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Journal of Virology, November 2001, p. 10300-10308, Vol. 75, No. 21
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.75.21.10300-10308.2001
Yaba-Like Disease Virus: an Alternative
Replicating Poxvirus Vector for Cancer Gene Therapy
Yun
Hu,1
John
Lee,1
J. Andrea
McCart,1
Hui
Xu,1
Bernard
Moss,2
H. Richard
Alexander,1 and
David L.
Bartlett1,*
Surgery Branch, National Cancer
Institute,1 and Laboratory of Viral
Diseases, National Institute of Allergy and Infectious
Diseases,2 National Institutes of Health,
Bethesda, Maryland
Received 17 May 2001/Accepted 21 July 2001
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ABSTRACT |
Vaccinia virus is being investigated as a replicating vector for
tumor-directed gene therapy. However, the majority of cancer patients
have preformed immunologic reactivity against vaccinia virus, as a
result of smallpox vaccination, which may limit its use as a vector.
The Yaba-like disease (YLD) virus was investigated here as an
alternative, replicating poxvirus for cancer gene therapy. We have
demonstrated that the YLD virus does not cross-react with vaccinia
virus antibodies, and it replicates efficiently in human tumor cells.
YLD virus can be expanded and purified to high titer in CV-1 cells
under conditions utilized for vaccinia virus. The YLD virus RNA
polymerase was able to express genes regulated by a synthetic promoter
designed for use in orthopoxviruses. We sequenced the YLD virus TK gene
and created a shuttle plasmid, which allowed the recombination of the
green fluorescent protein (GFP) gene into the YLD virus. In a murine
model of ovarian cancer, up to 38% of cells in the tumor expressed the
GFP transgene 12 days after intraperitoneal virus delivery. YLD virus
has favorable characteristics as a vector for cancer gene therapy, and
this potential should be explored further.
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INTRODUCTION |
Poxviruses have unique
characteristics which make them appealing as vectors for cancer gene
therapy (4, 25). They have been investigated as vectors
for delivery of tumor-associated antigens, cytokines, and costimulatory
molecules in cancer patients, for the development of an antitumor
immune response (5, 17, 22, 32). Recently, laboratory
experiments have supported the utility of vaccinia virus (VV) as a
vector for tumor-directed delivery of genes for enzyme-prodrug
therapy and sensitization to systemic treatment with tumor necrosis
factor (13, 15, 30). A replicating virus has distinct
advantages over nonreplicating vectors for these tumor-directed
applications, as it leads to an increase in the percentage of cells
within a tumor that express the therapeutic gene over time (23,
35). VV is an efficient, replicating virus that leads to high
levels of transgene expression, selectively in tumor tissue when
delivered systemically, and this can lead to a significant antitumor
response. Selective mutations of the virus may enhance tumor
specificity (29) (J. A. McCart, Y. K. Hu,
H. R. Alexander, S. K. Libutti, B. Moss, D. L. Bartlett, Abstr. Am. Soc. Gene Ther., abstr. 633, 1999).
Clinical trials with intravascular delivery of mutant VV will likely be
hampered by the high percentage of cancer patients with preformed
immunity against the virus as a result of vaccination against smallpox.
High levels of circulating antibody titers and cytotoxic T cells
recognizing VV can be detected many years after vaccination, and it is
likely that this preformed immune reactivity will prevent adequate
infection and spread of VV throughout a tumor when used as a vector for
tumor-directed gene therapy. An alternative replicating poxvirus vector
may mediate the selective, high transgene expression within tumors,
without immune cross-reactivity. In general, the host range for
poxviruses that do not cross-react with orthopoxviruses is quite
limited, and although members of the avipoxvirus genus and
entomopoxvirus subfamily will infect and express genes in human cells,
they will not replicate in human cells (21, 34). Members
of the yatapoxvirus genus, on the other hand, have been responsible for
zoonotic infections, forming cutaneous nodules in caretakers handling
infected monkeys, and replicating virus has been recovered from these
lesions (16). These viruses have not been previously
explored as expression vectors, nor has their host range been
adequately defined.
In this study we explore the Yaba-like disease (YLD) virus as an
expression vector. This virus was first recognized in monkey caretakers
in 1965 and 1966, in primate centers in the United States, and was
traced to a single source (12). YLD infection in
caretakers produced a brief fever and the development of a few firm,
elevated, round, necrotic maculopapular nodules, followed by complete
resolution of the infection. Compared to Tanapox virus and Yaba monkey
tumor virus, YLD virus is the least characterized of the yatapoxvirus
genus. We demonstrate here that the YLD virus does not cross-react with
VV antibodies. It replicates efficiently in human cells and can be
grown under normal conditions in CV-1 cells and purified in high titer.
