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Journal of Virology, December 2005, p. 14909-14922, Vol. 79, No. 23
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.23.14909-14922.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7435,1 Department of Microbiology and Immunology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7290,2 Carolina Vaccine Institute, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7290,3 Department of Microbiology and Immunology and Department of Pediatrics, Vanderbilt University, Nashville, Tennessee4
Received 10 July 2005/ Accepted 1 September 2005
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774 deaths reported worldwide before intervention strategies contained the further spread of this pathogen, mortality rates exceeded 50% in elderly populations. Survivors display long-term lung and cardiac complications (24, 44). In comparison to other known human coronaviruses, SARS-CoV infection is highly pathogenic and the genetic factors responsible for the increased virulence of the SARS-CoV are not known. Obviously, identifying alleles that influence pathogenic outcomes provides a rational approach for the development of attenuated SARS-CoV strains, either for use in laboratory settings or as seed stocks for live- or killed-virus vaccines. Human coronaviruses, members of the Nidovirus order, have been divided into several genogroups (7). The group I coronaviruses include human coronavirus 229E (HCV-229E), which is typically associated with the common cold. A second group I coronavirus, HCV-NL63, causes more severe lower respiratory tract disease in infants, children, and adults, worldwide (18, 64), and may also be associated with Kawasaki disease (16). The group II human coronaviruses include HCV-OC43, which has typically been associated with common colds in winter and occasional lower respiratory tract infections in children and adults, and the recently described HKU1, which was identified in two adults with pneumonia (68). However, the overall epidemiology and severity of HKU1 infection in humans remains undefined. Phylogenetic analyses have suggested that SARS-CoV either represents the prototype group IV coronavirus or can be classified as an early split-off of group II (36, 48, 54). SARS-CoV-like viruses have been isolated from civet cats, raccoon dogs, and pigs, but the civet cat is a likely reservoir (22). Molecular evolutionary studies on isolates obtained from different stages in the outbreak have implicated changes in open reading frame 1a (ORF1a), the spike (S) glycoprotein, and various group-specific ORFs (ORF3a and ORF8) as being associated with increased virulence, transmission, and pathogenicity during the epidemic (9). In civet cats and early-stage human isolates, ORF8 is encoded as a single contiguous ORF, while in middle/late-phase epidemic, strains contain a 29-nucleotide (nt) deletion that produces two ORFs, designated ORF8a and ORF8b (22).
The SARS-CoV virion contains a single-stranded, positive-polarity, 29,700-nucleotide-long RNA genome bound by the nucleocapsid (N) protein. The capsid is surrounded by a lipid bilayer containing at least three structural proteins, designated S, M, and E. The 180-kDa S glycoprotein interacts with an angiotensin-2-converting enzyme receptor to mediate entry into cells (70). In addition to the 23-kDa M glycoprotein, the E protein may be essential for efficient virion production (39). The SARS-CoV genome contains nine ORFs, the first of which encodes the viral replicase proteins required for subgenomic- and genome length RNA synthesis and virus replication (36, 48, 50). Based on studies with other coronaviruses, it is likely that SARS-CoV uses transcription attenuation to synthesize both full-length and subgenomic-length negative-strand RNAs containing antileader sequences, which then function as the templates for the synthesis of like-sized mRNAs (5, 51, 52). ORFs 2 through 8 are encoded in seven subgenomic mRNAs synthesized as a nested set of 3' coterminal molecules in which the leader RNA sequences, encoded at the 5' end of the genome, are joined to body sequences at distinct transcription regulatory sequences which contain a highly conserved consensus sequence (CS) (54, 63, 74). The SARS-CoV CS is ACGAAC (36, 48, 54, 63, 74). The virion structural genes S, E, M, and N are encoded in mRNA transcripts 2, 4, 5, and 9, respectively, while the group-specific ORFs are encoded on mRNAs 3, 6, 7, 8, and 9. Interspaced among the SARS-CoV structural genes are group-specific genes, ORF3a/b, ORF6, ORF7a/b, ORF8a/b, and ORF9b, which are not conserved in other coronaviruses and whose functions in replication and pathogenesis are generally unknown (36, 48, 54). Among these, ORF3a localizes in rough endoplasmic reticulum (rER)/Golgi compartments, interacts with the S and M glycoproteins, and is incorporated into virions, suggesting that it may function in virion maturation and release (28). However, group-specific ORFs from other coronaviruses like mouse hepatitis virus (MHV), feline infectious peritonitis virus (FIPV), and transmissible gastroenteritis virus (TGEV) are not essential for efficient in vitro replication (12, 13, 66) but often attenuate virulence in vivo (12, 13, 23). The development of a molecular clone for the SARS-CoV provides a useful tool to study the role of the SARS-CoV group-specific ORFs in replication and pathogenesis (74).
A relevant animal disease model for SARS-CoV pathogenesis has been difficult to identify. A variety of animal models for SARS-CoV have been reported, and infection is associated with mild acute disease in the macaque, ferret, cat, BALB/c and C57BL/6 mice, and hamster with little, if any, mortality (19, 21, 37, 38, 46, 49, 56, 65). Animal models reminiscent of late-stage human diseases have not been established. In young BALB/c mice, peak virus replication occurred on day 2 with virus clearance in a week in the absence of any clinical disease or pathological lesions. Viral antigen and RNA were detected in bronchiolar epithelial cells (56). With a molecular cDNA clone of the SARS-CoV genome, we systematically deleted several of the group-specific ORFs of the SARS-CoV genome and engineered recombinant viruses encoding a full-length ORF8. Here, we describe the replication kinetics and phenotype of these mutants in vitro and in BALB/c mice. Our data indicate that the SARS-CoV group-specific ORF3a, ORF3b, ORF6, ORF7a, and ORF7a/b can be deleted singly or in combination and that ORF8a and ORF8b can be joined into a full-length ORF8 with minimal impact on the kinetics of virus replication in vitro and in vivo. The development of a more relevant animal model for discerning the role of the group-specific ORFs in virulence and pathogenesis is likely needed.
