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Department of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, 1402 South Grand Ave, St Louis, MO 63104, USA
Correspondence
Thomas J. Chambers
thomas_chambers2{at}merck.com
| ABSTRACT |
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The GenBank/EMBL/DDBJ accession numbers for the brain-associated viral variants are EU391638–EU391642.
| INTRODUCTION |
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WNVs can be subdivided into two distinct lineages on the basis of serological data and genetic characterization (Price & O'Leary, 1967
; Berthet et al., 1997
). Lineage 1 viruses, which include the highly virulent NY99 strain, are the most widespread and typically associated with epidemics or epizootics (Petersen & Roehrig, 2001
; Roehrig et al., 2002
). Lineage 1 viruses can be further differentiated into at least three clades: clade 1a, which is found worldwide; clade 1b, which includes the Australian Kunjin virus (Lanciotti et al., 1999
; Scherret et al., 2002
); and clade 1c containing isolates from India (Bondre et al., 2007
). Lineage 2 comprises virus isolates from sub-Saharan Africa and Madagascar (Scherret et al., 2001
; Burt et al., 2002
). Viruses of lineage 2 have not been associated with large disease outbreaks of this type (Lanciotti et al., 1999
).
WN25 and WN25A are variants of a lineage 1 strain (WN-Israel) isolated in 1951 in association with outbreaks of West Nile fever and some cases of central nervous system disease (Goldblum et al., 1954
). WN25 was derived by passage of its parental WN-Israel strain in Aedes aegypti cultures (25 passages) followed by plaque purification and growth in C6/36 cells, as described previously (Lustig et al., 1992
). WN25A was derived from WN25 by selection for monoclonal antibody neutralization resistance (Halevy et al., 1994
). Both WN25 and WN25A viruses are attenuated for neuroinvasiveness in normal mice and have been tested as experimental vaccines against WNV in geese (Lustig et al., 2000
). The genetic basis for the attenuation has not been defined. For both viruses, loss of the neuroinvasive phenotype in normal mice is associated with acquisition of an N-linked glycosylation site at the conserved position in the envelope (E) protein. However, WN25A contains an additional substitution at position 307 in the E protein, at the site of neutralization resistance (Halevy et al., 1994
; Chambers et al., 1998
).
WN25 and WN25A viruses are highly pathogenic for severe combined immunodeficiency (SCID) mice, causing systemic infection and uniform death within several days of infection (Halevy et al. 1994
). However, they differ in their capacity for virulence reversion during infection in this model. WN25 virus recovered from the brains of SCID mice exhibited increased neuroinvasiveness when tested in normal mice, whereas WN25A did not. This indicates a differential propensity of the two viruses to undergo neuroadaptation in the mouse model.
The objective of the current study was to obtain additional characterization of the virulence properties of WN25A virus in the mouse model. Data have not been reported on the properties of this attenuated strain in B-cell-deficient mice. Another objective was to determine whether there was any evidence for genetic or phenotypic instability of the virus in cases where virus replication and dissemination occurred in such mice. Such data are relevant for the further assessment of WN25A virus as a candidate live-attenuated viral vaccine.
| METHODS |
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Tissue titrations.
Infectious WN25A virus in mouse tissues was detected by plaque assay of tissue homogenates on Vero cells. Tissues were harvested from mice that exhibited signs of encephalitis after perfusion with cold (4 °C) PBS and dissection of the organs and tissues and immediate storage on dry ice. Samples were thawed on ice and 10 % tissue homogenates were prepared in PBS plus 10 % FBS using a ground glass dounce homogenizer. Tissue homogenates were diluted serially and plated on 60 mm dishes of confluent Vero cells, followed by incubation for 1 h at 37 °C. Plates were then washed two to three times with 5–8 ml alpha-MEM plus 5 % FBS to remove any particulate material. Ten millilitres of the same overlay medium used for the plaque assay (described above) was added to the plates, followed by incubation for 3–6 days at 37 °C to detect plaques. Plates were then stained as described above and the total p.f.u. for each organ or tissue tested was calculated. For measurement of virus in sera, blood was obtained by cardiac puncture of moribund mice prior to perfusion and stored on ice. After 30 min, the serum was centrifuged at 4 °C at 1500 r.p.m. in a Sorvall RT 6000D centrifuge, and the sera were removed and stored at –70 °C until plaque titration. Sera were then tested in 10-fold dilutions using the plaque assay conditions described above.
