Abstract
Poliovirus replicon vectors transiently express foreign proteins selectively in motor neurons of the anterior horn of the spinal cord. Here we intraspinally inoculated mice transgenic for the poliovirus receptor (PVR) with replicons encoding murine tumor necrosis factor alpha (mTNF-α). We detected high-level expression of mTNF-α in the spinal cords of these animals at 8–12 h post inoculation; this returned to background by 72 h. The mice exhibited ataxia and tail atony, whereas animals given a replicon encoding green fluorescent protein (GFP) exhibited no neurological symptoms. Histology of spinal cords from mice given the replicon encoding mTNF-α revealed neuronal chromatolysis, reactive astrogliosis, decreased expression of myelin basic protein, and demyelination. These animals recovered with only slight residual damage. This study shows that replicon vectors have potential for targeted delivery of therapeutic proteins to the central nervous system and provide a new approach for treatment of spinal cord trauma and neurological disease.
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The use of neurotrophic viruses as vectors for targeted gene delivery to the central nervous system (CNS) has many applications for the development of new therapies for neurological diseases and spinal cord trauma. Poliovirus is attractive for the development of such a gene delivery vector because it has been established in humans that once poliovirus invades the CNS, infection is restricted to the motor neurons of the hindbrain and spinal cord1. To exploit the unique features of poliovirus tropism, poliovirus genomes (referred to as replicons) were constructed to encode foreign proteins in place of the capsid proteins2,3,4,5. Because replicons do not encode capsid proteins, they undergo only a single round of infection, without spreading to neighboring cells3,6,7. Replicons are encapsidated by providing the capsid proteins in trans using a recombinant vaccinia virus (VV-PI). Because no infectious poliovirus is generated during production of replicons, the use of replicons for gene delivery purposes following worldwide poliovirus eradication will not be a concern. Replicons maintain the tropism of poliovirus in the CNS and exclusively infect spinal cord and brainstem motor neurons8. However, replicons can mediate gene delivery in animals that have been previously immunized with poliovirus, indicating that preexisting immunity in humans from vaccination will also not be a limitation for use of replicons9.
Cytokines have the potential to modulate gene expression in many different cell types of the CNS10,11. Due to their potent biological activities, untargeted and uncontrolled expression of cytokines can result in severe pathogenesis. For example, a transgenic mouse line with continuous CNS-specific expression of tumor necrosis factor alpha (TNF-α) developed a demyelinating disease, marked by seizures, ataxia, and paresis leading to early death12. Thus, a vector system to deliver biologically active cytokines to the CNS should mediate transient but high levels of expression to alter the function of different cell types of the CNS without the pathogenic effects of sustained expression.
To test poliovirus-based replicons for this explicit purpose, mice transgenic for the human poliovirus receptor (PVR) were inoculated intraspinally with the replicon encoding biologically active TNF-α, because this cytokine is known to affect many cell types in the CNS (refs 10 , 11). Production of TNF-α in the spinal cord was detected for up to 72 h post inoculation. Histological analysis revealed neuronal chromatolysis, demyelination, astrogliosis, and microgliosis. However, animal death associated with TNF-α did not occur, and histological analysis revealed that the animals partially recovered one month post inoculation. The results of these studies provide the foundation for the further development of replicons to deliver biologically active molecules to the CNS microenvironment.
Results
Replicon encoding murine TNF-α.
The replicon encoding mTNF-α was based on the replicon used for expression of biologically active interleukin 2 (IL-2) (ref. 13). The 467 bp gene encoding wild-type, soluble mTNF-α (nucleotides 117–484 encoding a protein of predicted molecular mass of 17 kDa) was subcloned into the replicon cDNA. The resulting construct contained the complete coding sequence for mTNF-α positioned between the VP0 and 2A genes of poliovirus; amino acids corresponding to the cleavage sites for 2A were positioned at the N and C termini of mTNF-α (Fig. 1A). A replicon encoding green fluorescent protein (GFP) (Clontech, Palo Alto, CA) was also constructed; the details will be published elsewhere (Jackson, C.A. et al., in preparation). To confirm the expression of the foreign protein from the replicon, HeLa H1 cells were infected for 6 h with replicons encoding either mTNF-α or GFP (to serve as a control). The cultures were metabolically labeled followed by immunoprecipitation with an anti-mTNF-α antibody. A 17 kDa protein was immunoprecipitated from the lysates of cells infected with the replicon encoding mTNF-α, but not lysates from the replicon encoding GFP (data not shown).
