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Journal of Virology, May 2003, p. 5598-5606, Vol. 77, No. 10
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.10.5598-5606.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Biology, The University of Texas at San Antonio, San Antonio, Texas 78249 ,1 Department of Microbiology and Immunology, Louisiana State University Health Sciences Center, Shreveport, Louisiana 711302
Received 13 December 2002/ Accepted 7 February 2003
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Infectious cDNA clones have been constructed for many alphaviruses, including Sindbis virus strain AR339 (15, 21, 31), Venezuelan equine encephalitis virus (6), Ross River virus (17), Semliki Forest virus (19), and South African arbovirus 86 (37). An infectious cDNA clone has also been constructed for rubella virus, the sole member of the Rubivirus genus (45). Alphavirus-based cDNA clones have been modified into expression vectors that are useful for expressing foreign genes in cultured cells and in vivo (29, 36, 42). Most alphavirus-based expression vectors have been constructed according to one of two fundamental designs (3, 11, 35). In the double-subgenomic promoter (DSP) design, the transgene is placed under the transcriptional control of a duplicate 26S promoter inserted within the 3' nontranslated region of the viral genome or within the short nontranslated region located just upstream of the native 26S promoter. Since DSP-based vectors retain all viral genes, they are capable of multiple rounds of infection and sustained transgene expression. Expression vectors can also be constructed as replicons. In the replicon design, the foreign gene is substituted for the viral structural genes and is expressed under the control of the native 26S promoter. Since replicons lack the structural genes, genome packaging and budding of replicon particles can occur only if the structural proteins are provided in trans, and replicon particles produced in this way are limited to only a single round of infection.
Traditional DSP- and replicon-based vectors are useful for many cell biology and vaccine applications; however, they do have several limitations. First, DSP-based vectors often display poor expression stability, and they can lose transgene expression after relatively few replication cycles (4, 25, 26). The inability of a recombinant vector to sustain transgene expression through repeated replication cycles would be expected to limit its effectiveness as a vaccine vector, because the magnitude of the host immune response to an antigen is likely to be influenced by the duration of antigen exposure (4). The instability of some DSP-based vectors has been attributed to recombination events involving the duplicated 26S promoter sequences (26). Pugachev and coworkers improved the expression stability of a rubella virus-based vector by replacing the duplicate 26S promoter with a picornavirus internal ribosome entry site element (26). Traditional DSP-based vectors are also limited to the expression of a single foreign gene. The primary limitation of replicons is their inability to sustain transgene expression for long periods of time due to the single infection cycle.
Here we describe a strategy for constructing monovalent, live alphavirus expression vectors that display greater expression stability than DSP-based vectors and which can be modified into DSP vectors that coexpress two foreign genes. The design of these vectors is based on a modification of the normal alphavirus structural protein expression strategy. The subgenomic mRNA of alphaviruses is translated into a polyprotein that contains the structural proteins in the order of capsid-PE2-6K-E1 (30). Capsid protein cotranslationally cleaves itself from the polyprotein, and the remainder of the polyprotein is resolved in the rough endoplasmic reticulum by signal peptidase (40). We constructed Sindbis viruses that encode fusion proteins consisting of the green fluorescent protein (GFP) or the VP7 protein of bluetongue virus (BTV) linked to the 2A protease from foot-and-mouth disease virus (FMDV). The 2A protease of FMDV is only 16 amino acids in length (32), and it mediates cis cleavage at its own C terminus (between Gly and Pro) either by using a conventional protease activity (33, 34) or by influencing the translating ribosome to release the 2A-containing polypeptide from the translational complex by promoting hydrolysis of a peptidyl (2A)-tRNAGly ester linkage (8). The recombinant viruses contain the GFP/2A and VP7/2A gene sequences inserted in frame between the capsid and PE2 genes, and they produce structural polyproteins that contain GFP/2A or VP7/2A positioned between capsid and PE2. The 2A fusion protein is then released from the polyprotein by N-terminal and C-terminal cis cleavages performed by capsid and 2A, respectively. DSP-based vectors engineered to express native forms of GFP and VP7 from a duplicated 26S promoter placed within the 3' nontranslated region also were constructed. By combining the two expression strategies, we constructed bivalent viruses that expressed one protein as a 2A fusion protein and expressed the second protein in native form from the duplicate 26S promoter. Recombinant viruses were compared with respect to levels of transgene expression in cultured cells, expression stability, virulence in newborn mice, and induction of humoral immune responses in adult mice.
