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Journal of Virology, January 2002, p. 525-531, Vol. 76, No. 2
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.76.2.525-531.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland 20892
Received 27 July 2001/ Accepted 11 October 2001
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We are developing live attenuated vaccine candidates based on production of recombinant viruses from cDNAs containing defined attenuating mutations introduced into DEN type 4 (DEN4) nonstructural protein genes and untranslated regions (9, 24, 37). Antigenic chimeric dengue virus vaccine candidates for DEN1, DEN2, and DEN3 are being made in which the structural proteins from each of these serotypes replace those of a DEN4 virus containing one or more attenuating mutations in its nonstructural protein or genomic UTR. Our initial DEN4 vaccine candidate, 2A
30, was derived from cDNA containing a 30-nucleotide deletion in the 3' UTR (9, 25). Clinical evaluation of vaccine candidate 2A
30 showed it to be safe, well-tolerated, and strongly immunogenic (9). While none of the vaccinated volunteers developed symptoms, an asymptomatic rash was detected in 50% of volunteers. Also, transient elevation in the levels of alanine transaminase (ALT) in serum occurred in five volunteers. Elevated ALT levels are commonly associated with both natural DEN infections (11, 12, 17, 18) and dengue vaccination (23, 26, 39). Each volunteer developed a moderate to high level of neutralizing antibody despite a low to undetectable level of viremia. The vaccine candidate was not transmitted to mosquitoes fed on vaccinees and was strongly restricted in its ability to establish a disseminated infection in mosquitoes infected via an artificial blood meal (37).
While the performance of the DEN4 2A
30 vaccine candidate is encouraging, it may be necessary to attenuate the virus further in order to reduce or eliminate vaccine-associated ALT elevations and rash. Moreover, further study may reveal a need to attenuate one of the progeny chimeric heterotypic viruses derived from 2A
30. To this end, we have taken several approaches toward generating a collection of attenuating mutations in the nonstructural genes and UTRs of DEN4 (5). Specifically, we have made an effort to identify mutant viruses with temperature-sensitive (ts) and small-plaque (sp) phenotypes in Vero or liver (HuH-7) cells as useful markers for attenuation in general and for liver-specific attenuation, respectively. Although there is currently no animal model for illness caused by DEN that mimics human disease, we have used restriction of replication in the suckling mouse brain as a marker of in vivo attenuation. Blaney et al. (5) reported that chemical mutagenesis of DEN4 yielded a subset of mutant viruses that exhibited a variety of ts and mouse attenuation phenotypes. Studies are currently under way to identify the specific mutations that confer these phenotypes.
In the present study, we performed paired charge-to-alanine mutagenesis on the NS5 gene of DEN4 to create a panel of attenuated viruses with specified mutations. Charge-to-alanine mutagenesis can create ts mutant viruses by destabilizing hydrogen-bonding or electrostatic interactions at the surface of the protein, rendering these interactions more thermosensitive (1). Previous studies have demonstrated the efficacy of this technique for generation of ts mutants in positive-strand viruses (8, 29).
The current study focuses on NS5, the largest (104 kDa) and most conserved (67% identity among the four DEN serotypes) of the DEN proteins. Three putative functional domains have been identified in NS5 via homology to known functional proteins: an S-adenosylmethionine methyltransferase-like domain in the N-terminal region, (20), a centrally located nuclear localization sequence (NLS) (13, 19), and an RNA-dependent RNA polymerase (RdRp) domain containing a characteristic GDD motif in the carboxy half of the gene (21). Subsequently, experimental analyses have corroborated the function of the NLS (13) and shown that a region N terminal to the NLS can bind the nuclear import receptor importin-ß (16). The function of the RdRp has also been confirmed (2, 33, 36), and it has been shown that NS5 and NS3 interact in the conversion of replicative-form (RF) RNA to replicative intermediates (RI) (2, 7, 19, 33). The NS5 gene is an inviting target for mutagenesis since it is a nonstructural gene and therefore will be retained during the production of antigenic chimeric viruses. In addition, it is a large protein with many functions so that mutagenesis should create a broad array of phenotypes useful to fine-tune attenuation of vaccine candidates. In this study we have described the generation of 32 NS5 mutant viruses and the evaluation of their in vitro and in vivo phenotypes. In addition, we demonstrate the feasibility of modifying the attenuation phenotype of these mutant viruses by combining two pairs of charge-to-alanine mutations.
