[CANCER RESEARCH 27 Part 1, 367-376,February 1967] Nucleolar Changes in KB Tumor Cells Infected with Herpes Simplex Virus CARLO SIRTORI AND MARIA BOSISIO-SESTETTI Department of Pathology of the National Cancer Institute, and Laboratory of Electron Microscopy, Fondazione Carlo Erba, Milan, Italy Summary Cultures of KB tumor cells were infected with herpes simplex virus [Bruxelles strain, infectious titer 2 X 106/ml tissue culture infecting dose (TCIDÅ“)], and the resulting alterations were studied by electron microscopy. Peculiar lesions involve the nucleolus. In the cells containing only a few immature virus particles in the nucleus, the nucleolar ribosomes, the nonribosomic RNA filaments, and the amorphous nucleolar component segregate and coalesce to form round aggregates. Sometimes the fibrillar component seems to "cap" the mass of the closely-grouped nucleolar ribosomes. In the cells containing a greater number of virus particles, both in the nucleus and in the cytoplasm, the nucleolar substances aggregate and become more compact and electron dense. The nucleolus decreases gradually in size until it fragments. The earliest cytoplasmic change takes place as soon as the 1st immature virus particles appear in the nucleus, and consists of a decrease in ribosomes and polysomic chains. At more advanced stages of viral invasion of the cell, numerous myelinic figures and other nonspecific degenerative lesions appear in the cytoplasm, preceding cellular lysis. The ultrastructural changes of the nucleolus and the reduction in polysomic chains are very similar to the alterations induced in the cells by actinomycin D, mitomycin C, and 4-nitroquinolineA"-oxide. Introduction The cytopathic lesions caused by herpes simplex virus in infected cells have been examined by several authors by light and phase-contrast microscopy. These lesions consist mainly of nucleolar changes, intranuclear inclusions, and syncytial forma tions (1, 7, 13, 18). The various attempts made to demonstrate by electron microscopy, the ultrastructural basis of the alterations detectable in infected cells by the classic histology methods, have so far produced uncertain data (23). In these last years, many electron microscopy studies carried out on cells infected with the herpes simplex virus have mainly elucidated problems concerning morphology, development, and release of virus par ticles (4, 8, 17, 31, 32). Only secondary importance, however, has been given to the description and interpretation of the changes caused by the virus in the ultrastructures of the host cell. These changes, therefore, form the object of the present research, in which the mode of action of the herpes simplex virus in infected Received June 9, 1966; accepted September 23, 1966. cells has been investigated by observation of the ultrastructural changes preceding cell lysis. Materials and Methods Cells and Virus Trypsinized KB tumor cells were grown in Leighton tubes in Eagle's medium (3), containing 15 % rabbit serum and antibiotics (streptomycin, 50 /ug/ml, and penicillin, 50 units/ml). When the cells had multiplied to form a monolayer, they were infected with herpes simplex virus (Bruxelles strain, infectious titer 2 x 106/ml TCTD5C).The infecting dose was 0.2 ml/tissue culture, containing 200,000-300,000 cells. Electron Microscopy Specimens of uninfected KB cells and KB cells 18, 24, 42, 48, and 72 hr after infection were incubated for 10 min at 37°C with a 0.25% buffered trypsin solution (1 ml/10 ml of culture medium), to detach the cells from the glass. The cells were then suspended in the culture medium and treated as follows: short prefixation by addition of a few drops of 1% osmium tetroxide (15); low-speed centrifugation for 2-3 min; further fixation of the sediment with 1% osmium tetroxide for 30 min; embedding in Vestopal W; staining of thin sections, cut with an ultramicrotome Ultrotome LKB, with uranyl acetate (1% aqueous solution) and lead citrate (21); observation with a Hitachi-HS-7 electron microscope. Results Uninfected KB Cells The majority of the uninfected KB cells have large nuclei, which