We demonstrate that the YLD virus RNA polymerase can express genes
regulated by a synthetic promoter designed for use in orthopoxviruses
and that a recombinant virus can be made by homologous recombination
into the YLD virus thymidine kinase (TK) gene. Finally, we
compare the in vitro gene transfer efficiency of YLD virus and VV and
explore the in vivo efficiency of gene delivery in a murine model of
ovarian cancer.
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MATERIALS AND METHODS |
Cell lines.
CV-1 (monkey kidney; ATCC CCL 70), RK-13 (rabbit
kidney; ATCC CCL 37), CHO (Chinese hamster ovary; ATCC CCL 61), WIDR
(human colon cancer; ATCC CCL 218), HT-29 (human colon cancer; ATCC HTB 38), 205 (human colon cancer; ATCC CCL 222), A2780 (human ovarian cancer; used extensively in our branch) and HeLa (human cervical cancer; ATCC CCL 2.2) were all obtained from the American Type Culture
Collection. Cell lines 1299 (human non-small cell lung cancer;
NCI-H1299) and 460 (human non-small cell lung cancer; NCI-460) were
obtained from the NCI tissue bank. MC-38 (murine colon cancer cell
line) was originally chemically induced in C57BL/6 mice and has been
used extensively in our branch. All cells were maintained in
Dulbecco's modified Eagle medium (DMEM) with 10% fetal calf serum
(FCS), 200 mM glutamine, 10 kU of penicillin-streptomycin per ml, and
250 µg of Fungizone per ml (all from Biofluids, Rockville, Md.), at
37°C and 5% CO2.
Viruses.
YLD virus was originally obtained as Tanapox virus
from the American Type Culture Collection (ATCC VR-937) and further
expanded and purified using a common protocol for VV purification
(11). However, genomic DNA digestion results (data not
shown) confirmed that the virus obtained was YLD virus as previously
characterized by Knight et al. (19) instead of
Tanapoxvirus. All viruses were stored in 10 mM Tris-HCl (pH 9.0;
Quality Biological Inc., Gaithersburg, MD) at
80°C until use.
VV expressing the green fluorescent protein (GFP) was
constructed by homologous recombination of the enhanced GFP gene into the TK locus of VJS6, a WR strain VV expressing
-galactosidase (
-Gal) (2). In brief, the enhanced GFP gene (Clontech,
Palo Alto, Calif.) was digested with SalI and
SpeI and ligated into our shuttle plasmid pCB023-II (30),
creating pSEL-EGFP. This shuttle has the GFP gene under the control of
the VV synthetic early-late promoter and the guanine phosphoribosyl
transferase (gpt) gene under control of the P7.5
promoter (6, 7). The entire cassette is flanked by
portions of the VV TK gene, which allows homologous recombination into
this locus. Confluent wells of CV-1 cells were infected for 2 h at
37°C with 1.4 × 105 PFU of VJS6 in 1.0 ml
of DMEM-2.5% FCS (DMEM-2.5) per well. Supernatants were
removed, and a liposomal transfection (SuperFect; Qiagen, Santa
Clarita, Calif.) of pSEL-EGFP was performed using 0.7 ml of DMEM-10%
FCS (DMEM-10) containing 2 µg of plasmid DNA and 10 µl of liposomes
per well at 37°C for 4 h. The transfection medium was removed
and replaced with 3.0 ml of DMEM-10 containing mycophenolic acid (25 µg/ml), xanthine (250 µg/ml), and hypoxanthine (15 µg/ml) (gpt selection media, all from Sigma Chemical Co.,
St. Louis, Mo.). After 3 days of incubation, cells were collected and
sonicated in DMEM-2.5. Aliquots (1.0 ml) of serial dilutions
(10
2 to 10
4 in
gpt selection medium) were used to infect CV-1 cells at
37°C. After 24 to 48 h, cells were observed for green
fluorescence and viral plaque formation. Positive plaques were
isolated, resuspended in selection medium, and used to reinfect CV-1
cells for plaque purification. After three cycles of plaque
purification all plaques were positive for green fluorescence and the
virus was expanded in HeLa cells and purified as previously described
(11).
ELISA immune cross-reactivity test.
