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Journal of Virology, July 2007, p. 7022-7033, Vol. 81, No. 13
0022-538X/07/$08.00+0 doi:10.1128/JVI.02654-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Direct Comparison of Antigen Production and Induction of Apoptosis by Canarypox Virus- and Modified Vaccinia Virus Ankara-Human Immunodeficiency Virus Vaccine Vectors
Xiugen Zhang,1
Farah Cassis-Ghavami,2
Mike Eller,3
Jeff Currier,3
Bonnie M. Slike,3
Xuemin Chen,1
James Tartaglia,4
Mary Marovich,3 and
Paul Spearman1*
Departments of Pediatrics and Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia,1
Department of Pediatrics, Vanderbilt University, Nashville, Tennessee,2
U.S. Military HIV Research Program, Rockville, Maryland,3
Sanofi Pasteur, Toronto, Ontario, Canada4
Received 30 November 2006/
Accepted 29 March 2007

ABSTRACT
Recombinant poxvirus vectors are undergoing intensive evaluation
as vaccine candidates for a variety of infectious pathogens.
Avipoxviruses, such as canarypox virus, are replication deficient
in mammalian cells by virtue of a poorly understood species-specific
restriction. Highly attenuated vaccinia virus strains such as
modified vaccinia virus Ankara (MVA) are similarly unable to
complete replication in most mammalian cells but have an abortive-late
phenotype, in that the block to replication occurs post-virus-specific
DNA replication. In this study, an identical expression cassette
for human immunodeficiency virus
gag,
pro, and
env coding sequences
was placed in canarypox virus and MVA vector backbones in order
to directly compare vector-borne expression and to analyze differences
in vector-host cell interactions. Antigen production by recombinant
MVA was shown to be greater than that from recombinant canarypox
virus in the mammalian cell lines and in the primary human cells
tested. This observation was primarily due to a longer duration
of antigen production in recombinant MVA-infected cells. Apoptosis
induction was found to be more profound with the empty canarypox
virus vector than with MVA. Remarkably, however, the inclusion
of a
gag/pro/env expression cassette altered the kinetics of
apoptosis induction in recombinant MVA-infected cells to levels
equal to those found in canarypox virus-infected cells. Antigen
production by MVA was noted to be greater in human dendritic
cells and resulted in enhanced T-cell stimulation in an in vitro
antigen presentation assay. These results reveal differences
in poxvirus vector-host cell interactions that should be relevant
to their use as immunization vehicles.

INTRODUCTION
The search for a safe and effective human immunodeficiency virus
(HIV) vaccine has stimulated the development of recombinant
live vectors as vehicles for the induction of specific cellular
immune responses. Attenuated poxvirus vectors have a number
of desirable features as HIV vaccine candidates, including promising
safety profiles and the ability to incorporate substantial genetic
material for the expression of foreign gene products (
35,
38,
46,
48). The leading poxvirus vectors are derived from two genera
within the
Poxviridae family.
Canarypox virus and
Fowlpox virus vectors belong to the
Avipoxvirus genus. Avipoxviruses are naturally
restricted to replication in avian species. In human cell lines,
avipoxviruses fail to replicate their DNA genomes (
47). The
precise mechanisms underlying this host cell restriction have
not been elucidated. Despite a complete block to replication,
avipoxvirus recombinants express appropriately engineered foreign
gene products in human cells and can elicit specific cellular
and humoral immune responses to inserted genes in animals and
in human volunteers (
22,
49).
Vectors derived from Vaccinia virus, a member of the Orthopoxvirus genus, constitute another leading group of poxvirus-based vectors under evaluation as HIV candidate vaccines. Because of potential safety concerns with wild-type vaccinia virus strains, highly attenuated vaccinia virus strains are actively being pursued as HIV vaccine candidates. NYVAC is a highly attenuated vaccinia virus strain that was derived by the precise deletion of 18 open reading frames from the Copenhagen vaccine strain of vaccinia virus (47). The attenuation and immunogenicity of NYVAC have been demonstrated in several animal models (26, 47), and the block to replication appears to be less complete than that for canarypox virus in mammalian cells (47). Modified vaccinia virus Ankara (MVA) was generated by passaging the Ankara strain of vaccinia virus more than 500 times on chicken embryo fibroblasts (CEFs) (36). MVA replicates permissively in CEF and Syrian hamster BHK cells but does not complete its replication cycle in other mammalian cell lines or in human primary cells (9). In contrast to the avipoxvirus vectors, both NYVAC and MVA demonstrate an abortive-late phenotype in most human cell lines (45, 47). Thus, although both avipoxvirus-based vectors and highly attenuated vaccinia virus vectors are replication deficient in human cells, they are blocked at distinct stages of replication.
