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Journal of Virology, November 2006, p. 10980-10988, Vol. 80, No. 22
0022-538X/06/$08.00+0 doi:10.1128/JVI.00904-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Porcine Endogenous Retrovirus Integration Sites in the Human Genome: Features in Common with Those of Murine Leukemia Virus
Yann Moalic,
Yannick Blanchard,*
Hélène Félix, and
André Jestin
Laboratoire de Génétique Virale et Biosecurité, AFSSA, BP53, 22440 Ploufragan, France
Received 3 May 2006/
Accepted 10 August 2006

ABSTRACT
Porcine endogenous retroviruses (PERV) are a major concern when
porcine tissues and organs are used for xenotransplantation.
PERV has been shown to infect human cells in vitro, highlighting
a potential zoonotic risk. No pathology is associated with PERV
in its natural host, but the pathogenic potential might differ
in the case of cross-species transmission and can only be inferred
from knowledge of related gammaretroviruses. We therefore investigated
the integration features of the PERV DNA in the human genome
in vitro in order to further characterize the risk associated
with PERV transmission. In this study, we characterized 189
PERV integration site sequences from human HEK-293 cells. Data
showed that PERV integration was strongly enhanced at transcriptional
start sites and CpG islands and that the frequencies of integration
events increased with the expression levels of the genes, except
for the genes with the highest levels of expression, which were
disfavored for integration. Finally, we extracted genomic sequences
directly flanking the integration sites and found an original
8-base statistical palindromic consensus sequence [TG(int)GTACCAGC].
All these results show similarities between PERV and murine
leukemia virus integration site selection, suggesting that gammaretroviruses
have a common pattern of integration and that the mechanisms
of target site selection within a retrovirus genus might be
similar.

INTRODUCTION
Sequences of porcine endogenous retrovirus (PERV) have been
integrated into the genomes of all pig strains (
38), and approximately
50 copies of replication-competent PERV exist (
1,
39). According
to their tropism (
38,
44), three infectious subgroups can be
distinguished: PERV-A and PERV-B, which infect both human and
pig cells in vitro (
39), and PERV-C, which infects only pig
cells (
39,
44).
Since swine are a potential source of organs for xenotransplantation, the risk of PERV transmission is a major concern. The breeding of specific-pathogen-free swine has eliminated many pathogens likely to be transmitted with pig grafts, but this does not apply to endogenous retroviruses which are inherited as part of the germ line (3, 9, 22, 38, 44). PERV transmission from swine to humans would be a zoonosis that would convert PERV from an endogenous status in swine to an exogenous status in humans. Endogenous retroviruses are considered in the "not too harmful" category of retroviruses (10), as most of them do not cause disease in their natural hosts. Could the loss of endogenous-PERV status in humans be associated with a pathogenic potential similar to that associated with exogenous gammaretroviruses, close relatives of PERV, such as feline leukemia virus, murine leukemia virus (MLV), and gibbon ape leukemia virus, which are able to induce tumors and immunodeficiencies in the infected host (1, 24, 30, 39), or will the PERV remain in the "not too harmful" category?
The propensity for genetic drift during replication of retroviruses has been shown previously (10), and two examples of such drift are currently known to exist for PERV. In pig cells, replicating PERV-C is able to recombine with the envelope sequence of endogenous PERV-A to produce A/C recombinants, which can infect human cells with greater efficiency (37, 40, 50-52). In human cells, serial passage of PERV can induce an increase in PERV production due to adaptation associated with long terminal repeat (LTR) extension (14, 15, 41). A similar adaptation, previously described for feline leukemia virus and MLV, is associated with increasing tumorigenic potential (2, 45, 56). These gammaretroviruses do not encode an oncogene directly responsible for their malignant potential. Tumor induction is instead consecutive to the process of insertional activation, in which proviral integration is responsible for the activated expression of a flanking proto-oncogene.
No genome-wide analysis of PERV integration in human cells has been available until now, although such information is essential to any risk appraisal of pig xenografts. Several genome-wide studies of retroviral DNA integration have recently been carried out on the complete human genome sequence (12, 21, 32, 34, 43, 54). These studies highlighted differences between retroviruses that originated from different genera (4, 7, 53).