Aliquots
(105 PFU) of either VV or YLD virus diluted in
Dulbecco's phosphate-buffered saline (Biofluids) were plated
and dried overnight in a 96-well enzyme-linked immunosorbent assay
(ELISA) plate (Corning Inc. Corning, N.Y.). The wells were blocked with 5% bovine serum albumin (Calbiochem, La Jolla, Calif.) for an hour,
followed by incubation with a 1:300 dilution of serum from patients
with or without previous smallpox vaccination (kindly provided by
S. A. Rosenberg) or serum from mice infected with VV or YLD virus.
A 50-µl aliquot of a 1:1,000 to 1:3,000 dilution of anti-human
immunoglobulin G (IgG) horseradish peroxidase-conjugated secondary
antibody (Amersham Pharmacia Biotech, Piscataway, N.J.) was then
applied for 1 h. All incubations were at 37°C and 5% CO2. The plates were washed with washing buffer
(Endogen, Woburn, Mass.) in between incubations, and TMB substrate and
Stop Solution (Endogen) were added at the end of incubation.
Absorbances at 450 nm were determined using a Titertek Multiskan
MCC/340 plate reader (Thermo Labsystems, Inc., Beverly, Mass.).
Viral growth curve.
Confluent plates of MC38, CV-1, 1299, RK-13, HT29, HeLa, and CHO cells were infected with YLD virus at a
multiplicity of infection (MOI) of 5 and 0.1 for DNA replication
analysis and viral expansion assay, respectively. The cells were
incubated with the virus in DMEM-2.5 for an hour, prior to removal of
the viral suspension and replacement with fresh medium. Cell lysates
and supernatants were collected at various time points between 0 and
120 h. The levels of mature YLD virus produced were determined by
viral plaque assays on CV-1 cells (11).
DNA replication in various cell lines was examined by DNA dot
blot analysis of the cell lysates as previously described
(
24).
cDNA of YLD virus TK gene was randomly labeled with
32P (Loftstrand Laboratories, Rockville, Md.) and
used as probe
for YLD virus DNA.

-Actin probes from corresponding
species were
used as a control for cellular
DNA.
Assessment of YLD virus polymerase activity.
Cells (80%
confluent) were transiently transfected with the expression plasmid
pSC65 (4a) carrying the Escherichia coli lacZ gene driven by the VV P7.5 promoter sequence using SuperFect Transfection Reagent (Qiagen). After 3 h, the transfected cells were washed once with 1 ml of phosphate-buffered saline (PBS) and then
immediately infected with wild-type YLD virus at an MOI of 1.0 in 500 µl of DMEM-2.5. After 1 h, 2 ml of DMEM-10 was added directly to
the cells.
-Gal expression was then qualitatively assessed using a
-Gal staining kit (Roche Diagnostics Corporation, Indianapolis,
Ind.) at 48, 72, and 96 h after viral infection.
Molecular analysis of YLD virus TK gene.
YLD virus DNA was
obtained from purified YLD virus using a previously described protocol
for VV DNA (11). Primers were designed based on homologous
regions between the TK genes of VV and Yaba virus. The sequences of the
primers were based on the Yaba virus TK cDNA (sense,
5'-GGTCCAATGTTTT CTGGAAAAAGTACAG-3'; antisense, 5'-TCTACATACAG ATTGATA-3'). High-fidelity Supermix (Gibco
BRL, Life Technologies, Inc., Rockville, Md.) was used to amplify the DNA. The PCR product was subcloned into pCR-Topo II vector and transformed into One Shot competent bacterial cells (both from Invitrogen, Carlsbad, Calif.). Eight individual colonies were randomly
selected and sequenced with M13 forward and reverse primers.
The 5' and 3' termini of the TK cDNA were defined by
"anchored" PCR using commercial kits for 5' and 3' rapid
amplification
of cDNA ends(RACE) (Gibco BRL), in combination with
custom primers
designed based on the previously determined TK sequence:
5'-CCATCGTTTGCCATACGTTCGC-3'
for 5' RACE and
5'-GCGAACGTATGGCAAACGATGG-3' for 3' RACE. CV-1
cells were
infected with 2 × 10
5 PFU of purified YLD
virus for 5 days. Total RNA was purified
using an RNeasy mini kit
(Qiagen). The end products of the 5'
and 3' RACE were subcloned into
the pCR-Topo II vector and were
sequenced with M13 forward and reverse
primers. Six individual
colonies were randomly selected and sequenced
for each terminus.
Sequencing was performed in an automated sequencer
(ABI Prism
310 Genetic Analyzer; Perkin-Elmer Co., Norwalk, Conn.).
Generation of recombinant YLD virus.
The YLD virus shuttle
plasmid (pYLD-GFP) was made by inserting the initial PCR product,
containing bases 37 to 519 of YLD virus TK DNA, into the PUC 19 vector
(Worthington Biochemical Co., Lakewood, N.J.). The VV expression
cassette, containing enhanced GFP protein under the control of the VV
synthetic early-late promoter and GPT under the control of the
P7.5 promoter, was excised from pSEL-EGFP using BssHII,
Klenow filled, and ligated into the HindIII- and
DraIII-digested YLD virus TK gene within the PUC-YLD TK shuttle.