Canarypox virus vectors have been tested extensively as HIV vaccine candidates in human trials (5, 7, 13, 16, 17, 23, 34). The safety profiles of these vectors have in general been excellent (15), and HIV-specific immune responses have been elicited (7). The magnitudes and persistence of these responses have been modest, however, leading the NIH National Institute of Allergy and Infectious Diseases-sponsored HIV Vaccine Clinical Trials Network to forego plans for phase III testing of a canarypox virus-based HIV vaccine regimen (44). Nevertheless, a phase III trial is presently under way in Thailand to test the efficacy of a canarypox virus-based HIV vaccine candidate employed as a priming agent in combination with a bivalent recombinant subunit gp120 protein booster (39). Vectors based on the avipoxvirus fowlpoxvirus are also under evaluation as HIV vaccines for human use (42). MVA vectors have generated very promising results in simian models of HIV infection (1, 4, 25), and on this basis, they are also currently undergoing evaluation in human trials. The promise of this approach is highlighted by the ability of a DNA prime/MVA boost regimen to protect macaques from simian-human immunodeficiency virus 89.6P challenge (1), and this regimen is now the model for a human trial sponsored by the National Institutes of Health-sponsored HIV Vaccine Trials Network. MVA-based vaccination regimens are also safe, as reported in a phase I human clinical trial (10).
Despite intense interest in poxvirus vectors as candidate vaccines for HIV and other infectious diseases, few direct comparisons of poxvirus-based vaccine candidates have been reported to date. A recent report compared NYVAC and MVA vectors in cell culture systems. Significant differences were discovered in vector-generated cytopathic effect, growth characteristics, phosphorylation of the translational initiation factor eIF2-
, stage of replication block, and the degree of apoptosis induced by these vaccinia virus-derived vectors (37). These findings can now form the basis for a detailed understanding of the vector-specific factors that may affect the immunogenicity of vectors employed in vaccine trials. The finding of a number of significant differences between the closely related MVA and NYVAC vectors makes it even more likely that there will be distinct differences in antigen production and host interactions seen between the more distantly related orthopoxvirus vectors and avipoxvirus vectors.
Direct comparisons of vector-elicited antigen expression and host cell effects generated by avipoxvirus vectors and attenuated vaccinia virus vectors are warranted in order to choose the optimal vector to elicit a desired response and to design improved future generations of vaccines. In this study, we performed a head-to-head comparison of a canarypox virus vector and an MVA vector bearing an identical HIV gene expression cassette. We found significant differences in the timing and magnitudes of antigen expression exhibited by canarypox virus and MVA vectors. While apoptosis was lower, as expected, with the naked MVA vector, the inclusion of a gag/pro/env expression cassette had a major influence on apoptosis mediated by either recombinant vector. Recombinant MVA generated more antigen in most human cell lines and in primary cells, including human dendritic cells (DC), than did the canarypox virus recombinant and resulted in enhanced cellular responses in an in vitro antigen presentation system.

MATERIALS AND METHODS
Construction of recombinant viruses.
The construction of the recombinant canarypox virus vector vCP205
has been described previously (
19). This vector expresses the
HIV type 1 (HIV-1) LAI
gag and
pro open reading frames under
the control of the vaccinia virus I3L promoter. The expression
cassette includes a modified HIV-1 MN
env gene corresponding
to the gp120 coding region linked to the gp41 transmembrane
anchor sequence from HIV-1 LAI (28 amino acids) and under the
control of the vaccinia virus H6 promoter. The
gag/pro and
env expression cassettes were placed between canarypox virus flanking
regions in shuttle plasmid pHIV32, and homologous recombination
was used to generate the recombinant canarypox virus vCP205.
The recombinant MVA virus MVA205 was generated by inserting
the identical expression cassette used for creating vCP205 into
the deletion 3 locus of the MVA genome. To do this, the entire
expression cassette was removed from the vCP205 transfer vector
pHIV32 by restriction digestion with BamHI and XbaI and was
then inserted by blunt-end cloning into the MVA transfer vector
pMC03 (generously provided by Linda Wyatt and Bernard Moss,
NIH), between SbfI and AscI sites. The resulting transfer construct
lacked the synthetic vaccinia virus early/late promoter of pMC03
but retained the selection marker beta-glucuronidase (
8). After
six rounds of plaque purification and selection using staining
with X-Gluc (5-bromo-4-chloro-3-indolyl-ß-
D-glucuronic
acid), a master stock of MVA205 was generated. One experiment
in this paper describes the use of vCP1452, a vector that includes
the vaccinia virus E3L and K3L genes, whose construction was
described in detail previously (
20). MVA-GFP was generously
provided by Mark Feinberg (
11). vCP-GFP is a recombinant canarypox
virus vector, previously termed vCP1540 and developed by Sanofi
Pasteur, expressing the green fluorescent protein (GFP) gene
under the control of the H6 promoter. MVA/T7 is a recombinant
vector expressing T7 polymerase (
50) and was provided by Linda
Wyatt and Bernard Moss.
Virus propagation and plaque titration.
