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Journal of Virology, May 2007, p. 4948-4955, Vol. 81, No. 10
0022-538X/07/$08.00+0 doi:10.1128/JVI.00126-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Department of Veterinary Pathology, Hygiene and Public Health, University of Milano, via Celoria 10, 20133 Milano, Italy,1 Institute of Veterinary Virology, University of Bern, CH-3012 Bern, Switzerland2
Received 19 January 2007/ Accepted 27 February 2007
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Several reports to date have documented mixed infection in an individual, including HIV type 1 (HIV-1)/HIV-2 dual infections (11), double infection with two different subtypes of HIV-1 (3, 14), and mixed infection with multiple strains of HIV-1 subtype B (7, 39).
The experimental infection of a goat with both the caprine arthritis-encephalitis virus (CAEV) and the maedi-visna virus (MVV) has been described (13). However, mixed infections with these two closely related small-ruminant lentiviruses (SRLVs) occurring under field conditions have to date not been reported. CAEV and MVV infect goats and sheep (21-23) and cause persistent infection for life, inducing slowly debilitating disease syndromes in a fraction of the infected animals. Several molecular epidemiological studies have shown that CAEV and MVV are related, albeit genetically distinct, viruses that fall into two major phylogenetic clusters (29, 31, 38). The genetic diversity of SRLVs is extensive, and phylogenetic analysis (31) of the nucleotide sequence of the gag-pol region has led to the definition of four new groups: group A corresponds to the heterogeneous MVV type and can be further subdivided into seven distinct subtypes, designated A1 to A7; group B refers to the genetically less complex CAEV type and comprises only two distinct lineages, called subtypes B1 and B2; and two additional SRLV groups (C and D) have recently been identified on the basis of their great genetic divergence with the two previous groups. Interspecies transmission occurs in the field, as suggested by the detection of some SRLV subtypes in both sheep and goats (16, 28, 29, 38). Recently, direct evidence was found proving that, in mixed flocks of sheep and goats, the SRLV subtypes A4 (32) and B1 (26) do indeed jump the species barrier. In view of these results, we reasoned that double infection may also occur in SRLV-infected goats and sheep. To test this hypothesis, we selected goats from a commercial flock of about 300 animals that had a seroprevalence of 100% based on their serological reactivity to a panel of synthetic peptides encompassing a variable region (SU5) of the envelope glycoprotein of SRLV (5). The reactivity pattern to these SU5 peptides provides information on the type of virus infecting the animals, which permitted us to differentiate between CAEV- and MVV-infected animals (19). We selected two goats that reacted strongly to SU5 peptides of both CAEV and MVV origin and postulated that these animals may be coinfected with the two virus types. The results obtained provide the first direct evidence that dual infections occur in small ruminants and that the infecting viruses recombine in vivo, generating new viruses with chimerical CAEV-MVV envelope glycoproteins. Recombined viruses may have important implications for the evolution and epidemiology of SRLVs in goat and sheep populations.
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Synthetic peptides. Synthetic peptides were designed according to SU5 sequences obtained from GenBank as described previously (19). The peptides were synthesized and purified by Primm (Milan, Italy).
Serological analysis. All blood samples were collected by jugular venipuncture. Sera were separated from the blood clots and tested with MVV/CAEV enzyme-linked immunosorbent assays (ELISAs) (Institut Pourquier, Montpellier, France) for seroprevalence determination. SU5 ELISAs were performed to obtain information on the phylogenetic origin of the infecting viruses. These tests were performed as previously described in detail (19). Briefly, SU5 synthetic peptides were dissolved in a carbonate-bicarbonate buffer (0.1 M sodium carbonate [pH 9.6]) at 5 µg/ml and allowed to adsorb to ELISA plates (Maxisorp immunoplate; Nunc, Roskilde, Denmark) overnight at 4°C (100 µl per well). After several washes, residual adsorption sites were saturated with phosphate-buffered saline-Tween 20 containing 5% fat-free milk. Sera were tested at a 1:25 dilution. After being washed, the plates were incubated with peroxidase-conjugated protein G. Bound conjugate was visualized with a hydrogen peroxide-2,2'-azinobis(3-ethylbenzthiazolinesulfonic acid) (ABTS) solution and the optical density (OD) measured at a 405-nm wavelength after 30 min.