For recombination, confluent CV-1 cells in six-well plates were
infected with 4 × 10
5 PFU of purified YLD
virus for 2 h, followed by a 5-h transfection
of pYLD-GFP using
the SuperFect Reagent and protocol (Qiagen).
The cells were washed once
with Hanks' balanced salt solution
(HBSS) (Biofluids), and incubated
in
gpt selection medium for
8 days. The cell lysates were
harvested, and diluted lysates (1:5)
were used for reinfection of
overnight serum-starved CV-1 cells
in
gpt selection medium.
Two more rounds of selection were performed,
at which time all plaques
produced green fluorescence. The YLD-GFP
virus was expanded in CV-1
cells and purified on a sucrose gradient
according to a standard VV
purification protocol (
11).
In vitro gene transfer efficiency.
Cells (80% confluent)
were infected with YLD-GFP or VV-GFP virus at an MOI of 1.0. After
48 h cells were harvested and counted, and
106 cells were analyzed by fluorescence-activated
cell sorter (FACS) analysis for GFP fluorescence.
In vivo gene transfer efficiency.
A total of
106 A2780 cells in 100 µl of PBS/animal was
injected intraperitoneally into 6-week-old female athymic nude mice (NIH small animal facility, Frederick, Md.). Tumors were allowed to
grow for 2 or 4 weeks prior to virus administration. A total of
108 PFU of YLD-GFP in 1 ml of PBS was then
administered by intraperitoneal injection. Mice were sacrificed on days
4 through 16 postinfection. Tumors were harvested from the peritoneal
surface and crushed in HBSS using the blunt end of a 1-ml syringe. Half
of the fragments were placed in a triple-enzyme solution of 0.1% type
IV collagenase, 0.01% type V hyaluronidase, and type IV DNase (30 U/ml) (all from Sigma Chemical Co.) in HBSS and allowed to digest for
2 h at room temperature while continuously stirring with a
magnetic stir bar. The solution was then filtered through 112u Nitex
nylon mesh (Tetko, Inc., Briarcliff Manor, N.Y.). A total of
106 cells were counted and preserved in 2%
methanol-free formaldehyde for FACS analysis. The other half of the
tumors were homogenized in lysis buffer and then spun to remove
cellular debris. The virus titer in the supernatant was determined by
plaque assay in CV-1 cells as described above. All animal
studies were approved by the Animal Care and Use Subcommittee of the
Animal Sciences Branch, National Cancer Institute.
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RESULTS |
YLD virus growth and characterization.
The YLD virus was
expanded in CV-1 cells under standard conditions used for VV (37°C,
5%CO2). Fifty confluent T-150 plates yielded a
total of 8 × 109 PFU of purified YLD virus
as determined on CV-1 cells. The plaques were best visualized by
dark-field microscopy, where YLD virus-infected cells had a granular
cytoplasm (Fig. 1A and B). Viral
cytopathic effect was characterized by elongation and thinning of the
infected cells (Fig. 1C). Electron microscopy of YLD
virus-infected CV-1 cells demonstrated ovoid, enveloped viral particles
in the cytoplasm (Fig. 1D).

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FIG. 1.
Characterization of the YLD virus in tissue culture. (A)
YLD virus plaque on CV-1 cells 3 days after infection. The majority of
cells in the field are infected with the YLD virus; however, no
significant cytopathic effect can be demonstrated. (B) Dark-field
microscopy of the plaque shown in panel A under the same magnification.
The granular nature of the infected cytoplasm is readily apparent,
making the identification of plaques much easier. (C) Higher
magnification of a single plaque on CV-1 cells 6 days after infection
with YLD virus at an MOI of 0.001. The characteristic elongation of the
cells represents YLD virus cytopathic effect. (D) Electron microscopic
photo of intracellular YLD virus particles in various stages of
maturation. The particles appear more ovoid than rectangular as is seen
with VV.
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VV cross-reactivity.
In order to determine YLD virus
cross-reactivity with VV, serum from four patients who were recently
(<6 months) vaccinated with VV (Wyeth strain) were tested by an ELISA
against both YLD virus- and VV-coated plates. Sera from all four
patients demonstrated strong reactivity against VV (>1:3,000 dilution)
but no reactivity against YLD virus (<1:300 dilution) (Fig.