frequently are round or oval, and less often pleomorphic or lobate. They contain little chromatin and 1 nucleolus, very often located at the periphery. Under the electron microscope, the nucleolus appears to be formed of dense ribonucleoprotein (RNP) granules (also termed "nucleolar ribosomes") of 100-150 A diameter, irregularly scattered on a loosely meshed network constituted by an electron-dense, finely fibrillar substance (nucleolonema). In some of the meshes of the nucleolonema an amorphous and less electron-dense nucleolar component can be observed (Fig. 2). The cytoplasm of the uninfected KB cells (Fig. 3) contains some irregularly placed ergastroplasmic cisterns, many mito chondria of different shapes and sizes, and numerous very elec tron-dense osmiophilic bodies, which probably consist of phago- FEBRUARY 1967 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. 367 Carlo Sirtori and Maria Bosisio-Bestetti cytized material. The cytoplasm appears very rich in ribosomes, scattered and arranged in clusters and polysomic chains (Fig. 3a). The Golgi apparatus and the smooth endoplasmic reticulum are poorly developed. The KB cells cultured in monolayer tend to assume an epithelial-like disposition (Fig. 1). On the cell boundaries occur numerous desmosomes, and several rows of pinocytotic vesicles can be observed near the free surface of the cells. KB Cells after Infection with Herpes Simplex Virus The KB cells were examined 18, 24, 42, 48, and 72 hr after infection. In the specimens fixed 18 and 24 hr after infection, the cells containing virus particles are very few and most of the cells appear quite undamaged. The few cells which appear invaded by virus contain a variable number of virus particles, ranging from a very few immature ones in the nucleus to a great number both in the nucleus and in the cytoplasm. In the specimens fixed 42 hr after infection, all the cells contain virus. Also in this case, however, the number of intracellular viral particles is extremely variable. Therefore, the only difference between the specimens examined 18 and 24 hr after infection and 42 hr after seems to be in the number of cells containing the virus, while the different degrees of viral invasion of the cells and the consequent ultrastructural changes look identical. For this reason, in the description of these alterations, reference is made mainly to specimens examined 42 hr after infection, where it is much easier to find many different degrees of viral invasion in the same section. Forty-eight and 72 hr after infection, the great majority of cells are overloaden with virus particles and show severe and non specific alterations of cellular lysis. In these specimens, cells containing only a very few or no virus particles at all are no longer observed. The most important and frequent ultrastructural change observed in KB cells containing herpes simplex virus particles affects the nucleolus. As soon as a few immature virus particles appear in the nucleus, the nucleolar substances seem to change their distribution. They segregate from one another and coalesce to form compact, round masses, and the nucleolar appearance varies according to the arrangement of the nucleolar components aggregates. In the nucleolus, a central aggregate of closely grouped RNP granules and 1 or 2 lateral electron-dense masses showing a finely fibrillar structure can be clearly observed (Fig. 4). In contact with these zones, there are also small aggregates of amorphous and more electron-dense material (Fig. 4). Sometimes, a vacuole containing scanty scattered material appears in the nucleolus, and the fibrillar substance seems to cap the zone of RNP granules (Fig. 5). Further nucleolar changes follow virus multiplication in the cell. The mass of RNP granules becomes more compact and in contact with it 1 or more round buds appear. They are very electron dense and compact; therefore it is difficult to distinguish whether they consist of amorphous or fibrillar nucleolar substance (Figs. 6, 7). These buds sometimes seem to disaggregate into minute fragments (Fig. 7) and at