i. review of literature vii. discussion...i. review of literature vii. discussion viii. conclusions...

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I. Review of Literature VII. Discussion VIII. Conclusions X. Bibliography Au b ert, M artin e, an d Joh n A. Blah o. "Mo du latio n of Ap op tosis du rin g Herpes Simp lex Viru s In fectio n in Human Cells." Mi crob es an d Infecti o n3. 10 (2 001 ):8 59-6 6. Web. Au sl an d er, B eth A.,Fran k M .B iro ,an d Su san L. Ro sen thal ."Gen i tal Herp es i n Ado lescen ts." Semin a rsin P edia tric Infectiou s D i sea ses (20 05 ) : 24 -30. Web. B ern ard , M ari e-C l o ti l d e,Véro ni qu e Barb an ,Fab ri ne P rad ezyn ski ,Aymeri c De M ontfo rt,Ro bert R yal l ,C atheri n e Cai l l et,an d P atri ci a Lon do no - Hayes. "I mmu n ogen i ci ty, P ro tecti ve Effi cacy, an d No n -Rep l icati ve Statu s o fth e HSV-2 Vacci n e Can d i d ate HSV 529 i nMi ce and Gui neaPi gs." P LoS ONE 1 0.4 (201 5): n.p ag. Web . B ern stei n , Davi d I . , Jul i e D . Earwo od ,Fern an d o J.B ravo, Gary H.Co hen , Ro sel yn J.Ei sen b erg, Jen ni fer R. Cl ark, Jeffrey Fairman , and R h ond a D.Card i n. "Effects o fHerpes Simp lex Viru s Typ e 2 Glycop rotein Vaccin es an d CLDC Ad ju van to n Gen ital Herpes In fection in th e Gu inea P ig."Vacci n e 29 .1 1 (201 1): 207 1-0 78. Sci en ceDi rect.W eb . <h ttp ://www.sci en ced i rect.co m/sci en ce/arti cl e/p i i /S0 2 6 44 10X 11 00 02 11>. B ern stei n , Davi d I . , Ni cho l as Farl ey, Fern an d o J.B ravo ,Jul i e Earwo od ,M on i ca M cn eal,Jeff Fairman , and R ho nd a Card in. "Th e Ad juvan t CLDC Increases P ro tectio n o fa Herp es Si mp l ex Typ e 2 Gl yco p ro tei n DVacci ne i n Gu i neaPi gs. " Vacci ne 2 8.21 (2 01 0):3 74 8-75 3. Sci enceDi rect. Web. <h ttp ://www.sci en ced i rect.co m/sci en ce/arti cl e/p i i /S0 2 6 44 10X 09 01 54 24>. B ickel, M . "Th e R o l eofInt erleu kin -8 in In flammatio n and Mech an isms of Regu lation ."Jo urn alo fP eriod on tology (1 99 3):n .p ag. Web . B righ t, Helen , David Lu cia Perez, C lare Ch risty,Pau l Co ckle,Jim E. Eyles, Daisy Hammo n d, Tan siK ho dai,Su san n e Lan g,K ate West,an d P eter T.Lo u do n."Th e Efficacy o f HSV-2 Vacci n es B ased o n GDan d GB IsEn h an ced b y the Add i tionof I C P2 7." Va ccine 30 .52 (20 12 ):75 29 -535 .Sci en ceDi rect. Web. <h ttp ://www.sci en ced i rect.co m/sci en ce/arti cl e/p i i /S0 2 6 44 10X 12 01 49 22>. B ro wn , Zan e A. "Effect o fSero logic Statu s an d Cesarean Delivery o n Tran smissi o n R ates of Herp es Simplex Vir u s From M oth er toI nfant." Jama 2 89 .2 (2 00 3):2 03 .Web. C o n n o l l y,Sarah A .,Jul i a O . Jackso n ,Th eo do re S.Jard etzky, an d R ich ard Lo ngn ecker. "Fu si n g Structu re an d Fu ncti on :A Structu ral Vi ew of the Herp esvi ru sEn try M ach i n ery." Na tu re R eviews Micro biolog y Nat Rev M i cro 9. 5 (201 1): 369 -81 . Web . C o sta, X . Da, M. F.Kramer, J. Zhu ,M .A.B r o ckman , an d D . M. Knip e."Con structio n,P hen o typ i c Anal ysi s, and I mmu n ogen icity of a UL5/UL2 9 Do ub le Deletio n Mu tantof Herp es Si mp l ex V i ru s 2 ." Journ al of V i rol og y 74 .1 7 (20 00): 79 63-9 71 .Web. C o rey, Lawren ce, An d ri a G.M .Lan gen b erg, Rh od a Ashl ey, Ro se E.Seku l o vi ch ,A l l en E. I zu, JrJo hn M . Dou gl as, H. Hu nter Han dsfi el d, Terri W arren , Li sa M arr, Step h en Tyrin g, R ich ard Dicarlo ,Adao ra A. Ad imora, Peter Leo n e, Co rnelia L. Dekker, R ae Lyn B urke, WaiP in g Leo ng, Step h en E. Strau s,an d Fo r The C hiro n Hsv Vaccin e Stud y Gro u p . "R eco mb i nan tGl yco pro tei n Vacci n e for the P reven ti on of Gen i tal HSV-2 Infecti o n."Ja ma2 82.4 (1 999 ).Web . C u n n in gh am, Antho ny L.,R ussell J.Diefen bach , Mon ica Miran da-Saksen a, Lid ija Bo snjak, Min Kim, Ch eryl Jones, an d M ark W. Do uglas. "Th e C ycle of Hu man Herp es Si mp l ex V i ru s In fecti o n: V irus