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Journal of Virology, June 2005, p. 7629-7640, Vol. 79, No. 12
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.12.7629-7640.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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Susan R. Weiss
Department of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Received 29 November 2004/ Accepted 7 February 2005
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Coronavirus spike protein interacts with receptor and is a major target of neutralizing antibodies (15, 16). Coronavirus spike protein is a class I fusion protein that, depending on virus group, strain and cell type, can be cleaved to different extents into two subunits (6, 10). For example, SARS-CoV as well as group I coronaviruses' spikes (human CoV-229E, porcine transmissible gastroenteritis and respiratory virus (TGEV), feline infectious peritonitis virus (FIPV), among others) lack a proteolytic cleavage sequence BBXBB (B stands for basic residue). This sequence is believed to be the recognition site for cleavage by furin like enzymes (10). This proteolytic cleavage signal (RXR/KR) is however present in many other coronavirus S proteins such as some group II coronaviruses (bovine coronavirus (BCV), and some murine coronaviruses (MHV-JHM, MHV-A59, MHV-3) among others). Murine coronavirus A59 strain S protein is synthesized as a 120-kDa precursor, which is cotranslationally glycosylated to a 150-kDa glycoprotein, and processed to a 180-kDa form during transport from the endoplasmic reticulum through the Golgi complex. Later in maturation, S is cleaved into two 90-kDa noncovalently associated subunits, S1 and S2. S1 contains the receptor binding domain (RBD) as well as a hypervariable region (HVR); while S2 is highly conserved, containing features common to many viral fusion proteins, including two heptad repeat domains (HR1 and HR2) as well as a transmembrane domain (6, 14, 44, 50, 52). These domains are believed to be important in viral entry and in the cell-to-cell fusion process (15).
We have previously described mutants of MHV-A59 isolated from persistently infected primary glial cell cultures (17). These mutants had a fusion-delayed phenotype in vitro and were attenuated in vivo. These phenotypes were associated with two amino acids substitutions in the S protein from two independently derived glial cell variants, called B11 and C12 (17). One substitution, (Q159L) lies in the putative RBD of S, and the second substitution (H716D) within the cleavage signal of S (RRAHR). Notably, these in vitro-isolated A59 variants (Q159L-H716D) had an impaired ability to induce hepatitis and replicate in the liver of mice whereas in the brain they replicated to similar titers as wild-type (WT) A59 (23).
Using targeted RNA recombination, we have previously demonstrated that Q159L determined the loss in the ability to induce hepatitis, whereas the H716D cleavage site substitution was associated with the fusion delayed phenotype but not with the lack of hepatotropism of the C12 variant (33). In order to gain a better understanding of the regions within the S gene that may determine the hepatitis phenotype, here we derived hepatotropic revertants of the nonhepatotropic, attenuated, fusion-delayed C12 variant (Q159L-H716D) by in vivo adaptation of C12 through the liver of mice. After 8 in vivo passages of C12 through the livers of C57BL/6 mice, 3 independent virus isolates (hr1, hr2, and hr3) were plaque purified and their phenotypes were confirmed by measuring replication in liver and brain. These in vivo isolated viruses regained the ability to replicate in the liver; subsequently, their spikes genes were sequenced and compared to identify amino acid substitutions that may play a role in determining viral tropism. The amino acid substitutions in hr2 (Q159L-R654H-H716D-E1035D) were selected for additional analysis. Our hypothesis is that one or both of these additional amino acid substitutions (R654H or/and E1035D) are functionally suppressing the detrimental effect of the RBD substitution Q159L, determining a highly hepatotropic phenotype. To test this hypothesis we have generated isogenic recombinant A59 viruses with one or more of the Q159L-R654H-H716D-E1035D substitutions alone or in combination, and examined their ability to produce hepatitis. Surprisingly, neither of the two mutations alone (R654H, E1035D) is associated with the hepatitis revertant phenotype. Our results rather demonstrate that the cleavage signal substitution (H716D) correlates with highly severe hepatitis, which is neutralized by the Q159L mutation, suggesting that the R654H, E1035D substitutions may trigger a conformational change in the hr2 spike protein that overcomes the effects of the RBD substitution Q159L.
