Engineering of recombinant MRV for improved oncolytic activity has not yet been achieved due to difficulty in generating autonomous replicating MRV harboring transgenes. Here, we constructed a reporter MRV that can be used to monitor cancer-selective infection by oncolytic MRV in a mouse model. Among the numerous oncolytic viruses, MRV has an advantage in that the wild-type virus shows marked oncolytic activity in patients without any notable adverse effects. The reporter MRV developed herein will open avenues to the development of recombinant MRV vectors armed with anticancer transgenes.
KEYWORDS: cancer treatment, mammalian orthoreovirus, oncolytic virus, reporter virus
ABSTRACT
Wild-type mammalian reoviruses (MRVs) have been evaluated as oncolytic agents against various cancers; however, genetic modification methods for improving MRV agents have not been exploited fully. In the present study, using MRV strain T1L, we generated a reporter MRV that expresses a NanoLuc luciferase (NLuc) gene and used it for noninvasive imaging of MRV infection in tumor xenograft mice. NLuc and a P2A self-cleaving peptide gene cassette were placed upstream of the L1 gene open reading frame to enable bicistronic expression of NLuc and the L1 gene product. BALB/c nude mice intranasally infected with MRV expressing NLuc (rsT1L-NLuc) displayed bioluminescent signals in the chest area at 4 days postinfection (dpi), which is consistent with natural MRV infection in the lung. Furthermore, to monitor tumor-selective infection by MRV, nude mice bearing human cancer xenografts were infected intravenously with rsT1L-NLuc. Bioluminescent signals were detected in tumors as early as 3 dpi and persisted for 2 months. The results demonstrate the utility of an autonomous replicating reporter MRV for noninvasive live imaging of replicating oncolytic MRV agents.
IMPORTANCE Engineering of recombinant MRV for improved oncolytic activity has not yet been achieved due to difficulty in generating autonomous replicating MRV harboring transgenes. Here, we constructed a reporter MRV that can be used to monitor cancer-selective infection by oncolytic MRV in a mouse model. Among the numerous oncolytic viruses, MRV has an advantage in that the wild-type virus shows marked oncolytic activity in patients without any notable adverse effects. The reporter MRV developed herein will open avenues to the development of recombinant MRV vectors armed with anticancer transgenes.
INTRODUCTION
Oncolytic viral therapies based on naturally occurring or engineered oncolytic viruses that replicate selectively and trigger oncolysis have been developed over many years (1, 2). Mammalian orthoreoviruses (MRVs), which belong to the family Reoviridae, are common human pathogens that have oncolytic potential (3–5). MRV infections generally cause mild or asymptomatic infections, although certain case reports have indicated minor respiratory and gastrointestinal tract symptoms or the involvement of the central nervous system (6–8). A clone of MRV serotype T3D (called Reolysin; Oncolytics Biotech, Inc.), which has marked oncolytic activity, has been tested in clinical trials against various cancers (9–11). However, development of engineered MRV agents has been delayed due to difficulties in generating gene-modified MRV. A complete reverse genetics system for MRV opened up avenues for generating recombinant MRV to improve oncolytic activity (12); however, progress has been slow.
Monitoring dissemination of an oncolytic agent is important for noninvasive evaluation of the efficacy of delivery, as well as toxicity. Various types of reporter virus expressing luciferase genes have been tested to enable live imaging of viral replication and dissemination in vivo (13–15). Prototype reporter MRVs harboring a chloramphenicol acetyltransferase gene inserted into the MRV S2 gene segment, or a green fluorescent protein gene inserted into the S4 gene segment, replicate only in permissive cell lines expressing S2 or S4 gene products, respectively (12, 16). Autonomous replicating MRVs harboring iLOV or UnaG fluorescent genes in the S1 gene segment lack expression of an intact σ1 capsid protein, which affects MRV infectivity (17, 18). Use of these reporter MRVs for oncolytic research is restricted due to a lack of essential viral proteins. Recently, a novel strategy for developing an MRV transduction vector using a viral 2A-like element that enables bicistronic expression of a transgene without compromising expression of viral genes was developed (19). This robust technique using a 2A-like element is capable of inserting any transgene into a viral gene and so has potential for development of improved MRV oncolytic agents.