Tran spo rt and Immu n e Co ntro l." Th eJo urn al o fIn fecti o us Di seases J INFEC T D IS (20 06 ).Web . Desh man e, Sati sh L., Sergey K reml ev, Sh o h reh A mi ni ,an d B assel E. Sawaya. "M o no cyte Ch emo attractan t P ro tei n-1 (M CP-1 ):A n Overvi ew." Jou rnal of Interfero n & Cyto kin e Research 2 9 .6 (2 009 ):3 13-2 6. Web Diaz, Fern an d o M .,an d David M .Kn ipe. "Pro tection fro m Gen ital Herp es Disease, Sero co n version an d Laten t In f ecti o n i n a Non -l eth al Mu ri ne Genital I n fection M od el b y Immu n i zati o n wi t h an HSV - 2 R ep li cati o n-d efecti ve M utan tV i rus. " V i rol o gy 48 8 (20 16): 61 - 6 7. Web. "DermNet New Zeal an d . " Herp es Si mp l ex. N.p .,Oct. 20 15 .Web . Du d ek, Ti m, an d Davi d M .K ni pe. "R epl i cati on -defecti ve Vi ru ses as Vacci n es an d Vacci n e Vecto rs." V irology 3 4 4.1 (20 06): 230 -39 .Web . Field s, B ern ard N. "Heres Simp lex V i ru ses. " Fi el ds V i rol o gy. 6th ed .P hi l adel p hi a, Pa. [u.a.:Li p pi nco tt Wi l i ams & Wi lki n s,2 00 1.P rin t. Freeman , Esth er E, Helen A Weiss, Ju d ith R Glyn n,P amela L C ross, James A Wh itwo rth, and R ichard JHayes. "Herp es Simp lex Viru s2 In f ecti o n Increases HIV Acqui si ti on i n M en an d Wo men :Systemati c R evi ew an d Meta-an al ysi s o fLo ngi tu di n al Stu di es." Ai ds(2 00 6):7 3-83 .W eb . Ho sh i n o , Y. , S.K .Dal ai ,K .W ang, L. Pesn i cak, T.Y. Lau ,D.M. Kn ip e, J . I. Co hen , and S. E. Strau s."C omp arati ve Effi cacy an d Immu no gen ici ty o fR epl i cati on -Defecti ve, R eco mb in an t Glyco p rotein ,an d DNA Vaccin es for Herp es Simplex Virus 2 I n fection s i nMi ce an d Gu inea P igs."Jo urn alo fVirology 7 9.7 (20 05 ):45 54 .Web . "Gen i tal Herp es. " Th e America n Co lleg e of Obstetrician s and Gyn eco log ists. Web . <h ttp://www. aco g. o r g/-/med i a/Fo r- P atien ts/faq 0 5 4 .pd f?d mc=1 &ts=2 01 510 13 T1 236 21 31 97>. "Gen i tal Herp es - C DC Fact Sh eet." Cen ters for Disea se C on trola nd P reven tion.C enters fo rDisease C o ntro lan d Preven tio n, 14 Oct.2 01 5. Web . Grau wet, K o rn eel, Claud ia Can ton i, Mo nica Paro d i, An drea De M aria,Bert Devrien dt, Dan iela Pen d e,Lo ren zo Mo retta, Massimo V i tal e, an d Herman W .Favo reel . "M o d u latio n o fC D1 12 b y the Al p hah erp esviru s GD Pro tein Su pp resses DNAM -1–d ep en den t NK Cell-med iated Lysis o fInfected C ell s. " Pro ceed ing so fth e Nation al Aca d emy o f Sci en ces P ro c NatlAca d Sci USA (201 4): 161 18 -612 3. Pri nt. Han , Jin -Yo u ng, Derek D.Slo an ,Martin e Aub ert,Sara A. Miler, Ch un gH. Dan g, an d Keith R .Jero me. "Apo pto sis an d Antigen Recep to r Fun ction in T an d B Cells follow i ng Exp o su re to Herp es Si mp l ex Vi rus." V i rol o gy 35 9.2 (20 07 ) : 25 3-63 .W eb. Johnson, D . C.,T. W.W isn er, and C .C .W righ t."Herp es Si mp l ex V irus Glyco protein s GB and GD Fun ction in a Redu nd an tFash io n To Pro mo te Seco n d ary En velo pmen t." Jo u rn a l of Viro lo gy 8 5.10 (20 11 ):49 10 -926 .Web . Jo h n sto n , Ch ristine, David M .Ko elle,an d Ann a Wald ."HSV-2:In P ursu it of a Vaccin e." Jou rna l o fC li ni ca l Investi g ati on J. Cl in .Invest. 1 21. 1 2 (201 1): 460 0-6 09. Th e Jo u rn a l of Clinical In vestig ation.Web . <http : //www. j ci . org/arti cl es/vi ew/5 7 1 48>. Jo h n sto n , Ch ristine, Sami L. Gottlieb , and An na Wald ."Statu s o fVaccine R esearch an d Develo p men t of Vaccin es for Herpes Simp lex Vi ru s."V acci n e 34 . 2 6 (20 16): 2948- 952. Web. K u o , Tiffan y, Ch ristine Wan g,Tin a Bad akh sh an ,Sravya Ch il u ku ri , and Lbach ir Ben mo hamed . "Th e Challen ges an d Opp ortu nities fo r th e Develo pmen t o fa T-cell Epitope- b ased Herp es Si mp l ex Vacci n e." Va cci ne 3 2.50 (2 01 4):6 73 3-74 5.Sci en ceDi rect. Web . <http ://www. sci en ced i rect.co m/sci en ce/arti cl e/p i i /S02 64 41 0X 140 13 59 0>. K wo n , Byu ngsu k, Byu n g-S You n, an d Byo un g S Kwo n."Fu n ction so fNewly Iden tified Memb ers o fth e Tu mor Necro sis Facto r Recep to r/ligan d Su perfamilies in Lymp h o cytes. " C u rren t Op inion in Immu no l o gy: 34 0-45 .Web . La, So o jin . "Herp es Simp lex V i rus Typ e 1 Gl yco pro tei n DInh ib its T-cel l Pro li ferati on ."M olecu les an d Cells1 4. 