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Journal of Virology, November 2004, p. 12446-12454, Vol. 78, No. 22
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.22.12446-12454.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Structural Basis for Coevolution of a Human Immunodeficiency Virus Type 1 Nucleocapsid-p1 Cleavage Site with a V82A Drug-Resistant Mutation in Viral Protease
Moses Prabu-Jeyabalan,1
Ellen A. Nalivaika,1
Nancy M. King,1 and
Celia A. Schiffer1*
Department of Biochemistry and Molecular Pharmacology, University of Massachusetts Medical School, Worcester, Massachusetts1
Received 7 May 2004/
Accepted 12 July 2004

ABSTRACT
Maturation of human immunodeficiency virus (HIV) depends on
the processing of Gag and Pol polyproteins by the viral protease,
making this enzyme a prime target for anti-HIV therapy. Among
the protease substrates, the nucleocapsid-p1 (NC-p1) sequence
is the least homologous, and its cleavage is the rate-determining
step in viral maturation. In the other substrates of HIV-1 protease,
P1 is usually either a hydrophobic or an aromatic residue, and
P2 is usually a branched residue. NC-p1, however, contains Asn
at P1 and Ala at P2. In response to the V82A drug-resistant
protease mutation, the P2 alanine of NC-p1 mutates to valine
(AP2V). To provide a structural rationale for HIV-1 protease
binding to the NC-p1 cleavage site, we solved the crystal structures
of inactive (D25N) WT and V82A HIV-1 proteases in complex with
their respective WT and AP2V mutant NC-p1 substrates. Overall,
the WT NC-p1 peptide binds HIV-1 protease less optimally than
the AP2V mutant, as indicated by the presence of fewer hydrogen
bonds and fewer van der Waals contacts. AlaP2 does not fill
the P2 pocket completely; PheP1' makes van der Waals interactions
with Val82 that are lost with the V82A protease mutation. This
loss is compensated by the AP2V mutation, which reorients the
peptide to a conformation more similar to that observed in other
substrate-protease complexes. Thus, the mutant substrate not
only binds the mutant protease more optimally but also reveals
the interdependency between the P1' and P2 substrate sites.
This structural interdependency results from coevolution of
the substrate with the viral protease.

INTRODUCTION
Human immunodeficiency virus type 1 (HIV-1) matures after the
viral protease processes (
35) the Gag and Pol polyproteins at
10 substrate locations (
3,
15). Therefore, inhibition of HIV-1
protease represents an important avenue for antiviral therapy
(
13,
48). The substrate sequences cleaved by the protease are
nonhomologous (
3), with the sequence of the nucleocapsid-p1
(NC-p1) substrate being the most different. In spite of the
poor sequence homology among the substrate sites, a series of
substrate-protease crystal structures led us to hypothesize
that substrate specificity in HIV-1 protease results from the
enzyme's recognizing an asymmetric shape (or envelope) rather
than a particular amino acid sequence (
40). This shape results
from the conformation that a particular substrate sequence can
adopt, implying that an interdependency necessarily exists among
the different substrate residue sites.
All of the protease inhibitors whose designs were structure based bind competitively (8, 18, 28, 52, 53) at the active site. Since these inhibitors bind at the same site as the substrates, many protease residues contact both substrates and inhibitors. Drug resistance, which often develops in the presence of therapeutic protease inhibitors, results from high viral turnover, the infidelity of the viral reverse transcriptase (16, 42, 43), and selective pressure on the virus. With drug resistance, the protease no longer binds as tightly to inhibitors but retains the ability to recognize and cleave its substrate sites.
The first drug-resistant mutation that often occurs in patients, V82A (47), is frequently associated with indinavir or ritonavir therapy (5, 9, 11, 30). Our previous studies have shown that V82A is a prime site for drug resistance to occur, as the valine at residue 82 is not critical for substrate recognition but does extensively contact many of the commonly used inhibitors (39). However, the apparent coevolution of the NC-p1 cleavage site (AP2V) with the V82A mutation in the protease (1, 10, 20, 55) implies that Val82 plays an important role in the protease's recognition of the NC-p1 substrate, a role that is lost when the V82A mutation occurs.
Within the viral context, the NC-p1 cleavage site is the slowest (50), final (37, 54), and, therefore, rate-determining site in HIV-1 Gag to be processed by the viral protease (6, 37). NC-p1 has a polar Asn at the P1 position, while a hydrophobic or aromatic residue is found at the same location in the other substrate sequences. An Ala occupies the P2 position of the NC-p1 substrate, while a branched side chain (14) exists at P2 in the other substrate sequences. The rate and order in which NC-p1 is cleaved may be dictated by its unusual sequence as well as by the location of this site within the Gag polyprotein.
In several studies of drug-experienced patient viral sequences, the NC-p1 substrate cleavage site has been seen to mutate (1, 6, 10, 24, 44, 55). The most frequently observed change occurs at P2, where the alanine mutates to a valine in viral sequences that also contain the V82A drug-resistant protease mutation. Selection for a valine at this site makes sense as valine is the wild-type (WT) residue at P2 in another substrate sequence, the capsid-p2 cleavage site. In fact, the WT HIV-1 protease cleaves AP2V in the NC-p1 cleavage site more efficiently than it cleaves the WT NC-p1 sequence (12).
The present study focuses on elucidating the structural rationale for HIV-1 protease recognition of the NC-p1 cleavage site. We determined the crystal structures of both the WT and V82A HIV-1 proteases in complex with their respective NC-p1 substrates. As seen in our previous studies (40), there is an interdependency between the substrate subsites throughout the cleavage site sequence that allows for the sequence to be recognized as a substrate sequence by HIV-1 protease.

