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1 Department of Virology II, National Institute of Infectious Diseases, 4-7-1 Gakuen, Musashimurayama-shi, Tokyo 208-0011, Japan
2 Department of Pathology, National Institute of Infectious Diseases, 4-7-1 Gakuen, Musashimurayama-shi, Tokyo 208-0011, Japan
Correspondence
Minetaro Arita
minetaro{at}nih.go.jp
| ABSTRACT |
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| INTRODUCTION |
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Tissues susceptible to PV infection in the CNS are limited: the brainstem, the roof nuclei of the cerebellum, the precentral gyrus of the cerebrum and the spinal cord (the cervical and lumbar cords) (reviewed by Minor, 1997
). Among these tissues in the CNS, the spinal cord seemed to have a high susceptibility to PV infection: PV can adapt to the spinal cord with an increased tropism (Nathanson & Bodian, 1961
) and a PV mutant that has a tropism for the spinal cord, but not for the brain, has been isolated (Jia et al., 1999
). The adaptation of PV was partly supported by an enhanced efficiency in the uncoating step with decreased thermostability in the virion (Couderc et al., 1996
). The lumbar cord supported stable replication of a PV mutant with a severe defect in viral protein synthesis, which showed unstable replication in in vitro-cultured cells and also in the brain (Arita et al., 2004
). Experimental infections of other enteroviruses, including coxsackievirus A21 (Dufresne & Gromeier, 2004
) and enterovirus 71 (Arita et al., 2005
), also suggested that the spinal cord provides a niche for enterovirus infection.
The properties of PV infection in neurons remain controversial. Sabin vaccine strains show decreased levels of viral protein synthesis in a neuroblastoma cell line (SH-SY5Y) or in the cell lysate, compared with the parental virulent strains (Gutiérrez et al., 1997
; Haller et al., 1996
; Svitkin et al., 1985
, 1990
). Primary hippocampal neurons of mice produce 100-fold fewer infectious particles than do fibloblasts (Daley et al., 2005
), although the growth of PV in a neuroblastoma cell line (SK-N-SH) (Yanagiya et al., 2005
) or in 293 cells (Campbell et al., 2005
), which retained some properties of the neuronal lineage (Shaw et al., 2002
), was almost identical to that in HeLa cells. The sensitivity of SK-N-SH cells to cell death was different from that of HeLa cells, and multiple rounds of PV infection were required to cause cytopathic effects (CPE) in SK-N-SH cells (Yanagiya et al., 2005
). Mice inoculated with PV replicons did not show noticeable pathogenesis, despite the occurrence of replication and the expression of foreign gene products (luciferase and green fluorescent protein) (Bledsoe et al., 2000
), even after repetitive inoculations via the intrathecal route (Jackson et al., 2001
). Viral RNA was detected for at least 12 months in the spinal cord of mice in a persistent-infection model of PV (Destombes et al., 1997
). Therefore, neurons or cells derived from neural origins could show partial resistance to cell death caused by PV infection.
In this study, we analysed the relationship between PV replication in the spinal cord, damage in the motor neurons and poliomyelitis-like paralysis in transgenic mice expressing human PVR (TgPVR21). We performed both biological and histological analyses and estimated the number of critical motor neurons required for severe residual poliomyelitis-like paralysis in TgPVR21 mice.
| METHODS |
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General methods of molecular cloning.
Escherichia coli strain XL10gold (Stratagene) was used for the preparation of plasmids. Ligation of DNA fragments was performed by using a Quick Ligation kit (New England Biolabs). DNA sequencing was performed by using a BigDye Terminator v3.0 cycle sequencing ready reaction kit (Applied Biosystems) and then analysed by using an ABI PRISM 3100 genetic analyser (Applied Biosystems).
Construction of an expression vector for PV capsid proteins.