PBMC isolation. Blood samples from goats 12 and 13 were collected 2 months prior to and 12 to 24 h after delivery. One hundred milliliters of blood was collected in 2 mM EDTA Vacutainers. Peripheral blood mononuclear cells (PBMCs) were isolated by centrifugation through Ficoll-Paque Plus (GE Healthcare Europe GmbH, Milan, Italy) at 800 x g for 30 min at 10°C. Pellets of 5 x 106 cells were prepared for DNA and RNA extraction and stored at 80°C. The remaining PBMCs were washed twice in Hanks ' solution with 2 mg of EDTA/ml (600 x g for 10 min at 15°C) for virus isolation.
PBMC cultures and virus isolation. Freshly isolated PBMCs were resuspended in macrophage differentiation medium consisting of RPMI 1640 with glutamine (2 mM), HEPES buffer (10 mM), 2-mercaptoethanol (0.05 mM), gentamicin (0.05 mg/ml), and heat-inactivated newborn lamb serum (20%; Invitrogen, Carlsbad, CA) and cultured in a 14-ml Falcon polypropylene round-bottom tube (Becton Dickinson, Milan, Italy) at 37°C in 5% CO2. After 7 days of culture, a twofold dilution of 20 x 106 PBMCs was seeded in duplicate in Costar six-well plates containing semiconfluent goat synovial membrane (GSM) cells as indicator cells, grown in minimal essential medium (MEM) supplemented with 5% fetal calf serum, and prepared as follows. GSM cells, originally derived from the explanted carpal synovial membrane of a colostrum-deprived newborn goat (21), were resuspended in 10 ml of MEM-Earle medium supplemented with 10% fetal bovine serum, seeded at a density of 105 cells/well, and incubated at 37°C in 5% CO2 in Costar six-well plates (Corning BV Life Sciences, Schiphol-Rijk, The Netherlands). Nonadherent cells were removed after 24 h, and fresh medium was added. Every second day, the cells were washed to eliminate proliferating lymphocytes. After 1 week, the GSM cells were split and transferred into Costar 24-well plates. Thereafter, the cell cultures were passaged weekly for at least 5 weeks. Cytopathic effects (CPEs) indicative of virus replication such as the presence of syncytia or cell lysis were monitored upon fixing the cells with formalin (10%) and staining them with May-Grünwald-Giemsa solutions. When the maximum CPE was observed, cells and clarified culture supernatants were harvested and stored at 80°C for DNA and RNA extraction.
Nucleic acid extraction, sequence amplification, and cloning.
DNA from PBMCs and GSM cell-PBMC cocultures was extracted from pellets containing
5 x 106 cells using commercial silica gel spin columns selective for genomic DNA (QIAamp DNA blood mini kit; QIAGEN, Milan, Italy) in accordance with the manufacturer's instructions.
RNA was extracted from GSM-PBMCs and from clear culture supernatants with TRIzol reagent (Invitrogen, Carlsbad, CA) and was retrotranscribed using SuperScript III RNase H-free reverse transcriptase (RT; Invitrogen, Carlsbad, CA).
Initially, DNA was subjected to nested PCR to amplify a 520-bp fragment of the pol gene, as described previously (26). Subsequent PCR amplifications, however, were restricted to the env region using Platinum Taq DNA polymerase high fidelity (Invitrogen, Carlsbad, CA).
To avoid template resampling (17), DNA from PBMCs and DNA and cDNA from cocultured cells and supernatants were subjected to limiting-dilution seminested PCR to amplify a 607-bp fragment encompassing the C-terminal part of surface (SU4-SU5) and the N-terminal part of transmembrane (TM) proteins encoded by the env gene (bp 7482 to 8089 of CAEV-CO [accession number M33677]) with the following primers: 563, 564, and 567 (19).
To avoid potential PCR contamination artifacts, extractions of nucleic acid, preparation of PCR mixes, and analyses of the amplified products were performed in separate rooms. Additionally, samples were never processed in parallel but individually. Multiple SRLV-negative controls (no-template controls and negative controls, including DNA extracted from uninfected goats) were run in parallel for each reaction.
PCR products of approximately 610 bp from five or more independent PCRs, obtained by end-limiting dilutions of the input DNA for each goat, were cloned with the TOPO TA cloning kit (pCR 4-TOPO Vector; Invitrogen, Carlsbad, CA) according to the manufacturer's protocol. Plasmid DNAs were prepared by following the rapid extraction method of Birnboim and Doly (6) and digested with EcoRI restriction enzyme (Invitrogen, Carlsbad, CA) to confirm the size of the insert.
