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Journal of Virology, January 2007, p. 884-892, Vol. 81, No. 2
0022-538X/07/$08.00+0 doi:10.1128/JVI.01074-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Krishna Narayanan,2
Melissa Worthy,2,
and
C. J. Peters1,2*
Departments of Pathology,1 Microbiology and Immunology, Centers for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas 77550-06092
Received 24 May 2006/ Accepted 5 October 2006
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/ß) in vivo and in vitro
and inhibits the activation of the IFN-ß promoter. Expression
of the PTV Adames NSs protein, encoded by the S RNA segment, inhibited
the virus-mediated induction of an IFN-ß promoter-driven
reporter gene, suggesting that PTV NSs functions as a type I IFN
antagonist. Taken together, these data indicate a mechanism of
pathogenesis in which the suppression of the type I IFN response early
during PTV infection leads to early and uncontrolled viral replication
and, ultimately, hamster death. This study contributes to our
understanding of Phlebovirus pathogenesis and identifies
potential targets for immune modulation to increase host
survival. |
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Punta Toro virus is transmitted by sand flies and causes an acute febrile illness lasting 2 to 5 days (5, 30, 31, 37). While up to a 35% seroprevalence has been reported in Panama, little is understood about the clinical spectrum of illness (36). Two strains of PTV isolated from febrile patients in Panama were found to produce a differential pathogenesis in the Syrian hamster, with the PTV-Adames (PTV-A) strain infection causing a RVFV-like illness and death, while animals infected with the PTV-Balliet (PTV-B) strain survived infection (3). As reported in a study by Anderson et al. (3), the PTV-A strain was demonstrated to have a hamster 50% lethal dose (LD50) >1 million-fold lower than that of the PTV-B strain. The finding that PTV-A titers were consistently higher than those of the PTV-B strain at early time points during infection indicates that the PTV-A strain may have a growth advantage by efficiently suppressing the early innate immune response.
The viral family
Bunyaviridae is composed of 5 genera:Orthobunyavirus, Phlebovirus,
Nairovirus, Hantavirus, and
Tospovirus. Virions are enveloped and contain three
genomic RNA segments in the negative-sense coding orientation. In
phleboviruses, the large (L) segment encodes the RNA-dependent RNA
polymerase, the medium (M) segment encodes two surface glycoproteins,
GN and GC, and a nonstructural protein, NSm. The
third small (S) segment of the phleboviruses encodes the nucleoprotein
(N) and another nonstructural protein, NSs. The use of genetic
reassortants has been critical in determining viral genes involved in
host pathogenesis in the Bunyaviridae family
(14,
18). While the M and L
segments of the California serogroup bunyaviruses have been linked to
encephalitis in mice, the inhibition of the early innate immune
response has been implicated in the pathogenesis of RVFV infection in
mice and is mediated through the NSs gene on the S segment
(9,
25,
34,
39). To expand our
understanding of Phlebovirus pathogenesis, we utilized genetic
reassortants produced between the PTV-A and PTV-B strains to determine
segment-associated virulence factors in the hamster model
(3,
13). This study reports
the finding that the S RNA segment of the PTV genome is a critical
factor determining virulence in hamsters and that an inhibition of an
early induction of alpha/beta interferon (IFN-
/ß) by
the PTV-A strain contributes to the lethality in
hamsters.
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Generation of PTV reassortants. Confluent monolayers of Vero E6 cells were coinfected with both PTV-Adames (A/A/A [L/M/S convention] genotype) and Balliet (B/B/B) strains at a multiplicity of infection (MOI) of 3 for each strain, and cells were observed for cytopathic effect (CPE). Cultures were harvested for virus isolation 72 h postinfection (p.i). or when CPE reached 75%. Plaque assays were performed, and 309 well-separated polymorphic plaques were selected with a cotton-plugged, glass Pasteur pipette for genotype analysis. Agar plugs containing a single plaque were resuspended in 100 µl EMEM, supplemented with 5% fetal bovine serum. Half of this suspension was used to infect confluent Vero E6 cells in a 24-well plate, and the remaining portion was frozen at 80°C. RNA was extracted at the time point when CPE was observed, and genotyping reverse transcription (RT)-PCR was utilized to screen for PTV reassortants. Reassortant progeny were identified by multiplex RT-PCR and triple plaque purified from the original F1 plaque plug. Reassortant genotypes were confirmed by partial genome sequencing.
