Abstract
Koala retrovirus (KoRV), a major pathogen of koalas, exists in both endogenous (KoRV-A) and exogenous forms (KoRV-B to J). However, the impact of infection with multiple subtypes is not well understood. Accordingly, in this study, we surveyed a representative sample from a Japanese zoo population to determine the infection status for three KoRV subtypes (KoRV-A, B, and C) and to investigate the proviral and RNA load profiles in animals with single- and multiple-subtype infections, using peripheral blood mononuclear cells (PBMCs) and plasma. Six koalas were evaluated in the study; all were infected with KoRV-A, and two koalas were coinfected with non-A subtypes (KoRV-B and/or KoRV-C). The highest KoRV total RNA and viral loads in PBMCs and plasma were found in a koala infected with multiple subtypes (KoRV-A, -B and -C). The other koala infected with multiple subtypes (KoRV-A and B) showed the highest proviral PBMC load but the lowest RNA copy number in PBMC and plasma. PBMCs from this animal were cultured for further investigation, and KoRV RNA was detected in the cells and culture supernatant after 7 and/or 14 days. The koalas harboring multiple subtypes had a higher white blood cell count than those harboring only KoRV-A and were judged to be leukemic, and they subsequently died due to lymphoma. Accordingly, we conclude that coinfection with multiple KoRV subtypes may be linked to more-severe disease. In a sequence alignment, the detected KoRV-A env gene showed 100% sequence identity to the reference gene, whereas the KoRV-B and -C env genes varied from their reference sequences.
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Introduction
Koala retrovirus has captured the interest of many virologists and, interestingly, exists in both endogenous and exogenous forms. Its evolutionary history has been well described elsewhere [1,2,3]. Briefly, koalas may have first contracted this retrovirus – a relative of gibbon ape leukemia virus [4], feline leukemia virus (FeLV) [5], Melomys burtoni retrovirus (MbRV) [6], and porcine endogenous retrovirus – through transspecies transmission, with the process of endogenization beginning about 49,000 years ago, which is relatively recent in evolutionary terms [7]. Endogenization appears to be complete in wild populations in northern Australia, where a prevalence of 100% has been established, but is still ongoing in some wild populations in southern Australia [1, 2, 8]. Health issues for koalas associated with KoRV have been reported elsewhere [5, 9,10,11,12] and include neoplasia and chlamydial diseases [3], which have been seen in both wild and zoo animals. Understanding KoRV is thus more than a subject of academic interest for virologists; such knowledge will have very real practical applications in the field of conservation.
The current knowledge about KoRV includes the fact that it exists in endogenous and exogenous forms, but further extensive investigation about the variant subtypes is required. KoRV-A, the endogenous form, is the most widely researched subtype, and it accounts for the 100% prevalence in north Australian populations. However, in addition to the endogenous subtype, another nine exogenous subtypes are known to exist (KoRV-B to J). Of these, KoRV-B is the best documented, and it is also believed to be the most pathogenic [5, 10, 11]. We have previously found cases where KoRV-A represented less than 100% of the total KoRV (sometimes the combined KoRV-A and -B load was also below 100% of the total load), indicating that some koalas are infected with multiple subtypes. In another finding in our study, IL-6 expression was significantly greater in PBMCs from koalas infected with multiple subtypes than in those from koalas infected with KoRV-A alone [13]. There may be epidemiological implications with regard to these subtypes. Wild koalas in or from northern Australia and their zoo-reared descendants will all harbor KoRV-A from birth, but exposure to other variants may put them at risk of multiple-subtype infection and subsequent poor health outcomes. The zoo population targeted in our previous studies (at Hirakawa Zoological Park, Kagoshima, Japan) comprises koalas from a north Australian population and may thus represent a group at risk of infection with multiple subtypes. KoRV has been fully sequenced recently; it has a positive-sense, single-stranded RNA genome of 8.4 kb with gag, pol, and env genes, and long terminal repeats (LTRs) at the 5’ and 3’ ends [4, 9, 14].
Accordingly, in this study, we set out to determine the infection status for the endogenous subtype (KoRV-A) and the two most common exogenous subtypes (KoRV-B and KoRV-C) in a representative sample of captive koalas in a Japanese zoo. We aimed to establish profiles based on proviral and RNA loads in plasma and peripheral blood mononuclear cells (PBMCs) and to make a preliminary assessment of health status for the different profiles based on white blood cell (WBC) count and mortality. Furthermore, we set out to align env gene sequences for any subtype identified in our study with reference sequences. The ultimate aim of this study is to further understanding of KoRV and its subtypes in ways that will benefit both virologists and conservationists.