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Wild-type MHV strain A59, C12, hepatitis revertant variants, and recombinant viruses were propagated in mouse 17CL.1 cells; plaque assays and plaque purification of recombinants were carried out in L2 cells. C12 variant is an in vitro isolated MHV strain A59 that we previously isolated and characterized (17, 33). MHV-A59 hepatitis revertant variants were isolated through in vivo adaptation of C12 to the livers of C57BL/6 mice, as described below. The helper virus fMHV used in targeted RNA recombination was provided by Paul Masters (Wadsworth Center for Laboratories and Research, New York Sate Department of Health, Albany, NY) and further propagated in our lab as previously described (30). fMHV is a chimeric MHV-A59 strain virus in which the spike gene of the FIPV was introduced by targeted RNA recombination (30). All MHV-A59 isogenic recombinant viruses differing only in specific amino acid substitutions in the spike protein were generated as described below.
Mice and inoculations. Specific-pathogen-free 4- to 5-week-old male C57BL/6 mice were obtained from the National Cancer Institute (National Institutes of Health). All experiments were performed in containment within a biosafety level 2 animal facility and conducted in accordance with the guidelines of the Institutional Animal Care and Use Committee (IACUC) at the University of Pennsylvania.
Generation of spike transcription vectors. To generate vectors for synthesis of MHV-A59 donor RNAs for targeted RNA recombination with specific amino acid substitutions in the spike gene, plasmid pMH54 (provided by Paul Masters) was modified by site-specific PCR mutagenesis and/or restriction enzyme digestion and ligation of spike gene fragments between pMH54 (wild-type A59) and pMH54-hr2 (hr2 spike), as described below. pMH54 contains the MHV-A59 genome, beginning at codon 28 of the hemagglutinin-esterase (HE) gene to the 3' end, allowing the manipulation of all ORFs downstream of the HE gene (S, open reading frames [ORFs] 4, 5a, E, M, and nucleocapsid [N] genes) (30) (Fig. 1). In order to generate pMH54-hr2 plasmid, the spike of hr2 isolate (Q159L-R654H-H716D-E1035D) was amplified by reverse transcription (RT)-PCR. Briefly, RNA isolated from cell lysates of hr2-infected L2 cells was reverse transcribed using Superscript II (Invitrogen, Carlsbad, CA) and random primers using 1 µg of total cellular RNA, as described by the manufacturer. A 2-µl aliquot of the cDNA was amplified with a mix of Tth DNA polymerase (Roche, Indianapolis, IN) and Vent DNA polymerase (New England Biolabs, Beverly, MA) with primers 5'-cgcgaagcttgaatccTAGGGTATATTGGTGATTTTAGATGTATCCC-3' and 5'-gcggatccaagtCCtGcAGgGGCTGTGATAGTCAATCCTCATGAGA-3' using a hot-start long-PCR consisting of one cycle at 94°C for 1 min and at 80°C for 3 min, followed by 30 cycles at 94°C for 30 s, at 50°C for 20 s, at 72°C for 3 min, and at 72°C for 8 min of extension (the lowercase letters in sequence primers correspond to silent modified bases; HindIII-AvrII, and BamHI-SbfI sites are underlined). The resulting PCR product was cloned into TOPO-II vector (Invitrogen) and its sequence was verified by automated sequencing using BigDye Terminator v3.1 cycle sequencing kit (Applied Biosystems, Foster City, CA). The hr2 S gene was then recloned via AvrII (5'-) and SbfI (- 3') into pMH54 to create pMH54-hr2. pMH54-Q159L was generated by AvrII/DraIII digestion of pMH54-hr2, and subsequent recloning into pMH54. pMH54-E1035D, pMH54-R654H-H716D and pMH54-Q159L-E1035D were generated similarly using the BsrgI-MluI and DraIII-XhoI sites, respectively. pMH54-Q159L-R654H-H716D was constructed using the XhoI and SbfI sites of pMH54-hr2. The R654H substitution was generated by two-step PCR mutagenesis using primers 5'-CTGCTAATTATAAGATTG-3' and 5'-CTGAGATGCCGTCTGGCAGTCTCG-3' and primer 5'-CGGCTCTGCTCTATCaTAATAAATTGTAGCTAT-3' (a silent mutation to generate the R654H substitution is underlined); a DraIII-XhoI fragment containing the R654H substitution was subsequently cloned into pMH54 and pMH54-Q159L to generate pMH54-R654H and pMH54-Q159L-R654H, respectively. pMH54-R654H-E1035D and pMH54-Q159L-R654H-E1035D were generated by subcloning of a BsrgI-MluI fragment containing the E1035D substitution into pMH54-R654H and pMH54-Q159L, respectively. pMH54-H716D was constructed as previously described by PCR mutagenesis (24). pMH54-Q159L-H716D-E1035D was generated by DraIII-XhoI digestion of pMH54-H716D, and subcloning into pMH54-Q159L-E1035D. Sequence and restriction analysis was performed using Macvector (Accelrys, San Diego, CA).
