pedigree (named P43) segregated a susceptible trait with a fully penetrant phenotype. Genetic mapping and whole exome sequencing led to the identification of the causative nonsense mutation L3X in the Receptor-type tyrosine-protein phosphatase C gene (PtprcL3X), which encodes for the tyrosine phosphatase CD45. Expression of MCP1, IL-6, MMP3, MMP8, and the ICP4 viral gene were significantly increased in the brain stems of infected PtprcL3X mice accounting for hyper-inflammation and pathological damages caused by viral replication. PtprcL3X mutation drastically affects the early stages of thymocytes development but also the final stage of B cell maturation. Transfer of total splenocytes from heterozygous littermates into Ptprc L3X mice resulted in a complete HSV-1 protective effect. Furthermore, T cells were the only cell population to fully restore resistance to HSV-1 in the mutants, an effect that required both the CD4+ and CD8+ T cells and could be attributed to function of CD4+ T helper 1 (Th1) cells in CD8+ T cell recruitment to the site of infection. Altogether, these results revealed the CD45-mediated T cell function as potentially critical for infection and viral spread to the brain, and also for subsequent HSE development., Author Summary Herpes simplex encephalitis (HSE) is a lethal neurological disease resulting from infection with Herpes Simplex Virus 1 (HSV-1). Previous studies have demonstrated a human genetic predisposition to HSE. However, the gene mutations that have been suggested as critical in protective immunity to HSV-1, exhibit incomplete penetrance and represent only a minority of HSE cases, perhaps reflecting the effects of additional host genetics factors. In order to identify new host genes involved in HSV-1 and HSE susceptibility, we have implemented the first genome-wide mutagenesis screen in an in vivo HSV-1 infectious model. Using this large-scale approach, we have identified a loss-of-function mutation in the Receptor-type tyrosine-protein phosphatase C (Ptprc) gene. Mice carrying this mutation were characterized by defects in thymic and B cell development. Following infection, these mutant mice exhibited hyper-inflammation in their brains stems caused by viral replication. Transfer of total lymphocytes from resistant into mutant mice resulted in a complete HSV-1 protective effect. Furthermore, T lymphocytes were the only cell population to fully restore resistance to HSV-1 in the mutants. These findings revealed the T cell function as potentially critical for infection and viral spread to the brain, as well as to subsequent HSE development.