2A). Serum from mice vaccinated with VV
did not react with YLD virus-coated ELISA plates, and mice vaccinated
with YLD virus did not react with VV-coated ELISA plates. The time
course of antiviral IgG development in mice vaccinated with VV or YLD
virus is demonstrated in Fig. 2B. The peak IgG level was measured
at about 3 weeks postvaccination, and the level remained high for more
than 6 weeks.

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FIG. 2.
Antibody cross-reactivity between YLD virus and VV. The
top bar graph demonstrates the presence of anti-VV antibodies in serum
from a patient recently immunized against VV (+Serum). The serum reacts
against VV-coated ELISA plates at a dilution of 1:3,000, whereas no
reaction is seen against fowlpox (FP)- or YLD virus-coated ELISA
plates. The negative serum (-Serum) represents the serum of a patient
not previously immunized with VV. Three other patients who were
immunized with VV showed similar results, with reactivity only against
VV-coated ELISA plates but not YLD virus-coated plates. The bottom
graph demonstrates the development of IgG against VV and YLD virus
after immunizing mice with VV or YLD virus (n = 5/group). The antibody titers increased significantly over the first 3 weeks and then leveled off. There was no demonstrable cross-reactivity
against VV or YLD virus in these animals.
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YLD virus transcription using a VV promoter.
The ability of
YLD virus RNA polymerase to transcribe genes utilizing VV promoter was
tested by transfection of CV-1 cells with a VV shuttle plasmid (pSC65)
which expressed
-Gal regulated by the VV P7.5 promoter followed by
infection with YLD virus. After 24 h, X-Gal
(5-bromo-4-chloro-3-indolyl-
-D-galactopyranoside) staining was performed. Only cells that underwent both YLD virus infection and pSC65 transfection expressed
-Gal (Fig.
3), demonstrating that YLD virus
polymerase can utilize a VV promoter.

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FIG. 3.
YLD virus RNA polymerase activity using a VV promoter.
CV-1 cells were transfected with PSC65 expression plasmid (with the
-Gal gene regulated by the VV synthetic P7.5 promoter), followed by
infection with the YLD virus. (A) Cells transfected with PSC65 clone;
(B) cells infected with YLD virus alone; (C) cells both transfected and
infected. Blue staining is evident after X-Gal staining only in the
cells that are both infected and transfected, demonstrating the
function of this promoter in YLD virus-infected cells.
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Host range studies.
The host range of YLD virus was studied by
infecting cell lines from various species with wild-type YLD virus at
an MOI of 0.1 and measuring viral expansion over 96 h (Fig.
4). A 3-log-fold expansion was seen at
48 h in CV-1 cells (monkey kidney) and 1299 cells (human non-small
cell lung carcinoma). YLD virus did not propagate in RK-13 (rabbit
kidney), CHO (Chinese hamster ovary), or MC-38 (murine colon carcinoma)
cells. A comparison of cell lysates versus supernatants demonstrated
that the majority of infectious virus was cell associated, as is seen
with VV (Fig. 5). At 130 h, the
extracellular virus titers increase, consistent with cell death and
virion release.

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FIG. 4.
Host range of YLD. YLD virus was used to infect various
cell lines at an MOI of 0.1. Virus was collected from cell lysates at
various time points, and titers were determined on CV-1 cells. YLD
virus demonstrated replication only in CV-1 and 1299.
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FIG. 5.
Viral recovery from cell lysates and supernatants of
CV-1 infected cells over time. CV-1 cells were infected at an MOI of
0.01 with YLD virus, and the cells and supernatants were collected for
determination of virus titer on CV-1 cells at various time points. The
majority of virus appears to be cell associated; however, a significant
number of YLD virus particles are recoverable from the supernatant
120 h after infection, suggesting cell death and virion release.
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DNA dot blot analyses were performed in the same cell lines after
infection at an MOI of 5, and the results demonstrated that
no DNA
synthesis occurred in RK-13, CHO, or MC-38 cells (Fig.
6). As expected, DNA synthesis occurred
in both CV-1 and 1299
cells.

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FIG. 6.
Dot blot assay for YLD virus DNA in infected cell lines
over time. CHO, RK13: MC38, 1299, and CV-1 cells were infected at an
MOI of 5 with YLD virus, and cell lysates were probed with
32P-labeled TK cDNA. Only 1299 and CV-1 cells demonstrate
DNA amplification consistent with viral replication. More-efficient DNA
synthesis occurs in CV-1 cells than in 1299 cells.
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YLD virus TK sequence and recombinant virus production.
