Detection of Viruses by Chemical and Biological Means SVENGARD ( Department of Virus Research, Karolinska Institutet The discovery of the polyoma virus ( 80 ) pro vides the strongest incentive yet for continued serious efforts to find a human cancer virus. Ac cording to previous experience in the field of ani mal viruses, the polyoma virus should prove to be one member of a group of related viruses with different species specificities, causing similar dis eases. When attempts to isolate human viruses have failed, we have reason to question the suit ability of the materials and methods used. This attitude served as a basis for the present discus sion of virus detection by biochemical and bio logical means. An attempt was made to envisage situations in which a virus would not be readily detected and to analyze the reasons for this, rather than summing up the various current tech nics for virus detection and their limitations. For this purpose the discussion was grouped under three headings, corresponding to the known stages in the developmental cycle of viruses: provirus, vegetative virus, and mature virus.1 I. PROVIRUS The evidence of the existence of a provirus stage is conclusive only for bacteriophages. In this case, however, prophage may be regarded as the "natural" form of the virus and lysogeny as a mechanism safeguarding the survival of both host and virus. For a complete review of the ly sogeny problems reference is made to Lwoff ( 50 ). In this connection only some salient points will be summarized. The fate of an infecting temperate phage seems to be determined at the moment of pene tration or very soon thereafter. The factor decid ing between the alternatives reduction to pro phage or production of vegetative phage appears to be the metabolic state of the host cell. Reduc tion does not automatically lead to establishment of lysogeny; the prophage first has to become at tached to and apparently interact with a specific 1 The term mature virus, referring only to properties of the virus particle itself, is preferred to infective virus with its implication of host-virus interaction. Medicai School, Stockholm, Sweden ) intracellular site, to all appearances a specific chromosomal locus. By this interaction both the respective locus and the prophage seem to be stabilized. The infection represented by the lysogenic state seems, in most cases, to remain completely silent, with no morphologic or metabolic charac teristics to distinguish a lysogenic from an uninfected cell. The two important features revealing the true status of the lysogenic bacterium are ( a ) "immunity," i.e., refractoriness to lysis by related (incompatible) virulent phages, and (fo) sus ceptibility to spontaneous or sometimes also to artificial "induction." The phenomenon called immunity suggests that a specific chromosomal locus is also involved in infection with virulent phages. If a lysogenic bacterium is exposed to a related virulent phage, the latter is adsorbed and its nucleic acid in jected. However, as long as the prophage blocks the specific locus, no multiplication of virulent phage takes place, although its nucleic acid may remain potentially active for considerable peri ods of time. If the prophage is activated by in duction, synthesis of both the temperate and the virulent phage is initiated. In the situation as here described the genetic information contained in the prophage DNA seems not to find any demonstrable expression. This is not always the case, however, the most notable example being the toxogenic C. diphteriae. The capacity of toxin production is invar iably associated with lysogeny, and lysogenization by the temperate phage from a toxogenic bacterium invariably confers toxogenic capacity to a nontoxogenic variant ( 26 ). Thus, if the bac terial gene determining toxogenicity is not iden tical with the prophage DNA it must be linked to it with an unusual firmness. It would seem a more plausible explanation that the same DNA molecule which in a "resting" state controls the synthesis of toxin, when activated is command ing synthesis of phage. A quantitative and quali tative analysis of the phage DNA might provide 728 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. GARD—Chemical and Biological Studies of Virimeli an answer to this question. As another example of "phenotypic" prophage manifestation the mucoid growth of certain lysogenic enteric bacteria may be mentioned. Whether or not animal proviruses exist is a matter of discussion. The majority of the inapparent, persistent infections with animal viruses have been clearly shown to represent a carrier state as principally distinct from virogeny. In a tissue culture system a carrier state is established if the rate of growth of the cell population and the rate of spread of infection are in balance. This can be artificially achieved with susceptible cells and virulent vims by addition to the me dium of neutralizing antibodies in the proper concentration, as first described by Ackermann and Kurtz (1). A similar equilibrium may exist in a relatively resistant cell population even with out antibodies in the medium ( 15, 60). In a typi cal carrier culture only a fraction of the total cell population is infected at any given time. Persist ence of infection depends upon extracellular transfer of virus as shown by the facts that the culture can be "cured" by addition to the me dium of antibody in high concentrations as well as by cloning. In some Rous virus-carrying tissue cultures each individual cell may actually be infected ( 83 ). However, since virus seems to be continu ously released, the situation can hardly be analo gous to lysogeny in bacteria. Most probably the intracellular virus is in a vegetative phase throughout, although the rate of virus synthesis is sufficiently low not to interfere significantly with the growth of the host cell. The same ex planation seems to fit in the persistently infected, resistant cell line, described by Puck and Cieciura (60). Persistent infections in the macro-organism are usually more difficult to analyze. Inapparent in fections in higher animals, with one exception, seem to be associated with continuous produc tion of antibodies, an indication that mature vi rus is released at least intermittently. The excep tion is LCM virus-carrying mice which, accord ing to Traub (86), do not develop serologie im munity. As the infection in this case is initiated in utero, Burnet (14) suggested that immuno logie tolerance might be involved, which indeed seems to be the case (34). A slow or intermittent release of mature virus is by no means inconsistent with the assumption of virogeny. As a matter of fact the most charac teristic property of a lysogenic culture is the con tinuous, spontaneous release of mature phage. Therefore, the demonstration in persistently in fected tissue of small