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J. Biol. Chem., Vol. 279, Issue 25, 26726-26734, June 18, 2004
Purifying Selection Masks the Mutational Flexibility of HIV-1 Reverse Transcriptase*![]() From the Department of Pathology, University of Washington, Seattle, Washington 98195
Received for publication, December 22, 2003 , and in revised form, March 1, 2004.
DNA and RNA polymerases share a core architecture composed of three structurally conserved motifs: A, B, and C. Although the amino acid sequences of these motifs are highly conserved between closely related organisms, variation across broader evolutionary distances suggests that only a few residues in each motif are indispensable for polymerase function. To test this, we constructed libraries of human immunodeficiency virus type-1 (HIV-1) containing random single amino acid replacements in motif B of reverse transcriptase (RT), and we used selection in culture to assess RT function. Despite the nearly absolute constancy of motif B in vivo, virus replicating in culture tolerated a range of conservative and nonconservative substitutions at 10 of the 11 amino acid positions examined. These included residues that are invariant across all retroviral subfamilies and highly conversed in diverse retroelements. Several mutants retained wild type infectivity, and serial passage experiments revealed replacements that were neutral or even beneficial to viral fitness. In addition, a number of the selected variants exhibited altered susceptibility to the nucleoside analog inhibitors AZT and 3TC. Taken together, these data indicate that HIV-1 tolerates a range of substitutions at conserved RT residues and that selection against slightly deleterious mutations (purifying selection) in vivo masks a large repertoire of viable phenotypic variants. This mutational flexibility likely contributes to HIV-1 evolution in response to changing selection pressures in infected individuals.
Replicative DNA and RNA polymerases catalyze the transfer of genetic information from parent to progeny. In response to diverse biological requirements, polymerases have evolved with varied substrate specificities, mechanisms of initiation, and associations with other replication proteins (1). This is clearly evident in bacterial and animal viruses, which exhibit wide ranging host environments and replication strategies. Thus, different viral polymerases initiate synthesis from RNA, DNA, or protein primers; require viral or host accessory factors; and preferentially incorporate dNTP, rNTP, or nucleotide analog substrates (1).
Despite these biochemical differences, viral polymerases are structurally very similar (2-6). The active site motifs A, B, and C are virtually superimposable in all known structures of replicative DNA- and RNA-dependent polymerases (Fig. 1A). Conservation of this core architecture presumably reflects a fundamental requirement for template-directed nucleotidyl transfer. Motifs A and C form antiparallel
The strong structural conservation of motif B in RTs and RDRPs suggests that amino acid residues in this region are critical for polymerase function and viral replication. Two lines of evidence support this suggestion. First, biochemical analyses of mutant RTs and RDRPs have identified a number of amino acid replacements in motif B that severely compromise polymerase activity (7-15). Second, the primary sequence of motif B is strictly conserved in independent virus isolates; in human immunodeficiency virus type-1 (HIV-1), this region is nearly invariant (16). Motif B sequences are also highly conserved between members of a particular viral family (e.g. retroviruses) (Fig. 1B, top). However, alignments of RT sequences from distantly related retroelements reveal variation in this region (Fig. 1B, middle), and further variability is apparent when RTs are compared with RDRP sequences, since only a single glycine is absolutely conserved across all families (Fig. 1B, bottom). A similar pattern of sequence variation occurs in motifs A and C (17, 18). Taken together, these data suggest that the majority of residues in conserved motifs can accept mutations that preserve essential polymerase functions and, by extension, viral replication. In this study, we used a biological approach to determine the functional importance of individual amino acid sites in motif B of HIV-1 RT. Pools of HIV-1 variants with random single amino acid replacements in motif B were constructed and then passaged in culture. Replication-competent viruses selected from these pools included mutants with substitutions at highly conserved positions, and several variants exhibited altered susceptibility to nucleoside analog inhibitors. We also identified a variant that outgrew the wild type strain during the course of serial passage, demonstrating that mutations in a conserved polymerase element are occasionally adaptive in character. Our data, together with recent studies of other polymerases (19-22), indicate that mutational flexibility is a general property of DNA polymerases and that negative natural selection (i.e. purifying selection) (23, 24) conceals a number of viable RT variants with unique phenotypes. The potential impact of this plasticity on the evolution of HIV-1 variants in vivo is discussed.
