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© 2004 Nature Publishing Group http://www.nature.com/natureimmunology REVIEW Intrinsic immunity: a front-line defense against viral attack Paul D Bieniasz In addition to the conventional innate and acquired immune responses, complex organisms have evolved an array of dominant, constitutively expressed genes that suppress or prevent viral infections. Two major cellular defenses against infection by retroviruses are the Fv1 and TRIM5 class of inhibitors that target incoming retroviral capsids and the APOBEC3 class of cytidine deaminases that hypermutate and destabilize retroviral genomes. Additional, less well characterized activities also inhibit viral replication. Here, the present understanding of these ‘intrinsic’ immune mechanisms is reviewed and their role in protection from retroviral infection is discussed. Evolution has equipped complex organisms with an array of tools to suppress the replication of the viruses that parasitize them. The conventional innate and acquired immune systems are very effective at reducing the burden of viral disease, but their most important weakness is that that they work only in a responsive way. Thus, in a naive host, a signal-dependent mobilization of antiviral effectors is required. This response is triggered only by recognition of an already replicating virus. Indeed, the effectiveness of adaptive immunity is dependent on a considerable degree of immunological ‘education’. Obviously, this takes time. Meanwhile, the viral invader can disseminate and sometimes irreversibly colonize the host. Innate immunity provides antiviral defenses that can be deployed more rapidly, sometimes within hours, but the mobilization of most innate immune effectors generally requires not only recognition of the presence of an unwelcome visitor but also some intracellular and/or intercellular signaling event (such as, for example, interferon release and induction of an antiviral state) that occurs in response to viral replication that is already in progress. A collection of activities that fall outside the conventional definitions of the innate and adaptive immune systems but nevertheless provide potent protection from viral infection is called ‘intrinsic immunity’ in this review. Some of the entities responsible for these activities are called ‘restriction factors’ and for the most part are constitutively expressed inhibitors of viral replication. Although such activities could, in principle, be upregulated in response to infection, their activity does not require any virus-triggered signaling or intercellular communication. These activities might be considered to comprise the front line of host defense against viral infection because they are active and, in some instances, most effective in the context of the very first virus-cell interaction that Aaron Diamond AIDS Research Center, New York, New York 10016, USA. Correspondence should be addressed to P.D.B. ([email protected]). Published online 20 October 2004; doi:10.1038/ni1125 NATURE IMMUNOLOGY VOLUME 5 NUMBER 11 NOVEMBER 2004 heralds the transmission of a virus to an immunologically naive host. Therefore, a characteristic of intrinsic immunity is that it is active in many cells cultured in the laboratory. Indeed, whereas the in vitro cellular tropism of viruses is generally thought of as being defined mainly by variation in certain host cell molecules required for virus replication, similar variation in restriction factors is an almost equally important tropism determinant. In fact, differential cell tropism has been the main tool that has been used to identify and characterize the components of intrinsic immunity discussed herein. Perhaps because they are the most widely studied viruses, or perhaps because evolution has singled them out as uniquely attractive targets, much of what is known about intrinsic immunity stems from studies on retroviruses. Although several decades have passed since the first descriptions of a specific and constitutive antiviral activity resulting from the expression of a cellular gene, the study of restriction factors can be reasonably described as being in its infancy. At present, it barely receives mention in most virology texts and it is unknown how many activities exist and how many viruses are targeted. It may be that the present knowledge of intrinsic immunity represents only a small fraction of its true complexity. Immunity by turning retroviruses against themselves The simplest forms of what could be called intrinsic immunity are special cases of viral interference, which arise