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Journal of Virology, October 2008, p. 9730-9738, Vol. 82, No. 19
0022-538X/08/$08.00+0 doi:10.1128/JVI.00889-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Department of Microbiology and Immunology,1 Jefferson Vaccine Center, Thomas Jefferson University, Philadelphia, Pennsylvania,2 Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania,3 Department of Pathology, George Washington University, Washington, DC4
Received 28 April 2008/ Accepted 15 July 2008
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SAEA) displayed a more cell-associated phenotype than that of wild-type RV. Furthermore, all mutations within the PPEY motif resulted in reduced spread of the recombinant RVs as indicated by a reduction in focus size. Importantly, recombinant PPEY L-domain mutants were highly attenuated in mice yet still elicited potent antibody responses against RV G protein that were as high as those observed after infection with wild-type virus. Our data indicate that the RV PPEY motif has L-domain activity essential for efficient virus production and pathogenicity but is not essential for immunogenicity and thus can be targeted to increase the safety of rabies vaccine vectors. |
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The RV M protein is a multifunctional protein. It has been shown to regulate the balance between transcription and replication of RV (12, 13). M also interacts with the RNP, which it condenses into a dense and coiled form, and with the cell membrane, where it recruits the RNP for assembly and budding (for a review, see reference 22). Mebatsion et al. demonstrated the essential role of RV M in virion assembly and budding with the finding that removal of RV M from the RV genome reduced budding 500,000-fold, indicating that RV M is even more important for viral budding than RV G (40).
It is interesting that RV M (P. Godlewski and R. Harty, unpublished data) and VSV M (2, 16, 27) can bud from the cell surface membrane by themselves as virus-like particles, a feature which has been described for the retroviral matrix protein Gag from human immunodeficiency virus and Rous sarcoma virus (14, 55). Another common feature of matrix proteins from different enveloped viruses is the presence of "late" or L-domains, which mediate efficient virus budding by interacting with host cell proteins, most of which are components of the vacuolar protein sorting pathway (for review, see references 1 and 25). To date, four L-domain core motifs have been identified (PPxY, PT/SAP, YxxL, and FPIV, where x can be any amino acid), and specific host proteins have been implied to interact directly or indirectly with these L-domains (for review, see reference 1).
Interestingly, certain L-domains found in matrix proteins can substitute for each other (6). For example, Irie et al. demonstrated that the PTAP L-domain of Ebola virus VP40 could functionally replace the PPPY L-domain of VSV M (22). As such, efficient budding of the PTAP-containing VSV/Ebola recombinant was shown to be dependent on the PTAP-specific host interactor Tsg101, which is not essential for budding of the PPPY-containing wild-type (WT) VSV (21).
L-domain activity has yet to be identified and characterized for RV. The RV M protein does contain a PPxY motif (PPEY) close to the amino terminus of M, similar to that described for VSV. Interestingly, a second potential L-domain motif (YxxL) is also present in RV M and is organized in an overlapping fashion (PpxYxxL), similar to that of Ebola virus VP40 (15).
While their function in mediating virion egress has been well defined, the effects of L-domains on viral pathogenesis and immunogenicity have not been well studied. For VSV, only viruses with modifications in the PSAP region of M have been studied in a mouse model of VSV infection and pathogenesis (20). Because the PSAP region of VSV M does not possess L-domain activity similar to that observed for the PPPY motif in BHK-21 cells, the detected attenuation of PSAP mutants in mice could be based on the unexpected findings that PSAP mutants showed less cytopathology, reduced levels of activated caspase-3, and enhanced production of beta interferon (20).
Our results presented in this study are the first to suggest that for RV, the 35PPEY38 motif, and not the YxxL motif, is essential for efficient virus production. Indeed, the first proline at position 35 was most important for viral replication, since mutation of this single residue reduced viral titers dramatically. In contrast, mutation of either P36 or Y38 resulted in a less significant, but still noticeable, reduction in virus titer. The reduction in viral replication was most likely due to inhibition of virion release, because initially no major impact on RV RNA synthesis was observed.
Recombinant PPEY M mutants were highly attenuated in mice but still elicited potent antibody responses against RV G protein that were as high as those observed following infection with wild-type virus. These findings suggest that the PPEY L-domain can serve as a target for increasing the safety not only of rabies vaccine vectors but also of other vaccine vehicles containing L-domains.
