Molecular Virology Vaccinia Virus

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Molecular Virology Vaccinia Virus Barbara Schnierle Department of Virology Paul-Ehrlich-Institut

The hierarchical virus classification system

Familiy Poxviridae Poxviridae (FAMILY) Entomopoxvirinae (SUBFAMILY) (insect host range) Chordopoxvirinae (SUBFAMILY) (vertebrate host range) (GENERA) Orthopoxviruses Avipoxviruses Parapoxviruses Capripoxviruses Leporipoxviruses Molluscipoxviruses Yatapoxviruses Suipoxviruses (VIRUS SPECIES) Variola Monkeypox Camelpox Mousepox Cowpox Vaccinia Canarypox, Fowlpox Orf virus Goatpox Myxoma Molluscum contagiosum Yaba tumor virus Swinepox

Origin of the different virus species

Poxviruses large viruses with linear double stranded DNA genome 130 000-370 000 bp complex architecture enveloped oval or brick-shaped (300 x 240 x 150 nm in size) replicate entirely in the cytoplasm of infected cell encode 150 200 viral proteins; 1/3 non-essential

Poxvirus particle Canal like structures on the surface of the inner membrane Lateral Bodies Core Genome (dsdna) Viral surface proteins Inner membrane External membrane DNA- Protein- Complex

Vaccinia virus genome Covalently linked ends

Viral genome λ HindIII 2-log ECTV Naming for VACV genes: HindIII restriction endonuclease DNA fragment letter + OFR number + direction of the ORF HindIII restriction analysis of ECTV by Dr. Meike Gratz ~ 150 200 viral proteins

Poxvirus life cycle entry cascade-like gene expression early ->DNA replication intermediate late assembly & morphogenesis egress

Entry receptor is unknown putative entry complex of eight VACV transmembrane proteins has been recently identified two mechanism proposed => ph-dependent fusion with the plasma membrane => actin-mediated internalization mechanism both pathways may be used depending on the virus strain and cell type viral particles contain proteins that facilitate initial attachment to cells by binding to glycosaminoglycans (chondroitin sulfat + heparan sulfate) Immunoelectron microscopy showing VACV MV fusing with the plasma membrane at neutral ph.

Cytoplasmic poxvirus replication Poxviruses replicate entirely in the cytoplasm cannot use cellular enzymes for replication code for enzymes responsible for: => DNA replication => transcription => RNA modification => nucleic acid metabolism for example: => DNA-dependent RNA-polymerase => Poly(A) polymerase => Capping enzyme complex => DNA-Topoisomerase enzymes needed for the early procedures (early transcription, RNA modification, DNA replication) are packed within the virus capsid

Poxvirus replication

Temporal synthesis of VV mrnas Hours after infection

Viral factories Vaccinia virus infected cells stained with acridine orange stained with DAPI c = cytoplasm n = nucleus f = viral factory

Vaccinia virus motality

Poxvirus infected cell Scanning electron microscopy of cell infected with VACV. Arrow points to an EV at the tip of one of many virus-induced actin-containing microvilli. Fluorescence image of the paths taken by vaccinia induced actin tails over a 5 minute period. By Michael Way

Poxviruses and immune evasion

Immune evasion Extracellular cytoplasmic

Orthopoxviruses Systemic infections variola virus ectromelia virus camelpox virus human mouse camel

Variola virus eldest known communicable disease Historians speculate: that it must have emerged sometime after the first agricultural settlements, about 10,000 BC. earliest evidence: skin lesions of Egyptian mummies (Ramses V) from the 18th and 20th dynasties (1570-1085 BC) written descriptions of the disease did not appear until the 4th century AD in China and the 10th century in southwest Asia disease killed estimated 400,000 Europeans each year during the 18th century & was responsible for one third of blindness fatality: 10-40% (children over 80%) today: eradicated => benefit from vaccination with Vaccinia virus

Systemic disease pathogenesis of poxviruses Entry Site of primary replication Skin (via contact) or respiratory tract Skin entry: virus replicates in the Malphigian layer of the epidermis + dermal infection (fibroblasts + histiocytes) => responsible for subsequent movement of virus to the lymphatics Respiratory tract entry: primary infection in the mucosal surfaces of the nasopharyngeal tract, then moving to regional lymphatics Virus spread Primary viremia (first week): Virus moves from the regional lymphatics to the bloddstream to cause primary viremia, then multiplies in the spleen, liver, bone marrow and othe reticuloendothelial organs. Second viremia (second week): Virus enters leucocytes in small blood vessels in dermis

