Accepted Manuscript Title: Protection of pigs against pandemic swine origin H1N1 influenza A virus infection by hemagglutinin- or neuraminidase-expressing attenuated pseudorabies virus recombinants Author: Katharina Klingbeil Elke Lange Ulrike Blohm Jens P. Teifke Thomas C. Mettenleiter Walter Fuchs PII: DOI: Reference:
S0168-1702(15)00015-5 http://dx.doi.org/doi:10.1016/j.virusres.2015.01.009 VIRUS 96511
To appear in:
Virus Research
Received date: Revised date: Accepted date:
9-10-2014 18-12-2014 10-1-2015
Please cite this article as: Klingbeil, K., Lange, E., Blohm, U., Teifke, J.P., Mettenleiter, T.C., Fuchs, W.,Protection of pigs against pandemic swine origin H1N1 influenza A virus infection by hemagglutinin- or neuraminidaseexpressing attenuated pseudorabies virus recombinants, Virus Research (2015), http://dx.doi.org/10.1016/j.virusres.2015.01.009 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Revised manuscript of VIRUS-D-14-00536
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Protection of pigs against pandemic swine origin H1N1
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influenza
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neuraminidase-expressing attenuated pseudorabies virus
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recombinants
virus
infection
by
hemagglutinin-
cr
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Katharina Klingbeil,a Elke Lange,b Ulrike Blohm,c Jens P. Teifke,b Thomas C.
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Mettenleiter,a and Walter Fuchsa
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Institute of Molecular Virology and Cell Biology, Friedrich-Loeffler-Institut, Federal
an
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a
Research Institute for Animal Health, 17493 Greifswald-Insel Riems, Germany b
Department of Experimental Animal Facilities and Biorisk Management, Friedrich-
M
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or
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A
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Loeffler-Institut, Federal Research Institute for Animal Health, 17493 Greifswald-Insel
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Riems, Germany
Institute of Immunology, Friedrich-Loeffler-Institut, Federal Research Institute for Animal
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Health, 17493 Greifswald-Insel Riems, Germany
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Corresponding author:
Walter Fuchs
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Friedrich-Loeffler-Institut
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Südufer 10
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17493 Greifswald – Insel Riems
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Germany
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phone:
+49 38351 71258
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fax:
+49 38351 71151
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e-mail:
[email protected] 31 Page 1 of 47
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Abstract
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Influenza is an important respiratory disease of pigs, and may lead to novel human
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pathogens like the 2009 pandemic H1N1 swine-origin influenza virus (SoIV). Therefore,
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improved influenza vaccines for pigs are required. Recently, we demonstrated that
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single intranasal immunization with a hemagglutinin (HA)-expressing pseudorabies virus
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recombinant of vaccine strain Bartha (PrV-Ba) protected pigs from H1N1 SoIV challenge
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(Klingbeil, K., Lange, E., Teifke, J.P., Mettenleiter, T.C., Fuchs, W., 2014. Immunization
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of
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haemagglutinin of pandemic swine origin H1N1 influenza A virus. J. Gen. Virol. 95, 948-
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959). Now we investigated enhancement of efficacy by prime-boost vaccination and/or
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intramuscular administration. Furthermore, a novel PrV-Ba recombinant expressing
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codon-optimized N1 neuraminidase (NA) was included. In vitro replication of this virus
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was only slightly affected compared to parental virus. Unlike HA, the abundantly
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expressed NA was efficiently incorporated into PrV particles. Immunization of pigs with
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the two PrV recombinants, either singly or in combination, induced B cell proliferation
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and the expected SoIV-specific antibodies, whose titers increased substantially after
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boost vaccination. Animals immunized with either PrV recombinant were protected from
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disease after challenge with H1N1 SoIV, and challenge virus replication was significantly
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reduced compared to PrV-Ba vaccinated or naïve controls. Protective efficacy of HA-
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expressing PrV was higher than of NA-expressing PrV, and not significantly enhanced
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by combination. Despite higher serum antibody titers obtained after intramuscular
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immunization, transmission of challenge virus to naïve contact animals was only
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prevented after intranasal prime-boost vaccination with HA-expressing PrV-Ba.
attenuated
pseudorabies
virus
cr
an
recombinant
us
with
expressing
the
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pigs
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Keywords: Pandemic H1N1 SoIV; hemagglutinin (HA); neuraminidase (NA); attenuated
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PrV strain Bartha; vectored vaccine
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1.
Introduction
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Influenza A viruses belong to the family Orthomyxoviridae (King et al., 2012) and cause
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mainly respiratory infections in nearly all mammalian species. Frequent mutations during
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replication of their eight-segmented single-stranded RNA genomes, and reassortment of
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entire genome segments from different viruses provide a high genetic variability which
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facilitates adaptation to novel host species. Furthermore, antigenic variation of the two
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envelope glycoproteins hemagglutinin (HA) and neuraminidase (NA) permits immune
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escape and frequent reinfections of the same individuals. Birds are considered the
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natural hosts of influenza viruses in which infections are mostly asymptomatic (Palese
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and Shaw, 2007). In pigs the course of disease is frequently mild, and they represent
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important reservoir hosts which may function as mixing vessels for the development of
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new influenza reassortants (Webster et al., 1993). At present three different subtypes of
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influenza viruses, H1N1, H3N2 and H1N2 are circulating in swine worldwide (Van Reeth,
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2007).
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In 2009 a novel pandemic H1N1 influenza A virus infected the human population starting
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from North America. It was identified as a swine-origin influenza virus (SoIV), which
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contained six genome segments encoding HA, the RNA polymerase complex (PB1,
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PB2, PA), nucleoprotein (NP) and nonstructural proteins (NS) from a triple reassortant
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previously isolated from North American pigs, and NA and matrix protein (M) genes from
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current Eurasian H1N1 swine influenza virus (Garten et al., 2009) (Smith et al., 2009). In
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pigs the new virus exhibited similar clinical signs of disease and respiratory tract
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pathology like classical porcine influenza A viruses (Brookes et al., 2009) (Lange et al.,
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2009) (Vincent et al., 2010). Crossing of the species barrier by, and rapid spread of the
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2009 pandemic H1N1 SoIV demonstrated that more effective control strategies for
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influenza virus infections of swine are required. To reduce economic losses in pig
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husbandry and to prevent the development of further human pathogens with pandemic
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capacity, transmission of influenza viruses within the swine population must be limited.