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Infectious virus was derived from each cDNA clone as described previously (13). Briefly, cDNA clones were linearized by digestion with XhoI, and runoff transcripts were produced by using SP6 RNA polymerase. RNA transcripts were then electroporated into BHK-21 cells, and virus-containing growth medium was collected at 24 h postelectroporation and frozen at -70°C. BHK-21 cells were obtained from the American Type Culture Collection and were maintained in alpha minimum essential medium (MEM) supplemented with 10% donor calf serum, 10% tryptose phosphate broth, and antibiotics (MEM-complete).
Virus growth in BHK-21 cells. The kinetics of virus growth was determined for each virus in BHK-21 cells. Cells were electroporated with in vitro viral transcripts as described above. Electroporations were performed in duplicate for each virus, and samples of growth medium were harvested at 6-h intervals postelectroporation. Infectious virus was quantified by standard plaque assay on monolayers of BHK-21 cells. Virus titers were reported as the averages of values obtained for the duplicate samples.
Immunoprecipitation of radiolabeled proteins from cell lysates. Viral proteins were metabolically radiolabeled with [35S]methionine during growth in BHK-21 cells essentially as described previously (13). BHK-21 cells were grown in 25-cm2 flasks and infected with virus at a multiplicity of infection (MOI) of 5 PFU/cell. Virus was adsorbed to cells for 30 min and then overlaid with MEM-complete. At 6 h postinfection, cells were changed into methionine-free MEM supplemented with 5% fetal bovine serum and 5% tryptose phosphate broth. At 10 h postinfection, [35S]methionine was added to a final concentration of 50 µCi/ml. Cells were maintained in the presence of label for 3 h. Growth medium was removed, and cells were washed four times with ice-cold phosphate-buffered saline (PBS) and then lysed in 700 µl of lysis buffer (PBS containing 0.5% NP-40, 1.0 µM leupeptin, and 1.0 µM pepstatin). Lysates were clarified by microcentrifugation, mixed with protein A-agarose beads (Repligen), and preadsorbed overnight while rocking gently at 4°C. Lysates were analyzed directly by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) or used in immunoprecipitation assays as follows. Lysate samples (300 µl) were mixed with 25 µl of protein A-agarose beads (50% suspension in PBS) and 5 µl of antibody in 1.5-ml microcentrifuge tubes. Antibody preparations included polyclonal rabbit antisera to GFP (Clontech), monoclonal antibody (MAb) 290, normal mouse serum, or normal rabbit serum. MAb 290 binds to a highly conserved epitope on VP7 (46). Samples were rocked for 8 h at 4°C, and then beads were washed four times with ice-cold PBS (containing 1.0 µM leupeptin and 1.0 µM pepstatin). Washed beads were mixed with SDS-PAGE sample buffer and boiled for 2 min. Samples were then resolved on SDS-polyacrylamide gels (10% acrylamide) as described previously (18).
The level of transgene expression by monovalent viruses was quantified by phosphorimaging analysis. Briefly, vector-expressed proteins were metabolically radiolabeled with [35S]methionine, and samples of infected-cell lysates were resolved by SDS-PAGE as described above. Dried gels were analyzed with a VersaDoc model 5000 imaging system (Bio-Rad). This experiment was repeated twice, and results were reported as an average.
Stability of transgene expression. BHK-21 cells grown in 60-mm-diameter dishes were infected with selected stock viruses at an MOI of 0.1 PFU/cell. Virus was adsorbed to cells for 30 min, and unadsorbed virus was then removed by repeated washes with PBS. Cells were overlaid with MEM-complete and placed at 37°C. At 20 h postinfection, the growth medium was harvested and frozen at -70°C. Samples were quick thawed, and infectious virus was quantified by plaque assay on BHK-21 cells. These virus samples were then used to infect fresh BHK-21 cells as before. This process was repeated for a total of 10 serial passages. Each virus sample in the passage series was then used to generate radiolabeled infected-cell lysates as described above except that lysates were not preadsorbed with protein A-agarose beads. An equal volume (8 µl) of each lysate was then mixed with SDS-PAGE sample buffer, boiled for 2 min, and resolved in SDS-polyacrylamide gels (10% acrylamide).
