Coronaviruses (CoVs) are the largest known single-stranded positive-sense RNA viruses; they encode 5′-capped, polyadenylated genomes ranging in size from 27 to 32 kb. Until recently, CoVs were predominantly associated with severe disease in domestic animals, including bovines (bovine CoV), swine (porcine epidemic diarrhea virus and transmissible gastroenteritis virus [TGEV]), avians (infectious bronchitis virus [IBV]) (
2,
8,
30,
36), and mice (mouse hepatitis virus [MHV]) (
42), while infections in humans were primarily associated with mild upper respiratory tract diseases caused by human CoVs (hCoVs) hCoV-229E and hCoV-OC43 (
30). However, the identification of a novel CoV as the etiological agent responsible for severe acute respiratory syndrome (SARS), an atypical pneumonia with a 10% mortality rate (
53), indicated that hCoVs are capable of causing severe disease in humans and that unidentified hCoVs continue to exist in nature. More-recent discoveries have led to the identification of two additional hCoVs: (i) HKU-1, which has been associated with chronic pulmonary disease in humans (
32), and (ii) NL63, which has been associated with both upper and lower respiratory tract disease in children and adults worldwide (
1,
5,
9-
11,
13,
23,
27,
28,
57,
62,
63). In addition, NL63 has been associated with croup in infants and young children (
45,
60,
61). Croup is a disease caused by many different viruses which is characterized by the sudden onset of a distinctive barky cough, stridor, hoarse voice, and respiratory distress resulting from upper-airway obstruction (
6). Croup accounts for roughly 250,000 hospitalizations each year in the United States, and cases severe enough to require hospitalization can be fatal (
24). In addition, although understudied, hCoV infection can result in a particularly severe pneumonia in the elderly, as evidenced by an outbreak of hCoV-OC43 in a retirement community that was associated with an ∼10% mortality rate (
41).
Taxonomically, CoVs are classified as members of the order
Nidovirales, family
Coronaviridae, genus
Coronavirus (
14,
30,
37). Currently, the
Coronavirus genus is further divided into three primary groups based upon serological and phylogenetic data. Among the hCoVs, group 1 contains NL63 and hCoV-229E, while group 2 strains include hCoV-OC43, HKU-1, and SARS-CoV (
14). The CoVs are roughly 100 nm in diameter, are enveloped, and contain three core structural spikes, including a 180- to 190-kDa spike glycoprotein (S), a 26-kDa membrane glycoprotein (M), and an envelope protein (E) of ∼9 kDa. The genomic RNA is surrounded by a helical nucleocapsid composed of the ∼50- to 60-kDa nucleocapsid protein (N) (
46).
Interestingly, despite large differences in S glycoprotein sequences (less than 50% identity at the nucleotide level) between SARS-CoV and NL63, both viral S glycoproteins have been reported to interact with human angiotensin-converting enzyme-2 (ACE2) as a receptor for docking and entry into cells (
25,
34,
44,
52). Upon entry into the host cell, the genomic RNA is uncoated and immediately translated into two large polyproteins (
30,
36). The first two-thirds of the CoV genome encodes nonstructural replicase proteins in two overlapping open reading frames (ORFs). The final one-third of the genome consists of the structural proteins S, E, M, and N, as well as accessory proteins specific to different strains which are translated from a nested set of 3′ coterminal subgenomic mRNAs (
30,
36). For NL63, there are six genes with a gene order of 5′-replicase-S-ORF3-E-M-N-3′, wherein gene 1 encodes the nonstructural replicase proteins, gene 2 encodes S, gene 3 encodes an accessory protein of unknown function known as ORF3, gene 4 encodes E, gene 5 encodes M, gene 6 encodes N, and an overlapping ORF6b has been predicted to encode an additional accessory protein of unknown function (
47,
59). All CoV genomes contain group-specific genes in the final one-third of the genome, and many of these genes encode group-specific accessory proteins of undetermined function that are dispensable for replication (
17,
68). Interestingly, ORF3 of NL63 encodes a 225-amino-acid protein that is homologous to ORF4 of hCoV-229E (53% similarity) and to ORF3A of SARS-CoV (23% similarity) (
39), and both of these proteins have unknown functions.
