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Journal of Virology, November 2008, p. 11239-11246, Vol. 82, No. 22
0022-538X/08/$08.00+0 doi:10.1128/JVI.01069-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Charge Cluster-to-Alanine Scanning of UL128 for Fine Tuning of the Endothelial Cell Tropism of Human Cytomegalovirus 
Andrea Schuessler,
Kerstin Laib Sampaio, and
Christian Sinzger*
Institute of Medical Virology and Epidemiology of Virus Diseases, University of Tuebingen, D-72076 Tuebingen, Germany
Received 21 May 2008/
Accepted 25 August 2008

ABSTRACT
The viral genes UL128, UL130, and UL131A have been identified
as major determinants of endothelial cell (EC) tropism of human
cytomegalovirus (HCMV), with deletion of either gene causing
a null phenotype. We hypothesized that a functional scanning
of these genes by minor genetic modifications would allow for
the generation of mutants with an intermediate phenotype. By
combining charge cluster-to-alanine (CCTA) mutagenesis with
markerless mutagenesis of a bacterial artificial chromosome-cloned
endotheliotropic HCMV strain, we analyzed UL128 in order to
identify functional sites and hence enable targeted modulation
of the EC tropism of HCMV. A total of nine mutations in eight
charge clusters were tested. Three of the CCTA mutations severely
reduced EC tropism, three were irrelevant, two had a weak effect
on cell tropism, and one mutation in the most C-terminal cluster
caused an intermediate phenotype. All of the highly effective
mutations were located in a core region (amino acids 72 to 106)
which appears to be particularly crucial for EC tropism. The
intermediate effect of mutations in the C-terminal cluster could
be modulated by varying the number of amino acids replaced with
alanine. This study provides a rational approach for targeted
modulation of HCMV cell tropism, which may aid in the development
of HCMV strains with a desired degree of attenuation.

INTRODUCTION
Human cytomegalovirus (HCMV) is a herpesvirus causing lifelong
persistent infection which is usually clinically silent in the
immunocompetent host. Under conditions of immunosuppression,
however, reactivation of endogenous virus or exogenous reinfection
may cause viral replication and dissemination, with clinical
disease manifestations predominantly in the lung, the retina,
and the gastrointestinal tract (
17). In addition, HCMV may replicate
in various organs, including brain, salivary glands, liver,
pancreas, kidney, and genital tract, on a subclinical level.
This systemic distribution is facilitated by a very broad cell
tropism including epithelial cells, fibroblasts, smooth muscle
cells, endothelial cells (ECs), and hematopoietic cells. Granulocytes,
monocytes, dendritic cells (DCs), and vascular ECs are presumed
to contribute particularly to hematogenous dissemination (
24).
Tropism for these cell types is therefore considered a pathogenicity
factor of HCMV (
8,
10,
24).
During long-term adaptation to fibroblast cultures, the tropism for ECs, granulocytes, monocytes/macrophages, and DCs is lost, whereas propagation in EC cultures maintains the broad cell tropism of clinical isolates (20, 25, 28, 30). The genetic mechanism underlying fibroblast adaptation is a modulation within the viral genes UL128, UL130, and UL131A which may affect any of these genes (7). These three genes were shown to be essential for infection of ECs, granulocytes, epithelial cells, and DCs by HCMV (9, 11, 31). Recently, the UL128-131A-encoded proteins were shown to be binding partners for the glycoproteins gH and gL, which were previously described to be complexed with gO in the glycoprotein complex gCIII present in the viral envelope (22, 32). Whereas fibroblast-adapted strains bear only the gH/gL/gO complex, highly endotheliotropic strains additionally contain a gH/gL/pUL128-131A complex in their envelope (13, 16, 32). The latter complex probably has a function for entry of HCMV into ECs, which is dispensable for entry into fibroblasts (21, 23).
