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J. gen. Virol. (1989), 70, 1391-1400. Printedin Great Britain 1391 Key words: CJD/mouse/incubationperiods/host genetic control Host Genetic Control of Incubation Periods of Creutzfeldt-Jakob Disease in Mice By S H I R O U M O H R I 1. A N D J U N T A T E I S H I 2 1Laboratory Animal Center, Faculty of Medicine and ZDepartment of Neuropathology, Neurological Institute, Faculty of Medicine, Kyushu University 60, Fukuoka 812, Japan (Accepted 13 February 1989) SUMMARY Host genetic control of the incubation period of Creutzfeldt-Jakob disease (CJD) was studied using various inbred strains of mice, including B10 congenic strains. Various incubation periods were found in mice injected either intracerebrally or intraperitoneally with the Fukuoka 1 strain of the CJD agent; NZW/Sea and A/JJms had the shortest, and BI0.AKM/OIa and C57BL/6J the longest, incubation periods. Length of the CJD incubation period did not correlate with the genetic markers tested, i.e. the murine major histocompatibility (H-2) complex (which has previously been reported to be linked to a gene influencing CJD incubation period in mice), coat colour or sex genes. In NZW/Sea × C57BL/6J F 1 hybrid mice the CJD incubation periods were similar to that of the parent with the longest incubation period. Incubation periods of the backcross progeny from F1 and NZW/Sea were intermediate between those of the parental mice and had a unimodal distribution pattern. A similar observation was made on the progeny of the A/JJms x C57BL/6J mating. On the other hand, the length of incubation period for the NZW/Sea x B10. AKM/Ola F1 hybrid fell between those for the two parents and the NZW/Sea x A/JJms F~ hybrid had a significantly longer incubation period than those of the two parents. These results suggest that polygenes probably control the length of the CJD incubation period in mice. INTRODUCTION Creutzfeldt-Jakob disease (CJD) is caused by a slow infectious agent, also referred to as an 'unconventional virus' (Gajdusek, 1977), 'virino' (Dickinson & Outram, 1979), 'prion' (Prusiner, 1982) and by other terms. It has a devastating effect on the central nervous system (CNS), in the absence of any inflammatory response, and the resulting syndrome is similar to that seen in scrapie (Manuelidis et al., 1978). Although the disease often occurs sporadically, an autosomal dominant inheritance has been observed in several families; hence, genetic factors may control susceptibility to CJD (Masters et al., 1981; Asher et al., 1983). It has been reported that the susceptive gene for CJD might be linked to that of the human leukocyte antigen (HLA) DQw3 (Kuroda et al., 1985). The susceptibility of different strains of mice to CJD and/or scrapie has been determined by measuring the incubation period. Three genes that influence the incubation period have been identified. First, Dickinson et al. (1968) identified a single autosomal gene designated Sinc (scrapie incubation) and postulated the existence of two alleles only. Subsequently, VM mice were found to possess the prolonged incubation allele p7 and other strains such as C57BL/6 mice had the short incubation s7 allele. Secondly, Pid-1 (prion incubation determinant) which had a significant influence on the incubation period for the experimental mouse CJD model (Fukuoka 1 strain) is linked to the H-2 complex on chromosome 17, corresponding to HLA in humans (Kingsbury et al., 1983). The q allele at the D subregion of H-2 coded for shorter incubation periods whereas the d allele coded for longer ones. Thirdly, a single gene, Prn-i (prion 0000-8757 © 1989 SGM Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Thu, 04 May 2017 04:50:28 1392 s. MOHRI AND J. TATEISHI incubation), with a profound effect on the incubation period of scruple was identified in mice after injection of the Chandler scrapie agent (Carlson et al., 1986). A study on the correlation between the murine prion protein sequence and length of scrapie incubation period suggested that the Prn-i gene was linked