because retroviral genomes are inherited like cellular genes when they infect germline cells. The ability to express ‘endogenous’ viral proteins in either intact or defective forms can sometimes induce resistance to infection by related exogenous retroviruses. A classical example of interference among exogenous retroviruses occurs when cellular receptors become blocked and/or downregulated as a consequence of retroviral infection and expression of viral envelope proteins1,2. Therefore, when an organism carries an endogenous retrovirus, its cells can, in effect, synthesize their own exquisitely specific and 1109 © 2004 Nature Publishing Group http://www.nature.com/natureimmunology REVIEW effective viral entry inhibitor and become resistant to infection by other retroviruses that use the blocked receptor. Although no examples of such a phenomenon are known in humans, inherited and expressed retroviral envelope genes exist in mice3 and can indeed provide robust protection against pathogenic exogenous retroviruses. Defective viral proteins that function as components of multimeric viral protein complexes can also provide resistance by forming inactive heteromultimers with replication-competent exogenous virus-derived counterparts. For example, at least one of the 20 or so endogenous Jaagsiekte sheep retrovirus loci encodes a defective variant Gag protein that potently blocks the assembly of it replication competent and pathogenic ‘cousin’4. Thus, viral proteins encoded by the host genome can be highly efficacious and specific inhibitors of viral replication by competing with or sequestering exogenous viral proteins. Fv1: The prototype restriction factor The idea that cellular genes could encode constitutive inhibitors of retroviral replication had its origin in genetic studies of laboratory mice. These experiments, which began in the late 1960s, led to the discovery of heritable traits that governed susceptibility to leukemia induced by the Friend strain of murine leukemia virus (MLV)5,6. Such traits were dubbed Friend virus susceptibility (Fv) genes, and two (Fv1 and Fv4) were of special interest because they showed a dominant, single locus pattern of inheritance, and cultured cells from mice containing them were resistant to infection by FriendMLV7–11. Fv4 was shown to encode a retroviral envelope protein, and to block infection by the aforementioned receptor interference mechanism, but peculiar characteristics of Fv1-induced resistance suggested that it would be unique and interesting. Fv1-mediated resistance to MLV infection in vitro was partial, but resulted in a considerable decrease in the frequency of leukemias in mice carrying restricted virus strains12,13. Two major allelic variants of Fv1, called Fv1n and Fv1b, were shown to exist in laboratory mice and to permit or restrict infection by specific classes of MLV strains10,11. Thus, N-tropic MLV strains (N-MLV) efficiently infected cells from mice that were Fv1n/n but not those from mice that were Fv1b/b, whereas B-tropic strains (B-MLV) showed the opposite phenotype. A third class of commonly used MLV strains, called NB-tropic, resisted the effects of both Fv1n and Fv1b (ref. 10). Other Fv1 alleles with distinguishable specificities, as well as null alleles, were also shown to exist in laboratory and wild mice11,14. Curious features of Fv1-induced resistance included the finding that the viral determinants for N and B tropism could be mapped to residue 110 of the capsid protein (CA110)15,16. In addition, MLV titration curves on resistant cells fit a ‘two-hit’ model whereby the frequency of infection was proportional to the square of the inoculating virus dose17–20. Thus, the inhibition of a particular virus particle could be abrogated by prior or simultaneous infection by other virus particles. Abrogating particles did not themselves need to be infectious21,22, but they did need to be derived from a restricted virus strain. These data indicated that Fv1 encoded a unique inhibitor that targeted the incoming viral capsid but could be saturated and overwhelmed by simultaneous challenge by multiple virion particles. The later discovery that Fv1 was derived from a retrovirus Gag gene23 and shared about 60% homology with hundreds of copies of a particular endogenous retrovirus family found in many mammals suggested that it worked in a way that was akin to viral interference. Thus, the capsid-like Fv1 protein could potentially mimic, and thereby bind to, individual CA molecules of the incoming 1110 MLV capsid in the same way that CA monomers multimerize. However, although the precise mechanism