3 (20 02 ):39 8-4 03. Pu bM ed . Web. <h ttp ://www. n cb i . n l m.n i h.go v/pu bmed /1 25 21 30 3>. Lairso n , David R ."P reven tio n of Herp es Simp lex Viru sEye Disease." Arch ives o f Op hth almo lo gy 12 1.1 (20 03 ) : 10 8.Web . Lazear, Eric, J. C h arles Wh itbeck, Yi Zu o, An drea C arfí,Gary H. Co hen ,R oselyn J.Eisen b erg, and Clau de Kru mmen ach er. "Ind uction o fC on formatio nal Ch an ges at the N - termin u s o f Herp es Simp lex Viru s G l yco pro tei n Du po n Bi n di ng to HVEM an d Necti n-1 . " Vi ro l ogy 4 48 (2 014 ):1 85-9 5. Sci enceDi rect. Web. h ttp ://www.sci en ced i rect.co m/sci en ce/arti cl e/p i i /S0 0 42 68 221 30 05 79 5 Li n t, Al l i so n L.Van ,Ern esto To rres-Lo pez, an d Davi d M .Kn i pe. "Immu ni zati on wi th a R ep li cati on -defecti ve Herp es Si mp l ex Vi ru s 2 Mu tant Red u ces Herp es Si mplex V i rus 1 In fectio n an d Preven ts Ocu lar D i sease. " Vi rol o gy 36 8.2 (20 07 ) : 22 7-31 .W eb. Lo o ker, K ath arin e. "An Estimate o f the Glob alP revalen ce an d In cid en ce of Herp es Simplex Viru s Typ e 2 Infection ."B ulletin of the Wo rld Hea lth Orga nization B ullWorld Hea l th Org a n(20 08 ):80 5-1 2.W eb . Lo p ez-M ed in a, Ed u ard o, J o sep h B .Can tey, an d Pab l o J.Sán ch ez. "Th e Mo rtal ity o fNeo natal Herp es Si mp lex Vi rus Infecti o n." The Jo urn alo fPed ia trics 1 66.6 (20 15 ): 1 5 2 9 -5 32 .Sci en ceDi rect. Web .<h ttp ://www.sci en ced i rect.co m/sci en ce/arti cl e/p i i /S0 0 22 347 61 50 025 16 >. Lö vh eim, Hu go , Jo nath an G i l tho rp e, Ro lf Ad ol fsso n,Lars-Gö ran Ni l sson ,an d Fred ri k El gh ."R eacti vated Herp es Si mp l ex In f ecti o n Increases th e R i sk Of Al zh ei mer' s d i sease." Al zh ei mer' s & Demen ti a1 1.6 (20 15 ) : 59 3-99 .Sci en ceDi rect. Web .<h ttp ://www.sci en ced i rect.co m/sci en ce/arti cl e/p i i /S1 5 525 26 01 40 242 12 >. Owu su -Ed u sei, K wame, Elain e W.Flagg, an d Th omas L. Gift. "Ho sp italization Cost p er Case o fNeo n atal Herp es Simp lex V i ru sIn fecti o n Fro m Cl ai ms Data." Journ al of P ed i a tri c Nu rsi ng3 0.2 (20 15): 34 6-52 .Sci en ceDi rect. Web . <h ttp://www. sci en ced i r ect.co m/sci en ce/arti cl e/p i i /S0 88 25 96 31 400 23 83 >. P etro , C h risto pher, Pab lo AGo nzález, Natalia Ch esh en ko,Th o mas Jan dl,Nazan in K hajo uein ejad ,Angèle B én ard ,M ayami Sen gu pta, B etsy C Hero ld ,an d William R Jaco b s. "Herp es Si mp l ex Typ e 2 Vi rus Del eted i n Gl yco protei n DPro tects agai n st Vagi n al ,Ski n an d Neural Disease." ELi fe (2 0 15 ).ELi fe. Web.1 6 Sept.2 01 5. <h ttp ://el i fesci en ces.o rg/co n ten t/4 /e0 6 05 4>. R eszka, Natalia J., Timo th y Du dek, an d David M.K nipe. "C on struction and P rop erties of a Herp es Simplex Viru s 2 D l5- 2 9 Vaccin e C an didate Strain En cod ing an HSV-1 V i ri o n Ho stSh u toffP rotei n . " Vacci ne (2 01 0):2 75 4-76 2. Sci enceDi rect. Web . <h tp ://www. sci en ced i rect.co m/sci en ce/arti cl e/p i i /S0 264 41 0X 100 00 62 9>. R o th , K ri sty, V i cto r H . Ferreira, an d Ch aru K au shic."HSV-2 Vaccin e: C urren tState an d Insigh tsinto Develo p men t of a Vaccin e Th at Targets Gen italM uco sal Pro tectio n ." M icro b ia l Path og en esis5 8 (20 13): 45 - 5 4. Pu bMed. Web . <h ttp://www. ncb i . n l m.ni h.go v/pu bmed /2 3 159 48 5>. R o yer, Heath er R h ea, Elizab eth C. Falk, and Su san M. Heid rich ."Gen ital Herp es B eliefs:Imp licatio ns for Sexu al Health ." Jou rnal of Ped i atri ca nd Ado l escen tGyn eco l ogy 2 6 .2 (2 01 3):1 