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Construction of recombinant viruses.
Software programs were used to design primer pairs for the systematic removal of the various group-specific ORFs. Briefly, to delete the N-terminal one-half of ORF3a, sense and antisense primer sets #44 (5'-TGATCCTCTGCAACCTGAGC-3') and SARS Mu1 (5'-ATCGATGGCGCGCCCACCTGCTAAGTTCGTTTATGTGTAATGTAATTTG-3') and primer sets #3'-X5 (5'-TTAATTAATTAATTTGTTCGTTTATTTAAAACAACA-3') and SARS Mu2 (5'-GGCGCGCCATCGATTTAATTAAGGAAGTGCAAATCCAAGAACCC-3') were used to amplify products flanking nucleotides 25,297 and 25,686, respectively, in the SARS-CoV genome. PCR products were digested with AarI and subcloned by TA cloning into pTOPO-PCR XL for sequencing. Amplicons containing the correct sequence were digested with Swa1 and NdeI and ligated into SwaI-NdeI-digested SARS F subclone, systematically removing nucleotides 25,297 through 25,686 and introducing a multiple cloning site at
25,296 containing an AarI, AscI, ClaI, and PacI site. To delete ORF3a/b, the #44/Mu1 amplicon was ligated with an amplicon generated with #3'-X5 and SARS Mu3 (5'-CACCTGCTAAACGAACTTATGTACTCATTCGTTTCGG-3'). These PCR products were digested with AarI, ligated, and subcloned by TA cloning to pTOPO PCR-XL for sequencing. Amplicons were digested with SwaI and NdeI and introduced back into the SwaI-NdeI-digested SARS F subclone, systematically deleting nucleotides 25,297 through 26,142 in the SARS-CoV genome. To delete ORF6, sense and antisense primer sets #44 and SARS Mu4 (5'-CACCTGCCATGTTCGTTCTGTTGTCACTTACTGTACTAGC-3') and SARS Mu5 (5'-CACCTGCAAAACGAACATGAAAATTATTCTCTTCCTGAC-3') and 3'-X5 were used to amplify products flanking nucleotides 27,103 and 27,266, respectively. The PCR products were digested with AarI, ligated, and subcloned into pTOPO PCR-XL vectors for sequencing. The SwaI-NdeI fragment containing the 192-bp deletion (nucleotides 27,102 through 27,293) of ORF6 was subcloned into SARS F as described previously. To delete ORF7a/b, primer sets #47 (5'-GTGCTTGCTGTTGTCTACAG-3') and SARS Mu6 (5'-ATCGATCACCTGCCATGTTCGTTTTATGGATAATCTAACTCCATAGGTTC-3') and SARS Mu7 (5'-ATCGATTTAATTAAGAGCTCACTTTAATTGACTTCTATTTGTG-3') and SARS Ng1() (5'-CTTTGCTCTCAAGCTGGTTC-3') were used to generate amplicons flanking nucleotides 27,304 through 27,671 in the SARS-CoV genome. The amplicons were digested with Aar1, subcloned, and sequenced. An AvrII-cut amplicon was purified and ligated back into the SARS F cDNA clone, systematically deleting nucleotides 27,304 through 27,671 and inserting an AarI, ClaI, and PacI multiple cloning site in the SARS-CoV genome. To generate a recombinant virus encoding the 29 bp that are present in early-stage isolates (SZ16 ORF8), primer pairs #47 and Mu29() (5'-NNNCACCTGCTCAGGTTGGTAACCAGTAGGACAAGGATCTTCAAGCACATGAG-3') and Ng1() and Mu29(+) (5'-CACCTGCTTACCAACCTGAATGGAATATAAGGTACAACACTAGGGGTAATAC-3') were used to amplify cDNAs spanning the 29-nt deletion in SARS-CoV ORF8, systematically introducing 29 nucleotides from the SZ16 ORF8. The two PCR fragments were digested with AarI, ligated, and cloned into TA cloning vectors. Following sequence analysis, the full-length ORF8 was inserted into the SARS F clone by using AvrII sites.
Assembly of full-length cDNAs. The SARS A through F inserts were digested, separated through 0.8% agarose gels, visualized with a Darkreader Lightbox (Claire Chemical), excised, and purified using the QIAEX II DNA purification kit. The SARS A+B, C+D, and E+F fragments were ligated overnight and the products isolated (73, 74). The SARS A+B, C+D, and E+F fragments were ligated overnight at 4°C, phenol-chloroform extracted, and precipitated in isopropyl alcohol. Full-length transcripts were generated in vitro as described by the manufacturer (mMessage mMachine; Ambion) with certain modifications. To produce full-length capped SARS N gene transcripts, 1 µg of plasmid DNA encoding the SARS N gene was PCR amplified using forward primer (5'-NNGGCCTCGATGGCCATTTAGGTGACACTATAGATGTCTGATAATGGA CCCCAATC-3') and reverse primer (5'-NNNTTTTTTTTTTTTTTTTTTTTTTTTTTATGCCTGAGTTGAATCAGCAG-3') and the amplicons purified from gels. Full-length, polyadenylated N gene transcripts were transcribed by SP6 RNA polymerase with a 2:1 ratio of cap analog to GTP (Ambion, Austin, TX), mixed with full-length transcripts, and electroporated into cells as described in the next section.
