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. 2014 Aug 13;16(2):201–214. doi: 10.1016/j.chom.2014.07.005

HCMV pUL135 Remodels the Actin Cytoskeleton to Impair Immune Recognition of Infected Cells

Richard J Stanton 1,9,, Virginie Prod’homme 1,9, Marco A Purbhoo 2, Melanie Moore 1, Rebecca J Aicheler 1, Marcus Heinzmann 3, Susanne M Bailer 3,4, Jürgen Haas 3, Robin Antrobus 5, Michael P Weekes 5, Paul J Lehner 5, Borivoj Vojtesek 6, Kelly L Miners 1, Stephen Man 7, Gavin S Wilkie 8, Andrew J Davison 8, Eddie CY Wang 1, Peter Tomasec 1, Gavin WG Wilkinson 1,∗∗
PMCID: PMC4150922  PMID: 25121749

Summary

Immune evasion genes help human cytomegalovirus (HCMV) establish lifelong persistence. Without immune pressure, laboratory-adapted HCMV strains have undergone genetic alterations. Among these, the deletion of the UL/b’ domain is associated with loss of virulence. In a screen of UL/b’, we identified pUL135 as a protein responsible for the characteristic cytopathic effect of clinical HCMV strains that also protected from natural killer (NK) and T cell attack. pUL135 interacted directly with abl interactor 1 (ABI1) and ABI2 to recruit the WAVE2 regulatory complex to the plasma membrane, remodel the actin cytoskeleton and dramatically reduce the efficiency of immune synapse (IS) formation. An intimate association between F-actin filaments in target cells and the IS was dispelled by pUL135 expression. Thus, F-actin in target cells plays a critical role in synaptogenesis, and this can be exploited by pathogens to protect against cytotoxic immune effector cells. An independent interaction between pUL135 and talin disrupted cell contacts with the extracellular matrix.

Graphical Abstract

graphic file with name fx1.jpg

Highlights

  • HCMV UL135 functions during productive infection in order to evade NK and T cells

  • UL135 promotes actin depolymerization and suppresses cytoskeletal remodelling

  • UL135 interacts with ABI1 and ABI2 to relocalize the actin regulatory WAVE2 complex

  • ABI1/2 binding impairs immunological synapse formation to inhibit NK and T cell killing


Viruses like human cytomegalovirus (HCMV) must evade immune responses in order to establish persistent infection. Stanton et al. identify an HCMV immune evasion strategy whereby the viral protein UL135 modifies the actin cytoskeleton in the infected cell in order to prevent immune cells from forming an immune synapse, thus subverting NK and T cell killing.

Introduction

Human cytomegalovirus (HCMV) is a clinically important pathogen, given that it is the leading infectious cause of congenital disorders and frequently associated with severe morbidity and mortality in immunocompromised individuals. HCMV exploits an impressive arsenal of immune evasion genes in order to establish lifelong persistence in its host; the virus is a paradigm of viral immune evasion. The suppression of MHC-I expression by at least four HCMV genes (US2, US3, US6, and US11) is well-characterized and promotes evasion of cytotoxic T lymphocytes. However, natural killer (NK) cells play a critical role in controlling CMV infection. Given that MHC-I also constitute the chief NK cell inhibitory ligands, their downregulation has the potential to render infected cells vulnerable to NK cell attack. Our understanding of human NK cell biology and HCMV pathogenesis has been greatly enhanced by studies into how HCMV systematically evades NK cell activation.

To counter NK cells, HCMV encodes a MHC-I homolog (gpUL18), and a peptide derived from the signal peptide of UL40 (SPUL40) stabilizes both gpUL18 and the nonclassical MHC-I molecule HLA-E (Prod’homme et al., 2012, Tomasec et al., 2000). gpUL18 binds the inhibitory receptor LIR-1 1,000-fold more efficiently than endogenous MHC-I (Chapman et al., 1999, Prod’homme et al., 2007), whereas the rescue of HLA-E by SPUL40 provides an inhibitory signal via CD94/NKG2A+. NK cells also respond to activating signals. The activating receptor NKG2D binds eight stress proteins (MICA, MICB, and ULBP1–ILBP6), and HCMV encodes at least five genes (US18, US20, UL16, UL142, and miR-UL112) that suppress their cell-surface expression (Fielding et al., 2014, Wilkinson et al., 2008). CD112 and CD155 become exposed when infection disrupts intercellular contacts and serve as ligands for the activating receptors CD226 and CD96, and gpUL141 suppresses cell-surface expression of both (Prod’homme et al., 2010, Tomasec et al., 2005). Moreover, the tegument protein pp65 binds directly to NKp30, inhibiting NK cell cytotoxicity (Arnon et al., 2005). NK cells can also kill target cells through direct ligation of death receptors, and gpUL141 contributes toward NK cell evasion by downregulating TRAIL receptor 2 (Smith et al., 2013).

HCMV laboratory-adapted strains have accumulated genetic defects during in vitro passage (Dargan et al., 2010, Stanton et al., 2010), the most extreme being a 15 kb deletion of the UL/b’ region (genes UL133UL150) in strain AD169. Loss of UL/b’ correlates with greatly enhanced sensitivity to NK cell attack (Cerboni et al., 2000, Tomasec et al., 2005, Wang et al., 2002), which is ascribed in part to loss of UL141 and UL142. In a systematic screen, we identified UL135 as a third NK cell evasion function within UL/b’. pUL135 was unique in providing efficient protection against not only an exceptionally broad range of NK as well as T cells. Classically, NK cell modulatory functions either promote cell surface expression of inhibitory ligands or suppress activating ligands; however, pUL135’s mechanism of action is different. Dynamic remodeling of the actin cytoskeleton within effector cells plays a major role in organizing the immune synapse (IS) and promoting degranulation in cytotoxic T lymphocytes (CTLs) and NK cells. Biochemical, genetic, and functional studies performed on pUL135 identified an interaction with abl interactor 1(ABI1) and ABI2, recruitment of the WAVE2 complex, and subsequent actin depolymerization in target cells as critical in evading NK cell recognition. Direct imaging identified an association between actin in the target cell and the IS in the effector cell, and UL135 expression results in a reduced capacity to organize the IS in the effector cell. This HCMV NK evasion function implies that the actin cytoskeleton in target cells plays a key role in IS formation and proposes another mechanism by which infectious agents can evade immune recognition.

