Confirmation in an Animal Model That RSV Productively Infects and
Persists in Key Cells Involved in Immunological Memory
Abstract
Respiratory syncytial virus (RSV) causes annual epidemics of acute
respiratory disease in large part because antibody levels fall rapidly
after infection. RSV is able to infect cultured dendritic cells (DCs)
and persist in these cells. Given the importance of DCs in antigen
presentation, RSV infection and persistence is likely to be an
evolutionary adaptation that can subvert the host immune response. This
study aimed to demonstrate infection and persistence of RSV in lung DCs
using an in vivo model of RSV infection. Mice were infected with
a modified strain of RSV which expresses a red fluorescent protein
(RSV-RFP) when replicating. Clinical symptoms of infection were
monitored using weight change and inflammatory cell counts from
bronchoalveolar lavage, which were correlated to RSV viral titre
(quantitative PCR). Lung tissues were collected at 3, 5, 7 and 21 days
post-infection (dpi) to assess leukocyte populations by flow cytometry.
Clinical symptoms and RSV viral load peaked at 5 dpi. RSV-RFP was most
prevalent in macrophages at 3 dpi and observed in B cells and DCs. At 21
dpi, RSV-RFP remained evident in a subset of conventional DCs (CD103
+CD11b +) even though clinical
symptoms and pulmonary inflammation had resolved. This data indicates
that RSV infects, replicates in and persists in a sub-population of lung
cDCs after resolution of symptoms and clearance of virus from the
airways. Understanding the implications of this adaptation is likely to
provide crucial insights into the virus’s ability to generate annual
epidemics of respiratory disease.