Animal experiments.
Normal C57BL/6 and B-cell-deficient (congenic µMT mice, strain B6-Igh6-6tm1Cgn) were used (Jackson Laboratories). Viruses were diluted in PBS plus 10 % FBS and inoculated by the intracerebral (i.c.), intraperitoneal (i.p.) or subcutaneous (s.c.) route. Neurovirulence was assessed by i.c. inoculation of 30 µl virus into the left cerebral hemisphere of mice after anaesthetization. Neuroinvasiveness was tested by inoculation of virus in volumes of approximately 0.25 ml by the i.p. or s.c. route. Mice were observed until found dead or until exhibiting signs of encephalitis and then euthanized. Reinoculation experiments with virus recovered from the brain of mice inoculated with WN25A were carried out by injection of µMT mice by the i.p. route. The brain-associated virus was passaged once in Vero cells to prepare a working virus stock for these experiments.
Nucleotide sequencing of brain-associated virus.
Brains were obtained from mice exhibiting signs of encephalitis, after perfusion to remove contaminating blood. Brains were processed by preparation of 10 % (w/v) extracts as described above, and a proportion of the extract was used for isolation of RNA. Brain homogenate was mixed with Trizol (Gibco-BRL) and the RNA was purified using the recommendations of the manufacturer. RNA pellets were resuspended in 10 mM Tris/HCl (pH 8.0) and stored at –70 °C. RNA was used for cDNA synthesis by reverse transcriptase (Superscript II) in the presence of an antisense primer corresponding to WNV nt 2656–2669 of the reported sequence of the Nigerian strain of WNV (Wengler et al., 1985
), as described previously (Chambers et al., 1998
). PCR amplification was carried out using DeepVent DNA polymerase (New England Biolabs) in the presence of the same 3' primer and a 5' primer corresponding to WNV nt 881–898. PCR products were isolated from low-melting-temperature agarose gels (BioWhittaker Molecular Applications) and purified using a Wizard PCR prep kit (Promega). Purified PCR products were then cloned using the ZeroBLUNT-TOPO procedure (Invitrogen). Colonies of bacterial cells containing the cloned PCR fragments were identified by screening miniprep DNA with restriction enzyme digestions and then nucleotide sequencing using an ABI sequencer.
Molecular modelling.
A model of the WNV25A virus E protein was derived from the structure of the WNV NY99 E protein (PDB accession no. 2HG0; Nybakken et al., 2006
), using modelling tools available in SWISS-MODEL. The sequence for the WN25A E protein was imported into the model and the predicted structure was found to resemble that of the reference protein, based on comparison of the three-dimensional images generated by the viewer. The model was used to analyse effects of mutations at the N-linked glycosylation site in domain I where mutations in the WN25A viral variants recovered from B-cell-deficient mice were observed. Rotamer positions for the amino acid substitutions tyrosine, asparagine and serine at position 155 were selected on the basis of the most favourable energy parameters calculated by the modelling tools. The predicted effects of these configurations in the context of the E0–F0 loop encompassing residues 139–160 were analysed with respect to space filling and hydrogen bonding to determine whether differences in the local structure could be detected. Electrostatic potentials were calculated and mapped on to the surface of the space-filling models using programs on the SWISS-MODEL platform.
Statistical analysis.