by which Fv1 blocks infection is still unknown, this model seems flawed because, other than being of retroviral origin, Fv1 is unrelated to MLV Gag23. Moreover, the amino acid (CA110) that governs Fv1n and Fv1b sensitivity in MLV capsid probably resides on the outside of the intact viral capsid and not in determinants predicted to make CACA contacts24,25. Conversely, the residues that differ between Fv1n and Fv1b, and therefore determine restriction specificity, reside toward the C terminus of the protein26,27. Thus, whereas Fv1 probably had its genesis as an endogenous retrovirus, it seems to have been appropriated by the cell and to have acquired a completely new and unexpected activity. Fv1-like activities targeting multiple retroviruses For many years, the existence of Fv1-type inhibitors of retrovirus infection was thought to be unique to the mouse. However, related activities were subsequently found to be very widespread in mammals. Indeed, cells from several mammalian species, including humans, acted as if they were Fv1b/b in that they specifically resisted N-MLV infection28. In humans, the supposed inhibitor was referred to as Ref1 (for restriction factor 1) and the same capsid residue (CA110) that controlled sensitivity to Fv1 also controlled sensitivity to Ref1 (ref. 28). Paradoxically, the availability of the cloned Fv1 enabled the demonstration that no genes very closely related to Fv1 were present in any mammalian species except mice23 and inspection of the human genome has shown no intact Fv1-like endogenous retrovirus Gag sequences that seemed likely to be responsible for an Fv1-like activity. It also became clear that lentiviruses, including human immunodeficiency virus 1 (HIV-1), could be subject to similar restrictions29–32. Inhibitors of lentivirus infection were shown to be saturable by incoming virions and to target determinants in the lentiviral capsid29,33,34. Because of these similarities to Fv1 restriction, the inhibitors presumed to be responsible for capsid-specific lentivirus inhibition were called Lv1 (lentivirus susceptibility factor 1)29, and their presence partly explained why HIV-1 could not replicate efficiently in nonhuman primates cells34. Moreover, the saturable property of Lv1 and Ref1 was exploited to indicate that each was capable of inhibiting multiple retroviruses that shared little sequence homology35, although it was unclear whether Lv1 and Ref1 were different entities or were species-specific variants of the same factor. A rhesus monkey–derived cDNA that has several of the properties expected of Lv1 has been identified36. The cDNA confers strong resistance to HIV-1 but not to simian immunodeficiency virus isolated from rhesus monkeys and encodes the ‘alpha’ spliced variant of tripartite interaction motif 5 (TRIM5α). Depletion of TRIM5α from rhesus cells using small interfering RNA substantially increases their sensitivity to HIV-1 infection, and the CA protein is the determinant that governs HIV-1 susceptibility to inhibition by TRIM5α36. TRIM5 is one of a large family of proteins whose Nterminal domains contain RING, B-box and coiled-coil motifs (the TRIM domain), linked to a variable C-terminal domain, which in the case of TRIM5α is a B30.2 or SPRY domain37. Characterization of TRIM5α from other species suggests that it has a general function in defense against retroviral infection (Fig. 1). Indeed, whereas human TRIM5α lacks the ability to strongly inhibit HIV-1, both human and nonhuman primate variants of TRIM5α seem capable of blocking infection by other retroviruses. For example, the human form of TRIM5α is the inhibitor previously referred to as Ref1 (refs. 38–40). The African green monkey TRIM5α protein is VOLUME 5 NUMBER 11 NOVEMBER 2004 NATURE IMMUNOLOGY © 2004 Nature Publishing Group http://www.nature.com/natureimmunology REVIEW particularly impressive in that it has the ability to inhibit at least four highly divergent retroviruses, and this ‘broad spectrum’ of inhibition explains the previously described cross-saturation phenomena35,38. Conversely, a rather unique form of TRIM5 exists in owl monkeys, a New World primate41. In this species, a remarkable retrotransposition event has resulted in the insertion of a cyclophilin A (CypA) pseudogene into the TRIM5 locus and the expression of a TRIM5-CypA fusion protein. Because HIV-1 CA is thus far unique among retroviral CA proteins in its ability to bind CypA, this finding explains why owl monkey cells specifically resist HIV-1 infection and that restriction in that species requires the CypA binding activity of HIV-1 CA42. Moreover, it