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FIG. 1. (A) Schematic of MHV-A59 Spike (S) showing the approximate position of hepatitis revertant hr2 virus amino acid substitutions relative to the receptor binding domain (RBD), cleavage signal, and heptad repeat domains (HR1 and HR2) of S. Spike is cleaved into two 90-kDa noncovalently associated subunits, S1 and S2. S1 contains the receptor binding domain (RBD) and S2 contains amphipathic heptad repeat sequences (HR1 and HR2) important to engage in coiled-coil formation. Q159L lies in the putative RBD of S, H716D within the cleavage signal of S (RRAHR), and E1035D is located in HR1. R654H substitution maps in a region of S in which functional domains have not been yet identified. (B) Scheme of targeted RNA recombination. Feline cells (FCWF) were infected with fMHV, a chimeric recombinant MHV virus expressing the FIPV spike, and then electroporated with pMH54-derived, in vitro transcribed RNA containing the engineered mutations in the spike gene. These infected and eletroporated FCWF cells were overlaid onto murine L2 cells, and recombinants viruses were selected on their ability to infect murine cells (as described in the text).
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Assessment of virus growth in tissue culture. L2 cells were infected with virus at a multiplicity of 1 PFU per cell and incubated for 1 h at 37°C. Subsequently, the cells were washed four times to remove residual unbound virus. Supernatants and cells were harvested at various times after infection for virus titration by plaque assay, as previously described (37). Infectious virus in 1:10 serial dilutions of both cell-associated and released virus from in vitro infected L2 cells, was prepared using DMEM-2% FBS. Virus concentrations were determined as PFU/ml.
Viral virulence. Mice were inoculated intracranially with 10-fold serial dilutions of virus, five mice per dilution. Mice were monitored daily for survival and signs of disease for 21 days after inoculation. Fifty percent lethal dose (LD50) values were calculated using the method of Reed and Muench (43). All assays were performed in at least two independent experiments.
Assessment of viral load in mice. At various times after inoculation, mice were sacrificed and livers, and in some cases brains, were harvested. Organs were weighed, homogenized and stored frozen (80°C) until titered for virus. Virus titers were determined by plaque assay on L2 cell monolayers, as previously described (35). Viral load was determined as PFU per gram of tissue (PFU/g).
Liver histopathology and immunohistochemical staining for MHV antigen. Livers were harvested from infected mice on day 5 postinfection (p.i.), fixed in 10% buffered formalin (Histochoice; Fisher Scientific, Pittsburgh, PA) and embedded in paraffin. Sections of liver were stained with hemotoxylin and eosin (H&E) and examined for morphological evidence of hepatic inflammation and necrosis. Hepatitis was scored as minimal changes (1), mild (2), moderate (3) and severe (4) as previously described (4, 37). Viral antigen was detected using anti-N monoclonal antibody (MAb) 1.16.1 (provided by J. Leibowitz, Texas A&M University) using avidin-horseradish peroxidase complex (ABC) technique (VECTOR, Burlingame, CA) with disaminobenzene chromogen (VECTOR) as previously described (37).