To determine the kinetics of mTNF-α expression, HeLa HI cells were infected with the replicons encoding either mTNF-α or GFP. At specified times post infection, the amount of TNF-α produced was determined using an enzyme-linked immunosorbent assay (ELISA) (Fig. 1B). Intracellular mTNF-α was detected at 4 h post infection and peaked between 8 and 12 h. By 72 h post infection, no mTNF-α was detected from cell lysates. At this time, most of the cells in the culture were lysed as a result of a cytopathic effect from the replicons. Starting at 8 h post infection and peaking at 24 h post infection, TNF-α was also detected in the cell supernatant. To test the biological activity of TNF-α, supernatants and cell lysates from cells infected with replicons were assayed for cytotoxicity on WEHI cells14. Supernatants and lysates from cells infected with the replicon encoding GFP showed no cytotoxic effect, whereas both cell lysates and supernatants from the replicon encoding mTNF-α exhibited cytotoxic activity on the WEHI cells; ∼95% of the amount of mTNF-α detected by ELISA was biologically active in vitro (Fig. 1C ).
To determine if the replicon encoding mTNF-α could increase the amounts of mTNF-α in the CNS, PVR transgenic mice were inoculated intraspinally. Poliovirus infection in PVR transgenic mice mimics the CNS pathogenesis seen in humans15,16. TNF-α expression was detected in extracts from the spinal cords by 4 h post inoculation, with peak activity between 8 and 12 h; the mTNF-α concentrations returned to background concentrations by 72 h (Fig. 1D). No mTNF-α expression was detected in the lysates from spinal cords inoculated with the replicon encoding GFP. Consistent with previous studies using replicons encoding luciferase8 and with wild-type poliovirus17,18, mTNF-α expression from replicons was confined to neurons (Fig. 1E ). Collectively, these results demonstrate that a replicon encoding mTNF-α expresses biologically active TNF-α in vitro and can be used to transiently increase the concentrations of TNF-α within the CNS.
Consequences of mTNF-α expressed from replicons in spinal cord.
Previous studies have indicated that TNF-α has a variety of effects on cells of the CNS including neuronal degeneration, apoptosis, and demyelination10,11,12,19,20,21. To determine whether mTNF-α expressed from a replicon could modulate the CNS in vivo, PVR mice were inoculated intraspinally with either the replicon encoding mTNF-α or GFP. Most the mice inoculated with the replicon encoding mTNF-α exhibited tail atony and hindlimb ataxia between 8 and 24 h post inoculation (Table 1). In contrast, the mice inoculated with the replicon expressing GFP remained neurologically normal.
Histological and immunocytochemical analysis of spinal cords from transgenic mice sacrificed at various times post inoculation revealed a range of cytological changes. Hematoxylin and eosin (H&E) staining of samples taken between 8 and 72 h exhibited substantial degeneration of motor neurons in the cervical and lumbar enlargements of the spinal cord of animals inoculated with the replicon encoding mTNF-α, even in animals showing no neurological symptoms (Fig. 2B, D–F). The extent of the neuronal damage and inflammation seen in mice given the replicon encoding mTNF-α, though always greater than that for mice given the replicon encoding GFP, varied slightly among individual mice. Chromatolysis of the motor neurons was evident, characterized by nuclear irregularities and migration of the Nissl substance to the periphery of the cytoplasm. The chromatolysis was often accompanied by substantial neuronophagia, primarily by microglia, heterophils (the equivalent to neutrophils in the mouse), and lymphocytes (Table 2; Fig. 2F). In contrast, motor neurons in the spinal cords from animals inoculated with the replicon encoding GFP did not exhibit these cytological changes (Fig. 2A, C). To determine if demyelination occurred, adjacent sections of the spinal cords examined by H&E were stained with luxol fast blue. As early as 8 h post inoculation, gaps in the white matter of spinal cords inoculated with the replicon encoding mTNF-α were seen, in addition to localized areas of demyelination, likely resulting from retraction of the axons of degenerating neurons (data not shown). Other histological changes indicative of axonal damage, such as axonal spheroids seen in spinal cords and brains of multiple sclerosis (MS) patients22,23, were often observed in the white matter of tissues of animals inoculated with the replicon encoding mTNF-α, but not in tissues inoculated with the replicon encoding GFP (data not shown).