to or congruent with the murine prion protein gene (Prn-p) which encoded the prion protein. These genes from the prion gene complex were located on chromosome 2 (Sparkes et al., 1986). Studies of the nucleotide sequence of the Prn-p gene of inbred mouse strains revealed substitutions at codons 108 and 189 (Westaway et al., 1987). On scruple infection, N Z W , C57BL/6J and m a n y other inbred strains of mice having the same amino acids at codons 108 and 189, Prn-p ~, had short incubation periods, whereas I/Ln, IM, P/J and BDP/J mice that have one or two substitutions at codons 108 and 189, Prn-p b, had longer incubation periods. Recently, it has been shown that the Sinc and Prn-p genes are linked and could even be the same gene (Hunter et al., 1987). However, differences in incubation period have been observed in mouse strains of the same Sinc s7 and/or Prn-p ~ genotype (Outram, 1976; Kingsbury et al., 1983; Westaway et al., 1987). This suggests the presence of another factor that influences the incubation period of scrapie and CJD in mice. We investigated the susceptibility of different strains of inbred mice, including B 10 congenic strains, to CJD infection by measuring incubation periods. To determine the genetic basis for control of the incubation period, we compared various crosses and backcrosses between the inbred strains. The evidence obtained suggests that additional genes, albeit perhaps minor ones, probably influence the incubation period of C J D in mice. METHODS Animals. Inbred strains of B10 congenic B10.AKM/OIa mice were provided by Dr K. Moriwaki, National Institute of Genetics, Mishima, Japan and B10.A/SgSnSlc, B10.BR/SgSnSIc and B10.D2/nSnSlc mice were obtained from Shizuoka Laboratory Animal Center, Hamamatsu, Japan. B10.A(3R)/Jms, A.AL/Jms and A/JJms mice were provided by Dr K. Sudoh, Laboratory Animal Research Center, Institute of Medical Science, University of Tokyo, Japan and SJL/N and C57BL/6J mice were from Dr K. Esaki, Central Institute for Experimental Animals, Kawasaki, Japan. BALB/cSea, DBA/1JSea, DBA/2Sea, NZB/Sea and NZW/Sea mice were obtained from Seiwa Experimental Animals, Yoshitomi, Japan, and SWR/J were from the Jackson Laboratory, Bar Harbor, Me., U.S.A. Mice were maintained in rooms with a controlled temperature (23 to 27 °C) and humidity (55 to 65 %), with a 12 h on and 12 h off cycleof artificial light. Food and water were given ad libitum. The mice were bred and kept under specific pathogen-flee conditions, either in barrier systems or in isolators. Test crosses. Reciprocal first filial (F1) hybrid progenies from mating of various inbred strains were used, as follows: NZW/Sea x C57BL/6J Fl, A/JJms x C57BL/6J F1, NZW/Sea x B10.AKM/Ola F 1 and NZW/Sea x A/JJms F1. The following backcrosses were also used: (NZW/Sea x C57BL/6J F1) x C57BL/6J, (NZW/Sea x C57BL/6J F1) x NZW/Sea, (A/JJms x C57BL/6J Fi) x C57BL/6J and (A/JJms x C57BL/6J F1) x A/JJms. All these crosses and backcrosses were done in our laboratory. CJD agent. The CJD agent strain Fukuoka 1, isolated from the brain of a patient with CJD (Tateishi et al., 1979), was used. The mouse brain inoculum was obtained from B10. D2/nSnSlc mice with advanced clinical CJD. The brains were homogenized in phosphate-buffered saline and centrifuged at 2000g for 10 rain. The titre of the inoculum was 10TM LDs0 NZW/Sea mouse intracerebral (i.c.) wet weight units/g, as determined by endpoint titration, using the method of K/irber (1931). The 1~ (w/v) supernatant was stored at - 70 °C until use. Twenty p.1 of the inoculum was injected into the right parietal lobe in the case of the i.c. route, and 50 pl was injected in the case of the intraperitoneal (i.p.) route, as described by Mohri et al. (1987). Measurement of incubationperiods. Mice were examined two or three times a week for the clinical assessment of CJD, as described in Results. The mice were anaesthetized with ether and decapitated when they were in a poor condition or exhibited severe clinical signs of CJD. Incubation periods were calculated as the number of days