Page 27 - MI-2-2
P. 27

Microbes & Immunity                                                     Genetic therapy with HSV-1 vectors



            they can rapidly develop immunity, and the lesions are   and damaged skin.  Serological  surveys have shown that
            limited to only the skin and mucous membrane surfaces.   the level of HSV-1 antibody is directly related to age and
            Severe HSV-1 reactivation is often induced in people   socioeconomic status. In most underdeveloped countries,
            with deficient immunity (organ transplantation, patients   90% of people over 30 years of age are positive for HSV-1.
            receiving immunosuppressants and antitumor therapy)   Approximately 50 – 60% of the middle-class population
            and those with immature immune function. After     in the United States has detectable levels of antibodies to
            neonates are infected with HSV-1, lesions, such as those   HSV-1, while that of the group with poor socioeconomic
            in the brain, liver, eyes, adrenal glands, lungs, and skin and   status is close to 90%. After the first infection in healthy
            mucous membranes, often spread throughout the whole   humans, patients usually have no clinical symptoms and
            body, resulting in severe conditions and high mortality.   then develop a latent infection. HSV-1 causes mainly
            When extensive skin injury occurs, such as eczema and   pharyngitis, cold sores, and keratoconjunctivitis.
            burns, HSV-1 often manifests as generalized herpes on
            the skin and mucous membranes and can be transmitted   2.4. HSV-1 infection
            throughout the body to cause disease.              HSV-1 relies on the binding of glycoproteins on the
                                                               envelope to host cell-surface receptors so that the envelope
              HSV-1 can adapt to a wide range of host cells and
            can reproduce in various passages of cells with obvious   fuses with the cell membrane of infected cells, the cortex
                                                               and capsid then enter the cytoplasm, and the capsid docks
            cytopathy. HSV-1 has a wide host range; except in   in the nucleoporin complex. The viral DNA is injected into
            humans, it can infect almost all kinds of epithelial cells
            and fibroblasts from embryos and neonatal animals. The   the nucleus with the help of nucleoporin, and then, the
            replication cycle of HSV-1 is 12 – 18 h in most sensitive cell   replication of new viral DNA and transcription of mRNA is
            lines, and cytopathic cells appear 24 – 48 h after infection.  performed in the nucleus. The new virus buds through the
                                                               nucleolus to form an envelope and then buds via similar
              HSV-1 is sensitive to heat and dryness and can be   protein transport to become a mature progeny virus.
            inactivated in a 50% humid heat environment or a 90%
            dry  environment  for  30  min. The  median lethal period   2.4.1. Acute infection
            of ultraviolet (UV) light is 5 – 7 s, and 2  min of X-ray   In HSV-1-infected cells, virus-specific gene products are
            exposure at 1200 rad can inactivate 90% of the virus. The   tightly chronologically regulated. IE proteins synthesized
            viruses were inactivated after treatment with 1% phenol   2 – 4 h after infection may play a regulatory role in viral
            (phenol, phenolic acid) for 3 days at room temperature and   transcript levels. The synthesis of the E protein inhibits the
            then treated with 5% phenol at 4°C for 18 h. Treatment   synthesis of the IE protein while it induces the synthesis
            with ethanol, ether, or chloroform at 4°C for 18  h can   of the L protein. Late proteins are generally synthesized 12
            inactivate HSV-1 in the liquid but has little effect on the   – 15 h after viral infection of cells and are components of
            virus in a dry environment. The viruses were inactivated   viral particles. The local infiltrating cells of viral infection
            by treatment with 1:1000 potassium permanganate for 1 h   are initially neutrophils, followed by mononuclear cell
            at room temperature. At 35°C, 0.01 mol/L formaldehyde or   infiltration.
            virus at 100 – 1000 pfu/mL (pfu: plaque forming unit) can   HSV-1 is able to spread through the central ganglia or
            be completely inactivated by treatment with 0.001 mol/L   networks of cells innervated by axon nerves and lurks in
            iodine for 1 h.
                                                               the sensory and autonomic ganglia.
              HSV-1 is stable in solution with protein, so 10% horse
            serum or rabbit serum, 0.1% egg yolk or 0.5% gelatin are   2.4.2. Latent versus active infections
            commonly used to preserve the virus. When cysteine is   The virus enters the cell bodies of sensitive ganglia
            present in a viral suspension, it can prevent the oxidation   from peripheral ganglia through axonal transport and
            of the virus and protect the virus. Virus-infected tissues   then undergoes lytic or latent infection.  HSV-1 was
                                                                                                  10
            can be stored in 50% glycerol at 4 – 8°C for half a year. The   demonstrated to be latent in the trigeminal ganglion,
            HSV can be stored for several years after lyophilization.  superior cervical ganglion, and vagus ganglion and
                                                               occasionally in the dorsal sensory nerve roots of S2-3, as
            2.3. Pathogenicity and immunity of HSV-1
                                                               demonstrated by coculture. In the latent infected state, the
            HSV-1 infection is very common and has a global    genome of the virus is encapsulated by histones but does
            distribution. Humans are the only natural hosts of HSV-1,   not integrate into the host genome.  In this state, the virus
                                                                                           11
            which is transmitted mainly through direct and close   enters a relatively quiescent state; almost none of the viral
            contact.  Viruses  can  invade  the  body  through  various   genes are transcribed, and only some viral RNAs associated
            channels, including through the mouth, respiratory tract,   with latency (LAT and miRNA) are still transcribed.


            Volume 2 Issue 2 (2025)                         19                               doi: 10.36922/mi.7947
   22   23   24   25   26   27   28   29   30   31   32