Our laboratory estimated the risk associated with the PERV insertional profile in the human genome by characterizing the PERV integration sites 15 days after the infection of HEK-293 human cells.

MATERIALS AND METHODS
Cell culture and PERV infection.
Human cells (HEK-293) were infected with PERV particles produced
in vitro from PK-15 pig cells according to previously described
procedures (
25,
39). Briefly, the cultured HEK-293 cells were
exposed for 4 h to the 0.45-µm-filtered supernatant of
PK-15 cells in the presence of 0.8 µg/ml polybrene (hexadimethrine
bromide; Sigma). The cells were then washed in growth medium
and subcultured every 3 to 4 days. The growth medium was minimum
essential medium completed with 10% fetal calf serum, penicillin
(100 units/ml), and streptomycin (100 µg/ml). At each
passage, half of the cells were conserved in TRIzol reagent
(Invitrogen) and stored at 80°C for nucleic acid
extraction (RNA and DNA).
Cloning of integration sites.
The ligation-mediated PCR protocol used to clone the host-virus junctions was similar to that described previously (54), with two major modifications: first, the cloning of infected-cell DNA was carried out on day 15 postinfection, and second, a biotin-streptavidin purification was added after the first PCR step due to the very high number of false-positive clones observed (i.e., with no integration events) (20, 21, 42).
Genomic DNA was harvested from the infected cells with phenol-chloroform and cleaved with the restriction enzyme MseI. A double-strand linker was ligated at each digested end (GTAATACGACTCACTATAGGGCTCCGCTTAAG and PO4-TAGTCCCTTAAGCGGAG-NH2), and the products were cleaved with EaeI to prevent the amplification of internal viral fragments from the 5' LTR. The first round of PCR was performed with one linker-specific (GTAATACGACTCACTATAGGGC) oligonucleotide and one LTR-specific (biotin-TGCGTGGTGTACGACTGTG) oligonucleotide. The latter was biotinylated at its 5' end to concentrate the fragments of interest after the first round of PCR (29, 42, 49) on streptavidin-coated beads (streptavidin magnetic particles; Roche) with a magnetic particle separator (Roche). The second round of PCR was then performed using a second set of primers, one bound to the LTR (TTGGAATAAAAATCCTCTTGCTGT) and the other bound to the linker (AGGGCTCCGCTTAAGGGAC). Nested PCR amplicons were purified on membrane (MinElute PCR purification kit; QIAGEN) and cloned with a TOPO TA cloning kit (Invitrogen). Clones were sequenced on an ABI Prism 3100-Avant genetic analyzer (Applied Biosystems).
Mapping PERV integration sites.
PERV integration sites were mapped to the human genome with the BLAT program (Human Genome Project working draft May 2004 freeze [hg17]; University of California, Santa Cruz, Calif.) as described previously (32, 43, 54). An integration sequence site was judged to be authentic only if it (i) contained the end of the 3' PERV LTR (CA) junction, (ii) showed >95% sequence identity, and (iii) yielded a unique best hit to the human genome in the BLAT ranking. A total of 189 unique PERV integration site sequences were mapped. Integration was judged to have occurred in a transcription unit (TU) only if the target sequence was located within the boundaries of one of the RefSeq genes (National Center for Biotechnology Information Reference Sequence Project). In this project, sequences are considered genes on the basis of human mRNAs and their translation products rather than on gene prediction programs.
Microarray analysis.
The expression levels of the PERV target genes were based on a public HEK-293 microarray data set (GEO data set numbers GSM21381 and GSM21382) (57). These data sets were from the Affymetrix HG-U133A microarrays, which assay 22,215 probe sets. All probe sets were accepted and analyzed.
Analysis of base frequency around the integration sites.
The base frequencies around the integration sites were calculated as described previously (23, 55). For each integration site sequence, the sequence flanking the site of viral joining was extracted to produce a 40-base sequence. All these sequences were then aligned at the integration site (between base 1 and base 0) and numbered in relation to the distance from integration (between offset 20 and offset 19). These sequences represented the genomic sequence before the LTR of the virus was inserted between offsets 1 and 0. A global base frequency was calculated for all the offsets and for all the sequences present in the set. The base frequencies observed at each offset were then compared to the global base frequencies, and the P values for any differences were determined by
2 analysis.
