Herpes simplex virus type 1
 inflammasome activation in proinflammatory human macrophages is 
dependent on NLRP3, ASC, and caspase-1
- Published: February 26, 2020
 - https://doi.org/10.1371/journal.pone.0229570
 
PLoS One. 2020; 15(2): e0229570. 
Published online 2020 Feb 26.   doi: 10.1371/journal.pone.0229570
PMCID: PMC7043765
PMID: 32101570
Herpes simplex virus type 1 inflammasome activation in proinflammatory human macrophages is dependent on NLRP3, ASC, and caspase-1
Claude Krummenacher, Editor
Author information Article notes Copyright and License information
The
 proinflammatory cytokines interleukin (IL)-1β and IL-18 are products of
 activation of the inflammasome, an innate sensing system, and important
 in the pathogenesis of herpes simplex virus type 1 (HSV-1). The release
 of IL-18 and IL-1β from monocytes/macrophages is critical for 
protection from HSV-1 based on animal models of encephalitis and genital
 infection, yet if and how HSV-1 activates inflammasomes in human 
macrophages is unknown.
 To investigate this, we utilized both primary 
human monocyte derived macrophages and human monocytic cell lines (THP-1
 cells) with various inflammasome components knocked-out. We found that 
HSV-1 activates inflammasome signaling in proinflammatory primary human 
macrophages, but not in resting macrophages. Additionally, HSV-1 
inflammasome activation in THP-1 cells is dependent on 
nucleotide-binding domain and leucine-rich repeat-containing receptor 3 
(NLRP3), apoptosis-associated speck-like molecule containing a caspase 
recruitment domain (ASC), and caspase-1, but not on absent in melanoma 2
 (AIM2), or gamma interferon-inducible protein 16 (IFI16). In contrast, 
HSV-1 activates non-canonical inflammasome signaling in proinflammatory 
macrophages that results in IL-1β, but not IL-18, release that is 
independent of NLRP3, ASC, and caspase-1. Ultraviolet irradiation of 
HSV-1 enhanced inflammasome activation, demonstrating that viral 
replication suppresses inflammasome activation. These results confirm 
that HSV-1 is capable of activating the inflammasome in human 
macrophages through an NLRP3 dependent process and that the virus has 
evolved an NLRP3 specific mechanism to inhibit inflammasome activation 
in macrophages.
Introduction
The
 ability to quickly recognize and respond to pathogens is essential to 
host survival. The first opportunity to do so lies in the innate immune 
response. One of the most essential aspects of this response is the 
recognition of pathogen associated molecular patterns (PAMPs) on the 
invading pathogen by the pattern recognition receptors (PRRs) of host 
cells [1].
 This interaction leads to a number of molecular and cellular signals 
that serve to protect the host on cellular and organism levels. One such
 innate signaling system is the formation of inflammasomes, which are 
intracellular multi-protein complexes that regulate an inflammatory type
 of cell death called pyroptosis as well as the production of mature 
forms of the inflammatory cytokines IL-1β and IL-18 [2].
 Macrophages and myeloid dendritic cells (mDCs) are the primary 
producers of these potent proinflammatory cytokines, which drive type 1 
immunity in natural killer cells and T cells [3].
 The production of these cytokines requires two steps.
 The first step, 
sometimes referred to as priming, requires activation of the nuclear 
factor κB (NF-κB) pathway through the recognition of a PAMP leading to 
synthesis of components of the inflammasome, including pro-IL-1β, 
pro-IL-18, and pro-caspase-1. The second step involves PRR activation, 
oligomerization, and assembly of the inflammasome. This takes place 
through one of multiple receptor or adapter proteins that recognize 
various PAMPs or danger-associated molecular patterns (DAMPs). These 
include members of the nucleotide-binding domain and leucine-rich 
repeat-containing receptors (NLR) family of proteins, absent in melanoma
 2 (AIM2), and pyrin. NLRP3 responds to a diverse group of PAMPs and 
DAMPs, particularly viral RNA [4–7]. In contrast, AIM2 is activated after binding to cytoplasmic double stranded DNA (dsDNA) [8].