Transfection of full-length transcripts. RNA transcripts were added to 800 µl of the Vero E6 cell suspension (8.0 x 106) in an electroporation cuvette, and four electrical pulses of 450 V at 50 µF were given with a Gene Pulser II electroporator (Bio-Rad) similar to protocols previously described by our laboratory (73, 74). The presence of full-length cDNAs and transcripts was verified by separation on agarose gels and visualization by UV light. The transfected Vero cells were seeded in a 75-cm2 flask and incubated at 37°C for 2 days. Viruses were plaque purified in Vero E6 cells and stock grown in 75-cm2 flasks.
PCR amplification of leader-containing transcripts and PCR genotyping. Leader-containing amplicons were obtained from wild-type, icSARS-CoV, and various recombinant-virus-infected cells using primers at the 3' end of the genome (primer 3'; 5'-TTTTTTTTTTTTTTTTTTTTTGTCATTCTCCTAAGAAGC-3') for reverse transcription (RT) and a second set of primers for PCR amplification of the SARS leader RNA sequence (5'-AAAGCCAACCAACCTCGATC-3'). Leader-containing amplicons were excised from gels, subcloned into TOPOII vectors, and sequenced using appropriate primers. Genotyping of wild-type and recombinant SARS-CoV was accomplished using sets of primer pairs spanning different portions of the 3' end of the genome. Positive-sense primers #44, #45, #46, and #50 were used to genotype viruses containing deletions in ORF3a, ORF3b, and ORF6, while primer sets #47, #48, and #51 were used to genotype recombinant viruses containing deletions in ORF7a/b and those encoding a full-length civet cat SZ16 ORF8. For PCR genotyping, antisense primers included either SARS E() or ORF8b() for initial reverse transcription and then PCR amplification of amplicons spanning the various deletion mutations in the SARS-CoV genome.
Northern blot analysis. Cultures of Vero E6 cells were inoculated with the wild-type SARS-CoV Urbani strain and various recombinant viruses at an MOI of 1.0 and incubated for 1 h at 37°C. At 12 h postinfection, intracellular RNA was isolated using RiboPure reagents as directed by the manufacturer (Ambion, Austin, TX). mRNA was isolated using Oliogtex mRNA spin column reagents according to the manufacturer's directions (QIAGEN, Valencia, CA). The mRNA was treated with glyoxal and separated on agarose gels using NorthernMax-Gly according to the manufacturer's directions (Ambion, Austin, TX). The RNA was transferred to a BrightStar-Plus membrane (Ambion) for 4 to 5 h and the RNA cross-linked to the membrane with UV light. The blot was prehybridized and probed with an N-gene-specific oligodeoxynucleotide probe (5'-CTTGACTGCCGCCTCTGCTbTbCCCTbCTbGCb-3'), where biontinylated nucleotides are designated with a superscript b. Blots were hybridized overnight and washed with low- and high-stringency buffers as recommended by the manufacturer. Filters were incubated with streptavidin-AP, washed, and then incubated with the chemiluminescent substrate CDP-STAR. The blots were overlaid with film and developed.
Confocal and fluorescent imaging.
Antiserums were prepared in mice using Venezuelan equine encephalitis (VEE) virus replicon particles (VRPs) expressing either the SARS-CoV S, N, or ORF3a proteins. Consensus sequences of the SARS S glycoprotein, N protein, and ORF3a were inserted into the pVR21 VEE replicon vector by overlapping-extension PCR using the SARS-CoV and VEE-specific primer pairs and PCR conditions previously described by our laboratory (3). VRPs encoding the SARS-CoV S glycoprotein, N protein, or ORF3a protein were produced as previously described. The VRPs were inoculated into the footpads of 4-week-old mice at 0 and 30 days postinfection (priming and booster) and serum harvested
2 weeks postboost (25, 26). The production and characterization of guinea pig antiserum directed against the SARS-CoV replicase nsp8 protein has previously been reported (45).
For fluorescent microscopy, Vero cells were grown on glass coverslips and infected with SARS-CoV or various deletion mutants at an MOI of 5.0 PFU/cell. Cells were infected for 12 h and rinsed with PBS. The infected cells were fixed in ice-cold 100% methanol overnight, washed with PBS, and blocked in PBS containing 5% bovine serum albumin (BSA). Cells were washed with PBS containing 1% BSA, 0.05% NP-40, and 2% normal goat serum and the coverslips incubated with primary antibody diluted 1:1,000 in PBS containing 1% BSA, 0.05% NP-40, and 2% normal goat serum. Secondary antibody was fluorescein isothiocyanate-conjugated anti-mouse antibody diluted 1:1,000 in PBS containing 1% BSA, 0.05% NP-40, and 2% normal goat serum. Coverslips were washed, mounted, and visualized with a Nikon Microphot FXA Upright fluorescence microscope.
Western blot analysis.
