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Journal of Virology, December 2008, p. 11545-11554, Vol. 82, No. 23
0022-538X/08/$08.00+0 doi:10.1128/JVI.01160-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Phylogenetic Analysis of the Species Theilovirus: Emerging Murine and Human Pathogens
Zhiguo Liang,1
A. S. Manoj Kumar,3
Morris S. Jones,4
Nick J. Knowles,5 and
Howard L. Lipton1,2*
Departments of Neurology and Rehabilitation Medicine,1
Microbiology-Immunology, University of Illinois at Chicago, Chicago, Illinois,2
Biotechnology Division, Reliance Industries, Mumbai, India,3
Clinical Investigations Facility, David Grant USAF Medical Center, 101 Bodin Circle, Travis Air Force Base, California,4
Institute for Animal Health, Pirbright Laboratory, Pirbright, Woking, Surrey GU24 0NF, United Kingdom5
Received 3 June 2008/
Accepted 18 September 2008

ABSTRACT
The
Cardiovirus genus of the family
Picornaviridae includes
two distinct species,
Encephalomyocarditis virus and
Theilovirus.
We now report the complete nucleotide sequences of three Theiler's
murine encephalomyelitis virus (TMEV) strains (TO Yale, TOB15,
and Vie 415HTR) and of Vilyuisk human encephalomyelitis virus
(VHEV). This information, together with the recently reported
sequences of divergent theiloviruses (Theiler's-like rat virus
[TRV] and Saffold viruses 1 and 2 [SAFV-1 and SAFV-2]), enables
an updated phylogenetic analysis as well as a reexamination
of several gene products important in the pathogenesis of this
emerging group of viruses. In the light of the known neurotropism
of TMEV and the new human SAFV-1 and SAFV-2, the resulting data
suggest the existence of theiloviruses that cause human central
nervous system infections. Our phylogenetic analyses point to
the classification of presently known theiloviruses into five
types: TMEV, VHEV, TRV, SAFV-1, and SAFV-2.

INTRODUCTION
Encephalomyocarditis virus (EMCV) and
Theilovirus are two distinct
species in the
Cardiovirus genus of the family
Picornaviridae (
52). The EMCVs comprise a single serotype and have a wide host
range (
64), while the
Theilovirus species, until recently, included
two serotypes, Theiler's murine encephalomyelitis virus (TMEV)
and Vilyuisk human encephalomyelitis virus (VHEV), which appear
to have much narrower host ranges than EMCV. The nucleotides
of the RNA genomes of EMCV and TMEV are

58% identical, and the
amino acids of their polyproteins are

50% identical. The amino
acids of the capsid regions of TMEV and EMCV show the highest
level of identity (

