Abstract
Background
Our group has used deep sequencing to identify viral RNA signatures in human brain specimens. We have previously used this method to detect HSV1, GBV-C, and measles virus sequence in brain tissue from deceased donors. Deep sequencing was performed on brain specimens from a cohort of patients who died with progressive forms of MS, revealing evidence of increased expression of some human endogenous retrovirus (HERV) domains.
Objectives
Identify RNA sequences and new antigens involved in the pathogenesis of MS
Methods
Deep sequencing was performed on RNA extracted from 12 progressive MS, 2 neuromyelitis optica (MS/NMO = demyelination group), 14 normal control, and 7 other neurologic disease (OND) control frozen brain specimens. The resulting single-ended 50 bp sequences (reads) were compared to a non redundant viral database representing (NRVDB) all 1.2 M viral records in GenBank. A retroviral gene catalog (RVGC) was prepared by identifying human genetic loci (GRCh37.p13) homologous to domains contained in the Gypsy 2.0 retro element database. Reads were aligned to the RVGC and human transcriptome with Bowtie2. The resulting viral hit rates (VHRs) were normalized by the number of high quality reads. The expression of human genes, including HERVs, was determined using Cufflinks. Comparisons between the groups were performed using the false discovery rate.
Results
Fifty to 131 million high quality reads per specimen were obtained. Comparison of the reads to the NRVDB suggested that the demyelination and OND specimens had higher VHRs against some retroviral sequences compared with the controls. This was confirmed by retroviral domain averaging. Gene expression analysis showed differential expression among some HERV sequences. Single read mapping revealed one envelope and one reverse transcriptase sequence record that were significantly enriched among the demyelination samples compared to the normal controls. Less restrictive (comprehensive) read mapping showed that 2 integrase, 2 core, 2 envelope, and 3 KRAB sequences that were overexpressed in the demyelination group.
Conclusions
These data demonstrate that some endogenous retroviral sequences are significantly overexpressed in these demyelination brain tissue specimens, but the magnitude of this overexpression is small. This is consistent with the concept of HERV activation as a part of the innate immune response.
Keywords: Deep sequencing, RNA-seq, Next generation sequencing, Endogenous retroviruses, HERV, Multiple sclerosis, Progressive MS
Introduction
Multiple sclerosis (MS) is a chronic demyelinating disease of unknown cause, which affects the brain and spinal cord of about 400,000 individuals in the U.S. A number of viral infections of the CNS can lead to demyelination, including distemper (dogs), measles (subacute sclerosing panencephalitis, SSPE, humans), and influenza (humans). [1]. Viruses have long been suspected as causative agents of MS, based on the epidemiology of the disease including geographic patterns, isolated outbreaks, and migration studies [2–5]. Novel viruses that cause human disease continue to be discovered including hepatitis C (1989), corona virus NL63 (2004), bocavirus (2005), and rhinovirus C group (2007) [6–9]. Novel human polyoma and arena viruses were recently identified as causes of serious human diseases by deep sequencing [10–12]. The National Multiple Sclerosis Society itself provides an excellent rationale for the search for viruses in MS and related diseases [13].
Past serology studies provided some evidence for the involvement of retroviruses in the pathogenesis of MS [14,15]. Other groups have identified human endogenous retroviruses (HERVs), including HERV-Fc1 and HERV-W, as possible MS pathogens [16–24]. Polymorphisms of human genes involved in the control of retroviral replication, including TRIM5, TRIM22, and BST2, are associated with higher risk of developing MS [25] and recent epidemiologic studies suggest that MS and HIV are mutually restrictive; that is, HIV patients develop MS less frequently than expected, adjusted for age, sex, and other factors [26–28].
Our group has used deep sequencing (also called next generation sequencing) to detect microbial sequences in donor brain tissues. This powerful new technique allowed identification of GBV-C in the brain of one MS subject and HSV or measles virus in the brains of several persons with encephalitis [29,30]. Deep sequencing is applied here to cryopreserved progressive MS and NMO brain specimens in comparison to normal brain and encephalitis brain specimen controls.
Methods
Primary progressive MS cases were requested from the Human Brain and Spinal Fluid Resource Center (Los Angeles Veterans Administration, California) and the Rocky Mountain MS Center (Englewood, Colorado) brain repositories. Cases were selected by the directors of these two institutions. Specimens were studied from 11 persons with primary progressive MS (PPMS), one with secondary progressive MS (SPMS), and 2 persons with severe progressive neuromyelitis optica (NMO). Progressive MS and NMO cases were specifically selected because these tend to be the most severe subtypes of the MS-related diseases. Fourteen normal control and 5 frozen encephalitis brain specimens these resources were also studied. Two additional de-identified frozen encephalitis specimens were obtained from Dr. Don Gilden at the University of Colorado, Denver. The specimens were collected post-mortem within one day of death, either fresh frozen or snap frozen in liquid nitrogen, and were associated with a neuropathologic diagnosis. The research plan was submitted to the University of Utah Health Sciences IRB for review. This research was reviewed and approved by the University of Utah Health Sciences IRB, #00028658. Since this research involved only de-identified post-mortem material, it was found to be exempt from consent, review, and oversight.