Results

UL135 Inhibits NK Cells

Given that the HCMV UL/b’ region plays a major role in promoting resistance to NK cell attack, 19 genes encoded within UL/b’ region were inserted into a replication-deficient adenovirus (RAd) vector, and their expression was validated (Figure S1A available online). Then, this expression library was systematically screened in NK-cell-functional assays, and pUL135, gpUL141, and gpUL142 were identified as eliciting significant protection against NK-cell-mediated cytolysis (Figure S1B). As recognized NK cell modulatory functions, gpUL141 and gpUL142 served as positive controls, whereas the protection elicited by pUL135 provided evidence that this gene had an NK cell modulatory function.

The levels of protection elicited by pUL135 rivalled those achieved with gpUL141. In a representative chromium release assay, pUL135 reduced specific lysis by 64% at an E:T ratio of 40:1 with the immortalized NKL cell line (Figure 1A). In cytolysis assays, pUL135 also elicited protection against a heterogeneous primary NK cell population, irrespective of whether assays were performed in an allogeneic (Figure 1B) or an autologous setting (Figure 1C). In the autologous assay, pUL135 elicited 49.5% inhibition of NK-cell-mediated cytolysis at an E:T ratio of 100:1. Moreover, using a CD107-mobilization assay, protection was elicited against IFN-α-activated NK cells from 13 different donors. In allogeneic assays, NK cell degranulation of ten bulk cultures was significantly inhibited by pUL135 expression with a mean difference of 36.8% inhibition (Figure 1D). Efficient pUL135-mediated inhibition was also observed in autologous NK degranulation assays with peripheral blood mononuclear cell (PBMC) bulk cultures from three other donors with an average inhibition of 42.2% (Figure 1E). A panel of 57 NK cell clones from two donors were expanded following single-cell sorting (Table 1). In autologous assays, 25 of 57 clones were either unable to kill target cells or not substantially affected by the expression of pUL135. The remaining NK cell clones (56.1%) were all inhibited by pUL135. Although 33% of clones were inhibited by gpUL141, 12.3% were still activated. In contrast, pUL135 was exclusively associated with an inhibitory response in this series of experiments. In addition to direct killing of target cells by cell-mediated cytotoxicity, inflammatory cytokines released by NK cells play a crucial role in suppressing virus replication; IFN-γ expression was suppressed when NK cells were cocultured with targets expressing either pUL135 or gpUL141 in comparison to vector control (Figure 1F). NK activation requires the establishment of cell:cell contact culminating in formation of an IS, and UL135 reduced the efficiency of NK cells adhesion to fibroblast targets (Figure 1G).

Figure 1.

Figure 1

UL135 Decreases NK Cell Cytotoxicity, Degranulation, and IFN-γ Production and Adhesion as Well as T Cell Degranulation and IFN-γ Production

(A–E) Cytotoxicity assays were set up with the NKL cell line against HFFF-hCAR (A), IFN-α-activated T-cell-depleted PBMC against HFFF-hCAR (B), or IFN-α-activated T-cell-depleted PBMC against autologous skin fibroblasts (SFs; C). NK cell degranulation assays were performed with IFN-α-activated PBMC against HFFF-hCAR (D) or autologous SF (E).

(F) Intracellular IFN-γ stainings were set up with IFN-α-activated PBMC against HFFF-hCAR.

(G) Adhesion assays were performed with HFFF-hCAR infected with RAd-UL135 or empty control vector (RAd-Ctrl) and NK cells.

(H) T cell degranulation assays were set up with the 7E7 T cell clone against MRC-5 pulsed with antigenic peptide. T cells incubated with PMA-iono or without peptide are shown as controls.

(I–J) T cell intracellular IFN-γ staining assays were set up with the D7IE1 (I) and D7pp65 (J) T cell lines against autologous SF infected with RAd-Ctrl or RAd-UL135 and pulsed with peptide.

(K–L) NK cell degranulation assays were set up with IFN-α-activated PBMC against allogeneic HFFF-hCAR (K) or autologous SF infected for 48 hr with HCMV strains AD169, Merlin, MerlinΔUL135, MerlinΔUL141, MerlinΔUL135/ΔUL141, or RAd-UL135, RAd-UL141, and RAd-Ctrl (L).

(M) T cell degranulation assays were set up with a pp65-specific T cell line against autologous SF either mock infected or infected with Merlin or MerlinΔUL135.

(N) Adhesion assays were performed with HFFF infected with the indicated viruses and NK cells. Results from three experiments were normalized and combined.

Results are means ± SD of triplicate (A–C, G, H, and N), duplicate (D–F), or quadruplicate (I–M) samples and are representative of three independent experiments (A–M). Two-way ANOVA test. p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001.

Table 1.

NK Clone Cytotoxicity

D3 NK Clones Activationa Inhibitionb No Changec No Killingd
RAd-UL141 4/28 (14.3%) 7/28 (25%) 10/28 (35.7%) 7/28 (25%)
RAd-UL135 0/28 (0%) 14/28 (50%) 5/28 (17.9%) 9/28 (32.1%)

D2 NK Clones Activation Inhibition No Change No Killing

RAd-UL141 3/29 (10.3%) 12/29 (41.4%) 9/29 (31%) 5/29 (17.2%)
RAd-UL135 0/29 (0%) 18/29 (62.1%) 6/29 (20.7%) 5/29 (17.2%)

All NK Clones Activation Inhibition No Change No Killing

RAd-UL141 7/57 (12.3%) 19/57 (33.3%) 19/57 (33.3%) 12/57 (21%)
RAd-UL135 0/57 (0%) 32/57 (56.1%) 11/57 (19.3%) 14/57 (24.6%)

Data show the number and percentage of NK clones isolated from PBMC.

a

Activated NK clones kill RAd-UL141/RAd-UL135-infected autologous SF with specific lysis > 10% in comparison to RAd-Ctrl.

b

Inhibited NK clones kill RAd-Ctrl-infected SF with specific lysis > 10% in comparison to RAd-UL141 or RAd-UL135.

c

NK clones with no change kill RAd-UL141 or RAd-UL135-infected SF with specific lysis < 10% in comparison to RAd-Ctrl.

d

NK clones with no killing kill RAd-Ctrl-infected SF with specific lysis < 10%.

