Previous Article | Next Article ![]()
Journal of Virology, September 2002, p. 8890-8899, Vol. 76, No. 17
0022-538X/02/$04.00+0 DOI: 10.1128/JVI.76.17.8890-8899.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Jovan Pavlovic,4 Bärbel Anheier,1 Otto Haller,3 Hans-Dieter Klenk,1 and Heinz Feldmann5*
Institut für Virologie, Philipps-Universität, Marburg,1 Department of Cellular and Molecular Pathology, Deutsches Krebsforschungszentrum, Heidelberg,2 Institut für Medizinische Mikrobiologie und Hygiene, Universität Freiburg, Freiburg, Germany,3 Institut für Medizinische Virologie, Zürich, Switzerland,4 Canadian Science Centre for Human and Animal Health, National Microbiology Laboratory, Health Canada, Winnipeg, Manitoba, Canada5
Received 26 December 2001/ Accepted 21 May 2002
|
|
|---|
|
|
|---|
Two clinical syndromes are currently known to be associated with hantavirus infections in humans: hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome (HPS). These can be further distinguished by clinical symptoms into severe, moderate, and mild HFRS, classical HPS, and a renal variant of HPS (5, 27, 30). HFRS especially continues to cause significant numbers of human illnesses in Asia and Europe, with approximately 100,000 cases per year (16, 22). HFRS lethality ranges from <1% for Puumala virus (PUUV) infections to approximately 5 to 15% for Hantaan virus (HTNV) infections. The cardinal manifestations of HFRS are fever, hemorrhages, and renal impairment. Severe HFRS, caused by HTNV, Dobrava virus, and sometimes Seoul virus, shows several phases (febrile, hypotensive, oliguric, polyuric, and convalescent) with variable lengths and transitions which are not always present in moderate or mild cases. Important laboratory findings are a rise in serum creatinine and blood urea nitrogen levels, thrombocytopenia, proteinuria, and changes in serum electrolytes (5, 27).
Hantaviruses primarily affect blood vessels and lead to variable degrees of generalized capillary dilatation and edema. Viral antigens are found within capillary endothelium of various tissues. Despite the extensive accumulation of viral antigens, there is little ultrastructural evidence of a cytopathic effect in endothelial cells. A hallmark of pathogenesis is increased vascular permeability that seems to be due to endothelial cell dysfunction. By activating complement and by triggering mediator release from platelets and immune effector cells, immune complexes may be involved in vascular injury. Thus, many data are consistent with the hypothesis that hantavirus-induced diseases are due to immunologically mediated capillary leakage in target organs, which differ for HFRS and HPS. The systemic manifestation of capillary dysfunction leads to hypotension and shock, which may be influenced by additional factors, such as virus distribution and virus-induced release of cytokines and other inflammatory mediators. The onset of disease coincides with the appearance of a specific immune response, and immune complexes can be detected in HFRS patients (5, 17, 22, 28, 41).
Hantavirus research has long been hampered by the lack of suitable animal models. However, cynomolgus macaques (Macaca fascicularis) have been successfully used to mimic nephropathia epidemica, a mild form of HFRS caused by PUUV (8, 19). Laboratory mice (Mus musculus) and rats (Rattus norvegicus) have been used to study hantavirus pathogenicity, but lethal disease could be induced only in newborn or immunodeficient animals (13, 18, 21, 24, 39, 40). Most recently, an HPS disease model with Syrian hamsters (Mesocricetus auratus) was reported for Andes virus (ANDV), one of the South American hantaviruses (12). This exciting model, which so far works only for ANDV, will be of great use for the development of vaccine candidates and antiviral substances. However, it is less suitable for the characterization of host genetic factors involved in the pathogenesis of hantavirus infections due to the lack of proper genetic and immunological tools for studies with hamsters.
