Abstract: Herpesviruses establish a well-adapted balance with their host's immune system. Despite this co-evolutionary balance, infections can lead to severe disease including neurological disorders in their natural host. In horses, equine herpesvirus 1 (EHV-1) causes respiratory disease, abortions, neonatal foal death and myeloencephalopathy (EHM) in ~10 % of acute infections worldwide. Many aspects of EHM pathogenesis and protection from EHM are still poorly understood. However, it has been shown that the incidence of EHM increases to >70 % in female horses >20 years of age. In this study we used old mares as an experimental equine EHV-1 model of EHM to identify host-specific factors contributing to EHM. Following experimental infection with the neuropathogenic strain EHV-1 Ab4, old mares and yearling horses were studied for 21 days post-infection. Nasal viral shedding and cell-associated viremia were assessed by quantitative PCR. Cytokine/chemokine responses were evaluated in nasal secretions and cerebrospinal fluid (CSF) by Luminex assay and in whole blood by quantitative real-time PCR. EHV-1-specific IgG sub-isotype responses were measured by ELISA. All young horses developed respiratory disease and a bi-phasic fever post-infection, but only 1/9 horses exhibited ataxia. In contrast, respiratory disease was absent in old mares, but all old mares developed EHM that resulted in euthanasia in 6/9 old mares. Old mares also presented significantly decreased nasal viral shedding but higher viremia coinciding with a single fever peak at the onset of viremia. According to clinical disease manifestation, horses were sorted into an EHM group (nine old horses and one young horse) and a non-EHM group (eight young horses) for assessment of host immune responses. Non-EHM horses showed an early upregulation of IFN-α (nasal secretions), IRF7/IRF9, IL-1β, CXCL10 and TBET (blood) in addition to an IFN-γ upregulation during viremia (blood). In contrast, IFN-α levels in nasal secretions of EHM horses were low and peak levels of IRF7, IRF9, CXCL10 and TGF-β (blood) coincided with viremia. Moreover, EHM horses showed significantly higher IL-10 levels in nasal secretions, peripheral blood mononuclear cells and CSF and higher serum IgG3/5 antibody titres compared to non-EHM horses. These results suggest that protection from EHM depends on timely induction of type 1 IFN and upregulation cytokines and chemokines that are representative of cellular immunity. In contrast, induction of regulatory or TH-2 type immunity appeared to correlate with an increased risk for EHM. It is likely that future vaccine development for protection from EHM must target shifting this 'at-risk' immunophenotype.
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This research study examines the role of the host’s immune response on the development of equine herpesvirus myeloencephalopathy (EHM), a potentially fatal disease in horses. The findings suggest that protective immunity against EHM depends on a timely immune response, and changes in immunity types may increase chances of developing the disease, indicating a possible direction for future vaccine development.
Study Design and Overview
This study uses older female horses as a model to identify host-specific factors contributing to EHM. The female horses and yearling horses were infected with a neuropathogenic strain of equine herpesvirus 1 (EHV-1).
Post-infection, the animals’ health and immune responses were tracked for 21 days. Measurements were taken of nasal viral shedding, cell-associated viremia, and immune responses in nasal secretions, cerebrospinal fluid, and blood.
In light of the animals’ clinical manifestations, the horses were split into two groups (EHM and non-EHM) for further analysis of their immune responses.
Results and Findings
All young horses developed respiratory illness but only 1 out of 9 showed signs of EHM. Older mares did not exhibit respiratory problems, but all developed EHM, which led to euthanasia in 6 out of 9 cases.
The non-EHM horses showed an early upregulation of certain immune markers in nasal secretions and blood. On the other hand, EHM horses showed low levels of IFN-α in nasal secretions and peak levels of a range of immune markers coinciding with viremia. Furthermore, EHM horses displayed superior IL-10 levels in nasal secretions, peripheral blood mononuclear cells, and CSF.
Results seem to suggest that the timely induction of certain types of immunity (type 1 IFN and cellular immunity) may provide protection from EHM. However, the induction of regulatory or TH-2 type immunity may correlate with an increased risk for developing EHM.
Implications and Future Research
The findings from this study indicate that future vaccine development for protection from EHM should aim at shifting the ‘at-risk’ immunophenotype.
Understanding the role of the host’s immune response in disease progression remains crucial. More research is needed to further uncover the specific elements and mechanisms involved.
Cite This Article
APA
Giessler KS, Goehring LS, Jacob SI, Davis A, Esser MM, Lee Y, Zarski LM, Weber PSD, Hussey GS.
(2024).
Impact of the host immune response on the development of equine herpesvirus myeloencephalopathy in horses.
J Gen Virol, 105(5).
https://doi.org/10.1099/jgv.0.001987
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