Plasmids, Cells, and VirusesAll mutant strains and random virus pools were derived from pR9, a full-length HIV-1 proviral clone containing NL4-3 (gag, pol, and env) and HXB2 (5'- and 3'-LTRs) sequences in which all open reading frames are intact (25). To facilitate manipulations of the pol gene, we used a modified version of pR9 that lacks an ApaI site in the plasmid backbone (kindly provided by Dr. Uta von Schwedler, University of Utah). pR9 pol was created from this modified pR9 by replacing the central ApaI/EcoRI fragment (HIV-1NL4-3 nt 2010-5743) with an ApaI-ATCGATGCGGCCGC-EcoRI synthetic linker (unique ClaI and NotI sites are underlined and italicized, respectively). pBS-pol was created by subcloning the same ApaI/EcoRI fragment into pBluescript II KS(-) (Stratagene). This fragment includes the entire HIV-1 pol gene (encoding RT) and portions of gag and env. pBS-polam (containing an amber stop codon substitution at RT position 154) and pBS-polClaI (containing a unique ClaI site insertion, GATCGAT, at RT codon 152) were generated from pBS-pol by site-directed mutagenesis (Muta-Gene phagemid mutagenesis kit; Bio-Rad).
293tsA1609neo (293T) (26) and HeLa-CD4-LTR-
Alignment of Motif B SequencesGenBankTM accession numbers for the sequences aligned in Fig. 1B are as follows: HIV-1, M19921
[GenBank]
; HIV-2, M15390
[GenBank]
; equine infectious anemia virus, AF016316
[GenBank]
; murine leukemia virus, J02255
[GenBank]
; human T-cell leukemia virus type-1, L03562
[GenBank]
; mouse mammary tumor virus, M15122
[GenBank]
; Rous sarcoma virus, provisional sequence available on the World Wide Web at home.ncifcrf.gov/hivdrp/RCAS/plasmid; walleye dermal sarcoma virus, NC_001867
[GenBank]
; human foamy virus, M19427
[GenBank]
; cauliflower mosaic virus, NC_001497
[GenBank]
; TY3, retrotransposon of Saccharomyces cerevisiae, M23367
[GenBank]
; Copia, LTR retrotransposon of Drosophila melanogaster, X04456
[GenBank]
; hepatitis B virus, V01460
[GenBank]
; Jockey, non-LTR retrotransposon of D. melanogaster, M22874
[GenBank]
; Pt1-An, group II intron of Scenedesmus obliquus, NC_002254
[GenBank]
; msEc-67, multicopy single-stranded DNA of Escherichia coli, M24363
[GenBank]
; hepatitis C virus, NC_004102
[GenBank]
; poliovirus, NC_002058
[GenBank]
; and
Random MutagenesisPlasmid libraries randomized at individual codons in RT motif B were constructed by degenerate oligonucleotide-mediated mutagenesis starting with pBS-polam (for Gly152, Lys154, Pro157, and Gln161 mutant pools) or pBS-polClaI (for the remaining mutant pools). The oligonucleotides (Operon) spanned HIV-1NL4-3 nucleotides 2971-3030 for pools randomized at sites Val148-Gln151, 2982-3029 for Gly152, 2977-3034 for Trp153 and Gly155, 2991-3030 for Lys154, 2982-3038 for Ser156, and 3002-3043 for Pro157 and Gln161. Individual sites were randomized using two or three preparations of oligonucleotides, each containing slightly different mixtures of degenerate mutant sequences at the target codon. The sequences at each codon were as follows: Val148, HNN/NVN; Leu149, NVN/RNN; Pro150, NDN/DNN; Gln151, NBN/DNN; Gly152, HNN/HHN/NHN; Trp153, NNH; Lys154, BNN/BNY/NNY; Gly155, HNN/NHN; Ser156, NWN/SNN/VNR; Pro157, NDN/DNN; Gln161, NBN/DNN (where N represents A/T/G/C; D is A/G/T; B is C/G/T; H is A/C/T; V is A/C/G; R is A/G; Y is C/T; and S is C/G). These resulted in the exclusion of wild type amino acid codons, as well as variants L149F, Q151H, K154M, S156C, S156W, and Q161H, from the oligonucleotides used for random mutagenesis. For amino acid positions Gly152, Lys154, Pro157, and Gln161, separate mutagenesis reactions were conducted for each mutant oligonucleotide preparation, and the products of these reactions were maintained as separate libraries and pools in subsequent cloning and virus production steps. For the remaining amino acid positions, single mutagenesis reactions were conducted by mixing equal amounts of each oligonucleotide preparation prior to mutagenesis. Products from the mutagenesis reactions were electroporated into ElectroMAX DH10B E. coli (Invitrogen), plasmids were isolated from pools of >104 independent transformants, and ApaI/EcoRI fragments from the pools were cloned into pR9