Here we report that HTNV infection is lethal for several inbred strains of M. musculus domesticus. Knockout mice lacking a functional receptor for alpha/beta interferon (IFN-
/ß) (25) are even more susceptible to the infection than wild-type mice, indicating an important role of IFN-induced antiviral defense mechanisms in HTNV pathogenesis. Although clinical symptoms in HTNV-infected mice differ from those of HFRS in humans, the mouse model will be helpful for studying hantavirus pathogenesis and genetics. Furthermore, it will be useful for developing vaccines against HFRS.
(Dominic Wichmann performed this work in partial fulfillment of the requirements for a Ph.D. degree from Philipps-Universität, Marburg, Germany.)
|
|
|---|
/ß (IFNAR-1-/- mice) (25) were bred locally. All experiments with live animals were performed under the guidelines of local laws. Viruses and cells. Strain 76-118 of HTNV was used for all infections. Virus stocks were grown in Vero E6 cells (ATCC 1887) (two passages) and determined to yield titers of 2 x 106 PFU. Two recombinant vaccinia viruses were used for the protection experiments: a virus expressing the HTNV glycoprotein precursor (VVHTNV/GPC) (23) and a virus expressing the bacteriophage T7 RNA polymerase (designated here VVT7) (kindly provided by B. Moss, National Institutes of Health, Bethesda, Md.). To exclude virus stock contamination, blood samples (200 µl) from three VVHTNV/GPC-vaccinated and HTNV-challenged C57BL/6 mice were taken 21 days postchallenge. The samples tested positive for hantaviruses (HTNV) but negative for other common mouse pathogens in routine serological assays performed by Harlan Winkelmann (Borchen, Germany).
Animal infection and preparation of samples. Animals either were transferred to HEPA filter isolator units (E. E. Roberts Isolators, Wistanswick, United Kingdom) located in a biosafety level 2 (BSL2) animal facility (Institute of Virology, Marburg, Germany) or were housed in a BSL4 laboratory (Canadian Science Centre for Human and Animal Health, Winnipeg, Manitoba, Canada). Adult female mice were infected intraperitoneally with HTNV and examined for clinical symptoms twice daily. Moribund animals were euthanized, and parts of the major organs (liver, kidneys, spleen, lungs, and brain) were sampled for further analyses. For histological, immunohistochemical, and in situ hybridization analyses, organs were fixed in 4% paraformaldehyde for 10 days. For reverse transcription (RT)-PCR, organ material was immediately placed into guanidinium isothyocyanate buffer. After proper inactivation, samples were removed from either the isolator units or the BSL4 laboratory by using standard operating protocols.
Histological analysis. Organ samples were embedded in blocks of paraffin and cut with a microtome into 5-µm sections. The sections were subsequently mounted onto glass slides and stained with hematoxylin-eosin (HE), periodic acid-Schiff, and Trichrome stains.
Immunohistochemical analysis. Paraffin-embedded sections (see above) were incubated with xylol to remove the paraffin, rehydrated by using decreasing concentrations of ethanol (100, 95, 80, and 70% for 5 min each), and incubated for 30 min with rabbit anti-mouse immunoglobulin G (IgG) (Dako, Hamburg, Germany) to block endogenous mouse IgG. After extensive phosphate-buffered saline washes, antigen detection was performed by using anti-HTNV polyclonal mouse IgG followed by rabbit anti-mouse IgG conjugated to horseradish peroxidase (Dako); subsequent staining was done with diaminobenzidine tetrahydrochloride (Dako). Anti-HTNV polyclonal mouse IgG was obtained from HTNV-infected C57BL/6 mice.
In situ hybridization. A fragment of 350 nucleotides from the S segment (positions 37 to 1345) of strain 76-118 of HTNV was amplified and cloned into plasmid pCI (Promega, Mannheim, Germany). 32P-labeled in vitro runoff transcripts were produced by using an SP6/T7 transcription kit (Boehringer Mannheim, Mannheim, Germany) and purified by using Nuc Trap probe purification columns (Stratagene, Heidelberg, Germany). Hybridization was performed as described previously (3). Briefly, the sections were deparaffinized with xylol, fixed in 4% formaldehyde, and treated with 10% hydrochloric acid and 10 µg of proteinase K/ml (37°C for 20 min). Subsequently, the sections were hybridized with the radiolabeled probe, washed, and dehydrated by using increasing ethanol concentrations (50, 70, 80, 90, and 100% for 5 min each). The tissue sections were dipped in NTB2 photoemulsion (Kodak, Rochester, N.Y.) and stored in the dark. After 7 days, the photoemulsion was developed, and the sections were counterstained with HE and examined by bright- and dark-field microscopy with an Axiolab microscope (Zeiss, Göttingen, Germany).