also suggests that the C-terminal domain of TRIM5α might be responsible for restriction specificity, although other sequences in the TRIM domain of TRIM5α are also required for inhibition of infection36. At present, little is known of the molecular details by which Fv1 and TRIM5α actually prevent retrovirus infection. While Fv1 and TRIM5α probably bind directly to incoming retroviral capsids, this has not yet been formally proven, despite attempts in several laboratories to demonstrate Fv1-MLV capsid interaction. Difficulties arise most likely because it is not easy to configure in vitro binding assays that precisely recapitulate the capsid structure that forms during virion maturation43,44, is delivered to the target cell cytoplasm during infection and is thought to be recognized by these factors. Nonetheless, it may be easier to demonstrate capsid-binding activity for TRIM5α and it seems almost inescapable that TRIM5-CypA will bind HIV-1 capsid, as CypA itself has this activity45. Thus, Fv1, TRIM5α and TRIM5-CypA are intracellular neutralizing factors that recognize and probably bind to incoming retroviral capsids. At present, however, it is unclear whether the capsid–restriction factor–binding event itself is sufficient for restriction. Potentially, this could be the case with the restriction factor interfering with some essential capsid–host factor interaction, accelerating or retarding capsid disassembly or trapping the capsid such that it cannot traffic appropriately within the cell cytoplasm. Both TRIM5α and Fv1 seem to be multimeric37,46, and polyvalent interactions between restriction factor and capsid could plausibly have substantial effects on disassembly and/or trafficking. Alternatively, restriction could involve recruitment of additional factors that lead to the destruction of the retroviral core. In the case of TRIM5α, there are hints that the ubiquitination system might be brought to bear on incoming viral capsids: TRIM5α contains a RING domain whose mutation reduces restriction activity36, and ubiquitin conjugation activity has been demonstrated for an alternatively spliced TRIM5 variant47. It may be that TRIM5 ubiquitin ligase activity can explain earlier observations that proteasome inhibitors can increase HIV-1 infectivity and the stability of nascent reverse transcripts48,49. In addition, given the involvement of ubiquitin in transmembrane protein trafficking50, TRIM5α-mediated ubiquitination could target retroviral capsids to the lysosomal lumen, although incoming retroviral capsids are not thought to be membrane bound. At present, all of these models are very speculative, and given the apparently different subcellular localization of TRIM5α and Fv1 (refs. 37,46) and the fact that TRIM5α prevents the accumulation of reverse transcripts whereas Fv1 does not36,51, it would seem that there are at least subtle differences in restriction mechanism or timing (Fig. 1). It is surprising, therefore, that at Fv1 activity seems, at least when it is expressed in human cells, to be dependent on TRIM5α39. Clearly, much remains to be learned about what actually occurs when Fv1 or TRIM5α blocks infection by an incoming retrovirus. Cytidine deamination as an antiretroviral defense A second major cellular antiretroviral activity does not prevent the cell from becoming infected but is intended to ensure that the viral progeny of that infection are ‘poisoned’. The realization that cytidine deaminases are potent intrinsic inhibitors of retrovirus replication arose from studies of the HIV-1 virion infectivity factor (Vif) protein. For some years, it was known that the requirement for Vif during HIV-1 replication was governed by host factors: some cell lines, called ‘permissive’, were able to support infection by Vif-deleted HIV-1 strains, whereas others, called ‘nonpermissive’, could not52. The nonpermissive phenotype was shown to be dominant in heterokaryons53,54 and defined by the cell in which the virus was assembled, rather than its target52. This finding provoked the search for gene products that could imprint a noninfectious phenotype on HIV-1 virions assembled in otherwise permissive cells. This search yielded APOBEC3G, a homolog of the known cytidine deaminases55 Other enzymes in this class include APOBEC1 (apolipoprotein editing complex 1), which edits apolipoprotein B mRNA in a highly site-specific way and activation-induced cytidine deaminase (AID), which edits DNA at the immunoglobulin locus to promote antibody diversification. APOBEC3G is incorporated into HIV-1 particles and cytidine deamination reactions ensue during reverse