Abstract
The Norwalk virus (NV) capsid protein was expressed using Venezuelan equine encephalitis virus replicon particles (VRP-NV1). VRP-NV1 infection resulted in large numbers of recombinant NV-like particles that were primarily cell associated and were indistinguishable from NV particles produced from baculoviruses. Mutations located in the N-terminal and P1 domains of the NV capsid protein ablated capsid self-assembly in mammalian cells.
Norwalk-like viruses (NLVs) cause ∼85 to 96% of the analyzed outbreaks of acute nonbacterial gastroenteritis in the United States (12, 15, 28, 35, 37, 43, 44). NLVs do not replicate in cell culture, and animal models are not available, hampering the understanding of the replication strategy of these important human pathogens (28). NLVs are classified into two distinct genogroups (genogroups I and II), with genogroup I containing the prototype virus, Norwalk virus (NV) (10, 16, 46). The ∼7.6-kb single-stranded, plus-sense RNA genome of NV encodes three large open reading frames (ORFs): a polyprotein of ∼1,789 amino acids (aa) (ORF1), a major capsid protein of ∼530 aa (ORF2), and a minor capsid protein of 212 aa (ORF3) (14, 26, 27). Baculovirus-expressed NV ORF2 capsid proteins will self-assemble into virus-like particles (VLPs) (BAC-Nor) and have resulted in new diagnostic reagents and vaccine approaches (17, 18, 20, 25, 26, 33, 39, 40, 47). BAC-Nor-based vaccines are being developed for clinical evaluation, but it is not clear whether protective responses will be elicited in humans (2, 3, 34). Because posttranslational modification pathways may process proteins differently in insect and mammalian cells (11), it has been suggested that BAC-Nor capsids may not represent authentic NV capsids (38). Moreover, NLV VLP particle formation in mammalian cells has been unsuccessful thus far. This article describes the successful expression of NLV VLPs in a mammalian system.
Venezuelan equine encephalitis virus (VEE), an alphavirus, has been configured as a replicon vaccine vector. VEE replicon cDNAs are constructed by replacing the VEE structural genes with a foreign gene of interest just downstream from a 26S promoter, which drives high levels of expression of the downstream genes (6, 7, 41). VEE replicon particles (VRPs) are produced by transfecting transcripts of the VEE replicon cDNA along with helper transcripts encoding the VEE structural genes (Fig. 1A). We reasoned that VEE expression of NV capsid proteins might allow for NLV VLP formation in mammalian cells.
Using primer pairs to highly conserved NLV sequences (27, 46), we have cloned and sequenced two NV capsid clones (NV1 and NV2) (Fig. 1B). The amino acid sequence of NV1 was identical with the published sequence, while there were three amino acid changes in the NV2 sequence (26, 27). Both capsid clones were inserted into VEE replicon plasmids (VEE-NV1 and VEE-NV2), and VEE VRPs (VRP-NV1 and VRP-NV2) were generated by coelectroporation of BHK cells with the replicon and helper transcripts (Fig. 1A). Using these conditions, we made the following predictions. (i) VEE VRPs encoding the NV capsid gene will bud from the surfaces of transfected cells. (ii) NV capsid proteins will accumulate and self-assemble into NV virus-like particles (VEE-Nor) (Fig. 1A). In contrast, infection of cells with VRP-NV1 or VRP-NV2 will result in the synthesis of NV recombinant proteins, which should self-assemble into VEE-Nor particles in the absence of VEE structural protein production (Fig. 1A).
VRP-NV1 and VRP-NV2 stocks were prepared, and the titer of the virus stocks was determined at ∼1.0 × 109 infectious units/ml in BHK cells by fluorescent antibody (FA) staining using antiserum from a human volunteer dosed with NV (C. Moe, D. Rhodes, S. Pusek, et al., unpublished data). To determine if recombinant NV (rNV) antigen was expressed following VRP infection in different host cell types, cultures of murine, feline, swine, and human cells were inoculated with VRP-NV1 at a multiplicity of infection (MOI) of 5 and incubated at 37°C for 16 h. By FA staining, VRP-NV1 expressed NV capsid proteins in a variety of different host cell species (Fig. 1C). As animal and human NLVs have been described (45), it seems likely that VRP vectors will allow for NLV capsid expression and vaccine development in the appropriate host species.
