1. Evolutionary Biology
  2. Microbiology and Infectious Disease
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Globally defining the effects of mutations in a picornavirus capsid

  1. Florian Mattenberger
  2. Victor Latorre
  3. Omer Tirosh
  4. Adi Stern
  5. Ron Geller  Is a corresponding author
  1. Institute for Integrative Systems Biology, I2SysBio (Universitat de València-CSIC), Spain
  2. The Shmunis School of Biomedicine and Cancer Research, Tel-Aviv University, Israel
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Cite this article as: eLife 2021;10:e64256 doi: 10.7554/eLife.64256

Abstract

The capsids of non-enveloped viruses are highly multimeric and multifunctional protein assemblies that play key roles in viral biology and pathogenesis. Despite their importance, a comprehensive understanding of how mutations affect viral fitness across different structural and functional attributes of the capsid is lacking. To address this limitation, we globally define the effects of mutations across the capsid of a human picornavirus. Using this resource, we identify structural and sequence determinants that accurately predict mutational fitness effects, refine evolutionary analyses, and define the sequence specificity of key capsid-encoded motifs. Furthermore, capitalizing on the derived sequence requirements for capsid-encoded protease cleavage sites, we implement a bioinformatic approach for identifying novel host proteins targeted by viral proteases. Our findings represent the most comprehensive investigation of mutational fitness effects in a picornavirus capsid to date and illuminate important aspects of viral biology, evolution, and host interactions.

eLife digest

A virus is made up of genetic material that is encased with a protective protein coat called the capsid. The capsid also helps the virus to infect host cells by binding to the host receptor proteins and releasing its genetic material. Inside the cell, the virus hitchhikes the infected cell’s machinery to grow or replicate its own genetic material.

Viral capsids are the main target of the host’s defence system, and therefore, continuously change in an attempt to escape the immune system by introducing alterations (known as mutations) into the genes encoding viral capsid proteins. Mutations occur randomly, and so while some changes to the viral capsid might confer an advantage, others may have no effect at all, or even weaken the virus.

To better understand the effect of capsid mutations on the virus’ ability to infect host cells, Mattenberger et al. studied the Coxsackievirus B3, which is linked to heart problems and acute heart failure in humans. The researchers analysed around 90% of possible amino acid mutations (over 14,800 mutations) and correlated each mutation to how it influenced the virus’ ability to replicate in human cells grown in the laboratory.

Based on these results, Mattenberger et al. developed a computer model to predict how a particular mutation might affect the virus. The analysis also identified specific amino acid sequences of capsid proteins that are essential for certain tasks, such as building the capsid. It also included an analysis of sequences in the capsid that allow it to be recognized by another viral protein, which cuts the capsid proteins into the right size from a larger precursor. By looking for similar sequences in human genes, the researchers identified several ones that the virus may attack and inactivate to support its own replication.

These findings may help identify potential drug targets to develop new antiviral therapies. For example, proteins of the capsid that are less likely to mutate will provide a better target as they lower the possibility of the virus to become resistant to the treatment. They also highlight new proteins in human cells that could potentially block the virus in cells.

Introduction

The capsids of non-enveloped viruses are among the most complex of any viral protein. These highly multimeric structures must correctly assemble around the genome from numerous subunits, at times numbering in the hundreds, while avoiding aggregation (Harrison, 2013; Hunter, 2013; Perlmutter and Hagan, 2015). Moreover, the assembled structure must be both sufficiently stable to protect the viral genome during its transition between cells yet readily disassemble upon entry to initiate subsequent infections. For these functions to be achieved, viral capsids must encode the information for interacting with numerous cellular factors that are required to correctly fold and assemble around the genome (Callaway et al., 2001; Fields et al., 2013; Geller et al., 2007; Jiang et al., 2014; Macejak and Sarnow, 1992). Viral capsids also play key roles in pathogenesis, dictating host and cell tropism by encoding the determinants for binding cellular receptors (Helenius, 2013; Rossmann et al., 2002) and mediating escape from humoral immune responses (Cifuente and Moratorio, 2019; Heise and Virgin, 2013). As a result, viral capsids show the highest evolutionary rates among viral proteins.

The picornaviruses constitute a large group of single-stranded, positive-sense RNA viruses and include several pathogens of significant medical and economic impact (Racaniello, 2013). Their relative simplicity and ease of culture have made picornaviruses important models for understanding virus biology. Among the many breakthroughs achieved with these viruses was the determination of the first high-resolution structure of the capsid of an animal virus, making the picornavirus capsid the prototypical non-enveloped, icosahedral viral capsid (Racaniello, 2013). Picornavirus capsid genesis initiates with the co-translational release of the P1 capsid precursor protein from the viral polyprotein via the proteolytic activity of the viral encoded 2A protease (Jiang et al., 2014; Racaniello, 2013). Subsequently, the viral encoded 3CD protease (3CDpro) cleaves the P1 capsid precursor to liberate three capsid proteins (VP0, VP3, and VP1), generating the capsid protomer. Five protomers then assemble to form the pentamer, twelve of which assemble around the viral genome to yield the virion. Finally, in some picornaviruses, VP0 is further cleaved into two subunits, VP4 and VP2, following genomic encapsidation to generate the infectious, 240 subunit particles (Jiang et al., 2014; Racaniello, 2013). Work over the years has identified numerous host factors that help support capsid formation (Corbic Ramljak et al., 2018; Geller et al., 2007; Macejak and Sarnow, 1992; Qing et al., 2014; Thibaut et al., 2014), defined antibody neutralization sites (Cifuente and Moratorio, 2019), and identified numerous host receptors for many members of this viral family (Rossmann et al., 2002).

Despite significant progress in understanding the structure and function of picornavirus capsids, a comprehensive understanding of how mutations affect viral fitness across different structural and functional attributes is lacking. To address this, we perform a comprehensive analysis of mutational fitness effects (MFE) across the complete capsid region of the human picornavirus coxsackievirus B3 (CVB3), analyzing >90% of all possible single amino acid mutations. Furthermore, using these data, we develop models to predict the effect of mutations with high accuracy from available sequence and structural information, improve evolutionary analyses of CVB3, and define the sequence preferences of several viral encoded motifs. Finally, we use the information obtained in our dataset for the sequence requirements of capsid-encoded 3CD protease cleavage sites to identify host targets of this viral protease. Overall, our data comprise the most comprehensive survey of MFE effects in a picornavirus capsid to date and provide important insights into virus biology, evolution, and interaction with the host.

Results

Deep mutational scanning of a CVB3 capsid

To generate CVB3 libraries encoding a large amount of diversity in the capsid region, we used a codon-level PCR mutagenesis method (Bloom, 2014). The mutagenesis protocol was performed on the capsid precursor region P1 in triplicate to generate three independent mutagenized libraries (Mut Library 1–3; Figure 1A). From these, three independent viral populations (Mut Virus 1–3) were derived by electroporation of in vitro transcribed viral RNA into HeLa-H1 cells (Figure 1A). High-fidelity next-generation sequencing (Schmitt et al., 2012) was then used to analyze the mutagenized libraries and resulting viruses, unmutagenized virus populations (WT virus 1–2), as well as controls for errors occurring during PCR (PCR) and reverse transcription (RT-PCR). High coverage was obtained for all samples (>106 per codon across all experimental conditions and >6.5×105 for the controls; Supplementary file 2). Due to the high rate of single mutations within codons observed in the RT-PCR control compared to the mutagenized virus populations (Supplementary file 2), all single mutants were omitted from our analysis to increase the signal-to-noise ratio. While this resulted in an inability to analyze 83.4% of synonymous codons in the capsid region (1746/2094), only 2.8% of non-synonymous mutations were lost to analysis (458/16,169). Upon removing single mutations within codons, we obtained a large signal-to-noise ratio in the average mutation rate of 510× (range 449–572) and 245× (range 174–285) for the mutagenized libraries and viruses, respectively, compared to their error controls (Figure 1B and Supplementary file 2). On average, 0.9 (range 0.8–1.02) codon mutations were observed per genome, which was in agreement with Sanger sequencing of 59 clones (range 18–23 per library; Figure 1—figure supplement 1 and Supplementary file 3). As expected, the rate of stop codons, which should be invariably lethal in the CVB3 capsid, decreased significantly following growth in cells to <0.5% of that observed in the corresponding mutagenized libraries (p<0.005 by paired t-test on log-transformed data; Supplementary file 2). No major bias was observed in the position within a codon where mutations were observed (Figure 1—figure supplement 2) or in the type of mutation (Figure 1—figure supplement 2), except for the WT virus, which had a high rate of A to G transitions in the two independent replicates analyzed. Of all 16,169 possible amino acid mutations in the capsid region (851 AA × 19 AA mutation = 16,169), a total of 14,839 amino acid mutations were commonly observed in all three mutagenized libraries, representing a 91.8% of all possible amino acid mutations in the capsid region, allowing us to globally assess the effects of the vast majority of amino acid mutations on the capsid (Figure 1C).

Figure 1 with 2 supplements see all
Deep mutational scanning (DMS) of the CVB3 capsid.