 Recognition of an appropriate PAMP or DAMP by one of these adapter 
proteins leads to apoptosis-associated speck-like molecule containing a 
caspase recruitment domain (ASC) assembly and oligomerization followed 
by pro-caspase-1 recruitment to the complex. Pro-caspase-1 autocatalysis
 to active caspase-1 allows for cleavage of pro-IL-1β and pro-IL-18 to 
their active forms, IL-1β and IL-18, and then secretion into the 
extracellular space (reviewed in [2,9,10]).
 There are other “non-canonical” sensors and caspases that can lead to 
inflammasome cytokine release, but the caspase-1 pathway is thought to 
be the most relevant in viral infection [11,12].
A number of viruses are known to activate the inflammasome, including influenza, hepatitis C (HCV), HIV, and herpesviruses [10,13].
 Herpes simplex virus type 1 (HSV-1) is a neurotropic alphaherpesvirus 
that predominantly infects epithelial cells and neurons, but has broad 
cell tropism [14].
 Specifically, it can infect macrophages, which are one of the 
predominant cell types that infiltrate the eye after corneal infection 
and are crucial to the innate immune response to HSV-1 and other viruses
 [15–17].
 Furthermore, monocyte/macrophage production of IL-1β and IL-18 is 
critical to prevent severe HSV disease in encephalitis, keratitis, and 
vaginal infection in mouse models [17–20].
 Therefore, understanding how HSV-1 activates the inflammasome in these 
cells is key to developing a comprehensive view of HSV-1 pathogenesis. A
 previous study demonstrated that the HSV-1 viral tegument protein VP22 
specifically blocks AIM2 inflammasome activation and signaling in the 
THP-1 monocyte/macrophage cell line despite production of IL-1β, leaving
 the mechanism of HSV-1 activation of the inflammasome in these cells to
 be defined [21,22]. Thus, it remains unclear which adapters are required for HSV-1 induction of inflammasome activation in macrophages.
Here,
 we report that HSV-1 activates canonical inflammasome signaling, as 
measured by IL-18, in both proinflammatory primary human macrophages and
 THP-1 cells. Additionally, this activation requires NLRP3, ASC, and 
caspase-1, but not AIM2 or IFI16.
Results
HSV-1 activates the inflammasome in primary human monocyte derived macrophages
HSV-1
 is known to activate the inflammasome in THP-1 cells, but the mechanism
 is unknown and it has not been studied extensively in primary human 
macrophages [21,22].
 To determine if HSV-1 is capable of activating the inflammasome in 
primary human monocyte derived macrophages (MDMs) we infected resting 
macrophages (referred to as M0) with HSV-1 and measured IL-18 in 
supernatants 24 hours later. The amount of IL-18 detected in HSV-1 
infected M0 macrophages was not different than the amount detected in 
mock infected macrophages (Fig 1A).
 However, some viruses, such as Dengue virus, require a more 
inflammatory macrophage phenotype to induce inflammasome activation [23].
 Therefore, we incubated MDMs with IFNγ (referred to as M1) prior to 
infection with HSV-1 to induce a more proinflammatory cell [24,25]. Unlike the M0 macrophages, M1 macrophages did produce significant amounts of IL-18 after HSV-1 infection (Fig 1B).
 Both M0 and M1 macrophages produced IL-18 after incubation with 
nigericin (Ng) and LPS, a potent activator of the NLRP3 inflammasome [26,27] (S1A Fig). Proinflammatory (M1) macrophages are often produced by incubating MDMs with IFNγ and LPS [28,29].
 However, we found no difference in the amount of IL-18 produced after 
HSV-1 infection by M1s stimulated with IFNγ or IFNγ and LPS (S1B Fig). Therefore, we opted to omit the LPS in subsequent experiments.
