Abstract
Retrovirus population diversity within infected hosts is commonly high due in part to elevated rates of replication, mutation, and recombination. This high genetic diversity often complicates the development of effective diagnostics, vaccines, and antiviral drugs. This review highlights the diverse vectors and approaches that have been used to examine mutation and recombination in retroviruses. Retroviral vectors for these purposes can broadly be divided into two categories: those that utilize reporter genes as mutation or recombination targets and those that utilize viral genes as targets of mutation or recombination. Reporter gene vectors greatly facilitate the detection, quantification, and characterization of mutants and/or recombinants, but may not fully recapitulate the patterns of mutagenesis or recombination observed in native viral gene sequences. In contrast, the detection of mutations or recombination events directly in viral genes is more biologically relevant but also typically more challenging and inefficient. We will highlight the advantages and disadvantages of the various vectors and approaches used as well as propose ways in which they could be improved.
Keywords:
retrovirus; lentivirus; reverse transcription; evolution; mutation; recombination; retroviral vector 1. Introduction
Retroviruses share a remarkable capacity to rapidly evolve, which can be attributed to several key variables: high rates of mutation, recombination, and replication, large numbers of infected cells, and strong positive selective pressures [1,2,3]. These factors act together to drive the expansion of a small number of viruses that are initially transmitted to a particular host into a population of diverse but interacting variants, termed the viral quasispecies. Genetic diversification enables escape from the host immune response, accelerates the emergence of drug resistance, and promotes cross-species transmission. The ability of human retroviruses like human immunodeficiency virus type-1 (HIV-1) to rapidly evolve poses a tremendous challenge to the development of effective prophylactics and therapeutics.
Retroviruses mutate at an average rate of ~3 × 10−5 mutations/base pair (bp)/cycle, corresponding to roughly one mutation per three genomes synthesized [4,5,6,7,8]. This mutation rate is ~10–1000 fold higher than DNA viruses (10−6–10−8 mutations/bp) [9] and at least 10,000-fold higher than for eukaryotic DNA (≤10−9 mutations/bp) [10]. Mutations could arise during several different steps of the retroviral life cycle. Reverse transcriptase (RT) converts the single-stranded viral RNA into double-stranded DNA and is thought to be one of the key drivers of viral mutagenesis, primarily due to its high error rates (typically 10−4–10−5 mutations/bp) [11] in vitro. However, RNA polymerase II (Pol II) can also generate mutations when transcribing the viral genomic RNA from the integrated proviral DNA [12], though the relative contribution of Pol II compared to RT has not been well defined. Cellular DNA polymerases can also create mutations when replicating the integrated provirus during cell division, but the high fidelity of cellular DNA replication argues that this is a relatively minor source of virus variation. Lastly, nucleic acid-editing enzymes such as the APOBEC3 family of cytosine deaminases can edit minus strand viral DNA during reverse transcription [13,14], ultimately leading to G-to-A mutations on the plus strand viral DNA. APOBEC3-mediated editing is often lethal, as multiple G-to-A mutations are usually induced in the same provirus (i.e., G-to-A hypermutation), but editing has been reported to accelerate viral evolution in certain contexts [15,16]. Furthermore, while HIV-1 expresses an accessory protein called Vif to counteract APOBEC3 proteins, Vif alleles have been shown to vary widely in their abilities to counteract various APOBEC3 proteins [17,18,19]. In addition, G-to-A hypermutants have often been observed in patient samples [17,20,21,22,23,24,25,26], which provides strong evidence that APOBEC3-mediated editing occurs in vivo. All of these processes together contribute to the high mutation rates of retroviruses, leading to the evolution of variants that may confer drug resistance, improve transmissibility, or allow for cytotoxic T-cell or neutralizing antibody escape. Many additional variables have been shown to influence retroviral mutagenesis, including RT variants [27,28,29,30,31], antiviral drugs [27,28,30,32], and accessory proteins [28,33,34,35].
In addition to mutating at high rates, retroviruses are also able to recombine at high rates (e.g., ~3–14 crossovers/genome/cycle for HIV-1) [36,37,38,39,40,41,42]. Retroviruses are able to recombine rapidly because (unlike other RNA viruses) they co-package two copies of the RNA genome into every viral particle. During reverse transcription, recombination between RNA genomes often occurs but only one DNA provirus is ultimately formed, such that retroviruses are considered pseudodiploid in nature [43]. Recombination events between identical co-packaged genomes are effectively silent since new viral sequences are not generated. In contrast, recombination events between distinct genomes (i.e., from heterozygous virions) can lead to novel viral variants. Recombination permits the completion of DNA synthesis even in the presence of RNA damage and also promotes the generation of novel variants through the shuffling of viral mutations. For example, recombination can link beneficial mutations together, such as low-level drug resistance mutations into a highly drug-resistant complex [44] or single-drug resistance mutations into multi-drug resistance [45]. Conversely, recombination can allow escape from deleterious or lethal mutations [46,47,48]. While often beneficial, recombination can also dissociate co-adapted mutations, leading to unfit viral variants [49]. The importance of recombination to the establishment of the global AIDS pandemic is clear: 65 circulating recombinant forms (CRFs) have been identified to date [50], accounting for ~20% of HIV-1 infections worldwide [51].