RT-PCR. RNA was extracted by using an RNeasy kit (Qiagen, Hilden, Germany), and RT-PCR was performed by using a Titan one-tube RT-PCR system (Boehringer Mannheim) and a Perkin-Elmer model 2400 thermocycler. The RT reaction was performed at 50°C for 30 s and was followed by 40 amplification cycles (94°C for 30 s and 68°C for 90 s). The following L segment-specific oligonucleotides were used: LH3forward (5'-ATG AAA CTC TGT GCC ATC TTT GAC-3'; positions 1886 to 1910) and LH4reverse (5'-CCA CTT TGT AGC ATC TGC ACT AAC-3; positions 2966 to 2941). All products were subsequently gel purified and sequenced for confirmation.
Animal protection experiments. C57BL/6 mice were immunized by three consecutive intraperitoneal and subcutaneous injections of either VVHTNV/GPC (105 PFU) or VVT7 (105 PFU) (controls) administered 2 weeks apart. HTNV-specific antibody titers were determined by using a previously published enzyme-linked immunosorbent assay (ELISA) before infection with 100 50% lethal doses (LD50) of strain 76-118 of HTNV (4, 20). Animals were monitored for clinical symptoms twice daily, and survivors were kept for 1 month after the last of the control animals had died.
|
|
|---|
![]() ![]() View larger version (42K): [in a new window] |
FIG. 1. Laboratory mice are susceptible to HTNV infection. (A) Different strains of laboratory mice were intraperitoneally infected with 105 PFU of HTNV strain 76-118. Except for AKR/J mice, all other animals were susceptible to infection and showed similar but sometimes delayed disease courses. (B) C57BL/6 mice were used to determine the LD50 by intraperitoneal infection with 10-fold dilutions of the virus stock. The LD50 was calculated to be approximately 60 PFU. (C) Knockout mice lacking a functional receptor for IFN- /ß (IFNAR-1-/- mice) were infected intraperitoneally with 100 LD50 of HTNV. Weight loss was registered earlier for IFNAR-1-/- mice than for C57BL/6 mice. The greater susceptibility to infection may indicate a role of IFN- /ß in antiviral defense. p.i., postinfection.
|
/ß.
Knockout mice lacking a functional receptor for IFN-
/ß (IFNAR-1-/- mice) were tested next for their susceptibility to HTNV. These animals lack the ß subunit of the IFN-
/ß receptor and thus are more sensitive to various virus infections (6, 10, 25). C57BL/6 control and IFNAR-1-/- mice were infected intraperitoneally with 100 LD50 of HTNV. With IFNAR-1-/- mice, weight loss was registered much earlier (4 days postinfection). Once the animals became symptomatic, there was no difference in the disease courses between the two study groups (Fig. 1C). This finding indicates an important role of IFN-
/ß in the defense against HTNV. HTNV appears to cause a systemic infection, with the central nervous system being the primary target. In order to better describe and understand the lethal neurological disease in laboratory mice, we performed RT-PCR, histological, immunohistochemical, and in situ hybridization analyses on material of several organs taken from infected and uninfected C57BL/6 mice. In the first step, RT-PCR performed with L segment-specific oligonucleotides generated a 1,080-bp specific amplicon (Fig. 2). HTNV RNA was detected in the brain, lungs, liver, kidneys, and spleen, indicating a systemic infection. Since sporadically nonspecific amplicons of minor sizes were detected, all amplicons of the expected size were sequenced. The sequences were identical to those of the virus stock that we used for intraperitoneal infection (data not shown).