Based
on conserved, published sequences in the TK gene of VV and Yaba virus,
four primers were synthesized that would produce PCR products
encompassing approximately 80% of the expected gene sequence. Pairing
of the four primers yielded two PCR products of the expected length,
and these were cloned into a sequencing vector. Sequencing of multiple
clones yielded identical results. 5' and 3' RACE was performed to
complete the sequencing (using cDNA from YLD virus-infected CV-1
cells). The complete sequence was confirmed from purified YLD virus
DNA. There is approximately 69% identity with the VV TK amino acid
sequence, 81% identity with Yaba monkey tumor virus (YMTV), and 66%
identity with myxomavirus TK amino acid sequence. The entire genome
sequence of YLD virus was recently published and is identical to our
sequence (available from GenBank) (20). A YLD virus
shuttle plasmid was constructed as described in Materials and Methods,
and a recombinant YLD virus with the GFP gene inserted into its TK
locus was generated without difficulty using positive selection for the
expression of gpt. This virus was expanded in CV-1 cells to
a titer of 1010 PFU/ml.
In vitro comparison of YLD virus and VV in tumor cells.
The
expansion of YLD virus and VV on various cell lines was tested in
parallel as a comparison of replication efficiency. This included CV-1
cells and three human tumor cell lines: 1299 (lung), HT29 (colon), and
HeLa (cervical). Cells were infected at an MOI of 0.1, and samples were
collected at different times for plaque assay (Fig.
7). VV expansion peaked at 48 h in
all cell lines, and the yield was 1 to 2 logs higher than YLD virus, which peaked at 72 to 96 h. The YLD virus expanded 2- to
3-log-fold over 96 h in the human tumor cell lines.

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FIG. 7.
Growth curves of YLD virus and VV in various cell lines.
Various human tumor cell lines and CV-1 cells were infected with YLD
virus or VV at an MOI of 0.1, and samples were taken at various time
points for plaque assay on CV-1 cells. The VV replicated more rapidly
than the YLD virus in all cell lines tested.
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Gene transfer efficiency was compared by infecting cell lines at an MOI
of 1.0 with VV-GFP or YLD-GFP, followed by FACS analysis
for GFP
expression after 48 h (Table
1). As
expected, 97 to 100%
of VV-infected cells expressed GFP in all cell
lines tested. While
97 to 100% of 1299 and HT29 cells infected with
YLD virus expressed
GFP, only 49% of 460 cells and 11% of WIDR
cells expressed GFP.
This variability may be related to differences in
viral uptake,
transcription, or replication efficiency in the different
human
tumor lines.
In vivo gene delivery by YLD virus.
In vivo gene transfer
efficiency was tested in a murine xenograft model of ovarian cancer,
A2780. (In vitro, 48 h after infection with YLD-GFP at an MOI of
1.0, 58% of A2780 cells expressed GFP.) In vivo gene transfer
efficiency was studied after intraperitoneal injection of
108 PFU of YLD-GFP in A2780 peritoneal
tumor-bearing nude mice. In the first experiment, the A2780 tumor was
allowed to grow intraperitoneally for 4 weeks. At this time the
tumor nodules were 5 to 7 mm in size. The virus was injected, and
animals were sacrificed on days 4, 8, and 12, after viral injection.
The tumor was harvested and tested for GFP expression by FACS. The
percentage of cells expressing GFP increased over time, reaching a peak
at 12 days after injection (Fig. 8). The
mean percentage of tumor cells expressing GFP at 12 days was 22%,
ranging from 8 to 38%. The second in vivo experiment was performed
after allowing the A2780 tumor to grow only 2 weeks. At this stage the
tumor nodules are 1 to 2 mm in diameter. The tumors were collected and
tested for GFP expression by FACS on days 12 and 16 after viral
injection. On day 12 the mean percentage of GFP expression was 16.5%,
ranging from 10 to 23%. At 16 days the mean percentage of cells
expressing GFP within the tumor was 13%, ranging from 6 to 23%. In
addition to the FACS analysis, tumors were harvested for YLD virus
recovery assays on CV1 cells. All tumors on days 12 and 16 had
recoverable YLD virus. No virus could be recovered from other organs,
including liver, spleen, lung, and brain. The mean recoverable virus
from tumor 12 days after YLD virus infection was 4.5 × 103 PFU/mg of protein. The mean virus recovery
from tumor 16 days after YLD virus infection was 8.1 × 103 PFU/mg of protein.

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FIG. 8.
In vivo tumor GFP expression after infection with YLD
virus. Nude mice with established A2780 human ovarian peritoneal
carcinomatosis were infected with YLD virus at 108 PFU,
injected intraperitoneally. Tumor was sampled every 4 days, and FACS
analysis was performed for GFP expression. The graph represents the
percentage of cells expressing GFP on the various days after virus
delivery. Two experiments were performed. One experiment was performed
with a 4-week tumor burden (5- to 7-mm tumor nodules), shown as open
circles. The second experiment was performed with 2-week tumors (1- to
2-mm nodules), shown as filled circles. Each circle represents a single
animal. There are at least four animals per group. On some days the
circles overlap.