between inoculation and death. Pathology. To confirm the diagnosis of CJD, the brains were immediately removed and placed in 10~ formalin. Paraffin sections (6 ~tm) of these tissues were stained with haematoxylin and eosin. Statistics. Student's paired t-test was used to determine the statistical significance of results. RESULTS Clinical signs of C J D in mice began with uncoordinated movements, ruffled fur, arched back, generalized tremor, tail rigidity, slow righting reflex and bradykinesia followed by ataxia and Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Thu, 04 May 2017 04:50:28 Host control o f CJD in mice 1393 paraplegia in the hind legs. The disorders progressed rapidly and the mice died within 2 to 4 weeks after the onset of the illness (Mohri et al., 1987). The signs were much the same in each strain. Some SJL/N mice were sensitive to sound and touch stimulation and staggered while running in the cage. Histopathology showed a severe spongy state and proliferation of astrocytes in the white matter of the cerebrum, especially in the brain stem, cerebellum, internal capsule and ports. The grey matter of the cerebral cortex, thalamus and brain stem was involved to a milder or lesser degree, as reported by Tateishi et al. (1980). The histopathological profiles were essentially the same in all mice, though spongiform change tended to be more severe after i.c. inoculation in those strains (NZW/Sea, A/JJms and DBA/1JSea) having shorter incubation periods. No intrinsic male/female differences in the CJD incubation period were seen in any strain, after i.c. or i.p. inoculation (data not shown). Table 1 shows the mean incubation periods of each strain after i.c. injection, ranked from short to long. In order to search for genes influencing the incubation period in mouse CJD, we recorded coat colour and H-2 haplotypes as the marker loci of each strain of mice. Table 2 shows the same data for i.p. inoculated mice. The incubation period of CJD differed between the various strains from 124 days in NZW/Sea mice to 186 days in B10. AKM/Ola mice after i.c. inoculation and from 243 days in A/JJms mice to 355 days in NZB/Sea mice after i.p. inoculation. Incubation periods for NZW/Sea and A/JJms mice were significantly shorter than those for other strains. In contrast, the C57BL/6J, B10.A/SgSnSIc and B10.AKM/Ola mice had significantly longer incubation periods. Ranking of the incubation periods in i.p. injected mice almost totally corresponded to that for i.c. injected mice, SWR/J and NZB/Sea being exceptions. Mice with the b allele of the coat colour gene tended to have shorter incubation periods than those with the B allele. Thus, locus b of the coat colour gene on chromosome 4 could modify the incubation period. Similarly, the c allele on chromosome 7 appeared to result in shorter incubation periods than the C allele after i.p. injection but not always in the case of i.c. injection. These observations provide additional evidence that loci b and c of the coat colour genes did not influence the CJD incubation period in the backcross mice, as shown in Table 3. No positive correlation between incubation period and the H-2 locus on chromosome 17 was evident in inbred strains of mice (Tables 1 and 2). In congenic strains of B10 mice, no differences in incubation period between the q allele (B 10. AKM/Ola mice) and the d allele (B 10. A/SgSnSlc) in the D subregion were observed (Table 4). A significant difference, however, was seen between BI0.A(3R)/Jms and B10.A/SgSnSIc, with the same d allele. These observations suggest that the D subregion of the H-2 complex does not play a significant role in controlling the length of the incubation period. The mean length and distribution of incubation periods in progeny from the crosses and/or backcrosses are shown in Fig. 1 and 2. Reciprocal crosses and backcrosses of maternal and paternal strains represented mixed groups; there were no significant differences in incubation periods between the progeny of reciprocal matings, e.g. of the NZW/Sea x C57BL/6J F1 mice, the