Transcript HCMV - ZMBH

Viral immune evasion strategies
Frank Momburg
Division of Molecular Immunology
German Cancer Research Center, Heidelberg
[email protected]
Viral immune evasion strategies
1. Viral evasion of MHC class I-mediated antigen presentation
2. Viral evasion of MHC class II-mediated antigen presentation
3. Viral evasion of natural killer cell activation
4. Viral interference of chemokine/cytokine action
5. Viral evasion of antibody responses and complement attack
6. Viral interference with apoptosis
Life styles and survival strategies of viruses
„hit and run“
„hit and hide“
Small RNA virus
e.g. human influenza virus
Large DNA virus
e.g. CMV
 Interference with innate immunity,
typically type I interferon
 Blockade of host gene transcription
 Antigenic hypervariability
 Interference with adaptive immunity
 Replication at immunoprivileged sites
 Molecular latency
 In most cases: elimination of the virus
 Persistent infection
Cytomegalovirus genome
(235 kbp, > 200 open reading frames)
Q N
A
C
B
G
F
M
K
H
L
C
D
J
I
OP
E
HindIII
Hepatitis B virus
Influenzavirus
Adenovirus
Vaccinia virus
CMV
Antigenic drift and antigenic shift of influenza virus
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Acute infection and latent phase (herpes simplex virus)
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Viruses involved in immune escape
Herpesviruses
HSV1,2
Herpes simplex virus types 1, 2
VZV
Varicella zoster virus
HCMV
Human cytomegalovirus
MCMV
Mouse cytomegalovirus
EBV
Epstein Barr virus
BHV-4
Bovine herpesvirus 4
EHV
Equine herpes virus
PRV
Pseudorabies virus
HVS
Herpesvirus saimiri
HHV-6,7,8 Human herpesvirus types 6, 7, 8
MHV-68 Mouse 2-herpesvirus 68
Poxviruses
Myxoma virus
Cowpox virus
Vaccinia virus
Molluscum contagiosum virus
Variola virus
Papovaviruses
BPV
Bovine papilloma virus
HPV
Human papilloma virus
SV40
Simian virus 40
Retroviruses
HIV
Human immunodeficiency virus
SIV
Simian immunodeficiency virus
MuLV
Murine leukemia virus
Others
Adenovirus
Influenzavirus
RSV
Respiratory syncytial virus
MV
Measles virus
HCV
Hepatitis C virus
HBV
Hepatitis B virus
The innate and the adaptive immune system
Presentation of antigenic peptides by MHC class I molecules
Cytotoxic T cell
T cell receptor
Cb C a
Vb Va
a1 a2
b 2m a3
CD8 coreceptor
Antigen presenting cell
Role of MHC class I-mediated antigen
presentation in antiviral immune responses
• The antigen-specific T cell receptors of CD8+ cytotoxic T cells
(CTL) recognize MHC class I molecules displayed on the
surface of virus-infected cells or on professional antigen
presenting cells (dendritic cells, macrophages, B cells).
• These MHC-I molecules present peptide antigens that are
cleaved out of endogenously synthesized viral proteins by
proteasomes and other intracellular proteases. Alternatively, viral
antigens can be cross-presented by professional APC after uptake
of viral particles or of apoptotic, virus-infected cells.
