ASSAY AND MEDICAMENT
The invention relates to defective interfering viruses and defective interfering virus RNAs that are effective as antiviral agents. The invention also relates to methods for identifying defective interfering virus RNAs that can be used as effective antiviral agents.
The present invention relates to methods for identifying an antiviral agent, and in particular, to methods for assaying a defective interfering virus RNA to identify an antiviral agent. The invention also relates to new defective interfering viruses that are effective as antiviral agents.
BACKGROUND OF THE INVENTIONThe influenza A genome comprises 8 segments of single stranded negative-sense RNA (vRNA) in the form of ribonucleoprotein (RNP) complexes. Inclusion of one copy of each of the 8 segments is required to make an infectious virus particle.
During the course of viral replication, progeny genomes can be generated that contain extensive deletions. At least some of such truncated genomes contain the signals necessary for packaging the nucleic acid into virus particles. However, the truncated genomes themselves are unable to generate infectious virus particles and are thus functionally defective. Some defective genomes are capable of interfering with the growth of the parental virus from which they were derived. The ability of such defective interfering (DI) genomes to interfere with virus replication had led to the suggestion that they can be used as the basis for a new approach to antiviral therapy.
Influenza virus infections can generate small DI RNA segments which can interfere with virus replication. Most influenza DI RNAs have a major (approximately 80%) internal deletion, and retain the cis-acting signals required for replication and packaging into virus particles. DI RNA is incorporated into a DI virus particle but the resulting DI virus particle cannot replicate autonomously since the deleted RNA is unable to synthesize the protein normally encoded by the full length segment. Hence, replication of a DI virus requires complementation by infectious virus.
Influenza virus genome replication commences with synthesis of positive-sense (cRNA) copies of the vRNA segments of the infecting virus, and these in turn are used as templates for synthesis of new vRNAs. vRNAs are also used as the template for mRNA transcription. Unlike cRNA synthesis, mRNA synthesis is initiated using a primer cleaved from the capped 5′ end of host mRNA and its synthesis terminates before the end of the template vRNA, prior to polyadenylation. Thus the mRNA differs from cRNA in having the primer-derived 5′-extension, and in being truncated and polyadenylated at the 3′ end. The non-coding termini of each segment are crucial for RNA synthesis, and contain conserved, approximately 12 nucleotide (nt) sequences at the 5′ ends which are almost exactly complemented at the 3′ ends.
The synthesis of influenza virus RNA is carried out by a virus-encoded RNA-dependent RNA polymerase present within each RNP complex that consists of the vRNA or cRNA strongly associated with the virus nucleoprotein (NP). The viral RNA polymerase comprises a heterotrimer of PB1, PB2 and PA proteins, which are encoded by vRNA segments 2, 1 and 3, respectively.
Little progress has been made towards understanding the mechanism of interference by DI viruses generated by deletion. For DI RNAs generated by a central deletion, interference with RNA synthesis could involve specific competition between the DI RNA from which it is derived and genomic RNA for a limiting viral or host factor(s), and/or the much shorter DI RNA may have a more rapid rate of synthesis than its cognate genomic RNA giving it a competitive advantage, although there is little experimental evidence to support this.
Most studies of DI influenza virus-mediated interference to date have been carried out with naturally occurring preparations, and are compromised by the presence of mixtures of several different defective RNA sequences. This problem has been solved recently using reverse genetics to generate virus stocks containing a molecularly defined DI RNA (Dimmock et al. 2008). One such DI RNA is 1/317, derived from segment 1 of an avian H7N7 influenza A virus. This was present in a non-cloned virus that interfered with RNA packaging but had no discernible effect on viral RNA synthesis (Duhaut and McCauley 1996). Although the cloned 1/317 DI RNA, delivered intranasally as an influenza virus particle, has protective activity in mice, it was 100-fold less active than 1/244 DI RNA, derived from segment 1 of a human H1N1 virus, in the same delivery system (Dimmock et al. 2008). Inoculation of mice with 1/244 DI virus conferred complete protection from a lethal challenge with several different subtypes of influenza A virus (homologous protection) (Dimmock et al. 2008). However, the molecular basis of protection by 1/244 DI virus is not known. In addition to protection from influenza A viruses, 1/244 DI virus also protects from the heterologous influenza B virus and a murine paramyxovirus in a dose-dependent manner (Easton et al. 2011; Scott et al. 2011). Heterologous (but not homologous) protection is dependent on interferon type I.
SUMMARY OF THE INVENTIONThe present invention has identified that the effectiveness of a DI influenza A virus to interfere with influenza A virus replication can be attributed to the ability of the DI virus RNA to interfere with production of RNA not only from the segment from which the DI virus RNA is derived, but also to interfere with production of RNA from all of segments 1, 2 and 3. As such, the present invention provides new methods for identifying defective interfering viruses that can be used as effective antiviral agents. Also, we provide novel defective interfering viruses.
The present invention has also identified that protein production from the DI virus RNA is not required for interfering activity. Accordingly, the present invention is also directed to a DI virus RNA in which the deleted segment RNA is further mutated to prevent expression of protein, for example, by deletion or mutation of one or more initiation codons AUG.
In accordance with one aspect the invention provides A method to identify an antiviral agent comprises monitoring for the production of RNA from segments 1, 2 and 3 of influenza A virus in the presence of a test defective interfering influenza virus RNA, wherein a defective interfering virus RNA that interferes with production of RNA from each of segment 1, 2 and 3 is identified as an antiviral agent.
In accordance with another aspect, the invention provides a cloned or recombinant defective interfering influenza A virus comprising RNA derived from segment 1, 2 or 3, wherein said RNA comprises:
(a) an RNA of between 300 to 600 nucleotides in length;
(b) at least 100 nucleotides from the 5′ and 3′ ends of segment 1, 2 or 3;
(c) a central deletion of nucleotides of said segment;
wherein said defective interfering influenza virus is capable of interfering with RNA production from segments 1, 2 and 3 of influenza A.
An antiviral agent identified in accordance with the present invention, or a defective interfering virus of the invention is also provided for use in a method of treatment or prophylaxis of influenza A infection.
In another aspect, the present invention provides a defective interfering virus RNA, wherein the RNA is mutated to prevent expression of any encoded protein, for example, wherein one or more AUG initiation codons are mutated. Such a DI virus may be used in a method of treatment or prophylaxis of influenza A infection.
The invention has identified that the effectiveness of a DI influenza A virus to interfere with virus replication can be attributed to the ability of the DI virus RNA to interfere with production of RNA from each of segments 1, 2 and 3 of influenza A virus. Accordingly, the present invention provides methods for identifying DI viruses that are effective as antiviral agents. Thus, the present invention provides a method to identify an antiviral agent by determining whether the defective interfering influenza RNA can interfere with the production of RNA from each of segments 1, 2 and 3 of influenza A virus. A defective interfering influenza virus RNA which is able to interfere with the production of RNA from each of segments 1, 2 and 3 is identified for incorporation in an antiviral agent.
The methods of the present invention can be conducted using any suitable format for the assay which allows for the analysis of the production of RNA from each of segments 1, 2 and 3 of influenza A virus. In accordance with the methods of the present invention, the assays can be conducted in a single assay to monitor for production of RNA from each of segments 1, 2 and 3. Alternatively, multiple assays can be conducted to monitor RNA production from each of segments 1, 2 and 3 separately, or in any combination thereof. For example, the assays can comprise a first assay to monitor for production of RNA from segments 1 and 2 with a separate assay being conducted to monitor RNA production from segment 3. Similarly, production of RNA from segments 2 and 3 can be assayed together, with production of RNA from segment 1 being assayed separately, or production of RNA from segments 1 and 3 can be assayed together, with production of RNA from segment 2 being assayed separately. Typically, a cell is transfected with one or more plasmids that express vRNA from the segments to be analysed, for example using plasmids that express vRNA from segments 1, 2 and 3.