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Construction of recombinant RV carrying M mutants. The plasmid encoding RV M (pT7T-M) has been described previously (13). RV M was PCR amplified out of pTIT-M with primers adding a 5' EcoRI site (TAATATGAATTCATGAACCTCCTACGTAAG) and a 3' XhoI site (TTAAAACTCGAGTTATTCTAGAAGCAGAGA). The PCR fragment was then cloned into the pCAGGs expression vector using EcoRI and XhoI digestions, resulting in pCAGGs-RV-M. To introduce mutations within the RV M, the RV M gene was PCR amplified from pCAGGs-RV-M using the above primers, and the resulting PCR fragment was cloned into the pGEM-T-Easy vector (Promega Inc.). Site-directed mutagenesis was used to introduce the respective mutations in pGEM-T-RV-M. Briefly, complementary primers (5'P35A and 3'P35A, 5'P36A and 3'P36A, 5'P38A and 3'P38A, or 5'P41A and 3'P35A) encompassing the residue targeted and some of the flanking sequences were used to amplify the entire plasmid. The reaction mixture was then digested with DpnI to remove parental plasmid and transformed into JM109 bacterial cells according to the instructions of the manufacturer (Promega Inc.). The transformants were screened by sequencing. Positive clones (pGEM-T-RV-M-P35A, pGEM-T-RV-M-P36A pGEM-T-RV-M-P38A, and pGEM-T-RV-M-P41A) were digested with EcoRI and XhoI and then cloned back into pCAGGs to yield pCAGGs-35S, pCAGGs-36A, pCAGGs-38A, and pCAGGs-41A. The primers used are listed in Table 1. In the case of pCAGGs-35A, we discovered that a Ser was introduced instead of an Ala. We decided that this was an acceptable amino acid for the proposed study and renamed the plasmid pCAGGs-35S. To create the mutant where all four critical residues were mutated to alanine, the pGEM-T-RV-M construct was used as a template to engineer the first two Ala exchanges, utilizing the primers 5'P3536A and 3'P3536A, and the other mutations were introduced in a stepwise approach utilizing first the primer pair 5'P38A and 3'P38A, followed by 5'P41A and 3'P41A. Positive clones were identified after each round of mutagenesis by sequencing. The final plasmid was designated pCAGGs-4A. To construct the recombinant RV containing the respective M mutations the plasmids pCAGGs-35S, pCAGGs-36A, pCAGGs-38A, pCAGGs-41A, and pCAGGs-4A were digested with BstZ17I and SnaBI and the resulting fragment cloned into pSPBN (33). The resulting plasmids were designated pM35S, pM36A, pM38A, pM41A, and pM4A.
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TABLE 1. Primers used for mutagenesis of RV M
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Western blotting. BHK-21 cells were seeded into a 24-well plate (2 x 105/well) and infected the following day with 2 x 106 focus-forming units (FFU) of RV in 200 µl serum-free medium. After 1 h at 37°C, the inocula were removed and 1 ml fresh medium was added. Floating and adherent cells were collected 48 h after infection, washed with phosphate-buffered saline (PBS), and lysed in 200 µl detergent solution (10 mM Tris-HCl [pH 7.6], 1% NP-40, 0.4% deoxycholate, 66 mM EDTA) supplemented with protease inhibitor cocktail (Sigma, Inc.). The lysate was spun for 3 min at 13,000 x g, and the supernatant was mixed with an equal volume of sample buffer (62.5 mM Tris-HCl [pH 6.8], 2% sodium dodecyl sulfate, 2% β-mercaptoethanol, 20% glycerol, and 0.01% bromophenol blue). Prior to loading, the samples were incubated at 94°C for 5 min and equal volumes were run on sodium dodecyl sulfate-10% polyacrylamide gels in Tris-Tricine buffer (45). The proteins were transferred onto 0.45-µm PVDF-Plus membranes (GE Osmonics, Minnetonka, MN) for 1 h at 300 mA in transfer buffer (25 mM Tris, 190 mM glycine, 20% methanol) using a Hoefer MiniVE blotting unit. After transfer, the membrane was incubated in blocking solution (0.05% Tween 20, 5% nonfat dry milk in PBS) for 1 h at room temperature with agitation, followed by overnight incubation with primary antibody in blocking solution. Rabbit polyclonal antisera were used to detect RV M and G proteins, and actin was detected with a mouse monoclonal antibody. Incubation with horseradish peroxidase-conjugated anti-mouse and anti-rabbit immunoglobulin (Jackson Laboratories) was performed for 1 h at room temperature in blocking solution. Protein bands were visualized with the SuperSignal West Pico chemiluminescence substrate (Pierce, Rockford, IL).