other times to detach themselves from the granules (Fig. 8) to remain isolated in the nucleus. When the virus particles become more numerous in the nucleus and 368 begin to appear also in the cytoplasm, the nucleolar size decreases (Fig. 9) and the nucleolar substance aggregates become more compact. This makes it still more difficult to distinguish their composition clearly. In the cells where the nucleus is occupied by a large amount of virus particles in crystalline array, the nucleolus is reduced to small scattered debris or is no longer visible. The evolution of the nucleolar damage is accompanied by a progressive reduction in the chromatin. This latter collects at the periphery of the nucleus and adheres to the inner membrane. The earliest change in the cytoplasm, occurring nearly simul taneously with the appearance of the 1st virus particles in the nucleus, is an apparent reduction in all the cytoplasmic organules (rough endoplasmic reticulum, mitochondria, osmiophilic bodies), especially in the ribosomes which tend to be scattered rather than grouped in clusters or polysomic chains. When the virus begins to pass from the nucleus into the cytoplasm, the latter undergoes degenerative changes. Numerous myelinic figures (Fig. 10) appear, some of which seem to derive from the rough endoplasmic reticulum. Forty-eight and 72 hr after infection, all the cellular structures appear severely damaged by the massive viral invasion. The nucleus is almost lacking in chromatin and contains a great number of immature virus particles in crystalline array (Fig. 11). The nucleolus is no longer visible. All the cytoplasmic structures show severe and nonspecific alterations, usually observed in cellular lysis from any cause. Discussion The most recent histochemical and ultrastructural researches on the composition of the nucleolus (14) show that it consists of 3 fundamental components: RNP granules or nucleolar ribo somes, fine fibrils probably constituted by nonribosomic RNA, and an amorphous electron-transparent material. The process of sorting out and coalescence of these nucleolar substances to form nucleolar "caps," "buds," and "satellites," accompanied by a decrease in scattered ribosomes and especially in polysomic chains in the cytoplasm, seems to be the earliest and probably most characteristic lesion caused by the herpes simplex virus in KB cells. Although the growth cycle of the herpes simplex virus is of the order of 12 hr, only a few cells were seen to contain virus particles in the samples examined 18 and 24 hr after infection. This may lead one to think that the observations made over a period of 18-72 hr apply to a continuing infection with an initial low inoculum. In this case, the possibility could arise that the observed alterations of KB cells were due to some side effects, rather than directly to the infection. Under our experimental conditions, however, the number of virus particles per host cell was at least 1, and a marked cytopathic effect was observed under the phase-contrast microscope in cell specimens examined 12 and 18 hr after the infection. For this reason, we think that the small number of virus-containing cells seen in the samples observed under the electron microscope 18 and 24 hr after the infection may be explained by the 2 following factors: (a) the thin sections examined may have been cut through a portion of the cell where there were no virus particles; (6) since the examined cells were CANCER RESEARCH VOL. 27 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. Changes in Tumor Cells Infected with Herpes Simplex not a homogeneous done, some of them may have been less sensitive to the infection. Nucleoli with morphologic alterations similar to those observed have been described in cells treated with actinomycin D both in vitro (25) and in vivo (2, 10, 29), with mitomycin C (12), and with 4-nitroquinoline-Ar-oxide (16, 22). The findings most similar to ours are those obtained in vivo by Jézéquel and Bernhard (10) in the exocrine pancreas cells of mice treated with actinomycin D and examined at various intervals after