Isolation and characterization of Tula virus, a distinct serotype in the
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Isolation and characterization of Tula virus, a distinct serotype in the
m~u"n~'{ °f.~effe£'ff{ v!£?l?~.~.(!. 99.9.,.,7Z:..3003.~3967.<..P<io!ed.!n,.gr~aLBE~t~!~............................................... S H O R T C O M M U N I C A T I O N Isolation and characterization of Tula virus, a distinct serotype in the genus Hontovirus, family Bunyoviridoe Olli V a p a l a h t i , ~ ~,ke L u n d k v i s t , 2 Sami K. J. K u k k o n e n , 1 Y i n g C h e n g , 1 M a r i Gilljam, 2 Mari K a n e r v a , 1 Tytti M a n n i , 1 M i l a n Pejcoch, 3 J u k k a N i e m i m a a , 4 A s k o K a i k u s a l o , 4 H e i k k i H e n t t o n e n , 4 A n t t i V a h e r P and A l e x a n d e r P l y u s n i n 1 i Haartman Institute, Department of Virology, POB 2 I, FIN-O001 4 University of Helsinki, Finland z Swedish Institute for Infectious Disease Control, S-I 05 21 Stockholm, Sweden 3Regional Hygienic Institute of South Moravia, Brno, Czech Republic 4Finnish Forest Research Institute, FIN-01301 Vantaa, Finland A Vero E6 cell culture isolate of Tula virus (TUL), a hantavirus first detected in European common voles (hficrotus arvalis and hr. rossiaemeridionolis) by RT-PCR was obtained after initial passaging of TULinfected vole lung samples in laboratory-colonized hl. arvalis. TUL was defined as a classical serotype by a cross-focus-reduction neutralization test (FRNT) and was also shown to be distinct from other hantaviruses by haemagglutination inhibition assay. The sequences of S, M and partial L genome segments of the isolate were determined: the S segment was 9 9 . 9 % identical to the original rodent-derived sequence. Serological evidence for a previous TUL infection was obtained from the serum of a blood donor living near a TUL focus in Moravia, Czech Republic, showing at least a 16-fold higher FRNT titre to TUL as compared to Puumala or other hantaviruses. Hantaviruses, members of the family Bunyaviridae, are enveloped negative-stranded RNA viruses with a tripartite genome. Each hantavirus is carried primarily by a specific rodent or insectivore host which may transmit the virus to humans. Hantaan (HTN) (Lee & Lee, I978), Puumala (PUU) (Brummer-Korvenkontio et al., 1980), Seoul (SEO) and Dobrava (DOB) viruses, carried by field mice, (Apodemus agrarius), bank voles (Clethrionomys glareolus), rats (Rattus rattus and R. norvegicus) and yellow-necked mice (Apodemus flavicollis), respectively, cause the different forms of haemorrhagic fever with renal syndrome. In the Americas, Sin Nombre virus (SN) Author for correspondence:Olli Vapalahti. Fax + 358 0 434 6491. e-mail Olli.Vapalahti@Helsinki.Fl The reported TUL isolate sequences are available (EMBL,GenBankand DDBJ) underaccession numbersZ69991, Z69993 and Z69992. 0001-4188 © 1996 SGM (Nichol et al., 1993) carried by deer mice (Perornyscus maniculatus), as well as some related viruses carried by Sigmodontinae rodents, cause hantavirus pulmonary syndrome with 50% mortality (Khan et al., 1996). Other hantaviruses, such as TUL and Prospect Hill (PH) (Lee et al., 1982) carried by Microtus rodents, have not been associated with human disease. Several hantaviruses have been isolated in cell culture and, at present, ten have been established as distinct serotypes: HTN, PUU, SEO, DOB, PH, SN, Khabarovsk (KBR), Black Creek Canal, Thailand and Thottapalayam (Chu et al., 1994, 1995; Avsic-Zupanc et a]., 1995; Schmaljohn et al., 1995; H6rling et al., 1996). In addition, some hantaviruses, such as Bayou, Isla Vista (ILV), E1 Moro Canyon, Rio Segundo, New York, Rio Mamore and previously TUL, lacking cell culture isolates have been characterized mainly genetically by RT-PCR on rodent or patient samples (for reviews see Lundkvist & Niklasson, i994; Plyusnin et al., 1996b; Schmaljohn, 1996). The three