In this study, we report and characterize the first full-length infectious clone of NL63 (icNL63). In addition, we replaced ORF3, which encodes a protein of unknown function, with the heterologous green fluorescent protein gene (GFP), simultaneously developing a new marker for NL63 infection and demonstrating that the protein product of ORF3 is nonessential for efficient viral replication in LLC-MK2 cells and primary cultures of human ciliated airway epithelium (HAE).
MATERIALS AND METHODS
Virus and cells.
The NL63 virus and LLC-MK2 cells were generously provided by Lia van der Hoek. The LLC-MK2 cell line is an epithelial line established in the 1950s from a pooled suspension prepared from kidney tissue of six adult rhesus monkeys (
Macaca mulatta) (
26). The LLC-MK2 cells were maintained at 37°C with 5% CO
2 in minimal essential medium supplemented with 10% fetal clone II (Gibco), 10% tryptose phosphate broth, and gentamicin (0.05 μg/ml)-kanamycin (0.25 μg/ml). NL63 was propagated on these cells, and the infections were maintained at 32°C in incubators maintained at 5% CO
2.
Human nasal and tracheobronchial epithelial cells were obtained from airway specimens resected from patients undergoing elective surgery under UNC Institutional Review Board-approved protocols by the UNC Cystic Fibrosis Center Tissue Culture Core. Briefly, primary cells were expanded on plastic to generate passage 1 cells and plated at a density of 250,000 cells per well on permeable Transwell-Col (12-mm diameter) supports (
18,
43). HAE cultures were generated by the provision of an air-liquid interface for 4 to 6 weeks to form well-differentiated, polarized cultures that resemble in vivo pseudostratified ciliated epithelium (
43).
Design of the icNL63 and icNL63gfp clones.
Initial attempts at generating a synthetic NL63 clone based upon the genomic NL63 sequence originally deposited in GenBank in June 2004 with accession number NC_005831 were unsuccessful. However, this sequence was later updated with several corrections (NC_005831.2); these corrections were engineered into the synthetic clone, but we were still unable to successfully rescue recombinant virus. We then acquired the virus (as a kind gift from Lia van der Hoek), sequenced it, and attempted to generate the clone from this sequence, but yet again were unsuccessful at rescuing recombinant virus. This viral sequence was different from NC_005831.2 at six positions, and this viral stock was later determined to be problematic. A second shipment of virus was requested and used to successfully generate the clone described here (FJ211861). It is important to note that the NL63 genome is AT rich (66%), which likely contributed to problems with cloning and sequencing.
Once a reliable virus sample and sequence were established, icNL63 was amplified from viral cDNA (FJ211861) and cloned as a set of five fragments (Table
1). The first fragment, NL63-A, was PCR amplified using primer set 5′T7NL63+ (5′-GGTACCTAATACGACTCACTATAGCTTAAAGAATTTTTCTATCTATAG-3′) and NL63:A− (5′-GCGGCCGCGTCTCCAGGAGCTGTGGGTTGAACAG-3′). These primers created a T7 RNA promoter at the 5′ end of the fragment and a BsmBI restriction site at the 3′ end, respectively. The PCR product was gel isolated and then cloned into the pCR-XL TOPO cloning vector (Invitrogen). The second fragment, NL63-B, was amplified using primers NL63:B+ (5′-GCGGCCGCGTCTCCTCCTGCATATGTTATTATTGATAAG-3′) and NL63:B− (5′-GCGGCCGCGTCTCTGCTGGGGAAGAAGCTATTATCAAG-3′). Fragment NL63-C was amplified with primers NL63:C+ (5′-GCGGCCGCGTCTCCCAGCACTCGTTGATCAACGCAC-3′) and NL63:C− (5′-GCGGCCGCGTCTCTCTTTAGAGACATTTTCACCATC-3′). Both of these fragments, which are flanked with BsmBI sites, were gel isolated and cloned into the Big Easy v2.0 linear cloning vector (Lucigen). Fragment NL63-D was amplified using primer NL63:D+ (5′-GGTGAAAACGTCTCTAAAGATGG-3′) and primer