To determine if mTNF-α expressed from the replicon affected astrocytes, oligodendrocytes, and microglia, sections of spinal cords were immunostained with antibodies specific for glial fibrillary acidic protein (GFAP) or for myelin basic protein (MBP), or stained with the lectin from Bandeiraea simplicifolia (BS-1) (microglia/monocytes24). Enhanced immunostaining for GFAP in astrocytes was evident in tissue sections from mice inoculated with replicons encoding mTNF-α (Fig. 3A and B). In contrast, low diffuse concentrations of GFAP were seen in sections from mice inoculated with the replicon encoding GFP. At 8 and 24 h post inoculation, MBP was undetectable in spinal cords from animals inoculated with the replicon encoding mTNF-α, whereas abundant MBP was detected in the spinal cords of mice inoculated with the replicon expressing GFP. Autofluorescence, due to the expression of GFP, was not detected because the tissue was paraffin embedded (Fig. 3C, D).
Increased numbers of microglia were seen in spinal cord sections from mice inoculated with replicons encoding mTNF-α compared with replicons encoding GFP (Fig. 3 E, F). Some staining of microglia was observed in the GFP tissue, because BS-I labels both resting and activated microglia. Increased numbers of microglia (shown as green staining) were consistently detected in the sections obtained from animals given replicons encoding mTNF-α compared with animals inoculated with the replicon encoding GFP. In some instances, the microglia identified in tissues from animals given replicons encoding mTNF-α were found surrounding neurons, indicative of neuronophagia. Thus, the histological analysis of the spinal cords from mice inoculated with replicons encoding mTNF-α revealed effects consistent with reactive astrogliosis, loss of MBP and microgliosis.
Long-term effects of transient mTNF-α production from replicons.
To investigate the long-term effect of mTNF-α expressed from the replicon, PVR mice inoculated with the replicon encoding mTNF-α or GFP were observed for ∼30 days. The mice inoculated with either phosphate-buffered saline (PBS) or replicons encoding GFP exhibited no neurological deficits for the entire observation period. Most of the mice that received the replicon expressing mTNF-α developed distinctive neurological deficits (ataxia and tail atony), which began to decrease between 10 and 25 days post inoculation (d.p.i.); the animals with less severe deficits exhibited earlier recovery. Histological analysis of the spinal cords at ∼30 d.p.i. revealed less chromatolysis and fewer inflammatory cells (Fig. 4 A, B), with most of the motor neurons in the spinal cords from mice that received either replicon seeming healthy. Although the neurons seemed near normal at N30 d.p.i., axonal tracts in the white matter of the spinal cord contained gaps in the white matter and the tissue still appeared locally demyelinated (Fig. 4C, D). At 17 d.p.i., the enhanced expression of GFAP as detected by immunostaining was no longer evident in spinal cords from animals inoculated with the replicon encoding mTNF-α ( Fig. 4E, F). Immunostaining for MBP in spinal cords at ∼30 d.p.i. revealed that fewer cells were stained from the tissues of animals inoculated with the replicon encoding mTNF-α than GFP (data not shown). Thus, some recovery occurred following transient expression of mTNF-α from replicons, although some damage to the spinal cord remained evident even 30 d.p.i.
Discussion
A gene delivery system based on poliovirus can take advantage of many of the unique features of poliovirus cellular tropism in the CNS. Previous studies have established that poliovirus infection in the CNS primarily localizes to motor neurons in the anterior horns of the spinal cord and brainstem1,15,25. Replicons based on poliovirus retain the features of poliovirions for the targeted infection of motor neurons8. In contrast to poliovirus, in vivo infection of neurons by replicons does not result in observable cellular destruction or disruption of the CNS microenvironment. Several features of the replicon gene delivery system may account for this difference. First, poliovirus has the capacity to spread from the site of inoculation, ultimately resulting in the involvement of numerous motor neurons within the CNS in infected animals. In contrast, replicons remain localized within the CNS, as a result of the single round of infection. Second, the pathogenesis observed for poliovirus infection may be exacerbated by the recruitment of inflammatory cells to the site of infection. As a consequence of the transient protein expression from replicons, the recruitment of inflammatory cells to the CNS is reduced. Finally, during a poliovirus infection, large amounts of virus capsid are produced, which may be toxic to neurons and other cells of the CNS. In this regard poliovirus infection has been shown to induce apoptosis of neurons26. Replicons do not encode capsid proteins and the results from a terminal deoxinucleotidyltransferase (TdT)-mediated dUTP nick end labeling (TUNEL) assay found that little, if any, apoptosis occurred following inoculation of replicons (data not shown).