While mature forms 
of both IL-18 and IL-1β are produced by canonical caspase-1 inflammasome
 formation, other caspases are capable of processing IL-18 and IL-1β 
(reviewed in [30]).
 These “non-canonical” pathways do not require an adapter molecule and 
are well described for IL-1β. However, mature IL-18 production is 
thought to be restricted to canonical inflammasome formation aside from 
very limited circumstances (reviewed in [31,32]).
 To determine if the production of IL-18 by macrophages after HSV-1 
infection was due to canonical inflammasome activation, M1 MDMs were 
treated with VX-765, a caspase-1 specific inhibitor [33–35],
 prior to either infection with HSV-1 or treatment with nigericin and 
LPS. IL-18 in cell supernatants was reduced to amounts not significantly
 different from background in the presence of VX-765, suggesting that 
IL-18 production is due to canonical inflammasome activation (Fig 1C).
 To ensure that VX-765 was neither toxic to the cells nor 
non-specifically interfering with HSV-1 sensing by the macrophages, the 
same supernatants were tested for TNFα, which is produced by macrophages
 in response to HSV-1 infection [36].
 There was no significant difference in the amount of TNFα produced 
after HSV-1 infection of macrophages incubated with or without VX-765 (Fig 1D).
 Interestingly, when IL-1β was measured from these same supernatants, 
treatment with VX-765 did not reduce IL-1β levels to background levels 
in the HSV-1 infected macrophages, but did in the Ng+LPS treated 
macrophages (Fig 1E).
 This suggests that HSV-1 induces IL-1β release by both caspase-1 
dependent and independent mechanisms, and that IL-18 is a more specific 
marker of canonical inflammasome activation in this system.
To
 ensure that the varying amounts of IL-18 observed in these experiments 
was not due to changes in the ability of HSV-1 to replicate in 
macrophages exposed to IFNγ and/or VX-765, M0 and M1 MDMs (with and 
without VX-765) were infected with HSV-1. Culture supernatants were 
collected after 24 hours, and plaque forming units (PFU) were determined
 using a standard plaque assay. No differences were observed in HSV-1 
replication in macrophages exposed to IFNγ or VX-765 (Fig 1F).
 These results demonstrate that viral replication alone does not account
 for differences in inflammasome activation in primary human 
macrophages.
HIV and HCV are capable 
of activating the inflammasome in monocytes/macrophages via clathrin 
mediated endocytosis without infecting them or binding known viral entry
 receptors [13].
 To test whether HSV-1 activation of the inflammasome in macrophages 
requires entry and infection through known mechanisms, MDMs pretreated 
with IFNγ were inoculated with HSV-1 mixed with neutralizing human 
monoclonal antibodies directed against the HSV-1 glycoprotein D, which 
is required for HSV-1 entry [37].
 Both WT antibodies and antibodies unable to bind to Fc receptors (Fc 
Silent) were utilized to control for any Fc-mediated entry of virus. 
While HSV-1 alone induced robust IL-18 release, this was reduced to 
background levels in the presence of neutralizing antibody regardless of
 whether the antibody was capable of binding to Fc receptors (Fig 1G).
 These data confirm that unlike HCV and HIV, HSV-1 must enter 
macrophages via viral glycoprotein and receptor mediated pathways to 
induce inflammasome activation.
NLRP3, ASC, and caspase-1 are required for inflammasome activation in response to HSV-1
To
 confirm that HSV-1 is capable of activating the inflammasome in a 
monocyte/macrophage cell line so that dependence on specific 
inflammasome proteins could be assessed, THP-1 cells were primed with 
phorbol 12-myristate 13-acetate (PMA) overnight and then infected with 
HSV-1. IL-18 was measured in supernatants after 24 hours. As previously 
reported [38], THP-1 cells produced IL-18 after infection with HSV-1 (Fig 2A). Autoprocessing of caspase-1 results in release of the large (p20) subunit [39].