Bioinformatic analysis.
PERL (Practical Extraction and Report Language) was used to analyze the microarray data. A set of scripts was created to determine the expression level of the entire gene targeted by integration and to compare transcription profiles between all the genes present on the array and the target genes. A random-number generator was therefore used to generate 10,000 random data sets.
This language was also used to compute the frequencies of bases surrounding the integration site.
All scripts are available on request.

RESULTS
PERV integration site sequence capture, cloning, and mapping in the human genome.
The HEK-293 cell line is, of all the human cell lines investigated,
the most efficiently infected by PERV (
13,
51). This cell line
also exhibits an increase in infectious titer after each passage
(
14,
15,
41). We therefore selected this cell line for investigation
of the PERV integration sites in the human genome. Despite the
apparent suitability of the HEK-293 cells, our first attempt
to clone the PERV integration site failed or gave extremely
poor results before day 15 postinfection. We therefore had to
adapt the original cloning technique described by Wu et al.
(
54). A Biotin streptavidin primer tag selection was applied
to the PERV LTR-specific primer after the ligation-mediated
PCR to ensure cloning of the PERV integration sites on day 15
postinfection, and this modification led to an efficient enrichment
of PERV-positive amplicons. One hundred eighty-nine unique integration
sites were successfully cloned using this strategy. The 15 days
of cell culture necessary between the infection and an efficient
cloning of the integration sites was a source of concern, as
it might possibly introduce a bias in the integration profile.
This point has been addressed by Lewinski et al. (
27), who showed
that a 15-day selection of HeLA cells resistant to puromycin
(after an infection by puromycin-transducing MLV or human immunodeficiency
virus [HIV]) had no influence on any of the integration site
features except for gene density, a genome feature that will
not be considered in this study.
The integration events were mapped on the draft of the human genome (48) (May 2004 freeze [hg17]; http://genome.ucsc.edu/), and their distribution on the human chromosomes is shown in Fig. 1. All chromosomes were targeted by PERV integration. However, the integration sites were not uniformly distributed throughout the chromosome set. Although the biggest chromosomes displayed more PERV integration events, the correlation with chromosome size was low (r = 0.589) (data not shown). Two parameters need to be considered here. First, the HEK-293 cell line is subject to the chromosomal abnormalities typical of transformed cells, and some chromosomes (17, 22, and X) are therefore overrepresented (data from ATCC). These chromosomes displayed relatively high frequencies of integration events. Second, transcription intensity varies between chromosomes and within different regions of a chromosome (33), and this may influence the distribution of integration events, as has been shown for some retroviruses (21, 32). For example, the weak PERV integration frequencies in chromosomes 13 and 14 correlated with the low transcriptional intensities deduced by expressed sequence tag counts, whereas the relatively high integration frequency in chromosome 19 paralleled the strong transcriptional intensity. Although some chromosomes displayed more integration events, we did not observe any integration hotspots for PERV like those described by Schroder et al. (43) for HIV-1. This might, however, be related to the relatively low number of integration sites recorded and does not formally exclude the possible existence of integration hot spots for PERV.
PERV integration is favored near transcriptional start sites and CpG islands.
The PERV integration profile on the human genome map appears
to be correlated with the gene-transcriptional intensities of
the chromosomes (
33). We therefore began to determine the frequency
of PERV integration sites in TUs, using the well-characterized
human RefSeq gene annotation (May 2004 assembly, 24,847 genes;
http://www.ncbi.nlm.nih.gov/RefSeq/) as a criterion. The results
revealed that 43.9% (83 of 189) of the integration events occurred
in TUs. This was higher than the estimated proportion of transcription
units in the human genome (33%) and significantly different
from the results for the computer-simulated random control,
in which only 34.3% landed in RefSeq genes (
2 test,
P = 0.0054)
(Table
1). Compared with results for other retroviruses, this
percentage is closer to those for MLV (44.3%) and avian sarcoma/leukosis
virus (ASLV; 44.4% and 48%) than to those for HIV-1 (68.1% and
74.1%) or simian immunodeficiency virus (SIV; 75. 8%).
