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Journal of Virology, November 2002, p. 10588-10597, Vol. 76, No. 21
0022-538X/02/$04.00+0 DOI: 10.1128/JVI.76.21.10588-10597.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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Department of Infectious Disease and Microbiology, Graduate School of Public Health,1 Department of Molecular Genetics and Biochemistry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15261,2 Department of Veterinary Sciences, Gluck Equine Research Center, University of Kentucky, Lexington, Kentucky 405463
Received 10 April 2002/ Accepted 25 July 2002
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Several studies have demonstrated that the control of EIAV replication and disease is directly related to host immune responses and not to the attenuation of the infecting virus (16, 18, 26). For example, immune suppression of inapparent carriers by dexamethasome treatment can cause a recrudescence of disease associated with increased levels of viremia (9, 18, 32), and transfer of whole blood from inapparent carriers to naive horses usually results in infection and disease in the recipients (16, 32). In addition, Perryman et al. have reported that experimental infection of immunodeficient foals with EIAV causes an aggressively progressive fatal disease, emphatically demonstrating the potential virulence of EIAV in the absence of host immune responses (26). Equally important, but probably less well recognized, is the observation that inapparent carriers of EIAV are protected from subsequent exposure to virus by horsefly transmission in the field or by experimental intravenous inoculation in the laboratory (16, 17). Therefore, the ability of the equine immune system to routinely achieve lifelong control of a persistent virulent lentivirus infection and protection from reexposure provides an important natural animal lentivirus model for enduring, broadly protective immunity that can overcome the diverse array of immune escape mechanisms used by lentiviruses.
The development of host immune responses in immunocompetent equids experimentally infected with EIAV has been examined in detail (12, 22, 34). These studies demonstrate that the characteristic progression to an inapparent carrier stage of EIAV infection is associated with an evolution of humoral and cellular immune responses during the first 8 to 10 months postinfection into a mature, steady-state immunity that effectively controls EIAV replication and restricts viral infection predominantly to tissue reservoirs (14). Paralleling the development of enduring broadly protective immunity, neutralizing antibodies to the infecting virus are first detected 2 to 3 months postinfection and their levels continue to increase for up to 10 months before reaching a steady state that is maintained indefinitely (12, 13). In addition to the progressive increases in serum neutralization titer during the first year post infection, Rwambo et al. (28) have reported a steady increase in the breadth of serum antibody neutralization specificity in experimentally infected ponies during the first year postinfection, presumably reflecting an accumulation of antibody responses to variant EIAV envelope quasispecies that evolve during this period. However, the role of neutralizing antibodies in achieving and sustaining control of EIAV replication remains controversial (10, 11, 31).
Extensive studies of EIAV recovered from experimentally infected equids during chronic disease have revealed a unique population of viral envelope quasispecies associated with each disease cycle, apparently reflecting the sequential evolution of antigenic variants that temporarily escape the prevailing host immune responses (20, 21, 25). Interestingly, a similar rate and extent of EIAV envelope evolution have been reported in progressor and nonprogressor ponies experimentally infected with a reference EIAV strain, suggesting ongoing viral variation and immune selection in the absence of clinical symptoms and relatively low levels of systemic virus replication (19). These data indicate that antigenic variants of EIAV are probably produced in tissue reservoirs that are rich in infected macrophages (liver and spleen) as a result of ongoing virus replication and evolution, even in the face of robust host immune responses.
Detailed serologic and genetic characterizations of the evolution of EIAV populations during chronic EIAV have demonstrated a close correlation between changes in viral neutralization specificity and variations in the sequence of the viral SU and TM proteins, respectively designated gp90 and gp45, that are observed in viral populations associated with sequential disease cycles (15, 20, 25, 29, 36). These studies of EIAV envelope variation have led to an identification of conserved and variable domains in the heavily glycosylated gp90 glycoprotein and have suggested that the presence of a hypervariable principal neutralizing domain (PND) in the V3 segment of the gp90 envelope glycoprotein (1, 19, 20). Despite the extensive information available on the nature of EIAV envelope variation during persistent infection and the differences in serum antibody neutralization phenotypes among viral variants, there is to date no definitive information on the neutralization determinants of EIAV envelope proteins or the effects of natural envelope variation in these determinants on viral neutralization sensitivity. A higher-resolution definition of EIAV envelope neutralization determinants could provide important fundamental information to further our understanding of the effects of specific envelope variations on antigenic and immunogenic properties and to aid in design and evaluation of vaccine strategies for this virus.