Human papillomavirus, calicivirus, rotavirus, and human immunodeficiency virus VLPs have been expressed from recombinant baculoviruses, vesicular stomatitis virus, vaccinia virus, Escherichia coli, and other vectors (11, 13, 29, 32). In some cases, the recombinant VLPs are contaminated with the carrier virus, complicating purification, vaccine production, and human use (42). To determine if the rNV capsids self-assemble into VLPs, BHK cells (4.0 × 107 cells) were infected with VRP-NV1 or VRP-NV2 at a MOI of 2 for 1 h. At 36 h postinfection, the cultures were freeze-thawed twice and virus particles were concentrated by ultracentrifugation at 125,000 × g through 20% sucrose cushions. Using a negative staining technique (21), ∼1010 recombinant NLV virus-like particles (VEE-Nor) with a diameter of about 38 nm were evident in cultures infected with VRP-NV1 but not with VRP-NV2 (Fig. 2). Immunogold labeling was performed using NV-specific monoclonal antibodies (22), and the VEE-Nor particles were clearly labeled with gold beads, indicating that these particles were antigenically intact (data not shown). The smaller 23-nm-diameter rNV particles that were detected in BAC-Nor preparations derived from insect cells were not evident in VEE-Nor preparations (25, 39, 47). With a broad host range, the use of single-hit alphavirus replicons provides a safe, alternative vector for the production of high concentrations of VLPs, free from helper viruses and in a mammalian system. We speculate that alphavirus single-hit replicons may serve as vectors for VLP expression and vaccine development for a variety of important human and animal viruses (3, 4, 24, 36).
To determine if rNV VLPs remained cell associated, BHK cultures were infected with VRP-NV1, the culture medium and cell lysates were harvested at 30 h postinfection and clarified by high-speed centrifugation, and VEE-Nor particles were pelleted by centrifugation through a 20% sucrose cushion. While only a few VEE-Nor particles were evident in culture supernatants, the majority were cell associated (Fig. 3A and B). We expect that the few extracellular particles were released as a result of VEE-induced cytopathology.
The 38-nm-diameter BAC-Nor particle exhibited a T3 icosahedral symmetry, with 180 copies of the capsid protein organized into 90 dimers. The NV major capsid protein consists of a protruding (P) domain connected by a flexible hinge to a shell (S) domain that has a classical eight-stranded β-sandwich motif (40). Amino acid changes in VEE-NV2 were noted at positions 12 (Val to Glu) and 15 (Ala to Thr) and at position 285 (Ser to Pro), all of which map at or near loci forming the probable shell domain of the NV capsid (40). Interestingly, the S285P change maps within a predicted dimer-binding site that may be critical for particle assembly (40). To identify the changes that ablated particle formation, we replaced the C-terminal mutation of NV2 (NV3) and the N-terminal mutations of NV2 (NV4) with wild-type NV1 sequences (Fig. 1B). Surprisingly, VEE expression of capsids from either chimera produced rNV VLPs, indicating that the constellation of mutations ablated particle formation (Fig. 3C and D). At this time it is unclear whether the mutations in the NV2 clone affected capsid dimerization, pentamer formation, or a final step in the NV particle assembly cascade.