RNA segments of hantaviruses code in the viral complementary sense for the four structural proteins (sizes given for PUU): the 6"5 kb L segment codes for the approximately 200 kDa polymerase protein, the 3"7 kb M segment codes for the two envelope glycoproteins, G1 (68 kDa) and G2 (54 kDa), and the 1"8 kb S segment encodes the 50 kDa nucleocapsid protein (N) (Antic et al., I992; Plyusnin et aI., 1996b; Schmaljohn, 1996). Serologically and genetically, HTN, SEO and DOB carried by Murinae rodents are relatively closely related to each other, while PUU, KBR, TUL and PH carried by Arvicdinae rodents, and SN and other viruses carried by Sigmodontinae rodents form two more closely related groups (Chu et at., I994; H6rling et al., 1996; Plyusnin et al, 1996b). The antibody response to N is strong and highly cross-reactive between the different serotypes. Antibodies to the envelope glycoproteins are responsible for the serological responses measured by neutralization and haemagglutination tests (Chu et al., 1994; Lundkvist & Niklasson, 1994). Downloaded from www.microbiologyresearch.org by IP: 78.47.27.170 On: Wed, 26 Oct 2016 16:29:04 306~ iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii#ii!iiiiiiiiiiiiiiiiii Tula virus was first detected by RT-PCR in European common voles (Microtus arvalis and M. rossiaemeridionalis), originally from the Tula region, Russia (Plyusnin et al., 1994) and later also from the Czech Republic and Slovakia (Plyusnin et al., 1995, 1996a; Sibold et al., 1995), and was established as a distinct genotype, differing 25-27% in the S and M segment nucleotide sequences from the most closely related PH and ILV viruses. By using baculovirus-expressed TUL N antigen, we were able to develop a panel of TUL-specific monoclonal antibodies (MAbs) of which two reacted exclusively with TUL (Lundkvist et al., I996 b). While the amino-terminal region of TUL N was found to be highly antigenic and to contain several common antigenic sites with PUU (Lundkvist et al., 1996a, b), several MAb epitopes distinguished TUL N from PUU and PH proteins. In order to obtain a cell culture isolate of the agent, five TUL antigen-positive lung samples from naturally infected M. arvalis trapped in Tvrdonice, South Moravia, Czech Republic (Plyusnin et al., 1995) were used for virus isolation attempts in a laboratory colony of hantavirus-free M. arvalis from Finland. Twelve animals were injected intraperitoneally in a Biosafety level 3 laboratory with either 1/10 or 1/1000 dilutions of homogenized lung suspensions (experiment approved by the Experimental Animal Committee of the Haartman Institute, Helsinki University). The rodents were sacrificed 32 days later, in one case 19 days later. Five animals died of unknown causes within 10 days. Out of seven animals, only one became infected (inoculated with the more dilute dose from Moravian M. arvalis 5302), as judged by antigen positivity in immunoblotting and immunofluorescence assay (IFA) with TULspecific MAbs, and antibody positivity by IFA (Lundkvist et al., 1996b). From the infected vole, a lung sample and a pooled sample of kidney, liver and spleen were frozen and homogenized. Diluted samples were inoculated to three Vero E6 culture flasks and the cells were passaged at 27 and 48 days post-infection. After 4I days, some TUL-positive cells were found in one of the flasks inoculated with the lung homogenate, and after 55 days 10% of the cells were antigen-positive by IFA with TULspecific MAbs 3D3 and 3F10 (Lundkvist et al., 1996b). A cell culture supematant which was passaged to new Vero E6 cells after 48 days was regarded as the first passage of the isolate, designated Tula/Moravia/Ma5302V/94. After the first passages the titre of infectious virus in cell culture supernatants decreased to 1"2 x 104 f.f.u./ml. This supematant (0"5 ml per 75 cm2 culture flask) infected 80-100 % of the cells in 6--8 days. During