62%), resulting in their cross-reactivity
in serological tests measuring broad antigenicity (complement
fixation [CF] and enzyme-linked immunosorbent assays) but not
in virus neutralization (VN) assays.
TMEVs were originally isolated from mice (54) and later from rats (18). Serological studies indicate that the feral house mouse Mus musculus is the natural host for TMEV (10, 29). In the early 1930s, TMEVs were isolated from colony-bred mice that developed spontaneous paralysis (54, 55). Based on the flaccid paralysis observed, indicative of the involvement of anterior horn cells or motor neurons, and on the revealed pathological changes of degenerating anterior horn cells, accompanied by microglial proliferation, these viruses were originally referred to as mouse polioviruses (41). In contrast to the strict motor neuron-trophic nature of human poliovirus in mice (21) and humans, TMEVs target both the anterior (motor) and posterior (sensory) neurons in the gray matter of the spinal cord (2, 27, 50). However, TMEVs are enteric pathogens that cause primarily asymptomatic infections of the digestive tract in colony-bred (nonbarrier) mice, and the spread of the virus to the mouse central nervous system (CNS) is rare.
TMEV isolates are grouped according to high or low neurovirulence. Highly neurovirulent TMEVs produce a rapidly fatal encephalitis in mice after intracerebral inoculation, while the low-neurovirulence strains, also referred to as persistent or Theiler's original (TO) viruses, produce a biphasic infection and disease process, consisting of early poliomyelitis and late demyelinating disease (26, 27). A salient feature of the pathogenesis is the persistence of TMEV in the mouse CNS (6, 27, 55). The low-neurovirulence TMEVs have been widely studied because infection in mice provides a relevant experimental animal model for multiple sclerosis (4, 19, 40), a chronic inflammatory, demyelinating disease of possible viral etiology.
More than 50 years ago, VHEV was isolated by the inoculation of mice with nasopharyngeal secretions, serum samples, feces, cerebrospinal fluid (CSF) specimens, and brain specimens from the Yakut-Evenk population, indigenous rural people in Siberia that had a chronic form of encephalitis (16, 49). Antigenic, biophysical, and molecular characterization showed that VHEV was most closely related to TMEV, despite divergence in their capsid protein sequences (28, 46). However, it remains to be proven whether VHEV causes Vilyuisk encephalitis (48).
In 2003, a virus herein designated Theiler's-like rat virus (TRV), a genetically divergent theilovirus, was isolated from sentinel rats housed with TMEV-seropositive rats in Japan and sequenced (39). This virus has not yet been associated with disease in rats but has raised the possibility of additional clades of undiscovered theiloviruses. In fact, two new theiloviruses have recently been described. The first, named Saffold virus (SAFV), was isolated in California in 1981 from a fecal sample from an 8-month-old infant with fever of undetermined origin (20). The second, described as a Saffold-like virus, was isolated from a nasopharyngeal sample collected from a 23-month-old child in Canada in 2006 (1). Our present analysis of the complete genome sequences of these two viruses, referred to herein as SAFV-1 and SAFV-2, respectively, indicates that they belong to the species Theilovirus but are distinct from TMEV, VHEV, and TRV. Theiloviruses similar in sequence to SAFV were identified in a study of flu-like respiratory infections of unknown cause in humans (Don Ganem, personal communication) and in stool samples from individuals with acute gastrointestinal disease of unknown cause (Morris Jones, unpublished data).
We now report the complete nucleotide sequences of three TMEV strains (TO Yale, TOB15, and Vie 415HTR) and VHEV which, in addition to the recently reported sequences of divergent theiloviruses, has allowed updated phylogenetic analyses and a reexamination of several gene products important in the pathogenesis of these viruses. The known neurotropism of TMEV, along with the emergence of these new isolates, predicts the existence of other human theiloviruses that infect the human CNS. We also propose the classification of presently known theiloviruses into five types: TMEV, VHEV, TRV, SAFV-1, and SAFV-2.

MATERIALS AND METHODS
Cells and viruses.
BHK-21 cells (ATCC, Manassas, VA) were maintained in Dulbecco's
minimum essential medium (Invitrogen, Carlsbad, CA) containing
2 mM
L-glutamine, 7.5% tryptose phosphate, and 10% fetal bovine
serum. Vie 415HTR and the V-1 strain of VHEV were from Jordi
Casals (Yale University, New Haven, CT), TOB15 was from Ben
Mandel (New York City Health Department), and TO Yale was from
the ATCC (also see Table
2). For infection, virus was adsorbed
for 45 min at 24°C to monolayer cultures, which were washed
twice with phosphate-buffered saline containing 1 mM CaCl
2 and
0.5 mM MgCl
2 and incubated in complete medium containing 2%
fetal bovine serum at 37°C until the observation of the
initial signs of cytopathology, when total RNA was extracted.
Reverse transcription-PCR and DNA sequencing.
Total RNA, isolated from infected BHK-21 cell monolayers by
using TRIzol (Invitrogen), was reverse transcribed (2 µg
of RNA in a 20-µl reaction mixture) with AffinityScript
reverse transcriptase (Stratagene, Garden Grove, CA) in the
presence of specific primers (10 µM). Two microliters
of each cDNA sample was PCR amplified in a 50-µl reaction
mixture by using specific forward and reverse DNA primers to
obtain the nucleotide sequence. Gel-purified PCR products were
sequenced with an ABI Prism 3100 genetic analyzer (Applied Biosystems,
Shelton, CT). Table
1 lists the primers used for sequencing.
Phylogenetic analyses.
Sequences were aligned using BioEdit 7.0.5.3 (
17) and Clustal
W (
57). Distance matrices were produced using the Kimura two-parameter
method (
24) for nucleotide sequences and the Poisson correction
method (
36) for amino acid sequences as implemented in MEGA
4.0 (
53). These matrices were used to construct phylogenetic
(neighbor-joining) trees with MEGA 4.0. Bootstrap resampling
(1,000 pseudoreplicates) was used to assess branching confidence.
Genome similarity plots were generated from aligned sequences
using SimPlot version 3.5.1 (
30).
Nucleotide sequence accession numbers.
The complete nucleotide sequences of TMEV strains TO Yale, TOB15, and Vie 415HTR and VHEV determined in this study have been deposited in GenBank under accession numbers EU723238, EU718732, EU718733, and EU723237, respectively.

