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Published in: Virology Journal 1/2020

01-12-2020 | Septicemia | Research

Comparative effects of Novirhabdovirus genes on modulating constitutive transcription and innate antiviral responses, in different teleost host cell types

Authors: Bartolomeo Gorgoglione, Jeffery L. Ringiesn, Loc H. Pham, Brian S. Shepherd, Douglas W. Leaman

Published in: Virology Journal | Issue 1/2020

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Abstract

Background

Infectious hematopoietic necrosis virus (IHNV) and viral hemorrhagic septicemia virus (VHSV) are highly contagious, pathogenic Novirhabdoviruses affecting fish and are thusly notifiable diseases with the World Organization for Animal Health. This study assessed the relative capacities of IHNV and VHSV genes to modulate host general transcription and explores the abilities of specific IHNV genes to interfere with the interferon pathway in heterogenous teleost cell-lines.

Methods

Optimized protocols allowed for efficient transient transfections in EPC, BF-2, RTG-2 and RTgill-W1 cell lines of plasmids encoding IHNV (M genogroup) and VHSV (-IVb genotype) genes, including N, P, M, G and NV. Their impact on general cellular transcription was measured 48 hours post transfection (hpt) with luciferase constructs driven by a modified β-Actin promoter (pCAG). Their modulation of the innate antiviral immune response was characterized 72 hpt, using luciferase constructs measuring rainbow trout Type I IFN or MX-1 promoter augmentation, upon MAVS co-transfection.

Results

M was generally confirmed as the strongest constitutive transcriptional suppressor while IHNV P, but not VHSV P, augmented constitutive transcription in fibroblastic cell types. Cell-specific effects were observed for viral G gene, with VHSV G exhibiting suppression of basal transcription in EPC and BF-2 but not in trout cells; while IHNV G was stimulatory in RTG-2, but inhibitory in RTgill-W1. NV consistently stimulated constitutive transcription, with higher augmentation patterns seen in fibroblastic compared to epithelial cells, and for IHNV NV compared to VHSV NV. The innate antiviral immune response, focusing on the IFN pathway, was silenced by IHNV M in all cell lines tested. IHNV N showed a dose-dependent suppression of type I IFN, but with minor effects on MX-1. IHNV P and G played minor IFN-inhibitory roles, consistent and dose-dependent only for G in rainbow trout cells. IHNV NV mediated a consistent stimulatory effect on either Type I IFN or MX-1, but much less pronounced in RTgill-W1.

