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Journal of Virology, October 2002, p. 10219-10225, Vol. 76, No. 20
0022-538X/02/$04.00+0 DOI: 10.1128/JVI.76.20.10219-10225.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Study of Antigen-Processing Steps Reveals Preferences Explaining Differential Biological Outcomes of Two HLA-A2-Restricted Immunodominant Epitopes from Human Immunodeficiency Virus Type 1
W. M. Cohen,1* A. Bianco,2 F. Connan,1 L. Camoin,3 M. Dalod,1 G. Lauvau,4 E. Ferriès,1 B. Culmann-Penciolelli,1 P. M. van Endert,4 J. P. Briand,2 J. Choppin,1 and J. G. Guillet1
Institut National de la Santé et de la Recherche Médicale Unité 445,1
Centre National de la Recherche Scientifique Unité Propre de Recherche 415, 75014 Paris,3
Centre National de la Recherche Scientifique Unité Propre de Recherche 9021, 67000 Strasbourg,2
Institut National de la Santé et de la Recherche Médicale Unité 25, 75743 Paris, France4
Received 29 April 2002/
Accepted 16 July 2002

ABSTRACT
Cytotoxic T-lymphocyte (CTL) responses directed to different
human immunodeficiency virus (HIV) epitopes vary in their protective
efficacy. In particular, HIV-infected cells are much more sensitive
to lysis by anti-Gag/p17(77-85)/HLA-A2 than to that by anti-polymerase/RT(476-484)/HLA-A2
CTL, because of a higher density of p17(77-85) complexes. This
report describes multiple processing steps favoring the generation
of p17(77-85) complexes: (i) the exact COOH-terminal cleavage
of epitopes by cellular proteases occurred faster and more frequently
for p17(77-85) than for RT(476-484), and (ii) the binding efficiency
of the transporter associated with antigen processing was greater
for p17(77-85) precursors than for the RT(476-484) epitope.
Surprisingly, these peptides, which differed markedly in their
antigenicity, displayed qualitatively and quantitatively similar
immunogenicity, suggesting differences in the mechanisms governing
these phenomena. Here, we discuss the mechanisms responsible
for such differences.

INTRODUCTION
The mechanisms of presentation of intracellular antigens by
major histocompatibility class I (MHC-I) molecules are well
documented, and several of these steps have been described previously
(
28). First, antigenic proteins are degraded in peptides by
different cytosolic complexes, the most highly implicated and
frequently described being the proteasome. Second, peptides
are translocated by the transporter associated with antigen-processing
(TAP) into the endoplasmic reticulum (ER), where they bind newly
synthesized empty MHC-I molecules. Third, stable peptide/MHC-I
complexes are exported via the Golgi apparatus to the cell surface,
where they can be recognized by CD8
+ T cells expressing a specific
T-cell receptor. However, the steps in antigen processing which
determine a dominant T-cell response are still poorly understood.
Elucidating the mechanisms that determine the antigenicity of
epitopes for MHC-I presentation is critical for defining targets
for peptide-designed vaccines or immunotherapies that limit
viral spread.
In the present work, we investigated the processing of two HLA-A2-restricted epitopes, p17(77-85), from the Gag/p17 matrix protein, and RT(476-484), from the Pol/reverse transcriptase (RT) complex, which are naturally presented by human immunodeficiency virus (HIV)-infected cells (35). Previous studies have shown that p17(77-85)-specific cytotoxic T-lymphocyte (CTL) clones are more efficient than those specific for RT(476-484) in lysing infected target cells, because of a better presentation of p17 epitope (35, 38). To understand the molecular basis of the dominance of p17(77-85) over RT(476-484), a detailed analysis of antigen presentation was performed. First, the kinetics and efficiency of the degradation by enriched proteasome fractions of protein fragments encompassing the epitopes were compared. Binding assays of the digestion products to TAP and of the optimal epitopes to HLA-A2 molecules were then performed. The avidities of spontaneously induced CD8+ T cells against each epitope in HIV-infected asymptomatic patients were measured.