RESULTS
Phylogenetic analysis of complete genomes.
The complete genomes of three previously sequenced TMEVs (
38,
42,
43), three new TMEV sequences, and the sequences of four
divergent theiloviruses, TRV (
39), SAFV-1 (
20), SAFV-2 (
1),
and VHEV, now enable a more comprehensive phylogenetic analysis
of the
Theilovirus species viruses listed in Table
2. The three
new TMEV sequences include those of the low-neurovirulence Vie
415HTR, TOB15, and TO Yale strains. Partial sequences primarily
of the 5' untranslated region (UTR) and P1 coding region of
the TO Yale strain have been reported previously (
35). A previously
reported partial sequence of a TMEV isolated from suckling rats
and designated MHG (
45) turned out to be that of the TO Yale
strain when a more extensive sequence was obtained. This identification
was confirmed by sequencing a recently obtained ATCC stock of
MHG. We have also completed the sequencing of VHEV; previously,
only the 5' UTR (from nucleotide 137) and L-P1 coding regions
(to nucleotide 3857) were sequenced (
46).
Figure 1 shows the degrees of similarity of the nucleotide sequences encoding the polyproteins of nine theiloviruses and four EMCVs to that of the GDVII strain. TRV, SAFV-1, and SAFV-2 were divergent from TMEV but not as divergent as EMCV. The TMEV strains differed by
10% in the nucleotides encoding the leader (L) protein and at most by
15% in the regions encoding the P2 and P3 nonstructural proteins. In P1, VHEV was as divergent as TRV from the TMEV lineage; however, the similarity of the nucleotides encoding the VHEV nonstructural proteins to the corresponding sequences of the mouse TMEV strains, particularly Vie 415HTR, suggests that VHEV may in fact be a recombinant between a TMEV with a breakpoint near the 1D-2A protein junction and a previously unidentified theilovirus.
Phylogenetic analysis of UTRs.
The 5' UTRs of EMCV and theiloviruses clearly differ, despite
the similar internal ribosome entry sites. The phylogenetic
analysis supports the division into the two cardiovirus species,
with TRV and SAFV-1 grouping with TMEV and VHEV (Fig.
2A); the
3' UTR analysis suggests the same relationships (Fig.
2F). Based
on both 5' and 3' UTRs, SAFV-1 clusters with TRV. Neither region
in SAFV-2 has been sequenced.
Phylogenetic analysis of the L- and P1 capsid-encoding regions.
Phylogenetic analysis of the nucleotides of the L protein- and
P1 capsid-encoding regions of the viruses, including the TO4,
WW, and FA strains, revealed four clades for the L protein,
TMEV and VHEV, TRV, SAFV-1, and SAFV-2 (Fig.
2B), and five clades
for the P1 region, TMEV, VHEV, TRV, SAFV-1, and SAFV-2 (Fig.
2C). Both nucleotide- and amino-acid-level comparisons of the
individual gene regions corresponding to VP4 (protein 1A), VP2
(protein 1B), VP3 (protein 1C), and VP1 (protein 1D) support
the relationships observed in the P1 region (data not shown).
However, in VP4 and VP2, the SAFVs differ from other theiloviruses
to the same extent to which they differ from EMCV. In 1963,
Casals (
5) found that VHEV was highly divergent from other TMEVs
by CF. Within the TMEV lineage, six distinct sublineages were
observed: GDVII and FA; TO4, DA, and WW; TO Yale and TOB15;
BeAn 8386, S2, and M2; Ask-1; and Vie 415HTR. S2 and M2 are
laboratory derivatives of BeAn 8386 and are therefore expected
to be nearly identical; however, laboratory contamination has
been suggested as the explanation for the close relationship
between WW and TO4 (
35). Around the time WW virus was isolated
in 1977, other investigators were using TO4 virus in experiments
at the Wistar Institute (
15). TO4 virus was also included in