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Commercially available influenza virus vaccines for pigs containing mixtures of
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inactivated H1N1, H1N2 and H3N2 subtypes do not always prevent infection (Kobinger
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et al., 2010), presumably because they induce good humoral, but limited cell mediated
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and no mucosal immune responses which are suggested to be also important for
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protection (Ma and Richt, 2010) (Van Reeth, 2007). Higher efficacies might be achieved
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with engineered, live-attenuated influenza virus vaccines containing mutations in HA
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cleavage site or viral polymerase (Babiuk et al., 2011) (Kappes et al., 2012) (Pena et al.,
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2011) (Vincent et al., 2012) which, however, bear risks from the high mutation and
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recombination rates of this virus family. One alternative to overcome these problems are
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vectored live-virus vaccines which express major influenza virus antigens, and are
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capable to induce humoral and cellular immunity. Such vectored vaccines may also
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permit differentiation of infected from vaccinated animals (DIVA) (Capua et al., 2003)
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(van Oirschot, 1999) by testing for antibodies against influenza virus antigens absent
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from the vaccine. Efficacy of vectored vaccines against highly pathogenic avian
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influenza A viruses based on attenuated fowlpox virus, Newcastle disease virus, or
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infectious laryngotracheitis virus has been demonstrated (Pavlova et al., 2009) (Taylor et
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al., 1988) (Veits et al., 2006). For protection of pigs against H1N1 SoIV HA-expressing
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recombinants of equine herpesvirus 1 (Said et al., 2013), and pseudorabies virus (PrV)
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(Klingbeil et al., 2014) have been evaluated.
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PrV or Suid herpesvirus 1 (SuHV-1) is a member of the Alphaherpesvirinae subfamily of
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the Herpesviridae within the order Herpesvirales (King et al., 2012). Although PrV can
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infect many mammals except higher primates and humans, pigs are its natural host, in
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which it causes respiratory disease, abortions and high mortality rates particularly of
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piglets (Aujeszky´s disease). Attenuated live-virus vaccine strains like PrV Bartha (PrV-
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Ba) (Bartha, 1961) have been successfully used for control, and enabled eradication of
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Aujeszky´s disease of domestic pigs in several European and North American countries
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(Pomeranz et al., 2005). Attenuated PrV strains were also used as viral vectors for
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expression of foreign antigens and conferred protection against the respective
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pathogens (Jiang et al., 2007) (Thomsen et al., 1987b) (van Zijl et al., 1991). In a recent
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study we have cloned the genome of PrV-Ba as an infectious bacterial artificial
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chromosome (BAC), and used this construct for insertion of the codon-optimized HA
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gene of pandemic H1N1 SoIV. The obtained PrV recombinant (PrV-BaMI-synH1)
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showed abundant HA expression in infected cell cultures, and intranasal infection of pigs
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induced HA-specific serum antibodies. After challenge infection with a related H1N1
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SoIV isolate, the animals proved to be protected from disease, and challenge virus
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shedding was significantly reduced (Klingbeil et al., 2014). However, HA-specific
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antibody titers, and the degree of inhibition of challenge virus replication varied
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considerably between animals.
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To achieve more robust protection, and reliable prevention of influenza virus
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transmission, we have now evaluated the effect of boost immunizations performed three
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weeks after initial vaccination of seven-week old piglets, and also compared the
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efficacies
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Furthermore, we constructed a second PrV-Ba recombinant expressing NA of pandemic
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H1N1 SoIV A/Regensburg/D6/09 (Lange et al., 2009). To enhance protein expression
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under control of the murine cytomegalovirus immediate early promoter (P-MCMV), a
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fully synthetic neuraminidase gene with PrV-adapted codon usage was generated, like
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previously done for the hemagglutinin gene (Klingbeil et al., 2014). In vitro replication
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properties of the NA-expressing PrV recombinant (PrV-BaMI-synN1) were analyzed, and
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in animal experiments PrV-BaMI-synN1 was applied either singly, or in a 1:1 mixture
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with PrV-BaMI-synH1. The H1N1 SoIV isolate A/California/7/09 (Garten et al., 2009),
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which is closely related to the Ha and NA gene donor isolate, was used for challenge
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three weeks after boost vaccination. Sera collected weekly after both immunizations and
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challenge infection were tested for HA- and NA-specific antibodies. Furthermore, the
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effects on B lymphocyte populations were investigated by flow cytometry and
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restimulation studies. Besides observation for clinical symptoms, challenge virus
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replication was quantified by real-time RT PCR (Hoffmann et al., 2010). Furthermore,
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shedding of infectious challenge virus was monitored using naïve contact animals.
intranasal
and
intramuscular
administration
of
PrV-BaMI-synH1.
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2.
Materials and Methods
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2.1.
Viruses and cells
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Rabbit (RK13) and canine (MDCK) kidney cells were cultivated at 37°C in minimum
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essential medium (MEM) supplemented with 10% fetal bovine serum (FBS) and
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maintained in MEM containing 5% FBS and antibiotics (penicillin 100 U/ml and
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Streptomycin 0.1 mg/ml) after infection. For plaque assays infected cells were overlaid
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with semisolid medium containing 6 g/l methylcellulose. PrV-Ba (Bartha, 1961), PrV-
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BaMI-synH1 (Klingbeil et al., 2014), and the NA-expressing virus recombinants were
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grown in RK13 cells. The pandemic H1N1 SoIV isolates A/Regensburg/D6/09 (Lange et
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al., 2009), and A/California/7/09 (Garten et al., 2009), were propagated in MDCK cells
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with serum-free medium containing 2 µg/ml trypsin.
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2.2.