TransfectionsTo prepare wild type virus stocks and random virus pools, CaPO4-pR9 DNA coprecipitates were prepared with 10 µg of plasmid DNA as described (41) except that the 2x BBS buffer was replaced with 2x HEPES-buffered saline (270 mM NaCl, 10 mM KCl, 1.5 mM Na2HPO4·2H20, 11 mM dextrose, 40 mM HEPES, pH 7.05). 293T cultures were seeded into 10-cm plates and grown to 25% confluence prior to the addition of the CaPO4-DNA coprecipitates. Following a 3-h incubation, culture supernatants were aspirated, 2 ml of 10% glycerol in phosphate-buffered saline (PBS) were added, and the cells were incubated at 37 °C for 2 min. Cells were then rinsed twice with 6 ml of PBS, 10 ml of DMEM were added to each plate, and the cultures were returned to the incubator. Culture supernatants were harvested 42 h after transfection, filtered through 0.4-µm syringe filters, and stored in 1-ml aliquots in the vapor phase of liquid nitrogen for subsequent analysis. Stocks of individual HIV-1 mutants were produced by transfection of 293T cells as described above, except that the glycerol shock step was omitted. Cultures were instead treated with chloroquine at a final concentration of 25 µM in DMEM immediately before adding the DNA/CaPO4 mixtures. Supernatants were aspirated and replaced with fresh medium 1 day later and then harvested and frozen the following day as described above. The titers of wild type stocks produced by either protocol typically ranged from 2 x 105 to 5 x 105 focus-forming units (FFU)/ml for frozen stocks and 1 x 106 to 4 x 106 FFU/ml for fresh preparations. Infectivity AssaySingle-round infectivities were determined using HeLa-P4 indicator cells (27). HeLa-P4 cells were seeded into 96-well plates at 0.5 x 104 cells/well 1 day prior to infection. Serial dilutions of virus were prepared in DMEM containing 20 µg/ml DEAE-dextran (Sigma), and 25 µl of each dilution were added to separate culture wells. Following a 3-h incubation at 37 °C, 175 µl of DMEM were added to each well, and the plates were returned to the incubator. Stocks containing low titers were assayed in 24-well plates to increase the accuracy of the assay. In this case, each well received 2 x 105 cells, 200 µl of virus stock, and 1 ml of medium following the 3-h incubation period.
After 40 h of growth, cultures were fixed and stained with 5-bromo-4-chloro-3-indolyl-
Serial Passage ProtocolSupernatants from 293T cultures transfected with pR9 mutant libraries were used to initiate each serial passage experiment (Fig. 2B, input virus pools). HeLa-P4 cells were seeded at 105 cells/10-cm plate in DMEM and incubated at 37 °C overnight. Infection was initiated by the addition of 104 infectious particles (in 2 ml of DMEM containing 20 µg/ml DEAE-dextran), followed by incubation at 37 °C for 2-4 h. An additional 6 ml of DMEM was then added to each plate, and incubation was continued overnight. The monolayers were then washed three times with 6 ml of phosphate-buffered saline, and cultures were replenished with 8 ml of fresh medium, which was changed again after 2 days of incubation. On the fifth day after infection, culture supernatants were harvested, passed through 0.4-µm filters, and treated with 420 units of DNase I (Worthington) at 37 °C for 20 min after adding MgCl2 to a final concentration of 10 mM. Viral particles were concentrated by layering 1 ml of culture supernatant onto a 250-µl cushion of 20% sucrose in phosphate-buffered saline, followed by centrifugation at 15,500 x g for 90 min at 4 °C. Pelleted virions were resuspended in 100 µl of lysis buffer (7 M urea, 0.35 M NaCl, 4 mM EDTA, 10 mM Tris·HCl, pH 7.5, 1% SDS) and stored at -20 °C for subsequent RNA extraction and RT-PCR amplification. The remaining unconcentrated culture supernatants were frozen in 1-ml aliquots in the vapor phase of liquid nitrogen. Titers were determined as described above, and the process was repeated to initiate the next passage. Thus, a "passage" is defined as one cycle of infection, incubation, and harvest. The 5-day incubation period corresponds to Viral RNA ExtractionViral lysates (100 µl; see above) were thawed on ice, and 100 µl of TE, pH 8, was added to each tube. Samples were extracted twice with equal volumes of acidic phenol (pH 4) and back-extracted at each step by the addition of 100 µl of TE, pH 8, to the organic phase. The