transcription in the subsequent generation of target cells56–59 (Fig. 2). Because APOBEC3G specifically deaminates single stranded DNA, the minus strand of nascent viral DNA, which is synthesized first, is targeted primarily60. Cytidine deamination yields uracil, and this can have one of two consequences: First, a U residue on the minusstrand template is replicated to an A residue on the plus strand so the net effect of cytidine deamination event is a G-to-A mutation (Fig. 2). However, the mutation is only established if the viral DNA survives; uracil-containing DNA is a target for uracil NATURE IMMUNOLOGY VOLUME 5 NUMBER 11 NOVEMBER 2004 1111 Figure 1 Capsid-specific restriction factors. After entry into the cytoplasm, retroviral capsids can be recognized and infection blocked by one of many factors. Fv1 is unique to the mouse and blocks infection by MLV only, in an Fv1 allele– and MLV strain–specific way. TRIM5α, which is present in most primates, can block infection by a range of retroviruses including N-tropic MLV, equine infectious anemia virus (EIAV), simian immunodeficiency virus (SIV) and HIV-1. The precise spectrum of TRIM5α antiretroviral activity depends on its species of origin. A unique form of TRIM5 exists in owl monkeys, due to transposition of a CypA pseudogene, and the resulting fusion protein inhibits HIV-1 because of the latter’s CypA binding activity. © 2004 Nature Publishing Group http://www.nature.com/natureimmunology REVIEW Figure 2 Inhibition of retroviral replication by cytidine deamination and its restoration by lentivirus Vif proteins. APOBEC3G and/or APOBEC3F cytidine deaminases can be incorporated into retroviral particles by virtue of interactions with viral nucleic acid and/or protein components. Thereafter, cytidine deamination on the nascent minus-strand DNA (inset) ultimately results in G-to-A hypermutation of the plus strand. APOBEC3G and APOBEC3F preferentially mutate GG and GA dinucleotides, respectively, although this preference is not absolute. Uracilcontaining DNA is predictably less stable, and hypermutated DNA may encode defective viral proteins. To counteract this antiviral activity, lentivirus Vif proteins recruit the Cul5–elongin B –elongin C–Rbx1 ubiquitin ligase complex to APOBEC3G or APOBEC3F in the virus-producing cell, resulting in its polyubiquitination and degradation by proteasomes. DNA-glycosylase (UDG). Its action leaves an abasic site, which is predictably a target for specific endonucleases. In fact, several reports have documented the incorporation of UDG into HIV-1 particles through interactions with the virion proteins Vpr and/or integrase61–64. Although the Vpr mutations that abolish its interaction with UDG also apparently modulate the frequency with which mutations arise in the HIV-1 genome65, whether this occurs as a consequence of virion encapsidated UDG action on APOBECmodified viral DNA is yet to be established. Nonetheless, the overall consequence of APOBEC3G incorporation into HIV-1 virions is the subsequent generation of viral DNA that is hypermutated and has impaired stability. In general, APOBEC3G-mediated hypermutation should be fatal, depending on the number and position of deamination events within a viral genome, and may be especially so because of APOBEC3G’s target site specificity; GG dinucleotides are preferred56–59. Thus, any tryptophan codon (TGG) that is targeted becomes a stop codon, a mutation that would usually be lethal to a retrovirus. There have been several gene duplication events at the APOBEC locus in primates66, such that primates have several APOBEC3 genes while mice have only one, and at least one of the additional genes, APOBEC3F, that is closely related to APOBEC3G is expressed in lymphocytes and encodes a cytidine deaminase that has very potent antiretroviral activity67–70. APOBEC3F has a subtle, but perhaps important, target site preference for hypermutation (GA rather than GG). Because GAto-AA substitution would less frequently result in the formation of new stop codons, it is possible that APOBEC3F might be less potently lethal to the virus than APOBEC3G. In the true manner of an ‘arms race’ between virus and host, lentiviruses have acquired a unique way of counteracting APOBEC restriction. The HIV-1 Vif protein simultaneously binds to APOBEC3G and to the Cul5–elongin B–elongin C–Rbx1 ubiquitin ligase complex and, as a result, APOBEC3G becomes polyubiquitinated and degraded by proteasomes71–75 (Fig. 2). Additional mechanisms have been proposed for Vif ’s activity76,77, but the fact that dominant negative mutants of Cul5 abolish the effect