CEFs were prepared from 10- to 11-day-old chicken embryos and were maintained in minimum essential medium (MEM; Gibco, Gaithersburg, MD) with 10% fetal calf serum (FCS), 100 U/ml penicillin, and 100 g/ml streptomycin. To generate MVA205 and vCP205 stocks, 150-cm2 flasks were seeded from the master stocks at a multiplicity of infection (MOI) of 0.1. The infected cells were incubated at 37°C for 3 to 5 days until maximum cytopathic effect was evident. Working virus stocks were generated by freeze-thawing and sonication of the infected CEF cell pellets three times, followed by removal of cell debris by centrifugation at 1,000 x g for 10 min at 4°C. Stocks were plaque titrated by preparing serial 10-fold dilutions of stock virus in MEM with 2% FCS. Diluted virus was placed on CEFs in 60-mm2 dishes for 1 h and rocked three or four times. The inoculum was then removed and the dishes overlaid with 2% MEM containing 1% agarose. vCP205 plaques were counted after being stained with 0.1% neutral red, and the plaque titers of stocks were recorded; MVA205 titers were tested by X-Gluc staining. The resulting virus stocks were stored at 80°C until use. Gag and Env expression by MVA205 and vCP205 stocks was confirmed by Western blotting using pooled sera from HIV-positive individuals for detection, and the presence of intact gene inserts was confirmed by sequencing the viral DNA extracted from cells infected with the master stock.
Quantitation of antigen expression.
Gag-Env expression was measured as previously described (19, 20). Cells were plated on the night prior to infection, and infections were performed when the cells were noted to be 80% confluent on the dish. An accurate count of the number of cells present per dish was achieved by counting the cells from one 10-cm2 dish at the time of infection (about 1.2 x 107 CEF cells or 0.8 x 107 HeLa cells at 80% confluence). Cells were infected with MVA205 and vCP205 at an MOI of 10 in 2 ml of MEM with 2% FCS. After 1 hour of infection with intermittent gentle agitation, the medium was removed, and 10 ml of fresh 2% MEM was added to each dish. Medium and/or cells were harvested at the time points outlined in Results for detection of p24 antigen or for other assays. Samples for protein analysis were prepared as follows. Supernatants were filtered through a 0.45-µm filter and pelleted by centrifugation through a 5-ml 20% sucrose cushion in a Beckman SW28 rotor at 100,000 x g for 3 h. The pellets were then resuspended in phosphate-buffered saline (PBS). Analysis of cellular protein expression was performed by lysing cells in PBS with 1% NP-40; nuclei were separated via centrifugation at 10,000 x g for 10 min. Gag and Env protein contents were analyzed by Western blotting using sera pooled from HIV-positive donors.
Cell lines and primary cells.
In addition to the CEFs described above, a number of cell lines were employed in this study. These included murine C2C12 myoblasts (ATCC CRL-1772), murine 3T3 fibroblasts (ATCC CRL-1658), African green monkey kidney BSC-40 and Vero cells (ATCC CCL-81), human rhabdomyosarcoma TE671 cells (ATCC CRL 8805), human melanoma MelJuSo cells, human embryonic kidney 293 cells (ATCC CRL 1573), human cervical carcinoma HeLa cells (ATCC CCL-2), human U937 macrophages (ATCC CRL-1593.2), human Jurkat T cells, and human kidney epithelial MRC-5 cells (ATCC CCL-171). All cell lines were obtained from the American Type Culture Collection, with the exception of BSC-40 (provided by Bernard Moss, NIH), Jurkat (obtained from Barney Graham, NIH), and MelJuSo (obtained from Markus Thali, University of Vermont). Adherent cell lines were maintained in Dulbecco's modified Eagle medium with 10% FCS; suspension cells were maintained in RPMI 1640 with 10% FCS. Primary human peripheral blood mononuclear cells (PBMCs) were isolated by Ficoll-Hypaque separation and were maintained in RPMI 1640 medium with 10% FCS, 2 mM L-glutamine, penicillin G (100 U/ml), and streptomycin (100 µg/ml). After poxvirus infection, PBMCs were cultured in 2% RPMI 1640 medium. Human monocytes were isolated from the PBMC fraction by negative depletion with a monocyte isolation kit (Miltenyi Biotec, Auburn, CA). Isolated monocytes (CD45+ CD14+) were >95% pure, as indicated by flow cytometry. Monocytes were cultured in RPMI with 10% FCS and 2% granulocyte-macrophage colony-stimulating factor. After 4 days of maturation in culture, monocytes were infected with MVA205 or vCP205, using the same methods as those used for the adherent cell infection process.
Virus infection efficiency assay.
Determination of the efficiency of infection was performed using viruses expressing GFP, namely, MVA-GFP (11) and vCP-GFP (expressing the GFP gene under control of the vaccinia virus H6 promoter; originally called vCP1405). For this analysis, cells were infected at an MOI of 10 PFU/cell, as measured by CEF plaque titration. Cells were harvested at 24 h postinfection, washed three times with cold PBS containing 0.1% bovine serum albumin, fixed with 2% formaldehyde, and analyzed using a BD LSR II flow cytometer. Gates were determined using an identical population of uninfected cells.
Measurement of virus-induced apoptosis.