In order to facilitate comparison with other retroviruses, integration
within ±5 kb of transcriptional start sites and within
±5 kb of CpG islands was then investigated. With 33.9%
of integration events within transcriptional start sites (±5
kb) and 39% within CpG islands (±5 kb), PERV significantly
exceeded the integration bias observed for MLV (24.7% and 28%,
respectively) and other retroviruses (
12,
34) (
P < 1
x 10
4).
The affinity for the immediate transcription start site area
is particularly evident if we look at a 60-kb area around transcription
start sites, where we can see a sharp decline of integration
events beyond ±5 kb (Fig.
2A). If we focus on the TU
(Fig.
2B), the integration bias in favor of gene promoter regions
and the 5' end of the TU (as represented by the first eighth
of the TU) is also clearly apparent (
P < 1
x 10
4).
Further, as described by Mitchell and coworkers for MLV (
32),
PERV integrations become more concentrated as the distance from
CpG islands decreases: 28.5% of integration occurs within a
±1-kb window around CpG islands.
We also carried out an analysis of PERV integration frequency
in repeated sequences, including short interspersed nuclear
elements, long interspersed nuclear elements (LINEs), retrotransposons
(DNA elements), and endogenous retroviruses (LTR elements) (Table
2). None of these elements favored PERV integration. As for
MLV, two of them, LINEs and
Alu elements, actually disfavored
PERV integration, with significantly lower integration events
than those for the matched random controls (
P < 9.2
x 10
3 and
P < 1.98
x 10
2, respectively).
According to these results, PERV integration appeared to be
(i) favored near the promoter regions of transcription units
and (ii) disfavored in the LINE and
Alu human repeated sequences.
Transcriptional activity differences between target genes.
We then analyzed the HEK-293 microarray data set deposited in GEO (GSM21381 and GSM21382) (57) to see whether selection of the PERV integration site was correlated with gene transcriptional activity, as previously described for other retroviruses (32, 43). We also reanalyzed the published transcriptional profiling data from uninfected HeLa cells (46) in order to compare PERV with MLV, which shows a similar integration profile in genes. One hundred nineteen of the 189 PERV integration events studied were used to assess the influence of transcriptional activity on integration. Eighty-three integration sites were located within genes, and 36 were in a 5-kb window upstream of the genes. Ninety-three of the 119 genes were represented on the Affymetrix U133A chips, which include 22,215 probe sets. These probe sets were used to evaluate the transcription profiling of the genes targeted by integration. In the first part of the analysis, we compared the median expression level of the probes representing the targeted genes to that of all the probes on the gene chips and found that the level of PERV-targeted gene expression was only 1.42-fold higher (t test, P = 0.0822). This was then more carefully investigated by assigning all the transcripts assayed on the chips to eight equal bins of increasing expression signal values and determining the frequency of the target transcripts in each bin (Fig. 3A). Comparison with a 10,000 in silico random draw indicated that the distribution of PERV integration events in the different bins was statistically varied (
2 test, P = 0.01). A preference for bins with more expressed genes (bins 5, 6, and 7) was observed (P = 0.0066), except for the bin with the highest expression (bin 8), which showed no increase in integration (P = 0.116). For MLV, we observed a similar distribution, except that genes with the highest expression (bin 8) did not seem significantly disfavored. Finally, we investigated the influence of gene expression on the more accurate insertion localization of PERV and MLV within the gene. This was done by dividing each gene into two parts, one consisting of the start site and the sequence surrounding the transcriptional start sites (±5 kb) (5' part) and the other consisting of the rest of the TU (i.e., the TU excluding the transcription start site [+5 kb]). The relative proportions were then calculated for each bin. Significant biases in distribution between the different bins were observed for PERV and MLV (
2 test, P = 0.03 and P < 0.0001, respectively). In the more actively expressed genes (bins 6, 7, and 8), the proportions of integration events progressively increased around the transcriptional start sites (5' part) (Fig. 3B) and conversely decreased in the remaining part of the TUs (3' part). For MLV, the decreases in the percentages of integration events observed for bins 7 and 8 were exclusively due to decreases in the integration events in the so-called 3' part of the TUs and did not affect the 5' upstream promoter regions of these genes.
Primary sequences surrounding integration sites.