of Vif indicates that these contribute 1112 in relatively minor ways to Vif function71. APOBEC3F is also degraded as a consequence of Vif expression, although it seems slightly less Vifsensitive than does APOBEC3G67,70. Even when Vif is present, G-to-A substitutions are unusually frequent, suggesting that APOBEC3G or APBOBEC3F degradation is incomplete. Thus, some level of APOBECmediated mutation is probably tolerated and might even be even encouraged by lentiviruses to generate diversity in the face of an evolving array of antiviral acquired immunity. The fact that circulating lentivirus genomes are relatively adenosine rich is probably because they bear the ‘scars’ of both APOBEC3G and APOBEC3F action67,69,70. Other factors, other viruses and intrinsic immunity In principle, DNA-specific, cytoplasmic cytidine deaminases such as APOBEC3G and APOBEC3F might target any virus whose life cycle includes cytoplasmic DNA replication (such as, for example, poxviruses and hepadnaviruses). However, although APOBEC3G can inhibit the amplification of hepatitis B virus replicons in culture, this is not due to its DNA-editing activity78. At present, the relevance of this finding to natural hepatitis B virus infection is somewhat unclear because APOBEC3G is not expressed in the healthy liver. Nonetheless, it is possible that hepatitis could induce APOBEC3G and/or APOBEC3F expression. Some strains of hepatitis B virus apparently carry specific G-to-A changes that affect pathogenesis79, and it is possible that cytidine deamination could be responsible for such changes. Intuitively, it would seem somewhat more troublesome for cells to make use of cytidine deamination as a constitutive defense against DNA viruses whose genome replicates in the nucleus; this would likely lead to hypermutation of cellular DNA and cell death or transformation. However, the death of a few virus-infected cells is not necessarily catastrophic for the organism as a whole, and findings suggest that the expression of the nuclear cytidine deaminase AID is induced in B cells after infection by the RNA virus hepatitis C virus80. Thus, AID or other nuclear cytidine deaminases could in principle be components of responsive innate immunity and induce both cell and viral death in response to infection. VOLUME 5 NUMBER 11 NOVEMBER 2004 NATURE IMMUNOLOGY © 2004 Nature Publishing Group http://www.nature.com/natureimmunology REVIEW Viruses that replicate exclusively using RNA genomes and intermediates are likely to be troublesome targets for cytidine deaminases, because their genomes replicate in an environment that contains a complex mixture of cellular RNAs. Thus, an RNA-specific antiviral cytidine deaminase would probably require a substantial degree of sequence specificity, which immediately provides opportunities for viral escape. Nonetheless, if specificity could be established simply by confining editing activity to viral particles or replication sites, rather than by targeting sequence-specific sites in viral genomes, then an effective antiviral strategy could result. Indeed, certain cytidine deaminases do seem capable of causing C-to-T changes in retroviral genomes through editing of RNA, perhaps in virion particles81. The genomes of certain viruses seem to be the target of another previously unknown host defense factor that likely recognizes RNA: zinc-finger antiviral protein inhibits the accumulation of cytoplasmic RNA for some retroviruses and alphaviruses and, in the case of alphaviruses, is capable of very large decreases in viral yield82,83. Its mechanism of action may be related to that of the tristetraprolin-like proteins that it resembles, which induce the degradation of cytokine mRNAs by binding to AU-rich sequences in their 3′ untranslated regions and recruiting them to the exosome. How zinc-finger antiviral protein distinguishes viral from cellular RNAs is not yet known. The existence of yet another intrinsic immune mechanism has been suggested; namely inhibition of virus assembly or release84. The viral Vpu protein is required for the efficient release of HIV-1 from certain cell lines but not others85–87, and fusion of cells that do or do not require the presence of Vpu for efficient virus release results in the formation of heterokaryons that show the Vpu-dependent virus release phenotype84. This observation indicates the existence of a dominant inhibitor of HIV-1 release that is counteracted by Vpu. Moreover, because Vpu can facilitate the release of many divergent retroviruses85, then the presumed release inhibitor must have a unique mechanism of action that targets