Cited by 783D Printing in Biomedical ResearchTissue Engineering and Regenerative MedicineHerpesvirus Infections and Treatments

Modeling human HSV infection via a vascularized immune-competent skin-on-chip platform

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Sun, Sijie, Jin, Lei, Zheng, Ying, Zhu, Jia·2022·Nature Communications

Abstract

Herpes simplex virus (HSV) naturally infects skin and mucosal surfaces, causing lifelong recurrent disease worldwide, with no cure or vaccine. Biomimetic human tissue and organ platforms provide attractive alternatives over animal models to recapitulate human diseases. Combining prevascularization and microfluidic approaches, we present a vascularized, three-dimensional skin-on-chip that mimics human skin architecture and is competent to immune-cell and drug perfusion. The endothelialized microvasculature embedded in a fibroblast-containing dermis responds to biological stimulation, while the cornified epidermis functions as a protective barrier. HSV infection of the skin-on-chip displays tissue-level key morphological and pathophysiological features typical of genital herpes infection in humans, including the production of proinflammatory cytokine IL-8, which triggers rapid neutrophil trans-endothelial extravasation and directional migration. Importantly, perfusion with the antiviral drug acyclovir inhibits HSV infection in a dose-dependent and time-sensitive manner. Thus, our vascularized skin-on-chip represents a promising platform for human HSV disease modeling and preclinical therapeutic evaluation.

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  • The integrated vasculature contributes to spatially organized inflammatory readouts in the VSA platform.

    “Immune cells accumulated within the dermal compartment and localized near vascular structures, suggesting that the integrated vasculature contributes to spatially organized inflammatory readouts in the VSA platform 45 .”
  • There has been a complete absence of an endogenously differentiating vascularized, hair-bearing human skin equivalent that contains immune cell populations.

    “While many attempts to generate complex 3D skin equivalents have achieved vascularization, hair follicle generation, and immune cell co‐cultures, there has been a complete absence of endogenously differentiating a vascularized, hair‐bearing human skin equivalent that contains immune cell populations.[ 21 , 22 , 23 , 24 , 25 , 26 , 27 ]”

    From Coordinated Development of Immune Cell Populations in Vascularized Skin Organoids from Human Induced Pluripotent Stem Cells (2025) · cites this paper as [21]

    The Introduction (page unavailable) describes separate advances in vascularized skin models and models incorporating immune cells or dermal papilla cells. It does not address whether a human skin equivalent combining endogenous differentiation, vasculature, hair, and immune cell populations was entirely absent. A search for hair-bearing, endogenously differentiating models found no passage establishing that claim. (LLM, conf=0.72)

