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Herpes
Simplex
Viruses
INFECTIOUS DISEASE AND THERAPY
Series Editor
Burke A. Cunha
Winthrop-University Hospital
Mineola, and
State University o f New York School o f Medicine
Stony Brook, New York
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First published 2006 by CRC Press
Taylor & Francis Group
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Preface
/il
iV Preface
Marie Studahl
Paola Cinque
Tomas Bergström
Contents
Preface . . . . Hi
Contributors . . . . xi
V
vi Contents
4. Pathogenesis.......................................................................... 99
Tomas Bergström
Introduction . . . . 99
HSV Structure and Replication . . . . 100
Natural Infection . . . . 103
Genetic Susceptibility of the Host . . . . 107
HSV Virulence . . . . 108
Conclusions . . . . 110
References . . . . I ll
5. Understanding and Diagnosing Herpes Simplex Virus . . . 119
Eva Thomas
Introduction . . . . 119
Contents v/7
xi
xii Contributors
1
Evolution of Herpes Simplex Viruses
INTRODUCTION
The evolution of the two herpes simplex virus (HSV) species, HSV-1 and
HSV-2, falls naturally into two main components. The first of these con
cerns the ancient evolutionary history of the origins and development of
HSV-1 and HSV-2 within the contexts of the family Herpesviridae, the sub
family Alphaherpesvirinae, and the Simplexvirus genus to which the HSV
species are assigned. As we shall explain, we believe that these processes
took place over a timeframe of several hundred million years (MY), with
the most recent-dated event being the divergence of the HSV-1 and HSV-
2 lineages some 9 MY ago. The second part of our treatment concerns
the evolutionary processes that have generated and are active in contempor
ary populations of HSV-1 and HSV-2, which are composed of lineages that
we estimate have arisen well within the last million years.
Investigation of both these evolutionary phases depends on availability
of herpesviral genomic sequences. For the first phase of ancient development,
the primary analytical route comprises comparison of encoded amino acid
sequences for equivalent genes from across the herpesvirus family, with pro
minent use of methods for construction of phylogenetic trees. The second
phase, of population biology of each HSV species, was initiated two decades
ago using restriction nuclease profiles for the DNAs of HSV isolates to mea
sure diversity, while its modern practice employs DNA sequences from
selected genomic regions of isolates. Availability of sufficient comparative
/
2 Bowden and McGeoch
sequence data is only now approaching a level adequate for such analyses, so
our appreciation and understanding of recent HSV evolution is still at an
early stage.
Figure 1 Major lineages for mammalian and avian herpesviruses. This summary
phylogenetic tree was derived from alignment of encoded amino acid sequences
for sets of conserved gene, using a maximum likelihood method with a molecular
clock imposed. Major lineages equivalent to genera are shown, and with recent taxo
nomic additions ( Mardivirus and lltovirus). Lineages belonging to the Alpha-, Beta-,
and Gammaherpesvirinae are also labeled with the appropriate Greek letter plus a
numeral. The least certain portions of the tree adjacent to the root are shown as
dashed lines. In terminal branches, heavy lines indicate the region in each lineage
with multiple branches. Source: From Refs. 4, 7.
Considering first the early evolution of herpesviruses that gave rise to the
most recent common ancestor of present day lineages, we can conclude little
of detail or certainty. In addition to the group of herpesviruses so far dis
cussed, of mammals, birds and reptiles, there are two other sets of viruses
currently assigned to the family Herpesviridae: a group of fish and amphi
bian viruses, and a single invertebrate (oyster) virus (2). Both display the
characteristic virion architecture of herpesviruses, and indeed this is the
basis of their assignment to the family. However, very little of their gene
complements are detectably related to those of the mammalian/avian/
reptile group. Like the latter, the fish/amphibian group comprises a set of
lineages that are clearly related by gene content (although with wide overall
divergence), while the oyster virus is distinct in its gene contents from both
of the vertebrate virus groups. Our interpretation of this situation is that the
three groups are probably genuinely related in having a common origin of
their capsid genes, but that most of the remainder of the gene complements
of the present day species is in each case acquired after divergence of these
three ancient lineages. This comparison thus sketches an early stage of evo
lutionary development, of what might be termed a “pre-herpesvirus.” A
final point regarding the origins of the herpesviruses is that certain aspects
of their mechanisms for packaging DNA are similar to those of DNA bac
teriophages, suggesting some very distant connection (2).