![]() View larger version (22K): [in a new window] |
FIG. 2. HTNV causes a systemic infection in laboratory mice. RNA was isolated from different organs, and RT-PCR was performed with L segment-specific oligonucleotides (see Material and Methods). The amplicons were analyzed on 1% agarose gels and visualized with ethidium bromide. HTNV-specific amplions (1,080 bp) were detected in all organs tested. Lanes 1 and 10, DNA standards; lanes 2 and 9, negative PCR control (H2O, no template); lane 3, negative control for RNA isolation (no template); lanes 4 to 8, samples from the liver, spleen, lungs, kidneys, and brain, respectively.
|
![]() View larger version (163K): [in a new window] |
FIG. 3. HTNV infection causes encephalitis in laboratory mice. Sections of different organs were HE stained. The brain sections show perivascular edema (arrow in upper panel) with massive mononuclear cell infiltration in and around vessel walls and leukocytes which adhere to endothelial cells. Strongly basophilic nuclear fragments indicate apoptosis (arrows in lower panel). The liver sections show focal large necrotic areas (arrows in upper panel). A higher magnification of the sections shows giant cells with prominent nucleoli (arrow in lower panel) and a mononuclear cell infiltrate consisting of lymphocytes and monocytes.
|
![]() View larger version (108K): [in a new window] |
FIG. 4. HTNV antigen can be detected in the brain, spleen, and liver. Sections from the brain, spleen, and liver were prepared for immunohistochemical analysis (see Material and Methods). To detect viral antigen, the sections were incubated with a mouse polyclonal antiserum against HTNV (1:100 dilution) followed by rabbit anti-mouse IgG conjugated to horseradish peroxidase (1:6,000). Viral antigen was detected in neurons (brain), endothelial cells (brain and liver), and lymphoid cells (spleen).
|
![]() View larger version (80K): [in a new window] |
FIG. 5. HTNV nucleic acid can be detected in the brain and spleen. Sections from the brain and spleen were prepared for in situ hybridization with an S segment-specific, 32P-labeled RNA probe that was 350 nucleotides long (see Material and Methods). Sections were analyzed by bright- and dark-field microscopy. Viral nucleic acid was detected in neuronal cell layers of the brain and hyperplastic germ centers of the white pulp of the spleen.
|
![]() View larger version (17K): [in a new window] |
FIG. 6. Immunized mice are partially protected against lethal HTNV challenge. Adult C57BL/6 mice were intraperitoneally and subcutaneously immunized three times with 105 PFU of recombinant vaccinia viruses expressing either the glycoprotein precursor of HTNV (VVHTNV/GPC) or the T7 RNA polymerase (VVT7). Prior to challenge with HTNV (100 LD50), antibody titers were determined by using an HTNV-specific ELISA. In contrast to the control animals (VVT7), all immunized animals (VVHTNV/GPC) developed an antibody response, indicating successful immunization (A). While all control animals died, protective immunity was achieved in 60% of the immunized animals (three of five) (B). OD, optical density; p.i., postinfection.
|
|
|
|---|
The neurological disease associated with the HTNV infection of adult laboratory mice in this study is in contrast to HFRS and HPS in humans. Interestingly, previous studies of hantavirus infections in newborn and immunodeficient rodents also described neurological symptoms, including cachexia and pareses (13, 18, 21, 24, 39, 40). In contrast to what was seen with the model described here, the outcome and severity of the disease in partially immunocompetent animals differed from survival to delayed death for up to 30 or more days postchallenge. A change in clinical symptoms as a consequence of a different virus target organ is not a novel observation with hantaviruses. This finding was also noted with the discovery of HPS in 1993 and actually delayed the laboratory diagnosis of this emerging disease (1, 20, 26). However, all symptomatic and more severe infections with hantaviruses in any host seem to be systemic infections (for this model, see Fig. 2). A common hallmark for all of these hantavirus infections seems to be the disturbance of endothelial cell function (27, 41). A similar observation was made with this model when histological findings showed cerebral vasculitis (Fig. 3 and 4). A disturbance in oxygen supply could therefore be a reason for neuronal apoptosis, which was observed in many parts of the brain (Fig. 3 and 4). These findings implicate endothelial cells as a general target for hantaviruses independent of the host species.