The assays are conducted in the presence of the relevant viral and/or host cell machinery to allow production of RNA from segments 1, 2 and 3. Typically, the methods of the present invention are carried out using a host cell. The host cell is provided with the components necessary to allow viral RNA synthesis. Typically, this can be achieved by transfecting the cell with suitable vectors or plasmids expressing the influenza A polymerase proteins and virus nucleoprotein, and in particular, PB1, PB2, PA and NP proteins of influenza A. As described above, the cell is typically transfected with additional plasmids expressing vRNA from segments 1, 2 and 3.
Where the structural proteins of influenza A are not encoded or provided, virus particles will not be produced. However, levels of production of RNA from the segments can readily be monitored. This can be done through direct detection of vRNA, cRNA or mRNA associated with each segment. Alternatively, reporter constructs can be provided, for example, encoding negative-sense target RNA can be provided such as a segment-reporter gene construct, encoding a reporter such as green fluorescent protein. Where segments 1, 2 and 3 are assessed in combination such that two or more segments are monitored at the same time, and reporter genes are used, preferably, different reporter genes are used for each segment. Where reporter genes are used, the assays comprise monitoring for expression of the reporter gene. A reduction in reporter gene expression, for example demonstrated by a reduction in fluorescence indicates that production of RNA from the segment-reporter construct has been reduced.
Defective interfering virus RNA for analysis in the assays of the present invention are typically defective interfering virus RNA derived from influenza A. Typically, the DI virus RNA is derived from segment 1, 2 or 3 of influenza A. In one aspect of the present invention, DI virus RNA is introduced into the cells, for example by providing a vector or plasmid encoding DI virus RNA. In an alternative aspect, the assay can be conducted by infecting the cells with DI virus particles. In preferred aspects of the present invention, the DI viruses assayed in accordance with the present invention are cloned DI viruses. Alternatively the method may be used to assay a heterogeneous population of DI viruses, to identify pool(s) containing DI viruses of interest, for subsequent cloning and analysis.
References to inhibition typically refer to at least 10% reduction in production of viral RNA, cRNA or mRNA from each segment, typically at least 20%, 30%, 40% or 50% reduction in viral RNA, cRNA or mRNA production, preferably at least 60%, 70%, 80% or 90%, preferably at least 95%, 97%, 98% or 99% reduction in viral RNA, cRNA or mRNA production. Defective interfering virus RNA showing the highest levels of inhibition of viral synthesis are most preferably used as antiviral agents.
In accordance with another aspect of the present invention, there is provided a defective interfering virus for use as an antiviral agent. The defective interfering virus RNAs of the present invention are derived from influenza A. The defective interfering influenza A RNA may be derived from segment 1, 2 or 3. SEQ ID NOs: 2, 3 and 4 set out the sequences of influenza A virus segment 1 for strains A/Puerto Rico/8/34(H1N1), A/New York/463/2005(H3N2) and A/Netherlands/178/1995(H3N2) respectively. SEQ ID NOs 5, 6 and 7 represent influenza A virus segment 2 of A/Puerto Rico/8/34(H1N1), A/New York/463/2005(H3N2) and A/Netherlands/178/1995(H3N2) respectively. SEQ ID NOs: 8, 9 and 10 represent sequences of influenza A virus segment 3 of A/Puerto Rico/8/34(H1N1), A/New York/463/2005(H3N2) and A/Netherlands/178/1995(H3N2) respectively. In all cases, these sequences are presented in the positive (antigenome sense) from 5′ to 3′. The sequences are also represented as DNA.
The sequences of SEQ ID NOs: 2 to 10 provide representative sequences for segments 1, 2 and 3 that can be used to produce the DI RNA in accordance with the present invention. Deletions are introduced into the segments as discussed in more detail above. There is a high degree of sequence identity between the segments of each strain. Segment 1, 2 or 3 from any influenza A strain can be used to design and produce a DI virus. Segment 1 for use in accordance with the present invention to produce a DI virus may have a variant sequence which has at least 80%, 85%, 90% or 95% homology to SEQ ID NO: 2, 3 or 4 based on nucleotide identity over the entire sequence. A segment 2 for use in accordance with the present invention to produce a DI virus may have at least 80%, 85%, 90% or 95% homology to SEQ ID NO: 5, 6 or 7 based on nucleotide identity over the entire sequence. A segment 3 for use in accordance with the present invention to produce a DI virus may have at least 80%, 85%, 90% or 95% homology to SEQ ID NO: 8, 9 or 10 based on nucleotide identity over the entire sequence.
Standard methods in the art may be used to determine homology. For example the UWGCG Package provides the BESTFIT program which can be used to calculate homology, for example used on its default settings (Devereux et al. (1984) Nucleic Acids Research 12, p 387-395). The PILEUP and BLAST algorithms can be used to calculate homology or line up sequences (such as identifying equivalent residues or corresponding sequences (typically on their default settings)), for example as described in Altschul S. F. (1993) J Mol Evol 36:290-300; Altschul, S. F et al. (1990) J Mol Biol 215: 403-10.
Software for performing BLAST analyses is publicly available through the National Center for Biotechnology Information (http://www.ncbi.nlm.nih.gov/). This algorithm involves first identifying high scoring sequence pair (HSPs) by identifying short words of length W in the query sequence that either match or satisfy some positive-valued threshold score T when aligned with a word of the same length in a database sequence. T is referred to as the neighbourhood word score threshold (Altschul et al., supra). These initial neighbourhood word hits act as seeds for initiating searches to find HSP's containing them. The word hits are extended in both directions along each sequence for as far as the cumulative alignment score can be increased. Extensions for the word hits in each direction are halted when: the cumulative alignment score falls off by the quantity X from its maximum achieved value; the cumulative score goes to zero or below, due to the accumulation of one or more negative-scoring residue alignments; or the end of either sequence is reached. The BLAST algorithm parameters W, T and X determine the sensitivity and speed of the alignment. The BLAST program uses as defaults a word length (W) of 11, the BLOSUM62 scoring matrix (see Henikoff and Henikoff (1992) Proc. Natl. Acad. Sci. USA 89: 10915-10919) alignments (B) of 50, expectation (E) of 10, M=5, N=4, and a comparison of both strands.
The BLAST algorithm performs a statistical analysis of the similarity between two sequences; see e.g., Karlin and Altschul (1993) Proc. Natl. Acad. Sci. USA 90: 5873-5787. One measure of similarity provided by the BLAST algorithm is the smallest sum probability (P(N)), which provides an indication of the probability by which a match between two amino acid sequences would occur by chance. For example, a sequence is considered similar to another sequence if the smallest sum probability in comparison of the first sequence to the second sequence is less than about 1, preferably less than about 0.1, more preferably less than about 0.01, and most preferably less than about 0.001.