Simplexvirus (al) and Varicellovirus (a2). The main lineages within the
Alphaherpesvirinae are expanded in Figure 2.
In the a2 group, the branching pattern for the primate, artiodactyl,
perissodactyl, and carnivore viruses is congruent with the pattern for their
host lineages, at least for the level of detail shown in Figure 2; the compar
ison is effectively at the level of order in mammalian taxonomy. The struc
ture of the a l portion of the tree is a little more complicated: this group
comprises primate viruses, except for the occurrence of one bovine herpes
virus (BHV-2) and two marsupial herpesviruses (MaHV-1 and MaHV-2).
Setting aside these anomalies, the branching pattern of old world primate
(OWP) and new world primate viruses follows the pattern for the host
lineages. Thus, the a2 clade displays characteristics of cospeciation for four
orders of placental mammals, while the a l clade evinces this characteristic
for primates only. The fact that primate virus lineages occur in both these
groups in a manner consistent with cospeciation leaves unresolved the nat
ure of the original divergence event between the a l and a2 lineages. We can
not reliably distinguish with available data the branching orders for the
lineages of BHV-2, the marsupial viruses, and the OWP viruses. We suppose
that BHV-2 and the marsupial viruses arose from two separate transfers
6 Bowden and McGeoch
from OWP viruses at some distant time following separation of the OWP
and new world primate host lineages. The nearest relatives of the HSV spe
cies are in the clade labelled as OW monkey viruses in Figure 2.
Three such viruses are represented in the tree, namely simian B virus
(SBV), simian agent 8 (SA8), and herpesvirus papio 2; these have the formal
taxonomic names of Cercopithecine herpesvirus 1, 2, and 16, respectively.
These OW monkey viruses were placed in the tree shown on the basis of
only one gene, that for virion glycoprotein B. However, their relationship
to the HSV species and other species in the immediate a l locality has been
confirmed by data for several other genes (US3, US4, and US6; not shown)
and is regarded as secure.
Establishing the origins of the HSV species in the context of their develop
ment within the OWP virus clade turns out to be an uncertain undertaking,
for several distinct reasons. A major consideration is the paucity of data
available for a l viruses of nonhuman OWPs. As shown in Figure 2, there
is a well-defined clade of OW monkey viruses, and the HSV species lie in
a sister clade that is unambiguously separated from the OW monkey virus
clade by an extended branch. However, the HSV species are the only viruses
in this sister clade: there are no viruses of other hominoids represented (i.e.,
species of chimpanzee, gorilla, orangutan, and gibbon), which we might
expect to be associated with the HSV clade. Overall, there is surprisingly lit
tle information available on a l herpesviruses of apes. Papers from the 1980s
and earlier described HSV-like infections in captive apes, with isolation of
viruses that by the criteria of the day were very similar to HSV (10,11). Sur
veys of sera from captive and wild apes detected antibodies against HSV-like
viruses (11,12). However, we have found no recent account of isolation or
characterization of such viruses, let alone DNA sequences. This lack of
description for a class that we believe must include the closest relatives of
the HSV species is a seriously limiting factor for evaluation of the immediate
antecedents of HSV-1 and HSV-2.
The next complexity concerns the relationship between the HSV spe
cies. HSV-1 and HSV-2 are each other’s closest known relative, but their
genomes are actually quite diverged. Based on recent phylogenetic analysis
(4), our current best estimate is that the two lineages diverged 9 million years
ago. Allowing for the uncertainties of such a calculation, it remains clear
that the separation is of considerable antiquity. For comparison, the spread
of modern humans across the planet took place over the last 0.1 million
years, while divergence of the human lineage from those of other hominoids
took place between 5.5 (chimpanzee) and 14.6 (gibbon) million years
before the present (13). Thus, we estimate that splitting of the two HSV
lineages occurred long before the emergence of modern humans, and within
Evolution of Herpes Simplex Viruses 7
All alphaherpesvirus genomes contain long and short unique regions (UL
and Us) and a pair of large repeat elements that flank the Us sequence in
opposing orientations (Rs). Some, including HSV-1 and HSV-2, also possess
a distinct pair of large repeat elements that flank U L (RL). These large-scale
features are illustrated for HSV in Figure 3, with conventions of genome
segment naming. All of the ancestral genes, common to the three subfamilies,
lie in the UL component. An equivalent arrangement of long and short
unique sequences with flanking repeats is also found in the Cytomegalovirus
genus of the Betaherpesvirinae, but the U s, Rs, and RL components of these
betaherpesvirus genomes are considered to be unrelated to the alphaherpes
virus sequences. It thus appears that the alphaherpesvirus S region (Us
plus its flanking R s copies) emerged after divergence from the Beta- and
Gammaherpesvirinae and before the appearance of the a l to a4 lineages.
