Pathogenesis of Human Cytomegalovirus Infection

A special issue of Pathogens (ISSN 2076-0817). This special issue belongs to the section "Viral Pathogens".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 9234

Special Issue Editor


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Guest Editor
Toulouse NeuroImaging Center (ToNIC), INSERM/UPS UMR 1214, CHU Toulouse Purpan – Pavillon BAUDOT, Place du Dr Joseph Baylac, CEDEX 3, 31024 Toulouse, France
Interests: disease modeling; stem cells neurobiology; cytomegalovirus; infection

Special Issue Information

Dear Colleagues,

Infection with human cytomegalovirus (HCMV, also known as human herpesvirus 5) causes a hidden pandemic, with more than half the world's population having been or to be infected in the absence of an available vaccine to date. It is, in a sense, hidden because infection in immunocompetent individuals is rarely symptomatic, and despite their significant prevalence (1% of live births), congenital infections result in a sequelae of varying severities, potentially going unnoticed. 

Nevertheless, congenital HCMV infection is the most common cause of permanent neurological defects (1–2 per thousand live births), with a high human, societal and economic cost. HCMV infection also threatens immunocompromised subjects in iatrogenic or pathological ways, as well as complicating solid organ transplantation.

After the primary infection and throughout the life of the host, HCMV maintains a state of latency, the control of which continuously involves the immune system and threatens the vascular system. Thus, HCMV is suspected of playing a key role in immunosenescence or vasculosenescence. HCMV has also been associated with certain cancers and autoimmunity.

HCMV is a fascinating pathogen. It has already been associated with our lineage millions of years ago, which has allowed it to adapt admirably to its host. The latency and reactivation of HCMV are far from being fully understood. From the expression of its vast genome to the formation of its tegument and envelope, HCMV combines innumerable molecular tools to subvert the immune response, and control the host cell from its membrane receptors to epigenetic dynamics. Thus, HCMV also has much to teach us about the functioning of our own cells.

For this special Issue of Pathogens, we invite you to submit novel manuscripts addressing timely and relevant studies concerning cytomegalovirus infection, in the form of original research articles, reviews, or case reports, should they use cell or animal models or clinical or translational studies. Manuscripts highlighting topics such as, for example, HCMV evolution, infection, latency, pathophysiology, the connection to the host immune response, as well as prognoses or therapy are very welcome. We look forward to your contribution.

Dr. Stéphane Chavanas
Guest Editor

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Keywords

  • cytomegalovirus
  • infection
  • immune response
  • virus–host interactions
  • congenital

Published Papers (4 papers)