the serological characterization of DA virus that was isolated
15 years after TO4 (
8). Therefore, DA and WW viruses may have
been laboratory contaminants derived from the TO4 strain.
VP1 amino acid identities are all above 87.6% within the TMEVs and 94.9% within the EMCVs, while the levels of identity between EMCV and TMEV are 47.4 to 51.1%. TRV is at most 75.5% identical to TMEV and 48.4% identical to EMCV, while SAFV-1 and SAFV-2 are at most 58.1 and 60% related to TMEV and 49.1 and 50.7% related to EMCV, respectively.
Phylogenetic analysis of the P2 and P3 nonstructural protein coding regions.
Analyses of the P2 and P3 regions, examined in their complete form (Fig. 2D and E) or at the level of individual genes, support the identification of three clades of theiloviruses: TMEV/VHEV, TRV, and SAFV-1/SAFV-2 (data not shown). The congruent phylogenies within the three groups suggest that there has been no recombination among groups. Incongruent phylogenies within the TMEV/VHEV group suggest that there may have been recombination among members of this group. Because of limited numbers of TRVs and SAFVs, it is impossible to comment on recombination within these groups.
BeAn 8386 virus is a recombinant TMEV.
Nucleotide analyses of the 5' and 3' regions of the VP1-encoding sequence revealed an incongruity in the position of BeAn 8386 on the resultant tree (Fig. 3). Based on the 5' half of the VP1 gene sequence, BeAn 8386 clustered with TOB15 and TO Yale, while based on the 3' half, it clustered with DA, TO4, and WW (Fig. 3A). A single breakpoint within the VP1 capsid-encoding region was evident (Fig. 1); however, BeAn 8386 was most closely related to TOB15 from the 2A region (Fig. 1) to the 3' end of the genome.
TMEV and EMCV L proteins are distinct, whereas SAFV-1 and SAFV-2 L proteins are hybrids.
Picornaviruses in the genus
Cardiovirus express an L protein
at the N terminus of the viral polyprotein that affects the
trafficking of interferon-regulatory proteins to the nucleus
(
9). Recently, the cardiovirus L protein was shown to bind to
Ran GTPase and block the nuclear export of new mRNAs (
44). The
L protein has three domains: an N-terminal atypical (CHCC) zinc
finger, an acidic domain, and a C-terminal Ser/Thr-rich domain
(Fig.
4) (
34). EMCV L protein is phosphorylated on residue Thr
47 (
65) and possibly on Tyr 41 (
12). An alignment of the amino
acids of L protein revealed that the Ser/Thr-rich domain was
deleted in EMCV, carried mutations of Ser and Thr residues as
well as deletions of five residues in SAFVs, and was mutated
at a single Ser residue in TOB15 and TRV (Fig.
4). Thr 47 and
Tyr 41, which are potentially phosphorylated, were also conserved
in the SAFV-1 and SAFV-2 L proteins. Thus, TRV and VHEV have
TMEV-like L proteins, whereas SAFV-1 and SAFV-2 have a hybrid
L protein with features of both
Theilovirus and EMCV species.
Variability in Theilovirus four major capsid surface loops, VP2 puffs A and B, the VP3 knob, and VP1 loops I and II.
Four neutralizing immunogenic sites, identified in the capsid
proteins of cardioviruses, are located predominately in the
major capsid loops (
25). Phylogenetic analysis based on aligned
amino acid sequences of VP2 puffs A and B, the VP3 knob, and
VP1 loops I and II of seven TMEVs showed limited variability
of residues in the major capsid surface loops (Fig.
5), which
are exposed to the selective pressure of antiviral antibodies.
In contrast, VHEV and TRV showed greater variability of the
surface loop residues, and the residues of both SAFV-1 and SAFV-2
showed no relationship to those of TMEV, VHEV, and TRV (Fig.
5). The low- but not the high-neurovirulence TMEVs use

