Hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome (HPS) are rodent-borne viral zoonoses that occur worldwide. They are caused by viruses in the genus
Hantavirus, family
Bunyaviridae. Currently, at least 22 species have been identified in the genus (
6). Each hantavirus is carried predominantly by its own natural host, usually a rodent or insectivore (
18). At least six of the viruses are known to be transmitted to humans via the inhalation of infected rodent excreta. In Asia, Hantaan virus (HTNV) and Seoul virus (SEOV) are the causative agents of HFRS, which affects 100,000 patients per year in China. In Europe, Puumala virus, Dobrava virus (DOBV), and Saaremaa virus cause HFRS (
12). Sin Nombre virus and related viruses cause HPS in the Americas (
19).
Vesicular stomatitis virus (VSV), the prototype rhabdovirus, has been used as a model system for studying the replication and assembly of enveloped RNA viruses due to its ability to grow to high titers in a variety of cell lines. Furthermore, the reverse genetic system of VSV allows the generation of recombinant viruses that express foreign proteins (
8,
23). VSVΔG* is a recombinant VSV in which the G gene has been replaced by the green fluorescent protein (GFP) gene (
21). Consequently, VSVΔG* is not infectious unless the envelope protein responsible for receptor binding and membrane fusion is provided in
trans. In the present study, we generated pseudotype VSVΔG* possessing HTNV or SEOV envelope glycoproteins and developed a simple, safe, and rapid neutralization test for the use of native viruses.
MATERIALS AND METHODS
Cells.
The 293T cell line is derived from human embryonic kidney cell line 293 and contains the simian virus 40 large T antigen. 293T cells were maintained in Dulbecco modified Eagle medium (Nissui, Tokyo, Japan) supplemented with 0.45% glucose and 10% heat-inactivated fetal calf serum (FCS). The E6 clone of Vero cells (ATCC C1008; Cell Repository line 1586) was grown in Eagle minimal essential medium (Nissui) supplemented with 2 mM glutamine and 5% heat-inactivated FCS.
Plasmids.
cDNA clones containing the coding region of the M segment of HTNV strain 76-118 and SEOV strain SR-11 were kindly provided by C. S. Schmaljohn. The cDNA of the M segment of HTNV was excised by using
BglII and subcloned into the
BglII site of expression vector pCAGGS/MCS (
15). The cDNA of the M segment of SEOV was excised by using
SmaI and
XhoI and subcloned into the
SmaI and
XhoI sites of pCAGGS/MCS. The plasmids containing the M segment cDNA of HTNV and SEOV were designated pCHTNM and pCSEOM, respectively. pCVSVG is the expression plasmid made by cloning the cDNA encoding the VSV G protein into the expression vector pCAGGS/MCS. pCVSVG was kindly provided by Michael A. Whitt.
Viruses.
HTNV strain 76-118 and SEOV strain SR-11 were used as representative strains of the HTNV and SEOV serotypes, respectively. These strains were propagated in the E6 clone of Vero cells. VSVΔG*G is the recombinant VSV derived from a full-length cDNA clone of the VSV genome (Indiana serotype) in which the coding region of the G protein was replaced by the coding region of the GFP gene and the G protein was expressed in
trans (
21). VSVΔG*G was kindly provided by Michael A. Whitt.
Expression of G1 and G2 of HTNV and SEOV.
The expression of G1 and G2 was analyzed by using an indirect immunofluorescent antibody (IFA) test and flow cytometry. 293T cell monolayers in six-well plates (80% confluent) were transfected with 2 μg of pCHTNM and pCSEOM by using Mirus TransIT LT1 transfection reagents (Panvera, Madison, Wis.), as recommended by the manufacturer. After 48 h, cells were examined for protein expression. Cells from six-well plastic plate (Coster) were detached by using a pipette and then suspended in culture medium. They were then centrifuged, and the pellet was resuspended with 1 ml of phosphate-buffered saline (PBS). For intracellular staining, the IFA test was carried out. Briefly, after centrifugation, the pelleted cells were resuspended again with an appropriate volume of PBS. The resuspended cells were spotted onto a 24-well glass slide, air dried, and fixed with acetone for 10 min. Acetone-fixed smears of 293T cells were treated with the culture supernatant from hybridoma clones, producing the monoclonal antibodies (MAbs) 8B6 against G1 and HCO2 against G2, for 1 h at 37°C. After being washed with PBS, fluorescein isothiocyanate (FITC)-conjugated rabbit polyclonal antibodies against anti-mouse immunoglobulin G (IgG; Zymed) at 1:400 were added to the well. After 1 h of incubation at 37°C, cells were washed and examined with a fluorescence microscope. For cell surface staining, flow cytometry analysis was done. The transfected 293T cells were detached with a pipette, washed with PBS, and fixed with 3% paraformaldehyde in PBS for 5 min at room temperature. After being washed with 0.5% bovine serum albumin in Dulbecco PBS (fluorescence-activated cell sorting [FACS] solution), the cells were treated with purified MAb (clone HCO2) at 10 μg/100 μl for 30 min on ice. After being washed with FACS solution, the cells were treated with FITC-conjugated anti-mouse IgG (1:100) for 30 min on ice. After another wash with FACS solution, the cells were suspended in 500 μl of FACS solution and analyzed by using a FACSCalibur (Becton Dickinson). The data were evaluated by using Becton Dickinson FACScan research software (CellQuest, v3.0.1.f).
