The pentameric complex is not required for congenital CMV transmission in seronegative rhesus macaques

Author:

Wang Hsuan-Yuan123ORCID,Taher Husam3,Kreklywich Craig N.3,Schmidt Kimberli A.4ORCID,Scheef Elizabeth A.5ORCID,Barfield Richard6,Otero Claire E.12ORCID,Valencia Sarah M.2ORCID,Zhang Ke78ORCID,Callahan Claire7ORCID,Monticolo Francesco7,Qiao Yueqing7,Gilbride Roxanne M.3ORCID,Crooks Chelsea M.1ORCID,Mirza Anne9,Knight Kelsey10,Moström Matilda J.5ORCID,Manuel Tabitha D.5ORCID,Sprehe Lesli5,Kendall Savannah5,Burgt Nathan Vande3ORCID,Kowalik Timothy F.9ORCID,Barry Peter A.4,Hansen Scott G.3ORCID,Shu Jian7811,Tarantal Alice F.12,Chan Cliburn6ORCID,Streblow Daniel N.3,Picker Louis J.3ORCID,Kaur Amitinder5ORCID,Früh Klaus3ORCID,Permar Sallie R.1ORCID,Malouli Daniel3ORCID

Affiliation:

1. Department of Pediatrics, Weill Cornell Medicine, New York, NY 10065, USA.

2. Duke University Medical Center, Durham, NC 27710, USA.

3. Vaccine and Gene Therapy Institute, Oregon Health & Science University, Beaverton, OR 97006, USA.

4. Department of Pathology and Laboratory Medicine, Center for Immunology and Infectious Diseases, California National Primate Research Center, University of California Davis, Davis, CA 95616, USA.

5. Division of Immunology, Tulane National Primate Research Center, Covington, LA 70433, USA.

6. Department of Biostatistics and Bioinformatics and Center for Human Systems Immunology, Duke University School of Medicine, Durham, NC 27710, USA.

7. Cutaneous Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

8. Broad Institute of MIT and Harvard, Boston, MA 02142, USA.

9. Department of Microbiology, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA.

10. Infectious Disease and Immunology, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA.

11. Harvard-MIT Program in Health Sciences and Technology, MIT, Cambridge, MA 02139, USA.

12. Departments of Pediatrics and Cell Biology and Human Anatomy, School of Medicine, and California National Primate Research Center, University of California Davis, Davis, CA 95616, USA.

Abstract

Congenital cytomegalovirus (cCMV) is the leading infectious cause of neonatal neurological impairment worldwide, but the viral factors enabling vertical spread across the placenta remain undetermined. The pentameric complex (PC), composed of the subunits gH/gL/UL128/UL130/UL131A, has been demonstrated to be important for entry into nonfibroblast cells in vitro. These findings link the PC to broad cell tropism and virus dissemination in vivo, denoting all subunits as potential targets for intervention strategies and vaccine development. To determine the relevance of the PC for congenital transmission in a translational nonhuman primate model, we engineered a rhesus CMV (RhCMV) mutant lacking the orthologs of UL128 and UL130, which demonstrated diminished infection of epithelial cells in vitro. However, intravenous inoculation of either CD4 + T cell–depleted or immunocompetent RhCMV-seronegative pregnant rhesus macaques (RMs) in the early second trimester with the PC-deficient mutant resulted in maternal RhCMV peak plasma viremia similar to inoculations with PC-intact RhCMV, although virus shedding in saliva and urine was limited. Infections with the PC-intact virus induced IgG responses that neutralized RhCMV entry into epithelial cells in tissue culture. These responses were reduced, but not absent, from animals infected with the PC-deficient virus, which also induced IgG responses against gH. Moreover, congenital CMV transmission was confirmed in multiple animals infected with PC-deficient virus by detecting viral DNA in the amniotic fluid, indicating that transplacental transmission in RMs is not contingent on the PC.

Publisher

American Association for the Advancement of Science (AAAS)

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