Here, as the primary step in the development of an engineered MRV oncolytic agent, we used a porcine teschovirus-1 2A (P2A) self-cleaving peptide to develop an autonomously replicating reporter MRV expressing NanoLuc luciferase (NLuc). NLuc activity in virus-infected cells correlated with viral infectious titers. In vivo live imaging of tumor-bearing mice infected with reporter MRV enabled monitoring of the time course of tumor-specific infection for up to 2 months postinfection.
RESULTS
Generation of NLuc expressing reporter MRV strain T1L.
To generate autonomously replicating recombinant MRV strain T1L expressing a reporter gene, the NLuc-P2A peptide gene cassette was inserted between nucleotides 124 and 125 of the T1L L1 gene encoding the λ3 protein (Fig. 1A) by following the strategy described previously (19). The P2A peptide is a self-cleaving peptide that enables bicistronic translation of two open reading frames (ORFs) upstream and downstream of the P2A peptide (20). Disruption of the λ3 ORF by insertion of the NLuc-P2A cassette was reconstituted by duplication of the N-terminal region (nucleotides 19 to 124) of the L1 gene (Fig. 1A). L929 cells expressing T7 RNA polymerase were cotransfected with rescue plasmid pT7-L1-NLuc-P2A and nine other segment cDNAs from MRV T1L, and a recombinant strain of MRV T1L expressing NLuc (rsT1L-NLuc) was rescued. Wild-type recombinant strain T1L (rsT1L), generated by reverse genetics, was used as a control. Electrophoresis of the double-stranded RNA (dsRNA) genome revealed that rsT1L-NLuc possessed a larger L1 gene segment than wild-type rsT1L (Fig. 1B). Although the replication kinetics of rsT1L-NLuc were slightly lower than those of rsT1L (Fig. 1C), cell lysates derived from rsT1L-NLuc-infected cells showed increased NLuc activity over the time course of infection, indicating that the foreign NLuc gene in rsT1L-NLuc was stable (Fig. 1D). Next, we examined the correlation between virus titers and NLuc activity in cell lysates derived from various human cancer cell lines. We found that rsT1L-NLuc replication differed in eight human cancer cell lines (Fig. 1E) and that NLuc activity in cell lysates correlated with the virus infectious titer (Fig. 1F and G). Thus, both growth and NLuc activity of rsT1L-NLuc were sufficiently robust to enable in vitro examination of MRV.
Live imaging of virus replication in mice.
A previous study showed that intranasal infection of adult BALB/c mice with MRV strain T1L leads to robust viral replication in the lung and subsequent spread to peripheral organs (21). Therefore, to evaluate the dynamics of viral infection in mice, we intranasally infected adult nude mice (BALB/cAJcl-nu) with either rsT1L or rsT1L-NLuc. At 2 days postinfection (dpi), a bioluminescence signal was observed in the chest of rsT1L-NLuc-infected mice (Fig. 2A). To identify the organs expressing the bioluminescence signal, animals were sacrificed at 4 dpi and internal organs were exposed. In the open body cavity, bioluminescence signals were restricted to the lungs (Fig. 2B). The luminescence signal in the lungs intensified at 4 and 6 dpi. At 6 dpi, we detected luminescence signals in the abdominal region. To examine the correlation between bioluminescence signals and virus replication, infected mice were sacrificed, and the infectious virus titer in the organs was examined (Fig. 2C and D). At 2 and 4 dpi, infectious viruses were detected preferentially in the lungs. At 6 dpi, viruses were also detected in the intestine (consistent with the bioluminescence images). Although both rsT1L and rsT1L-NLuc exhibited similar time courses of viral dissemination, the viral titers of rsT1L-NLuc in each organ was lower than those of rsT1L. These results indicate that bioluminescence images from rsT1L-NLuc-infected mice reflect the real-time dynamics of lung infection.
Noninvasive, real-time imaging of selective infection of tumors by MRV after intravenous injection.