The PERV integration site was further characterized by looking
at the base frequencies directly surrounding the integration
sites in the human genome. All 189 integration sites were selected,
and the 20 bases flanking both the 5' and the 3' ends at the
site of viral joining were extracted (with the same orientation
as that of the virus) and aligned at the integration sites (between
bases 1 and 0). The global frequencies for A, C, G, and
T were calculated across all offsets for the 189 sequences.
The distribution of the base frequencies was 27.3%, 22.8%, 22.3%,
and 27.5% for A, C, G, and T, respectively. This differed slightly
from the expected frequencies of 30%, 20%, 20%, and 30% for
A, C, G, and T, respectively, in the human genome. The base
frequencies for each offset between 20 and 19 were compared
with the global base frequencies by
2 analysis. As previously
described for MLV, HIV-1, SIV, and ASLV (
23,
55), significant
base preferences were revealed, and a strong pattern between
bases 4 and 8 was observed (Fig.
4A): [-3]STG(int)GTACCAGC[7]
(written according to standard International Union of Biochemistry
mixed base codes). Compared to those for other retroviral integration
site patterns (Table
3), the PERV palindromic consensus sequence
is original. In this statistical consensus sequence, some bases
were found to appear at frequencies up to twofold higher than
expected, yielding
P values as low as 10
18. When we investigated
this frequency distribution more carefully, a striking symmetry
with an 8-bp palindrome extending from offset 2 to offset
5 was apparent (Fig.
4B). The symmetrical axis at insertion
sites had already been characterized for MLV, HIV-1, SIV, and
ASLV and also revealed palindromic consensus sequences centered
on the duplicated target site (
23,
55). The position of this
symmetrical axis between offsets 1 and 2 corresponds to the
center of the 4-bp duplication target site sequence induced
by the integration machinery of PERV. Indeed, in the porcine
genome, a 4-base sequence was observed at each extremity of
the PERV proviral genomes (
35).
This analysis highlighted a strong palindromic consensus sequence
at the integration target sites of PERV. This consensus sequence
differs from other retroviral consensus sequences studied.

DISCUSSION
In this study, we report the characterization of PERV integration
sites in the human genome after infection of HEK-293 cells in
vitro. Random integration of retroviruses within the host genome
has long been hypothesized, and it is only with the recent high-throughput
data studies that the nonrandom nature of some retrovirus integration
has been clearly demonstrated (
4).
The aim of our work was to assess the risk of insertion mutation associated with PERV integration in the case of possible transmission to humans following pig-to-human xenotransplantation.
Our results revealed a strong preference for integration of the PERV DNA genome around the transcriptional start sites and near CpG islands of transcriptional active genes in the chromosome. In addition, analysis of the 40-bp sequences surrounding the PERV integration sites revealed an original 8-base-pair statistical palindromic consensus sequence.
The first surveys of genome-wide integration showed that the integration site profiles differed between retroviruses (32, 43, 54), and the hypothesis of a virus-specific integration profile determinism was suggested (53). Our results, along with those of other high-throughput integration studies, suggest that this integration profile determinism would be genus specific rather than virus specific. Three lines of evidence support this hypothesis. First, the PERV integration profile highlighted similarities to MLV in integration target site selection (for our results, see reference 54), as both viruses are phylogenically related (24) and members of the gammaretrovirus genus. Second, HIV-1 and SIV, which belong to the lentivirus genus, show highly similar patterns of integration (12, 43), and third, two other unique patterns of integration site features were obtained with avian sarcoma virus and foamy virus, members of two additional retrovirus genera, the alpharetrovirus (32, 34) and the spumavirus (36, 47), respectively. In addition, although the integration profiles of other retrovirus genera have as yet been poorly characterized, the preliminary data for deltaretroviruses (human T-cell leukemia virus type 1) (26) and betaretroviruses (Jaagsiekte sheep retrovirus) (11) suggest genus specificity.
The variability of integration profiles can be explained from models incorporating the interactions between preintegration complexes (PICs) and different cellular cofactors for target site selection (5, 17, 53). The enhanced integration of gammaretrovirus close to the transcription initiation start site and CpG island might be mediated through interaction of PICs with transcription factors, the CpG island-interacting proteins, and/or other factors involved in transcription (17, 53).