administration of the drug. The ultrastructural changes induced in the pancreas cells by actinomycin D could, at least where the nucleolus is concerned, represent the morphologic appearance of its action on the DNAdependent synthesis of ribosomic and messenger RXA, through mechanisms recently demonstrated by biochemical researches (5, 11, 19). The observation that the redistribution of the nucleolar com ponents takes place only in cells treated with agents which modify nucleic acid metabolism [e.g., actinomycin D (5, 11, 19), mito mycin C (9, 20, 26), 4-nitroquinoline-.V-oxide (22), and others (27)] justifies the regarding of this morphologic picture as specific for alteration of nucleic acid metabolism at different levels (27). Our own research findings show that the lesions produced by the herpes simplex virus in KB cells involve at first only nucleolar and cytoplasmic structures containing RNA. These results and the above data obtained from literature could lead one to assume that also the redistribution of the nucleolar components sub sequent to herpes simplex virus infection might represent the morphologic manifestation of an action of the virus at some un known level of nucleic acid metabolism in the host cell. Recent researches on the metabolism of nucleic acids in animal cells infected with herpes simplex virus (11, 24, 30), show, however, that the synthesis of at least a fraction of DNA-dependent RNA, i.e., the transfer RNA of the host cell, is not inhibited by the virus (30). It is evident, therefore, that the mechanism by which the morphologic changes are induced in the nucleolus of infected cells is still an unknown biochemical phenomenon. Observation of the subsequent stages of nucleolar damage (size reduction, segregation, and fragmentation of nucleolar components) show that this occurs at equal rate with an apparent decrease of ribosomes and in particular with the reduction of the polysomic chains. Nevertheless, while the nucleolus undergoes rapid changes to the point of being reduced to small fragments, and then virtually disappearing, a certain amount of scattered ribosomes and a few polysemes always remain in the cytoplasm. This finding is difficult to interpret. It could be due to a more rapid turnover of nucleolar RNA compared with that of the cytoplasmic RNA, or to a passage of nucleolar RNA into the cytoplasm (5). Study of the subsequent stages of nucleolar involution shows frequently that the zone of RNP granules decreases in size earlier than the masses of the other nucleolar components. This finding seems in accordance with both the hypotheses put forward. The appearance of myelinic figures in the cytoplasm, following massive viral invasion of the cell, should be considered an entirely nonspecific ultrastructural lesion, since myelinic figures may be observed commonly in cells undergoing lysis from any cause. The observation that the herpes simplex virus induces great morphologic alterations in KB tumor cells raises the question on the opportunity of further investigations of the oncolytic action of this virus. This, despite the fact that some attempts to employ herpes simplex virus (6, 28) as an oncolytic agent have up till now given doubtful or negative results. Acknowledgments The authors gratefully acknowledge the assistance of Dr. Romano Angelucci from the Department of Virology of the Carlo Erba S.p.A., Milano, in the tissue and virus culture work. References 1. Barski, G., and Robineaux, R. Evolution of Herpes Simplex Cellular Lesions Observed "in Vitro" by Phase Contrast Microcinematography. Proc. Soc. Exptl. Biol. Med., 101: 632-36, 1959. 2. Boloukhere Presburg, M. Effet de l'Actinomycine D sur l'ul trastructure des chloroplastes et du noyau d' "acetabularia mediterranea." J. Microscop., 4: 363-72, 1965. 3. Eagle, H. Propagation in a Fluid Medium of a Human Epidermoid Carcinoma, Strain KB. Proc. Soc. Exptl. Biol. Med., 89: 362-64, 1955. 4. Epstein, M. A. Observation on the Release of Herpes Simplex Virus from Infected HeLa Cells. J. Cell Biol., le: 589-97, 1962. 