09 -16 .Sci en ceDi rect. W eb . <h ttp://www. sci en ced i rect.co m/sci en ce/arti cl e/p i i /S1 08 33 188 12 00 242 2?n p =y>. Saw, Wan Tin g, Zen e M atsu d a, Roselyn J.Eisen b erg, Gary H.Co hen , and Do in a Atan asiu ."Using a Sp lit Lu ciferase Assay (SLA) to Measu re th e Kinetics o fC ell–cellFusion M ed iated b y Herp es Simp lex Virus Gl yco p rotei n s. " M etho ds. Sci en ceDirect. Web. 27 Sep t. 20 15. <h ttp ://www.sci en ced i rect.co m/sci en ce/arti cl e/p i i /S1 0 4 62 023 15 00 227 3>. Szen b o rn , Leszek, B arb ara K raszewska-Gł o mb a, Teresa Jacko wska, Ewa Du szczyk, Ewa M aj d a-Stan i sł awska, M agd al en a M arczyń ska, El żb ieta Oł d ak, Mał go rzata P awło wska, W o jci ech Słu żewski ,Jacek W yso cki , Joan n a Stryczyń ska-K azu b ska, and Ernest K uch ar."P ol i sh Co nsen su s Gu i del i nes o n the Use o fAcycl o vi ri n th e Treatment an d P reven ti o n o fVZVan d HSVIn fecti o n s." Jou rna lo fInfectio n an d Ch emo thera py 2 2.2 (20 16): 65-7 1. Web. Wh itley, R ich ard J. "Herp es Simp lex Vi ru sI n f ecti o n s. " Gol dma n ' s Cecil Med icine 35 7.92 67 (2 00 1):2 12 5-12 8.Sci en ceDi rect. Web. <h ttp ://www.sci en ced i rect.co m/sci en ce/arti cl e/p i i /S0 0 4 26 822 09 00 581 9>. X u , Fu jie, Maya R . Stern berg, B en ny J. Kottiri,Geraldin e M.M cqu ilan ,Fran cis K. Lee, Andre J. Nah mias, Stu art M.B erman , an d Lau riE. Marko witz."Tren d s in Herp es Simp lex Viru s Typ e 1 an d Typ e 2 Sero p revalen ce in th e United States." JA MA (200 6): 964 . W eb. III. Research Question IV. Hypothesis II. Research Rationale Virus Pathogenesis Glycoproteins Treatment & Vaccines ht t p: / /j vi . asm. o rg/co n ten t/ • gB & gD- viral envelope proteins • Immunodominant (Connolly et al., 2011) Principal target for neutralizing antibodies (Bright et al., 2012) • Required for membrane fusion • Cellular receptors Herpes Virus Entry Mediator (HVEM) Nectin • Primary infection • Establishes latency (Cunningham et al., 2006) Structure Double stranded DNA Viral envelope h ttp ://h eal th d ri p. com/wp-content/ IX. Future Research Antibiotics Therapeutic vaccines Prophylactic vaccines HSV-2 dl5-29 (Costa et al., 2000) Glycoprotein subunit vaccines (Roth et al., 2013) HSV-2 ∆gD (Petro et al., 2015) • HSV-1 Causes over 50,000 eye infections each year (Lairson et al., 2003) • HSV-2 More common in adolescents and adults Increases risk of HIV by 3 fold (Freeman et al., 2006) Why is protective immunity induced by HSV-2 ∆gD but not by HSV-2 dl5-29 or WT HSV-2? HSV-2 ∆gD induces the the least cellular death and the largest anti-viral inflammatory response. HSV-2 ∆gD elicits antibody dependent cell mediated cytotoxicity (Petro et al., 2015) HSV-2 dl5-29 elicits neutralizing antibodies (Hoshino et al., 2005) Not sufficient to provide protection MCP-1 Regulates migration of monocytes and macrophages Has an important role in immunological surveillance (Deshmane et al., 2009) IL-8 Induces changes in neutrophils The migration of cells (Bickel et al., 1993) TNF- & IL- 6 May be produced by CD4 + T cells and neurons in response to HSV infection in the nervous system (Fields et al., 2001) HSV-2 dl5-29: “leaky vaccine” (Bernard et al., 2015) Limitations Unable to repeat experiment in pbmcs Time HSV-2 ∆gD and HSV-2 dl5-29 induce different pathways H SV ∆gD: monocyte chemoattractants HSV-2 dl5-29: pro-inflammatory cytokines HSV-2 dl5-29 induced the highest cytotoxicity Analyze pathways in vivo following vaccination Quantify different innate cell populations activated by vaccination Determine the mechanism of immune system activation following HSV-2 ∆gD vaccination Find more therapeutic targets Genital Herpes S implex Virus (HS V) Infecti ons — I nitial Vis its to Physicians’ Offices, Uni ted S ta tes, 1966–2014 h ttp s://www. cd c. go v/std /stats15 /f i gu res/5 0. htm The Role of Glycoproteins in Membrane Fusion V accine B eing Administered