Materials and methods
Study animals and sample collection
Adult koalas housed at Hirakawa Zoological Park, Kagoshima, Japan, were chosen for blood collection. EDTA-treated whole blood samples were collected from koalas by venipuncture. The white blood cell (WBC) count was determined at the time of blood collection, and all procedures were in accordance with the regulations and bylaws of the Institutional Animal Care and Use Committee of the Joint Faculty of Veterinary Medicine, Kagoshima University.
Extraction of DNA and RNA
Genomic DNA (gDNA) was extracted from EDTA-treated whole blood samples using a Wizard Genomic DNA Purification Kit (Promega) according to the manufacturer’s instructions.
Viral RNA and total RNA were extracted using an ISOGEN-LS Kit (Nippon Gene, Japan) and an RNeasy Plus Mini Kit (QIAGEN, Germany), respectively, according to the manufacturer’s instructions. To remove any contaminating DNA, extracted RNA was treated with RQ1 RNase-Free DNase (Promega) according to the manufacturer’s instructions. The concentration and purity of each extracted DNA and RNA sample were determined using a NanoDrop ND-1000 Spectrophotometer (NanoDrop Technologies, Inc., USA). RNA samples were stored at -80°C until analysis.
Peripheral blood mononuclear cells (PBMC) culture
Koala PBMCs were cultured from a whole blood samples from one animal, using a previously described method [15] with some modifications [16]. PBMCs were added to two wells of a 6-well plate at 1 × 105 cells/well. The wells contained 1 mL of RPMI 1640 supplemented with 20% heat-inactivated FCS, 1 mM sodium pyruvate (SIGMA), 50 µM β-mercaptoethanol, 1% MEM non-essential amino acids (Invitrogen), penicillin (100 units/mL), and streptomycin (100 µg/mL). The plate was then incubated at 37°C in a 5% CO2 incubator overnight, and 1 mL of RPMI 1640 complete growth medium was added to each well the following day. At seven days after the start of incubation, the 1 mL of medium was replaced with fresh medium. Culture supernatants and cells were harvested at days 7 and 14 of culturing. DNA was extracted from cultured cells using a Wizard Genomic DNA Purification Kit (Promega). Total RNA and viral RNA were also extracted from the cells and culture supernatants using an RNeasy Plus Mini Kit (QIAGEN, Germany) and an ISOGEN-LS Kit (Nippon Gene, Japan), respectively, following the manufacturer's instructions.
Subtyping of KoRV
Using gDNA as a template, a polymerase chain reaction (PCR) was performed to detect KoRV subtypes (KoRV-A, -B or -C), using subtype-specific primers targeting the env gene (Table 1) under reaction conditions described previously [8, 17]. To confirm the KoRV subtypes, PCR fragments were subcloned into pCR2.1 TOPO vector (Invitrogen) and sequenced.
Measurement of KoRV provirus and RNA copy numbers
The gDNA isolated from koala PBMCs was used as a template for the measurement of total KoRV proviral, KoRV-A, KoRV-B, and KoRV-C DNA copy numbers by real-time PCR as described previously [17], using subtype-specific primers (Table 1) with Brilliant-III Ultra-Fast SYBR Green Q-PCR Master Mix (Agilent Technologies, Santa Clara, CA, USA) according to the manufacturer’s instructions. Amplification and detection were carried out using a CFX Connect Real-Time PCR Detection System (Bio-Rad, USA). The specificity of the PCR was confirmed by melt curve analysis. Standards were generated from pre-quantified plasmids containing the sequence of the target gene. Koala β-actin was used as an endogenous control for the normalization of the KoRV proviral DNA copy numbers. The primers used for detection of koala β-actin are shown in Table 1.
The RNA copy numbers in the RNA isolated from koala PBMCs or plasma were also quantified by real-time PCR as described previously [17], using gene-specific primers (Table 1) as described above. Koala β-actin was used as an endogenous control for the normalization of the KoRV total RNA copy numbers.
Multiple sequence alignment
KoRV-A, -B and -C env genes were isolated from koalas and sequenced. The sequence data were submitted to the GenBank database (GenBank accession nos. MT951447-MT951453). A multiple sequence alignment of KoRV env gene nucleotides was performed using MEGA7 [18].
Results
Study population, KoRV status, WBC count, and mortality
Six adult captive koalas were included in this study (animal nos. KH1 to KH5 and H10): one male and five females; age range, 1 to 12 years). All six koalas were found to be positive for KoRV (Table 2).
Two koalas (KH2 and KH3) showed a high WBC count and were accordingly regarded as leukemic (Table 2). These two leukemic koalas were reported to have died before the end of the experiment, but their deaths occurred independently of any procedure or observation in this study. Zoo veterinarians regarded lymphoma as the cause of death for these two animals. The other four koalas (KH1, KH4, KH5, and H10) survived and were regarded as clinically healthy.