progeny of the NZW/Sea mother and the C57BL/6J mother had mean incubation periods of 163 and 168 days, respectively. This phenomenon was common in other combinations of strains (data not shown). In the F~ hybrid mice from the NZW/Sea × C57BL/6J mating and those backcrossed with C57BL/6J, the mean incubation periods were 166 and 175 days, respectively (Fig. 1c and d). The length and unimodal pattern of the incubation periods were similar to those of C57BL/6J mice, 173 days (Fig. 1 b). On the other hand, the Fx backcross to NZW/Sea had an incubation period, 155 days (Fig. 1 e), intermediate between those of the two parental mice, 124 days and 173 days, respectively (Fig. 1a and b). The pattern of distribution was unimodal. Lengths and distribution patterns of the incubation periods (Fig. 1 h to j) of the F1 hybrid and backcross mice from mating A/JJms x C57BL/6J were similar to those from NZW/Sea x C57BL/6J. Similar results were obtained with i.c. or i.p. routes of inoculation for A/JJms, C57BL/6J and their F~ hybrid offspring, though the distribution of the incubation periods varied widely for i.p. but not i.c. inoculated mice (Fig. 2g to i). Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Thu, 04 May 2017 04:50:28 1394 S. MOHRI A N D J. T A T E I S H I 0 A d, 0 g •= . ~ "go ta~ < < ~ < ~ << ~ , ~ ~ < ¢,l=I "" ca 0 ",7, . ¢~ .~ 0 ~, +, +, +, +, 7, ¥, ¥, ~, +, +, +, 7, ¥, ~, ea - +l~ ,Ill ++ 6 Z ta "It .t-- +4- Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Thu, 04 May 2017 04:50:28 Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Thu, 04 May 2017 04:50:28 20 21 8 20 13 14 18 21 19 20 17 21 17 19 6 No. 243 255 263 268 276 285 291 291 291 294 302 319 323 329 355 + 14 + 17 + 19 __ 18 + 22 + 26 + 17 + 20 + 26 + 18 + 15 + 31 + 18 + 19 + 39 Incubation (days)]" aa AA AA aa AA AA aa aa aa aa aa aa aa aa aa bb bb BB bb bb BB BB bb bb BB BB BB BB BB BB cc cc cc cc cc cc CC CC CC CC CC CC CC CC CC Coat colour gene r x ~ k u q k d s b q d d k b k k d r K k u q k d s b q d d k b k k d Aa k u q k d s b q d d k b k k d Aft k u q k d s b q d d k b k k d Eft A q k d S q k d S k q d d k b k k d q k d S b q d d k b k k d d q d d k b d k d Z d k U 11 S k Ec~ J H-2 subregion CJD incubation periods in inbred strains of mice following i.p. inoculation * Strains linked by vertical lines do not differ significantly in incubation period by Student's t-test (P > o.ool). ~"Incubation period (mean + S.D.) following i.p. inoculation. A/JJms NZW/Sea SWR/J A. A L / J m s BALB/cSea SJL/N BIOA(3R)/Jms DBA/IJSea DBA/2Sea B10. D2/nSnSlc B 10. BR/SgSnSIc C57BL/6J B 10. A/SgSnSlc B10. AKM/Ola NZB/Sea Strain* T a b l e 2. d q d d k b d q d S q d d Z d D ~. ~. ~ 1396 S. M O H R I A N D J. T A T E I S H I (b) 173-+ 13**J b (g) 173_+ 13.* (c) 166 ~ ll**,t .~ n=43 ] (h~ 173 -+ 9** / I 10 1 0 ~ n 42 155 -+ 10"** (e) 150 I (/') 200 Incubation period (days) 158 + 12"** 150 200 Fig. 1. Distribution and mean values of incubation periods of CJD agent-infected mice. Parts (a) to (e) show the parental strains NZW/Sea (a) and C57BL/6J (b), their F1 hybrid (c) and the progeny of backcrosses with C57BL/6J and NZW/Sea (d and e) respectively. Parts (f) to (j) show the parental strains A/JJms (f) and C57BL/6J (g), their F 1 hybrid (h) and the progeny of backcrosses with C57BL/6J and A/JJms (i and j) respectively. The mean incubation periods are given in days + S.D.; n indicates the total number of mice of each strain examined. There are statistically significant (P < 0.001) differences between results with different symbols (,, **, *** or t, f~f). P values were determined using Student's ttest. Parts (b) and (g) show that one mouse died at 131 days post-infection with very slight spongiform changes. The F 1 hybrid mice from the NZW/Sea x B10. AKM/Ola mating had a short incubation period, 168 days, compared with 186 days in B10. AKM/Ola mice (Fig. 2a to c). The incubation period in the NZW/Sea x A/JJms F1, 147 days, was longer than that of either of the two parents, 124 days and 129 clays respectively (Fig. 2d to f ) . DISCUSSION We obtained evidence