Generation of PrV recombinants
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The neuramindase open reading frame (ORF) of H1N1 SoIV A/Regensburg/D6/2009
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was reverse transcribed and amplified by PCR using primers SIRN1-R and SIRN1-F
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(Fig. 1b). The PCR primers, as well as the synthetic, PrV-adapted NA ORF (purchased
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from Eurofins Genomics, Fig. 1b) contained engineered XbaI and EcoRI restriction sites
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for cloning into the correspondingly digested transfer vector pUC-BaKJPMI (Klingbeil et
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al., 2014). The resulting plasmids, together with EcoRI-digested DNA of pPrV-Ba∆gGG
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were used for cotransfections of RK13 cells as described (Klingbeil et al., 2014). The
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desired mutants PrV-BaMI-N1 and PrV-BaMI-synN1 (Fig. 1a) were isolated from
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transfection progenies by screening for non-fluorescent virus plaques.
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2.3
Western Blot and indirect immunofluorescence (IIF) analyses
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For Western Blot analyses RK13 cells were infected with PrV-Ba or the N1-expressing
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PrV recombinants PrV-BaMI-N1 and PrV-BaMI-synN1 at a multiplicity (m.o.i.) of 2 and
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harvested 20 h after infection. PrV and H1N1 SoIV A/California/7/09 particles were
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prepared as described (Klupp et al., 2000) (Klingbeil et al., 2014). Proteins of approx.
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104 cells or 3 µg of virion proteins were separated by SDS-PAGE, transferred to
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nitrocellulose membranes, and incubated with monospecific rabbit antisera raised
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against bacterial fusion proteins with an avian influenza virus N1 neuraminidase (α-GST-
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N1) (Pavlova et al., 2009), or PrV pUL34 (α-pUL34) (Klupp et al., 2000), or against
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affinity-purified PrV gB (α-gB) (Kopp et al., 2003) at dilutions of 1:100,000.
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Chemiluminescence reactions of the peroxidase-conjugated secondary antibodies were
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detected as described (Klingbeil et al., 2014). For IIF tests PrV-infected RK13 cells were
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incubated under plaque assay conditions and fixed after 48 h with methanol and
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acetone (1:1) for 30 min at -20°C. The cells were blocked with 10% FBS in PBS,
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incubated with a 1:500 diluted antiserum from a rabbit which had been infected with a
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vaccinia virus recombinant expressing N1 neuraminidase of an avian influenza virus
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(Pavlova et al., 2009), and an Alexa Fluor 400-conjugated secondary antibody (Life
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Technologies) for 1 h each. After each step the cells were repeatedly washed with PBS,
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and analyzed by fluorescence microscopy (Eclipse Ti, Nikon).
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2.4.
One-step replication kinetics and determination of plaque sizes
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RK13 cells were infected with PrV-Ba, PrV BaMI-synH1 or PrV-BaMI-synN1 at an m.o.i.
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of 5. One hour after infection the inoculum was removed, non-penetrated virus was
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inactivated by low pH treatment (Mettenleiter, 1989), and incubation at 37°C was
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continued. After 0, 4, 8, 12, 24 and 48 h cells were harvested, lysed by freeze-thawing
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and progeny virus titers were determined by plaque assays on RK13 cells. After 3 d cells
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were fixed with 2% formaldehyde, and stained with crystal violet. Virus titers were
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determined and plaque diameters were measured microscopically.
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2.5.
Animal experiment and challenge virus detection
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Three groups of five seven-week old pigs were vaccinated intramuscularly with 2x107
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plaque forming units (p.f.u.) of either PrV-PrV-BaMI-synH1, PrV-BaMI-synN1 or a 1:1
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mixture of both PrV recombinants. A fourth group was immunized intranasally with the
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same dose of PrV-BaMI-synH1. A fifth group of four animals was vaccinated
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intramuscularly with the same dose of PrV-Ba, and three pigs remained unvaccinated.
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Three weeks after primary immunization, the animals were vaccinated again (boost) with
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the same PrV mutant and virus dose, and in the same way like before. Another three
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weeks later all animals were challenged intranasally with 2x106 infectious doses
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(TCID50) of pandemic H1N1 SOIV A/California/7/09, and two days later two naïve
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contact pigs were added to each group. During the whole trial the animals were
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observed daily for clinical signs, and rectal temperatures were measured. Serum
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samples were prepared immediately before vaccination, as well as 7, 14 and 21 days
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after each immunization, and after challenge infection, respectively. Additional blood
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samples for flow cytometry were collected on days 1, 3 and 10 after challenge. Nasal
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swabs were taken before and 1 to 10 days after challenge infection or contact to infected
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animals to analyze the amount of influenza virus RNA by real-time RT-PCR as
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described previously (Hoffmann et al., 2010) (Klingbeil et al., 2014).
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2.6.
Immunological studies
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Hemagglutination inhibition (HI) assays using H1N1 SoIV A/California/7/09 as antigen
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were performed according to standard procedures (Said et al., 2013) (Vincent et al.,
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2010). Mean reciprocal values of maximum log2 serum dilutions that inhibited
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hemagglutination were specified as HI titers. NA-specific serum antibodies were
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detected using a commercial N1-specific NA-ELISA (id screen® influenza N1 Antibody
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Competition, IDvet) according to the manufacturer’s instructions.
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For analysis of B cell subpopulations, peripheral blood mononuclear cells (PBMC) were
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subjected to multicolor immunostaining, and analyzed by flow cytometry (BD
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FACSCanto™ flow cytometer, BD Biosciences). Briefly, cells collected from 50 µl of
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heparinized blood were suspended in FACS-buffer (0.1% BSA, 0.035% NaHCO3, 0.02%
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NaN3 in Hank's balanced salt solution) and stained with fluorochrome-labeled antibodies
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specific for porcine lymphocyte markers for 15 min at 4°C in the dark. After washing
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erythrocytes were lysed by addition of 150 mM NH4Cl, and the remaining lymphocytes
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were separated into CD3-positive and CD3-negative subpopulations. The CD3-negative
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B cells were further differentiated into activated B cells (CD3-CD2-CD21+), and antibody-
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forming plasma cells plus memory B cells (CD3-CD2+CD21-).
