Introduction
In 1995, Becker made a prescient proposition, indicating that latent infection with herpes simplex virus 1 (HSV-1) might elicit deleterious and unanticipated consequences on human cognition and behavior (Becker
1995; Ando et al.
2008). This hypothesis gains plausibility in light of evidence that the virus induces damage in brain regions associated with memory formation, including the hippocampus and associated limbic structures (Beers et al.
1995). An increasing body of literature has shed light on the potential mechanisms involved in the impact of HSV-1 on cognition and behavior.
Adult neurogenesis is the process of generating new neurons in the adult brain, which occurs throughout the lifespan of an individual (Ming and Song
2011). This process occurs in neurogenic niches of the brain, including the subgranular zone (SGZ) of the hippocampus and the subventricular zone (SVZ) lining the walls of the lateral ventricles, which are enriched with neural precursor cells (NPCs) (Jurkowski et al.
2020; Niklison Chirou et al.
2020; Dillen et al.
2020). A neurogenic niche represents residual segment of the embryonic germinal layer region possessing a unique and specialized microenvironment that sustain NPCs, and exerts a precise control over their activity, leading to the occurrence of adult neurogenesis (Kriegstein and Alvarez-Buylla
2009). The new neurons generated from NPCs residing in these regions contribute to learning and memory (Park et al.
2015). Besides SVZ and SGZ, recent studies have suggested the presence of additional neurogenic areas in other brain regions, including the hypothalamus, striatum, substantia nigra, cortex, and amygdala (Jurkowski et al.
2020).
HSV-1 exhibits a preference toward SVZ and SGZ (Yong et al.
2021; Menendez et al.
2016) and it can impact neurogenesis by impairing NPC proliferation, self-renewal, and migration(Zheng et al.
2022; Li Puma et al.
2019), all leading to impaired neuronal differentiation (LiPuma et al.
2019; Qiao et al.
2020). NPCs support productive HSV-1 infection (Zheng et al.
2020b; LiPuma et al.
2019). Dysregulation of the molecular mechanisms governing neurogenesis can give rise to significant consequences on cognition, encompassing cognitive decline (Toda et al.
2019), behavioral phenotypes (Tunc-Ozcan et al.
2019), and interference with hippocampus-dependent processing and behavior (Li Puma et al.
2020). We have previously shown that HSV-1 induces alterations in cognition-related pathways, such as glutamate and cAMP response element-binding protein (CREB) signaling (D’Aiuto et al.
2014).
Even though the advent of acyclovir therapy has significantly reduced the rate of mortality to approximately 25% in patients with HSV-1 encephalitis (HSE), patients who survive often experience significant long-term sequelae. Among acyclovir-treated HSE survivors, over 60% experience severe neurologic deficits. Memory, both anterograde and retrograde, is often impaired even with successful treatment of HSE (Bradshaw and Venkatesan
2016). Executive function and language ability also may be impaired (Jonker et al.
2014). The chronic lesions in HSE patients are mainly in the limbic system, which includes the hippocampus. The severity of these sequelae is related to the severity of damage to these limbic structures and on the patient’s age and neurologic status at the time of diagnosis. Despite the administration of antiviral treatment, the underlying cause for the persistence of these sequela remains poorly understood.
In the present study, we aimed to gain insights into how HSV-1 might disrupt neurogenesis at the molecular level and investigate the efficacy of antivirals to prevent the dysregulation of pathways playing important roles in neurogenesis. To achieve this, we conducted a time-course RNA-seq analysis on uninfected and infected neurospheres at three time points, both in the presence and absence of antivirals, employing two different multiplicities of infection (MOIs), with three replicates in each condition. The rational of this dual-MOI approach is that if specific pathways are dysregulated consistently in the same direction across both MOIs, it would provide evidence that these changes are biologically meaningful. The choice to employ antiviral (E)-5-(2-bromovinyl)-2’-deoxyuridine (5BVdU) and interferon-α (IFN-α) stems from our previously reported observation that acyclovir shows reduced antiviral efficacy in HSV-1 infected NPCs as compared to 5BVdU + IFN-α (Zheng et al.