For the purposes of this analysis, we regard R L elements as comprising
some thousands of base pairs (and containing protein coding genes) and
exclude the much smaller similarly placed sequences (of several tens of base
pairs) that are found in a2 genomes. By this definition, R L elements occur
only in the a l and a3 groups. However, on the basis of their sequences
and gene contents, a l RL and a3 RL are unrelated (20). We therefore regard
as likely that the common ancestral alphaherpesvirus genome was of form
Figure 3 Gross genome structure of HSV. The linear form of the HSV genome as
found in virions is depicted. Regions of unique sequence (U L and U s) are shown as
heavy lines, and major flanking repeat elements as open boxes. The terminal copy of
R L (designated TRL) is oppositely oriented to the internal copy IRL, and similarly for
TRS and IRS. The unit consisting of TRL- U L-IR L is termed the long or L region,
and IRS- U S-T R S the short or S region. The locations are indicated by short direct
repetitions at the genome termini (a sequences) and of an oppositely oriented copy
at the junction between IRL and IRs {a'). A scale bar is shown at the foot.
Evolution of Herpes Simplex Viruses 9
We consider that HSV-1 and HSV-2 possess equivalent sets of genes, which
encode 74 distinct proteins (27,28). This estimate excludes some proposals
for additional genes that we regard as unproven and leaves aside as unre
solved any protein coding function of the latency-associated transcript locus.
Forty-three of the HSV genes belong to the ancestral set. In principle, the
other 31 HSV genes might have arisen early in the development of the Her-
pesviridae and then been lost in other lineages, or have first appeared after
the early Alphaherpesvirinae lineage split from that leading to the Beta-
and Gammaherpesvirinae. We regard as more plausible that new acquisition
within the Alphaherpesvirinae was the predominant route and for the present
discussion we treat this as the only mode. Twenty-two of these 31 genes are
also represented in the complete sequences of avian Mardivirus genomes (20),
present before the a3 lineage diverged from those leading to a l and a2. Three
of the remaining nine HSV genes have counterparts in the a l lineage [and one
of the three also has an a A homologue (29)], so these were also acquired at an
early stage in the development of the subfamily. This leaves six HSV genes
that are considered to have arisen within the a l lineage, namely U L56,
RL1, C/55, U S 8 A , C/577, and US12. The only complete genome sequences
presently available for viruses of the a l group are of HSV-1 and HSV-2
(27,28) so that our view of when the six a 1-specific HSV genes entered the
lineage is incomplete. We know from limited sequence data that the OW
monkey viruses SA8 and SBV have homologues of five of these HSV genes,
namely U L 56 , C/55, U S 8 A , C/577, and C/572 (30,31) (A. Dolan and D.
McGeoch, unpublished data), but there is no counterpart of the sixth gene,
RL1, at the corresponding locus in the genomes in these OW monkey viruses
(A. Dolan and D. McGeoch, unpublished data). However, there is a homo
logue of HSV RL1 in the marsupial virus MaHV-1, in an apparently equiva
lent genomic location (32). Thus, given the lines of descent shown in Figure 2,
we have to propose either that the RL1 gene was gained before divergence of
10 Bowden and McGeoch
the marsupial virus and OWP virus lineages and then lost in the OW monkey
virus clade or—perceived as less likely—that the gene was independently
gained in the marsupial virus and HSV lineages. Our interim conclusion is
thus that none of the HSV complement of genes is unique to HSV-1 and
HSV-2, and all may have been present in the a l lineage before the divergence
of the HSV and OW monkey virus clades.
A LA REYNE.
M. D C . XX II .
A LA REYNE.
adame,
MADAME,
Tres-humble & Tres-obeissante
servante & subjecte.
Gournay.
EGALITÉ DES HOMMES ET DES
FEMMES.
Ont elles au surplus, (ce mot par occasion) moins excellé de foy, qui comprend toutes
les vertus principales, que de suffisance & de force magnanime & guerriere?
