Background
Poliomyelitis is a disease caused by infection with the polio virus. Clinical studies have shown that its main symptoms are fever, upper respiratory tract symptoms, and limb pain. Studies have shown that the virus mainly invades the gray matter and white matter of the anterior horn of the human spinal cord and causes permanent damage to the gray matter. This damage can cause flaccid paralysis of the limbs. Some patients develop flaccid neuropathy and are left with permanent paralysis. The disease is preventable and difficult to treat, and once it has caused limb paralysis, it can easily lead to lifelong disability or even life-threatening conditions. Vaccination is the most cost-effective and effective way to prevent and control the spread of the disease. Poliovirus (PV), first discovered in 1909, is a member of the Picornaviridae family and belongs to the Enterovirus C group. It is a crippling virus. PV has a diameter of 25-30 nm. Each of the 60 capsids that make up its capsid or outer layer consists of the virion proteins VP1, VP2, VP3 and VP4, which are organized in an icosahedral pattern. Three serotypes of PV have been recognized: type 1, type 2 and type 3. The PV genome is a 7.4 kb RNA molecule with an open reading frame (ORF) and 5' and 3' untranslated regions (UTRs) of approximately 70 to 740 nt each. The ORF encodes a polyprotein of approximately 2200 residues, which is ultimately converted by viral proteolytic activity into 11 'mature' polypeptides, with some intermediate processing steps acting as discrete functional units. The final four polypeptides (VP1-VP4) correspond to the N-terminus of the polyprotein and are structural components of the viral capsid. The remaining polypeptides are directly or indirectly involved in viral genome replication, polypeptide proteolytic processing and various activities that ensure efficient viral progeny production.
Figure 1. Schematic representation of the capsid and genome of poliovirus. (Sources: Combelas N, et al. 2011)
The only known natural reservoir of PV is humans. The fecal-oral route is the mode of transmission of the disease. After local growth in the tonsils and cervical lymph nodes, PV subsequently spreads to the lymph nodes and small intestine. The virus multiplies in the pharynx and intestines for 1 to 3 weeks. The usual incubation period is 2 to 35 days. The virus is excreted in the feces after 3 to 5 days and can also be recovered from throat swabs of exposed patients. Local immune responses usually prevent the spread of the virus. Therefore, in about 95% of cases, the infection is either asymptomatic or marked by influenza-like symptoms. Gastroenteritis, respiratory tract infections, and influenza-like illnesses can all occur. Antibodies may cause a decline in viremia or may be transferred to the central nervous system (CNS) via the blood. The virus is most fully excreted in the feces 2 to 3 days before and 1 week after the onset of symptoms. In addition, according to published studies, the virus spreads along the afferent nerve pathways of the brain because it has a specific affinity for the cell receptor CD155, which promotes cell entry and attachment. The cytopathic nature of the virus leads to extensive destruction, such as severe damage to the anterior horn cells of the spinal cord, resulting in limb paralysis. Posterior horn cells, thalamic motor neurons, and hypothalamus are potential targets for viral transmission. Brainstem involvement in bulbar poliomyelitis can be fatal. Histological findings of damaged brain cells show vacuolation and infiltration, as well as accumulation of plasma cells, polymorphonuclear neutrophils, and microglia. Axonal degeneration is caused by macrophage phagocytosis of infected cells. Muscle atrophy is widespread, resulting in flaccid paralysis. In severe cases, respiratory paralysis usually leads to death. Post-polio syndrome (PPS) may develop 25 to 30 years after the first episode of paralysis. Progressive muscle atrophy is observed in PPS, most likely as a result of ongoing motor neuron degeneration. Another theory is that abnormal cytokine levels may be caused by the persistence of PV in the brain and spinal cord.