Disruption of any of the UL128-131A genes results in an almost complete loss of EC tropism (1, 7, 11, 26). A more detailed analysis of the individual genes, e.g., definition of functional sites within the respective proteins, is not available, which may be due to the fact that highly efficient methods for markerless introduction of minor mutations into bacterial artificial chromosome (BAC)-cloned HCMV genomes have only recently been developed (29, 33). Along with these technical constraints, mutants with intermediate phenotypes were not available. Such intermediate variants appear particularly desirable in the context of vaccine development. Previous vaccine trials with the low-endotheliotropic HCMV strain Towne had limited success (2), possibly because it was restricted to local replication (19). On the other hand, strains which have retained a high dissemination capacity are assumed to be more virulent (19). Strains with a moderate dissemination capacity may be the solution to this problem, by combining reduced virulence with sufficient potential for replication and spread.
HCMV strain TB40/E, which combines high EC tropism with high productivity, has recently been cloned as a BAC in order to facilitate genetic modifications, and the particular role of the viral UL128 gene for cell tropism of this strain has been demonstrated by genetic marker transfer (26).
Based on biochemical analyses, Ryckman et al. (22) have recently suggested a model for the protein-protein interactions within the gH/gL/UL128-UL131A complex. In this model, gH binds both gL and pUL130, which in turn hold pUL128 in an exposed position. This fits well with functional data from Patrone et al. showing binding of pUL128 to the surface of ECs and inhibition of EC infection by soluble pUL128 (18), thus emphasizing the particular role of pUL128 within the complex. Now we aimed to identify sites within pUL128 which are relevant for EC tropism by combining the charge cluster-to-alanine (CCTA) scanning approach (12) with a markerless mutagenesis technique (29). CCTA scanning is based on the assumption that clusters of charged amino acids are likely to be exposed sites within the tertiary structure of a protein, while nonpolar amino acids tend to cluster on the inside of the protein (4, 5). Charge clusters therefore have a high probability of constituting functional interaction sites of a protein. We hypothesized that by identification and targeted modification of such functional sites within UL128, it would be possible to generate mutant viruses with a desired degree of EC tropism.

MATERIALS AND METHODS
Cells and viruses.
Human foreskin fibroblasts (HFFs) were cultured in minimal essential
medium (GIBCO/Invitrogen) containing 5% fetal calf serum, 2.4
mmol/liter glutamine, 100 µg/ml gentamicin, and 0.5 ng/ml
basic fibroblast growth factor. Human umbilical vein ECs (HUVECs)
were isolated from umbilical veins by chymotrypsin treatment.
For experiments, HUVECs from five different sources were pooled
in order to minimize source-dependent variations. HUVECs were
cultured in RPMI 1640 (GIBCO/Invitrogen) with 50 µg/ml
endothelial cell growth supplement (Becton Dickinson), 10% human
serum (HCMV seronegative), 5 IU/ml heparin, and 100 µg/ml
gentamicin. HCMV strain TB40-BAC4 and derived mutants were propagated
in HFFs. For preparation of virus stocks, infectious supernatants
from HFF cultures were harvested at days 5 to 7 postinfection.
Cellular debris was removed by centrifugation at 3,220
x g for
10 min, and the supernatants were stored at –80°C.
Markerless mutagenesis of HCMV genomes.
The highly endotheliotropic HCMV TB40/E-derived BAC TB40-BAC4 (26) was used for the generation of mutant strains. The mutant BACs were generated with the markerless mutagenesis protocol as described by Tischer et al. (29). Recombination fragments were generated by PCR from plasmid pEP-Kan-S (for primer sequences, see Table 2). The resulting recombination fragments consisted of the 18-bp I-SceI restriction site and a kanamycin resistance cassette flanked on both sides by overlapping HCMV homologies containing the sequence of interest. For CCTA mutations, the codons for charged amino acids in the sequence of interest were exchanged for codons for alanine. The respective recombination fragments for the different mutants were inserted into TB40-BAC4 by homologous recombination in Escherichia coli strain SW102 (33) or GS1783 (kindly provided by Gregory A. Smith, Northwestern University, Chicago, IL). After successful kanamycin selection, all non-HCMV sequences were removed by an intrabacterial I-SceI digest and a subsequent Red recombination. Correct mutagenesis was confirmed by sequencing. The same method was applied for the generation of revertant viruses with the restored wild-type sequence. For virus reconstitution, BAC DNA was isolated using the NucleoBond Xtra Midi kit (Macherey-Nagel) and transfected into HFFs using the MBS transfection kit (Stratagene). Cells were propagated until viral plaques appeared.