The defective interfering influenza virus RNA comprises sequences from segment 1, 2 or 3 comprising at least a portion of the 5′ region and a portion of 3′ region of the segment, and having one or more deletions in the central portion of the segment. The sequences in the 5′ end and 3′ end of the segment are preferably intact, that is represent contiguous sequences from the 5′ and 3′ ends of the segment. The regions from the 5′ end and 3′ end are selected to retain cis-acting signals required for replication and packaging into virus particles. Typically, the defective interfering virus RNA will include at least 100 nucleotides up to 500 nucleotides in length from the 5′ end of the segment, preferably up to 400 nucleotides in length, preferably up to 300 nucleotides in length, preferably up to 250 nucleotides in length, such as between 100 to 250 nucleotides in length, 100 to 220 nucleotides in length or 120 to 220 nucleotides in length, say 150 to 220 nucleotides in length from the 5′ end of the segment.
Similarly, typically the defective interfering virus RNA comprises the 3′ terminus of the segment comprising a contiguous sequence from the 3′ terminus, typically comprising at least 100 nucleotides up to 500 nucleotides of the 3′ end of the segment, preferably 150 nucleotides up to 400 nucleotides, such as 150 nucleotides up to 280 nucleotides of the 3′ end of the segment. The deletion comprises deletion of a central portion of the segment, typically up to 2,000 nucleotides in length, typically at least 1,000 nucleotides in length, at least 1,500 nucleotides in length, 1,800 nucleotides in length, 2,000 nucleotides in length.
Thus, the defective interfering virus RNA according to the present invention typically has a total length of between 300 nucleotides and 600 nucleotides, typically 300 nucleotides up to 500 nucleotides, preferably between 380 nucleotides up to 480 nucleotides in length.
The defective interfering viruses in accordance with the present invention are characterised by their ability to interfere with production of RNA from segments 1, 2 and 3 of influenza A virus. Assays for the activity of the virus can be conducted in accordance with the methods described herein.
Typically, the defective interfering virus RNA for incorporation into the virus particle is produced by recombinant means. Standard recombinant techniques can be used to introduce deletions into segments 1, 2 or 3 RNA.
Alternatively, the defective interfering virus of the present application may be cloned or recombinant viruses, for example, to provide a cloned or recombinant preparation based on a naturally occurring defective interfering virus. For example, samples can be taken from infected individuals, animals or to identify cells for the presence of defective interfering virus particles. Such DI viruses can be screened to identify the presence of defective interfering viruses which inhibit viral replication from each of segments 1, 2 and 3. The DI RNA of the viruses are then isolated and cloned by recombinant techniques to provide a cloned preparation of defective interfering virus having the characteristics as now claimed.
The DI virus RNA as described herein can be incorporated into a viral particle in order to produce a DI virus for use as an antiviral agent. Such virus particles can be produced by transfecting a cell with a plasmid or vector expressing the DI virus RNA and plasmids or vectors which in combination express RNA segments 1 to 8 of an influenza A. RNA and protein expression can be used in order to generate viral particles comprising the DI virus RNA. Methods of generating cloned DI influenza virus are described for example in WO2007/135420.
In accordance with a preferred aspect of the present invention, the DI virus of the present application is not 1/244.
A DI virus identified as an antiviral agent, or a DI virus in accordance with the present invention may be used in a method to treat a viral infection in a subject, and in particular to treat influenza A infection in a subject. The invention also provides a method of preventing or treating influenza A infection in a subject, comprising administering to the subject an effective amount of a DI virus identified in accordance with the invention, or an DI virus of the invention as described above.
The invention also provides a DI virus identified in accordance with the invention, or of the invention for use in a method of preventing or treating influenza A infection. The invention further provides use of a DI virus identified in accordance with the invention, or of the invention in the manufacture of a medicament for preventing or treating influenza A infection.
DI viruses derived from influenza A have also been demonstrated to be effective in the treatment of virus infections caused by other viruses, in particular, respiratory virus infections. Thus, a DI virus in accordance with the present invention may also be used for the treatment of other respiratory virus infections, including virus infections caused by viruses of the paramyxoviridae, such as pneumovirus or metanpeurovirus, and viruses caused by viruses of the orthomyoviridae. Examples of respiratory viruses that can be treated in accordance with the present invention include human respiratory syncytial virus, human metapneumovirus, influenza B or influenza C virus.
Typically, the individual is human. The subject is typically a patient, but may also be an individual at risk of infection.
The DI virus of the invention may be used for treating influenza A infection. In the case of treating, the subject typically has an influenza A infection, i.e. has been diagnosed as having an influenza A infection, or is suspected as having an influenza A infection, i.e. shows the symptoms of an influenza A infection. The individual may also be at risk of infection, and the DI virus is used prophylactically to prevent or treat infection by administration up to 2 weeks, typically up to 1 week before exposure to influenza A. The subject is typically symptomatic but may also be asymptomatic. As used herein, the term “treating” includes any of following: the prevention of an influenza A infection or of one or more symptoms associated with an influenza A infection; a reduction or prevention of the development or progression of the influenza A infection or symptoms; and the reduction or elimination of an existing influenza A infection or symptoms.
Therapy and prevention includes, but is not limited to, alleviating, reducing, curing or at least partially arresting symptoms and/or complications resulting from or associated with an influenza A infection. When provided therapeutically, the therapy is typically provided at or shortly after the onset of a symptom of an influenza A infection. Such therapeutic administration is typically to prevent or ameliorate the progression of, or a symptom of the infection or to reduce the severity of such a symptom or infection. When provided prophylactically, the treatment is typically provided before the onset of a symptom of an influenza A infection. Such prophylactic administration is typically to prevent the onset of symptoms of the infection. The DI viruses identified in accordance with the present invention or of the present invention may be administered to treat or prevent infection, before an individual is infected, but where the individual is suspected or likely to come into contact with influenza A virus. For example, the DI virus of the present invention may be administered 1 day, 3 days, 1 week or up to 2 weeks before exposure to influenza A.
Specific routes, dosages and methods of administration of the DI virus identified in accordance with the invention, or of the invention may be routinely determined by the medical practitioner. These are discussed in more detail below. Typically, a therapeutically effective or a prophylactically effective amount of the DI virus of the invention is administered to the subject. A prophylactically effective amount is an amount which prevents the influenza A infection and/or the onset of one or more symptoms of the influenza A infection. A therapeutically effective amount is an amount effective to ameliorate one or more symptoms of the influenza A infection. A therapeutically effective amount preferably abolishes one or more symptoms of the disease. Typically, such an amount reduces the influenza A infection or viral titre in the subject.
The DI virus of the invention may be used in combination with one or more other therapies intended to treat the same subject. By a combination is meant that the therapies may be administered simultaneously, in a combined or separate form, to a subject. The therapies may be administered separately or sequentially to a subject as part of the same therapeutic or prophylactic regimen. For example, the DI virus of the invention may be used in combination with another therapy intended to inhibit influenza A infection or manage a symptom thereof. The other therapy may be a general therapy aimed at treating or improving the condition of a subject with an influenza A infection.
The DI virus identified in accordance with the invention or of the invention can be administered to the subject by any suitable means. Typically the DI virus is administered to the respiratory airways, typically by intranasal or intrabuccal administration, inhalation or instillation.
The DI virus of the invention can be formulated into pharmaceutical compositions. These compositions may comprise, in addition to one of the above DI viruses, a pharmaceutically acceptable carrier or diluent. Such compositions may also comprise other excipients, buffers, stabilisers or other materials well known to those skilled in the art. Such materials should be non-toxic and should not interfere with the efficacy of the DI virus. The precise nature of the carrier or diluent may depend on the route of administration, e.g. oral, intravenous, cutaneous or subcutaneous, nasal, intramuscular, intraperitoneal routes.
