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Erschienen in: Archives of Virology 8/2014

01.08.2014 | Original Article

Genetic manipulation of a transcription-regulating sequence of porcine reproductive and respiratory syndrome virus reveals key nucleotides determining its activity

verfasst von: Haihong Zheng, Keyu Zhang, Xing-Quan Zhu, Changlong Liu, Jiaqi Lu, Fei Gao, Yan Zhou, Hao Zheng, Tao Lin, Liwei Li, Guangzhi Tong, Zuzhang Wei, Shishan Yuan

Erschienen in: Archives of Virology | Ausgabe 8/2014

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Abstract

The factors that determine the transcription-regulating sequence (TRS) activity of porcine reproductive and respiratory syndrome virus (PRRSV) remain largely unclear. In this study, the effect of mutagenesis of conserved C nucleotides at positions 5 and 6 in the leader TRS (TRS-L) and/or canonical body TRS7 (TRS-B7) on the synthesis of subgenomic (sg) mRNA and virus infectivity was investigated in the context of a type 2 PRRSV infectious cDNA clone. The results showed that a double C mutation in the leader TRS completely abolished sg mRNAs synthesis and virus infectivity, but a single C mutation did not. A single C or double C mutation in TRS-B7.1 or/and TRS-B7.2 impaired or abolished the corresponding sg mRNA synthesis. Introduction of identical mutations in the leader and body TRSs partially restored sg mRNA7.1 and/or sg mRNA7.2 transcription, indicating that the base-pairing interaction between sense TRS-L and cTRS-B is a crucial factor influencing sg mRNA synthesis. Analysis of the mRNA leader-body junctions of mutants provided evidence for a mechanism of discontinuous minus-strand transcription. This study also showed that mutational inactivation of TRS-B7.1 or TRS-B7.2 did not affect the production of infectious progeny virus, and the sg mRNA formed from each of them could express N protein. However, TRS-B7.1 plays more important roles than TRS-B7.2 in maintaining the growth characteristic of type 2 PRRSV. These results provide more insight into the molecular mechanism of genome expression and subgenomic mRNA transcription of PRRSV.
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Literatur
2.
Zurück zum Zitat Bautista EM, Meulenberg JJ, Choi CS, Molitor TW (1996) Structural polypeptides of the American (VR-2332) strain of porcine reproductive and respiratory syndrome virus. Arch Virol 141(7):1357–1365PubMedCrossRef Bautista EM, Meulenberg JJ, Choi CS, Molitor TW (1996) Structural polypeptides of the American (VR-2332) strain of porcine reproductive and respiratory syndrome virus. Arch Virol 141(7):1357–1365PubMedCrossRef
3.
Zurück zum Zitat Benfield DA, Nelson E, Collins JE, Harris L, Goyal SM, Robison D, Christianson WT, Morrison RB, Gorcyca D, Chladek D (1992) Characterization of swine infertility and respiratory syndrome (SIRS) virus (isolate ATCC VR-2332). J Vet Diagn Invest 4(2):127–133PubMedCrossRef Benfield DA, Nelson E, Collins JE, Harris L, Goyal SM, Robison D, Christianson WT, Morrison RB, Gorcyca D, Chladek D (1992) Characterization of swine infertility and respiratory syndrome (SIRS) virus (isolate ATCC VR-2332). J Vet Diagn Invest 4(2):127–133PubMedCrossRef
4.
Zurück zum Zitat Collins JE, Benfield DA, Christianson WT, Harris L, Hennings JC, Shaw DP, Goyal SM, McCullough S, Morrison RB, Joo HS et al (1992) Isolation of swine infertility and respiratory syndrome virus (isolate ATCC VR-2332) in North America and experimental reproduction of the disease in gnotobiotic pigs. J Vet Diagn Invest 4(2):117–126PubMedCrossRef Collins JE, Benfield DA, Christianson WT, Harris L, Hennings JC, Shaw DP, Goyal SM, McCullough S, Morrison RB, Joo HS et al (1992) Isolation of swine infertility and respiratory syndrome virus (isolate ATCC VR-2332) in North America and experimental reproduction of the disease in gnotobiotic pigs. J Vet Diagn Invest 4(2):117–126PubMedCrossRef
5.