Posttranslational modification patterns of papillomavirus capsids differ in mammalian and insect cells, and it is possible that these alterations might alter VLP antigenicity and hence, vaccine efficacy (11, 17). To address this question, cultures of BHK cells were infected with VEE VRPs and the biochemical and antigenic properties of the VEE-expressed NV protein were compared to those of BAC-Nor (Fig. 4). Western blotting with human antiserum pre- and post-NV challenge demonstrated that the ∼58-kDa capsid protein from VRP-NV1- and VRP-NV2-infected cells was nearly equivalent in size with that from BAC-Nor, although slight differences were noted (Fig. 4 and 5A) (26). To determine if the slight mobility shift was due to protein structure or alternative posttranslational processing, gradient-purified capsid proteins were extensively denatured with 5 M guanidine, reduced with dithiothreitol, and then alkylated with 0.25 M iodoacetic acid (23). Following NV1 sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and Western blot analysis, the sizes of the BAC-Nor and NV1 capsid proteins were found to be identical and not caused by differences in proteolytic digestion (Fig. 5B). As the NV capsid protein contains putative N glycosylation, phosphorylation, and N myristoylation sites (Prosite analysis), we treated concentrated VEE-Nor with various phosphatases and endoglycosidases (Fig. 5C). In agreement with previous studies with the genogroup II Hawaii virus capsid proteins (38), the NV capsid proteins were not phosphorylated or glycosylated in mammalian cells. Under identical conditions, clear differences in the mobilities of the heavily glycosylated and phosphorylated ovalbumin protein were noted (Fig. 5C). To further examine whether the BAC-Nor and VEE-Nor capsid proteins were indistinguishable, gradient-purified proteins were treated as described in the legend to Fig. 5, subjected to exhaustive trypsin digestion, and analyzed by high-pressure liquid chromatography and mass spectrometry at the Protein Core Facility at the University of North Carolina (23). rNV protease cleavage patterns were identical whether expressed from baculoviruses or from VEE (data not shown). Consequently, both the recombinant BAC-Nor and VEE-Nor capsid particles are biochemically indistinguishable and likely represent authentic particles produced during NV infection in human cells.
By SDS-PAGE, BAC-Nor and VEE-Nor separate as major and minor protein doublets of slightly different molecular masses (Fig. 4 and 5). Following complete denaturation and alkylation of VEE-Nor and BAC-Nor particles, these proteins migrated to equivalent positions, suggesting that the observed differences were due to altered conformational structure, rather than from protein modifications or cleavage. In insect cells, BAC-Nor particles of 38 and 23 nm in diameter are often detected, both of which separated as a doublet containing the ∼58-kDa capsid protein (25, 47). Similar particle variations have been reported with some but not all NLV capsids expressed in insect cells (13, 17, 20, 25). Different architectures of infectious bursal disease-causing VLPs have also been noted following expression of the identical capsid gene from different baculovirus expression vectors (32). Following VRP-NV1 infection in BHK cells, VEE-Nor particle size was uniform, with the smaller, 23-nm-diameter NV VLP below levels of detectability. Although speculative, these data suggest that folding pathways of the 58-kDa capsid protein may be influenced by the viral vector, capsid protein concentration, temperature of infection, or host cell phenotype. By using a vaccinia virus-based expression system, feline calicivirus capsid proteins were also shown to self-assemble into uniform, similar-sized particles of the appropriate size (19).
A current NLV vaccine approach, based on oral immunization with BAC-Nor or expression of BacNor in plants, has stimulated NV immune responses in experimental rodent models and in humans (2, 3, 33). The VEE system provides an alternative approach for recombinant VLP production and may be useful for a number of viruses, especially when inappropriate biochemical processing is demonstrated following capsid protein expression in insect cells (11). Compared with baculoviruses, the VEE system is somewhat more cumbersome, since cotransfections and BL-3 facilities are needed for VRP production. This could be easily circumvented using other alphavirus vectors, like Sindbis virus or Semliki forest virus (1, 30). VEE VRPs can be used directly as a recombinant virus vaccine vector, which theoretically would drive the production of high concentrations of NV-VLPs in vivo. Alternatively, VRPs could be used to infect cultures of cells to produce high concentrations of NV VLPs to be used separately or in combination with VEE VRP vaccination (Fig. 1B). Parenteral VEE and VEE VRP inoculation is known to target dendritic cells and stimulates potent humoral and cellular immunity that includes high neutralization titers and protection at mucosal surfaces from infection (4, 6-9, 19, 31, 41). The use of VEE vectors may also provide insights into NLV entry, assembly, structure, encapsidation, and release and allow reverse genetic approaches to recover infectious NLV particles from mammalian cells.
Acknowledgments
We thank Mary Schaad, Jan Vinje, Vicky Manning, and Bob Bagnell for assistance in electron microscopy, fluorescence microscopy, and confocal microscopy and for helpful discussions during the course of this project. Special thanks goes to Laura White for reviewing the electron microscopy of VEE-Nor particles. BAC-Nor particles were kindly provided by Mary K. Estes (Baylor College of Medicine, Houston, Tex.).
This work was supported in part by research grants from the National Institutes of Health (AI23946) and North Carolina Biotechnology Center.
