Jonathan S. Aeschliman BIOL 509 – Molecular Biology and Applications November 22, 2010 Steffen Mueller, J Robert Coleman, Dimitris Papamichail, Charles B Ward, Anjaruwee Nimnual, Bruce Futcher, Steven Skiena & Eckard Wimmer. Live attenuated influenza virus vaccines by computer-aided rational design. Nature Biotechnology 28, 723 - 726 (2010). Published online: 13 June 2010 | doi:10.1038/nbt.1636 Objective of the Paper The purpose of this research was to develop and test a new method of attenuation of influenza viruses. Mueller et al. utilize a strategy known as SAVE (synthetic attenuated virus engineering) which takes advantage of the codon-pair bias in organisms. Codon-pair bias Codon-pair bias is not the same as codon bias. This is best explained in terms of an amino acid pair, for example, Arg-Glu. There are six (6) codons which code for arginine and two (2) for glutamic acid; together they represent twelve (12) possible combinations of codons (to form the same two amino acids). Knowing the frequency by which each of these codons appear (codon bias), one can determine the expected number of codon-pairs. One can then compare the expected number of instances of this codon-pair to the actual number found in the organism. Researchers can then use the known codon-pair bias to design organisms which are deoptimized for that organism. By developing synthetic viruses which have deoptimized codons, the growth and virulence of the influenza virus is significantly reduced as compared to its wild type form. More importantly, the mutated form can provide protection against the wild type influenza virus in future exposures. Overall, this research shows that influenza viruses, which are attenuated through the SAVE method, have a strong potential for safe, reliable and effective vaccines. Experiments and Results The wild type organism chosen for attenuation was influenza virus A/PR/8/34 (PR8). Using computer software, researchers were able to redesign several different gene sections of its genome. There were three different regions which were chosen for deoptimization: polymerase subunit B1 (PB1), nucleoprotein (NP) and hemagluttanin (HA). Through an eight-plasmid system, researchers were able to insert the deoptimized forms of each gene segment into host cells. A single gene region could be inserted as well as combinations of the three. NPMin/ HAMin/PB1Min is a strain which contains all three deoptimized gene segments, named PR83F. The growth patterns of each different mutated group were then characterized by growth in MDCK cells (in vitro). The plaques generated by each individual strain were not significantly different than the wild type strain and the virus titer levels were ten-fold lower. Western blot analysis followed and it showed that protein synthesis of the specific gene sequences was reduced in the deoptimized form of that gene as compared to wild type viruses. It was also shown that the WT gene segments in the attenuated viruses were unaffected. In addition to these in vitro studies, mouse models were used to test the attenuated viruses and compare them to the wild type. The BALB/c mice were infected intranasally with 104 PFU (plaque forming units) of either the WT PR8 or the PR83F (triple-mutant) viral strain. Those mice infected with the WT experienced severe symptoms and extreme weight loss, while those infected with PR83F showed no symptoms and no weight loss. The replicative potential of these two strains was then compared by testing the viral load within each mouse’s lungs. Those mice infected with the WT PR8 strain showed a 3000 times higher viral load as compared to the PR83F strain. Additionally, the WT PR8 mice had died by Day 6, while the PR83F mice had an undetectable viral load after 9 days. In order to design an effective vaccine, the dosage must be such that it is sufficient to provide against future infections, but not so great that it causes lethality from vaccination. Safety studies were then done to establish both the LD50 and PD50 for different strains. PD50 is the dosage which is required to provide immunity to future infections in half the animals. The PD50 of the PR8 (WT) virus was 1 PFU, while its LD50 was 61 PFU; this provides a safety margin of about 60 (LD50/PD50). The PD50 and LD50 of the PR83F virus was 13 PFU and 790,000 PFU; giving a safety margin of about 60,000. Protection studies were then completed to assess the potential for future vaccines. Mice were infected intranasally with 104 PFU of PR83F and then after 28 days were challenged with 1000 times the LD50 of WT PR8. After three more days, viral titers were measured in the mice lungs. In 80% of the mice, the levels of WT PR8 were undetectable while mock protected mice had titers ~107 PFU. Additional tests were done to determine the level of antibodies produced in mice models. The levels of serum IgG anti-influenza antibodies were then measured after infection with 0.01 X LD50 for both PR8 and PR83F. The titer levels for PR83F were 312,500, while PR8 (WT) had a level of 27,540. Even at lower concentrations (0.001 X LD50), the titer level for PR83F was still very high (230,000). Conclusion The results from this series of experiments shows that attenuated influenza viruses, generated by the SAVE method, have great potential for future vaccines. The SAVE method is interesting because it does not rely on traditional methods of attenuation. Instead of attempting to modify/delete virulence genes, it relies on the organism’s own codon-pair bias constraints. Since this form of attenuation takes the form of many mutations, it is unlikely that natural mutation would cause a reversion into a more virulent form. Additionally, this method generates strains which retain the immunogenicity of the original WT virus. Through other experiments, this method has also been used to generate attenuated forms of poliovirus. Since the mechanisms for replication in influenza and poliovirus are very different, it shows that this method has the possibility to be used in a wide range of organisms. However, the SAVE method still requires a significant amount of work before it can be implemented for human use. In these specific experiments, it has been shown that the triple-deoptimized PR8 virus (PR83F) can function as an appropriate vaccine against future infections with WT PR8 in mouse models. The use of this Influenza A strain with the SAVE method shows that attenuated viruses can be reliably generated and that this method could possibly be extended to other organisms.