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TABLE 1. Origin, passage history, and phenotype of MHV-A59 WT, in vitro-isolated C12 variant, and in vivo-isolated hepatitis revertant viruses (hr1, hr2, and hr3)
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TABLE 2. Virulence and hepatitis phenotypes of recombinant viruses after i.c and i.h. inoculations
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FIG. 2. Time course of released (A and C) and cell-associated virus (B and D) production in L2 cells cultures. Replication kinetics of viruses with a WT cleavage site are shown in A and B, whereas viruses with the H716D amino acid substitution are depicted in C and D. Released and cell-associated kinetics of recombinant RA59 and Q159L-R654H-H716D-E1035D viruses are shown in all panels (A through D). The C12 isolate (Q159L-H716D) has been previously studied in vitro (17); C12 exhibits released and cell associated kinetics similar to hr2 virus (data not shown). L2 cells were infected in duplicate with recombinant viruses at a multiplicity of infection of 1 PFU/cell. The data shown represent the mean titer of duplicate samples. Two independent recombinant viruses were analyzed. At indicated times, virus titers were determined in cells and culture supernatants by plaque assay in L2 cells.
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In vivo replication in liver and brain after intrahepatic and intracranial virus inoculation. We next assess whether hr2 (parental, nonrecombinant, as well as two independent isogenic recombinants (Rhr2-A, Rhr2-B)) exhibited differences in viral levels in liver and brain compared to A59 as well as to highly hepatotropic viruses previously described by our lab (MHV-2 strain and recombinant Penn98-1) (9) (Fig. 3). We first infected mice with 500 PFU of virus inoculated directly into the liver as previously described (36) and mice were sacrificed at days 1, 3, 5, and 7 p.i. This dose was used as standard because it is the minimum amount of A59 virus required to induce a wild-type hepatitis (36). Our results demonstrated that isogenic A59 recombinant viruses expressing the hr2 spike (Q159L-R654D-H716D-E1035D) (Rhr2-A, Rhr2-B) replicated to similar level as the parental non-recombinant hr2 and to significantly higher titers than RA59, MHV-2 strain, and a recombinant A59 virus expressing the spike of MHV-2 (Penn98-1) (9, 36) (P < 0.05) (Fig. 3A). MHV-2 and Penn98-1 were used as controls as prototypes of viruses with enhanced ability to replicate in the liver and induce hepatitis (36). In contrast, recombinant virus expressing the RBD mutation (Q159L) replicate to a minimal level in the liver (P < 0.05), confirming previous results (33). In order to assess whether hr2 viruses are able to replicate in the liver and the brain after i.c. inoculation to the high titers observed following i.h. inoculation, we inoculated 500 PFU of each virus directly into the brain (i.c.) (Fig. 3B and C). Similar results were obtained after i.c. inoculation: hr2, Rhr2-A, and Rhr-2B titers in liver were as high as those obtained after i.h. inoculation, and significantly higher compared to RA59 and Penn98-1 (P < 0.05), while Q159L recombinant virus titers were significantly lower (P < 0.05). Of note, virus titers in brain were similar among all viruses (hr2 parental, and recombinants Rhr2-A and Rhr2-B, Q159L, RA59, and Penn98-1) and no significant differences were observed (Fig. 3C). This finding suggests that more extensive replication observed with hr2 is specific for the liver. In addition, after i.c. inoculation the Q159L recombinant virus replicated in the brain to levels similar to A59 (Fig. 3C), demonstrating that although Q159L virus is not able to replicate efficiently in the liver, it has a wild-type A59 phenotype in the brain (33, 34).