Paterculus nous apprend, qu’aux proscriptions Romaines, la fidelité des enfans fut
nulle, des affranchis legere, des femmes tresgrande. Que si Sainct Paul, suyvant ma
route des tesmoignages saincts, leur deffend le ministere & leur commande le silence
en l’Eglise: il est evident que ce n’est point par aucun mespris: ouy bien seulement,
de crainte qu’elles n’esmeuvent les tentations, par cette montre si claire & publique
qu’il faudroit faire en ministrant & preschant, de ce qu’elles ont de grace & de beauté
plus que les hommes. Je dis que l’exemption de mespris est evidente, puisque cet
Apostre parle de Thesbé comme de sa coadjutrice en l’œuvre de nostre Seigneur,
sans toucher le grand credit de Saincte Petronille vers sainct Pierre: & puis aussi que
la Magdeleine est nommée en l’Eglise egale aux Apostres, par Apostolis. Voire que
l’Eglise & eux-mesmes ont permis une exception de ceste reigle Entre autres au
de silence pour elle, qui prescha trente ans en la Baume de Calendrier des Grecs,
Marseille au rapport de toute la Provence. Et si quelqu’un publié par Genebrard.
impugne ce tesmoignage de predications, on luy demandera que
faisoient les Sibyles, sinon prescher l’Univers par divine inspiration, sur l’evenement
futur de Jesus-Christ? Toutes les anciennes Nations concedoient la Prestrise aux
femmes, indifferemment avec les hommes. Et les Chrestiens sont au moins forcez de
consentir, qu’elles soyent capables d’appliquer le Sacrement de Baptesme: mais
quelle faculté de distribuer les autres, leur peut estre justement deniée; si celle de
distribuer cestuy-là, leur est justement accordé? De dire que la necessité des petits
enfans mourans, ait forcé les Peres anciens d’establir cet usage en despit d’eux: il est
certain qu’ils n’auroient jamais creu que la necessité les peust dispenser de mal faire,
jusques aux termes de permettre violer & diffamer l’application d’un Sacrement. Et
partant concedans ceste faculté de distribution aux femmes, on void à clair qu’ils ne
les ont interdites de distribuer les autres Sacremens, que pour maintenir tousjours
plus entiere l’auctorité des hommes; soit pour estre de leur sexe, soit afin qu’à droit
ou à tort, la paix fust plus asseurée entre les deux sexes, par la foiblesse &
Epist. ravallement de l’un. Certes sainct Jerosme escrit sagement à nostre propos;
qu’en matiere du service de Dieu, l’esprit & la doctrine doivent estre
considerez, non le sexe. Sentence qu’on doit generaliser, pour permettre aux Dames
à plus forte raison, toute action & science honneste: & cela suyvant aussi les
intentions du mesme sainct, qui de sa part honnore & auctorise bien fort leur sexe.
Davantage sainct Jean l’Aigle & le plus chery des Evangelistes, ne mesprisoit pas les
femmes non plus que sainct Pierre, sainct Paul & ces deux Peres, j’entends saint
Basile & sainct Jerosme; puis qu’il leur addresse ses Epistres Electra.
particulierement: sans parler d’infinis autres Ss: ou Peres, qui font pareille
addresse de leurs Escrits. Quand au faict de Judith je n’en daignerois faire mention
s’il estoit particulier, cela s’appelle dependant du mouvement & volonté de son
auctrice: non plus que je ne parle des autres de ce qualibre; bien qu’ils soient
immenses en quantité, comme ils sont autant heroiques en qualité de toutes sortes,
que ceux qui couronnent les plus illustres hommes. Je n’enregistre point les faicts
privez, de crainte qu’ils semblent, non advantages & dons du sexe, ains boüillons
d’une vigueur privée & specialle. Mais celuy de Judith merite place en ce lieu, parce
qu’il est bien vray, que son dessein tombant au cœur d’une jeune dame, entre tant
d’hommes lasches & faillis de cœur, à tel besoing, en si haulte & si difficile entreprise,
& pour tel fruict, que le salut d’un Peuple & d’une Cité fidelle à Dieu: semble plustost
estre une inspiration & prerogative divine vers les femmes, qu’un traict purement
voluntaire. Comme aussi le semble estre celuy de la Pucelle d’Orleans, accompagné
de mesmes circonstances environ, mais de plus ample & large utilité, s’estendant
jusques au salut d’un grand Royaume & de son Prince.
Æneid. I.
allusion. Cette illustre Amazone instruicte aux soins de Mars,
Fauche les escadrons & brave les hazars:
Vestant le dur plastron sur sa ronde mammelle,
Dont le bouton pourpré de graces estincelle:
Pour couronner son chef de gloire & de lauriers,
Vierge elle ose affronter les plus fameux guerriers.