Viral subversion of MHC class I-mediated
antigen presentation
1. Interference with the biosynthesis of MHC-I molecules
Adenovirus
E1A
Transcriptional inhibition (via decrease of NFB)
of MHC-I heavy chain, TAP1/2, and LMP2/7 expression
2. Interference with antigen processing by proteasomes
HCMV
pp65
Kinase (IE phase), inhibits generation of antigenic
peptides from a 72 kDa transcription factor
(important antigen in immediate early phase)
EBV
EBNA-1
Contains a 239 residue Gly-Ala repeat that blocks
proteasomal processing
MuLV
env-p15E
Single amino acid change (K  R) in FMR
subtypes  loss of CTL epitope through altered
proteasomal cleavage site
Viral subversion of MHC class I-mediated
antigen presentation
2. Interference with antigen processing by proteasomes
HCMV
pp65
Kinase (IE phase), inhibits generation of antigenic
peptides of a 72 kDa transcription factor
(important antigen in immediate early phase)
EBV
EBNA-1
Contains a 239 residue Gly-Ala repeat that blocks
proteasomal processing
MuLV
env-p15E
Single amino acid change (K  R) in FMR
subtypes  loss of CTL epitope through altered
proteasomal cleavage site
Viral subversion of MHC class I-mediated
antigen presentation
3. Interference with peptide transport by TAP
HSV1/2
ICP47
Cytosolic protein blocking peptide binding to TAP
HCMV
US6
ER protein that inhibits peptide translocation
(inducing a conformational change that prevents
ATP binding to TAP1)
BHV/EHV/PRV
UL49.5
Inhibition of peptide translocation
(inducing a transport-incompetent arrest and
proteasomal degradation of TAP)
HIV
?
Inhibition of TAP
Viral subversion of MHC class I-mediated
antigen presentation
4. Interference with the heterotrimeric assembly of MHC-I molecules in the ER
HCMV
US2, US11
Dislocation of MHC-I through the Sec61p channel
to the cytosol  proteasomal degradation
HIV
Vpu
Dislocation from ER to cytosol  proteasomal
degradation
Adenovirus
E3/19K
Retains MHC-I in the ER, inhibits TAP/tapasin
association
HCMV
US3
Retains MHC-I in the ER, inhibition of tapasindependent peptide loading
MHV-68
mK3
Ubiquitination/degradation of TAP/tapasin
associated MHC-I
HPV
E5
Retains MHC-I in the Golgi complex
Viral factors interfering with the peptide loading
complex and assembly of MHC class I molecules
Retrotranslocation of MHC class I molecules from
the ER to the cytosol for proteasomal degradation
Viral subversion of MHC class I-mediated
antigen presentation
5. Interference with the intracellular trafficking of MHC-I molecules
MCMV
m152/gp40
Retains MHC-I in cis-Golgi network
MCMV
m04/gp34
Blocks antigen presentation by MHC-I on the cell
surface
MCMV
m06/gp48
Targets MHC-I to late endosomes/lysosomes 
degradation
HPV
E5
Retains MHC-I in the Golgi complex
HIV
Nef
Enhanced endocytosis of MHC-I
 sequestration in trans-Golgi network
HHV-8(KSHV)
K3, K5
Enhanced endocytosis of HLA-A, B, (C, E),
ubiquitination/degradation
HHV-7
U21
Diversion of MHC-I molecules to lysosomes 
degradation
Viral factors obstructing the intracellular
trafficking of MHC class I molecules
Viral inhibition of MHC class I-mediated
antigen presentation
6. Mutation of CTL epitopes
Mutations in class I-binding peptides represent an important mechanism to prevent
antiviral CTL responses, leading to loss of MHC-I binding, loss of CTL recognition,
or antagonism of an existing CTL response.
HIV, EBV, HBV, HCV, Influenza virus
Multiple immune evasion mechanisms employed by HIV
Role of MHC class II-mediated antigen
presentation in antiviral immune responses
• Viruses that enter cells through phagocytosis or receptormediated endocytosis, or that are enveloped in the trans-Golgi
network/early endosome, can undergo degradation into antigenic
peptides through the action of endosomal/lysosomal proteases.
Such peptides are loaded onto MHC class II (MHC-II) molecules
for presentation to CD4+ T cells.
• MHC-II molecules are constitutively expressed only by B cells,
macrophages, dendritic cells and endothelial cells, however, can
be induced on a variety of other cell types by IFN- in the course
of inflammtory responses.
• Activated CD4+ T cells function as helper T cells assisting the
maturation of CD8+ CTL and thus coordinate antiviral responses,
or may possess CTL activity themselves (in humans).