When expressed in isolation, pUL135 inhibited the NKL cell line, primary NK cell cultures from >13 different donors, and the majority of NK cell clones tested. Protection was observed in both an allogeneic and autologous setting. Moreover, pUL135 suppressed NK-cell-mediated cytolysis, degranulation, IFN-γ expression, and adhesion to target cells.

UL135 Inhibits CD8+ T Cells

Next, we expanded the breadth of the study by investigating whether pUL135 impacted T cell recognition. A HLA-A0201-restricted T cell clone specific for a human papillomavirus 16 E6 epitope was coincubated with MRC-5 fibroblasts (HLA-A0201) loaded with specific antigenic peptide (Figure 1H). The proportion of CD107a+ T cells increased with the amount of specific peptide loaded on target cells, and pUL135-specific inhibition occurred in the presence of 0.1μg/ml peptide. To further characterize this effect, IFN-γ production was measured from two HCMV-specific HLA-A0201-restricted T cell lines generated from a donor with tetramer detectable responses against dominant IE1 and pp65 epitopes. At assay, the T cell lines contained >70% tetramer-positive cells. When incubated with autologous fibroblasts coated with specific peptide, there was a strong pUL135-specific inhibition of IFN-γ production (Figures 1I and 1J). Therefore, pUL135 efficiently suppressed both NK cell and T cell functions.

UL135 Functions during Productive HCMV Infection

An important test for any HCMV immune evasion gene is whether it functions in the context of virus infection. The HCMV strain AD169 lacks the UL/b’ sequence, and therefore UL135, UL141, and UL142, and provides substantially less protection against NK cells than strain Merlin. Deletion of either UL135 or UL141 from strain Merlin resulted in an increase in NK cell degranulation, whereas deletion of both genes had an additive effect. Comparable results were obtained when primary NK cells from volunteer donors were tested against allogeneic (Figure 1K) or autologous cells (Figure 1L). The ability of pUL135 to protect against T cell degranulation was also tested in the context of HCMV infection (Figure 1M). A particularly active pp65-specific T cell line recognized autologous HCMV-infected cells despite viral-mediated downregulation of MHC-I, and deletion of UL135 from the HCMV genome resulted in an increase in T cell degranulation. Merlin reduced the ability of infected cells to form conjugates with NK cells, and this ability was inhibited when UL135 was deleted from the genome (Figure 1N). Whether expressed in isolation or during productive HCMV infection, pUL135 promoted evasion of both NK and T cells.

UL135 Expression

UL135 exhibits a high degree of sequence conservation in characterized HCMV strains and clinical isolates. An ortholog is present in chimpanzee cytomegalovirus (CMV) but not CMV species of the lower primates (Umashankar et al., 2011). pUL135 is exceptionally proline-rich (60 of 308 amino acids [aa]), contributing to predictions that it contains 22 potential SH3 binding sites and is 80% “structurally disordered.” pUL135 was expressed at slightly higher levels from RAd-UL135 in comparison to HCMV (Figure S2A) and was synthesized as two species with molecular masses of 38kDa and 40kDa in comparison to a predicted size of 33 kDa. During productive HCMV infection, pUL135 was expressed during early phase (24 hr), but, unusually for an HCMV gene, levels declined through the late phase (Figure 2A). pUL135 is membrane associated (Umashankar et al., 2011) and predicted to contain an N-terminal transmembrane domain and two N- and 42 O-linked glycosylation sites. However, it was not sensitive to PNGaseF or O-glycosidase, indicating these glycosylation sites were not used (Figure S2B). In order to optimize detection in the context of HCMV infection, a sequence providing a C-terminal V5 tag was inserted into UL135. When expressed in isolation from RAd-UL135,or in the context of HCMV infection, pUL135 colocalized with markers of the Golgi apparatus and at the plasma membrane (Figure 2B). Golgi localization was more prominent when UL135 was expressed in isolation, most likely because of the expression of other HCMV genes and reorganization of the Golgi apparatus, during infection. A monoclonal antibody raised to pUL135 was able to detect the protein on cells only once they had been permeabilized (Figure 2C). The data imply that pUL135 is anchored in the Golgi and plasma membranes via its N-terminal hydrophobic domain with the main body of the protein exposed to the cytosol, which is consistent with previous data (Umashankar et al., 2011). This topological orientation in the plasma membrane would make it difficult for pUL135 to act directly as an inhibitory ligand.

Figure 2.

Figure 2

Expression of UL135

(A) HFFF-hCAR were infected with RAd-UL135 or an empty control vector (RAd-Ctrl) for 48 hr, and HFFF were mock infected (M) or infected with HCMV strain Merlin or MerlinΔUL135 for the indicated times. Proteins were separated by SDS-PAGE, and western blot was performed for UL135 (V5 antibody) or actin.

(B) HFFF-hCAR were infected with RAd-UL135 or RAd-Ctrl for 48 hr, and samples were stained for UL135 (V5 antibody) and giantin (golgi marker). HFFF were infected with the indicated strains of HCMV for 48 hr and stained for UL135 (V5 antibody) or IE1/IE2 (MerlinΔUL135) and giantin.

(C) HFFF were infected with the indicated strains of HCMV and stained for either surface or intracellular UL135 expression 48 hr later.

(D and E) Brightfield images of HFFF-hCAR infected with RAd-UL135 or RAd-Ctrl (D) and HFFF (E) mock infected or infected with HCMV strain Merlin or MerlinΔUL135 for 48 hr.

UL135 Remodels the Actin Cytoskeleton

Expression of pUL135 in fibroblasts consistently induced dramatic changes in cell morphology, and focal adhesions and cell projections are lost as cells are rounded up (Figures 2D and S2C). Even in the context of productive infection, pUL135 clearly influenced the HCMV-induced cytopathic effect. In contrast to parental virus, cells infected with MerlinΔUL135 were clearly “flatter” and more spread out, which is indicative of enhanced adherence (Figures 2E and S2D). The actin cytoskeleton was stained with phalloidin; pUL135 expression resulted in elimination of F-actin stress fibers from the cell center, whereas the cortical actin matrix underlying the plasma membrane appeared reinforced and colocalized with pUL135 (Figures 3A and S3A). During productive HCMV infection, F-actin was lost from the center of infected cells, and UL135 colocalized with cortical actin. However, in the absence of pUL135, a substantial proportion of F-actin remained in the center of infected cells (Figures 3B and S3B). In contrast, microtubules and intermediate filaments were not overtly displaced by pUL135 (Figures S3C–S3F).

