Abstract
Rift Valley fever virus (RVFV) is an arbovirus circulating between ruminants and mosquitoes to maintain its enzootic cycle. Humans are infected with RVFV through mosquito bites or direct contact with materials of infected animals. The virus causes Rift Valley fever, which was first recognized in the Great Rift Valley of Kenya in 1931. RVFV is characterized by a febrile illness resulting in a high rate of abortions in ruminants and an acute febrile illness, followed by fatal hemorrhagic fever and encephalitis in humans. Initially, the virus was restricted to the eastern region of Africa, but the disease has now spread to southern and western Africa, as well as outside of the African continent, e.g., Madagascar, Saudi Arabia and Yemen. There is a serious concern that the virus may spread to other areas, such as North America and Europe. As vaccination is an effective tool to control RVFV epidemics, formalin-inactivated vaccines and live-attenuated RVFV vaccines have been used in endemic areas. The formalin-inactivated vaccines require boosters for effective protection, whereas the live-attenuated vaccines enable the induction of protective immunity by a single vaccination. However, the use of live-attenuated RVFV vaccines for large human populations having a varied health status is of concern, because of these vaccines’ residual neuro-invasiveness and neurovirulence. Recently, novel vaccine candidates have been developed using replication-defective RVFV that can undergo only a single round of replication in infected cells. The single-cycle replicable RVFV does not cause systemic infection in immunized hosts, but enables the conferring of protective immunity. This review summarizes the properties of various RVFV vaccines and recent progress on the development of the single-cycle replicable RVFV vaccines.
Keywords: Rift Valley fever , vaccines , single-cycle replication , safety , membrane fusion
1. Introduction
Rift Valley fever virus (RVFV), an arbovirus, is the causative agent of Rift Valley fever (RVF), characterized by a febrile illness, resulting in a high rate of abortions in ruminants. In humans, RVFV causes an acute febrile illness followed by fatal hemorrhagic fever, encephalitis, or ocular diseases (Ikegami and Makino, 2011). RVF was first recognized in the Great Rift Valley of Kenya in 1931 (Daubney et al., 1931) after the deaths of lambs and ewes. Initially, the virus was restricted to the eastern region of Africa, but today it has spread to southern and western Africa and also outside of Africa, including Madagascar, Saudi Arabia and Yemen (Bird et al., 2009). The virus periodically causes major epidemics in these countries. Young animals are generally susceptible to the virus infection and show high mortality rates (Bird et al., 2009). Virus infection causes a very high rate of abortions called “abortion storms” in pregnant ruminants, as well as the death of newborns. In the 2007 RVF outbreak in Kenya and Tanzania, approximately 49,000 cattle, goats, and sheep died (Himeidan et al., 2014). RVFV outbreaks have had a significant economic impact due to loss of livestock and the need to curtail livestock trade following outbreaks (Himeidan et al., 2014). Human RVFV infections generally manifest as self-limiting and nonfatal illnesses (Ikegami and Makino, 2011). However, a small number of cases progress to more severe diseases, such as acute hepatitis and delayed-onset encephalitis. In the case of human infection, case fatality rates have varied from 12% to 31% in recent outbreaks (Himeidan et al., 2014). The virus is transmitted by mosquito bites and direct contact with materials from infected animals. Farmers, farm workers, veterinarians, and other health care workers are at high risk for infection, as they handle RVFV-infected animals, e.g., aborted fetal material and body fluids from infected humans. Warm weather, heavy rainfall, and flooding promote breeding of mosquitoes and are often connected to outbreaks (Himeidan et al., 2014). Introduction of RVFV into non-endemic countries, including the U.S., potentially occurs by the movement of infected travelers, animals and, most likely, insect vectors, including mosquitoes (Rolin et al., 2013). RVFV has wide range of vector species, over 30, including mosquito species existing in the U.S. (Turell et al., 2010; Turell et al., 2008). Hence, there is a serious concern that RVFV may be introduced into non-endemic areas and establish infection cycles with resident mosquitoes and domestic animals. The intentional spread of RVFV is also of serious national biosecurity concern. Currently, RVFV is classified as a select agent and belongs to the NIAID Category A list pathogens and the CDC list of potential bioterrorism agents. RVF outbreaks in the non-endemic areas, including the U.S., would cause serious public health, agricultural, and economic problems.
RVFV is a member of the genus Phlebovirus, family Bunyaviridae, and carries negative-stranded, tripartite RNA genomes, comprised of L, M, and S RNA segments (Walter and Barr, 2011). The anti-genomic sense of L RNA encodes RNA-dependent RNA polymerase (L protein). The anti-genomic sense of M RNA carries 5 in-frame start codons, each of which is used for the expression of 78-kDa protein, the nonstructural proteins NSm and NSm’ (Kreher, 2014), and the major glycoproteins Gn and Gc. S RNA uses an ambisense strategy to express nucleocapsid (N) protein and nonstructural protein NSs (Fig. 1A). The RVFV particle consists of the segmented viral RNA genomes, L, N and envelope glycoproteins, and several host proteins (Nuss et al., 2014). The glycoproteins, Gn and Gc, are co-translationally cleaved from a precursor polypeptide and form heterodimers which are arranged into an icosahedral lattice with T=12 symmetry (Freiberg et al., 2008). The virus utilizes DC-SIGN or/and heparin sulfate as one of its entry receptors and gets into the cells via caveola-mediated endocytosis (de Boer et al., 2012a; Harmon et al., 2012; Lozach et al., 2011). RVFV L and N proteins are essential for the viral RNA replication and transcription (Accardi et al., 2001; Ikegami et al., 2005; Lopez et al., 1995). NSs, NSm and 78-kDa proteins are not required for RVFV replication in cultured cells (Gerrard et al., 2007; Ikegami et al., 2006; Won et al., 2006), but play important roles in controlling virus virulence and dissemination in infected hosts (Bird et al., 2007; Kreher, 2014; Muller et al., 1995).