Subtyping of koala retrovirus
KoRV subtypes were determined by PCR with gDNA as a template using subtype-specific primers (Table 1). Four koalas were found positive for KoRV-A only (KH1, KH4, KH5, and H10). One koala (KH2) was positive for KoRV-A, -B, and -C, and one koala (KH3) was positive for KoRV-A and -B (Fig. 1A-C).
Determination of KoRV proviral DNA and RNA copy numbers
KoRV proviral DNA and total RNA copy numbers were measured using real-time PCR and normalized against koala β-actin. We found variations in the amount of KoRV proviral DNA in the koala genome (Fig. 2). We measured total KoRV proviral loads as well as KoRV-A, -B, and -C subtype-specific proviral loads. The highest total KoRV proviral load was found in koala KH3, and the lowest KoRV proviral load was found in koala H10 (Fig. 2). All koalas tested positive for KoRV-A, with koala KH2 additionally testing positive for KoRV-B and -C and koala KH3 additionally testing positive for KoRV-B.
We also determined the total KoRV RNA copy number targeting the KoRV pol gene and the KoRV-A, -B, and -C subtype-specific RNA copy numbers targeting KoRV env gene in RNAs isolated from koala PBMCs (Fig. 3A) and plasma (Fig. 3B). Both total and subtype-specific KoRV RNA were higher in one of the kolas with a multiple-subtype infection (KH2: KoRV-A, -B, and -C positive). However, koala KH3 (KoRV-A and -B positive) showed lower KoRV RNA copy numbers than other koalas (Fig. 3A).
We then measured RNA loads for total KoRV, KoRV-A, KoRV-B, and KoRV-C in plasma from each animal (Fig. 3B). The highest plasma KoRV RNA load was in koala KH2 (KoRV-A, -B, and -C positive), but no KoRV was detected in the other koala with a multiple-subtype infection (KH3: KoRV-A and -B positive). The other four koalas had detectable levels of total KoRV and KoRV-A RNA in their plasma, albeit at lower levels than KH2 (Fig. 3B).
Determination of the KoRV copy number in koala PBMC culture
The koala with undetectable plasma KoRV RNA (KH3) was targeted for further investigation with cell cultures of its isolated PBMCs. We measured the KoRV proviral load in the koala gDNA, as well as the total RNA and viral RNA load in the cultured cells and supernatant, respectively (Fig. 4A, B, and C). We detected KoRV proviral DNA in the genome and total KoRV RNA in cultured PBMCs at days 7 and 14 days of culturing. The culture supernatant contained detectable total KoRV RNA, KoRV-A, and -B RNA levels at day 7 of culturing, but not at day 14 of culturing (Fig. 4C).
Sequence alignment
We sequenced the KoRV-A, -B, and -C partial env genes (GenBank accession nos. MT951447-MT951453) from the koalas in this study and performed sequence alignment with KoRV-A, -B, and -C env gene reference sequences (GenBank accession nos.: KoRV-A, AF151794; KoRV-B, KC779547; KoRV-C, AB828005.1). The KoRV-A partial env gene sequence in the study animals was 100% identical to the reference sequence (Fig. 5A). The KoRV-B and KoRV-C partial env gene sequences in the study animal showed differences from the corresponding reference sequence in two and four nucleotides, respectively (enclosed by black boxes, Fig. 5B and C).
Discussion
In this study, we determined KoRV profiles (for total KoRV and subtypes KoRV-A, -B, and -C) in six captive koalas in a Japanese zoo and made a preliminary assessment of the effects of multiple-subtype infection on koala health, based on WBC counts.
In our study population, two koalas had multiple-subtype infection (KoRV-B and/or -C in addition to KoRV-A), and four koalas had a single-subtype infection, carrying only the fully endogenized form (KoRV-A). Notably, the koalas with multiple subtypes had poorer health outcomes, showing elevated WBC counts indicative of leukemic status at the time of blood sampling. On the other hand, the four koalas with a single subtype (KoRV-A) appeared clinically healthy at the time of blood sampling.
Our findings are consistent with a number of previous reports on KoRV and koala health. A recent study suggested that KoRV-A does not superinfect koalas harboring endogenized KoRV-A [7], which was substantiated by the apparently clinically healthy status of the four koalas in our study with KoRV-A as a single-subtype infection. Associations between KoRV-B and lymphoma have been reported in both captive and wild populations [3, 10], findings which are reflected in the deaths due to lymphoma of the two KoRV-B-positive koalas in our study. Increased IL-6 expression has also been reported previously in koalas with multiple-KoRV-subtype infection [13], which may be linked to associations of KoRV with immune suppression and neoplasia [10, 13].