Single-step growth assays. NA cell monolayers were infected at a multiplicity of infection (MOI) of 5. After 1 h of incubation at 37°C, the inoculum was removed, cells were washed twice with PBS, and the cell cultures were replenished with RPMI with 5% fetal bovine serum and incubated at 37°C. Supernatants were harvested at the indicated time points and virus titers were determined.
Virus spread assay. The virus spread assay methods have been described previously (43).
EM. Human HeLa cells were infected at an MOI of 1 with SPBN or M4A for 48 h and fixed, stained, and evaluated by electron microscopy (EM) as described previously (32, 34).
RNA purification and cDNA synthesis. RNA was isolated utilizing the Qiagen RNeasy kit (Valencia, CA) as instructed by the manufacturer. One µg of total isolated RNA was reverse transcribed by using Omniscript reverse transcriptase (Qiagen) according to the manufacturer's protocol and a gene-specific primer either for genomic SPBN RVN RNA (RP381) or for SPBN RVN mRNA (RP389) (53). The reaction mixtures were incubated for 1 h at 37°C, and the enzyme was subsequently inactivated by a 5-min step at 95°C. cDNAs were stored at –20°C.
Quantitative real-time PCR. The quantitative real-time PCR analysis methods have been described previously (53).
Animal studies. (i) Pathogenesis study. Groups of five 6- to 8-week-old C57BL/6 mice were inoculated intranasally with 7 x 104 FFU in 20 µl. Mice were monitored daily for clinical changes and signs of rabies, and weights were determined. Moribund mice or mice losing more than 25% body weight were euthanized.
(ii) Immunizations. For immunization, groups of five 5- to 6-week-old female Swiss Webster mice were immunized intramuscularly (i.m.) in the gastrocnemius muscle with 1 x 106 infectious virus particles in 100 µl of PBS. Mice were bled after 21 days, and sera were analyzed for virus-neutralizing antibodies.
All animal experiments were performed according to Institutional Animal Care and Use Committee-approved protocols (Animal Welfare Assurance no. A3085-01).
(iii) Immunogenicity assay. An enzyme-linked immunosorbent assay (ELISA) for RV G (32, 33) and rabies virus-neutralizing antibody titers (36) has been described previously. The virus-neutralizing antibody titers were transformed into international units using the World Health Organization's anti-rabies virus antibody standard.
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FIG. 1. Construction of RVs expressing mutated M proteins. (A) The top of the figure shows the RV vector SPBN, which was used as the background for introducing mutations within the M protein. (B) The first 60 amino acids of RV M are shown; the PPEY motif is indicated in bold. (C) The PPEY motif of wild-type RV M and the introduced amino acid changes to generate the five recombinant RVs used in this study.
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FIG. 2. One-step growth curve for M mutants. NA cells were infected with SPBN, M35S, M36A, M38A, M41A, or M4A at an MOI of 5 FFU for 1 hour. Aliquots of tissue culture supernatants were collected, and viral titers were determined in duplicate at the indicated time points. The data presented are from one of several independent experiments performed.
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Protein, RNA synthesis, and replication kinetics of PPEY mutant viruses. While it is clear that viral PPxY motifs are important for virus budding, we sought to determine whether mutations in the PPEY motif of RV M had additional effects on viral replication, both at the level of mRNA production and genome/antigenome amplification. Mebatsion et al. demonstrated that removal of the gene encoding RV M resulted in higher expression of the other viral proteins probably due to reduced replication (40). In addition, Finke et al. showed that changes in expression of M resulted in differences in the ratio of mRNA to genomic RNA (12, 13).
To determine whether any of the introduced mutations in RV M affected M protein synthesis, NA cells were infected at an MOI of 5, and cell extracts were prepared and analyzed by Western blotting at 35 and 48 h postinfection. We found variation in the levels of M proteins, but only at a range of two- to threefold (Fig. 3), which does not correlate with the 10- to 100-fold difference in viral titers observed for the recombinant M mutants (Fig. 2).