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Recombinant DEN4 (rDEN4) was derived from the cDNA plasmid p4, which was modified from 2A, a cDNA generated from wild type (wt) DEN4 strain 814669 (Dominica 1981) as previously described (9, 24). rDEN4
30 was derived from plasmid p4
30, a cDNA clone containing a deletion of nucleotides 10,478 to 10,507 in the 3' UTR, the same mutation that is present in 2A
30 (9, 25). The GenBank accession number for rDEN4 is AF326825.
Charge-cluster-to-alanine mutagenesis. Charge-cluster-to-alanine mutagenesis (29), in which pairs of charged amino acids are replaced with alanine residues, was used to individually mutagenize the coding sequence for 80 pairs of contiguous charged amino acids in the DEN4 NS5 gene. Subclones suitable for mutagenesis were derived from full-length DEN4 plasmid p4 by digestion of the NS5 coding region with XmaI/PstI (pNS5A), PstI/SacII (pNS5B), or SacII/MluI (pNS5C) at nucleotide positions 7444/8155, 8155/9315, and 9315/10402, respectively. These fragments were then subcloned into modified pUC vectors, and Kunkel mutagenesis was performed (22). To create each mutation, oligonucleotides were designed to change the sequence coding for individual pairs of charged amino acids to GCAGCX, thereby replacing them with codons for two alanine residues and creating a BbvI restriction site. The BbvI site was added to facilitate screening of cDNAs and recombinant virus genomes for the presence of the mutated sequence. Restriction enzyme fragments bearing the alanine mutations were cloned back into the full-length p4 plasmid, which was sequenced to confirm the presence of the desired mutation. Double mutant viruses carrying two pairs of charge-cluster-to-alanine mutations were created by swapping appropriate NS5 fragments carrying one pair of mutations into a previously mutagenized p4 cDNA carrying a second pair of mutations in a different fragment using conventional cloning techniques.
Generation of rDEN4. 5'-capped transcripts were synthesized in vitro from mutagenized cDNA templates using AmpliCap SP6 RNA polymerase (Epicentre, Madison, Wis.). Transfection mixtures, consisting of 1 µg of transcript in 60 µl of HEPES-saline plus 12 µl of DOTAP (Roche Diagnostics Corp., Indianapolis, Ind.), were added, along with 1 ml of VP-SFM to subconfluent monolayers of Vero cells in six-well plates. Transfected monolayers were incubated at 35°C for approximately 18 h, cell culture medium was removed and replaced with 2 ml of VP-SFM, and cell monolayers were incubated at 35°C for 5 to 6 days. Cell culture medium was collected, and the presence of virus was determined by titration in Vero cells followed by immunoperoxidase staining as previously described (9). Recovered virus was amplified by an additional passage in Vero cells, and virus suspensions were combined with SPG stabilizer (218 mM sucrose, 6 mM L-glutamic acid, 3.8 mM potassium phosphate [monobasic], 7.2 mM potassium phosphate [dibasic] [pH 7.2] [final concentrations given]), aliquoted, frozen on dry ice, and stored at -70°C.
cDNA constructs not yielding virus after transfection of Vero cells were used to transfect C6/36 cells as follows. Transfection mixtures, as described above, were added, along with 1 ml of MEM containing 10% FBS, 2 mM L-glutamine, 2 mM nonessential amino acids, and 0.05 mg of gentamicin per ml, to monolayers of C6/36 cells. Transfected-cell monolayers were incubated at 32°C for 18 h, cell culture medium was removed and replaced with 2 ml of fresh medium, and cell monolayers were incubated at 32°C for an additional 5 to 6 days. Cell culture media were then used to infect Vero cells and incubated for 5 to 6 days, at which time cell culture media were collected and frozen and the virus titers were determined as described above.