MATERIALS AND METHODS
Nomenclature.
HIV-1 protease variants (WT or V82A), the nucleocapsid-p1 (NC-p1)
WT substrate, and its AP2V mutant substrate will be distinguished
throughout this article by subscript and superscript acronyms.
For example,
WTNC-p1
WT denotes the WT substrate NC-p1 in complex
with the WT protease, and
AP2VNC-p1
V82A denotes the AP2V mutant
substrate in complex with the V82A mutant protease.
Substrate peptides.
Two decameric peptides, WTNC-p1 (P5 to P5': ERQAN*FLGKI) and AP2VNC-p1 (P4 to P6': RQVN*FLGKIN), with sequences corresponding to the NC-p1 substrate cleavage site within the Gag polyprotein, were chosen as previously described (40). The slight difference in the regions of the cleavage sites that were crystallized occurred because the AP2VNC-p1 peptide (P5 to P5': ERQVN*FLGKI) was not very soluble, whereas the decameric peptide (P4 to P6': RQVN*FLGKIN) was. Both peptides were purchased from Quality Controlled Biochemicals Inc., Hopkinton, Mass.
Mutagenesis, protein purification, and crystallization.
The protease was expressed from a synthetic gene optimized for Escherichia coli codon usage with Q7K to prevent autoproteolysis (45). This gene was used as the starting template for mutagenesis to introduce the D25N (to prevent the protease from cleaving its substrates) and V82A substitutions. Mutations were made by using a QuickChange site-directed mutagenesis kit (Stratagene, La Jolla, Calif.).
Protein expression, isolation, and purification were carried out as previously described (17). The purified protease, in 50% acetic acid, was then refolded by rapid 10-fold dilution into a mixture of 0.05 M sodium acetate (pH 5.5), 10% glycerol, 5% ethylene glycol, and 5 mM dithiothreitol (refolding buffer). The diluted protein was concentrated on an Amicon ultrafiltration cell and dialyzed to remove any residual acetic acid. Protease used for crystallization was further purified by using a Pharmacia Superdex 75 fast-performance liquid chromatography column equilibrated with refolding buffer.
Crystals were grown by the hanging drop, vapor diffusion method as previously described (38, 39, 49). Stock solutions (25 mM) of substrate peptides used for cocrystallization were dissolved in refolding buffer rather than in dimethyl sulfoxide. The protein concentration was approximately 1 mg ml1. Small crystals started appearing after 6 to 8 weeks, with the longest length between 0.1 and 0.2 mm.
Data collection.
Crystals chosen for data collection were flash frozen in a nitrogen stream. X-ray data on these cryocooled crystals were collected on our in-house Rigaku X-ray generator with an R-axis IV image plate system. Approximately 200 5-min frames were collected per crystal with 1-degree oscillations and no overlap between frames. The frames were later integrated and scaled by using the programs DENZO and ScalePack, respectively (29, 34). The WTNC-p1WT and AP2VNC-p1V82A complexes diffracted up to 2.1 and 2.0 Å, respectively. Complete data collection statistics are listed in Table 1.
Structure solution and crystallographic refinement.
The CCP4i interface to the CCP4 suite and related software modules
(
4) was used for most of the operations described in this section.
The molecular replacement package AMoRe (
33) was used to solve
the structures. X-ray data within 8.0 to 3.0 Å were used
for structure solution by employing a Patterson radius of 25
Å. An inhibitor-protease complex obtained from the Protein
Data Bank (PDB code 1MTR) (
27) was used as the search model.
The molecular replacement solutions had typical correlation
function and
R values of 78 to 81 and 29 to 31%, respectively.
After structure solutions were obtained, Refmac5 (
32) was used
to perform a rigid body refinement of 25 cycles on data to 3.0
Å. Although the
R values for both complexes decreased
slightly, the free
R dropped considerably to just above 30%.
ARP/wARP (
31) was used to improve the initial phases. Graphical
rebuilding was performed with CHAIN (
46), and the substrate
peptides were modeled. The real space refinement package RSREF
(
2) was used to adjust the model to fit the electron density
maps. Repeated rounds of Refmac5 and manual rebuilding were
performed until the refinement converged. The final refinement
statistics are also listed in Table
1.