As a pre-requisite for recombination to occur between distinct viruses, the producer cells must become dually infected, either as a result of co-infection (near simultaneous infection) or super-infection (sequential infection). Thus, factors that alter the incidence of dual infection through either mechanism will impact the frequency of recombination. HIV-1 readily co-infects primary CD4+ T-cells ex vivo with little evidence of interference [52,53,54,55]. In fact, co-infection has been found to occur more frequently than expected from random interactions between viruses and cells [52,53], but this may be due to reactivation of silent proviruses upon co-infection [56]. In contrast to co-infection, cells infected by HIV-1 (and many other retroviruses) are resistant to re-infection, a phenomenon called super-infection resistance [57]. Super-infection of humans at the organismal level has often been documented [58,59,60,61,62,63], though initial infection may be somewhat protective of re-infection [62]. However, such individuals do not necessarily contain super-infected cells, as only a small fraction of CD4+ T-cells becomes infected. Nonetheless, the wide prevalence of intra-subtype, inter-subtype, and inter-group recombinants of HIV-1 demonstrates that cellular super-infection resistance is not absolute. Of note, dually infected splenocytes can readily be observed in samples from HIV-1 infected individuals [64,65] or SIVmac-infected rhesus macaques [66]. However, another study found that most peripheral blood CD4+ T-cells harbor only a single provirus [67]. Unfortunately, it is not yet clear whether these discrepancies are due to the different compartments sampled, unique features of the infected individuals, or other factors.
In addition to the incidence of dual infection, rates of retroviral recombination are influenced by factors that alter the ability of genetically distinct genomes to co-package into the same virus particle. For example, the HIV-1 genome contains the dimerization initiation signal (DIS), a six nucleotide palindromic sequence within the first stem loop of the 5’ untranslated region. The DIS sequence is the dominant factor that drives HIV-1 genomic RNA co-dimerization and co-packaging [68,69,70,71]. Thus, HIV-1 variants with matched DIS sequences ultimately recombine much more frequently than those with mismatched DIS sequences. Additionally, the rate of recombination depends on the frequency of template switching during reverse transcription. Template switching is thought to be controlled by the relative balance of polymerase and RNase H activities of RT, referred to as the dynamic copy choice model of recombination [72,73]. Factors that reduce the speed of RT-mediated DNA synthesis promote template switching, including low dNTP pool levels [72,74,75,76], RNA secondary structures [77,78,79], and mutations in RT that impair processivity [72,75,76]. In contrast, RT mutations that reduce RNase H activity decrease the level of template switching [72,75,80]. The level of template switching also correlates fairly well with the degree of sequence homology between templates, such that closely related sequences (e.g., from the same subtype of HIV-1) recombine more frequently than divergent sequences (e.g., from different subtypes of HIV-1) [71,81].
In developed countries, the advent of highly active antiretroviral therapy (HAART) directed against HIV-1 has enabled the indefinite suppression of viral replication in the vast majority (>95%) of infected individuals, provided proper drug adherence is maintained. This raises the issue of the settings in which the high mutation and recombination rates of HIV-1 remain relevant. Prior to the initiation of treatment, rapid viral replication and diversification permit escape from CD8+ cytotoxic T-cell and neutralizing antibody responses, ultimately preventing effective immune system control of the virus. Defining the roles of viral mutation and recombination in these processes may inform efforts to develop an effective vaccine. Further, during HAART, a low level of ongoing viral replication may persist in areas of limited drug penetration, such as the gut-associated lymphoid tissue and central nervous system [82,83], permitting continual viral evolution. However, the presence of ongoing viral replication during HAART has remained controversial, and the predominant mechanism of viral persistence is thought to be latent infection of resting CD4+ T-cells [84]. HAART is also not completely suppressive in all individuals, as ~3% of infected individuals develop triple-class virological failure [85], though this may result from suboptimal drug adherence. Additionally, high rates of mutation and recombination are features often shared by other RNA viruses [9,86,87,88], many of which cannot be effectively countered by drug treatment. The investigation of these processes in HIV-1 will serve as a useful model system for studying the genetic diversification of other RNA viruses.