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For In vitro restimulation of memory B cells PBMC prepared three weeks after SoIV
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infection were cultivated and incubated with UV-inactivated H1N1 SoIV A/California/7/09
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(formerly 106 TCID50/ml) for 1 h. One, 3, 5 and 7 days after after restimulation 100 µl of
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the culture supernatants were analyzed for HA-specific antibodies by HI assays.
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2.7.
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The significance of differences between virus titers, plaque sizes, Ct values, ELISA and
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HI titers, as well as B cell subpopulations was evaluated using Student’s t-tests.
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3.
Results
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3.1.
Generation of NA-expressing PrV mutants
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We have previously shown that expression of the HA gene of H1N1 SoIV
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A/Regensburg/D6/09 in PrV-Ba could be substantially enhanced by adaptation of codon
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usage to that of the vector (Klingbeil et al., 2014). To investigate, whether similar effects
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might occur for the NA gene, we generated two PrV-Ba recombinants containing either
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the native, or a fully synthetic, codon-optimized, neuraminidase ORF under control of P-
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MCMV (PrV-BaMI-N1, PrV-BaMIsynN1; Fig. 1). In both constructs, the NA gene was
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preceded by an expression-promoting synthetic intron in the 5’-nontranslated part of the
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transcription unit (Pavlova et al., 2009), and the nonessential glycoprotein G (gG) gene
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locus of PrV (Thomsen et al., 1987a) was chosen as insertion site. Mutagenesis of the
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BAC pPrV-BaΔgGG was done as described (Klingbeil et al., 2014), and led to
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substitution of the bacterial vector and a GFP reporter gene by the neuramindase
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expression cassettes (Fig. 1). Correct insertion was verified by restriction and Southern
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blot analyses of genomic DNA, as well as by amplification and sequencing of the
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mutated genome region (data not shown).
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Protein expression of the virus recombinants was investigated by IIF tests and Western
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blot analyses (Fig. 2) with monospecific rabbit antisera raised against the NA of an avian
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H5N1 influenza virus (Pavlova et al., 2009). Although the overall identity of this protein to
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the NA of H1N1 SoIV was only 84%, the sera showed good reactivities in both assays.
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IIF tests of cells infected with either of the two PrV recombinants revealed a specific
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cytoplasmic fluorescence which was not found in PrV-Ba-infected or uninfected RK13
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cells, and the signals of PrV-BaMIsynN1-infected cells were significantly stronger than of
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cells infected with PrV-BaMI-N1 (Fig. 2a). Enhanced expression of the codon-usage
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adapted NA was confirmed by Western blot analyses in which the specifically detected
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PrV- as well as SoIV-expressed proteins exhibited an apparent mass of approx. 70 kDa
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(Fig. 2b, upper panel). The additional unspecific reaction of the serum with an ubiquitous
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nonviral protein of 68 kDa has been observed previously (Pavlova et al., 2009). Unlike
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the influenza virus HA in PrV-BaMI-synH1 (Klingbeil et al., 2014), the NA of H1N1 SoIV
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was abundantly detected in purified particles of PrV-BaMI-synN1 (Fig. 2b, upper panel).
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A control Western blot confirmed the presence of comparable amounts of the different
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uncleaved and cleaved forms of PrV glycoprotein B (gB) (Whealy et al., 1990) in the
275
analyzed infected cell lysates and virion preparations (Fig. 2b, middle panel). The purity
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of virion preparations was demonstrated by the absence of PrV pUL34 (Fig. 2b, lower
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panel), which is present in primary enveloped immature, but not in mature virus particles
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(Klupp et al., 2000). In view of the significantly enhanced expression of the codon-
279
optimized compared to the authentic NA gene of SoIV A/Regensburg/D6/09, only PrV-
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BaMI-synN1 was used in subsequent experiments.
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3.2.
In vitro replication of NA- and HA-expressing PrV
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To investigate the effect of the NA transgene insertion on replication, one-step growth
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kinetics and plaque sizes were determined in RK13 cells (Fig. 3). As previously
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demonstrated for PrV-BaMI-synH1 (Klingbeil et al., 2014), PrV-BaMI-synN1 also showed
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lower progeny virus titers than parental PrV-Ba between 8 and 12 h after high m.o.i.
287
infection, but final titers of all three viruses were similar (Fig. 3a). Plaque sizes of both
288
transgene-expressing PrV recombinants were also significantly reduced by approx. 20%
289
compared to those of PrV-Ba (Fig. 3b). No significant differences were observed
290
between the two mutants. Since the minor in vitro growth defects did not compromise
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the usability of PrV-BaMI-synH1 as potential live-virus vaccine in pigs (Klingbeil et al.,
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2014), the new recombinant PrV-BaMI-synN1 should be also applicable in vivo.
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3.3.
B cell differentiation and antibody induction after prime-boost Immunization
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of pigs with HA- and NA-expressing PrV
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Animal experiments were performed to evaluate the suitability of PrV-BaMI-synN1 as a
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vectored vaccine. In these studies efficacy of the NA-expressing mutant was compared
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to that of HA-expressing PrV-BaMI-synH1, and a mixture of both PrV-mutants as well as
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different application protocols were tested. To ensure uptake of equal virus doses by all
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individuals, four groups of seven-week old pigs were vaccinated intramuscularly with
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PrV-Ba, PrV-BaMI-synN1, PrV-BaMI-synH1, or PrV-BaMI-synN1 and PrV-BaMI-synH1
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(1:1), and a fifth group was vaccinated intranasally with PrV-BaMI-synH1. All animals
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were immunized twice at three-week intervals with 2x107 p.f.u of PrV each. Three weeks
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after boosting all vaccinated, as well as naïve control pigs were challenged intranasally
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with 2x106 TCID50 per animal of pandemic H1N1 SoIV A/California/7/09.
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B cell development after vaccination of pigs with PrV mutants and challenge infection
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with H1N1 SoIV was analyzed by flow cytometry of peripheral blood mononuclear cells
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(PBMC), which were stained with antibodies against pig-specific lymphocyte surface
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markers CD3, CD2 and CD21 (Fig. 4). CD3 is present on T- but not on B-cells, and
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immature B cells show a CD2+CD21+ phenotype. After activation of naïve B cells by an
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antigen stimulus, CD2 is down-regulated, resulting in a CD2-CD21+ cell population.