(A) Overview of the deep mutational scanning experimental approach. A mutagenesis PCR was used to introduce all possible single amino acid mutations across the CVB3 capsid region (Mut Library 1–3). Viral genomic RNA (vRNA) produced from the mutant libraries was then electroporated into cells to generate high diversity CVB3 populations (Mut Virus 1–3). The frequency of each mutation relative to the WT amino acid was then determined in both the mutagenized libraries and the resulting virus populations via high-fidelity duplex sequencing. (B) The average rate of double or triple mutations per codon observed in the mutagenized libraries (Mut Library 1–3), the resulting mutagenized virus (Mut Virus 1–3), as well as controls for the error rate of the amplification and sequencing process (PCR and RT-PCR) or the WT unmutagenized virus (WT Virus 1–2). Single mutations per codon were omitted from the analysis to increase the signal-to-noise ratio. (C) Venn diagram showing the number of amino acid mutations observed in the mutagenized libraries. MOI: multiplicity of infection. NGS: next-generation sequencing.

MFE across the CVB3 capsid

We next derived the MFE of each observed mutation by examining how its frequency changed relative to that of the WT sequence following growth in cells. The preferences for the different amino acids at each position (amino acid preferences [Bloom, 2015]) showed a high correlation between biological replicates (Spearman’s ρ > 0.83; Figure 2—figure supplement 1 and Supplementary file 4 MFE). Overall, most mutations in the capsid were deleterious to growth in cell culture, with only 1.2% of mutations increasing fitness relative to the WT amino acid (Figure 2A and Supplementary file 4; Interactive heatmap available at https://rgellerlab.github.io/CVB3_capsid_DMS_Interactive_Heatmap/). Hotspots where mutations were tolerated were observed at several regions across the capsid (Figure 2A). These hotspots largely overlapped with highly variable regions in natural sequences, as measured by Shannon entropy in the enterovirus B family, indicating that lab measured MFE reflect natural evolutionary processes (Figure 2A, top). Indeed, a strong correlation was observed between the average MFE observed at each site and sequence variability for the enterovirus B genus (Spearman’s ρ = 0.59, p<10−16; Figure 2B). Similarly, antibody neutralization sites overlapped with hotspots for mutations (Figure 2A, top), with individual mutations in antibody neutralization sites showing lower MFE (p<10−16 by Mann–Whitney test; Figure 2C). As expected, mutations were also less deleterious in loops compared to β-strands (p<10−16 by Mann–Whitney test; Figure 2D), at surface residues compared to core residues (p<10−16 by Mann–Whitney test; Figure 2E), and for mutations predicted to be destabilizing or aggregation-prone (p<10−16 by Mann–Whitney test for both; Figure 2F). Importantly, independent validation of the MFE of 10 different mutants using a sensitive qPCR-based competition assay (Moratorio et al., 2017) showed a strong correlation with the deep mutational scanning (DMS) results (Spearman’s ρ = 0.9, p<0.001; Figure 2G and Supplementary file 5). It is important to note that laboratory-measured MFE may not always reflect those in nature due to differences in the environments.

Figure 2 with 1 supplement see all
Mutational fitness effects (MFE) across the CVB3 capsid and their correlation with structural, evolutionary, and immunological attributes.

(A) Overview of the MFE observed across the CVB3 capsid. Bottom: A heatmap representing the MFE of all mutations observed at each capsid site. Green indicates no data available (ND), and the positions of the mature viral proteins (VP1–4) or antibody neutralization sites (nAb) are indicated above. Top: A 21 amino acid sliding window analysis of the average sequence variation in enterovirus B genomes (Shannon entropy; black line) or a 21 amino acid sliding window of the average MFE observed at each capsid site (red line). (B) Correlation between the average MFE observed at each capsid site and variation in enterovirus B sequence alignments (Shannon entropy). (C) Violin plot of MFE in antibody neutralization sites versus other capsid sites. (D–F) Boxplots of MFE as a function of secondary structure (D), position in the capsid (E), or the predicted effect of mutations on stability or aggregation propensity (F). (G) Validation of the MFE obtained by DMS using a competition assay. For each mutant, the average and standard deviation of the MFE obtained by DMS (n = 3) is plotted against the average and standard deviation of the fitness derived using the competition assay (n = 4). A two-sided Mann–Whitney test was used for two- category comparisons.

Prediction of MFE from available structural and sequence information

As MFE correlated with natural sequence variation and different structural features of the capsid (Figure 2), we next investigated if MFE could be predicted from available structural and sequence information. For this, we obtained a dataset of 52 parameters, including structural information derived from the crystal structure of the CVB3 capsid (PDB:4GB3), amino acid properties, and natural variation in available enterovirus sequences (Shannon entropy), and predicted the effects of mutation on stability and aggregation propensity using FoldX (Schymkowitz et al., 2005) and TANGO (Fernandez-Escamilla et al., 2004), respectively (Supplementary file 6). We then employed a random forest algorithm to identify the parameters that can best predict MFE, limiting our analysis to sites that present in the crystal structure and where mutations were observed in at least two replicates to improve accuracy (total of 9685 mutations). Overall, a model trained on 70% of the dataset was able to predict the remaining 30% of the data (2905 mutations) with high accuracy (Spearman’s ρ > 0.75, Pearson’s r = 0.76; p<10−16; Figure 3—figure supplement 1). Surprisingly, a random forest model trained on the top five predictors alone showed similar accuracy (Spearman’s ρ = 0.73, Pearson’s r = 0.73; p<10−16; Figure 3B). Excluding natural sequence variation, amino acid identity, or structural attributes reduced model predictability significantly (>20%; data not shown), suggesting a combination of evolutionary, sequence, and structural information best explains MFE. Using an alternative approach, we were able to predict the data with slightly lower accuracy using a linear model with the same five predictors (p<10−16, Spearman’s ρ = 0.67, Pearson’s r = 0.67; Figure 3—figure supplement 1). Together, these results suggest that the prediction of MFE in the CVB3 capsid can be achieved at relatively high accuracy based on available structural and sequence information. Due to the high conservation of capsid structure in picornaviruses, as well as the availability of numerous capsid sequences and structures, these findings are likely generalizable to related picornaviruses.

Figure 3 with 1 supplement see all
Prediction of MFE based on structural and sequence information.

(A) The top 10 predictors identified in a random forest model for explaining MFE in the CVB3 capsid based on the percent of mean squared error (MSE) increase. (B) Hexagonal plot showing the correlation between MFE predicted using a random forest algorithm trained on the top five variables versus observed MFE. The random forest model was trained on 70% of the data and then tested on the remaining 30% (shown). RSA, relative surface area.

Experimentally measured MFE inform of natural evolutionary processes

We next examined if our experimentally measured MFE could improve phylogenetic models of CVB3 evolution by incorporating site-specific amino acid preferences using PhyDMS (Hilton et al., 2017). Indeed, significant improvement in model fit was observed (Table 1 PHY; p<10−16 using a log-likelihood test compared to non-site-specific codon models), supporting the relevance of our results to understanding evolutionary processes in nature. Nevertheless, selection in nature was significantly more stringent than in the lab (β = 2.18), indicating the presence of additional selection pressures. As laboratory conditions lack selection from antibodies, we used the sum of the absolute differential selection observed at each site (Bloom, 2017) to examine whether known antibody neutralization sites show differential selection between the two environments (Supplementary file 7). Indeed, antibody neutralization sites showed significantly higher differential selection values compared to other residues (p<10−6 by Mann–Whitney test; Figure 4A). Moreover, the three sites showing the strongest overall differential selection were found in known antibody neutralization sites: positions 226 and 242 in the EF loop (residues 157 and 173 of VP2) and position 650 in the BC loop (residue 80 of VP1; Figure 4B–D and Supplementary file 7). In summary, incorporation of experimentally derived amino acid preferences into phylogenetic analyses significantly improved model fit and identified residues in antibody neutralization sites that show differential selection, suggesting these may play important roles in immune evasion in vivo.

Figure 4 with 1 supplement see all
Antibody neutralization sites show differential selection between laboratory conditions and nature.

(A) Violin plot showing the sum of absolute differential selection observed at capsid sites comprising antibody neutralization epitopes (nAb) versus all other capsid sites. (B–C) Logoplots showing the observed differential selection of sites in the EF loop or BC loop. The WT sequence is indicated in red. (D) The CVB3 capsid pentamer (PDB:4GB3), colored according to the amount of differential selection. The BC and EF loops are shown next to the structure together with the side chains for sites showing the highest differential selection.

Table 1
Incorporation of DMS results in evolutionary models better describes natural CVB3 evolution compared to standard codon models.
ModelΔAICLog-likelihoodParametersParameter
values
ExpCM0.00−14,580.516Beta = 2.18, kappa = 7.47, omega = 0.16
Goldman-Yang M54187.56−16,668.2912Alpha_omega = 0.30, beta_omega = 10.00, kappa = 7.15
Averaged ExpCM4303.74−16,732.386Beta = 0.61, kappa = 7.55, omega = 0.02
Goldman-Yang M04371.26−16,761.1411Kappa = 7.14, omega = 0.02

Insights into capsid-encoded motifs: myristoylation and protease cleavage

Picornavirus capsids undergo a complex assembly path to generate the infectious particle. These include myristoylation, cleavage by the viral proteases 2A and 3CDpro, as well as interaction with cellular chaperones and glutathione (Corbic Ramljak et al., 2018; Geller et al., 2007; Jiang et al., 2014; Qing et al., 2014; Thibaut et al., 2014; Figure 5A). Having obtained a comprehensive dataset for MFE across the capsid, we next examined the sequence requirements for several of these capsid-encoded motifs. Specifically, myristoylation of the N-terminal glycine is essential for virion assembly (Corbic Ramljak et al., 2018). In agreement with this, the N-terminal glycine in the CVB3 capsid showed the strongest average fitness cost upon mutation in the capsid (Figure 4—figure supplement 1 and Supplementary file 4). The remaining sites in the myristoylation motif agreed with the canonical myristoylation motif in cellular proteins (Prosite pattern PDOC00008) (Bologna et al., 2004), albeit with increased selectivity at three of the six positions (Figure 4—figure supplement 1). On the other hand, a conserved WCPRP motif in the C-terminal region of VP1 that was shown to be important for 3CDpro cleavage of the related foot and mouth disease virus capsid (FDMV; YCPRP motif) (Kristensen and Belsham, 2019) was found to be intolerant to mutations compared to other capsid residues (p<0.05 versus all other positions by Mann–Whitney test; sites 815–819 in CVB3). Moreover, within this motif, the sites showing the highest average fitness cost in our DMS dataset were identical to analogous positions in FMDV that resulted in a loss of viability upon mutation to alanine (Figure 4—figure supplement 1; Kristensen and Belsham, 2019), highlighting the conservation of this motif across different picornaviruses.