resulting aqueous phases were then extracted twice with equal volumes of chloroform/isoamyl alcohol (24:1). Viral RNA was precipitated with 300 µl of 100% isopropyl alcohol followed by incubation on ice for 30 min. Samples were pelleted by centrifugation at 15,500 x g, washed with 300 µl of 70% EtOH, resuspended in 20 µl distilled H2O, and stored at -20 °C. If products were observed in control RT-PCRs that lacked RT (see below), the corresponding RNA samples were subjected to a second DNase I treatment to remove contaminating plasmid or proviral DNA. Samples (8 µl) were digested with 1 unit of amplification grade DNase I (Invitrogen) for 15 min at room temperature in 2 mM MgCl2, 50 mM KCl, 20 mM Tris-HCl, pH 8.4. Reactions were quenched by adding EDTA to a final concentration of 2.5 mM and then heat-inactivated at 65 °C for 10 min. The resulting products (1 µl/reaction) were then added to RT-PCR mixtures and amplified as described below. RT-PCRRT-PCR was performed in thin-walled tubes (Robbins) using the Access RT-PCR system (Promega) in 50-µl reactions containing a 200 µM concentration of each dNTP, 1 mM MgSO4, 5 units of avian myeloblastosis virus reverse transcriptase, 5 units of Tfl DNA polymerase, 10 µl of 5x avian myeloblastosis virus/Tfl buffer, 50 pmol each of primers H3 and BH1 (see below), and 1 µl of extracted viral RNA. Primers BH1 (5'-TATGGATCCCTTTTAGAATCTCCCTGTTTTCTGCC-3', BamHI site underlined) and H3 (5'-AGTCAAGCTTGGATGGCCCAAAAGTTAAACAATGGCC-3', HindIII site underlined) amplified a 0.8-kb fragment corresponding to nucleotides 2597-3483 of HIV-1NL4-3. Thermocycling conditions in an MJ Research PTC-100 thermocycler were as follows: 48 °C for 45 min, 94 °C for 2 min; then 40 cycles of 94 °C for 30 s, 60 °C for 1 min, and 68 °C for 2 min; and ending with 68 °C for 7 min. Control reactions lacking RT were performed and analyzed in parallel to ensure that amplification was RNA-dependent. When required, viral RNA samples were subjected to a second DNase I treatment to remove contaminating plasmid or proviral DNA (see above). RT-PCR products were sequenced either directly (to quantify fitness) or after subcloning (to identify individual mutants) using primer pNL1 (5'-GACTTCAGGAAGTATACTGC-3') and Big Dye Terminator chemistry (Applied Biosystems). Molecular Cloning and SequencingRT-PCR products were digested with BamHI and HindIII (Promega), ligated into pBluescript II KS(-) (Stratagene), and electroporated into ElectroMAX DH10B E. coli (Invitrogen) for blue/white screening. Individual white colonies were picked and mixed into 25 µl of RT-PCR mixture as described above, but without avian myeloblastosis virus RT, and the 0.8-kb pol fragment (nt 2597-3483) was amplified using the Access RT-PCR system (Promega) and primers H3 and BH1. Thermocycling conditions were as follows: 94 °C for 3 min; then 30 cycles of 94 °C for 30 s, 60 °C for 1 min, and 68 °C for 2 min; and ending with 68 °C for 7 min. The resulting PCR products were purified using the Qiaquick PCR purification kit (Qiagen), resuspended in a final volume of 50 µl of distilled H2O, and sequenced using primer pNL1. Quantitation of Relative FitnessRT-PCR products derived from culture supernatants were directly sequenced as mixed pools without subcloning, and the resulting chromatogram tracings were used to determine the relative frequencies of mutant and wild type genomes at different passage intervals. Peaks that unambiguously represented the wild type sequence were identified at specific nucleotide positions for each motif B codon (except Gly152, Trp153, and Gln161; see legend to Fig. 4B). Wild type and mutant peak heights were measured at the informative nucleotide position of each codon and used to calculate relative fitness (43) using the expression fn = Mn/(Wn + Mn), where fn is the relative frequency of mutants at passage n, W represents the peak height for the wild type nucleotide, and M is the sum of all mutant peak heights at the informative nucleotide position. fn/f1 ratios were plotted as a function of passage number, and the slopes of the resulting fitness vectors were calculated by linear regression (Statview 4.0). The F test was used to determine whether these slopes were significantly different from the neutral case (slope = 0).