RESULTS
Overall structure of the complexes.
Two decameric substrate peptides corresponding to the Gag polyprotein
cleavage sites of NC-p1 (ERQAN*FLGKI) and its AP2V mutant (RQVN*FLGKIN)
were crystallized in complex with inactive (D25N) variants of
WT and drug-resistant HIV-1 protease having the V82A mutation
(referred to as
WTNC-p1
WT and
AP2VNC-p1
V82A complexes, respectively).
Although the peptides used for crystallization span a slightly
different region of the cleavage site (P5 to P5' and P4 to P6'),
these differences are likely to have minimal or no effect on
the bound conformation of the substrate. From our previous experience
with to determine substrate complexes with HIV protease (
38,
39,
49), the P5 and P5' residues usually have no contact with
the protease and are often disordered in the electron density.
Thus, the presence or absence of P5 or P6' is unlikely to impact
how the substrate is packed in the active site. The
WTNC-p1
WT and
AP2VNC-p1
V82A complexes were refined to respective resolutions
of 2.1 and 2.0 Å. Their crystallographic statistics are
listed in Table
1. Eight substrate residues (P4 to P4') in the
WTNC-p1
WT complex and all 10 substrate residues (P4 to P6')
in the
AP2VNC-p1
V82A complex were identified from the electron
density maps. The side chains of GlnP3 in both of these complexes
are disordered. Otherwise, residues at P2 to P3' were unambiguously
located within the electron density. The
WTNC-p1
WT complex has
larger temperature factors than the
AP2VNC-p1
V82A complex, with
average overall temperature factors of 40 and 27 Å
2, respectively.
The higher temperature factors in the
WTNC-p1
WT complex could
be due to increased thermal motions, possibly resulting from
a more dynamic fit between the protein and substrate.
As observed in other HIV-1 protease-substrate complexes (40, 51), the substrates exist in an extended ß-strand conformation (Fig. 1). However, a difference between the two complexes is observed in the
and
angles for the P1 and P1' residues that flank the scissile peptide bond (Fig. 1). The
and
angles for the WTNC-p1WT complex are 60° and 34°, respectively, for P1 and 50° and 152°, respectively, for P1', whereas for the AP2VNC-p1V82A complex, they are 72° and 87°, respectively, for P1 and 102° and 143°, respectively, for P1'. These angles are still in the "generally allowed ß-strand region" of the Ramachandran plot (41). Significant shifts are seen in the
angle of P1 (53o) and the
angle of P1' (52o), resulting in a large change in the orientation of the P1 carbonyl oxygen (Fig. 1).
Double difference plots were calculated (
39) in order to elucidate
regions where changes have occurred between the