Recovered viruses were biologically cloned by two rounds of terminal dilution in Vero cells followed by an additional amplification in Vero cells. Briefly, virus was initially diluted to a concentration of approximately 20 PFU/ml in VP-SFM and then subjected to a series of twofold dilutions across a 96-well plate. Virus dilutions were used to infect Vero cell monolayers in a 96-well plate and incubated for 5 to 6 days at 35°C. Following incubation, cell culture media were removed and temporarily stored at 4°C, and the virus-positive cell monolayers were identified by immunoperoxidase staining. Terminal dilution was achieved when
25% of cell monolayers were positive for virus. Cell culture medium from a positive monolayer at the terminal dilution was subjected to an additional round of terminal dilution. Following the second terminal dilution, virus was amplified in Vero cells (75-cm2 flask), collected, and frozen as previously described.
Mutant virus characterization. Viruses were screened for ts phenotype by assessing plaque formation at the permissive temperature (35°C) and various restrictive temperatures (37, 38, and 39°C) in Vero and HuH-7 cells. Cell monolayers in 24-well plates were inoculated with serial 10-fold dilutions of virus and incubated for 2 h at 35°C and overlaid with L-15 medium (Quality Biologicals, Gaithersburg, Md.) supplemented with 2% FBS, L-glutamine, gentamicin, and 0.8% methylcellulose. Cells were incubated at the indicated temperatures for 5 days in temperature-controlled water baths, the presence of virus was determined by immunoperoxidase staining as described previously (9), and titers are expressed as log10 PFU per milliliter.
The replication of viruses was evaluated in Swiss Webster suckling mice (Taconic Farms, Germantown, N.Y.). Animal experiments were performed in accordance with the regulations and guidelines of the National Institutes of Health, Bethesda, Md. Groups of six 1-week-old mice were inoculated intracerebrally with a 30-µl inoculum containing 104 PFU of virus diluted in VP-SFM. Five days later, mice were euthanized, and the brain of each mouse was removed and homogenized in a 10% (wt/vol) suspension of phosphate-buffered Hanks balanced salt solution containing 7.5% sucrose, 5 mM sodium glutamate, 0.05 mg of ciprofloxacin per ml, 0.06 mg of clindamycin per ml, and 0.0025 mg of amphotericin B per ml. Clarified supernatants were frozen at -70°C, and virus titers were determined by plaque titration in Vero cells.
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FIG. 1. Amino acid sequence of the rDEN4 NS5 gene. Eighty underlined amino acid pairs were mutagenized to alanine pairs; 32 pairs in boldface type represent mutant viruses that could be recovered in either Vero or C6/36 cells; amino acid pairs in normal type represent mutant viruses that could not be recovered in either Vero or C6/36 cells. Boxed regions indicate putative functional domains, including an S-adenosylmethionine-utilizing methyltransferase domain (SAM), an importin-ß-binding domain adjacent to a NLS, and an RNA-dependent RNA polymerase domain.
