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Journal of Virology, February 2003, p. 2696-2700, Vol. 77, No. 4
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.4.2696-2700.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
PrP Polymorphisms Tightly Control Sheep Prion Replication in Cultured Cells
Elifsu Sabuncu,1 Stéphanie Petit,1 Annick Le Dur,1 Thanh Lan Lai,1 Jean-Luc Vilotte,2 Hubert Laude,1 and Didier Vilette1*
Unité de Virologie et Immunologie Moléculaires,1
Laboratoire de Génétique Biochimique et Cytogénétique, Institut National de la Recherche Agronomique, 78350 Jouy-en-Josas, France2
Received 15 July 2002/
Accepted 29 October 2002

ABSTRACT
Prion diseases are fatal neurodegenerative disorders of animals
and humans that are characterized by the conversion of the host-encoded
prion protein (PrP) to an abnormal isoform. In several species,
including humans, polymorphisms in the gene encoding the PrP
protein tightly control susceptibility of individuals toward
this disease. In the present study we show that Rov cells expressing
an ovine PrP allele (
VRQPrP) associated with high susceptibility
of sheep to scrapie were very sensitive to sheep prion transmission
and replicated the agent to high titers. In contrast, we did
not find any evidence of infection when Rov cells expressed
similar levels of a PrP variant (
ARRPrP) linked to resistance.
Our data provide the first direct evidence that natural PrP
polymorphisms may affect prion susceptibility by controlling
prion replication at the cell level. The study of how PrP polymorphisms
influence the genetic control of prion propagation in cultured
Rov cells may help elucidate basic mechanisms of prion replication.

INTRODUCTION
Transmissible spongiform encephalopathies (TSEs) are fatal degenerative
disorders of the central nervous system, which naturally affect
animals and humans (for a review, see reference
8). TSEs are
associated with the posttranslational conversion of the host-encoded
prion protein (PrP) to a conformationally altered form (PrPsc).
The causative infectious agents, or prions, are thought to be
PrPsc itself or a precursor of it (for reviews, see references
22 and
30).
In several species, including mice, sheep, and humans, susceptibility to prion diseases is tightly controlled by the host. The major genetic determinants controlling the length of the incubation period are polymorphisms of Prnp, the PrP-encoding gene. In humans, homozygosity for methionine at the polymorphic residue 129 is associated with high susceptibility to the new variant form of Creutzfeldt-Jakob disease (14), whereas homozygosity for valine is overrepresented among early cases of iatrogenic Creutzfeldt-Jakob disease in the United Kingdom (7). In sheep, variations at three amino acid positions of PrP are predominantly linked to scrapie susceptibility (for a review, see reference 17). The 136V154R171Q allele (V, R, and Q stand for valine, arginine, and glutamine, respectively) is associated with extremely high susceptibility to scrapie: in naturally infected flocks, sheep homozygous for VRQPrP are almost always affected with scrapie. In contrast, the 136A154R171R variant (A for alanine) is associated with resistance to the clinical disease. No clinical scrapie case has been reported in hundreds of sheep homozygous for ARRPrP from naturally infected flocks in Europe and the United States, and a single case was reported in Japan (12). Experimental challenge of VRQ- and ARR-encoding sheep with ovine and bovine prions further substantiated the dramatic opposite effects of these two alleles on disease susceptibility, since sheep homozygous for ARRPrP could not be infected by either agent (11). Although the link between specific alleles of PrP and susceptibility to the disease has been well documented during the last decade, especially in sheep, how a few amino acid substitutions can so profoundly affect prion pathogenesis is largely unknown. The development of new experimental models may help elucidate the mechanisms underlying the effects of these polymorphisms.
We recently reported that the stable transfection of a tetracycline-regulatable ovine PrP gene in a rabbit epithelial cell line resulted in the efficient propagation of a natural sheep scrapie agent (28). This scrapie cell culture model, named Rov, represented a unique opportunity to investigate the effect of PrP polymorphisms on the susceptibility to prion infection. In the present study, we examined 2 PrP alleles (VRQPrP and ARRPrP) with opposite disease linkage and show that these alleles also have strikingly opposite effects on sheep prion replication in cultured Rov cells.