Zurück zum Zitat de Vries AA, Glaser AL, Raamsman MJ, Rottier PJ (2001) Recombinant equine arteritis virus as an expression vector. Virology 284(2):259–276PubMedCrossRef de Vries AA, Glaser AL, Raamsman MJ, Rottier PJ (2001) Recombinant equine arteritis virus as an expression vector. Virology 284(2):259–276PubMedCrossRef
6.
Zurück zum Zitat den Boon JA, Kleijnen MF, Spaan WJ, Snijder EJ (1996) Equine arteritis virus subgenomic mRNA synthesis: analysis of leader-body junctions and replicative-form RNAs. J Virol 70(7):4291–4298 den Boon JA, Kleijnen MF, Spaan WJ, Snijder EJ (1996) Equine arteritis virus subgenomic mRNA synthesis: analysis of leader-body junctions and replicative-form RNAs. J Virol 70(7):4291–4298
7.
Zurück zum Zitat Firth AE, Zevenhoven-Dobbe JC, Wills NM, Go YY, Balasuriya UB, Atkins JF, Snijder EJ, Posthuma CC (2011) Discovery of a small arterivirus gene that overlaps the GP5 coding sequence and is important for virus production. J Gen Virol 92(Pt 5):1097–1106PubMedCentralPubMedCrossRef Firth AE, Zevenhoven-Dobbe JC, Wills NM, Go YY, Balasuriya UB, Atkins JF, Snijder EJ, Posthuma CC (2011) Discovery of a small arterivirus gene that overlaps the GP5 coding sequence and is important for virus production. J Gen Virol 92(Pt 5):1097–1106PubMedCentralPubMedCrossRef
8.
Zurück zum Zitat Gorbalenya AE, Enjuanes L, Ziebuhr J, Snijder EJ (2006) Nidovirales: evolving the largest RNA virus genome. Virus Res 117(1):17–37PubMedCrossRef Gorbalenya AE, Enjuanes L, Ziebuhr J, Snijder EJ (2006) Nidovirales: evolving the largest RNA virus genome. Virus Res 117(1):17–37PubMedCrossRef
9.
Zurück zum Zitat Hussain S, Pan J, Chen Y, Yang Y, Xu J, Peng Y, Wu Y, Li Z, Zhu Y, Tien P, Guo D (2005) Identification of novel subgenomic RNAs and noncanonical transcription initiation signals of severe acute respiratory syndrome coronavirus. J Virol 79(9):5288–5295PubMedCentralPubMedCrossRef Hussain S, Pan J, Chen Y, Yang Y, Xu J, Peng Y, Wu Y, Li Z, Zhu Y, Tien P, Guo D (2005) Identification of novel subgenomic RNAs and noncanonical transcription initiation signals of severe acute respiratory syndrome coronavirus. J Virol 79(9):5288–5295PubMedCentralPubMedCrossRef
10.
Zurück zum Zitat Johnson CR, Griggs TF, Gnanandarajah J, Murtaugh MP (2011) Novel structural protein in porcine reproductive and respiratory syndrome virus encoded by an alternative ORF5 present in all arteriviruses. J Gen Virol 92(Pt 5):1107–1116PubMedCentralPubMedCrossRef Johnson CR, Griggs TF, Gnanandarajah J, Murtaugh MP (2011) Novel structural protein in porcine reproductive and respiratory syndrome virus encoded by an alternative ORF5 present in all arteriviruses. J Gen Virol 92(Pt 5):1107–1116PubMedCentralPubMedCrossRef
11.
Zurück zum Zitat Lee C, Calvert JG, Welch SK, Yoo D (2005) A DNA-launched reverse genetics system for porcine reproductive and respiratory syndrome virus reveals that homodimerization of the nucleocapsid protein is essential for virus infectivity. Virology 331(1):47–62PubMedCrossRef Lee C, Calvert JG, Welch SK, Yoo D (2005) A DNA-launched reverse genetics system for porcine reproductive and respiratory syndrome virus reveals that homodimerization of the nucleocapsid protein is essential for virus infectivity. Virology 331(1):47–62PubMedCrossRef
12.