Twelve hours postinfection, Urbani, icSARS-CoV, icSARS
ORF3a, and
ORF6 deletion-virus-infected cells were washed in 1x PBS and lysed in buffer containing 20 mM Tris-HCl (pH 7.6), 150 mM NaCl, 0.5% deoxycholine, 1% Nonidet P-40, 0.1% sodium dodecyl sulfate (SDS), and postnuclear supernatants added to an equal volume of 5 mM EDTA and 0.9% SDS, resulting in a final SDS concentration of 0.5%. Samples were then heat inactivated for 30 min at 90°C in the BSL3 laboratory prior to removal. At the BSL2 laboratory, samples were again heat inactivated for 30 min at 90°C before use. Equivalent sample volumes were loaded onto 4 to 20% Criterion gradient gels (Bio-Rad) and transferred to a polyvinylidene difluoride membrane (Bio-Rad). Blots were probed with polyclonal mouse antisera directed against VRP-expressed ORF3a diluted 1:200 and developed using enhanced chemiluminescence reagents (Amersham Biosciences).
To determine whether convalescent human sera could detect the ORF3a protein, equal volumes of lysate from cells infected with VEE-VRP expressing ORF3a were loaded onto 4 to 20% gradient Criterion gels (Bio-Rad) and transferred to a polyvinylidene difluoride membrane (Bio-Rad). Blots were probed with convalescent human serum 1128 diluted 1:2,000 and developed using enhanced chemiluminescence reagents (Amersham Biosciences).
SARS inoculation of mice. Six-week-old female BALB/c mice (Charles River Laboratories) were anesthetized with ketamine (1.3 mg/mouse) mixed with xylazine (0.38 mg/mouse) that was administered by intraperitoneal injection in a 50-µl volume. Each mouse was intranasally inoculated with 50 µl of PBS containing virus at a concentration of 2 x 105 PFU/ml of virus. Five animals were used for each test virus. At two days, the right lung was removed and frozen at 70°C for later determination of viral titers. Half of the left lung was placed into Trizol reagent (Invitrogen) for RNA extraction. The second half of the left lung was fixed in 4% paraformaldehyde in PBS (pH 7.4) for at least 7 days prior to paraffin embedding and sectioning for histopathological analysis (56). For virus titrations, lungs were weighed and homogenized in 4 equivalent volumes of diluent [PBS with 1% FC(II), 1 mM Ca2+, and 1 mM Mg2+] to generate a 20% solution. The cell suspension was centrifuged at 13,000 rpm for 5 min and the clarified supernatant serially diluted in PBS, and 200-µl volumes of each dilution were placed on a monolayer of Vero cells in 60-mm dishes. Following 1-h incubation at room temperature, cells were overlaid with 1% agarose containing complete medium. Two days later, plates were stained with neutral red and the plaques visualized and counted.
Six-week-old female BALB/c mice were also inoculated with wild-type Urbani or icSARS-CoV SZ16 ORF8 as previously described. Groups of four animals were sacrificed on days 2, 4, and 7 as described earlier to determine if the incorporation of a full-length ORF8 was associated with increased pathogenesis or persistence. As described earlier, lungs were weighed and homogenized in four volumes of diluent and titered by plaque assays as previously described.
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ORF3a/b) and ORF3a/b and ORF 6 (icSARS
ORF3&6) was also constructed. Genome organization of the mutants is shown in Fig. 1. SARS-CoV F subclones encoding the various deletions were confirmed by sequencing. The inserts were isolated after digestion with restriction endonucleases BglI and Not1 and ligated to the SARS-CoV A through E inserts. The full-length cDNA was used as template for in vitro transcription and the RNA electroporated into Vero cells for the recovery of recombinant viruses.
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FIG. 1. Genome organization of SARS-CoV recombinant viruses. The typical genome organization of the SARS-CoV includes a 21-kb replicase encoded in ORF1a and ORF1b; the structural genes S (ORF2), E (ORF4), M (ORF5), and N (ORF9); and the group-specific ORFs 3a (X1), 3b (X2), 6(X3), 7a(X4)/b, 8a/b(X5), and 9b. Among SARS-CoV isolates obtained from animals or early-phase human cases, ORF8a/b is fused into a single contiguous ORF8 by the presence of 29 nucleotides that are deleted in middle/late-phase epidemic strains like Urbani and Tor-2. As described in the Materials and Methods, various SARS-CoV group-specific ORFs were deleted, either individually or in combinations. The icSARS-CoV ORF3a lacks ORF3a, icSARS-CoV ORF6 lacks ORF6, and icSARS-CoV ORF7a/b lacks ORF7a/b, while icSARS-CoV ORF3a/b and icSARS-CoV ORF3&6 lack ORF3a/b and ORF3a/b/ORF6, respectively. The recombinant virus icSARS-CoV SZ16 ORF8 contains a full-length ORF8, produced by the insertion of the 29 nt that are present in animal and early-phase human cases that fuses ORF8a and-8b into a single ORF. Recombinant cDNAs containing the group-specific ORF deletions or insertions were confirmed by sequence analysis and used to assemble full-length cDNAs for the recovery of recombinant SARS-CoV. TRS, transcription regulatory sequence.
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ORF3a/b, icSARS
ORF3&6). Within 24 to 36 h posttransfection, all transfected cultures displayed clear evidence of SARS-associated cytopathology, cell rounding, and death. Supernatants were harvested and passaged onto fresh cultures, resulting in extensive cytopathology, cell rounding, and death within 36 h postinfection. Plaque purified stocks were obtained, and RT-PCR was used to demonstrate that each recombinant virus contained the appropriate genotype (Fig. 2A and B). PCR products were subcloned and sequenced, providing further verification of each particular deletion or insertion in the recombinant genome (Fig. 2C). Plaque phenotype was similar among the panel of recombinant viruses and wild-type Urbani (data not shown).