5. Girard, M., Penman, S., and Darnell, J. E. The Effect of Ac tinomycin on Ribosome Formation in HeLa Cells. Proc. Nati. Acad. Sei. U. S., 51: 205-11, 1964. G. Hamburg, V. P., and Svet-Moldawsky, G. J. Artificial Heterogenization of Tumors by Means of Herpes Simplex and Polyoma Viruses. Nature, 80S: 772-73, 1964. 7. Hampar, B., and Ellison, S. A. Cellular Alterations in the MCH Line of Chinese Hamster Cells Following Infection with Herpes Simplex Virus. Proc. Nati. Acad. Sei. U. S., 49: 474-80, 1963. 8. Holmes, I. H., and Watson, D. H. An Electron Microscopy Study of the Attachment and Penetration of Herpes Simplex Virus in BHK 21 Cells. Virology, 21: 112-23, 1963. 9. Iyer, V. N., and Szybalski, W. A Molecular Mechanism of Mitomycin Action: Linking of Complementary DNA Strands. Proc. Nati. Acad. Sci. U. S., SO:355-62, 1963. 10. Jézéquel, A. M., and Bernhard, W. Modifications ultrastruc turales du pancréasexocrine de rat sous l'effet de l'Actino mycine D. J. Microscop., 3: 279-96, 1964. 11. Keir, H. M. DNA Polymerase from Mammalian Cells. Progr. Nucleic Acid Res., 4: 81-128, 1965. 12. Lapis, K., and Bernhard, W. The Effect of Mitomycin C on the Nucleolar Fine Structure of KB Cells in Cell Culture. Cancer Res., 25: 628-46, 1965. 13. Love, R., and Wildy, P. Cytochemical Studies on the Nucleoproteins of HeLa Cells Infected with Herpes Virus. J. Cell Biol., 17: 237-54, 1963. 14. Marinozzi, V. Cytochimie ultrastructurale du nucléole.RNA et protéinesiritranucleolaires. J. Ultrastruct. Res., 10: 433-56, 1963. 15. Millonig, G. Further Observations on a Phosphate Buffer for Osmium Solution in Fixation. Electron Microscopy, Proc. 5th International Congress for Electron Microscopy, Phila delphia, 2: P-8. New York: Academic Press, 1962. 16. Montgomery, P. O'B., Jr. Experimental Approaches to Nu cleolar Function. Exptl. Cell Res., Suppl. 9., pp. 170-75, 1963. 17. Morgan, C., Rose, H. M., Holden, M., and Jones, E. P. Elec tron Microscopic Observations on the Development of Herpes Simplex Virus. J. Exptl. Med., ¡10:643-56, 1959. FEBRUARY 1967 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. 369 Carlo Sirtori and Maria Bosisio-Besletti 18. Pereira, H. G. The Cytopathic Effect of Animal Viruses. Advan. Virus Res., 8: 245-85, 1961. 19. Reich, E., and Goldberg, I. H. Actinomycin and Nucleic Acid Function. Progr. Nucleic Acid Res., 3: 183-234, 1964. 20. Keich, E., Shatkin, A. J., and Tatum, E. L. Bacteriocidal Action of Mitomycin C. Biochim. Biophys. Acta, öS:132-49, 1961. 21. Reynolds, E. S. The Use of Lead Citrate at High pH as an Electron-Opaque Stain in Electron Microscopy. J. Cell Biol., 17: 208-12, 1963. 22. Reynolds, R. C., Montgomery, P. O'B, and Karney, D. H. Nucleolar "Caps." A Morphologic Entity Produced by the Carcinogen 4-Nitroquinoline-Ar-oxide. Cancer Res., 23: 53538, 1963. 23. Rose, H. M., and Morgan, C. Fine Structure of Virus Infected Cells. Ann. Rev. Microbio!., 14: 217-40,1960. 24. Rüssel,W. C., Gold, E., Keir, H. M., Omura, H., Watson, D. H., and Wildy, P. The Growth of Herpes Simplex Virus and Its Nucleic Acid. Virology, 2«:103-10,1964. 25. Schoefl, I. G. The Effect of Actinomycin D on the Fine Struc ture of the Nucleolus. J. Ultrastruct. Res., 10: 224-43, 1964. 26. Schwartz, H. S., Sternberg, S. S., and Philips, F. S. Pharma cology of Mitomycin C. IV. Effects in Vivo on Nucleic Acid Synthesis. Comparison with Actinomycin D. Cancer Res., US: 1125-36, 1963. 27. Simard, R. Spécificité de la réponsenucléolaireaux attaques de certains antimétabolites. J. Microscop., 5: 77a, 1966. 28. Southam, C. M. PrésentStatus of Oncolytic Virus Studies. Trans. N. Y. Acad. Sci., 22: 657-73, 1960. 29. Stevensen, B. J. The Effect of Actinomycin D on Nucleolar and Nuclear Fine Structure in the Salivary Gland Cell of Chirmomus Ihummi. J. Ultrastruct. Res., 11: 329-53, 1964. 30. Subak-Sharpe, H., and Hay, J. An Animal Virus with DNA of High Ciuaniiie-Cytosine Content Which Codes from S-RNA. J. Mol. Biol., 12: 924-28, 1965. 31. Watson, D. H., Wildy, P., and Rüssel,W. C. Quantitative Electron Microscopy Studies on the Growth of Herpes Virus Using the Techniques of Negative Staining and Ultramicrotomy. Virology, 24: 523-38, 1964. 