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During further maturation of activated B cells CD2 is re-expressed on the cell surface,
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and CD21 is down-regulated. Thus, antibody-forming plasma cells and memory B cells
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exhibit a CD2+CD21- phenotype (Sinkora and Butler, 2009).
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In all groups vaccinated with PrV-BaMIsynH1 the mean percentage of activated B cells
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(CD2-CD21+) among CD3-negative cells increased on day 14 or 21 after the first
317
immunization (dpv) beyond the level detected in naïve control animals and remained
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higher until the end of the trial (Fig. 4a). An increased proportion of activated B cells was
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also found in pigs immunized with PrV-BaMI-synN1 alone, but not before two weeks
320
after boost vaccination (i.e. from 35 dpv). Surprisingly, vaccination with PrV-Ba did not
321
induce a lasting increase of activated B cells (Fig. 4a), indicating that the effects
322
observed in the other groups were mainly caused by the overexpressed influenza virus
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proteins HA or NA. Challenge with H1N1 SoIV led to a temporary decrease of circulating
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CD3-CD2-CD21+ lymphocytes, but until two weeks after challenge (56 dpv) all animal
325
groups which had been immunized with PrV-BaMI-synH1 and/or PrV-BaMI-synN1,
326
exhibited higher proportions of activated B cells than non-vaccinated pigs (Fig. 4a).
327
Maturation of activated B cells to antibody-forming plasma cells or memory B cells leads
328
to a CD2+CD21- phenotype. In animals vaccinated with HA- and/or NA-expressing PrV
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13
recombinants the percentage of these subpopulations increased beyond the level
330
observed in naïve pigs after the second immunization (35 dpv), and the differences
331
became even more pronounced after challenge infection (Fig. 4b). At the end of the trial,
332
percentages of CD2+CD-, as well as of CD2-CD21+ B cells had decreased to similar
333
levels in all groups (Fig 4a, b).
334
To investigate the development of HA specific antibodies serum samples were analyzed
335
by HI assays (Fig. 5). As expected, all sera of naïve animals and of pigs immunized with
336
PrV-Ba or PrV-BaMIsynN1 were negative until challenge. In contrast, two weeks after
337
the first intranasal or intramuscular immunization (14 dpv) with PrV-BaMI-synH1, or with
338
a mixture of the HA- and NA-expressing viruses (PrV-BaMI-synH1 + PrV-BaMI-synN1)
339
most animals had developed comparable titers of HA-specific antibodies, and sera of
340
one or two of the intramuscularly vaccinated piglets were positive as early as one week
341
after immunization (Fig. 5a). After the second intramuscular immunization (28 dpv) an
342
approx. 8-fold increase of HA-specific antibody titers was observed, whereas in animals
343
immunized intranasally this boost effect was significantly less pronounced and delayed
344
(Fig. 5a).
345
Challenge infection three weeks after the second immunization induced similar levels of
346
HA-specific serum antibodies in naïve and PrV-Ba immunized control animals like in
347
pigs which had been intranasally vaccinated with PrV-BaMI-synH1 (Fig. 5b, 14dpi). In
348
animals immunized intramuscularly with PrV-BaMI-synH1 alone or together with PrV-
349
BaMI-synN1, HI titers re-increased to significantly higher levels (Fig. 5b). However, the
350
maximum titers of HA-specific antibodies monitored two weeks after challenge were only
351
slightly increased compared to those obtained after second vaccination. Interestingly,
352
the piglets vaccinated with PrV-BaMIsyn-N1 alone developed lower amounts of HA-
353
specific antibodies after challenge than control animals (Fig. 5b), indicating an inhibition
354
of influenza virus replication.
355
To investigate the effect of immunization with recombinant PrV vaccines on
356
development of HA-specific memory B cells, peripheral blood lymphocytes isolated three
357
weeks
358
A/California/7/09. At different times after restimulation culture supernatants were tested
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after
challenge
infection
were
restimulated
with
inactivated
SoIV
Page 13 of 47
14
for HA-specific antibodies by HI assays (Fig. 6). No reactions were detectable in
360
lymphocyte cultures from animals which had not been vaccinated, or immunized with
361
PrV-Ba, indicating that the period of three weeks after the first expossure to HA by the
362
H1N1 SoIV challenge was too short for establishment of specific memory B cells.
363
Nevertheless, the supernatant of stimulated B cells of one of five animals immunized
364
with NA-expressing PrV-BaMI-synN1 was weakly HI-positive after 7 days (Fig. 6).
365
Significantly higher amounts of HA-specific antibodies, increasing from day 5 to 7 after in
366
vitro restimulation, were produced by B cells of 3 animals vaccinated intramuscularly
367
with PrV-BaMI-synH1 and of all 5 animals vaccinated with PrV-BaMI-synH1 and PrV-
368
BaMI-synN1 (Fig. 6). In contrast, restimulated lymphocytes of pigs which had been
369
vaccinated intranasally with PrV-BaMI-synH1 did not produce detectable amounts of
370
HA-specific antibodies (Fig. 6), which was in line with the relatively low HI titers in serum
371
samples of these animals.
372
To evaluate the development of NA-specific antibodies serum samples were analyzed
373
using a commercial N1-specific ELISA. After the first immunization with NA-expressing
374
PrV-BaMI-synN1, either singly or in combination with PrV-BaMI-synH1, only few piglets
375
exhibited NA-specific antibodies at very low titers. However, one week after the second
376
immunization (28 dpv), antibody titers had increased substantially, and all animals of
377
both groups were positive (Fig. 7a). These antibody titers remained nearly constant after
378
challenge infection. In contrast, the other groups, including PrV-Ba-vaccinated and naïve
379
controls, developed almost no detectable NA-specific antibodies within 3 weeks after
380
H1N1 SoIV challenge (Fig. 7b). Thus, our results indicate that NA-specific antibodies
381
were induced at later times than HA-specific antibodies. On the other hand, duration of
382
NA-specific antibody expression was obviously prolonged.