REFERENCES
- 1.Agapov, E. V., I. Frolov, B. D. Lindenbach, et al. 1998. Noncytopathic Sindbis virus RNA vectors for heterologous gene expression. Proc. Natl. Acad. Sci. USA 95:12989-12994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Ball, J. M., M. E. Hardy, R. L. Atmar, M. E. Conner, and M. K. Estes. 1998. Oral immunization with recombinant Norwalk virus-like particles induces a systemic and mucosal immune response in mice. J. Virol. 72:1345-1353. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Ball, J. M., D. Y. Graham, A. R. Opekum, et al. 1999. Recombinant Norwalk virus-like particles given orally to volunteers: phase 1 study. Gastroenterology 117:40-48. [DOI] [PubMed] [Google Scholar]
- 4.Banchereau, J., and R. M. Steinman. 1998. Dendritic cells and the control of immunity. Nature 392:245-252. [DOI] [PubMed] [Google Scholar]
- 5.Baric, R. S., E. Sullivan, L. Hensley, B. Yount, and W. Chen. 1999. Persistent infection promotes cross-species transmissibility of mouse hepatitis virus. J. Virol. 73:638-649. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Caley, I. J., M. R. Betts, D. M. Irlbeck, N. L. Davis, R. Swanstrom, J. A. Frelinger, and R. E. Johnston. 1997. Humoral, mucosal, and cellular immunity in response to a human immunodeficiency virus type 1 immunogen expressed by a Venezuelan equine encephalitis virus vaccine vector. J. Virol. 71:3031-3038. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Charles, P. C., K. W. Brown, N. L. Davis, et al. 1997. Mucosal immunity induced by parenteral immunization with a live attenuated VEE vaccine candidate. Virology 228:153-160. [DOI] [PubMed] [Google Scholar]
- 8.Davis, N., K. Brown, and R. E. Johnston. 1996. A viral vaccine vector that expresses foreign genes in lymph nodes and protects against mucosal challenge. J. Virol. 70:3781-3787. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Davis, N. L., I. J. Caley, K. W. Brown, M. R. Betts, D. M. Irlbeck, K. M. McGrath, M. J. Connell, D. C. Montefiori, J. A. Frelinger, R. Swanstrom, P. R. Johnson, and R. E. Johnston. 2000. Vaccination of macaques against pathogenic simian immunodeficiency virus with Venezuelan equine encephalitis virus replicon particles. J. Virol. 74:371-378. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Dingle, K. E., P. R. Lambden, E. O. Caul, and I. N. Clarke. 1995. Human enteric calicivirus: the complete genome sequence and expression of virus-like particles from a genetic group II small round structured virus. J. Gen. Virol. 76:2349-2355. [DOI] [PubMed] [Google Scholar]
- 11.Fang, N.-X., I. H. Frazer, and G. J. P. Fernando. 2000. Differences in the post-translation modifications of human papillomavirus type 6b major capsid protein expressed from a baculovirus system compared with a vaccinia virus system. Biotechnol. Appl. Biochem. 32:27-33. [DOI] [PubMed] [Google Scholar]
- 12.Fankhauser, R. L., J. S. Noel, S. S. Monroe, et al. 1998. Molecular epidemiology of Norwalk-like viruses in outbreaks of gastroenteritis in the United States. J. Infect. Dis. 178:1571-1578. [DOI] [PubMed] [Google Scholar]
- 13.Geissler, K., C. R. Parrish, K. Schneider, and U. Truyen. 1999. Feline calicivirus capsid protein expression and self-assembly in cultured feline cells. Vet. Microbiol. 69:63-66. [DOI] [PubMed] [Google Scholar]