Preparation of pseudotype viruses.
At 36 h after transfection of 293T cells with pCHTNM, pCSEOM, pCVSVG, or pCAGGS/MCS, the cells were infected with VSVΔG*G at a multiplicity of infection of 1 for 1 h at 37°C. The 293T cell monolayer was then washed with 1% heat-inactivated FCS-PBS three times, and culture medium was added. After 24 h of incubation at 37°C in a CO2 incubator, the culture supernatant was clarified by low-speed centrifugation and stored at −80°C.
Titration of pseudotype viruses.
For pseudotype virus titration in Vero E6 cells, Vero E6 cells grown on 96-well plates were infected with 50 μl of serially diluted virus stock. After a 1-h adsorption period, the inoculum was removed, fresh culture medium was added, and the cells were incubated at 37°C in a CO2 incubator. At 16 h postinfection (hpi), the cells were fixed with 1% paraformaldehyde in PBS for 10 min at room temperature, washed with distilled water, and air dried. GFP-expressing cells were counted under a fluorescence microscope. Since pseudotype VSVs are unable to produce infectious progeny virus, the numbers of GFP-positive cells were regarded as infectious units (IU).
Detection of viral proteins incorporated into pseudotype VSV.
The incorporation of the G1 and G2 envelope glycoproteins of HTNV and SEOV into the pseudotype viruses was examined by Western blotting. Culture supernatants of 293T cells were partially purified by ultracentrifugation at 100,000 rpm for 1 h through 20% sucrose in TNE buffer (10 mM Tris, 135 mM NaCl, 2 mM EDTA). The pellets were dissolved in sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) sample buffer (2% SDS, 10% glycerol, 5% 2-ME, 0.002% bromophenol blue, 0.0625 M Tris-Cl; pH 6.8) for VSV M protein detection or in radioimmunoprecipitation assay buffer (10 mM Tris-HCl [pH 7.8], 2% Triton X-100, 150 mM NaCl, 600 mM KCl, 5 mM EDTA, 1% aprotinin, 1 mM phenylmethylsulfonyl fluoride) for G1 and G2 glycoprotein detection. The virus samples dissolved in SDS-PAGE sample buffer were separated by SDS-PAGE in 12% gels under reducing conditions. The virus samples dissolved in radioimmunoprecipitation assay buffer were separated by PAGE in 8% gels under nonreducing conditions. After electrophoresis, the proteins were blotted onto polyvinylidene difluoride membrane (ATTO, Tokyo, Japan). The membrane was soaked in 3% skim milk in PBS at room temperature to saturate unsaturated areas. For VSV M staining, mouse MAb to M protein (working dilution of 1:1,000; a gift from M. A. Whitt) was used (
10). For hantavirus G1 and G2 staining, the undiluted culture supernatants of hybridoma clones of 8B6 against G1 of HTNV and 8E10 against G2 of HTNV were used (
2). The membrane was incubated with MAb for 1 h at room temperature. The membrane was then washed three times with 0.05% Tween 20 in PBS for 5 min each and incubated with biotinylated anti-mouse IgG (Zymed) at a 1:5,000 dilution for 1 h. After incubation for 1 h, the membrane was washed according to the same procedure used in the second step and was incubated with horseradish peroxidase-conjugated avidin (1:400; Cappel). The band was detected by using the ECL Plus Western blotting detection system (Amersham Pharmacia Biotech, Ltd.). Briefly, the membrane were treated with a mixture of A solution and B solution (supplied by the manufacturer at a 40:1 volume), incubated for 5 min at room temperature, drained off from the membrane, exposed to Hyperfilm ECL for 15 s, developed with Rendol, and fixed with Renfix.