The samples were assigned to one of three groups:
-
Demyelination (N=14)
Primary progressive MS (N = 11)
Secondary progressive MS (N = 1)
Neuromyelitis optica (N = 2)
Normal controls (n=14)
-
Other Neurologic Disease (OND) (n=7)
Herpes encephalitis (N = 3)
Other/unknown encephalitis (N = 2)
Subacute sclerosing pan encephalitis (N = 2)
The frozen brain specimens were handled as previously described [29] RNA was extracted from frozen brain with the RNeasy Lipid Tissue Mini Kit (Qiagen, Valencia, CA, Cat No./ID: 74804). The extracted RNA was DNase treated by incubating 15 minutes on the column. The resulting RNA was submitted for sequencing at the University of Utah High Throughput Genomics Shared Resource. Prior to sequencing, RNA was analyzed on an Agilent Bioanalyzer Nano chip (Agilent Technologies, USA) and evaluated for RNA abundance and integrity as previously described [29] Samples were reverse transcribed and libraries were prepared with the Illumina TruSeq kit (Illumina, San Diego, CA). To ensure the inclusion of possible viral RNA genomes, oligo dT selection was not performed. To avoid possible enrichment intrinsic biases, rRNA depletion was not performed.
The samples were sequenced and the sequencing reads were processed and aligned as previously described [29] Briefly, the reads were Illumina HiSeq 2500, 50 bp single-end. FASTQ format sequences were quality-filtered and high quality (HQ) sequences were retained. Reads that aligned to either the human genome (NCBI build GRCh37.p13) or human transcriptome, were removed from the HQ reads, yielding “screened reads” [31] Screened reads were aligned to the non-redundant viral database (NRVDB) using MegaBLAST (v2.2.26) with a word size of 28 bp [32] Viral hit counts (reads aligned to sequences in NRVDB) were normalized (divided) by the number of (HQ) high quality reads in a specimen.
The retroviral gene catalog (RVGC) was prepared by identifying regions of the human genome (build GRCh37.p13) with detectable similarity to core retroviral domains in the Gypsy 2.0 database (GyDB) using BLASTX [33,34] Alternative retroviral databases were considered for this analysis, and Gypsy was chosen due to the presence of annotations that allowed categorization of the sequences into retroviral domains. The BLASTx subprogram of version 2.2.26 of NCBI blast all was used with default word size and scoring and an expect cutoff of 0.1. Human genomic alignments with length 50% or longer than the subject retroviral domain were placed in RVGC. RVCG entries were named with arbitrary unique codes of the form: <domain type>_U<sequential_integer> (see S1 RVGC Table). For record keeping, the GyDB domain that was aligned to human sequence derived RVGC entry (recognition domain) and the source GI, starting position and length are also encoded in each RVGC fast a record name. Specifics of the compiled RVGC are available in Supplementary Data. Expression normalization was determined using the expression analysis pipeline Bowtie-Tophat-Cufflinks using only annotated splice sites [35]. The cufflinks norm mass parameter was used as the number of fragments for all FPKM metrics.
Statistical analysis of the demographic characteristics of the study population was performed using Vassar Stats [36], an open-source web application, and Microsoft Excel for Mac 2011. Differences among the groups were screened for significance by one way un-weighted ANOVA testing for continuous variables (age, year of collection, and post-mortem interval), and the two-tailed Chi-squared test with Yates correction for discrete variables (sex). For each taxon, viral hit rates (VHR) were compared between each demyelination and OND specimen and the set of controls using the Z-test with Bonferroni correction for multiple comparisons. Taxa where none of the demyelination or OND specimens VHRs were significantly different from controls were excluded from further analysis. Specific differences in VHRs between the groups were tested using the Mann-Whitney U-test or Tukeys HSD test. Correction for multiple comparisons was accomplished using the Benjamini–Hochberg procedure with a false discovery rate (FDR or q) of 0.05 [37]. The distribution of the sample types in the Retroviral Domain Discrimination Analysis was tested using the two-tailed Fishers Exact test for 2 × 2 tables [36].
Results
Subject Demographics
Characteristics of the study samples are shown in table 1. Fourteen demyelination samples were compared to 14 normal controls and 7 OND specimens. All patients in the demyelination group had severe and progressive clinical disease. Eleven were categorized as PPMS, two as NMO, and one as secondary progressive MS. The postmortem interval (PMI), time between death and collection of the brain sample, range was 2–26 hours. There were no significant differences in PMI between the groups (p=0.66). Age and sex information was available for all 14 controls, 13 of 14 demyelination cases, and 5 of 7 OND cases. The proportion of known females in the demyelination group 9/13 (69%) was not significantly different than the control group 6/14 (43%) (p=0.32). Ages of the subjects ranged from 37–93 years. The demyelination group was significantly younger (mean age 58 ± 13 years) than the normal controls (mean 71 ± 12 years, p=0.017). The specimens were collected between 1981 and 2010. The year of collection was not significantly different between the groups (p=0.29).