We report here a series of experiments with the specific aim of defining neutralization determinants of EIAV gp90 envelope protein and of evaluating the influence of natural envelope variation during persistent infection on viral neutralization properties. For these studies, we have used a novel panel of longitudinal immune serum samples and well-defined EIAV envelope variants isolated from sequential febrile episodes in a comprehensively studied experimentally infected pony (12, 13, 19, 20). The results of these studies reveal new basic information about the antigenic architecture of EIAV envelope glycoproteins and the influence of longitudinal natural envelope variation on EIAV neutralization properties.
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FIG. 1. Clinical and virological profile of pony 564 experimentally infected with EIAVPV. Pony 564 was experimentally infected with 103 TCID50 of the biological clone EIAVPV. Rectal temperature (solid line, right y axis) and platelet count (dashed line, second left y axis) were monitored regularly for 36 months after infection as standard measures of disease. Febrile episodes (arrows) occurred at 18 (I), 34 (II), 80 (III), 106 (IV), 337 (V), and 378 (VI) days postinfection and were defined by a rectal temperature above 39°C in conjunction with a reduction in the number of platelets below 100,000/µl of whole blood and other characteristic clinical symptoms. Quantification of the virus load (shaded circles, first left y axis) was performed on the viral RNA extracted from plasma during disease cycles and at periodic time points during the observation period. Adapted from reference 13.
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FIG. 2. Comparison of deduced amino acid gp90 variable region sequences of the predominant quasispecies of EIAV isolates from pony 564 during sequential disease cycles. The region of the SU envelope gene was sequenced from EIAVPV viral stock and plasma viral RNA obtained during disease cycles I to V of EIAVPV-infected pony 564 (20). Based on the sequence data, the predominant quasispecies from each disease cycle were determined and variable regions V1 through V8 were compared. Only the amino acid residues different from EIAVPV are reported. Dots indicate residues identical to the EIAVPV sequence. Dashes indicate amino acid deletions, and boldface type indicates potential N-glycosylation sites (NXS/T). Shaded bars indicate the previously defined neutralizing epitopes ENT, DNT, and CNT (1). Adapted from reference 20.
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Construction of chimeric envelopes between neutralization-sensitive and -resistant EIAV envelope variants.
Based on the observed in vitro neutralization phenotypes of the variant envelope proviruses, the gp90II and gp90V proviruses were chosen as reference neutralization-sensitive and -resistant envelopes, respectively. To elucidate the gp90 neutralization determinants, reciprocal chimeric envelopes exchanging defined variable domains were constructed as depicted in Fig. 4 and tested for their neutralization properties against the panel of reference immune serum from pony 564. To generate the desired mutations in the V3 and/or V4 regions, internal primers containing overlapping sequence mutations were used with external primers flanking the BlpI and BstXI restriction enzyme sites. The PCR amplification was performed by using the Expand High Fidelity PCR system (Roche, Indianapolis, Ind.), 0.025 mM each deoxynucleoside triphosphate, 0.1 µM each primer, and 1.5 µl of original template or purified PCR fragments in a final volume of 100 µl. The following conditions were used: 4 min at 95°C, after which 0.4 µl of Expand High Fidelity enzyme was added; 1 min at 95°C, 1.5 min at 50°C, and 1 min at 72°C for 35 cycles; and finally 10 min at 72°C for one cycle. The resulting 1.6-kb env fragments were digested with BlpI and BstXI prior to ligation with T4 ligase (New England Biolabs, Beverly, Mass.) into the vector containing the EIAVUK genome (GeneBank accession no. AF016316) with the corresponding 1.6-kb fragment removed. The ligation products were used to transform competent Escherichia coli DH5
cells (Invitrogen, Carsbad, Calif.). Clones from each of the new chimera constructs were screened by BamHI restriction enzyme digestion for the presence of the insert and sequenced as previously described (20) to confirm the correct envelope sequence. The correct clones for each of the desired variable region substitutions were transfected into FEK cells and monitored by micro-RT assays for virus production, as described above.