Drug Susceptibility AssaysVirus suceptibilities to 3'-azido-3'-deoxythymidine (AZT; Sigma) and (-)- -2',3'-dideoxy-3'-thiacytidine (3TC; kindly provided by Dr. Raymond Schinazi, Emory University) were determined by measuring the dose-dependent reduction of infected foci in 96-well HeLa-P4 microcultures. HeLa-P4 cells were seeded into 96-well plates at a density of 0.5 x 104 cells/well and incubated overnight. The following morning, culture wells were dosed with varying concentrations of AZT or 3TC, and plates were then returned to the incubator for an additional 3 h. During this period, virus stocks were diluted to 4000 FFU/ml in DMEM containing 20 µg/ml DEAE-dextran. Supernatants in the microtiter plates were aspirated, and 25 µl of the virus dilutions were added directly to the monolayer in each well. Plates were then returned to the incubator for 3 h. After this time, an additional 175 µl of medium were added to each well, a second dose of drug was added (at the same concentration as the first dose), and incubation was continued for an additional 2 days. Culture monolayers were fixed and stained as described above, and blue foci were counted. Control cultures incubated in the absence of drug typically yielded 70-250 foci/well. Concentrations of drug required to inhibit focus formation by 50% of the untreated control value (EC50) were calculated by linear regression of the resulting dose-response data.
Generation of HIV-1 Populations with Random Motif B MutationsTo examine the range of mutations in a conserved region of RT that support viral replication, we generated pools of HIV-1 mutants, each randomized at one of 11 amino acid sites in motif B (Fig. 2). Site-directed mutagenesis was performed using degenerate oligonucleotides designed to introduce all 19 possible amino acid substitutions at each motif B position (with a few exceptions; see "Experimental Procedures"). To minimize wild type sequences in the mutant pools, we started with RT subclones containing either a stop codon at position 154 (pBS-polam; Fig. 2A, top left) or a unique ClaI restriction site insertion at position 152 (pBS-polClaI) (Fig. 2A, bottom left) and used mutagenesis primers that corrected these lethal mutations while simultaneously introducing random nucleotides at the target codon sites. Each library of RT subclones was then ligated en masse into an RT-deleted HIV-1 construct (pR9 pol) to generate the corresponding full-length HIV-1 pR9 libraries (Fig. 2A, right). These full-length mutant libraries were separately transfected into 293T cells to produce mutant HIV-1 populations, each randomized at a single codon site in motif B (Fig. 2B). 293T cells do not express the HIV-1 CD4 receptor and therefore cannot be reinfected by progeny virions, enabling us to examine the infectious potential of the virus pools prior to biologic selection (see below). All cloning steps and library manipulations were conducted with >104 independent clones or viruses to minimize sampling bias and ensure population diversity. Sequence analysis of 180 arbitrarily isolated clones from the Gly152, Lys154, Pro157, and Gln161 mutant libraries confirmed that the targeted motif B positions contained a diverse array of amino acid substitutions (Fig. 5 and data not shown). Of the 20 possible amino acids, codons for 12, 16, 17, and 14 were observed in this sampling of the Gly152, Lys154, Pro157, and Gln161 mutant pools, respectively (average = 15). Our approach limited but did not exclude wild type codons from the libraries, which were present at frequencies of 5-12%. Less extensive sequencing of the other libraries revealed similar mutant diversity and wild type levels (data not shown). Thus, we estimate that the 11 mutant libraries together represent a minimum of 150 different mutations in motif B.
HIV-1 Tolerates Mutations at Conserved Residues in Motif BTo determine the effects of motif B mutations on virus infectivity, each of the mutant HIV-1 pools were titered on HeLa-P4 indicator cells (Fig. 3A). Randomization of positions Pro150 or Gly152 resulted in a dramatic reduction in infectivity (0.2 and 0.1% of wild type, respectively), indicating that these residues are essential for HIV-1 replication. In contrast, pools randomized at positions Leu149, Gln151, or Trp153 showed low but significant levels of infectivity (1% of wild type), and the remaining six mutant populations exhibited 15-70% of wild type infectivity, indicating that these pools contained a high proportion of replication-competent variants.