Genotyping PTV reassortants. Multiplex RT-PCR utilizing 3 primers, 2 primers specific to either the Adames or Balliet strain (Vs) and a primer specific to both strains (Vc), per genomic segment were used to identify reassortant progeny (Table 1). Genotyping primers were designed based on sequences available through GenBank (accession numbers K02736[16], DQ363406, DQ363407, M11156 [17], DQ363408, and DQ363409). The PTV sequence data generated in these studies were submitted to GenBank (see "Nucleotide sequence accession numbers" below). Each genome segment was screened for in separate reactions containing both the strain-specific Vs primers and the corresponding Vc primer for that segment. Viral RNA was extracted from infected Vero E6 cultures using TRIzol reagent (Invitrogen Corp., Carlsbad, CA) as directed. Reverse transcription was performed using 500 ng RNA with virus-specific primers or random hexamers (Promega Corp., Madison WI) and Superscript II or Superscript III enzymes (Invitrogen) according to the manufacturer's protocol. PCR components consisted of 4 µl cDNA, 100 ng each primer, 2.5 U Taq polymerase (Promega), 10 mM Tris-HCl (pH 9.0), 50 mM KCl, 0.1% Triton X-100, and 1.5 mM MgCl, for a total 50-µl volume per reaction. PCR conditions were 95°C for 5 min, followed by 30 cycles of 95°C for 40 s, 55°C (S segment) or 60°C (M segment) or 62°C (L segment) for 30 s, 72°C for 35 s, and a final 10-min extension at 72°C. PCR fragments were observed on 2% agarose gels containing ethidium bromide (data not shown).
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TABLE 1. PTV
reassortant genotyping primers
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/ß.
Syrian hamster (Mesocricetus
auratus) (Harlan Labs, Indianapolis, IN) IFN-
/ß
was produced from primary cells for use as a standard in these assays.
Briefly, embryos were obtained 9 days postimpregnation and were
trypsinized and cultured in EMEM supplemented with antibiotics and 20%
FCS. Hamster embryo fibroblasts (HEF) (passage 2) were infected with an
MOI of 0.01 of Newcastle disease virus and observed for CPE. When 50%
cell death was observed in HEF cultures, supernatants were harvested
and treated by pH reduction
(8). Type I hamster IFN
was assayed on CHO cells in 96-well plates using the established VSV
plaque reduction method for IFN titration
(19). The reciprocal
dilution of IFN sample which reduces VSV plaque numbers by 50%
represents the number of IFN U/ml in that
sample. Phenotypic characterization of PTV reassortants. The growth of PTV parental and reassortant progeny genotypes were assessed in Vero E6 cells (see Fig. 2), HEFs (see Fig. 3), and 293 cells (data not shown). Confluent monolayers of cells, in T-25 flasks, were infected with PTV reassortants (MOI = 0.01), and growth was measured for two independently derived plaque isolates of each PTV genotype. Culture supernatants were harvested daily until cultures reached 95% cell death. Growth of virus in Vero E6 cultures was measured over time via standard plaque assay on Vero E6 cells in six-well plates. Virus growth titers in HEFs were determined by 50% tissue culture infective dose (TCID50) assay on Vero E6 cells in 96-well plates and scored 4 d p.i.
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FIG. 2. Characterization
of PTV reassortants in IFN- /ß incompetent cells.
Confluent monolayers of Vero E6 cells were infected with an MOI of 0.01
of each PTV genotype, and growth of virus was measured over time via
standard plaque assay on Vero E6 cells. Growth curves were conducted in
duplicate and utilized two independently derived plaque isolates of
each PTV
genotype.
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FIG. 3. Characterization
of PTV reassortants in IFN- /ß competent cells.
Confluent monolayers of primary HEFs in T-25 flasks were infected with
an MOI of 0.01 of two independently derived plaque isolates per
genotype, and virus growth was measured over time by sampling with
medium replacement. Titers were measured by determining the
TCID50 on Vero E6 cells. Flasks were sampled with medium
replacement until monolayers reached 95% cell death. (A)
A/A/A genotype grows to higher titers than B/B/B genotype at all time
points, but B/B/B eventually reaches similar titer. Substitution of
PTV-B S segment results in a virus (A/A/B) that does not grow as well
as B/B/B. The B/B/A genotype exceeds the B/B/B parental genotype, but
growth approaches that of the A/A/A genotype
only at later time points. (B) If L and M are held constant at
A/B/, addition of the small RNA segment from either PTV strain
has similar results to those shown in Fig.