Figure 3.

Figure 3

UL135 Modifies Actin Structure

(A–D) HFFF-hCAR were infected with RAd-UL135 or RAd-Ctrl (A and C), or HFFF were infected with HCMV strain Merlin or MerlinΔUL135 or mock infected (B and D). Samples were stained 48 hr postinfection for UL135 (V5 antibody) and actin (phalloidin; A and B). Following infection, samples were incubated with the indicated doses of LatA (LatA; C and D).NK cell degranulation assays were performed 48 hr postinfection with IFN-α-activated PBMC. Results are mean ± SD and are representative of three independent experiments. Two-way ANOVA test with post tests were performed between RAd-Ctrl and RAd-UL135 (C) or Merlin and MerlinΔUL135 (D). p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001.

(E) Samples treated as in (C and D) were stained for actin (phalloidin).

An Intact Actin Cytoskeleton Is Required for NK Cell Recognition

pUL135 remodeled the actin cytoskeleton and inhibited both NK and T cell activation. NK and T cell modulatory functions generally act by either promoting cell-surface expression of an inhibitory ligand or suppressing an activating ligand; however, pUL135 did not alter the expression of any candidate ligands or adhesion molecules (Table S1). Therefore, we investigated whether pUL135’s capacity to remodel the cytoskeleton was involved in immune evasion. The inhibitor of actin polymerization latrunculin A (LatA) reproducibly suppressed NK cell activation against control cells in a concentration-dependent manner, ultimately reaching levels comparable to those achieved with pUL135 (Figure 3C). Comparable results were obtained following HCMV infection in the presence or absence of pUL135 (Figure 3D). Remarkably, in the presence of pUL135, LatA did not suppress NK cell activation. The fact that the effects of LatA and pUL135 were not additive suggested that they exerted their effect via the same mechanism. In support of this hypothesis, F-actin in cells expressing pUL135 (Rad-UL135/Merlin) was unaffected by LatA treatment. In contrast, cells lacking pUL135 (RAd-Ctrl/MerlinΔUL135/Mock) displayed progressive loss of central actin as LatA concentrations increased until, at high concentrations, they resembled pUL135-expressing cells; i.e., a rounded cell devoid of central actin fibers (Figures 3E, S3G, and S3H).

Similar results were obtained with the actin-stabilizing drug jasplakinolide. Treatment of fibroblasts with jasplakinolide led to loss of stress fibers and the formation of an F-actin aggresome (Figure S3I), which correlated with a reduction in NK degranulation (Figure S3J). Treatment of cells expressing pUL135 with moderate concentrations of jasplakinolide had little effect on pUL135-mediated actin remodeling or NK degranulation. At high concentrations, there was complete loss of stress fibers in both control and pUL135-expressing cells, and NK degranulation was equivalent in both.

Thus, actin is required for NK recognition of targets, and, following modification of actin by LatA or jasplakinolide, control cells inhibit NK degranulation to the same extent as pUL135-expressing cells.

UL135 Interacts with Members of the WAVE2 Regulatory Complex and Talin

Yeast two-hybrid assays and stable isotope labeling by amino acids in cell culture (SILAC) immunoprecipitation experiments were undertaken in order to identify pUL135-interacting partners. In the yeast two-hybrid screen, ABI1 and ABI2 were both identified in multiple clones. This finding was consolidated and expanded when SILAC immunoprecipitation experiments performed on pUL135-expressing fibroblasts identified WAVE2, ABI1, NAP1, CYFIP1, and talin-1 (Table S2). Significantly ABI1, ABI2, NAP1, CYFIP1, and WAVE2 itself are all components of the WAVE2 regulatory complex (WRC), which regulates the actin nucleator Arp2/3 (Takenawa and Suetsugu, 2007). The interaction with WAVE2, ABI1, ABI2, NAP1, CYFIP1, and talin-1 were validated in conventional immunoprecipitation experiments when pUL135 was expressed in both isolation and the context of HCMV infection (Figure 4A).

Figure 4.

Figure 4

UL135 Interacts with the WAVE2 Complex and Talin

(A) HFFF-hCAR were infected with RAd-UL135 or RAd-Ctrl, and HFFF were infected with HCMV strain Merlin or MerlinΔUL135. Samples were lysed 48 hr postinfection, and immunoprecipitation was performed for the V5 tag on UL135. Proteins were separated by SDS-PAGE, and western blot was performed for the indicated proteins.

(B–I) HFFF-hCAR were infected with RAd-UL135 or RAd-Ctrl (B, D, F, and H), and HFFF were infected with HCMV strain Merlin or MerlinΔUL135 or mock infected (C, E, G, and I). Samples were fixed and stained for UL135 (V5 antibody) and ABI1 (B and C), WAVE2 (D and E), or talin (H and I) 48 hr postinfection. Samples were lysed, and SDS-PAGE was performed 48 hr postinfection (F) or at the indicated time points (G) followed by western blot for the indicated proteins.

ABI1 (Figures 4B and 4C), ABI2 (Figures S4A and S4B), and WAVE2 (Figures 4D and 4E) all exhibited a diffuse cellular distribution that excluded the nucleus as well as a marked association with membrane protrusions, consistent with their role in actin remodelling. Whether pUL135 was expressed in isolation or during productive HCMV infection, all three cellular proteins trafficked with pUL135 to the Golgi apparatus (Figures S4C–S4F) and colocalized evenly around the plasma membrane. ABI1 and ABI2 were more readily imaged in cells expressing pUL135, even though their absolute abundance remained constant as assessed by western blot and flow cytometry (Figures 4F and 4G; data not shown). pUL135 also efficiently colocalized with ABI1 and ABI2 when expressed with a C-terminal GFP tag (Figures S4G and S4H). pUL135 interacted and localized with ABI1, ABI2, and WAVE2 at the Golgi apparatus and plasma membrane without changing their overall abundance.

Talin-1 binds actin and participates in focal adhesions but is not a member of the WRC. pUL135 expression alone was sufficient to recruit talin-1 to the Golgi apparatus and cell membrane, but, rather than stimulating cell adhesion, focal adhesions were disrupted (Figure 4H). pUL135 is not needed for HCMV to disrupt focal adhesions (Stanton et al., 2007) yet was required for talin-1 to be redistributed to the cell periphery during HCMV infection (Figure 4I).