Conclusions

This study extends our understanding of Novirhabdoviruses-host interaction, showing differential innate immune responses in heterogenous cell types. Viral regulators of innate immune signaling are identified, either as dose-dependent suppressors (such as M and N) or stimulators (mainly NV), indicating novel targets for the design of more efficient vaccination strategies.
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Literature
3.
go back to reference Schönherz AA, Forsberg R, Guldbrandtsen B, Buitenhuis AJ, Einer-Jensen K. Introduction of viral hemorrhagic septicemia virus into freshwater cultured rainbow trout is followed by bursts of adaptive evolution. J Virol. 2018;92:1–20. https://doi.org/10.1128/jvi.00436-18. Schönherz AA, Forsberg R, Guldbrandtsen B, Buitenhuis AJ, Einer-Jensen K. Introduction of viral hemorrhagic septicemia virus into freshwater cultured rainbow trout is followed by bursts of adaptive evolution. J Virol. 2018;92:1–20. https://​doi.​org/​10.​1128/​jvi.​00436-18.
10.
go back to reference Abbadi M, Fusaro A, Ceolin C, Casarotto C, Quartesan R, Dalla Pozza M, Cattoli G, Toffan A, Holmes EC, Panzarin V, Pozza MD, Cattoli G, Toffan A, Holmes EC, Panzarin V. Molecular evolution and Phylogeography of co-circulating IHNV and VHSV in Italy. Front Microbiol. 2016;7:1–13. https://doi.org/10.3389/fmicb.2016.01306. Abbadi M, Fusaro A, Ceolin C, Casarotto C, Quartesan R, Dalla Pozza M, Cattoli G, Toffan A, Holmes EC, Panzarin V, Pozza MD, Cattoli G, Toffan A, Holmes EC, Panzarin V. Molecular evolution and Phylogeography of co-circulating IHNV and VHSV in Italy. Front Microbiol. 2016;7:1–13. https://​doi.​org/​10.​3389/​fmicb.​2016.​01306.
12.
go back to reference Breyta R, Brito I, Ferguson P, Kurath G, Naish KA, Purcell MK, Wargo AR, LaDeau S. Transmission routes maintaining a viral pathogen of steelhead trout within a complex multi-host assemblage. Ecol Evol. 2017;7:8187–200. https://doi.org/10.1002/ece3.3276. Breyta R, Brito I, Ferguson P, Kurath G, Naish KA, Purcell MK, Wargo AR, LaDeau S. Transmission routes maintaining a viral pathogen of steelhead trout within a complex multi-host assemblage. Ecol Evol. 2017;7:8187–200. https://​doi.​org/​10.​1002/​ece3.​3276.
14.
go back to reference Fregeneda-Grandes JM, Skall HF, Olesen NJ. Antibody response of rainbow trout with single or double infections involving viral haemorrhagic septicaemia virus and infectious haematopoietic necrosis virus. Dis Aquat Org. 2009;83:23–9. https://doi.org/10.3354/dao01993. Fregeneda-Grandes JM, Skall HF, Olesen NJ. Antibody response of rainbow trout with single or double infections involving viral haemorrhagic septicaemia virus and infectious haematopoietic necrosis virus. Dis Aquat Org. 2009;83:23–9. https://​doi.​org/​10.​3354/​dao01993.
22.
go back to reference J. Colyn, G. Boersen, C. Weeks, B. Knudson, A strategic plan for a thriving and sustainable aquaculture industry in Michigan. Final report prepared for Michigan Sea Grant (2014) [MICHU-14-208]. J. Colyn, G. Boersen, C. Weeks, B. Knudson, A strategic plan for a thriving and sustainable aquaculture industry in Michigan. Final report prepared for Michigan Sea Grant (2014) [MICHU-14-208].
23.
go back to reference Getchell R, Cornwell E, Bogdanowicz S, Andrés J, Batts W, Kurath G, Breyta R, Choi J, Farrell J, Bowser P. Complete sequences of 4 viral hemorrhagic septicemia virus IVb isolates and their virulence in northern pike fry. Dis Aquat Org. 2017;126:211–27. https://doi.org/10.3354/dao03171. Getchell R, Cornwell E, Bogdanowicz S, Andrés J, Batts W, Kurath G, Breyta R, Choi J, Farrell J, Bowser P. Complete sequences of 4 viral hemorrhagic septicemia virus IVb isolates and their virulence in northern pike fry. Dis Aquat Org. 2017;126:211–27. https://​doi.​org/​10.​3354/​dao03171.