2020b). The choice to utilize bulk RNA-Seq instead of single cell RNAseq was based on the fact that the former offers higher coverage of the transcriptome compared to the latter. Additionally, bulk RNA-seq provides a comprehensive overview of gene expression changes within a sample, making it a valuable tool for identifying pathways that are affected by HSV-1 infection and antiviral treatment (Haque et al.
2017).
Our analysis has revealed a distinct set of genes regulating the neurogenesis that are dysregulated during HSV-1, as well as genes whose expression remains altered even in the presence of antivirals. In addition, we provide evidence of downregulation in infected NPCs of several genes in the cholesterol biosynthesis network, which has been hypothesized representing a host antiviral defense mechanism (Blanc et al.
2011; Wang et al.
2020; Sviridov and Bukrinsky
2014).
Discussion
In this study, we sought to elucidate the impact of HSV-1 infection on the transcriptome of NPCs using a neurosphere-based model, with the primary goal of gaining deeper insights into the impact of HSV-1 infection on different aspects of neuronal differentiation. Through the identification of dysregulated pathways in HSV-1 infected neurospheres, both in the presence or absence of antivirals, we aimed to augment our understanding of how the virus influences key aspects of neurogenesis. Furthermore, we sought to evaluate the efficacy of antivirals in preventing defective neurogenesis.
Our analysis unveiled a significant reduction of viral transcripts during days 3 to 7 post-infection in the presence of antivirals. Interestingly, an increase of viral transcripts in cultures exposed to antivirals infected at both MOIs on day 5 p.i., followed by the most significant reduction on day 7 p.i. where the neurospheres had a minimal number of transcripts (Figs.
2 and
3), indicated a robust suppression of viral replication. These results are consistent with the outcomes of our prior study showing the ability of HSV-1 to undergo a form of silencing (Zheng et al.
2020b).
Among the ten most significant hierarchically clustered dysregulated pathways, oxidative phosphorylation, EIF2 signaling, apoptosis signaling pathways were identified as the most significantly upregulated pathways, as expected from the complex interplay between HSV-1 and the host. The cAMP responsive element binding (CREB) protein signaling emerged as the most significantly downregulated pathway, even in the presence of antivirals on day 7 p.i. (Fig.
5a). This finding underscores a crucial mechanism through which HSV-1 impacts essential aspects of the NPCs biology. Indeed, CREB plays a pivotal role in the regulation of neurogenesis and memory consolidation. NPCs derived from CREB-null mice exhibit severe defects in survival, cellular proliferation, and neurospheres formation, thereby emphasizing the indispensable role of CREB in NPCs neurogenesis (Dworkin et al.
2009). Antiviral treatment reduced the dysregulation of the CREB signaling during later stages of viral infection (days 5 and 7 p.i.).
In vertebrates, neural induction requires the inhibition of the bone morphogenic protein (BMP) signaling (Gaulden and Reiter
2008). Nonetheless, for an efficient neural induction, the involvement of FGF signaling is imperative (LaVaute et al.
2009; Marchal et al.
2009), and this critical pathway is downregulated in HSV-1 infected NPCs. Furthermore, FGF signaling is a critical regulator of hippocampal neurogenesis. Reduced FGF signaling leads to decreased neurogenesis (Kang and Hébert
2015). The downregulation of the EGF may cause decreased proliferation of NPCs (O’Keeffe et al.
2009) and affects their differentiation. Specifically, it promotes astroglial differentiation of NPCs (Kuhn et al.
1997).
Our analysis revealed other mechanisms by which HSV-1 can impact NPCs proliferation and differentiation, specifically involving the downregulation of
WNT/β-catenin pathway,
STAT3, EGF, and Sonic hedgehog signaling. The
WNT/β-catenin pathway, a highly conserved signaling pathway that regulates key cellular functions including proliferation, differentiation, migration, genetic stability, apoptosis, and stem cell renewal (Pai et al.
2017), plays a crucial role in controlling the balance of NPC proliferation and differentiation (Gao et al.