UL135 Inhibits Cytoskeletal Remodelling

pUL135 consistently induced cell rounding, loss of contact adhesions, and disassembly of stress fibers. RNA interference was used to investigate the roles played by the various pUL135-interacting cellular proteins (Figure S5A). Ablation of both ABI1 and ABI2 (ABI1/ABI2) was associated with a very slight reduction in F-actin levels in control cells, consistent with a requirement for ABI1/ABI2 in the WRC (Figures 5A andS5B). In contrast, pUL135 expression induced a very dramatic loss of F-actin. Moreover, following ABI1/ABI2 knockdown, pUL135 lost the capacity to depolymerize F-actin fibers throughout the center of the cell. This implies that, rather than directly inhibiting ABI1/ABI2, pUL135 is commandeering the WRC to actively promote F-actin depolymerization. To determine whether the entire WRC was involved in pUL135-mediated actin remodelling, the WRC member CYFIP1 was targeted with small interfering RNA (siRNA). Although knockdown had no obvious effect on actin, CYFIP1 was required for pUL135-mediated depolymerization of actin (Figures 5B and S5C). Therefore, ABI1/ABI2 was not the only WRC component necessary for pUL135-mediated actin remodelling.

Figure 5.

Figure 5

UL135 Interacts Independently with the WRC and Talin and Inhibits Cytoskeletal Remodelling

(A–E) HFFF-hCAR were transfected with control siRNA (siRNA-Ctrl), siRNA against ABI1 and ABI2 (siRNA-ABI1/ABI2), siRNA against talin-1 and talin-2 (siRNA-TLN1/2), or siRNA against CYFIP1. They were infected with RAd-UL135 or RAd-Ctrl 24 hr later. Assays were performed 48 hr postinfection.

(A and B) Cells were fixed and stained for actin (phalloidin).

(C and D) Cells were allowed to adhere to fibronectin-coated dishes for 30 min and then fixed, and the number of cells exhibiting a spread morphology was counted by microscopy. Four separate fields were counted; results are mean ± SD and representative of three independent experiments. Two-way ANOVA test. ∗∗∗p < 0.001.

(E) Cells were lysed, and UL135 was immunoprecipitated with its V5 tag. Immunoprecipitated proteins were separated by SDS-PAGE, and western blot was performed for the indicated proteins.

(F–J) HFFF-hCAR were infected with the indicated adenovirus vectors, and assays were performed at 48 hr postinfection.

(F) UL135 was immunoprecipitated with the V5 tag. Immunoprecipitated proteins were separated by SDS-PAGE, and western blot was performed for the indicated proteins.

(G) Cells were fixed and stained for actin (phalloidin).

(H) Cells were fixed and stained for UL135 (V5 antibody) and ABI1. Accumulation of ABI1 at sites of actin protrusions are indicated with arrows.

(I) Cells were stained for UL135 (V5 antibody) and talin. Accumulation of talin at sites resembling focal adhesions are indicated with arrows.

(J) Cells were allowed to adhere to fibronectin-coated dishes for 30 min and then fixed, and the number of cells exhibiting a spread morphology was counted by microscopy. Four separate fields were counted; results are mean ± SD and are representative of three independent experiments. One-way ANOVA test. ∗∗∗p < 0.001.

Talin binds the cytosolic domain of integrins at focal adhesions, at which point it provides a bridge between the actin cytoskeleton and the extracellular matrix (Kim et al., 2011), playing a key role in activating integrin function in inside-out signaling. pUL135 inhibited cell spreading on fibronectin; this phenotype was also inhibited by knockdown of ABI1/ABI2 but not talin-1 and talin-2 (Figures 5C and 5D). In order to investigate the interaction between pUL135 and the WRC, pUL135 was immunoprecipitated from cells in which ABI1/ABI2 had been knocked down (Figures 5E and S5D). Knockdown of any member of the WRC can lead to loss of other members of the complex, yet the interaction of pUL135 with talin was clearly unaffected, which is consistent with pUL135 binding talin independently of its interaction with the WRC.

A series of in-frame deletions were generated through UL135, and the resulting gene products tested for their capacity to bind ABI1/ABI2 and talin (Figure S5E). The center of pUL135 (aa 169–206) was required for the interaction with the WRC, but not talin. The C terminus (aa 275–308) was required for the interaction with talin (Figures 5F and S5F). In agreement with siRNA studies, the interaction between pUL135 and the WRC was responsible for the loss of central F-actin fibers (Figures 5G and S5G). The Δ169–206 mutant failed to redistribute ABI1/ABI2, which instead concentrated in membrane protrusions around the periphery of the cell (Figure 5H, arrowed). Likewise, deletion of the talin-binding domain (aa 275–308) resulted in talin no longer colocalizing with pUL135 but instead concentrating in punctate structures around the cell periphery (Figure 5I, arrowed). Deletion of either the ABI1/ABI2 or talin interaction domains partially restored the capacity of cells to spread on a fibronectin matrix, and deletion of both domains eliminated the phenotype completely (Figure 5J). Thus, pUL135 affected cell adhesion by two mechanisms: (1) through the interaction with ABI1/ABI2, pUL135 actively disassembled the actin framework that the extracellular matrix is attached to and, (2) interacting directly with talin, pUL135 disrupted focal adhesions and suppressed integrin function. Targeting ABI1/ABI2 by either siRNA or mutation released the WRC and restored cell spreading. Deleting the talin-interacting domain also restored cell spreading, but talin knockdown in pUL135-expressing cells did not, implying that pUL135 directly suppressed talin function.

The Interaction of UL135 with ABI1/ABI2 Is Required for Inhibition of NK Cells

The functional significance of the interaction of pUL135 with ABI1/ABI2 and talin in eliciting protection against NK cells was investigated with siRNA. The interaction with ABI1/ABI2, rather than talin, was critical for NK cell evasion whether assessed by CD107a mobilization (Figures 6A and 6B) or cytolysis assays (Figures 6C and 6D). This correlation was supported in experiments utilizing the characterized pUL135 deletion mutants. Only versions of pUL135 that bound ABI1/ABI2 elicited protection against NK cells (Figure 6E). Indeed, pUL135 functioned even more effectively as an NK evasion function when the talin-interacting domain was deleted. pUL135’s direct interaction with ABI1/ABI2 was not sufficient, a second WRC member (CYFIP1) was also required for pUL135 in order to induce protection against NK cell attack (Figure 6F). The recruitment of the entire WRC is thus implicated in pUL135 function. In the absence of pUL135, neither the ablation of ABI1/ABI2 nor CYFIP1 had an impact on NK cell recognition, indicating that pUL135 used ABI1/ABI2 to recruit the WRC and then subverted its activity to suppress NK cells.