Zurück zum Zitat Lee C, Yoo D (2006) The small envelope protein of porcine reproductive and respiratory syndrome virus possesses ion channel protein-like properties. Virology 355(1):30–43PubMedCrossRef Lee C, Yoo D (2006) The small envelope protein of porcine reproductive and respiratory syndrome virus possesses ion channel protein-like properties. Virology 355(1):30–43PubMedCrossRef
13.
Zurück zum Zitat Lu J, Gao F, Wei Z, Liu P, Liu C, Zheng H, Li Y, Lin T, Yuan S (2011) A 5’-proximal stem-loop structure of 5’ untranslated region of porcine reproductive and respiratory syndrome virus genome is key for virus replication. Virol J 8:172PubMedCentralPubMedCrossRef Lu J, Gao F, Wei Z, Liu P, Liu C, Zheng H, Li Y, Lin T, Yuan S (2011) A 5’-proximal stem-loop structure of 5’ untranslated region of porcine reproductive and respiratory syndrome virus genome is key for virus replication. Virol J 8:172PubMedCentralPubMedCrossRef
14.
Zurück zum Zitat Makino S, Soe LH, Shieh CK, Lai MM (1988) Discontinuous transcription generates heterogeneity at the leader fusion sites of coronavirus mRNAs. J Virol 62(10):3870–3873PubMedCentralPubMed Makino S, Soe LH, Shieh CK, Lai MM (1988) Discontinuous transcription generates heterogeneity at the leader fusion sites of coronavirus mRNAs. J Virol 62(10):3870–3873PubMedCentralPubMed
15.
Zurück zum Zitat Meng XJ, Paul PS, Morozov I, Halbur PG (1996) A nested set of six or seven subgenomic mRNAs is formed in cells infected with different isolates of porcine reproductive and respiratory syndrome virus. J Gen Virol 77(Pt 6):1265–1270PubMedCrossRef Meng XJ, Paul PS, Morozov I, Halbur PG (1996) A nested set of six or seven subgenomic mRNAs is formed in cells infected with different isolates of porcine reproductive and respiratory syndrome virus. J Gen Virol 77(Pt 6):1265–1270PubMedCrossRef
16.
Zurück zum Zitat Meulenberg JJ, de Meijer EJ, Moormann RJ (1993) Subgenomic RNAs of Lelystad virus contain a conserved leader-body junction sequence. J Gen Virol 74(Pt 8):1697–1701PubMedCrossRef Meulenberg JJ, de Meijer EJ, Moormann RJ (1993) Subgenomic RNAs of Lelystad virus contain a conserved leader-body junction sequence. J Gen Virol 74(Pt 8):1697–1701PubMedCrossRef
17.
Zurück zum Zitat Meulenberg JJ, Hulst MM, de Meijer EJ, Moonen PL, den Besten A, de Kluyver EP, Wensvoort G, Moormann RJ (1993) Lelystad virus, the causative agent of porcine epidemic abortion and respiratory syndrome (PEARS), is related to LDV and EAV. Virology 192(1):62–72PubMedCrossRef Meulenberg JJ, Hulst MM, de Meijer EJ, Moonen PL, den Besten A, de Kluyver EP, Wensvoort G, Moormann RJ (1993) Lelystad virus, the causative agent of porcine epidemic abortion and respiratory syndrome (PEARS), is related to LDV and EAV. Virology 192(1):62–72PubMedCrossRef
18.
Zurück zum Zitat Morozov I, Meng XJ, Paul PS (1995) Sequence analysis of open reading frames (ORFs) 2 to 4 of a U.S. isolate of porcine reproductive and respiratory syndrome virus. Arch Virol 140(7):1313–1319PubMedCrossRef Morozov I, Meng XJ, Paul PS (1995) Sequence analysis of open reading frames (ORFs) 2 to 4 of a U.S. isolate of porcine reproductive and respiratory syndrome virus. Arch Virol 140(7):1313–1319PubMedCrossRef
19.