Figure 5 with 1 supplement see all
Sequence preference of capsid 3CDpro cleavage sites and their use for the identification of novel cellular targets of the viral protease.

(A) Overview of the CVB3 capsid maturation pathway. The CVB3 capsid precursor P1 is co-translationally cleaved by the viral 2A protease. P1 is then myristoylated and cleaved by the viral 3CDpro to generate the capsid proteins VP0, VP3, and VP1. Finally, upon assembly and genome encapsidation, VP0 is further cleaved into VP4 and VP2 in a protease-independent manner to generate the mature capsid. Red and black asterisks indicated 3CDpro or protease-independent cleavage events, respectively. (B,C) Logoplots showing amino acid preferences for the 10 amino acid regions spanning the 3CDpro cleavage sites (P1–P’1) of both VP0/VP3 and VP3/VP1 in the DMS dataset. (D) Overview of the bioinformatic pipeline for identification of novel 3CDpro cellular targets using the amino acid preferences for the capsid cleavage sites from our DMS study. A position-specific scoring matrix (PSSM) was generated based on the amino acid preferences for the 10 amino acid regions spanning the two 3CDpro cleavages sites. This PSSM was then used to query the human genome for potential cellular targets, and non-cytoplasmic proteins were filtered out, yielding 746 proteins. (E) The cellular proteins PLSCR1, PLEKHA4, and WDR33 are cleaved by 3CDpro. Western blot analysis of cells cotransfected with 3CDpro and GFP-PLSCR1 or GFP-PLEKHA4 and probed with a GFP antibody or transfected with 3CDpro and probed using a WDR33 antibody. When indicated, the 3CDpro inhibitor rupintrivir was included to ensure cleavage was mediated by the viral protease. Red arrows indicate cleavage products of the expected size (GFP-PLSCR1 full length = 64 kDa, cleaved N-terminus = 36 kDa; GFP-PLEKHA4 full length = 118 kDa, cleaved N-terminus = 72 kDa; WDR33 full length = 146 kDa, cleaved N-terminus = 72 kDa). *p<0.05, ***p<0.001.

The viral 3C protease (3Cpro) cleaves the picornavirus capsid at two conserved glutamine–glycine (QG) pairs to liberate the viral capsid proteins VP0, VP3, and VP1 (Figure 5A). Previous work has defined the sequence specificity of several picornavirus 3Cpro enzymes by examining both natural sequence variation and in vitro cleavage assays using synthetic peptides (Laitinen et al., 2016). However, unlike other 3Cpro-mediated cleavage events in the viral polyprotein, the capsid is only efficiently cleaved by the precursor protein 3CDpro (Ypma-Wong et al., 1988). To gain insights into the sequence specificity of 3CDpro, we examined the amino acid preferences for a 10 amino acid region surrounding the protease cleavage site (P5–P5’). As expected based on the known specificity of the 3C protease (Laitinen et al., 2016), a strong preference for the presence of QG was observed at both 3CDpro cleavage sites in our dataset (positions P1 and P1’ in the cleavage site; Figure 5B,C). Interestingly, significant correlation in amino acid preferences between the two cleavage sites was observed only at P1–P1’ (Pearson’s ρ > 0.99, p<10−16) and P4 (Pearson’s ρ > 0.49, p<0.05), as was the case in the enterovirus B alignments (Pearson’s ρ > 0.84 and p<10−6 for positions P4, P1, and P’1; data not shown). Hence, the low agreement in amino acid preferences observed for most positions across the two 3CDpro cleavage sites suggests cleavage is strongly dictated by positions P4, P1, and P1’.

Identification of 3CDpro cellular targets based on the sequence preferences of capsid-encoded protease cleavage sites

In addition to cleaving the viral polyprotein, the picornavirus proteases cleave cellular factors to facilitate viral replication, including both antiviral factors and cellular factors that favor viral IRES-driven translation mechanism over cellular cap-dependent translation (e.g. DDX58, eIF4G, and PABP) (Laitinen et al., 2016; Sun et al., 2016). As the canonical 3C/3CDpro QG cleavage site occurs on average 1.6 times per protein in the human proteome (~33,000,000 times), we sought to examine whether the rich dataset we obtained for the amino acid preferences of the capsid 3CDpro cleavage sites can be used to identify novel cellular factors that are targeted by the viral protease. Specifically, a position-specific score matrix (PSSM) was generated for the 10 amino acid regions spanning the two protease cleavage sites in the CVB3 capsid (P5–P5’) based on the amino acid preferences identified in our study (Figure 5D). This PSSM was then used to query the human proteome for potential cleavage sites, yielding a total of 746 cytoplasmic proteins (Figure 5D; Supplementary file 8). Eleven cellular factors that are known to be cleaved during enterovirus infection were identified using this approach, including the viral sensor Probable ATP-dependent RNA helicase DDX58 (RIG1), the immune transcription factors p65 (RELA) and interferon regulatory factor 7 (IRF7), and polyadenylate-binding protein 1 (PABPC1), an important factor in translation initiation and mRNA stability (Supplementary file 8; Jagdeo et al., 2018; Laitinen et al., 2016).

To evaluate whether our approach can identify novel cellular targets for the viral protease, we examined the ability of 3CDpro to cleave eight different proteins found in the data set, focusing on those with cellular functions of potential relevance to CVB3 biology and which could be readily detected in our cell culture assay (e.g. availability of antibodies or tagged-variants, cleavage fragments of observable size, and high expression level). These included four interferon-inducible proteins (Pleckstrin homology domain containing A4, PLEKHA4; phospholipid scramblase 1, PLSCR1; NOD-like receptor family CARD domain containing 5, NLRC5; zinc finger CCCH-type containing, antiviral 1, ZC3HAV1) and four proteins involved in various cellular functions, namely apoptosis (MAGE family member D1, MAGED1), RNA processing (WD repeat domain 33, WDR33), and vesicle transport (cyclin G-associated kinase, GAK; tumor susceptibility 101, TSG101). Of these, three proteins were cleaved upon expression of the viral protease to generate fragments of the expected size (PLSCR1, PLEKHA4, and WDR33; Figure 5E and Supplementary file 8). Of note, while WDR33 was predicted to harbor two potential cleavage sites, only a single cleavage event was observed. Treatment with a specific 3CDpro inhibitor, rupintrivir (Dragovich et al., 1999), blocked the cleavage of these proteins, indicating the effect was due to the viral protease (Figure 5D). In contrast, five of the proteins were found to not be cleaved upon 3CDpro expression, suggesting additional determinants are involved in the cleavage of host factors (Figure 5—figure supplement 1). Hence, our approach correctly identified 30% of the predicted cleavage sites (three of the nine different cleavage sites), indicating a strong enrichment of cellular targets of the 3CDpro in the dataset.

Discussion

The picornavirus capsid is a highly complex structure that plays key roles in viral biology and pathogenesis. In the current study, we employ a comprehensive approach to define the effects of single amino acid mutations in the CVB3 capsid, measuring the effects of >90% of all possible mutations. We find that most mutations in the capsid are deleterious to growth in cell culture, with very few mutations showing higher fitness than the WT sequence (1.2% of all mutations). Similar results have been reported in other non-enveloped capsid proteins (Acevedo et al., 2014; Hartman et al., 2018; Ogden et al., 2019) as well as non-capsid viral proteins (Ashenberg et al., 2017; Bloom, 2014; Doud and Bloom, 2016; Du et al., 2016; Haddox et al., 2016; Hom et al., 2019; Thyagarajan and Bloom, 2014; Wu et al., 2015). In light of these results, it is likely that the large population sizes of RNA viruses help maintain viral fitness in the face of high mutation rates and strong mutational fitness costs. It is important to note that the effect of a particular mutation on fitness observed under laboratory conditions may not always reflect its effect in nature due to inherent differences between these two environments.

Investigation of the factors that influence MFE in the capsid revealed a strong correlation with various structural and functional attributes. These included computationally predicted effects on stability and aggregation propensity, secondary structure, and surface exposure (Figure 2). Surprisingly, we find that MFE can be predicted with relatively high accuracy using only five parameters: natural sequence variation, the identity of the original and mutant amino acids, the predicted effect on protein stability, and relative solvent accessibility (Figure 3). A recent study examined the ability of 46 different variant effect prediction tools to predict MFE from 31 different DMS datasets of both viral and non-viral proteins (Livesey and Marsh, 2020). Overall, viral proteins showed the lowest predictability (Spearman’s correlation of <0.5). In contrast, we were able to predict MFE using a random forest model using these above-mentioned five parameters with an accuracy similar to the best prediction obtained in this analysis for any viral or non-viral protein (Pearson’s r = 0.73; Spearman’s ρ = 0.73; Figure 3B). Interestingly, SNAP2 (Hecht et al., 2015), a neural network-based classifier of mutational effects that was shown to correlate well with MFE in other studies (Gray et al., 2018; Livesey and Marsh, 2020; Reeb et al., 2020), correlated poorly with our data (R2 = −0.26). Overall, considering the relative conservation of capsid structure in picornaviruses as well as the availability of both capsid sequences and high-resolution structures for numerous members of this family, it is likely that these findings can be extrapolated to additional picornaviruses.