NL63:D− (5′-CAGCAGCACAGTATGCAGAAAAAGCAAACC-3′). This primer set created a BsmBI site at the 5′ end and a BstAPI restriction site at the 3′ end. The last fragment, NL63-E, was PCR amplified using primers NL63:E+ (5′-TTTCTGCATACTGTGCTGCTGCCAACTG-3′) and NL63: E− (5′-TTTTTTTTT TTTTTTTTTTTTTTTGTGTATCCATATCAAAAACAATATCATTAACA AGTACC-3′) and contained a BstAPI site at its 5′ end. The BstAPI site at the NL63-D and NL63-E junction was engineered by silent mutagenesis into the genomic sequence such that it would be retained after ligation of the two fragments, providing a unique marker for confirming that recombinant viruses were derived from the cloned cDNA. The last two fragments, NL63-D and NL63-E, were gel purified and subsequently cloned into the pCR-XL TOPO vector. The 5′ approximately 630 bp of the NL63-E fragment was PCR amplified using the primer set NL63:E+ and Ngfp2− (5′-CCATTATTGAACGTGGACCTTTTC-3′). The gene encoding GFP was amplified with primer Ngfp1+ (5′-GAAAAGGTCCACGTTCAATAATGGTGAGCAAGGGCGAGG-3′) and primer Ngfp3− (5′-GGTCACCTTACTTGTACAGCTCGTCCATG-3′). These two amplicons were joined in an overlapping extension PCR, and the resulting product was cloned into the pCR-XL cloning vector. A consensus clone was generated by using standard recombinant DNA techniques, and the BstAPI to BstEII fragment from this clone was inserted into the NL63-E fragment, which had also been digested with BstAPI and BstEII. The resulting plasmid then contained
gfp in place of the NL63 ORF3, and this fragment was designated NL63-Egfp (Fig.
1).
Systematic assembly of full-length NL63 cDNAs for icNL63 and icNL63gfp.
For assembling the infectious clones, plasmids incorporating cDNA fragments NL63-A through NL63-E were transformed into chemically competent Top 10 cells (Invitrogen) by heat shock at 42°C for 2 min and then plated on Luria Bertani (LB) plates with appropriate selection (kanamycin [25 μg/ml] or chloramphenicol [20 μg/ml]). Colonies were picked and grown under appropriate selection conditions in 5 ml of LB broth maintained at 28.5°C for 16 to 24 h and then purified and screened by restriction digestion. Larger 20-ml stocks were grown at 28.5°C for 24 h to 48 h for each of the cDNAs. Purified plasmids were then digested as follows: NL63-A, NL63-B, and NL63-C were digested with BsmBI, and NL63-D and NL63-E were digested under the appropriate conditions with BsmBI and BstAPI. NL63-Egfp was digested with BstAPI and BsmBI. Of note, the fragment boundaries were established by trial and error, as toxic regions in the genome prevented the cloning of several preliminary fragments.
After digestion, fragments were electroporated on 0.8% (wt/vol) agarose gel, and appropriate bands were excised and gel purified by using a Qiaex II gel extraction kit (Qiagen) with modifications (
67). Briefly, all fragments were resuspended in 620 μl of QXI buffer, 11 μl Qiaex II silica gel particles, and 12.5 μl 3 M sodium acetate and eluted in 35 μl of elution buffer heated to 70°C. Purified fragments NL63-A through NL63-E were ligated by using T4 DNA ligase (Promega) overnight at 4°C in a total reaction mixture volume of ∼200 μl to generate the wild-type (wt) icNL63. For the NL63 clone expressing GFP (icNL63gfp), the NL63-Egfp fragment was used instead of the NL63-E fragment.
Transfection of full-length transcripts.
The full-length cDNAs were then further purified by chloroform extraction and isopropanol precipitation, transcribed using a T7 transcription kit (Ambion/Applied Biosystems), cotransfected into 8 × 106 LLC-MK2 cells in parallel with the N gene driven by an SP6 promoter, and transcribed with an SP6 transcription kit (Ambion/Applied Biosystems). LLC-MK2 cells were efficiently transfected with one pulse at 200 V and 950 μferrads using a Bio-Rad (Hercules, CA) Gene Pulser Xcell electroporator. Electroporated LLC-MK2s were plated in T25 flasks and incubated at 32°C for up to 7 days.
