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J Virol, January 1998, p. 415-419, Vol. 72, No. 1
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
The Murine CAR Homolog Is a Receptor for Coxsackie
B Viruses and Adenoviruses
Jeffrey M.
Bergelson,1,*
Anita
Krithivas,1
Leo
Celi,1
Gustavo
Droguett,2
Marshall S.
Horwitz,2,3
Thomas
Wickham,4
Richard L.
Crowell,5 and
Robert
W.
Finberg1
Division of Infectious Diseases, Dana-Farber
Cancer Institute, Boston, Massachusetts 021151;
Departments of Microbiology-Immunology2
and
Pediatrics,3 Albert Einstein College
of Medicine, Bronx, New York 10461;
GenVec, Inc.,
Rockville, Maryland 208524; and
Department of Microbiology and Immunology, Medical College
of Pennsylvania and Hahnemann University, Philadelphia, Pennsylvania
191025
Received 31 March 1997/Accepted 17 September 1997
 |
ABSTRACT |
Complementary DNA clones encoding the murine homolog (mCAR) of the
human coxsackievirus and adenovirus receptor (CAR) were isolated.
Nonpermissive CHO cells transfected with mCAR cDNA became susceptible
to infection by coxsackieviruses B3 and B4 and showed increased
susceptibility to adenovirus-mediated gene transfer. These results
indicate that the same receptor is responsible for virus interactions
with both murine and human cells. Analysis of receptor expression in
human and murine tissues should be useful in defining factors governing
virus tropism in vivo.
 |
INTRODUCTION |
Coxsackieviruses are human
picornaviruses belonging to the enterovirus group (22). They
are responsible for nonspecific febrile illnesses as well as
myocarditis (8, 27), meningoencephalitis (22),
and inflammation of the pancreas (15, 34). Coxsackieviruses were initially distinguished from other human enteroviruses
including most poliovirus and echovirus strains
because of their capacity to
infect suckling mice (4, 22).
Early experiments suggested that the expression of specific viral
receptors on susceptible cells was a major determinant of enterovirus
host range and tissue tropism (12, 17), and the particular
susceptibility of newborn mice to encephalitis caused by coxsackie B
viruses (9, 10) was related to the abundant expression of
receptors in the newborn
but not the adult
brain (18, 19).
More recent work indicates that coxsackievirus B3 (CB3) forms a
detergent-stable complex with a 46-kDa putative receptor protein on the
surface of murine YAC-1 cells (13). Similarly, when used to
probe proteins blotted onto nitrocellulose, CB3 binds to a 46-kDa
putative receptor partially purified from the brains of newborn mice
(32). Consistent with the relative resistance of adult mice
to encephalitis (9, 10), expression of this receptor in the
brain decreases sharply with age (31).
We recently identified a 46-kDa protein, coxsackievirus and adenovirus
receptor (CAR), as a receptor responsible for coxsackie B virus
infection of human cells and showed that this protein also functions in
adenovirus attachment and adenovirus-mediated gene delivery
(2). We have now identified a murine CAR homolog (mCAR), and
find that it also functions as a receptor for coxsackie B viruses and
adenoviruses.
 |
MATERIALS AND METHODS |
Isolation of mCAR cDNA and mCAR expression on transfected
cells.
A C57BL/6 mouse liver cDNA library (Gibco BRL) in the
pCMV-Sport 2 mammalian expression vector was screened with an expressed sequence tag cDNA (GenBank accession no. W70374) found to encode a
peptide sequence homologous to the C terminus of human CAR. Two cDNA
clones were obtained, and partial nucleotide sequences of the inserts
were determined (clone m1, GenBank accession no. Y10320; clone m2,
GenBank accession no. Y11929).