Although RVFV spread can be prevented by effective vaccination of animals and humans, there are no licensed RVFV vaccines to immunize general citizens in the U.S. and many other countries. There is a substantial body of literature demonstrating that humoral immunity is necessary and sufficient for protection against RVFV (Anderson et al., 1987; Besselaar and Blackburn, 1991; Harrington et al., 1980; Niklasson et al., 1984; Pittman et al., 1999; Peters et al., 1988; Peters et al., 1986; Spik et al., 2006; Schmaljohn et al., 1989; Spik et al., 2006). Also, RVFV is considered to be serologically monotypic (Besselaar et al., 1991; Shope et al., 1980; Tesh et al., 1982). Hence, RVFV vaccines that elicit strong humoral immune responses will be invaluable candidates that are able to induce rapid immune responses against any strain of RVFV. Several different types of RVF vaccine candidates have been developed and tested for their efficacies in protection. This review provides a brief description of attenuated live RVF vaccines, recombinant vaccines based on other viral vectors, and non-replicable RVFV vaccines, including formalin-inactivated RVFV, DNA vaccine, subunit vaccine, and virus-like particle (VLP)-based vaccine. In addition, recent progress in the development of single-cycle replicable RVFV vaccine candidates is highlighted.
2. Live attenuated vaccine candidates
A live-attenuated Smithburn vaccine has been used to control RVF in endemic areas (Bird et al., 2009). The vaccine was developed by serial passages of a wt RVFV, isolated from mosquitoes in Uganda, in mouse brains (Smithburn, 1949). Smithburn vaccine does not cause lethal infection in mice after inoculation via the intraperitoneal (i.p) route (Smithburn, 1949), whereas it has caused hepatocyte necrosis in young and adult goats and abortions in pregnant goats (Kamal, 2009). Abortions were also reported in European-bred ruminants vaccinated with Smithburn vaccine (Botros et al., 2006). These studies implied that Smithburn vaccine is still virulent in ruminants and therefore, is not recommended for use in non-endemic areas.
Clone 13, a naturally occurring attenuated strain isolated by plaque cloning of the RVFV 74HB59 strain, lacks 69% of the NSs gene (Muller et al., 1995). Although the NSs protein is not essential for RVFV replication in cell culture (Billecocq et al., 2008; Habjan et al., 2008; Ikegami et al., 2006), it is a major virulence factor of the virus (Bouloy et al., 2001). NSs suppresses host innate immune functions by inhibiting host RNA synthesis (Le May et al., 2004), including IFNβ mRNA (Le May et al., 2008), and by promoting the degradation of double-stranded RNA-dependent protein kinase (PKR), which mediates the host antiviral responses (Habjan et al., 2009b; Ikegami et al., 2009). Due to large deletions in the NSs gene, clone 13 is highly attenuated in mice (Muller et al., 1995). Vaccination of clone 13 in ruminants did not cause clinical signs, including abortions, and protected the animals from virulent RVFV challenge, suggesting that clone 13 is safe and effective in ruminants (Dungu et al., 2010; von Teichman et al., 2011).
Another attenuated strain, MP-12, was generated by the serial passage of virulent RVFV strain ZH548 in the presence of chemical mutagen, 5-fluorouracil (Caplen et al., 1985). MP-12 encodes a total of 23 mutations (9 amino acid substitutions) (Lokugamage et al., 2012) and is highly attenuated in animals. When viruses, created by reassortment between a virulent RVFV strain and MP-12, were analyzed, it was found that mutations in the M and L segments primarily contributed to attenuation of MP-12 (Billecocq et al., 2008; Saluzzo and Smith, 1990). Vaccination of MP-12 in mice and ruminants demonstrated that MP-12 is safe and elicits high titers of virus-neutralizing antibodies, which are sufficient for protection against virulent RVFV challenge (Bird et al., 2009). Due to the low virulence of MP-12, it is currently the only RVFV strain that can be used in a BSL-2 laboratory, whereas wt RVFV and other RVFV mutants need to be handled in BSL-4 or enhanced BSL-3 labs.
By using reverse genetics systems, several recombinant RVFV mutants were created and tested for their potential as live attenuated vaccines. MP-12-clone 13 is an MP-12-based mutant carrying a clone 13-type large deletion in the NSs gene (Lihoradova et al., 2012). Although MP-12-clone 13 has lower virulence than its parental strain MP-12, its immunogenicity was lower than that of MP-12 (Lihoradova et al., 2012). Lihoradova et al. also generated an MP-12 mutant, rMP12-mPKRN167, carrying a dominant negative form of PKR in place of the NSs gene. The rMP12-mPKRN167 undergoes efficient virus replication by inactivating PKR, but does not suppress host transcription, including IFNβ mRNA synthesis (Lihoradova et al., 2012). rMP12-mPKRN167 showed good protection efficacy from wt RVFV challenge in mice. A recombinant virus, lacking the NSm and NSs genes of the virulent RVFV ZH501 strain, was safe in pregnant ewes and fully protected them from viremia and abortions caused by virulent RVFV challenge (Bird et al., 2011). rMP12-mPKRN167 and ZH501 lacking NSm and NSs genes are ideal for application of the concept of DIVA (Differentiating Infected from Vaccinated Animals), because they lack a specific viral protein(s). Generation of a new type of 35/74 strain-derived virus, RVFV-4s, carrying an L RNA segment, S RNA segment, and 2 separated M segments, one expressing NSm and Gn proteins and the other expressing Gc protein, has been reported (Wichgers Schreur et al., 2014). RVFV-4s had attenuated virulence in mice due to inefficient dissemination, but was highly immunogenic and protected all of the immunized mice from virulent RVFV challenge.