Detection of recombinant NL63 and NL63gfp replication.
To determine if replication occurred in the icNL63-transfected cultures, cells were examined at regular intervals for cytopathic effect (CPE). However, CPE was not definitive at 7 days posttransfection, so half of the cells and supernatants were passaged with fresh cells and media, and cultures observed for an additional 7 days, prior to a third passage. At each passage, infected cells were harvested in Trizol reagent, total RNA was isolated, and reverse transcriptase PCR (RT-PCR) targeting subgenomic RNA was conducted using primers specific to the leader sequence and the 5′ end of the N gene (Table
1). Briefly, viral RNA was reverse transcribed to cDNA by using SuperScript III (Invitrogen) with modification to the protocol as follows. Random hexamers (300 ng) and total RNA (5 μg) were incubated for 10 min at 70°C. The remaining reagents were then added according to the manufacturer's recommendation, and the reaction mixture was incubated at 55°C for 1 h followed by 20 min at 70°C to deactivate the RT. For RT-PCR, a forward primer in the leader sequence (NL63-N1s, GATAGAGAATTTTCTTATTTAGACTTTGTG) and a reverse primer ∼250 nucleotides (nt) into the N gene (NL63-NR, AGGTCCAGTACCTAGGTAAT) were used to generate a 302-bp product by PCR (Table
1).
Real-time RT-PCR was also conducted with the same cDNA templates by using a SmartCycler II (Cepheid) with Sybr green (diluted to 0.25×; Cepheid) to detect subgenomic cDNA with primers (7.5 pM) optimized to detect 116 nt spanning from the leader sequence (NL63-N1s; GATAGAGAATTTTCTTATTTAGACTTTGTG) to the 5′ end of the N gene (NL63-N1a; CATGTAAAATGAAGGAGGAGGAA) (Table
1). The cDNA from the RT reaction of each virus was used at a volume of 2 μl for each reaction mixture, with a total reaction mixture volume of 25 μl. Omnimix beads (Cepheid) containing all reagents except Sybr green, primers, and template were used to standardize the reaction conditions. In addition, all products were verified by melting curve analysis.
For icNL63gfp, replication was confirmed by observing GFP fluorescence. Infections were passaged as described above until nearly 100% of cells were GFP positive, at which time the supernatants and cells were harvested. Replication was further verified by RT-PCR, using primers specific to subgenomic N transcripts.
Plaque purification and titration of rescued virus.
Supernatants harvested from passage 3 of the transfections were diluted 1:10, and 200 μl of dilutions from 10° to 10−5 were poured onto LLC-MK2 cells in six-well plates. After a 1-h adsorption period, 5 ml of overlay (0.8% [wt/vol] LE agar [Lonza, Inc.], 10% fetal clone II, 40% 2× minimal essential medium, 1% gentamicin-kanamycin) was added to each culture, and the infections were maintained at 32°C for 7 days. To help visualize the plaques, the plates were stained with neutral red for 1 h at 32°C, and five plaques were picked for each virus. Each plaque was incubated in phosphate-buffered saline (PBS) at 32°C for 30 min and then poured onto fresh LLC-MK2 cells and grown at 32°C for up to 9 days to allow for the propagation of purified virus. For the NL63gfp recombinant virus, plaques were clearly visible by fluorescent microscopy, and five plaques were picked and propagated as described above. The titers for both recombinant icNL63 and recombinant icNL63gfp were determined by plaque assay using LLC-MK2 cells. Briefly, LLC-MK2 cells were infected in duplicate with 200 μls of each serial dilution of 10° to 10−5 of recombinant icNL63 or recombinant icNL63gfp in six-well plates with a 1-h adsorption period. Five milliliters of overlay (0.8% [wt/vol] LE agar [Lonza, Inc.], 10% fetal clone II, 40% 2× minimal essential medium, 1% gentamicin-kanamycin) was added to each infection, and the plates were maintained at 32°C until plaques were observed (between 4 and 7 days). To visualize plaques, plates were stained with neutral red for 2 h at 32°C and then incubated overnight prior to counting.