Oral formulations include such normally employed excipients as, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, and the like. These compositions take the form of solutions, suspensions, tablets, pills, capsules, sustained release formulations or powders and contain 10% to 95% of active ingredient, preferably 25% to 70%. Where the pharmaceutical composition is lyophilised, the lyophilised material may be reconstituted prior to administration, e.g. a suspension. Reconstitution is preferably effected in water. Typically the formulations are suitable for intranasal delivery and may be provided in the form of a nasal spray, nasal drops, gel or powder.
An effective amount, such as a therapeutically or prophylactically effective amount, of the DI virus is administered. The dose may be determined according to various parameters, especially according to the DI virus used; the age, weight and condition of the subject to be treated; the route of administration; and the required regimen. Again, a physician will be able to determine the required route of administration and dosage for any particular subject.
In another aspect of the present invention, a DI virus is provided in which the DI virus RNA is not able to produce a protein. Typically, this is achieved by mutating DI virus RNA to remove signalling sequences required for protein expression. In one aspect of the present invention, this is done by deletion or substitution of one or more AUG initiation codons. For example, the initiation codon may be mutated at one or more positions. In one aspect, we describe mutation of one or more initiation codons to AUC, and typically all initiation codons are mutated to AUC.
The DI virus RNA of the invention may be a known DI virus. In one preferred aspect of the present invention, with DI virus RNA is 1/244 which incorporates a mutation of AUG initiation codons. The DI virus may include one or more mutations to mutate one, more than one or all AUG initiation codons in the DI virus. In the case of 244 DI RNA, mutations are introduced in the AUG initiation codons present at positions 28 to 30, 58 to 60 and 109 to 111. Suitable mutations include mutation of G to C for example at positions 30, 60 and 111 of 244 DI RNA.
Similar mutations can be incorporated in other DI RNA, particularly, DI RNA derived from influenza A virus. Such DI RNA can be that as described above. In particular, the defective interfering influenza A RNA may be derived from segment 1, 2 or 3. SEQ ID NOs: 2, 3 and 4 set out the sequences of influenza A virus segment 1 for strains A/Puerto Rico/8/34(H1N1), A/New York/463/2005(H3N2) and A/Netherlands/178/1995(H3N2) respectively. SEQ ID NOs 5, 6 and 7 represent influenza A virus segment 2 of A/Puerto Rico/8/34(H1N1), A/New York/463/2005(H3N2) and A/Netherlands/178/1995(H3N2) respectively. SEQ ID NOs: 8, 9 and 10 represent sequences of influenza A virus segment 3 of A/Puerto Rico/8/34(H1N1), A/New York/463/2005(H3N2) and A/Netherlands/178/1995(H3N2) respectively. In all cases, these sequences are presented in the positive (antigenome sense) from 5′ to 3′. The sequences are also represented as DNA.
The sequences of SEQ ID NOs: 2 to 10 provide representative sequences for segments 1, 2 and 3 that can be used to produce the DI RNA in accordance with the present invention. Deletions are introduced into the segments as discussed in more detail above. There is a high degree of sequence identity between the segments of each strain. Segment 1, 2 or 3 from any influenza A strain can be used to design and produce a DI virus. Segment 1 for use in accordance with the present invention to produce a DI virus may have a variant sequence which has at least 80%, 85%, 90% or 95% homology to SEQ ID NO: 2, 3 or 4 based on nucleotide identity over the entire sequence. A segment 2 for use in accordance with the present invention to produce a DI virus may have at least 80%, 85%, 90% or 95% homology to SEQ ID NO: 5, 6 or 7 based on nucleotide identity over the entire sequence. A segment 3 for use in accordance with the present invention to produce a DI virus may have at least 80%, 85%, 90% or 95% homology to SEQ ID NO: 8, 9 or 10 based on nucleotide identity over the entire sequence.
Standard methods in the art may be used to determine homology. For example the UWGCG Package provides the BESTFIT program which can be used to calculate homology, for example used on its default settings (Devereux et al. (1984) Nucleic Acids Research 12, p 387-395). The PILEUP and BLAST algorithms can be used to calculate homology or line up sequences (such as identifying equivalent residues or corresponding sequences (typically on their default settings)), for example as described in Altschul S. F. (1993) J Mol Evol 36:290-300; Altschul, S. F et al. (1990) J Mol Biol 215: 403-10.
Software for performing BLAST analyses is publicly available through the National Center for Biotechnology Information (http://www.ncbi.nlm.nih.gov/). This algorithm involves first identifying high scoring sequence pair (HSPs) by identifying short words of length W in the query sequence that either match or satisfy some positive-valued threshold score T when aligned with a word of the same length in a database sequence. T is referred to as the neighbourhood word score threshold (Altschul et al., supra). These initial neighbourhood word hits act as seeds for initiating searches to find HSP's containing them. The word hits are extended in both directions along each sequence for as far as the cumulative alignment score can be increased. Extensions for the word hits in each direction are halted when: the cumulative alignment score falls off by the quantity X from its maximum achieved value; the cumulative score goes to zero or below, due to the accumulation of one or more negative-scoring residue alignments; or the end of either sequence is reached. The BLAST algorithm parameters W, T and X determine the sensitivity and speed of the alignment. The BLAST program uses as defaults a word length (W) of 11, the BLOSUM62 scoring matrix (see Henikoff and Henikoff (1992) Proc. Natl. Acad. Sci. USA 89: 10915-10919) alignments (B) of 50, expectation (E) of 10, M=5, N=4, and a comparison of both strands.
The BLAST algorithm performs a statistical analysis of the similarity between two sequences; see e.g., Karlin and Altschul (1993) Proc. Natl. Acad. Sci. USA 90: 5873-5787. One measure of similarity provided by the BLAST algorithm is the smallest sum probability (P(N)), which provides an indication of the probability by which a match between two amino acid sequences would occur by chance. For example, a sequence is considered similar to another sequence if the smallest sum probability in comparison of the first sequence to the second sequence is less than about 1, preferably less than about 0.1, more preferably less than about 0.01, and most preferably less than about 0.001.
The defective interfering influenza virus RNA comprises sequences from segment 1, 2 or 3 comprising at least a portion of the 5′ region and a portion of 3′ region of the segment, and having one or more deletions in the central portion of the segment. The sequences in the 5′ end and 3′ end of the segment are preferably intact, that is represent contiguous sequences from the 5′ and 3′ ends of the segment. The regions from the 5′ end and 3′ end are selected to retain cis-acting signals required for replication and packaging into virus particles. Typically, the defective interfering virus RNA will include at least 100 nucleotides up to 500 nucleotides in length from the 5′ end of the segment, preferably up to 400 nucleotides in length, preferably up to 300 nucleotides in length, preferably up to 250 nucleotides in length, such as between 100 to 250 nucleotides in length, 100 to 220 nucleotides in length or 120 to 220 nucleotides in length, say 150 to 220 nucleotides in length from the 5′ end of the segment.
Similarly, typically the defective interfering virus RNA comprises the 3′ terminus of the segment comprising a contiguous sequence from the 3′ terminus, typically comprising at least 100 nucleotides up to 500 nucleotides of the 3′ end of the segment, preferably 150 nucleotides up to 400 nucleotides, such as 150 nucleotides up to 280 nucleotides of the 3′ end of the segment. The deletion comprises deletion of a central portion of the segment, typically up to 2,000 nucleotides in length, typically at least 1,000 nucleotides in length, at least 1,500 nucleotides in length, 1,800 nucleotides in length, 2,000 nucleotides in length.