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FIG. 3. Western blot analysis of expression of mutated M proteins from RV. NA cells were infected with SPBN, M35S, M36A, M38A, M41A, or M4A (MOI of 5) and lysed 48 h later. Proteins were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and subjected to Western blotting with antibodies specific for RV G, actin, or RV M.
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We also analyzed the composition of purified virions. Our results indicated that, whereas the protein compositions were identical for all recombinant viruses, the amounts were reduced in a similar manner as observed for the infectious titers (data not shown).
Next, we analyzed the effect of the RV M mutations for mRNA and genomic RNA synthesis, as well as the production of infectious virus over time. NA cells were infected at an MOI of 5 to allow synchronous infection of all cells. At 12, 24, and 48 h postinfection, supernatants were collected and the cells were lysed. Total RNA was isolated for real-time PCR analysis of genomic and N mRNA from the respective recombinant viruses SPBN, M35S, M36A, M38A, M41A, and M4A (Fig. 4). The SPBN wild-type virus showed the typical pattern of RNA synthesis and release of infectious virions previously described (53). Initially, high levels of viral mRNA were expressed, followed by a constant increase of genomic RNA level over the first 48 h, which was paralleled by the release of increasing amounts of infectious virions into the supernatant. The same pattern of RNA synthesis and viral growth was also observed in this setting for recombinant virus M41A (Fig. 4, SPBN and M41A). However, different findings were obtained for viruses containing mutations within the PPEY motif. Whereas a similar reduction in the release of virions as detected in the one-step growth curve analysis was seen for all recombinant RVs, M35S and M4A did not show the typical switch from transcription to replication. In contrast, these recombinants produced similar levels of mRNA and genomic RNA over time, indicating that impaired budding also affects RNA synthesis. Similar findings were made for M4A, in particular a reduction in mRNA levels at early times after infection, and no significant increase in genomic RNA levels was seen during the first 48 h. However, the reduction in replication and transcription cannot explain the reduction in the amount of released virions. Indeed, recombinants M36A and M38A, which displayed similar mRNA levels compared to SPBN at early times after infection and even increased mRNA levels at later times, had clearly reduced viral titers. This became obvious for example when mRNA and genomic RNA levels of M36A and SPBN were compared and shown to be similar at 12 h postinfection while the infectious titers differed by 100-fold.
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FIG. 4. RNA replication and production of infectious virions. NA cells were infected with SPBN, M35S, M36A, M38A, M41A, or M4A (MOI of 5), and cells and supernatants were collected at the indicated time points. The number of genomic RNA copies (genomic; solid line) and RV mRNA copies (messenger; dotted line) and viral titers were determined in duplicate at the indicated time points.
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FIG. 5. Evaluation of wild-type RV SPBN and M mutant M4A by electron microscopy. HeLa cells were infected with SPBN (A) or M4A (B) at an MOI of 1 for 48 h. Cells were fixed at room temperature in neutral buffered 2.5% glutaraldehyde and gelled into warm agar. Cells were postfixed in 1% OsO4, dehydrated in graded ethanol-propylene oxide, and embedded in Spurr's epoxy. Thin sections were cut and stained with uranyl acetate and lead citrate and examined with a a LEO EM10 electron microscope at 60 kV. Original magnification, x52,000.
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M mutant viruses are highly attenuated but immunogenic in mice. The findings described above identified for the first time an important role for the PPEY motif in release of infectious RV. Because the kinetics of viral spread have been shown to be an important feature for rabies virus pathogenicity, we hypothesized that the reduction in viral spread due to mutation of the PPEY motif results in attenuation of RV. In an in vitro (pilot) study, we noticed that viral spread in Vero cells, as indicated by the size of the area of infected cells, was significantly reduced for all mutated viruses except M41A (Fig. 6). Based on these results, we decided to further study the pathogenicity of these mutant viruses in a mouse model. Because the RV vector used is based on an RV vaccine strain that is apathogenic after peripheral inoculation, we used intranasal (i.n.) inoculations. Groups of five C57BL/6 8-week-old female mice were inoculated i.n. with 7.0 x 104 FFU. We found that only mice infected with wild-type SPBN or the M41A mutant succumbed to infection on day 10 or 11, whereas all other mice survived (Fig. 7). There was no significant difference in pathogenicity between M41A and SPBN. Mice infected with M36A were the least affected based on weight loss during the first 20 days after infection, despite replicating to higher titers than the 35S and 4A mutants. Interestingly, the M36A virus exhibited the smallest foci in the spread assay and also caused a strong cytopathic effect (CPE) in cell culture, unlike the M35 and M4A mutants. The M38A mutant, which also caused CPE in cell culture but replicated to much higher titers than M36A and M35S, was intermediate between the M35S and M41A viruses in terms of pathogenicity. Taken together our data indicate that pathogenicity is determined by a combination of factors which includes the ability to cause CPE and not simply correlated with viral titers and budding efficiency.