MATERIALS AND METHODS
Peptides.
The synthetic peptide sequences for p17(68-93) (LQTGSEELRSLYNTVATLYCVHQRIE)
and RT(468-495) (LELAENREILKEPVHGVYYDPSKDLIAE) were selected
from the p17 and RT HIV type 1 (HIV-1)/Bru isolate and synthesized
by Neosystem (Strasbourg, France). Lyophilized peptides were
diluted to 1 mg/ml in water plus 10% dimethyl sulfoxide (DMSO),
aliquoted, and stored at -20°C.
Cell extract.
T1 cells (5 x 108) were lysed in 5 ml of 50 mM Tris (pH 7.5) by Dounce homogenization. After centrifugation (30 min, 17,000 x g, 4°C), supernatant was collected and proteins were precipitated with 5% polyethylene glycol 8000 (Sigma-Aldrich, St. Quentin Fallavier, France). After a similar centrifugation, proteins remaining in the supernatant were precipitated with 12% polyethylene glycol 8000 and centrifuged again. Pellet was diluted in 1 ml of 10 mM Tris-HCl-1 mM EDTA-60 µM ATP (Sigma-Aldrich). Protein concentration was determined (Micro bicinchoninic acid kit; Pierce, Rockford, Ill.), and the presence of proteasomes was assessed by Western blotting with monoclonal antibodies (MAbs) directed against low-molecular-weight protein 2 (LMP-2) and LMP-7 ß-subunits and a C3
-subunit (Affiniti Research Products Ltd., Mamhead, United Kingdom).
Degradation of p17(68-93) and RT(468-495).
A total of 200 µg of peptide p17(68-93) was incubated for 4 h with 90 µg of T1 cell extract at 37°C in buffer containing 10 mM Tris-HCl (pH 8) and 1 mM EDTA. Proteins were precipitated in 10% trifluoroacetic acid (TFA) and centrifuged for 10 min at 17,000 x g, and the supernatant containing peptides was collected. The protocol was the same for RT(468-495), except 200 µg of peptide was degraded with 360 µg of T1 cell extract for 30 h. A kinetic study was also performed by degrading 100 µg of the peptides with 45 µg of T1 cell extract for varying lengths of time.
Separation by RP-HPLC.
Peptide digests were separated by reverse-phase high-performance liquid chromatography (RP-HPLC) (PerkinElmer, Norwalk, Conn.) in a C18 column (Macherey-Nagel, Hoerdt, France). An acetonitrile gradient in water, containing 0.1% TFA, was applied (0% for 5 min, 0 to 10% for 5 min, 10 to 20% for 50 min, 20 to 60% for 30 min, and 60 to 100% for 5 min). The peptide elution profile was obtained at 214 nm with an absorbance detector (Applied Biosystems, Roissy, France). Fractions containing peaks were individually collected and lyophilized.
Lymphocyte donors.
Peripheral blood mononuclear cells (PBMCs) from eight HIV-1-seropositive asymptomatic individuals (patients P19, P22, P27, and P36 from Immunoco cohorte and Z44, Z49, Z77, and Z112 from the Cochin hospital) were isolated by density gradient centrifugation (Ficoll-Paque; Pharmacia Biotech AB, Uppsala, Sweden) and used after freezing and thawing. Cohorts were established with the approval of the local ethics committee (Comité Consultatif de Protection des Personnes dans la Recherche Biomédicale, Cochin Hospital), and all participants gave their written informed consent for the constitution of cell banks.
Detection of epitope generation.
Thawed PBMCs from patient Z44 were cultured overnight and plated in a 96-well nitrocellulose plate at 7 x 105 cells per well in 100 µl of complete medium (RPMI 1640 supplemented with Glutamax, nonessential amino acids, 1 mM sodium pyruvate, 10 mM HEPES buffer, 100 U of penicillin/ml, 100 µg of streptomycin/ml [Life Technologies, Paisley, United Kingdom], and 10% fetal calf serum [PAN Biotech, Aidenbach, Germany]). Lyophilized fractions containing p17 peptides were dissolved in complete medium, and 100 µl per well was added on cells. For RT fractions, the method was the same, except the P19 cell line directed against RT(476-484) was used at 5,000 cells per well. Enzyme-linked immunospot (ELISpot) for gamma interferon (IFN-