Our PERV integration data suggest that the integration strategies are specific to each retrovirus genus, although analysis of the transcriptional activity of preinfected cells revealed some common constraints between all the retroviruses studied. Integration site selection seemed to show a preference for actively transcribed regions, which represent a more accessible chromatin region (12, 32, 34, 43, 54), although a low level of integration in the most actively transcribed genes was also observed for all these retroviruses. This suggests that the integration complexes are regularly denied access to the most actively transcribed DNA. This has been demonstrated experimentally in an assay of ASLV retroviral integration with a quail inducible metallothionein gene. In this assay, integration was inversely correlated with gene expression level (31). The PERV integration profile followed this pattern (decreased integration in actively transcribed genes, bin 8), although a closer examination of integration suggests that, in the most actively transcribed genes (Fig. 3B), PERV integration tended to occur near the transcriptional start site and regulatory region (CpG) rather than in the remainder of the TU. Actually, the numbers of integrations in the regulatory region in bins 5, 6, 7, and 8 were relatively constant whereas they increased in the TUs of bins 5 and 6 and decreased in the TUs of bins 7 and 8. These results corroborate those of De Palma and coworkers, who demonstrated that MLV vectors integrate preferentially in the vicinity of a highly active promoter, in comparison to HIV vectors (16), and suggest that the inhibition of integration within TUs might be related to steric hindrance resulting from highly active transcription.
The identification of genome-wide features favoring retroviral integration has been enhanced by the high-throughput identification of the integration sites of retroviruses. This has permitted fine characterization of the host DNA at the integration site (23, 55) and has highlighted some strong interactions between host DNA and PICs, including viral integrase (IN) and the two DNA viral ends, before integration. On computing the base preferences surrounding PERV integration, we found an original 8-base statistical palindromic consensus sequence. The absence of an absolute consensus sequence suggests that the recognition of cellular target DNA sequences is controlled by a host DNA tertiary structure compatible to binding rather than by specific primary sequence recognition (18, 55), although DNA sequences do participate in tertiary structure recognition. In contrast to HIV-1 and SIV, which have highly similar statistical palindromic compositions, MLV does not share a palindromic consensus sequence with PERV (Table 3) (55). One possible explanation would be that the two lentiviruses are phylogenetically closer than PERV and MLV. This hypothesis is supported by the sequence alignment of IN protein, which shows greater identity between HIV-1 and SIV (89%) than between PERV and MLV (79%). The tetrameral form of the IN complex has been shown to stably lock onto the viral DNA ends and catalyze integration (28), which strengthens the hypothesis of a symmetrical structure matching a symmetrical target site sequence (18, 23, 55). Nevertheless, both LTRs might also play a role in primary sequence selection within the complex (23). The statistically significant deviation (from the average base frequency distribution) observed at positions 6 and 7 (the first two positions following the 3' end of the palindromic consensus sequence) has not been observed for other retroviruses. It might be the reflection of a stronger interaction between the 3' LTR and the target DNA. Bushman and Craigie have shown, in vitro, that the covalent joining of each viral DNA end to target DNA occurs sequentially (28), the U5 ends (3' LTR) joining first (6).
The data reported here indicate that PERV integration, like that of MLV, occurs preferentially near the transcriptional start site. Recently, MLV-vector integration near the promoter region has contributed to activation of the LMO2 proto-oncogene in human patients and induced leukemia during a gene therapy trial (8, 19). Our results imply that in the case of PERV zoonosis occurring during xenotransplantation, the risk of insertion associated with integration of the PERV DNA genome might be similar to that associated with MLV and MLV-derived vectors.

ACKNOWLEDGMENTS
This work was supported by a grant from Région Bretagne
(P3681/5662).
We thank P. Chardon, F. Lefevre, and C. Pineau for helpful discussions.

FOOTNOTES
* Corresponding author. Mailing address: Laboratoire de Génétique Virale et Biosecurité, AFSSA, BP53, 22440 Ploufragan, France. Phone: 33 02 96 01 62 97. Fax: 33 02 96 01 62 83. E-mail:
y.blanchard{at}afssa.fr.

Published ahead of print on 23 August 2006. 

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Journal of Virology, November 2006, p. 10980-10988, Vol. 80, No. 22
0022-538X/06/$08.00+0 doi:10.1128/JVI.00904-06
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