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FIG.2. Genotype characterization of recombinant viruses. Cultures of Vero cells were electroporated with full-length transcripts derived from different recombinant full-length cDNAs. Virus progeny were harvested between 24 and 36 h posttransfection and plaque purified and stocks generated for future studies. Cultures of cells were infected with stock viruses and intracellular RNA harvested at 12 h postinfection. Using various primer pairs that span the deletions, recombinant viruses were genotyped by RT-PCR (panels A and B). Primer location and expected sizes of PCR amplicons are shown in panel C. Primer pairs #44, #45, and #46 and SARS CoV E() were used in panel A, while primer pairs #47 and 48 and SARS-CoV ORF8b() were used in panel B. These data confirm that the deletions inserted into the component clones were found in the appropriate recombinant viruses. WT, wild type.
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ORF3a mutant. Consistent with this interpretation, deletion of ORF3a/b resulted in increased virus titers when compared with the ORF3a deletion virus alone, suggesting that the reduction in icSARS-CoV ORF3a virus yields might be associated with increased ORF3b expression resulting from the movement of ORF3b to the 5' end of mRNA 3 (Fig. 3). The most debilitated virus, however, had deletions excising ORF3a/b and ORF6, which displayed about a 1 to 1.5 log reduction in titer when compared with wild-type viruses (Fig. 3). These data indicate that the group-specific ORFs 3a, 3b, 6, 7a, and 7b are not essential for replication in cell culture, similar to earlier reports regarding the roles of group-specific ORFs in the replication of other coronaviruses (12, 13, 71).
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FIG. 3. Recombinant virus growth kinetics. Cultures of Vero, MA104, or human CACO2 cells were inoculated with various recombinant or wild-type viruses at an MOI of 1.0. Samples were taken at the indicated times and virus titers determined by plaque assay in Vero cells. (A) Growth in Vero cells; (B) growth in MA104 cells; (C) growth in CACO2 cells. Symbols: , Urbani SARS-CoV; , icSARS-CoV; , icSARS-CoV ORF3a; , icSARS-CoV ORF3; , icSARS-CoV ORF6; , icSARS-CoV ORF7; , icSARS-CoV ORF3&6.
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FIG. 4. Recombinant virus RNA synthesis. Cultures of Vero cells were infected with various recombinant or wild-type viruses at an MOI of 1.0. Intracellular RNA was isolated as described in the Materials and Methods and separated on 1% agarose gels. The RNA was transferred to a BrightStar-Plus membrane (Ambion) for 4 to 5 h and the RNA cross-linked to the membrane by UV light. The blot was probed with an N-gene-specific oligodeoxynucleotide probe (5'-CTTGACTGCCGCCTCTGCTbTbCCCTbCTbGCb-3'), where biontinylated nucleotides are designated with a superscript b. Blots were hybridized overnight and washed with low- and high-stringency buffers as recommended by the manufacturer (BrightStar BioDetect chemiluminescent detection system; Ambion). Filters were overlaid with film and developed.
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A VEE replicon particle (VRP-ORF3a) expressing SARS ORF3a was constructed and used to infect Vero cells as described in the Materials and Methods. Using the convalescent antiserum from a human patient infected with SARS-CoV (#1128), expression of ORF3a from VRP-ORF3a-infected Vero cells was demonstrated, confirming earlier reports that antiserum from human patients detects ORF3a (Fig. 5A). The VRPs were then used to inoculate mice at 0 and 28 days (prime and boost), and ORF3a-specific antiserum was harvested
2 weeks postboost. Cultures of Vero cells were infected with icSARS-CoV, wild-type Urbani SARS-CoV, icSARS-CoV
ORF3a, and icSARS-CoV
ORF6, and proteins were isolated for Western blot analysis at 12 h postinfection. Proteins were separated on polyacrylamide gels and probed with antiserum raised against ORF3a. As expected, ORF3a was clearly evident as a predominant
30-kDa glycoprotein in Urbani SARS-CoV, icSARS-CoV, and icSARS-CoV
ORF6 deletion-virus-infected cultures but was missing from mock-infected cultures or cultures infected with icSARS-CoV
ORF3a (Fig. 5B). Similar results were noted with the icSARS-CoV ORF3a/b and the icSARS-CoV ORF3&6 deletion mutants. We did not see any major differences in the levels of S glycoprotein or N protein expression (data not shown). The murine ORF3a antiserum did not neutralize Urbani or icSARS-CoV infectivity at a 1:50 or greater concentration. Together, these data demonstrate that several of the accessories' ORFs of SARS-CoV are not essential for in vitro replication.
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FIG. 5. Expression of ORF3a in VRP and recombinant viruses. Vero cells were infected with VRPs encoding the SARS ORF3a (VRP-ORF3a) (A) or with various recombinant or wild-type SARS-CoV (B). The proteins were harvested at 12 h postinfection, separated on polyacrylamide gels, and probed with convalescent human antiserum #1128 from a SARS-CoV-infected patient (A) or antiserum raised from mice inoculated with VRP-ORF3a (B).
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FIG.6. Colocalization of SARS-CoV spike, ORF3a, and nucleocapsid proteins with replicase protein. Cultures of Vero cells were inoculated with wild-type Urbani SARS-CoV and fixed at 6 and 9 h postinfection as described in the Materials and Methods. Antisera against the SARS-CoV S glycoprotein, nucleocapsid, and ORF3a protein were used to determine cell distributions in combination with the SARS-CoV replicase protein, p22, by confocal microscopy as previously described (45). (A) Colocalization and distribution of the SARS-CoV ORF3a and p22 replicase protein at 6 h postinfection. (B) Colocalization and distribution of the SARS-CoV S glycoprotein and p22 replicase protein at 6 h postinfection. (C) Colocalization and distribution of the SARS-CoV nucleocapsid protein and p22 replicase protein at 6 h (top row) and 9 h (bottom row) postinfection.