HMAs. The genotypes of SRLVs in blood and coculture proviral and viral samples were examined using the heteroduplex mobility assay (HMA) developed by Delwart et al. (8). Twenty-five of the resulting insert-containing plasmids from each subject were used to generate clonal PCR products using second-round PCR primers. Pairwise HMAs were then used to identify plasmids containing divergent sequence variants through the generation of slowly migrating DNA heteroduplexes. Briefly, heteroduplexes were obtained by mixing equal amounts of a plasmid-derived PCR product to be characterized with a reference PCR-amplified DNA sample from the CAEV-CO strain in the presence of an annealing buffer (100 mM NaCl, 10 mM Tris-HCl [pH 7.8], 2 mM EDTA). To study intrahost variability, PCR products obtained from PBMC and coculture viral and proviral sample amplifications were subjected to HMAs with the reference CAEV-CO strain in order to provide a baseline heteroduplex pattern because of quasispecies diversity and coinfection in vivo. Denaturation and renaturation of DNA were carried out by heating the mixtures at 97°C for 5 min, followed by cooling in ice. The heteroduplexes that formed were then subjected to electrophoresis on a nondenaturing 8% polyacrylamide gel in 1x Tris-borate-EDTA buffer at 150 V for about 2 h 30 min and stained with ethidium bromide. A 100-bp ladder (Invitrogen, Carlsbad, CA) was used as a molecular weight marker. The mobility of the heteroduplexes formed between sufficiently divergent molecules is reduced relative to that of the fully complementary homoduplex molecules. Plasmids containing distinct env variants as well as multiple plasmids showing no apparent difference by HMA were then sequenced.
Sequencing and sequence analysis. To confirm the qualitative results obtained by HMA, DNA from 20 to 30 clones was purified by using the Wizard plus minipreps DNA purification system (Promega, Milano, Italy) and sequenced by CRIBI Services (CRIBI, Padova, Italy) on an ABI377 sequencer by using the ABI PRISM dye terminator cycle sequencing ready reaction kit with AmpliTaq DNA polymerase (Perkin-Elmer, Applied Biosystems).
Sequences from each cloned viral DNA sample were aligned by the Clustal W multiple sequence alignment program (35), and pairwise genetic distances were calculated with the MEGA version 2.1 software (15) according to the Tamura-Nei substitution model and by applying the default setting, with the exception that all sites with gaps were ignored. Phylogeny construction was carried out using the neighbor-joining method (30) implemented in the MEGA software with the Tamura-Nei gamma distance (34). The statistical confidence of the topologies was assessed with 1,000 bootstrap replicates (9). Finally, plots of nucleotide similarity between SRLV isolates were created with the SimPlot software (version 1.6; http://sray.med.som.jhmi.edu/SCRoftware/simplot/) to define genomic regions that display significant percentages of nucleotide sequence identity and provide indications of possible recombination events.
Nucleotide sequence accession numbers. All new nucleotide sequences were deposited in the GenBank database and are available under accession numbers EF154461 to EF154466 for recombinant clones, EF154467 to EF154483 for PBMC12 clones, and EF154484 to EF154511 for PBMC13 clones.
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Two seropositive goats (goat 12 and goat 13) were selected for their strong reactivity to SU5 peptides matching CAEV and MVV Env sequences. Antibodies to SU5 typically show type-specific reactions; therefore, we suspected the presence of a co- or superinfection in these two animals (19).
Cocultures of PBMCs from goat 12 and goat 13 with GSM developed a CPE characterized by the presence of syncytia and cell lysis. Seminested PCR performed with DNA and cDNA from coculture cells and with cDNA from culture supernatants amplified a 607-bp fragment of the env region, proving that virus replication took place. Cloning and sequencing of these PCR products confirmed the presence of both viruses in proviral and viral forms.
Seminested PCR products were amplified with env-specific primers from PBMC DNA of the two goats and cloned into plasmids. Seventeen to 29 clones were sequenced to determine the variability of the env region within each host.
Additionally, the env clones were analyzed by HMA and, in accordance with the sequence data, formed slow- or fast-migrating heteroduplexes with the prototype CAEV-CO strain, confirming the presence of different virus strains in these animals. As expected, HMA intrasample analysis of products amplified from PBMC proviral DNA, coculture proviral DNA, and coculture viral RNA tested with the prototype CAEV-CO showed the presence of multiple, slow- and fast-migrating heteroduplexes, confirming HMA as a reliable, fast screening assay for multiple infections. The PBMC- and culture-derived env PCR products comigrated with similar heteroduplexes on the HMA gels. The heteroduplex patterns were distinctive for every individual analyzed, representing viral sequences unique to each subject. Duplicate limiting-dilution PCRs of each sample were run in parallel to confirm the adequateness of template sampling.