3A. A/B/A
exhibits comparable growth to that of the A/A/A genotype, and A/B/B
growth resembles that of the B/B/B genotype, particularly at earlier
time points. (C) Studies with the B/A/ background further
demonstrate the in vitro growth advantage that the PTV-A S RNA segment
confers.
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Immunohistochemistry. Formalin-fixed organs were paraffin embedded and sectioned by the UTMB Histopathology Core Facility. Punta Toro polyclonal antibody (courtesy of R. B. Tesh, UTMB) and horseradish peroxidase-conjugated secondary antibody were used to localize virus in tissues (InnoGenex, San Ramon, CA).
Reporter gene assays. 293 cells, grown in 24-well plates, were transfected using TransIT-293 reagent (Mirus, Madison, WI) according to the manufacturer's instructions. For whole-virus assays, cells were transfected with two plasmids: an IFN-ß promoter-driven luciferase (IFN-ß-luc) reporter plasmid (a gift from R. Lin, McGill University) and a cytomegalovirus (CMV) promoter-driven ß-galactosidase (CMV-ß-Gal) reporter plasmid as an internal control. After 6 h posttransfection at 37°C, the cells were mock infected or infected with PTV-Adames or PTV-Balliet strains at an MOI of 3. Sendai virus (Cantell strain) was used as a positive control, and assays were performed in triplicate. Eighteen hours postinfection, the cells were harvested and lysed in reporter lysis buffer (Promega, Madison, WI), and assays were performed. For expression studies, the cDNAs encoding the PTV Adames and Balliet NSs open reading frame (ORF) region were cloned into the pcDNA3.1 HisA myc (Invitrogen, San Diego, CA). The Ebola virus VP35 gene (a known IFN antagonist) (6) was also cloned into the pcDNA 3.1 HisA myc and was used as a positive control. Empty vector was used as a negative control. 293 cells were transfected with the indicated expression plasmids along with the IFN-ß-luc and CMV-ß-Gal reporter plasmids as described above. Twenty-four hours later, the cells were infected with Sendai virus using 100 hemagglutinin U /ml of culture. Eighteen hours postinfection, the cells were lysed with reporter lysis buffer, and assays were performed. The luciferase and ß-Gal assays were performed using Promega assay kits according to the manufacturer's recommendations. Firefly luciferase activities were normalized to the corresponding ß-galactosidase activities to calculate the relative induction.
Nucleotide sequence accession numbers. The PTV sequence data generated in these studies were submitted to GenBank and assigned accession numbers DQ363406, DQ363407, DQ363408, and DQ363409.
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TABLE 2. Infection
of Syrian hamsters with PTV reassortants
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FIG. 1. PTV
reassortant histopathology. All animals that succumbed to PTV infection
regardless of viral genotype exhibited the same pathology marked by
severe duodenal hemorrhagic necrosis. (A) Mock-infected
hamster duodenum showing normal histology and villous architecture
(hematoxylin and eosin [H&E] stain). (B) Duodenum from an
A/A/A genotype infected hamster (died 3 days p.i). All animals infected
with lethal genotypes exhibited severe hemorrhagic necrosis of the
epithelium (H&E stain). (C) Animals that did not succumb
to infection with nonlethal PTV genotypes exhibited some mild villous
tip sloughing and the presence of viral antigen (in red, arrow) in the
duodenum, as represented by this section from a hamster infected with
the B/B/B genotype (animal was euthanatized 14 days p.i.).
(D) Mock-infected duodenum (stained for the presence of viral
antigen as in panels C, E, and F [H&E counterstain]).(E) PTV antigen (in red, arrow) can be detected in livers of
animals infected with lethal genotypes (A/A/A infected hamster, died 4
days p.i.). (F) PTV antigen is not detected in livers from
animals infected with nonlethal genotypes (B/B/B infected hamster
euthanatized 14 days p.i.). (G) Some animals that succumbed
from infection with the B/B/A genotype exhibited hepatomegaly due to
marked zonal hemorrhagic necrosis (arrow) (H&E stain).
(H) Severe red pulp necrosis (arrow) and lymphoid hyperplasia
were also observed in some animals infected with the B/B/A genotype
(H&E
stain).