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References 67 · Cited by 78

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  1. [1]Fields, B. N., Knipe, D. M. & Howley, P.M. Fields Virology (Wolters Kluwer Health/Lippincott Williams & Wilkins, 2007).
  2. [2]Looker KJ Global and regional estimates of prevalent and incident herpes simplex virus type 1 infections in 2012 PLoS ONE 2015 10 e0140765 10.1371/journal.pone.0140765 26510007 PMC4624804 · DOI
  3. [3]Corey L Wald A Celum CL Quinn TC The effects of herpes simplex virus-2 on HIV-1 acquisition and transmission: a review of two overlapping epidemics J. Acquir Immune Defic. Syndr. 2004 35 435 445 10.1097/00126334-200404150-00001 15021308 · DOI
  4. [4]Corey L Synergistic copathogens–HIV-1 and HSV-2 N. Engl. J. Med. 2007 356 854 856 10.1056/NEJMe068302 17314346 · DOI
  5. [5]Abu-Raddad LJ Genital herpes has played a more important role than any other sexually transmitted infection in driving HIV prevalence in Africa PLoS ONE 2008 3 e2230 10.1371/journal.pone.0002230 18493617 PMC2377333 · DOI
  6. [6]Celum C Effect of aciclovir on HIV-1 acquisition in herpes simplex virus 2 seropositive women and men who have sex with men: a randomised, double-blind, placebo-controlled trial Lancet 2008 371 2109 2119 10.1016/S0140-6736(08)60920-4 18572080 PMC2650104 · DOI · Paper page
  7. [7]Celum C Acyclovir and transmission of HIV-1 from persons infected with HIV-1 and HSV-2 N. Engl. J. Med. 2010 362 427 439 10.1056/NEJMoa0904849 20089951 PMC2838503 · DOI · Paper page
  8. [8]Jiang YC Feng H Lin YC Guo XR New strategies against drug resistance to herpes simplex virus Int. J. Oral. Sci. 2016 8 1 6 10.1038/ijos.2016.3 27025259 PMC4822185 · DOI
  9. [9]Johnston C Koelle DM Wald A Current status and prospects for development of an HSV vaccine Vaccine 2014 32 1553 1560 10.1016/j.vaccine.2013.08.066 24016811 PMC4106293 · DOI
  10. [10]Zhu J Virus-specific CD8+ T cells accumulate near sensory nerve endings in genital skin during subclinical HSV-2 reactivation J. Exp. Med. 2007 204 595 603 10.1084/jem.20061792 17325200 PMC2137910 · DOI
  11. [11]Zhu J Persistence of HIV-1 receptor-positive cells after HSV-2 reactivation is a potential mechanism for increased HIV-1 acquisition Nat. Med. 2009 15 886 892 10.1038/nm.2006 19648930 PMC2723183 · DOI
  12. [12]Zhu J Immune surveillance by CD8alphaalpha+ skin-resident T cells in human herpes virus infection Nature 2013 497 494 497 10.1038/nature12110 23657257 PMC3663925 · DOI
  13. [13]Peng, T. et al. Keratinocytes produce IL-17c to protect peripheral nervous systems during human HSV-2 reactivation. J. Exp. Med.214, 2315–2329 (2017). PMC5551564 28663436
  14. [14]Peng T Tissue-resident-memory CD8(+) T cells bridge innate immune responses in neighboring epithelial cells to control human genital herpes Front Immunol. 2021 12 735643 10.3389/fimmu.2021.735643 34552595 PMC8450389 · DOI
  15. [15]Bhatia SN Ingber DE Microfluidic organs-on-chips Nat. Biotechnol. 2014 32 760 772 10.1038/nbt.2989 25093883 · DOI · Paper page
  16. [16]Esch EW Bahinski A Huh D Organs-on-chips at the frontiers of drug discovery Nat. Rev. Drug Disco. 2015 14 248 260 10.1038/nrd4539 PMC4826389 25792263 · DOI · Paper page
  17. [17]Zhang BY Korolj A Lai BFL Radisic M Advances in organ-on-a-chip engineering Nat. Rev. Mater. 2018 3 257 278 10.1038/s41578-018-0034-7 · DOI · Paper page
  18. [18]Ronaldson-Bouchard K Vunjak-Novakovic G Organs-on-a-chip: a fast track for engineered human tissues in drug development Cell Stem Cell 2018 22 310 324 10.1016/j.stem.2018.02.011 29499151 PMC5837068 · DOI · Paper page
  19. [19]Elder, D. E. Lever’s Histopathology of the Skin (Wolters Kluwer, 2015).