An ideal RVF vaccine should be safe for individuals of all ages and physiological status. Furthermore, concerns about residual virulence and reversion of live attenuated RVFV vaccine candidates should be negligible. MP-12 has not been found to kill 5-week-old mice after i.p. inoculation, but it often invades the CNS and replicates efficiently in the brain in younger mice after i.p. inoculation, resulting in the deaths of the infected mice (unpublished data). Furthermore, MP-12 and even attenuated MP-12 lacking NSs causes lethal infections in mice with impaired immune responses after i.p. inoculation (Gommet et al., 2011; Papin et al., 2011). These data indicate the possibility that current, live attenuated RVF vaccine candidates may cause an efficient systemic infection and neurological diseases by invasion into the CNS in genetically predisposed or immunocompromised individuals and/or young children, whose immune systems have not fully developed.
3. RVF vaccines based on other viral platforms
Several recombinant RVFV vaccines have been generated by using other viruses as platforms. Immunization of mice and baboons with a vaccinia virus (VACV)-based vaccine, vCOGnGc expressing Gn and Gc of the wt RVFV ZH501 strain, elicited anti-RVFV neutralizing antibodies (Papin et al., 2011). Importantly, most of the mice, vaccinated with two doses of vCOGnGc, were protected from wt RVFV challenge. vCOGnGcγ expressing human IFN-γ gene and RVFV glycoproteins was constructed to enhance safety, but expression of the human IFN-γ gene appeared to reduce the immune response of the mice to the vCOGnGcγ. Although both rVACVs were deemed safe and induced neutralizing antibodies against RVF, a booster immunization was needed to elicit high levels of neutralizing antibodies and protection against RVFV challenge. A recombinant modified vaccinia virus Ankara (rMVA) was also used for the expression of RVFV Gn/Gc (rMVA-Gn/Gc) and N protein (rMVA-N) (Lopez-Gil et al., 2013). A single dose of the rMVA-Gn/Gc vaccine in mice induced RVFV-neutralizing antibodies and glycoprotein-specific CD8+ T cell responses that completely protected the immunized mice against challenge with RVFV. Prime-boost regimen using rMVA-N vaccine elicited an antibody response against RVFV nucleocapsid protein and partially protected the immunized mice from RVFV challenge. Immunization with rMVA-Gn/Gc did not protect mice lacking the type I IFN receptor, indicating the importance of innate immune responses in providing protection against RVFV infection.
RVFV vaccines based on Newcastle disease virus (NDV) expressing Gn and Gc proteins of M35/74 strain have been reported (Kortekaas et al., 2010). A single immunization of lambs with the NDV-based vaccine was sufficient to induce anti-RVFV- neutralizing antibodies, whereas a prime-booster immunization protocol was needed to elicit neutralizing antibodies in mice and calves. Mice challenged with a lethal dose of RVFV were protected 100% after a homologous prime-boost vaccination regimen.
An adenovirus vector (CAdVax) was used to generate CAdVax-RVF which expresses Gn and Gc proteins of the RVFV ZH548 strain as separate, recombinant proteins (Holman et al., 2009). Although CAdVax-RVF induced high levels of antibodies against RVFV after a single vaccination, antibody titers began to decline after 10 weeks post vaccination. Nevertheless, all immunized mice survived from a lethal dose of wt RVFV challenge. In mice, a prime-boost vaccination with CAdVax-RVF offered long-term protection against lethal RVFV infection. Mice with a pre-existing adenovirus vector immunity were immunized with CAdVax-RVF and then challenged with RVFV. An increase in vaccine dosage seemed to overcome the limitation of a pre-existing immunity to CAdVax in mice. A replication-deficient Chimpanzee adenovirus vector, ChAdOx1, was also tested as an RVFV vaccine candidate (Warimwe et al., 2013). Because the serotype of ChAdOx1 is distinct from that of human adenovirus type 5 (HAdV5), the ChAdOx1 vaccine response is not affected by a pre-existing immune response against HAdV5. Although ChAdOx1 encoding RVFV Gn and Gc glycoproteins was less immunogenic than HAdV5-GnGc encoding the same glycoproteins in BALB/c mice, a single vaccination of mice with each virus elicited neutralizing antibody and a robust CD8+ T cell response and conferred protection from clinical disease and mortality following challenge with wild type RVFV.
Alphavirus-replicon-derived RVF vaccine candidates which express Nsm, Gn and Gc proteins of RVFV ZH501 strain were developed from mosquito and human isolates of Sindbis virus (Heise et al., 2009). A prime-boost vaccination of mice with both vaccine candidates produced anti-RVFV neutralizing antibodies and elicited a protective immune response against RVFV challenge. Although the prime-boost vaccination of sheep also induced neutralizing antibody production, it is unknown if antibody levels are sufficient to protect the immunized sheep from RVFV challenge.
Although many of these vaccine candidates have been shown to elicit protective levels of neutralizing antibodies against RVFV and protection against RVFV challenge, they often require prime-boost vaccinations to offer 100% protection. A pre-existing vector immunity may limit the efficacy of some RVFV vaccines that are based on other viral vectors.
4. Non-replicable RVFV vaccine candidates
4.1. Formalin-inactivated vaccines
A formalin-inactivated vaccine, NDBR 103, was manufactured based on the RVFV Entebbe strain, which was originally isolated from mosquitoes in Uganda (Randall et al., 1962). NDBR 103 was used for immunization of more than 500 human volunteers and was proven safe and immunogenic after three doses of vaccination (Niklasson et al., 1985; Niklasson, 1982). Another formalin-inactivated vaccine, TSI-GSD-200, was produced based on the Entebbe strain for human use, especially for those with a high occupational risk of exposure to the virus (Pittman et al., 1999). Inactivated RVFV vaccines need a booster with a several-months interval to keep good neutralizing antibody titers for maximum protection (Niklasson et al., 1985; Pittman et al., 1999).