For the construction of an expression vector for PV capsid proteins, we first fused the enhanced green fluorescent protein (EGFP) gene to the PV capsid protein coding region. The EGFP coding region was amplified by PCR with primers SacI-EGFP+ (5'-CTCAGAGCTCTGAGCAAGGGCGAGGAGCTGTTCACC-3') and EGFP-2A (5'-TACGGAGCTCCGTAGGTGGTCAGGCCCTTCTTGTACAGCTCGTCCATGC-3'), using pIRES2-EGFP (Clontech) as the template. The PCR product was digested by SacI and then cloned into the infectious clone of PV, pMah-SacI (Arita et al., 2004
). The resultant plasmid was named pEGFP-Mah. Next, the EGFP gene and PV capsid protein coding region fusion was amplified by PCR with primers EcoRI-EGFP+ (5'-GGTGAATTCACCATGGGAGCTCTGAGCAAG-3') and SalI-PV3378 (5'-TAAGTCGACTTAATATGTGGTCAGATCCTTGG-3'), using pEGFP-Mah as the template. The PCR product was digested by EcoRI and SalI and then cloned into the corresponding sites (EcoRI site and XhoI site) of expression vector pKS435 (a generous gift from Dr Koji Sakai, AIDS Research Center, National Institute of Infectious Diseases, Japan). pKS435 is a derivative of expression vector pKS336 (Saijo et al., 2002
), which expresses the inserted gene under the control of the human elongation factor-1
(HEF-1
) gene promoter (Kim et al., 1990
). pKS435 has the puromycin-resistance gene (pur) as a selection marker instead of the blasticidin S deaminase gene in pKS336. The resultant plasmid was designated pKS435-EGFP-PV CAPSID and was used for the transient expression of PV capsid proteins in 293T cells.
Construction of the PV replicon.
A plasmid encoding the PV replicon with a luciferase reporter was constructed from plasmid PV-139() mc (Arita et al., 2004
). A cDNA fragment of the PV IRES (internal ribosome entry site) was amplified by PCR with primers PV110+ (5'-GCGTGAATTCACGCACAAAACCAAGTTC-3') and PV-SmaI (5'-TAACCCCGGGGTTAAAAGTCATTATGATACAATTG-3'), using plasmid pMah-SacI as the template. The PCR product was digested by EcoRI and XmaI and then cloned into the corresponding sites of PV-139() mc. The resultant construct, encoding a PV luciferase replicon (PV-Fluc mc), was designated pPV-Fluc mc.
DNA transfection.
A six-well plate (Falcon) with a 30 % confluent monolayer of 293T cells was transfected with 1 µg pKS435-EGFP-PV CAPSID DNA per well by using Effectene transfection reagent (Qiagen) and then incubated at 37 °C in 2 ml 10 % FCS/DMEM per well. The cells were washed with 10 % FCS/DMEM at 24 h post-transfection and then used for trans-encapsidation of the PV replicon.
RNA transfection.
RNA transcripts were obtained by using a RiboMAX large-scale RNA production system T7 kit (Promega) with DraI-linearized DNA of pPV-Fluc mc as the template. RNA transcripts were transfected into a monolayer of 293T cells, which were transiently expressing PV capsid proteins, by the DEAE/dextran method (van der Werf et al., 1986
).
Western blot analysis.
Western blot analysis was performed by using rabbit hyperimmune serum against the PV1 (Mahoney) virion (Arita et al., 1998
), which was a kind gift from Dr Akio Nomoto, Department of Microbiology, Graduate School of Medicine, The University of Tokyo, Japan. The samples were subjected to 520 % polyacrylamide gradient gel electrophoresis (e-PAGEL; Atto Corporation) in a Laemmli buffer system (Laemmli, 1970
). The proteins in the gel were transferred to a PVDF filter (Immobilon; Millipore) and blocked in PBS containing 0.1 % Tween 20 and 5 % non-fat dry milk. The filters were incubated with rabbit hyperimmune serum against PV1 (Mahoney) (1 : 1000 dilution in PBS containing 0.1 % Tween 20 and 0.5 % non-fat dry milk) at room temperature for 1 h. The filters were washed by PBS containing 0.1 % Tween 20 three times for 5 min each and then incubated with donkey anti-rabbit IgG antibodies conjugated with horseradish peroxidase (Amersham Biosciences) (1 : 2000 dilution in PBS containing 0.1 % Tween 20 and 0.5 % non-fat dry milk) at room temperature for 1 h. The filters were washed by PBS containing 0.1 % Tween 20 three times for 5 min each, and then treated with the ECL Western blotting analysis system (Amersham Biosciences) for detection of the signal.
trans-Encapsidation of the PV replicon.