Transfection of CHO dhfr cells with mCAR cDNA and selection
in nucleoside-free medium were performed as described for transfection with the integrin
2 subunit (3). Flow cytometry and
fluorescence-activated cell sorting were performed with rat antiserum
raised against the p46 putative murine brain receptor for CB3
(anti-p46) (32) or control serum from an unimmunized rat,
followed by fluorescein isothiocyanate-conjugated goat antibody to rat
immunoglobulin (Sigma). Sera were preadsorbed against untransfected CHO
cells overnight before use. CHO cells expressing human CAR
(2) and control CHO cells expressing the human integrin
2
subunit (3) have been described previously.
For immunoblots, cells were extracted in buffer containing 1% Triton
X-100. After electrophoresis in a sodium dodecyl sulfate-10%
polyacrylamide gel, extracted proteins were electrotransferred
to
nitrocellulose membranes. Membranes were blocked with Tris-buffered
saline containing 5% nonfat dry milk and 0.1% Tween 20 and then
incubated with anti-p46 rat serum (1/1,000 dilution) followed
by
horseradish peroxidase-conjugated sheep antibody to rat immunoglobulin
(diluted 1/3,000; Amersham). Proteins were visualized by
chemiluminescence
using reagents supplied by Amersham.
Radiolabeled virus binding assays, plaque assays, and assays of
adenovirus-mediated gene transfer.
CB3 (Nancy) (maintained in the
laboratory of R.L.C.) and CB4 (strain JVB) were radiolabeled and
purified, and virus binding and plaque assays were performed as
described for echovirus 1 (3), except that cell monolayers
were incubated with radiolabeled virus for 4 h.
35S-labeled adenovirus 2 was prepared and adenovirus
binding assays were performed as described previously (2).
To measure susceptibility to adenovirus-mediated gene transfer, cell
monolayers were exposed to Ad.CMV-
-gal (21), and
-galactosidase expression was detected with X-Gal
(5-bromo-4-chloro-3-indolyl-
-D-galactoside) as described previously (2). Adenovirus 2 fibers were prepared as
described previously (2). Recombinant adenovirus 5 knob
domains produced in Escherichia coli (2) were
provided by Jeong Hong (University of Alabama at Birmingham);
recombinant adenovirus 5 knob domains produced in insect cells were
prepared as described previously (26).
Analysis of CAR mRNA expression.
For detection of human CAR
mRNA, an 1,137-bp cDNA fragment encoding the human CAR protein (GenBank
accession no. Y07593), excised with endonucleases PstI and
NdeI, was labeled with 32P and used to probe a
multiple-tissue Northern blot (Clontech) containing 2 µg of
poly(A)+ RNA from each of eight adult human tissues. A
similar blot with RNA from 20-week-old BALB/c mice (Clontech) was
probed with a 313-bp fragment, excised from the expressed sequence tag
cDNA clone with XhoI and BamHI, that matched
extracellular, transmembrane, and cytoplasmic domain sequences
identical in both mCAR cDNA clones. Final washes were in 0.1× SSC (1×
SSC is 0.15 M NaCl plus 0.015 M sodium citrate)-0.1% sodium
dodecylsulfate at 50°C.
 |
RESULTS |
Identification and expression of mCAR.
We searched the dbEST
database to identify a murine cDNA clone that could encode a protein
homologous to human CAR and then used it to screen a mouse liver cDNA
library. Two cDNA clones were isolated that potentially encoded
proteins with >90% amino acid identity to the extracellular domain of
human CAR (Fig. 1) and up to 95%
identity within the cytoplasmic domain. The predicted mCAR peptide
sequences were identical in the extracellular and transmembrane domains
but diverged at the C terminus: in clone m2, the C-terminal 26 amino
acids of clone m1 were replaced by 13 different amino acids.