24.
go back to reference Al-Hussinee L, Huber P, Russell S, Lepage V, Reid A, Young KM, Nagy E, Stevenson RMW, Lumsden JS. Viral Haemorrhagic Septicaemia virus IVb experimental infection of rainbow trout, Oncorhynchus mykiss (Walbaum), and fathead minnow, Pimphales promelas (Rafinesque). J Fish Dis. 2010;33:347–60. https://doi.org/10.1111/j.1365-2761.2009.01128.x. Al-Hussinee L, Huber P, Russell S, Lepage V, Reid A, Young KM, Nagy E, Stevenson RMW, Lumsden JS. Viral Haemorrhagic Septicaemia virus IVb experimental infection of rainbow trout, Oncorhynchus mykiss (Walbaum), and fathead minnow, Pimphales promelas (Rafinesque). J Fish Dis. 2010;33:347–60. https://​doi.​org/​10.​1111/​j.​1365-2761.​2009.​01128.​x.
25.
26.
go back to reference Olson W, Emmenegger E, Glenn J, Simchick C, Winton J, Goetz F. Expression kinetics of key genes in the early innate immune response to Great Lakes viral hemorrhagic septicemia virus IVb infection in yellow perch (Perca flavescens). Dev Comp Immunol. 2013;41:11–9. https://doi.org/10.1016/j.dci.2013.03.012. Olson W, Emmenegger E, Glenn J, Simchick C, Winton J, Goetz F. Expression kinetics of key genes in the early innate immune response to Great Lakes viral hemorrhagic septicemia virus IVb infection in yellow perch (Perca flavescens). Dev Comp Immunol. 2013;41:11–9. https://​doi.​org/​10.​1016/​j.​dci.​2013.​03.​012.
27.
go back to reference Olson W, Emmenegger E, Glenn J, Winton J, Goetz F. Comparative susceptibility among three stocks of yellow perch, Perca flavescens (Mitchill), to viral haemorrhagic septicaemia virus strain IVb from the Great Lakes. J Fish Dis. 2013;36:711–9. https://doi.org/10.1111/jfd.12068. Olson W, Emmenegger E, Glenn J, Winton J, Goetz F. Comparative susceptibility among three stocks of yellow perch, Perca flavescens (Mitchill), to viral haemorrhagic septicaemia virus strain IVb from the Great Lakes. J Fish Dis. 2013;36:711–9. https://​doi.​org/​10.​1111/​jfd.​12068.
28.
go back to reference Getchell RG, First EJ, Bogdanowicz SM, Andrés JA, Schulman AT, Kramer J, Eckerlin GE, Farrell JM, Marquis H. Investigation of round goby viral haemorrhagic septicaemia outbreak in New York. J Fish Dis. 2019;42:1023–33. https://doi.org/10.1111/jfd.13003. Getchell RG, First EJ, Bogdanowicz SM, Andrés JA, Schulman AT, Kramer J, Eckerlin GE, Farrell JM, Marquis H. Investigation of round goby viral haemorrhagic septicaemia outbreak in New York. J Fish Dis. 2019;42:1023–33. https://​doi.​org/​10.​1111/​jfd.​13003.
29.
31.
go back to reference Stepien CA, Pierce LR, Leaman DW, Niner MD, Shepherd BS. Gene diversification of an emerging pathogen: a decade of mutation in a novel fish viral hemorrhagic septicemia (VHS) substrain since its First appearance in the Laurentian Great Lakes. PLoS One. 2015;10:e0135146. https://doi.org/10.1371/journal.pone.0135146. Stepien CA, Pierce LR, Leaman DW, Niner MD, Shepherd BS. Gene diversification of an emerging pathogen: a decade of mutation in a novel fish viral hemorrhagic septicemia (VHS) substrain since its First appearance in the Laurentian Great Lakes. PLoS One. 2015;10:e0135146. https://​doi.​org/​10.​1371/​journal.​pone.​0135146.
35.
go back to reference Ke Q, Weaver W, Pore A, Gorgoglione B, Wildschutte JH, Xiao P, Shepherd BS, Spear A, Malathi K, Stepien CA, Vakharia VN, Leaman DW. Role of viral hemorrhagic septicemia virus matrix (M) protein in suppressing host transcription. J Virol. 2017;91:e00279–17. https://doi.org/10.1128/JVI.00279-17. Ke Q, Weaver W, Pore A, Gorgoglione B, Wildschutte JH, Xiao P, Shepherd BS, Spear A, Malathi K, Stepien CA, Vakharia VN, Leaman DW. Role of viral hemorrhagic septicemia virus matrix (M) protein in suppressing host transcription. J Virol. 2017;91:e00279–17. https://​doi.​org/​10.​1128/​JVI.​00279-17.