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3a were fixed and probed with rabbit antiserum directed against S glycoprotein or murine ORF3a antiserum. As expected, ORF3a expression is lacking from the icSARS-CoV
3a mutant (Fig. 7). In agreement with earlier reports, ORF3a primarily localized in rER/Golgi complexes in infected Vero cells but was also present to a lesser extent in other membranes of the cell. Although icSARS-CoV
3a cultures lacked ORF3a proteins, S glycoprotein localization was not markedly altered, retaining the intense punctuate staining in the Golgi apparatus/ER and surface membranes of the cell that are seen in wild-type-infected cells. This result reduces the likelihood that ORF3a chaperones S glycoprotein localization to particular intracellular membrane sites associated with virion maturation and release.
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FIG. 7. Subcellular distribution of S glycoprotein in group-specific ORF deletion viruses. Cultures of Vero cells were inoculated with wild-type Urbani SARS-CoV, icSARS-CoV, or icSARS-CoV ORF3a. At 12 h, the infected cells were fixed in ice-cold 100% methanol overnight, washed with PBS, and blocked in PBS containing 5% BSA. Cells were washed and the coverslips incubated with mouse anti-S or ORF3a antibody diluted 1:1,000 in PBS containing 1% BSA, 0.05% NP-40, and 2% normal goat serum. Secondary antibody was fluorescein isothiocyanate-conjugated anti-mouse antibody diluted 1:1,000 in PBS containing 1% BSA, 0.05% NP-40, and 2% normal goat serum. Coverslips were washed, mounted, and visualized with a Nikon Microphot FXA Upright fluorescence microscope.
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ORF3a, icSARS-CoV
ORF3a/b, icSARS-CoV
ORF6, icSARS-CoV
ORF7a/b, and icSARS-CoV
ORF3&6 recombinant viruses. At 2 days postinfection, the animals were sacrificed and virus titers/g of lung tissue determined by plaque assay (Fig. 8A). These data demonstrate that Urbani and the recombinant viruses replicated to titers of about 1 x 107 PFU/g by 2 days postinfection. The replication of icSARS
ORF3&6 to wild-type levels in vivo differs from the noted reduction in growth seen in in vitro cultures. Mice vaccinated twice at 0 and 28 days with VRPs encoding ORF3a mounted robust immune responses that did not protect against SARS-CoV infection at 4 weeks postboost (data not shown).
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FIG. 8. In vivo replication of recombinant SARS-CoV. Six-week-old BALB/c mice were inoculated intranasally with 50 µl inoculate containing 2 x 105 PFU of wild-type and various recombinant viruses. At 2 days postinfection, the animals were sacrificed and virus titers in the lungs determined by plaque assay (A). To determine if an intact ORF8 alters in vivo pathogenesis in the murine model, a recombinant virus was constructed which included the 29 bp that fuse ORF8a/b into a single contiguous ORF. The recombinant icSARS-CoV civet SZ16 ORF8 virus replicated as efficiently as wild-type virus in Vero cells (B), contained the appropriate 29-bp insertion by RT-PCR genotyping (C), and replicated to similar titers as wild-type virus in BALB/c mice (A). Symbols: , Urbani SARS-CoV; , icSARS-CoV; , icSARS-CoV SZ16 ORF8.
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1 x 107 PFU/g (Fig. 8A). No significant increases in the duration of virus persistence or replication were noted, as icSARS-CoV and icSARS-SZ16 ORF8 titers were nearly identical at similar time points postinfection (mean 6.2 ± 1.0 x 104 on day 4) and were mostly cleared by day 7 in agreement with earlier reports in the literature with wild-type Urbani (
20% of animals had residual virus titers of low 102 PFU/ml) (56). These data suggest that an intact SZ16 ORF8 does not enhance the replication efficiency, duration of replication, or pathology of SARS-CoV in mice, although it is not clear whether this ORF influences pathogenesis in other animal models. Clearly, group-specific ORFs have little impact on in vivo disease in the mouse model. |
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Among the Coronaviridae, the exact function of the group-specific ORFs is unknown. Recombinant MHV, FIPV, and TGEV lacking one or more group-specific ORFs replicate efficiently but are attenuated in vivo (12, 13, 71). Deletion of ORF5a in infectious bronchitis virus also minimally impacts in vitro growth, although in vivo phenotypes have not been reported (71). Among the closely related arteriviruses, deletion of group-specific ORFs as well as several of the minor structural proteins also minimally impacts in vitro growth (67). Products of the group-specific ORFs might disrupt or evade host innate immune responses, encode pro- or antiapoptotic activities, or impact other signaling pathways that might influence disease outcomes, as has been shown with other highly pathogenic viruses (1). Alternatively, the deletion of specific ORFs might subtly alter the overall ratios of the upstream subgenomic mRNAs, as the transcription attenuation model predicts that the expression of 3'-proximal mRNAs influences the level of upstream transcripts (51).
Group-specific ORF function and the murine model. In SARS-CoV, ORF3a is a structural protein that directly interacts with S and is primarily localized in the rER/Golgi apparatus. ORF3a reportedly induces apoptosis following transfection and expression in cells (28, 75). It has been reported that ORF7a is also localized in the rER/Golgi apparatus and encodes a proapoptotic activity that induces apoptosis via a caspase-dependent pathway (60). The function of ORF6 is unknown. Based on the extensive sequence analysis of SARS-CoV isolates from the wild-type and from human patients, ORF8 has been implicated in the in vivo replication of zoonotic SARS-CoV isolates as a 29-nucleotide deletion rapidly evolved following transmission into human hosts. However, the function of ORF8 and ORF8a/b in SARS-CoV infection has not been established, nor have ORF8 protein products been detected in cells.