MRV selectively infects and replicates in tumors after intravenous or intraperitoneal injection (22, 23). Therefore, to examine the utility of rsT1L-NLuc for tracking virus replication in mice bearing human cancer xenografts, BALB/c nude mice were implanted subcutaneously with epidermoid carcinoma A253 cells (Fig. 3A to C) or ovarian cancer IGR-OV1 cells (Fig. 3D to F). When implanted cancer cells formed tumors measuring approximately 5 mm in diameter, rsT1L or rsT1L-NLuc was injected intravenously via the tail vein. At 7 dpi, tumor-specific bioluminescence images were obtained only in rsT1L-NLuc-infected mice bearing A253 or IGR-OV1 cancer cell xenografts (Fig. 3A and D). To evaluate the association between the bioluminescence signal and virus replication, the infectious virus titers and NLuc activities in tissue homogenates were examined. In both A253 and IGR-OV1 xenograft mice, the highest viral titers and NLuc activities were found in tumor homogenates, followed by lung tissue (Fig. 3B, C, E, and F). Although the viral titers and NLuc activities were correlated in rsT1L-NLuc-infected mice, no positive NLuc activities were detected in rsT1L-infected mice. These results demonstrate that rsT1L-NLuc is useful for tracking tumor-selective infection by MRV.
Long-term tracking of MRV infection in mice bearing human cancer xenografts.
Finally, we conducted long-term observations of cancer-selective infection by rsT1L-NLuc virus. BALB/c nude mice were implanted subcutaneously with prostate cancer Du145 cells. At 14 dpi, mice were injected intravenously with either rsT1L or rsT1L-NLuc via the tail vein. Tumor-specific luminescence signals were observed as early as 3 dpi in rsT1L-NLuc-infected mice. The bioluminescence signal persisted for up to 60 dpi but disappeared by 80 dpi (Fig. 4A). Furthermore, we examined viral titers and NLuc activity in mice infected with either rsT1L or rsT1L-NLuc viruses at various time points postinfection (Fig. 4B to E). Infectious virus titers in organs from mice sacrificed on days 3, 6, 10, 33, and 80 postinfection revealed the largest amounts of rsT1L and rsT1L-NLuc viruses in tumors, followed by the lung, throughout the observation period (Fig. 4B and D). The highest NLuc activity at various time points postinfection was observed in xenograft tumors in mice infected with rsT1L-NLuc virus (Fig. 4C and E). We noticed that tumors continued to develop throughout the experiment, despite persistent infection by MRV. In vitro studies suggest that strain T1L shows mild to strong oncolytic activity in cancer cells, depending on the cell type (24). Therefore, we examined the oncolytic activity of rsT1L in Du145 cells. Consistent with the in vivo experiments, we found that rsT1L demonstrated only weak cell killing activity against Du145 cells in vitro (Fig. 4F). These results suggest that rsT1L-NLuc is a useful tool for studying MRV replication and spread over long periods of time.
DISCUSSION
In 2015, the first oncolytic viral therapy, T-VEC, an oncolytic herpes simplex virus 1 (HSV-1) expressing granulocyte macrophage colony-stimulating factor (GM-CSF) was approved in the the United States for treatment of advanced malignant melanoma (25, 26). The success of T-VEC will accelerate the development of oncolytic viral therapy using different oncolytic viral agents. Although Reolysin, a clone of the wild-type MRV T3D strain, has been around for a long time, difficulties with gene modification have led to a bottleneck to further development of engineered MRV agents. Here, we used a bicistronic expression system based on a P2A peptide to develop an autonomous replicating reporter MRV T1L strain.
When an RNA virus is being engineered for use as a viral transduction vector, a major problem is the instability of the transgene. To reduce the effects of insertion of a foreign gene, we used an NLuc expression system, because it is smaller and has higher sensitivity than other luciferase genes. For example, the NLuc gene (0.5 kbp) in an engineered reporter Sindbis virus is more stable than the firefly luciferase gene (1.6 kbp) after serial passages (15). NLuc is a small, bright luciferase suitable for in vivo imaging (15, 27–29). To exploit the advantages of the NLuc gene for studying tumor selectivity, we generated recombinant MRV expressing NLuc, thereby enabling bioluminescence imaging of MRV infection in live tumor-bearing mice.
However, the peak emission wavelength of NLuc (460 nm) is not suitable for imaging of deep tissue in living animals. Indeed, the sensitivity of the bioluminescence signal generated by NLuc is not sufficient to detect small amounts of rsT1L-NLuc in vivo. Therefore, to develop a better reporter MRV, further improvement of the stability and utility of different reporter genes for in vivo imaging is required.