36.
go back to reference Corbeil S, Lapatra SE, Anderson ED, Jones J, Vincent B, Hsu YL, Kurath G. Evaluation of the protective immunogenicity of the N, P, M, NV and G proteins of infectious hematopoietic necrosis virus in rainbow trout Oncorhynchus mykiss using DNA vaccines. Dis Aquat Org. 1999;39:29–36. https://doi.org/10.3354/dao039029. Corbeil S, Lapatra SE, Anderson ED, Jones J, Vincent B, Hsu YL, Kurath G. Evaluation of the protective immunogenicity of the N, P, M, NV and G proteins of infectious hematopoietic necrosis virus in rainbow trout Oncorhynchus mykiss using DNA vaccines. Dis Aquat Org. 1999;39:29–36. https://​doi.​org/​10.​3354/​dao039029.
38.
41.
go back to reference Wu Y, Wang L, Guo T, Jiang Y, Qiao X, Sun L, Liu M, Tang L, Xu Y, Li Y. Identification of amino acid residues in infectious hematopoietic necrosis virus (IHNV) NV protein necessary for viral replication and pathogenicity. Fish Shellfish Immunol. 2018;79:294–302. https://doi.org/10.1016/j.fsi.2018.05.032. Wu Y, Wang L, Guo T, Jiang Y, Qiao X, Sun L, Liu M, Tang L, Xu Y, Li Y. Identification of amino acid residues in infectious hematopoietic necrosis virus (IHNV) NV protein necessary for viral replication and pathogenicity. Fish Shellfish Immunol. 2018;79:294–302. https://​doi.​org/​10.​1016/​j.​fsi.​2018.​05.​032.
43.
go back to reference Choi MK, Moon CH, Ko MS, Lee U-H, Cho WJ, Cha SJ, Do JW, Heo GJ, Jeong SG, Hahm YS, Harmache A, Bremont M, Kurath G, Park JW. A nuclear localization of the Infectious Haematopoietic Necrosis virus NV protein is necessary for optimal viral growth. PLoS One. 2011;6:e22362. https://doi.org/10.1371/journal.pone.0022362. Choi MK, Moon CH, Ko MS, Lee U-H, Cho WJ, Cha SJ, Do JW, Heo GJ, Jeong SG, Hahm YS, Harmache A, Bremont M, Kurath G, Park JW. A nuclear localization of the Infectious Haematopoietic Necrosis virus NV protein is necessary for optimal viral growth. PLoS One. 2011;6:e22362. https://​doi.​org/​10.​1371/​journal.​pone.​0022362.
48.
go back to reference Zou J, Gorgoglione B, Taylor NGH, Summathed T, Lee PT, Panigrahi A, Genet C, Chen YM, Chen TY, Ul Hassan M, Mughal SM, Boudinot P, Secombes CJ. Salmonids have an extraordinary complex type I IFN system: characterization of the IFN locus in rainbow trout Oncorhynchus mykiss reveals two novel IFN subgroups. J Immunol. 2014;193:2273–86. https://doi.org/10.4049/jimmunol.1301796. Zou J, Gorgoglione B, Taylor NGH, Summathed T, Lee PT, Panigrahi A, Genet C, Chen YM, Chen TY, Ul Hassan M, Mughal SM, Boudinot P, Secombes CJ. Salmonids have an extraordinary complex type I IFN system: characterization of the IFN locus in rainbow trout Oncorhynchus mykiss reveals two novel IFN subgroups. J Immunol. 2014;193:2273–86. https://​doi.​org/​10.​4049/​jimmunol.​1301796.
49.
go back to reference Purcell MK, Lapatra SE, Woodson JC, Kurath G, Winton JR. Early viral replication and induced or constitutive immunity in rainbow trout families with differential resistance to infectious hematopoietic necrosis virus (IHNV). Fish Shellfish Immunol. 2010;28:98–105. https://doi.org/10.1016/j.fsi.2009.10.005. Purcell MK, Lapatra SE, Woodson JC, Kurath G, Winton JR. Early viral replication and induced or constitutive immunity in rainbow trout families with differential resistance to infectious hematopoietic necrosis virus (IHNV). Fish Shellfish Immunol. 2010;28:98–105. https://​doi.​org/​10.​1016/​j.​fsi.​2009.​10.​005.
51.
