Varicella-zoster virus (VZV) infection causes varicella, after which the virus becomes latent in ganglionic neurons. In tissue culture, VZV-infected human neurons remain viable at 2 weeks, whereas fibroblasts develop cytopathology. Next-generation RNA sequencing was used to compare VZV transcriptomes in neurons and fibroblasts and identified only 12 differentially transcribed genes of the 70 annotated VZV open reading frames (ORFs), suggesting that defective virus transcription does not account for the lack of cell death in VZV-infected neurons in vitro.V aricella-zoster virus (VZV) is an exclusively human neurotropic alphaherpesvirus that usually produces varicella (chickenpox) upon primary infection, after which the virus becomes latent in ganglionic neurons along the entire neuraxis. In tissue culture, VZV-infected neurons remain viable 2 weeks after infection, while all nonneuronal cells develop a cytopathic effect (CPE). Our earlier studies of VZV-infected neurons derived from induced pluripotent stem (iPS) cells revealed that neurons appeared healthy 2 weeks later, with no detectable infectious virus in the tissue culture medium; analysis of the neurons revealed VZV DNA, transcripts, and proteins corresponding to the VZV immediate early, early, and late kinetic phases of replication (1). Furthermore, ultrastructural examination revealed few complete virions and numerous aberrant viral particles (2). Together, these findings indicate that VZV is not latent in these neurons, despite the lack of CPE, and suggest a deficiency in replication and viral assembly in neurons during the productive infection. Thus, nextgeneration RNA sequencing (NextGen RNA-seq) was used to examine all annotated VZV transcripts in both cell types.Terminally differentiated human neurons derived from human-induced pluripotent stem cells (iCell; Cellular Dynamics International, Madison, WI) and human fetal lung (HFL) fibroblasts were infected at a multiplicity of infection (MOI) of 1 ϫ
10Ϫ3 cell-free vOka strain VZ virions (Zostavax; Merck, Whitehouse Station, NJ) as described previously (2). Total RNA was extracted from VZV-infected fibroblasts when ϳ80% CPE was reached and from VZV-infected neurons 14 days postinfection (dpi), at which time 5 to 10% of the neurons were infected. cDNA libraries were constructed for each sample (3 neuron, 3 fibroblast samples) using the Illumina TruSeq stranded-mRNA sample preparation kit (Illumina, San Diego, CA). The six independently and uniquely indexed libraries were pooled and loaded onto a single lane of a HiSeq2000 flow cell for paired-end, 100-bp DNA sequencing using an Illumina HiSeq2000.NextGen RNA-seq of six cDNA libraries yielded 29.2 to 76.8 million total reads per sample (Fig. 1A). Removal of low-quality FPKMs from all libraries were separated using principal-component analysis (PCA). Principal component 1 (PC1) separated samples by their largest variance and resulted in separation between cell types. PC2 separated samples by the next-largest variance, independent of the first, and result...