Here, we used reporter MRV for noninvasive imaging of the dynamics of MRV after intranasal infection, although the replication efficiency of rsT1L-NLuc was lower than that of rsT1L in mice and in vitro. Under natural conditions, MRV strain T1L infects animals via the intranasal or oral routes. Once a host is infected with MRV via the intranasal route, MRV replicates within respiratory organs and then spreads to the intestine via the bloodstream (30, 31). Several small rodent models, including immunocompetent and immunocompromised mice and rats, have been used to study infection and dissemination of MRV after administration via the intranasal and oral routes (21, 32–34). Furthermore, SCID mice and nude mice bearing human cancer xenografts have been used to study the oncolytic activity of MRV (22, 35–37). Here, we used nude mice to observe infection of MRV via the intranasal route because the lack of hair facilitates detection of bioluminescence signals. A single injection of rsT1L or rsT1L-NLuc led to long-term persistent infection of the lung and tumors. It is likely that long-term infection is associated with the lack of T lymphocytes in nude mice. In SCID mice, which lack both B and T lymphocytes, long-term persistent infection over 90 days has been reported (32, 38). Preexisting neutralizing antibodies in patient blood is a significant concern during clinical application of oncolytic viruses, as such antibodies will hamper transmission. Seroepidemiological studies demonstrate that most adults are exposed to reovirus infection and develop specific antibodies before the age of 19 years (39, 40). Thus, comparing dissemination of rsT1L-NLuc in immunocompetent mice with that in immunodeficient mice is an important subject for further study.
The oncolytic activities of MRV T1L and T3D strains differ according to cancer cell type. Currently, a clone of the T3D strain has been developed as an oncolytic agent due to its marked oncolytic effects; however, the T1L strain induces more cell death than the T3D strain in large-cell carcinoma cell lines (24). Unfortunately, the T1L strain used in the present study did not kill Du145 cancer cells effectively. Indeed, the sizes of the tumors in nude mice infected with rsT1L and rsT1L-NLuc did not decrease throughout the experiment, although virus infection persisted. Because evaluation of the oncolytic activity of MRV is a major reason for developing reporter oncolytic viruses, future studies should focus on developing modified reporter MRV viruses with robust oncolytic activity.
The bicistronic expression system using P2A peptide is expected to arm MRV with foreign genes that enhance oncolytic activity, for example, cancer immunity-stimulating genes such as those encoding interleukin-12 and GM-CSF (41, 42). It should be noted that the bicistronic expression system enables the insertion of foreign genes into N- and C-terminal ORFs. To generate a more stable MRV transduction vector, extensive research is needed to identify more suitable sites for insertion of the transgene-2A cassette. Alternatively, repeat serial passage and selection of transgene-positive virus clones may be effective, as shown by previous work on the generation of a stable reporter influenza virus (43).
We demonstrated that rsT1L-NLuc is a valuable tool for developing an in vitro reporter assay, because NLuc activity in cell lysates correlated with viral infectious titer in various cell lines. Replication of rsT1L-NLuc was, however, weaker than that of rsT1L, suggesting that insertion of the NLuc gene might affect genome packaging or expression of the λ3 ORF in the L1 gene segment. We are attempting to generate other reporter MRVs expressing fluorescent proteins that will facilitate live monitoring of viral infection and dissemination. Meanwhile, the reporter MRV will be of great benefit not only for cancer treatment but also as a tool for studying the basic biology of MRVs.
MATERIALS AND METHODS
Cells and viruses.
L929, a mouse fibroblast cell line, was grown in Dulbecco modified Eagle medium (DMEM) supplemented with 5% fetal calf serum (FCS). Human cancer cell lines A253, Tk10, A498, Du145, IGR-OV1, U118MG, OVCAR3, and SK-OV-3 were maintained in RPMI 1640 supplemented with 10% FCS and 2 mM l-glutamine. Murine cancer cell lines B16 and 3LL (kindly provided by Cell Resource Center for Biomedical Research, Tohoku University, Sendai, Japan) were grown in DMEM supplemented with 5% FCS. Recombinant strains of wild-type mammalian orthoreovirus type T1L (rsT1L) were recovered using a reverse genetics system (44). Virus infectious titers were determined in a plaque assay with L929 cells. In brief, viruses (diluted 10-fold) were inoculated onto a monolayer of L929 cells. After 1 h, culture medium was removed and overlaid with 0.8% agarose gel. At 6 dpi, cells were overlaid with 0.8% agarose gel containing neutral red and incubated overnight, and plaque numbers were counted. Attenuated vaccinia virus strain rDIs-T7pol expressing T7 RNA polymerase was propagated in chicken embryo fibroblasts (45).
