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Article |
1 Inst. f. Med. Virology, Johann Wolfgang Goethe-University Hospital, Frankfurt, Germany
2 Inst. f. Med. Virology, Johann Wolfgang Goethe-University Hospital, Paul-Ehrlich-Str. 40, Frankfurt, 60596, Germany
* To whom correspondence should be addressed. E-mail: cinatl{at}em.uni-frankfurt.de.
| Abstract |
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Purpose: Ocular involvement in influenza A virus diseases is common but usually limited to mild conjunctivitis. Seldomly, inflammation of the choriocapillaris may result in atrophia of the retinal pigment epithlium (RPE). Here, we infected primary human retinal pigment epithelial (RPE) cells with seasonal (H1N1 A/New Caledonia/20/99, H3N2 A/California/7/2004) or higly pathogenic avian H5N1 (A/Thailand/1(Kan-1)/04, A/Vietnam/1203/04, A/Vietnam/1194/04) influenza strains. Methods: Influenza A virus replication was studied by investigation of cytopathogenic effects, immune staining for influenza A virus nucleoprotein, determination of virus titres, and electron microscopy. Apoptosis induction was examined by immune staining for activated caspase 3 and cleaved PARP. Proinflammatory gene expression was investigated by quantitative PCR. Results: H5N1 but not seasonal influenza strains replicated to high titres (> 108 TCID50/ml) in RPE cells. H5N1 infection resulted in RPE cell apoptosis that was abolished by the antiviral drug ribavirin. Pre-treatment with type I interferons (interferon
, interferon
) or the type II interferon interferon
inhibited H5N1 replication. Moreover, H5N1 infection induced expression of pro-inflammatory genes (tumour necrosis factor
, CXCL8, CXCL10, CXCL11, interleukin-6), which was inhibited by ribavirin in a concentration-dependent manner. Conclusions: We show a novel cell type derived from the central nervous system to be permissive to H5N1 influenza virus replication. This supports findings suggesting H5N1 influenza strains to own a greater potential to spread to non-respiratory tissues than seasonal "human" influenza viruses. Moreover, our data warrant to further study the role of influenza A virus replication in retinal pathologies associated with influenza A virus infections.
Key Words: retinal cell culture, retinal pigment epithelium, virus infection, influenza A virus, H5N1
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