MATERIALS AND METHODS
Isolation of Rov cells expressing ARR and VRQ PrP variants.
The complete coding sequence of the ARR variant of ovine PrP
was PCR cloned from sheep genomic DNA in the pTRE plasmid (Clontech)
and verified by DNA sequencing. Transfection of RK13 cells and
selection of clones for inducible expression of the specified
ovine PrP variant were as described previously (
28).
Scrapie strain.
The PG127 isolate originally used to infect Rov cells is from a naturally scrapie-affected sheep (28). This isolate was transmitted to Prnp0/0 transgenic mice (TgOv) expressing the VRQ allele of ovine PrP (29), and the resulting infectious material was used in the present study. Brain homogenate and extracts from infected cells were prepared as described previously (28). When indicated, infectious brain homogenate and cell extracts were diluted in homogenate from healthy brain and in 5% glucose solution containing 5% bovine serum albumin (BSA), respectively.
Transmission of sheep prion to Rov cells and PrPsc detection.
Inoculation of Rov cells and isolation of sedimentable, proteinase K (PK)-resistant, Rov-derived PrPsc were as described previously (28). Western blots were stained either with 2D6 (25) or 4F2 (18) monoclonal antibodies (MAbs), as indicated.
Mouse bioassay.
The bioassays were performed on the tg301 line of TgOv mice expressing the VRQ allele of ovine PrP and nullizygous for the mouse Prnp gene, as described previously (29). Briefly, animals were inoculated intracerebrally with 20 µl of inoculum and examined for neurologic disease every 2 days and then daily when clinical signs of scrapie were detected.
Immunostaining of PrP on living Rov cells.
Immunofluorescence analysis on living Rov cells expressing the VRQ or the ARR allele of PrP was performed at 4°C, with the MH44 anti-PrP polyclonal antibody (20), as described previously (28).

RESULTS
Rov cells as a candidate system to study the effect of PrP polymorphisms on prion infection.
Rov cells were obtained by transfecting the VRQ allele of ovine
PrP in the RK13 epithelial cell line. Previously, we have shown
that doxycycline-mediated expression of the
VRQPrP in the Rov9
clone resulted in the efficient replication of the sheep scrapie
agent in the exposed cultures (
28). Additional transfected cell
clones expressing
VRQPrP have now been obtained, and nine of
them (including the already-described Rov9) were exposed to
a strain of sheep prions propagated in a
VRQPrP animal (see
Materials and Methods). The success of these transmissions was
assessed by immunodetection of Rov-derived PrPsc, one passage
postinoculation (p.i.). Figure
1A (lanes 1 to 5) shows the relative
levels of normal PrP in five inoculated VRQ-Rov clones, and
Fig.
1B (lanes 1 to 5) shows the amounts of abnormal PrP in
the corresponding PK-digested cell lysates. Abnormal PrP was
readily detected in all inoculated VRQ-Rov clones. Since PrPsc
from residual inoculum is not detected under these experimental
conditions (
28; see also Fig.
1B, lanes 6 to 9), the presence
of cell-derived PrPsc indicated that all VRQ-Rov clones have
been successfully infected. However, a marked difference in
the amount of PrPsc accumulated in the different VRQ-Rov clones
was observed (Fig.
1B, lanes 1 to 5) that was found not to correlate
with the level of PrP expression (Fig.
1A, lanes 1 to 5). The
different VRQ-Rov clones might synthesize slightly different
subsets of PrP glycoforms, which in turn could influence prion
replication. The availability of MAbs recognizing distinct subsets
of PrP glycoforms (V. Beringue and S. Hawke, unpublished data)
should allow investigating this possibility. These infected
cultures were expanded for 2 months. Accumulation of PrPsc in
each of the individual cultures was evidenced at each passage
(data not shown) until the sixth passage (Fig.
1C, lanes 1 to