) was performed as described below after overnight incubation.
Mass spectrometry analysis.
Mass analysis was performed on a linear matrix-assisted laser desorption ionization-time of flight Voyager DE-Pro mass spectrometer (PerSeptive Biosystems). The peptides corresponding to the computed masses were identified with General Protein Mass Analysis for Windows version 4.2 software (Lighthouse Data) with ±0.01% mass accuracy.
Edman's sequencing.
TFA-soluble products in crude digests were sequenced by automated Edman degradation with a model 473 protein sequencer (Applied Biosystems, Foster City, Calif.). Concentrations of monorepresented amino acids [G, N, A, H, and I for p17(68-93) and N, R, H, G, D, and S for RT(468-495)] were determined for each cycle of sequencing and allowed definition of position and intensity of cleavage. Percentages of COOH-terminal cleavage of the two epitopes were calculated as follows: %p17 cleavage = [n{Tyr}1-n{Asn}2]/n{p17(68-93)}total, and %RT cleavage = [n{Tyr}1-n{Ser}5]/n{RT(468-495)}total, where n{X}y is the molar quantity of amino acid X at the yth cycle of Edman degradation.
TAP binding assay.
The TAP binding assay was performed as previously described (37). Briefly, microsomes from Sf9 cells infected with a tap1/tap2 recombinant baculovirus were mixed with a reporter-iodinated peptide (R9L) and epitopes or NH2-terminally extended peptides from p17 and RT were added at increasing concentrations as competitor peptides. The radioactivity bound on microsomes was measured, and 50% inhibition dose (ID50) values were graphically determined for each peptide at the intersection between the dilution curve and the ID50 line (ID50 = 0.525 x binding R9L without competitor).
HLA molecule purification.
HLA molecules were purified from Epstein-Barr virus-transformed B-cell line JESTHOM (HLA-A 0201/0201; 12th International Histocompatibility Workshop, Cell Lines Panel) as described in reference 7. Then, 2 µg of exogenous ß2m/ml and 6 mM 3-[(3-cholamido-propyl)dimethylammonio]-1-propanesulfonate (Sigma-Aldrich) were added just before the addition of exogenous peptide.
HLA-A2-peptide binding and stability.
Aliquots of HLA-A2 heavy chains were incubated with different concentrations (10-5 to 10-8 M) of exogenous peptides and ß2m as reported in reference 7. Correctly folded HLA complexes were detected with M28, an anti-ß2m MAb coupled to alkaline phosphatase, with 4-methyl-umbelliferyl phosphate (Sigma-Aldrich) as substrate. Fluorescence was excited at 360 nm and measured at 460 nm in the Microfluor reader VICTOR (EG & G Wallac, Turku, Finland). For studies on the stability of the complexes, incubation times at 37°C varied from 0 to 24 h.
ELISpot assay.
Ninety-six-well nitrocellulose plates (Millipore, Bedford, Mass.) were coated with 10 µg of mouse MAb anti-human IFN-
(Mabtech, Nacka, Sweden)/ml. Thawed PBMCs from six HLA-A2 asymptomatic patients were plated in triplicate at 105 cells per well. Synthetic peptide p17(77-85) or RT(476-484) was then added in dilution from 10-5 to 10-12 M, and the plates were incubated for 20 h at 37°C in 5% CO2. Wells were washed extensively between each step and incubated for 1 h with 100 µl of biotinylated mouse MAb anti-human IFN-
at 1 µg/ml (Mabtech) and then with ExtrAvidin alkaline phosphatase diluted 1/6,000 (Sigma-Aldrich) for 45 min. Spots were developed by adding the chromogenic alkaline phosphatase substrate nitroblue tetrazolium-BCIP (5-bromo-4-chloro-3-indolylphophate; Bio-Rad, Hercules, Calif.) and counted with a KS-ELISpot automated device (Zeiss, Hallbergmoos, Germany). Concentrations of peptides that gave the half-maximal number of specific IFN-
-secreting cells were graphically determined.