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FIG. 4. Schematic representation of the variable-region exchange chimeric envelope constructs. Neutralization-sensitive envelope from pony 564 febrile episode II (hatched bars) and neutralization-resistant envelope from pony 564 febrile episode V (solid bars) were used as reference envelope species for the variable-region exchanges. The names of the new variable-region exchange chimeric viruses are listed in italics at the left of each construct, starting with the name of the backbone followed by the exchanged variable region in parentheses. The gp90 envelope variable regions V1 to V8 are schematically identified above the bars.
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Influence of sequential gp90 variation on serum antibody neutralization properties. To determine the effects of the observed evolution of gp90 sequences on serum antibody neutralization properties, we inserted each of the five gp90 variants depicted in Fig. 2 into the env gene of a common reference provirus, EIAVUK, as described in Materials and Methods. The replication properties of each of the variant envelope proviruses were then examined by parallel transfections of FEK cells with each proviral DNA. All of the variant envelope proviral constructs were replication competent in FEK cells and appeared to replicate with similar kinetics (data not shown), despite the observed differences in gp90 sequences. These observations demonstrate the functional competence of the variant gp90 sequences in the context of the EIAVUK provirus and validate the use of these proviruses in comparative neutralization assays.
We next analyzed the neutralization properties of each of the variant envelope proviruses in our standard in vitro neutralization assay using FEK cell targets and selected longitudinal serum samples collected from the host pony 564 and the other three experimentally infected ponies. The results of these serum neutralization assays are summarized in Fig. 3. As observed previously (12, 13), neutralizing-antibody activity became detectable against the infecting EIAV gp90I between 2 and 3 months postinfection in most of the experimentally infected ponies and its level continued to increase during the next 10 months. Interestingly, serum neutralization titers against EIAV gp90I were sustained at somewhat higher levels in the two nonprogressor ponies that experienced only the single acute disease cycle than in the two progressor ponies that experienced multiple disease cycles. In general, steady-state serum neutralization titers averaged about 1:500 in nonprogressor ponies and about 1:200 in progressors over the 3-year observation period. These data demonstrate a sustained neutralizing-antibody response targeted to the infecting gp90I envelope contained in the EIAVPV inoculum, even though this envelope species is not detectable after the initial acute disease cycle (20).
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FIG. 3. Serum neutralization properties of sequential EIAV envelope variants isolated from pony 564. The mean reciprocal 50% neutralizing-antibody titers in the sera of two progressor ponies, 564 (A) and 567 (B), and two nonprogressor ponies, 561 (C) and 562 (D), obtained at regular intervals, were determined against the panel of envelope variants in a common EIAVUK provirus by using an infectious-center assay as detailed in Materials and Methods. Arrows indicate disease cycles. Data presented are representative of two independent experiments run in duplicate.
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We next sought to determine if the variant envelope neutralization sensitive and resistant phenotypes defined by the pony 564 immune serum samples would also be evident with longitudinal immune serum samples from the other three experimentally infected ponies. We have previously reported a similar development of broadly neutralizing antibodies in experimentally infected ponies, regardless of the number or severity of disease cycles (28). Figure 3B to D summarizes the neutralization properties of the envelope variants against heterologous longitudinal serum samples from the three other persistently infected ponies. As observed with the homologous pony 564 immune serum samples, the envelope variants display a spectrum of sensitivity to neutralization by the heterologous immune serum samples. In all three ponies, the gp90I and gp90II variants were neutralized by all serum samples taken after about 8 months postinfection, although the level of neutralization differed among the ponies, as expected for an outbred population and the independent EIAV variation observed in individual infected ponies. In marked contrast, the gp90V envelope variant was resistant to neutralization by all of the heterologous test serum samples, regardless of the time postinfection in each pony. These data indicated that the amino acid variations in the gp90V envelope from the parental gp90I envelope (Fig. 2) sequences impart a remarkable resistance to antibody neutralization. The gp90III and gp90IV envelope variants displayed neutralization phenotypes with the heterologous immune serum that were intermediate between the very sensitive gp90I and gp90II and the resistant gp90V envelopes. The gp90III envelope was efficiently neutralized by serum from pony 561 and had intermediate neutralization properties with serum from ponies 562 and 567, usually with neutralizing activities increasing with serum samples obtained later. The gp90IV envelope was somewhat more resistant to serum neutralization by serum from ponies 561 and 562 than was the gp90III envelope and was completely resistant to neutralization by any of the serum samples from pony 567. Thus, these cumulative serum neutralization data from the heterologous serum samples reveal an increasing neutralization sensitivity in the order of gp90II > gp90I > gp90III > gp90IV > gp90V. Conversely, the viral envelopes in general developed increasing neutralization resistance during the persistent infection.