2021). Therefore, the downregulation of the
WNT/β-catenin pathway in HSV-1-infected NPCs may have significant consequences for the regulation of NPC proliferation and differentiation. mTOR, a downstream target of the
PI3K/
AKT pathway plays a pivotal role in regulating the proliferation of neural precursor cells mediated by the epidermal growth factor receptor (EGFR). Inhibition of mTOR blocks EGF-induced NPCs proliferation induced by EGF, both in vitro and in vivo (Cochard et al.
2021).
An important aspect of neurogenesis is the migration of NPCs, which is crucial for the proper lamination of the cerebral cortex, survival and differentiation of neural stem cells, expansion of neural progenitor cells, and integration into the central brain. The downregulation in infected neurospheres of genes playing an important role in the regulation of the NPCs migration, such as
ROBO1 (Gonda et al.
2013),
ROBO2 (Guerrero-Cazares et al.
2017),
SLIT1 (Deboux et al.
2020), and
ASTN1 (Wilson et al.
2010), offers valuable insights into the mechanisms by which HSV-1 affects the intricate processes involved in neural progenitor cell migration.
The expression levels of genes regulating the oligodendrogenesis, such as
MSX1, HES5, MYT1, OLIG2, and
ID4 in HSV-1-infected neurospheres suggest that the virus may induce the differentiation of NPCs into oligodendrocytes instead of neurons. However, at day 3 p.i. and MOI 0.0001,
ID2, known to inhibit oligodendrocytes progenitor cell differentiation, is upregulated. Additionally, at day 3 p.i. and under both MOIs,
DLX2, a modulator of neurons versus oligodendrocytes, is upregulated. Overall, it is possible that the net effect of the opposing gene expressions may not result in the promotion of oligodendrocyte differentiation of NPCs in response to HSV-1 infection. This possibility is consistent with the finding that HSV-1 infection of NPCs did not exert any influence on the proportion of differentiating astrocytes and oligodendrocytes (Chucair-Elliott et al.
2014).
Our analysis showed that HSV-1 infection significantly downregulated elements of the cholesterol biosynthesis pathway (Fig.
9). In particular,
DHCR7 and
DHCR24 genes, which catalyze the conversion of 7-dehydroxycholesterol (7DHC) to cholesterol and the reduction of the C24 double bond in desmosterol to cholesterol (Luu et al.
2015; Prabhu et al.
2016), respectively, were robustly downregulated. Recent reports increasingly indicate that reduction of cholesterol levels by metabolic reorganization represent a host defense antiviral mechanism. Specifically, downregulation of most of genes involved in the sterol biosynthesis have been reported in primary macrophages infected with HSV-1, Semliki Forest virus (SFV), Vaccinia virus (VV), or Adenovirus (Ad) (Blanc et al.
2011).
DHCR7 inhibitors have been shown to inhibit Vesicular Virus Stomatitis (Korade et al.
2022), coronavirus (Dai et al.
2022), and Zika virus (Chen et al.
2023). The inhibition of
DHCR24 decreases hepatitis C virus (HCV) and Bovine viral diarrhea virus (BVDV) replication (Takano et al.
2011; Ma et al.
2022). The treatment of cells with methyl-β-cyclodextrin, a cholesterol-sequestering drug and the use of genetically modified cells have shown that that cholesterol is important at different stages of HSV-1 infection (Wudiri and Nicola
2017). Interferon signaling has been shown to be essential of reducing the activity of the sterol metabolic network during infection (Blanc et al.
2011). The observed downregulation of the cholesterol biosynthesis pathway in infected NPCs provides additional evidence supporting the notion that this downregulation is part of a host antiviral response (Huang et al.
2023; Wudiri and Nicola
2017; Cagno et al.
2017).
Following antiviral treatment (days 5 and 7 p.i.), the expression levels of most dysregulated genes in infected cells reverted to a relatively normal state. This indicates that the antiviral treatment effectively restored gene expression to a state closer to that of uninfected cells. However, although most of the genes returned to a relatively normal expression level due to regulatory mechanisms attempting to restore homeostasis, this may not be sufficient to completely rescue the impairment of aspects of neurogenesis.
The HSV-1 protein VHS protein, encoded by the HSV UL41 gene, causes suppression of host gene expression through an elevated global mRNA degradation rate in the cytoplasm endoribonucleolytic cleavage of target RNAs (Smiley et al.