The data from this study demonstrate that icSARS-CoV recapitulated the wild-type Urbani strain replication phenotype in the murine model and in cell cultures. Similar results were obtained with the MHV molecular clone, demonstrating that systematic assembly of full-length cDNAs results in the recovery of wild-type viruses that display similar in vitro and in vivo phenotypes (55, 73, 74). Our data also demonstrate that several SARS-CoV group-specific ORFs are nonessential for in vitro and in vivo replication. SARS-CoV infection in the murine model is not associated with clinical disease or pathology and is only an in vivo replication model. Although in humans, viral load correlates with more severe SARS-CoV disease outcomes and death (10, 27), it is unlikely that peak virus loads or duration of viral load in the murine model can be correlated with possible human infection outcomes or potential virus virulence. In humans, 10-fold or greater changes in the viral load and the duration of the viral load dramatically influence disease outcomes (10, 27), yet in many patients, peak pathology and clinical disease occur after the peak virus titer, suggesting that immune responses contribute to overall pathology and disease outcomes. Recombinant viruses lacking various group-specific ORFs displayed only
2- to 4-fold differences in titer, indicating that these ORFs did not significantly influence in vivo replication rates in mice sufficiently to conclude evidence of an attenuated phenotype. In some cell lines, however, a few mutants displayed a
10-fold reduction in titer, suggesting an attenuated phenotype, but more detailed analyses are needed. Although the ORF8 29-nt deletion event was correlated with expansion of the SARS-CoV epidemic in humans (9), an intact SZ16 civet cat ORF8 did not alter in vitro or in vivo replication, persistence, or the duration of the viral load in the murine model. It is possible that more dramatic ORF8 functions would be evident in civet cats or raccoon dogs, natural reservoirs for SARS-CoV replication. More robust animal models will likely be needed to dissect the genetic determinants of SARS-CoV virulence or pathogenesis in humans. SARS-CoV has also been demonstrated to replicate efficiently and produce clinical disease in hamsters and ferrets. Disease severity is more controversial in macaques, as different groups have reported varying levels of clinical disease (19, 37, 46). It is possible that one or more of these models may be necessary to unravel the function of these alleles in SARS-CoV virulence and pathogenesis. Alternatively, SARS-CoV group-specific ORFs may function in auxiliary roles that have little impact on disease outcomes or replication in vivo. Such findings would not be unprecedented, as deletion of ORF4 of MHV had little impact on in vitro replication and in vivo pathogenesis (41). However, this possibility seems less plausible given recent findings that the SARS group-specific ORF6 enhances the virulence of an attenuated murine coronavirus (42). Until these recombinant viruses can be evaluated in other models, it is prudent to consider the SARS-CoV group-specific ORF deletion viruses potentially highly pathogenic and capable of producing equivalent levels of disease in human hosts as wild-type viruses.
Group-specific ORF function in in vitro replication. ORF3a, which has an rER/Golgi localization signal, is localized to the perinuclear region of the cell and colocalized with ER and intermediate compartment markers following virus infection (62, 75). The ORF3a protein likely exists in both glycosylated and nonglycosylated forms and is incorporated into virions (28). The product of ORF3a is highly immunogenic, as indicated by the fact that antiserum from patients infected with SARS-CoV or mice inoculated with VEE replicons encoding ORF3a readily detect ORF3a by FA and Western blot analysis. The murine ORF3a antiserum (PRNT50 [plaque reduction neutralization titer] < 50; human serum #1128 PRNT50 > 1:1,600) did not neutralize SARS-CoV infectivity, suggesting that ORF3a does not contribute to the neutralizing antibody elicited during infection. However, we did not test whether the addition of complement enhanced ORF3a-neutralizing titers. As ORF3a-deleted viruses replicated nearly as efficiently as wild-type virus, it is likely that ORF3a is not essential for virion formation, maturation, or release. This is not the first report of a nonessential virion protein among the Coronaviridae. The I protein of MHV, encoded internal to the nucleocapsid gene, is also a structural protein that is not essential for virion formation; rather, viruses lacking the I ORF replicate more efficiently than wild-type virus and produce similar disease in vivo (17). The E protein of MHV, but not TGEV, is not essential for maturation and release, although replication of MHV mutants lacking the E ORF is greatly diminished compared with wild-type virus (12, 32). During assembly of the Nidovirus equine arteritis virus, the virion glycoproteins GP(2b), GP(3), and GP(4) form a heterotrimeric complex in the virion but are also not essential for efficient virion formation (67). Incorporation of these minor structural proteins into the virion is E protein dependent, as the absence of the E protein completely prevented the incorporation of these glycoproteins into particles.