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30, and the 32 mutant viruses are summarized in Table 1. A mutant virus was considered to have a ts phenotype in Vero or HuH-7 cells if it exhibited a reduction in titer of
2.5 log10 PFU/ml or
3.5 log10 PFU/ml at the restrictive temperature (39°C) relative to the titer at the permissive temperature (35°C), respectively. The greater reduction in replication at 39°C in HuH-7 cells required for a mutant to be assigned the ts phenotype reflects the greater reduction in replication of wt virus at 39°C in HuH-7 cells versus Vero cells (Table 1). One mutant virus (645-646) was temperature sensitive (ts) in Vero cells but not in HuH-7 cells, and seven mutant viruses were ts in HuH-7 cells but not in Vero cells. Such mutants whose temperature sensitivity is host cell dependent are referred to as temperature-sensitive, host range (tshr) mutants. Thirteen mutant viruses were ts in both cell types, and 11 mutant viruses were not ts on either cell type. Thus, a total of 21 mutant viruses were ts with eight mutant viruses exhibiting an tshr specificity. None of the mutant viruses showed a small-plaque phenotype at the permissive temperature. |
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TABLE 1. Temperature-sensitive and mouse brain attenuation phenotypes of viruses bearing charge-cluster-to-alanine mutations in the NS5 gene of DEN4
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Attenuation in suckling mice.
Mutant viruses showed a wide range (0 to 10,000-fold) of restricted replication in suckling mouse brain (Table 1). Fourteen mutant viruses were attenuated in suckling mouse brain, arbitrarily defined as a
1.5 log10 reduction in virus titer. There was no correlation between attenuation in the mouse brain and temperature sensitivity in either Vero cells (Kendall rank correlation, P = 0.77) or HuH-7 cells (Kendall rank correlation, P = 0.06), and there was no association between attenuation in mouse brain and location of mutations in NS5 functional domains (by analysis of variance, df = 2, F = 0.39, P = 0.67).
One of the reasons for selecting the NS5 protein for mutagenesis is that it is the most highly conserved protein among the four DEN serotypes, and a nucleotide sequence identified in DEN4 might be conserved in one or more of the other serotypes. Table 2 indicates the conservation of each attenuating pair of mutations identified in DEN4 (GenBank accession number AF326825) in DEN1, DEN2, and DEN3 (GenBank accession numbers U88535, AF038403, and M93130, respectively).
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TABLE 2. Sites at which attenuating mutations introduced into DEN4 are conserved in DEN1, DEN2, and/or DEN3
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TABLE 3. Temperature-sensitive and mouse brain attenuation phenotypes of double charge-cluster-to-alanine mutants of the NS5 gene of rDEN4
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Because an animal model that accurately mimics DF is not available, it is necessary to rely on in vitro and in vivo biological markers to identify mutants that might be attenuated in humans. Previous studies have suggested that the phenotypes most closely correlated with attenuation in humans are small plaque size (3), temperature sensitivity (3, 10), attenuation for newborn mice (3), and most reliably, decreased viremia in monkeys (3, 9). Since it is not feasible to test large numbers of mutant viruses in monkeys, we have used other biological markers in our selection of mutants for further consideration. Thus, the NS5 gene mutants were tested for their sp, ts, and mouse brain attenuation phenotypes. Thirty-two NS5 mutant viruses (40%) were recovered from the 80 DEN4 charge-to-alanine mutant cDNA constructs, and they displayed several phenotypes of interest: ts (66%), tshr (25%), and restriction in replication in suckling mouse brain (44%). Mutations in these recovered viruses showed no apparent clustering with respect to their position in the gene or their presence in a putative functional domain. None of the DEN4 mutant viruses displayed an sp phenotype at the permissive temperature. In contrast, after charge-cluster-to-alanine mutagenesis of the NS1 gene of a related flavivirus, yellow fever (YF) virus, 69% of 28 mutant cDNAs yielded virus from transfected human carcinoma (SW-13) cells and lethal mutations clustered predominantly in the N-terminal half of the gene (29). Only one (5%) of these 19 mutant YF virus mutants was convincingly ts, but 7 (37%) were sp viruses.
The strikingly higher percentage of recovery and frequency of sp mutants of YF virus NS1 versus DEN4 NS5 mutant viruses suggest that the NS1 activity threshold may be less dichotomous than that of NS5, thus allowing for the recovery of partially defective NS1 mutant viruses as manifested by an altered plaque size. However, the lack of sp NS5 mutant viruses and the decreased frequency of recovery suggest that fully functional NS5 is required for virus replication. The lower incidence of temperature sensitivity in NS1 relative to NS5 mutant viruses also suggests that the NS1 structure is either stable at elevated temperatures or protected by dimerization (31, 32, 40) or direct membrane association (40), neither of which has been shown to occur in NS5.