amounts of virus cannot serve to distinguish between carrier state and virogeny. If, on the other hand, systematic at tempts consistently fail to demonstrate the pres ence of mature virus during clinically silent peri ods, the assumption of a true virogenic state gains in probability. For such reasons the recur ring herpes simplex and the swine influenza vi rus in the intermediate lungworm host (72) ap pear to be likely candidates, even if positive evi dence is lacking. The only definitely established provirus, the prophage, is of the DNA type and somehow as sociated with the genome of the host cell. A pri ori there is no obvious reason not to expect a similar pattern of infection within other groups of viruses as well, and then primarily among in tranuclear DNA agents, i.e., a category to which the herpes virus belongs. No RNA viruses have yet been found in a provirus stage, and the whole question must here be left wide open. Detection of a provirus may be extremely dif ficult. The most promising approach should be attempts to induce formation of vegetative and mature virus, for instance, by application of ion izing irradiation or carcinogenic and mutagenic chemicals. Some prophages, however, have re sisted all attempts at artificial induction. It is pos sible that systematic studies of such systems will reveal additional physical or chemical agents with inducing capacity. Prolonged cultivation in vitro to improve the chances of spontaneous in duction should also be tried. The only possibility to detect and identify a resting provirus would seem to be by chemical means. In all probability provirus consists of nu cleic acid only and can hardly be expected to carry any immunological markers. Thus, the for midable task of the biochemist would be to single out and identify as foreign a nucleic acid that can be expected to appear in the pool in a ratio of one molecule per cell. This will obviously not be theoretically possible, unless the provirus has some unique constituent. Until recently nucleic acids were supposed to contain no more than four bases: in DNA, adenine, guanine, cytosine, and thymine; in RNA the same set, except that uracil replaces thymine. The structural specificity is presumably ac counted for entirely by the sequential order of the base pairs or bases in the chain. Virus nucleic acids generally seem to have no particular chem ical characteristics setting them apart from those of the host cell. However, in 1953 Wyatt and Cohen ( 95 ) isolated from DNA of T-even phages a previously unknown base, 5-hydroxymethyl- Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. 730 Cancer Research cytosine ( HMC ), so far not found anywhere else in nature. These phages contain no cytosine, which is thus completely replaced by HMC. As another unique feature glucose enters into the molecule, probably in glucosidic linkage with the methyl group of HMC (76, 88). It might also be mentioned that Tessman et al. (84, 85) recently reported an abnormally high irradiation sensitiv ity of the small phages S 13 and <j>X 174, which was interpreted as an indication of a singlestranded DNA instead of the double helix of the Watson-Crick model (89). In recent years new bases, primarily methyl ated purines and pyrimidines, have been identi fied as minor constituents of nucleic acids (3, 18, 48 ). The significance of these observations is still obscure; sometimes the appearance of such bases or an increase in their concentration is observed under abnormal metabolic conditions together with deviations from the base ratios required by the Watson-Crick theory. It would thus seem that the chemical composition of nucleic acids may be less monotonous than hitherto assumed, which means that chemical analysis might be come a practicable means of identification of in dividual nucleic acids. II. VEGETATIVE VIRUS Methods devised for the detection of vegeta tive virus will assume particular practical impor tance in cases of slowly growing viruses where relatively small amounts of mature virus are re leased and extracellular virus is continually neu tralized by specific antibodies or inactivated by other, nonspecific agents present in the tissues. This type of infection should be expected prin cipally in species and tissues with a high degree of resistance to the infectious agent, which, in turn, would mean that demonstration of small amounts of mature virus by means of infection experiments would be almost impossible if no other more sensitive test systems were available. A complete analysis of the vegetative phase should include both viral and nonviral substances produced in the course of the infection. To be considered are (a) virus nucleic acid or nucleoprotein, (b) one or more proteins forming inte gral parts of the mature virus particle, (c) spe cific byproducts of the virus synthesis, regularly appearing as "soluble antigens," etc., but appar ently not incorporated in the virus particle, and, finally (d) substances of a nonspecific nature. A. NUCLEICAcros Synthesis of virus DNA may take place in the nucleus as seems to be true of papilloma, herpes, Vol. 20, June, 1960 adeno, and several insect viruses, or in the cyto plasm. So far only two groups of cytoplasmic DNA viruses are recognized, the pox viruses and the capsular insect viruses. The members of these groups can be characterized as structurally com plex viruses, probably more autonomous than others. Whether or not they should be classified as true viruses is debatable. As pointed out by Burnet (14) the replication pattern of the pox viruses resembles that of the psittacosis group. The fact that the fibroma-myxoma virus appar ently belongs among the pox viruses indicates that cytoplasmic DNA viruses cannot be disre garded as possible tumor agents. However, the size and morphological peculiarities to be ex pected from viruses of this category makes it seem unlikely that they should remain unno ticed and escape identification even if attempts to demonstrate infectivity were unsuccessful. For this reason cytoplasmic DNA agents shall not be made the subject of further deliberations in the present connection. The intranuclear replication of animal DNA viruses shows some features resembling those ob served in the synthesis of the T'-even phages: margination—"precipitation"—of the chromatin, appearance of a structureless "pool" of viral DNA, and subsequent "crystallization" with for mation of spatially oriented virus "nuclei" (43, 44, 57). To this writer's knowledge no attempts have been made to clarify the processes leading to the breakdown of the chromosomes of the host cell. It would be of interest to know what chem ical relations, if any, exist between such extreme ly radical alterations of the structure and the dis turbances of the nuclear activity observed in ma lignant tumor cells. Also, RNA virus replication seems to be possi ble