Characterization of gp90 neutralization determinants. To date, the envelope determinants of EIAV neutralization properties are undefined. The combination of in vivo-derived neutralization-sensitive and neutralization-resistant gp90 variants and immune serum from pony 564 provided a unique set of reagents to define the contribution of defined variable domains to the neutralization phenotype. For these studies, the gp90II variant was selected as a representative neutralization-sensitive envelope and the gp90V variant was selected as the neutralization-resistant envelope. Using these two envelope variants, we constructed a panel of chimeric envelopes that exchanged either V3 domains, V4 domains, or both V3 and V4 domains, as summarized in Fig. 4. Thus, insertion of the gp90V V3 or V4 domain into the gp90II envelope variant provirus were used to test the ability of these envelope domains to confer resistance to neutralization by the reference immune serum. In a reciprocal manner, insertion of the gp90II V3 or V4 domain into the gp90V envelope provirus were used to determine the ability of these variable segments to confer sensitivity to neutralization by the reference immune serum. The V3 domain was chosen for these exchanges, since it has been proposed as a principal neutralizing domain based on its extensive variation during persistent infection and its reactivity with two neutralizing mouse monoclonal antibodies (1). The V4 domain was selected for exchange to specifically examine the effects of variation observed between the gp90II and gp90V sequences that resulted in a shift in a putative N-linked glycosylation site (20). To determine the functional competence of the chimeric envelope proviruses depicted in Fig. 4, the replication properties of each chimeric provirus was assayed by transfection of FEK cells with proviral DNA (Fig. 5). The results of these assays demonstrated that all of the chimeric envelope proviruses replicated to similar levels to that of the parental envelope variants, except for the gp90V(V3) construct, which was replication defective. The observed replication properties of the various chimeric envelope proviruses in transfection experiments were consistent in infection assays of FEK cells used to determine the TCID50 of each viral stock (data not shown). Thus, with the exception of the gp90V(V3) chimeric envelope provirus, the similar replication properties of the various chimeric envelope proviruses confirmed their utility for the comparative serum antibody neutralization assays.
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FIG. 5. Replication kinetics of the variable-region exchange chimeric envelope proviruses. Equal amounts of DNA of each of the chimeric envelope constructs, depicted in Fig. 4, were individually transfected into FEK cells in duplicate. Supernatants from each transfected culture were collected at regular intervals over a 30-day period. The levels of reverse transcriptase (RT) present in the samples at each time point were measured in a microRT assay as described in Materials and Methods.
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FIG. 6. Serum neutralization properties of variable-region chimeric envelope proviral constructs. Three serum samples from pony 564 were selected to test the effect of exchanging specific variable regions on in vitro neutralization phenotypes as described in Materials and Methods. The 50% neutralizing-antibody titers were determined for 3, 12, and 29 months postinfection for each of the replication-competent variable-region exchange chimeric viruses. Each experiment was run in duplicate and repeated twice. Asterisks indicate the neutralizing antibody titers that are significantly different (P 0.05) from the parental backbone at that specific time point.