The mutant viruses created in this study might be useful in characterizing the various functions of the DEN NS5 gene. For example, in this study, mutations in the region containing the NLS and the importin-ß-binding domain of DEN4 NS5 resulted in a greater reduction in titer at the restrictive temperature in both cell types than mutations in the polymerase domain or mutations in regions with no known function, although this effect was significant only in HuH-7 cells. The function of this region of NS5 has only recently been identified (13, 16), and this study further supports the importance of the region containing the NLS and the importin-ß-binding domain in DEN replication. It is possible that the impact of some charge-to-alanine mutations was lessened by the incorporation of compensatory mutations elsewhere in the genome. Because it would not be possible to distinguish such compensatory mutations from other, incidental mutations via nucleotide sequencing, we did not sequence the genome of recovered mutant viruses. Instead, we plan to import selected mutations into several genetic backgrounds and evaluate each recovered virus in vitro and in vivo as described above. In this manner, the phenotype conferred by each isolated mutation can be confirmed independently of its genetic background.
Because vaccine candidate 2A
30 retains mild residual virulence for the liver but is otherwise safe and immunogenic, mutations that restrict replication in the liver without affecting overall replication would be especially useful for fine-tuning attenuation. Among the DEN4 charge-to-alanine mutant viruses, the magnitude of reduction in titer at the restrictive temperature in Vero cells showed a positive correlation with reduction in HuH-7 cells. Nevertheless, seven of the mutant viruses showed a ts phenotype in HuH-7 cells but not in Vero cells. Blaney et al. (5) identified a similar class of mutant viruses after chemical mutagenesis. Experiments are currently under way to determine whether mutations that confer a liver cell-specific phenotype in vitro also confer attenuation in vivo in SCID mice implanted with human HuH-7 cells.
Importantly, 14 of the 32 mutant viruses were attenuated in suckling mouse brain. However, temperature sensitivity in cell culture did not correlate with reduced replication in vivo in suckling mouse brain. Half of the mutant viruses that were ts in at least one cell type were not attenuated in mice, and 4 of the 14 mutant viruses that were attenuated in mice were not ts in either cell type. These latter non-ts attenuating mutations may be especially useful for vaccine design, especially in conjunction with ts attenuating mutations because they increase the stability of the attenuation phenotype following replication in vitro and in vivo (28). Additionally, the level of attenuation specified by a given pair of charge-cluster-to-alanine mutations was augmented by the insertion of another attenuating pair of mutations. Thus, the range of attenuation specified by this set of mutations could be extended by using various combinations of two or more pairs of mutations. Future studies will evaluate the compatibility of a subset of charge-to-alanine mutations with the
30 mutation in DEN4, the effects of combining charge-to-alanine mutations in NS5 with mutations in other genes identified through chemical mutagenesis (5), and finally, the effects of particularly promising charge-to-alanine mutations on attenuation of virus in monkeys.
As expected, charge-to-alanine mutagenesis created mutant viruses with a diverse array of phenotypes, and combination of mutations further modulated these phenotypes. It should therefore be possible to modify DEN4 virus vaccine candidates with these mutations to eliminate side effects such as ALT elevations. Moreover, many of the sites of attenuating mutations identified in this study show a high degree of conservation across the four DEN serotypes. For example, mutations 157-158, 808-809, and 827-828 each confer at least 100-fold restriction in replication in mouse brain, and both charged amino acids in these mutation pairs are conserved in all four dengue serotypes. Thus, some of the attenuating mutations identified in this study may be useful in attenuating rDEN1, rDEN2, and rDEN3 by their insertion into conserved regions, as has been described for parainfluenza viruses (35).
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