Differences in mortality end points were analysed using Fisher's exact test. Differences in mean survival times were measured using log-rank testing.
| RESULTS |
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After s.c. inoculation, only 68 % of mice succumbed to infection at the 1x107 p.f.u. dose (Fig. 1
; Table 1
). The mean survival time was 28.5 days, and the range was 10–70 days. A lower percentage of mice developed fatal infection within 21 days compared with the group infected by the i.p. route (9/19 vs 18/22, respectively). Mice inoculated with 1x106 p.f.u. by the s.c. route were also susceptible to fatal disease. Although only a small number was tested, the mortality rate was 57 % and the mean survival time was 38 days (range 23–53 days), which was not very different from those for the 1x107 dose. Differences between the i.p. and s.c. routes were compared for statistical significance. At the 1x107 dose, mortality rates and mean survival times were both significantly different (P=0.046 and 0.001, respectively). At the 1x106 dose, neither the mortality rates nor the average survival times were significantly different (P=0.593 and 0.082, respectively).
B-cell-deficient mice of 6–8 weeks of age were also tested for susceptibility to i.c. inoculation with WN25A virus to confirm that the virus exhibited a neurovirulent phenotype in these strains. Inoculation with a dose of 370 p.f.u. caused uniform mortality. Survival time was limited to 7–8 days. Similar results were obtained in normal C57BL/6 mice of the same age. Dose ranging was not done in these experiments.
Virus burdens in tissues of B-cell-deficient mice
Mice that succumbed to infection with WN25A virus exhibited typical signs of flavivirus encephalitis (ruffling, hunching and hind-limb paralysis). To determine the pattern of virus distribution in tissues of these mice, various organs and tissues were recovered and tested for virus burden using plaque assays of tissue homogenates. Table 2
shows the results of these experiments. Viraemia was detected in virtually all mice that succumbed to encephalitis, with levels of virus in the sera ranging from 2.6 to 3.8 log p.f.u. ml–1 (mean of 3.4). The highest viral titres were measured in brain (8.8 log p.f.u. g–1). Low to moderate levels of infectious virus in the range of 0.38–1.5 log p.f.u. g–1 were detected in most peripheral tissues tested (lung, liver, heart, peritoneum, muscle and kidney). However, neither the adrenal gland nor the spleen yielded infectious virus. Mice that did not exhibit signs of illness were not tested for viraemia or systemic infection, so it is not known whether viraemia occurred in the absence of encephalitis.
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To determine whether neuroinvasion of WN25A virus in B-cell-deficient mice was associated with any new mutations in the E protein that might affect its attenuated phenotype, viruses were isolated from the brains of five mice and the sequences of the E proteins of these viruses were determined (Table 3
). Sequence data were compared with that of the parental WN25A virus used for inoculation of these mice, as well as the sequences of the virulent WN-Israel virus parent of WN25A and that of the WN25A virus originally reported (Chambers et al., 1998
). As indicated in Methods, the current WN25A stock differs from the WN25A by a passage in Vero cells.
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Comparison of the sequence of the WN25A virus used in the current experiments with the previously determined sequence for WN25A (Chambers et al., 1998
) revealed substitutions at positions 249 (arginine for lysine) and 253 (methionine for isoleucine). These presumably arose during the Vero cell passage used to prepare the WN25A stock. These substitutions were also present in E proteins of the five brain-associated variants from the B-cell-deficient mice.
Neuroinvasiveness of brain-associated WN25A virus
Viruses from the brains of B-cell-deficient mice that developed encephalitis were further investigated to determine whether loss of the N-linked glycosylation site was associated with reversion to the virulence phenotype of the WN-Israel virus. One of the brain-associated viruses (WN25A.9, Table 3
), from a mouse that succumbed at 8 weeks post-inoculation, was tested in B-cell-deficient and normal C57BL/6 mice at various doses in comparison with the parental WN25A virus stock.