4.2. Subunit and DNA vaccines
Humoral immunity, particularly neutralizing antibodies, is known to play a central role in protection against RVFV. As Gn and Gc envelope proteins carry neutralizing epitopes, DNA and subunit vaccines primarily target these envelope proteins to elicit high titers of neutralizing antibodies.
Purified RVFV Gn and/or Gc proteins produced in E.coli, drosophila and baculovirus-based expression systems were tested as subunit vaccines. All mice inoculated with Gn protein or a soluble form of Gn protein by a prime-boost immunization regimen survived after wt RVFV challenge (de Boer et al., 2010; Schmaljohn et al., 1989; Wallace et al., 2006), demonstrating that Gn or a soluble form of Gn alone was sufficient for eliciting neutralization antibodies for protection. However, a single immunization of Gn subunit RVFV vaccine candidates did not achieve 100% protection in mice. DNA constructs encoding the soluble form of Gn protected 80% of mice against lethal RVFV challenge after three doses of the vaccination by gene gun, while expression of murine C3d, a molecular adjuvant, fused with the Gn increased survival rates up to 100%, indicating that C3d improved the protective efficacy of the DNA vaccine (Bhardwaj et al., 2010). Multiple immunizations of DNA or subunit vaccines expressing both Gn and Gc resulted in full protection of mice after virulent RVFV challenge (Lorenzo et al., 2010; Spik et al., 2006). Schmaljohn et al. reported that immunization of mice with subunit vaccine containing both Gn and Gc proteins induced neutralizing antibody titers, which were significantly higher than in mice immunized with Gn subunit vaccine, indicating that Gn and Gc expressed as polyproteins were better immunogens than Gn alone (Schmaljohn et al., 1989). The Gn/Gc subunit vaccine protected all immunized animals from wt RVFV after single-dose immunization (Schmaljohn et al., 1989). Immunogenicity of DNA or subunit vaccines expressing both Gn and Gc proteins varied depending on the selection of which initiation codons to use for expression of M gene products. DNA vaccines which expressed glycoproteins from the 1st or 2nd AUG resulted in lower immunogenicity compared to the vaccine expressing proteins from the 4th AUG (Lorenzo et al., 2010; Spik et al., 2006). On the other hand, expressing proteins from a 2nd AUG by a baculovirus expression system significantly improved the immunogenicity of the vaccine.
In addition to viral envelope proteins, effects of immunity against RVFV N protein for protective efficacy have been tested. Multi-dose (two to four times) immunization with purified N protein or DNA construct encoding N protein elicited antibodies against N protein and partially protected the immunized mice from death or disease caused by virulent RVFV challenge (Boshra et al., 2011; Jansen van Vuren et al., 2010; Lorenzo et al., 2010; Lagerqvist et al., 2009; Wallace et al., 2006), demonstrating that immunization of N protein alone conferred protection. N protein carries epitopes recognized by human CD8+ T cell and elicits memory responses (Xu et al., 2013). Immune responses induced by a vaccine consisting of N protein or a DNA vaccine encoding only N protein generally conferred lower levels of protection from wt RVFV challenge than did those induced by vaccines carrying or expressing Gn/Gc glycoproteins (Jansen van Vuren et al., 2010; Lorenzo et al., 2010; Lagerqvist et al., 2009). Co-immunization of mice with two DNA vaccines, one encoding N protein and the other encoding Gn/Gc proteins, showed that expression of N protein with Gn/Gc proteins did not improve the protective efficacy (Lorenzo et al., 2010).
Overall, in the case of RVF DNA and subunit vaccines, multiple doses of immunization and/or presence of an adjuvant are often required for full protection from wt RVFV challenge, although they are safe vaccine candidates.
4.3. VLP-based vaccine candidates
RVF VLPs carry all or some virus structural proteins and are morphologically similar to infectious RVFV particles; however, they are unable to replicate due to the absence of viral genomes that are required for virus replication. Liu et al. generated RVF VLPs by expressing N, Gn and Gc proteins by using a baculovirus-based expression system. The produced particles, which were 90-120 nm in diameter with a spiky outer layer, were morphologically similar to authentic RVFV particles (Liu et al., 2008). Other groups demonstrated that expression of Gn and Gc proteins by using mammalian expression plasmids resulted in production of VLPs, which were morphologically similar to RVFV particles (de Boer et al., 2010; Mandell et al., 2010). These results showed that N protein was not necessary for the generation of VLP. Expression of viral minigenome RNA, along with N, Gn and Gc proteins, did not affect VLP yields and the abundance of N protein in the VLP (Mandell et al., 2010). In contrast, Piper et al. reported that the expression of S segment-based minigenome containing a Renilla luciferase gene increased VLP yield (Piper et al., 2011). Habjan et al. generated VLP carrying minigenome RNA consisting of Renilla Luciferase flanked by M segment UTRs. Luciferase activity was observed in VLP-inoculated indicator cells expressing L and N proteins, indicating that the minigenome RNA was incorporated into the VLP (Habjan et al., 2009a).