-carbon backbones
of the
WTNC-p1
WT and
AP2VNC-p1
V82A complexes (Fig.
2a). Double
difference plots allow for comparison of two complexes without
superimposing them and, thus, are unbiased by which residues
are chosen for the superposition. To compute these plots, the
distances between all the C

atoms within each of the complexes
are calculated, and the difference in these C

-C

distances between
the two complexes is mapped as a contour plot. The contour plot
indicates that the P1 loops (Gly78-Asn83) in the two monomers
are more than 1Å farther apart in the
WTNC-p1
WT complex
than in the
AP2VNC-p1
V82A complex (Fig.
2a, box A). Similarly,
the distances between the P1 loops and the flaps within the
monomers are larger in the
WTNC-p1
WT complex (Fig.
2a, boxes
B1 and B2). These two observations suggest that the P1 loops
in the
AP2VNC-p1
V82A complex have moved closer to each other
in response to amino acid modifications at position 82 and at
P2 in the substrate (Fig.
3a). Calculation of the shape complementarity
(
21) between the two substrates and their respective proteases
shows that the complementarity is much better for the
AP2VNC-p1
V82A complex (0.71) than for the
WTNC-p1
WT complex (0.58). Thus,
the AP2V substrate appears to fit more tightly within the V82A
HIV-1 protease than the WT substrate within its protease.
We have previously determined the crystal structures of the
WT and V82A protease variants with three other Gag polyprotein
substrates: MA-CA, CA-p2, and p1-p6 (
39,
40). Based on their
crystallographic statistics, the latter two were chosen for
double difference distance analysis. Only minor changes were
previously observed between these WT and V82A variant structures
(Fig.
2b and c and Fig.
3b and c) (
39). The previous study,
which also analyzed WT and V82A variant protease complexes with
two protease inhibitors (saquinavir and ritonavir) approved
by the Food and Drug Administration, found that Val82 is more
crucial for inhibitor binding than for substrate recognition.
However, the large structural deviations we find in the present
study between the
WTNC-p1
WT and
AP2VNC-p1
V82A complexes, along
with the coevolution of AP2V, implicate Val82 as important for
the recognition of the NC-p1 cleavage site.
Hydrogen bonds.
All of the substrate complexes of HIV-1 protease show an extensive network of 12 to 18 hydrogen bonds between the proteases and their respective substrates. This network also exists in the two NC-p1 substrate-protease structures (Table 2). Three hydrogen bonds seen in the AP2VNC-p1V82A structure but not in the WTNC-p1WT complex were compensated by two new hydrogen bonds in the latter. However, the lengths of the hydrogen bonds conserved between the two complexes differ by 0.2 to 0.8 Å, with the hydrogen bonds in the WTNC-p1WT complex almost always being longer. The lengths of the conserved hydrogen bonds in the AP2VNC-p1V82A complex agree well with the average hydrogen bonding distances for corresponding interactions in the other substrate-protease complexes (40) (39) (Table 2). Only two hydrogen bonds in the AP2VNC-p1V82A complex are longer by 0.1 Å, and six others are shorter by 0.2 Å than the average distance. In the WTNC-p1WT complex, on the other hand, the hydrogen bond lengths are generally longer by 0.2 to 0.8 Å from the average hydrogen bond lengths found in the other nine protease-substrate structures. Rearrangement of the
and
angels near the scissile bond in the AP2VNC-p1V82A complex (Fig. 1) may be attributed to improved hydrogen bonding in that structure relative to the WTNC-p1WT complex.
In general, the hydrogen bonds between the substrates and HIV-1
protease involve the peptide backbones (
40,
51). This is also
the case in the NC-p1 complexes, where only one substrate side
chain is involved in hydrogen bonds. AsnP1 ND2 makes a weak
hydrogen bond (3.5 Å) with Gly27 O in the
AP2VNC-p1
V82A complex. This is the only substrate complex structure where
a hydrogen bond is observed between the protease and the side
chain of P1. This hydrogen bond, however, is absent in the