RESULTS
Degradation of large peptides p17(68-93) and RT(468-495).
Proteasomes have been implicated in the processing of RT(476-484),
but their involvement in the generation of p17(77-85) is not
clear (
33). Lactacystin does not inhibit the production of p17(77-85)
in vivo, but the fact that the lactacystin-independent activity
of the proteasome may be responsible for p17 cleavage cannot
be excluded. Moreover, Gag polyprotein translation generates
defective ribosomal products that are specifically degraded
by proteasomes and thought to be a source of epitopes (
31).
To investigate their sensitivity to proteasomal cleavage, synthetic
p17(68-93) and RT(468-495), containing epitopes p17(77-85) and
RT(476-484) plus 8 to 10 N-terminal and C-terminal flanking
residues, were incubated for various times with proteolytic
extracts from T1 cells containing IFN-

-inducible LMP-2 and LMP-7
proteasome subunits. Peptide p17(68-93) was sensitive to degradation
mediated by T1 cell extract as shown on RP-HPLC profiles (Fig.
1): numerous products were observed after a 4-h digestion, and
accumulation remained after a 20-h digestion. By contrast, RT(468-495)
digestion liberated few products that appeared as discrete absorbance
peaks after a 20-h digestion (Fig.
1) and the major part of
the RT(468-495) peptide, eluting at 52 min, was still present.
To determine the presence of epitopes or precursor peptides,
samples containing peaks were individually collected and tested
by the ELISpot assay. PBMCs from patient Z44, which specifically
recognized epitope p17(77-85), were reactive against fractions
5, 10, and 11 after a 4-h degradation of p17(68-93) (Fig.
2).
A CD8
+-T-cell line derived from patient P19 directed against
RT(476-484) did not recognize any fraction after a 4-h digestion
of RT(468-495) (data not shown). However, after a 30-h digestion,
this specific T-cell line recognized peptides from peaks 7 and
8 and, to a lesser extent, peak 6 of the RT digest. All the
products in these fractions were analyzed by mass spectrometry,
and sequences were deduced from measured masses (Table
1). Only
NH
2-terminally extended precursors from the p17 epitope were
generated, whereas the RT epitope was generated under both its
optimal and NH
2-terminally extended forms. Remarkably, no peptides
with correct COOH-terminal cleavage were found in fraction 6
of the RT(468-495) digest. The sensitivity of the mass spectrometer
was certainly lower than the recognition by specific T cells;
otherwise, the ionization ability of the reactive peptides was
too weak and would have limited their detection.
On a bulk of the large peptide digests, Edman sequencing analysis
was performed (Fig.
3) and the quantity of mono-represented
amino acids [G, N, A, and H for p17(68-93) and N, R, H, and
G for RT(468-495)] was determined for each reaction cycle. This
method allowed for the definition of major cleavage sites in
a peptide sequence (
24). The cleavage of p17(68-93) between
residues Leu
85 and Tyr
86 that could liberate the precursor peptides
of the p17 epitope appeared frequently after a 4-h digestion
(25% of the total p17 sequences). Cleavage between Val
484and
Tyr
485, generating the epitope RT(476-484), was less frequent
(6.9%), even with four times more T1-cell proteolytic extract
and after a 30-h degradation (see Materials and Methods for
percentage calculations). Therefore, both the kinetics of degradation
and COOH-terminal cleavage favored p17 epitope precursor production.
TAP transport of NH2-terminally extended precursors and epitopes.
The p17(77-85) and RT(476-484) epitopes have TAP-dependent processing
since presentation of these epitopes is not achieved in TAP-deficient
cells (
35). To compare the efficiencies of binding to the TAPs
of these epitopes in the ER, we used panels of NH
2-terminally
extended epitopes from 10- to 15-mers with a size compatible
with TAP translocation (
22). Binding to microsomes from TAP-infected
insect cells was determined in a competition assay with a reference
peptide (Table
2). Nine- to 12-mer-NH
2-terminally extended p17
peptides showed better binding to TAP than RT peptides. In particular,
11- and 12-mers were more efficient in TAP binding than the
epitope RT(476-484). After digestion by T1 cell extract, the
generated p17 peptides were RSLYNTVATL (residues 76 to 85) and
GSEELRSLYNTVATL (residues 71 to 85) and had ID
50s of 13 and
280, respectively, and RT peptides were ILKEPVHGV (residues
476 to 484) and REILKEPVHGV (residues 474 to 484) and had ID
50s
of 175 and 47, respectively. Therefore, p17(76-85), a precursor
of the p17 epitope, can bind TAP 3.7 times more efficiently
than RT peptides.
HLA-A2 binding of p17 and RT epitopes.
We investigated the binding of the two epitopes to purified
A2-heavy chains in the presence of exogenous ß
2m and
the stability of formed complexes (Fig.
4). The binding ability
of the two epitopes was equivalent to and weaker than that of
the high HLA-A2 binder peptide, matrix protein from residues
58 to 66 [M(58-66)] of influenza virus. In addition, M(58-66)/A2
complexes were very stable (half-life, >24 h), whereas the
p17(77-85)/A2 and RT(476-484)/A2 complexes showed reduced stability
(half-life, 3.5 h). This stability is, however, compatible with
the activation of T cells and triggering of killing and with
the induction of specific CD8
+ T cells (
36). Association of
the two epitopes with HLA-A2 molecules appeared very similar
and probably does not generate an imbalance in the recognition
by effector cells.
Avidity of naturally induced effector T cells in asymptomatic patients.
We therefore determined the avidity of naturally induced T cells
specific for p17(77-85) and RT(476-484) in six HLA-A2
+ asymptomatic
patients who exhibited a response against the two epitopes.
The effect of peptide dilution was determined in an ELISpot
IFN-