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The evolution of novel envelope quasispecies during sequential disease cycles in experimentally infected horses has been well documented (20, 35). During persistent EIAV infection, amino acid variations accumulate predominantly within the antigenically dominant gp90 variable regions, and these variations have been associated with the distinct neutralization phenotypes associated with EIAV isolates. It has been proposed that the modifications seen within the envelope variable regions contribute to viral persistence, in particular by temporarily evading established neutralizing-antibody responses. However, the direct influence of the defined clonal in vivo variation within the gp90 region on in vitro neutralization specificity remains largely undefined. The present study for the first time reveals that the evolution of envelope observed during five sequential disease cycles in an experimentally infected pony over a 12-month period markedly increased the overall neutralization resistance of the gp90 proteins to both homologous and heterologous immune serum. The high level of neutralization resistance observed with the gp90V envelope is a unique observation and suggests that while changes in neutralization specificity may contribute to persistence and the recurring disease cycles during chronic disease, the evolution of predominantly neutralization-resistant viral envelopes may be a major factor in maintaining a long-term persistence in inapparent carriers in the face of robust and broadly neutralizing host serum antibodies. It is important that this model be tested in more detail by characterizing the neutralization phenotypes of other serial EIAV isolates obtained from experimental infections and to extend this type of study to other lentivirus systems.
Based on structural and antigenic similarities to the V3 domain of human immunodeficiency virus type 1IIIB (HIV-1 IIIB) and reactivity, we have previously defined the V3 segment of EIAV gp90 as the PND of the virus. The PND designation was supported further by studies that localized two linear determinants targeted by two highly type-specific neutralizing mouse monoclonal antibodies within the V3 domain (1). However, subsequent studies from our laboratory comparing neutralization determinants of laboratory strains of EIAV indicated the importance of gp90 sequences outside of the PND in defining overall neutralization properties (7). The present studies now extend these observations and conclusively reveal that both the V3 and V4 domains can equally confer antibody neutralization resistance when inserted into a neutralization-sensitive envelope. In fact, the V4 domain substitution actually conferred a greater level of neutralization resistance than did the parallel V3 domain substitution. The ability of the two independent domain substitutions to confer neutralization resistance indicates that gp90 sequences outside the V3 domain can in fact serve as major determinants of envelope neutralization sensitivity. These observations suggest that gp90 neutralization resistance may be determined by a cooperative interaction between the V3 and V4 domains. The proposed interaction of the EIAV gp90 V3 and V4 domains is further supported by the observation that the gp90V(V3) chimera was replication defective, thus indicating a required compatibility between the V3 and V4 domains of gp90. These observations with EIAV are similar to studies with simian immunodeficiency virus and HIV-1, indicating required compatibility between distinct variable domains, suggesting functional interactions (5).
The mechanism(s) by which the V3 and V4 domains individually confer equal levels of neutralization resistance to an otherwise neutralization sensitive envelope is undefined. Our current working model is that the V3 domain is indeed the predominant target for neutralizing serum antibodies but that V3 domain accessibility is determined by a conformational interaction with the V4 domain of gp90. In this regard, it is interesting that the amino acid differences between the respective V4 domains of the neutralization-sensitive (gp90II) and -resistant (gp90V) gp90 envelopes alter the location of single glycosylation site in the V4 domain. Thus, it is conceivable that the location of this single V4 glycosylation site affects the accessibility of V3 neutralization epitopes to serum antibodies. Modification of glycosylation sites by deletion, addition, or relocation is a common result of envelope variations observed in various lentiviruses, including EIAV. The current observations lend support to the concept that the characteristic variations in envelope glycosylation patterns influence neutralization properties by shielding sensitive neutralization epitopes from serum antibodies.
As with the V4 domain, the mechanism by which the V3 domain of the neutralization-resistant gp90V confers resistance to the sensitive gp90II envelope is uncertain. The respective V3 domains differ in amino acid sequences within the previously defined neutralizing epitope Ent and in the position of the upstream potential N-linked glycosylation site. It is conceivable that either or both of these modifications could contribute to the neutralization resistance, even in an envelope containing a sensitive V4 domain.