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383 384
3.4.
Vaccination of pigs with NA- and HA-expressing PrV reduces H1N1 SoIV
385
challenge virus shedding
386
As expected, vaccination of pigs with PrV-Ba, PrV-BaMI-synH1 or PrV-BaMI-synN1 did
387
not cause any clinical signs. After challenge infection with pandemic SoIV
Page 14 of 47
15
A/California/7/09 vaccinated as well as most control animals also remained clinically
389
inconspicuous, and no increase of body temperature was observed (data not shown). To
390
investigate the effects of vaccination on influenza virus replication and shedding, nasal
391
swabs of all pigs were taken before, and daily until 10 days after challenge infection.
392
Total RNA was isolated from swabs and examined by real-time RT-PCR for the
393
influenza virus M gene (Hoffmann et al., 2010). Throughout the experiment, all animal
394
groups previously vaccinated with HA- or NA-expressing PrV recombinants, or with PrV-
395
BaMI-synH1 and PrV-BaMIsyn-N1 showed significantly lower amounts of viral RNA,
396
indicated by higher Ct values, than the control groups of naïve animals and PrV-Ba
397
immunized pigs (Fig. 8). Most of these differences proved to be statistically significant.
398
Inhibition of challenge virus replication with respect to both amount and duration was
399
more pronounced in pigs immunized with PrV-BaMI-synH1, or PrV-BaMI-synH1 and
400
PrV-BaMI-synN1, than in animals vaccinated with PrV-BaMI-synN1 only (Fig. 8).
401
Furthermore, in only two to three of the pigs in groups vaccinated with PrV-BaMI-synH1
402
could influenza virus be detected at any time, whereas all animals vaccinated
403
exclusively with PrV-BaMI-synN1 were positive. The additive effects observed after
404
combined intramuscular administration of both vaccine candidates were marginal, and
405
manifested in reduction of duration of challenge virus detection to four days (2 to 5 dpi)
406
compared to 5 days in piglets immunized with PrV-BaMI-synH1 alone, and 9 days in
407
PrV-BaMI-synN1 vaccinated and control animals. Remarkably, the best efficacy in the
408
present trial was achieved by intranasal prime-boost vaccination of animals with PrV-
409
BaMI-synH1, which showed the lowest viral loads for the shortest periods of time (Fig.
410
8). Viral RNA could be detected in swab samples of only two animals from this group for
411
one or three days, respectively. These results confirmed the relevance of local mucosal
412
immunity for protection against swine influenza.
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413 414
3.5.
Vaccination of pigs with HA- and NA-expressing PrV affects transmission of
415
H1N1 SoIV challenge virus to contact animals
416
Two naïve pigs were brought into contact to each vaccinated or unvaccinated animal
417
group two days after challenge infection with H1N1 SoIV. To investigate challenge virus Page 15 of 47
16
transmission nasal swabs were taken before, and from day 1 to 10 after contact (dpc).
419
Total RNA was isolated and analyzed by real-time RT-PCR as described above (Fig. 9).
420
Challenge virus was efficiently transmitted from non-vaccinated and PrV-Ba immunized
421
pigs, and the respective contact animals shed H1N1 SoIV over a period of nine days (1
422
to 9 dpc) at similar amounts as directly infected, unprotected pigs (Fig. 8, Fig. 9). Swabs
423
taken from pigs brought into contact to PrV-BaMI-synN1-vaccinated animals also
424
contained considerable amounts of challenge virus RNA for eight days (2 to 9 dpc).
425
Transmission of H1N1 SoIV from pigs vaccinated intramuscularly with PrV-BaMI-synH1
426
or PrV-BaMI-synH1 and PrV-BaMI-synN1 was significantly delayed, and challenge virus
427
was not detectable before day 6 after contact (Fig. 9). The respective contact animals
428
also showed reduced amounts of influenza virus RNA, indicating transmission of lower
429
virus doses than to contact animals of control- or PrV-BaMI-synN1-vaccinated pigs. One
430
contact animal of the group immunized with HA- and NA-expressing PrV shed challenge
431
virus for only one day, but in the other one, as well as in one contact pig of the group
432
vaccinated intramuscularly with PrV-BaMI-synH1, could influenza virus RNA be detected
433
until the end of the monitoring period (10 dpc). In contrast, in the two animals brought
434
into contact to pigs vaccinated intranasally with PrV-BaMI-synH1 influenza virus RNA
435
could not be detected at any time (Fig. 9). This finding was in line with the most
436
pronounced inhibition of challenge virus RNA replication in this group (Fig. 8), and
437
indicated that the amount of infectious H1N1 SoIV in nasal discharge, if present at all,
438
were too low for successful transmission to contact animals.
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17 439
4.
Discussion
440
Recently, we used the pseudorabies virus vaccine strain Bartha as vector for expression
442
of the HA of H1N1 SoIV, and performed initial in vivo evaluation studies of the obtained
443
recombinant PrV-BaMI-synH1 in pigs (Klingbeil et al., 2014). In this study, we aimed at
444
optimization of vaccination protocols. Furthermore, PrV-Ba recombinants expressing
445
NA, of H1N1 SoIV were constructed, characterized in vitro, and included in the in vivo
446
studies. Like previously observed for the HA gene of H1N1 SoIV (Klingbeil et al., 2014),
447
the native NA gene under control of the strong murine cytomegalovirus immediate-early
448
promoter/enhancer (Dorsch-Hasler et al., 1985) followed by an expression-promoting
449
synthetic intron (Pavlova et al., 2009) was only inefficiently translated in cells infected
450
with the corresponding recombinant PrV-BaMI-N1. However, expression could be
451
substantially enhanced by insertion of a synthetic NA gene with PrV-adapted codon
452
usage, which exhibits a pronounced preference for C or G nucleotides in the third
453
position (Klupp et al., 2004). Possibly, these modifications protected the HA- and NA
454
mRNAs from selective degradation by the herpesvirus host-shutoff RNase (Shu et al.,
455
2013) (Taddeo et al., 2013). Furthermore, it should be noted that besides codon usage
456
also the environments of the HA- and NA start codons were modified in the synthetic
457
genes according to the rules for efficient translation initiation in vertebrates (Kozak,
458
1987). Interestingly, NA was not only abundantly expressed in cells infected with PrV-
459
BaMI-synN1, but, unlike HA in PrV-BaMI-synH1, also detected at high amounts in
460
mature virions. Thus, our previous speculations that incorporation of influenza virus
461
proteins into herpesvirus particles might be impeded by protein targeting to the different
462
budding sites of the two virus families at the plasma membrane or in the trans-Golgi
463
network, respectively (Klingbeil et al., 2014) (Pavlova et al., 2009), cannot be
464
generalized.