- 14.Glass, P. J., L. J. White, J. M. Ball, I. Leparc-Goffart, M. E. Hardy, and M. K. Estes. 1999. Norwalk virus open reading frame 3 encodes a minor capsid protein. J. Virol. 74:6581-6591. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Glass, R. I., J. Noel, T. Ando, R. Frangkauser, G. Belliot, A. Mounts, U. D. Parashar, J. S. Bresee, and S. S. Monroe. 2000. The epidemiology of enteric caliciviruses from humans: a reassessment using new diagnostics. J. Infect. Dis. 181:S254-S261. [DOI] [PubMed]
- 16.Green, K. Y., J. Vinje, C. I. Gallimore, M. Koopmans, A. Hale, and D. W. Brown. 2000. Capsid protein diversity among Norwalk like viruses. Virus Genes 20:227-236. [DOI] [PubMed]
- 17.Green, K. Y., A. Z. Zapikian, J. Valdesuso, S. Sosnovtsev, J. J. Treanor, and J. F. Lew. 1997. Expression and self-assembly of recombinant capsid protein from the antigenically distinct human calicivirus. J. Clin. Microbiol. 35:1909-1914. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Green, S. M., P. R. Lambden, E. O. Caul, et al. 1995. Capsid diversity in small round-structured viruses: molecular characterization of an antigenically distinct NLV. Virus Res. 37:271-283. [DOI] [PubMed] [Google Scholar]
- 19.Grieder, F. B., N. L. Davis, J. F. Aronson, et al. 1995. Specific restrictions in the progression of VEE induced disease resulting from single amino acid changes in the glycoproteins. Virology 206:994-1006. [DOI] [PubMed] [Google Scholar]
- 20.Guo, M., Y. Qian, K. O. Chang, and L. J. Saif. 2001. Expression and self-assembly in baculovirus of porcine enteric calicivirus capsids into virus-like particles and their use in an enzyme-linked immunosorbent assay for antibody detection in swine. J. Clin. Microbiol. 39:1487-1493. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Hayat, M. A., and S. E. Miller. 1990. Negative staining, p. 79-80. McGraw-Hill Publishing Co., New York, N.Y.
- 22.Herrmann, J. E., N. R. Blacklow, S. M. Matsui, T. L. Lewis, M. K. Estes, J. M. Ball, and J. P. Brinker. 1995. Monoclonal antibodies for detection of Norwalk virus antigen in stools. J. Clin. Microbiol. 33:2511-2513. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Hiller, K. M., B. C. Lubahn, and D. G. Klapper. 1998. Cloning and expression of ragweed allergen Amb a 6. Scand. J. Immunol. 48:26-36. [DOI] [PubMed] [Google Scholar]
- 24.Jiang, B., M. K. Estes, C. Barone, V. Barniak, et al. 1999. Heterotypic protection from rotavirus infection in mice vaccinated with virus-like particles. Vaccine 17:1005-1013. [DOI] [PubMed] [Google Scholar]
- 25.Jiang, X., C. O. Matson, G. M. Ruiz-Palacios, J. Hu, J. Treanor, and L. K. Pickering. 1995. Expression, self-assembly, and antigenicity of a snow mountain agent-like calicivirus capsid protein. J. Clin. Microbiol. 33:1452-1455. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Jiang, X., M. Wang, D. Y. Graham, and M. K. Estes. 1992. Expression, self assembly, and antigenicity of Norwalk virus capsid protein. J. Virol. 66:6527-6532. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Jiang, X., M. Wang, K. Wang, and M. K. Estes. 1993. Sequence and genomic organization of Norwalk virus. Virology 195:51-61. [DOI] [PubMed] [Google Scholar]
- 28.Kapikian, Z. Z., M. K. Estes, and R. M. Chanock. 1996. Norwalk group of viruses, p. 783-810. In B. N. Fields, D. M. Knipe, P. M. Howley, et al. (ed.), Fields virology, 3rd ed. Lippincott-Raven, Philadelphia, Pa.