For the preparation of seed stocks of trans-encapsidated PV-Fluc mc (TE-PV-Fluc mc), 293T cells in a six-well plate (Falcon) were transfected with pKS435-EGFP-PV CAPSID DNA followed by transfection of the RNA transcript of PV-Fluc mc at 24 h post-transfection, and then incubated at 37 °C in 2 ml 10 % FCS/DMEM per well. Cells were harvested when all of the cells showed CPE. For the preparation of TE-PV-Fluc mc, 293T cells transiently expressing PV capsid proteins in a 10 cm diameter dish (Falcon) were inoculated with 100 µl seed stock in 10 ml 10 % FCS/DMEM per dish, and were harvested when all of the cells showed CPE [around 48 h post-inoculation (p.i.)]. Virus stocks were stored at 70 °C.
For Western blot analysis, TE-PV-Fluc mc was purified from the cell supernatant of infected 293T cells by using DEAE/Sepharose CL-6B (Amersham Biosciences) (Arita et al., 1998
), followed by centrifugation at 35 000 r.p.m. for 2.5 h at 4 °C in a Beckman SW41 rotor with 1 ml of a 30 % sucrose cushion. The pellet was washed three times with distilled water and then dissolved in 100 µl PBS at 4 °C overnight. Any remaining pellet was disrupted by pipetting and then stored at 70 °C.
Luciferase assay.
For the measurement of luciferase activity in in vitro-cultured cells, HEp-2c cells in 96-well plates (Falcon) (2.8x104 cells per well) were infected with 100 µl of the indicated dilution or titre of TE-PV-Fluc mc. The cells were harvested at the time indicated by adding 50 µl passive lysis buffer (Promega) and 10 µl lysate was used for the measurement of luciferase activity. For the measurement of luciferase activity in the spinal cords of TgPVR21 mice, the spinal cords of inoculated mice were collected around the lumbar area (1.52.0 cm) at the time indicated and stored at 70 °C. After freezing and thawing of the collected spinal cords, samples were homogenized with 250 µl passive lysis buffer (Promega) and then subjected to centrifugation at 20 000 g for 1 min at 4 °C. Part of the supernatant (2 or 10 µl) was used for the measurement of luciferase activity with the Luciferase Assay system (Promega) and a TR717 Microplate luminometer (Applied Biosystems), according to the manufacturers' instructions.
Electron microscopy.
Purified TE-PV-Fluc mc was subjected to negative staining in uranyl acetate as described previously (Utagawa et al., 2002
). Samples were examined by transmission electron microscopy (JEM-1220; JEOL DATUM) at an acceleration voltage of 80 kV and images were obtained at a magnification of x50 000.
Virus titration.
Virus titre was determined by measuring the 50 % cell culture infective dose (CCID50) by the microtitration assay in HEp-2c cells (Nagata et al., 2002
), and also by measuring the infectious units (IU) by counting the number of infected cells stained by indirect immunofluorescence against the viral antigen (Barclay et al., 1998
). For the measurement of CCID50, virus solution was inoculated into a HEp-2c cell suspension on 96-well plates (Falcon) and then incubated at 37 °C for 1 week for the observation of CPE. The CCID50 value was calculated according to the BehrensKärber method (Kärber, 1931
). For the measurement of IU, virus solution was diluted with 10 % FCS/DMEM and inoculated into HEp-2c cell monolayers on 96-well plates (Falcon) (2.8x104 cells per well). The cells were incubated at 37 °C for 8 h and then fixed with 3 % paraformaldehyde. The cells were stained by indirect immunofluorescence with rabbit hyperimmune serum against the PV 2C protein and Hoechst 33258 (Molecular Probes) for counterstaining (Arita et al., 1999
). The numbers of infected cells were counted for the calculation of IU (Jackson et al., 2001
).
Intraspinal inoculation and histological analysis of TgPVR21 mice.
All animal procedures were approved by the Committee for Biosafety and Animal Handling and the Committee for Ethical Regulation of the National Institute of Infectious Diseases, Japan. Animal care, breeding, virus inoculation and observation were performed in accordance with the guidelines of the Committees.