go back to reference Cano I, Collet B, Pereira C, Paley R, van Aerle R, Stone D, Taylor NGH, van Aerle R, Stone D, Taylor NGHH. In vivo virulence of viral haemorrhagic septicaemia virus (VHSV) in rainbow trout Oncorhynchus mykiss correlates inversely with in vitro Mx gene expression. Vet Microbiol. 2016;187:31–40. https://doi.org/10.1016/j.vetmic.2016.02.012. Cano I, Collet B, Pereira C, Paley R, van Aerle R, Stone D, Taylor NGH, van Aerle R, Stone D, Taylor NGHH. In vivo virulence of viral haemorrhagic septicaemia virus (VHSV) in rainbow trout Oncorhynchus mykiss correlates inversely with in vitro Mx gene expression. Vet Microbiol. 2016;187:31–40. https://​doi.​org/​10.​1016/​j.​vetmic.​2016.​02.​012.
56.
59.
go back to reference Lee Y-H, Andersen JB, Song H-T, Judge AD, Seo D, Ishikawa T, Marquardt JU, Kitade M, Durkin ME, Raggi C, Woo HG, Conner EA, Avital I, MacLachlan I, Factor VM, Thorgeirsson SS. Definition of Ubiquitination modulator COP1 as a novel therapeutic target in human hepatocellular carcinoma. Cancer Res. 2010;70:8264–69. https://doi.org/10.1158/0008-5472.CAN-10-0749. Lee Y-H, Andersen JB, Song H-T, Judge AD, Seo D, Ishikawa T, Marquardt JU, Kitade M, Durkin ME, Raggi C, Woo HG, Conner EA, Avital I, MacLachlan I, Factor VM, Thorgeirsson SS. Definition of Ubiquitination modulator COP1 as a novel therapeutic target in human hepatocellular carcinoma. Cancer Res. 2010;70:8264–69. https://​doi.​org/​10.​1158/​0008-5472.​CAN-10-0749.
61.
63.
go back to reference Alexopoulou AN, Couchman JR, Whiteford JR. The CMV early enhancer/chicken beta-actin (CAG) promoter can be used to drive transgene expression during the differentiation of murine embryonic stem cells into vascular progenitors. BMC Cell Biol. 2008;9:2. https://doi.org/10.1186/1471-2121-9-2. Alexopoulou AN, Couchman JR, Whiteford JR. The CMV early enhancer/chicken beta-actin (CAG) promoter can be used to drive transgene expression during the differentiation of murine embryonic stem cells into vascular progenitors. BMC Cell Biol. 2008;9:2. https://​doi.​org/​10.​1186/​1471-2121-9-2.
64.
go back to reference Biacchesi S, LeBerre M, Lamoureux A, Louise Y, Lauret E, Boudinot P, Bremont M. Mitochondrial antiviral signaling protein plays a major role in induction of the fish innate immune response against RNA and DNA viruses. J Virol. 2009;83:7815–27. https://doi.org/10.1128/JVI.00404-09. Biacchesi S, LeBerre M, Lamoureux A, Louise Y, Lauret E, Boudinot P, Bremont M. Mitochondrial antiviral signaling protein plays a major role in induction of the fish innate immune response against RNA and DNA viruses. J Virol. 2009;83:7815–27. https://​doi.​org/​10.​1128/​JVI.​00404-09.
68.
go back to reference Breyta R, Jones A, Stewart B, Brunson R, Thomas J, Kerwin J, Bertolini J, Mumford S, Patterson C, Kurath G. Emergence of MD type infectious hematopoietic necrosis virus in Washington State coastal steelhead trout. Dis Aquat Org. 2013;104:179–95. https://doi.org/10.3354/dao02596. Breyta R, Jones A, Stewart B, Brunson R, Thomas J, Kerwin J, Bertolini J, Mumford S, Patterson C, Kurath G. Emergence of MD type infectious hematopoietic necrosis virus in Washington State coastal steelhead trout. Dis Aquat Org. 2013;104:179–95. https://​doi.​org/​10.​3354/​dao02596.
70.
go back to reference Pham PH, Lumsden JS, Tafalla C, Dixon B, Bols NC. Differential effects of viral hemorrhagic septicaemia virus (VHSV) genotypes IVa and IVb on gill epithelial and spleen macrophage cell lines from rainbow trout (Oncorhynchus mykiss). Fish Shellfish Immunol. 2013;34:632–40. https://doi.org/10.1016/j.fsi.2012.12.004. Pham PH, Lumsden JS, Tafalla C, Dixon B, Bols NC. Differential effects of viral hemorrhagic septicaemia virus (VHSV) genotypes IVa and IVb on gill epithelial and spleen macrophage cell lines from rainbow trout (Oncorhynchus mykiss). Fish Shellfish Immunol. 2013;34:632–40. https://​doi.​org/​10.​1016/​j.​fsi.​2012.​12.​004.