virus release in a rather general way, but what the inhibitor is and how it works are completely unknown at present. Intrinsic immunity and prevention of viral disease As can be gleaned from the discussion above, there is a very rapidly expanding literature describing a broad array of previously unknown cellular activities that are capable of inhibiting viral replication in vitro. Are these factor important in protection from viral diseases? Using retroviruses as an example, it might be thought somewhat unlikely. Retroviruses replicate and mutate at a far higher frequency than their hosts, and just as it seems rather trivial for HIV-1 to evolve resistance to antiretroviral drugs (at least when applied one at a time), then cellular inhibitors of retrovirus replication that target a specific step in the retroviral life cycle should be readily escaped. Indeed, the propensity of retroviruses such as HIV-1 to generate huge numbers of mutants means that even adaptive immunity seems to have only limited effectiveness in the context of a chronic infection. One way for intrinsic immunity to be more effective than might be otherwise predicted is by evolving multiple ways to attack. As has been learned using chemotherapeutic approaches to treat infectious agents or tumors, multiple attacks are almost always better than one. Thus, cells may have evolved, in effect, TRIM- and APOBEC-based ‘combination therapy’. Both of the main TRIM- and APOBEC-based inhibitors of retroviruses are members of multigene families that have elaborated during mammalian evolution37,66. There are dozens of TRIM genes in mammalian genomes, many of which express alternatively spliced mRNAs, and both TRIM1 and TRIM19 (also known as promyelocytic leukemia protein) have some antiretroviral activity against MLV and HIV-1, respectively88,89. Arsenic treatment of cells, which is known to disrupt promyelocytic leukemia protein, often enhances retrovirus infection88,90, and although this activity was originally thought to be mediated through TRIM19 (ref. 88), the apparent sensitivity of TRIM5 to arsenic39 means that perhaps additional TRIM proteins might be the target through which arsenic enhances retroviral infection. How extensive and frequent antiviral activity is among TRIM proteins remains to be determined, but it is possible that the potent antiretroviral activity showed by TRIM5α reflects a general antiviral function of the TRIM gene family, and clearly it would be more difficult for a retrovirus to escape a concerted attack on its capsid by multiple different TRIM proteins. The sensitivity of APOBEC3G to Vif proteins is governed by one (or a few) APOBEC amino acid(s) that differ(s) between APOBEC3G and APOBEC3F91–94. Thus, to be truly effective, a Vif protein must counter two different targets. Although HIV-1 Vif has apparently been able to adapt to suppress the antiviral activity of both APOBEC3G and APOBEC3F, perhaps it would not have been able to do so if at the same time viral replication were suppressed by an inhibitory TRIM protein. The idea that intrinsic immunity is most effective in the context of multiple attacks on a single virus is no less important than in considerations of conventional immunity and chemotherapy. To further increase its effectiveness, intrinsic immunity may target viral components or steps in the viral life cycle that are not amenable to the generation of escape mutants. If one considers how a virus would escape an inhibitor that recognizes and binds to one of its components, the simplest escape would be to acquire mutations in the inhibitor-binding site. For example, escape from APOBEC3G or APOBEC3F could involve the acquisition of mutations that cause a failure to incorporate them into viral particles. However, in this example it seems that APOBEC3G incorporation into retroviral particles is not a very specific process and may require only nonspecific RNA95–99. Because it would be impossible for retroviruses to replicate in the absence of packaged RNA, then escape from the antiviral affects of APOBEC3G should be very difficult indeed. Nonspecific virion incorporation might explain why lentiviruses have taken the very demanding evolutionary step of acquiring a new gene whose sole purpose seems to be to remove APOBEC3G and APOBEC3F from the virus-producing cell. It is unclear how retroviruses that lack Vif genes escape the inhibitory cytidine deaminases, but it may be less simple than avoiding cells in which they are expressed69,100. The idea of somewhat ‘relaxed’ specificity may also be important in the context of TRIM5-based restriction. Each of