both in the nucleus and in the cytoplasm. In tranuclear synthesis of fowl plague G-antigen (9) has been definitely established; electron mi crographie evidence of formation of poliovirus "nuclei" in the nucleolar and perinucleolar region has been presented (64). The most convincing evidence to date of cytoplasmic virus RNA syn thesis is the recent report of crystalline structures in the cytoplasm of cells infected with one insect virus (94) and Coxsackie B 5 virus (56), respec tively. The problem of detection by chemical means of vegetative virus nucleic acid is less formidable than the task of finding a pro virus. At present, the success of such attempts will depend entirely upon the presence of specific constituents, pri marily purines and pyrimidines, possibly sugars. The base ratios determined on the pooled nucleic Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. GARD—Chemical and Biological Studies of Viruses acid extracted from a tissue represent, of course, averages. Supposedly such mixtures are made up of thousands of individual molecular species with quite possibly widely differing ratios. The virus particles, on the other hand, contain only one or very few molecules of nucleic acid, and the puri fied preparations, therefore, possess a chemical homogeneity entirely lacking in the first type of preparation. It is hardly justifiable to base con clusions concerning structural characteristics on a comparison of two such incongruous materials. For a further elucidation of this question meth ods will have to be developed by which a sep aration of individual nucleic acids in a mixture is feasible. It does not seem entirely Utopian to hope that structural specificity might be made to work for such purposes. Even methods by which the degree of homogeneity could be estimated without a complete separation of molecular spe cies would be of great help. It is usually assumed that the pure nucleic acid is devoid of antigenic activity, and immune sera prepared against whole virus are reported to have no neutralizing effect on the infectivity of phenol-extracted virus (30). However, in stud ies on poliovirus-infected cells with the fluores cent antibody technic Buckley (11) found a very faint but apparently specific fluorescence of the nucleolus and the perinucleolar region, i.e., that part of the nucleus which probably serves as the site of virus RNA synthesis. The nucleus re mained otherwise unstained, while the cytoplasm was gradually filled with staining material. The significance of this observation is somewhat ob scure. Two interpretations are possible: the faint fluorescence of the nucleolus may indicate either the presence of minute amounts of a specific pro tein or else that the RNA as such has a certain immunologie specificity. A further study of the phenomenon appears justifiable. The vegetative phase corresponds largely to the "eclipse" in the cycle of infection, character ized by a loss of infectivity which was reported not to return until morphologically typical virus particles reappeared during the maturation phase. In view of the now established fact that the pure nucleic acid of many viruses is by itself infective, the current explanation of the eclipse phenomenon is hardly satisfactory. Virus nucleic acid is being synthesized throughout the whole period, and failure to demonstrate its presence in infection experiments can apparently not be at tributed solely to the disintegrated state of the virus. As perhaps the most likely explanation of the failures it may be assumed that earlier meth ods used for extraction of nucleic acid from the 731 cells were unsuitable. In particular, it should be essential during preparation to protect the nu cleic acid from tissue nucleases in order to pre vent inactivation. There is some evidence to indicate that these assumptions might be correct. Wecker and Schäfer(91) isolated infectious EEE and WEE RNA from infected cells by treatment with cold phenol, whereas extraction of purified virus with the same technic yielded negative results. Wecker (90) later found that the virus protein was soluble in hot phenol and that treatment of the virus at temperatures of 40°-60° C. gave nu cleic acids of an activity comparable to that pre viously found in RNA prepared from cells. He concluded that the cellular RNA most probably represented vegetative virus. Phenol treatment undoubtedly inactivates all tissue enzymes, which might account for the positive results. There are thus good reasons to hope that de tection of vegetative virus with biological meth ods will prove to have a more general applicabil ity. The low yields of activity obtained with the phenol technic as it is now practiced are an ob vious disadvantage. The reason may be partial inactivation in the process of extraction, or a low avidity of the pure nucleic acid for the cell, or both. However, improvements in the technics of preparation as well as infectivity testing can probably be achieved. Eventually tests on pure nucleic acid rather than mature virus may prove to offer great advantages. It was recently re ported ( 52, 58 ) that poliovirus RNA could cause infection in cells completely resistant to mature virus. Infection was followed by one cycle of vi rus replication only. Apparently the mature virus released from the first infected cells was incapa ble of initiating a second cycle. Similar results were obtained with phage when the receptor mechanism was sidetracked by simultaneous re moval of the bacterial membrane (protoplast formation) and liberation of the phage DNA core by osmotic shock (77). Even if self-propa gating infections could not be established in these experiments, the possibility by such means to widen the host range of a virus must be con sidered as a valuable addition to the diagnostic arsenal. B. VIRUSPROTEINS The chemical properties of a number of plant virus proteins have been studied in detail, includ ing amino acid analyses and preliminary se quence determinations (46). In general the pro tein of the virus particle seems to be made up of a number of identical subunits linked together Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. 