Table 1.
Group | Specimen | PMI | Age | Sex | Collection Year | Clinical History | Specimen Location | Neuropathology Reading | HQ Reads |
---|---|---|---|---|---|---|---|---|---|
Normal Control | 202 | 4 | 57 | M | 1983 | Post-surgical infection | cerebrum | normal | 91.5 |
214 | 4 | 56 | M | 1981 | Heart Disease | cerebrum | normal | 94.7 | |
3276 | 19 | 54 | M | 2002 | Heart Disease | frontal WM | normal | 93.9 | |
33 | 5 | 69 | M | 1983 | Lung Disease | cerebrum | normal | 89.1 | |
3371 | 16 | 52 | M | 2002 | Lung Cancer | frontal WM | normal | 96.8 | |
3406 | 20 | 72 | F | 2002 | Heart Failure | temporal WM | normal | 89.3 | |
3465 | 20 | 93 | F | 2002 | Bleeding | temporal WM | normal | 105.2 | |
3482 | 14 | 79 | F | 2003 | Heart Disease | temporal WM | normal | 97.5 | |
3543 | 12 | 73 | F | 2003 | Lung Disease | parietal WM | normal | 105.2 | |
3348 | 9 | 76 | F | 2002 | Heart Disease, Diabetes | frontal WM | normal | 102.7 | |
3465 | 11 | 76 | M | 2003 | Heart Failure | occipital WM | normal | 107.3 | |
3637 | 13 | 76 | M | 2003 | Pneumonia | frontal WM | normal | 102.5 | |
3641 | 20 | 76 | M | 2003 | Stomach and Liver Cancer | parietal WM | normal | 85.3 | |
3698 | 17 | 84 | F | 2003 | Breast Cancer | temporal WM | normal | 90.3 | |
Demyelination (Progressive MS and NMO) | 168 | 3 | 37 | F | 1984 | PPMS | cerebrum | reactivated MS | 89.7 |
2443 | 26 | 49 | F | 1997 | PPMS | periventricular WM | lymphocytic cuffing | 99 | |
2485 | 9 | 69 | M | 1997 | PPMS | frontal WM | active MS | 63.3 | |
2696 | 21 | 86 | F | 1998 | PPMS | periventricular WM | chronic MS plaque | 130.9 | |
2946 | 15 | 59 | M | 1999 | PPMS | periventricular WM | chronic perivascular inflammation | 88.9 | |
3161 | 20 | 51 | F | 2001 | Secondary Progressive MS | periventricular WM | active MS with lymphocytic cuffing | 89.9 | |
3185 | 14 | 50 | M | 2001 | PPMS | periventricular WM | chronic MSplaque | 91.1 | |
3509 | 11 | 74 | F | 2003 | PPMS | periventricular WM | chronic MS plaque | 87.2 | |
3816 | 21 | 47 | F | 2004 | PPMS | frontal WM | macrophages and lymphocytic cuffing | 91 | |
3840 | 23 | 61 | F | 2003 | PPMS | frontal WM | macrophages and lymphocytic cuffing | 95 | |
3931 | 10 | 74 | F | 2004 | PPMS | periventricular WM | chronic active disease | 73.8 | |
5149 | 8 | 48 | M | 2010 | PPMS | frontal WM | active MS | 66.4 | |
108 | 2 | 56 | F | 1998 | NMO | midbrain and pons | demyelination with necrosis | 72.5 | |
290 | NA | NA | NA | NA | NMO | corpus callosum | demyelination consistent with NMO | 82.3 | |
OND Control | 1418 | 5 | 68 | M | 1988 | MS-like illness† | Frontal cortex | chronic encephalitis | 76.8 |
4403* | 18 | 77 | F | 2006 | HSV encephalitis, stroke | Frontal cortex | active encephalitis | 99.5 | |
4471 | 12 | 73 | F | 2007 | Rasmussen’s encephalitis | Frontal cortex | gliosis without active inflammation | 49.4 | |
710* | 8 | 58 | M | 1983 | HSV encephalitis, chronic lymphocytic leukemia | Frontal cortex | active encephalitis | 50.1 | |
924* | 24 | 86 | M | 1985 | HSV encephalitis | Frontal cortex | chronic encephalitis | 67.9 | |
coloradoA | NA | NA | NA | NA | SSPE (measles) | NA | NA | 67.9 | |
coloradoB | NA | NA | NA | NA | SSPE (measles) | NA | NA | 66.9 |
NA = information not available
NMO = neuromyelitis optica
OND = other neurologic disease
PMI = post-mortem interval (hours)
HQ reads = high quality reads (in millions)
PPMS = primary progressive multiple sclerosis
SSPE = subacute sclerosing panencephalitis (measles infection)
WM = white matter
previously diagnosed as HSV encephalitis
MS not confirmed by pathology
Sequencing and Analysis
Deep sequencing yielded between 49.4 and 130.1 million 50 bp high quality (HQ) sequences per sample. The mean yield of HQ sequences was not different between the normal control (μ = 96.5 ± 7.1M) and demyelination (μ = 87.2 ± 16.6M) groups. The OND group yielded significantly fewer HQ sequences per sample (μ = 68.3 ± 17.0M) than both the normal control and the demyelination groups (p<0.01 for both comparisons).
