Glucocorticoid treatment of MCMV infected newborn mice attenuates CNS inflammation and limits deficits in cerebellar development.

TitleGlucocorticoid treatment of MCMV infected newborn mice attenuates CNS inflammation and limits deficits in cerebellar development.
Publication TypeJournal Article
Year of Publication2013
AuthorsKosmac K, Bantug GR, Pugel EP, Cekinovic D, Jonjić S, Britt WJ
JournalPLoS Pathog
Volume9
Issue3
Paginatione1003200
Date Published2013 Mar
ISSN1553-7374
KeywordsAnimals, Animals, Newborn, Brain, Cell Proliferation, Central Nervous System, Central Nervous System Diseases, Cerebellum, Dexamethasone, Disease Models, Animal, Encephalitis, Glucocorticoids, Herpesviridae Infections, Interferon-beta, Interferon-gamma, Mice, Mice, Inbred BALB C, Muromegalovirus, Neural Stem Cells, Prednisolone, Tumor Necrosis Factor-alpha
Abstract

Infection of the developing fetus with human cytomegalovirus (HCMV) is a major cause of central nervous system disease in infants and children; however, mechanism(s) of disease associated with this intrauterine infection remain poorly understood. Utilizing a mouse model of HCMV infection of the developing CNS, we have shown that peripheral inoculation of newborn mice with murine CMV (MCMV) results in CNS infection and developmental abnormalities that recapitulate key features of the human infection. In this model, animals exhibit decreased granule neuron precursor cell (GNPC) proliferation and altered morphogenesis of the cerebellar cortex. Deficits in cerebellar cortical development are symmetric and global even though infection of the CNS results in a non-necrotizing encephalitis characterized by widely scattered foci of virus-infected cells with mononuclear cell infiltrates. These findings suggested that inflammation induced by MCMV infection could underlie deficits in CNS development. We investigated the contribution of host inflammatory responses to abnormal cerebellar development by modulating inflammatory responses in infected mice with glucocorticoids. Treatment of infected animals with glucocorticoids decreased activation of CNS mononuclear cells and expression of inflammatory cytokines (TNF-α, IFN-β and IFNγ) in the CNS while minimally impacting CNS virus replication. Glucocorticoid treatment also limited morphogenic abnormalities and normalized the expression of developmentally regulated genes within the cerebellum. Importantly, GNPC proliferation deficits were normalized in MCMV infected mice following glucocorticoid treatment. Our findings argue that host inflammatory responses to MCMV infection contribute to deficits in CNS development in MCMV infected mice and suggest that similar mechanisms of disease could be responsible for the abnormal CNS development in human infants infected in-utero with HCMV.

DOI10.1371/journal.ppat.1003200
Alternate JournalPLoS Pathog.
PubMed ID23505367
PubMed Central IDPMC3591306
Grant ListR01 NS065845 / NS / NINDS NIH HHS / United States
P30 NS047466 / NS / NINDS NIH HHS / United States
T32 AI007051 / AI / NIAID NIH HHS / United States
T32 AI 007051 / AI / NIAID NIH HHS / United States
P30 AR048311 / AR / NIAMS NIH HHS / United States
1R01AI089956-01A1 / AI / NIAID NIH HHS / United States
5R01NS065845-03 / NS / NINDS NIH HHS / United States