732 Cancer Research by relatively weak secondary bonds. Dissociation and reassociation of the subunits of rod-shaped plant viruses are easily achieved, whereas spheri cal viruses are more resistant. The number of subunits may vary considerably, from about 20 to more than 2000 per virus particle, with mo lecular weights from 18,000 and upwards. So far no exotic or unusual amino acids have been found in plant virus proteins. Although the amino acid composition is specific enough to dis tinguish between variants of the same virus, it does not show any peculiarities, setting virus pro teins clearly apart from those of the host cell. Some enzyme-resistant proteins are supposed to have a hemicyclic structure without free N-terminal groups ( 25 ). The highly specialized proteins of phages shall be mentioned only in passing. The anatomy of the bacterial cell calls for a particular functional differentiation of the virus particle which can hardly be expected to be copied in any animal viruses. In comparison, information on animal virus proteins is meager. Among the best studied are the relatively complex myxoviruses. As shown by Hoyle (37) the virus particle can be disrupted by treatment with ether with release of two dis tinct types of subunits : hemagglutinin and group antigen. Schäferand co-workers (9, 35, 66-68, 92), studying fowl plague virus, describe the hemagglutinin as a spherical particle, 30 m/j. in diameter, and composed of protein and polysaccharide. It carries the hemagglutinating, enzymic, and antigenic capacity (type specific V antigen) of the intact virus. The group antigen (S-antigen, or G-antigen in Schäfer'sterminol ogy) appears in the shape of 12-m^. particles made up of nucleoprotein. The hexagonal discs obtained by Valentine and Isaacs (87) by tryptic digestion of the virus represent presumably the intact nucleoprotein subunit. In the virus particle it is supposed to be arranged in one turn of a spiral; when liberated by enzyme treatment this structure collapses, forming the hexagonal discs; in the course of ether treatment it appar ently breaks down into smaller fragments. Each virus particle is supposed to contain six hemag glutinin units in close packing, the nucleoprotein occupying the central space between them and lipides filling out the rest. The lipides are pre sumably derived mainly from the host cell sur face. So far the chemical characteristics of animal virus proteins have hardly been systematically studied. Ion exchange chromatography used for purification purposes has revealed certain inter Vol. 20, June, 1960 esting adsorption-elution patterns (36), which presumably must be attributed to the protein component. Present data do not permit any gen eral conclusions and very little speculation be yond the fact that the technic itself looks prom ising. The enzyme activity of certain virus proteins, notably those found in the myxovirus group, might appear to offer possibilities of detection and identification of such proteins by purely chemical methods. However, even after many years of systematic studies the chemistry of in fluenza virus enzyme-substrate reactions is not sufficiently clarified to make a chemical identi fication feasible. The highly specific affinities to be expected would also make a search for a sub strate for an unknown virus an extremely hap hazard undertaking. Less specific enzymes like the ATPase reported to enter into some fowl leukosis viruses (54) cannot be distinguished from normal tissue components and would thus have no diagnostic potentialities. Therefore semibiologic methods—hemagglutination-elution, hemadsorption, and immunologie analysis—are the most valuable of those at pres ent available. The capacity of certain viruses or purified proteins of agglutinating red cells is based on the presence in the cell surface of a re ceptor substance of sufficient specificity. As an equivalent of this phenomenon the in vitro reac tion between purified influenza virus and puri fied receptor substance leads to formation of a precipitate (82). Poliovirus, with which no hemagglutination has been obtained, nevertheless seems to react specifically with a cellular lipoprotein (33), presumably lacking in erythrocytes. This observation, further supported by the apparently specific capacity of susceptible cells to adsorb virus (42), indicates that virus-recep tor mechanisms may have to be expected in most virus-host cell systems. Detection by direct pre cipitation of virus and receptor substance re quires a preparatory purification of both com ponents which also have to be used in high con centrations. A possibility that might be worth trying, when naturally agglutinable cells cannot be found, is coating of native or tannic acidtreated red cells with receptor substance in an attempt to develop a more sensitive and less ex acting test system. The receptors so far identi fied seem to belong in the class of surface lipoglycoprotein antigens. The simplest and by far most sensitive method of detecting the protein component in the cell is with the aid of specific antibodies, particularly by means of Coons's fluorescent antibody technic. Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. GARD—Chemicaland Biological Studies of Viruses Applying specific antibodies against the G-antigen and the hemagglutinin, respectively, Schäfer and his group found that the former first ap peared in the nucleus of cells infected with fowl plague virus, later probably migrating out into the cytoplasm. The synthesis of the hemagglu tinin seemed to be initiated later than the G-antigen, and it was found only in the cytoplasm. The synthesis of several other virus proteins has been followed by the same technic (11, 49, 59, 93). Generally the amount of stainable material in the cells is remarkable. In the later stages of infec tion the entire cytoplasm appears fluorescent, an indication that much more specific protein is syn thesized than is needed for incorporation in the comparatively small amount of mature virus that is eventually released ( representing a fraction of about 10~5 of the cell mass). C. NONVIHAL, SPECIFICSUBSTANCES Some of the nonviral material produced in and released from infected cells might simply be re garded as components of the virus particle, syn thesized in excess of what is finally incorporated into the mature virus. These substances differ in no respect from the counterparts that can be ex tracted from the virus particles. The intracellular myxovirus hemagglutinin and soluble antigens exemplify the principle. Often, however, other nonviral substances ap pear, specific in the sense that they are foreign to the host cell and are synthesized only in the course of a specific infection. A particularly in teresting example is provided by the so-called in complete influenza virus (51). The incomplete virus forms particles of a somewhat varying size but of the same order as that of the classical vi rus. They seem to contain normal hemagglutinin and large amounts of lipides. According to Ada ( 2 ) they may be free of nucleic acid or contain reduced amounts of this constituent. In view of the fact that the mature particle is supposed to contain one single RNA molecule, Ada's inter pretation of the analytical data would imply that only a fraction of a molecule were incorporated in the incomplete virus particle, which in turn would indicate aberrations in the RNA synthesis. However, the results obtained by Ada could be equally well explained by the assumption that his preparations represented mixtures of com plete and incomplete virus, a