2,3 N-linked
sialic acid as a coreceptor (
62), and the crystal structure
of DA virus in a complex with sialyllactose has identified three
VP2 amino acids on puff B (Q
2161, A
2163, and G
2174) and one
VP3 residue (Q
3232), all within a positively charged area on
the viral surface, that make contact with sialic acid through
noncovalent hydrogen bonds (
63). Q
3232 is at the C terminus
of VP3 and part of the VP3-VP1 cleavage dipeptide recognized
by proteinase 3C
pro, so it is likely to be highly conserved.
Since these four residues were found previously to be conserved
in all TMEV strains known at the time and since the largest
difference in the root-mean-square deviation between the C

coordinates
of viruses of the two neurovirulence groups is in VP2 puff B
(EF loops), the capsid conformation of this region is believed
to be responsible for sialic acid binding. While the three VP2
puff B amino acids in TMEV strains TOB15 and Vie 415HTR were
conserved, only two of the three residues in TRV and none in
SAFV-1 and SAFV-2 were conserved, and the fourth residue was
mutated in SAFV-2 to H
3232 (Fig.
5), suggesting that neither
TRV nor SAFVs are likely to use sialic acid as a coreceptor,
unless a different capsid conformation suffices.
Conservation of CD4+ and CD8+ T-cell epitopes.
In the BeAn 8386 and DA strains, dominant CD4
+ T-cell epitopes
(peptides of 12 to 14 amino acids [aa] in length) have been
mapped in each of the major capsid proteins (
14,
60,
61), and
dominant CD8
+ T-cell epitopes (peptides of 8 to 9 aa in length)
have been identified in VP2 for H-2
b (C57BL/6) mice (
3,
11)
and in VP3 for H-2
s (SJL) mice (
22). Since all but one of these
epitopes reside primarily within β-strands of their respective
capsid proteins, the residues are essentially conserved in all
theiloviruses; the CD4
+ T-cell epitope in VP2 (aa 74 to 86)
is the exception, since the first seven residues are in the
first corner and exposed to the virion surface while the remaining
residues are in βC and

G strands. Thus, the more divergent
theiloviruses (VHEV, TRV, and particularly SAFV-1 and SAFV-2)
have substitutions in the N terminus of the VP2 CD4
+ T-cell
epitope, which should alter the recognition of this epitope.
L* protein is divergent in TRV and absent in SAFV-1 and SAFV-2.
TMEVs use an alternative initiation codon (within the L protein-encoding sequence) 13 nucleotides downstream from the authentic AUG used in translating the polyprotein (7). The out-of-frame 18-kDa (156-aa) protein encoded, termed the L* protein, is believed to play a role in TMEV persistence since a stop codon engineered in the L* coding sequence inhibits TMEV persistence (7, 58). The highly neurovirulent TMEV strains GDVII and FA have a nonstandard ACG initiation codon. The alignment of the L* amino acid sequences revealed those of the mouse TMEV L* proteins to be 77 to 92% similar to one another and
85% similar to that of VHEV; however, the TRV L* protein is more divergent, with only 62% of amino acids in common with those in the TMEV/VHEV group. Neither SAFV-1 nor SAFV-2 has an out-of-frame AUG initiation codon at the correct position to produce an L* protein, although both have ACG; however, both viruses have multiple stop codons in the potential L* open reading frame, predicting L* proteins of only 6.7 kDa (57 aa) and 3.8 kDa (34 aa), respectively. These observations parallel the differences in the L proteins and major capsid loops of TRV and SAFV-1 and SAFV-2.