Zurück zum Zitat Nelsen CJ, Murtaugh MP, Faaberg KS (1999) Porcine reproductive and respiratory syndrome virus comparison: divergent evolution on two continents. J Virol 73(1):270–280PubMedCentralPubMed Nelsen CJ, Murtaugh MP, Faaberg KS (1999) Porcine reproductive and respiratory syndrome virus comparison: divergent evolution on two continents. J Virol 73(1):270–280PubMedCentralPubMed
20.
Zurück zum Zitat Pasternak AO (2003) Nidovirus transcription-regulating sequences. PhD thesis Leiden University Pasternak AO (2003) Nidovirus transcription-regulating sequences. PhD thesis Leiden University
21.
Zurück zum Zitat Pasternak AO, Gultyaev AP, Spaan WJ, Snijder EJ (2000) Genetic manipulation of arterivirus alternative mRNA leader-body junction sites reveals tight regulation of structural protein expression. J Virol 74(24):11642–11653PubMedCentralPubMedCrossRef Pasternak AO, Gultyaev AP, Spaan WJ, Snijder EJ (2000) Genetic manipulation of arterivirus alternative mRNA leader-body junction sites reveals tight regulation of structural protein expression. J Virol 74(24):11642–11653PubMedCentralPubMedCrossRef
22.
23.
Zurück zum Zitat Pasternak AO, Spaan WJ, Snijder EJ (2006) Nidovirus transcription: how to make sense…? J Gen Virol 87(Pt 6):1403–1421PubMedCrossRef Pasternak AO, Spaan WJ, Snijder EJ (2006) Nidovirus transcription: how to make sense…? J Gen Virol 87(Pt 6):1403–1421PubMedCrossRef
24.
Zurück zum Zitat Pasternak AO, van den Born E, Spaan WJ, Snijder EJ (2001) Sequence requirements for RNA strand transfer during nidovirus discontinuous subgenomic RNA synthesis. EMBO J 20(24):7220–7228PubMedCentralPubMedCrossRef Pasternak AO, van den Born E, Spaan WJ, Snijder EJ (2001) Sequence requirements for RNA strand transfer during nidovirus discontinuous subgenomic RNA synthesis. EMBO J 20(24):7220–7228PubMedCentralPubMedCrossRef
25.
Zurück zum Zitat Pasternak AO, van den Born E, Spaan WJ, Snijder EJ (2003) The stability of the duplex between sense and antisense transcription-regulating sequences is a crucial factor in arterivirus subgenomic mRNA synthesis. J Virol 77(2):1175–1183PubMedCentralPubMedCrossRef Pasternak AO, van den Born E, Spaan WJ, Snijder EJ (2003) The stability of the duplex between sense and antisense transcription-regulating sequences is a crucial factor in arterivirus subgenomic mRNA synthesis. J Virol 77(2):1175–1183PubMedCentralPubMedCrossRef
26.
Zurück zum Zitat Sawicki D, Wang T, Sawicki S (2001) The RNA structures engaged in replication and transcription of the A59 strain of mouse hepatitis virus. J Gen Virol 82(Pt 2):385–396PubMed Sawicki D, Wang T, Sawicki S (2001) The RNA structures engaged in replication and transcription of the A59 strain of mouse hepatitis virus. J Gen Virol 82(Pt 2):385–396PubMed
27.
Zurück zum Zitat Sawicki SG, Sawicki DL (1995) Coronaviruses use discontinuous extension for synthesis of subgenome-length negative strands. Adv Exp Med Biol 380:499–506PubMedCrossRef Sawicki SG, Sawicki DL (1995) Coronaviruses use discontinuous extension for synthesis of subgenome-length negative strands. Adv Exp Med Biol 380:499–506PubMedCrossRef
28.