Replication-competent mutants were selected from the random virus pools by subjecting the pools to a single passage in HeLa-P4 cells (Fig. 2B). The spectra of infectious variants in these selected populations were then determined by sequencing individual clones derived from each mutant pool (Fig. 3B). Among 368 clones sequenced from the passage 1 pools, 345 (95%) were replication-competent as evidenced by their persistence in subsequent passages and/or infectivity as purified mutant virus (see below). Altogether, 53 different amino acid substitutions in motif B supported virus replication. Two categories of sites were identified based on the range of substitutions observed in the passage 1 populations. The first group, represented by 7 of the 11 motif B positions examined (Val148, Leu149, Gln151, Lys154, Gly155, Pro157, and Gln161), tolerated both conservative and nonconservative amino acid substitutions. The second group (Pro150, Trp153, and Ser156) tolerated only a limited range of replacements. Only one residue (Gly152) failed to yield any replication-competent variants. Relative Fitness of Motif B VariantsTo further quantify the effect of motif B mutations on HIV-1 replication, we performed serial passages of each mutant virus pool (Fig. 2B, right) and determined the relative frequencies of variant and wild type progeny virus at several passage intervals (Fig. 4). This provides a measure of viral "fitness" (44), here defined as the overall ability of HIV-1 variants to survive and replicate in HeLa-P4 cells relative to wild type HIV-1. Substitutions in motif B were generally deleterious to viral fitness, as evidenced by the progressive loss of sequence diversity (Fig. 4A) and emergence of wild type virus in most of the random mutant pools during the course of serial passage (Fig. 4B). Similar rates of wild type outgrowth were observed in independent serial transfers of Lys154 mutant pools, illustrating the reproducible nature of this assay. Sequencing of individual clones from each passage of the Lys154, Pro157, and Gln161 mutant pools confirmed a steady increase in the proportion of wild type virus and the persistence of variants at low levels in these populations through passage 4 (Fig. 5, A-C). Although there was a general trend toward reduced fitness, several mutant pools exhibited slow or undetectable outgrowth of wild type virus (Fig. 4). Only a gradual increase in the relative proportion of wild type virus was apparent in the Lys154 and Gln161 pools, whereas no wild type outgrowth was detected in the pool randomized at position Val148 (vector slope not statistically different from zero; p = 0.42, F test). Thus, several amino acid substitutions at Val148 were neutral under these culture conditions. Surprisingly, a single alanine variant emerged from the Ser156 random pool that increased in frequency relative to wild type during the course of serial passage. The positive slope of the resulting fitness vector indicates that the S156A mutation improved the relative replication rate of HIV-1 in HeLa-P4 cell culture (slope = 0.05 ± 0.005; p < 0.001, F test). To determine whether sampling errors or the presence of wild type virus affected variant selection in our protocol, we performed a second serial passage experiment using a Lys154 mutant pool that contained no detectable wild type sequences (<1%). After 13 passages, wild type virus remained undetectable (0 of 27 clones sequenced) (Fig. 5C, bottom), indicating that Lys154 variants replicate in HeLa-P4 cells as a relatively stable mutant virus population. Sequencing of individual clones from passages 1-4 showed that the spectrum of replication-competent mutants in this second experiment (Fig. 5C, bottom) was similar to that observed in the original experiment (Fig. 5C, top). Thus, sampling errors did not contribute significantly to the outcome of these serial passage experiments, and the presence of wild type virus did not influence the diversity of emergent genotypes. Mutagenesis strategies that stringently exclude wild type sequences are required to perform similar analyses at other amino acid positions. Motif B Variants Exhibit Unique PhenotypesTo characterize the phenotypic properties of variants selected from the virus pools, we first examined the relative infectivities of individual mutants selected in passage 1 (Fig. 3B and Table I). We tested 23 different mutant clones, each containing a single amino acid replacement in motif B. These were constructed by site-directed mutagenesis or by subcloning PCR products that contained only the desired RT mutation (confirmed by DNA sequencing). Among the 23 mutant clones tested, only one (L149E) failed to produce infectious virus (data not shown). Approximately half of the viable mutants (12 of 22 clones) retained at least 50% of wild type infectivity, and several of these were not statistically different from wild type (Table I, column 2, and data not shown). Only two variants (V148R and Q151V) exhibited substantial replication defects (<5% of wild type infectivity). Thus, the majority of mutants observed in the passage 1 pools retained relatively high replication capacity and did not require second-site mutations for this viability.
