Abstract
BACKGROUND: Renal transplantation is the preferred treatment for patients with end-stage renal disease. Human cytomegalovirus (HCMV) activation is associated with decreased renal graft function and survival. Human cytomegalovirus encodes several immune modulatory proteins, including the G protein-coupled receptor US28, which scavenges human chemokines and modulates intracellular signaling.
METHODS: Our aim was to identify the expression and localization of US28 in renal allograft biopsies by immunohistochemistry and determine its role in viral spreading in vitro.
RESULTS: Immunohistochemistry revealed US28 in 31 of 34 renal transplant biopsies from HCMV-seropositive donors. Expression was independent of HCMV viremia or IgG serostatus. US28 was predominantly expressed in the cytoplasm of vascular smooth muscle cells (VSMCs) and tubular epithelial cells, with a median positivity of 20% and 40%, respectively. Also, US28-positive cells were present within arterial neointima. In contrast to US28, HCMV-encoded immediate early antigen was detected in less than 5% of VSMCs, tubular epithelial cells, interstitial endothelium, interstitial inflammatory infiltrates, and glomerular cells.Primary VSMCs were infected with green fluorescent protein-tagged wild type or US28-deficient HCMV. The viral spreading of US28-deficient HCMV, via culture medium or cell-to-cell transmission, was significantly impeded as shown by green fluorescent protein (ie, infected) cell quantification and quantitative real-time polymerase chain reaction. Additionally, the number and size of foci was smaller.
CONCLUSIONS: In summary, HCMV-encoded US28 was detected in renal allografts from HCMV-positive donors independent of viremia and serostatus. Also, US28 facilitates HCMV spreading in VSMCs in vitro. Because the vasculature is affected in chronic renal transplant dysfunction, US28 may provide a potential target for therapeutic intervention.
Original language | English |
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Pages (from-to) | 531-540 |
Number of pages | 10 |
Journal | Transplantation |
Volume | 101 |
Issue number | 3 |
Early online date | 1 Mar 2017 |
DOIs | |
Publication status | Published - Mar 2017 |
Bibliographical note
pmid 27362315Keywords
- Adult
- Aged
- Allografts
- Antibodies, Viral
- Biomarkers
- Biopsy
- Cells, Cultured
- Cytomegalovirus
- Cytomegalovirus Infections
- Epithelial Cells
- Female
- Humans
- Immunoglobulin G
- Immunohistochemistry
- Journal Article
- Kidney
- Kidney Transplantation
- Male
- Middle Aged
- Muscle, Smooth, Vascular
- Myocytes, Smooth Muscle
- Receptors, Chemokine
- Retrospective Studies
- Time Factors
- Tissue Donors
- Viral Proteins
- Virulence
- Young Adult