the infection gradual accumulation of N protein was detected, as first seen by granular, then filamentous deposits and finally 'crescents' filling the cytoplasm (not shown). No cytopathic effect was observed. The virus was purified, first by centrifugation through a sucrose pad, and further in a 10--60 % (w/v) sucrose density gradient. The viral peak was recovered at 42"5% sucrose ~06 z suggesting a buoyant density of 1"18 g/cm 3. In electron microscopy (not shown) typical hantavirus particles of approximately 120 nm with 10 nm long surface projections could be distinguished. Purified TUL virions were shown to contain three major protein bands of 68, 53 and 49 kDa, which were detected in immunoblotting by G1-, G2- and N-specific antibodies, respectively (Fig. l a, b). The TUL N and G2 proteins migrated slightly faster than the corresponding PUU proteins. Viral RNA segments of 1"8, 3"7 and 6"5 kb were found in purified virions. In infected cells, S RNA dominated and L RNA was found in relatively small amounts (Fig. lc). The mRNAs were of roughly similar size to genomic RNA, as no separate bands could be distinguished from total RNA of infected cells. Nucleotide sequences of the entire S, M and partial L (nt 1914-2909) genome segments of the isolate were determined. RT-PCR cloning and sequencing for S and M segments were performed as described earlier (Plyusnin et al., 1994, 1996a) (L segment primer sequences available upon request). Similar to previously reported wild-type TUL genes from Central Europe, the S and M segments of the TUL/Moravia isolate code for an N protein of 429 amino acids and a glycoprotein precursor of 1141 amino acids. TUL G1 contained three N-linked glycosylation sites, conserved in all hantaviruses; G2 contained one. G2 of PUU/Sotkamo had an additional site and was two amino acids longer, explaining its slower mobility in SDS-PAGE. The S segment of the isolate differed by two nucleotides from the sequence obtained directly from the original wild rodent. Both nucleotide changes, which were C to T transitions, led to an amino acid change, namely Ala to Val (amino acid 28) and His to Tyr (amino acid 212). The two residues were also identical in all four rodent-derived TUL sequences from the same locality (Plyusnin et al., 1995). While the M segment sequence could not be obtained directly from the same rodent (5302Ma), the isolate had a nucleotide identity of 99% to another rodent strain from the trapping area (5286Ma) (Plyusnin et al., 1996 a). The L segment was the most conserved of the three genome segments showing 75 %, 76 %, 73 % and 68% nucleotide and 89%, 88%, 84% and 74% amino acid identity with L segments of PH, PUU, SN and HTN viruses, respectively. In order to study the antigenic relationship of TUL virus to other hantavirus strains, antisera were produced by intranasal inoculation of New Zealand White rabbits as described (Niklasson et al., 1991). To achieve adequate neutralization titres, the rabbits inoculated with TUL, PH and KBR viruses were boosted by subcutaneous injections of virus (concentrated by ultracentrifugation). Focus-reduction neutralization tests (FRNTs) for determination of end-point titres of neutralizing antibodies (Niklasson et al., 1991) and haemagglutination inhibition (HI) (Brummer-Korvenkontio et al., 1986) were performed as described. Two rabbits which were immunized intranasally with TUL developed homologous FRNT titres of 1/320 and 1/80 after Downloaded from www.microbiologyresearch.org by IP: 78.47.27.170 On: Wed, 26 Oct 2016 16:29:04 anti-N 6A6 anti-G1 anti-G2 1C8 ~6x~ K.6x~ k] (c) kDa i, i 97 w : : 66 D -~-- G1 ., ' ¢ ~ ~ : i -,b-- G2 4 3 w -.i..