To further evaluate the phenotypes of the selected variants, we determined their susceptibilities to two nucleoside analog inhibitors of HIV-1 RT that function as chain terminators of DNA synthesis (45): AZT and 3TC (Table I, columns 3 and 4). In agreement with previous studies (46, 47), the Q151M mutation in RT conferred low level resistance to AZT, and the addition of four other amino acid substitutions to the Q151M background (A62V, V75I, F77L, and F116Y) increased the level of resistance >100-fold. Other substitutions at Gln151 and mutations at Val148, Lys154, Gly155, and Gln161 had the opposite effect, resulting in 4-50-fold hypersensitivity to AZT. We also observed substitutions that affected virus susceptibility to 3TC. Replacements at Gln151, Pro157, and Gln161 increased virus resistance to 3TC 5-10-fold, whereas G155N conferred a slight (3-fold) hypersensitivity to the drug. In total, mutations at 7 of the 11 motif B sites analyzed resulted in a significant change in EC50 for AZT or 3TC. Three of the Gln151 substitutions (Ala, Val, and Ile) conferred both AZT hypersensitivity and 3TC resistance. Taken together, these data indicate that many residues in RT motif B influence nucleoside analog susceptibility.
Motifs A, B, and C form a core structure conserved in all RTs and RNA-dependent viral polymerases (Fig. 1A) (2-6). Although the amino acid sequences of these motifs are conserved within a particular viral family, alignments of sequences from evolutionarily distant RNA viruses suggest that only a few residues in each motif are absolutely indispensable for polymerase function and viral replication (Fig. 1B). To test this idea, we performed random mutagenesis of motif B in HIV-1 RT and identified the range of replacements that preserve viral replication in culture (Fig. 2). Replication-competent viruses selected from the random pools contained amino acid substitutions throughout motif B, including residues highly conserved in retroviral and retroelement RTs (Fig. 3). Serial passages of mixtures of wild type and mutant viruses revealed high fitness variants (Fig. 4), and a number of mutants exhibited single-cycle infectivities comparable to that of the wild type strain (Table I and data not shown). In addition, amino acid replacements at several motif B residues altered the susceptibility of HIV-1 to the nucleoside analog inhibitors AZT and 3TC (Table I). Mutations in motif B are rarely observed in HIV-1 sequences obtained from infected patients. Among the nearly 10,000 RT sequences in the Stanford HIV RT Sequence Database (available on the World Wide Web at hivdb.stanford.edu/hiv) (16), only 75 contain mutations at the motif B residues examined in this study (excluding the drug-resistant Q151M variant). This <1% diversity occurs despite continuous mutation pressure due to error-prone HIV-1 replication (48, 49). Thus, motif B is subject to strong negative selection in vivo (23, 24). This purifying selection, however, masks the underlying complexity of HIV-1 populations. Our screen of random mutations in vitro reveals the mutational flexibility of RT prior to purifying selection and permits the characterization of replication-competent variants not readily detected in vivo. In addition, this strategy of random mutagenesis coupled to virus selection in culture identifies mutations in RT that are biologically active (Fig. 3), phenotypically unique (Fig. 4 and Table I), and thus well suited for biochemical studies of RT structure/function.
Our screen of random motif B mutations revealed a diverse array of amino acid substitutions that preserve HIV-1 replication (Fig. 3B). Among the Similar to the in vivo situation, we observed that amino acid substitutions in motif B were generally deleterious to viral fitness (Fig. 4). We note, however, that most of the mutants retained 50% or more of wild type infectivity (Table I and data not shown), and randomization only slightly impacted the relative fitness of several mutant pools (Fig. 4). The Leu149, Gln151, Lys154, Gly155, Pro157, and Gln161 pools exhibited rates of variant loss relative to wild type virus of <4% per replication cycle (assuming a wild type replication rate of 1-2 days-1) (42). These data suggest that motif B variants would also replicate in vivo, based on previous studies of patient-derived isolates (42, 50). Perhaps most striking were the observations that several Val148 substitutions appear neutral and that the S156A mutant replicates faster than wild type virus in culture (0.5-1% S156A outgrowth per replication cycle). There are other examples of HIV-1 mutants replicating better than wild type in culture, although the majority of these involve multiple substitutions in RT or protease (51-54). We conclude that a number of RT motif B mutations are only slightly deleterious for HIV-1 replication and that some are nearly neutral or even adaptive. Mutations throughout motif B conferred significant changes in the susceptibility of HIV-1 to the nucleoside analog inhibitors AZT and 3TC (Table I). Generally, these involved hypersensitivity to AZT or resistance to 3TC; mutants Q151A and Q151V exhibited both phenotypes. Our observation that Gln151 mutations result in AZT hypersensitivity was unexpected, since a methionine substitution at this site confers weak AZT resistance in clinical isolates, and the combination of four additional mutations with Q151M results in high level resistance to AZT and several other nucleoside analogs (46, 47) (Table I). Analyses of purified RTs show that the Q151M and Q151N mutations confer resistance to nucleoside analogs as well as mild to moderate increases in the fidelity of nucleotide incorporation in cell-free assays (11, 55, 56). Substitutions of alanine or asparagine at the equivalent position of murine leukemia virus RT (Gln190) also confer increased fidelity but render the enzyme hypersensitive to dideoxynucleoside triphosphates (57). Thus, mutations at this position have similar effects on HIV-1 and murine leukemia virus RT fidelity but opposite effects on nucleoside analog susceptibility, suggesting that differences in local protein environment modulate the effects of Gln151 substitutions. Our data also show that Gln151 mutations can either increase or decrease drug sensitivity, depending on the nature of the amino acid substitution and the structure of the drug (Table I) and that some Gln151 variants are hypersensitive to a number of nucleoside inhibitors.2 Studies of purified mutant RTs are required to identify biochemical mechanisms that contribute to these viral phenotypes (45, 58).
