Toll-like receptor 3 (TLR-3) and TLR-9 gene expression and interleukin 6 (IL-6) secretion were studied in corneal cells with components of herpes simplex virus (HSV). Human corneal epithelial cells (HCEs) and primary human corneal fibroblasts (HCRFs) were infected with live HSV or UV-inactivated HSV (UV-HSV), transfected with HSV DNA or treated with HSV-anti-HSV IgG immune complexes. Gene expression of TLR-3 and -9 was analysed by real-time PCR. Supernatants were assayed for IL-6 by ELISA. Incubation of HCEs and HCRFs with live HSV-1, UV-HSV and HSV DNA resulted in augmented TLR-3 and -9 gene expression and IL-6 release. Moreover, infected or transfected HCRFs released greater amounts of IL-6 than did HCEs. As virus is frequently in the form of neutralized virus immune complexes, the ability of these immune complexes to interact with TLRs and trigger IL-6 production was evaluated. Here, it is shown that HSV-anti-HSV IgG complexes were as potent as HSV DNA in their ability to induce IL-6. Treatment of HCRFs transfected with HSV DNA with the TLR-9-inhibitory oligomer iODN, anti-TLR-3 antibody or phosphatidylinositol 3-kinase inhibitor indicated that IL-6 release from HCRFs was mediated by TLR-3 and -9 gene expression. These results demonstrated that neutralized HSV immune complexes were as potent as HSV DNA in enhancing IL-6 release from corneal fibroblasts. These phenomena were mediated via augmented TLR-3 and -9 gene expression.
INTRODUCTIONCorneal herpes infection continues to cause blindness, especially in developed countries, and the disease still constitutes a major cause of corneal blindness rated second to trauma in the United States (Kaye et al., 2000;Xu et al., 2002). Corneal herpes infection elicits a robust inflammatory response and eventually leads to a vision-threatening stromal keratitis as a sequela of frequent reactivation of latent virus from the trigeminal ganglion (Doymaz & Rouse, 1992;Streilein et al., 1997). Although there are effective antiviral drugs to treat acute virus replication in the corneal epithelium, the effective management of host inflammatory responses requires the use of an immunosuppressant, such as a steroid, to keep the affected cornea clear (Wilhelmus et al., 1994;Sudesh & Laibson, 1999). The aetiology of herpetic stromal keratitis (HSK) is thought to be an aberrant Th1 cytokine-mediated immunopathology (Niemialtowski & Rouse, 1992;Thomas & Rouse, 1997;Verjans et al., 1998). Stromal haze continues to increase and becomes a problem following acute virus replication. In this situation, the precise disease-triggering and/or driving mechanism(s) are still largely unknown.Toll-like receptors (TLRs) are a family of evolutionarily conserved molecules that initially recognize pathogenassociated molecular patterns of invading microbes and trigger the initial host innate immune response. As a consequence, inflammatory cytokines are released (Takeda et al., 2003;Akira & Takeda, 2004;Iwasaki & Medzhitov, 2004;Netea et al., 2004). Among them, IL-6 is a critical cytokine component of cor...