Immunization of mice via the i.p. route with three doses of VLP consisting of RVFV structural proteins and mini genome RNA resulted in neutralizing antibody titers that ranged from 1:250 to 1:1250, and 92% of the immunized mice were protected from wt RVFV challenge (Naslund et al., 2009). To improve immunogenicity, another VLP, named N-VLP, was generated by the co-expression of a RVFV RNA carrying the N gene flanked by the M segment UTR and other viral structural proteins (Pichlmair et al., 2010). A single immunization of N-VLP did not cause any disease in mice and protected the animals from a lethal dose of RVFV. Because low levels of N protein expression occur in VLP-infected cells, these data imply that N protein expression in VLP-infected cells enhanced the immunogenicity. Additionally, the immunogenicity of VLPs produced in a Drosophila cell expression system was also tested in mice (de Boer et al., 2010). Prime-boost, i.p. immunization induced high titers of neutralizing antibodies and protected 100% of the immunized mice from lethal RVFV challenge. Neutralizing antibody titers of the mice immunized with these VLPs were statistically higher than those of mice immunized with a soluble form of Gn, indicating that Gn and Gc expressed as polyproteins were better immunogens than Gn alone. Mandel et al. reported the generation of chimeric VLP containing Gn, Gc and gag protein of Moloney murine leukemia virus and tested for its efficacy as a vaccine (Mandell et al., 2010). Three subcutaneous (s.c.) immunization of mice with chimeric VLP elicited neutralizing antibody titers above 1:640. Although the chimeric VLP carrying Gn/Gc, N and gag proteins and authentic RVFV VLP carrying Gn/Gc and N proteins induced similar neutralizing antibody titers, the chimeric VLP showed better protective efficacy than did the RVFV VLP, indicating that including a gag protein in the chimeric VLP enhanced immunogenicity. The authors also showed that the presence of N protein in the chimeric VLP did not affect neutralizing antibody titers but enhanced protection efficacy from wt RVFV challenge, demonstrating the importance of N protein for the VLP vaccine efficacy. The protective efficacies of these VLPs and single-cycle replicable vaccine candidates are summarized in Table 1.
Table 1.
Reference | Vaccine component |
RVFV strain | Mouse strain | Immunization |
Peak neutralizing antibody titer |
% Protective efficacya |
|||
---|---|---|---|---|---|---|---|---|---|
Viral proteins | Viral RNAs | Dosage (number) | Route | Adjuvant | |||||
VLP-based | |||||||||
de Boer et al., 2010 | Gn/Gc | M35/74 | BALB/c | 10μg (2) | I.P. | No | 1000b | 100 | |
Yes | 5000b | 100 | |||||||
Mandell et al., 2010 | Gn/Gc, gag | MP-12 | BALB/cC | 6μg (3) | S.C. | Yes | >640 | 68 | |
Gn/Gc | Yes | >640 | 19 | ||||||
Gn/Gc, N | Yes | >640 | 56 | ||||||
Naslund et al., 2009 | 78/NSm/Gn/Gc, L, N |
M-UTR with rLuc ORF |
ZH548 | C57BL/6 | 105 particles (3) | I.P. | No | 250 | 50 |
106 particles (3) | No | >1250 | 92 | ||||||
Pichlmair et al., 2010 | 78/NSm/Gn/Gc, L, N |
M-UTR with N protein-ORF |
ZH548 | C57BL/6 | 106 particles (1) | I.P. | No | NT | 100 |
Single-cycle replicable | |||||||||
Kortekaas et al., 2011 | 78/NSm/Gn/Gc, L, N |
L, S-GFP | 35/74 | BALB/c | 106 TCID50 (1) | S.C | No | NT | 60 |
I.M. | NT | 100 | |||||||
Oreshkova et al., 2013 | 78/NSm/Gn/Gc, L, N |
L, S-Gn | 35/74 | BALB/cAnCrl | 5×105 TCID50 (1) | I.M. | No | 2500b | NT |
L, S-GFP | BDb | NT | |||||||
Dodd et al., 2012 | Gn/Gc, L, N | L, S-GFP | ZH501 | C57BL/6 | 104 TCID50 (1) | S.C | No | 320 | 100 |
L, S-GFP (irradiated) |
40 | 20 | |||||||
Murakami et al., 2014 | 78/NSm/Gn/Gc, L, N |
L, M with mutation, S-GFP |
MP-12 | CD-1 | 105 pfu (1) | I.M. | No | 1280 (238c) | 89 |
L, S-GFP | 160 (38c) | 45 |
Percentage of surviving mice
Estimated titer (read from the graph in the reference)
Mean titer
NT: not tested
BD: below detection limit
5. Single-cycle replicable vaccine candidates
5.1. RVFV replicon particles (RRP)
In contrast to RVFV VLPs that do not carry out viral RNA replication in VLP-infected cells, RVFV replicon particles (RRP, also called non-spreading RVFV [NSR] or virus replicon particle [VRP]) carry viral RNAs that undergo transcription and RNA replication in RRP-infected cells. RRP carries L RNA and S RNA encoding N protein and GFP in place of the NSs gene (S-GFP RNA) (Fig.1B). In RRP-infected cells, incoming L and N proteins initiate the transcription of L and S-GFP RNAs, resulting in the synthesis of L and N proteins, both of which exert viral RNA synthesis. Subsequently, newly synthesized L and N proteins drive further replication and transcription of the viral RNAs, resulting in the efficient accumulation of L and N proteins and GFP. RRP lacks an M RNA segment for envelope protein expression and is unable to produce virus particles from infected cells, resulting in single-cycle replication.
Kortekaas et al. reported the generation and characterization of RRP (Kortekaas et al., 2011). They generated BHK-rep cells stably supporting replication of L and S-GFP RNAs derived from an RVFV virulent strain 35/74 (Fig. 1B). Transfection of the BHK-rep cells with plasmid encoding 78kDa, NSm, Gn and Gc proteins resulted in efficient production of RRPs (Fig. 2A). All of the mice vaccinated with a single dose (106 TCID50) of RRP via the intramuscular (i.m.) route survived the wt RVFV challenge. In addition, vaccination of sheep with RRP elicited the highest neutralizing antibody titers among other vaccine candidates, including inactivated and Gn subunit vaccines and Newcastle disease virus-based recombinant vaccine, which expresses Gn and Gc. The RRP-immunized sheep were protected from diseases caused by wt RVFV challenge (Kortekaas et al., 2012).