MHC class II-mediated presentation of
exogenous viral antigens
MHC class II-mediated presentation of
endogenous viral antigens
Viral evasion of MHC class II-mediated
antigen presentation
1. Interference with the biosynthesis of MHC-II molecules
MCMV
M27
IFN-induced transcriptional upregulation of MHC-II
expression inhibited
(interference with Jak1/STAT pathway  CIITA)
Adenovirus
E1A
IFN-induced transcriptional upregulation of MHC-II
expression inhibited
Interferon pathways
Viral evasion of MHC class II-mediated
antigen presentation
2. Interference with the intracellular trafficking of MHC-II molecules
HCMV
US2
Dislocation of MHC-II to cytosol  proteasomal
degradation
EBV
BZLF2
Association with HLA-DR(DP, DQ) b
chains on the cell surface  inhibition of antigen
presentation
BPV
E6
Interaction with AP-1 adaptor protein
 disturbs intracellular transport
BPV/HPV
E5
Interaction with 16K subunit of the vacuolar ATPase
 endosomal acidification and MHC-II processing 
Viral interference with MHC class IImediated antigen presentation
Viral inhibition of MHC class II-mediated
antigen presentation
3. Interference with the costimulatory molecule CD4 (T helper cells)
HIV-1,-2, SIV
Nef
Endocytosis of CD4 via AP-2 adaptor complex
(endocytosis motif in Nef), transport to lysosomes via
COPIb association
HIV-1
Vpu
Induction of CD4 ubiquitination in the ER 
dislocation to the cytosol  proteasomal degradation
Myxoma virus
?
Internalization of CD4  lysosomal degradation
Helper T cell
T cell receptor
MHC-II/peptide
Cb Ca
Vb Va
CD4 coreceptor
a1 b 1
a2 b 2
Antigen presenting cell
Molecular mechanisms employed by the HIV Nef protein
Role of NK cells in antiviral immune responses
• Natural Killer (NK) cells are important effector components of
the innate immune system that function in the initial defense
against viruses via direct cellular cytotoxicity and through the
production of inflammatory cytokines that promote the influx of
CD8+ T cells.
• For the control of certain viral infections in mice (RSV,
MCMV), an early NK-mediated cytotoxicity and IFN-
production plays an important role. In humans, a congenital lack
of NK cells is associated with severe herpesvirus infections and
low NK cell numbers correlate with more rapid progession
towards AIDS in HIV-positive patients.
• NK cells are preferentially activated in the presence of low
amounts of MHC-I molecules ("missing self") since particular
allelic variants of polymorphic MHC-I molecules trigger
inhibitory NK receptors.
Activation and inhibition of NK cells
Viral evasion of NK cell activation
1. MHC-I homologs binding to inhibitory NK receptors
MCMV
m144
Peptide-free MHC-I homolog, b2-microglobulinassociated, inhibitory NK receptor unknown
MCMV
m157
Distant MHC-I homolog; binding to Ly49I
inhibitory receptor in CMV-susceptible mouse strain,
to Ly49H activating receptor in CMV-resistant strain
HCMV
UL18
MHC-I homolog, b2-microglobulin and peptideassociated, binds to NK-inhibitory LIR-1/ILT-2
receptor
Viral evasion of NK cell lysis
2. Selective expression of NK-inhibitory MHC-I molecules
HIV-1
Nef
No downregulation of NK-inhibitory HLA-C, -E, -G molecules
HCMV
US2, US11
No downregulation of NK-inhibitory HLA-C, -E, -G molecules
HCMV
UL40
Encodes a leader sequence-derived peptide that is loaded onto
inhibitory HLA-E molecules in a TAP-independent fashion
3. Downmodulation of costimulatory molecules
HHV-8
(KSHV)
K5
Decreased surface expression and ubiquitination of costimulatory
ICAM-1 and B7-2 molecules
HCV
E2
Ligation of costimulatory CD81(TAPA-1) tretaspan molecule
Viral mechanisms for evading NK cells
TAP-independent NK cell inhibition by HLA-E and the
HCMV UL40 protein
Viral evasion of NK cell lysis
4. Inhibition of NK-activating ligands
HCMV
UL16
Intracellular retention of the NK cell activating
NKG2D ligands MICB and ULBP1,2 (does not
affect MICA and ULBP3)
MCMV
m152/gp40
Inhibits surface expression of NK activating
ligand H-60
Inhibition of NK cell activation by HCMV UL16
Role of cytokines and chemokines in antiviral responses
• Cytokines and chemokines are secreted polypeptides that coordinate
inflammation, cellular activation, proliferation, differentiation, and
chemotaxis.