Thus, the defective interfering virus RNA according to the present invention typically has a total length of between 300 nucleotides and 600 nucleotides, typically 300 nucleotides up to 500 nucleotides, preferably between 380 nucleotides up to 480 nucleotides in length.
Typically, the defective interfering virus RNA for incorporation into the virus particle is produced by recombinant means. Standard recombinant techniques can be used to introduce deletions into segments 1, 2 or 3 RNA, together with further mutations to one or more of the initiation codons as described above.
The DI virus RNA as described herein can be incorporated into a viral particle in order to produce a DI virus for use as an antiviral agent. Such virus particles can be produced by transfecting a cell with a plasmid or vector expressing the DI virus RNA and plasmids or vectors which in combination express RNA segments 1 to 8 of an influenza A. RNA and protein expression can be used in order to generate viral particles comprising the DI virus RNA.
A DI virus in accordance with this aspect of the present invention may be used in a method to treat a viral infection in a subject, for example to treat influenza A infection in a subject. The invention also provides a method of preventing or treating influenza A infection in a subject, comprising administering to the subject an effective amount of a DI virus of the invention as described herein. The DI virus in accordance with this aspect of the invention may also be used to treat other viral infections.
The invention also provides a DI virus of this aspect of the invention for use in a method of preventing or treating influenza A infection. The invention further provides use of a DI virus of this aspect of the invention in the manufacture of a medicament for preventing or treating influenza A infection.
DI viruses derived from influenza A have also been demonstrated to be effective in the treatment of virus infections caused by other viruses, in particular, respiratory virus infections. Thus, a DI virus in accordance with the present invention may also be used for the treatment of other respiratory virus infections, including virus infections caused by viruses of the paramyxoviridae, such as pneumovirus or metanpeurovirus, and viruses caused by viruses of the orthomyoviridae. Examples of respiratory viruses that can be treated in accordance with the present invention include human respiratory syncytial virus, human metapneumovirus, influenza B or influenza C virus.
Typically, the individual is human. The subject is typically a patient, but may also be an individual at risk of infection.
The DI virus of the invention may be used for treating influenza A infection. In the case of treating, the subject typically has an influenza A infection, i.e. has been diagnosed as having an influenza A infection, or is suspected as having an influenza A infection, i.e. shows the symptoms of an influenza A infection. The individual may also be at risk of infection, and the DI virus is used prophylactically to prevent or treat infection by administration up to 2 weeks, typically up to 1 week before exposure to influenza A. The subject is typically symptomatic but may also be asymptomatic. As used herein, the term “treating” includes any of following: the prevention of an influenza A infection or of one or more symptoms associated with an influenza A infection; a reduction or prevention of the development or progression of the influenza A infection or symptoms; and the reduction or elimination of an existing influenza A infection or symptoms.
Therapy and prevention includes, but is not limited to, alleviating, reducing, curing or at least partially arresting symptoms and/or complications resulting from or associated with an influenza A infection. When provided therapeutically, the therapy is typically provided at or shortly after the onset of a symptom of an influenza A infection. Such therapeutic administration is typically to prevent or ameliorate the progression of, or a symptom of the infection or to reduce the severity of such a symptom or infection. When provided prophylactically, the treatment is typically provided before the onset of a symptom of an influenza A infection. Such prophylactic administration is typically to prevent the onset of symptoms of the infection. The DI viruses identified in accordance with the present invention or of the present invention may be administered to treat or prevent infection, before an individual is infected, but where the individual is suspected or likely to come into contact with influenza A virus. For example, the DI virus of the present invention may be administered 1 day, 3 days, 1 week or up to 2 weeks before exposure to influenza A.
Specific routes, dosages and methods of administration of the DI virus identified in accordance with the invention, or of the invention may be routinely determined by the medical practitioner. These are discussed in more detail below. Typically, a therapeutically effective or a prophylactically effective amount of the DI virus of the invention is administered to the subject. A prophylactically effective amount is an amount which prevents the influenza A infection and/or the onset of one or more symptoms of the influenza A infection. A therapeutically effective amount is an amount effective to ameliorate one or more symptoms of the influenza A infection. A therapeutically effective amount preferably abolishes one or more symptoms of the disease. Typically, such an amount reduces the influenza A infection or viral titre in the subject.
The DI virus of the invention may be used in combination with one or more other therapies intended to treat the same subject. By a combination is meant that the therapies may be administered simultaneously, in a combined or separate form, to a subject. The therapies may be administered separately or sequentially to a subject as part of the same therapeutic or prophylactic regimen. For example, the DI virus of the invention may be used in combination with another therapy intended to inhibit influenza A infection or manage a symptom thereof. The other therapy may be a general therapy aimed at treating or improving the condition of a subject with an influenza A infection.
The DI virus of the invention can be administered to the subject by any suitable means. Typically the DI virus is administered to the respiratory airways, typically by intranasal or intrabuccal administration, inhalation or instillation.
The DI virus of the invention can be formulated into pharmaceutical compositions. These compositions may comprise, in addition to one of the above DI viruses, a pharmaceutically acceptable carrier or diluent. Such compositions may also comprise other excipients, buffers, stabilisers or other materials well known to those skilled in the art. Such materials should be non-toxic and should not interfere with the efficacy of the DI virus. The precise nature of the carrier or diluent may depend on the route of administration, e.g. oral, intravenous, cutaneous or subcutaneous, nasal, intramuscular, intraperitoneal routes.
Oral formulations include such normally employed excipients as, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, and the like. These compositions take the form of solutions, suspensions, tablets, pills, capsules, sustained release formulations or powders and contain 10% to 95% of active ingredient, preferably 25% to 70%. Where the pharmaceutical composition is lyophilised, the lyophilised material may be reconstituted prior to administration, e.g. a suspension. Reconstitution is preferably effected in water. Typically the formulations are suitable for intranasal delivery and may be provided in the form of a nasal spray, nasal drops, gel or powder.
An effective amount, such as a therapeutically or prophylactically effective amount, of the DI virus is administered. The dose may be determined according to various parameters, especially according to the DI virus used; the age, weight and condition of the subject to be treated; the route of administration; and the required regimen. Again, a physician will be able to determine the required route of administration and dosage for any particular subject.
EXAMPLES Example 1 DI RNA Inhibits RNA Production from Segments 1, 2 and 3 Materials and Methods PlasmidsThe plasmids encoding the 8 gene segments of the A/WSN strain of A/WS/33 and plasmids expressing the polymerase proteins and NP (Neumann et al. 1999), and the vector expressing 1/244 DI RNA (
Human 293T cells were transfected as previously described (Dimmock et al. 2008). Briefly, for northern blot analysis, a well of 70% confluent 293T cells in a 12-well plate was transfected using TransIT LT1 transfection reagent (Minis) with 8 PolI expression plasmids encoding viral sense RNA and cDNA plasmids for expression of PB2, PB1, PA and NP proteins, with or without pPolI-244. The transfected cells were then incubated at 37° C. overnight before co-culture with MDCK cells in a 25 cm2 flask. Total cellular RNA was extracted with 2 ml Trizol reagent per sample (Invitrogen) on days 1, 2 and 3 after co-culture while tissue culture fluid was collected for virus titration and RNA extraction. Virions were purified by ultracentrifugation. RNA was extracted with phenol/chloroform, and then ethanol precipitated. For transfections, each well of a 6 well plate containing 70% confluent 293T cells was transfected with 1 μg each of the PB2, PB1, PA and NP cDNA expression plasmids plus various amounts of a DI plasmid or pPolI-NA together with 1 μg of target plasmid. After two days' incubation at 37° C. the supernatant was discarded and RNA was extracted with Trizol.