Incorporating site-specific amino acid preferences obtained from our DMS results into phylogenetic models was found to significantly improve model accuracy. This has been observed in DMS studies with other RNA viruses (Bloom, 2017; Doud and Bloom, 2016; Haddox et al., 2018) and indicated that our laboratory-measured MFE capture additional information that cannot be obtained from sequence analysis alone. In addition, this approach allowed us to assess which sites show differential selection patterns as a result of the distinct environments encountered in nature and the laboratory. As expected, pressure from the adaptive immune system was found to be the major difference between these environments, with residues in antibody neutralization sites showing higher differential selection compared to other sites in the capsid (Figure 4A). Moreover, the sites showing the highest degree of differential selection were found in known antibody neutralization sites (Figure 4B–D). However, why these particular residues within antibody neutralization sites show differential selection, while others do not, remain to be elucidated. It has been shown that one, or a few, sites within antibody binding regions can have strong effects on escape from antibody neutralization (Lee et al., 2019), potentially explaining these findings. Interestingly, while the top three sites showing differential selection were in antibody neutralization sites, the mutation showing the fourth-highest differential selection was found in the HI loop of VP1. While not classically considered an antibody epitope, this loop has been shown to interact with an antibody fragment in the picornavirus coxsackievirus A6 (Xu et al., 2017), is known to mediate receptor binding in different picornaviruses (Belnap et al., 2000; Xing et al., 2000), and to interact with host cyclophilin A to facilitate uncoating (Qing et al., 2014). Whether these factors or others are responsible for the observed differential selection remains to be elucidated.

The CVB3 capsid encodes the information for directing myristoylation, protease cleavage, and interaction with host factors. We took advantage of our data to examine the sequence specificity and mutational tolerance of several known capsid-encoded motifs. First, we examined the amino acid preferences of the CVB3 capsid myristoylation motif. We observe a strong correlation with the canonical myristoylation pattern (Prosite pattern PDOC00008), although with greater intolerance to mutations in three of the six residues in the capsid (Figure 4—figure supplement 1). This is likely to stem from additional constraints imposed by capsid structure. On the other hand, we examined the amino acid preference of a conserved motif in VP1 that is required for 3CDpro-mediated cleavage of picornavirus capsids (Kristensen and Belsham, 2019). Our data showed a higher cost to mutation in this motif relative to other capsid positions (Figure 4—figure supplement 1), highlighting its importance for capsid function. Finally, we examined the sequence preferences surrounding the two 3CDpro cleavage sites. We find a strong dependence on the cleavage site residues (positions P1 and P1’; Figure 5) and to a lesser degree position P4, with large variation in the sequence preferences across the remaining positions between the two cleavage sites. Overall, our experimentally measured MFE are congruent with existing information regarding the sequence preferences of the examined capsid motifs, yet provide in-depth insights into sequence specificity that cannot be obtained from examining natural sequence variation.

Finally, we used the amino acid preferences observed in 3CDpro cleavage sites within the capsid to query the human genome for potential cellular targets of this protease (Figure 5D). Using this approach, we identify 746 cytoplasmic proteins that harbor a potential 3CDpro target sequence, including 11 proteins previously shown to be cleaved by different picornavirus 3C proteases. We then validated our approach using eight proteins, comprising nine predicted cleavage sites. Six of the predicted cleavage sites were not affected by 3CDpro expression (Figure 5—figure supplement 1). On the other hand, three proteins were observed to be specifically cleaved by the viral protease (Figure 5E): WD repeat domain 33 (WDR33), an important factor for polyadenylation of cellular pre-mRNAs (Chan et al., 2014) that has been shown to act as a restriction factor during influenza infection (Brass et al., 2009); the interferon-induced protein phospholipid scramblase 1 (PLSCR1), which is involved in the replication of numerous viruses, likely due to its ability to enhance the expression of certain interferon-stimulated genes (Kodigepalli et al., 2015); and the interferon-induced Pleckstrin homology domain containing A4 (PLEKHA4), a plasma membrane-localized signaling modulator (Shami Shah et al., 2019) that is currently not known to play a role in viral infection. Overall, our approach correctly predicts 30% of the identified cleavage sites. It is likely that incorporating additional selection criteria, such as accessibility of the cleavage peptide in the folded structure, can be used to further reduce false positives. Nevertheless, extrapolating our validation results to the larger dataset suggests >200 new host targets of the protease are identified, some of which could play key roles in viral biology and pathogenesis.