Detection of marker mutations.
A unique BstAPI restriction endonuclease site was engineered into both the icNL63 and icNL63gfp clone to facilitate the unidirectional ligation of the NL63-D and NL63-E fragments. This engineering introduced a unique but silent BstAPI restriction endonuclease site from position 23916 to 23925 of both clones. This site was used to verify that the plaque-purified viruses harvested originated from the infectious clones. Primers flanking the marker mutation (NL63-7+3002 [ATAAGATTCAGGATGTTG] and NL63-7R [GCAACAACCACAACAACCTG]) (Table
1) were used to amplify this region of the genome of wt NL63, recombinant icNL63, and recombinant icNL63gfp by RT-PCR. In all cases, an ∼1,000-bp PCR product was detected by electroporation on a 0.8% agarose gel, and the band for each virus was excised and gel purified by using a Qiaex II gel extraction kit (Qiagen) with modifications (
67) as described above. Analysis of the genotype was conducted by restriction digestion of the 1,000-bp DNA with the BstAPI restriction endonuclease. Briefly, 25 μl of DNA for each virus was incubated with 1 μl BstAPI, 3 μl NEB (New England Biolabs) buffer 3, and 1 μl double-distilled water at 60°C for 2 h and then electroporated on a 0.8% agarose gel. The remaining 5 μl of DNA was used to sequence the fragment for genotype verification.
Growth kinetics and RNA analysis.
For the growth curve analysis, LLC-MK2 cells were inoculated at a multiplicity of infection (MOI) of 0.003 PFU/cell in 12-well plates with a 1-h adsorption period, followed by three washes with PBS. Two milliliters of medium was added to each culture, and the infections maintained at 32°C. The supernatants were harvested, at 300 μl per time point with 300 μl of medium added back, at 0, 8, 24, 48, 72, 96, 120, 144, 168, and 192 h postinoculation (p.i.). The titer for each virus at each time point was determined by plaque titration in LLC-MK2 cells maintained at 32°C, as described above. For Northern blot analysis, total RNA was harvested in Trizol reagent (Invitrogen), following the manufacturer's protocol, from cells infected at an MOI of 0.003 PFU/ml and harvested at 96 h p.i. The total RNA was diluted, and 5 μg was used for each virus, including wt NL63, recombinant icNL63, and recombinant icNL63gfp. The RNA from each infection was separated by gel electrophoresis, transferred to a nitrocellulose membrane, and probed with a 31-nt cDNA probe (3′-CTCTTGAACATTCCAATAACCAATCTGCTCT-5′; N gene positions 151 to 180, italicized residues were biotinylated) designed to detect genomic and subgenomic RNAs by using a NorthernMax-Gly system (Ambion) following a modified protocol. Briefly, the exact procedure was followed up to and including the overnight 42°C hybridization of the probe to RNA cross-linked to the membrane. The next morning, the membrane was washed one time in low-stringency wash solution for 10 min, followed by a second wash in low-stringency wash solution at 45°C for 2 min. A third and final wash was conducted for 2 min at 45°C in a 50/50 mixture of high-stringency and low-stringency wash solutions. Detection of bands was accomplished by using a BrightStar BioDetect system (Ambion) following the manufacturer's protocol. The membrane was then exposed to film, which was prepared for publication by using Adobe Photoshop CS.
IFA.
LLC-MK2 cells were grown to 70 to 80% confluence on four-well chamber slides (Lab-Tek, NUNC) and inoculated with recombinant icNL63 at an MOI of ∼1 PFU/cell or mock inoculated (medium alone). At 48 h p.i., the medium was aspirated, and the cells were fixed and permeabilized in −20°C methanol overnight. The cells were rehydrated in PBS for 30 min and blocked in buffer comprised of PBS with 5% bovine serum albumin. All subsequent immunofluorescence assay (IFA) steps were conducted at 25°C in IFA assay wash buffer comprised of PBS containing 1% bovine serum albumin and 0.05% Nonidet P-40. After being blocked, the cells were incubated in the primary antibody, anti-N (anti-NL63 N; generously provided by Lia van der Hoek), diluted 1:1,000, for 1 h. The cells were then washed in IFA assay wash buffer three times at 10 min/wash. Next, the cells were incubated in the secondary antibody (goat anti-rabbit Alexa 488, diluted 1:1,000; Molecular Probes) for 45 min. Next, the cells were washed three times at 10 min/wash, followed by a final wash of 30 min in PBS. The cells were then visualized by fluorescent microscopy. The images were prepared for publication by using Adobe Photoshop CS.