• Cytokines and chemokines are immune mediators that are produced
early upon virus infection. They induce and maintain innate as well as
adaptive immune responses. Cytokines are responsible for flu-like
symptoms such as myalgia, fever, headache and drowsiness which are
common manifestations of acute virus infections.
• Cytokines can be powerful antiviral mediators, allowing clearance of
virus infection in the majority of cases. Double-stranded viral RNA 
type-I interferons (IFN-a/b)  protein translation , cell
proliferation , cellular RNases for viral RNA .
• Pro-inflammatory cytokines are of particular importance and
frequently targeted by viruses: IL-1, IL-12, TNF-a, IFN-a/b, IFN-,
and several chemokines that activate leukocyte migration.
Viral evasion of cytokine action
1. Interruption of cytokine production and maturation
Adenovirus
E1A
Blocks IRF-3-induced transcription of IFN-a/b
HPV
E6
Blocks IRF-3-induced transcription of IFN-a/b
HCMV
?
Inhibition of transcription of MCP-1 chemokine
Myxoma virus
SERP-2
Inhibition of IL-1b converting enzyme (ICE)  IL-1b 
Cowpox virus
CrmA/Spi-2
Inhibits several caspases, including ICE
Vaccinia virus
B13R
Inhibits several caspases, including ICE
Measles virus
Hemagglutinin Binding to CD46 (complement receptor/regulator for
C3b/C4b) on infected macrophages/DC  IL-12 production 
 Th1 response (IFN- production by T and NK cells) 
Viral interference with chemokine action
Viral evasion of chemokine/cytokine action
2. Interference with the receipt of the chemokine/cytokine signal
A. Viral chemokine receptor homologs
HCMV
HCMV
MCMV
HVS
HHV-8
HHV-6/7
US28
UL33
M33
ECRF3
ORF74
?
Functional CCR1 chemokine receptor (binds MCP-1, MIP-1ab, RANTES), co-receptor for HIV entry
CCR1 chemokine receptor, expressed in viral coat
CCR1 homolog, role in salivary gland dissemination and replication
Functional CXCR2 chemokine receptor
Constitutively active, agonist-independent CXCR2 receptor
Downregulation of cellular CXCR4 chemokine receptor in infected CD4+ T cells  response to ligand SDF-1 
B. Viral chemokine/cytokine homologs
HHV-8
MCV
HHV-8
HHV-6
MCMV
HHV-8
EBV
MCV
vMIP-II
MC-148P
vMIP-I
U83
m131
vIL-6
vIL-10
MC-51L
Broad spectrum CC-, CXC- and CX3C chemokine antagonist
Broad spectrum CC- and CXC chemokine antagonist
MIP-1b homolog, CCR8 agonist, Th2 response 
MIP-1a homolog, CC chemokine agonist
CC chemokine homolog, promotes virus dissemination
IL-6 homolog, increases angiogenesis and hematopoesis (role in Kaposi sarkoma, IL-6R+)
IL-10 homolog, antagonizes Th1 responses
Secreted, binds IL-18  NK activation, Th1 response
C. Virus-encoded secreted cytokine receptors and chemokine-binding proteins
Cowpox virus
Myxoma virus
HCMV
Vaccinia virus
Vaccinia virus
Myxoma virus
Vaccinia virus
EBV
CrmB, CrmC
MT-2
UL144
B18-R
B8-R
M-T7
B15-R
BARF-1
Secreted TNF-R homologs, sequester TNF-a and LT-a
Secreted TNF-R homolog, sequesters and inhibits TNF-a
TNF-R homolog, retained intracellularly
Secreted type I IFN-R homolog, sequesters IFN-a
Secreted type II IFN-R homolog, sequesters IFN-
Secreted type II IFN-R homolog, sequesters IFN-
Secreted IL-1b-R homolog, sequesters IL-1b
Secreted protein, sequesters CSF-1
Viral evasion of chemokine/cytokine action
3. Interference with interferon-mediated effector functions
A. Inhibition of IFN-induced gene transcription
Adenovirus
HPV
HCMV
HHV-8
E1A
E7
?