HeLa cells were infected with MVA205, vCP205, or vCP1452 at an MOI of 10 PFU/cell. Cells were harvested at 12 and 24 h postinfection, and DNA fragmentation was analyzed with an Apoptotic DNA Ladder kit (Roche Applied Science, Indianapolis, IN), using the manufacturer's instructions. A second method used a cell death detection enzyme-linked immunosorbent assay (ELISA; Roche) according to the manufacturer's instructions. Flow cytometry was used to measure apoptosis, using annexin V and propidium iodide (PI) staining. Cells were detached from plates with Accutase (eBioscience, San Diego, CA) at 12 or 24 h postinfection with vCP205 or MVA205 or at the same time following treatment with camptothecin. Cells were washed in cold PBS, stained with annexin V-fluorescein isothiocyanate or annexin V-allophycocyanin and PI, and analyzed on a BD LSR II flow cytometer or a BD FACSCanto flow cytometer.
Real-time PCR.
To examine the quantity of viral DNA present in cells infected with vCP205 or MVA205, HeLa cells were infected at an MOI of 10 PFU/cell in six-well plates. The cells were harvested at 0, 2, 4, 8, 12, 24, 48, and 72 h postinfection. Each experiment was performed in triplicate. Cells were washed once with cold PBS, and DNAs were extracted using a QIAamp DNA Mini kit (QIAGEN, Valencia, CA). The following real-time PCR primers located within the HIV gag region were used: 2463-2486, AGAGAAGGCTTTCAGCCCAGAAGT; and 2639-2616, TGCACTGAATGCACTCTATCCCAT. These primers amplified a 176-bp fragment. Quantitative real-time PCR was performed in a DNA Engine Opticon 2 system (Bio-Rad Laboratories, Hercules, CA). Serial dilutions of 20 ng/ml of pHIV32 plasmid at 1:10 dilution increments were used to generate standard curves at the same time in the same plate.
Antigen presentation in human myeloid DC.
Myeloid DC were derived from leukapheresis blood products from healthy HIV-seropositive donors, obtained under an Internal Review Board-approved protocol (RV149) and prepared as previously described (33). The isolated peripheral blood monocytes were treated with recombinant human interleukin-4 (R&D Systems, Minneapolis, MN) and recombinant human granulocyte-macrophage colony-stimulating factor (Fisher Clinical Services, Rockville, MD) to drive DC differentiation. The DC were exposed to the vectors at various MOI within a working range of vector/DC ratios of 1 to 5 PFU/cell. At 2 h postinfection, the DC were washed and then resuspended in medium to a concentration of 106/ml. Samples from each experiment were set aside for a functional DC enzyme-linked immunospot (DC-ELISPOT) assay, and the remaining DC were incubated at 37°C for 2 to 6 h for later expression analysis. Infection rates were determined using labeling with antivector antibodies (rabbit anti-canarypox virus [Sanofi Pasteur]) and an anti-vaccinia virus monoclonal antibody (MAb; clone TW2.3) (29). HIV transgene expression was measured by intracellular labeling with rabbit anti-Env (LS086-4-D51; a generous gift from Florence Boudet at Sanofi Pasteur) and an anti-p24 MAb (Dako, Glostrup, Denmark) and then was analyzed by flow cytometry (33). Functional effects of canarypox virus and MVA infection and HIV gene expression were assessed after vector loading of the DC in a DC antigen presentation assay. The DC-ELISPOT assay uses autologous DC and responder PBMCs from healthy HIV-seropositive donors to detect antigen-specific gamma interferon (IFN-
), as previously described (15). Briefly, 96-well ELISPOT plates were precoated with anti-IFN-
MAb (Mabtech AB, Sweden) and then loaded with cells. The cells included infected (or mock-infected) DC distributed in triplicate wells, with or without PBMCs at a 1:10 ratio of DC to PBMCs. In some experiments, the DC were titrated and used across a 3-log dilution to verify dose effects (1:10, 1:100, and 1:1,000 ratios of DC to responders). The plates were incubated for 20 to 24 h at 37°C, washed, incubated with a biotinylated anti-IFN-
MAb (Mabtech), washed again, and then developed with a horseradish peroxidase system (Vectastain ABC kit; Vector Labs, CA). The data were collected and analyzed using simple statistics (linear regression and paired Student's t test).

RESULTS
Expression of HIV proteins by MVA and canarypox virus recombinant vectors bearing identical HIV gene expression cassettes.
In order to define vector-specific effects on antigen production
and on host cells, we constructed an MVA recombinant virus that
incorporates an HIV expression cassette identical to that in
vCP205. vCP205 is a
gag/pro/env HIV vaccine candidate vector
that has been evaluated extensively in the laboratory and in
human trials (
6,
12,
24). This vector incorporates the HIV-1
LAI gag and protease coding sequences under the control of the vaccinia
virus I3L promoter and a gp120 gene from HIV-1 MN fused to the
coding sequence for the transmembrane domain of gp41 from HIV-1
LAI under the control of the vaccinia virus H6 promoter. The detailed
construction of this vector has been described elsewhere (
19,
20). The
gag/pro and
env expression cassette from vCP205 was
placed within the deletion 3 region of MVA, using homologous
recombination and marker selection. The resulting virus, MVA205,
contains the identical HIV gene segments under the same poxvirus
promoters as those in vCP205. MVA205 was plaque purified and
grown to a high titer (1
x 10
8 PFU/ml). HIV protein expression
was verified in CEFs by Western blotting (Fig.