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FIG. 3. (A) Viral load in liver of C57BL/6 mice at 1, 3, 5, and 7 days p.i. after i.h. inoculation with 500 PFU of parental hr2 virus as well as recombinant viruses Rhr2-A, Rhr2-B, Q159L, and RA59. The highly hepatotropic MHV-2 (parental virus) and a recombinant A59 expressing the spike of MHV-2 (Penn98-1) were used as controls. Viral titers were determined by plaque assay and are presented as log10 PFU/g of liver. Errors bars represents logarithmic standard deviation. The limit of detection was 200 PFU/g of liver. Five mice per day per virus were examined. Viruses expressing the hr2 spike (hr2 parental, and recombinants Rhr2-A, Rhr2-B) exhibited significant higher viral load in the liver of mice (P < 0.05). Viral load in liver (B), and brain (C) at 1, 3, 5, and 7 days p.i. from mice inoculated intracranially with 500 PFU of the above viruses. Parental and recombinant hr2 viruses exhibited higher viral titers in liver (B) than in brain (C) after i.c. inoculation (P < 0.05). No significant differences in viral titers among viruses were observed in the brain (C).
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H716D substitution is necessary and sufficient to induce high viral loads in the liver and severe hepatitis. Figure 4 shows viral replication titers in the liver and histopathological analysis (Table 3) at day 5 p.i. after direct inoculation into the liver with recombinant viruses depicted in Table 2. Because the C12 isolate (Q159L-H716D) did not induce hepatitis and replicated to a minimal extent in the liver, in contrast to the hr2 mutant Q159L-R654H-H716D-E1035D, it was reasonable to argue that either of the substitutions (R654H or E1035D) that appeared in hr2 spike might be responsible for the highly hepatotropic hr2 phenotype. However, our data demonstrated that R654H and E1035D substitutions, when expressed by recombinant viruses either in combination (R654H-E1035D) or alone (R654H and E1035D) exhibited a WT A59 phenotype in the liver. Furthermore, R654H or E1035D substitutions, alone or together, were not determinants for severe hepatitis (R654H-E1035D, R654H and E1035D viruses were similar to RA59), although they did play a role in the context of the hr2 spike. Interestingly, R654H seemed to play a more dominant role than E1035D in the presence of the two C12 mutations (Q159L-R654H-H716D compared to Q159L-H716D-E1035D, P < 0.05). We also noted that H716D correlated with increased liver titers in mice infected with recombinants expressing all combinations of amino acid substitutions except when paired with Q159L, as occurred in the original C12 virus. In fact, the RBD mutation (Q159L) is dominant over both the cleavage site (H716D) mutation (Q159L-H716D compared to H716D virus) and R654H (Q159L-R654H compared to R654H). As seen in Fig. 4A, the Q159L-R654H-H716D virus could partially reverse the attenuating affects of Q159L. This virus exhibited similar high viral load compared to hr2, whereas it had an intermediate hepatitis phenotype between A59 and hr2 viruses (Table 3). This finding demonstrates that the lack of hepatotropism caused by the Q159L mutation is somewhat overcome with R654H-H716D substitutions in combination, but neither amino acid substitution alone was sufficient to induce lethal hepatitis. Finally, the E1035D substitution eliminates the Q159L phenotype, changing the nonhepatotropic Q159L phenotype to a WT A59 phenotype. This effect was observed in viruses Q159L-R654H-E1035D, Q159L-H716D-E1035D, and Q159L-E1035D (compared to Q159L-R654H, Q159L-H716D, and Q159L, respectively).
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FIG. 4. Viral load in liver of C57BL/6 mice at 5 day p.i. after intrahepatic inoculation with 500 PFU of recombinant viruses RA59, Q159L-H716D, Q159L-R654H-H716D-E1035D, Q159L-R654H-H716D, Q159L-H716D-E1035D, Q159L-R654H-E1035D, Q159L-E1035D, R654H-E1035D, Q159L-R654H, R654H-H716D, Q159L, R654H, E1035D, and H716D. Viral titers were determined by plaque assay and are presented as log10 PFU/g of liver. The limit of detection was 200 PFU/g of liver. Ten mice were examined per virus, and two independent recombinant viruses were evaluated (only results from one independent recombinant per virus are shown).