B-cell-deficient mice (6–8 weeks of age) were inoculated with WN25A.9 virus by the i.p. route at doses ranging from 2x104 to 2x107 p.f.u. The mortality rate at the highest dose was approximately 82 % (9/11) but decreased to 36 % (5/14) at the lowest dose (Table 4
). The mortality rates for mice receiving the same doses of the parental WN25A virus were not significantly different (non-significant for comparison at each dose). Survival curves for the two viruses resembled those for mice described earlier for i.p. inoculation of WN25A virus, with most of the mice succumbing within the initial 21 days (data not shown). Mean survival times for the mice in the two groups were not significantly different. The longest observed time to death occurred in one mouse inoculated with WN25A.9 virus (124 days). Thus, WN25A.9 caused lower mortality than WN25A at all but the lowest dose tested, but the differences from WN25A were not significant at any dose.
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| DISCUSSION |
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The factors governing the incomplete mortality of B-cell-deficient mice from WN25A virus infection in this model are not known. Clearance of a large burden of WNV by non-specific immune responses such as macrophages contributes to resistance against early death from WNV encephalitis in immunodeficient mice (Ben-Nathan et al., 1996
). Cell-mediated immune responses also play an important role in protection against WNV disease and virus clearance (Diamond et al., 2003
; Shrestha & Diamond, 2004
) and may contribute to the variable survival observed in the case of B-cell-deficient mice that do not rapidly succumb to infection with WN25A virus. A variety of physical stresses that are believed to have effects on the blood–brain barrier (Ben-Nathan et al., 1989
; Kobiler et al., 1989
; Katz et al., 2002
) may also account for some of the variability in susceptibility observed here. In any case, the susceptibility of B-cell-deficient mice to WN25A virus is consistent with many previous reports, demonstrating a requirement for virus-specific antibodies to control flavivirus infection in various mouse challenge models (Mathews & Roehrig, 1984
; Schlesinger et al., 1985
; Brandriss et al., 1986
; Phillpotts et al., 1987
; Kimura-Kuroda & Yasui, 1988
; Broom et al., 2000
; Roehrig et al., 2001
; Ben-Nathan et al., 2003
).
Lineage 1 strains of WNV, including the WN25 and WN25A viruses, as well as a highly attenuated WNV infectious clone (Yamshchikov et al., 2001
, 2004
), have been evaluated as live-attenuated viral vaccines. Both WN25 and WN25A viruses induced protective immunity in geese against a virulent WNV field isolate (Lustig et al., 2000
). Despite the efficacy of these experimental vaccines, stability of the vaccine phenotype remains an important issue, because of the propensity of WNVs to exhibit genetic heterogeneity both in cell substrates in vitro (Lee et al., 2004
) and in the natural environment (Beasley et al., 2001
, 2002
; Davis et al., 2004
). Any phenotypic instability resulting from genetic heterogeneity could present difficulties in ensuring the safety of a live-attenuated vaccine against WNV due to potential loss of its attenuated properties. In this regard, WN25A viruses recovered from the brains of B-cell-deficient mice that developed fatal encephalitis exhibited genetic instability within the E protein, involving loss of the N-linked glycosylation site at position 155. This was of interest due to the possibility that this represented a reversion to the virulence phenotype of WN-Israel virus. To evaluate the significance of this mutation, one brain-associated variant (WN25A.9) that lacked the N-linked site was tested for virulence properties. WN25A.9 did not display consistently increased neuroinvasive properties for either B-cell-deficient or normal mice, although there was evidence of attenuation of neuroinvasiveness in normal mice below 5 weeks of age. These observations indicated a lack of neuroadaptation or reversion of WN25A virus during replication in immunodeficient mice. This contrasts with what has been observed for the WN25 virus (from which WN25A was derived), where partial reversion was observed after passage in SCID mice (Halevy et al., 1994
), involving restoration of the parental WN-Israel sequence (Chambers et al., 1998
). Thus, the loss of the N-linked site in WN25A.9 represents a pseudoreversion to the phenotype of the parental WN-Israel virus. Brain-associated viruses were not recovered from any normal mice with encephalitis, so it is not currently known whether loss of the N-linked site is unique to B-cell-deficient mice or occurs in the context of neuroinvasion by WN25A in general.