- 29.Li, T. C., Y. Yamakawa, K. Suzuki, M. Tatsumi, M. A. Razak, T. Uchida, N. Takeda, and T. Miyamura. 1997. Expression and self-assembly of empty virus-like particles of hepatitis E virus. J. Virol. 71:7207-7213. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Liljestrom, P. I., and H. Garoff. 1991. A new generation of animal cell expression vectors based on the Semliki Forest virus replicon. Bio/Technology 9:1356-1361. [DOI] [PubMed] [Google Scholar]
- 31.MacDonald, G. H., and R. E. Johnston. 2000. Role of dendritic cell targeting in Venezuelan equine encephalitis virus pathogenesis. J. Virol. 74:914-922. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Martinez-Torrecuadrada, J. L., J. R. Caston, M. Castro, J. L. Carrascosa, J. F. Rodriguez, and J. I. Casal. 2000. Different architectures in the assembly of infectious bursal disease virus capsid proteins expressed in insect cells. Virology 278:322-331. [DOI] [PubMed] [Google Scholar]
- 33.Mason, H. S., J. M. Ball, J.-J. Shi, et al. 1996. Expression of NV capsid protein in transgenic tobacco and potato and its oral immunogenicity in mice. Proc. Natl. Acad. Sci. USA 93:5335-5340. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Matsui, S. M. 1999. A new model system to study NV immunity. Gastroenterology 117:255-269. [DOI] [PubMed] [Google Scholar]
- 35.Monroe, S. S., S. E. Stine, X. Jiang, et al. 1991. Detection of antibody to recombinant Norwalk virus antigen in specimens from outbreaks of gastroenteritis. J. Clin. Microbiol. 31:2866-2872. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.O'Neal, C. M., S. E. Crawford, M. K. Estes, and M. E. Conner. 1997. Rotavirus virus-like particles administered mucosally induce protective immunity. J. Virol. 71:8707-8717. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Parks, C., C. Moe, D. Rhodes, A. Lima, L. Barrett, F. Tseng, R. Baric, et al. 1999. Genetic diversity of NLVs: pediatric infections in a Brazilian shantytown. J. Med. Virol. 58:426-434. [DOI] [PubMed] [Google Scholar]
- 38.Plentneva, M. A., S. V. Sosnovtsev, S. A. Sosnovtseva, and K. Y. Green. 1998. Characterization of a recombinant NLV capsid protein expressed in mammalian cells. Virus Res. 55:129-141. [DOI] [PubMed] [Google Scholar]
- 39.Prasad, B. V. V., M. E. Hardy, T. Dokland, J. Bella, M. G. Rossman, and M. K. Estes. 1999. X-ray crystallographic structure of the Norwalk virus capsid. Science 286:287-290. [DOI] [PubMed] [Google Scholar]
- 40.Prasad, B. V. V., R. Rothnagel, X. Jiang, and M. K. Estes. 1994. Three-dimensional structure of baculovirus-expressed Norwalk virus capsids. J. Virol. 68:5117-5125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Pushko, P., M. Parker, G. V. Ludwig, N. L. Davis, R. E. Johnston, and J. F. Smith. 1997. Replicon-helper systems from attenuated Venezuelan equine encephalitis virus: expression of heterologous genes in vitro and immunization against heterologous pathogens in vivo. Virology 239:389-401. [DOI] [PubMed] [Google Scholar]
- 42.Rueda, P., J. Fominaya, J. P. Langeveld, C. Bruschke, C. Vela, and J. I. Casal. 2000. Effect of different baculovirus inactivation procedures on the integrity and immunogenicity of porcine parvovirus-like particles. Vaccine 19:726-734. [DOI] [PubMed] [Google Scholar]
- 43.Shieh, C. Y.-S, K. R. Calci, and R. S. Baric. 1999. A method to detect low levels of enteric viruses in contaminated oysters. Appl. Environ. Microbiol. 65:4709-4714. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Shieh, C. Y.-S., S. S. Monroe, R. L. Fankhauser, G. W. Langlois, W. Burkhardt III, and R. S. Baric. 2000. Detection of Norwalk-like virus in shellfish implicated in illness. J. Infect. Dis. 181:S360-S367. [DOI] [PubMed]
- 45.van der Poel, W. H., J. Vinje, R. van der Heide, M. I. Herrera, A. Vivo, and M. P. Koopmans. 2000. Norwalk like viruses in farm animals. Emerg. Infect. Dis. 6:36-41. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Vinje, J., J. Green, D. C. Lewis, C. I. Gallimore, D. W. Brown, and N. P. Koopmans. 2000. Genetic polymorphism across regions of the three open reading frames of “Norwalk like viruses.” Arch. Virol. 145:223-241. [DOI] [PubMed] [Google Scholar]
- 47.White, L. J., M. E. Hardy, and M. K. Estes. 1997. Biochemical characterization of a smaller form of recombinant NV capsids assembled in insect cells. J. Virol. 71:8066-8072. [DOI] [PMC free article] [PubMed] [Google Scholar]