Infectivity AssayMDCK cell monolayers in 96-well plates were infected with supernatant containing rescued A/WSN as described previously (Scott et al. 2011). After 1 hour for attachment of virus, the monolayer was washed with PBS, and incubated in maintenance medium overnight at 33° C. Cells were then fixed with 4% (v/v) formaldehyde, washed and blocked with 5% (w/v) milk powder in PBS. The infected cells were probed with a monoclonal antibody specific for the HA of A/WSN in PBS containing 0.1% Tween 20. After washing, goat anti-mouse IgG-alkaline phosphatase conjugate (Sigma) in TBS containing 0.1% Tween 20 was added, and infected cells detected with nitrotetrazolium blue chloride/BCIP (Sigma) in Tris-buffered magnesium chloride and sodium chloride (0.1 M, pH 9.5). The infectivity titre was determined by counting at least 50 positively stained cells (foci) at an appropriate dilution in each of the triplicate wells. The mean number of counts was determined to give a titre in focus-forming units (f.f.u.) ml−1.
Primer ExtensionTotal cellular RNA was extracted from cells with Trizol at 48 h post-transfection and used for primer extension analysis (Rehwinkel et al. 2010). Two μg of total RNA was mixed with [32P]5′-end labelled primers and dNTP in a total volume of 13 μl. The mixture was heated at 65° C. for 5 min and placed on ice for 1 min. 2×first Strand Buffer, 20 mM DTT, and 100 U SuperScript III reverse transcriptase (Invitrogen) were added and further incubated at 55° C. for 1 h. The reaction was terminated by heating at 95° C. for 5 min with gel loading dye II (Ambion). The transcription products were resolved on a 6% (w/v) polyacrylamide gel containing 7 M urea in TBE buffer and detected by phosphor imaging. The primers used are shown in Table 1 and the positions of these on the various target RNAs are demonstrated in
Ten μg of total cellular RNA or 50% of the yield of purified virion RNA from each sample was used for glyoxal-agarose gel electrophoresis. The RNA was transferred onto Hybond-N membrane (GE Healthcare) overnight using 20×SSC. The membrane was then baked at 80° C. for 2 h and hybridized with digoxigenin (DIG)-labelled probes overnight. The full-length positive-sense DIG-labelled segment 1, segment 2 and segment 7 probes were transcribed in vitro in the presence of DIG-UTP (Roche) from PCR products containing a T7 promoter. The Roche system with a digoxigenin-specific alkaline phosphatase conjugated FAb antibody fragment and the chemiluminescent CSPD substrate was used for detection. Blots were exposed to Fuji X-ray film until the desired density was achieved and bands were quantified by densitometry using ImageJ (NIH).
Quantitation of GFP-Expressing Cells293T cells were transfected with the segment 1-GFP RNA expressing plasmid, plasmids expressing PB1, PB2, PA and NP proteins, and increasing amounts of an additional PolI plasmid expressing a DI RNA (1/244, 2/265 and 3/262) or a full-length RNA (segment 4 or 6). At two days post-transfection, the cultures were examined for GFP expression. Digital images of the cell monolayers were taken by phase-contrast and epifluorescence microscopy. Five field fluorescence images were randomly selected and analysed for the proportion of the visualised area expressing GFP using the HClmage software (Hamamatsu). The visualisation detects cells expressing a range of GFP levels to include those that may have been transfected with different levels of the reporter plasmids. A mean was calculated to give the percentage of the GFP positive area per monolayer.
Results1/244 DI RNA Interferes with Packaging of Segment 1
We have used a plasmid rescue system to generate a preparation of influenza virus in which 1/244 DI RNA was the only DI RNA present (Dimmock et al. 2008). The derivation of DI RNA 1/244 from segment 1 is shown in
Segment 1, 2 or 3 DI RNAs Inhibit Gene Expression from Segment 1
To separate the possible effects of DI RNA on viral RNA synthesis from RNA packaging, we devised a GFP expression assay in which transcription and replication of a GFP-encoding negative-sense target RNA (segment 1-GFP;
1/244 DI RNA Differentially Inhibits Positive Sense RNA Synthesis from Genome Segment 1, 2 and 3 but not Segment 6
Expression of GFP from the segment 1-GFP PolI plasmid is dependent on transcription of the negative-sense vRNA into mRNA. However, vRNA is also template for cRNA, which in turn acts as template for the production of more vRNA. Influenza virus mRNA has a 5′-extension of approximately 12 nt cleaved from the host mRNA (Palese and Shaw 2007) so the mRNA and cRNA products can be distinguished by size. Using a primer extension assay which detects levels of vRNA, mRNA and cRNA, we identified the stage of target RNA synthesis with which 1/244 DI RNA interferes (
To control for the specificity of action of the inhibiting RNA, we transfected a segment 6 plasmid (encoding the NA gene) in the place of the DI RNA plasmid.
To determine how the target RNA affects the specificity of DI RNA-mediated inhibition of RNA synthesis and accumulation we used segment 6 as target.
The data described above demonstrate that the segment 1-derived 1/244 DI RNA differentially affected the levels of RNAs produced from genome segment 1 and segment 6. Since there was also cross-segment interference between the DI RNAs 2/265 or 3/262 and expression of GFP by segment 1-GFP (
1/244 DI RNA Inhibits Synthesis of its Own Negative Sense vRNA but not its Own Positive Sense RNA
In light of the ability of 1/244 DI RNA to differentially reduce the level of segment 1-encoded RNAs, we investigated whether or not the levels of the positive and negative-sense RNAs synthesised from the 1/244 DI RNA in the same system were also affected. The gels used to analyse these RNAs could not separate the cRNA and mRNA which co-migrated.
Despite the many years spent investigating DI influenza viruses, understanding of the mechanism of action of interference in vitro, and protection from disease in vivo remains elusive. A commonly held hypothesis is that the small size of the DI RNA allows it to outcompete the full-length genome due to a faster replication rate, and that the proportion of virus particles containing DI genomes simply reflects the relative levels of DI and intact genomes present within infected cells (Roux et al. 1991; Marriott and Dimmock 2010). A second hypothesis is that DI RNA has an advantage in competing for a limiting viral or host factor. However, there is little experimental evidence to support either of these hypotheses with DI genomes in general, and none for influenza DI virus. More recently, a third hypothesis suggested that the influenza virus DI RNA interferes at the level of packaging of genomic RNAs into virions (Duhaut and McCauley 1996). Further, underlying this was the suspicion that different influenza DI sequences have different biological properties (Duhaut 1998; Dimmock et al. 2008). Understanding the interference process has the potential to provide new approaches for the development of novel antivirals based on DI genomes and the discussion below indicates how the data presented in this report have advanced our understanding of DI influenza viruses.