In patients receiving antiretroviral therapy, the development of nucleoside analog resistance is commonly associated with specific mutations in motifs A-D or the "fingers" region of RT (4, 59). The discovery of a significant number of replication-competent mutants with altered drug sensitivity in our relatively small survey of RT variants (encompassing only 11 amino acid residues) suggests that the range of resistance mutations observed clinically represents a fraction of the total number of mutations with the potential to confer drug resistance. By extension, it is likely that other HIV-1 proteins exhibit similar mutational flexibility and that a large repertoire of viable phenotypic variants continuously arise in replicating HIV-1 populations in vivo. The mutational flexibility of RT has important implications for the evolution of HIV-1 variants. Although variation at conserved RT positions is rarely observed in isolates from infected patients (see above), the persistence of variants during serial passage in culture (Figs. 4 and 5) suggests that motif B and other RT mutants are present at low frequencies in the complex mixtures of variants that comprise HIV-1 populations in vivo (44). Components of these mutant "swarms" or "quasispecies" can emerge as the dominant member of a population as a result of changing environmental demands (24, 44, 60). This is clearly evident in the development of resistance to antiviral therapy, where positive selection often results in the outgrowth of rare, drug-resistant variants that preexist in drug-naive patients (42, 50, 61-64). There is accumulating evidence that random genetic drift also contributes to HIV-1 RT variation (64), and our observation that S156A mutants replicate faster than wild type virus in culture (whereas the reverse must be true in vivo) demonstrates the importance of slightly deleterious mutations when negative selection barriers are lifted or changed (23). The fixation of new RT variants in HIV-1 populations by all of these mechanisms (positive selection, genetic drift, and relaxed negative selection) hinges on the ability of the virus to tolerate RT mutations without severe fitness loss. The plasticity of RT observed in our study suggests that substitutions at the majority of amino acid sites are only slightly deleterious to virus replication, underscoring the tremendous evolutionary potential of HIV-1 RT. In summary, we show that a conserved region of HIV-1 RT tolerates a number of mutations that preserve virus replication capacity. Several of the variants selected in culture retain sufficient infectivity to support viral replication in vivo (42, 50). A number of the selected mutants also exhibit significant hypersensitivity to AZT and/or resistance to 3TC, indicating that many sites in motif B contribute to nucleoside analog susceptibility. We conclude that, in addition to HIV-1 population size, diversity, and turnover (60), the plasticity of RT is an important contributor to escape from selective pressures in infected individuals.
* This work was supported by National Institutes of Health Grants RO1 AI34834 (to B. P.) and F32 AI10139 (to R. S.) and by the University of Utah Undergraduate Research Opportunities Program (to D. A.).
1 The abbreviations used are: RT, reverse transcriptase; RDRP, RNA-dependent RNA polymerase; HIV, human immunodeficiency virus; DMEM, Dulbecco's modified Eagle's medium; FFU, focus-forming units; PBS, phosphate-buffered saline; 3TC, (-)-
2 R. Smith and B. Preston, unpublished results.
We thank Uta vonSchwedler for advice on virology procedures and Jamie Bugni and Larry Loeb for critical reading of the manuscript.
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