likely explanation considering the technical difficulties associated with the preparative separation of the two. In complete virus has the capacity of interfering with mature virus in a peculiar way. Thus, after exposure of the cells to a mixture of mature and 733 a large proportion of incomplete virus at high multiplicities, the amount of hemagglutinin re leased from the cells remains at normal levels but is accounted for mainly by incomplete virus. The proportion of RNA-containing mature virus is re duced, sometimes to 10~6 of a normal yield. The incomplete virus alone seems not to be able to incite any infection or induce the cells to produc tion of hemagglutinin. It is tempting to speculate on the mechanism underlying these phenomena. The RNA content of the virus particle corresponds, as already men tioned, to a single molecule of 2 X IO8 mol. wt. One molecule is supposed to carry sufficient coded information for synthesis of one specific protein only. If this is so, the myxovirus RNA could provide the pattern for the synthesis of ei ther the G-antigen protein or the hemagglutinin but not both. The information needed for pro duction of one of the proteins would have to be supplied from some other source. Most likely, the protein itself would serve this purpose. Accord ing to Schäferthe complete G-antigen enters the cell, whereas the hemagglutinin is supposed to be largely retained on the cell surface. However, it would be difficult to explain the interference phenomenon without assuming penetration into the cell of the interfering agent. It seems reason able, therefore, to assume that the hemagglutinin is capable of entering and that this is indeed a sine qua non for the synthesis of virus. According to this line of thought, then, at least one of the six hemagglutinin subunits of the virus particle would have to enter the cell together with the nucleoprotein. The RNA of the latter is presumably self-replicating, provides the infor mation necessary for synthesis of the G-antigen protein, and somehow activates the cell in such a way that the hemagglutinin can serve as a primer for the synthesis of the identical enzyme in the cytoplasm. If more than one hemagglutinin unit enters, presumably inducing an excessive hemag glutinin synthesis, the RNA synthesis would seem to be inhibited, and the end-product consists largely of incomplete virus. This phenomenon, infection ending in dissolu tion and destruction of the cell with release of considerable amounts of a specific, noninfective material (but none or only insignificant quanti ties of mature virus), resembles the production of bactericines, lytic but noninfective substances, identical with or closely related to phage lysin (75). Both phenomena provide examples of sit uations in which the true nature of the processes as induced by a virus infection might be almost impossible to assess. Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. 73-1 Cancer Research In the formation of incomplete virus the syn thesis of the basic components of the virus may be considered to proceed in a regular fashion— unless Ada is right, in which case an aberration of the nucleoprotein synthesis would have to be postulated. The main abnormality, however, is in the maturation process. To what extent this situ ation is replicated in other virus-host systems is at present not known. Obviously, the above rea soning is applicable only to more complex viruses. In the small viruses, containing a single protein, all information needed for the virus synthesis can be carried by the nucleic acid. Nevertheless, ma terial morphologically slightly resembling incom plete virus seems to appear regularly in poliovirus-infected cells. Schwerdt and Schaffer (70) reported the presence in purified virus prepara tions of a nucleic acid-free protein component. Immunologically, this component is distinct from the virus particles (47), in electron micrographs it looks like an empty sphere of approximately the same size as the virus particle ( 69 ). The signif icance of these observations is obscure. The noninfective soluble antigen might represent a reg ular byproduct of the virus synthesis or the result of an erratic synthesis. Substances discussed in this section, being proteinaceous, are antigenic. For their detection in the interior of the cell the fluorescent antibody technic should be particularly suitable. Cell ex tracts may preferably be analyzed with the aid of any of the gel precipitation technics or immunoelectrophoresis. D. NONSPECIFICSUBSTANCES The phenomenon of interference has generally been regarded as an expression of a competition between viruses for certain key enzyme systems in the cell. However, in a series of papers Isaacs and co-workers (12, 13, 38-40) have presented evidence of an alternative mechanism of a pre sumably entirely different nature. Cells exposed to inactivated myxoviruses or to active virus of low or moderate virulence were found to produce a substance capable of conferring resistance to other cells against virulent strains of a variety of related as well as unrelated viruses. This sub stance, presumably a protein, was called interferon. Interferon does not interact with virus in vitro; it does not prevent adsorption of virus on the cell surface, but it does inhibit synthesis of (myxovirus) nucleoprotein. Resistance induced by treatment of the cells with interferon requires 12-24 hours to reach maximum levels. Induced Vol. 20, June, 1960 cells do not themselves release interferon, unless they are challenged with active virus. In the chick embryo chorioallantoic membrane infected with influenza virus, no interferon seems to be released as long as virus is produced at a high rate. When virus synthesis has passed its peak, however, in terferon appears in the allantoic fluid (39). Isaacs has hazarded a guess that interferon might represent an aberration of the normal virus synthesis at some intermediate stage and that the presence of interferon in the cell would serve to redirect the synthesis to production of more inter feron instead of the normal intermediate. Con sidering the proteinaceous nature of interferon this could hardly explain the inhibition of nucleic acid synthesis that is apparently established. As another possibility it might be suggested that interferon has a place in a normal regulatory mechanism in the cell, serving the purpose of controlling the nucleic acid synthesis. If so, inter feron would be expected to show a certain degree of species specificity, which indeed seems to be the case (39). Apparently interferon might become an im portant means of detection of infections with moderate viruses in which histologie lesions are absent and the amounts of virus or nonviral spe cific substances are below the threshold of demonstrability. The chemistry of interferon is not yet known to such an extent as to permit