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TABLE 3. Viral-induced histopathology in the livera
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FIG. 5. (A) Susceptibility of C57BL/6 mice to recombinant H716D virus infection after i.c. (), as well as i.h. ( ) inoculations. Survival curves were determined as described in the text. (B) Viral load in liver and brain of mice inoculated after i.h and. i.c. inoculations with two independent recombinant H716D viruses (R# A, R# B).
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FIG. 6. Immunohistochemistry of liver sections of C57BL/6 mice infected with the recombinant viruses and mock-infected control, at day 5 p.i. MHV was detected by immunolabeling with a MAb against the N protein of MHV as described in the text. Viral antigen always colocalized with necrotic areas. No signs of viral antigen were found in a mock-infected control. Magnification, x100.
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We have previously demonstrated (33) and confirmed in this study, that the RBD Q159L substitution alone is sufficient to abolish hepatitis and is associated with minimal viral loads in the liver. Surprisingly, here we found that neither the R654H nor the E1035D substitution, alone or in combination, determine the hypervirulent hepatitis revertant phenotype. Our findings rather suggest that the R654H and E1035D substitutions may trigger a conformational change in S protein that overcomes the detrimental effects of the RBD substitution Q159L. This data is surprising because both changes (R654H and E1035D) are conservative, although R and H amino acids have very different shapes. It is interesting to note that in the context of the RBD Q159L substitution, neither the cleavage signal (H716D) nor R654H substitutions alone were able to compensate for the lack of hepatotropism determined by Q159L. However, recombinant viruses expressing the spike Q159L-E1035D induced a WT A59-like phenotype, demonstrating that the E1035D substitution may overcome the lack of hepatotropism of Q159L, albeit E1035D alone does not confer lethal hepatitis. The revertant hepatotropic phenotype associated with the E1035D amino acid substitution was also observed in the context of the nonhepatotropic Q159L-R654H, and Q159L-H716D spikes since recombinant viruses Q159L-R654H-E1035D and Q159L-H716D-E1035D induced a WT A59-like phenotype. Same site revertants L159Q were never isolated. On the contrary, viruses with the four mutations were selected in vivo for rather than a wild-type virus in which the Q159L mutation alone had been corrected.
Notably, our results demonstrate that the cleavage signal substitution alone (H716D) or in the context of the R654H substitution (R654H-H716D) correlates with increased virus load and spread in the liver, inducing lethal hepatitis to the same extent as the hr2 isolate (Q159L-R654H-H716D-E1035D). It must be emphasized that hr2, and R654H-H716D viruses were hypervirulent irrespective of the site of inoculation (i.c. or i.h.). In contrast, recombinant H716D viruses induced lethal hepatitis only after direct inoculation in the liver, causing a WT A59-like phenotype after i.c. inoculation. This finding was confirmed in multiple independent experiments using two independent recombinant H716D viruses, suggesting that the cleavage site substitution H716D may interfere with the spread of the virus from the brain to the liver. We have previously observed this phenomena with some other A59 in vitro isolates (23). The mechanisms of coronavirus trafficking between organs of a single infected host have not yet been investigated. One possible explanation for the differences in pathogenesis induced by recombinant H716D viruses after i.c and i.h. inoculations is that the stability of the virus in blood may be impaired due to factors yet to be defined. We have not performed virus stability studies, but we have observed that in cell culture recombinant H716D viruses exhibited similar levels of cell-associated virus compared to WT A59, but highly reduced levels of virus released (Fig. 2). This result might suggest that H716D virus is less stable than WT A59. Curiously, H716D virus is found in the brain after i.h. inoculation (Fig. 5). We have observed this phenomena with hr2 parental and recombinant viruses (Rhr2-A and -B), as well as other highly hepatotropic viruses (MHV-2 and Penn-98) (data not shown). These findings do not contradict the fact that in general, mice do not develop CNS disease after i.h. inoculation. Rather it reflects the fact that mice inoculated with highly hepatotropic viruses directly into the liver, succumb to infection shortly after inoculation (2 to 6 days, depending on virus strain). Consequently, at 5 days p.i. (peak of virus replication) mice are usually moribund and blood-brain barrier is likely damaged allowing virus entry into the CNS.