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FIG. 1.
mCAR and human CAR amino acid sequences. The sequence of
human CAR (h), the sequence of a murine homolog (clone m1), and the
sequence of a murine homolog with an altered C terminus (clone m2) are
shown. Predicted hydrophobic leader (determined as described in
reference 24) and transmembrane domains are
underlined. Potential sites for N-linked glycosylation are marked with
an asterisk.
|
|
CHO cells transfected with each of the cDNAs expressed antigen
detectable by rat antiserum raised against the 46-kDa putative
murine
CB3 receptor (
32) but were not stained by control rat
serum
(Fig.
2A and data not shown). No staining
of control cells
transfected with the human integrin

2 subunit
(CHO-al2) was detected.
On immunoblots, the anti-murine receptor serum
specifically detected
proteins of approximately 46 kDa in lysates of
CHO-mCAR transfectants
but not in lysates of control transfectants
(Fig.
2B). A protein
doublet was detected in CHO cells transfected with
clone m1; a
similar doublet was previously observed on blots of murine
tissues
(
31,
32). These results suggest that mCAR is the
CB3-binding
protein previously identified in newborn mouse brain
(
32).

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FIG. 2.
Expression of mCAR on transfected CHO cells. (A)
Immunofluorescence analysis. Control CHO cells transfected with the
human integrin 2 subunit (CHO-al2) or CHO cells transfected with
mCAR cDNA (CHO-mCAR) were incubated first with normal rat serum (dotted
line) or with serum from rats immunized with the 46-kDa mouse brain
receptor (anti-p46) (solid line) and then with fluorescein
isothiocyanate-conjugated goat antibody to rat immunoglobulin. Results
with clone m2 are shown; similar results were obtained with clone m1.
(B) Immunoblot analysis. Proteins blotted onto nitrocellulose were
probed with anti-p46 serum as described in Materials and Methods.
Results are shown for extracts of CHO cells transfected with the human
integrin 2 subunit and for CHO cells transfected with mCAR clones m1
and m2. Positions of molecular mass markers are shown at the right (in
kilodaltons). Specific proteins of 46 to 48 kDa were detected in
CHO-mCAR transfectants. A nonspecific band (approximately 60 kDa) was
seen in all lanes.
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|
Coxsackie B virus interaction with mCAR.
CHO cells transfected
with mCAR cDNA (CHO-mCAR), but not control CHO-al2 cells, bound
radiolabeled CB3 and CB4 (Fig. 3 and data
not shown). When exposed to CB3 and CB4, CHO-mCAR cells became infected, as demonstrated by viral cytopathic effects (not shown) and
increase in virus titer (Fig. 4). These
results indicate that mCAR is a receptor mediating coxsackie B virus
attachment and infection.

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FIG. 3.
Coxsackie B virus attachment to mCAR on transfected CHO
cells. Confluent monolayers of CHO-mCAR or control CHO-al2 cells were
incubated with radiolabeled CB3 or CB4 (29,000 cpm) for 4 h at
room temperature and then washed and dissolved for scintillation
counting. Results with clone m2 are shown; similar results were
obtained with clone m1. Some monolayers were preincubated with
recombinant adenovirus 5 knob domains (produced in E. coli
[0.7 µg]) before exposure to radiolabeled virus. Results for
triplicate samples (mean virus bound [counts per minute] + 1 standard
deviation [error bar]) are shown.
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|

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FIG. 4.
Coxsackievirus production by transfected CHO cells.
CHO-mCAR and CHO-al2 monolayers were exposed to CB3 or CB4 (10 PFU/cell) for 1 h at room temperature and then monolayers were
washed and incubated at 37°C for 1 h (0 days), 1 day, or 2 days.
Monolayers were frozen and thawed to release virus, and then plaque
assays were performed. The figure shows the mean virus titers for
triplicate cultures.
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|
Adenovirus interaction with mCAR.
Adenovirus attachment to
cells is mediated by globular knobs, located at the tips of fibers that
project from the capsid surface (6, 11, 20, 25).
Coxsackievirus attachment to mCAR-transfected CHO cells was inhibited
by recombinant adenovirus knob domains (Fig. 3), suggesting that mCAR,
like human CAR (2), interacts with adenoviruses as well as
with coxsackieviruses. Radiolabeled adenovirus 2 bound specifically to
CHO cells transfected with mCAR (Fig.
5A), and virus attachment was blocked by
isolated adenovirus 2 fibers. In addition, recombinant adenovirus 5 knob domains bound specifically to CHO-mCAR cells (Fig. 5B). These
results indicate that mCAR mediates fiber-dependent adenovirus
attachment to transfected cells.