465
Compared to the parental strain PrV-Ba, the new mutant PrV-BaMI-synN1 exhibited
466
moderately delayed in vitro replication and cell-to-cell spread which, however, did not
467
result in a significant reduction of maximum virus titers. Similar effects have been also
468
observed with PrV-BaMI-synH1 (Klingbeil et al., 2014). In both virus recombinants the
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18
transgenes replaced the PrV gene encoding the secreted glycoprotein gG. However,
470
previous studies have shown that gG deletion does not affect in vitro replication of PrV
471
(Thomsen et al., 1987a), and, thus, the observed minor replication defects were more
472
likely due to competition of the overexpressed transgenes with functionally relevant virus
473
genes for enzymes or components of mRNA or protein synthesis.
474
Like PrV-Ba, PrV-BaMI-synH1 and PrV-MIsyn-N1 were completely avirulent for the
475
seven-weeks old piglets used in our studies. Nevertheless, a single intranasal
476
vaccination with PrV-BaMI-synH1 induced HA-specific antibodies, and conferred
477
protection against disease after challenge with pandemic H1N1 SoIV (Klingbeil et al.,
478
2014). However, challenge virus replication was only incompletely inhibited and sterile
479
immunity was not achieved. Our present studies revealed that prime-boost vaccination
480
with PrV-BaMI-synH1 induced enhanced HA-specific serum antibody titers, in particular,
481
if the vaccine was applied intramuscularly. Flow cytometry analyses of peripheral blood
482
lymphocytes also indicated enhanced activation and proliferation of B cells to antibody-
483
forming plasma cells (Sinkora and Butler, 2009) after boost vaccination.
484
Remarkably, the HA-specific serum antibody titers of piglets intramuscularly immunized
485
with PrV-BaMIsynH1 were significantly higher than those observed after H1N1 SoIV
486
infection of naïve animals. Similarly, intramuscular prime-boost vaccination of pigs with
487
the new mutant PrV-BaMI-synN1 induced high titers of NA-specific antibodies, although
488
they appeared at later times than the HA-specific ones. A slower humoral immune
489
response against NA was also indicated by flow cytometry of B cell populations. This
490
might explain why specific serum antibodies remained almost undetectable in control
491
animals within three weeks after H1N1 SoIV infection. As desired, combined
492
intramuscular immunization of pigs with PrV-BaMI-synN1 and PrV-BaMI-synH1 induced
493
HA-, as well as NA-specific antibodies at comparable levels like monovalent
494
vaccinations with either of the PrV recombinants.
495
Since our present experiments confirmed that in swine clinical symptoms of infections
496
with pandemic H1N1 SoIV are generally moderate (Lange et al., 2009) protective
497
efficacy of vaccination had to be mainly evaluated on the basis of inhibition of challenge
498
virus replication and spread. The analysis of nasal swabs by real-time RT-PCR revealed
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Page 18 of 47
19
reduced amounts of influenza virus RNA, and shortened duration of replication in all
500
animals immunized with HA- and/or NA-expressing PrV recombinants compared to PrV-
501
Ba vaccinated or naïve control pigs. Remarkably, despite high NA-specific serum
502
antibody titers, inhibition of H1N1 SoIV replication was least pronounced in animals
503
vaccinated with PrV-BaMI-synN1. Incomplete protection was unlikely due to differences
504
between the NA sequences of vaccine and challenge virus since they exhibited 99.8%
505
identity (Garten et al., 2009) (Lange et al., 2009). However, earlier investigations also
506
indicated that recombinant vaccines providing only NA do often not confer sufficient
507
protection against influenza virus infections, but that NA-specific immune responses
508
nevertheless can improve and broaden the efficacy of vaccination (Bodewes et al.,
509
2010) (Chen et al., 1999) (Eichelberger and Wan, 2014) (Pavlova et al., 2009). In the
510
present study, no unambiguous effect on reduction of challenge virus replication or
511
spread to naïve contact pigs could be achieved by intramuscular double-vaccination with
512
HA- and NA-expressing PrV compared to immunization with PrV-BaMI-synH1 only.
513
Although intramuscular prime-boost vaccination of pigs with PrV-BaMI-synH1 plus PrV-
514
BaMI-synN1, as well as with PrV-BaMI-synH1 alone reduced the amounts of H1N1 SoIV
515
challenge virus RNA in nasal swabs much more significantly than immunization with
516
PrV-BaMI-synN1, influenza virus transmission to naïve contact pigs was considerably
517
delayed, but not prevented. In contrast, transmission was prevented by intranasal prime-
518
boost vaccination of pigs with PrV-BaMI-synH1, although the titers of HA-specific serum
519
antibodies were much lower in intranasally than in intramuscularly immunized animals.