DISCUSSION
Phylogenetic analysis of the newly described cardioviruses SAFV-1
and SAFV-2 demonstrates that they belong to the species
Theilovirus;
however, these two viruses are related but distinct, particularly
in the capsid region (Fig.
1 and
2) (
1,
20). For example, VP1
amino acids of SAFVs differ by 23%. In human enteroviruses,
differences in VP1 sequences serve to distinguish serotypes,
and serotype boundaries have been set at differences of about
25% for nucleotide sequences and 12% for amino acids (
37). By
analogy, five types of theiloviruses, TMEV, VHEV, TRV, SAFV-1,
and SAFV-2, that are expected to be serologically distinct can
be distinguished, although cross VN assays of theiloviruses
have been performed only for TMEV and VHEV. In contrast, an
analysis of the noncapsid regions indicates only three types
of theiloviruses, TMEV and VHEV, TRV, and SAFV-1 and SAFV-2,
indicating a role for past recombination events in the evolution
of these viruses. Frequent recombination in the evolution of
other picornaviruses is well-established (
51).
Abed and Boivin (1) also identified two additional Saffold-like viruses in children with upper respiratory tract infections, but only a 469-nucleotide region corresponding to proteins 2A to 2C was sequenced. Their amino acid sequences were identical and related to those of SAFV-1 and SAFV-2 by 97.2 and 96.6%, respectively; however, their capsid sequences may be much less closely related. Although SAFV-1 and SAFV-2 have been amplified and isolated, respectively, from clinical specimens, they have not yet been proven to cause disease in humans. Nonetheless, this remains a distinct possibility. At the least, the establishment of causation will require serological analysis demonstrating a fourfold or greater rise in virus-specific antibodies in convalescent- compared to acute-phase sera.
Two other cardioviruses may belong to the Theilovirus species. Syr-Daria Valley fever virus (SDVFV), recovered from the CSF of a patient with acute aseptic meningitis in Kazakhstan, appears to be another human theilovirus because it is cross-reactive with EMCV by CF but not by VN assays. SVDFV is responsible for tick-borne infection occurring in the river valleys of Kazakhstan and was first isolated from the blood of a patient in the summer of 1973 (32). The virus has also been isolated from Hyalomma asiaticum ticks in areas where SVDFV infection is enzootic, as well as from Dermacentor daghestanicus ticks, and all documented cases of infection in humans included a history of tick bite. Electron microscopy analysis of the Kaz-3 strain revealed featureless 25- to 27-nm virions typical of picornaviruses (23, 32). In 1970, Sikhote-Alin virus (SAV) was isolated from Ixodes persulcatus ticks taken from wild boars (Sus scrofa) in the Primorje region of the USSR (31). SAV is labile at pH 3.0 but stable at pHs between 5.0 and 7.0, heating at 50°C inactivates the virus, and thermostability is increased in the presence of 1 M MgCl2, all characteristics of cardioviruses. SAV was shown previously to be pathogenic for suckling and 2- to 3-week-old mice but not for adult mice, rats, hamsters, guinea pigs, rabbits, or chicken embryos, and it failed to show cytopathic effects in several different types of cell cultures (31). Although SAV and SDVFV are both serologically related to EMCV by CF, all three viruses are distinct by VN. SAV and SDVFV have not been examined using molecular biological techniques, and their true relationships to the cardioviruses remain unclear.
It is plausible based on the recent discovery of new human theiloviruses that VHEV arose from human cases of Vilyuisk encephalitis rather than emerging during virus isolation as a contaminant upon the inoculation of mice, as has been posited previously. The isolation of VHEV from 14% of 43 brain and CSF specimens but from <3% of 181 nasopharyngeal, blood, and fecal specimens is consistent with a role for this virus in CNS infection (48). VHEV was also isolated from voles in the same area where Vilyuisk encephalitis is endemic; therefore, recombination between TMEV and a still unknown theilovirus, either from humans or another rodent species, may be possible. Examining this possibility will require additional sequence data from human and/or rodent theiloviruses. Finally, although Vilyuisk encephalitis occurs in a remote and relatively inaccessible part of the world, further studies of the affected indigenous population will be needed to resolve the issue of causation.

ACKNOWLEDGMENTS
We thank Patricia Kallio for technical assistance.
This work was supported by NIH grant NS21913, the Modestus Bauer Foundation, and the Wershkoff Multiple Sclerosis Research Fund.

FOOTNOTES
* Corresponding author. Mailing address: Department of Microbiology-Immunology, MC 790, University of Illinois at Chicago, 835 South Wolcott, Chicago, IL 60612-7344. Phone: (312) 996-5754. Fax: (312) 355-3581. E-mail:
hlipton{at}uic.edu 
Published ahead of print on 24 September 2008. 

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Journal of Virology, December 2008, p. 11545-11554, Vol. 82, No. 23
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