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Page 1: I. Review of Literature VII. Discussion...I. Review of Literature VII. Discussion VIII. Conclusions X. Bibliography • Aubert, Martine, and John A. Bl ah o . "Modulation of Apoptosis

I. Review of Literature VII. Discussion

VIII. Conclusions

X. Bibliography• Aubert, Martin e,and JohnA.Blaho. "Modu lationofApop tosisdu rin gHerpesSimp lexViru s In fection inHuman Cel ls."Microb esan d Infectio n3.10 (2 001 ):8 59-6 6.Web.• Au slander,Beth A., Fran kM .B iro ,andSu san L.Ro sen thal . "Gen ital Herpes inAdo lescen ts."Semin a rsin P edia tric Infectiou sDisea ses (20 05 ):24 -30.Web .• Bernard ,Marie-C lo tild e,Véronique Barban ,Fab rine P radezyn ski , Aymeric DeMontfo rt,RobertRyal l ,C atherin eCai l let, and P atriciaLondono -Hayes. "Immunogen ici ty,

P ro tectiveEfficacy,and Non -Rep l icativeStatu so fth eHSV-2 Vaccin eCand id ateHSV529 in M iceand Gu ineaP igs."P LoS ONE1 0.4 (201 5):n.p ag.Web .• Bern stein ,David I . , Jul ieD.Earwood ,Fern ando J.B ravo,GaryH.Cohen ,Ro selyn J. Ei senberg, Jenni ferR.Clark, JeffreyFairman ,and RhondaD.Card in. "Effectso fHerpes

Simp lexVi ru sType2 Glycop rotein Vaccin esandCLDC Ad ju van tonGen ital Herpes In fection in th eGu ineaP ig."Vaccin e 29 .1 1 (201 1):207 1-0 78.Scien ceDirect. Web .<h ttp ://www.scien ced irect.com/scien ce/article/p i i /S0 2 6 44 10X11 00 02 11>.

• Bern stein ,David I . ,Nicho lasFarley,Fern ando J. B ravo , Jul ieEarwood ,Mon icaMcneal , JeffFai rman ,and RhondaCard in. "TheAd juvan tCLDC IncreasesP ro tectiono faHerpesSimp lexType2 Glycop ro teinDVaccine in Gu in eaP igs."Vaccine 2 8.21 (2 01 0):3 74 8-75 3.ScienceDirect. Web .<h ttp ://www.scien ced irect.com/scien ce/article/p i i /S0 2 6 44 10X09 01 54 24>.

• B ickel , M . "TheRo leo fIn terleu kin -8 in In flammation and Mechan ismsofRegu lation ."Journal o fP eriodon tology (1 99 3):n .p ag.Web .• Brigh t, Helen ,David Lu ciaPerez,C lareCh risty,Pau l Co ckle,JimE.Eyles, DaisyHammond,Tan siK hodai , Su sanneLang,K ateWest, and P eterT.Loudon."TheEfficacyo f

HSV-2 Vaccin esBased onGDandGB IsEnhan ced b y theAdd itionof ICP2 7."Va ccine 30 .52 (20 12 ):75 29 -535 .Scien ceDirect. Web .<h ttp ://www.scien ced irect.com/scien ce/article/p i i /S0 2 6 44 10X12 01 49 22>.

• Brown ,ZaneA. "Effecto fSero logicStatu sandCesarean Del iveryon Tran smissionRatesofHerpesSimplexVi ru sFromMother to In fant." Jama2 89 .2 (2 00 3):2 03 .Web.• Conno l ly, Sarah A., Jul iaO. Jackson ,Theodo reS.Jardetzky,andR ich ard Longnecker. "Fu sin gStructu reandFunction :AStructu ral V iewof theHerpesvi ru sEn try

Mach in ery."Na tu reReviewsMicro biolog yNatRevM icro 9.5 (201 1):369 -81 .Web .• Co sta,X .Da,M.F.Kramer, J. Zhu ,M .A.B ro ckman ,andD.M.Knip e."Con struction,P heno typ icAnalysis, and Immunogen ici tyofa UL5/UL2 9Doub leDeletionMu tantof

HerpesSimp lexVi ru s2 ." Journ al ofVi rolog y 74 .1 7 (20 00):79 63-9 71 .Web .• Co rey, Lawren ce,And riaG.M .Langenberg,RhodaAshley,Ro seE.Seku lo vich ,Al len E. Izu, JrJohn M .Douglas, H.HunterHandsfield,Terri Warren ,Li saMarr,Stephen

Tyrin g,R ich ard Dicarlo ,Adao ra A.Ad imora,PeterLeone,Co rnel iaL. Dekker,RaeLyn Burke,Wai P in gLeong,StephenE.Strau s,and Fo rTheChironHsv Vaccin eStud yGroup . "Recomb inan tGlycopro teinVaccin e for theP reven tion ofGen ital HSV-2 Infection."Jama 2 82.4 (1 999 ).Web .

• Cunn in gham,Anthony L., Russel l J. Diefenbach ,Mon icaMiranda-Saksena,Lid i ja Bo snjak,MinKim,Cheryl Jones,and Mark W.Douglas. "TheCycleofHuman HerpesSimp lexVi ru s In fection:Vi rusTran spo rtand ImmuneContro l."Th eJo urn al o fIn fectio usDiseases J INFECTDIS (20 06 ).Web .

• Deshmane,Satish L., SergeyK remlev,Shoh reh Amini , andBassel E.Sawaya. "MonocyteChemoattractan tP ro tein-1 (MCP-1 ):AnOverview." Jou rnal of Interferon&Cyto kin eResearch 2 9 .6 (2 009 ):3 13-2 6.Web

• Diaz,Fern ando M .,and David M .Kn ipe. "Pro tection fromGen ital HerpesDisease,Sero conversion and Laten t In fection inaNon-leth al Mu rin eGen ital In fection Model b y Immun ization with anHSV-2 Rep l ication-defectiveMutan tVi rus."Virolo gy 48 8 (20 16):61 -6 7.Web .