a sug gestion of chemical diagnostic methods. For the time being only biological demonstration is pos sible, including determination of resistance of infected cells to challenge with selected indicator viruses and induction of resistance with material released from infected cells. III. MATURE VIRUS The mature virus would by definition possess infectivity as its most characteristic marker. If, for various reasons to be discussed below, infec tion tests are unsuccessful, other methods of de tection might be tried. In vitro demonstration by chemical or immunological methods would—in most cases—require a concentration and partial purification of the test material. Occasionally, as found by Beard's group ( 20, 21, 55 ) with certain strains of fowl leukosis virus, enormous amounts of the agent may appear free in the blood or other body fluids, from which it is easily obtained simply by centrifugation. More often virus will be scarce and found only in tissues. Without methods by which results of fractionation experi ments can be evaluated, purification will be ex tremely difficult. Beyond a statement to the effect Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. GARD—Chemical and Biological Studies of Viruses that differential centrifugation probably has a wider applicability than any other method tested, few general recommendations can be made. Whatever the outcome of other attempts to demonstrate the existence of a virus, the crucial test will always be infection experiments in vol unteers, in test animals, or in tissue cultures. Pro vided a virus exists, infection tests may yet yield negative results for any one or more of the fol lowing reasons. A. VIRUSCONCENTRATION The virus concentration in the test material may be too low for detection by biological means. This again may be accounted for in several ways. 1. Only small quantities of virus may be re leased from the cells and at a low rate. In such cases a concentration of the test material might produce positive results. It is, of course, impor tant to select material of initially highest possible virus content. 2. The virus may be continuously inactivated as it is released from the cell. A very labile virus may simply undergo spontaneous inactivation; it may be sensitive to tissue enzymes; or it may interact with specific or nonspecific inhibitors, including antibodies. Accordingly, attention must be paid to the methods for preparation of inocula. Rapid preparation at low temperatures may be essential; the use of stabilizers may be tried, such as cysteine, reducing the oxidation rate. It has been shown that some viruses are inactivated by enzymes and that the enzyme sensitivity spec trum to a certain extent serves to characterize individual viruses (53). The effect of tissue en zymes on the yield of active virus seems not to have been studied, however, and enzyme inhib itors have not been used in attempts to improve yields. Antibodies and inhibitors can be removed by perfusion, extensive washing, electrophoresis, etc., before the cells are disrupted and intracellular virus is set free. B. VIRULENCEOF THEVIRUS Viruses of very low virulence may fail to pro duce manifest infections. In principle, two differ ent situations may be envisaged: the virus may be regularly infective but the infection estab lished remain inapparent; or the infection rate may be low. The latter case will be discussed in a following section in connection with host re sistance. At least theoretically a state of virogeny might account for an inapparent infection. As already mentioned, no unequivocal evidence of the exist 735 ence of this state in the field of animal virology has been presented. Since lack of evidence proves nothing, it would be unwise to disregard the possibility, however. Detection of virogeny might be possible either by means of induction and identification of subsequently appearing vegeta tive or mature virus, or it may express itself as a change in some particular property of the host cell. Artificial induction of prophage can be achieved with agents apparently affecting the chromosomal structures in a manner as yet un known. According to Lwoff (50) induction is possible only under certain conditions; the cells have to be metabolically preconditioned. In some cases all attempts at artificial induction have failed. What is known about provirus and its in duction refers exclusively to DNA viruses, pre sumably attached to or incorporated in the chro mosomes. It would be futile now to discuss the hypothetical case of an RNA provirus, its possible point of attachment in the cell, and the mech anisms of its induction. So far no successful attempts to induce cyto logie manifestations in inapparently infected tis sue cultures have been reported. The enhanced susceptibility of irradiated cells reported by Puck and co-workers ( 61 ) obviously is a phenomenon of a different nature. Systematic studies of the effects of conditioning and induction on such carrier cultures as those described by Puck and Cieciura (60) and by Deinhardt et al. (15) would seem to be of great interest. Even in host-prophage systems where attempts at artificial induction have failed to produce re sults, spontaneous induction occurs. This would have to be expected also of an animal provirus. Spontaneous induction is a comparatively rare event even in inducible prophage systems. Evi dence of an activation, therefore, can be expected only in a small fraction of a population of in fected host cells. A recent report by Dmochowski et al. ( 17 ) is of a certain interest in this connec tion. The authors describe virus-like structures in human leukemic tissues as well as in cells of such origin cultivated in vitro. Rounded particles of a uniform size in a double-contoured membrane appeared either in cytoplasmic inclusions or extracellularly. A characteristic feature was the sporadic occurrence of this phenomenon. In dis eased tissues large areas showed no reaction at all of this type; in limited areas affected cells were observed in perhaps one out of 30 sections. In tissue cultures 2-12 weeks of culturing and up to ten subcultures were needed to bring out the Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. 