Coronaviruses bud into the lumen of an ER-to-Golgi intermediate compartment (ERGIC) (29, 30). In virus-infected cells, the function of ORF7a remains unknown. However, its trafficking into the ER/Golgi network, the site of coronavirus budding and assembly, suggests a possible role in maturation and release (40). SARS-CoV ORF7 is divided into two ORFs designated ORF7a and -7b. Although no ORF7b product has been described to date, ORF7a encodes a 122-amino-acid type I transmembrane protein and structural studies reveal a compact seven-stranded ß sandwich similar in fold and topology to members of the immunoglobulin superfamily (40). Sequences encoded in the transmembrane domain and short cytoplasmic tail mediate trafficking into the rER/Golgi apparatus. ORF7a protein can be expressed in vitro and has been detected in vivo (8). Early studies have failed to demonstrate ORF7a in the virion; however, these studies also failed to detect E protein in virions, so additional studies are warranted (62, 75). If ORF7a is a virion protein, our data demonstrate a luxury role in virus assembly. Further support for a role of ORF7a in maturation and release are evidenced by coimmunoprecipitation studies, which indicate that ORF7a interacts with ORF3a, a protein that interacts with M, E, and S and is packaged into virions (60).
It is noteworthy that the S and ORF3a glycoproteins likely coevolved (75). ORF3a is predicted to form interchain disulfide bonds with S proteins, presumably through cysteine-rich domains localized at the junction between the putative transmembrane and cytoplasmic regions of the two proteins (75). The ORF 3a protein, which contains a tyrosine-dependent sorting signal in its cytoplasmic domain, is expressed on the cell surface and can be internalized. It has been suggested that ORF3a binds S and targets its localization to specific locations in the ER/Golgi network (61), as S lacks specific ER/Golgi retention signals (53). Deletion of ORF3a did not result in a significant redistribution of the subcellular localization of the S glycoprotein from concentrated punctuate localization in the ER/Golgi network to more diffuse or surface-staining patterns throughout the cell. Alternatively, ORF3a may interact with several proteins that in turn interact with the S glycoprotein and target its localization into sites of budding. When individually expressed, both the M glycoprotein and E protein traffic through the budding compartment, but it is not clear what makes M and E gather in the ERGIC during infection (11, 59). The M glycoprotein also specifically interacts with E and S and mediates localization of these glycoproteins into the ERGIC. At this time, it is unclear whether the subcellular localization of the SARS-CoV E and/or M glycoprotein is altered in any of the group-specific ORF deletion viruses.
Coronavirus group-specific ORFs may function to circumvent host cell innate and adaptive immune responses, as observed with a wide array of other viruses (1, 43). Not surprisingly, the deletion of group-specific ORFs attenuated many coronaviruses, although at this time, the mechanism of attenuation is not known. In SARS-CoV, it is unlikely that any of the group-specific ORFs play a critical role in the replication complex, especially in light of colocalization studies that reveal that ORF3a does not colocalize with replicase proteins that traffic into the replication complex and that deletion of ORF3b, ORF6, or ORF7a/b did not significantly alter in vitro replication phenotypes. Moreover, no significant differences in subgenomic transcription were noted among any of the deletion viruses and robust in vitro and in vivo virus growth was seen even in recombinants missing several ORFs. In contrast, the N protein interacts with the replication complex, consistent with other reports in the literature indicating a direct role of the N protein in replication and transcription processes (2, 4, 45, 72). Considering these findings and evidence suggesting a role of ORF6 in virulence (42), it seems likely that the SARS-CoV group-specific ORFs may function in modulating the intracellular environment for efficient virus replication or host responses to infection. Several viral proteins act at the plasma membrane or within the secretory pathway to alter the cell surface expression of signaling, costimulatory, and adhesion molecules or stimulate the rapid degradation of immune recognition molecules. Although ORF7a is reported to induce apoptosis and inhibit cell growth following transfection in culture, deletion of ORF7a, ORF6, or ORF3a/b did not influence cell killing, as evidenced by robust cell rounding, cytopathic effect, and death following in vitro infection (data not shown). Consequently, it seems likely that the proapoptotic characteristics of SARS-CoV infection in Vero cells are mitigated by multiple gene products. In support of this hypothesis, the N gene is capable of inducing apoptotic cell death under conditions of low serum concentration and ORF3a also may induce apoptosis and cell death (58). Moreover, some virus-host interactions are highly cell specific, further complicating the interpretation of the role of specific viral gene products in cell signaling and apoptotic cell death. Consequently, it is not surprising that the deletion of ORF7a had little overall impact on global SARS-CoV cytopathic effect, although it is possible that more subtle differences will be noted upon more detailed analyses. Construction of a recombinant virus containing an ORF3a/ORF7a deletion might display a much greater reduction in cell toxicity and death. The function of ORF3b or the presence of a specific ORF3b product in SARS-CoV-infected cells has not been reported, although deletion of ORF3 (ORF3a and ORF3b) did not result in significant reductions in virus replication or RNA synthesis, suggesting that the ORF3b gene product, if it exists, mediates functions other than RNA synthesis and in vitro replication.
SARS-CoV has renewed interest in human coronavirus pathogenesis and is a unique model for studying the molecular mechanisms governing the cross-species transmission of new coronaviruses from animal reservoirs into human populations. Among the human coronaviruses, SARS-CoV replicates efficiently in several experimental models, providing a novel environment for elucidating the genetic determinants that influence pathogenic outcomes in multiple species. In contrast, robust animal models for HCV NL63 and HCV HKU1 have not been reported, although a mouse model for HCV-229E replication and pathogenesis has been developed (33). The murine model has provided a wealth of data regarding vaccine efficacy and components of protective immunity. In this study, the in vivo replication efficiencies of the SARS-CoV group-specific ORF deletion viruses remained unchanged from the wild type in the murine model. Animal models that produce severe clinical disease/death will likely be required to unravel the critical role of the group-specific ORFs as well as other determinants of human coronavirus pathogenesis and virulence.
This work was supported by the National Institutes of Health through research grants AI059136 and PO1 AI059443-01A1 to R.S.B.
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