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PTV reassortant genotypes exhibit different growth properties in IFN-
/ß-competent cells.
The growth of parental
PTV-A and PTV-B and reassortant viruses was assessed in Vero E6 cells
(Fig.
2). Although some genotypes displayed slightly different growth patterns,
they were not found to be statistically significant in duplicate
experiments (data not shown). Each genotypic combination is fully
viable and capable of efficient replication in a cell line unable to
produce interferon (Fig.
2). We also confirmed the
lack of important differences in growth in this study using 293 cells,
which are thought to be defective in IFN regulatory factor 7
(32), which would limit
the IFN amplification loop in stimulated cells (data not shown). To
examine whether the PTV-A S RNA segment confers a growth advantage to
PTV reassortant genotypes in IFN-
/ß-competent cells,
we measured the growth of these viruses in primary HEFs. Cells were
infected with each virus genotype at an MOI of 0.01, and titers of
virus in the culture supernatant were determined by TCID50
assay on Vero E6 cells. Infections were conducted with two independent
plaque isolates of the same PTV genotype and compared to parental
genotypes (Fig.
3). Throughout the first 4 days p.i. the PTV-A strain
maintains a 100-fold growth advantage over the PTV-B strain. By days 5
and 6, PTV-B titers approach PTV-A levels. The reassortant growth
curves are in general bounded by those of the parental strains. If the
PTV-B S RNA segment is inserted into the A/A/A genome, the resulting
A/A/B genotype replicates much less efficiently and is the only
reassortant with even lower titers than the B/B/B parental strain (Fig.
3A). Conversely, the
introduction of the PTV-A S RNA segment into the PTV-B genome improved
the titers of the B/B/A reassortant in HEFs (Fig.
3A). Similarly, when the
PTV-A S RNA segment is expressed in the reassortant A/B/
genotype (Fig. 3B) or the
B/A/ genotype (Fig.
3C), the resultant virus
grows better than its partner, with the PTV-B segment as the
contributor. All of these differences are more prominent early after
infection than at later time points. Collectively, these data suggest
that PTV-A S segment confers a growth advantage to the virus
early during infection in an IFN-
/ß-competent
system.
The lethal PTV-A strain induces less IFN-
/ß in vivo than the nonlethal PTV-B strain.
To examine the role
of IFN-
/ß in PTV infection, we measured the
concentration of IFN-
/ß and virus in sera from
PTV-infected hamsters (Fig.
4). Animals were infected intraperitoneally with 100 µl of parental
strains PTV-A and PTV-B (4.7 log10 PFU). Three animals per
time point were euthanatized, and the titers of IFN
/ß
and virus in serum were determined as described. At all of the time
points following infection, PTV-A-infected animals exhibited higher
virus titers than PTV-B-infected animals (Fig.
4A). PTV-A was detected in
serum as early as 12 h p.i., and virus titers reached 4.5 to
5.5 log10 TCID50/ml by 36 h p.i. In
contrast, PTV-B virus replication was not detected until 36 h
p.i. and was 2 logs lower than PTV-A titers at that time point. The
PTV-B titers were approximately 3 to 4 logs lower than PTV-A strain at
48 and 72 h p.i. These data reflect the observed in vitro
titers in HEFs (Fig. 3).
After 72 h p.i., most hamsters infected with this dose of
PTV-A strain have succumbed to infection.
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FIG. 4. Viremia
and type I IFN induction in PTV-infected hamsters. Hamsters were
infected with 4.7 log10 PFU of PTV-A and PTV-B strains,
three animals per time point were euthanatized, and serum titers for
virus and type I IFN were determined. (A) The PTV-A strain
replicates to higher titers in infected animals than the PTV-B strain
beginning 12 h p.i and continues to exhibit superior growth,
with final titers reaching 4 logs higher than PTV-B-infected animals
(TCID50). (B) Serum IFN is detectable at
36 h p.i. and is higher in more PTV-B-infected animals at 36
and 48 h p.i. than in PTV-A-infected
animals.
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/ß levels in infected animals demonstrated a
marked difference between PTV strains beginning at 36 h p.i.
(Fig. 4B). Animals
infected with the PTV-A strain had significantly reduced levels of
IFN-
/ß production at early time points compared with
the PTV-B-infected animals. While IFN-
/ß titers in
both PTV-infected groups eventually reached similar levels at
72 h p.i., the late IFN levels in the PTV-A group can be
attributed to the associated high levels of virus in organs (Fig.