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FIG. 5.
Adenovirus interaction with mCAR on transfected CHO
cells. (A) Virus attachment. Cell monolayers were incubated with
radiolabeled adenovirus 2 (20,000 cpm) for 1 h at room temperature
and then washed and dissolved for scintillation counting. Some
monolayers were preincubated with adenovirus 2 fiber (5 µg) for
1 h and then washed before exposure to radiolabeled virus. (B)
Knob attachment. Monolayers were incubated with
125I-labeled adenovirus 5 knob domains (produced in insect
cells) for 1 h at room temperature and then washed and dissolved
for scintillation counting. Results for triplicate samples (mean virus
or knob protein bound [in counts per minute] + 1 standard deviation
[error bar]) are shown.
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|
We also measured the efficiency of gene delivery to transfected cells,
using adenovirus 5 engineered to encode

-galactosidase
(Ad.CMV-

gal [
21]) (Fig.
6). As determined by in situ staining
with X-Gal, expression of mCAR on transfected cells markedly enhanced
adenovirus-mediated gene delivery. Similar results were obtained
when
CHO cells were transfected with either clone m1 or clone
m2. Delivery
of the

-galactosidase gene to CHO-mCAR cells was
inhibited by
adenovirus 2 fibers (Fig.
6). These results indicate
that
attachment to mCAR promotes adenovirus uptake into cells.

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FIG. 6.
Adenovirus-mediated gene transfer. Duplicate monolayers
of CHO-al2, CHO-mCAR, or CHO cells transfected with human CAR cDNA
(CHO-hCAR) were exposed to Ad.CMV- gal for 1 h at room
temperature, and then monolayers were washed. After incubation at
37°C for 40 h, -galactosidase activity was detected by in
situ staining with X-Gal. Some monolayers were incubated with 1.5 µg
of purified adenovirus 2 fibers (+) before exposure to virus. Results
with clone m2 are shown; similar results were obtained with clone m1.
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|
Tissue-specific expression of CAR and mCAR RNA.
Murine and
human CAR cDNA was used to probe Northern blots containing RNA from
adult murine and human tissues (Fig. 7).
Hybridization with a 6.5-kb RNA species was most prominent in both
human and murine tissues, but minor species of other sizes were also
observed. The strongest expression of human CAR mRNA was noted in
heart, pancreas, and brain, although expression at lower levels could be detected in liver and lung on the original autoradiograph. Murine
CAR mRNA was most highly expressed in the murine liver, and relatively
high levels of RNA expression were also detected in heart, lung, and
kidney. These results suggest that the pattern of tissue-specific CAR
expression in humans may differ from the pattern of expression in mice.