A heat map showing log-transformed HRs was generated from the sequencing analysis (Figure 1) [38]. Only viral taxa where one or more specimens are significantly overrepresented are displayed in the figure. Fifty viral taxa were over represented in at least one of the demyelination or OND specimens compared to the set of normal controls. In this manner, false positive alignments to human and cloning sequence were removed. GB Virus C, previously shown to be present only in specimen 3840, was the only non-retrovirus definitively present in any of the demyelination samples [30]. Bona fide and spurious viral alignments within the OND samples have been previously described [29].
Among the 50 viral taxa overrepresented in at least one OND or demyelination samples, 17 were herpes viruses and 9 were retroviruses. Statistical comparisons (corrected for multiple comparisons) of VHRs between all members of the groups were performed. This analysis revealed that only 3 retroviral taxa that were significantly over expressed in the demyelination group compared to the control group: human immunodeficiency virus 1 (HIV-1), human endogenous retroviruses (family), and human endogenous retrovirus K. There were no AIDS or HIV patients in the cohort; thus the high VHR to HIV-1 was inferred to be caused by the 50 bp reads aligning to sequences similar to HIV-1. None of the 9 herpes virus candidate taxa were significantly different between the groups.
Retroviral Analysis
The apparent retroviral sequence enrichment in the demyelination group led to a more inclusive retroviral sequence analysis. A new database called the retroviral gene catalog (RVGC) was prepared (see Methods). RVGC contains endogenous sequences similar to protein-coding retroviral genes: GAG, RT, ENV, etc. Specific information about all the sequences records in the RVGC, including GenBank identifiers, length, and location is available (S1 RVGC Table).
Reads aligning to the RVGC database were binned according to retroviral domains type (e.g. GAG, RT, ENV). GAG refers to the viral core, RT to the reverse transcriptase, and ENV the envelope. The functions of the SCAN domain are not well understood and KRAB is probably a transcriptional repressor [39]. CHR refers to the chromo domain found at the C-terminal end of many retro transposon integrases [40].
Mean domain-type hit rates (HRs) for the demyelination, NMO and control samples were log2 transformed and centered in the domain-type axis (Figure 2). These values were hierarchically clustered (Pearson correlation) and compared between the demyelination and normal control specimens [41]. The resulting sample clustering reveals the relative separation of demyelination and control specimens into the dominant nodes of the cluster (e.g. 9/10 demyelination samples cluster left, 12/16 control samples cluster right; p=0.004). This data set shows evidence of broad retroviral gene over expression in the brains of the demyelination subjects compared with normal controls. However, the magnitude of the retroviral over expression was small, less than 2-fold, and was not evident for any single RVGC sequence. This retroviral gene expression pattern was more pronounced among the OND (encephalitis) samples than in the demyelination group. Expression of the neural tissue control genes RPL13, RPL19, and UBC was not significantly different between the 3 groups.
Additional analysis showed that some specific retroviral genes are significantly over expressed in the demyelination (N=14) and PPMS only (N=11) groups compared with the normal controls (n=14). Two mapping procedures were employed: “Best Alignment” where each read was mapped to the RVGC only once to its best match, and “Comprehensive Alignment” where every reported Bowtie 2 alignment was counted. The results of this analysis are displayed in Table 2. Only one envelope gene and one RT gene were significantly over expressed by the best alignment procedure. Several integrase, GAG, and envelope genes, along with 3 KRAB genes, were over expressed by the comprehensive alignment procedure; limiting the analysis to the 11 PPMS specimens showed those 2 ENVs and 3 GAGs were over expressed compared to controls. The HERV annotations for these over expressed genes are shown in Table 2.
Table 2. Specific Retroviral Genes Overexpressed in the Demyelination Group.