MAbs, rabbit immune sera, and HFRS patient sera.
Clones producing MAbs directed against the HTNV envelope glycoproteins were prepared as previously described (
2). Rabbit immune sera against HTNV and SEOV were obtained from rabbits infected with live viruses, as previously described (
11). A total of 22 serum specimens from HFRS patients previously diagnosed as being infected by HTNV and SEOV were kindly provided by H. Wang of the Institute of Virology, Chinese Academy of Preventive Medicine, Beijing, China, and 5 specimens were provided by Y. Nishimune of the Research Institute for Microbial Diseases, Osaka University. Ten serum specimens from the United Arab Emirates obtained from patients with high fever of unknown etiology were provided by M. K. Ijaz and T. Al Karmi of the Department of Medical Microbiology, Faculty of Medicine and Health Science, United Arab Emirates, through H.-K. Ooi of the Department of Parasitology, Faculty of Veterinary Medicine, Hokkaido University. These sera were confirmed to be negative for hantavirus infection, as previously reported (
24).
FRNT.
The endpoint titers of the neutralizing antibodies were determined by FRNT as described earlier (
1). Briefly, sera were serially diluted and mixed with an equal volume containing 30 to 70 focus-forming units of virus per 50 μl. The mixtures were incubated for 1 h at 37°C and then inoculated onto Vero E6 cell monolayers in 96-well tissue culture plates (Iwaki 3860-096; Asahi Technoglass Co., Tokyo, Japan). After adsorption for 1 h at 37°C, the wells were overlaid with medium containing 1.5% carboxymethyl cellulose. After incubation for 7 days in a CO
2 incubator, the monolayers were fixed with acetone-methanol (1:1) and dried. The focus of virus-infected cells was detected by staining the cells with polyclonal serum from a rabbit immunized with truncated N protein (amino acids 1 to 244) from HTNV, followed by the addition of horseradish peroxidase-labeled goat antibodies and substrate. The FRNT titer was expressed as the reciprocal of the highest serum dilution resulting in a reduction in a number of infected cell foci greater than 80%.
Neutralization of VSV pseudotypes.
A total of 30 μl of medium containing 200 IU of VSV pseudotypes was incubated with an equal volume of serially diluted sample serum for 1 h at 37°C. Then, 50 μl of the mixture was inoculated onto Vero E6 cell monolayers in 96-well tissue culture plates. After adsorption for 1 h, the mixture was replaced with Eagle minimal essential medium. After a 16-h incubation period, the cells were fixed with 2% paraformaldehyde for 10 min, washed with distilled water, air dried, and stored at −80°C until assay. Cells infected with VSV pseudotypes were examined and counted based on GFP expression under a fluorescence microscope.
DISCUSSION
To find an alternative to the conventional laborious and time-consuming neutralization test for hantaviruses, we established a neutralization test with pseudotype VSV containing HTNV or SEOV envelope glycoproteins (VSVΔG*-HTN and -SEO). The infection of VSVΔG*-HTN and -SEO was neutralized with MAbs, immune sera, and patient sera with similar kinetics and titers, indicating that the pseudotype VSVs were effective alternatives to native hantaviruses in the neutralization test. Moreover, this neutralization system does not require a high-level containment laboratory, since the genome of the pseudotypes contains the GFP gene instead of the VSV G protein gene, and is consequently unable to produce infectious progeny viruses unless the envelope proteins mediating cellular entry are provided in trans. Furthermore, due to the powerful expression of GFP in the VSV replication system, infected cells can be counted 16 h after infection by using a simple fluorescence assay. The ordinary neutralization test requires immunofluorescence procedures, immunocytochemical staining, and plaque detection to detect infected foci. The time required for the virus to replicate to detectable levels for the immunofluorescence of infected cell foci on Vero E6 monolayers is 2 to 5 days, depending on the hantavirus species. Immunocytochemical staining takes even longer: from 5 to 10 days depending on the hantavirus species. The VSVΔG*-HTN and -SEO substitutes for native viruses make the neutralization test faster and simpler.