The effect of N-linked glycosylation of WN25A on mouse neuroinvasiveness contrasts with results in studies of other WNV strains, where it has been observed to be a determinant of virulence for the NY99 strain (Shirato et al., 2004
; Beasley et al., 2005
). However, available data suggest that WNV neuroinvasiveness is influenced by multiple genetic determinants, and strain variation in non-structural regions may affect properties conferred by the E protein in the context of glycosylation (Beasley et al., 2005
). Furthermore, for WN25A, it is also notable that glycosylation of the N-linked acceptor site occurs at residue 155 rather than residue 154, which may alter the local structure of the protein in a manner that destabilizes its function, as suggested from the model of the WNV NY99 E protein (Nybakken et al., 2006
; discussed below).
The basis for lack of reversion of WN25A virus in this model is not currently known. The glutamic acid residue at position 307 in domain III, the site of monoclonal antibody resistance involved in the derivation of WN25A from WN25, may be a contributing factor. A strong attenuating effect of this mutation may reduce the capacity for rapid reversion. However, it must also be acknowledged that other mutations may be present in the genome of WN25A or have accumulated in the genomes of the brain-associated variants such as WN25A.9 that could affect virulence properties independent of the effects of residue 307. Complete genomic sequencing of these various strains is needed for a better understanding of their properties.
Another explanation for the lack of reversion is that substitution of the serine residue instead of tyrosine at position 155 might affect the local structure of domain I in the absence of the N-linked glycan that could independently reduce virulence properties by altering the function of the E protein. To gain insight into this question, a model for the WN25A E protein based on the structure of the WNV NY99 E protein was examined (Figs 2
and 3
). These two proteins share 97.5 % amino acid sequence identity through the 400 aa of the crystallized WNV NY99 protein. The ribbon model, with its side-chain orientations and relevant predicted hydrogen bonds, and the space-filling model together with electrostatic potentials generated by surface amino acids of WN25A E protein resembled those of WNV NY99. The glycosylation site for WN25A occurs within the unique
A' helix between the E0 and F0 loops of domain I, where residues 156–160 are conserved between WN25A and WNV NY99, except for an isoleucine instead of valine at position 159 in WNV NY99. However, the residue at 155 in WN25A is more C-terminal in the helix than residue 154 in the WNV NY99 structure and is predicted to project towards the β-strands of the E0–F0 loop instead of outward above the surface of the helix (Fig. 2b
). In the space-filling model, there is also slight displacement of the asparagine residue relative to tyrosine (Fig. 2a
).
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Modelling of a tyrosine at position 155 (Fig. 3
, left panel) indicates the side chain being directed into the space formed between the E0 and F0 strands. This orientation is predicted to be stabilized by the formation of two hydrogen bonds within the tetrad, and between the arginine residue of the F0 loop and possibly by interactions with the adjacent phenylalanine ring from residue 1. Modelling of an asparagine residue at position 155 (Fig. 3
, middle panel) indicates a predicted orientation of the side chain above the surface of the
A' helix where it is accessible for attachment of an N-linked glycan at this site. There are no predicted interactions with residues within the F0 loop. Modelling of a serine residue at position 155 (Fig. 3
, right panel) indicates that its side chain projects above the
A' helix as for asparagine, with no predicted interactions of its side-chain hydroxyl with adjacent residues. These predicted structures support a hypothesis that the asparagine and serine residues at position 155 contribute to a difference in local structure involving the
A' helix and the E0–F0 loop, which may contribute to a relative destabilization of the domain I/II interface compared with the case of tyrosine. In addition, the shift in the N-linked acceptor site to position 155 in WN25A virus rather than 154 as found in other WNV strains may be an important factor in explaining the differential effect of glycosylation on virulence properties.
The findings of the current study provide some additional information on the attenuation phenotype of the WN25A virus, which has previously undergone characterization of its virulence properties only in normal and SCID mice. Further studies of the genetic and phenotypic stability of WN25A virus in this model or in other immunodeficient mouse strains may be relevant for consideration of this virus as a live-attenuated vaccine against WNV.
| ACKNOWLEDGEMENTS |
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Received 6 July 2007;
accepted 27 November 2007.
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