Human PVR-expressing transgenic mice, ICR TgPVR21 (TgPVR21) (Central Institute of Experimental Animals, Kanagawa, Japan), 45 weeks old, were inoculated with 5 µl TE-PV-Fluc mc or Sabin 1 via the intraspinal route as described by Abe et al. (1995)
. Inoculated mice were observed for up to 2 months for clinical symptoms (paralysis and death). The severity of paralysis was classified into four levels according to the symptoms observed in the hindlimb: (i) a decline in grip strength, (ii) weakness of the hindlimb, (iii) partial flaccid paralysis and (iv) complete flaccid paralysis. Fifty per cent paralytic doses (PD50) were calculated according to the BehrensKärber method (Kärber, 1931
). The replication kinetics of the PV replicon were determined by measuring the luciferase activity in the spinal cords of inoculated mice collected at the time indicated (214 h p.i.).
For the histological analysis, the spinal cords of inoculated mice were collected at day 3 p.i. and sections around the lumbar cord were prepared (Nagata et al., 2001
). Lesions on the sections were observed after haematoxylin and eosin staining or after Luxol fast blue/cresyl violet staining (KlüverBarrera method). The lesion scores of the spinal cords were determined according to the procedure recommended by the World Health Organization for the quality control of oral PV vaccine strains (WHO, 1990
).
| RESULTS |
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promoter (Fig. 1
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Replication of TE-PV-Fluc mc in HEp-2c cells and in the spinal cord of TgPVR21 mice
We measured the replication kinetics of TE-PV-Fluc mc in in vitro-cultured cells (HEp-2c cells) and in the spinal cord of TgPVR21 mice (Fig. 3
). For the measurement of replication kinetics in vitro, HEp-2c cells were infected with TE-PV-Fluc mc at an m.o.i. of 0.024, 0.24 or 24. Luciferase activity in HEp-2c cells reached a peak level at as early as 610 h p.i., depending on the inoculated titre. The number of infected cells inoculated at an m.o.i. of 0.024, 0.24 and 24 was measured by indirect immunofluorescence and was 6.1x102, 4.8x103 and 2.6x104, respectively. For the measurement of replication kinetics in spinal cords, TgPVR21 mice were inoculated with 3.2x105 or 4.1x106 IU TE-PV-Fluc mc via the intraspinal route. Maximum luciferase activities in the spinal cords were observed at 10 h p.i. (Fig. 3b
). A close correlation between the inoculated titre and the maximum luciferase activity at 10 h p.i. in the spinal cords was observed for a range of titres from 103 to 107 IU TE-PV-Fluc mc (Fig. 3c
). These results suggested that the properties of replication of TE-PV-Fluc mc in the spinal cord of TgPVR21 mice were similar to those in HEp-2c cells, although with a slight delay.
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Histological analysis of the spinal cord of TgPVR21 mice inoculated with TE-PV-Fluc mc
We performed histological analysis of the neuronal damage in the spinal cord of TgPVR21 mice showing paralysis with different severity (Fig. 5
; Table 2
). We examined sections of the lumbar cord surrounding the inoculated sites and measured the lesion score for each section (Fig. 5a
).
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| DISCUSSION |
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TE-PV-Fluc mc particles had a similar composition of capsid proteins to that of wild-type virus; however, apparent sizes of the VP2 and VP3 proteins were smaller than those of wild-type virus (Fig. 1c
). TE-PV-Fluc mc was neutralized completely by anti-PV1 antiserum, but not by anti-PV2 or -PV3 antisera (data not shown), suggesting that TE-PV-Fluc mc particles retained the antigenicity of the original PV1. The properties of capsid proteins in pseudovirions remain to be further studied.
The replication kinetics of TE-PV-Fluc mc in the spinal cord of TgPVR21 mice were similar to those in HEp-2c cells, but with a slight delay, as observed previously (Fig. 3
) (Bledsoe et al., 2000
; Porter et al., 1998
). The maximum number of viral genomes of PV found in degenerating motor neurons of cynomolgus monkeys was comparable to that observed in HEp-2c cells (Couderc et al., 1989
). However, the efficiency of TE-PV-Fluc mc infection in the spinal cord was lower than that observed in HEp-2c cells, probably because of the limited accessibility of the virion to the target neurons (Table 1
). We estimated that a mean of 1.9x102 IU (or 8.9x102 CCID50) TE-PV-Fluc mc was required for the infection of a single susceptible cell in the spinal cord from the maximum luciferase activity observed in a single infected HEp-2c cell. The PD50 values of PV1 (Sabin) and PV1 (Mahoney) in TgPVR21 mice by intraspinal inoculation were 103.3 CCID50 (Abe et al., 1995
) and <101.3 CCID50 (N. Nagata, unpublished result), respectively. Assuming that PV infection in a single cell results in the paralysis of inoculated mice, the infectivity of TE-PV-Fluc mc was intermediate between those of the virulent and attenuated strains.