2001; Elgadi et al.
1999). However, our analysis showed that the number of upregulated genes in cultures infected at MOI 0.001 on day 3 p.i. was comparable the number of downregulated genes (702 and 917, respectively, as shown in Fig.
4). Furthermore, the number of upregulated genes (1037) was less than halved than downregulated genes (2610), but still considerable at MOI of 0.0001 at the same time point (Fig.
4). 3.7% of the upregulated genes play a role in neurogenesis, indicating an attempt from the cells to strengthen the neurogenesis. However, it is also plausible that HSV-1 alters the expression of these genes to create a more conducive environment for its replication. In the presence of antivirals the number of upregulated genes was comparable at both MOIs.
Materials and methods
Virus preparation
A KOS-based recombinant virus in which enhanced green fluorescent protein (EGFP) and monomeric red fluorescent protein (RFP) are reporters whose expression is driven by the viral promoters ICP0 and Glycoprotein C, respectively (HSV-1 DualFP) (Zheng et al.
2020a) was employed in this study. The virus stock was prepared in the D’Aiuto laboratory at the University of Pittsburgh. 80–90% confluent monolayers of Vero cells were infected at a multiplicity of infection (MOI of 3 in DMEM medium supplemented with 2% FBS). After 2 h the inoculum was removed, cells were washed and cultured for 2–3 days, until the appearance of full cytopathic effect (CPE). The cells were scraped and transferred along with the culture supernatant into 15 ml conical tubes. Cells were centrifuged at 1000 rpm for 5 min. The culture supernatant was removed, leaving behind 1.5 ml, and the cell pellet was resuspended using a vortex for 1–2 min. Cells were freeze-thawed three times. Debris was then removed by centrifuging at 3000 rpm for 5 min and the top culture supernatant containing cell-free viral particles was stored at − 80 °C until use. Virus titers were determined by the standard plaque assay as described below.
Generation of uninfected and HSV-1 infected neurosphere
Human-induced pluripotent stem cells (hiPSCs) were cultured in mTesR™ plus on Matrigel-coated tissue culture-treated plates (STEMCELL Technologies). The hiPSCs were established at the National Institute of Mental Health (NIMH) Center for Collaborative Studies of Mental Disorders-funded Rutgers University Cell and DNA Repository (RUCDR) (
http://www.rucdr.org/mental-health). The control steps included the analysis of pluripotency markers NANOG, Oct4, TRA60, TRA811, OSX2 and SSEA4. We subsequently conducted karyotyping, array comparative genomic hybridization (aCGH) assays and short tandem repeat (STR) profiling and compared them with donor genomic DNA to evaluate structural changes in genomic DNA during the generation of hiPSC lines.
Human NPCs were derived from hiPSC line 73–56010-02 as previously described (Zheng et al.
2022). Briefly, hiPSCs were cultured in mTeSR1-plus medium supplemented with dual SMAD inhibitors SB 431542 and LDN 193189 to promote neural induction. After 8–10 days, neural rosettes were manually isolated, transferred into Matrigel coated plates and cultured in StemDiff Neural Progenitor Medium (STEMCELL Technologies) for the expansion of NPCs. The expression of the NPCs markers SOX1 and PAX6 was analyzed (Fig. 1). All cells were cultured in standard conditions (37 °C, 5% CO2, and 100% humidity).
