Protection from secondary dengue virus infection in a mouse model reveals the role of serotype cross-reactive B and T cells

S Zompi, BH Santich, PR Beatty… - The Journal of …, 2012 - journals.aai.org
The Journal of Immunology, 2012journals.aai.org
The four dengue virus (DENV) serotypes cause dengue fever and dengue hemorrhagic
fever/dengue shock syndrome. Although severe disease has been associated with
heterotypic secondary DENV infection, most secondary DENV infections are asymptomatic
or result in classic DF. The role of cross-reactive immunity in mediating cross-protection
against secondary heterotypic DENV infection is not well understood. DENV infection of IFN-
α/β and IFN-γ receptor-deficient (AG129) mice reproduces key features of human disease …
Abstract
The four dengue virus (DENV) serotypes cause dengue fever and dengue hemorrhagic fever/dengue shock syndrome. Although severe disease has been associated with heterotypic secondary DENV infection, most secondary DENV infections are asymptomatic or result in classic DF. The role of cross-reactive immunity in mediating cross-protection against secondary heterotypic DENV infection is not well understood. DENV infection of IFN-α/β and IFN-γ receptor-deficient (AG129) mice reproduces key features of human disease. We previously demonstrated a role in cross-protection for pre-existing cross-reactive Abs, maintained by long-lived plasma cells. In this study, we use a sequential infection model, infecting AG129 mice with DENV-1, followed by DENV-2 6–8 wk later. We find that increased DENV-specific avidity during acute secondary heterotypic infection is mediated by cross-reactive memory B cells, as evidenced by increased numbers of DENV-1–specific cells by ELISPOT and higher avidity against DENV-1 of supernatants from polyclonally stimulated splenocytes isolated from mice experiencing secondary DENV-2 infection. However, increased DENV-specific avidity is not associated with increased DENV-specific neutralization, which appears to be mediated by naive B cells. Adoptive transfer of DENV-1–immune B and T cells into naive mice prior to secondary DENV-2 infection delayed mortality. Mice depleted of T cells developed signs of disease, but recovered after secondary DENV infection. Overall, we found that protective cross-reactive Abs are secreted by both long-lived plasma cells and memory B cells and that both cross-reactive B cells and T cells provide protection against a secondary heterotypic DENV infection. Understanding the protective immunity that develops naturally against DENV infection may help design future vaccines.
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