This recombinant VSVΔG* system efficiently incorporates foreign viral envelope proteins, as previously reported for Ebola virus, measles virus, human T-cell leukemia virus type 1, hepatitis C virus, and Borna disease virus (
14,
16,
17,
21,
22). VSVΔG*-HTN and -SEO were generated efficiently at titers in the range of 10
5 to 10
6 IU/ml, which are higher titers than those of native HTNV and SEOV (10
4 to 10
5 focus-forming units/ml). Another pseudotype system with murine leukemia virus has been previously reported to produce a hantavirus pseudotype; however, the titers in that system were much lower, i.e., in the range of 10
3 IU/ml (
13). It was thought that these results reflect low expression levels of Hantaan envelope glycoproteins or inefficient virus assembly.
The SEOV titers with virus and pseudotype are generally similar, whereas the HTNV titers are often higher (one- or twofold dilution) when authentic virus is used, although this tendency was not observed for rabbit immune serum (Table
2). This observation may be unique in humans infected with HTNV and may not occur in an envelope glycoprotein-dependent manner. Serum from a patient infected with HTNV, but not SEOV, might contain an inhibitor or antibodies induced against other viral components. This might hinder the steps of replication after attachment or adsorption, which would be caused in an envelope glycoprotein-dependent manner. Another interpretation of Table
2 is that, although there were small differences in the antigenicity of HTNV and VSVG*HTN, immune rabbit serum could not distinguish the difference in the cross-neutralization test. VSV incorporates a variety of foreign membrane proteins. The efficiency and conformation, which might affect the function of foreign proteins incorporated into VSV particles, depend on the proteins (
20). The amino acid homology of HTNV and SEOV envelope glycoproteins is approximately 80%. In fact, little effort has been made to compare the precise conformation of the envelope glycoproteins between serotypes; only genetic and serological approaches have been used. Therefore, the antigenicity of HTN envelope glycoproteins incorporated into the recombinant VSV particle might differ slightly from that of HTNV.
In the manual for HFRS and HPS diagnosis published by the World Health Organization (
9), the cross-neutralization test is recommended as the standard serotyping method for a newly isolated hantavirus. According to the definition in
Virus Taxonomy, the
Hantavirus species show at least a fourfold difference in two-way cross-neutralization tests in serum from convalescent patients. Hantavirus species occupy a unique ecological niche, i.e., they occur in different primary rodent reservoir species or subspecies (
6). Therefore, measuring neutralizing antibodies provides the basic information needed to characterize newly discovered species of hantavirus and to prevent disease. The greater stability of pseudotype VSVs at 4°C allows the transport of the viruses to remote areas by using conventional iceboxes. Since pseudotype VSV-based neutralization is simple, rapid, and safe, this system can replace that using the native virus. Recently, we developed an enzyme-linked immunosorbent assay using truncated recombinant nucleocapsid proteins to differentiate HTNV, SEOV, and DOBV infections (
1). This test could complement the neutralization assays when multiple samples are being screened. Another type-specific diagnostic method has been reported: reverse transcriptase PCR (RT-PCR) with specific primer pairs. The detection and characterization of amplicons after the RT-PCR test provide definite genetic information for genotyping. Thus, a combination of different diagnostic procedures should provide useful information for understanding the etiology of hantavirus and preventing infection.
There have been several reports of serological cross-reactions and absent reactions involving hantaviruses. Therefore, a set of pseudotypes that covers all of the hantaviruses causing HFRS or HPS will be more valuable and necessary for the purpose of a global epidemiological survey. We are now trying to prepare pseudotypes that possess the envelope glycoproteins of other HFRS-causing hantaviruses: DOBV and Puumala virus.
In addition, to define newly discovered species of hantaviruses, the neutralization assay provides information that evaluates the protective immune status. The neutralizing antibody titer in patient serum likely affects the patient's prognosis in hantavirus pulmonary syndrome. Bharadwaj et al. (
4) reported that, on admission, patients with severe disease had lower neutralizing antibody titers than did patients with mild disease. These authors suggested that a strong neutralizing antibody response might be a predictor of effective clearance of and recovery from Sin Nombre virus infection. Experimentally, the passive transfer of neutralizing MAbs protects test animals from hantavirus infection (
3). Therefore, the titer of neutralizing antibodies may be an essential determinant of the protective immune status of individuals.
In summary, we have established a novel neutralization test that is simple, safe, and rapid by using pseudotype viruses. In addition to providing a convenient diagnostic method, the pseudotypes also offer a unique tool for analyzing cellular entry and the mechanism of neutralization of hantaviruses.