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Journal of Virology, February 2004, p. 1195-1201, Vol. 78, No. 3
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.3.1195-1201.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Department of Molecular Genetics & Microbiology, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131
Received 15 August 2003/ Accepted 7 October 2003
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Duck hepatitis B virus (DHBV) and woodchuck hepatitis virus are members of the hepadnavirus family, and DHBV-infected ducks and woodchuck hepatitis virus-infected woodchucks are naturally infected animal models for studying HBV infection (18, 27-29). Viral infection in both the duck and the woodchuck also shows the same age-related outcomes as does HBV infection (3, 6, 8, 9). To understand the mechanisms for the age-related outcomes by HBV infection, we studied the virologic and immunologic distinctions between young ducklings and adolescent ducks infected with DHBV. Our data indicate that early production of neutralizing antibody interrupts virus spread and leads to a transient infection.
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Animals, inoculation, and sample collection. One-day-old Peking ducklings were purchased from Metzer Farms (Redlands, Calif.). Congenitally DHBV-infected ducklings, detected after screening by dot blot (31), were excluded from experiments. Two groups of ducks at different ages were used for DHBV infection: one group was infected at 3 days posthatch (group 1), and the other group was infected at 3 weeks posthatch (group 2). Each 3-day-old and 3-week-old duck was intravenously inoculated with 1 x 108 or 3 x 108 virus particles, respectively, in 0.2-ml volume. In experiment 1, three animals of each group were sacrificed daily to harvest liver tissue for analysis of viral replicative intermediates and histology from day 1 to day 7 postinfection. Two uninfected birds of group 2 were sacrificed at day 7 to serve as controls. Blood samples were drawn daily from each animal until sacrifice. Infection of 3-week-old ducks was repeated in experiment 2. Three transiently infected animals that were sacrificed at day 7 or day 22 postinfection from experiment 2 were included in this study because they provided a large volume of good-quality serum samples for detailed analysis of neutralizing antibody activity.
Antibody staining of viral proteins on liver sections. Sections from paraffin-embedded liver tissue blocks were cut and used for staining of viral pre-S proteins by specific rabbit polyclonal antibodies (Hans Will, Hamburg, Germany). Procedures for immunochemical staining on liver sections were the same as previously published (13).
Assay for neutralizing antibody by blocking infectivity. The neutralizing antibody assay was done with primary duck hepatocyte cultures. Preparation of hepatocyte cultures followed the protocol described previously (22). To determine whether a serum contained neutralizing antibody, an inoculum of 107 virus particles was first mixed with 200 µl of serum and incubated at 37°C for 1 h, then added to primary duck hepatocyte cultures 1 day after plating. The medium was changed daily. Cultures were harvested for DNA extraction at 10 or 11 days postinoculation. Blocking of infectivity was judged by comparing the amount of replicative intermediates in primary duck hepatocyte cultures infected with the standard inoculum incubated either with serum from a naïve duckling or with test serum. For evaluation of inhibition of viral replication, 200 µl of serum was added to primary duck hepatocyte cultures at day 4 postinfection and every second day thereafter, and cultures were harvested at day 12 postinfection for analysis of replicative intermediates.
Depletion of serum immunoglobulins. For immobilization of rabbit anti-duck antibody, 500 µl of protein G-agarose beads (Roche) was mixed with 400 µl of rabbit anti-duck IgG (containing anti-duck IgM activity; Nordic Immunology) or with 120 µl of goat anti-duck IgM (Nordic). The beads were incubated at 4°C overnight, then washed twice with wash buffer (20 mM sodium phosphate, 150 mM sodium chloride, 2 mM EDTA, pH 7.0) to remove unbound antibody. Serum (200 µl) collected at days 1 to 4 postinfection from an animal with a transient infection was added to 250 µl of beads with the immobilized antibody, incubated at room temperature for 1 h, and centrifuged for 1 min in a microcentrifuge. The supernatant was tested for neutralizing activity. Ratios of beads and antibody required for optimum depletion of IgG or IgM were empirically determined.
Assay for precipitation of virus by antibody. Serum (20 µl) was mixed with free viruses equivalent to 6 x 105 genomes in a 20-µl volume, and 60 µl of 10:1 Tris-EDTA (TE) buffer was added to each tube to bring the volume to 100 µl. The mixture was incubated at 4°C overnight followed by microcentrifuge centrifugation for 10 min, and the supernatants and pellets were carefully separated. The pellets were suspended in 400 µl of 10:1 TE buffer containing 0.2% sodium dodecyl sulfate and 300 µl of the same buffer was added to the supernatants. The pellet and supernatant were subjected to the pronase digestion at a concentration of 500 µg/ml for 1 h at 37°C, phenol extraction, and ethanol precipitation. DNA was dissolved in 10 µl of 10:0.1 TE buffer (10 mM Tris-HCl, 0.1 mM EDTA, pH 7.4) for PCR amplification. The detectable viral genomes in the pellet fraction were calculated as fractions of the total viral DNA detected.