Materials and methods

Key resources table
Reagent type
(species) or
resource
DesignationSource or
reference
IdentifiersAdditional
information
Strain, strain background (coxsackievirus B3)pCVB3-XhoI-P1-Kpn2110.1016/j.celrep.2019.09.014Infectious CVB3 clone based on the Nancy strain (Taxon identifier 103903)
Strain, strain background (coxsackievirus B3)pCVB3-XhoI-∆P1-Kpn21This paperInfectious CVB3 clone without P1 region
Strain, strain background (coxsackievirus B3)Marked reference CVB3 virus10.1038/nmicrobiol.2017.88Infectious CVB3 clone with silent mutations in the polymerase region used as a reference for fitness assays
Strain, strain background (Escherichia coli)NZY5αNZY TechMB004Competent cells, standard cloning
Strain, strain background (Escherichia coli)MegaX DH10B T1R Electrocomp cellsThermoFisherC6400-03Electrocompetent cells, library cloning
Cell line (Homo sapiens)HeLa-H1ATCCCRL-1958; RRID:CVCL_3334Cell line for CVB3 infection and DMS library production
Cell line (Homo sapiens)HEK293ATCCCRL-1573; RRID:CVCL_0045Cell line used for production of CVB3 mutants and for protease cleavage
AntibodyAnti-GFP (Mouse monoclonal)SantaCruzSc-9996Western blot (1:2000)
AntibodyAnti-FLAG (Mouse monoclonal)SantaCruzSc-166335Western blot (1:2000)
AntibodyAnti-HA (Mouse monoclonal)SantaCruzSc-7392Western blot (1:2000)
AntibodyAnti-WDR33 (Mouse monoclonal)SantaCruzSc-374466Western blot (1:1000)
AntibodyAnti-TSG101 (Mouse monoclonal)SantaCruzSc-136111Western blot
(1:1000)
AntibodyAnti-GAK (Mouse monoclonal)SantaCruzSc-137053Western blot (1:1000)
AntibodyAnti-MAGED1 (Mouse monoclonal)SantaCruzSc-393291Western blot (1:1000)
Recombinant DNA reagentDMS libraries (1–3)This paperCVB3 infectious clone libraries with mutagenized capsid region
Recombinant DNA reagentpUC19-HiFi-P1 (plasmid)This paperCVB3 capsid region used as template for DMS cloned into SalI digested pUC19 vector. Used for site-directed mutagenesis
Recombinant DNA reagentT7 encoding plasmid (plasmid)10.1128/jvi.02583–14RRID:Addgene_65974Plasmid encoding T7 polymerase for transfection
Recombinant DNA reagentpIRES-3CDpro (plasmid)This paperCVB3 3 CD protease region cloned into XhoI and NotI pIRES plasmid (Clonetech)
Recombinant DNA reagentpeGFP_PLEKHA410.1016/j.celrep.2019.04.060Kind gift from Dr. Jeremy Baskin
GFP-PLEKHA4 expression plasmid
Recombinant DNA reagentpeGFP_PLSCR110.1371/journal.pone.0005006Kind gift from Dr. Serfe Benichou
GFP-PLSCR1 expression plasmid
Recombinant DNA reagentpAcGFP-C1 WDR33https://doi.org/10.1016/j.molcel.2018.11.036Kind gift from Dr. Matthias Altmeyer pAcGFP-C1 WDR33 expression plasmid
Recombinant DNA reagentFLAG-NLCR5AddgeneRRID:Addgene_37521NLCR5 expression plasmid
Recombinant DNA reagentHA-ZC3HAV1AddgeneRRID:Addgene_45907HA-ZC3HAV1 expression plasmid
Recombinant DNA reagentFluc-eGFPAddgeneRRID:Addgene_90170Fluc-eGFP expression plasmid
Sequence-based reagentHiFi_FIDTPCR primerFor generating PCR to clone libraries and sequencing: CTTTGTTGGGTTTATACCACTTAGCTCGAGAGAGG
Sequence-based reagentHiFi_RIDTPCR primerFor generating PCR to clone libraries and sequencing: CCTGTAGTTCCCCACATACACTGCTCCG
Sequence-based reagentDMS primersIDTPCR primerPrimers spanning the full coding region of the CVB3 capsid to perform codon mutagenesis. Listed in Supplementary file 1.
Sequence-based reagent2045_FIDTPCR primerPrimer used for Sanger sequencing.
TCGAGTGTTTTTAGTCGGACG
Sequence-based reagent2143_RIDTPCR primerPrimer used for Sanger sequencing.
TCGAGTGTTTTTAGTCGGACG
Sequence-based reagent3450_RTIDTPCR primerPrimer used for Sanger sequencing and RT-PCR.
TCGAGTGTTTTTAGTCGGACG
Sequence-based reagentqPCR_F10.1038/nmicrobiol.2017.88PCR primerqPCR primer for competition assays. GATCGCATATGGTGATGATGTGA
Sequence-based reagentqPCR_R10.1038/nmicrobiol.2017.88PCR primerqPCR primer for competition assays. AGCTTCAGCGAGTAAAGATGCA
Sequence-based reagentMGB_CVB3_wt10.1038/nmicrobiol.2017.88TaqManProbeqPCR probe for competition assays. 6FAM-CGCATCGTACCCATGG-TAMRA
Sequence-based reagentMGB_CVB3_Ref10.1038/nmicrobiol.2017.88TaqManProbeqPCR probe for competition assays. HEX-CGCTAGCTACCCATGG-TAMRA
Sequence-based reagentQ8D_FIDTPCR primerPrimer for site-directed mutagenesis: gtatcaacgGATaagactggg
Sequence-based reagentQ8D_RIDTPCR primerPrimer for site-directed mutagenesis: ttgagctcccattttgctgt
Sequence-based reagentK829L_FIDTPCR primerPrimer for site-directed mutagenesis: gagaaggcaCTAaacgtgaac
Sequence-based reagentK829L_RIDTPCR primerPrimer for site-directed mutagenesis: gtattggcagagtctaggtgg
Sequence-based reagentK235D_FIDTPCR primerPrimer for site-directed mutagenesis: gggtccaacGATttggtacag
Sequence-based reagentK235D_RIDTPCR primerPrimer for site-directed mutagenesis: ggatgcgaccggtttgtccgc
Sequence-based reagentR16G_FIDTPCR primerPrimer for site-directed mutagenesis: catgagaccGGActgaatgct
Sequence-based reagentR16G_RIDTPCR primerPrimer for site-directed mutagenesis: tgccccagtcttttgcgttg
Sequence-based reagentK827G_FIDTPCR primerPrimer for site-directed mutagenesis: caatacgagGGGgcaaagaac
Sequence-based reagentK827G_RIDTPCR primerPrimer for site-directed mutagenesis: gcagagtctaggtggtctagg
Sequence-based reagentQ566M_FIDTPCR primerPrimer for site-directed mutagenesis: atttcgcagATGaactttttc
Sequence-based reagentQ566M_RIDTPCR primerPrimer for site-directed mutagenesis: gaaaggagtgtccttcaatag
Sequence-based reagentT315P_FIDTPCR primerPrimer for site-directed mutagenesis: attacggtcCCCatagcccca
Sequence-based reagentT315P_RIDTPCR primerPrimer for site-directed mutagenesis: tgggacgtacgtggtgga
Sequence-based reagentN395H_FIDTPCR primerPrimer for site-directed mutagenesis: gagaaggtcCATtctatggaa
Sequence-based reagentN395H_RIDTPCR primerPrimer for site-directed mutagenesis: tccaacattttggactgggac
Sequence-based reagentT849A_FIDTPCR primerPrimer for site-directed mutagenesis: actacaatgGTCaatacgggc
Sequence-based reagentT849A_RIDTPCR primerPrimer for site-directed mutagenesis: gatgctttgcctagtagtgg
Sequence-based reagentK235D_FIDTPCR primerPrimer for site-directed mutagenesis: gggtccaacGATttggtacag
Sequence-based reagentK235D_RIDTPCR primerPrimer for site-directed mutagenesis: ggatgcgaccggtttgtccgc
Sequence-based reagent3C_ForIDTPCR primerPrimer for cloning CVB3 3 CD into pIRES: TATTCTCGAGACCATGGGCCCTGCCTTTGAGTTCG
Sequence-based reagent3D_RevIDTPCR primerPrimer for cloning CVB3 3 CD into pIRES: TATTGCGGCCGCCTAGAAGGAGTCCAACCATTTCCT
Commercial assay or kitNEBuilder HiFi DNA Assembly kitNEBE2621XSeamless cloning
Commercial assay or kitTranscriptAid T7 High Yield Transcription KitThermoFisher ScientificK0441T7 in vitro transcription kit
Commercial assay or kitQuick-RNA Viral kitZymo ResearchR1035RNA purification
Commercial assay or kitDNA Clean andConcentrator-5Zymo ResearchD4013DNA purification, gel purification
Commercial assay or kitLuna Universal Probe One-Step RT-qPCR kitNEBE3006XOne-step qPCR master mix
Chemical compound, drugRupintivirTocris BiosciencesCat. #: 6414CVB3 3C protease inhibitor
Software, algorithmCodonTilingPrimershttps://doi.org/10.1016/j.chom.2017.05.003Software to design primers for mutagenesis (https://github.com/jbloomlab/CodonTilingPrimers)
Software, algorithmSanger Mutant Library AnalysisDr. Jesse BloomSoftware to assess library mutagenesis by Sanger sequencing (https://github.com/jbloomlab/SangerMutantLibraryAnalysis)
Software, algorithmSamtoolshttp://www.htslib.org/version 1.5Suite of programs for interacting with high-throughput sequencing data
Software, algorithmFastp10.1093/bioinformatics/bty560Software for NGS read trimming and QC
Software, algorithmPicardTools, FastqToSamhttps://broadinstitute.github.io/picard/Version 2.2.4Used to generate Bam files from Fastq files
Software, algorithmDuplex pipelinehttps://github.com/KennedyLabUW/Duplex-SequencingKennedy et al., 2014Version 3.0Analysis pipeline for duplex sequencing (UnifiedConsensusMaker.py)
Software, algorithmVariantBam10.1093/bioinformatics/btw111Software to filter Bam files
Software, algorithmBWAhttps://sourceforge.net/projects/bio-bwa/files/Version 0.7.16Software to align NGS reads
Software, algorithmFgbiohttp://fulcrumgenomics.github.io/fgbio/version 1.1.0Software used to hard-clip NGS reads
Software, algorithmVirVarSeq10.1093/bioinformatics/btu587version 1.1.0Software used to identify codons in each NGS read
Software, algorithmCustom R scriptsThis paperCustom R scripts to process output of VirVarSeq script.
Available athttps://github.com/RGellerLab/CVB3_Capsid_DMS
Software, algorithmDMS_tools210.1186/s12859-015-0590-4Software to determine amino acid preferences and mutational fitness effects
Software, algorithmTANGO10.1038/nbt1012Software to determine the effect of mutations on aggregation
Software, algorithmFoldX10.1093/nar/gki387Software to determine the effect of mutations on stability
Software, algorithmDSSPhttp://swift.cmbi.ru.nl/gv/dssp/Software used to obtain secondary structure and RSA within DMS_tools2
Software, algorithmViprDBhttp://viperdb.scripps.edu/
Carrillo-Tripp et al., 2009
Software used to obtain structural information on capsid sites
Software, algorithmDECIPHER Package10.32614/RJ-2016–025R package for performing codon alignments
Software, algorithmPhyDMSdoi:10.7717/peerj.3657For phylogenetic and differential selection analyses. https://jbloomlab.github.io/phydms/index.html
Software, algorithmCustom R scriptsThis paperCustom R script to generate in silico peptides spanning 10AA 3 CD protease cleavage site.
Available at https://github.com/RGellerLab/CVB3_Capsid_DMS
Software, algorithmPSSMSearch10.1093/nar/gky426Used to generate position-specific scoring matrix and search human proteome for hits. http://slim.icr.ac.uk/pssmsearch/
Software, algorithmPeptides R packageISSN 2073–4859Version 2.4.2R package to predict molecular weight of proteins
Software, algorithmRandomForest R package10.1023/A:1010933404324Version 4.6–16R package for random forest prediction
Software, algorithmLogolas10.1186/s12859-018-2489-3Package to generate logo plots in R

Viruses, cells, and plaque assays

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HeLa-H1 (CRL-1958; RRID:CVCL_3334) and HEK293 (CRL-1573; RRID:CVCL_0045) cells were obtained from ATCC and were periodically validated to be free of mycoplasma. All work with CVB3 was based on the Nancy infectious clone (kind gift of Dr. Marco Vignuzzi, Institute Pasteur). Cells were cultured in culture media (Dulbecco’s modified Eagle’s medium [DMEM] with 10% heat-inactivated fetal bovine serum (FBS), Pen-Strep, and l-glutamine) with FBS concentrations of 2% during infection. For plaque assays, serial dilutions of the virus were used to infect confluent HeLa-H1 cells in six-well plates for 45 min, followed by overlaying the cells with a 1:1 mixture of 56°C 1.6% agar (Arcos Organics 443570010) and 37°C 2× DMEM with 4% FBS. Two days later, plates were fixed with formaldehyde (2% final concentration) after which the agar was removed and the cells stained with crystal violet to visualize plaques.