520
In line with the inhibition of transmission, the intranasally vaccinated pigs also showed
521
the lowest viral loads after challenge. Compared to a single intranasal vaccination of
522
piglets of the same age with the same dose of PrV-BaMI-synH1 (Klingbeil et al., 2014),
523
the additional boost vaccination performed in the present study reduced duration of
524
H1N1 SoIV replication from 7 to maximally 3 days, and the lowest mean CT values were
525
increased from approx. 31 to 38. In previous experiments we could demonstrate a good
526
correlation between influenza virus RNA detection in and virus re-isolation from nasal
527
swabs, and that swab samples with CT values > 35 were usually negative in inoculated
528
cell-cultures (Klingbeil et al., 2014). Thus, intranasal prime-boost vaccination of pigs with
529
PrV-BaMI-synH1 expressing the HA of pandemic H1N1 SoIV A/Regensburg/D6/09 is
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Page 19 of 47
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obviously able to preclude productive replication leading to infectious progeny of a
531
related influenza challenge virus. This result indicates once more the relevance of local
532
mucosal antibody responses for rapid clearance of influenza virus infections in swine
533
and other species (Cox et al., 2004) (Larsen et al., 2000) (Ma and Richt, 2010).
534
Several previous studies revealed that pigs can be widely protected against respiratory
535
disease caused by the 2009 pandemic H1N1 SoIV by immunization with inactivated
536
swine influenza viruses, as well as with HA-expressing DNA- or vectored vaccines
537
(Gorres et al., 2011) (Klingbeil et al., 2014) (Said et al., 2013) (Vincent et al., 2010).
538
However, so far only prime-boost vaccination with an adjuvanted homologous
539
inactivated SoIV vaccine completely prevented shedding of infectious challenge virus
540
(Vincent et al., 2010). We have now achieved a similar efficacy by intranasal prime-
541
boost live-virus vaccination of pigs with our described attenuated PrV recombinant PrV-
542
BaMI-synH1 (Klingbeil et al., 2014) expressing only the HA of H1N1. Thus, this vectored
543
vaccine should support DIVA diagnostics (van Oirschot, 1999) to control naturally
544
occurring influenza virus infections in pigs. Since our studies also revealed that induction
545
of NA-specific antibodies is dispensable for protective immunity against H1N1 SoIV,
546
their presence or absence could be used for differentiation of vaccinated from infected
547
animals. Furthermore we have shown that PrV-Ba and its derivatives can be propagated
548
to high titers in many permanent mammalian cell lines, which would permit cost-efficient
549
production of vectored vaccines.
550
Although our novel NA-expressing virus recombinant PrV-Ba-synN1 conferred only
551
limited protection and did not significantly enhance the efficacy of PrV-BaMI-synH1
552
against homologous H1N1 SoIV challenge, it is conceivable that, due to the somewhat
553
lower variability of NA, double-vaccination with PrV vectors expressing both influenza
554
virus envelope proteins may improve protection against a heterologous challenge. It also
555
remains to be tested whether intranasal vaccination with PrV-BaMI-synN1 is more
556
efficacious than intramuscular administration, as shown for PrV-BaMI-synH1. Although
557
intramuscular vaccination is obviously not optimal for rapid clearance of respiratory tract
558
infections like influenza, the pronounced transgene-specific serum immune responses
559
induced by this kind of administration of PrV-BaMI-synH1 and PrV-BaMI-synN1 might
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contribute to long term protection, as indicated by the detection of HA-specific memory
561
B-cells in correspondingly immunized pigs. In addition, intramuscular vaccination of pigs
562
or small laboratory animals with PrV-BaMI-synH1 and PrV-BaMI-synN1 might facilitate
563
further investigations of the antigenic potential of HA and NA at cellular and molecular
564
levels.
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565
Acknowledgments
567
This study was supported by the FLUPIG project within the Seventh Framework
568
Programme of the European Commission. The authors thank G. M. Keil for providing the
569
MCMV promoter, O. and J. Stech for the cloned HA- and NA-genes, and B. G. Klupp for
570
PrV-specific antisera. The technical assistance of C. Ehrlich, S. Knöfel, S. Sander, and
571
S. Schuparis is greatly appreciated.
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Figure legends
710
Fig. 1. Construction of virus mutants. (a) A cloned genome fragment of PrV-Ba (pUC-
712
BaKJHXAE) was used for generation of an infectious BAC (pPrV-BaΔgGG) containing
713
an EGFP reporter cassette and the bacterial vector pMBO131 at the gG gene locus
714
(Klingbeil et al., 2014). Transfer vector pUC-BaKJPMI permitted substitutive insertion of
715
the authentic or codon-optimized NA gene of H1N1 SoIV A/Regensburg/D6/2009 in PrV-
716
BaMI-(syn)N1. Relevant restriction sites, ORFs (pointed rectangles), promoters (P-
717
MCMV), polyadenylation signals (A+), introns (IVS), and multiple cloning sites (MCS) are
718
indicated. (b) The oligonucleotide primers used for PCR-amplification of the native NA
719
gene (SIRN1-F/R), as well as the codon-optimized gene (synN1) contained artificial
720
EcoRI and XbaI sites (printed in bold italics) for cloning. HA start and stop codons are
721
underlined.
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Fig. 2. NA-expression of PrV recombinants. (a) For IIF analyses RK13 cells were
724
infected with PrV-Ba, PrV-BaMI-N1, or PrV-BaMI-synN1 under plaque assay conditions.
725
After 2 days cells were fixed and incubated with a NA-specific rabbit serum (α-vaccinia-
726
N1) serum, and Alexa Fluor 488-conjugated secondary antibodies. (b) For Western
727
blotting lysates of PrV-infected (c) and uninfected RK13 cells, as well as purified PrV
728
and H1N1 SoIV particles (v) were separated by SDS-PAGE. Blots were probed with
729
NA-, PrV gB-, and PrV pUL34-specific rabbit antisera (α-GST-N1, α-gB, α-pUL34).
730
Molecular masses of marker proteins are indicated.
te
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d
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Fig. 3. In vitro replication of PrV-BaMI-synN1 and PrV-Ba. (a) For one-step growth
733
analyses RK13 cells were infected at an m.o.i. of 5. After indicated times at 37°C the
734
cells were harvested together with the supernatants, and progeny virus titers were
735
determined by plaque assays. Shown are the mean results of three experiments. (b) For
736
determination of plaque sizes infected RK13 cells were incubated 3 days under
737
semisolid medium. Mean diameters of 50 plaques per virus as well as standard Page 25 of 47
26 738
deviations are indicated. Statistical significance of the differences between PrV-Ba and
739
the two mutants was calculated (*p