RT Journal Article SR Electronic T1 Indoleamine 2,3-dioxygenase 1 in corneal endothelial cells limits herpes simplex virus type 1-induced acquired immune response JF British Journal of Ophthalmology JO Br J Ophthalmol FD BMJ Publishing Group Ltd. SP 1435 OP 1442 DO 10.1136/bjophthalmol-2015-306863 VO 99 IS 10 A1 Tomoko Haruki A1 Dai Miyazaki A1 Koudai Inata A1 Shin-ichi Sasaki A1 Yukimi Yamamoto A1 Michiko Kandori A1 Keiko Yakura A1 Yumiko Noguchi A1 Chizu Touge A1 Ryoko Ishikura A1 Hirokazu Touge A1 Satoru Yamagami A1 Yoshitsugu Inoue YR 2015 UL http://bjo.bmj.com/content/99/10/1435.abstract AB Background Corneal endothelial cells are known to be targets of herpes simplex virus type 1 (HSV-1) infection; however, the pathogenesis of HSV infections of the endothelial cells has not been definitively determined. The purpose of this study was to examine an unrecognised strategy of corneal endothelial cells to protect themselves from HSV-1 infection.Methods Immortalised human corneal endothelial cells (HCEn) were infected with HSV-1. Based on the global transcriptional profile, the expression of indoleamine 2,3-dioxygenase 1 (IDO1) was determined using real-time PCR and western blots. To examine whether IDO1 has any antiviral role, we tested whether viral replication was affected by blocking the activity of IDO1. The immune modulatory role of IDO1 was analysed to determine whether IDO1 might contribute to modulating the recall responses of HSV-1-sensitised CD4+ T cells.Results IDO1 was strongly expressed in HCEn cells after HSV-1 infection. IDO1 blockade did not significantly restrict viral transcription or replication, arguing against a previously recognised antiviral role for IDO1. When HCEn cells were examined for antigen-presenting function, HSV-1-primed HCEn cells stimulated the proliferation of allogeneic CD4+ T cells and interleukin 10 (IL-10) secretion. When the recall response to HSV-1 was measured by the mixed lymphocyte reaction, the HCEn-stimulated CD4+ T cells modulated and limited the recall response. When IDO1 was silenced in HCEn cells, the HCEn-mediated immune modulatory activity and regulatory T-cell activation were reduced. Overexpression of IDO1 promoted immune modulatory activity, which was partly conveyed by IL-10.Conclusions IDO1 induced by HSV-1 infection limits and dampens excessive acquired immune responses in corneal endothelial cells.