4A). These data suggest
that the PTV-A strain is more effective than the PTV-B strain in
inhibiting the early induction of IFN-
/ß response in
vivo. This could allow the PTV-A strain to grow to higher titers in
target organs, which could contribute to the high lethality of this
strain.
The lethal PTV-A strain inhibits the induction of type I IFN in vitro.
To assess the ability of the PTV-A
strain to inhibit the induction of IFN-
/ß in vitro, we
examined whether the PTV-A and PTV-B strains exhibited a differential
ability to induce IFN-
/ß in primary HEFs. HEFs were
infected with PTV-A and PTV-B virus at an MOI of 1. The culture
supernatant was sampled at various times p.i., samples were
acid-treated, and titers of IFN-
/ß were determined by
VSV plaque reduction assay on CHO cells
(19). Beginning as early
as 8 h p.i., the PTV-B strain induced measurable levels of
type I IFN compared to the PTV-A strain (Fig.
5). PTV-B infection induced approximately two- to fourfold-higher levels of
type I IFN than PTV-A infection at 24 and 48 h p.i.,
respectively. In addition, cells were observed for CPE during the
course of the experiment, and PTV-A-infected cells showed more CPE and
reached maximal CPE earlier than PTV-B-infected cells. The
IFN-
/ß titers in both PTV strain-infected cultures
decreased by 72 h p.i., which could be attributed to the
overall decrease in the number of viable cells in culture (CPE score
= 4, which is >90% cell death).
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FIG. 5. Type
I IFN induction in vitro by PTV strains. Primary HEFs were grown to
confluence in T-25 flasks. Duplicate infections utilized an MOI of 1 of
each PTV strain and Sendai as an induction control. Medium was sampled
over time with replacement and treated for IFN titration as described.
Titers of samples were determined for type I IFN by standard VSV plaque
reduction assay on CHO cells and represented above as mean titers.
*,
CPE scores: 0, no cell death; 1, 25% cell death; 2, 50% cell death; 3,
75% cell death; 4, >90% cell
death.
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FIG. 6. Activation
of the IFN-ß promoter by PTV strains. 293 cells were
transfected with reporter plasmids and infected 6 h
posttransfection with an MOI of 3 of PTV strains (assays were performed
in triplicate). Luciferase activity was measured from prepared lysates
as described and normalized to ß-Gal activity (expressed as
relative [n-fold] induction). The PTV-B strain demonstrated a
threefold-higher activation of the IFN-ß promoter than the
PTV-A strain. The difference in relative induction was statistically
significant, as determined by Student's t test (*,
P <
0.0071).
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FIG. 7. Activation
of the IFN-ß promoter by PTV NSs. 293 cells were transfected
with reporter and expression plasmids and infected 24 h
posttransfection with 100 hemagglutinin units/ml of Sendai virus
(assays were performed in triplicate). Cell lysates were prepared
18 h p.i., and luciferase activity was measured and
normalized to ß-Gal activity (expressed as relative
[n-fold] induction). The PTV-A NSs demonstrated a
threefold-greater inhibition of the IFN-ß promoter activation
than the PTV-B NSs. The difference in relative induction was
statistically significant, as determined by Student's t test
(*, P = 0.0007). EV, empty
vector.
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Genetic reassortants have been utilized previously to investigate viral RNA segment-associated pathogenic factors in the Bunyaviridae family. Studies using reassortants produced between LaCrosse and snowshoe hare orthobunyaviruses implicated the M RNA segment in encephalitis in mice (34). A study performed using reassortants generated between a RVFV deletion mutant (clone 13) and a wild-type virulent strain ZH548 to map genetic determinants for mouse virulence revealed that the S segment contained important elements for lethality (39). RVFV clone 13 has an in-frame deletion of approximately 70% of its NSs gene on the S RNA segment (25).
Previous studies of PTV-A infection of Syrian hamsters have shown rampant virus replication, with the liver as the major site of growth and also involvement of the duodenum and spleen (3). We confirmed these findings and also showed that the less pathogenic PTV-B had a similar pattern of growth but with less extensive tissue damage. The cause of death due to PTV infection is hemorrhagic shock from viral damage to the duodenal villi, and the shock probably contributes to the splenic damage and the centrolobular necrosis seen in some animals. The patterns of virus replication and the hepatic lesions resemble the pathogenesis of the Phlebovirus RVFV in experimental animals and in humans (4, 20, 24).