Measurement of EC tropism.
Infectious supernatant from fibroblast cultures was tested for
cell-free infectivity in HUVECs and HFFs. HFFs and HUVECs (2
x 10
4/well) were seeded in 96-well plates coated with 0.1% gelatin
1 day prior to the experiment. The cells were preincubated for
30 min at 37°C with minimal essential medium and then infected
with the respective virus suspension for 1 h. The medium was
changed, and the cultures were incubated overnight at 37°C.
Cells were then fixed with 80% acetone and stained for viral
immediate-early antigen (pUL122/123) by subsequent incubation
with antibody E13 (Biosoft) and Cy3-conjugated goat anti-mouse
immunoglobulin G F(ab)
2 (Jackson ImmunoResearch).The nuclei
were counterstained with DAPI (4',6'-diamidino-2-phenylindole).
The infection efficiency in HFFs and HUVECs was quantified,
and the relative EC tropism of the mutant viruses in comparison
to the wild-type HCMV TB40-BAC4 was determined by relating the
infection efficiency in HUVECs to the infection efficiency in
HFFs.
Cell-associated viral spread in EC monolayers was tested by a focus expansion assay essentially as described previously (27). Infected fibroblasts were cocultured with uninfected ECs for 5 days in gelatin-coated 96-well plates and then fixed and stained for immediate-early antigen and DAPI. The average number of infected cells per focus was quantified.
For mutants BAC4-UL128ccta18-21, -38-42, -72-74, -155-157, and -163-165 two independent clones were phenotypically tested, and for mutant BAC4-UL128ccta154-158 three independent clones were phenotypically tested. The clones of a particular mutation site resembled each other with regard to EC tropism. The data shown represent average values for all clones from at least three independent experiments. For mutations UL128ccta60-62, -82-86, -104-108, and -136-139, only single clones were available. To exclude that second-site mutations within UL130 and UL131A might contribute to the observed phenotype of these clones, we sequenced these genes in addition to UL128. No single mutation except the desired CCTA mutations in UL128 was found in any of the tested clones.
Statistical analysis.
The statistical significance of differences in cell tropism values of the various viruses was determined using two-tailed Mann-Whitney U test analyses. When the P value was <0.05, the difference was considered significant; when the P value was <0.001, the difference was considered highly significant.

RESULTS
Identification of charge clusters within UL128 and generation of mutants thereof.
In order to modify the EC tropism of HCMV TB40-BAC4, clusters
of charged amino acids within the UL128 open reading frame were
replaced individually with alanines. Exchange of charged amino
acids for alanine will most probably preserve the overall protein
structure but specifically destroy putative interaction sites
on the surface of the protein. Therefore, CCTA scanning allows
for the identification of specific protein-protein interaction
sites while avoiding (though not excluding) unspecific effects
on protein function due to destruction of the protein backbone
(
12). A charge cluster was defined as two or more charged amino
acids in a window of five amino acids (
34). According to this
definition, eight charge clusters were identified in pUL128
(Fig.
1). In principle, the markerless mutagenesis technique
as described by Tischer et al. allows for short insertions of
up to 30 bp (
29). For our experimental approach, however, we
chose to limit the extent of mutations to 15 bp to ensure efficiency.
Hence, a sequence of three to five amino acids preferentially
from the beginning or end of each charge cluster was chosen
for CCTA mutagenesis, including amino acids DHSR
18-21, HPPER
38-42,
DGE
60-62, EIR
72-74, HSLTR
82-86, EADGR
104-108, EYDK
136-139, and
RAK
163-165. In addition, the pentapeptide KKHKR
154-158 located
in the middle of the last charge cluster was chosen for CCTA
mutagenesis because of the striking accumulation of five basic
amino acids in a row (Table
1). The generation of mutants was
performed in
E. coli by markerless replacement of the selected
charged amino acids with alanines in BACs containing the genome
of the highly endotheliotropic HCMV TB40-BAC4 (
26). Primer sequences
are shown in Table
2. The gross integrity of the BACs was checked
by restriction fragment analysis to exclude major rearrangements
within the genomes (Fig.