Method | Group | Gene | Expression 1 | Ratio2 | P-value | FDR (q) D:C3 | Recognition Domain |
---|---|---|---|---|---|---|---|
Best Alignment | Demyelination | ENV-U3 | 958 | 1.7 | 0.0001 | 0.006 | K-HERV |
(N=14) | RT-U105 | 300 | 1.7 | 0.0001 | 0.032 | MMTV | |
PPMS only | ENV-U3 | 952 | 1.7 | 0.0002 | 0.017 | K-HERV | |
(N=11) | RT-U105 | 311 | 1.8 | 0.00005 | 0.014 | MMTV | |
Comprehensive Alignment | Demyelination | INT-U176 | 775 | 1.7 | 0.0001 | 0.036 | MuERV-L |
(N=14) | INT-U45 | 94 | 2.8 | 0.0003 | 0.044 | ||
GAG-U21 | 52 | 2.5 | 0.0003 | 0.009 | K-HERV | ||
GAG-U22 | 43 | 2.3 | 0.0011 | 0.018 | HERV-K10 | ||
ENV-U59 | 1540 | 1.9 | 0.0009 | 0.037 | RTVL-Ia | ||
ENV-U3 | 960 | 1.7 | 0.00007 | 0.006 | K-HERV | ||
KRAB-U15 | 9880 | 1.8 | 0.001 | 0.017 | KRAB | ||
KRAB-U13 | 1027 | 1.7 | 0.001 | 0.017 | |||
KRAB-U9 | 1982 | 1.5 | 0.006 | 0.037 | |||
PPMS only | ENV-U3 | 952 | 1.7 | 0.0002 | 0.019 | K-HERV | |
(N=11) | ENV-U59 | 1617 | 2 | 0.0009 | 0.04 | RTVL-Ia | |
GAG-U21 | 56 | 2.7 | 0.00009 | 0.003 | K-HERV | ||
GAG-U22 | 47 | 2.5 | 0.0006 | 0.009 | HERV-K10 | ||
GAG-U8 | 242 | 1.5 | 0.004 | 0.041 | HERV-E |
Expression is described as FPKM (Fragments Per Kilobase of transcript per Million mapped reads) × 1000
Ratio = mean expression in the Demyelination or PPMS group divided by mean expression in the Control group
False Discovery Rate (FDR) q-values were calculated over each domain type separately (e.g. RT, ENV, GAG, etc.)
Discussion and Conclusion
This study employed deep sequencing and metagenomic analysis techniques to comprehensively investigate retroviral expression among frozen demyelination brain samples compared with normal controls and OND (encephalitis) controls. The results show some over expression of HERVs in general among most domains (Figure 2). Over expressed HERV and KRAB sequences were specifically identified corresponding to several retroviral domains, including core, envelope, integrase, and reverse transcriptase (Table 2). These results support the hypothesis that retroviral sequences are over expressed in demyelinated brain samples compared with normal brain. However, the magnitude of the observed retroviral domain over expression was small, less than 3-fold, and the pathological significance of this observation is unknown.
The data from this study are consistent with the concept that HERV over expression is part of the human immune response. Other groups have identified the MSRV (HERV-W) or HERV-Fc1 as possibly contributing to the pathogenesis of MS [16,17,19,20,24,42]. Interestingly, the present sequencing study did not specifically confirm these findings (Figure 1). Instead, some other HERV genes from a variety of sources were shown to be significantly over expressed (Table 2). This highlights the difficulties inherent with these studies where multiple similar HERVs have been incorporated into the human genome. The gene expression mapping performed here relies on annotated sequences from the human genome build 37. The data generated in the present sequencing study is comprehensive across the entire human genome, but it is likely to be less specific and less quantitative than qPCR.
Human endogenous retroviruses (HERVs) are remnants of ancient retroviral infections of the host germ line that are transmitted vertically from parents to their offspring. The utility of these elements within the human genome remains largely speculative, although at least one HERV codes for syncitin, an important protein that allows for development of the placenta [43].
Interestingly, some animal ERVs efficiently interfere with the replication of related exogenous retroviruses [44,45]. Sheep have been used to study the evolution of ERVs within a mammalian host due to the presence of related exogenous and endogenous retroviruses. The exogenous (i.e., horizontally transmitted) oncogenic retrovirus, Jaagsiekte sheep retrovirus (JSRV), causes fatal lung cancers. A closely related provirus, JSRV-20, entered the host genome within the last 3 million years during speciation within the genus Ovis. Endogenous JSRV has a defective Gag polyprotein resulting in a transdominant phenotype that blocks the replication of the closely related exogenous JSRV [46–48]. That is, the expression of an endogenous retrovirus effectively blocks a fatal infection with an exogenous retrovirus. This animal data strongly suggests that endogenization and selection of ERVs is a mechanism used by the host to fight retroviral infections. Support for this concept in humans is displayed by the increased expression of (endogenous) HERV-K in patients infected with the (exogenous) retrovirus HIV, where HERV-K envelope is neuroprotective [49,50].
Most of OND specimens were from patients with either herpes (3) or measles virus (2) encephalitis. The HSV infected specimens (4403, 710, 924) displayed the highest levels of HERV domain expression, as shown in Figure 2. This is consistent with the results of other groups that have shown HSV stimulates reverse transcriptase in PBMCs from MS patients [51], and HERV-W expression is induced by HSV1 in cell cultures [52,53].