for a wide variation in the length of the incubation period of CJD among different inbred strains of mice. Wider ranges of the incubation periods following i.p. inoculation compared to i.e. inoculation were observed not only with the CJD Fukuoka 1 strain but also with other CJD strains isolated in our laboratory. In inbred strains of mice, the broad variation and continuum of incubation periods was similar to that reported by Kingsbury et al. (1983) for i.e. inoculated mice. They observed that N Z W mice had the shortest incubation Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Thu, 04 May 2017 04:50:28 1397 Host control of CJD in mice ~(d) 8~ 124 ~_ I I I I I I I (g) I I I I I 243 ± 14" n~21 lO illi.• I (b) E 186 ± 12"*n=21 10 n=13 E Z I J. I I t I I I I I I I I I I I I I I I I I I I I (i) 168 ± l l * * * _ n=17 I I 319 ± 31"* n=21 (h) I - (c) i 307 ± 28** n=29 10 I 150 200 100 i_-m_milil, 250 150 Incubation period (days) ,~ 300 , 350 Fig. 2. Distribution and m e a n values of incubation periods of C J D agent-infected mice. (a to c) Parental strains N Z W / S e a (a) and B 1 0 . A K M / O l a (b), and their F1 hybrid (c), following i.c. inoculation). (d to f ) Parental strains N Z W / S e a (d) and A / J J m s (e), and their F1 hybrid (f) following i.c. inoculation. (g to 0 Parental strains A / J J m s (g) and C57BL/6J (h), and their F 1 hybrid (/), following i.p. inoculation. See Table 1 for statistical details. T a b l e 3. CJD incubation periods and coat colours in the progeny from (NZW/Sea × C57BL/6J) F1 × NZW/Sea matings Mouse no. Sex Incubation (days)* Coat colour Genotypet 7922 7923 7940 M M M M M M F F F F F M M M F M M M M F F M F F F M M 143 143 148 148 148 148 148 148 153 153 153 153 153 153 155 159 159 159 159 159 159 162 167 167 167 174 185 Albino Agouti Agouti Agouti Agouti Agouti Cinnamon Albino Agouti Agouti Albino Albino Albino Albino Albino Albino Albino Cinnamon Cinnamon Agouti Albino Albino Agouti Cinnamon Albino Agouti Agouti .... A- BA- BA- BA- BA- BA- bb .... A- BA- B.... .... .... .... .... .... .... A- bb A- bb A- B.... .... A- BA- bb .... A- BA- B- 7941 7942 7943 7944 7945 7957 7958 7959 7960 7961 7962 7979 7984 7985 7986 7987 7988 7989 8010 8014 8015 8016 8060 8095 * All mice were inoculated i.c. I" A hyphen indicates an u n k n o w n gene. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Thu, 04 May 2017 04:50:28 cc CCC- CC- Ccc CC- cc cc cc cc cc cc cc CCC- cc cc CCcc CC- t 1398 S. M O H R I AND J. TATEISHI Table 4. CJD incubation periods in BIO congenic strains o f mice H-2 subregion )k Strain* BI0.D2/nSnSIc B10.A(3R)/Jms B10.BR/SgSnSIc B10.A/SgSnSlc B10.AKM/OIa BI0.A(3R)/Jms B10.D2/nSnSlc B10.BR/SgSnSlc B10.A/SgSnSlc B10.AKM/Ola Route No. Incubation(days)t I( Aa A/~ E/~ J E~ S I~ i.c. i.e. i.c. i.c. i.c. i.p. i.p. i.p. i.p. i.p. 30 14 16 21 21 18 20 17 17 19 160 + 6 165 + 7 168 + 4 174 + 10 186 + 12 291 + 17 294 +__18 302 + 15 323 + 18 329 + 19 d b k k k b d k k k d b k k k b d k k k d b k k k b d k k k d b k k k b d k k k d b k k k b d k k k d k k k k k d k k k d d k d k d d k d k d d k d q d d k d q * Strains linked by vertical lines do not differ significantlyin incubation period by Student's t-test (P > 0.001). t Incubation period (mean + S.D.). period for scrapie and that C57BL/6J mice infected with scrapie or the CJD agent had a longer incubation period. Similar results for CJD were obtained in our study but we observed that B 10. AKM/Ola mice had the longest incubation period after i.c. or i.p. inoculation in contrast to Kingsbury et al. (1983) who found this strain to have the shortest incubation period. This disagreement may relate to mutation or cloning of the CJD agent (Fukuoka 1 strain) during passage in B10. D2/nSnSlc mice rather than in BALB/c mice (Kingsbury et al., 1983). It is clear that mutation of scrapie strains is not rare (Bruce & Dickinson, 1987; Kimberlin et al., 1987). In addition, mutations occurring within mouse genes would contribute to changes in the control of the incubation period of CJD. The D subregion of the-H-2 complex was