• "DermNet NewZealand ."Herp esSimp lex. N.p ., Oct.20 15 .Web .• Dudek,Tim,and David M .K nipe. "Repl ication -defectiveVi ru sesasVaccin esand Vaccin eVecto rs."Vi rology3 4 4.1 (20 06):230 -39 .Web .• Field s, Bernard N. "Heres Simp lexVi ru ses."FieldsVi rolo gy. 6thed .P hi ladelphia,Pa. [u.a.:Lip pinco ttWi ll iams&Wi lkin s, 2 00 1.P rin t.• Freeman ,EstherE, Helen AWeiss, Ju d ith R Glynn,P amelaLC ross, JamesAWh itwo rth,and R ichard JHayes. "HerpesSimp lexViru s2 In fection IncreasesHIVAcquisition

in Men and Women :SystematicReviewand Meta-analysiso fLongi tudin al Studies."Aid s(2 00 6):7 3-83 .Web .• Hosh ino ,Y., S. K .Dalai , K .Wang,L. Pesn icak,T.Y. Lau ,D.M.Kn ip e, J. I. Cohen ,and S.E.Strau s."ComparativeEfficacyand Immunogen ici tyo fRepl ication -Defective,

Recomb in an tGlycop rotein ,andDNAVaccin es forHerpesSimplexVi rus2 In fection s in M iceand Gu ineaP igs."Journal o fV i rology7 9.7 (20 05 ):45 54 .Web .• "Gen ital Herpes."Th eAmerica n Co l leg eofObstetrician sand Gyn eco log ists. Web .<h ttp://www.acog.o rg/-/med ia/Fo r-

P atien ts/faq0 5 4 .pd f?dmc=1&ts=2 01 510 13 T1 236 21 31 97>.• "Gen ital Herpes - CDC FactSheet."Cen ters forDisea seC on trol a nd P reven tion .C enters fo rDiseaseContro landPreven tion,14Oct.2 01 5.Web .• Grauwet,K o rneel , C laud iaCan ton i, MonicaParod i, AndreaDeMaria, BertDevriendt,Dan ielaPende,Lo ren zoMo retta,Massimo Vi tale,andHerman W.Favo reel .

"Modu lation o fCD1 12 b y theAlphaherpesvi ru s GDPro teinSupp ressesDNAM-1–dependen tNKCel l -med iated Lysiso f Infected Cel ls."Pro ceed ing so fth eNation al Aca d emyo fScien cesP ro cNatl Aca d SciUSA (201 4):161 18 -612 3.Print.

• Han , Jin -Young,DerekD.Slo an ,Martin eAubert, SaraA.Mi ller, ChungH.Dang,andKei th R .Jerome."Apopto sisandAntigen Recep to rFun ction inTandBCel ls fol lowingExpo su re to HerpesSimp lexVi rus."Virolo gy 35 9.2 (20 07 ):25 3-63 .Web.

• John son ,D.C., T. W.Wisner,and C .C .Wrigh t."HerpesSimp lexVi rusGlycoprotein sGB and GDFun ction inaRedundan tFash ion ToPromo teSecondaryEn velopmen t."Jo u rn a l ofV iro lo gy 8 5.10 (20 11 ):49 10 -926 .Web .

• John ston ,Ch ristine,David M .Koel le, and AnnaWald . "HSV-2:In P ursu itofaVaccin e." Jou rna lo fC linica l Investig ation J. Cl in . Invest. 1 21.1 2 (201 1):460 0-6 09.Th eJo u rn a l ofCl inical In vestig ation .Web .<http ://www.jci .org/articles/view/5 7 1 48>.

• John ston ,Ch ristine,Sami L. Gottl ieb ,and AnnaWald ."Statu so fVaccineResearch and Developmen tofVaccin es forHerpesSimp lex Viru s."Vaccin e34 .2 6 (20 16):2948-9 5 2 .Web .

• Kuo ,Ti ffan y,Ch ristineWang,Tin aBadakh shan ,Sravya Ch i lu ku ri, and Lbach ir Benmohamed . "TheChal len gesandOpportuni ties fo r th eDevelopmen to faT-cel l Epitope-b ased HerpesSimp lexVaccin e."Va ccine 3 2.50 (2 01 4):6 73 3-74 5.Scien ceDirect. Web .<http ://www.scien ced irect.com/scien ce/article/p i i /S02 64 41 0X140 13 59 0>.

• Kwon ,Byungsu k,Byung-SYoun,andByoung SKwon."Fun ction so fNewly Iden ti fied Memberso fth eTumorNecro sisFacto rRecep to r/l igandSuperfami l ies inLymphocytes."Cu rren tOp inion in Immuno lo gy:34 0-45 .Web .

• La,Soo j in . "HerpesSimp lexVi rusType1 Glycopro tein D Inh ib itsT-cel l Pro li feration ."Molecu lesan dCel l s1 4.3 (20 02 ):39 8-4 03.PubMed. Web .<h ttp ://www.n cb i .n lm.n ih.go v/pubmed /1 25 21 30 3>.

• Lai rson ,David R ."P reven tionofHerpesSimp lexViru sEyeDisease."Arch iveso fOphthalmo logy12 1.1 (20 03 ):10 8.Web .• Lazear,Eric, J. Ch arlesWh itbeck,Yi Zuo,AndreaCarfí , GaryH.Cohen ,Roselyn J.Ei senberg,and ClaudeKrummenacher. "Induction o fCon formational Changesat theN-

terminu so fHerpesSimp lexViru sGlycopro teinDuponBinding to HVEMandNectin-1 ."Viro logy 4 48 (2 014 ):1 85-9 5.ScienceDirect. Web .h ttp ://www.scien ced irect.com/scien ce/article/p i i /S0 0 42 68 221 30 05 79 5

• Lin t, Al l i sonL.Van ,Ernesto To rres-Lopez,and David M .Kn ipe. "Immunization with aRep lication -defectiveHerpesSimp lexVi ru s2Mu tantRedu cesHerpesSimplexVi rus1 In fection andPreven tsOcu larDisease."Virolo gy 36 8.2 (20 07 ):22 7-31 .Web.