The present studies defined the V3 and V4 domains as determinants of neutralization resistance, but the reciprocal studies of determinants of neutralization sensitivity were not as clearly defined. An assessment of the ability of the sensitive gp90II V3 domain to confer neutralization sensitivity to the resistant gp90V envelope was not feasible because of the replication-defective nature of the gp90V(V3) chimera. However, the parallel single insertion of the sensitive gp90 envelope V4 into the resistant gp90V envelope failed to increase the sensitivity of the envelope to serum neutralization. The double V3 and V4 insertion into the gp90V envelope did confer partial serum neutralization sensitivity, but only at a level that was about one-fourth of that of the parental gp90II envelope. These observations once again indicate that the resistance is a dominant phenotype, in that the resistant gp90V V3 or V4 domain was the dominant determinant in the presence of sensitive domains from gp90II. The fact that the double V3 and V4 substitution only partially conferred neutralization sensitivity further suggests that gp90 envelope domains outside of these V3 and V4 domains are also contributing to envelope resistance. In this regard, it should be noted that additional sequence variations exist between the neutralization-sensitive gp90II and neutralization-resistant gp90V envelopes. These include one to three amino acid differences in the V2, V5, V6, V7, and V8 domains, some of which alter the respective glycosylation patterns in the respective domains (Fig. 2). Thus, it is likely that one or more of these additional envelope variations contribute to neutralization resistance, reflecting a complex of neutralization determinants at distant but conformationally interactive sites.
A number of studies of EIAV envelope variation have demonstrated a distinct envelope quasispecies population associated with sequential disease cycles in experimentally infected equids (20, 35). The dynamic and diverse nature of EIAV envelope variation in vivo strongly suggests a highly active immune selection, including neutralizing antibodies. The present studies extend our understanding of at least one role of EIAV envelope variation in persistence in that the envelope evolution is driven toward neutralization resistance that can be optimized by multiple, synergistic envelope determinants via changes in neutralization epitopes and in domains that can sequester these sensitive sites. Based on this hypothesis, it may be implied that host neutralizing antibodies can play a dominant role in immune control of EIAV replication during early stages of infection (chronic EIA) while viral envelopes are neutralization sensitive, but that the sustained immune suppression of neutralization-resistant envelope variants present in long-term inapparent carriers is probably due to cellular immune responses. The primary role of the broadly neutralizing antibodies that are associated with mature immunity in EIAV-infected horses is then to protect against natural EIAV exposure by horsefly bites and to eliminate any neutralization-sensitive viral quasispecies that may arise in the tissue reservoirs of infection. In this way, humoral and cellular immune responses act in a timely synergistic manner to gain and then sustain control of EIAV infection and subsequent exposure, a lesson from nature relevant to vaccine development.
The observed evolution in EIAV toward a neutralization-resistant phenotype appears to support the concept that envelope variations observed during persistent lentivirus infection result from immune selections that increase antibody neutralization resistance, providing an important mechanism of persistence in the face of competent host immunity. In this regard, Burns et al. first reported the development of broadly neutralization-resistant envelope variants in monkeys experimentally infected with the reference molecular clone SIVmac239 (3). This seminal paper has been followed by several other published studies demonstrating a temporal relationship between envelope sequence changes and increases in neutralization resistance for viruses that evolve in monkeys during the course of persistent SIV infection (3, 4, 27). Similarly, the evolution from neutralization-sensitive to -resistant envelope phenotypes has been documented in persistent infections of monkeys with SHIV constructs containing the HIV-1 envelope (6, 24, 30, 33). Experiments on immune selection and changes in neutralization phenotypes in HIV-1-infected patients are generally complicated by the lack of knowledge of the infecting viral strain and time of infection and by the low levels of in vitro serum antibody neutralization characteristic of primary HIV-1 neutralization. However, a recent study did characterize the neutralization phenotypes of two HIV-1IIIB variants that were isolated from a laboratory worker accidentally infected with the neutralization-sensitive HIV-1IIIB strain (2). Compared to the original virus in the viral inoculum, the viral isolates displayed an increased resistance to neutralization over time. The emergence of neutralization-resistant virus preceded disease development in this laboratory worker, perhaps indicating the role of neutralizing antibodies in humoral immune control. Thus, these limited observations indicate the need for more detailed studies of the evolution of animal and human lentivirus neutralization properties during persistent infection to provide a more definitive characterization of functional outcome of the dynamic interaction between evolving lentivirus envelopes and host immune response.
We acknowledge Brian McKeon for excellent technical assistance in these studies, and we thank Kelly Stefano Cole and Frank Jenkins for a critical reading of the manuscript and for helpful suggestions.
Present address: UMR 754 INRA-UCBL-ENVL, Rétrovirus et Pathologie Comparée, Lyon, France. ![]()
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