Real-time PCR quantitation of viremia in transient infection. For real-time PCR analysis of viremia in transiently infected ducks, DNA was extracted from 20 µl of serum at each time point after pronase digestion (500 µg/ml) in the presence of 0.2% sodium dodecyl sulfate. Then 5 µl of extracted DNA equivalent to 10 µl of serum was mixed with 10 µl of 2x SYBR green supermix (Bio-Rad), primers, and water to make a total of 20 µl. The PCR mix contained a final concentration of 50 mM KCl, 20 mM Tris-HCl, pH 8.4, 200 µM each deoxynucleotide triphosphate, 0.5 unit of iTaq DNA polymerase, 3 mM MgCl2, SYBR Green I, 10 nM fluorescein, and 200 nM each primer.
The sense primer (nucleotide positions 894 to 915: AGG GAC TTT GAC ATG GTC AGG CA) and anti-sense primer (nucleotide positions 1263 to 1238: TTT TAT CAC TGG CAC CGC TGG TTC T) amplified a sequence in the pre-S region of the DHBV 16 genome sequence (17). The PCR amplification cycle consisted of three temperature profiles: denaturation at 95° C for 30 s, annealing at 55° C for 20 s, and elongation at 72° C for 45 s. Distinction of PCR products from primer dimers was made possible by melting curves or, when necessary, by agarose electrophoresis. In order to have accurate standard plasmid controls, the supercoiled plasmid containing the DHBV genome was isolated from an agarose gel and recovered with a commercial gel purification column (Qiagen). The optical density was measured at 260 nm to determine the copy number, and the purified plasmid was linearized by EcoRI cleavage for efficient denaturation.
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FIG. 1. Viremia in DHBV-infected ducks. (A) Viremia in group 1 ducks was determined by dot blot hybridization with a radioactive riboprobe specific for detection of the minus strand. The detection limit was about 107 viral genomes per ml. (B) Viremia of group 2 ducks was assayed by real-time PCR. The detection limit was about 102 genomes per ml. At least three ducks were assayed for each time point.
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FIG. 2. Viral replicative intermediates and antigen-staining cells in livers of DHBV-infected ducks. Three ducks each from group 1 (A) and group 2 (B) were sacrificed at the indicated times postinfection, and replicative intermediates were extracted from the liver. The samples loaded contained a total of 20 µg of cellular RNA, and viral DNA was detected by hybridization with a riboprobe specific for detection of the minus strand. The percent antigen-staining hepatocytes in some of the samples is indicated at the top of the lanes.
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FIG. 3. Immunochemical detection of viral pre-S protein in infected liver. Polyclonal rabbit anti-pre-S was used as the primary antibody and horseradish peroxidase-conjugated goat anti-rabbit IgG was used as the second antibody. Color was developed with diaminobenzidine as the substrate. A representative section for each time point from three animals is shown. Magnification, x400.
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FIG. 4. Assay of neutralizing activity present in sera from transiently infected ducks. Serial serum samples from each of nine animals from group 2 were analyzed for their ability to block infection of primary duck hepatocytes with 107 virus particles. After incubation with 200 µl of serum, the inoculum was added to cultures of primary duck hepatocytes. At 10 days postinfection, viral replicative intermediates were extracted and analyzed by Southern blotting, as described in the legend to Fig. 3. A reduction of replicative intermediates compared with inoculum alone (nil) or inoculum incubated with normal duck serum (-) indicated that neutralizing activity was present.
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We further tested for evidence of neutralizing antibody by determining whether there was available unbound antibody that could aggregate and precipitate free viruses. Virus particles were incubated with serum samples and aggregates were pelleted by microcentrifuge centrifugation. As shown in Fig. 5, serum from a naïve duck failed to precipitate virus particles (7% in the pellet), while serum samples containing virus neutralizing activity as early as day 2 postinfection caused the precipitation of 50 to 90% of added virus.
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FIG. 5. Precipitation of free viruses by unbound antibody. Serial serum samples were collected from a transiently infected 3-week-old duck. Virus particles (5 x 106 genomes) were mixed with serum from each time point, incubated, and subjected to microcentrifugation. DNA in the supernatant and pellet was extracted and assayed by real-time PCR. The fraction of the total virus pelleted is plotted.
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FIG. 6. Loss of neutralizing activity on primary duck hepatocyte following depletion of immunoglobulins. Sera collected from a transiently infected 3-week-old duck at the indicated times were depleted of immunoglobulins as described in Materials and Methods. The depleted sera were assayed for neutralizing activity compared with that present in normal duck serum and whole sera. The data represent the normalized amount of replicative intermediates at day 12 present in primary duck hepatocytes infected with a standard inoculum (4 x 107 viral genomes) incubated with the indicated serum samples. 0, normal duck serum; T, not depleted; M, IgM depleted; M/G, IgM and IgG depleted.