Western blotting.
LLC-MK2 cells were mock inoculated (medium alone) or inoculated with wt NL63, recombinant icNL63, or recombinant icNL63gfp at an MOI of 0.003, and at 144 h p.i., cells were washed in 1× PBS, lysed in buffer containing 20 mM Tris-HCl, pH 7.6, 150 mM NaCl, 0.5% deoxycholine, 1% Nonidet P-40, 0.1% sodium dodecyl sulfate (SDS) and postnuclear supernatants were added to an equal volume of 5 mM EDTA-0.9% SDS, resulting in a final SDS concentration of 0.5%. Equivalent sample volumes were loaded onto 4 to 20% Criterion gradient gels (Bio-Rad) and transferred to polyvinylidene difluoride membranes (Bio-Rad). The blots were probed with polyclonal rabbit antisera directed against the NL63 N protein (kindly provided by Lia van der Hoek) diluted 1:1,000 or with antisera directed against GFP (Clontech) diluted 1:1,000 and developed using chemiluminescence reagents (Amersham Biosciences).
Inoculation of HAE cultures.
Prior to apical inoculation, the apical surfaces of HAE were rinsed three times over 30 min with PBS at 37°C, and inoculations were performed at 32°C with 200 μl of recombinant icNL63 or recombinant icNL63gfp virus stock (∼104 PFU/ml). Following a 2-h incubation at 32°C, the inoculant was removed, and HAE was maintained at 32°C for the remainder of the experiment. To generate growth curves at specific times after viral inoculation, 120 μl of tissue culture medium was applied to the apical surface of HAE and collected after a 10-min incubation at 32°C. All samples were stored at −80°C until assayed for plaque formation on LLC-MK2 cells.
DISCUSSION
A reverse genetics system for NL63 provides a platform for studying this virus in depth and is a necessary component in the development of vaccine candidates, vaccine vectors, and therapeutics. In this study, we developed a reverse genetics system for NL63 and rescued recombinant NL63 viruses by utilizing the same cloning strategy employed to generated infectious clones of TGEV (
65), MHV (
67), IBV (
7), and SARS-CoV (
66). In general, plaque-purified wt NL63 and recombinant icNL63 viruses were indistinguishable in cell culture, as both generated nearly round plaques of 2.5 to 3 mm in diameter in LLC-MK2 cells (Fig.
2), exhibited similar levels of RNA synthesis and protein expression (Fig.
5), and replicated with similar growth kinetics (Fig.
6). Interestingly, although recombinant icNL63 appeared to have a shortened lag phase, this difference fell within the range of error for the experiment and was likely due to differences in cell culture and not differences in the recombinant icNL63 virus (Fig.
6). In addition, recombinant icNL63 viral RNA contained the unique marker introduced into the clone sequence to allow verification that the virus was derived from the engineered clone (Fig.
4). To test the utility of this reverse genetics system, we removed the accessory ORF3 from the NL63 genome and replaced it with the gene for GFP, creating a unique system for monitoring NL63 infection in real time. In addition, the results of this experiment demonstrated that the ORF3 protein is nonessential for the replication of NL63 in LLC-MK2 cells. This observation was in agreement with the results of several other studies which have shown that CoV accessory and luxury ORFs are dispensable for in vitro replication (
17,
66,
68).
The replacement of ORF3 with the heterologous GFP gene resulted in infected cells that were detectable by fluorescent microscopy (Fig.
3), and the recombinant icNL63gfp virus generated titers and exhibited growth kinetics that were essentially identical to those of wt NL63 and recombinant icNL63 in LLC-MK2 cells (Fig.