• Looker,K ath arin e. "AnEstimateo f theGlobal P revalen ceand In cid en ceofHerpesSimplexVi ru sType2 Infection ."Bul letinof theWo rldHea l thOrga nization Bul l WorldHea l th Org a n (20 08 ):80 5-1 2.Web .

• Lopez-Med in a,Eduardo, Jo sephB .Can tey,andPab lo J.Sán chez. "TheMo rtal ityo fNeonatal HerpesSimp lexVi rus Infection."The Jo urn al o fP ed ia trics 1 66.6 (20 15 ):1 5 2 9 -5 32 .Scien ceDirect. Web .<h ttp ://www.scien ced irect.com/scien ce/article/p i i/S0 0 22 347 61 50 025 16 >.

• Lö vheim,Hugo , Jonathan Gi l tho rpe,Ro lfAdol fsson,Lars-Gö ranNi lsson ,andFred rikElgh . "Reactivated HerpesSimp lex In fection Increases th eR iskOf Alzheimer' s d isease."Alzh eimer' s&Demen tia1 1.6 (20 15 ):59 3-99 .Scien ceDirect. Web .<h ttp ://www.scien ced irect.com/scien ce/article/p i i/S1 5 525 26 01 40 242 12 >.

• Owusu -Edu sei , Kwame,Elain eW.Flagg,and ThomasL.Gift. "Ho sp ital i zation Costp erCaseo fNeonatal HerpesSimp lexVi ru sIn fectionFromClaimsData." Journ al ofP ed ia tricNu rsing3 0.2 (20 15):34 6-52 .Scien ceDirect. Web .<h ttp://www.scien ced irect.com/scien ce/article/p i i /S0 88 25 96 31 400 23 83 >.

• Petro ,Ch ristopher,Pab loAGonzález, Natal iaCheshenko,Thomas Jandl , Nazan inKhajouein ejad ,Angèle Bénard ,Mayami Sengupta,BetsyCHero ld ,andWil l iamR Jacob s. "HerpesSimp lexType2 Vi rusDeleted in Glycoprotein DPro tectsagain stVagin al , Skin andNeural Disease."ELi fe (2 0 15 ).ELi fe. Web .1 6Sep t.2 01 5.<h ttp ://el i fescien ces.o rg/con ten t/4 /e0 6 05 4>.

• Reszka,Natal ia J. , Timo th yDudek,and David M.K nipe. "Con struction and P ropertiesofaHerpesSimplexViru s2Dl5 -2 9Vaccin eCandidateStrain En cod ingan HSV-1Virion Ho stShu toffP rotein ."Vaccine (2 01 0):2 75 4-76 2.ScienceDirect. Web .<h ttp ://www.scien ced irect.com/scien ce/article/p i i /S0 264 41 0X100 00 62 9>.

• Ro th ,K ri sty, V icto rH.Ferrei ra, andCharuK au shic."HSV-2Vaccin e:Curren tStateand Insigh tsinto Developmen tofaVaccin eThatTargetsGen ital Muco sal Pro tection ."Micro b ia l Path og en esis5 8 (20 13):45 -5 4.PubMed . Web .<h ttp://www.ncb i .n lm.nih.go v/pubmed /2 3 159 48 5>.

• Royer,HeatherRhea,El i zabeth C.Falk, and Su san M.Heid rich ."Gen ital HerpesBel iefs:Imp lications forSexual Heal th ." Jou rnal ofPed iatrica nd Ado lescen tGyn eco logy2 6 .2 (2 01 3):1 09 -16 .Scien ceDirect. Web .<h ttp://www.scien ced irect.com/scien ce/article/p i i /S1 08 33 188 12 00 242 2?np=y>.

• Saw,Wan Tin g,ZeneMatsuda,Roselyn J. Ei senberg,GaryH.Cohen ,and Do in a Atanasiu ."UsingaSp l it Lu ci feraseAssay (SLA) to Measu re th eKineticso fCel l–cel l FusionMed iated b yHerpesSimp lexVi rusGlycop rotein s."Metho ds. Scien ceDirect. Web.27 Sep t.20 15.<h ttp ://www.scien ced irect.com/scien ce/article/p i i /S1 0 4 62 023 15 00 227 3>.

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III. Research Question

IV. Hypothesis

II. Research Rationale

Virus

Pathogenesis

Glycoproteins

Treatment & Vaccines

http://jvi.asm.org/content/

• gB & gD- viral envelope proteins• Immunodominant (Connolly et al., 2011)

• Principal target for neutraliz ing antibodies (Bright et al., 2012)

• Required for membrane fusion• Cellular receptors

• Herpes Virus Entry Mediator (HVEM)• Nectin

• Primary infection• Establishes latency (Cunningham et al., 2006)

• Structure• Double stranded DNA• Viral envelope

h ttp ://heal thd rip.com/wp-content/

IX. Future Research

• Antibiotics • Therapeutic vaccines• Prophylactic vaccines

• HSV-2 dl5-29 (Costa et al., 2000)• Glycoprotein subunit vaccines

(Roth et al., 2013)• HSV-2 ∆gD (Petro et al., 2015)

• HSV-1• Causes over 50,000 eye

infections each year (Lairsonet al., 2003)

• HSV-2• More common in

adolescents and adults• Increases risk of HIV by 3

fold (Freeman et al., 2006)

Why is protective immunity induced by HSV-2 ∆gD but not by HSV-2 dl5-29 or WT HSV-2?