The PTV-A strain is also more virulent in the murine system than is the PTV-B strain, but the system must be carefully balanced with a selected age of the inbred mouse to demonstrate the difference (29). Interestingly, the mouse differences depend on age, and mice older than 5 weeks survive PTV-A strain infection. There are insufficient numbers of documented PTV-human infections to accurately understand the spectrum of illness elicited by each PTV strain.
Examination of several PTV strains suggests that the geographic origin of the isolate correlates with hamster pathogenicity (L. A. Perrone, unpublished observations). Viruses from the western part of Panama resemble PTV-B in their pathogenicity, and those from eastern Panama behave like PTV-A. This is independent of origin of the isolate (humans, sand flies, or sentinel animals) and of the passage history of the virus. Although the vertebrate amplifier in nature is unknown, we speculate that the difference in pathogenesis reflects different intraspecific or interspecific requirements for this host in the two geographic regions in which the contrasting phenotypes occur.
Utilizing reassortants generated between the lethal PTV-A strain (A/A/A genotype) (L/M/S RNA segment convention) and the nonlethal PTV-B strain (B/B/B genotype), we demonstrate that the S segment is a critical determinant of PTV virulence in hamsters, exemplified most prominently by the lethal phenotype of the B/B/A genotype and the nonlethal phenotype of the A/A/B genotype (Table 2). However, it was also found that the B/A/A and A/B/A genotypes exhibit a higher overall percentage of mortality in hamsters than the B/B/A genotype, suggesting a contribution of multiple RNA genome segments or their collective interaction to PTV pathogenesis. In other experiments performed by our group, we find that there is a preferential association during PTV replication and/or packaging in vitro between homologous M and S and between homologous L and S RNA segments (unpublished observations), which may explain why the B/B/A elicits a lower overall percent mortality in vivo than the other PTV genotypes containing the Adames S RNA segment. We hypothesize that whatever mechanism underlies the preferential association, it is operating doubly in this case and may put the B/B/A genotype at a slight disadvantage compared to the other lethal genotypes in vivo. Supporting this conjecture is the longer MTD observed in hamsters infected with the B/B/A genotype (5 to 7 days p.i.) than in the other lethal reassortant genotypes. It may not be coincidental that of all the reassortants with the PTV-A S RNA segment, B/B/A grew least well in HEF cells, and similarly, among the viruses bearing the PTV-B S RNA segment, A/A/B reached lower titers (Fig. 3). Importantly, no difference in tissue tropism was observed between any of the PTV genotypes, and the evidence indicates that lethality does not correlate with organ targeting.
The observed differences in the
LD50s between PTV-A and PTV-B strains, along with the
observation that PTV-A titers rise rapidly within hours of infection
(Fig. 4A), indicated that
PTV-A strain might suppress the type I IFN response more efficiently
than the PTV-B strain, resulting in an overwhelming infection and death
in PTV-A-infected animals. Type I IFN (IFN-
/ß) is an
innate immune cytokine involved in viral clearance and paracrine cell
signaling and is critical early during infection as an intercellular
mediator to limit cell infection. Many viruses have evolved mechanisms
to counteract the induction and/or action of IFN-
/ß to
propagate in the host and thrive in nature
(15).
Among
phleboviruses, the participation of IFN in pathogenesis was noted early
in experimental studies of RVFV infections of mice
(28); however, the first
data implicating it in differences in pathogenesis came from studies of
rat-pathogenic and non-rat-pathogenic virus strains. The strains
capable of killing rats were much less sensitive to the antiviral
effects of rat (but not human) IFN in cell culture
(2). Studies of the IFN
response and prophylaxis in rhesus monkeys are more directly relevant
to pathogenesis of Phlebovirus infections
(23). This model is the
most realistic for human RVFV hemorrhagic fever, and prophylaxis with
IFN-
was effective in suppressing disease and viremia. In
untreated monkeys, there was a strong correlation between the timing
(but not the magnitude) of the IFN response and the likelihood of
disease or death; early responses were predictive of a mild clinical
course and normal biochemical and clotting parameters.