Neural progenitor cells (NPCs) were seeded onto 12-well matrigel-coated plates and cultured in STEMdiff™ Neural Progenitor (NP) medium until they were 80% confluent. On the day of infection, cells were infected with HSV-1 DualFP at MOI 0.001 and 0.0001 with or without the presence of antivirals (E)-5-(2-bromovinyl)-2′-deoxyuridine (5BVdU; 30 µM) and alpha interferon (IFN-α; 125 U/ml) (N = 3). The media for uninfected treated control wells were switched to StemDiff™ NP medium supplemented with 5BVdU + IFNalpha at the same time. One hour later, the infectious inocula were removed and culture wells were gently rinsed once with PBS. Corresponding media were added afterwards, and cells were manually dissociated and transferred into low-attachment 6-well plates. For each well one million cells were seeded. The conditions were: (i) MOI 0.001 treated with 5BVdU + IFN-α; (ii) MOI 0.0001 treated with 5BVdU + IFN-α; (iii) uninfected but treated with 5BVdU + IFN-α; (iv) MOI 0.001 untreated; (v) MOI 0.0001 untreated; (vi) uninfected and untreated (N = 3). Low-attachment plates were left on an orbital shaker in the incubator to form homogenous neurospheres. In total there were three sets containing all the conditions described above, they were harvested on Day 3 post infection, Day 5 post infection and Day 7 post infection, respectively. For each replicate well of each condition, we collected all spheres (or degenerating pieces for those infected but untreated on Day 7) along with all the media from the culture well. They were centrifuged at 10,000 rpm for 2 min and the supernatants were transferred, and the pellets kept at -80˚C. Pellets were dissociated and lysed with 200µL Buffer RLT plus provided in Qiagen RNeasy plus mini kit. Samples were kept at -80˚C until further RNA extraction based on the manufacturer’s instructions.
RNAseq
Total RNA libraries were generated using the Illumina TruSeq Stranded Total RNA Sample Preparation Guide, Revision E. The first step involved the removal of ribosomal and mitochondrial RNA using biotinylated, target-specific oligomers combined with Ribo-Zero rRNA removal beads. Following purification, remaining RNA was fragmented using divalent cations under elevated temperature, which were then copied into first strand cDNA using reverse transcriptase and random primers, followed by second strand cDNA synthesis using DNA Polymerase I and RNase H. Subsequently, a single adenosine base was added to each of the cDNA fragments, followed by ligation of an adapter. The products were purified and enriched with PCR to create the final cDNA library. A total of 12 cDNAs (two MOIs, two treatments ×three sample times) were generated. The cDNA libraries were validated using KAPA Biosystems primer premix kit with Illumina-compatible DNA primers and Qubit 2.0 fluorimeter. Quality was examined using an Agilent Bioanalyzer Tapestation 2200. The cDNA libraries were pooled at a final concentration of 1.8pM. Cluster generation and 100 bp paired-read dual-indexed sequencing was performed on Illumina NExtseq 500 (Children’s hospital of Pittsburgh, University of Pittsburgh). Sequencing read quality was assessed using fastQC v0.11.4 and CLCbio v11.0.1 software. The average number of reads per sample was 39.5 million (SD = 4.8 million reads) (Fig. 2).
Sequences were trimmed based on quality score using the modified-Mott trimming algorithm as implemented in CLC bio software, using a trim cutoff error probability of 0.05. Ambiguous bases were trimmed using a post trim maximal ambiguous base cutoff of 2. The trimmed reads were then mapped to the human genome GRCh38/hg38, using sequence and annotation provided by Ensembl (release 82). Approximately 92% of reads were mapped in pairs (SD = 1.14) across all samples, and 97.7% of reads were mapped in total (SD = 0.45).
Following human mapping, the remaining unmapped reads were collected and mapped to the Human Herpesvirus strain KOS genome (GenBank: JQ780693.1) in a similar manner.
Functional analysis of differentially expressed genes (DEG) was performed using Qiagen’s Ingenuity Pathway Analysis (IPA, Qiagen Bioinformatics,
https://www.qiagenbioinformatics.com/products/ingenuity-pathway-analysis/). IPA provides tools to interpret DEG datasets in the context of biological pathways
41. Canonical pathway analysis identified biological pathways from the IPA library of canonical pathways that were most significant in relation to the R430-treated DEG data set. The significance of the association was measured by (1) a ratio (the number of genes from the data set mapped to the pathway divided by the total number of genes present in the pathway-map) and (2) a p-value, calculated by Fisher’s exact test. Pathways Activity Analysis, a function of IPA, enables prediction of the overall activation/inhibition states of the canonical pathways based on a z-score algorithm.
Genes involved in aspects of neurogenesis were compiled from the Gene Ontology (GO) Consortium resources (
http://geneontology.org/). GO terms involved in neuronal differentiation, migration and proliferation were compiled, and these functional groupings of genes were assessed with regard to their dysregulation in HSV-1 infected cells compared to uninfected cells, both in the presence of and absence of antivirals.
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