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DISCUSSION |
One primary obstacle to tumor-directed gene therapy is the
inefficient transduction of tumor cells in vivo for most vectors. Tumor-specific replicating viruses have gained interest recently as
more effective vectors for cancer gene therapy (18, 33). Tumor-selective, replicating adenoviruses and herpesviruses are currently in clinical trials. Spread of the virus throughout the tumor
maximizes the percent of cells within a tumor expressing the gene of
interest and should improve the antitumor response. This may be
significant for delivery of genes expressing cytokines, tumor antigens,
or enzymes for enzyme-prodrug therapy. One limitation of the system is
the inefficiency of the vector, and any impedance to the spread of the
virus will diminish the antitumor response. Initial work with VV as a
replicating, tumor-directed virus has been promising. The cytopathic
effect of the virus as well as an enzyme-prodrug therapeutic gene can
mediate an effective antitumor response (14, 23).
While VV is a promising vector in laboratory studies, its clinical
utility may be limited by the fact that the majority of patients more
than 35 years old have preformed immune reactivity against the virus as
a result of smallpox vaccination. Systemic delivery of VV would be
limited by neutralizing preformed antibodies. Such a limitation has
been encountered in clinical trials with adenovirus-expressing tumor
antigens for the treatment of melanoma (31). While it is
impossible to know the exact significance of remote prior vaccination,
it is likely that VV will be less efficient in a preimmunized host. We
have examined circulating anti-VV IgG levels in people recently
vaccinated, recently having received boosters, and remotely vaccinated
with VV. We found that high levels of circulating antibodies exist in
people vaccinated more than 40 years ago, and that no correlation
exists between time from vaccination and antibody levels (unpublished
data). Demkowicz et al. demonstrated that specific VV T-cell immunity can persist for up to 50 years after immunization against smallpox in
the absence of restimulation (8). Our own observation of laboratory workers and experimentally vaccinated patients receiving VV
dermal scarification after prior childhood vaccination has been that
limited viral replication occurs, resulting in minimal pox
lesions
much less than that seen after primary vaccination. The immune
response against VV will also prevent retreatment of patients with this
vector (which would improve the chance of response). An alternative
poxvirus without immune cross-reactivity with VV may therefore have
clinical utility.
The majority of poxviruses that are known not to cross-react with VV
(e.g., avipoxvirus genus) do not replicate in human cells (27). While these vectors still express early genes in
human cells and are theoretically safer than VV, the lack of
replication may limit their effectiveness as a tumor-directed
expression vector. Previously, we demonstrated a 4-log-higher in vivo
tumor luciferase activity with a replication-competent VV expressing
luciferase compared to a psoralen-UV-inactivated VV (29).
This increased expression and increased percentage of tumor cells
expressing the gene may be important for many forms of tumor-directed
gene therapy.
We searched for a poxvirus that was known to replicate in humans that
might not cross-react with VV. Of the various genera of poxviruses,
perhaps the least well characterized is the Yatapoxvirus genus (26). The Yatapoxvirus genus consists of
the YMTV, Tanapoxvirus, and the YLD virus. YMTV was first
isolated in 1958 from Rhesus monkeys in Yaba, near Lagos, Nigeria. It
was found to induce transmissible benign tumors in Asiatic monkeys and
humans and was difficult to grow in cultured cells (1,
28). Tanapox virus was isolated from human skin biopsy specimens
during an outbreak of an illness in 1957 and 1962 among natives living
along the Tana River Valley in Kenya (10). The clinical
manifestations included fever, headache, backache, and prostration. A
pock lesion (generally solitary) appeared during the fever, from which
Tanapox virus could be isolated. Yaba-like disease virus is closely
related to Tanapox virus, but was isolated from epizootic infection of
monkey caretakers in California, Oregon, and Texas and was traced to a
single primate-importing company (12). YLD was almost
identical to Tanapox disease, and the viruses were originally
felt to be the same. Knight et al. differentiated Tanapox virus and YLD
virus by restrictive mapping (19). All three viruses were
cultivated by serial passage at the Center for Disease Control. The
serology of these viruses has not been well described. It has
previously been shown that anti-VV antisera did not neutralize Tanapox
infection in vitro (10). Tanapox virus and YMTV are known
to exhibit moderate cross-reactivity. YMTV infection fully protected
primates against Tanapox infection (9). YLD virus is felt
to be antigenically very similar to Tanapox virus.