- N I ~ L (6.5kb) A aill. ~i r , i 4-4 kb N;;;; '~:;' :; ~ U (3"7 k b ) ) i . ': 2.4 kb "*" S (1'8 kb) 1 2 3 4 1 2 3 Fig. I. (a) TUL virJon proteins as shown by a standard 10% SDS-PAGE, Coomassie blue stain, in comparison with PUU proteins. (b) Immunoblot of TUL and PUU proteins, as in (a), with N-specific MAbs (I) 6A6, (2) IC8 (Lundkvist et al., 1996b) and rabbit antisera raised against recombinant (3) PUU-GI and (4) PUU-G2 GST-fusion proteins (Vapalahti et al., 1995). (c) Northern blot with S, M and L segment probes of (1) purified TUL virus, (2) non-infected Vero E6 cells and (3) Vero E6 cells infected for 6 days. Sizes of RNA markers and TUL genome segments are indicated. RNA run in denaturing agarose gel electrophoresis was transferred to Hybond-N membranes (Amersham) and probed with a mixture of s2p-labelled dCTP probes representing TUL S (nt I - I 831), M (nt 972-2782) and L (nt 1-946) prepared from 50 ng of each respective insert using a Ready-To-Go kit (Pharmacia). Table 1. R e c i p r o c a l cross-FRNT and cross-HI titres with TUL, PH, PUU, KBR and HTN antigens and rabbit antisera Titres with the homologous antigen/antiserum are in bold. Antiserum* Virus TULa(MO2V) TULb(MO2V) PH(PH-1) PUU83-L20 KBRMF43 HTN(76-118) FRNT TUL (M02V) PH (PH-I) PUU (83-L20) KBR (MF-43) HTN (76--118) 5120 160 20 80 < 20 80 20 < 20 20 < 20 HI TUL (MO2V) PH (PH-I) PUU (Sotkamo) KBR (MF-113) 320 40 20 20 ND NO ND ND 160 20 20 80 1280 < 20 < 20 < 20 80 80 < 20 1280 < 20 1280 < 20 < 20 < 20 20 40 4O 40 10 I0 < I0 20 40 2O < 10 20 160 < 20 160 20 20 160 320 * a and b indicate two different rabbit antisera to TUL. ND, Not done. 3 months. A cross-FRNT comparison with similarly produced hantavirus antisera s h o w e d 8-fold or higher titre differences b e t w e e n h o m o l o g o u s and heterologous antisera for TUL, PUU, PH, KBR and H T N viruses (Table 1). Thus, TUL was established, b y FRNT, as a distinct serotype in the genus Hantavirus. A similar pattern was also obtained in the cross-HI test with TUL antiserum titres of 1 / 3 2 0 and 1/40, and PH antiserum titres of 1 / 2 0 and 1 / 1 6 0 , to TUL and PH antigens, respectively (at least 8-fold higher h o m o l o g o u s to heterologous titres). The a n t i - P U U / 8 3 L 2 0 serum, however, s h o w e d equal titres ( I / 4 0 ) for HI to P U U / S o t k a m o , PH and TUL antigens (Table 1). Downloaded from www.microbiologyresearch.org by IP: 78.47.27.170 On: Wed, 26 Oct 2016 16:29:04 Table 2. Reciprocal FRNT titres of human sera reactive to TUL and PUU antigens in EIA and IFA Mall, serum from a healthy blood donor in Moravia, Czech Republic; F-Z2655, F-1789, F-1808, representative sera of nephropathia epidemica (PUU infection) patients from Finland. Serum M-11 F-22655 F-1789 F-I808 Virus TUL PUU 1280 40 40 160 40 1280 640 2560 Whether TUL could be transmitted to man was unknown and a virus isolate and FRNT were indispensable tools for solving this question. A total of 315 sera from healthy blood donors living near Tvrdonice, Moravia, Czech Republic were screened in a dilution of 1:20 by PUU-IgG IFA (Vapalahti et al., 1995) in order to detect PUU/TUL-like antibody responses. One positive serum was found, of which the TUL or PUU specificity could not be distinguished by IgG ELISA using recombinant or native N proteins (data not shown). To evaluate the antibody response in detail, this serum was examined by FRNT to TUL, other closely related serotypes of hantavirus (PH, KBR, PUU), and the more distantly related HTN, SEO and DOB viruses, At least a 16-fold higher titre to TUL was found in all cases; TUL (1/1280), PH (1/80), KBR (1/40), PUU (I/40), DOB ( 1 / ( 4 0 ) , SEO ( I / < 40), H T N (1/(40). In contrast, Finnish sera from nephropathia epidemica patients showed at least 8-fold higher FRNT titres to PUU than to TUL (Table 2). This is the first solid evidence indicating that hantaviruses carried by Microtus rodents can infect man. IFA titres 2-fold higher to PH than to PUU were reported for sera of four American mammalogists (Yanagihara et al., 1984), but the neutralizing titres were measured only for PH and HTN: evidently, they might also have