  20. [20]Bell E Ehrlich HP Buttle DJ Nakatsuji T Living tissue formed in vitro and accepted as skin-equivalent tissue of full thickness Science 1981 211 1052 1054 10.1126/science.7008197 7008197 · DOI
  21. [21]van den Broek LJ Bergers L Reijnders CMA Gibbs S Progress and future prospectives in skin-on-chip development with emphasis on the use of different cell types and technical challenges Stem Cell Rev. Rep. 2017 13 418 429 10.1007/s12015-017-9737-1 28536890 PMC5486511 · DOI
  22. [22]Roger M Bioengineering the microanatomy of human skin J. Anat. 2019 234 438 455 10.1111/joa.12942 30740672 PMC6422806 · DOI · Paper page
  23. [23]Abaci HE Guo Z Doucet Y Jackow J Christiano A Next generation human skin constructs as advanced tools for drug development Exp. Biol. Med. 2017 242 1657 1668 10.1177/1535370217712690 PMC5786367 28592171 · DOI · Paper page
  24. [24]Ouwehand K Technical advance: Langerhans cells derived from a human cell line in a full-thickness skin equivalent undergo allergen-induced maturation and migration J. Leukoc. Biol. 2011 90 1027 1033 10.1189/jlb.0610374 21697260 · DOI
  25. [25]Kosten IJ Spiekstra SW de Gruijl TD Gibbs S MUTZ-3 derived Langerhans cells in human skin equivalents show differential migration and phenotypic plasticity after allergen or irritant exposure Toxicol. Appl. Pharmacol. 2015 287 35 42 10.1016/j.taap.2015.05.017 26028481 · DOI
  26. [26]Keck M Construction of a multi-layer skin substitute: simultaneous cultivation of keratinocytes and preadipocytes on a dermal template Burns 2011 37 626 630 10.1016/j.burns.2010.07.016 20869175 · DOI
  27. [27]Blais M Grenier M Berthod F Improvement of nerve regeneration in tissue-engineered skin enriched with Schwann cells J. Invest. Dermatol 2009 129 2895 2900 10.1038/jid.2009.159 19587695 · DOI
  28. [28]Muller Q Development of an innervated tissue-engineered skin with human sensory neurons and Schwann cells differentiated from iPS cells Acta Biomater. 2018 82 93 101 10.1016/j.actbio.2018.10.011 30316025 · DOI
  29. [29]Haase K Kamm RD Advances in on-chip vascularization Regen. Med. 2017 12 285 302 10.2217/rme-2016-0152 28318376 PMC5574321 · DOI
  30. [30]Schechner JS In vivo formation of complex microvessels lined by human endothelial cells in an immunodeficient mouse Proc. Natl Acad. Sci. USA 2000 97 9191 9196 10.1073/pnas.150242297 10890921 PMC16844 · DOI
  31. [31]Marino D Luginbuhl J Scola S Meuli M Reichmann E Bioengineering dermo-epidermal skin grafts with blood and lymphatic capillaries Sci. Transl. Med. 2014 6 221ra214 10.1126/scitranslmed.3006894 24477001 · DOI · Paper page
  32. [32]Ramadan Q Ting FCW In vitro micro-physiological immune-competent model of the human skin Lab a chip 2016 16 1899 1908 10.1039/C6LC00229C 27098052 · DOI
  33. [33]Abaci HE Human skin constructs with spatially controlled vasculature using primary and iPSC-derived endothelial cells Adv. Health. Mater. 2016 5 1800 1807 10.1002/adhm.201500936 PMC5031081 27333469 · DOI
  34. [34]Groeber F A first vascularized skin equivalent as an alternative to animal experimentation Altex 2016 33 415 422 27180196
  35. [36]Mori N Morimoto Y Takeuchi S Skin integrated with perfusable vascular channels on a chip Biomaterials 2017 116 48 56 10.1016/j.biomaterials.2016.11.031 27914266 · DOI
  36. [37]Liu X Michael S Bharti K Ferrer M Song MJ A biofabricated vascularized skin model of atopic dermatitis for preclinical studies Biofabrication 2020 12 035002 10.1088/1758-5090/ab76a1 32059197 PMC7457159 · DOI
  37. [38]Lee S Construction of 3D multicellular microfluidic chip for an in vitro skin model Biomed. Microdevices 2017 19 22 10.1007/s10544-017-0156-5 28374277 · DOI