32. Wildy, P., Rüssel,W. C., and Hörne, R. W. The Morphology of Herpes Virus. Ibid., 12: 204-22, 1900. FIG. 1. Monolayer of uninfected KB cells, showing an epithelial-like disposition. The cytoplasm is very rich in ribosomes and con tains numerous mitochondria and osmiophilic bodies. On the cell boundaries there are some desmosomes. X 15,000. FIG. 2. Nucleolus of an uninfected KB cell: a, zone of ribonucleoprotein granules; 6, fine fibrillar substance (nucleolonema); c, amorphous substance; N, nucleus. X 34,000. FIG. 3. Cytoplasm of an uninfected KB cell, containing a great number of ribosomes both scattered and grouped to form polysomic chains. Note numerous pinocytotic vesicles at the free surface of the cell. X 34,000. a, detail of Fig. 3. Clusters of ribosomes and poly somic chains. X 68,000. FIG. 4. Nucleolus of a KB cell 42 hr after the infection with herpes simplex virus. The cell contains only a few immature virus par ticles in the nucleus. The nucleolar components have coalesced into several zones, a, ribonucleoprotein granules zone; 6, zone of co alesced nucleolonema; c, amorphous substance. X 41,000. FIG. 5. Same condition as shown in Fig. 4. The nucleolonema (6) seems to "cap" the mass of ribonucleoprotein granules (a). Note a vacuole between the 2 aggregates of nucleolar substance and a "satellite" (s) which seems to derive from zone 6. c, amorphous sub stance; v, virus particle. X 41,000. FIG. 6. More advanced nucleolar lesion in a KB cell. The cell contains several virus particles both in the nucleus and in the cytoplasm. The central zone of the nucleolus, formed by closely-packed ribonucleoprotein granules (a), is surrounded by very electron-dense, round masses, probably derived from coalesced nucleolonema (6). v, virus particles. X 63,000. FIG. 7. Same condition as shown in Fig. 6. One of the electron-dense masses of coalesced nucleolonema (6) appears to disaggregate into small fragments and spread throughout the nucleus, a, ribonucleoprotein granules. X 63,000. FIG. 8. Same condition as shown in Figs. 6 and 7. The ribonucleoprotein granules (a) have detached from the coalesced nucleolo nema (6). v, virus particles. X 41,000. FIG. 9. KB cell containing a great number of virus particles scattered both in the nucleus and in the cytoplasm. The nucleolar size appears much reduced. Note the paucity in chromatin of the nucleus, v, virus particles. X 41,000. FIG. 10. Cytoplasm of a KB cell 48 hr after the infection. In comparison with Figs. 1 and 3, the number of ribosomes is markedly reduced. Several myelinic figures and virus particles appear in the cytoplasm. The mitochondria are alterated and more electron dense. f, virus particles; A', nucleus. X 54,000. FIG. 11. Nucleus of a KB cell 72 hr after the infection. The nucleus is almost entirely occupied by a conspicuous amount of immature virus particles in crystalline array. Note some chromatin still present at the periphery. N, nucleus. X 63,000. 370 CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. VOL. 27 Changes in Tumor Cells Infected with Herpes Simplex ?•*•. ;•'•?" -v". y*e ^k^"-:»' FEBRUAHY '"<- ^ 1967 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. 371 Carlo Sirtori and Maria Bosisio-Besteüi ' .it . 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V-» ( 't & ,. ¿£k*£fci? . • v. » ai m ' i ' • ^j^ '^^*. ' ? fe* - asjü'-^ °Ä " 374 CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. VOL. 27 Changes in Tumor Cells Infected with Herpes Simplex R_**4V*1 *•* T4^" • i ••• *til • - • :•• .'-,..•'.- . ;' •*-j.^'..^rcrj -r^.*^/ -¿ • . .-. ^ ../^..^^ »• &<£&:&*<. - ^'-y- v^ç ¿-. 'V*.-- ^.*^ ..-*«-, Ã-¿-*tv .,' r-?•->> »v •• -'-^^-'.AX. rrVT.nî.» T f- Jri' • FEBRUARY i T 1967 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. 375 Carlo Sirtori and Maria Bosisio-Besteüi FI G.10 ., CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. VOL. 27 Nucleolar Changes in KB Tumor Cells Infected with Herpes Simplex Virus Carlo Sirtori and Maria Bosisio-Bestetti Cancer Res 1967;27:367-376. 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