 Therefore, lysates from THP-1 cells either infected with HSV-1 or mock 
infected for 4 hours were probed for this cleavage product. As expected,
 the caspase-1 p20 sub
Studies in 
keratinocytes and human foreskin fibroblasts (HFF) found roles for 
IFI16, NLRP3, and AIM2 in HSV-1 inflammasome activation [40,41].
 Yet, monocytes/macrophages produce the majority of inflammasome related
 cytokines (IL-18 and IL-1β) in other viral infections and play crucial 
roles in preventing the most severe manifestations of HSV infection in 
mouse models [13,42].
 Therefore, to determine what inflammasome components are required for 
HSV-1 induced inflammasome activation in macrophages, we infected THP-1 
cells lacking various inflammasome proteins. These cells were 
constructed using the CRISPR-Cas9 system and previously used to 
determine the requirements for human cytomegalovirus (HCMV) inflammasome
 activation in macrophages [43].
 The ΔHUMCYC cell-line (WT) was used to control for any off-target 
effects of the CRISPR-cas9 system. This line was derived from the same 
THP-1 cells, but targeted a human pseudogene (HUMCYCPS3). While
 HSV-1 infection of the WT, ΔAIM2, and ΔIFI16 THP-1 cells led to 
significant IL-18 production, infection of ΔNLRP3, Δcaspase-1, and ΔASC 
cells resulted in levels of IL-18 that were not significantly different 
from mock infection (Fig 2D).
 The amount of IL-18 produced in response to HSV-1 by the ΔAIM2, and 
ΔIFI16 THP-1 cells was not significantly different from WT (S2A Fig).
 The combination of nigericin with LPS was used as a positive control. 
As expected, IL-18 concentrations in supernatants from cells lacking 
NLRP3, ASC, and caspase-1 were not above background after nigericin and 
LPS exposure [27].
 These results indicate that HSV-1 induced canonical inflammasome 
activation and IL-18 production and release in macrophages is dependent 
on ASC, caspase-1, and NLRP3, but not on the dsDNA sensors IFI16 or 
AIM2. These differences were not due to differing replication capacity 
in the different knock-out lines as HSV-1 replicated similarly in each 
cell line compared to the WT line (Fig 2B).
UV-irradiated HSV-1 increases inflammasome activation
The HSV-1 tegument protein VP22 blocks activation of the AIM2 inflammasome [22]
 and, therefore, it is unsurprising that we failed to find a dependence 
on AIM2. However, it is possible that HSV-1 has evolved multiple 
mechanisms to alter inflammasome activation. To test this hypothesis, we
 cultured M0 and M1 MDMs with HSV-1 or UV irradiated HSV-1 (HSV-1/UV). 
Interestingly, HSV-1/UV exposure did lead to IL-18 production in M0 
macrophages (Fig 3A).
 This result suggests that M0 macrophages are capable of inflammasome 
formation in response to HSV-1, but that a viral factor that is produced
 during the replication cycle (such as VP22) inhibits this activation. 
When added to M1 macrophages, HSV-1/UV led to significantly increased 
IL-18 production compared to HSV-1 (Fig 3B).
 At four hours post infection, little IL-18 was detectable in 
supernatants from M1 macrophages, while at eight hours post infection, 
IL-18 was significantly higher in M1 macrophages infected with HSV-1 
compared to those infected with HSV-1/UV (Fig 3C).
 These data suggest that when macrophages are skewed toward an 
inflammatory state with IFNγ, a cellular factor is altered that 
counteracts the inhibitory mechanism(s) of the virus in M0 macrophages. 