We chose to characterize the YLD virus. This virus grows in vitro under
conditions similar to VV in monkey and human cells. Visible plaques on
CV-1 cells are formed in approximately 7 to 8 days, while for VV this
usually takes about 24 to 48 h. We were able to achieve high
titers of virus (8 × 109 PFU from 50 flasks) from expansion in CV-1 cells, which is important for
consideration of its clinical utility. We demonstrated that the YLD
virus RNA polymerase recognizes natural and synthetic promoters
designed for use in VV. It is known that these promoters also can be
used by other genera of poxviruses, but this had not been demonstrated
previously with the Yatapoxvirus genus. We also demonstrated
that the YLD virus was not recognized by antiserum from patients
recently immunized with VV. In general, different genera of poxviruses
do not have antibody cross-reactivity.
The host range of YLD virus was more restrictive than that known for
VV. We demonstrated viral replication in monkey and human cell lines,
but not in mouse, rabbit, or hamster cells. DNA replication did not
occur in cells that were not permissive, but gene expression was
demonstrated in those cells (data not shown), indicating that the
defect occurs at a postentry step. This suggests that the natural host
for this poxvirus is not a rodent as is expected for most orthopoxviruses.
The TK gene has been commonly used as a site for recombination of
foreign genes into VV. Insertional deletion of TK attenuates the virus
in vivo (3), but replication in transformed cells in vitro
and tumor cells in vivo is preserved (30). We demonstrated 69% amino acid identity between VV and YLD virus TK and 81% amino acid identity between YMTV and YLD virus. Recombination into the YLD
virus using positive selection with the gpt gene and
selection medium was accomplished without difficulty.
YLD virus demonstrated a 3-log expansion over 96 h in human tumor
cell lines, and two human tumor lines demonstrated close to 100% gene
expression 48 h after infection with YLD virus at an MOI of 1.0. Some variability exists in gene expression in human tumor lines, and
the mechanism for this needs to be investigated. While not as efficient
as VV, YLD virus compares favorably to other replicating vectors such
as adenovirus and herpesvirus currently in clinical trials. As well,
the in vivo efficiency of tumor gene delivery by YLD virus in mice with
a human ovarian tumor model (A2780) is encouraging, with up to 38% of
tumor cells expressing GFP. Unlike with VV, it is not possible to study
in vivo tumor selective targeting with YLD virus because of the host
range restriction. We believe that the demonstration of increasing
percentage of tumor cells expressing GFP over time is the result of YLD
virus replication and spread throughout the tumor. As YLD virus does not replicate in murine cells, tumor specificity cannot be studied in
this model. This is a limitation for most conditionally replicating viruses for tumor-directed gene delivery (except VV). It should be
noted that we have previously compared a psoralen-UV-inactivated VV to
a replicating VV in a murine model, and the inactivated virus had no
evidence of gene expression by 2 days after delivery (29).
We believe efficient viral replication within the tumor is required for
measurable gene expression. Other models and other modes of delivery
for YLD virus need to be examined.
In summary, we have demonstrated favorable characteristics of the YLD
virus as a vector for cancer gene therapy. It replicates in human tumor
cell lines, transgenes can be regulated by strong synthetic VV
promoters, and it can be produced in high titer. In vivo tumor gene
delivery efficacy is encouraging in a model of ovarian carcinomatosis.
The potential uses for this vector include expression of cytokines,
tumor antigens, or suicide genes. We have previously demonstrated that
VV has replication selectivity for tumors with deletion of the VV TK
gene and VV growth factor genes (McCart et al, Abstr. Am. Soc. Gene
Ther.). A similar secreted epidermal growth factor homolog
exists in YLD virus (open reading frame 15L) (20),
potentially allowing further manipulations for tumor specificity. YLD
virus has the advantage over other viral vectors of not being a virus
endemic to the general population, and therefore no preexisting
immunity exists.
 |
ACKNOWLEDGMENTS |
The first two authors contributed equally to this work.
We thank K. Irvine for advice on the ELISA cross-reactivity assay, A. Chen and D. Schrump for assistance with sequencing, M. Tsokos and M. Abu-Asab for electron microscopy, and R. Sawhney for help with
preparation of the manuscript.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Surgery Branch,
NCI, NIH, Building 10, Rm. 2B16, 9000 Rockville Pike, Bethesda, MD 20892. Phone: (301) 496-5049. Fax: (301) 402-1788. E-mail:
dbart{at}nih.gov.
 |
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Journal of Virology, November 2001, p. 10300-10308, Vol. 75, No. 21
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