vIRF K9
Depletion of STAT1 or p48  ISGF3  IFN-induced transcriptional activation 
Sequestering of IRF1 IFN-induced gene transcription 
Depletion of Jak1 kinase and p48  ISGF3 
IRF antagonist, competition with IFN-induced transcription
B. Interference with IFN-induced cellular defence mechanisms
EBV
HCV
HSV
Vaccinia virus
Adenovirus
EBV
Vaccinia virus
HSV
EBNA2
E2
134.5
K3L
VAI RNA
EBER I
E3L
2'-5'-(A) analog
IRF antagonist, competition with IFN-induced transcription
Inhibits phosphorylation of eIF2a by dsRNA-dependent protein kinase (PKR)
Activates protein phosphorylase 1a to dephosphorylate eIF2a
eIF2a homolog, inhibits PKR
Viral RNA, inhibits PKR
Viral RNA, inhibits PKR
Sequesters ds-RNA, prevents PKR and 2’5’-OS activation
Inhibits 2'-5'-oligoadenylate synthase  RNaseL activity 
Viral evasion of antiviral cytokine effector functions
Role of antibodies and complement in antiviral reponses
• Protective antibodies bind to virus surface structures and can block their interaction with
cellular receptors.
• Antibody-tagged (opsonized) viruses can be cleared from the circulation via IgG-Fc receptors
expressed by phagocytes or by germinal center follicular dendritic cells ( viral spread
possible).
• Fc receptors (CD16) instruct NK cells to lyse antibody-coated virus-infected cells by
antibody-dependent cellular cytotoxicity (ADCC).
• IgM- and IgG-coated viruses can be neutralized by the classical complement pathway.
• Viruses tagged with the complement component C3b (or C4b, C3bi) can be phagocytosed via
the CR1 (CD35) complement receptor.
• Viruses coated with C3b cleavage products (C3d, C3bi) can activate the CR2 (CD21)
complement receptor of B cells. Follicular dendritic cells expressing CR1/CR2 complement
receptors trap opsonized viruses and stimulate antibody production by germinal center B cells.
• Phagocytosis of opsonized viruses elicits antigen processing, release of pro-inflammatory
cytokines and T cell activation. Byproducts of the complement pathway (C3a, C4a, C5a)
function as chemotactic peptides and amplify the inflammatory process.
Fc receptors
Viral evasion of antibody responses
Viral Fc receptor homologs
HSV-1
gE-gI
FcR homolog for monomeric or aggregated IgG,
expressed on virus particles or infected cells,
gE contains YXXL internalization motif for endocytosis
of immune complexes inhibition of ADCC
HSV-2
gE
FcR homolog
MCMV
Fcr1
FcR homolog
PRV
gE-gI
FcR homolog
VZV
gE-gI
FcR homolog
MV
NP
Ligates cellular inhibitory FcRII receptor (CD32)
downregulation of antibody production by B cells
Evasion of antibody responses by viral Fc receptors
The complement pathways and their regulation
Viral subversion of complement responses
1. Enhanced factor I-mediated inactivation of C3b, C4b, or C3 convertases by
viral proteins mimicking regulators of complement activation (RCA)
HSV1/2
gC-1/2
CR1(CD35) homolog
HVS
ORF-4
C4b-BP, CD46(MCP), CD55(DAF) homolog
HHV-8
CCPH
C4b-BP, CD46(MCP), CD55(DAF) homolog
Cowpox virus
IMP
C4b-BP homolog
Vaccinia virus
VCP
C4b-BP homolog
Variola virus
SPICE
C4b-BP homolog
HCMV
?