the TRIM5α variants tested thus far is capable of inhibiting retroviruses with very little sequence homology. However, the monomeric CA protein structures and the multimeric hexagonal lattice configurations that they adopt in the context of a viral capsid are probably conserved among retroviruses25. Thus, it is reasonable to suppose that these ‘shapes’ might be important determinants of recognition, with large interaction surfaces between inhibitor and capsid, rather than short peptide motifs. In such a scenario, escape from the inhibitor might be very difficult. A parallel is the rather broad specificity with which Toll-like receptors recognize their ligands and trigger innate immune responses101; in this case, a rather small number of invariant receptors can provide defense against a rather large number of pathogens by recognizing ‘patterns’ rather than highly specific antigens. Nonetheless, in the case of TRIM5α escape is clearly possible, because retroviruses from a given species are not strongly restricted by TRIM5α variants expressed by the same species. For HIV-1 in humans, there is evidence that HIV-1 capsid evolved CypA-binding activity as a viral defense against capsid-specific restriction factors42, although whether human TRIM5α imposed this requirement is not clear at present. NATURE IMMUNOLOGY VOLUME 5 NUMBER 11 NOVEMBER 2004 1113 © 2004 Nature Publishing Group http://www.nature.com/natureimmunology REVIEW Based on the species-specific effects of some restriction factors, it is reasonable to suppose that they might evolve specifically to protect from zoonotic infections, in some cases. Clearly, TRIM5α and APOBE3G tend to be more effective suppressors of retroviruses from heterologous species36,38–40,77,89. One can only speculate, for example, how many times retroviruses attempted to colonize human populations only to be thwarted by one or both of these factors. Alternatively, restriction factor ‘mutants’ in a host population could be selected because they acquire resistance to retroviruses that are endemic to their contemporaries that express inactive ‘wildtype’ restriction factors. In principle, a selective advantage conferred to the host by restriction factor mutation could ultimately lead to extinction of a given retrovirus within a species (our genomes carry ample evidence of extinct retroviruses). Thus, our view of the role of intrinsic immunity in protection from viral attack should not be colored by the fact that in most cases, we probably study instances in which it has failed. HIV-1 in humans, for example, seems largely resistant to the effects of both human TRIM5α and APOBEC3G. Thus, the modern forms of these factors may have been evolved to tackle viruses that they now rarely or never encounter, rather than those that now circulate. In fact, it is unclear whether human TRIM5α, APOBEC3G and/or APOBEC3F provide any disease-ameliorating effects at all against retroviruses that now threaten human health. Concluding remarks The study of restriction factors and intrinsic immunity to viruses has substantially increased in prominence recently. The replication of all viruses, but perhaps that of retroviruses in particular, is intimately tied to cellular processes. Probably because of this there has been a tendency to view any negative regulator of a cellular process that is used by viruses as a ‘restriction factor’. Whereas some degree of negative regulation of cellular processes may indeed have evolved to suppress viral infections, cells almost certainly did not evolve negative regulation simply to combat viruses, and caution should be exercised before a negative regulator is dubbed a restriction factor. For the identified factors described here, there is reasonable indication, based on viral specificity or on the existence of viral ‘countermeasures’, that certain cellular proteins have evolved primarily or exclusively to combat viral infection. Nonetheless, the evolution of viruses and their hosts are inextricably intertwined, and studies of intrinsic immunity have uncovered new and interesting dimensions in the complex and ongoing battle between viruses and their hosts. Perhaps we are just beginning to understand how cells defend themselves against viruses. ACKNOWLEDGMENTS I thank T. Hatziioannou for comments on the manuscript; and B. Cullen, M. Malim and M. Palmarini for sharing manuscripts before publication. Supported by the National Institutes of Health, the American Foundation for AIDS Research, GlaxoSmithKline. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 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