Deep mutational scanning

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The infectious clone was modified by site-directed mutagenesis to remove an XhoI site present in the capsid region (P1) and introduce an XhoI site at position 692 as well as a Kpn2I site at position 3314, generating a pCVB3-XhoI-P1-Kpn2I clone (Bou et al., 2019). In addition, a pCVB3-XhoI-ΔP1-Kpn2I plasmid was generated by replacing the region between the XhoI and Kpn2I sites in pCVB3-XhoI-P1-Kpn2I with a short linker. To generate the template for DMS, the capsid region was amplified by PCR from pCVB3-XhoI-P1-Kpn2I with Phusion polymerase (Thermo Scientific) and primers HiFi-F (CTTTGTTGGGTTTATACCACTTAGCTCGAGAGAGG) and HiFi-R (CCTGTAGTTCCCCACATACACTGCTCCG) and gel purified (Zymoclean Gel DNA Recovery Kit). Primers spanning the full coding region of the capsid region were designed using the CodonTilingPrimers software from the Bloom lab (https://github.com/jbloomlab/CodonTilingPrimersDingens et al., 2017) with the default parameters and synthesized by IDT (Supplementary file 1). These primers were used to perform the mutagenesis PCR on the capsid template together with the HiFi-F or HiFi-R primers in triplicate following published protocols (Dingens et al., 2017) with the exception that 10 rounds of mutagenesis were performed for libraries 1 and 2, while a second round of seven mutagenesis cycles was performed for library three to increase the number of mutation per clone. The products were gel purified and ligated to an XhoI and Kpn2I digested and gel purified pCVB3-XhoI-ΔP1-Kpn2I using NEBuilder HiFi DNA Assembly reaction (NEB) for 25 min. Mutagenesis efficiency was evaluated by the transformation of the assembled plasmids into NZY5α competent cells (NZY Tech), Sanger sequencing of 18–23 clones per library, and mutation analysis using the Sanger Mutant Library Analysis script (https://github.com/jbloomlab/SangerMutantLibraryAnalysis; Bloom, 2014). Subsequently, the assembled plasmid reactions were purified using a Zymo DNA Clean and Concentrator-5 kit (Zymo Research) and used to electroporate MegaX DH10B T1R Electrocomp cells (ThermoFisher) using a Gene Pulser XCell electroporator (Bio-Rad) according to the manufacturer’s protocol. Cells were then grown overnight in a 50 mL liquid culture at 33°C and DNA purified using the PureLink HiPure plasmid midiprep kit (Invitrogen). Transformation efficiency was estimated by plating serial dilutions of the transformation on agar plates. In total, 4.44 × 105, 1.46 × 105, and 2.19 × 105 transformants were obtained for lines 1, 2, and 3, respectively. Viral genomic RNA was then transcribed from SalI linearized, gel-purified full-length plasmids using the TranscriptAid T7 kit (Thermo Scientific), and four electroporations were performed using 4 × 106 HeLa-H1 cells in a 4 mm cuvette in 400 μL of calcium- and magnesium-free phosphate-buffered saline (PBS) using with 8 μg of RNA in a Gene Pulser XCell (Bio-Rad) set to 240 V and 950 µF. Electroporated cells were then pooled, and one-fourth was cultured for 9 hr to produce the passage 0 virus (P0). Following three freeze–thaw cycles, 2 × 106 plaque-forming units (PFU) were used to infect a 90% confluent 15 cm plate in 2.5 mL of infection media for 1 hr. Cells were then washed with PBS and incubated in 12 mL of infection media for 9 hr. Finally, cells were subjected to three freeze–thaw cycles, debris removed by centrifugation at 500 × g, and the supernatants collected to generate P1 virus stocks. All infections produced >2.38 × 106 PFU in P0 and >1.2 × 107 PFU in P1 as judged by plaque assay.

Next-generation sequencing analysis

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Libraries were prepared following published protocols (Kennedy et al., 2014), and each library was run on a Novaseq6000 2 × 150 at a maximum of 30G per lane to reduce potential index hopping. Reads trimming was performed using fastp (Chen et al., 2018) (command: -max_len1 150 --max_len2 150 --length_required 150 -x -Q -A), unsorted bam files were generated from fastq files using Picard tools FastqToSam (version 2.2.4) and merged into a single bam using the cat command of Samtools (version 1.5). The duplex pipeline was then implemented (https://github.com/KennedyLabUW/Duplex-Sequencing/UnifiedConsensusMaker.pyKennedy et al., 2014). using the UnifiedConsensusMaker.py script and a minimum family size of 3, a cutoff of 0.9 for consensus calling, and an N cutoff of 0.3. The single-stranded consensus files (SSCS) were then aligned using BWA mem (version 0.7.16), sorted using Samtools, size selected to be 133 bp long using VariantBam (Wala et al., 2016), unaligned reads were discarded (Samtools view command with -F 4), and the resulting bam file indexed with Samtools. Subsequently, fgbio (http://fulcrumgenomics.github.io/fgbio/; version 1.1.0) was used to hard-clip 10 bp from each end and upgrade all clipping to hard-clip (-c Hard --upgrade-clipping true --read-one-five-prime 10 --read-one-three-prime 10 --read-two-five-prime 10 --read-two-three-prime 10). Variant bam was then used to keep all reads that were between 50 and 150 bp, well-mapped, and had either no indels and less than five mutations (command –r {‘‘:{‘rules’:[{‘ins’:[0,0],‘del’:[0,0],‘nm’:[0,4], ‘mate_mapped’:true,‘fr’:true,‘length’:[50,150]}]}}”). Finally, the codons in each read were identified using the VirVarSeq (Verbist et al., 2015) Codon_table.pl script using a minimum read quality of 20. A custom R script was then used to generate a codon counts table for each codon position by eliminating all codons containing ambiguous nucleotides and codons with a strong strand bias (StrandOddsRatio > 4), as well as all codons that are reached via a single mutation (available at https://github.com/RGellerLab/CVB3_Capsid_DMS); Mattenberger, 2021; copy archived at swh:1:rev:29dd205182f0886dc5bad3e6b4ddd6e786c58a75). Amino acid preferences and MFE were determined using DMStools2 (Bloom, 2015), with the Bayesian option and the default settings.

Structural analyses

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The crystal structure PDB:4GB3 (Yoder et al., 2012) was used for all structural analyses. The effects of mutations on aggregation were determined using TANGO version 2.3.1 (Fernandez-Escamilla et al., 2004) using the default settings, and the effect on stability on the monomer and pentamer was determined using FoldX 4 (Schymkowitz et al., 2005) using the default settings. For the latter, the pentamer subunits were renamed to unique letters, all mutations between the reference sequence and the structure sequence were introduced using the BuildModel command, the structure was optimized using the RepairPDB command 5 or 10 times for the pentamer or monomer, respectively, and then the effects of the mutations were predicted using the BuildModel command (modified PDB files can be found at https://github.com/RGellerLab/CVB3_Capsid_DMS). Secondary structure and RSA were obtained from DSSP (http://swift.cmbi.ru.nl/gv/dssp/) using the dms_tools2.dssp function of dms_tools2, while interface, surface, and core residues as well as residue contact number, and presence in the twofold, threefold, and fivefold axes were obtained from ViprDB (http://viperdb.scripps.edu/) (Carrillo-Tripp et al., 2009). Distance from the center was calculated with Pymol using the Distancetoatom.py script on the monomer or pentamer. Finally, the location of antibody neutralization sites in CVB3 was obtained from an analysis of the CVB3 capsid structure in a previous publication (Muckelbauer et al., 1995).

Generation and evaluation of CVB3 capsid mutants

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With the exception of mutant N395H (kind gift of Rafael Sanjuan) (Bou et al., 2019), all other mutants were generated by site-directed mutagenesis. For this, the PCR of the capsid region used as a template for DMS was phosphorylated and cloned into a SmaI digested pUC19 vector for use in the mutagenesis reactions (pUC19-HiFi-P1). For each mutant, non-overlapping primers containing the mutation in the middle of the forward primer were used to introduce the mutation with Phusion polymerase, followed by DpnI (Thermo Scientific) treatment, phosphorylation, ligation, and transformation of chemically competent bacteria. Successful mutagenesis was verified by Sanger sequencing. Subsequently, the capsid region was subcloned into pCVB3-XhoI-∆P1-Kpn2I using XhoI and Kpn2I sites. Plasmids were then linearized with MluI, and 2 μg of plasmid was transfected into 5 × 105 HEK293 cells, together with a plasmid encoding the T7 polymerase (Yun et al., 2015) (Addgene 65974) using calcium phosphate. Briefly, an equal volume of 2× HBS (274 mM NaCl, 10 mM KCl, 1.4 mM Na2HPO4) was added dropwise to DNA containing 0.25M CaCl2 while mixing, incubated 15 min at RT, and then added dropwise to cells. Following 48 hr, passage 0 (P0) virus was collected and titered by plaque assay. From this, 105 PFU were used to infect 90% confluent six-well HeLa-H1 cells (multiplicity of infection (MOI) 0.1) for 1 hr at 37°C, after which the cells were washed twice with PBS and 2 mL of infection media added. Cells were then incubated until cytopathic effect (CPE) was observed. Emerging viral populations were titered by plaque assay and the capsid region sequenced to ensure no compensatory mutations or reversions arose during replication. The fitness of these mutants was then tested by direct competition with a marked reference virus using a Taqman RT-PCR method (Moratorio et al., 2017). Briefly, using four biological replicates, confluent HeLa-H1 cells in a 24-well plate were infected with 200 µL of a 1:1 mixture of 4 × 103 PFU (MOI 0.01) of the test and marked reference viruses for 45 min. Subsequently, the inoculum was removed, the cells were washed twice with PBS, 200 µL of infection media was added, and the cells were incubated for 24 hr at 37°C. Finally, cells were subjected to three freeze–thaw cycles, debris removed by centrifugation at 500 × g, the supernatants collected and treated with 2 µL of RNase-Free DNaseI (ThermoFisher) for 15 min at 37°C, and viral RNA extracted using the Quick-RNA Viral Kit (Zymo Research), eluting in 20 μL. Quantification of the replication of each mutant versus the reference was performed using Luna Universal Probe One-Step RT-qPCR kit (New England BioLabs) containing 3 µL of total RNA, 0.4 µM of each qPCR primers, and 0.2 µM of each probe. The standard curve was performed using 10-fold dilutions of RNA extracted from 107 PFU of wild-type and reference viruses. All samples were performed with three technical replicates. The relative fitness (W) of each mutant versus the common marked reference virus was calculated using the following formula: W = [R(t)/R(0)]1/t, where R(0) and R(t) represent the ratio of the mutant to the reference virus genomes in the initial mixture used for the infection and after 1 day (t = 1), respectively (Carrasco et al., 2007; Moratorio et al., 2017).