WTNC-p1
WT structure. Although the side chains of ArgP4, GlnP3, and LysP4'
could possibly be making hydrogen bonds, they are disordered
in both complexes and so cannot be observed. Hence, apart from
the lone and weak AsnP1 ND2-Gly27 O hydrogen bond, there appears
to be no stable side chain hydrogen bond in either complex.
In addition to direct substrate-protease hydrogen bonds, water-mediated hydrogen bonds were also examined, as they can be relevant in rational drug design (22). Out of the five water sites conserved among HIV-1 protease complexes (23, 25, 40), only four are observed in the WTNC-p1WT complex (Fig. 4). However, all five of the water molecules are found in the AP2VNC-p1V82A complex. The water molecule that is absent in the WTNC-p1WT complex (Fig. 4, W3) directly mediates substrate backbone (GlnP3 O) with the protease (Gly27 O, Asp29 OD1, and Arg8 NE). Absence of this water bridge, in the WTNC-p1WT complex may be a direct consequence of the poor substrate-protease hydrogen bonding.
In addition to the five conserved water molecules, three other
water molecules stabilize the
AP2VNC-p1
V82A complex. The side
chain of AsnP1 forms a hydrogen bond with W2 (Fig.
4 and Table
3), which itself forms a hydrogen bond with the conserved W3.
W7 mediates interactions between the backbone atoms of Gly48'
(N) and LysP4' (O) in the
AP2VNC-p1
V82A complex. The third water
site, W8, bridges the side chain oxygens of Asp30' with IleP5'N.
Thus, these three additional water molecules appear to further
stabilize the
AP2VNC-p1
V82A complex, whereas the absence of
the W3 water site may be indicative of the higher level of disorder
in the
WTNC-p1
WT complex.
van der Waals interactions.
Both V82A and AP2V mutations involve changes in the size of
their hydrophobic side chains. A detailed examination of the
substrate residues P2 to P2' (GlnP3 is disordered in both complexes
and GlyP3 has no side chain) reveals several rearrangements
in packing between the two complexes. At residue 82, the site
of the protease mutation, packing between PheP1' and residue
82 is lost with the V82A mutation (Fig.
5a and Table
4). For
each substrate residue, the closest van der Waals contact made
by each atom in that residue with the protease atoms was measured,
and an average contact distance was calculated for the residue.
PheP1', which makes four additional van der Waals contacts to
Gly27', Leu23, Pro81, and Val82 in the
WTNC-p1
WT complex is
an average of 0.3Å closer relative to its contact distance
in the
AP2VNC-p1
V82A complex. The remaining substrate side chains
within P2 to P2', AsnP1, ValP2, and LeuP2', are significantly
closer to the protease in the
AP2VNC-p1
V82A complex by 0.5,
0.4, and 0.4 Å, respectively (Fig.
5b and c and Table
4), and make 14, 7, and 10 additional van der Waals contacts,
respectively. These additional contacts occur because of a change
in the conformation of AsnP1 (Fig.
1) that enables it to fit
within the pocket formed by Gly27, Pro81', and Asn25' (Fig.
5c). LeuP2' also changes conformation (Fig.
1) and forms closer
van der Waals contacts with Gly27', Ala28', and Asp30' (Fig.
5c). The two added methyl groups in ValP2 allow it to make new
contacts with Val32 CG2 and Ile50 CD. (However, in the
WTNC-p1
WT complex, the side chain of Ile50 is disordered in the electron
density map.) However, no change is seen in the conformation
of residues Val32, Ile47, and Ile84', which line the corresponding
P2 pocket (Fig.
3a). Thus, except for the PheP1' Val82 interaction,
the overall van der Waals packing in the
AP2VNC-p1
V82A complex
is better than in the
WTNC-p1
WT complex. The loss of contact
from the V82A mutation is compensated by the gain of contacts
throughout the
AP2VNC-p1
V82A complex due to the AP2V substitution,
implicating a subtle balance of interdependency between the
different residues within the substrate. These results support
the previous observation that the P2 substrate site for HIV-1
protease is preferentially a ß-branched amino acid
(
14) and, in particular, a valine (
7).