Virulence studies in newborn CD-1 mice. Neonatal (12 to 24 h of age) CD-1 mice were infected subcutaneously (s.c.) in the ventral thorax with 103 BHK-21 PFU of each virus. Viruses were diluted in PBS-1% donor calf serum. The mice were then observed twice daily for 21 days, and average survival times (AST) and percent mortality were calculated. AST values were used to analyze differences in virulence by using a conservative two-sample t test. Animal care and experimental procedures were performed in accordance with the Institutional Animal Care and Use Committee guidelines.
Purification of BTV virions. Twelve 175-cm2 flasks of BHK-21 cells were infected with BTV-10 at an MOI of 1.0 PFU/cell for 42 h. Cells were harvested with a cell scraper, consolidated into six centrifuge tubes, and spun at 1,250 x g for 15 min. Supernatants were discarded, and each pellet was resuspended in 1.0 ml of 0.002 M Tris-HCl (pH 8.8)-0.5% Triton X-100 and homogenized in a glass tissue grinder (Kontes). The material was placed into a 1.5-ml microcentrifuge tube and spun at 15,000 rpm for 10 min. The liquid from the six samples was then pooled and placed on ice. The six pellets where then pooled together in 4 ml of 0.002 M Tris-HCl (pH 8.8)-0.5% Triton X-100, vortexed for 4 min, and pelleted as before. Supernatants were collected and pooled with that set aside earlier. The sample was extracted three times with 6.0 ml of 1,1,2-trichlorotrifluoroethane and then extracted three times with 6.0 ml of diethyl ether. The extracted sample was overlaid onto a 6.0 ml-discontinuous sucrose gradient (66 and 40% sucrose in 0.002 M Tris-HCl [pH 8.8]) and centrifuged at 26,000 rpm for 3 h at 4°C. The virus band that formed at the interface of the sucrose solutions was collected and dialyzed overnight against 0.2 M Tris-HCl (pH 8.0). The sample was then collected and digested with chymotrypsin (40 µg/ml) for 1 h at 37°C. The digested sample was overlaid onto a 3.0-ml 20% sucrose cushion and centrifuged at 26,000 rpm for 3 h at 4°C. The virus pellet was collected in 0.002 M Tris-HCl (pH 8.8) and used as the antigen in enzyme-linked immunosorbent assay (ELISA).
Serological responses in mice infected with VP7-expressing viruses. Groups of 3-week-old female CD-1 mice (Charles River Laboratories) (four mice per group) were immunized with 104 PFU of TR339 and each VP7-expressing recombinant virus in both rear footpads 1 day after a tail vein prebleed. Four mice were mock infected with PBS. Viruses used for vaccination were partially purified from electroporation supernatants. Specifically, supernatants were clarified of cell debris by low-speed centrifugation and then pelleted through 20% sucrose cushions. Mice were boosted with 104 PFU of virus at 21 and 42 days after the initial immunization. Blood samples were then collected 14 days after the final boost. Serum was collected by using Microtainer serum separators (Becton Dickinson).
Antibody responses to VP7 were analyzed by testing each serum sample in an indirect ELISA. ELISA plates were coated with purified BTV-10 (200 ng/well) in carbonate buffer (pH 9.6) overnight at room temperature. Wells were washed twice with PBS then blocked for 1 h with 3% bovine serum albumin (BSA) in PBS (PBS-BSA). The wells were washed twice with PBS, and then 100 µl of each serum sample (diluted 1:20 in PBS-BSA) was added to duplicate top wells of a 96-well ELISA plate (Falcon). Serial twofold dilutions were then performed with a multichannel pipette. Serum samples were incubated for 1 h at room temperature, and then the plates were washed four times with PBS. A horseradish peroxidase-conjugated goat anti-mouse immunoglobulin G secondary antibody (diluted 1:1,000 in PBS-BSA) was then added to each well, and plates were incubated for 1 h. The plates were then washed four times with PBS. One hundred microliters of substrate (o-phenylenediamine dihydrocholoride) was then added to each well, and the optical density at 450 nm (OD450) was measured 30 min later. Antibody titers were calculated as the inverse of the serum dilution yielding OD450 readings of
0.2 above background.