We found that all of the koalas had detectable KoRV provirus, but with inter-individual variations in the proviral load. Our findings on proviral load are consistent with those of a previous study [9] in which such variations were speculated to result from the ongoing endogenization of KoRV into the koala genome. The plasma viral RNA load has been advanced as an indicator of the stage and progression of other retroviral diseases in other species, with previous studies covering HIV1-infected humans [19] and feline-immunodeficiency-virus-infected cats [20]. Tarlinton et al. reported that a higher plasma viral load may be associated with neoplasia [9]. The koala with the highest plasma load in our study died from lymphoma, but interestingly, KoRV could not be detected in the case of the other lymphoma-related death.
The two koalas with multi-subtype infection showed an apparently worse health status that the single-subtype-infected koalas, and they died due to lymphoma. Although one or the other of these koalas showed the highest value for each viral load parameter we examined, there were cases where koalas with single subtype (KoRV-A only) infection showed a higher proviral, total RNA, or plasma viral load than one of the koalas with a multi-subtype infection. Furthermore, the total load exceeded that of KoRV-A only for each koala designated as having single-subtype infection, suggesting that they may have harbored one of the subtypes (KoRV-D to J) not evaluated in this study.
During genotyping of the KoRV-C subtype with subtype-specific primers, we observed a larger amplicon for all of the koalas except KH4. This result is indicative of an extraneous origin for the sequence. Accordingly, we sequenced larger fragments and found one DNA fragment from KH3 containing an N-terminal sequence (length: 181 nt) that was similar to that of the KoRV-C subtype envelope gene (GenBank accession no. MT951447.1), but the downstream sequence did not show any significant similarity to sequences in the GenBank database. This finding suggests that proviral recombination with KoRV-C might have occurred.
The koala with undetectable plasma KoRV RNA was chosen for further investigation with cell cultures of its isolated PBMCs. The culture supernatant contained detectable RNA levels at day 7 of culturing, but not at day 14. This finding may reflect a decrease in available cells releasing KoRV RNA into the culture supernatants at the later time point, as well as the fragile nature of the RNA.
Sequence alignment revealed 100% identity between the KoRV-A partial env gene in the study animals and the KoRV-A reference env gene, suggesting that KoRV-A has been fully endogenized in this population, whereas KoRV-B and -C are continuing to evolve and showed mutations as expected. Alignment of KoRV in our study population with reference sequences suggested that the state of KoRV in this Japanese zoo epidemiologically reflects that in wild koala populations in northern Australia, in which KoRV-A is fully endogenized but other subtypes, while actively replicated, are much less prevalent. We found 100% sequence identity to the reference sequence for KoRV-A but multiple differences in nucleotides for both KoRV-B and KoRV-C. We suggest that KoRV-B and KoRV-C are mutating with circulation in our captive population, as would be expected for virus subtypes that are continuing to evolve. On the other hand, we used only the env genes for sequence alignment, and secure confirmation of a variant’s ability to replicate requires identification of its full genome sequence. Further investigations are thus required to test our hypothesis on subtype replication in this captive koala population. Our findings are also consistent with previous reports of greater genetic diversity in the KoRV envelope gene for subtypes other than KoRV-A [3, 21,22,23,24].
In conclusion, coinfection with multiple KoRV subtypes may have a negative impact on koala health. We also suggest that single-subtype infection with KoRV-B may be implicated in the development of lymphoma and increased virus loads in plasma. Furthermore, infection with multiple KoRV subtypes may lead to increased KoRV loads in plasma, which could thus be a useful prognostic marker for koala health. For further understanding of disease association in multiple-subtype infection, a large-scale study targeting the full range of KoRV subtypes is warranted for further understanding of this marsupial retrovirus.
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Acknowledgements
We would like to thank Henry Smith of the Joint Faculty of Veterinary Medicine, Kagoshima University, Japan, for his enthusiastic English edition of this manuscript.
Funding
This study was supported by the Ministry of Education, Culture, Sports, Science and Technology, Japan.
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Conceptualization: MAH and KT-K; conducting of experiments: MAH, MEHK, FM, TE, KM, SO, AI, NI, HS, TA and KT-K; data analysis: MAH and KT-K; original draft preparation: MAH and KT-K; reviewing and editing, MAH, MEHK and KT-K; supervision: KT-K. All authors have read and agreed to the published version of the manuscript.
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This study was performed in accordance with the protocols of the Institutional Animal Care and Use Committee of the Joint Faculty of Veterinary Medicine, Kagoshima University, Japan.
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Hashem, M.A., Kayesh, M.E.H., Maetani, F. et al. Koala retrovirus (KoRV) subtypes and their impact on captive koala (Phascolarctos cinereus) health. Arch Virol 166, 1893–1901 (2021). https://doi.org/10.1007/s00705-021-05078-y
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DOI: https://doi.org/10.1007/s00705-021-05078-y