DISCUSSION
The NC-p1 cleavage site is the rate-determining step in the
processing of the Gag polyprotein (
7,
37,
54). The amino acid
sequence of this site, with an Asn at P1 and an Ala at P2, is
also the least homologous compared with the other HIV-1 protease
substrates sites, which have hydrophobic residues at P1 and
branched residues at P2. If either P1 or P2 is replaced with
Phe, Leu, Met, and Tyr or with Val, respectively, the site is
cleaved more efficiently (
36). Peptide library screens find
that the P2 site within NC-p1 is preferentially a Val (
7). However,
these substitutions are not seen in WT virus, implying that
a more efficient and presumably premature cleavage of this site
may be detrimental to viral maturation (
19,
26,
36).
The NC-p1 cleavage site has been seen to coevolve in response to the V82A drug-resistant mutation in HIV-1 protease, with the Ala residue at P2 mutating to a Val (1, 10, 20, 55). Previous studies on the kinetics of substrate cleavage have shown that this mutation results in the substrate's being cleaved 2.1 times more efficiently (ratios of kcat/Km [mutant substrate/WT substrate]) for the V82A protease variant and 2.6 times more efficiently for WT HIV-1 protease (12). However, despite the enzymatic advantage, the AP2V mutation is not observed in sequences of the WT virus. In this study we have determined the crystal structures of two NC-p1 substrate complexes, the WTNC-p1WT complex and the AP2VNC-p1V82A complex, in order to understand the structural basis for this coevolution. Residue 82 is not in direct van der Waals contact with the P2 site of the substrate, so the coevolution is not as simple as a decrease in the size of one residue corresponding to an increase in the size of a neighboring residue. However, unlike what we have observed in other substrate complexes (CA-p2, MA-CA, and p1-p6), where the substrates make no or minimal contact with Val82 (39), in the WTNC-p1WT complex Val82 does make contact with both AsnP1 and PheP1'. Thus, in comparison with the other WT substrate complexes, residue 82 appears to be more important for recognition of the NC-p1 substrate cleavage site, and when the drug-resistant V82A mutation occurs, the interactions at P1 and P1' are perturbed.
The question remains of why the loss of contact at P1 and P1' would affect the residue at P2. Compared with the other substrate complexes where the P2 residue usually makes van der Waals contacts with protease residues in its surrounding pocket, in the WTNC-p1WT complex, the Ala at P2 is unable to do so. In addition, the hydrogen bonds in the WTNC-p1WT complex (Table 2) between the substrate and the protease are longer than those observed in other substrate complexes. The lack of interactions at the P2 site and the lengthening of the hydrogen bonds possibly indicate that NC-p1 binds in the active site of HIV-1 protease less optimally than in the other substrate cleavage sites.
In the AP2VNC-p1V82A complex, the PheP1' and, to a lesser extent, the AsnP1 lose contact with residue 82. This loss of contact at residue 82 would probably cause the NC-p1 substrate to fit even more poorly within the active site of HIV-1 protease. However, the Val substitution at P2 fills the protease pocket, allowing van der Waals interactions to occur with the surrounding protease residues, thereby apparently stabilizing the conformation of the substrate within the active site. Additional evidence of stabilization is demonstrated in the hydrogen bonding pattern in the AP2VNC-p1V82A complex, which is more comparable, in terms of both the greater numbers of hydrogen bonds and shorter hydrogen bonding distances, to those seen in other substrate complexes (Table 2) than it is to the WTNC-p1WT complex. The ValP2, therefore, appears to compensate for the V82A mutation by restabilizing the NC-p1 substrate site through alternative interactions within the active site cavity. This suggests that for optimal HIV-1 protease recognition of the NC-p1 substrate site, a possible interdependency exists between the P1' and P2 positions. This interdependency thereby accounts for the seemingly unusual coevolution of the NC-p1 substrate site (AP2V) with the V82A drug-resistant mutation within HIV-1 protease. This coevolution is necessary as the HIV-1 protease drug resistant mutation, V82A, directly impacts the recognition and cleavage of the NC-p1 site, a rate-determining step in viral maturation.

ACKNOWLEDGMENTS
We thank Claire Baldwin for assisting with editorial advice.
We also acknowledge Balaji Bhyravbhatla and Luca Leon for technical
support and Mohan Somasundaran and Jared Auclair for useful
discussions. We thank Ronald Swanstrom for critical discussions.
This research was supported by the National Institutes of Health (grant R01-GM64347).

FOOTNOTES
* Corresponding Author. Mailing address: Department of Biochemistry and Molecular Pharmacology, University of Massachusetts Medical School, 364 Plantation St., Worcester, MA 01605-2324. Phone: (508) 856-8008. Fax: (508) 856-6464. E-mail:
Celia.Schiffer{at}umassmed.edu.


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Journal of Virology, November 2004, p. 12446-12454, Vol. 78, No. 22
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.22.12446-12454.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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