Sequence variability and phylogenetic analyses

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Amino acid variability was assessed using Shannon entropy. Briefly, all available, non-identical, full-genome CVB3, CVB, or enterovirus B sequences were downloaded from Virus Pathogen Resource (Pickett et al., 2012) (http://www.viprbrc.org) and codon-aligned using the DECIPHER package in R (available at https://github.com/RGellerLab/CVB3_Capsid_DMS). All alignment positions not present in our reference strain were removed, and a custom R script was used to calculate Shannon entropy. For phylogenetic and differential selection analyses, PhyDMS was run using the default settings on an alignment of CVB3 genomes that was processed with the phydms_prealignment module and using the average preferences from the three DMS replicates.

Identification of 3CDpro cleavage sites in the human proteome

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The amino acid preferences (the relative enrichment of each amino acid at each position standardized to 1) was used to generate in silico 1000 peptides spanning the 10 amino acid regions surrounding each cleavage site using a custom R script (available at https://github.com/RGellerLab/CVB3_Capsid_DMS). Specifically, for each peptide position, 100 peptides were generated that encoded each amino acid at a frequency corresponding to its preference observed in the DMS results, with the remaining positions unchanged. The resulting 1000 peptides from each cleavage site were uploaded to PSSMSearch (Krystkowiak et al., 2018) (http://slim.icr.ac.uk/pssmsearch/) using the default setting (psi_blast IC). Results were filtered to remove proteins indicated to be secreted, lumenal, or extracellular in the Warnings column. To test whether proteins were cleaved by the viral 3 CD protease, the corresponding region was PCR amplified from the Nancy infectious clone (primers 3C-For: TATTCTCGAGACCATGGGCCCTGCCTTTGAGTTCG and 3D-Rev: TATTGCGGCCGCCTAGAAGGAGTCCAACCATTTCCT) and cloned into the pIRES plasmid (Clonetech) using the restriction sites XhoI and NotI (pIRES-3CDpro). For analysis of fusion proteins, HEK293 cells were transfected with GFP-PLEKHA4 (kind gift of Dr. Jeremy Baskin, Cornell University), GFP-PLSCR1 (kind gift of Dr. Serge Benichou, Institut Cochin), pAcGFP-WDR33 (Kind gift of Dr. Matthias Altmeyer, University of Zurich), FLAG-NLCR5 (Addgene #37521), HA-ZC3HAV1 (Addgene #45907), or the control plasmid FLuc-eGFP (Addgene #90170), together with the pIRES-3CDpro plasmid using Lipofectamine 2000. Following 24 hr, proteins were collected by lysing in lysis buffer (50 mM Tris–HCl, 150 mM NaCl, 1% NP40, and protease inhibitor cocktail [Complete Mini EDTA-free, Roche]) and subjected to western blotting with the corresponding antibody (anti-GFP, Santa Cruz sc-9996; anti–FLAG, Santa Cruz sc-166335; anti-HA, Santa Cruz, sc-7392). For analysis of endogenous proteins, 3CDpro was expressed for 48 hr before cell lysis, and western blotting using antibodies against WDR33 (Santa Cruz sc-374466), TSG101 (Santa Cruz sc-136111), GAK (Santa Cruz sc-137053), and MAGED1 (Santa Cruz sc-393291). When indicated, the 3Cpro inhibitor rupintrivir (Tocris Biosciences) was added at a concentration of 2 µM for the last 24 hr before collection. The predicted molecular weight of cleaved fragments was calculated using the mw function of the Peptides R package (version 2.4.2).

Statistical analyses

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All experiments were performed with at least three biological replicates with the exception of the analysis of protein cleavage by western blotting, which was performed in duplicate. All statistical analyses were performed in R and were two tailed. For random forest prediction, the R RandomForest package (version 4.6–14) was employed using the default setting with an mtry of 10, and for the linear model, the formula lm(MFE ~ enterovirus B entropy + WT amino acid * mutant amino acid + predicted effect of mutations on stability in the pentamer + relative surface exposure) was used (available at https://github.com/RGellerLab/CVB3_Capsid_DMS). Sequence logoplots were producing using Logolas (Dey et al., 2018).

Data availability

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Unaligned bam files have been uploaded to SRA (Bioproject PRJNA643896, SRA SRP269871, Accession SRX8663374-SRX8663384). The scripts and data required to obtain the codon count tables for all samples, to perform the random forest and linear model predictions, to generate the peptides for use with PSSMsearch, as well as the sequence alignments and modified structure files for FoldX analysis, can be found on GitHub (https://github.com/RGellerLab/CVB3_Capsid_DMS). Finally, the interactive heatmap of MFE across the capsid was generated by modifying a script from a prior publication (Starr et al., 2020) (available at https://github.com/jbloomlab/SARS-CoV-2-RBD_DMS/blob/master/interactive_heatmap.ipynb) and can be found on this projects’ GitHub page (https://github.com/RGellerLab/CVB3_Capsid_DMS).

Data availability

Sequencing data have been uploaded to SRA (Bioproject PRJNA643896, SRA SRP269871, Accession SRX8663374-SRX8663384). All data used in the paper are either included as supplemental data and/or can be found at https://github.com/RGellerLab/CVB3_Capsid_DMS (copy archived at https://archive.softwareheritage.org/swh:1:rev:29dd205182f0886dc5bad3e6b4ddd6e786c58a75/).

The following data sets were generated
    1. Mattenberger F
    2. Geller R
    (2020) NCBI BioProject
    ID PRJNA643896. Deep mutational scanning of the CVB3 capsid protein.

References

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Decision letter

  1. Jan E Carette
    Reviewing Editor; Stanford University School of Medicine, United States
  2. Sara L Sawyer
    Senior Editor; University of Colorado Boulder, United States
  3. Jesse D Bloom
    Reviewer; Fred Hutchinson Cancer Research Center, United States

In the interests of transparency, eLife publishes the most substantive revision requests and the accompanying author responses.

Acceptance summary:

In this manuscript state of the art techniques are used to systematically mutate the viral genome and measure its effect on viral fitness. This paper provides novel insights in viral pathogenesis and evolution of an important class of viruses.

Decision letter after peer review:

Thank you for submitting your article "Globally defining the effects of mutations in a picornavirus capsid" for consideration by eLife. Your article has been reviewed by two peer reviewers, one of whom is a member of our Board of Reviewing Editors, and the evaluation has been overseen by Sara Sawyer as the Senior Editor. The following individual involved in review of your submission has agreed to reveal their identity: Jesse D Bloom (Reviewer #2).

The reviewers have discussed the reviews with one another and the Reviewing Editor has drafted this decision to help you prepare a revised submission.

We would like to draw your attention to changes in our revision policy that we have made in response to COVID-19 (https://elifesciences.org/articles/57162). Specifically, we are asking editors to accept without delay manuscripts, like yours, that they judge can stand as eLife papers without additional data, even if they feel that they would make the manuscript stronger. Thus the revisions requested below only address clarity and presentation.

This paper will be of interest to scientists studying viral pathogenesis and evolution. The authors use state of the art techniques to systematically mutate the viral genome and measure its effect on viral fitness. The results are robust and support the key claims in the paper.

Summary:

In this manuscript Geller and colleagues describe a deep mutational scan of the coxsackie B3 virus (CV-B3) genome focusing on the structural genes. Comparing the mutations before and after growth of the virus in cell culture allows the authors to derive the mutational fitness effect (MFE) of each mutated residue. After generating this valuable and robust experimental dataset, they compare the MFE with variability observed in strains directly sequenced in nature and observe a correlation suggesting that the experimental fitness in the lab is representative of natural evolutionary processes. They also identify sites under differential selection between the laboratory selection and natural selection, which correspond to known antibody neutralization sites. Using a random forest algorithm the authors show that a combination of evolutionary, sequence and structural information best explains MFE. Finally they focus on the myristoylation and protease cleavage site. The deep mutagenesis allowed for refinement of the 3CDpro cleavage consensus site and allowed for the identification of ~750 cellular proteins that could be substrate. Testing a subset of these, the authors show that 30% indeed could be experimentally verified.

Overall, this well-written manuscript provides an important resource through deep mutagenesis of the picornavirus capsid. The analysis of this dataset and the experimental follow up performed by the authors has generated novel insights in picornavirus structure and function. The study is very nicely done. The data will be of interest to researchers interested in these techniques, as well as researchers interested in picornaviruses themselves. There are also some nice evolutionary and structural analyses, as well as cool use of the deep mutational scanning to identify some new host proteins cut by the viral protease.