However, replication of the virus does continue to lead to some 
downregulation of inflammasome activation in IFNγ-treated macrophages 
because HSV-1/UV led to increased IL-18 production versus HSV-1, albeit 
not until 24 hours post infection. One explanation for this phenomenon 
is that UV-irradiating the virus eliminates sufficient production of 
VP22 such that AIM2 is able to sense the viral DNA and trigger 
inflammasome formation in M0s. Whereas the replication competent virus 
inhibits AIM2 via VP22, the M0s lack additional factor(s) required to 
trigger inflammasome signaling in response to HSV-1. After skewing with 
IFNγ, HSV-1 infection leads to inflammasome formation through a non-AIM2
 dependent mechanism and HSV-1/UV is able to trigger inflammasome 
signaling through both AIM2 dependent and non-AIM2 dependent mechanisms.
 To determine if HSV-1 replication in macrophages results in inhibition 
of any non-AIM2 inflammasome proteins, we tested HSV-1/UV infection of 
the THP-1 cells lacking AIM2 and NLRP3 and compared them to WT THP-1 
cells. In order to more closely replicate the MDM model with IFNγ 
stimulation, in this experiment the cells were stimulated with PMA and 
then either infected directly or stimulated with IFNγ for an additional 
24hrs and then infected (Fig 4).
 Similar to what was seen in the MDM model, the WT, ΔAIM2, and ΔNLRP3 
cells treated with PMA alone produced more IL-18 in response to HSV-1/UV
 than in response to replication competent HSV-1 (Fig 4A). 
 Interestingly, after the addition of IFNγ, HSV-1 infection led to 
significant IL-18 production in the WT and ΔAIM2 cells, with even 
greater IL-18 produced with exposure to HSV-1/UV. Again, the ΔNLRP3 
cells did not produce IL-18 in response to HSV-1, but did produce a 
modest, but statistically significant, amount of IL-18 after infection 
with HSV-1/UV (Fig 4B).
 These data confirm our findings in the MDMs that HSV-1 infection of 
unstimulated macrophages does not lead to inflammasome activation. 
Further, they support the hypothesis that replication competent HSV-1 is
 capable of decreasing both AIM2 and NLRP3 dependent inflammasome 
activation because UV irradiating the virus led to significant increases
 in IL-18 release in both the ΔAIM2 and ΔNLRP3 lines at 24 hours 
post-infection. IFI16 has been reported to interact with ASC in response
 to HSV-1 infection and Kaposi's sarcoma-associated herpesvirus (KSHV) 
in HFF cells early during infection, and the HSV-1 immediate early 
protein ICPO is known to downregulate IFI16 [41,44,45].
 Therefore, we examined IL-18 production in THP-1 cells at 4 and 8 hours
 post-infection with HSV-1. Similar to what was observed at 24 hours 
post-infection, HSV-1 infection of the WT, ΔAIM2, and ΔIFI16 THP-1 cells
 led to significant IL-18 production. However, infection of ΔNLRP3, 
Δcaspase-1, and ΔASC cells resulted in minimal production of IL-18 not 
significantly different from mock infection (S2C and S2D Fig).
 This indicates that in proinflammatory macrophages, IFI16 and AIM2 are 
dispensable for HSV-1 induced inflammasome activation early during 
infection. In keeping with previously published reports, IFI16 was not 
decreased at 4 hours post infection with HSV-1, but IFI16 was decreased 
after 24 hours of infection. HSV-1/UV did not decrease IFI16 expression (S2B Fig).
 As observed in the MDM model, infection with HSV-1/UV did not lead to 
more robust IL-18 production at these earlier time points, which 
supports the hypothesis that HSV-1 has evolved mechanisms that require 
de novo viral protein translation to inhibit inflammasome signaling.
Discussion
In
 this study, we demonstrate for the first time that HSV-1 induces IL-18 
production and activation of inflammasomes in primary human macrophages 
stimulated with IFNγ through a caspase-1 dependent process. UV 
irradiating the virus prior to infection also leads to IL-18 production 
in unstimulated primary macrophages, but replication competent HSV-1 
does not result in IL-18 release without pre-treatment with IFNγ. 