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TABLE 1. Titration of neutralizing activity of serial serum samplesa
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FIG. 7. Blocking activity in serum is due to virus neutralization alone. The abilities of serum samples to block infection when added to the virus inoculum (filled bars) or to the cells 4 days after infection (open bars) were compared. Serial serum samples (200 µl) from 3-week-old ducks with transient infections were incubated with a standard inoculum (107 genomes) before infection of primary duck hepatocytes. In parallel, the same serum samples were added to cultures at day 4 postinfection with the standard inoculum, and the serum plus medium was renewed every second day for 8 days. Cells were harvested at day 12, and replicative intermediates were assayed by Southern blot hybridization and phosphorimaging. The values plotted are arbitrary units.
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We demonstrated that the interruption in the spread of infection was accompanied by the appearance of neutralizing activity in the serum and that the neutralizing activity could be removed from the serum by depletion of IgG and IgM. In most cases, the neutralizing activity (sufficient to neutralize 107 viral genomes) was in excess of the concentration of virus in the serum (103 to 105 viral genomes) of the infected ducks by several orders of magnitude. Virus particles added to serum samples containing neutralizing activity but not to normal duck serum were aggregated and precipitated by low-speed centrifugation, consistent with the presence of specific antibody. Finally, neutralizing activity in the serum acted on the virus rather than the cells, since there was no effect on subsequent virus replication of treated cells with serum samples either before (not shown) or after exposure to the inoculum.
Jilbert et al. previously reported the dose dependence of the outcome of DHBV infection in young and adult ducks: lower doses of virus resulted in a low-level transient infection without detectable viremia, while higher doses produced viremia with or without chronic infection (8). It was not clear from that study how susceptible adult ducks were to the initial inoculum or whether virus spread in the livers of 1- and 2-week-old ducks was aborted. Comparison of our study with that of Jilbert et al. is problematic because of the large difference in the efficiency of infection of ducks from the suppliers that were used, a difference that has been observed repeatedly (A. R. Jilbert, personal communication). Nevertheless, our result is consistent with that study in that older ducks were more resistant to development of viremia after inoculation than newly hatched ducklings.
In an extension of their findings, our study has shown that the difference in outcome of infection between 3-day-old and 3-week-old ducks was due not to a difference in susceptibility to infection by the inoculum but to a difference in the ability of virus to spread throughout the liver and produce significant viremia. It is possible that if a larger number of cells had been infected by a correspondingly larger inoculum, the amount of virus produced initially would have titrated the ability of the immune system to produce early antibody, allowing spread throughout the liver to occur. Whether such a scenario is responsible for the dose dependence of the outcome of infection reported by Jilbert et al. has not been adequately tested.
We do not know whether the protective antibody production in our experiments was due to stimulation by antigen present in the inoculum, by that produced by the initial population of infected cells, or both. The inoculum, which contained 3 x 108 DNA-containing virus particles, could be expected to contain 1,000-fold more empty viral envelopes that may have constituted a significant antigenic dose. However, even the very low doses used by Jilbert et al. (104 genomes) (A. R. Jilbert, personal communication) produced transient infections without viremia in 2-week-old ducks, suggesting that virus spread may be interrupted by antibody produced in response to the spreading virus itself. Alternatively, virus spread may be prevented by other mechanisms when the infection is initiated by a sufficiently small inoculum.
Despite the relatively large size of our inoculum (108 genomes), injection of 3-day-old ducklings did not result in an antibody response sufficient to interrupt the spread of infection. In our experience, 3-day-old ducklings are generally highly susceptible to infection with as few as 103 virus particles, and the results presented in this study are consistent with the age-related outcome reported by Jilbert et al. (8). The basis for the age-dependent outcome may be related to the delayed appearance of nonmaternal immunoglobulins (15, 24) in the duck until approximately 20 days posthatching. If this delay is associated with an inability of antibody production to be elicited by antigenic stimulation, then the age-related outcome to infection would seem to depend on the age-related ability of the duck to rapidly produce neutralizing antibody.
Although low dose exposures of immunocompetent adults, human or animal, to hepadnaviruses most frequently result in transient infections with no overt antigenemia (5, 22, 25), similar to those studied here, occasionally infection can spread throughout the liver during a course of several weeks or months. In such cases, it seems unlikely that a sufficient neutralizing antibody response would have occurred during this incubation period, since such a response appears capable of arresting the spread of infection, as shown in this study. It may be that under some circumstances, viral envelope antigens released from a small number of infected cells fail to provide any positive stimulation of neutralizing antibody because they are efficiently removed from the circulation by the large number of neighboring uninfected hepatocytes or for other unknown reasons. Alternatively, the spread of infection may be slowed but not prevented by an antibody response that is insufficient in magnitude or specificity, resulting in a prolonged incubation period between exposure and viremia. These possibilities can be tested by examining the rate of spread of infection in a larger number of immunocompetent adult animals.
This project was supported by grant CA84017 from the National Cancer Institute.
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