One limitation of this deep sequencing method is that the RNA extractions are not completely DNA free, despite a DNAse treatment step. Qubit analysis of extracted brain specimens revealed that 1–5% of the analyzed material is DNA retained from the original sample. Prior to sequencing, the RNA were also analyzed on an Agilent Bioanalyzer Nanochip (Agilent Technologies, USA) and evaluated for RNA size, abundance and integrity. This provided relatively high quality RNA for the subsequent analysis, but it cannot be determined with absolute certainty that retained DNA did not affect the results of the study. Another limitation of the study is the post-mortem interval necessarily associated with these samples obtained from deceased human donors. While there was no detectable difference in the PMI between the demyelination and control specimens, this interval likely allowed some RNA to degrade in all the samples. This likely did interfere with the detection of HERV and other retroviral sequences during the sequencing reactions.
Supplementary Material
Acknowledgments
The authors would like to acknowledge help from Dr. Rashed M. Nagra, Director, Human Brain and Spinal Fluid Resource Center (UCLA Brain Bank), Los Angeles, CA; Dr. John Corboy, Director, Rocky Mountain MS Center, Denver, CO; and Dr. Don Gilden at the University of Colorado for the provision of frozen brain specimens. Brian Dalley from Huntsman Cancer Institute Microarray Core Facility supervised the preparation of cDNA libraries and the Illumina sequencing.
Funding
This work was funded by grant R21NS077023 from the NIH/NINDS, “Deep Sequencing for the Detection of Viral Sequences in Primary Progressive Multiple Sclerosis Brains.” Some follow-up work was funded by the National MS Society, grant #RG4807A4.
References
- 1.Atkins G, Mc Quaid S, Morris-Downes M, Galbraith S, Amor S, et al. Transient virus infections and multiple sclerosis. Rev Med Virol. 2000;10:291–303. doi: 10.1002/1099-1654(200009/10)10:5<291::AID-RMV278>3.0.CO;2-U. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Kurtzke J. Epidemiology and etiology of multiple sclerosis. Phys Med Rehab Clin N Am. 2005;16:327–349. doi: 10.1016/j.pmr.2005.01.013. [DOI] [PubMed] [Google Scholar]
- 3.Kurtzke JF. Multiple sclerosis in time and space--geographic clues to cause. J Neurovirol. 2000;6:S134–140. [PubMed] [Google Scholar]
- 4.Meinl E. Concepts of viral pathogesis of Multiple Sclerosis. Curr Opin Neurology. 1999;12:303–307. doi: 10.1097/00019052-199906000-00009. [DOI] [PubMed] [Google Scholar]
- 5.Murray J. Infection as a cause of multiple sclerosis. BMJ. 2002;325:1128. doi: 10.1136/bmj.325.7373.1128. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Choo QL, Kuo G, Weiner AJ, Overby LR, Bradley DW, et al. Isolation of a cDNA clone derived from a blood-borne non-A, non-B viral hepatitis genome. Science. 1989;244:359–362. doi: 10.1126/science.2523562. [DOI] [PubMed] [Google Scholar]
- 7.Esper F, Weibel C, Ferguson D, Landry M, Kahn J. Evidence of a novel coronavirus that is associated with respiratory tract disease in infants and young children. J Infect Dis. 2005;191:492–498. doi: 10.1086/428138. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Allander T, Tammi MT, Eriksson M, Bjerkner A, Tiveljung-Lindell A, et al. Cloning of a human parvovirus by molecular screening of respiratory tract samples. Proc Natl Acad Sci U S A. 2005;102:12891–12896. doi: 10.1073/pnas.0504666102. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Kahn JS. Newly identified respiratory viruses. Pediatr Infect Dis J. 2007;26:745–746. doi: 10.1097/INF.0b013e3181376428. [DOI] [PubMed] [Google Scholar]
- 10.Feng H, Shuda M, Chang Y, Moore PS. Clonal integration of a polyomavirus in human Merkel cell carcinoma. Science. 2008;319:1096–1100. doi: 10.1126/science.1152586. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Palacios G, Druce J, Du L, Tran T, Birch C, et al. A new arenavirus in a cluster of fatal transplant-associated diseases. N Engl J Med. 2008;358:991–998. doi: 10.1056/NEJMoa073785. [DOI] [PubMed] [Google Scholar]
- 12.Yu G, Greninger AL, Isa P, Phan TG, Martinez MA, et al. Discovery of a novel polyomavirus in acute diarrheal samples from children. PLoS One. 2012;7:e49449. doi: 10.1371/journal.pone.0049449. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Society NMS. What causes MS? Viruses 2015 [Google Scholar]
- 14.Voisset C, Weiss RA, Griffiths DJ. Human RNA “rumor” viruses: the search for novel human retroviruses in chronic disease. Microbiol Mol Biol Rev. 2008;72:157–196. doi: 10.1128/MMBR.00033-07. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Soldan SS, Graf MD, Waziri A, Flerlage AN, Robinson SM, et al. HTLV-I/II seroindeterminate Western blot reactivity in a cohort of patients with neurological disease. J Infect Dis. 1999;180:685–694. doi: 10.1086/314923. [DOI] [PubMed] [Google Scholar]
