There are many good reasons why the study of viruses has fascinated life scientists
for more than a century. On the one hand, the relatively simple makeup of most viruses
renders them particularly well tractable by reductionist approaches. Consider, for
example, the simple and beautiful geometry of eicosahedral capsids, the interwoven
and overlapping reading frames of retroviral genomes, or the highly focused strategies
by which oncogenic papova viruses subvert the cell cycle. All of these are examples
of very functional – and yet disarmingly minimalist – aspects of viral life. Typically,
there is no ‘junk DNA’ to deal with; every single nucleotide has a precise raison
d’être, which can thankfully be analyzed in all due detail by forward or reverse genetics.
But there is another aspect of life as a virus that is a source of continuous amazement:
the ‘evil intelligence’ with which viruses exploit the evolutionary drive towards
co-evolution with (or against) their hosts. Most conspicuously in the case of RNA
viruses, co-evolution goes along with elaborate conspiracies aimed at shanghaiing
the molecular machines of their mammalian hosts for the virus’ own benefit.
Besides serving the viruses, this evil intelligence has an upside in that it is exploitable
for studying cellular physiology. The bewildering affinity of viral constituents for
crucial host cell proteins has taught us a great deal about how cells work. Finally,
the virus’s weapons are increasingly being put to fruition for good purposes, as for
example in the case of lentiviral (and possibly spumaviral) vectors for gene transfer
to postmitotic cells.
Of course, the host will attempt to counterstrike in a variety of ways, for example
by deactivating the molecular handles exploited by the virus, or by locking onto the
virus immunologically. Even the present issue of Current Opinion in Microbiology could
be regarded as a higher-order antiviral strategy of the human host. This series of
state-of-the-art reviews on virus–host interactions strives to disseminate virological
knowledge – which in turn may confer a competitive advantage to the human host. The
individual articles have been written by leaders of their respective fields, and represent
a cross-sectional report on the current state of knowledge for a selection of RNA
viruses: foamy viruses, HIV, and the coronavirus responsible for severe acute respiratory
syndrome (SARS). The issue is rounded by a discussion of novel concepts in antiviral
immunity, and by a synopsis of viruses that elicit psychotropic effects in their hosts.
Foamy viruses continue to be quite mysterious beasts. Originally named after the dramatic
cytopathic effects observed on foamy-virus infected cultured cells, they appear to
be highly prevalent in non-human primates. Based on the severe neurodegeneration observed
in transgenic mice expressing human foamy virus (HFV) regulatory proteins [1], many
observers including myself have suspected that HFV may be responsible for neurological
diseases of primates 2., 3.. However, over the ensuing decade it has not been possible
to substantiate this suspicion, and HFV remains a virus in search of a disease [4].
This is – of course – excellent news for the unfortunate zoo technicians who have
contracted HFV infection from monkey bites. Besides, that HFV may not be all that
neuropathogenic after all, enhances the prospects for the proposal presented by Saib
and colleagues that HFV may be used as a vector for gene therapy. Before that prospect
can become reality, many issues will need to be ironed out, not least the fact that
the function of some of the most abundant gene products of HFV continues to be unknown.
As for Human Immunodeficiency Virus (HIV), the situation mirrors in reverse that of
HFV. HIV has developed into one of the most devastating human pandemics of the past
century. Like all retroviruses, HIV cultivates an intricate relationship with its
host. The review by Trkola leads us through the virus’ travel within the host cell,
and discusses progress in understanding each step in the viral life cycle. For all
the research on the functional significance of HIV gene products, large areas remain
nebulous. The biggest mystery, in my opinion, continues to surround the Nef regulatory
factor. Although Nef is indispensable for pathogenicity in vivo
[5], its precise mode of action, its cellular partners, and the relative importance
of the many functions ascribed to Nef, are still elusive.
In a very short period of time since its inception, severe acute respiratory syndrome
(SARS, discussed by Ziebuhr in this issue) provoked a worldwide health scare. In more
than one way, the SARS pandemic epitomizes the new risks arising from the combination
of highly infectious emerging pathogens with the limitless exchange and travel in
the ‘global village’. Alternatively, the SARS epidemic can be viewed as a fantastic
success story of modern infectology. The clinical case definition of SARS was identified
very quickly, mainly because of the heroic commitment of the late Dr. Carlo Urbani
(for an account of Urbani’s remarkable work and untimely death, see http://www.aicu.it/carlourbani.asp).
A wave of panic arose in South East Asia, and the effects for that region were devastating.
The gross domestic product of Taiwan, at the peak of the epidemic, went down to zero
– as 170,000 citizens were isolated in an eventually successful effort to contain
viral spread. The molecular identity of the SARS coronavirus (SARS-CoV) was established
in record time. After some initial problems mainly in South China, the cooperation
between scientists and health authorities worked seamlessly and ensured containment
of the epidemic. The development of antiviral vaccines is arguably among the most
impressive success stories in medicine, and advanced efforts are now underway to produce
effective vaccines against SARS-CoV.
Lipkin and Hornig reflect on virus–host interactions from a different prospective,
and discuss the impact of viral infections on the human mind. That viruses can be
psychotropic is by no means a novel concept: think for example of rabies infection,
which has been known to cause ‘hydrophobia’ since ancient times. The synopsis of Lipkin
and Hornig shows that psychotropic effects may represent the rule rather than an exception
in viral infections. Certain syndromes are undisputed and extremely well documented:
these include the AIDS-dementia syndrome [6] and the devastating and irreversible
hippocampal syndromes brought about by Herpes simplex encephalitis. In other diseases,
the situation is murkier and sometimes just conjectural. It has been speculated many
times that at least some forms of schizophrenia and of major depression may be of
viral origin: the equine Borna Disease Virus (BDV), the molecular definition of which
Ian Lipkin has contributed significantly 7., 8., has surfaced as a candidate pathogen
time and time again. However, incontrovertible evidence is still lacking. The authors
enumerate the evidence in favor and against each of these arguments, and provide some
insight into ongoing (hitherto unpublished) efforts at clarifying some of these possible
pathogenetic links.
The life of viruses can only be understood in the context of their hosts’ reactions
to infection. The most prominent of these reactions is immunity. The traditional view
maintained that immunity occurs in two ways: an adaptive sophisticated, immensely
effective clonal immune response, and an innate, brachial and primitive response that
provides an approximate and barely functional first line of defense. Needless to say,
the discovery of pathogen-associated molecular patterning receptors, such as the rapidly
growing family of Toll-like receptors (TLRs) [9], has significantly altered that perception:
we now know that the innate immune system is much more sophisticated than had been
suspected. The current enthusiasm for TLR immunotherapies (of everything, from pathogens
to cancer) may be excessive: TLR stimulation is a potent double-edged sword, and in
our own experience chronic administration of TLR agonist can be severely counterproductive
[10].
In the final article of this issue of Current Opinion in Microbiology, Recher and
colleagues (all from the renowned laboratory of Rolf Zinkernagel, whose discovery
of the function of histocompatibility antigens in antiviral defense earned him the
Nobel Prize) discuss the functional aspects of humoral immune responses to non-cytopathic
RNA viruses. A delicate equilibrium between viral mutagenesis and the induction of
broadly specific ‘public antibodies’ allows for the development of viral escape variants
– until the viral quasispecies collapses because of replicational error catastrophe.
After describing their elegant analysis of viral–host interplays in the model system
of lymphocytic choriomeningitis virus (LCMV), the authors attempt to draw some enticing
generalizations. It will be particularly challenging to test their contention that
understanding the induction of cross-neutralizing public antibodies will help the
development of HIV vaccines.