Plasmid construction.
MRV T1L rescue plasmids pT7-L1T1L, pT7-L2T1L, pT7-L3T1L, pT7-M1T1L, pT7-M2T1L, pT7-M3T1L, pBacT7-S1T1L, pT7-S2T1L, pT7-S3T1L, and pT7-S4T1L were prepared as described previously (12, 44). To create pT7-L1T1L-NLuc, which contains the NLuc gene (GenBank accession number KM359774), and the self-cleaving P2A peptide gene of porcine teschovirus-1 (GSGATNFSLLKQAGDVEENPGP), the NLuc-P2A gene cassette was amplified and inserted between nucleotides 124 and 125 of the L1 gene. To express NLuc-P2A as a fusion peptide with the L1 ORF N-terminal region, additional nucleotides (CC) were inserted before the NLuc-P2A cassette. Partial L1 gene nucleotide sequences spanning positions 19 to 124 were duplicated after the NLuc-P2A cassette to reconstitute the λ3 ORF.
Recovery of rsT1L-NLuc virus.
Both rsT1L and rsT1L-NLuc were rescued using a plasmid-based reverse genetics system, as described previously (12). In brief, monolayers of L929 cells seeded in 12-well plates (Corning) were infected with rDIs-T7pol at a multiplicity of infection (MOI) of approximately 0.5 TCID50 (50% tissue culture infective dose)/cell. At 1 h postinfection, cells were cotransfected with plasmids harboring the cloned reovirus genome using 2 μl of TransIT-LT1 transfection reagent (Mirus) per microgram of plasmid DNA. Each mixture comprised 0.25 μg of each T1L rescue plasmid (pT7-L1T1L, pT7-L2T1L, pT7-L3T1L, pT7-M1T1L, pT7-M2T1L, pT7-M3T1L, pBacT7-S1T1L, pT7-S2T1L, pT7-S3T1L, and pT7-S4T1L). To rescue rsT1L-NLuc, pT7-L1T1L-NLuc was used instead of pT7-L1T1L. After 5 days of incubation, recombinant virus was isolated from transfected cells by plaque purification on L929 cells (46).
Electrophoresis of viral dsRNA genomes.
Viral dsRNAs were extracted from rsT1L and rsT1L-NLuc virions and mixed with an equal volume of 2× sample buffer (125 mM Tris-HCl [pH 6.8], 10% [vol/vol] 2-mercaptoethanol, 4% [wt/vol] SDS, and 10% [wt/vol] sucrose). The dsRNAs were separated on 8% (wt/vol) polyacrylamide gels (Atto) and visualized by ethidium bromide staining.
Replication and expression of NLuc derived from rsT1L-NLuc in human cells in vitro.
Monolayers of L929, A253, Tk10, A498, Du145, OVCAR53, and SK-O-3 cells in 12-well plates were infected with rsT1L or rsT1L-NLuc at an MOI of 0.01 PFU/cell and incubated for various times. Cells were lysed by freeze-thawing. Viral infectious titers in cell lysates were determined in a plaque assay. To detect NLuc activity, 50 μl of cell lysate was mixed with 10 μl of lysis buffer, 0.1 μl of Nano-Glo substrate (Promega), and 50 μl of phosphate-buffered saline (PBS). After incubation at room temperature, NLuc activity was measured in a luminometer.
Experimental infection of animals and in vivo imaging.