- 16.Laska MJ, Brudek T, Nissen KK, Christensen T, Moller-Larsen A, et al. Expression of HERV-Fc1, a human endogenous retrovirus, is increased in patients with active multiple sclerosis. J Virol. 2012;86:3713–3722. doi: 10.1128/JVI.06723-11. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Nexo BA, Christensen T, Frederiksen J, Moller-Larsen A, Oturai AB, et al. The etiology of multiple sclerosis: genetic evidence for the involvement of the human endogenous retrovirus HERV-Fc1. PLoS One. 2011;6:e16652. doi: 10.1371/journal.pone.0016652. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Hansen B, Oturai AB, Harbo HF, Celius EG, Nissen KK, et al. Genetic association of multiple sclerosis with the marker rs391745 near the endogenous retroviral locus HERV-Fc1: analysis of disease subtypes. PLoS One. 2011;6:e26438. doi: 10.1371/journal.pone.0026438. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Perron H, Germi R, Bernard C, Garcia-Montojo M, Deluen C, et al. Human endogenous retrovirus type W envelope expression in blood and brain cells provides new insights into multiple sclerosis disease. Mult Scler. 2012;18:1721–1736. doi: 10.1177/1352458512441381. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Perron H, Lang A. The human endogenous retrovirus link between genes and environment in multiple sclerosis and in multifactorial diseases associating neuroinflammation. Clin Rev Allergy Immunol. 2010;39:51–61. doi: 10.1007/s12016-009-8170-x. [DOI] [PubMed] [Google Scholar]
- 21.Perron H, Bernard C, Bertrand JB, Lang AB, Popa I, et al. Endogenous retroviral genes, Herpes viruses and gender in Multiple Sclerosis. J Neurol Sci. 2009;286:65–72. doi: 10.1016/j.jns.2009.04.034. [DOI] [PubMed] [Google Scholar]
- 22.Perron H, Lazarini F, Ruprecht K, Pechoux-Longin C, Seilhean D, et al. Human endogenous retrovirus (HERV)-W ENV and GAG proteins: physiological expression in human brain and pathophysiological modulation in multiple sclerosis lesions. J Neurovirol. 2005;11:23–33. doi: 10.1080/13550280590901741. [DOI] [PubMed] [Google Scholar]
- 23.Nexo BA, Villesen P, Nissen KK, Lindegaard HM, Rossing P, et al. Are human endogenous retroviruses triggers of autoimmune diseases? Unveiling associations of three diseases and viral loci. Immunol Res. 2015;64:55–63. doi: 10.1007/s12026-015-8671-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Nissen KK, Laska MJ, Hansen B, Terkelsen T, Villesen P, et al. Endogenous retroviruses and multiple sclerosis-new pieces to the puzzle. BMC Neurol. 2013;13:111. doi: 10.1186/1471-2377-13-111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Nexo BA, Hansen B, Nissen KK, Gundestrup L, Terkelsen T, et al. Restriction genes for retroviruses influence the risk of multiple sclerosis. PLoS One. 2013;8:e74063. doi: 10.1371/journal.pone.0074063. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Nexo BA, Pedersen L, Sorensen HT, Koch-Henriksen N. Treatment of HIV and risk of multiple sclerosis. Epidemiology. 2013;24:331–332. doi: 10.1097/EDE.0b013e318281e48a. [DOI] [PubMed] [Google Scholar]
- 27.Gold J, Goldacre R, Maruszak H, Giovannoni G, Yeates D, et al. HIV and lower risk of multiple sclerosis: beginning to unravel a mystery using a record-linked database study. J Neurol Neurosurg Psychiatry. 2015;86:9–12. doi: 10.1136/jnnp-2014-307932. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Maruszak H, Brew BJ, Giovannoni G, Gold J. Could antiretroviral drugs be effective in multiple sclerosis? A case report. Eur J Neurol. 2011;18:e110–111. doi: 10.1111/j.1468-1331.2011.03430.x. [DOI] [PubMed] [Google Scholar]
- 29.Chan BK, Wilson T, Fischer KF, Kriesel JD. Deep sequencing to identify the causes of viral encephalitis. PLoS One. 2014;9:e93993. doi: 10.1371/journal.pone.0093993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Kriesel JD, Hobbs MR, Jones BB, Milash B, Nagra RM, et al. Deep Sequencing for the Detection of Virus-Like Sequences in the Brains of Patients with Multiple Sclerosis. PLoS One. 2012;7:e31886. doi: 10.1371/journal.pone.0031886. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Langmead B, Salzberg SL. Fast gapped-read alignment with Bowtie 2. Nat Methods. 2012;9:357–359. doi: 10.1038/nmeth.1923. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Morgulis A, Coulouris G, Raytselis Y, Madden TL, Agarwala R, et al. Database indexing for production MegaBLAST searches. Bioinformatics. 2008;24:1757–1764. doi: 10.1093/bioinformatics/btn322. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Cores.zip 2013 [Google Scholar]