1A). Both constructs
produced roughly equivalent amounts of Gag protein in CEFs,
although there was more intracellular cleavage of Pr55
Gag in
cells infected with vCP205. Gag-Env pseudovirion particles were
released from CEFs infected with MVA205 and vCP205 (Fig.
1A,
supernatant lanes). Unexpectedly, the amount of gp120 produced
by vCP205 in CEFs was lower than that produced by MVA205. Protein
expression and particle release by HeLa cells appeared to be
basically equivalent for the two vectors by Western blotting
(Fig.
1B). The magnitudes and patterns of Gag and Env protein
expression in these cells appeared to be identical, validating
the construction of heterologous vectors bearing the same gene
expression cassette.
In order to compare more precisely the temporal patterns and
magnitudes of antigen expression by MVA205 and vCP205, we measured
p24 antigen release in cellular supernatants over time. The
full-length
gag gene expressed by both vectors allows efficient
pseudovirion particle formation and release, and the levels
and timing of supernatant antigen reflect cellular production
(
19). In CEFs, the patterns and magnitudes of p24 production
were nearly identical (Fig.
2, CEF panel). However, substantial
differences were observed in a series of mammalian cell lines.
Production and release of antigen by MVA205 were more efficient
than those by vCP205 in mammalian cells, with the exception
of 293 cells (Fig.
2). The peak of antigen production by the
MVA vector was delayed compared with that for canarypox virus
in each mammalian cell line tested. This is best illustrated
with the murine myoblast cell line C2C12, where peak particle
production was seen at 24 h with vCP205 and at 48 h with MVA205
(Fig.
2, C2C12 panel). These data indicate that both the magnitude
and temporal pattern of protein expression differ for MVA and
canarypox virus, despite the use of identical promoter-gene
expression cassettes.
Expression of antigen by a vaccine vector in immortalized epithelial
or muscle cell lines may not reflect that in more relevant cells.
To address this issue, we extended this analysis to human T-cell
and monocytic cell lines and to primary human cells. The production
of antigen was significantly lower in these cells than in adherent
mammalian cell lines. However, the magnitudes of antigen expression
and release by MVA205 were higher than those by vCP205 in Jurkat
T cells, the monocyte-derived U937 cell line, and human lung
MRC-5 cells (Fig.
3, top panels). Antigen production and release
from PBMCs were low (2 to 3 ng/1
x 10
6 cells), but these cells
also demonstrated greater antigen production by MVA205 than
by vCP205. Human monocyte-derived macrophages demonstrated a
marked difference in antigen production, and the later peak
of antigen production in these cells by MVA205 was clearly demonstrated
(Fig.
3, macrophage panel). Taken together, these data demonstrate
that the higher level of antigen production and later peak of
antigen production/release seen with MVA205 in cell lines are
also seen in primary human cells.
In order to be certain that the release of antigen in these
assays was an accurate reflection of the magnitude and temporal
sequence of cellular protein production and that the delayed
peak of protein production by MVA represented ongoing protein
production in infected cells, we quantified cellular and supernatant
p24 production over time for two of the mammalian cell lines.
In HeLa cells, cell-associated p24 production by vCP205 peaked
by 18 to 24 h postinfection, while production by MVA205 was
still rising at these times (Fig.
4, top panels). Intracellular
levels of p24 generated by MVA205 peaked at 36 h postinfection,
and antigen release continued to rise until 48 h postinfection.
TE671 cells demonstrated the same earlier and lower peak of
p24 expression for vCP205 (Fig.
4, bottom panels) and the same
extended production for MVA205. Thus, there was a longer duration
of protein expression, and the total amount of antigen produced
was two- to threefold higher, in these cells when the same genes
were expressed by MVA205 than the case with vCP205.
We considered the possibility that differences in the efficiencies
of MVA versus canarypox virus in entering and productively infecting
the cell lines and primary cells tested may have been responsible
for some of the observed differences in the magnitudes of antigen
expression. To test this, we utilized MVA and canarypox virus
vectors expressing GFP and monitored the efficiency of infection
by flow cytometry. Cells were infected at an MOI of 10 PFU/cell
of either virus, and the percentage of cells expressing GFP
was assessed at 24 h postinfection. Both canarypox virus-GFP
and MVA-GFP were able to efficiently infect each adherent cell
line (Fig.
5A to J). Although there were modest differences
noted in the expression of GFP in CEF and 293 cells, where these
differences were seen the higher levels were with canarypox
virus and thus could not account for enhanced antigen production
by MVA. Most cell lines and primary cell preparations were infected
equally by either vector. Not surprisingly, the efficiencies
of infection of suspension cells (Jurkat and U937 cells) and
of primary cells (PBMCs and macrophages) were markedly lower
(10 to 20% of cells infected) than those seen with adherent
cell lines. Overall, the ability of both vectors to infect cells
at equivalent or near-equivalent levels ruled out differential
entry/infection as the reason for enhanced antigen expression
by MVA.
Differential apoptosis induction by canarypox virus and MVA vectors.
Apoptosis induction by live vector vaccines may have important
effects on the resulting immune response. While rapid apoptosis
may limit antigen expression and thus adversely impact specific
immunity to vector-encoded antigens, apoptotic responses may
also be desirable for antigen uptake and presentation through
the alternative class I presentation pathway (antigen cross-priming).