  38. [39]Sutterby E Thurgood P Baratchi S Khoshmanesh K Pirogova E Microfluidic skin-on-a-chip models: toward biomimetic artificial skin Small 2020 16 e2002515 10.1002/smll.202002515 33460277 · DOI
  39. [40]Risueno I Valencia L Jorcano JL Velasco D Skin-on-a-chip models: general overview and future perspectives APL Bioeng. 2021 5 030901 10.1063/5.0046376 34258497 PMC8270645 · DOI
  40. [41]Zheng Y In vitro microvessels for the study of angiogenesis and thrombosis Proc. Natl Acad. Sci. USA 2012 109 9342 9347 10.1073/pnas.1201240109 22645376 PMC3386137 · DOI · Paper page
  41. [42]Wu MH Ustinova E Granger HJ Integrin binding to fibronectin and vitronectin maintains the barrier function of isolated porcine coronary venules J. Physiol. 2001 532 785 791 10.1111/j.1469-7793.2001.0785e.x 11313446 PMC2278579 · DOI
  42. [43]Yuan W Lv Y Zeng M Fu BM Non-invasive measurement of solute permeability in cerebral microvessels of the rat Microvasc. Res. 2009 77 166 173 10.1016/j.mvr.2008.08.004 18838082 · DOI
  43. [44]Qiu Y Microvasculature-on-a-chip for the long-term study of endothelial barrier dysfunction and microvascular obstruction in disease Nat. Biomed. Eng. 2018 2 453 463 10.1038/s41551-018-0224-z 30533277 PMC6286070 · DOI
  44. [45]Peng T Evasion of the mucosal innate immune system by herpes simplex virus type 2 J. Virol. 2009 83 12559 12568 10.1128/JVI.00939-09 19793807 PMC2786730 · DOI
  45. [46]Lycke J Malmestrom C Stahle L Acyclovir levels in serum and cerebrospinal fluid after oral administration of valacyclovir Antimicrobial Agents Chemother. 2003 47 2438 2441 10.1128/AAC.47.8.2438-2441.2003 PMC166099 12878501 · DOI
  46. [47]King DH History, pharmacokinetics, and pharmacology of acyclovir J. Am. Acad. Dermatol 1988 18 176 179 10.1016/S0190-9622(88)70022-5 2828440 · DOI
  47. [48]Carlson, M. W., Alt-Holland, A., Egles, C. & Garlick, J. A. Three-dimensional tissue models of normal and diseased skin. Curr. Protoc. Cell Biol.Chapter 19, Unit 19 19 (2008). PMC2811850 19085986
  48. [49]Reuter C Walles H Groeber F Preparation of a three-dimensional full thickness skin equivalent Methods Mol. Biol. 2017 1612 191 198 10.1007/978-1-4939-7021-6_14 28634944 · DOI
  49. [50]Sriram G Full-thickness human skin-on-chip with enhanced epidermal morphogenesis and barrier function Mater. Today 2018 21 326 340 10.1016/j.mattod.2017.11.002 · DOI
  50. [51]Toepke MW Beebe DJ PDMS absorption of small molecules and consequences in microfluidic applications Lab a chip 2006 6 1484 1486 10.1039/b612140c 17203151 · DOI
  51. [52]Cheng JB Transcriptional programming of normal and inflamed human epidermis at single-cell resolution Cell Rep. 2018 25 871 883 10.1016/j.celrep.2018.09.006 30355494 PMC6367716 · DOI · Paper page
  52. [53]Rahn E Epithelial barriers in murine skin during herpes simplex virus 1 infection: the role of tight junction formation J. Invest. Dermatol. 2017 137 884 893 10.1016/j.jid.2016.11.027 27939379 · DOI
  53. [54]Thier, K. et al. Mechanical barriers restrict invasion of herpes simplex virus 1 into human oral mucosa. J. Virol.91, e01295-17 (2017). PMC5660485 28878080
  54. [55]Mikloska Z In vivo production of cytokines and beta (C-C) chemokines in human recurrent herpes simplex lesions–do herpes simplex virus-infected keratinocytes contribute to their production? J. Infect. Dis. 1998 177 827 838 10.1086/515236 9534953 · DOI
  55. [56]Li H Herpes simplex virus 1 infection induces the expression of proinflammatory cytokines, interferons and TLR7 in human corneal epithelial cells Immunology 2006 117 167 176 10.1111/j.1365-2567.2005.02275.x 16423052 PMC1782219 · DOI