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10 pages, 1602 KiB  
Article
Genetic and Functional Characterization of Congenital HCMV Clinical Strains in Ex Vivo First Trimester Placental Model
by Deborah Andouard, Valentin Tilloy, Elodie Ribot, Melissa Mayeras, Daniel Diaz-Gonzalez, Chahrazed El Hamel, Fabienne Piras-Douce, Nathalie Mantel and Sophie Alain
Pathogens 2023, 12(8), 985; https://doi.org/10.3390/pathogens12080985 - 27 Jul 2023
Cited by 1 | Viewed by 862
Abstract
Human cytomegalovirus (HCMV) is the leading cause of congenital viral infection, leading to a variety of symptoms in the unborn child that range from asymptomatic to death in utero. Our objective was to better understand the mechanisms of placental infection by HCMV clinical [...] Read more.
Human cytomegalovirus (HCMV) is the leading cause of congenital viral infection, leading to a variety of symptoms in the unborn child that range from asymptomatic to death in utero. Our objective was to better understand the mechanisms of placental infection by HCMV clinical strains, particularly during the first trimester of pregnancy. We thus characterized and compared the replication kinetics of various HCMV clinical strains and laboratory strains by measuring viral loads in an ex vivo model of first trimester villi and decidua, and used NGS and PCA analysis to analyze the genes involved in cell tropism and virulence factors. We observed that first trimester villi and decidua are similarly permissive to laboratory and symptomatic strains, and that asymptomatic strains poorly replicate in decidua tissue. PCA analysis allowed us to segregate our clinical strains based on their clinical characteristics, suggesting a link between gene mutations and symptoms. All these results bring forth elements that can help better understand the mechanisms that induce the appearance of symptoms or in the congenitally infected newborn. Full article
(This article belongs to the Special Issue Pathogenesis of Human Cytomegalovirus Infection)
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22 pages, 7033 KiB  
Article
IL-10-Secreting CD8+ T Cells Specific for Human Cytomegalovirus (HCMV): Generation, Maintenance and Phenotype
by Sarah E. Jackson, George X. Sedikides, Veronika Romashova, Georgina Okecha, Ester B. M. Remmerswaal, Frederike J. Bemelman, John H. Sinclair and Mark R. Wills
Pathogens 2022, 11(12), 1530; https://doi.org/10.3390/pathogens11121530 - 13 Dec 2022
Cited by 4 | Viewed by 1988
Abstract
HCMV-specific CD8+ T-cells are potent anti-viral effector cells in HCMV infected individuals, but evidence from other viral infections suggests that CD8+ T-cells can also produce the immunomodulatory cytokine IL-10. In this work we show that there are HCMV-specific IL-10 CD8+ [...] Read more.
HCMV-specific CD8+ T-cells are potent anti-viral effector cells in HCMV infected individuals, but evidence from other viral infections suggests that CD8+ T-cells can also produce the immunomodulatory cytokine IL-10. In this work we show that there are HCMV-specific IL-10 CD8+ T-cell responses in a cohort of individuals aged 23–76 years of age, predominantly directed against the HCMV proteins known to be expressed during latent infections as well as towards the proteins US3 and pp71. The analysis of HCMV-specific responses established during primary infection has shown that the IL-10 responses to US3 and pp71 HCMV proteins are detectable in the first weeks post infection, but not the responses to latency-associated proteins, and this IL-10 response is produced by both CD8+ and CD4+ T-cells. Phenotyping studies of HCMV-specific IL-10+ CD8+ T-cells show that these are CD45RA+ effector memory cells and co-express CD28 and CD57, however, the expression of the inhibitory receptor PD-1 varied from 90% to 30% between donors. In this study we have described for the first time the HCMV-specific IL-10 CD8+ T-cell responses and have demonstrated their broad specificity and the potential immune modulatory role of the immune response to HCMV latent carriage and periodic reactivation. Full article
(This article belongs to the Special Issue Pathogenesis of Human Cytomegalovirus Infection)
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11 pages, 767 KiB  
Article
Whole Blood versus Plasma Samples—How Does the Type of Specimen Collected for Testing Affect the Monitoring of Cytomegalovirus Viremia?
by Mateusz Rzepka, Dagmara Depka, Eugenia Gospodarek-Komkowska and Tomasz Bogiel
Pathogens 2022, 11(11), 1384; https://doi.org/10.3390/pathogens11111384 - 19 Nov 2022
Cited by 6 | Viewed by 2278
Abstract
Viral infections, or their reactivations, are one of the most important groups of transplantation complications that can occur among recipients of both hematopoietic cells and solid organ transplants. They are the most commonly caused by cytomegalovirus (CMV). Currently, the use of whole blood [...] Read more.
Viral infections, or their reactivations, are one of the most important groups of transplantation complications that can occur among recipients of both hematopoietic cells and solid organ transplants. They are the most commonly caused by cytomegalovirus (CMV). Currently, the use of whole blood or plasma samples is recommended for CMV viral load monitoring. The aim of the study was to assess and compare the level of CMV DNA, depending on the type of clinical material—whole blood or plasma fraction derived from the same patient. The studies were carried out on 156 whole blood samples in which the presence of CMV genetic material was confirmed and the corresponding plasma samples from the same rounds of sampling. CMV DNA was not present in 59 (37.8%) of plasma samples compared to whole blood-positive counterparts. Of the samples positive in both types of clinical specimen, 77 (79.4%) had higher viral DNA levels in the whole blood samples. There were statistically significant differences in the detected CMV DNA load in the whole blood compared to plasma fraction counterparts (p < 0.001). The detected CMV DNA value is usually higher in whole blood compared to plasma samples of the same patient. Due to the variability in CMV viral load depending on the clinical material used for a particular patient, one type of specimen should be always used consequently for CMV viremia monitoring. Full article
(This article belongs to the Special Issue Pathogenesis of Human Cytomegalovirus Infection)
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4 pages, 572 KiB  
Case Report
Cytomegalovirus-Associated Gianotti-Crosti Syndrome in 28-Year-Old Immunocompetent Patient
by Florence Dupont, Aurélien Aubry, Jean-Philippe Lanoix and Baptiste Demey
Pathogens 2022, 11(11), 1338; https://doi.org/10.3390/pathogens11111338 - 12 Nov 2022
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Abstract
Gianotti-Crosti syndrome is a cutaneous eruption that occurs rarely in adults. It mostly concerns pediatric population and immunocompromised patients. Cytomegalovirus has already been described as one etiology of Gianotti-Crosti acrodermatitis in children and bone-marrow transplanted patients. Here, we present a Cytomegalovirus-associated Gianotti-Crosti syndrome [...] Read more.
Gianotti-Crosti syndrome is a cutaneous eruption that occurs rarely in adults. It mostly concerns pediatric population and immunocompromised patients. Cytomegalovirus has already been described as one etiology of Gianotti-Crosti acrodermatitis in children and bone-marrow transplanted patients. Here, we present a Cytomegalovirus-associated Gianotti-Crosti syndrome in a 28-year-old immunocompetent female patient diagnosed in CHU Amiens-Picardie (Amiens, France). This type of case has never been shared in literature before. This rare complication of Cytomegalovirus infection indirectly led to disruption of anticoagulant treatment and thromboembolic incident that could have been fatal. Full article
(This article belongs to the Special Issue Pathogenesis of Human Cytomegalovirus Infection)
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