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FIG. 6. Spread of RV with mutated M and the wild-type RV SPBN in Vero cells. Cells were infected at an MOI of 0.01 and overlaid with semisolid agar. At the indicated times, the agar overlay was removed and the cells were fixed with 80% acetone and stained with fluorescein isothiocyanate-labeled anti-RV N antibody. Fluorescent foci were captured, and the size of each focus was calculated using Spot advanced software. Each bar represents the mean (± standard error) of results for 30 foci. Asterisks indicate significant differences (P < 0.001).
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FIG. 7. Mortality (A) and weight (B) among mice infected with recombinant RVs with M mutations. Groups of five C57BL/6 8-week-old female mice were inoculated i.n. with 7.0 x 104 FFU. Weights were recorded, and animals were observed for signs of rabies daily. Moribund animals or animals losing more than 25% of their weight were euthanized.
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FIG. 8. RV G-specific immune responses. Surviving mice infected with M4A, M35S, M36A, or M38A were bled 30 days after i.n. infection, and sera from single mice from each group were analyzed for ELISA reactivity against RV G in serial dilutions of 1:50, 1:150, 1:450, and 1:1350. OD, optical density.
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Here we performed a site-directed mutagenesis study of the PPEY (PPxY) motif and the overlapping YVPL (YxxL) motif in RV M. We demonstrated that the exchange of the first proline within PPEY results in the most dramatic reduction of viral titers, with P36 and Y38 playing less important roles for producing high viral titers. Our results are similar overall to those observed with alanine scanning within the PPPY motif of VSV; however, the first proline of RV PPEY appears to be most important for efficient budding, whereas the tyrosine of the VSV PPPY motif appears to be most critical for efficient budding of VSV (26). One possible explanation for this observation could lie in the fact that mammalian cells express several members of the HECT family of ubiquitin ligases, many of which are able to bind to PPxY motifs (28).
HECT ubiquitin ligases link viral and cellular PPXY motifs to the vacuolar protein-sorting pathway. RV and VSV could thus preferentially recruit different members of the HECT family of ubiquitin ligase. In keeping with this argument, it is important to note that in our study we used NA cells, whereas for VSV BHK cells were used, which could differ in the expression level of host factors that bind to the PPXY motif. Although we have not verified experimentally that the PPEY motif recruits ubiquitin ligases or other host proteins, our data clearly show that it is the main if not sole late domain motif in RV M, as budding of RV PPxY mutants was reduced to 10% or less compared to that of the wild type, while the budding efficiency of VSV was reduced to about 15% to 20% of wild type (26). In addition, we also demonstrated an increase in cell-associated virions by EM for M4A, further indicating that the PPEY motif has typical L-domain activity and plays an important role in virus budding. However, very similar to VSV, some mutants showed the most dramatic reduction at the earlier time points, indicating an advantage of efficient budding at early times postinfection (26).
We observed some impact of the PPEY mutants on production of genomic RNA and mRNA. While these changes cannot explain the magnitude of the observed decrease in viral titers, there were clearly some effects on viral RNA production. Of note, the PPxY motif (positions 35 to 38) is different than the arginine previously identified by Finke et al. at position 58, which is important for the switch from transcription to replication (12, 13). Considering that M is important for the switch from transcription to replication, the inefficient release of virions from the cell most likely results in a difference in intracellular levels of viral proteins, which may contribute to the observed changes in RNA levels. Previously, similar changes were seen for RVs where a G and/or M protein from a heterologous RV strain with only modest sequence conservation was introduced; this resulted in decreased budding efficiency and changes in viral RNA synthesis (43). It would be interesting to analyze RNA production for the VSV PPPY mutants in a similar system to the one used here for RV.