6). Interestingly, recombinant icNL63gfp virus generated plaques that were slightly smaller (2 to 2.5 mm in diameter versus 2.5 to 3 mm), with irregular borders, and were considerably less-well defined than wt NL63 plaques (data not shown). Although the different plaque phenotype did not correlate to a reduction in growth kinetics (Fig.
6), recombinant icNL63gfp had modestly reduced levels of RNA synthesis (Fig.
5A) and protein expression (Fig.
5C) compared to those of wt NL63. The lack of an animal model for studying NL63 made it impossible to determine if ORF3 plays a role in viral pathogenesis in vivo.
At the time of this study, 12 NL63 genomes containing a full-length ORF3 sequence were available at NCBI, and among these, ORF3 was strictly (100%) conserved at the amino acid level in all isolates, while most ORF3 genes varied 1 to 2% at the nucleotide level. While this suggests an important role for the ORF3 protein product in vivo, ORF3 deletion from icNL63gfp was not deleterious to replication in LLC-MK2 cells. This finding was not surprising given that the distantly homologous proteins ORF4 in hCoV-229E (
12) and ORF3a in SARS-CoV (
17,
68) have also been shown to be nonessential in cell culture. Group-specific ORFs of several different CoVs have been deleted, and while some deletions attenuated pathogenesis or viral growth in vitro, the function of most is unknown. Two exceptions are the ORF3b and ORF6 products of SARS-CoV, which have been characterized as interferon antagonists (
16,
29). Whether ORF3 of NL63 encodes interferon antagonist activities remains to be determined. In preliminary studies, we have observed that GFP-tagged ORF3 protein localizes to the nucleus when transfected into cells (data not shown).
In addition to the transfection of LLC-MK2 cells, recombinant icNL63 and recombinant icNL63gfp were used to infect primary HAE, which supports the infection and spread of other respiratory pathogens, such as influenza virus, respiratory syncytial virus (RSV), SARS-CoV, and paramyxoviruses (
4,
49-
51,
56,
69). Since NL63 infects both the upper and lower respiratory tracts and HAE cultures maintain the form and function of human ciliated airways, these cultures represent a relevant and authentic model for studying this virus. Not surprisingly, both recombinant viruses grew in HAE (Fig.
7G), and recombinant icNL63gfp was detectable by fluorescence by 24 h p.i. with increased fluorescent intensity over time, although its spread from cell to cell was somewhat limited (Fig.
7A to E). In contrast, SARS-CoV expressing GFP in an accessory ORF was used to infect HAE cultures, and spreading of this virus was evident over the course of the infection (Fig.
7G). Spreading of RSV in HAE has also been observed (
70). Interestingly, the fluorescent foci detected with recombinant icNL63gfp infection were smaller and generally more diffuse than those observed in HAE infected with the recombinant SARS-CoV expressing GFP (Fig.
7F) (
50). Although this may be due to variability between cultures, we cannot rule out the possibility that ORF3 is nonessential for replication in LLC-MK2 cells but may play a role in more-relevant tissues that are related to replication in nonimmortalized cell lines. The results of previous studies have shown that parainfluenza virus and RSV infection of HAE mimic their in vivo replication capacities, while in cell lines, attenuation is not seen (
69,
70). We speculate that ORF3 might be required for efficient viral egress in HAE, as spreading within cultures was reduced in the recombinant icNL63gfp virus. This is supported by the fact that recombinant icNL63gfp appeared to grow less efficiently than recombinant icNL63 in HAE (Fig.
7G).
Engineering GFP into icNL63 and rescuing recombinant viruses expressing this marker protein provides an important reagent enabling the testing of drugs and therapeutic agents against infections in real time. Several other viral systems have utilized a similar approach to generate novel reagents which allow high-throughput therapeutic screening (
3,
15,
19,
22,
31,
33,
35,
38,
54,
58). In LLC-MK2 cells, we observed viral spread throughout the culture, even though there were no detectable differences in CPE. While only a few fluorescent foci were present at early times posttransfection, over time we observed more and more fluorescence spreading to neighboring cells. Fluorescence was also detectable in the HAE, providing a platform to monitor the infection of primary HAE in real time. Importantly, in all cases the GFP transgene was highly stable in the NL63 genome for over 2 months in culture, an important feature for the development of hCoV vaccine vectors.
