The literature on egress of different herpesviruses after secondary envelopment is contradictory. In this report, we investigated varicella-zoster virus (VZV) egress in a cell line from a child with Pompe Disease, a glycogen storage disease caused by a defect in the enzyme required for glycogen digestion. In Pompe cells, both the late autophagy pathway and the mannose-6-phosphate receptor (M6PR) pathway are interrupted. We have postulated that intact autophagic flux was required for higher recoveries of VZV infectivity. To test that hypothesis, we infected Pompe cells and then assessed the VZV infectious cycle. We discovered that the infectious cycle in Pompe cells was remarkably different from either fibroblast or melanoma cells. No large late endosomes filled with VZV particles were observed in Pompe cells; only individual viral particles in small vacuoles were seen. The distribution of the M6PR pathway (trans Golgi network to late endosome) was constrained in infected Pompe cells. When analyzed with two different anti-M6PR antibodies, extensive co-localization of the major VZV glycoprotein gE (known to contain M6P residues) and the M6PR was documented in the viral highways at the surface of non-Pompe cells after maximum intensity projection of confocal z-stacks, but neither gE nor M6PR was seen in abundance at the surface of infected Pompe cells. Taken together, our results suggested that (i) Pompe cells lacked a VZV trafficking pathway within M6PR-positive large endosomes and (ii) most infectious VZV in conventional cell substrates was transported via large M6PR-positive vacuoles without degradative xenophagy to the plasma membrane.
Importance. The long term goal of this research has been to determine why VZV, when grown in cultured cells, invariably is more cell associated with lower titer as compared with other alpha herpes viruses such as herpes simplex virus 1 (HSV1) or pseudorabies virus (PRV). Data from both HSV1 and PRV laboratories have identified a Rab6 secretory pathway for transport of single enveloped viral particles from the trans Golgi network within small vacuoles to the plasma membrane. In contrast, post-secondary envelopment in fibroblast or melanoma cells, multiple infectious VZV particles accumulated within large M6PR-positive late endosomes that were not degraded en route to the plama membrane. We propose that this M6PR pathway is most utilized in VZV infection, least utilized in HSV1 infection, with PRV being closer to HSV1. Supportive data from other VZV, PRV and HSV1 laboratories about evidence for two egress pathways are included in the Discussion.