We
measured serum IFN-
/ß levels in vivo following PTV
challenge and found that the PTV-A strain fails to induce as robust an
IFN-
/ß response as the PTV-B strain, as demonstrated
by IFN-
/ß titers at critical early time points for
hamster survival, specifically 36 and 48 h p.i. (Fig.
4B). While
IFN-
/ß titers in PTV-A and PTV-B infected animals
eventually reach similar levels, we believe that the levels of
circulating IFN in PTV-A-infected animals reflect their overwhelming
viremia and presence of intracellular double-stranded RNA. In vitro
experiments measuring IFN-
/ß induction in cultured
primary hamster embryo cells confirm our observations in vivo (Fig.
5). The serum IFN
differences seen are important in two ways. First, IFN is detected
earlier after inoculation of PTV-B into either cell cultures or
surviving hamsters, which is a factor that was shown to be more
important in the survival of RVFV-infected macaques than the actual
titers elicited. In addition, in the case of PTV, the early IFN titers
are higher for PTV-B than PTV-A. While both PTV strains and their
reassortants were able to grow in IFN-
/ß-competent
(Fig. 3) as well as
incompetent cells (Fig.
2), significant
differences in growth over time are observed between genotypes in
primary HEFs (Fig. 3). It
is clear that the presence of the PTV-A strain S RNA segment confers a
growth advantage in vitro compared to those PTV reassortants containing
the PTV-B S RNA segment.
Given the evidence that the PTV-A strain
inhibits IFN-
/ß production in vivo and in vitro, we
determined the ability of the virus to suppress the transactivation of
the IFN-ß promoter using a reporter assay. The PTV-B strain
stimulated the IFN-ß promoter approximately threefold higher
than the PTV-A strain (Fig.
6). Reporter assay
experiments conducted using the lethal ZH548 and attenuated clone 13
strains of RVFV showed a fivefold difference between ZH548 and clone 13
in IFN-ß promoter induction
(7). It should be noted,
however, that RVFV clone 13 is a virus obtained in the laboratory from
a virulent RVFV strain and has a large (approximately 70%) in-frame
deletion in the S RNA segment, resulting in a truncated NSs protein.
The PTV-B strain is a naturally occurring isolate producing a
full-length NSs protein. In the PTV S segment, there are no amino acid
differences between the N proteins of PTV-A and PTV-B strains (GenBank
accession no. DQ363406 and
K02736[16]). This implicated
the NSs gene/protein in the observed differences between strains to
elicit a type I IFN response and to stimulate the IFN-ß
promoter. To confirm this deduction, we performed IFN-ß
promoter-driven reporter assays and found that the PTV-A NSs
gene/protein can independently inhibit the activation of the
IFN-ß promoter (Fig.
7). There are 13 amino
acid differences between the PTV-A and PTV-B strains which would be
ideal targets for site-directed mutagenesis and mapping of this
protein's IFN-antagonistic ability. There is little amino acid sequence
identity (27 common residues of an alignment of 250) between the RVFV
and PTV NSs proteins, and it is currently unknown if the PTV NSs
protein localizes to the nucleus
(7,
35,
41).
Taken
together, these results highlight the enhanced ability of the PTV-A
strain to suppress the induction of type I IFN, allowing the virus to
replicate more efficiently. These studies indicate that the PTV-A
strain has a significant growth advantage over the PTV-B strain due to
its ability to suppress the production of IFN-
/ß via
the action of the NSs protein early in infection, leading to
uncontrolled viral replication in target tissues and, ultimately, host
death. These results contribute significantly toward understanding of
the mechanism of Phlebovirus pathogenesis in mammalian
hosts.
We thank Robert Tesh for the PTV Adames and Balliet
strains and Juan Olano and Shu-Yuan Xiao for their assistance in
histopathological examination of hamster tissues. We also thank Sam
Baron and Joyce Poast for assistance in the development of a hamster
species-specific IFN-
/ß assay and James Grady, Shinji
Makino, and Christopher Basler for their technical
advice.
Published ahead of print on 18 October 2006. ![]()
Present
address: Influenza Division, Immunology and Pathogenesis Branch, MS
G-16, CCID, NCIRD, Centers for Disease Control and Prevention, 1600
Clifton Road, N.E., Atlanta, GA 30033. ![]()
Present
address: Texas A&M University, College of Veterinary Medicine,
Department of Veterinary Pathobiology; MS 4467, College Station, TX
77843. ![]()
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