Smallpox disease Incubation Period (Duration: 7 to 17 days) Not contagious Initial Symptoms (Prodrome) (Duration: 2 to 4 days) Sometimes contagious Early Rash (Duration: about 4 days) Most contagious Pustular Rash (Duration: about 5 days) Contagious Pustules and Scabs (Duration: about 5 days) Contagious Resolving Scabs (Duration: about 6 days) Contagious Scabs resolved Not contagious Exposure to the virus is followed by an incubation period during which people do not have any symptoms and may feel fine. The first symptoms of smallpox include fever, malaise, head and body aches, and sometimes vomiting. A rash emerges first as small red spots on the tongue and in the mouth. These spots develop into sores that break open and spread large amounts of the virus into the mouth and throat. The bumps become pustules sharply raised, usually round The pustules begin to form a crust and then scab. By the end of the second week after the rash appears, most of the sores have scabbed over. The scabs begin to fall off, leaving marks on the skin that eventually become pitted scars. Most scabs will have fallen off three weeks after the rash appears. Scabs have fallen off. Person is no longer contagious CDC Homepage (adapted)

First protection - Variolation in China China in the sixth century: Chinese physicians ground dried scabs from smallpox victims along with musk and applied the mixture to the noses of healthy people. The goal was to cause a mild infection of smallpox and stimulate an immune response that would give the person immunity from the natural infection. This process was called variolation. Fatality rate: 1:10 This method was utilized as late as to the 1960s and 1970s in some parts of Ethiopia, western Africa, Afghanistan, and Pakistan.

Edward Jenner 1789 Bovine analogue of poxvirus = Vaccinia virus Long lasting protecting immunity against poxviral infections Vaccination (vacca = latin word for cow )

1980 WHO declared:

Last known poxvirus infected human 1977 23-year old Ali Maow Maalin, Merka, Somalia

Eradicated poxviruses? Risk of bioterroristic use Zoonotic infections Human monkeypox Cowpox lesions Variola major (smallpox) and other related poxviruses: NIAID (national institute of allergy and infectious disease) category A pathogen Cowpox lesions

Severe side reactions to licensed vaccines Severe side reactions to licensed vaccines serious reactions ~ 1,000 people for every 1 million people life-threatening reactions ~ 14 to 52 people per 1 million people eczema vaccinatum progressive vaccinia (v.necrosum) generalized vaccinia postvaccinal encephalitis

Live vaccines Live attenuated organisms: Virulence has been artificially reduced Vaccinia MVA, NYVAC Selection of mutants that replicate poorly in human cells

Vaccinia virus NYVAC Virulence has been reduced by deletion of virulence genes by recombinant DNA technology. Deletion of 18 ORFs Promotes cell binding protease inhibitors Inhibition of host inflammatory response (chemotaxis block)

Modified vaccinia virus Ankara (MVA) derived by serial passage in chicken embryo fibroblasts substantial loss of genetic information (~ 15%) left terminal region central conserved region right terminal region CVA 208 kbp central conserved region 572 serial passages in CEF I V II VI III IV major deletion sites MVA 178 kbp central conserved region

Phenotype of attenuated MVA after 500 passages on chicken embryo fibroblasts MVA wt HeLa CEF no replication in human cells defect in viral morphogenesis, but not in protein synthesis

Vaccinia virus as vectors Slide by Dr. Ulrike Mettler

MVA for gene expression and vaccination entry uncoating early genes DNA replication intermediate genes Structural proteins late genes Cytoplasm Nucleus and ER Viral & recombinant gene expression assembly egress actin tails Golgi wrapping block in morphogenesis

Expression system vaccinia virus Expression plasmid Vaccinia virus-t7 Polymerase pt7 IRES gene X Transfection Infection Tissue culture cells Purification recombinant protein X (up to 10% of total cell protein amount)

Production of recombinant vaccinia viruses Vaccinia promoter Homologous sequences foreign gene Recombination plasmid Homologous sequences Vaccinia virus Transfection Infection Tissue culture cells Homologous recombination Selection Foreign gene Recombinant Vaccinia virus

Recombinant MVAs K1L selection MVA rmva RK-13 no replication + K1L RK-13 replication rmva + K1L CEF replication + loss of K1L rmva ORF flank 1 rep K1L rep ORF flank 2 flank 1 rep K1L rep ORF flank 2 knock-out vector knock-in vector Slide by Dr. Karin Sperling

Clinical evaluation of MVA vector vaccines Target disease Clinical trial Smallpox Phase III planned 2010, prophylaxis sold to government as vaccine under development AIDS Phase I/II, therapeutic Influenza Phase I, prophylaxis Tuberculosis Phase I, prophylaxis Malaria Phase I, prophylaxis Measles Phase I/II, prophylaxis Cervical cancer Phase I/II, immunotherapy Breast cancer Phase I/II, immunotherapy Hepatitis C Phase II, therapeutic Melanoma Phase I/II, immunotherapy Colorectal cancer Phase III, immunotherapy Anthrax Phase I planned 2010