736 Cancer Research phenomenon. This observation thus conforms with what could be expected from a virogenic cell population. Needless to say, many other in terpretations are possible. In any event, the technic used was exactly what can be generally recommended for detection of a provirus, i.e., prolonged cultivation of presumably infected cells in vitro. It was already pointed out that prophage at least sometimes confers an easily demonstrable new hereditary property to the host cell, e.g., toxogenic capacity. In cases of suspected virogeny it may therefore be worth while to look for charac teristics distinguishing supposedly infected from normal cells. Tumor biologists have of course paid much attention to the genetic constitution of tumor cells and listed large numbers of charac teristics, distinguishing them from normal tissue cells as well as one tumor from the other, the tendency being to regard each individual tumor as an equivalent of a separate biological species. Such an analysis includes all the innumerable genes stemming from the parent cell from which the tumor took its origin, whereas in the present connection the interest should be centered around one single "gene" that would probably be Vol. 20, June, 1960 host cell, at a rate proportionate to the rate of excess assimilation, was observed. Eagle (19) and others have also shown that certain metab olites may be indispensable for the production of virus. Together these observations suggest cer tain approaches to the study of inapparent in fections in tissue cultures. In a stable system the establishment of an inapparent infection could be expected to cause some changes in growth and metabolism of the tissue. Deinhardt et al. (15) observed that their NDV-carrying culture had a higher rate of res piration but a lower rate of growth than an uninfected culture of the same cell line. In the present writer's laboratory another system is cur rently being studied where the only manifesta tion of a presumed virus infection is a consistent reduction in the metabolic rate of the tissue cul tures. As the "masked" state of infection probably is a function of the ratio virus/host synthesis, it should be possible to affect the manifestations of infection by selective nutritional regimentation. Thus, for unmasking, optimal conditions for virus synthesis should be established, while at the same time the normal metabolic activity of the the same in a large proportion of the various tu cell would have to be restricted. There are al mors observed. In other words, we should look ready many indications that conditions of nutri tion of tissue cultures may have a decisive influ for common, not for distinguishing, characteris ence upon virus yields and incubation periods. tics of tumors. One such common feature of hu man cancers has indeed been reported. Björklund Systematic studies of this problem on inappar(7), using immune cytolysis, and Zilber (96), ently infected cultures should yield much valu able information. using active anaphylaxis as an aid in immuno logie analysis of cancer cells, have found a com C. HOSTRESISTANCE mon antigen in all tumors examined which seems Failure to produce infection after transfer of to be absent in normal tissues. According to virus-containing material to a new host may Björklundet al. (8) the antigen is a phospholiposimply be a failure to infect, accounted for by protein localized to the cell surface. resistance of the intended host organism or host Even with virus in the vegetative phase, con cell. In principle, host resistance may be either tinuously evolving into maturation and being re leased, an infection may remain inapparent, as in constitutional or conditioned. the system described by Puck and Cieciura ( 60 ). 1. It is hardly to be doubted that resistance In that case infected cells could be cloned and and susceptibility to infection may be genetically give rise to infected populations. Whether or not determined. This is true for the macro-organism an infected cell will be able to grow and divide as well as at the cellular level. As examples may probably depends upon the rate at which virus is be mentioned that Gross's agent of mouse leuke being synthesized. In Jacob's (41) elegant ex mia (31) goes in the inbred mouse lines C3H periments on phage it was shown that virus syn and C57BL but not in DBA or the heterozygous thesis had a priority over the synthesis of host Swiss, whereas the reverse is true of Friend's vi material. In bacteria kept on a strict metabolic rus ( 28 ). Hardly any two lines of HeLa cells are regimen only phage was synthesized, if the rate identical with regard to susceptibility to viruses; of assimilation was kept below a certain threshold Puck and Cieciura ( 60 ) described a method for value. With assimilation in excess of what was selection of resistant lines. As illustrated by the needed for virus synthesis at maximum rates, mouse leukemia viruses, resistance and suscepti metabolites and energy for synthesis of host ma bility may be strictly specific and therefore large terial became available; a residual growth of the ly unpredictable characters. For such reasons it Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. GARD—Chemicaland Biological Studies of Viruses is important that a sufficient number of genet ically distinct host organisms be used in tests for unknown viruses. Resistance is seldom absolute; it can often be overcome by massive infection. Papilloma virus in domestic rabbits may serve as an illustration; one ID50 corresponds in this case to about 80 million physical particles (5). Thus, in many sit uations the problem of detection can be reduced to that discussed on page 735 of this section: pos itive results might be obtained, if a sufficient vi rus concentration in the test material can be es tablished. As a particular type of constitutional resistance the examples mentioned on page 731 should be remembered. In those systems—chick embryo or chick tissue culture cells/poliovirus RNA and bacterial protoplasts/osmotically shocked phage —resistance depends upon the barriers against penetration of virus into the cell. If the process can be shunted around these barriers, a manifest infection might follow. 2. A naturally susceptible cell may be condi tioned into resistance by interference with the receptor mechanism. Thus, the lining of the chorioallantoic cavity of the chick embryo ac quires a temporary resistance to influenza virus infection after treatment with receptor destroying enzyme or periodate ( 23, 81 ). In most cases the mechanism of conditioning is less obvious. A possible effect of nutrional factors upon the relative rates of synthesis of virus and host material was discussed in a previous section. Similar mechanisms operating on the macroorganism level might be responsible for changes in resistance observed in connection with avita minosis or amino acid deficiencies. In the present connection the effect of hormones is of special interest. Shwartzman (73, 74), studying poliovirus infection in the hamster, found that corti sone treatment enhanced the susceptibility of the animals, whereas testosterone reduced it. In this case the hormones probably act on the brown fat tissue. Cortisone stimulates the brown fat, the cells grow in size, and assimilation of lipides in creases. Under these conditions virus multiplies in the tissue to high concentration levels. Testos terone has the opposite effect. The analogy to the well known, less well understood conditioning effect of hormonal