2). For reconstitution of virus, primary
HFFs were transfected with the mutant BAC DNAs and then monitored
for appearance of cytopathic effects. As expected from the fact
that UL128 is necessary for replication only in ECs, all of
the mutants yielded viral plaques in HFFs within 5 to 10 days
after transfection, grew to 100% cytopathic effect within two
further cell culture passages, and finally produced virus titers
of >10
6 infectious units per ml, thus perfectly resembling
the reconstitution of wild-type HCMV TB40-BAC4. Correctness
of the recombinations was controlled in every mutant by sequencing
UL128 both of the mutant BACs and of the reconstituted viruses.
Stocks of each virus were then produced in HFFs and stored at
–80°C for phenotypic testing in ECs.
EC tropism of HCMV TB40-BAC4-UL128ccta mutants.
To evaluate the effect of the various mutations on replication
of the respective viruses in ECs, two independent assays were
performed: (i) cell-free virus preparations were tested on HUVECs
and HFFs in parallel and the infection rates in the two cell
types were compared, thus revealing the "relative EC tropism"
of each mutant, and (ii) infected HFFs were cocultured with
an excess of HUVECs for 5 days, allowing for focal spread of
the virus, and the number of infected cells per focus was counted,
thus yielding the "focus expansion capacity" as an absolute
value for the ability of a mutant to replicate and spread in
ECs.
For quantification of the relative EC tropism of cell-free virus preparations, virus input was normalized in HFFs for all mutants, and the infection rate in ECs was then determined with the same amount of input virus (Fig. 3A and B). The relative EC tropism (infection rate in HUVECs/infection rate in HFFs) of wild-type virus was 70%, and this value was not exceeded by any of the mutants. CCTA mutations of amino acids DHSR18-21, HPPER38-42, and EYDK136-139 had no effect on EC tropism. CCTA mutations of amino acids EIR72-74, HSLTR82-86, and EADGR104-108 resulted in a severe (highly significant) reduction of the relative EC tropism, proving these charge clusters to be essential for EC tropism. CCTA mutations of amino acids DGE60-62 or RAK163-165 caused a weak, though significant, reduction of the relative EC tropism. Most interestingly with regard to the hypothesis, mutation of the basic motif KKHKR154-158 caused an intermediate phenotype with a 10-fold (highly significant) reduction of the relative EC tropism. In order to exclude the possibility that the reduced EC tropism of mutants was due to second-site mutations, revertant viruses were generated. Again, markerless mutagenesis was employed to restore the wild-type sequence of the respective charge cluster. All revertants were indistinguishable from the wild-type virus HCMV TB40-BAC4 with regard to relative EC tropism (Fig. 3C), thus proving that the phenotypic changes were specifically caused by the mutations of the respective charge clusters.
Evaluation of the focus expansion capacity in EC monolayers
independently confirmed the phenotypes of the various mutants
(Fig.
4). While CCTA mutations of amino acids EIR
72-74, HSLTR
82-86,
or EADGR
104-108 had completely destroyed the capacity for focal
spread in EC monolayers, the virus with the KKHKR
154-158 mutation
showed an intermediate phenotype of 16 cells per focus, compared
to 72.5 cells per focus with wild-type virus. All other mutations
had weak or no effects on the focus expansion capacity in EC
monolayers compared to the wild-type HCMV TB40-BAC4, a finding
which was also consistent with the results regarding the relative
EC tropism of cell-free virus preparations (summarized in Fig.
1). As the intermediate phenotype of mutant HCMV BAC4-UL128ccta154-158
was most promising with regard to the aim of a fine tuning of
the EC tropism, this mutant was chosen for further modifications.
Targeted adjustment of EC tropism by varying mutations in charge cluster pUL128147-165.