Zurück zum Zitat Sethna PB, Hung SL, Brian DA (1989) Coronavirus subgenomic minus-strand RNAs and the potential for mRNA replicons. Proc Natl Acad Sci USA 86(14):5626–5630PubMedCentralPubMedCrossRef Sethna PB, Hung SL, Brian DA (1989) Coronavirus subgenomic minus-strand RNAs and the potential for mRNA replicons. Proc Natl Acad Sci USA 86(14):5626–5630PubMedCentralPubMedCrossRef
29.
Zurück zum Zitat Snijder EJ, Meulenberg JJ (1998) The molecular biology of arteriviruses. J Gen Virol 79(Pt 5):961–979PubMed Snijder EJ, Meulenberg JJ (1998) The molecular biology of arteriviruses. J Gen Virol 79(Pt 5):961–979PubMed
30.
Zurück zum Zitat Van Den Born E, Gultyaev AP, Snijder EJ (2004) Secondary structure and function of the 5’-proximal region of the equine arteritis virus RNA genome. RNA 10(3):424–437CrossRef Van Den Born E, Gultyaev AP, Snijder EJ (2004) Secondary structure and function of the 5’-proximal region of the equine arteritis virus RNA genome. RNA 10(3):424–437CrossRef
31.
Zurück zum Zitat van Dinten LC, den Boon JA, Wassenaar AL, Spaan WJ, Snijder EJ (1997) An infectious arterivirus cDNA clone: identification of a replicase point mutation that abolishes discontinuous mRNA transcription. Proc Natl Acad Sci USA 94(3):991–996PubMedCentralPubMedCrossRef van Dinten LC, den Boon JA, Wassenaar AL, Spaan WJ, Snijder EJ (1997) An infectious arterivirus cDNA clone: identification of a replicase point mutation that abolishes discontinuous mRNA transcription. Proc Natl Acad Sci USA 94(3):991–996PubMedCentralPubMedCrossRef
32.
Zurück zum Zitat van Marle G, Dobbe JC, Gultyaev AP, Luytjes W, Spaan WJ, Snijder EJ (1999) Arterivirus discontinuous mRNA transcription is guided by base pairing between sense and antisense transcription-regulating sequences. Proc Natl Acad Sci USA 96(21):12056–12061PubMedCentralPubMedCrossRef van Marle G, Dobbe JC, Gultyaev AP, Luytjes W, Spaan WJ, Snijder EJ (1999) Arterivirus discontinuous mRNA transcription is guided by base pairing between sense and antisense transcription-regulating sequences. Proc Natl Acad Sci USA 96(21):12056–12061PubMedCentralPubMedCrossRef
33.
Zurück zum Zitat Wei Z, Lin T, Sun L, Li Y, Wang X, Gao F, Liu R, Chen C, Tong G, Yuan S N-linked glycosylation of GP5 of porcine reproductive and respiratory syndrome virus is critically important for virus replication in vivo. J Virol 86(18):9941–51 Wei Z, Lin T, Sun L, Li Y, Wang X, Gao F, Liu R, Chen C, Tong G, Yuan S N-linked glycosylation of GP5 of porcine reproductive and respiratory syndrome virus is critically important for virus replication in vivo. J Virol 86(18):9941–51
34.
Zurück zum Zitat Wensvoort G, Terpstra C, Pol JM, ter Laak EA, Bloemraad M, de Kluyver EP, Kragten C, van Buiten L, den Besten A, Wagenaar F et al (1991) Mystery swine disease in The Netherlands: the isolation of Lelystad virus. Vet Q 13(3):121–130PubMedCrossRef Wensvoort G, Terpstra C, Pol JM, ter Laak EA, Bloemraad M, de Kluyver EP, Kragten C, van Buiten L, den Besten A, Wagenaar F et al (1991) Mystery swine disease in The Netherlands: the isolation of Lelystad virus. Vet Q 13(3):121–130PubMedCrossRef
35.
Zurück zum Zitat Wu WH, Fang Y, Farwell R, Steffen-Bien M, Rowland RR, Christopher-Hennings J, Nelson EA (2001) A 10-kDa structural protein of porcine reproductive and respiratory syndrome virus encoded by ORF2b. Virology 287(1):183–191PubMedCrossRef Wu WH, Fang Y, Farwell R, Steffen-Bien M, Rowland RR, Christopher-Hennings J, Nelson EA (2001) A 10-kDa structural protein of porcine reproductive and respiratory syndrome virus encoded by ORF2b. Virology 287(1):183–191PubMedCrossRef
36.