All hCoVs, with the exception of SARS-CoV, grow poorly in cell culture, while some, including hCoV-OC43 and hCoV-229E, do not generate plaques, making downstream assays difficult to perform. Moreover, a new hCoV associated with pneumonia in adults, known as HKU-1, has never been successfully cultured in vitro. Poor growth in culture makes it extremely difficult to rescue recombinant viruses from full-length cDNA clones, which makes manipulating these virus genomes difficult. NL63 has an intermediate growth phenotype in cell culture, where it grows at an optimal temperature of 32°C, requiring 7 days to reach peak titer in LLC-MK2 cells, while SARS-CoV grows at 37°C with a distinct growth advantage, allowing it to reach peak titers in <48 h p.i. in Vero cells. These observations indicate that more-robust culture systems are needed for the development of NL63 as a vaccine vector for human use.
There are several distinct features that suggest that NL63 would be an efficacious vaccine vector, and these include (i) natural targeting of respiratory pathogen antigens to the appropriate mucosal epithelial cells lining the upper airways for optimal mucosal immune induction; (ii) virus induction of robust humoral, mucosal, and possibly cellular immune responses; and (iii) a genome size, organization, and helical nucleocapsid assembly scheme that allow (a) coordinated gene expression; (b) the deletion of luxury genes that are nonessential for replication; and (c) stable incorporation of multiple, large gene inserts (
17,
66,
68). As a proof of principle, in this report we demonstrated that replacing the luxury ORF3 with heterologous
gfp allowed stable targeting of GFP to the cells infected by NL63. Hypothetically, multiple heterologous antigens with novel transcriptional regulatory sequences could be engineered into the intergenic space between a propagation-deficient set of structural genes, providing a multivalent, replication-competent, propagation-deficient virus vector vaccine approach capable of immunizing against multiple viruses simultaneously. The complementation of such a vector in cells expressing the propagation-deficient gene could be utilized to assemble viable viruses that would act as one-hit vectors, generating antigen at the targeted cell while lacking the necessary components to generate a viable viral particle. A similar strategy was reported for TGEV whereby the E gene was expressed in a replicon cell system, which allowed the TGEV vaccine vector to be packaged as a viable virus and grown to high-titer replicon stocks (
40). An NL63-based vaccine vector would potentially replicate extensively in the upper and, to a lesser extent, lower respiratory tract by targeting cell populations on mucosal surfaces that express ACE2, such as HAE, lung alveolar epithelial cells, and oral and nasal mucosa (
21).
A current impediment in the field is the lack of either a small or large animal model of NL63 replication or pathogenesis. While mice express an ACE2 variant, virus replication has not been detected in mice infected with NL63. Moreover, the SARS-CoV receptor binding domain required adaptations in the spike protein to accommodate the structural differences imposed by the variations between the human and mouse ACE2 molecules (
48). Since NL63 utilizes a different receptor binding domain and a different set of interactions, there may be even more changes necessary to adapt NL63 to replicate in mice. In addition, more-robust cell culture systems will be required for the propagation of NL63 as a vaccine vector system. In general, icNL63 makes a powerful vaccine platform, as CPE can be detected in LLC-MK2 cells; it may use the same receptor as has been described for SARS-CoV, a homologue of which is present in mice, and the stable expression of GFP will allow real-time monitoring of infections. These characteristics are in contrast to the hCoV-229E clone, which grows poorly and is difficult to detect by CPE (
55).
The infectious clones described in this report provide a reverse genetics platform that can be used to develop candidate vaccine strains that might one day reduce the impact of NL63 as an important respiratory pathogen that infects children and adults worldwide. The benefits of such a vaccine would be to reduce the overall disease burden in children and perhaps reduce cases of croup. The availability of icNL63 and icNL63gfp provides research opportunities which will advance our understanding of in vivo tropisms and assist in the development of small and large animal models of infection. Moreover, detailed genetic manipulation of the genome will assist in understanding the role of viral genes in replication and pathogenesis and lead to the development of hCoV-based vectored vaccines.