assay, and concentrations of peptides that gave the half-maximal
response were graphically defined (Table
3). The avidity range
was around 1 to 0.1 nM of synthetic epitope for the T cells
of all patients. No difference between avidity directed to p17(77-85)-
and RT(476-484)-specific T cells was observed for any given
patient.

DISCUSSION
Although p17(77-85) and RT(476-484) are two immunodominant HIV
epitopes, it has been previously shown that they display disparate
antigenicities. Their recognition by specific CTLs on HIV-infected
cells correlates to their number of copies per cell [400 for
p17(77-85) versus 12 for RT(476-484)] (
35). Several steps of
antigen processing are likely to be involved in the different
levels of expression of the two epitopes. First, the number
of p17 protein precursors is eight times higher than that of
RT precursors, which is due to an inefficient frameshifting
during elongation of the RT precursor mRNA (
14). Thus, the abundance
of proteins, the source of the epitopes, might be the first
step in generating an imbalance in epitope presentation. A second
critical step is the degradation of the two proteins by cellular
enzymatic complexes. We approached this question by studying
the degradation of regions containing the two epitopes flanked
by 8 to 10 residues: p17(68-93) and RT(468-495). In several
reports, degradation of large peptides issued from an antigen
allowed researchers to predict epitopes (
15,
20). Proteasomal
degradation of large peptide Ova(239-281) and of the ovalbumin
protein gave the same precursors of the immunodominant epitope
Ova(259-267) (
2,
3,
26). We also observed that large Nef peptides
(residues 66 to 97 and 117 to 145), which are rich in HLA binding
motifs and well cleaved by proteasomes, may be generated in
vaccinated individuals' T-cell responses directed to the predicted
epitopes (
6,
11,
29). Here, we showed that complete degradation
by T1 cell extract enriched in proteasomes containing LMP-2
and LMP-7 subunits occurs in 8 h for p17(68-93) versus >72
h for RT(468-495). Furthermore, on HPLC gels, peaks containing
epitope or precursor peptides appeared as soon as 2 h after
p17 degradation whereas 8 h was required for RT degradation
(data not shown and Fig.
1). Since generation of epitopes by
the proteasome depends on adequate cleavage at their COOH-terminal
end (
8), the frequency of bond cleavages at this position in
large peptides would correlate to the quantity of epitopes liberated.
Our analysis revealed a cleavage preference of T1 cell extract
for the bond between Leu
85 and Tyr
86 in p17 rather than that
between Val
484 and Tyr
485 in RT (25 and 6.9% of total p17 and
RT peptides, respectively). Moreover, the impact of unfolding
on proteasome degradation could be important, considering that
regions after an

-helix are well unfolded whereas those placed
after a ß-sheet are inefficiently unraveled (
19).
Epitope p17(77-85) is located in an