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FIG. 7.
CAR mRNA expression in human and murine tissues.
Multiple-tissue Northern blots (Clontech) containing 2 µg of
poly(A)+ RNA from each of the indicated tissues were probed
with human CAR and mCAR cDNA as described in Materials and Methods.
Positions of marker RNAs are indicated in kilobases. Hybridization with
a human actin probe confirmed the presence of equivalent amounts of RNA
in each lane.
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|
 |
DISCUSSION |
These results demonstrate that mCAR, like the human receptor for
coxsackieviruses and adenoviruses, mediates interactions with two
genetically and structurally distinct viral pathogens. Expression of
mCAR on transfected cells promoted attachment by coxsackie B viruses
and adenoviruses. In addition, when transfected with mCAR cDNA,
nonpermissive CHO cells became susceptible to infection by CB3 and CB4
and showed increased susceptibility to adenovirus-mediated gene
delivery. Specific antibody staining of mCAR-transfected cells and
protein detection by immunoblotting indicated that mCAR protein is the
46-kDa coxsackievirus binding protein previously demonstrated in
newborn mouse brain (32).
Similar results were obtained when CHO cells were transfected with
either of two mCAR cDNA clones, encoding proteins with divergent C
termini. It thus appears that the 26 C-terminal amino acids of clone
m1, which are nearly identical to those of human CAR, are not essential
for mCAR's receptor function. Using specific primers in
nonquantitative reverse transcription-PCR, we have detected RNAs
corresponding to both clones m1 and m2 in several murine tissues
(unpublished results); both RNA forms were present in each of the
tissues examined so far. The protein encoded by clone m2, with a C
terminus that differs from that of human CAR, is identical to the mCAR
reported by other investigators (28) while the present work
was under review.
Pathogenicity in newborn mice was a characteristic originally used to
distinguish coxsackieviruses from other human enteroviruses (22), and it is likely that coxsackievirus host range
depends on virus interactions with human CAR and mCAR. Age-specific
expression of a receptor protein
now identified as mCAR
in the brains
of newborn mice (31) has been related to the unique
susceptibility of infant mice to CB3 encephalitis (9, 10),
suggesting that mCAR may be an important determinant of virus tropism
for the murine brain.
In a survey of human tissues, CAR mRNA was most highly expressed in the
heart, brain, and pancreas, consistent with the pattern of illness
caused by coxsackie B viruses (22). In adult mice, high
levels of mCAR RNA were detected in the heart and liver, in which
significant lesions are evident during CB3 infection (22).
Abundant mRNA was also present in murine kidney and lung, although
lesions in these organs are not commonly reported in CB3-infected mice.
Little CAR mRNA was detected in the spleen, although two recent reports
have indicated that CB3 infects cells
predominantly B
lymphocytes
within the spleen (1, 16). Because we have not
examined expression of CAR protein itself and because there may be
significant age- and strain-dependent variations in receptor expression
in murine tissues, further studies will be required to determine how
mCAR expression affects CB3 tropism for specific murine tissues.
Human adenoviruses do not replicate in most rodent cells, yet murine as
well as human tissues (5, 23, 33) can be transduced with
adenovirus vectors. Gene delivery may involve
in addition to the fiber
receptor now identified as CAR
virus interaction with
v
integrins (7), which have been shown to facilitate virus
entry (29). Adenoviruses may also enter cells by
fiber-independent pathways (14). However, efficient
transduction has been shown to correlate with expression of the fiber
receptor (30), and further definition of the receptor's
tissue distribution will be important for efforts to target gene
delivery to particular sites. Because murine models are used in
preclinical studies of adenovirus-mediated gene delivery, it is
important to consider that, as suggested by differences in mRNA
expression, the CAR fiber receptor may be more highly expressed in
certain murine tissues
including the liver and lung
than it is in
human tissues.
 |
ACKNOWLEDGMENTS |
We thank Ruliang Xu for the anti-p46 rat serum, Jeong Hong for
recombinant adenovirus 5 knob domains produced in E. coli, Toshi Tanaka for Ad.CMV-
gal, and Alejandro Necochea for technical assistance.
This work was supported by grants from the National Institutes of
Health (RO1 AI35667 and RO1 CA69703), the American Heart Association
(95012650), and the Juvenile Diabetes Foundation. J.M.B. is an
Established Investigator of the American Heart Association.
 |
ADDENDUM IN PROOF |
Hong et al. (S. S. Hong, L. Karayan, J. T. Tournier, D. T.
Curiel, and P. A. Boulanger, EMBO J. 16:2294-2306, 1997) recently presented evidence that there may be another receptor for
adenovirus fiber.
 |
FOOTNOTES |
*
Corresponding author. Present address: Division of
Immunologic and Infectious Diseases, Abramson 302F, Children's
Hospital of Philadelphia, 34th St. and Civic Center Blvd.,
Philadelphia, PA 19104. Phone: (215) 590-3771. Fax: (215) 590-2025. E-mail: bergelson{at}email.chop.edu.
 |
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