Figure 6.

Figure 6

Interactions with ABI1/ABI2 Are Required for UL135 to Protect Against NK Cells

(A and B) HFFF-hCAR were transfected with control siRNA (siRNA-Ctrl), siRNA against ABI1 and ABI2 (siRNA-ABI1/ABI2), or siRNA against talin-1 and talin-2 (siRNA-TLN1/2). They were infected 24 hr later with RAd-UL135 or RAd-Ctrl. NK degranulation assays were performed 48 hr postinfection with IFN-α-activated PBMC.

(C and D) Cytotoxicity assays were performed with IFN-α-activated T-cell-depleted PBMC against HFFF-hCAR transfected with siRNA-Ctrl (C) or siRNA-ABI1/ABI2 (D) and then infected with either RAd-Ctrl or RAd-UL135.

(E) HFFF-hCAR were infected with the indicated adenovirus vectors, and NK cell degranulation assays were performed 48 hr postinfection with IFN-α-activated PBMC.

(F) Cells were transfected with control siRNA or siRNA against CYFIP1. They were infected 24 hr later with RAd-UL135 or RAd-Ctrl. NK degranulation assays were performed 48 hr postinfection with IFN-α-activated PBMC.

(G) HFFF-hCAR were infected with RAd expressing ABI1 and ABI2 (RAd-ABI1+ABI2), RAd-UL135, or empty control vector (RAd-Ctrl) in the combinations indicated, and NK cell degranulation assays were performed 48 hr postinfection with IFN-α-activated PBMC. Results of are means ± SD of quadruplicate samples. Results are representative of three independent experiments. Two-way ANOVA test. p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001.

(H and J) HFFF-hCAR were infected with RAd-Ctrl or RAd-UL135. NKL cells were added 48 hr postinfection, allowed to settle, and then fixed and stained with phalloidin. Images show the immune synapse between fibroblasts and NKL cells.

(I) Quantitation of NKL:HFFF interactions in (H).

(J) 3D reconstruction of the IS is shown in the top panel. Arrows indicate actin fibers in the target that define the inner or outer edge of the synapse.

(K and L) Fibroblasts expressing lifeact-Citrine were infected with RAd-Ctrl or RAd-UL135 and incubated with NKL-cell-expressing lifeact-mCherry 48 hr later.

(K) Differential imaging of F-actin within a fibroblast (green) and NKL cell (red) at the IS.

(L) Actin fibers in RAd-Ctrl infected fibroblast that align with the extent of actin polymerization in the NKL cell are highlighted in white.

(M) Intensity profiles of actin along the indicated regions of the IS within the fibroblast (green) or NKL cell (red).

Additional evidence for this hypothesis was provided in experiments in which ABI1/ABI2 was overexpressed. Overexpression of ABI1/ABI2 in the presence of pUL135 resulted in increased recruitment of ABI by UL135, yet it decreased the recruitment of WAVE2 (Figure S6A). This was interpreted as being due to an excess of monomeric ABI1/ABI2, which saturated pUL135 and prevented the recruitment of ABI1/ABI2 found in the WRC. This correlated with reduced modification of actin by pUL135 (Figures S6B and S6C) and a reduced ability for pUL135 to inhibit NK degranulation (Figure 6G). Overexpression of ABI1/ABI2 in the absence of pUL135 did not affect NK degranulation.

UL135 Inhibits the Formation of an Immune Synapse

pUL135-mediated protection against immune effector cells depended on its interaction with ABI1/ABI2 and capacity to disrupt and/or remodel the actin cytoskeleton. Furthermore, a specific inhibitor of actin polymerization recapitulated this effect. Moreover, NK cells were less able to adhere to cells expressing pUL135. To progress our understanding of pUL135 function, the IS was imaged directly during NK cell recognition. Following coculture of fibroblasts with NK cells, bona fide ISs were readily detected at sites of cell:cell contacts, as demonstrated by a ring of polymerized actin indicative of NK cell activation and synapse formation (Figure 6H, RAd-Ctrl). When pUL135 was expressed in target cells, ISs were less common, their morphology was less defined, and actin polymerization at the IS was much reduced (Figures 6H and 6I). Phalloidin selectively labeled long F-actin filaments within the target cell. Interestingly, these frequently delineated the inner or outer limits of actin polymerization within the actin ring formed by the activated NK cell (Figure 6J). To unambiguously differentiate the actin in the target cell from that in the NK cell, fibroblasts were engineered to express a Citrine-labeled live-cell actin marker lifeact, whereas NKL cells expressed mCherry-tagged lifeact. Fluorescent labeling clearly differentiated between the “red” actin ring associated with the IS in the NK cell and the underlying “green” actin fibers within the target cell (Figures 6K–6M). Like phalloidin staining, synapses were much less common when UL135 was expressed in the target cell, and, when they did form, the characteristic actin structure was absent (Figure 6K). Lifeact imaging also revealed that the actin ring within the NK cell was delineated by, and commonly aligned with, the actin fibers within the target cell (Figures 6L and S6D). Moreover, we observed that actin polymerization within the actin ring formed by the effector cell was clearly less dense where it “intersected” with actin fibers in the target cell (Figure 6M), consistent with the structure of the cytoskeleton within the target cell influencing synapse formation in the effector cell. Therefore, we propose that F-actin filaments within the target cell play an important role in the formation and structure of the synapse in the NK cell, and pUL135 may inhibit synaptogenesis by derailing this process.

Discussion

The UL/b’ sequence (UL133UL150) is an important determinant of HCMV pathogenesis in vivo that harbors a striking concentration of genes implicated in controlling host immunity; these include a potentiator of tumor necrosis factor α (TNF-α) signaling (UL138) (Le et al., 2011), NK cell evasion functions UL141 and UL142 (Wilkinson et al., 2008), TNF receptor homolog UL144 (Benedict et al., 1999), and IL-8-like virokine UL146 (Penfold et al., 1999). By promoting evasion of both NK and T cell recognition, pUL135 can be expected to contribute toward the increased virulence bestowed by HCMV UL/b’. Moreover, being encoded within the latency-associated UL133UL138 transcriptional unit, UL135 has the potential to confer immune protection during virus reactivation in differentiating myeloid cells. Nevertheless, pUL135 is efficiently expressed during productive infection, reaching peak levels at 24 hr postinfection, and makes a major contribution toward the characteristic cytopathic effect of clinical HCMV strains.