Along with the similarities between RV and VSV regarding L-domains, there are also distinct differences. For example, VSV contains a PSAP motif downstream of PPPY which is not present in RV (16, 23), whereas RV harbors an ASAP motif upstream of the PPEY motif. While the RV ASAP motif differs from the canonical PT/SAP late domain motif, structural and mutational studies have confirmed that the binding pocket of Tsg101 that binds to the first proline residue can accommodate small residues like alanine with only minor reductions in overall binding affinity (18, 41, 56). However, this motif is only partially conserved between different rabies virus strains and in some strains carries large amino acids like methionine in place of alanine. The ASAP in RV M is therefore unlikely to function as an L-domain, although this needs to be confirmed experimentally.
In addition, RV M contains a YVPL motif similar to the YxxL motif found in several other viruses, such as retroviruses, paramyxoviruses, and poxviruses (3, 17, 24, 29, 30, 42). Of note, the YVPL motif is organized in an overlapping fashion with PPEY as PPEYVPL, similar to the two overlapping L-domains identified in Ebola virus VP40 PTAP and PPEY (PTAPPEY) (15). However, the data provided in this study suggest that the PPEY motif, but not the YxxL motif, possesses L-domain function for RV in the cell types tested. Of note, the tyrosine-to-alanine exchange did significantly reduce the RV titers, but this is likely due to disruption of the PPEY motif rather than disruption of the YxxL motif. Indeed, results from this investigation show that the L-to-A mutation of YxxL in RV M41 had no major effect on viral budding. However, a possible role for YVPL in rabies virus budding or pathogenesis in other cell types cannot be ruled out completely. It is interesting that the overlapping L-domains of Ebola virus VP40 when inserted into the M protein of VSV resulted in a 10-fold increase in virus-like particle production compared to that of WT VSV M, but a similar 10-fold increase was not observed in BHK-21 cells infected with VSV expressing the Ebola L-domains (22).
Interestingly, although infection with the RV strain SPBN is not cytolytic, two of the PPEY mutants caused a cytopathic phenotype following infection of NA cells. The cytopathic phenotype was more pronounced for the M36A recombinant than that induced by the M38A recombinant. All other recombinant M mutants were noncytopathic, including M4A, which might indicate that the ratio of M to G is important for cytopathology. It has been shown previously that an increase in RV G results in apoptosis (7, 10), and the result would suggest that RV M might be antiapoptotic. This would be in contrast to VSV, where M has been shown to be proapoptotic and mutations within the PPPY late domain lead to a reduction of CPE (26).
The role of L-domains in viral pathogenesis has not been well studied. To our knowledge, only one study of the VSV M PSAP domain has been performed (20). However, the PSAP region of VSV M does not possess similar L-domain activity as that observed for PPPY in BHK-21 cells. Therefore, the detected attenuation of PSAP mutants in mice may be based more on the unexpected finding that PSAP mutants showed a less cytopathic phenotype, reduced levels of activated caspase-3, and enhanced production of beta interferon (20). Consequently, we analyzed pathogenicity and immunogenicity of the recombinant RV M mutants after i.n. inoculations in mice. The i.n. route was utilized because SPBN is not pathogenic after i.m. inoculation. In this setting, all mice infected with SPBN and M41A succumbed to the infection, whereas the other four groups of mice survived. Differences in pathogenicity are indicated by the weight curves (Fig. 7B). The only similarity among all four of the viruses that did not kill the animals was a clear reduction in the kinetics of viral spread (Fig. 6). Viral spread has been described previously as a key feature of RV pathogenicity both at the level of RV entry and replication rate. In the case of RV, it has been shown in different settings that fast and efficient spread of virions is essential for RV pathogenesis and for the virus to complete the viral life cycle before it is detected and cleared by the host response (8, 11, 43, 53).
Lastly, we compared the immunogenicity induced by the most attenuated PPEY mutant (M4A) and the most pathogenic strain (WT SPBN) in mice. Our results indicated that M4A was as immunogenic as SPBN, further supporting the finding that RV immunogenicity was not affected by the introduction of attenuating mutations (33). Of note, the induction of more than 100 IU, which indicates 200-fold-higher virus-neutralizing antibody than that considered protective by WHO, shows the great potential of such modified vehicles for further studies of RV vectors as vaccines for other infectious diseases (9, 31, 32, 35-37, 50, 52).
Published ahead of print on 30 July 2008. ![]()
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