5), indicating that all of these Rov clones were stably infected.
Similar results were obtained with the four other VRQ-Rov clones
(data not shown).
Prion titer associated with infected VRQ-Rov extract was determined
by endpoint titration in transgenic mice expressing the ovine
VRQPrP (TgOv mice), previously shown to be highly sensitive
to sheep scrapie (
29). Infected VRQ-Rov cultures, grown for
3.5 months (14 passages p.i.), accumulated ca. 2 LD
50 (50% lethal
doses) per cell (Table
1). In a second set of experiments, we
determined the sensitivity of Rov cells to transmission of sheep
prion by exposing VRQ-Rov cells to serial dilutions of the ovine
strain of prion and looking for PrPsc accumulation at five passages
p.i. Under these conditions, transmission was still detectable
after inoculation with a 10
-3 dilution of 10% brain homogenate,
corresponding to 12.5 µg of infectious brain (Fig.
2).
For comparison, from 2 to 20 µg of Chandler- or RML-infected
brain material is required to detect infection of permissive
murine N2a and GT1 cells (
3,
19). The relative sensitivity of
Rov cells is therefore roughly similar to that of these two
widely used neuronal cell models. Finally, transmission of sheep
prion to VRQ-Rov cells was found to be very reliable. All of
the different VRQ-Rov clones tested so far (
n = 9) were readily
infected, and all transmission attempts to the Rov9 clone (>50)
have been successful, based on the biochemical detection of
abnormal PrP accumulation at the very first passage after inoculation
(i.e., within 2 weeks p.i.).
These data showed that expression of the VRQ allele of PrP conferred
to Rov cells sensitivity to low doses of sheep prion and consistently
allowed stable and efficient replication of the agent.
Rov cells expressing the ARR allele are resistant to infection with sheep prion.
Rov clones expressing the ARRPrP allele associated with sheep resistance to the clinical disease were generated. Four clones expressing the ARR allele were selected. They expressed this PrP variant at levels similar to VRQ-PrP in VRQ-Rov cells (data not shown; see also Fig. 1A) and allele-specific glycosylation pattern differences were not detected through Western blot analysis in the present study (Fig. 1A and data not shown). All of the four ARR-Rov clones were exposed to the strain of sheep prion used for VRQ-Rov infection. As described above, cultures were tested for the presence of normal and abnormal PrPs, at one passage p.i. (Fig. 1A, lanes 6 to 9; Fig. 1B, lanes 6 to 9, respectively). In contrast to the situation observed with VRQ-Rov cells, no PrPsc could be detected in inoculated ARR-expressing clones (Fig. 1B, lanes 6 to 9). Each week, these cultures were passaged and analyzed for PrPsc. No abnormal PrP could be observed at six passages p.i. (Fig. 1C, lane 6 to 9) or before (data not shown), indicating that production of PrPsc in inoculated ARR-Rov cells was not simply delayed. Extracts from two of the challenged ARR-Rov clones were bioassayed in TgOv mice along with a VRQ-Rov clone infected and passaged in parallel. No infectivity could be demonstrated in the ARR-Rov cultures (Table 1). The fact that each of the nine VRQ-Rov clones but none of the four ARR-Rov could be infected strongly argues against the possibility that the inhibitory effect might be mediated by cell-clone differences unrelated to the sequence of PrP.
There is evidence that normal PrP first transits through the plasma membrane before being converted to abnormal PrP (2, 6). We verified that the ARRPrP was expressed at the cell surface of Rov cells as shown previously for the VRQPrP (28). Immunofluorescence analysis of living cells showed that both ARRPrP and VRQPrP were present at the outer membrane (Fig. 3). Therefore, the nonpermissiveness of ARR-Rov cells cannot be attributed to a defect of PrP expression at the cell surface.