  56. [57]Ferreira VH Nazli A Mossman KL Kaushic C Proinflammatory cytokines and chemokines - but not interferon-beta - produced in response to HSV-2 in primary human genital epithelial cells are associated with viral replication and the presence of the virion host shutoff protein Am. J. Reprod. Immunol. 2013 70 199 212 10.1111/aji.12133 23621693 · DOI
  57. [59]Hammond ME IL-8 induces neutrophil chemotaxis predominantly via type I IL-8 receptors J. Immunol. 1995 155 1428 1433 7636208
  58. [60]Eruslanov EB Singhal S Albelda SM Mouse versus human neutrophils in cancer: a major knowledge gap Trends Cancer 2017 3 149 160 10.1016/j.trecan.2016.12.006 28718445 PMC5518602 · DOI
  59. [61]Roberts RL Ank BJ Stiehm ER Antiviral properties of neonatal and adult human neutrophils Pediatr. Res. 1994 36 792 798 10.1203/00006450-199412000-00018 7898988 · DOI
  60. [62]Tumpey TM Chen SH Oakes JE Lausch RN Neutrophil-mediated suppression of virus replication after herpes simplex virus type 1 infection of the murine cornea J. Virol. 1996 70 898 904 10.1128/jvi.70.2.898-904.1996 8551629 PMC189893 · DOI
  61. [63]Iversen MB An innate antiviral pathway acting before interferons at epithelial surfaces Nat. Immunol. 2016 17 150 158 10.1038/ni.3319 26595890 · DOI
  62. [64]Reitano M Valaciclovir for the suppression of recurrent genital herpes simplex virus infection: a large-scale dose range-finding study. International Valaciclovir HSV Study Group J. Infect. Dis. 1998 178 603 610 10.1086/515385 9728526 · DOI · Paper page
  63. [65]Kimberlin, D. W. & Whitley, R. J. In Human Herpesviruses: Biology, Therapy, and Immunoprophylaxis (eds. Arvin, A. et al.) (Cambridge, 2007). 21348071
  64. [66]Douglas JM A double-blind-study of oral acyclovir for suppression of recurrences of genital herpes-simplex virus-infection N. Engl. J. Med. 1984 310 1551 1556 10.1056/NEJM198406143102402 6328298 · DOI
  65. [67]Rajan N Habermehl J Cote MF Doillon CJ Mantovani D Preparation of ready-to-use, storable and reconstituted type I collagen from rat tail tendon for tissue engineering applications Nat. Protoc. 2006 1 2753 2758 10.1038/nprot.2006.430 17406532 · DOI
  66. [68]Price GM Tien J Methods for forming human microvascular tubes in vitro and measuring their macromolecular permeability Methods Mol. Biol. 2011 671 281 293 10.1007/978-1-59745-551-0_17 20967637 · DOI
  67. [69]Magaret AS Wald A Huang ML Selke S Corey L Optimizing PCR positivity criterion for detection of herpes simplex virus DNA on skin and mucosa J. Clin. Microbiol. 2007 45 1618 1620 10.1128/JCM.01405-06 17329447 PMC1865863 · DOI
  68. [70]Kuhns DB Long Priel DA Chu J Zarember KA Isolation and functional analysis of human neutrophils Curr. Protoc. Immunol. 2015 111 7 23 21 16 26528633 PMC4668800

Authors
Sun, S., Jin, L., Zheng, Y., & Zhu, J.
Affiliations
  • University of Washington (US)
  • Fred Hutch Cancer Center (US)
Corresponding author
Zhu, Jia
Venue
Nature Communications
Published
2022-09-19
Volume
13
Issue
1
Pages
5481-5481
ISSN
2041-1723 (ISSN-L)
OpenAlex
W4296365813
Cited by
78
References
67
Citations by year
2026: 27 · 2025: 21 · 2024: 17 · 2023: 13
FWCI
3.70
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Foundation for the National Institutes of Health (AI143773, TR003208)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › 3D Printing in Biomedical Research
  • Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
  • Health Sciences › Medicine › Epidemiology › Herpesvirus Infections and Treatments
Keywords
herpes simplex virus, vascularized tissue engineering, microfluidics, dermis, epidermis, genital herpes, interleukin-8, acyclovir, antiviral drug evaluation, disease modeling
MeSH terms
Acyclovir, Animals, Antiviral Agents, Herpes Simplex, Humans, Interleukin-8, Herpesvirus 1, Human

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