A distinct, unexpected clinical manifestation may imply the possibility of a different disease-causing agent or substance. Our investigations demonstrated a good correlation among the clinical symptoms, the cause of death, and the histological findings. At locations with histological alterations, hantavirus antigen and RNA were detected, indicating that the changes were caused by hantavirus replication (Fig. 3 to 5). Furthermore, the protection of animals following vaccination with a recombinant vaccinia virus expressing the HTNV glycoprotein precursor strongly supported the involvement of HTNV in the pathological process (Fig. 6). Finally, the negative microbiological test results excluded infections with other mouse pathogens which could have been directly or indirectly responsible for the lethal disease.
HTNV is sensitive to the antiviral action of human IFN-
(35), which is mediated by effector proteins, such as the MxA protein (9). It was previously demonstrated that MxA inhibits HTNV replication by interacting with an early step of virus replication (7). The mouse genome also encodes Mx proteins (Mx1 and Mx2) which possess antiviral activity (9). It is unlikely that the nuclear Mx1 protein interferes with the replication of HTNV, since hantaviruses are not known to have a nuclear phase in their replication cycle. However, the cytoplasmic Mx2 protein seems to inhibit hantavirus replication, as was recently shown for HTNV and Seoul virus (14). Thus, it was tempting to speculate that the IFN-induced expression of Mx2 contributes to the prolonged incubation time observed in HTNV-infected C57BL/6 control mice compared to knockout mice lacking a functional IFN-
/ß receptor (Fig. 1C). However, this was not the case, because C57BL/6 mice, like most other inbred mice, have only nonfunctional Mx genes (33, 34). Therefore, mice must possess additional IFN-induced defense mechanisms which interfere with the replication of HTNV.
Future experiments should examine whether the model will work for other, particularly Old World, hantaviruses. Preliminary attempts to infect C57BL/6 mice with PUUV failed to induce a symptomatic infection (H. Feldmann et al., unpublished data). This result may be explained by the reservoir host for PUUV, which is Clethrionomys glareolus, belonging to the subfamily Microtinae of the family Muridae (37, 38). C57BL/6 mice, however, belong to the subfamily Murinae, as does Apodemus agrarius, the primary reservoir host for HTNV. Interestingly, in contrast to ANDV, the closely related Sin Nombre virus does not cause any disease in Syrian hamsters (12); the reason is unknown. Therefore, the genetic background of the host species may determine the susceptibility to hantaviruses. At this point, we cannot exclude the possibility that the susceptibility of laboratory mice to HTNV is due to mutations. Although this possibility seems unlikely, sequence determination for this particular HTNV has indeed resulted in a few S (two nucleotide and two amino acid changes) and M (seven nucleotide and four amino acid changes) segment mutations compared to the published sequence for strain 76-118 of HTNV (B. Anheier and H. Finkemeier, unpublished data).
In conclusion, we have shown that strain 76-118 of HTNV can cause lethal systemic infections in several inbred strains of adult immunocompetent laboratory mice. The major target organ is the central nervous system, and the cause of death is acute encephalitis. Even though this is not a disease model for HFRS, it has the added advantage of incorporating the genetic tools available for mice. This mouse model, as well as the Syrian hamster model for HPS, will be helpful in the development of therapeutic and prophylactic measurements against hantavirus infections.
This work was supported by grants from the Deutsche Forschungsgemeinschaft (Fe 286/5-1, SFB 286-A7, and SFB 405-B10) and the Volkswagen-Stiftung (Az: I/72087).
Present address: Department of Molecular Virology, University of Heidelberg, Heidelberg, Germany. ![]()
|
|
|---|
This article has been cited by other articles:
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Copyright © 2009 by the American Society for Microbiology. For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»