If replicons are to have use as a gene delivery system, it is essential to demonstrate that protein expressed from replicons can elicit a biological response in the CNS in vivo. Previous studies have shown that TNF-α exhibits a multitude of effects on the CNS, some reportedly protective27,28, whereas others are neurodestructive12,19,28,29. Transgenic expression of soluble TNF-α specific to either neurons or astrocytes caused a degenerative disease characterized by random seizures ataxia and early death (by eight months)12,21. Histological analysis of these transgenic mice revealed demyelination, astrogliosis, and microgliosis. The striking differences in the extent of the neuropathogenesis between TNF-α gene expression from replicons and the mice transgenic for TNF-α highlight the potential use of this vector system. Extensive demyelination throughout the spinal cord was seen in the mice transgenic for mTNF-α (refs. 12, 20 , 30), reflecting severe neuronal damage, as well as damage to oligodendrocytes. In contrast, only local areas of demyelination were observed in mice inoculated with the replicon encoding mTNF-α. The key features of the replicon system, localized, high-level but transient foreign gene expression, undoubtedly contributed to the fact that expression of TNF-α from replicons in the CNS was not lethal. Furthermore, the animals inoculated with replicons encoding mTNF-α recovered, to some extent, at ∼30 d.p.i. A similar natural recovery of the damaged tissue has been noted in some animals with experimental allergic encephalomyelitis31,32.
Gene delivery to the CNS is complicated by diverse cell types, some of which are postmitotic.
The potency of many biological proteins that influence the CNS also necessitates development of a unique delivery vector that can target specific cells for transient gene expression. Our study establishes that replicons meet these criteria. Administration of replicons encoding mTNF-α to the spinal cord resulted in specific infection of motor neurons of the anterior horn. The high-level burst of mTNF-α expression in motor neurons influenced astrocytes (astrogliosis), microglia (microgliosis), and oligodendrocytes (MBP expression). These results clearly support the further evaluation of replicons for gene delivery to the CNS. There are many potential applications for replicon gene delivery to the CNS. For example, replicons encoding antiinflammatory cytokines such as IL-10 (ref. 33) could be evaluated to determine if administration for a short time following spinal cord trauma can reduce the severity of injury. Replicons encoding brain-derived neurotrophic factor (BDNF) or nerve growth factor (NGF) could be used to increase the concentration of these factors to facilitate neuronal recovery in the CNS (refs 34, 35). Combinations of replicons encoding cytokines or neurotrophic factors could also be formulated for specific applications in disease or trauma. The continued development of replicons for gene delivery holds promise for the generation of new therapeutics targeted to the CNS.
Experimental protocol
Tissue culture cells and viruses.
HeLa HI cells were grown as described7,8. The recombinant vaccinia virus (VV-PI) was prepared as described36.
Construction of replicons encoding mTNF-α.
The complete cDNA for mTNF-α was purchased from R&D Systems (Minneapolis, MN). To subclone the gene into a replicon, mTNF-α was amplified by polymerase chain reaction (PCR) using the following primers: 5′-GTC GAC CTC AGA TCA TCT TCT CAA AAT TC-3′ and 5′-GTT AAC CAG AGC AAT GAC TCC AAA G-3′. The product was subcloned into a TA cloning vector (Invitrogen, Carlsbad, CA), and the DNA sequence was determined. To generate a replicon containing the mTNF-α, a modified version of the poliovirus cDNA, pT7-lC was used that contains a unique Xhol restriction site between the VP2 and VP3 capsid genes and a unique SnaBI restriction site at nucleotide 3359, followed by the coding sequences for the 2A cleavage site4. The replicon was cloned downstream of a T7 promoter. The plasmid was transcribed in vitro, and the RNA transfected into HeLa H1 cells previously infected by VV-P1. The replicon was encapsidated by serial passage in HeLa H1 cells in the presence of VV-Pl (refs 3, 7). Cloning of the mTNF-α gene into the replicon cDNA was accomplished using standard methods7.
