An animal model for cytomegalovirus-induced pathology in the developing retina - ABSTRACT
Viral infections of the eye can cause severe damage and impair vision. Cytomegalovirus (CMV) is a herpesvirus
that infects the eye and persists for life, causing problems across the life-span of the host. Importantly, CMV
causes the most common congenital (in utero) infection in the western world, with vision impairment being one
common outcome. However, the mechanisms of disease are unknown and no animal models exist to begin
dissecting pathophysiology or developing interventions. Moreover, like all herpesviruses, CMV establishes a
persistent/latent infection and provocative evidence suggests that chronic CMV carriage contributes to age-
related macular degeneration (AMD) and choroidal neovascularization. These outcomes may be related to the
persistent activation of macrophages by CMV and/or the constant immune surveillance of virus in the eye. Again,
mechanisms are undefined. Thus, there is a critical need for animal models to define mechanisms and test
interventions. Our preliminary data suggest that MCMV infection of newborn BALB/c mice results in infection of
the retina, large numbers of infiltrating hematopoietic cells, and markedly disrupted retinal development with
focal distortions in the inner and outer nuclear layers. To our knowledge, this is the first description of a mouse
model for symptomatic congenital CMV infection of the eye. The purpose of this RO3 proposal is to characterize
this new model and to directly compare the immediate and long-term outcomes of infections that occur early and
later in life. Aim 1 will define the progression of viral infection, including the kinetics of infection and the cells that
are infected, as well as differences between infection of newborn mice and adult mice. Aim 2 will define the
immune infiltration of the retina, determine the changes in tissue transcriptional profile induced by infection, and
test whether a viral chemokine is critical for initiating recruitment of hematopoietic cells and pathology. Aim 3
will determine the long-term effects of chronic MCMV carriage. These studies will provide a critical foundation
for future work testing interventions and dissecting the mechanisms of CMV-induced disease in the presence of
a functional, developing, immune system, and the long-term outcomes of such early-life infections.