Adjoustons que la Magdelene est la seule ame, à qui le Redempteur ait jamais
prononcé ce mot, & promis cette auguste grace: En tous lieux où se preschera
l’Evangile il sera parlé de toy. Jesus-Christ d’autrepart, declara sa tres heureuse &
tres glorieuse resurrection aux dames les premieres, affin de les rendre, dit un
venerable Pere ancien, Apostresses aux propres Apostres: cela, comme lon sçait,
avec mission expresse: Va, dit il, à cette cy mesme, & recite aux Apostres & à Pierre
ce que tu as veu. Surquoy il faut notter, qu’il manifesta sa nouvelle naissance
esgalement aux femmes qu’aux hommes, en la personne d’Anne fille de Phannel, qui
le recongneut en mesme instant, que le bon vieillard Sainct Simeon. Laquelle
naissance, d’abondant, les Sybilles nommées, ont predite seules entre les Gentils,
excellent privilege du sexe feminin. Quel honneur faict aux femmes aussi, ce songe
survenu chez Pilate; s’addressant à l’une d’elles privativement à tous les hommes, &
en telle & si haulte occasion. Et si les hommes se vantent, que Jesus-Christ soit nay
de leur sexe, on respond, qu’il le failloit par necessaire bien sceance, ne se pouvant
pas sans scandale, mesler jeune & à toutes les heures du jour & de la nuict parmy les
presses, aux fins de convertir, secourir & sauver le genre humain, s’il eust esté du
sexe des femmes: notamment en face de la malignité des Juifs. Que si quelqu’un au
reste est si fade; d’imaginer masculin ou feminin en Dieu, bien que son nom semble
sonner le masculin, ny consequemment besoin d’acception d’un sexe plustost que de
l’autre, pour honnorer l’incarnation de son fils; cettuy cy monstre à plein jour, qu’il est
aussi mauvais Philosophe que Theologien. D’ailleurs, l’advantage qu’ont les hommes
par son incarnation en leur sexe; (s’ils en peuvent tirer un advantage, veu cette
necessité remarquée) est compensé par sa conception tres precieuse au corps d’une
femme, par l’entiere perfection de cette femme, unique à porter nom de parfaicte
entre toutes les creatures purement humaines, depuis la cheute de nos premiers
parens, & par son assumption unique en suject humain aussi.
Finalement si l’Escripture a declaré le mary, chef de la femme, la plus grande
sottise que l’homme peust faire, c’est de prendre cela pour passedroict de dignité.
Car veu les exemples, aucthoritez & raisons nottées en ce discours, par où l’egalité
des graces & faveurs de Dieu vers les deux especes ou sexes est prouvée, voire leur
unité mesme, & veu que Dieu prononce: Les deux ne seront qu’un: & prononce
encores: L’homme quittera pere & mere pour suivre sa femme; il paroist que cette
declaration n’est faicte que par le besoin expres de nourrir paix en mariage. Lequel
besoin requeroit, sans doubte, qu’une des parties cédast à l’autre, & la prestance des
forces du masle ne pouvoit pas souffrir que la soubmission vînt de sa part. Et quand
bien il seroit veritable, selon que quelques uns maintiennent, que cette soubmission
fut imposée à la femme pour chastiement du peché de la pomme: cela encores est
bien esloigné de conclure à la pretendue preferance de dignité en l’homme. Si lon
croioit que l’Escripture luy commendast de ceder à l’homme, comme indigne de le
contrecarrer, voyez l’absurdité qui suivroit: la femme se treuveroit digne d’estre faicte
à l’image du Createur, de jouyr de la tressaincte Eucaristie, des mysteres de la
Redemption, du Paradis & de la vision voire possession de Dieu, non pas des
advantages et privileges de l’homme: seroit ce pas declarer l’homme plus precieux &
relevé que telles choses, & partant commettre le plus grief des blasphemes?
FIN.
L’IMPRIMEUR A RANGÉ
ces vers icy pour emplir le reste
de la feuille.
AUTHEUR INCERTAIN.
VERSION.
AUTREMENT.
Lyse & son petit Lys aussy beaux que les Dieux,
De deux costez divers ont perdu l’un des yeux.
Si Lys donne l’autre œil à sa mere admirée;
Il est l’aveugle Amour, & Lyse Cytherée.
EX HORATIO.
Dial.
VERSION
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