The profound effect pUL135 exerts on cellular morphology was mediated by two distinct mechanisms acting independently through talin and ABI1/ABI2. Integrins are heterodimeric integral membrane proteins that link the cytoskeleton with extracellular matrix (Kim et al., 2011). Bidirectional signaling through integrins plays a crucial role in regulating cell proliferation, survival, transcription, migration, and cytoskeletal organization. The N-terminal FERM domain of talin attaches to the cytoplasmic tail of the β-integrin subunit, whereas its C-terminal rod domain binds actin. Talin is not merely a molecular bridge but a key regulator of inside-out signaling and, hence, integrin activation. pUL135 and talin-1 participated in a stable complex at the plasma membrane that correlated with disruption of focal adhesins and suppression of contacts with the extracellular matrix. Although integrins play a major role in immune recognition by cytotoxic cells, talin knockdown had no discernible impact on pUL135’s capacity to suppress NK cell function. Indeed, deletion of the talin binding domain actually increased the ability of pUL135 to inhibit NK cells. Beyond immune evasion, HCMV controls the motility and differentiation of infected cells in order to promote virus dissemination, and infection of endothelial cells can promote transendothelial migration of infected monocytes by increasing the permeability of the endothelium (Bentz et al., 2006). By inhibiting the ability of the cell to interact with the extracellular matrix, pUL135 has the potential to affect these processes.

The adaptor proteins ABI1 and ABI2 play a major role in promoting actin polymerization through their interaction with mena (Tani et al., 2003), the diaphenous-like formins (Ryu et al., 2009), N-WASP, and WAVE1–WAVE3 (Takenawa and Suetsugu, 2007). We demonstrated that pUL135 bound directly to ABI1/ABI2 and recruited members of the WRC, including WAVE2, CYFIP1, and NAP1. The WRC promotes actin polymerization following recruitment of profilin, actin, and the Arp2/Arp3 complex. However, in recruiting the WRC rather than promoting actin polymerization, pUL135 induced the selective loss of stress fibers, whereas cortical actin was preserved. The effect is most readily observed when pUL135 is expressed in isolation, given that HCMV encodes additional functions that impact on actin (Seo et al., 2011) and adhesion junctions (Stanton et al., 2007).

Remodeling of the actin cytoskeleton is not only instrumental in a range of cellular processes including motility, polarity, survival, and replication but is also implicated in the entry, assembly, replication, egress, and spread of innumerable viruses and intracellular bacteria (Taylor et al., 2011). Although pUL135 has the potential to impact on diverse cellular and viral processes, the gene is dispensable in vitro. pUL135 is an extremely effective NK and T cell evasion function, which operates against the background of a number of other HCMV encoded immune evasins. Orchestrated reorganization of the actin cytoskeleton is critical within the cytotoxic cell to promote adherence to the target cell, polarization of cytolytic granules, organization of the immunological synapse, and degranulation. The nucleation-promoting factor WASp and the Arp2/Arp3 complex are recruited to the NK cell synapse (Butler and Cooper, 2009, Mace et al., 2010, Orange, 2008, Rak et al., 2011), whereas actin polymerization induced by WASp and WAVE2 are critical for T cell activation and IS formation (Billadeau et al., 2007). F-actin accumulation at the synapse is a prerequisite for cytotoxic synapses and is required for granule secretion, whereas inhibitory NK synapses are characterized by a lack of an actin ring assembly (Brown et al., 2011, Orange, 2008, Rak et al., 2011). However, there is surprisingly little information regarding the role of actin in target cells. Our imaging studies imply that F-actin fibers provide a framework for the IS. This foundation is undermined in pUL135-expressing cells and correlated with pUL135’s capacity to modify F-actin through its interaction with the WRC. A role for the cytoskeleton is indicated both by pUL135’s requirement for ABI1/ABI2 and CYFIP1, and pUL135’s inability to suppress NK cell function in the presence of LatA or jasplakinolide. Neither knockdown nor overexpression of ABI1/ABI2 or CYFIP1 in target cells impacted on NK cell activation, indicating that the interaction of pUL135 with the WRC involves more than simple inhibition of WRC function.

When expressed in isolation, pUL135-mediated disruption of F-actin was associated with the elimination of lamellipodia, filopodia, and nanotubes; by itself, this could reduce recruitment of the cytotoxic cell by the target (Davis and Sowinski, 2008). Within the IS, the highly structured supramolecular activation cluster spatially aligns receptors and adhesion molecules on the effector cell with their ligands on the target cell. The actin cytoskeleton underlies and links to these structures in the target cell, and disruption of actin in the target has been shown to impair ligand binding to receptors on the NK cell (Gross et al., 2010). Formation of the IS was clearly impeded by pUL135, and, when found, they were misformed and failed to induce the prominent actin ring structure characteristic of an activating synapse. By imaging the actin organization at the IS in both the NK and target cell, it was clear that the actin organization within the target cell can influence synapse formation by the NK cell by both delineating the overall extent of the IS and influencing local levels of actin polymerization on a subsynaptic scale. The important role played by target cell F-actin in immune cell recognition is manifest by the remarkable efficiency with which pUL135 suppressed NK and T cell recognition. By preventing the establishment of a cytotoxic synapse, the viral evasion function suppressed a wide range of effector cell types and functions. This mechanism may not be unique to HCMV, given that a wide range of viruses are known to perturb the actin cytoskeleton (Taylor et al., 2011).

Experimental Procedures

Healthy adult volunteers provided blood and dermal fibroblasts following written informed consent. All procedures were approved by the Cardiff University School of Medicine Ethics Committee.