Analysis of mTNF-α.
The replicon encoding mTNF-α was propagated in the presence of VV-P1 and purified as described3,7,8. Similar procedures were used for the replicon encoding GFP (Jackson A. et al., in preparation). The replicons were tittered according to previous procedures7; the absence of poliovirus in the preparations was confirmed using a bioassay for infectious virus8. Replicons encoding either mTNF-α or GFP were used to infect HeLa H1 cells in 24-well plates for predetermined incubation times (4, 12, and 24 h). The supernatants from the cells were removed at the designated times for the mTNF-α assay. The cells were lysed by three consecutive freeze/thaw cycles. Samples were microfuged for 20 min at maximum speed to pellet out cell debris. Supernatants or cell lysates were used in an ELISA assay (R&D Systems). Spinal cords from PVR mice inoculated with replicons were homogenized as reported8, and assayed for mTNF-α expression by ELISA.
Biological assay for mTNF-α.
HeLa HI cells were infected with replicons encoding either mTNF-α or as a control, GFP. After predetermined infection times (4, 8, 12, and 24 h), the supernatants were collected. Cell lysates were obtained by freeze/thaw cycles. The supernatants and cell lysates were then incubated in 96-well plates at 37°C overnight with WEHI cells treated with actinomycin D; MTT (3-[4,5-Dimethythiazol-2-yl]-2-5 diphenyltetrazolium bromide; Thiazolyl blue) was added after 24 h to each well (1.1 μg/μl). The cells were incubated for 7–8 h, and then lysed (50% dimethylformamide; 2.5% glacial acetic acid; 2.5% HCI (1 N); 10% (wt/vol) sodium dodecyl sulfate). Color change in the wells was measured at OD595 and values compared with those from a standard curve of known amounts of recombinant TNF-α.
Intraspinal administration of replicons.
Mice were anesthetized by metofane inhalation (Pittman Moore, Mundelein, IL). Intraspinal inoculations were performed as previously described8,37. Briefly, the back of each mouse was disinfected with ethanol and a 2–3 cm incision was made in the skin in the curved thoracolumbar region. Replicons were loaded into 250 μl Hamilton syringes fitted with a 30-gauge needle attached to a repeating dispenser. The mouse was placed over a test tube and a 30-gauge needle was inserted between the spinous processes in the thoracolumbar region of the spine. Jerking of the hindlimbs was a sign of correct needle positioning. The skin was closed with sterile wound clips (Fisher Scientific, St. Louis, MO).
Tissue preparation and histochemical analysis.
Mice were inoculated with the replicon encoding mTNF-α and killed 8 h later by C02 inhalation. The spines were removed and fixed in 4% paraformaldehyde at 4°C for at least 24 h. Spinal cord sections from mice inoculated with the replicon were extracted, paraffin embedded, and serially sectioned at 10 μm intervals, as described8. Sections were immunostained with antibodies to mTNF-α (R & D Systems, Inc.) and a rhodamine-conjugated secondary antibody. The neuronal marker NeuN and a fluorescein isothiocyanate isomer conjugated secondary antibody was used for identification of neurons (Chemicon International, Temecula, CA.). The antibodies were diluted 1:150 in PBS plus normal serum. Control experiments used the same protocol without primary antibody.
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Acknowledgements
We thank Etty Benveniste, Jean Peduzzi, G. Yancey Gillespie, and Candece Gladson, David Ansardi and Monica C. Frazier for helpful discussions. We also thank Katherine Mercer for tissue sectioning and LiHua Feng for preparation of the recombinant vaccinia viruses. We thank Dee Martin for preparation of this manuscript. A.W.B. was supported by training grant T32AI07493 from the National Institutes of Health (NIH). This work was supported by grants from the NIH (CDM).
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Bledsoe, A., Jackson, C., McPherson, S. et al. Cytokine production in motor neurons by poliovirus replicon vector gene delivery. Nat Biotechnol 18, 964–969 (2000). https://doi.org/10.1038/79455
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DOI: https://doi.org/10.1038/79455
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