We examined apoptosis by MVA205 and vCP205 by first using a
traditional DNA fragmentation assay with vector-infected HeLa
cells (Fig.
6A). At 12 h postinfection with either virus, little
DNA fragmentation was observed. However, at 24 h postinfection,
there was marked apoptosis induction, appearing approximately
equal for both viruses (Fig.
6A). We included a second recombinant
canarypox virus, vCP1452, in this analysis as a comparator.
This recombinant expresses the same
gag,
pro, and
env genes
as vCP205 and MVA205 but was also engineered to express the
vaccinia virus E3L and K3L genes, resulting in diminished activation
of the RNA-dependent protein kinase, enhanced antigen expression,
and diminished apoptosis in mammalian cells (
20). As noted previously,
apoptosis induction was markedly less prominent with vCP1452.
We next performed a more quantitative assessment of apoptosis
induction by MVA205 versus vCP205 with an ELISA-based assay
for detection of histone-complexed DNA fragments in the cytoplasm.
At 12 h postinfection, MVA205 and vCP205 demonstrated comparable
levels of apoptosis in this assay. By 24 h, both MVA205 and
vCP205 induced significant apoptosis above the negative control
level and above the levels produced by vCP1452. The total amount
of apoptosis induced by vCP205 was greater at 24 h than that
of MVA205 by this assay. We then sought to define the role of
the vector itself versus the role of
gag and
env gene expression
in apoptosis induction by these poxvirus vectors in mammalian
cells. To do this, we used annexin V and PI staining of either
empty vector or vector plus insert 12 and 24 h following infection.
Annexin V staining detects phosphatidylserine translocation
to the outer membrane, an early marker of apoptosis (
31), while
PI staining reveals later stages of apoptosis or necrosis. Therefore,
in our flow cytometry analysis, the lower right quadrant (annexin
staining) represents early apoptosis while the upper right quadrant
(annexin plus PI) represents late apoptotic events, and total
apoptosis is indicated by the total of these two quadrants.
In mock-infected HeLa cells, low levels of early and late apoptosis
were observed (Fig.
6C, negative control). Camptothecin treatment
resulted in a significant increase in total apoptosis observed
compared to that for negative control cells (23.2% versus 5.6%).
We then examined MVA and canarypox virus vectors lacking any
HIV inserts. MVA itself generated modestly increased apoptosis
12 and 24 h following infection compared with that of control
cells (Fig.
6C). In sharp contrast, MVA205 generated markedly
higher levels of apoptosis at both 12 and 24 h. At the 24-h
time point, MVA205 generated 41.9% apoptotic cells, in contrast
to 14.6% apoptotic cells for the MVA empty vector. Apoptosis
by canarypox virus empty vector was higher than that by MVA
at 24 h (23.4%) but demonstrated the same pattern of greater
apoptosis when expressing the
gag-env insert (39% apoptotic
cells). A potentially important difference was noted between
vCP205 and MVA205 at the earlier time point. By 12 h, a large
percentage of vCP205-infected cells were already double positive,
indicating that this vector induced very rapid apoptosis that
had progressed to late stages by 12 h. We included vCP1452,
designed to decrease apoptosis, as a further control. This vector
induced less apoptosis at both 12 and 24 h than the empty canarypox
virus vector, despite expressing HIV
gag and
env genes. Taking
all of these apoptosis data together, we concluded that vCP205
and MVA205 both induced substantial levels of cellular apoptosis
in mammalian cells and that the HIV gene insert had a surprising
and robust effect on the levels of apoptosis observed. Furthermore,
apoptosis induction by vCP205 was more profound at early time
points and thus may have contributed to the limitation of late
antigen production by this vector.
To verify that the HIV gene insert was responsible for apoptosis
induction by these recombinant poxvirus HIV vaccine vectors,
we compared apoptosis induction by MVA205 or vCP205 to that
by recombinant vectors expressing other genes. MVA205 infection
of HeLa cells led to substantially more apoptosis at 24 h than
did infection with MVA expressing T7 polymerase or MVA expressing
GFP (Fig.
7E versus C and F). The difference was most pronounced
in the double-positive (PI plus annexin V) population. Similarly,
vCP205 induced a much higher level of apoptosis that had progressed
to late stages by 24 h than did empty vector or a canarypox
virus expressing GFP (Fig.
7G to I). These data confirm that
the HIV gene insert exerts substantial effects on apoptosis
induction by vCP205 and MVA205.
Quantitation of the differential block to viral DNA replication in HeLa cells.
MVA is able to replicate its viral DNA in mammalian cells but
is arrested at a late (assembly) stage, while avipoxviruses
have been reported to be arrested at a stage prior to DNA replication
(
47,
49). However, detailed quantitation of avipoxviral DNA
levels over time following infection of human cells has not
been reported. We considered the possibility that the extended
duration and magnitude of heterologous gene expression by MVA
relative to those for canarypox virus may be linked with the
ability to replicate the viral genome and proceed with late-stage
transcription. To test this possibility, we developed a real-time
PCR assay for measuring the number of copies of
gag present
in cells infected with MVA205 or vCP205. Serial dilutions of
the transfer plasmid used to insert the
gag gene into the poxviruses
were used to generate a standard curve for absolute quantitation
of DNA copies. Cells (1
x 10
6) were infected with 1
x 10
7 PFU
of either virus, and the inoculum DNA was measured at time zero.