Four-week-old male nude mice (BALB/cAJcl-nu/nu) were purchased from Japan Clea. To monitor dissemination of rsT1L-NLuc after intranasal infection, mice (n = 12/group) were inoculated intranasally with 1.4 × 107 PFU/20 μl of rsT1L or rsT1L-NLuc. At 2, 4, and 6 dpi, four mice per group were anesthetized with isoflurane (Dainippon Sumitomo Pharma) and inoculated with 100 μl of Nano-Glo substrate (Promega; 1:50 dilution in PBS) via the retro-orbital venous sinus using a 27-gauge needle fitted with a 1-ml syringe. At 1 min postinjection of Nano-Glo, bioluminescence signals were detected using an in vivo imaging system (IVIS 100; Xenogen) and Living Image software (Xenogen). The image was obtained with an open filter, and the acquisition time was 60 s. After observation, animals were sacrificed and internal organs (lung, liver, spleen, ileum, and colon) were collected, weighed, and homogenized in DMEM supplemented with 5% FCS and penicillin/streptomycin by use of a bead homogenizer (BeadSmash 12; WakenBtech Co., Ltd.). Virus infectious titers in tissue homogenates were determined in a plaque assay. Next, to establish a human cancer xenograft model, 4-week-old male nude mice (BALB/cAJcl-nu/nu) were implanted subcutaneously (on the right, left, or both sides of the back) with 1 × 106 human cancer cells (A253, IGR-OV1, or Du145). When the tumors reached a diameter of approximately 5 mm, mice were randomly divided into two groups. A253 (n = 3/group)- and IGR-OV1 (n = 3/group)-implanted mice received 100 μl of rsT1L (7.0 × 107 PFU) or rsT1L-NLuc (7.0 × 107 PFU) via the tail vein (27-gauge needle fitted with a 1-ml syringe). At 7 dpi, 100 μl of Nano-Glo substrate (1:50 dilution in PBS) was injected via the retro-orbital venous sinus. At 1 min postinjection of Nano-Glo, bioluminescence signals were detected using an IVIS. Du145-implanted mice (n = 15/group) received 100 μl of rsT1L (7.0 × 107 PFU) or rsT1L-NLuc (7.0 × 107 PFU). At 3 dpi (n = 4), 6 dpi (n = 4), 10 dpi (n = 3), 33 dpi (n = 3), 60 dpi (n = 1), and 80 dpi (n = 1), mice received 100 μl of Nano-Glo substrate (1:50 dilution in PBS) via the retro-orbital venous sinus and bioluminescence signals were detected using an IVIS. The signal intensity was represented by the radiance unit of photons (p) /sec/cm2/sr. After observation, animals were sacrificed and internal organs (lung, small intestine, and tumors) were collected, weighed, and homogenized. Virus infectious titers in the tissue homogenates were determined in a plaque assay.
Cytotoxicity assay.
Monolayers of Du145 cells cultured in 96-well plates were infected with virus at an MOI of 10 PFU/cell and incubated for various times. At the indicated times, cell viability was determined in a WST-1 assay. In brief, 2 μl of cell proliferation reagent was added to the cell culture and incubated at 37°C for 1 h, and the optical density at 440 nm was measured in a microplate reader (PowerScan HT; DS Pharma Biomedical, Osaka, Japan).
Statistical analyses.
Statistical analyses were performed using GraphPad Prism (v5.0). Cell viabilities at 72 h postinfection were compared between two groups using the two-tailed Student's t test. A P of <0.05 was considered statistically significant.
Ethics statement.
The study was approved by the Animal Research Committee of the Research Institute for Microbial Diseases, Osaka University (approval number Bi-Dou-25-06-0). All experiments were conducted in accordance with the guidelines for the care and use of laboratory animals of the Ministry of Education, Culture, Sports, Science and Technology, Japan.
ACKNOWLEDGMENTS
We thank Naoko Nagasawa and Misa Onishi for technical assistance. We also thank Toru Okamoto for providing human cancer cell lines and for technical assistance, Fuminori Sakurai for technical assistance, and Shinichi Yokota for providing U118MG cells.
This work was supported in part by grants-in-aid from the Research Program on JSPS KAKENHI (grant numbers JP16K19138, JP25860340, and JP26292149).
Author contributions were as follows: conceptualization and design, Y. Kanai and T. Kobayashi; development of methodology, Y. Kanai and T. Kobayashi; acquisition of data, Y. Kanai and T. Kawagishi; data analysis and interpretation, Y. Kanai, T. Kawagishi, Y. Matsuura, and T. Kobayashi; writing of the manuscript, Y. Kanai, T. Kawagishi, Y. Matsuura, and T. Kobayashi.
We have no conflicts of interest.
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