Japanese encephalitis, caused by infection with the neurotropic flavivirus, Japanese encephalitis virus (JEV), is among the most important viral encephalitides in Asia. While previous studies established an essential role of Ab and type I IFN, it is still unclear if the cell-mediated immune responses, through their direct antiviral effector functions, contribute to protection against the fatal disease. We report here that mice defective in both the granule exocytosis and death receptor pathways of cytotoxicity display increased susceptibility to JEV. The two cell contact-dependent cytotoxic effector mechanisms act redundantly within the CNS to reduce disease severity. We also demonstrate that IFN-γ is critical in recovery from primary infection with JEV by a mechanism involving suppression of virus growth in the CNS, and that T cells are the main source of the cytokine that promotes viral clearance from the brain. Finally, we show by in vivo depletion of NK cells that this innate immune cell population is dispensable for control of JEV infection in the periphery and in the CNS. Accordingly, cell contact-dependent cytolytic and IFN-γ-dependent noncytolytic clearance of virus mediated by T cells trafficking into the CNS help in recovery from lethal infection in a mouse model of Japanese encephalitis.
Keywords: Fas receptor r Flavivirus r Granzyme r Mouse model r Viral encephalitisAdditional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionTo explore the immunological correlates for recovery from primary infection with the medically important neurotropic flavivirus, Japanese encephalitis virus (JEV), we have developed an adult mouse model that resembles the physiological route of virus transmission to the mammalian host by the bite of an infected mosquito [1]. We found that s.c. deposition of a small dose of JEV into the footpad of C57BL/6 (B6) mice resulted in neuroCorrespondence: Dr. Mario Lobigs e-mail: m.lobigs@uq.edu.au invasive disease that was lethal in ∼60% of animals. Mice staged T-cell-independent IgM and T-cell-dependent IgG responses that became detectable at days 4 and 8 postinfection (pi) respectively, and neutralized virus infectivity in vitro [1]. This early and sustained humoral immune response is considered absolutely essential for survival of infection with JEV and related flaviviruses, because infections of B-cell-deficient (μMT) mice were uniformly lethal [1,2]. In addition to Ab, type I IFN responses are indispensable in the control of JEV infection [3,4]. On the other hand, the role of CD8 + T cells in recovery from Japanese encephalitis (JE) remains ambiguous. While JEV infection resulted in extensive activation and migration of CD8 + T cells into the CNS, they did not provide a significant survival advantage based on mortality rates in groups of mice subjected to in vivo depletion of this Infection of the CNS with JEV triggers extensive neuronal death induced directly by viral infection as well as bystander damage resulting fr...