been infected with some other, then unknown, American hantavirus. M . arvalis is a dominant rodent species on large open agricultural fields in Western, Central and Eastern Europe and densities can reach hundreds per hectare (Niethammer & Krapp, 1982). However, even in an area with high TUL antigen prevalence in rodents, transmission to humans was relatively rare, with approximately 1/300 seroprevalence. Due to the high antigenic cross-reactivity of assays based on N antigen, it was only by using a neutralization assay that reliable serotyping could be performed, showing 16-fold higher titre against TUL than against other hantaviruses. As compared to what has previously been shown for human hantavirus infections (Chu et al., 1995; Niklasson et al., I99I), our data ~06( strongly suggest a TUL-like virus as the infectious agent. Thus, by using the TUL isolate we were able to show that, in addition to PUU, DOB, SEO and HTN, a fifth hantavirus serotype infectious to man seems to be circulating in the Old World. Whether TUL is pathogenic to man or not remains to be shown. Nevertheless, precise serological typing of human sera should be performed in a way that makes it possible to distinguish between PUU and TUL hantavirus infections in Europe. O.V. and ,~.L. made an equal contribution to this study. Ms Leena Kostamovaara, Ms Anja Virtanen and Ms Katarina Brus Sj61ander are acknowledged for excellent technical assistance. This work was supported by the Maud Kuistila Memorial Fund, Medical Research Council of the Academy of Finland, Finnish Culture Foundation, Sigrid Jus61ius Foundation, Nordic Academy for Advanced Study and the Swedish Medical Research Council (Project no. 11230). References Antic, D., Yong Kang, C., Spik, K., Schmaljohn, C., Vapalahti, O. & Vaheri, A. (1992). Comparison of the deduced gene products of the L, M and S genome segments of hantaviruses. Virus Research 24, 35-46. Avsic-Zupanc, T., Toney, A., Anderson, K., Chu, Y.-K. & Schmaljohn, C. (1995). Genetic and antigenic properties of Dobrava virus: a unique member of the Hantavirus genus, family Bunyaviridae. Joy,mat of General Virology 76, 2801-2808. Brummer-Korvenkontio, M., Vaheri, A., Hovi, T., Von Bonsdorff, C.-H., Vuorimies, J., Manni, T., Penttinen, K., Oker-Blom, N. & L~hdevirta, J. (1980). Nephropathia epidemica: detection of antigen in bank voles and serologic diagnosis of human infections. Journal of Infectious Diseases I41, 131-134. Brummer-Korvenkontio, M., Hanni, T., Ukkonen, S. & Vaheri, A. (1986). Detection of hemagglutination-inhibiting antibodies in patients with nephropathia epidemica and Korean hemorrhagic fever by using Puumala virus cell culture antigen. Journal of Infectious Diseases 153, 997--998. Chu, Y. K., Rossi, C., Leduc, J.W., Lee, H.W., Schmaljohn, C.S. & Dalrymple, J. M. (1994). Serological relationships among viruses in the Hantavirus genus, family Bunyaviridae. Virology 198, 196--204. Chu, Y. K., lennings, G., Schmaljohn, A., Elgh, F., HjeUe, B., Lee, H. W., Jenison, S., Ksiazek, T., Peters, C.J., Rollin, P. & Schmaljohn, C. S. (1995). Cross-neutralization of hantaviruses with immune sera from experimentally infected animals and from hemorrhagic fever with renal syndrome and hantavirus pulmonary syndrome patients. Journal of Infectious Diseases 172, 1581-1584. H6rling, J., Chizhikov, V., Lundkvist, ,~., Jonsson, M., Ivanov, L., Dekonenko, A., Niklasson, B., Dzagurova, T., Peters, C. J., Tkachenko, E. & Nichol, $. (1996). Khabarovsk virus: a phylogenetically and serologically distinct Hantavirus isolated from Microtus fortis trapped in far-east Russia. Journal of General Virology 77, 687--694. Khan,A. S., Kslazek, T. G. & Peters, C. J. (1996). Hantavirus pulmonary syndrome. Lancet 347, 739-741. Lee, H.W. & Lee, P.W. (1978). Isolation of the etiologic agent of Korean hemorrhagic fever. Journal of Infectious Diseases 137, 