Human cytomegalovirus (HCMV) has developed multiple strategies to escape immune recognition. Here, we demonstrate that HCMV down-regulates HLA-DR expression in infected interferon ␥ (IFN-␥)-stimulated fibroblasts at 1 day after infection. Decreased HLA-DR expression was not observed on cells infected with an HCMV strain lacking the pp65 gene
IntroductionHuman cytomegalovirus (HCMV) belongs to the  herpes family, and a primary infection is followed by latency and/or a persistent infection. 1 Although HCMV infection is usually asymptomatic in healthy individuals, the virus can cause severe morbidity and mortality in immunocompromised patients, eg, patients who have received a transplant and patients with AIDS. T cells play an important role in combating intracellular pathogens. Activation of T cells depends on their ability to recognize foreign peptides associated with either HLA class I (cytotoxic T cells, CTL) or HLA class II molecules (CD4 ϩ T cell). Although HLA class I molecules are expressed by all nucleated cells, HLA class II molecules are present only on antigen-presenting cells, such as dendritic cells, macrophages, and B cells. However, HLA class II expression can be induced on other cells by, for example, interferon ␥ (IFN-␥) stimulation. Both the inducible and the constitutive HLA class II expression is tightly regulated, and multiple proteins are involved in this process. 2 Increased or induced HLA class II expression by IFN-␥ 3 is mediated through activation of the Jak/Stat signaling pathway and transcription of the class II transactivator (CIITA), 4 which initiates HLA class II transcription. Furthermore, several proteins are responsible for controlling the transportation and peptide loading of HLA class II molecules. Three important proteins in this process are HLA-DM, the invariant chain (Ii), and the class II-associated invariant chain peptide (CLIP). Although the invariant chain is involved in the correct folding of the HLA class II complex in the endoplasmic reticulum (ER) and transportation of the complex to the class II compartment (MIIC), prevention of peptide binding in the ER is mediated by CLIP. HLA-DM catalyses the release of CLIP, and the binding of antigenic peptides to the cleft in the HLA class II molecules present in the MIIC. 5 CD4 ϩ T cells play a key role in the early activation of CTL as well as in B-cell activation. HCMV immediately early (IE)-specific CD4 ϩ T cells have been shown to produce cytokines, which inhibit HCMV replication in U373 MG cells, 6 and CD4 ϩ T cells can also control and clear murine CMV (MCMV) infection. 7,8 Thus, immune evasion strategies affecting HLA class II expression and antigen presentation to CD4 ϩ T cells would be of utmost importance for the virus to avoid early immune recognition. Although several different HCMV proteins 9-13 that interfere with HLA class I expression have been identified, the mechanisms and the viral proteins involved in down-regulation of HLA class II molecules on HCMV-infected cells are less characterized. Several studies ...