After 1 h, the cells were washed, and subsequent PCR data were
derived from DNAs extracted from the infected cells. For MVA205,
the number of DNA copies of
gag representing the poxvirus genome
increased from 12 to 24 h, to a level approximately 50-fold
higher than the input, and subsequently declined (Fig.
8, filled
squares). The copy number for
gag in the vCP205-infected cells
did not increase after infection but declined rapidly between
12 and 24 h after infection. These data confirm that avipoxvirus
vectors fail to replicate their DNAs in HeLa cells, while the
DNA copy number in MVA-infected cells increases at least until
24 h postinfection. Although ongoing foreign antigen expression
by MVA may not be linked directly to the kinetics of DNA replication,
this finding further highlights the difference in the stages
of replication arrest of MVA and canarypox virus in mammalian
cells.
Differential antigen production in human DC by MVA and canarypox virus vectors.
The most relevant cell type for studying vector-specific antigen
expression is not known with certainty, as antigen cross-presentation
may occur from uptake of dying cells or apoptotic bodies by
professional antigen-presenting cells (APCs). However, the ability
of vectors to infect and produce antigens directly in DC may
be desirable. We therefore compared antigen production by vCP205
and MVA205 in myeloid DC derived from multiple human donors.
In a series of direct comparison experiments (MOI = 5), the
vCP205 and MVA205 constructs consistently infected DC at the
same rates (59.0% versus 60.2%) (Fig.
9A, white bars). The vector-loaded
DC viability for each construct was comparable and stable (range,
80 to 90%). However, expression of the HIV antigens Env and
Gag was consistently and significantly higher for MVA205 than
for vCP205 (Fig.
9A, filled bars) (Env expression, 49.9% ±
7.7% versus 5.0% ± 2.5% [
P < 0.0001]; Gag expression,
62.8% ± 13.2% versus 10.5% ± 1.8% [
P < 0.001]).
The different expression levels translated into differences
in IFN-

production, as assessed by ELISPOT assay. Figure
9B to D show IFN-

ELISPOT data for three representative donors. MVA205,
whether loaded onto autologous DC or dropped into the well directly,
resulted in more IFN-

production in each experiment. There was
a strong positive correlation between IFN-

production in the
antigen presentation assay and HIV Env expression (
r = 0.78;
P < 0.0001) or HIV Gag expression (
r = 0.80;
P < 0.0001),
as determined by the Spearman correlation (data not shown).
These results suggest that the ability of a vector to sustain
antigen production and achieve higher levels of antigens in
DC could have functional effects that may impact vector-induced
immune responses.

DISCUSSION
Live viral vectors represent central components of many current
HIV vaccine regimens. The poxvirus family includes a number
of vectors that are under evaluation as HIV vaccine candidates.
In order to understand how these vectors should best be used
in vaccination regimens, it is essential to analyze both vector-specific
influences on antigen expression and the effect of the vector
on host cell responses, such as the induction of apoptosis.
In this study, we analyzed the pattern and magnitude of antigen
expression by an avipoxvirus vector in direct comparison with
those of an attenuated orthopoxvirus vector. Our study was unique
in that it utilized a common
gag/pro/env gene expression cassette
placed within these disparate vector backbones. This allowed
us to make conclusions regarding the timing and magnitude of
antigen production characteristic of each vector backbone and
to compare the effects of each virus on cellular apoptosis when
utilized as an HIV antigen expression vehicle.
Antigen production by MVA in a variety of cell lines was found to be greater than that of canarypox virus. This result was consistently seen in the majority of human cell lines tested, including PBMCs, macrophages, and DC. Interestingly, a longer period of protein production seemed to account for most of the observed differences. Cellular production of antigen by canarypox virus diminished after 18 to 24 h, while production of antigen by MVA205 continued until 36 to 48 h postinfection. The difference in the magnitudes of protein production was unrelated to the ability to infect target cells, as both vectors infected a wide variety of cells at similar efficiencies. The differences in antigen production in our cell culture experiments were in the range of two- to fivefold. It will be interesting to determine if these magnitudes of difference in the expression of a common antigen result in important differences in immune responses in different animal species, especially humans. The results from infected DC in the in vitro model presented here suggest that this difference may indeed result in significant benefits in antigen presentation. However, a number of factors in addition to antigen expression by the vector have the potential to significantly influence the resulting immune response in immunized animals or humans. Among these, apoptosis induction has been studied intensively and may be critical.
