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Berkebile, Z. W.

Publications and source records attributed to Berkebile, Z. W..

3 recordsLinked to original sources

Spatial Transcriptomics Reveals that the Local Immune Response to Placental Guinea Pig

Cytomegalovirus infection can disrupt placental development and function either by directly infecting placental cells or by eliciting a pathogenic immune response. The relative contributions of these two mechanisms to adverse pregnancy outcomes remains poorly understood. In this study, we used spatial transcriptomics to quantify host and viral gene expression at the maternal-fetal interface at near single-cell resolution. Guinea pig cytomegalovirus (GPCMV) infection after mid-gestation causes focal infections at the base of the main placenta. Samples for spatial transcriptomics were collected from guinea pigs infected with GPCMV at 35 days gestation. Viral loads and the location of infected cells in placentas were assessed using virus-specific droplet digital PCR and in situ hybridization at 21 days post-infection. Representative placentas were sectioned onto Visium Spatial Gene Expression Slides and sequencing libraries were prepared from six infected and six uninfected tissue sections. Spatial transcriptomes from 33,687 55-{micro}m spots were generated and used in subsequent analyses. To assess how infection affected gene expression at the maternal-fetal interface, a combination of graph-based clustering and manual classification was used to assign spatial transcriptomes to clusters representative of different anatomic regions. Infection dysregulated more transcripts in the decidua and junctional zone than in the labyrinth or non-capillarized syncytium. Notably, infection downregulated transcripts involved in lipid metabolism and upregulated transcripts involved in antiviral defense and chemokine signaling. A second analysis compared the spatial transcriptomes of GPCMV-infected cells and their immediate microenvironment with similar regions in uninfected placentas. A transcriptional signature indicative of immune activation was clear in this comparison, and the local placental response to cytomegalovirus infection was driven by upregulated chemokine signaling. Thus, spatial transcriptomics revealed regional patterns of gene expression in the guinea pig placenta and illuminated how the host response to GPCMV may compromise placental function. Author SummaryThe placenta supports fetal development while also acting as an immune barrier against bloodborne pathogens. Cytomegalovirus (CMV), the most common viral cause of congenital infections and preventable neurologic disability in children, evades host defenses to infect the placenta. How CMV affects the placenta and fetal health remains poorly understood. Using a guinea pig model of CMV infection during pregnancy and spatial transcriptomics, a recently-developed method that enables gene expression to be studied at near-cellular resolution, this study compared normal and infected placentas. The effects of infection on directly infected cells and their immediate environment and indirect effects that occur at more distant sites were revealed. This information may inform the development of therapies to improve placental function after CMV infection.

immunology↗

CD4+ but not CD8+ T cells are required for protection against severe guinea pig cytomegalovirus infections

Human cytomegalovirus (HCMV) is a ubiquitous herpesvirus and the leading cause of infectious disease related birth defects worldwide. How the immune response modulates the risk of intrauterine transmission of HCMV after maternal infection remains poorly understood. Maternal T cells likely play a critical role in preventing infection at the maternal-fetal interface and limiting spread across the placenta, but concerns exist that immune responses to infection may also cause placental dysfunction and adverse pregnancy outcomes. This study investigated the role of CD4+ and CD8+ T cells in a guinea pig model of primary cytomegalovirus infection. Monoclonal antibodies specific to guinea pig CD4 and CD8 were used to deplete T cells in non- pregnant and in pregnant guinea pigs after mid-gestation. CD4+ T cell depletion increased the severity of illness, caused significantly elevated viral loads, and increased the rate of congenital guinea pig cytomegalovirus (GPCMV) infection relative to animals treated with control antibody. CD8+ T cell depletion was comparably well tolerated and did not significantly affect the weight of infected guinea pigs or viral loads in their blood or tissue. However, significantly more viral genomes and transcripts were detected in the placenta and decidua of CD8+ T cell depleted dams post-infection. This study corroborates earlier findings made in nonhuman primates that maternal CD4+ T cells play a critical role in limiting the severity of primary CMV infection during pregnancy while also revealing that other innate and adaptive immune responses can compensate for an absent CD8+ T cell response in -CD8-treated guinea pigs. Author SummaryCongenital cytomegalovirus infection is a leading cause of adverse pregnancy outcomes and preventable disability in children. Using guinea pigs, a well-established small animal model of congenital infection and intrauterine development, this study tested how depleting T cells affects the course of primary cytomegalovirus infections. Severe illness and high rates of congenital infection were observed when helper CD4+ T cells were depleted. The depletion of killer CD8+ T cells did not affect the severity of disease or the rate of congenital infection but did increase the amount of virus that was detected in the placenta. A greater understanding how an immune response can prevent the infection of the placenta and developing offspring is needed to inform vaccine and therapeutic development. This study not only describes a new reagent that can be used to study the guinea pig immune system but also sheds new light in how adaptive immunity regulates congenital viral infection.

immunology↗

Human Trophoblast Stem Cells Restrict Human Cytomegalovirus Replication

Placental infection plays a central role in the pathogenesis of congenital human cytomegalovirus (HCMV) infections and is a cause of fetal growth restriction and pregnancy loss. HCMV can replicate in some trophoblast cell types, but it remains unclear how the virus evades antiviral immunity in the placenta and how infection compromises placental development and function. Human trophoblast stem cells (TSCs) can be differentiated into extravillous trophoblasts (EVTs), syncytiotrophoblasts (STBs), and organoids, and this study assessed the utility of TSCs as a model of HCMV infection in the first trimester placenta. HCMV was found to non-productively infect TSCs, EVTs, and STBs. Immunofluorescence assays and flow cytometry experiments further revealed that infected TSCs frequently only express immediate early viral gene products. Similarly, RNA-sequencing found that viral gene expression in TSCs does not follow the kinetic patterns observed during lytic infection in fibroblasts. Canonical antiviral responses were largely not observed in HCMV-infected TSCs and TSC-derived trophoblasts. Rather, infection dysregulated factors involved in cell identity, differentiation, and WNT signaling. Thus, while HCMV does not replicate in TSCs, infection may perturb trophoblast differentiation in ways that could interfere with placental function. ImportancePlacental infection plays a central role in HCMV pathogenesis during pregnancy, but the species-specificity of HCMV and the limited availability and lifespan of primary trophoblasts have been persistent barriers to understanding how infection impacts this vital organ. Human TSCs represent a new approach to modeling viral infection early in placental development. This study reveals that TSCs, like other stem cell types, restrict HCMV replication. However, infection perturbs the expression of genes involved in differentiation and cell fate determination, pointing to a mechanism by which HCMV could cause placental injury.

microbiology↗