71.
go back to reference von Kobbe C, van Deursen JMA, Rodrigues JP, Sitterlin D, Bachi A, Wu X, Wilm M, Carmo-Fonseca M, Izaurralde E, Von Kobbe C, Van Deursen JMA, Rodrigues P, Sitterlin D, Bachi A, Wu X, Wilm M, Carmo-Fonseca M, Izaurralde E. Vesicular stomatitis virus matrix protein inhibits host cell gene expression by targeting the Nucleoporin Nup98. Mol Cell. 2000;6:1243–52. https://doi.org/10.1016/S1097-2765(00)00120-9. von Kobbe C, van Deursen JMA, Rodrigues JP, Sitterlin D, Bachi A, Wu X, Wilm M, Carmo-Fonseca M, Izaurralde E, Von Kobbe C, Van Deursen JMA, Rodrigues P, Sitterlin D, Bachi A, Wu X, Wilm M, Carmo-Fonseca M, Izaurralde E. Vesicular stomatitis virus matrix protein inhibits host cell gene expression by targeting the Nucleoporin Nup98. Mol Cell. 2000;6:1243–52. https://​doi.​org/​10.​1016/​S1097-2765(00)00120-9.
72.
go back to reference Black BL, Rhodes RB, McKenzie M, Lyles DS. The role of vesicular stomatitis virus matrix protein in inhibition of host-directed gene expression is genetically separable from its function in virus assembly. J Virol. 1993;67:4814–4821 PMCID: PMC236321. Black BL, Rhodes RB, McKenzie M, Lyles DS. The role of vesicular stomatitis virus matrix protein in inhibition of host-directed gene expression is genetically separable from its function in virus assembly. J Virol. 1993;67:4814–4821 PMCID: PMC236321.
74.
75.
go back to reference Utke K, Kock H, Schuetze H, Bergmann SM, Lorenzen N, Einer-Jensen K, Köllner B, Dalmo RA, Vesely T, Ototake M, Fischer U. Cell-mediated immune responses in rainbow trout after DNA immunization against the viral hemorrhagic septicemia virus. Dev Comp Immunol. 2008;32:239–52. https://doi.org/10.1016/j.dci.2007.05.010. Utke K, Kock H, Schuetze H, Bergmann SM, Lorenzen N, Einer-Jensen K, Köllner B, Dalmo RA, Vesely T, Ototake M, Fischer U. Cell-mediated immune responses in rainbow trout after DNA immunization against the viral hemorrhagic septicemia virus. Dev Comp Immunol. 2008;32:239–52. https://​doi.​org/​10.​1016/​j.​dci.​2007.​05.​010.
76.
go back to reference Ito T, Kurita J, Mori K, Skall H, Lorenzen N, Vendramin N, Gedsted Andersen N, Einer-Jensen K, Olesen N. Virulence marker candidates in N-protein of viral haemorrhagic septicaemia virus (VHSV): virulence variability within VHSV-Ib clones. Dis Aquat Org. 2018;128:51–62. https://doi.org/10.3354/dao03215. Ito T, Kurita J, Mori K, Skall H, Lorenzen N, Vendramin N, Gedsted Andersen N, Einer-Jensen K, Olesen N. Virulence marker candidates in N-protein of viral haemorrhagic septicaemia virus (VHSV): virulence variability within VHSV-Ib clones. Dis Aquat Org. 2018;128:51–62. https://​doi.​org/​10.​3354/​dao03215.
82.
go back to reference Biacchesi S, Mérour E, Chevret D, Lamoureux A, Bernard J, Brémont M. NV proteins of fish Novirhabdovirus recruit cellular PPM1Bb protein phosphatase and antagonize RIG-I-mediated IFN induction. Sci Rep. 2017;7:44025. https://doi.org/10.1038/srep44025. Biacchesi S, Mérour E, Chevret D, Lamoureux A, Bernard J, Brémont M. NV proteins of fish Novirhabdovirus recruit cellular PPM1Bb protein phosphatase and antagonize RIG-I-mediated IFN induction. Sci Rep. 2017;7:44025. https://​doi.​org/​10.​1038/​srep44025.
Metadata
Title
Comparative effects of Novirhabdovirus genes on modulating constitutive transcription and innate antiviral responses, in different teleost host cell types
Authors
Bartolomeo Gorgoglione
Jeffery L. Ringiesn
Loc H. Pham
Brian S. Shepherd
Douglas W. Leaman
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Virology Journal / Issue 1/2020
Electronic ISSN: 1743-422X
DOI
https://doi.org/10.1186/s12985-020-01372-4

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