1) The authors validate the 3CDpro cleavage sites through expression of 3CDpro outside of the context of viral infection. Looking at the cleavage of the candidate substrates during infection with CV-B3 will be more relevant and perhaps increase the percentage of candidates that can be cleaved by 3CDpro. (Although this would improve the manuscript bolstering the physiological relevance of these candidate substrates, this suggestion is completely optional and not required for acceptance of the manuscript).

2) It would be interesting to extend the analysis to also include the 2A cleavage site. Because only the structural genes are mutated, the analysis can only be done for the site before the protease cleavage residue but might be interesting regardless.

3) Some quite relevant data is now in the supplementary files, which might be missed by the readers. For example the validation with qPCR in Supplementary file 5. Perhaps the result can be also graphed as XY graph showing the correlation in the main figure.

4) The authors refer to "antibody neutralization sites", but they never explain clearly how these were defined. Maybe this is common knowledge in the picornavirus field, but it certainly wasn't obvious to me and would benefit from some explanation. I gather these are sites where mutations escape some antibody?

5) In Figure 2 and some of the surrounding text in the Results (such as the prediction section), it is difficult to tell if the authors are using MFE to refer to the effects of specific mutations, or the mean effects of mutations at each site. This could be better explained for each relevant analysis.

6) Be sure to include adequate text to emphasize these are effects of mutations in cell culture, which might not always mirror effects in nature.

7) The use of the DMS data to make a PSSM to find other proteins cleaved by the protease is cool!

8) Introduction, last paragraph: should be "these data", not "this data".

9) When the authors start using the word "fitness," they should be explicit that this is "fitness" as measured by growth in cell culture, which may not always be precisely the same as fitness in nature.

10) Figure 2A, would be nice if legend is a bit clearer about what "average MFE" (red line) means: I gather average across mutations. Is the average MFE also windowed in 21 amino-acid windows?

11) This is a completely optional suggestion that the authors can feel free to ignore. But we found in our recent DMS that making an interactive heat map (e.g., https://jbloomlab.github.io/SARS-CoV-2-RBD_DMS/) was really useful for enabling people to interrogate the data. These can be made pretty easily using Altair (https://altair-viz.github.io/), and some example code is here (https://github.com/jbloomlab/SARS-CoV-2-RBD_DMS/blob/master/interactive_heatmap.ipynb). Yours would actually be a lot simpler to make as there is just one phenotype shown.

https://doi.org/10.7554/eLife.64256.sa1

Author response

1) The authors validate the 3CDpro cleavage sites through expression of 3CDpro outside of the context of viral infection. Looking at the cleavage of the candidate substrates during infection with CV-B3 will be more relevant and perhaps increase the percentage of candidates that can be cleaved by 3CDpro. (Although this would improve the manuscript bolstering the physiological relevance of these candidate substrates, this suggestion is completely optional and not required for acceptance of the manuscript).

We agree that evaluating protein cleavage in the context of infection is important and can potentially impact cleavage efficiency. However, performing the experiments in the context of infection complicates the interpretation of the results as cleavage could also be mediated by the second viral protease (2A). We will include this validation once we set up the tools to test 2A cleavage targets (see comment 2 below).

2) It would be interesting to extend the analysis to also include the 2A cleavage site. Because only the structural genes are mutated, the analysis can only be done for the site before the protease cleavage residue but might be interesting regardless.

We completely agree with the reviewers’ comment and are planning on performing this analysis. However, we prefer to wait until we have generated the data for the second half of the protease cleavage site (residues present in the 2A coding region) to be able to analyze the full cleavage site since this can eliminate false positives.

3) Some quite relevant data is now in the supplementary files, which might be missed by the readers. For example the validation with qPCR in Supplementary file 5. Perhaps the result can be also graphed as XY graph showing the correlation in the main figure.

We apologize for not including this data in the primary figures. We have now included the qPCR validation in the main figure (Figure 2G). Please note that for formatting reasons, we have combined the original plots for F and G into a single F panel to accommodate the new figure panel.

4) The authors refer to "antibody neutralization sites", but they never explain clearly how these were defined. Maybe this is common knowledge in the picornavirus field, but it certainly wasn't obvious to me and would benefit from some explanation. I gather these are sites where mutations escape some antibody?

We apologize for failing to explain this in the original text. Indeed, antibody neutralization sites have been defined using different picornaviruses by identifying escape mutants from monoclonal antibodies (mainly using poliovirus) as well as structural analyses of capsid bound to antibodies. The positions of the neutralization sites in the CVB3 capsid were derived from an analysis performed in a publication describing the high-resolution structure of CVB3 (Muckelbauer et al., 1995). We now include this reference/information in the Materials and methods section (last sentence in the Structural analyses section).

5) In Figure 2 and some of the surrounding text in the Results (such as the prediction section), it is difficult to tell if the authors are using MFE to refer to the effects of specific mutations, or the mean effects of mutations at each site. This could be better explained for each relevant analysis.

Again, we apologize for the lack of clarity. We have now included this information in the legend for Figure 2 and the corresponding location in the main text.

6) Be sure to include adequate text to emphasize these are effects of mutations in cell culture, which might not always mirror effects in nature.

We have now included such statements in both the main text and in the Discussion.

7) The use of the DMS data to make a PSSM to find other proteins cleaved by the protease is cool!

Thanks!

8) Introduction, last paragraph: should be "these data", not "this data".

We thank the reviewers for catching this error. We have corrected the error.

9) When the authors start using the word "fitness," they should be explicit that this is "fitness" as measured by growth in cell culture, which may not always be precisely the same as fitness in nature.

We have indicated this in both the main text and in the Discussion.

10) Figure 2A, would be nice if legend is a bit clearer about what "average MFE" (red line) means: I gather average across mutations. Is the average MFE also windowed in 21 amino-acid windows?

Again, we apologize for not making this clear initially. Indeed, this is as you assumed, and we have added additional text in the figure legend to clarify this.

11) This is a completely optional suggestion that the authors can feel free to ignore. But we found in our recent DMS that making an interactive heat map (e.g., https://jbloomlab.github.io/SARS-CoV-2-RBD_DMS/) was really useful for enabling people to interrogate the data. These can be made pretty easily using Altair (https://altair-viz.github.io/), and some example code is here (https://github.com/jbloomlab/SARS-CoV-2-RBD_DMS/blob/master/interactive_heatmap.ipynb). Yours would actually be a lot simpler to make as there is just one phenotype shown.

We have included now a link to this manner of representing the data. Once again, thank you for developing such accessible code and excellent tools. These can be found on our GitHub website, and we reference the original script and the publication from which it was derived in the Materials and methods section.

https://doi.org/10.7554/eLife.64256.sa2

Article and author information

Author details

  1. Florian Mattenberger

    Institute for Integrative Systems Biology, I2SysBio (Universitat de València-CSIC), Paterna, Spain
    Contribution
    Conceptualization, Formal analysis, Investigation, Methodology, Writing - original draft, Writing - review and editing
    Competing interests
    No competing interests declared
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0002-2727-0284
  2. Victor Latorre

    Institute for Integrative Systems Biology, I2SysBio (Universitat de València-CSIC), Paterna, Spain
    Contribution
    Conceptualization, Investigation, Methodology, Writing - review and editing
    Competing interests
    No competing interests declared
  3. Omer Tirosh

    The Shmunis School of Biomedicine and Cancer Research, Tel-Aviv University, Tel-Aviv, Israel
    Contribution
    Software, Formal analysis, Methodology
    Competing interests
    No competing interests declared
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0001-8139-9866
  4. Adi Stern

    The Shmunis School of Biomedicine and Cancer Research, Tel-Aviv University, Tel-Aviv, Israel
    Contribution
    Software, Formal analysis, Supervision, Methodology, Writing - original draft, Writing - review and editing
    Competing interests
    No competing interests declared
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0002-2919-3542
  5. Ron Geller

    Institute for Integrative Systems Biology, I2SysBio (Universitat de València-CSIC), Paterna, Spain
    Contribution
    Conceptualization, Data curation, Formal analysis, Supervision, Funding acquisition, Investigation, Methodology, Writing - original draft, Writing - review and editing
    For correspondence
    ron.geller@uv.es
    Competing interests
    No competing interests declared
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0002-7612-4611

Funding

Ministerio de Economía, Industria y Competitividad, Gobierno de España (BFU2017-86094-R)

  • Ron Geller

Ministerio de Economía, Industria y Competitividad, Gobierno de España (RYC-2015-17517)

  • Ron Geller

Ministerio de Economía, Industria y Competitividad, Gobierno de España (BES-2016-076677)

  • Florian Mattenberger

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.

Acknowledgements

The authors would like to thank Dr. Javier O Cifuentes for help with the interpretation of antibody neutralization sites and Drs. Santiago Elena and Tzachi Hagai for critical reading of the manuscript. In addition, the authors would like to acknowledge the use of the Principe Felipe Research Center (CIPF) server which was co-financed by the European Union through the Operativa Program of the European Regional Development Fund (ERDF/FEDER) of the Comunitat Valenciana 2014–2020.

Senior Editor

  1. Sara L Sawyer, University of Colorado Boulder, United States

Reviewing Editor

  1. Jan E Carette, Stanford University School of Medicine, United States

Reviewer

  1. Jesse D Bloom, Fred Hutchinson Cancer Research Center, United States

Publication history

  1. Received: October 22, 2020
  2. Accepted: January 11, 2021
  3. Accepted Manuscript published: January 12, 2021 (version 1)
  4. Version of Record published: February 4, 2021 (version 2)

Copyright

© 2021, Mattenberger et al.

This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.

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