The reproducibility of the HMA pattern obtained indicates that all the major genotypic variants were adequately sampled. Representative HMA profiles are shown in Fig. 1. The presence of the same set of SRLV subtypes in multiple samples from the two goats separated in time (2 months prior to and 12 to 24 h after delivery) and processed independently practically excludes contamination as a potential source for these results (data not shown).
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FIG. 1. HMA of a fragment of the SRLV env gene. Lane 1, 100-bp DNA ladder; lanes 2 through 9, PCR-amplified fragments spanning the SU4-SU5 and TM regions of the SRLV env gene from the PBMCs of goat 12 (clones 14, 15, 20, and 25) and goat 13 (clones 3, 9, 12, and 22) mixed and reannealed with the corresponding fragment of the prototype CAEV-CO strain; lane 10, homoduplex formation after reannealing of the only CAEV-CO strain; lanes 11 through 17, intrahost variability detected with PCR products obtained from PBMC DNA, coculture DNA, and retrotranscribed RNA. HMA analyses were performed with the reference CAEV-CO strain. Heteroduplexes were resolved on an 8% nondenaturing polyacrylamide gel. Ho and He refer to the positions of homoduplex and heteroduplex migrations, respectively. Photographs of the ethidium bromide-stained gels are displayed as reversed pictures.
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FIG. 2. Phylogenetic analysis of SRLV env nucleotide sequences (SU4-SU5 and partial TM regions) from PBMCs of goat 12 and other SRLV subtypes (CAEV-CO prototype for SRLV group B and MVV K1514 prototype for SRLV group A) as constructed by the neighbor-joining method. Clone PBMC12-15 represents the recombinant between SRLV group A and B isolates. The bootstrap values above 50% (1,000 runs) are shown at the nodes. Cluster I corresponds to SRLV group B sequences; cluster II corresponds to MVV-like sequences.
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FIG. 3. Multiple alignments of the nucleotide (A) and amino acid (B) sequences encompassing the C-terminal part of the surface (SU4-SU5) and N-terminal part of the TM portion of the env gene (bp positions 7482 to 8089 of CAEV-CO [accession number M33677]). The PBMC12-15 recombinant clone, the PBMC12-5 MVV-like clone, and the PBMC12-31 CAEV-like clone sequences are from goat 12, and the PBMC13-3 and the PBMC13-12 MVV-like clones and the PBMC13-24 CAEV-like clone are from goat 13. Dashes represent the gaps introduced to maximize the alignment, whereas points indicate sequence identity. The variable domains (SU4 and SU5) are delimited by horizontal arrows. Arrowheads define the cleavage site between the SU and the TM proteins. The sequences involved in the recombination event between CAEV and MVV are shaded in light gray for CAEV-like sequences and in dark gray for MVV-like sequences. A vertical arrow indicates the breakpoint of recombination. The PCR primers specific for the recombinant virus (the recF primer and the recR primer) are shaded in black.
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FIG. 4. Phylogenetic analysis of SRLV env nucleotide sequences (SU4-SU5 and partial TM regions) from PBMCs of goat 13 and other SRLV subtypes (CAEV-CO prototype for SRLV group B and MVV K1514 prototype for SRLV group A) as constructed by the neighbor-joining method. The bootstrap values above 50% (1,000 runs) are shown at the nodes. Cluster I corresponds to SRLV group B sequences; cluster II corresponds to MVV-like sequences.
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The presence of a dual infection in goats 12 and 13 was initially suspected because of the peculiar serological reactivity of these animals, with SU5 peptides encompassing a highly variable region of the Env glycoprotein (5, 37). We have previously demonstrated that antibody binding to these peptides is by and large type specific, and the strong reactivity of these sera with both CAEV- and MVV-derived SU5 peptides suggested the presence of a dual infection. PCR amplification and sequence analysis using primers specific for the pol region of SRLV corroborated this assumption (data not shown).
Ovine and caprine lentiviruses differ in their cytopathic phenotypes (27), which may reflect their env sequence diversities. The prototypic Icelandic MVV strains, such as 1514, induce syncytia and lysis of infected tissue culture monolayers and are classified as lytic. In contrast, CAEV strains, as illustrated by the prototypic CAEV-CO strain, induce syncytia with persistent infection of tissue culture monolayers and are classified as persistent or nonlytic. As shown by Jolly and Narayan (13), GSM cells can sustain the simultaneous replication of CAEV and MVV. Cocultures of PBMCs isolated from the two goats with GSM cells showed both types of CPE, confirming that these viruses were able to replicate in culture and adding a new piece of evidence to the hypothesis that these animals had been infected with viruses that had both MVV- and CAEV-like characteristics. PCR and RT-PCR results confirmed the presence of replicating viruses in these GSM cocultures.