The same group generated an improved RRP (NSR-Gn), which carries L RNA and S-Gn RNA encoding N and Gn proteins (Fig. 1C) (Oreshkova et al., 2013). Mice immunized with NSR-Gn elicited significantly higher neutralizing antibody titers than did those immunized with the original RRP, which indicated that Gn protein expression promoted the production of virus-neutralizing antibodies. In lambs immunized with a single dose of NSR-Gn (106.3 TCID50), no virus RNA was detected from liver, brain and plasma samples after wt RVFV challenge, demonstrating that the NSR-Gn conferred sterile immunity in immunized lambs.
Dodd et al. also generated high titers of RRP, which they termed VRP, by co-transfecting T7 promoter-driven plasmids, each expressing Gn/Gc protein, L RNA and S-GFP RNA into BSR-T7/5 cells stably expressing T7 RNA polymerase, and examined VRP’s immunogenicity and protective efficacy (Dodd et al., 2012). Intracranial inoculation of VRP into newborn suckling mice did not cause disease or death, demonstrating its safety. Immunization of mice s.c. with a single dose of VRP (104 TCID50) elicited neutralizing antibody titers of 1:40 to 1:320 and protected 100% of the mice from the wt RVFV challenge, whereas immunization of mice with irradiated VRP (104 TCID50) elicited neutralizing antibody titers from under detection levels to 1:40 and showed 20% protection. These results indicated that replication of viral RNA and viral protein expression in immunized hosts significantly enhanced the protective efficacy of the VRP.
5.2. MP-12-based single-cycle replicable particle (scMP-12)
To improve the safety of MP-12, we have developed an MP-12-based, single-cycle replicable particle, scMP-12, which undergoes single-cycle replication in infected cells and immunized hosts (Murakami et al., 2014). Unlike RRP, scMP-12 carries three viral RNA segments, L RNA, M RNA carrying a mutation in Gc, and S-GFP RNA encoding N protein and GFP (Fig. 1D). The introduced mutation in Gc of scMP-12 abolishes membrane fusion activity, which is essential for the viral genomes to be delivered to the cytoplasm of infected cells, and prevents multiple cycles of scMP-12 replication in infected hosts.
Structural and computational analyses of RVFV glycoproteins predict the presence of a fusion peptide in Gc protein (Dessau and Modis, 2013; Garry and Garry, 2004). It has been hypothesized that acid-triggered conformational change of the Gc protein initiates insertion of the fusion peptide into a host membrane and leads to the fusion of the viral envelope and vesicle membrane. We developed a fusion assay to identify amino acid residue(s) within the putative fusion peptide region that are responsible for the fusion activity. RVFV Gn/Gc proteins accumulate mainly in the Golgi apparatus when they are expressed as a polyprotein in mammalian cells because Gn contains a Golgi targeting signal, and the C-terminal region of Gc has an endodomain carrying a di-lysine-based ER retrieval signal, which most probably prevents the translocation of Gn/Gc to the plasma membrane. The phlebovirus glycoprotein-induced virus-cell membrane fusion requires a low pH environment (Filone et al., 2006). However, exposure of cells expressing Gn/Gc to a low pH condition does not induce cell-to-cell fusion due to the absence of Gn/Gc at the plasma membrane. Removal of the ER retrieval signal in the Gc protein of Uukuniemi virus (a Phlebovirus) results in the accumulation of expressed Gn/Gc at the Golgi apparatus and the plasma membrane (Overby et al., 2007). Accordingly, we targeted Gn/Gc proteins to the plasma membrane by deleting the ER retrieval signal in Gc protein and screened for fusion-incompetent Gn/Gc heterodimers by using a cell-to-cell membrane fusion assay under low pH conditions. Treatment of BSR-T7/5 cells transiently expressing Gn protein, Gc protein lacking the C-terminal ER retrieval signal, and Venus protein with low pH medium induced membrane fusion (Murakami et al., 2014). To estimate the effects of introduced mutations in the fusion peptide on the structural alteration of Gn/Gc proteins, we also performed immunofluorescent staining of the cells expressing Gn and Gc mutants by using an anti-Gn monoclonal antibody and anti-Gc-monoclonal antibody. We identified 6 amino-acid residues that are important for the fusion activity of Gc, while some mutants were not recognized by the anti Gc monoclonal antibody, implying that a mutation altered the conformation of the Gc (Murakami et al., 2014). For subsequent studies, we used a Gc mutant carrying a deletion of the C-terminal ER retrieval signal and F826N and N827A mutations, which abolished membrane fusion and were recognized by anti-Gc and anti-Gn monoclonal antibodies.
An outline of the generation of scMP-12 is shown in Fig. 2B. scMP-12 was rescued by using a modified MP-12 reverse genetics system (Ikegami et al., 2006). Briefly, BSR-T7/5 cells were co-transfected with three RNA-expression plasmids expressing the L RNA, a mutant M RNA encoding F826N and N827A mutations and a deletion of the C-terminal ER retrieval signal, and an S-GFP RNA, as well as three protein expression plasmids encoding the L, N, and wt Gn/Gc proteins. The scMP-12 produced from transfected cells was infectious due to the presence of wt Gn/Gc. Inoculation of the released scMP-12 into Vero-G cells stably expressing wt Gn/Gc resulted in amplification of scMP-12. In naïve cells infected with scMP-12, the expression of L protein, N protein, GFP and the fusion-defective Gn/Gc from the replicating viral RNAs resulted in the production of noninfectious VLPs containing the fusion-defective Gn/Gc. In immunized hosts, scMP-12 particles in the inoculum, viral proteins accumulated in scMP-12-infected cells, and the noninfectious VLPs released from scMP-12-infected cells served as immunogens to elicit immune responses. Due to its characteristic single-cycle replication, the scMP-12 did not cause systemic infection and did invade the CNS of immunized hosts.