upregulation of host cell CD46 and CD55
HIV
?
downregulation of host cell CR1/CR2,
recruitment of factor H by gp41 and gp120
2. Inhibition of C9 polymerisation
HVS
HVS-CD59
CD59(MIRL) homolog
Viral evasion of complement activation
Viral interference with apoptosis (programmed cell death)
• Replicating viruses may stimulate suicide of the host cell directly or provoke
recognition by cytolytic T cells and NK cells.
• These immune effector cells induce apoptosis by secretion of cytotoxic cytokines
(such as TNFa) and by processes requiring direct cell-cell contact
(perforin/granzyme system or CD95/CD95-L system).
• Premature cell death would limit the time available for the production of new
virions and interrupt cycles of latency and reactivation used by persistent viruses.
Molecular pathways of apoptosis
Viral evasion of the extrinsic apoptosis pathway
1. Inhibition of TNF/Fas-mediated apoptosis
Myxoma virus
MT-2
Cowpox virus
Adenovirus
CrmB, C, D
E3-10.4/
14.5K
UL144
HCMV
TNF-R homolog, secreted form blocks TNF-a induced
apoptosis, intracellular form protects T cells from apoptosis
Secreted TNF-R homologs, neutralize TNF-a and LT-a
Multimeric complex (RID) that forces internalization and
lysosomal degradation of CD95 (Fas, APO-1)
TNF-R homolog, retained intracellularly, function unclear
2. Death effector domain (DED)-containing viral proteins (vFLIPs)
HHV-8
HVS
MCV
BHV-4
K13
ORF71
MC159, 160
BORFE2
Viral FLICE inhibitory proteins (vFLIPs) with 2 DEDs, bind
FADD/TRADD adaptor proteins, prevent activation of
FLICE (Caspase-8)/Caspase-10 following ligation of CD95,
TNFR1, TRAMP, TRAIL-R1/R2 death receptors
Viral regulation of the extrinsic apoptosis pathway
Viral evasion of the intrinsic apoptosis pathway
3. Viral caspase inhibitors
Cowpox virus
Vaccinia virus
Baculoviruses
Adenovirus
CrmA/SPI-2
SPI-2/B13R2
p35
vIAP
14.7K
Serpin, inhibits caspase-8, caspase-1 (ICE), granzyme B
Serpin, inhibits caspase-8, caspase-1 (ICE), granzyme B
Inhibits multiple caspases
Inhibits initiator caspase-9 and effector caspases-3 and -7
Inhibits caspase-8
4. Viral antiapoptotic Bcl-2 homologs
EBV
HHV-8, HVS
Adenovirus
EBV
BHRF1
BALF1
ORF16
E1B/19K
LMP-1
Bcl-2 homologs, prevent cytochrom c release from
mitochondria  activation of caspase-9 
dito
dito
Bcl-2 transcription mimics anti-apoptotic TNF-R signals
Viral regulation of the intrinsic apoptosis pathway
Viral immune evasion strategies
Co-evolution of viruses with their hosts for millions of years has led to a host
immune system of high complexicity and, likewise, sophisticated viral mechanisms
to antagonize immunity.
Viral antagonists interfere with all relevant effector pathways of the innate and
the adaptive immune system including
 the MHC class I-mediated antigen presentation activating cytotoxic T cells
 the MHC class II-mediated antigen presentation activating helper T cells
 the activation of natural killer cells
 the function chemokines and cytokines orchestrating cellular antiviral responses
 the function of antiviral antibodies
 the function of the complement system
 the induction of the extrinsic and intrinsic pathways of programmed cell death