TgPVR21 mice inoculated with TE-PV-Fluc mc showed a wide range of paralysis symptoms (from a decline in grip strength to complete flaccid paralysis of the hindlimb), with histological features typical of PV infection (infiltration of neutrophils, neuronophagia and neuronal loss) (Bodian, 1949
; Bodian & Howe, 1941
) (Fig. 4
; Table 1
). The pathological features of TE-PV-Fluc mc were virus-specific, because UV-treated TE-PV-Fluc mc did not cause any clinical symptoms in inoculated mice (data not shown). These observations are inconsistent with previous reports on PV replicons, where no clinical symptoms or pathological features were observed in inoculated mice (Bledsoe et al., 2000
; Jackson et al., 2001
). Differences in the structure of the replicon [e.g. form of the luciferase protein, genomic structure of the replicon, length of the poly(A) tail, restriction-enzyme sites and/or unidentified epigenetic modifications] (Brown et al., 2005
; DeJesus et al., 2005
; Porter et al., 1998
), the transgenic mice (e.g. strain and age) (Abe et al., 1995
; Crotty et al., 2002
) and the titration procedure of the trans-encapsidated PV replicon could be critical determinants of the apparent pathogenicity of the PV replicon. TE-PV-Fluc mc showed faster replication kinetics (peak at as early as 610 h p.i. with an m.o.i. ranging from 0.024 to 24) compared with those of a previously reported PV replicon (peak at 12 h p.i. at an m.o.i. of 10) (Porter et al., 1998
). The replication efficiency of PV was proportional to the size of the deletion in the genome (Kaplan & Racaniello, 1988
), and coding sequences of the reporter gene could affect protein-synthesis activity in Hepatitis C virus (reviewed by Lemon & Honda, 1997
). The factors required for the pathogenesis of the PV replicon system remain to be further elucidated.
We observed a time lag between the peak of replication of TE-PV-Fluc mc in the spinal cord (10 h p.i.) and the appearance of paralysis (which reached a plateau at 16 h p.i.) (Figs 3b, 4c![]()
). PV-induced apoptosis has been observed both in vitro and in vivo (Girard et al., 1999
; Romanova et al., 2005
; Tolskaya et al., 1996
), and Couderc et al. (2002)
showed a time lag between the peak of virus growth (8 h p.i.) and the development of apoptosis (28 h p.i.) in a mixed primary nerve-cell culture. These findings suggest a direct link between in vivo apoptosis and functional loss of motor neurons during the transient replication of TE-PV-Fluc mc. The biological characteristics of the in vivo cell death induced by the PV replicon remain to be further studied.
Histological analysis showed a correlation between the severity of the clinical symptoms and the lesion scores in most mice inoculated with TE-PV-Fluc mc (Table 2
). However, for mice with a partial loss of the motor neurons (with a lesion score of <3), it was difficult to make a correct inference for the severe paralysis from the overall lesion scores only. We estimated that the proportion of critical motor neurons was, at most, 1.4 % of susceptible neurons in the lumbar cord (Table 1
). Limbs affected by poliomyelitis in humans showed a mean of 40.8 % remaining motor units (McComas et al., 1997
). Therefore, a small population of the motor neurons in the lumbar cord seemed to be critical for severe paralysis in TgPVR21 mice.
In summary, we have developed a trans-encapsidation system for a PV replicon in 293T cells and analysed the poliomyelitis-like paralysis of TgPVR21 mice induced by the PV replicon. This model would be useful for the analysis of in vivo cell death induced by PV infection and for the development of effective therapies for poliomyelitis (Dodd et al., 2005
).
| ACKNOWLEDGEMENTS |
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Received 1 May 2006;
accepted 25 July 2006.
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