The KKHKR
154-158 sequence in the center of charge cluster pUL128
147-165 was particularly interesting not only because the respective
CCTA mutant showed an intermediate phenotype but also because
of the remarkable accumulation of five basic amino acids in
a row. The fact that replacement of five basic amino acids caused
a 10-fold reduction of EC tropism raised the possibility of
further fine tuning of the EC tropism by varying the number
of mutations at this site. To test this hypothesis, an additional
mutant BAC was generated where only the central three amino
acids (KHK
155-157) of this pentapeptide sequence were replaced
with alanines by markerless mutagenesis of the wild-type BAC.
Virus was then reconstituted by transfection of the mutant BAC
in HFFs, and virus stocks were harvested for analysis of EC
tropism. The resulting mutant HCMV BAC4-UL128ccta155-157 (KHK
155-157)
was compared to HCMV BAC4-UL128ccta154-158 (KKHKR
154-158) and
to wild-type virus by analyzing both the relative EC tropism
of cell-free virus preparations and the focus expansion capacity
in the coculture assay. In support of our hypothesis, the KHK
155-157 mutant showed a significantly reduced relative EC tropism in
the cell-free infection mode compared to wild-type virus, but
this reduction was weaker than that with the KKHKR
154-158 mutant,
and the difference between the two mutants was highly significant
(Fig.
5A). The coculture-based assay confirmed these results
with regard to the mean values of the various viruses: the focus
expansion capacity of the KHK
155-157 mutant was reduced by 20%
compared to wild-type virus, whereas the KKHKR
154-158 mutant
showed a three to fourfold reduction in the focus expansion
assay. Due to the higher variation of this assay, though, the
difference between the KHK
155-157 mutant and the wild-type virus
was not significant (Fig.
5B). Taking the results of both assays
together, however, it is obvious that the degree of reduction
of EC tropism could be adjusted by varying the number of amino
acids exchanged in the UL128
154-158 pentapeptide.

DISCUSSION
Being part of a pentameric complex together with the basic fusion
machinery gH/gL (
15,
22) the UL131A-128 gene products are essential
for HCMV infection of epithelial cells and ECs (
1,
7,
11,
32)
and contribute to cell-associated spread in fibroblasts (
14).
Recently, the virus-inhibitory and cell surface-binding properties
of soluble pUL128 have suggested a direct and functional interaction
of pUL128 and ECs (
18). By mutational scanning of UL128 in the
viral context, we have now identified several charge clusters
that are relevant with regard to cell tropism. While three adjacent
charge clusters in the central part of the protein sequence
were absolutely essential for infection of ECs, both the N-terminal
part and the C-terminal part contained charge clusters that
contributed partially to infection of ECs. Based on the aforementioned
reports on interactions of pUL128 (
18,
22), it is tempting to
speculate that the N-terminal part and the C-terminal part of
the protein each bind to viral complex partners, while the central
core region interacts with cellular surface structures. Ryckman
et al. have demonstrated direct interactions of UL128 with both
gL and UL130, each of which bound independently to gH (
22).
This implies that loss of one anchoring would still allow pUL128
to stay in the complex, which corresponds well to the phenotype
of the C-terminal or N-terminal mutants. Mutation of amino acids
DGE
60-62 to AGA
60-62 (representing amino acids 33 to 35 after
cleavage of the predicted signal peptide) only weakly reduced
infection of ECs. Likewise, mutation of amino acids KKHKR
154-158 to AAAAA
154-158 and of amino acids RAK
163-165 to AAA
163-165 caused an intermediate or weak reduction of EC tropism. We hypothesize
that these charge clusters are involved in binding to UL130
and gH, whereas the central core region of pUL128 interacts
with target cells. Patrone et al. have reported that pUL128
binds to the cell surface and upon binding induces conformational
changes in the viral envelope protein gB, finally resulting
in fusion of the viral envelope with cellular membranes (
18).
This corresponds well to the null phenotype of our viruses carrying
CCTA mutations of amino acids EIR
72-74, HSLTR
82-86, or EADGR
104-108.
In particular, the dual function of cell binding and conformational
change may be reflected by involvement of multiple charge clusters.
While speculative at the moment, these considerations allow
functional predictions regarding binding to pUL130, gL, and
ECs that are now being analyzed in an ongoing study with the
respective mutants.