Cells and Viruses

Telomerase-immortalized primary SFs, HFFF, HFFF-hCAR, MRC-5, and 293-TREx cells were grown in Dulbecco’s modified Eagle’s medium (DMEM; 10% fetal calf serum [FCS]), and primary NK cells were cultured as described previously (Morris et al., 2005, Prod’homme et al., 2007). HCMV IE1- and pp65-specific T cell lines were expanded by coculture with irradiated peptide-coated autologous fibroblasts in RPMI medium (10% FCS, 2% human AB serum, and 10 IU/ml IL-2). The HPV16 E6 T cell clone 7E7 has been described previously (Evans et al., 2001). F-actin binding lifeact peptide (Riedl et al., 2008) tagged with mCherry or mCitrine was expressed from retrovirus vectors. HCMV was derived from bacterial-artificial-chromosome-cloned strain Merlin (RL13 and UL128) genome (Stanton et al., 2010). Merlin-ΔUL135 was constructed via recombineering in order to delete the first 687 bp of UL135. All virus stocks were sequenced (MiSeq) following reconstitution. Recombinant adenoviruses were generated with the AdZ system (Stanton et al., 2008).

Immunohistochemistry

Immunofluorescence and western transfers were performed as described previously (Stanton et al., 2010). For HCMV-infected cells, coverslips were precoated with 10 μg/ml fibronectin in order to provide greater adhesion. There was no difference in the ability of Merlin or Merlin-ΔUL135 to bind to fibronectin (data not shown). Coverslips were blocked with human serum prior to applying primary antibody. For detection of immune synapses, NKL cells were added 15 min before fixation followed by staining with Phalloidin Atto-647N. Images were analyzed with ImageJ (National Institutes of Health).

Immunoprecipitation and Yeast Two-Hybrid

Cells were lysed with IP Lysis Buffer (Pierce Biotechnology) containing 2 mM Na3VO4, 2 mM NaF, and protease inhibitors (Sigma-Aldrich) for 30 min and centrifuged at 12,000 × g for 30 min, and then 25 μl anti-V5 agarose (Abcam) was added. Samples were rotated for 3 hr and washed three times, and then proteins were eluted in NuPAGE SDS sample buffer. Samples were subjected to SDS-PAGE followed by either western transfer or SILAC mass spectroscopy as previously described (Weekes et al., 2012). Yeast two-hybrid screening was performed as described previously (Striebinger et al., 2013).

siRNA

Cells were transfected with Lipofectamine RNAiMAX (Invitrogen) according to manufacturers’ instructions. Cells were infected with RAd or HCMV 24 hr posttransfection and then assayed 48 hr postinfection.

Adhesion and Spreading Assays

Target and NK cells were incubated for 15 min at 37°C in 1 μg/ml CFDA-SE. Cell Tracer or 0.25 μg/ml DDAO-SE (Invitrogen) were used, respectively. Cells were washed and incubated at 37°C for 30 min. Equal quantities of NK and target cells were mixed and incubated at 37°C for 10 min. Cells were fixed in 4% paraformaldehyde before fluorescence-activated cell sorting acquisition. Spreading assays were performed as described previously (Humphries, 2009).

Functional Effector Cell Assays

NK cytotoxicity was measured with Cr51 release (Aicheler and Stanton, 2013). Degranulation assays were performed as described previously (Prod’homme et al., 2007). For 7E7 T cell stimulation, HLA-A0201 MRC-5 targets were incubated for 1 hr at 37°C with HPV16 E629–38 peptide (TIHDIILECV). For T cell lines generated from donor D7, autologous fibroblasts were coated with IE1 (VLEETSVML), pp65 (NLVPMVATV), or irrelevant peptide at 100 μg/ml. For IFN-γ assays, cells were stained with combinations of anti-CD3-PerCP, anti-CD8-APC, or anti-CD56-APC before fixation, permeabilization, and intracellular cytokine staining with anti-IFN-γ-FITC or anti-IFN-γ-PE (BD Biosciences). For assays in the presence of LatA and jasplakinolide, cells were maintained in the drug until the CD107a assay. Cells were washed, PBMC was added, and the assay performed. Limited recovery of actin polymerization occurred during the CD107a assay following LatA treatment (Figures S7A and S7B), and none occurred following jasplakinolide treatment (Figure S7C).

Author Contributions

R.J.S., V.P., M.A.P., E.C.Y.W., and P.T. performed the experiments. V.P. and M.M. mapped UL135 function. E.C.Y.W., K.L.M., and S.M. performed T cell assays. M.A.P. designed, performed, and analyzed immunological synapse assays. M.H., S.M.B., and J.H. performed yeast two-hybrid. R.A., M.P.W., and P.J.L. performed proteomic analysis. G.S.W. and A.J.D. sequenced HCMV mutants. B.V. generated UL135 antibody. R.A., V.P., R.J.S., M.M., and P.T. performed NK assays. R.J.S. analyzed the interaction with the WRC. R.J.S., V.P., and G.W.G.W. designed the study. R.J.S., V.P., P.T., and G.W.G.W. wrote the manuscript. G.W.G.W. oversaw the project.

Acknowledgments

This work was supported by funds from the Wellcome Trust WT090323MA and WT093465MA (M.A.P.) and MRC G1000236 and MR/L008734/1. B.V. was supported by projects RECAMO CZ.1.05/2.1.00/03.0101 and GACR P206/12/G151. The authors are grateful to Brett Kaiser, Siân Llewellyn-Lacey, Garry Dolton, Colleen Ring, Anne-Marie Pendergast, Andrea DiSanza, Giorgio Scita, Justin Gundelach, Richard Bram, Daniel D. Billadeau, Susan Craig, and Martin Humphries for technical support, advice, and reagents.

Published: August 31, 2014

Footnotes

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/).

Supplemental Information contains Supplemental Experimental Procedures, seven figures, and two tables and can be found with this article online at http://dx.doi.org/10.1016/j.chom.2014.07.005.

Contributor Information

Richard J. Stanton, Email: stantonrj@cf.ac.uk.

Gavin W.G. Wilkinson, Email: wilkinsongw1@cf.ac.uk.

Supplemental Information

Document S1. Supplemental Experimental Procedures, Figures S1–S7, and Tables S1 and S2
mmc1.pdf (5.1MB, pdf)
Document S2. Article plus Supplemental Information
mmc2.pdf (9.1MB, pdf)

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

Document S1. Supplemental Experimental Procedures, Figures S1–S7, and Tables S1 and S2
mmc1.pdf (5.1MB, pdf)
Document S2. Article plus Supplemental Information
mmc2.pdf (9.1MB, pdf)

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