289-308. Lee, P. W., Am)x, H. L., Gajdusek, D. C., Yanagihara, R. T., Goldgaber, D. & Gibbs, C. J. I. (198Z). New hemorrhagic fever with renal syndromerelated virus in indigenous wild rodents in the United States. Lancet ii, 1405. Downloaded from www.microbiologyresearch.org by IP: 78.47.27.170 On: Wed, 26 Oct 2016 16:29:04 Lundlwist,/~. & Niklasson, B. (1994). Haemorrhagic fever with renal syndrome and other hantavirus infections. Reviews in Medical Virology 4, 177-184. variation in Tula hantaviruses: sequence analysis of the S and M segments of strains from Central Europe. Virus Research 39, 237-250. Lundkvist, ,~., Kallio-Kokko, H., Brus Sj61ander, K., Lankinen, H., Niklasson, B., Vaheri, A. & Vapalahti, O. (1996 o). Characterization of conserved features of Tula hantavirus M gene encoding envelope glycoproteins G1 and G2. Virus Genes 1Z, 259-266. Puumala virus nucleocapsid protein: identification of B-cell epitopes and domains involved in protective immunity. Virology 216, 397-406. Plyusnin, A., Vapalahti, O. & Vaheri, A. (1996 b). Hantaviruses: genome structure, expression and evolution. Journal of General Virology 77, 2677-2687. Lundkvist,/~,., Vapalahti, 0., Plyusnin, A., Brus Sj61ander, K., Niklasson, Plyusnin, A., Lehv~islaiho, H. & Vaheri, A. (1996o). Unique and B. & Vaheri, A. (1996b). Tula hantavirus nucleocapsid protein: characterization of antigenic determinants defined by monoclonal antibodies raised against baculovirus-expressed protein. Virus Research(in press). Schmaljohn, C. S. (1996). Molecular biology of Hantaviruses. In The Bunyaviridae, pp 63-90. Edited by R. M. Elliott. New York & London: Plenum Press. Nichol, S. T., Spiropoulou, C. F., Horzunov, S., Rollin, P. E., Ksiazek, T. G., Feldmann, H., Sanchez, A., Childs, J., Zaki, S. & Peters, C. J. Schmaljohn, A., Li, D., Negley, D.L., Bressler, D.S., Turell, M.J., Korch, G. W., Ascher, H. S. & Schmaljohn, C. S. (1995). Isolation and initial characterization of a newfound hantavirus from Califomia. Virology (1993). Genetic identification of a novel hantavirus associated with an outbreak of acute respiratory illness in the southwestern United States. Science 262, 914-917. Niethammer, J. & Krapp, F. (1982). Microtus arvalis (Pallas, 1779)Feldmaus. In Handbuch der Sfiugetiere Europas, pp. 284-318. Edited by J. Niethammer & F. Krapp. Wiesbaden: Akademische Verlagsgesellschaft Niklasson, B., Jonsson, H., Lundkvist,/~., H6rling, J. & Tkachenko, E. (1991 ). Comparison of European isolates of viruses causing hemorrhagic fever with renal syndrome by a neutralization test. American Journal of Tropical Medicine and Hygiene 45, 660--665. Plyusnin, A., Vapalahti, 0., Lankinen, H., Lehv~islaiho, H., Apekina, N., Hyasnikov, Y., Kallio-Kokko, H., Henttonen, H., Lundkvist, A., Brummer-Korvenkontio, M., Gavrilovskaya, I. & Vaheri, A. (1994). Tula virus: a newly detected hantavirus carried by European common voles. Journal of Virology 68, 7833-7839. Plyusnin, A., Chen9, Y., Vapalahti,oO. , Pejoch, H., Unar, J., Jelinkova, Z., Lehv~islaiho, H., Lundkvist, A. & Vaheri, A. (1995). Genetic 206, 963-972. Sibold, C., Sparr~ S., Schulz, A., Labuda, H., Kozuch, 0., Lysy, J., Kriiger, D. H. & Heisel, D. H. (1995). Genetic characterisationof a new hantavirus detected in Microtus arvalis from Slovakia. Virus Genes 10, 276-281. Vapalahti, 0., Kallio-Kokko, H, N~irv~nen, A., Julkunen, 1., Lundkvist, A., Plyusnin, A., Lehv~islaiho, H., Brummer-Korvenkontio, H., Vaheri, A. & Lankinen, H. (1995). Human B-cell epitopes of Puumala virus the major antigen in early serological response. Journal of Medical Virology 46, 293-303. nucleocapsid protein, Yanagihara, R., Gajdusek, D.C. & Gibbs, C.J. (1984). Serologic evidence for infection in mammalogists. New EnglandJournal of Medicine 31(I, 1325-1326. Received 7 June 1996; Accepted 12 August 1996 Downloaded from www.microbiologyresearch.org by IP: 78.47.27.170 On: Wed, 26 Oct 2016 16:29:04 ~06]