The aim of our study was to perform a functional scanning of UL128 in the viral context and to use the results as a basis for targeted modulation of the endotheliotropic phenotype. This was not trivial, as conventional cloning techniques insert marker sequences at the mutation site which would disrupt the respective open reading frames. Even with more advanced techniques leaving only FLP recombination target sites or loxP sites after removal of the selection marker, a contribution of the specific mutations could not be distinguished from effects of the "mutagenesis scars." Only the recent introduction of markerless mutagenesis techniques for BAC-cloned herpesvirus genomes (29, 33) enabled such a functional mapping of a protein of interest in the viral context. Still, a comprehensive screening of all possible mutants would not be feasible and would yield irrelevant results when mutations destroy the backbone of the protein rather than its specific interaction sites. To increase the probability of targeting exposed sites of pUL128, we relied on CCTA scanning, an approach which has been extensively applied for mutational analyses of vaccinia viruses (e.g., (6, 12) but also for isolated herpesvirus proteins (3) in the past. The combination of both approaches allowed the systematic mapping of functionally relevant sites in an HCMV protein within the viral context, which to our knowledge has not been performed with HCMV before. Importantly, a number of charge cluster mutations in UL128 had no effect on the endotheliotropic phenotype and can serve as internal controls corroborating the specificity of the approach. In addition, the perfect restoration of EC tropism in each of the revertants excluded the possibility that any of the phenotypic changes were due to second-site mutations, which proves the reliability of the method. After this successful "proof of principle," any desirable viral protein can now be analyzed similarly in the viral context.
The combination of markerless mutagenesis with CCTA scanning appears to be particularly suitable for the generation of mutants with highly specific phenotypes. Mere deletions often result in a null phenotype, which precludes a more detailed analysis of the interaction of viral proteins with their interaction partners, especially when a protein interacts with multiple partners as UL128 does. In this context, CCTA mutations of amino acids DGE60-62 or RAK163-165 are particularly interesting for further functional analyses. It is tempting to presume a specific interaction of these charge clusters with gL and pUL130, respectively, which would suggest an additive effect of a dual mutation. Regarding our assumption that CCTA mutagenesis in the viral context would enable the targeted fine tuning of EC tropism, mutation of amino acids KKHKR154-158 was most interesting. The respective virus mutant displayed an intermediate phenotype, i.e., a 10-fold-reduced relative EC tropism, which was the ideal starting point for further modification. As predicted, decreasing the number of mutated amino acids within this charge cluster modified the phenotype, resulting in a three- to fourfold-reduced EC tropism of the KHK155-157 mutant. This finding opens the possibility for the intended generation of HCMV strains with desired phenotypic properties, which may, e.g., be applied for the rational design of an attenuated HCMV live vaccine.
In summary, this study demonstrates a novel approach to identify functionally relevant sites within a protein in the context of replicating HCMV. Specifically, multiple charge clusters within pUL128 have been identified which contribute to EC tropism to a variable degree and may be assigned to the various interaction partners of this protein in future studies. More generally, the combination of markerless mutagenesis with CCTA scanning can facilitate the generation of HCMV strains with a desired degree of attenuation through targeted modulation of potential HCMV virulence factors.

ACKNOWLEDGMENTS
We thank Gerhard Jahn for critical reading of the manuscript
and support. The generous gift of the bacterial strain GS1783
by Gregory A. Smith is greatly appreciated.
This work was supported by the Deutsche Forschungsgemeinschaft through SPP1130, "Infections of the endothelium" (SI 779/3-3).

FOOTNOTES
* Corresponding author. Mailing address: Institut für Medizinische Virologie und Epidemiologie der Viruskrankheiten, Universität Tübingen, Elfriede-Aulhorn-Strasse 6, D-72076 Tübingen, Germany. Phone: 49 7071 2987459. Fax: 49 7071 295790. E-mail:
christian.sinzger{at}med.uni-tuebingen.de 
Published ahead of print on 3 September 2008. 

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Journal of Virology, November 2008, p. 11239-11246, Vol. 82, No. 22
0022-538X/08/$08.00+0 doi:10.1128/JVI.01069-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.