stimulation in the develop ment of the Bittner tumor in mice is apparent. Another example of growth stimulation as a conditioning factor has been described by Friedewald (27). Methylcholanthrene applied on the rabbit epidermis acts as an irritant, producing proliferation and hyperkeratinization. A skin area 737 so treated may be found as much as 10,000 times more susceptible to papilloma virus infection than is normal skin. In the bacteriophage field, lysogeny is one of the most common and most important causes of resistance to infection. In metazoans immunity after a previous exposure probably plays a great er role. However, inapparent infection can also produce resistance through interference (cf. p. 734). This possibility may be particularly impor tant to keep in mind in a discussion of cancer and viruses. Apparently, some of the known tu mor viruses are widely disseminated, almost ubiq uitous; the animals seem to become infected very soon after birth or maybe already in utero or in ovo; they carry the infection in a clinically inapparent form for considerable periods of time. If the etiology of human cancer is a virus (or viruses), the epidemiology of the disease can hardly be explained without assumption of a similar near ubiquity of the causative agent. Therefore, inapparent infection might be ex pected to be of common occurrence, causing resistance of the macro-organism as well as of cells in tissue culture. In this connection a phenomenon, familiar to most workers handling tissue cultures, assumes special significance. Trypsinized tissue usually grows rapidly during a period of about a week after explantation. Sooner or later growth slows down, and after three to five subcultures the cell population remains stationary or decreases. Some times one or more islands of morphologically changed elements appear in the sheet of cells. This metamorphosis is usually associated with increased growth capacity, and the cells now can be established in permament culture. The mor phology of such cells resembles that of estab lished tumor cells; capacity of giving rise to malignant tumors has been observed; and the immunological character of such cells has been found indistinguishable from that of cancer cells. Obviously, such observations have to be evalu ated with great caution. This is not the place for an exhaustive discussion of the various possible interpretations; it shall only be emphasized that the possibility of an induction of inapparent virus infections should not be neglected. If that is the explanation of the phenomenon, resistance be cause of inapparent infection might make detec tion of tumor viruses by means of tissue cultures difficult, depending upon how widely virus is dis seminated. Dmochowski et al. (17) reported that the agent found in human leukemic tissue pro duced suggestive changes in monkey but not in human tissue culture. Without access to more Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1960 American Association for Cancer Research. 738 Cancer Research detailed data it is difficult to evaluate this piece of information; it may prove to be significant, however. IV. SOME CHEMICAL AND BIOLOGICAL CHARACTERISTICS OF KNOWN TUMOR VIRUSES By a rough classification four groups of tumorinducing viruses may be distinguished, producing papillomas, leukosis, sarcomas, and cancerous tumors, respectively. Each one of these groups contains several members with different host specificities or immunological properties. It must be emphasized, however, that a classification at present can be only tentative, as the true inter relationships between the various tumor viruses are unknown. Only two tumor viruses have been prepared in a sufficiently pure state to permit conclusions concerning their chemical characteristics. Rabbit papilloma virus (10, 45, 65) contains DNA and protein and is synthesized in the cell nucleus. One fowl leukosis virus ( 4 ) was found to contain RNA; the site of replication is apparently in the cytoplasm. The fact that ATPase activity was found to be invariably associated with this virus (55) suggests that virus synthesis takes place in or in the immediate vicinity of mitochondria. Most tumor viruses can be regarded as mod erate. The incubation periods are often remark ably long, and manifestation of the infection sometimes requires some conditioning stimulus. Rous sarcoma virus retains its moderate charac ter in tissue cultures; it does modify the morphol ogy of the host cell (83), but has so far not acquired cytocidal properties on subcultivation. Others, like avian lymphomatosis virus (24, 71) and polyoma virus (79), produce degenerative changes in tissue cultures and may become adapted in the course of serial passages. The viruses so far isolated have a narrow host range in vivo. They may be less specific in tissue cul ture. Polyoma virus is of special interest because of its versatility. It propagates and produces symp toms in several breeds of mice and in hamsters. Large inocula produce degenerative lesions in mice, particularly in the kidneys; otherwise tu mor formation is the main symptom, involving many different organs and tissues ( 78 ). The virus is antigenic, and both neutralizing and CF anti bodies are produced (62, 63). It possesses hemagglutinating capacity (22). With fluorescent antibody, stainable material appears first in the nuclei of infected cells; later a migration to the Vol. 20, June, 1960 cytoplasm occurs, and the nuclei lose the capacity to fix antibody. At this stage the cells begin to show signs of degeneration, and hemagglutinin appears ( 32 ). The similarities with myxovirus in fection are considerable. Early in the course of infection the cells develop resistance to superinfection with vesicular stomatitis virus, often used as an indicator virus in studies on inter ference. Some tumor viruses appear as physical, appar ently mature particles in the interior of the cell— papilloma virus in the nucleus, the milk factor in the cytoplasm ( 16 ). Avian leukosis virus is found in cytoplasmic inclusions (6). No intracellular particles are demonstrable in Rous virus-infected cells; maturation in this case seems to take place at the surface of the cell as in myxovirus infec tions (29). It would appear from this brief summary that tumor viruses by no means form a uniform group. So far there are few indications of any character istics setting them apart from other animal virus es. However, the behavior of Rous virus in tissue culture is somewhat unusual. The infection is apparent, the manifestation being a distinct change in the morphology of the host cell. Virus seems to be continuously synthesized and re leased. Yet the viability of the host cell seems not to be impaired. The strict host specificity of the mouse leukosis viruses is another unusual feature. 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