1/244 DI RNA Interferes with Packaging of the Cognate Segment 1 Virion RNA
1/244 DI RNA Interferes with Expression of the Cognate Segment 1, with Segments 2 and 3 Virion RNAs
Analysis of the effect of the DI genome on mRNA synthesis from a segment 1 target genome RNA in the absence of virus particle synthesis, measured directly or by monitoring expression of a reporter gene showed that 1/244 DI RNA interfered with the RNA synthesis directed by a segment 1-derived target (
The synthesis of positive (mRNA and cRNA) and negative-sense (vRNA) virus RNA are distinct processes as evidenced by the effect of specific mutants abolishing the function of one or the other (Jorba et al. 2009; Yuan et al. 2009), and the data presented here show that 1/244 DI RNA differentially affects the steady state levels of the different RNA products expressed by its target. Increasing amounts of transfected 1/244 DI RNA led to a dramatic reduction in full-length segment 1-derived mRNA and cRNA levels with a lesser effect on vRNA levels; four-fold more plasmid DNA was required to reduce vRNA to the same levels as mRNA and cRNA (
Data in
The reduction of mRNA levels by 1/244 DI RNA was not observed when segments 4 or 6 were used as the target, indicating that 1/244 DI RNA does not interfere with all genome segments and acts selectively on the synthesis of positive-sense RNA from segments 1, 2 and 3 (
DI mRNAs that retain the AUG initiation codon of the major open reading frame have the potential to be translated into truncated PB2 peptides, as demonstrated for some segment 1-derived DI RNAs (Akkina et al. 1984), and similar short polypeptides containing the PA protein binding domain of the PB1 strongly inhibited the virus RNA polymerase activity (Wunderlich et al. 2009; Mänz et al. 2011). Thus in principle, a truncated PB2-related polypeptide derived from 1/244 DI RNA could also exert a dominant negative effect on the virus polymerase activity. However, we excluded this possibility by generating a form of 1/244 DI RNA in which the AUG initiation codon for PB2 and two further downstream in-frame AUG codons that could direct synthesis of a short polypeptide from the PB2 ORF were mutated (Meng et al., submitted for publication). We confirmed that this 1/244 AUG knock-out DI RNA was indistinguishable in action from that of the parental 1/244 DI RNA. It generated vRNA and mRNA to similar levels as 1/244 DI RNA, and inhibited GFP expression from segment 1 as seen with 1/244 DI RNA. Further, DI virus containing the 1/244 AUG knockout RNA protected mice from disease following challenge with influenza virus in a similar manner to 1/244 DI virus. These data show that the activity of 1/244 DI is solely an RNA-based phenomenon.
The ability of influenza virus DI RNAs to supplant their cognate genome segment during the packaging process explains their amplification in virus preparations. However, the data above exclude the widely held view that the interference mechanism within cells results solely from the ability of the DI RNA to be replicated faster than the longer, cognate full-length RNA. Rather the DI RNAs also specifically target virus RNA synthesis. The data shown here indicate that the primary consequence of 1/244 DI RNA-mediated interference within the cell is the targeted inhibition of RNA synthesis directed by full-length RNA segments 1, 2 and 3, and that DI RNAs derived from segments 2 and 3 also inhibit RNA synthesis from full-length segment 1.
Example 2 Protein Expression Encoded by DI RNA is not Required for Interference Material and Methods Plasmids and Production of Infectious Virus by Reverse GeneticsPlasmids encoding the 8 gene segments of the A/WSN strain of A/WS/33 and plasmids expressing the polymerase and NP proteins (Neumann et al. 1999), and the vector expressing 244 DI RNA from PolI promoters have been previously described (Dimmock et al. 2008; Duhaut and Dimmock 2002). 244 RNA is 395 nucleotides and was derived from segment 1 of A/Puerto Rico/8/34 (H1N1). The segment 1 target, segment 1-GFP, was created by amplifying the GFP ORF by PCR and inserting this into pPolI-220 (Duhaut and Dimmock, 2000) such that the GFP ORF was in frame with the PB2 ORF, giving plasmid seg 1-GFP which expresses segment 1-GFP RNA (Meng et al. 2012). The GFP reporter plasmid retains the exact 5′ (220 nt) and 3′ (48 nt) terminus of segment 1. Human 293T cells were transfected with plasmids as previously described (Dimmock et al. 2008). Briefly, 70% confluent 293T cells in a 12-well plate were transfected using TransIT LT1 transfection reagent (Minis) with 8 PolI expression plasmids encoding viral sense RNA and cDNA plasmids for expression of PB2, PB1, PA and NP proteins, with or without pPolI-244 or pPolI-244 knock-out. The transfected cells were then incubated at 37° C. overnight before co-culture with MDCK cells in a 25 cm2 flask. Finally virus in tissue culture fluids was passaged once in embryonated chicken's eggs and allantoic fluids harvested to produce a stock of virus (Dimmock et al. 2008).
The virus produced in embryonated chicken's eggs is a mixture of 244 DI virus or 244 AUG knock-out DI virus packaged in A/WSN virion proteins and infectious helper A/WSN virus. These were purified by differential centrifugation through sucrose, and resuspended in PBS. Stocks were standardized according to their haemagglutination titre and stored in liquid nitrogen. The DI virus stock was UV-irradiated to remove helper virus infectivity using a short burst (40 seconds) of UV irradiation at 253.7 nm (0.64 mW/cm2). This is ‘active DI virus’. The UV target is viral RNA, but UV has relatively little effect on the DI RNA because of its small target size, 395 nt compared with 13,600 nt for infectious virus. Longer UV irradiation (8 minutes) inactivates protecting activity for mice, but does not affect haemagglutinin or neuraminidase activities, and so controls for any immune system-stimulating or receptor-blocking effects of 244 DI virus particles (inactivated DI virus′). The yield of 244 AUG knock-out DI A/WSN virus and its behaviour on purification were very similar to 244 DI A/WSN virus (data not shown).
MutationTwo sequential steps of site-directed mutagenesis were carried out to mutate the three start codons in the 244 DI RNA. A pair of primers were used for site-directed mutagenesis to convert the first AUG to AUC using a pPolI-244 plasmid as template and pfu DNA polymerase (Promega). The mutation was confirmed by sequencing. The second round of site-directed mutagenesis was done using primers which altered the second and third start codons of AUG to AUC using the construct produced from the first round of mutagenesis. The resulting construct was again confirmed by sequencing.
Northern Blot AnalysisTotal cellular RNA was isolated from DI infected cells using Trizol. Poly A containing mRNA was selected using a GenElute Direct mRNA preparation kit (Sigma) according to the manufacturer's instructions. Non-polyadenylated RNA that did not bind to the column during mRNA preparation was retained. Aliquots of total RNA, mRNA and non-polyadenylated RNA were separated by glyoxal-agarose gel electrophoresis. After electrophoresis, the RNA was transferred onto Hybond-N membrane (GE Healthcare) overnight using 20×SSC. The membrane was then baked at 80° C. for 2 h. A full length negative sense segment 1 probe was prepared by in vitro transcription in the presence of DIG-UTP (Roche) from a PCR product containing a bacteriophage T7 promoter. The membrane was hybridized with the DIG-labelled probe overnight and the signal was detected using a digoxigenin-specific AP FAb antibody fragment and CSPD substrate (Roche).
Primer Extension AnalysisPrimer extension analysis was carried out on total cellular RNA (Rehwinkel et al. 2010). Total RNA (2 μg) was mixed with [32P]5′-end labelled primers and dNTP in a total volume of 13 μl. The mixture was heated at 65° C. for 5 min and placed on ice for 1 min. 2×first Strand Buffer, 20 mM DTT, and 100 U SuperScript III reverse transcriptase (Invitrogen) were added and further incubated at 55° C. for 1 h. The reaction was terminated by heating at 95° C. for 5 min with gel loading dye II (Ambion). The transcription products were resolved on a 6% (w/v) polyacrylamide gel containing 7 M urea in TBE buffer and detected by phosphor imaging.