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FIG. 1. Expression of 2A fusion proteins as cleavable components of the structural polyprotein. The alphavirus subgenomic mRNA is translated into a polyprotein containing the viral structural proteins in the order of capsid-PE2-6K-E1. The recombinant viruses TR339-GFP/2A and TR339-VP7/2A express polyproteins containing GFP/2A or VP7/2A inserted between capsid and PE2. The three N-terminal residues of PE2 (S-A-A) were retained downstream of capsid to facilitate capsid-mediated cleavage of the polyproteins. The residues that comprise 2A and the flanking residues (derived from FMDV proteins 1D and 2B) that were included to enhance 2A activity are highlighted. Two additional residues (R-S) located N terminal to the FMDV residues were contributed by the codons comprising a BglII restriction site that was generated in the cloning process.
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FIG. 2. Genomic structure of TR339 and recombinant Sindbis viruses. Recombinant viruses expressing GFP/2A or VP7/2A fusion proteins as cleavable components of the viral structural polyprotein and/or native GFP or VP7 proteins from a duplicated 26S promoter placed within the 3' nontranslated region were constructed as shown.
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The growth characteristics of each virus were compared in BHK-21 cells (Fig. 3). The peak titer obtained for each monovalent recombinant virus was within 1 log10 unit of the peak titer of TR339. The peak titers of TR339-GFP/2A/VP7 and TR339-VP7/2A/GFP were approximately 33- and 17-fold lower, respectively, than that of TR339. The kinetics of virion production were similar for each virus (Fig. 3). Cytopathic effects (CPE), measured as cell lysis and visible plaque formation, developed most rapidly in cells infected with TR339-GFP/2A and TR339-VP7/2A. CPE developed at a lower rate in cells infected with TR339-26S/GFP and TR339-26S/VP7 and developed most slowly in cells infected with TR339-GFP/2A/VP7 and TR339-VP7/2A/GFP.
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FIG. 3. Growth kinetics of TR339 and recombinant viruses in BHK-21 cells. BHK-21 cells were electroporated with in vitro transcripts as described in Materials and Methods. Virus released into the growth medium was collected at 6-h intervals and quantified by plaque assay. Infections were performed in duplicate, and virus titer values from the duplicate samples were averaged.
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FIG. 4. Protein expression by recombinant Sindbis viruses. Subconfluent monolayers of BHK-21 cells were infected with virus at an MOI of 5 PFU/cell. Proteins were metabolically radiolabeled with [35S]methionine, and infected-cell lysates were collected and processed as described in Materials and Methods. Cell lysates were loaded directly onto gels (left sides of gels) or used in immunoprecipitation assays (right sides of gels). (A) Lysates from mock-infected cells (lane M) and cells infected with TR339 (lane 1), TR339-26S/GFP (lane 2), TR339-GFP/2A (lane 3), TR339-GFP/2A/VP7 (lane 4), and TR339-VP7/2A/GFP (lane 5). Immunoprecipitations were performed with infected-cell lysates and antibody preparations as shown at the top. (B) Lysates from mock-infected cells (lane M) and cells infected with TR339 (lane1), TR339-26S/VP7 (lane 2), TR339-VP7/2A (lane 3), TR339-GFP/2A/VP7 (lane 4), and TR339-VP7/2A/GFP (lane 5). Immunoprecipitations were performed with infected-cell lysates and antibody preparations as shown at the top. Lanes N, normal mouse serum; lanes G, rabbit polyclonal antiserum to GFP; lanes 290, VP7-specific MAb.
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FIG. 5. Stability of transgene expression following serial, low-multiplicity virus passage in BHK-21 cells. Viruses were serially passaged 10 times at a low MOI (0.1 PFU/cell) in BHK-21 cells as described in Materials and Methods. The original stock virus (lanes P0) and virus obtained after each passage (lanes P1 to P10) were then used to infect BHK-21 cells. Infected cells were radiolabeled with [35S]methionine, and cell lysates were collected at 12 h postinfection. An equal volume of each cell lysate was then mixed with sample buffer and analyzed directly on SDS-polyacrylamide gels.