DISCUSSION
In this study, with sheep scrapie as an experimental model,
we demonstrated that natural polymorphisms of the PrP protein
can control prion propagation in permissive cultured cells.
Rov cells were highly susceptible to sheep prion when expressing
the VRQ allele of PrP. Infected VRQ-Rov cultures produced high
titers of sheep prion (ca. 2 LD
50 per cell), a value that compared
favorably with titers obtained in two widely used cellular models
of mouse prions infection, i.e., neuroblastoma N
2a (0.004 LD
50 per cell [
5]) and neuronal GT1 (0.06 LD
50 per cell [
26]) cell
lines. The efficient prion propagation in Rov cells could explain
why subcloning of the inoculated cultures was unnecessary to
assess positive transmission by Western blotting at the very
first passage p.i. and to achieve a high percentage (at least
30% [
28]) of infected cells. This may explain at least in part
why the transmission of sheep prion to VRQ-Rov cells was found
to be extremely reliable. Permissive N2a and GT1 cell lines
are composed of cells with different susceptibilities to infection
with the RML strain of murine prions (
3,
9), and these marked
differences were independent of the level of normal PrP expression
(
9). In contrast, we found no evidence for the presence of VRQ-expressing
cell clones resistant to infection. Prion replication might
need some essential cellular factor(s) absent in a significant
number of N2a and GT1 cells but present in most of the Rov cells
or the postulated factor may be missing in Rov cells too, where
it would not be required for the replication of the ovine strain
studied.
The reliable transmission of sheep prion, along with the undetectable expression of the endogenous rabbit PrP in these cells (28), makes it feasible to study in-depth relationships between PrP sequence and permissiveness to infection by a reverse genetic approach. As a main result of the present study, we found no evidence of infection in Rov cells expressing the ARRPrP-resistant variant. First, no accumulated PrPsc could be detected in ARR-Rov cells exposed to sheep prion, whereas infection of VRQ-Rov cultures with a 1,000-fold-diluted inoculum led to detectable PrPsc. This indicated that ARRPrP is at least a 1,000-fold less efficient to support prion replication than is VRQPrP. Second, none of the TgOv mice inoculated with challenged ARR-Rov cultures developed the clinical disease. However, the possibility that low levels of infectivity had been transmitted to these mice, leading to a subclinical level of prion replication (16, 23), is presently being investigated by secondary passages. These findings provide the first ex vivo evidence for a direct link between prion replication and natural PrP allelic variation. Since sheep homozygous for ARRPrP are resistant to the various natural strains of sheep scrapie from the field tested so far, it is very unlikely that inhibition of prion replication observed in Rov cells would be restricted to the ovine strain used in the present study. An efficient way to modulate susceptibility to prion disease is to modulate the incubation period by increasing or decreasing the level of PrP expression (10, 21). Since the influence of the PrP genotype on PrP levels in sheep tissues or in particular cell types remains to be established (20), the possibility that PrP polymorphisms could influence the amount of the protein, directly or indirectly, remains open. Our study demonstrating a dramatic effect of PrP polymorphism on prion replication in cells expressing similar levels of different PrP variants implies that PrP polymorphisms may control susceptibility to the disease by conferring distinct functional and/or biochemical properties to the different variants rather than affecting their amounts.
What hypothesis can be made about the cellular mechanisms controlling susceptibility to prion disease through PrP polymorphisms? One possibility could be that some PrP variants might be more prone to be converted to abnormal PrP than others. This notion has been supported by cell-free conversion of sheep PrP alleles. In these assays, guanidium-denatured ovine PrP, purified after solubilization of uninfected cell cultures, was converted to PK-resistant forms upon addition of PrPsc obtained from scrapie-infected sheep brain tissue, and indeed VRQPrP forms were more efficiently converted than ARRPrP (4). However, as no generation of infectivity has been demonstrated in cell-free conversion assays (15), it is unclear if conversion reaction truly represents TSE-agent propagation, i.e., if newly converted abnormal PrP can in turn promote conversion of new PrP molecules, as could be expected for a PrPsc-mediated infectious process. Several lines of evidence indicate that the cellular context of PrP is of crucial importance: association of PrP with detergent-resistant microdomains, or rafts, is important in the formation of PrPsc (for a review, see reference 13), and a recent study raised the possibility that insertion of PrP and PrPsc in the same contiguous membrane might be critical for conversion to occur (1). PrP, however, is not the only player in prion replication. Host factors other than PrP, yet to be identified, are necessary for efficient prion infection (9, 24, 27), and some of them could interact differently with distinct PrP alleles. The possibility that VRQPrP and ARRPrP could be recognized and processed differently by Rov cells deserves attention. It has been reported that recombinant VRQ and ARR PrP variants, produced in bacteria, have distinct biochemical and structural properties (25), the biological significance of which needs to be appreciated in mammalian cells. Therefore, we consider TSE cellular models, such as Rov, to be relevant tools for studying the role of PrP polymorphisms on prion infection and to elucidate why the ARR variant, in interaction with the cellular machinery, does not lead to prion multiplication.
In conclusion, we have shown here that the genetic control of susceptibility to prion disease via PrP polymorphisms can be modeled in a cell culture model of scrapie replication. Our data provide evidence that PrP polymorphisms may act on susceptibility by primarily affecting the level of scrapie replication in the infected animal and that Rov cells represent attractive tools to investigate the underlying mechanisms. More generally, both infected and uninfected Rov cells could be used to study PrP structure-function relationships through a reverse genetic approach.

ACKNOWLEDGMENTS
We acknowledge M. F. Madelaine for expert technical assistance,
J. Grosclaude and M. Moudjou (INRA, Jouy, France) for the kind
gift of 2D6 and MH44 antibodies, respectively, and J. Grassi
(CEA, Saclay, France) for providing 4F2 antibodies. We thank
V. Beringue, J. A. Gingrich, and C. La Bonnardière for
critical reading of the manuscript and B. Nicolas for the artwork.
This work was partially supported by grants from the French government (CI-ESST) and from the European Union (Biotech. PL976064).

FOOTNOTES
* Corresponding author. Mailing address: Unité de Virologie et Immunologie Moléculaires, Institut National de la Recherche Agronomique, 78350 Jouy-en-Josas, France. Phone: 33-1-34-65-26-16. Fax: 33-1-34-65-26-21. E-mail:
vilette{at}jouy.inra.fr.


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Journal of Virology, February 2003, p. 2696-2700, Vol. 77, No. 4
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.4.2696-2700.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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