Interference Measured by the Inhibition of GFP293T cells were transfected with the segment 1-GFP RNA expressing plasmid, plasmids expressing PB1, PB2, PA and NP proteins, and increasing amounts of an additional PolI plasmid expressing a 244 DI or 244 AUG knock-out DI RNA. At 2 days post-transfection, the cultures were examined for GFP expression. Digital images of the cell monolayers were taken by phase-contrast and epifluorescence microscopy. Five field fluorescence images were randomly selected and analysed for the proportion of the visualised area expressing GFP using the HClmage software (Hamamatsu). The visualisation detects cells expressing a range of GFP levels to include those that may have been transfected with different levels of the reporter plasmids. A mean was calculated to give the percentage of the GFP positive area per monolayer.
Protection of Mice from Influenza with DI Virus
In order to assess the degree of protection afforded by DI virus, C3H/He-mg mice were inoculated intranasally under light ether anaesthesia with A/WSN alone (10 LD50 or 1000 ffu), a mixture of A/WSN+active DI virus, or A/WSN+inactivated DI virus. Mice were subsequently monitored for clinical disease according to our standard protocol and for weight loss as previously described (Dimmock et al. 2008). Surviving mice were challenged 3 weeks after infection with a high dose of A/WSN (10,000 LD50) to determine their immune status.
Results Coding Potential of 244 DI RNA244 DI RNA, a molecule of 395 nucleotides, arose from segment 1 of PR8 as a result of one or more deletion events that left 244 nucleotides at the 3′ end and 151 nucleotides at the 5′ end of the positive sense RNA (Dimmock et al. 2008). 244 RNA retains the signals at the terminus of the genome segment that direct transcription of mRNA (
244 AUG Knock-Out DI RNA and 244 DI RNA Interfere with the Expression of a Segment 1 RNA in Cell Culture to a Similar Extent
RNAs were harvested 2 days after 293 T cells were transfected with plasmid encoding either the 244 DI RNA or the 244 AUG knock-out DI RNA together with plasmids expressing the PB2, PB1, PA and NP proteins. Primer extension analysis showed that similar amounts of mRNA and vRNA were synthesized by the 244 and 244 AUG knock-out DI RNAs confirming that transcription was unaffected by the mutations in the 244 AUG knock-out DI RNA (
To investigate the interfering ability of 244 AUG knock-out RNA, we used a GFP expression assay in which transcription and replication of a segment 1 RNA in which most of the PB2 coding region had been replaced with GFP (segment 1-GFP) were enabled by co-transfection of plasmids expressing PB1, PB2, PA and NP proteins into 293T cells. This system permits viral RNA synthesis but not virus particle formation as plasmids encoding key structural proteins (HA, NA, M1 and M2) were not included. The effects of co-transfected DI RNA-encoding plasmids were assessed by monitoring GFP fluorescence.
244 AUG Knock-Out DI Virus Protects Mice from a Lethal Influenza a Virus Challenge
We compared the protection activity of 244 DI and 244 AUG knock-out DI RNA in our C3H/He-mg mouse model using A/WSN as the challenge virus (Dimmock et al. 2008). Mice were infected intranasally under light anaesthesia with A/WSN alone, or with A/WSN+244 DI virus, or A/WSN+244 AUG knock-out DI virus. Other infected groups received DI virus which had been UV-irradiated for 8 minutes to destroy DI protecting activity and to control for any non-specific effects of the DI virus inoculum. Mice were monitored for clinical disease and weight loss.
Although DI influenza viruses have been known for over 60 years, there has been little indication of the molecular mechanisms by which their in vitro interfering activity or in vivo protecting activity operate. Initially the problem was insoluble as natural DI virus preparations contain a diversity of defective RNA sequences and thus the biological properties of individual DI sequences could not be analysed. However, the use of cloned DI viruses generated using reverse genetics has allowed us to address this problem. Our recent work has shown that 244 DI RNA which is derived from genome segment 1 interferes in three ways: competition with the cognate full-length segment for packaging, interference with the synthesis and/or accumulation of the polymerase encoding full-length virion RNA segments 1, 2 and 3, and stimulation of type I interferon in vivo. Here, we have shown that influenza 244 DI RNA directs the synthesis of polyadenylated mRNA (
A mutant 244 DI RNA in which all three in-frame AUG translation initiation codons from the PB2 ORF were converted to AUC, and which was therefore unable to express the PB2-related protein, retained the properties of the original 244 DI RNA. The 244 AUG knockout DI RNA was able to interfere with gene expression from influenza virus segment 1 in vitro to the same extent as seen with 244 DI RNA (
We conclude that in vitro interference and in vivo protection against influenza virus disease are not mediated by the truncated PB2 peptide that is encoded, and may be synthesized by 244 DI RNA, and that these processes are therefore controlled by the DI RNA molecule itself.
Claims
1. A defective interfering virus RNA, wherein the RNA is mutated to prevent expression of any encoded protein.
2. The DI virus RNA of claim 1, wherein one or more AUG initiation codons are mutated.
3. The DI virus RNA of claim 2, wherein all the AUG initiation codons are mutated.
4. The DI virus RNA of claim 2, wherein one or more AUG are mutated to AUC.
5. The DI virus RNA of claim 1, wherein the DI virus is 1/244.
6. A DI virus which comprises the DI virus RNA claim 1.
7. A method of treating or prophylaxis of influenza A infection, comprising administering to the patient a therapeutically effective amount of the DI virus according to claim 6.
8. A method to identify an antiviral agent comprising monitoring for the production of RNA from segments 1, 2 and 3 of influenza A virus in the presence of a test defective interfering influenza virus RNA, wherein a defective interfering virus RNA that interferes with production of RNA from each of segment 1, 2 and 3 is identified as an antiviral agent.
9. The method of claim 8, wherein the method is conducted in a host cell.
10. The method of claim 9, wherein the host cell is transfected with nucleic acid comprising segments 1, 2 and 3 of influenza virus.
11. The method of claim 10, wherein each of said segments 1, 2 and 3 is provided on a separate plasmid.
12. The method of claim 8, wherein RNA production from each of segments 1, 2 and 3 is monitored in a separate assay.
13. The method of claim 8, wherein the RNA comprises cRNA, mRNA and/or vRNA.
14. The method of claim 13, wherein both cRNA and mRNA production are monitored.
15. The method according to claim 8, wherein one or more of segments 1, 2 or 3 is provided as a construct with an encoded reporter gene, such that a reduction in production of RNA from the segment reduces expression of the reporter gene.
16. An antiviral agent identified by the method of claim 8 for use in a method of treatment or prophylaxis of influenza A infection.
17. A cloned or recombinant defective interfering influenza A virus comprising RNA derived from segment 1, 2 or 3, wherein said RNA comprises:
- (a) an RNA of between 300 to 600 nucleotides in length;
- (b) at least 100 nucleotides from the 5′ and 3′ ends of segment 1, 2 or 3;
- (c) a central deletion of nucleotides of said segment;
- wherein said defective interfering influenza virus is capable of interfering with RNA production from segments 1, 2 and 3 of influenza A.
18. The defective interfering virus of claim 17, wherein the DI virus is not 1/244.
19. The defective interfering virus of claim 17, for use in a method of treatment or prophylaxis of influenza A infection.
Type: Application
Filed: Jan 16, 2015
Publication Date: Nov 17, 2016
Inventors: Nigel J. Dimmock (Coventry, Warwickshire), Andrew J. Easton (Coventry, Warwickshire)
Application Number: 15/111,615