Virological characterization of scMP-12 in cultured cells demonstrated that scMP-12 did not undergo multiple cycles of replication in naïve cells, but viral proteins and RNAs were expressed in these scMP-12-infected naïve cells. scMP-12 formed plaques in Vero-G cells, but not in Vero cells. The introduced mutations in the Gc gene of scMP-12 were retained even after 10 passages in Vero-G cells, indicating that scMP-12 was genetically stable. In Vero-G cells, the maximum titer of scMP-12 was ~100 times lower than that of MP-12, implying that scMP-12 particle production was less efficient than MP-12.
We subsequently tested scMP-12 for safety and protective efficacy. All newborn suckling mice survived after an intracranial inoculation with scMP-12, whereas all died after MP-12 inoculation, demonstrating the lack of neurovirulence of scMP-12. Immunization of 5-week-old mice with a single, i.m. dose (105 PFU) of scMP-12 elicited neutralizing antibodies, whose titers were higher than those obtained from mice immunized with the same titer of MP-12- based RRP carrying L RNA and S-GFP RNA. After virulent RVFV challenge, 89% of the mice immunized with scMP-12 survived, whereas 45% of the mice immunized with MP-12-based RRP survived. Overall, immunization of 105 PFU of scMP-12 resulted in an immunogenicity and protective efficacy similar to that seen following administration of 104 PFU of MP-12 to 5-week-old mice. These data demonstrated that scMP-12 was less immunogenic than MP-12, whereas scMP-12 was clearly safer than MP-12 in mouse model systems.
5.3. An approach for improving the production of scMP-12 virus particles
The immunogenicity of scMP-12 was higher than that conferred by MP-12-based RRP, but was lower than MP-12 (Murakami et al., 2014). scMP-12 carrying Gc with F826N and N827A mutations and a deletion of the C-terminal ER retrieval signal produced very low levels of non-infectious particles from infected naïve cells. As non-infectious particles also serve as immunogens in immunized hosts, one approach for improving scMP-12’s immunogenicity would be to enhance the non-infectious particle production from infected naïve cells. We found that F826N mutation and deletion of the C-terminal ER retrieval signal in Gc were detrimental for efficient production of non-infectious virus (unpublished data), and hence, the ER retrieval signal should be retained to improve the production of scMP-12 virus particles.
To obtain scMP-12 variants that lack membrane fusion function and are capable of producing large amounts of noninfectious virus particles from infected cells, we generated a series of Gc mutants, each of which carries a single amino-acid substitution within the putative fusion peptide. Because the crystal structure of Gc suggested the possible involvement of L779, which is located outside of the putative fusion peptide, in membrane fusion (Dessau and Modis, 2013), we also generated a Gc mutant carrying an L779A substitution. In addition, we generated several Gc mutants, each carrying a substitution of histidine to alanine mutation at specific sites in Gc, as the importance of several histidine residues of Gc in membrane fusion has been reported (de Boer et al., 2012b). We performed our membrane fusion assay by using plasmids, each of which expresses Gn and Gc mutants having one amino-acid substitution and a deletion of the ER retrieval signal. To know whether the introduced mutation induced a substantial conformational change in the Gc, we also stained expressed Gc mutants by using an anti-Gc monoclonal antibody. Gc mutants, that were defective for membrane fusion and recognized by the anti-Gc monoclonal antibody, were further examined for their VLP production activities (Fig. 3A). To purify VLPs, culture fluid from BSR-T7/5 cells expressing N protein, Gn protein and Gc protein carrying the ER retrieval signal and a specific mutation were collected and subjected to sucrose gradient centrifugation. The purified VLPs were examined by Western blot analysis that used an anti-MP-12 antibody (Fig. 3B). As demonstrated previously (Kortekaas et al., 2011), N protein, which is not associated with VLPs, is released into culture fluid and segmented to fractions containing VLPs in sucrose gradient centrifugation. Therefore, levels of VLP production were evaluated based on the abundance of Gn/Gc proteins in the purified VLPs. The results of these experiments are summarized in Table 2. We identified four Gc mutants having F826S, N827A, H778A, or L779A substitution that had the desired biological properties; they were defective for membrane fusion, recognized by the anti-Gc monoclonal antibody, and competent for efficient VLP production.
Table 2.