Our findings suggest that conformation of the spike is a key determinant of pathogenesis. A complicating factor in the interpretation of our data is that no crystal structure has been determined for the S protein of any coronavirus. However, by comparison with other class I viral fusion glycoprotein's, murine coronavirus spike proteins consist of an N-terminal receptor binding domain within the S1 subunit followed by an exposed protease cleavage site, a fusion domain containing several heptad repeats, and transmembrane and cytoplasm domains, all within the S2 subunit (5, 6, 15). Domains responsible for the receptor binding activity of some coronaviruses have been identified (7, 54, 56, 57). In the case of MHV, amino acids 1-330 of S comprise the minimal RBD for virus receptor in vitro and in vivo (29, 52). The Q159L substitution, which maps in the RBD domain of S, seems to play a key role in determining the lack of hepatotropism in vivo. Curiously, the Q159L substitution does not affect the phenotype in the brain nor the in vitro replication kinetics compared to WT A59. This may reflect differences in the interaction of S with the receptor in the liver versus the brain. Murine CEACAM1a (a member of the carcinoembryonic antigen family of cell adhesion molecules) is the main virus receptor. The mouse genome contains two CEACAM-like genes (CEACAM1 and CEACAM2) and murine CEACAM1 is expressed as allelic glycoproteins (CEACAM1a and CEACAM1b). Hemmila et al. (21) have recently generated two mouse strains that have a complete ablation of the CEACAM1a proteins. These CEACAM1a/ mice are fully resistant to MHV-A59 infection, suggesting that CEACAM1a is the only receptor for MHV-A59 in C57BL/6 mice. Taking together, it seems likely that MHV may interact in the liver with still undefined coreceptors. Ontiveros et al. (40)., have recently demonstrated that a serine-to-glycine change at position 310 of the neurotropic JHM strain spike is associated with increased lateral spread in the CNS, higher viral load and neurovirulence. Although S310G was not isolated in vivo, these results highlight that the putative RBD is also a determinant of neuropathogenesis.
All three revertants isolated after in vivo adaptation in the liver of mice contained the same amino acid substitution E1035D in the heptad repeat domain 1 (Fig. 1; Table 1). We have compared the S sequences obtained after in vivo adaptation to published S sequences of other MHV strains (MHV-2, MHV-3, MHV-JHM, MHV-4, MHV-S) (data not shown). It is intriguing that all of these MHV strains sequences that we have analyzed contain aspartic acid (D) at position 1035, whereas MHV-A59 strain has glutamic acid (E). Thus, E1035D is an amino acid substitution in the context of the A59 strain, but it is WT compared with other MHV strains. Although recombinant viruses with the E1035D substitution alone exhibit a WT A59-like phenotype, our results also demonstrate that the E1035D substitution may overcome the lack of hepatotropism induced by Q159L (Fig. 4 and 6). It is likely that the heptad repeat domain E1035D amino acid substitution, albeit a conservative change, may compensate for Q159L in S1 by affecting the conformation of S. In support of this suggestion, Grosse and Sidell (18), have reported that monoclonal antibody (MAb)-resistant mutants of a MAb with specificity for an epitope in S1 had point mutations which mapped adjacent to the second heptad repeat domain. This may also suggest that the proper spatial arrangement of the S1 and S2 subunits is crucial for the biologic functions of the S protein. In addition, we have also demonstrated that the RBD and the rest of the spike must coevolve to optimize function in viral entry and spread (55).
The R654H substitution maps in a region of S in which functional domains have not been yet identified. It is intriguing that whereas R654H alone exhibited a WT A59-like phenotype, and did not affect the lack of hepatotropism caused by Q159L (recombinant virus Q159L-R654H had the same phenotype as Q159L), in the context of Q159L-H716D it was able to overcome the nonhepatotropic phenotype of Q159L-H716D virus to levels somewhat intermediate between A59 and hr2 viruses.