Furthermore, using THP-1 cell lines, we show that HSV-1 induced 
canonical inflammasome activation is dependent on NLRP3, ASC, and 
caspase-1. By comparing HSV-1 and HSV-1/UV in these THP-1 cells, we also
 provide evidence that HSV-1 is capable of decreasing inflammasome 
activation through AIM2 and NLRP3 dependent mechanisms. Unlike IL-18, we
 found that macrophages are capable of producing IL-1β in a 
non-canonical, NLRP3, ASC, and caspase-1 independent manner in response 
to HSV-1 
. Finally, activation of the inflammasome in macrophages does 
not prevent viral replication as measured by plaque assay on macrophage 
culture supernatants 24 hours after infection with HSV-1.
Our
 data indicate that a cellular factor is altered in macrophages 
stimulated with IFNγ that allows for activation of the inflammasome 
after HSV-1 infection. Multiple cellular pathways and metabolic programs
 are modulated in macrophages exposed to IFNγ [28,29].
 While IFNγ is generally accepted as a proinflammatory stimulus, some 
inflammatory pathways, including IL-1β production, can be blunted after 
IFNγ stimulation in murine, bone-marrow derived macrophages [46].
 While we do not know what factor is altered, it is unlikely that it is 
NLRP3 itself because prior studies have demonstrated no significant 
increases in NLRP3 expression in macrophages after skewing with IFNγ [24,47].
Although a previous study suggested that HSV-1 infection of primary human macrophages does not lead to inflammasome activation [48], the macrophages in that study were only stimulated with the TLR2 agonist Pam3Cys
 and not IFNγ. Our data in M0-like MDMs showing that HSV-1 infection 
failed to induce IL-18 secretion are in agreement with this previous 
study. HSV-1 has been reported to stimulate multiple inflammasome 
adapter proteins in non-macrophage cell types. In HFFs, HSV-1 was shown 
to stimulate inflammasome activation through NLRP3 and IFI16 [41] and in keratinocytes it was suggested that HSV-1 activates inflammasomes via NLRP3, IFI16, and AIM2 [40].
 However, in our study we found that HSV-1 inflammasome activation in 
proinflammatory macrophages is dependent on NLRP3, but not IFI16 or 
AIM2. It is possible that different cell types utilize different 
inflammasome signaling mechanisms in response to pathogens and that 
HSV-1 does activate the inflammasome through IFI16 or AIM2 in 
non-macrophage cells. Moreover, the immediate early HSV-1 protein, ICP0,
 is known to degrade IFI16, which may explain why IFI16 does not play a 
role in inflammasome activation in this model using proinflammatory 
macrophages [41,45].
 Indeed, we observed decreased IFI16 in THP-1 cells infected with HSV-1 
for 24 hours, an effect negated by UV irradiation. Furthermore, the lack
 of dependence on IFI16 and AIM2 does not rule out a role for other 
dsDNA sensors in HSV-1 inflammasome activation. The NLRP3 inflammasome 
can be triggered by a STING mediated mechanism in myeloid cells [49].
 Importantly, IFI16, cGAS-STING, and other dsDNA sensors have critical 
roles in innate signaling particularly in triggering the type I 
interferon response (reviewed in [50]), and sensing by cGAS has also been shown to prime cells for inflammasome activation [51].
 Innate sensing of DNA viruses is quite complex, and multiple sensors 
can interact, as is the case of IFI16 and cGAS-STING in HFFs [52].
 Therefore, it is possible there is redundancy in these dsDNA sensing 
molecules and one or more is sensing the viral nucleic acid upstream of 
NLRP3. A recent study in which wild-type THP-1 cells were infected with 
several strains of HSV-1 showed that more virulent strains of HSV-1 
induced more mature IL-18 (measured by western blot) production and that
 multiple inflammasome adapter proteins were upregulated after HSV-1 
infection, including NLRP3, NLRP6, NLRP12, and IFI16 [18].