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0.0001) based on comparisons of AST values, and the monovalent DSP-based viruses were significantly less virulent than the cognate viruses engineered to express 2A fusion proteins. Specifically, TR339-26S/GFP was less virulent than TR339-GFP/2A (P
0.002), and TR339-26S/VP7 was less virulent than TR339-VP7/2A (P
0.001). |
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TABLE 1. Virulence of viruses in newborn CD-1 mice
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FIG. 6. Serological responses to VP7. Three-week-old CD-1 mice (four per group) were immunized with 104 PFU of TR339 and each VP7-expressing recombinant virus in each rear footpad. Four mice were mock infected with PBS. Mice were boosted with 104 PFU of virus 21 and 42 days later. Serum samples were collected 14 days after the final boost. Antibody responses to VP7 were evaluated by using an indirect ELISA. ELISA plates were coated with purified BTV-10 virions (200 ng/well). All prevaccination serum samples were negative for VP7-specific or cross-reacting antibodies (OD450 values were 0.1 at the lowest dilution tested [1:20]). *, OD450 of <0.2 at a 1:20 dilution. x, no serum available due to death of the animal. Each bar represents the serum titer for a single animal.
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Phenotypic comparisons between TR339-GFP/2A and TR339-26S/GFP and between TR339-VP7/2A and TR339-26S/VP7 did not reveal obvious differences between the viruses with respect to growth rates in cultured cells. However, CPE developed most rapidly in cells infected with TR339-GFP/2A and TR339-VP7/2A, and these viruses were more virulent in newborn mice than TR339-26S/GFP or TR339-26S/VP7, respectively. These differences probably reflect the attenuating effects of the second active subgenomic promoter present in the DSP viruses. Incorporation of a second subgenomic promoter can slow virus replication by competing with the native subgenomic promoter for viral transcriptase complexes (28). Transcription from the native 26S promoter did appear to be reduced in viruses containing a second active 26S promoter. First, the level of capsid protein synthesized by TR339-26S/GFP and TR339-26S/VP7 was visibly decreased compared to that synthesized by TR339-GFP/2A and TR339-VP7/2A, respectively (Fig. 4). Second, the expression of capsid protein by TR339-26S/VP7 increased noticeably upon serial passage, and this increase correlated with diminished expression of VP7 from the downstream 26S promoter (Fig. 5).
The stability of transgene expression has been a concern with DSP-based expression vectors, as stable expression is important in cell culture and vaccine applications. For instance, a recombinant rubella virus engineered to express GFP in a manner similar to that for TR339-26S/GFP lost virtually all GFP expression after only three serial passages in Vero cells (26). Similarly, Sindbis virus-based vectors engineered to express protective antigens of Japanese encephalitis virus from duplicate 26S promoters placed upstream of the native 26S promoter or within the 3' nontranslated region did not produce detectable levels of Japanese encephalitis virus proteins after five serial passages in cell culture (25). The instability of transgene expression by some DSP-based vectors may result from deletions arising through recombination events involving the duplicated 26S promoter sequences (26). Loss of transgene expression by DSP-based vectors may also result from deleterious events other than genetic recombination. Inactivating mutations arising within the transgene would not be deleterious to the virus, and we would not expect these nonexpressing mutants to be selected against. Furthermore, mutations that inactivate the duplicate 26S promoter may actually enhance the replication of the nonexpressing mutant due to increased use of the native 26S promoter. Under these circumstances, nonexpressing mutants would be expected to increase within the virus population over time. In contrast, alphavirus vectors based on the design of TR339-GFP/2A and TR339-VP7/2A should be under pressure to retain the foreign gene in functional form. Since the transgene is placed in frame with the viral structural genes, lesions within the transgene that alter the reading frame, or produce nonsense mutations, should be lethal, and mutants harboring such mutations should be selected against (23).
To address the issue of expression stability directly, we compared the stability of transgene expression between TR339-26S/GFP and TR339-GFP/2A and between TR339-26S/VP7 and TR339-VP7/2A during 10 serial passages in cell culture. Our results demonstrated that the expression stability of viruses designed to express their foreign protein as a cleavable component of the viral structural polyprotein was greater than the expression stability of the cognate DSP-based viruses. Expression stability also appeared to be influenced by properties of the transgene itself. Specifically, the expression stability of native GFP and GFP/2A was greater than that of native VP7 and VP7/2A, respectively. These results suggest that expression stability may be influenced by factors such as the transgene size, sequence, and/or secondary structures that these sequences may assume. Interestingly, TR339-26S/VP7 and TR339-VP7/2A induced similar levels of VP7-specific antibodies in vaccinated mice despite their differences in expression stability. This result may indicate that the differences in expression stability between the DSP and 2A fusion protein-expressing viruses are not significant enough to influence immune responses to the expressed proteins in vivo, that the lower expression stability was compensated for by the higher level to which VP7 was expressed compared to VP7/2A, or that these differences in expression stability were not reproduced in vivo.