Amplification and sequencing of a variable region of Env encompassing the SU4 and SU5 domains of SRLV permitted a precise analysis of the sequences' distribution in these animals and proved the concomitant infection of these two goats with viruses belonging to both SRLV group A (MVV) and group B (CAEV). Phylogenetic analysis confirmed the presence in both animals of two clearly distinct viral quasispecies in which the MVV-like sequences, belonging to cluster II, are characterized by a greater variability than is found in the CAEV-like sequences. This variability may reflect the faster evolution of MVV in the caprine host.
Previous works have estimated the evolution rates of SRLVs in animals infected over the long term (1, 12). In light of these results, the large genetic distance observed between the sequence of clone PBMC12-25 in goat 12 and that of clone PBMC13-12 in goat 13 from both cluster I (28.2 and 26%) and cluster II (13.9 and 24.9%) sequences could hardly be attributed to the evolution of these viruses within their hosts. Furthermore, the great genetic distance (23.9%) between the two clones PBMC12-25 and PBMC13-12 suggests that these are two different strains; therefore, we hypothesized that these particular strains may represent an additional superinfection of the two goats with distinct SRLV strains circulating in the flock. Superinfection in humans with HIV-1 has been reported to occur when the superinfecting viruses do not share important B- and T-cell epitopes with the primary infecting virus, therefore escaping an efficient humoral and cellular immune defense (24, 33). The humoral immune response in goats is inefficient. Neutralizing antibodies are detected at low titers and only in a minority of persistently infected animals. This may well favor super- or coinfections with heterologous viruses resisting this poor neutralizing response. The level and cross-reactivity of neutralizing antibody necessary to protect an individual from superinfection require further characterization.
Additionally, we confirmed that the HMA is a suitable technique to rapidly detect animals infected with diverse viruses (10). Detecting mixed infection relies upon adequate amplification of both viral species. It is critical that primers designed to detect mixed infection bind optimally to all genotypes so that the efficiency of PCR amplification of each coinfecting virus is the same. The sequence divergence of PCR products amplified from two coinfecting viruses is a key factor when using the HMA, and the SRLV infections detected by the HMA should not be confused with the presence of quasispecies. The divergence between subtypes (>15%) and groups (>30%) is much greater than that seen between quasispecies (<5%). The comparison between the sequencing data and the HMA results confirmed that our primers met these criteria. The reproducibility of the HMA pattern obtained from a given animal at different time points and from different sources such as colostrum, blood cells, or even coculture material provided strong evidence that these results cannot be explained by PCR contamination.
Finally, based on the results of a SimPlot analysis, we hypothesized that the peculiar sequence of clone PBMC12-15 may have resulted from a rare in vivo recombination event between the MVV- and CAEV-like viruses infecting goat 12. By using specific primers, we proved that this clone was not the product of an in vitro artifact but existed in different cell compartments, such as the blood and colostrum of goat 12 (data not shown). Additionally, the detection of both proviral DNA and viral RNA in GSM cell cocultures and of viral RNA in their supernatant demonstrates that this virus is capable of replicating independently or with the help of one or both of the parent viruses. Andrésdóttir (2) has shown that recombination is a frequent event in the envelope gene of MVV strain 1514 in vitro and in vivo and suggested that recombination may contribute to the high incidence of antigenic variation in MVV. The existence of SRLV carrying chimerical Env may have dramatic effects on the species specificity of these viruses and their capacity to cross the species barriers. Indeed, the absence of a functional CAEV receptor is the principal barrier protecting human cells from CAEV infection in vitro, the genome of which replicates without restrictions in transfected human cells (20). The apparent absence of recombinant viruses in the second goat analyzed may indicate that recombination events in vivo are rare or do not always involve the env gene but might occur in other regions of the genome that we aim to explore in future analyses.
In conclusion, we have demonstrated a dual infection with CAEV- and MVV-like viruses in two goats living under field conditions and presented strong evidence that these viruses can recombine in vivo. This illustrates a further mechanism used by SRLVs to evolve and increase their diversity and should support the continuation or initiation of eradication efforts in goat and sheep populations (25).
This work was supported partly by European Community 6th Framework Programme contract INCO-CT-2005-003713 to G.B. and partly by F.I.R.S.T. 2006 to P.M.
Published ahead of print on 7 March 2007. ![]()
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