 However, it is known that HSV-1 infection leads to upregulation of 
multiple proinflammatory genes. Therefore, increased expression of these
 inflammasome related proteins does not necessarily indicate that 
inflammasome activation by HSV-1 is taking place through these adapters [48,50,53]. Although CMV, a closely related herpesvirus, was recently discovered to activate the inflammasome through AIM2 [43], initial studies on HSV-1 inflammasome activation in macrophages did not find a dependence on AIM2 [21].
 This finding was explained by the discovery that VP22 specifically 
inhibits the interaction between AIM2 and the HSV-1 genome [22].
 In agreement with these studies, our current investigation found that 
AIM2 was not required for HSV-1 to activate the inflammasome in THP-1 
cells. Moreover, UV-irradiated HSV-1 led to more IL-18 production at 24 
hours post-infection, suggesting more robust inflammasome signaling in 
response to UV-irradiated HSV-1 in both IFNγ stimulated and unstimulated
 macrophages. UV-irradiated virus is unable to produce de-novo VP22 and 
therefore the virus is able to activate the inflammasome both through 
AIM2 and NLRP3. To further support this, the ΔNLRP3 THP-1 cells produced
 IL-18 in response to UV-irradiated, but not replication competent 
HSV-1. With irradiation, there is insufficient VP22 present to inhibit 
AIM2 and thus the macrophages are able to sense the HSV-1 genome via 
AIM2. Interestingly, UV-irradiating HSV-1 prior to infection also led to
 a robust increase in IL-18 release in the ΔAIM2 THP-1 cell line 
compared to WT virus. If the VP22-AIM2 interaction were the only 
mechanism by which HSV-1 is capable of inhibiting inflammasome 
activation, we would expect no difference in IL-18 production between 
ΔAIM2 cells infected with replication competent HSV-1 or UV-irradiated 
HSV-1 because AIM2 is not present. However, we found that UV-irradiating
 the virus led to an increase in IL-18 in ΔAIM2 THP-1 cells at 24 hours 
post infection, suggesting that the virus has evolved other mechanisms 
to inhibit inflammasome activation in macrophages that are not AIM2 
dependent. This is in agreement with a previous report that HSV-1 
interferes with NLRP3-ASC interaction in HFFs [41]. Having multiple mechanisms of evasion highlights the importance of inflammasome activation in macrophages to control HSV-1.
The
 primary limitation of our study is that it was restricted to primary 
macrophages and macrophage-like cell lines. As discussed, our data 
support that HSV-1 is capable of activating more than one inflammasome 
signaling adapter and the signaling pathway may differ depending on the 
cell type studied. Therefore, we cannot draw conclusions regarding the 
interaction between HSV-1 and IFI16 or other inflammasome related 
proteins in all cell types the virus is capable of infecting. However, 
macrophages are a crucial cell type in inflammasome activation and HSV-1
 control in murine models, prompting our focus on this cell type. 
Additionally, the present studies were centered on human cells and cell 
lines and we did not investigate these inflammasome proteins in other 
species or whole animal models. A prior study in mice showed that HSV-1 
causes more severe keratitis after corneal infection in NLRP3 KO mice 
compared to WT [54].
 This suggests that regulation of this pathway is central to the 
delicate balance between viral control and excessive tissue damage.
In
 summary, we have demonstrated that HSV-1 infection leads to production 
of IL-18 through canonical caspase-1 inflammasome activation in 
proinflammatory primary human macrophages. This process is dependent on 
the inflammasome proteins NLRP3, ASC, and caspase-1. However, IL-1β 
release in macrophages infected by HSV-1 occurs through both canonical 
and non-canonical inflammasome activation pathways. Furthermore, our 
data demonstrate that HSV-1 replication partially inhibits NLRP3 
dependent inflammasome activation in human cells.
Materials and methods
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