Poxviruses have developed a number of means to prevent cellular apoptosis (18, 40). These include mechanisms to avoid cytotoxic T-lymphocyte (CTL)-mediated killing by down-regulation of major histocompatibility complex class I molecules, expression of viral proteins that interfere with IFN and tumor necrosis factor signaling pathways, and expression of molecules that directly interfere with caspase activation. Attenuated poxviruses such as MVA retain some antiapoptotic genes that are essential for their replication. MVA carries E3L, a double-stranded RNA binding protein that inhibits protein kinase R activation (14). Deletion of E3L generates an MVA that is highly apoptotic in human cells and that fails to replicate in CEFs (21, 28). Recently, the F1L gene product has also been shown to contribute to the ability of MVA to inhibit apoptotic responses (21). The abundance of antiapoptotic factors produced by poxviruses suggests that for viral replication to succeed, it is essential for the viruses to potently disable cellular apoptotic responses. In the context of a vaccine vector, however, complete avoidance of apoptosis may not be desirable. Apoptosis may enhance immune responses through the formation of apoptotic bodies and the uptake and presentation of antigen through the alternative class I antigen presentation pathway (43). Enhanced apoptosis induction by MVA compared to that by vaccinia virus in human DC has been proposed as an explanation for its greater immunogenicity, presumably through enhanced antigen cross-presentation (11). Apoptosis induction is also likely to play an important role in the immunogenicity of avipoxvirus-based vectors. vCP1452 was designed to enhance the immunogenicity of canarypox virus ALVAC vectors through increased antigen expression and avoidance of cellular apoptosis (20). In cell culture systems, this vector successfully diminished apoptosis and resulted in greater levels of HIV antigen expression. Cellular immune responses elicited by vCP1452 in human trials were disappointing, however, and were substantially lower than those seen in earlier trials employing vCP205 (6, 23). While there are other plausible explanations for the apparently lower level of responses generated by vCP1452, it is possible that the reduced apoptosis generated in host cells infected by vCP1452 contributed to the reduction in immunogenicity seen in human trials with this vaccine candidate vector. Thus, effective antigen production in the host must be considered together with the ability to elicit apoptosis as a key factor contributing to vector-induced immunity.
The fact that gag/pro and env gene expression dramatically increased vector-induced apoptosis in our study is a novel finding that should be considered in strategies to modify the immunogenicity of poxvirus-based vectors. Perhaps this effect should not be surprising, because numerous studies have documented the proapoptotic effects of HIV gp120 (2, 3, 27, 30, 32, 41). The effects of expression of the Gag protein on apoptosis are less certain, but we have observed apoptotic nuclear changes in mammalian cells upon expression of the Gag protein (unpublished observations). We found that the proapoptotic effects of gag and env gene expression in either vector were profound, making the more subtle differences seen in MVA and canarypox virus empty vectors less important. These findings highlight the important role that the genetic insert may play in altering apoptosis. For the design of the ideal level of apoptosis by a recombinant vaccine vector, both the vector backbone and the insert effects must be considered. We note that insertion sites differed between the two vectors and that indirect effects on neighboring genes could have contributed somewhat to our findings.
An advantage of viral vectors is their ability to enter mammalian cells and endogenously produce relevant intracellular proteins for subsequent antigen presentation. Viral vector characteristics that allow efficient entry, early protein production, and sufficiently prolonged cell survival to allow antigen presentation might be important, especially in the context of direct infection of professional APCs. In this direct head-to-head comparison of two different viral backbones with identical gene inserts, we found that expression levels of HIV proteins were directly correlated to ELISPOT responses in an in vitro assay of antigen presentation. Despite similar infection rates, very different expression levels of relevant antigens were observed within myeloid DC. Therefore, simple "targeting" of APCs with viral vectors may be insufficient to prime the immune response. We propose that longer cell survival of DC infected with MVA but not canarypox virus allowed sustained transgene expression and successful antigen presentation and recognition by T cells to occur and that somewhat delayed apoptosis may have been beneficial. Whether DC serve as the primary APCs (direct priming) or serve as a protein/peptide source for indirect priming (cross-priming), the amount of antigen/protein produced is likely to be important. Understanding and balancing the dynamics of vector insert expression and vector-induced apoptosis will be important to optimize future live vector HIV vaccine development.
These cell culture-based results provide the basis for direct, head-to-head immunogenicity comparisons of avipoxvirus and MVA vectors bearing identical inserts in animal models. It will be interesting to determine whether the differences in antigen production and presentation documented in this study using cell culture models bear a direct relationship to the cellular immune responses in animal models and in humans.

ACKNOWLEDGMENTS
This work was supported by grants R01 AI52007 and R21AI65312
(P.S.). This work was supported in part by the cooperative agreement
DAMD17-98-2-8007 between the U.S. Army Medical Research and
Materiel Command, the Henry M. Jackson Foundation for the Advancement
of Military Medicine, and the Military Infectious Disease Research
Program.
We are grateful to investigators at Aventis for reagents and advice and to Linda Wyatt and Bernard Moss for key reagents for generating MVA recombinant viruses.
The views and opinions expressed herein are those of the authors and do not purport to reflect the official policy or position of the Department of Defense.

FOOTNOTES
* Corresponding author. Mailing address: Departments of Pediatrics and Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322. Phone: (404) 727-5642. Fax: (404) 727-8249. E-mail:
paul.spearman{at}emory.edu 
Published ahead of print on 4 April 2007. 

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Journal of Virology, July 2007, p. 7022-7033, Vol. 81, No. 13
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