Amino acid sequence (820 to 837) | Fusion competence | Gc mAb recognition |
VLP production | |
---|---|---|---|---|
wtGc | GWGCGCFNVNPSCLFVHT | Competent | Positive | ++ |
G820N | NWGCGCFNVNPSCLFVHT | Competent | NT | NT |
G820S | SWGCGCFNVNPSCLFVHT | Competent | NT | NT |
W821N | GNGCGCFNVNPSCLFVHT | Defective | Negative | NT |
W821R | GRGCGCFNVNPSCLFVHT | Defective | Negative | NT |
W821S | GSGCGCFNVNPSCLFVHT | Competent | Negative | NT |
W821D | GDGCGCFNVNPSCLFVHT | Defective | Negative | NT |
G822S | GWSCGCFNVNPSCLFVHT | Competent | NT | NT |
G822D | GWDCGCFNVNPSCLFVHT | Defective | Positive | + |
G822N | GWNCGCFNVNPSCLFVHT | Defective | NT | − |
C823A | GWGAGCFNVNPSCLFVHT | Defective | Positive | − |
C823N | GWGNGCFNVNPSCLFVHT | Defective | Positive | − |
G824D | GWGCDCFNVNPSCLFVHT | Competent | NT | NT |
C825A | GWGCGAFNVNPSCLFVHT | Defective | Negative | NT |
F826N | GWGCGCNNVNPSCLFVHT | Defective | Positive | − |
F826L | GWGCGCLNVNPSCLFVHT | Competent | NT | NT |
F826S | GWGCGCSNVNPSCLFVHT | Defective | Positive | ++ |
N827A | GWGCGCFAVNPSCLFVHT | Defective | Positive | ++ |
V828N | GWGCGCFNNNPSCLFVHT | Competent | Positive | NT |
P830N | GWGCGCFNVNNSCLFVHT | Competent | Positive | NT |
H778A | Defective | Positive | ++ | |
L779A | Defective | Positive | ++ | |
H857A | NT | NT | − | |
H857R | Defective | Positive | − | |
H1087A | NT | NT | + | |
H1087R | Competent | Positive | NT |
NT : Not tested
− : Under detactable level
We next tested the infectivity of VLP carrying these Gc mutants by using a reporter assay (Fig. 3C). BSR-T7/5 cells transiently expressing viral structural proteins, N, L, Gn and mutant Gc, and the M RNA-based minigenome reporter RNA encoding Renilla luciferase gene. Culture fluids containing VLPs carrying a reporter minigenome were collected at 3 days post-transfection and inoculated into indicator cells expressing L and N proteins. We measured reporter activities in plasmid-transfected cells at 3 days post transfection and in indicator cells at 24 h p.i. (Fig. 3C). In plasmid-transfected cells, the wt sample (wtGc) showed higher reporter activity than did the mutants, which could be due to the ability of the released VLPs in the wt sample to efficiently re-infect cells, resulting in the amplification of the reporter activity. All the Gc mutants were competent for VLP production but showed very low reporter activities in indicator cells (Fig. 3B). We normalized the percentage reporter activity in VLP-inoculated cells to the percentage reporter activity in plasmid-transfected cells and calculated the relative infectivity of the VLP carrying the mutations. The relative infectivity of VLPs carrying single amino acid substitution in Gc, including F826S, N827A, H778A and L779A, were 0.08%, 2.6%, 1% and 3% of the wt sample, respectively. These data indicated the severely impaired fusion activity of these Gc mutants.
These studies identified Gc mutants that were deficient in membrane fusion and competent for VLP production. Testing biological properties, genetic stability, immunogenicity and safety of scMP-12 variants carrying different combinations of these Gc mutations would be valuable for improvement of scMP-12 immunogenicity.
6. Concluding remarks
Since RVFV was first recognized in Kenya in 1931 (Daubney et al., 1931), the virus has been spreading to many countries in the African continent and Arabian Peninsula and has caused death of a substantial number of animals and humans. Recent climate changes and rapid development of global transport network systems will potentially affect the behavior and distribution of insect vectors. As a result, RVFV-free countries will be exposed to a risk of an RVFV outbreak. As summarized above, substantial research efforts have been spent in developing vaccines to control RVFV outbreaks. These efforts contributed to an understanding of not only the mechanism of protection against RVFV but also to the basic knowledge in the field of RVFV virology.
RVFV vaccine candidates, including DNA vaccine, subunit vaccine, and recombinant vaccine based on other viral vectors, achieved protection of animals from lethal RVFV challenge. VLP vaccine, which could be considered efficient forms of subunit vaccines, also elicits protective immunity against RVFV. However, these vaccines often require a booster(s) for full protection against virulent RVFV and for long term immunity, as they do not contain full-set of virus genomes and unable to replicate in vaccinated hosts as infectious RVFV does. Live attenuated viruses, which undergo multiple cycles of replication in immunized hosts, can provoke efficient protective immunity that lasts long term. Hence, attenuated RVFV strains, e.g., MP-12, are promising vaccine candidates; however there are some safety concerns for using them for the general public, including children and immunocompromised individuals.
RRPs can be considered as an intermediate vaccine type between subunit vaccines and live attenuated vaccines in terms of immunogenicity and safety. Their immunogenicity and protective efficacy were significantly better than those of subunit vaccines, and thus, they have excellent potential for becoming immunogenic and safe vaccines for humans and domestic animals. Unlike that for live attenuated virus vaccine, the current production procedure for RRPs requires the transfection of plasmid expressing viral proteins. Hence, the mass production of RRP under current protocols would be expensive and highly labor intensive. Also RRPs produced from cell lines stably supporting L and S-GFP RNAs may have high levels of genetic variations; vaccines carrying highly variable genomes may not be suitable for human use.
Single-cycle, replicable scMP-12 had better immunogenicity and protective efficacy than did MP-12-based RRP. However, there is a possibility that some scMP-12 preparations may carry revertant or pseudorevertant viruses, which undergo multiple cycles of infection in immunized hosts, whereas the production of infectious viruses does not occur in the RRP system. scMP-12 can be easily amplified in Vero-G cells or equivalent cells stably expressing envelope proteins, and yet the titers of scMP-12 replicated in Vero-G cells were lower than MP-12. Modifications to improve the amount of titers of scMP-12 would be needed for its mass production. Additionally, further studies are necessary to improve single-cycle replicable RVFV as a safe and immunogenic vaccine for human and domestic animals.
Highlights.
An overview of the safety and immunogenicity of live attenuated and non-replicable Rift Valley fever virus (RVFV) vaccines
A summary of recent progress in the development of single-cycle replicable RVFV vaccine candidates
An approach towards improving the efficacy of single-cycle replicable RVFV vaccine
Acknowledgments
This work was supported by Public Health Service grant AI101772 from the NIH and a John Sealy Memorial Endowment Fund Research grant from The University of Texas Medical Branch. BRT was supported by NIH Post-Baccalaureate Research Education Program.
Footnotes
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