-helix (
21), whereas RT(476-484)
is contained within a ß-sheet (
30). This may explain
why p17 epitope precursors are generated faster and more frequently
than those for the RT epitope. Degradation of RT(468-495) generated
the optimal RT epitope and an NH
2-terminally extended precursor
from residues 474 to 484, whereas p17(68-93) degradation generated
several precursor forms of the naturally processed p17 epitope
(76 to 85, 71 to 85, and 70 to 85). The generation of exact
epitopes by proteasomes is a matter of some debate (
25), and
extended epitope precursors have been described previously (
4,
6,
16,
18). Generation of precursors implies that further trimming
should take place before fixation of the peptide on MHC molecules
and that three aminopeptidases can remove NH
2-terminal amino
acids on precursor peptides in the cytoplasm (
1,
34). The generation
of optimal p17 epitope by an aminopeptidase present at the outer
membrane of the ER was recently described (
10). This could ameliorate
presentation of this epitope by a better binding to TAP (Table
2). Other uncharacterized endoplasmic aminopeptidase activities
involved in the trimming of precursors (
17,
32) were also implicated
in the generation of p17 and RT epitopes (
10). Since presentation
of the p17 and RT epitopes was also dependent on translocation
in the ER by TAP (
35), we tested TAP binding of these epitopes
and their NH
2-terminally extended peptides generated by T1 cell
extract. The p17(76-85) epitope precursor binds over 13 times
more efficiently than the RT(476-484) epitope and 3.7 times
more efficiently than the RT(474-484) epitope precursor. Therefore,
competition for entry in the ER presumably favors p17 epitope
precursors, since it has been demonstrated that peptide translocation
ability in the ER is directly related to TAP binding (
13).
It is surprising to note that, despite a great difference in the number of p17 and RT epitopes presented on infected cells, specific T-cell responses were of similar avidity and of similar frequency in HLA-A2+ HIV-infected subjects, both in the acute phase (2 of 13 versus 1 of 13, respectively) and the asymptomatic phase (10 of 14 for the two epitopes) (9). Several hypotheses could account for this observation. (i) Chronical antigenic restimulation and high HIV antigen load could allow an expansion of RT-specific T cells as important as p17-specific T cells, which would saturate the induction capacity of CD8+ T cells. This would cause differences in the kinetic aspect of induction, but this has not been observed. (ii) The high number of total peptide/HLA-A2 complexes at the surface of professional antigen-presenting cell (pAPC) implies a large enhancement of RT(476-484) presentation but also a conservation of dominant p17(77-85) presentation. Since the number of antigenic complexes per pAPC is correlated to the number of circulating precursors (12), a predominance of p17(77-85)-specific T cells would be expected, but this was not observed in patients tested (Table 3). (iii) Different antigen-processing pathways in pAPCs and in target cells could generate various amounts of epitopes or precursors. To support this hypothesis, a differential generation of the RU1 epitope by standard proteasomes and immunoproteasomes was recently described (23). Alternatively, a CTL response was induced in TAP-deficient mice against the dominant Ova(259-267) epitope but was strictly TAP dependent when introduced as a minigene in cells (27). TAP-dependent and -independent pathways have been described for cross-presentation of heat shock protein-linked peptides in macrophages (5) and could support this hypothesis.
By an extensive analysis of antigen processing, our study demonstrates that several steps are implicated in the imbalance of p17(77-85) and RT(476-484) presentation on infected cells. Our results are coherent with the differences observed in the antigenicity of the two epitopes. By contrast, T-cell responses of infected patients reveal that other unexplained mechanisms are involved in the similar immunogenicities of these epitopes.

ACKNOWLEDGMENTS
This work was supported by the Agence Nationale de la Recherche
sur le SIDA. W. M. Cohen was the recipient of fellowships from
Ministère de la Recherche et des Technologies and from
the SIDACTION foundation. A. Bianco was the recipient of a postdoctoral
fellowship from the SIDACTION foundation.
We are grateful to A. Blondel, R. Bras-Goncalves, F. Le Gal, and L. Renia for critical evaluation of the manuscript and to S. Reid for English revision.

FOOTNOTES
* Corresponding author. Mailing address: Institut National de la Santé et de la Recherche Médicale, Unité 445, Institut Cochin de Génétique Moléculaire, Hôpital Cochin, 27 rue du faubourg Saint-Jacques, 75014 Paris, France. Phone: 33 (0)1 40 51 65 31. Fax: 33 (0)1 40 51 65 35. E-mail:
cohen{at}cochin.inserm.fr.


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Journal of Virology, October 2002, p. 10219-10225, Vol. 76, No. 20
0022-538X/02/$04.00+0 DOI: 10.1128/JVI.76.20.10219-10225.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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