The relationship between cleavage and fusion differs among coronaviruses, and even among MHV strains. Spike-induced cell-cell fusion does not have an absolute requirement for cleavage of S. For MHV-A59, the kinetics of fusion of infected cells is enhanced by cleavage of the spike protein (5, 51). In cell culture, the amino acid substitution in the cleavage site of A59 spike (H716D) reduce (but never completely prevented) the amount of S protein cleavage compared to WT A59 spike (10, 24). We have reported a lack of cleavage of WT MHV-A59 strain spike protein in virions present in liver homogenates of infected C57BL/6 mice (25); in contrast, in continuously cultured L2 cells A59 spike is cleaved (17). This finding suggested that in the liver, spike-mediated cell fusion may not play a role in virulence. In addition, we have recently demonstrated that there is no correlation between ability to induce cell-to-cell fusion in vitro and ability to cause disease in vivo (24). The process by which viruses spread from cell to cell may be mechanistically different from virus entry into cells, and may require the presence of different cellular surface molecules. It remains to be experimentally determined why the H716D substitution that reduced S cleavage in cell culture causing a fusion-delayed phenotype, correlates with lethal hepatitis, higher viral load and enhanced virus spread in the liver of infected mice.
Like other RNA viruses, coronaviruses exhibit a high potential for variation and adaptation, which is reflected in their serological diversity and capacity to produce persistent infections in host animals as well as in cell culture (3, 8, 47, 49). It was well accepted that coronaviruses exhibit a narrow host range that is determined by the spike protein (26-28, 46, 53). Expression of the receptor of MHV in cells of heterologous, nonpermissive species (such as human (HeLa) and hamster (BHK cells) renders them permissive to infection (12). A change of receptor utilization may be associated with the transition or enhancement in host range of coronaviruses from one species to the other. The origin of SARS-CoV remains unknown. A prominent hypothesis is that SARS-CoV may have a reservoir in another species and have jumped into humans (13). It has been recently reported that the genomes of viruses isolated from civet cats are close in sequence to human isolates (19). Comparison between human and civet cat virus isolates indicates 10 consistent amino acid changes in the spike protein of human and animal isolates (19). Among the differences there are two amino acids substitutions in the heptad repeat domain regions of S (19). Experimental interspecies transfer of MHV was associated with altered receptor usage (3, 22). It has been previously shown that MHV can evolve through high passage persistent infection in tissue culture to have an expanded host range (2, 3, 45, 47). This expanded host range was associated with various amino acids substitutions in the spike protein (46, 53). In order to assess whether the highly virulent hr2 isolate may exhibit expanded host range, we performed in vitro infections of human embryonic kidney cell (293T), human ovarian carcinoma (HeLa), feline whole fetus (FCWF), and baby hamster kidney BHK-21 cells. These cells are known to lack the MHV receptor (mCEACAM1). These experiments (data not shown), suggested that the hr2 isolate was not able to infect cells lacking the mCEACAM molecule (at least in the cells tested), and in addition, that hr2 does not have the ability to exploit other surface molecules present in these particular cells to initiate infection.
Multiple types of genetic modifications may result in alterations of virus cell tropism and virulence, leading to broad host range and differences in pathogenesis (48). Despite the quasispecies nature of RNA viruses, tolerable changes in the viral envelope proteins are constrained by the need to interact with a certain receptor (1). Single amino acid substitutions in surface or capsid viral proteins have been identified to affect receptor recognition, cellular tropism, and pathogenesis. We as well as may others have previously addressed the role of the spike in coronavirus pathogenesis (reviewed in references 38 and 39). To our knowledge, our findings demonstrate for the first time that coronaviruses may rapidly evolve in vivo into lethal phenotypes by functional compensation of a detrimental amino acid substitution in the receptor binding domain of the Spike glycoprotein.
We are grateful to Paul Masters for the donor plasmid pMH54 and the helper virus fMHV and Julian Leibowitz for providing MAb clone 1-16-1.
Present address: Department of Pathology, Microbiology and Immunology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pa. ![]()
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