identified as a control element in determining the length of the CJD, Fukuoka 1, incubation period by Kingsbury et al. (1983), who noted that in experimental CJD in mice, the q allele in the D subregion was associated with short incubation periods while the d allele related to long incubation periods. However, in our studies on the relationship between incubation period and H-2 haplotypes, there was no positive correlation. It should be stressed that the H-2 complex has no apparent influence on the incubation period of CJD, as noted with scrapie in mice (Bruce & Dickinson, 1985; Carlson et al., 1986). In both F1 progenies from the N Z W / S e a x C57BL/6J cross and those from the A/JJms × C57BL/6J cross, the incubation periods were virtually identical to those of the parent with the longest incubation period. This suggests that the C57BL/6J genes which code for a long incubation period are dominant over those of NZW/Sea and A/JJms which code for a short incubation. This finding is in keeping with data in reports on human familial cases of CJD (Masters et al., 1981) and host genotypes related to the scrapie incubation period (Dickinson & Meikle, 1971; Kingsbury et al., 1983; Carlson et al., 1986). However, the mean length of incubation period for NZW/Sea × B10. AKM/OIa F1 fell between those for the two parents. It appears that the B 10. AKM/Ola genes coding for a long incubation period show no dominance. These different results lead to speculation on the host gene action in controlling the incubation period. If a single gene had been implicated in host control it would be possible to propose a pleiotropic or quantitative effect. In those cases where the inheritance is polygenetic, the gene products may act at various stages during the incubation period as agent-binding receptors, factors active in agent replication, spread of infection, developing clinical disease and so on. However, in the NZW/Sea x A/JJms F1 hybrids derived from two short incubation period strains, the incubation period was significantly longer than those of either parent. This phenomenon, considered as 'hybrid vigour', was recognized in scrapie-infected mice (Dickinson, 1975; Bruce & Dickinson, 1985) and was termed 'overdominance'. The genetic basis of the differences in incubation period between the various inbred strains of mice has only been partially clarified by backcrossing experiments (Fig. 1). If only one gene with two alleles had been involved, a bimodal distribution of incubation periods would be expected in Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Thu, 04 May 2017 04:50:28 Host control o f CJD in mice 1399 these backcross groups, yet there was no evidence of this. Thus, there are probably polygenetic factors capable of influencing the length of the CJD incubation period in mice. Since all strains surveyed here with the short incubation period are Sinc s7 and/or Prn-p a (Dickinson & Meikle, 1971; Carlson et al., 1986; Hunter et al., 1987; Westaway et al., 1987), the related genes are probably minor ones. The relatively large differences in CJD incubation period between mouse strains and the result of backcross progeny tests suggest that multifactorial host genes are involved in the pathogenesis of CJD. It remains to be seen whether these genes are dependent on the Sinc and/or Prn-p genes and whether they are dependent on the combination of mouse genotype and agent stain as has been noted for scrapie (Dickinson & Fraser, 1977; Bruce & Dickinson, 1979; Carp et al., 1987). Further investigations on experimental CJD in mice using specific inbred strains such as I/Ln and on the properties of some CJD agents isolated from patients with CJD and GerstmannStriiussler syndrome (Tateishi et al., 1987) are under way, and are expected to show relationships between these genes and the prion gene complex. We thank Dr A. T a k e n a k a and Dr S. H a n d a for advice and encouragement, Miss K. H a t a n a k a and Miss C. K a n e k o for excellent technical assistance, and Mr S. 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