Zurück zum Zitat Yuan S, Murtaugh MP, Faaberg KS (2000) Heteroclite subgenomic RNAs are produced in porcine reproductive and respiratory syndrome virus infection. Virology 275(1):158–169PubMedCrossRef Yuan S, Murtaugh MP, Faaberg KS (2000) Heteroclite subgenomic RNAs are produced in porcine reproductive and respiratory syndrome virus infection. Virology 275(1):158–169PubMedCrossRef
37.
Zurück zum Zitat Yuan S, Murtaugh MP, Schumann FA, Mickelson D, Faaberg KS (2004) Characterization of heteroclite subgenomic RNAs associated with PRRSV infection. Virus Res 105(1):75–87PubMedCrossRef Yuan S, Murtaugh MP, Schumann FA, Mickelson D, Faaberg KS (2004) Characterization of heteroclite subgenomic RNAs associated with PRRSV infection. Virus Res 105(1):75–87PubMedCrossRef
38.
Zurück zum Zitat Yuan S, Wei Z (2008) Construction of infectious cDNA clones of PRRSV: separation of coding regions for nonstructural and structural proteins. Sci China C Life Sci 51(3):271–279PubMedCrossRef Yuan S, Wei Z (2008) Construction of infectious cDNA clones of PRRSV: separation of coding regions for nonstructural and structural proteins. Sci China C Life Sci 51(3):271–279PubMedCrossRef
39.
Zurück zum Zitat Zhang X, Lai MM (1994) Unusual heterogeneity of leader-mRNA fusion in a murine coronavirus: implications for the mechanism of RNA transcription and recombination. J Virol 68(10):6626–6633PubMedCentralPubMed Zhang X, Lai MM (1994) Unusual heterogeneity of leader-mRNA fusion in a murine coronavirus: implications for the mechanism of RNA transcription and recombination. J Virol 68(10):6626–6633PubMedCentralPubMed
40.
Zurück zum Zitat Zheng H, Sun Z, Zhu XQ, Long J, Lu J, Lv J, Yuan S (2010) Recombinant PRRSV expressing porcine circovirus sequence reveals novel aspect of transcriptional control of porcine arterivirus. Virus Res 148(1–2):8–16PubMedCrossRef Zheng H, Sun Z, Zhu XQ, Long J, Lu J, Lv J, Yuan S (2010) Recombinant PRRSV expressing porcine circovirus sequence reveals novel aspect of transcriptional control of porcine arterivirus. Virus Res 148(1–2):8–16PubMedCrossRef
41.
Zurück zum Zitat Zuniga S, Sola I, Alonso S, Enjuanes L (2004) Sequence motifs involved in the regulation of discontinuous coronavirus subgenomic RNA synthesis. J Virol 78(2):980–994PubMedCentralPubMedCrossRef Zuniga S, Sola I, Alonso S, Enjuanes L (2004) Sequence motifs involved in the regulation of discontinuous coronavirus subgenomic RNA synthesis. J Virol 78(2):980–994PubMedCentralPubMedCrossRef
Metadaten
Titel
Genetic manipulation of a transcription-regulating sequence of porcine reproductive and respiratory syndrome virus reveals key nucleotides determining its activity
verfasst von
Haihong Zheng
Keyu Zhang
Xing-Quan Zhu
Changlong Liu
Jiaqi Lu
Fei Gao
Yan Zhou
Hao Zheng
Tao Lin
Liwei Li
Guangzhi Tong
Zuzhang Wei
Shishan Yuan
Publikationsdatum
01.08.2014
Verlag
Springer Vienna
Erschienen in
Archives of Virology / Ausgabe 8/2014
Print ISSN: 0304-8608
Elektronische ISSN: 1432-8798
DOI
https://doi.org/10.1007/s00705-014-2018-2

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