HSV-2 ∆gD induces the the least cellular death and the largest anti-viral inflammatory response.

• HSV-2 ∆gD elicits antibody dependent cell mediated cytotoxicity (Petro et al., 2015)

• HSV-2 dl5-29 elicits neutralizing antibodies (Hoshino et al., 2005)• Not sufficient to provide protection

• MCP-1 • Regulates migration of monocytes and macrophages• Has an important role in immunological surveillance (Deshmane et al.,

2009) • IL-8

• Induces changes in neutrophils• The migration of cells (Bickel et al., 1993)

• TNF-𝛂 & IL- 6 • May be produced by CD4+T cells and neurons in response to HSV

infection in the nervous system (Fields et al., 2001)• HSV-2 dl5-29: “leaky vaccine” (Bernard et al., 2015)

Limitations

• Unable to repeat experiment in pbmcs• Time

• HSV-2 ∆gD and HSV-2 dl5-29 induce different pathways• HSV ∆gD: monocyte chemoattractants• HSV-2 dl5-29: pro-inflammatory cytokines

• HSV-2 dl5-29 induced the highest cytotoxic ity

• Analyze pathways in v ivo following vaccination• Quantify different innate cell populations activated by vaccination• Determine the mechanism of immune system activation following HSV-2

∆gD vaccination• Find more therapeutic targets

Genital Herpes Simplex Virus (HSV) Infections — Initial Visits to Physicians’ Offices, United States, 1966–2014

h ttp s://www.cd c.go v/std /stats15 /figu res/5 0.htm

The Role of Glycoproteins in Membrane Fusion

Vaccine Being Administered

Page 2: I. Review of Literature VII. Discussion...I. Review of Literature VII. Discussion VIII. Conclusions X. Bibliography • Aubert, Martine, and John A. Bl ah o . "Modulation of Apoptosis

V. Methods

VI. Results

16 24 400

50

100

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Hours post-infection

TN

F-α

(p

g/m

l)

Mock

dl5-29

gD

WT***

****

**

16 24 400

500

1000

1500

Hours post-infection

IL-6

(p

g/m

l)

Mock

dl5-29

gD

WT****

********

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500

1000

1500

2000

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MC

P-1

(p

g/m

l)

Mock

dl5-29

gD

WT

*

16 24 400

5000

10000

15000

20000

25000

Hours post-infection

IL-8

(p

g/m

l)

Mock

dl5-29

gD

WT

***

A

B

C

D

16 24 400

50

100

150

Hours post-infection

% C

ytot

oxic

ity

Mock

dl5-29

?gD

WT

****

Cellular Death

Proteins

h ttp ://www.b iolegend .com/legendplex

• Cytokine Bead Assay• LEGENDplex bead based immunoassay kit

(BioLegend, Inc.)• CANTO flow cytometer (BD Biosciences, Inc)

• LDH Assay• Cytotoxic ity Detection Kit (CloneTech)

AssaysCell Lines and Viruses Infections

• 3 virus strains grown and harvested in complementing cell lines

• 2 x 105 Human keratinocyte (HaCaT) cells/well• Multiplicity of infection (MOI) = 1• Supernatant removed and flash frozen at 4 time

points: 0 hours post infection (hpi), 16 hpi, 24 hpi, and 40 hpi

• Microscope images captured at 4 time points

* = p< 0.05** = p< 0.01*** = p< 0.001**** = p< 0.0001

• Wild type HSV-2 strain G• Vero cells (kidney cells of an African Green

Monkey)• HSV-2 ∆gD

• VD60 cells (genetically modified Vero cells)• HSV-2 dl5-29

• V529 cells (genetically modified Vero cells)

0 hpi 16 hpi 40 hpi24 hpi

Figure 3• 13 proteins were analyzed • Some proteins are not displayed because they

were either not detected or not statistically different as compared to the mock control

• Not displayed:• IL-1β, • IFN-𝛂, • IFB-ɣ, • IL-10• IL-12p70• IL-17A• IL-18• IL-23• IL-33

• Increased production of monocyte chemoattractants in response to HSV-2 ∆gD

• MCP-1• IL-8

• Increased production of pro-inflammatory cytokines in response to HSV-2 dl5-29

• TNF-α• IL-6

Figure 3. Increased late-production of monocyte chemoattractants following HSV-2 ∆gD infection

Figure 2: Increased cytotoxicity of HSV-2 dl5-29 and HSV-2 WT infected cells

Figure 1: Increased cell death of HSV-2 dl5-29 and HSV-2 WT

Statistical Analysis

• All experiments performed in triplicate • Experiments independently repeated 3-5 times• Data analyzed in Prism• Two way ANOVA• Dunnet’s post test• Vaccine strains were compared to mock group

h ttp ://wi l l iamrjacobs.org

* = p< 0.05** = p< 0.01*** = p< 0.001**** = p< 0.0001

Figure 1• HaCaT cells started out 100% confluent and were infected at an MOI of 1 Images

were taken by a Nikon Ti Microscope • Most cellular death in HSV-2 dl5-29 and HSV-2 WT

Figure 2• % cytotoxicity determined by LDH level in cellular supernatant • HSV-2 dl5-29 induced highest cytotoxicity levels

HSV-2 Virus

LEGENDplex Kit

Page 3: I. Review of Literature VII. Discussion...I. Review of Literature VII. Discussion VIII. Conclusions X. Bibliography • Aubert, Martine, and John A. Bl ah o . "Modulation of Apoptosis

HSV-2 ∆gD Induced Cellular Anti-Viral Response and Death of Human

Keratinocytes