TR339-GFP/2A/VP7 and TR339-VP7/2A/GFP grew to markedly lower titers than TR339 (33- and 17-fold lower, respectively), expressed their transgenes at lower levels than the monovalent viruses in cell culture, and were essentially avirulent in newborn mice. The degree to which these viruses were attenuated in cell culture and in vivo is not surprising, as each contains approximately 2,000 nucleotides of inserted sequence, a second active 26S promoter, and a significantly altered structural polyprotein. These genetic modifications could be expected to influence a wide range of processes related to virus growth, including but not limited to genome replication rate, genome packaging and virion morphogenesis, expression and processing of viral proteins, and induction of antiviral host cell responses. However, despite their genetic modifications, TR339-GFP/2A/VP7 and TR339-VP7/2A/GFP induced titers of VP7-specific antibodies in vaccinated mice that were equivalent to those induced by the monovalent vectors. This result may indicate that the magnitude of humoral immune responses to the vector-expressed antigens does not increase significantly once antigen levels have reached a threshold level that the monovalent and bivalent viruses are both able to achieve and/or that the lower levels of antigen delivered by the bivalent viruses is compensated for by their ability to express antigens for a longer duration due the decreased rate at which they kill their host cell.
BTV does not cause disease in adult mice, and antibodies to VP7 do not neutralize BTV infectivity. Therefore, it was not possible to perform meaningful challenge experiments with the immunized mice or to perform cell culture-based neutralization assays with immune sera. However, the immunization experiments that were performed suggest that monovalent and bivalent vectors designed to express a foreign protein as a cleavable component of the structural polyprotein can be used successfully as vaccine vectors. Specifically, it was shown that fusion of 2A to VP7 and GFP did not significantly alter the antigenic properties of these proteins and that each VP7/2A-expressing vector expressed the antigen to levels that were sufficient to induce high-titer antibody responses to native VP7.
Bivalent alphavirus-based replicons have been described previously (1, 2, 27); however, as far as we are aware, TR339-GFP/2A/VP7 and TR339-VP7/2A/GFP represent the first published examples of bivalent, live alphavirus vectors. The results obtained in the immunization experiments suggest that bivalent viruses based on the design of TR339-GFP/2A/VP7 and TR339-VP7/2A/GFP should be particularly useful for vaccine applications that require the expression of two interacting proteins or expression of two proteins with different immunological functions. For example, induction of protective immune responses to some pathogens may require coexpression of two gene products that assemble into a single functional unit. Expression of both of the major envelope glycoproteins (GL and M) of equine arteritis virus (EAV) was required to induce neutralizing antibodies against EAV in mice and in horses (1, 2). The GL and M glycoproteins form heterodimers on the surface of EAV virions, and neutralizing epitopes of EAV appear to be dependent on heterodimer formation. Macaques vaccinated individually with vaccinia viruses engineered to express the G1 or G2 glycoprotein of Lassa virus were not protected when challenged with Lassa virus. However, animals that received both the G1- and G2-expressing vaccinia viruses at different sites were fully protected, and this protection was primarily cell mediated (10). Bivalent vectors may also be engineered to express one antigen that is important for eliciting protective antibodies and a second antigen that contains critical T-cell epitopes. It may be most appropriate to express the antigen targeting T-cell responses as a 2A fusion protein, because some proteins may lose B-cell epitopes when fused to 2A; however, most T-cell epitopes derived from the 2A fusion proteins should be processed and presented normally by major histocompatibility complex I antigens on the surface of infected cells. Finally, bivalent vectors may be particularly well suited for coexpressing an antigen of interest along with a protein, such as a cytokine, which possesses adjuvant or immune-modulating properties.
This work was supported by grants R01 AI22186 and R29 AI40937 from the National Institutes of Health, grant S06 GM08194 from the National Institutes of Health-Minority Biomedical Research Service, and a grant from the San Antonio Area Foundation.
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