The PV VLP project was initiated by WHO and the University of Leeds in the UK. VLP particles are very similar to viruses, and they do not contain any viral genetic material (the RNA information of PV), so they are not infectious. Natural PV capsid protein does not form stable particles in the absence of RNA, so PV VLP requires transgenic capsid protein and the addition of stabilizing elements. Co-expression of poliovirus P1 capsid protein precursor and 3CD protease in different systems has been shown to effectively produce VLPs that can induce protective antibody responses. At present, the results of preclinical immunogenicity studies of PV VLPs with alum as an adjuvant have become similar or better immunogenicity than IPV in Wistar rats. Currently, due to cost considerations, WHO focuses on yeast and baculovirus as the expression platform for PV VLPs, which are the two expression systems most likely to produce vaccines at low cost.
Alternative Names
Poliovirus VP1
VP1 Capsid Protein
Poliovirus Structural Protein VP1
Poliovirus Capsid Protein VP1
Type 1 Poliovirus VP1
VP1 Major Capsid Protein
Poliovirus Coat Protein VP1
References
- 1. Combelas N, et al. Recombination between poliovirus and coxsackie A viruses of species C: a model of viral genetic plasticity and emergence. Viruses. 2011, 3(8):1460-84.
- 2. Tao Z, et al. Isolation of a recombinant type 3/type 2 poliovirus with a chimeric capsid VP1 from sewage in Shandong, China. Virus Res. 2010, 150(1-2):56-60.
References
The LARP1 La-Module recognizes both ends of TOP mRNAs
RNA BIOLOGY
Authors: Al-Ashtal, Hiba A.; Rubottom, Courtney M.; Leeper, Thomas C.; Berman, Andrea J.
Abstract
La-Related Protein 1 (LARP1) is an RNA-binding protein that regulates the stability and translation of mRNAs encoding the translation machinery, including ribosomal proteins and translation factors. These mRNAs are characterized by a 5?-terminal oligopyrimidine (TOP) motif that coordinates their temporal and stoichiometric expression. While LARP1 represses TOP mRNA translation via the C-terminal DM15 region, the role of the N-terminal La-Module in the recognition and translational regulation of TOP mRNAs remains elusive. Herein we show that the LARP1 La-Module also binds TOP motifs, although in a cap-independent manner. We also demonstrate that it recognizes poly(A) RNA. Further, our data reveal that the LARP1 La-Module can simultaneously engage TOP motifs and poly(A) RNA. These results evoke an intriguing molecular mechanism whereby LARP1 could regulate translation and stabilization of TOP transcripts.
Integration of hexavalent diphtheria, tetanus, acellular pertussis, hepatitis B virus, inactivated poliomyelitis and Haemophilus influenzae type b conjugate vaccine within existing national recommendations following a birth dose of monovalent hepatitis B virus vaccine: results of a systematic review in the Asia Pacific region
EXPERT REVIEW OF VACCINES
Authors: Dolhain, Jan; Janssens, Winnie; Sohn, Woo-Yun; Dindore, Vasundhara; Mukherjee, Piyali
Abstract
Introduction: In Asia Pacific, most countries recommend a monovalent hepatitis B virus (HBV) vaccine dose at birth followed by primary vaccination series including three or four doses of combination vaccines against diphtheria, tetanus, and pertussis, with or without Haemophilus influenzae type b (Hib), HBV or poliomyelitis antigens. If hexavalent conjugate vaccines against diphtheria-tetanus-acellular pertussis-HBV-inactivated poliovirus-Hib (DTPa-HBV-IPV/Hib) replace the vaccines included in the primary vaccination series, co-administration of lower-valent vaccines would be avoided but infants would receive >= 4 doses of HBV-containing vaccines before the age of 2 years. Areas covered: We searched for clinical trials conducted in the South-East Asia and Western Pacific Regions (World Health Organization geographic definition), investigating vaccination regimens with >3 doses of HBV-containing vaccines in infants, including a monovalent HBV vaccine birth dose and >= 1 dose of GSK's hexavalent DTPa-HBV-IPV/Hib vaccine. Expert opinion: The six clinical trials included in this review showed that infants who received the monovalent HBV vaccine at birth and three or four doses of DTPa-HBV-IPV/Hib vaccine achieved protective immunogenic titers with a clinically acceptable safety profile. Our results support the integration of hexavalent DTPa-HBV-IPV/Hib vaccine within existing national recommendations in the Asia Pacific region to reduce the number of injections during infancy.