Effects of Acyclovir and IVIG on Behavioral Outcomes after HSV1 CNS Infection

Herpes simplex virus 1 (HSV) encephalitis (HSE) has serious neurological complications, involving behavioral and cognitive impairments that cause significant morbidity and a reduced quality of life. We showed that HSE results from dysregulated central nervous system (CNS) inflammatory responses. We...

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Main Authors: Chandran Ramakrishna, Mari S. Golub, Abby Chiang, Teresa Hong, Markus Kalkum, Edouard M. Cantin
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2017/5238402
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author Chandran Ramakrishna
Mari S. Golub
Abby Chiang
Teresa Hong
Markus Kalkum
Edouard M. Cantin
author_facet Chandran Ramakrishna
Mari S. Golub
Abby Chiang
Teresa Hong
Markus Kalkum
Edouard M. Cantin
author_sort Chandran Ramakrishna
collection DOAJ
description Herpes simplex virus 1 (HSV) encephalitis (HSE) has serious neurological complications, involving behavioral and cognitive impairments that cause significant morbidity and a reduced quality of life. We showed that HSE results from dysregulated central nervous system (CNS) inflammatory responses. We hypothesized that CNS inflammation is casually involved in behavioral abnormalities after HSE and that treatment with ACV and pooled human immunoglobulin (IVIG), an immunomodulatory drug, would improve outcomes compared to mice treated with phosphate buffered saline (PBS) or ACV alone. Anxiety levels were high in HSV-infected PBS and ACV-treated mice compared to mice treated with ACV + IVIG, consistent with reports implicating inflammation in anxiety induced by lipopolysaccharide (LPS) or stress. Female, but not male, PBS-treated mice were cognitively impaired, and unexpectedly, ACV was protective, while the inclusion of IVIG surprisingly antagonized ACV’s beneficial effects. Distinct serum proteomic profiles were observed for male and female mice, and the antagonistic effects of ACV and IVIG on behavior were paralleled by similar changes in the serum proteome of ACV- and ACV + IVIG-treated mice. We conclude that inflammation and other factors mediate HSV-induced behavioral impairments and that the effects of ACV and IVIG on behavior involve novel mechanisms.
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spelling doaj-art-3e084503bfad41e69603bf2a1c8d83062025-02-03T01:21:34ZengWileyBehavioural Neurology0953-41801875-85842017-01-01201710.1155/2017/52384025238402Effects of Acyclovir and IVIG on Behavioral Outcomes after HSV1 CNS InfectionChandran Ramakrishna0Mari S. Golub1Abby Chiang2Teresa Hong3Markus Kalkum4Edouard M. Cantin5Department of Molecular Immunology, City of Hope Beckman Research Institute, Duarte, CA, USADepartment of Environmental Toxicology, UC Davis, Davis, CA, USADepartment of Molecular Immunology, City of Hope Beckman Research Institute, Duarte, CA, USADepartment of Molecular Immunology, City of Hope Beckman Research Institute, Duarte, CA, USADepartment of Molecular Immunology, City of Hope Beckman Research Institute, Duarte, CA, USADepartment of Molecular Immunology, City of Hope Beckman Research Institute, Duarte, CA, USAHerpes simplex virus 1 (HSV) encephalitis (HSE) has serious neurological complications, involving behavioral and cognitive impairments that cause significant morbidity and a reduced quality of life. We showed that HSE results from dysregulated central nervous system (CNS) inflammatory responses. We hypothesized that CNS inflammation is casually involved in behavioral abnormalities after HSE and that treatment with ACV and pooled human immunoglobulin (IVIG), an immunomodulatory drug, would improve outcomes compared to mice treated with phosphate buffered saline (PBS) or ACV alone. Anxiety levels were high in HSV-infected PBS and ACV-treated mice compared to mice treated with ACV + IVIG, consistent with reports implicating inflammation in anxiety induced by lipopolysaccharide (LPS) or stress. Female, but not male, PBS-treated mice were cognitively impaired, and unexpectedly, ACV was protective, while the inclusion of IVIG surprisingly antagonized ACV’s beneficial effects. Distinct serum proteomic profiles were observed for male and female mice, and the antagonistic effects of ACV and IVIG on behavior were paralleled by similar changes in the serum proteome of ACV- and ACV + IVIG-treated mice. We conclude that inflammation and other factors mediate HSV-induced behavioral impairments and that the effects of ACV and IVIG on behavior involve novel mechanisms.http://dx.doi.org/10.1155/2017/5238402
spellingShingle Chandran Ramakrishna
Mari S. Golub
Abby Chiang
Teresa Hong
Markus Kalkum
Edouard M. Cantin
Effects of Acyclovir and IVIG on Behavioral Outcomes after HSV1 CNS Infection
Behavioural Neurology
title Effects of Acyclovir and IVIG on Behavioral Outcomes after HSV1 CNS Infection
title_full Effects of Acyclovir and IVIG on Behavioral Outcomes after HSV1 CNS Infection
title_fullStr Effects of Acyclovir and IVIG on Behavioral Outcomes after HSV1 CNS Infection
title_full_unstemmed Effects of Acyclovir and IVIG on Behavioral Outcomes after HSV1 CNS Infection
title_short Effects of Acyclovir and IVIG on Behavioral Outcomes after HSV1 CNS Infection
title_sort effects of acyclovir and ivig on behavioral outcomes after hsv1 cns infection
url http://dx.doi.org/10.1155/2017/5238402
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