- 34.Llorens C, Futami R, Covelli L, Dominguez-Escriba L, Viu JM, et al. The Gypsy Database (GyDB) of mobile genetic elements: release 2.0. Nucleic Acids Res. 2011;39:D70–74. doi: 10.1093/nar/gkq1061. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Trapnell C, Hendrickson DG, Sauvageau M, Goff L, Rinn JL, et al. Differential analysis of gene regulation at transcript resolution with RNA-seq. Nature Biotechnology. 2013;31:46–53. doi: 10.1038/nbt.2450. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Lowry R. VassarStats: Website for Statistical Computation. Vassar College; open source web application for statistical testing. [Google Scholar]
- 37.Benjamini Y, Hochberg Y. Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing. Journal of the Royal Statistical Society Series B (Methodological) 1995;57:289–300. [Google Scholar]
- 38.Saldanha AJ. Java Treeview--extensible visualization of microarray data. Bioinformatics. 2004;20:3246–3248. doi: 10.1093/bioinformatics/bth349. [DOI] [PubMed] [Google Scholar]
- 39.Emerson RO, Thomas JH. Gypsy and the birth of the SCAN domain. J Virol. 2011;85:12043–12052. doi: 10.1128/JVI.00867-11. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Malik HS, Eickbush TH. Modular evolution of the integrase domain in the Ty3/Gypsy class of LTR retrotransposons. J Virol. 1999;73:5186–5190. doi: 10.1128/jvi.73.6.5186-5190.1999. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.de Hoon MJ, Imoto S, Nolan J, Miyano S. Open source clustering software. Bioinformatics. 2004;20:1453–1454. doi: 10.1093/bioinformatics/bth078. [DOI] [PubMed] [Google Scholar]
- 42.Dolei A, Perron H. The multiple sclerosis-associated retrovirus and its HERV-W endogenous family: a biological interface between virology, genetics, and immunology in human physiology and disease. J Neurovirol. 2009;15:4–13. doi: 10.1080/13550280802448451. [DOI] [PubMed] [Google Scholar]
- 43.Potgens AJ, Drewlo S, Kokozidou M, Kaufmann P. Syncytin: the major regulator of trophoblast fusion? Recent developments and hypotheses on its action. Hum Reprod Update. 2004;10:487–496. doi: 10.1093/humupd/dmh039. [DOI] [PubMed] [Google Scholar]
- 44.Spencer TE, Black SG, Arnaud F, Palmarini M. Endogenous retroviruses of sheep: a model system for understanding physiological adaptation to an evolving ruminant genome. Soc Reprod Fertil Suppl. 2010;67:95–104. [PubMed] [Google Scholar]
- 45.Varela M, Spencer TE, Palmarini M, Arnaud F. Friendly viruses: the special relationship between endogenous retroviruses and their host. Ann N Y Acad Sci. 2009;1178:157–172. doi: 10.1111/j.1749-6632.2009.05002.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Armezzani A, Varela M, Spencer TE, Palmarini M, Arnaud F. “Menage a Trois”: the evolutionary interplay between JSRV, enJSRVs and domestic sheep. Viruses. 2014;6:4926–4945. doi: 10.3390/v6124926. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Arnaud F, Caporale M, Varela M, Biek R, Chessa B, et al. A paradigm for virus-host coevolution: sequential counter-adaptations between endogenous and exogenous retroviruses. PLoS Pathog. 2007;3:e170. doi: 10.1371/journal.ppat.0030170. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Arnaud F, Varela M, Spencer TE, Palmarini M. Coevolution of endogenous betaretroviruses of sheep and their host. Cell Mol Life Sci. 2008;65:3422–3432. doi: 10.1007/s00018-008-8500-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Bhat RK, Rudnick W, Antony JM, Maingat F, Ellestad KK, et al. Human endogenous retrovirus-K(II) envelope induction protects neurons during HIV/AIDS. PLoS One. 2014;9:e97984. doi: 10.1371/journal.pone.0097984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Bhardwaj N, Maldarelli F, Mellors J, Coffin JM. HIV-1 infection leads to increased transcription of human endogenous retrovirus HERV-K (HML-2) proviruses in vivo but not to increased virion production. J Virol. 2014;88:11108–11120. doi: 10.1128/JVI.01623-14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Brudek T, Luhdorf P, Christensen T, Hansen HJ, Moller-Larsen A. Activation of endogenous retrovirus reverse transcriptase in multiple sclerosis patient lymphocytes by inactivated HSV-1, HHV-6 and VZV. J Neuroimmunol. 2007;187:147–155. doi: 10.1016/j.jneuroim.2007.04.003. [DOI] [PubMed] [Google Scholar]
- 52.Nellaker C, Yao Y, Jones-Brando L, Mallet F, Yolken RH, et al. Transactivation of elements in the human endogenous retrovirus W family by viral infection. Retrovirology. 2006;3:44. doi: 10.1186/1742-4690-3-44. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Ruprecht K, Obojes K, Wengel V, Gronen F, Kim KS, et al. Regulation of human endogenous retrovirus W protein expression by herpes simplex virus type 1: implications for multiple sclerosis. J Neurovirol. 2006;12:65–71. doi: 10.1080/13550280600614973. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.