Although many advances have been made, there are still a number of fundamental questions surrounding the nature of retroviral mutagenesis and recombination that remain unanswered. For example, very few studies have examined these processes in primary cells rather than immortalized cell lines. Differences in dNTP pool levels and expression of relevant cellular factors between immortalized cell lines and primary cells could have a large impact on viral mutagenesis and recombination. Even primary cell types can differ substantially in this regard, as the most relevant targets of HIV-1 infection, activated CD4+ T-cells and macrophages, differ by ~130–250-fold in dNTP pool levels [89]. In addition, very few studies have examined mutagenesis or recombination in native viral genes rather than foreign reporter genes, primarily due to the increased difficulty of detecting such events. Given this, there remains a clear need for continued dissection of these processes in retroviruses, and improved vectors and methodologies to aid in these investigations.
Many different vectors and approaches have been used to examine retroviral mutagenesis and recombination. Retroviral vectors can broadly be divided into two categories: those that utilize reporter genes (e.g., antibiotic resistance genes, β-galactosidase, or fluorescent proteins) and those that utilize viral genes as targets for mutation or recombination. Reporter gene vectors greatly facilitate the detection, quantification, and characterization of mutants or recombinants, but the results may not be representative of native viral genes in regards to the frequency or types of mutation and/or recombination hotspots. In contrast, the detection of mutations or recombination events directly in viral genes is more biologically relevant, but the methods to do so are also much less efficient. Most of the retroviral vectors utilized for studies of viral mutagenesis and recombination are not replication-competent and must be trans-complemented in order to produce infectious vector virus. The benefit of this approach is that it allows for the more accurate quantification of mutation and recombination rates, as all events must occur in a single cycle of replication. In other instances, replication-competent vectors have been used to examine retroviral mutagenesis and recombination, but they have been limited to a single round of replication by neutralizing antibodies or antiviral drugs. In contrast, multi-cycle replication assays are valuable for understanding how natural selection acts upon emerging mutants and recombinants, and some of these studies will briefly be addressed. Here, the design and application of a number of different retroviral vectors that have been employed in assays to investigate retroviral mutagenesis and recombination is reviewed. The benefits and drawbacks of each approach are highlighted and potential ways to improve current vectors and methodologies are explored.
4. Conclusions
Given the wide variety of retroviral vectors available, choosing a particular vector to assess retroviral mutagenesis and/or recombination can be daunting. Retroviral vectors based on reporter genes offer a number of distinct benefits that have led to their widespread use in mutation and recombination studies. First, mutants or recombinants can be efficiently detected based on phenotypes that are easily observed and quantified, while mutants or recombinants in viral targets must be detected through much more laborious means. Targeted sequencing of mutant viruses can determine the nature of the underlying mutations, while targeted sequencing of recombinants can confirm that recombination took place (though the breakpoint locations cannot be precisely defined). In addition, reporter gene vectors are generally somewhat less dependent on PCR for identification of mutants or recombinants, and thus relatively less impeded by PCR-induced errors or crossovers. Nonetheless, reporter gene-based approaches are limited in that they may not necessarily be reflective of viral gene sequences. Large amounts of evidence have shown that patterns of mutation and recombination are affected by factors like homopolymeric runs and secondary structures [77,78,79,92,93,94,95,152], which may vary between template sequences. Given this, the degree to which reporter genes accurately represent viral genes cannot be easily ascertained at present, as so few studies have examined large numbers of mutations or crossovers in viral genes. Additionally, reporter gene vectors typically do not express all viral genes, though some exceptions do exist. In contrast, native viral genes are viewed as more desirable targets of mutation and recombination, but detection of mutation or recombination is often very laborious and time-consuming. Next-generation sequencing (NGS) technologies offer an obvious solution to these barriers, but standard NGS methods result in high background error rates, hindering identification of true mutations. Additionally, NGS is heavily reliant on PCR for sample preparation, which, under standard conditions, generates high levels of artifactual mutations and recombination events. However, several strategies for NGS sample preparation have recently been established that allow for identification and exclusion of the vast majority of background errors and crossovers due to PCR or sequencing [125,133,135,136,138]. While these methods have not yet been used to quantify retroviral mutation or recombination rates, they will be key to advancing our understanding of retroviral mutagenesis and recombination in viral genes. In the near future, standardized retroviral protocols, vectors, and assays will hopefully be developed that allow for application of these improvements to a wide variety of questions in retrovirology.
Acknowledgments
This work was supported by NIH grant R01 GM105876. J.R. was supported by the Institute for Molecular Virology Training Program (NIH grant T32 AI083196) and a University of Minnesota Doctoral Dissertation Fellowship. The authors would like to thank Christine Clouser for critical comments on the manuscript.
Conflicts of Interest
The authors declare no conflict of interest.
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