Generation of Pigs Resistant to Highly Pathogenic-Porcine Reproductive and Respiratory Syndrome Virus through Gene Editing of CD163.

Porcine reproductive and respiratory syndrome (PRRS) is a highly contagious disease and the most economically important disease of the swine industry worldwide. Highly pathogenic-PRRS virus (HP-PRRSV) is a variant of PRRSV, which caused high morbidity and mortality. Scavenger receptor CD163, which contains nine scavenger receptor cysteine-rich (SRCR) domains, is a key entry mediator for PRRSV. A previous study demonstrated that SRCR domain 5 (SRCR5), encoded by exon 7, was essential for PRRSV infection in vitro. Here, we substituted exon 7 of porcine CD163 with the corresponding exon of human CD163-like 1 (hCD163L1) using a CRISPR/Cas9 system combined with a donor vector. In CD163Mut/Mut pigs, modifying CD163 gene had no adverse effects on hemoglobin-haptoglobin (Hb-Hp) complex clearance or erythroblast growth. In vitro infection experiments showed that the CD163 mutant strongly inhibited HP-PRRSV replication by inhibiting virus uncoating and genome release. Compared to wild-type (WT) pigs in vivo, HP-PRRSV-infected CD163Mut/Mut pigs showed a substantially decreased viral load in blood and relief from PRRSV-induced fever. While all WT pigs were dead, there of four CD163Mut/Mut pigs survived and recovered at the termination of the experiment. Our data demonstrated that modifying CD163 remarkably inhibited PRRSV replication and protected pigs from HP-PRRSV infection, thus establishing a good foundation for breeding PRRSV-resistant pigs via gene editing technology.

Introduction

Porcine reproductive and respiratory syndrome (PRRS) is a highly contagious disease and the most economically important disease of the swine industry worldwide 1, 2. PRRSV infection results in severe reproductive failure in gilts and respiratory disease in pigs of all ages and further complicates polymicrobial disease syndromes such as porcine circovirus-associated disease 3. PRRSV is a positive, single-stranded RNA virus belonging to family Arteriviridae, order Nidovirales 4. When infected by PRRSV, the pig host becomes immunologically inhibited and shows a much-delayed production of neutralizing antibodies against PRRSV 5, 6. PRRSV is highly prone to mutation, and thus, it is one of the most difficult viruses to control in pig production using traditional approaches 7, 8. In 2006, a highly pathogenic-PRRSV (HP-PRRSV) variant severely affected the swine industry of China and neighboring countries with a mortality rate of 20-100 %9, 10.

In recent years, genetically modification technology has been widely used for anti-PRRSV research and has made good progress 11-14. Based on previous studies, we focused on the process of PRRSV entry. Three cellular factors, heparan sulfate (HS) 15, CD163 16 and CD169 17, have been identified as having PRRSV entry mediator activity. In a general model for cell entry, after binding to HS, PRRSV is internalized via CD169-mediated endocytosis and is uncoated by CD163 in the endosome, which subsequently releases the viral genome into the cytoplasm 18. However, HS molecules and CD169 are not strictly required for PRRSV to infect pigs 19. Pigs with defective CD163 were resistant to PRRSV 20, showing that CD163 is the most important receptor.

CD163 is a macrophage differentiation antigen belonging to a membrane protein in the scavenger receptor cysteine-rich (SRCR) family 21. CD163 was first described as an endocytic receptor that binds a complex of hemoglobin (Hb) and a plasma protein haptoglobin (Hp) 22, and further study demonstrated that the amino-terminal third of the SRCR region in CD163 was crucial for this interaction 23. CD163 was also found to function as an erythroblast adhesion receptor in erythroblastic islands and interact with its ligand via its SRCR domain 2 24, 25. SRCR domain deletion and replacement experiments revealed that SRCR domain 5 (SRCR5) of porcine CD163 (pCD163) was essential for PRRSV infection 26. Replacing CD163 SRCR5 with the corresponding domain of human CD163L1 (hCD163L1) resulted in a loss of infectivity, and thus, it may be more advantageous to delete or modify only domain 5 than to delete the whole CD163 gene. Here, we report the efficient generation of biallelic exon replacement pigs using the CRISPR/Cas9 system combined with a donor vector. In this study, our data demonstrated that modifying CD163 remarkably inhibited PRRSV replication in vitro and in vivo. These findings suggest that modifying CD163 may provide a potential strategy for anti-PRRSV therapies.

Results

Generation and characterization of pigs with CD163-biallelic modification

To replace endogenous CD163 SRCR5 with the corresponding domain of hCD163L1, we constructed a pX330-501 vector and a donor vector. pX330-501 vector was designed to target exon 7 of CD163. T7 endonuclease 1 (T7E1) analysis of PCR products demonstrated that pX330-501 efficiently mutated the endogenous CD163 site in porcine fetal fibroblasts. The circular donor vector containing exon 11 of hCD163L1, part of pCD163 intron 6, a drug-selectable marker flanked by two loxP sites and two homologous arms was used as a template to repair a double-strand break by homologous recombination (Fig. ). The pX330-501 plasmid (1 μg/µl) was pooled with the linearized donor vector (1 μg/µl) and transfected into porcine fetal fibroblasts.

To detect targeting events, three pairs of primers were used (Fig. ). The amplified fragment (primers: CD7tF, CD7tR) was either exon 7 of pCD163 or exon 11 of hCD163L1, and we distinguished between the two fragments using restriction endonuclease (BbsI) reaction, such that exon 11 of hCD163L1, but not exon 7 of pCD163, could be digested by BbsI. The second amplified fragment (primers: 39F, 40R) was the right arm, while the third (primers: 43F, 44R) was the left arm and the drug-selectable marker (Fig. ). Interestingly, the PCR product (CD7tF, CD7R) of colony #5 was almost completely digested by BbsI, suggesting a potential biallelic modification. We tested the five potential off-target sites in colony #5. Sanger sequencing analysis of PCR products showed that colony #5 lacked off-target mutations (Fig. ) and thus was used as a nuclear donor for somatic cell cloning. A total of 4 cloned pigs were born, and the same detection strategy used to characterize cell colonies was performed. The results confirmed that all cloned pigs were positive for the CD163 mutant. Moreover, Sanger sequencing of the PCR products (CD7tF, CD7R) and Southern blotting indicated that the pigs were all biallelic modified (submitted for publication). Through the second batch of cell colony screening and somatic cell nuclear transfer (SCNT), we additionally created 11 biallelic modified CD163 piglets.

Expression of CD163 and CD169 in PAMs from CD163pigs

CD163 and CD169 play a pivotal role in virion entry. Thus, we examined the expression level of CD163 and CD169 in porcine alveolar macrophages (PAMs) using fluorescence-activated cell sorting (FACS). PAMs were collected by lung lavage, stained for surface expression of CD163 (clone EDHu-1) and CD169 (clone 3B11/11). As shown in Fig. , in PAMs from CD163 pigs, the surface expression of CD163 was reduced compared to the WT PAMs, ranging from slightly detectable CD163 to a moderate level. However, CD169 expression levels were similar for both WT and CD163 pigs, and thus, the modified CD163 gene did not alter the expression of the PRRSV coreceptor CD169 (Fig. ).

CD163 gene modification does not affect red blood cell counts or circulating haptoglobin levels

As an erythroblast adhesion receptor, CD163 is responsible for promoting erythroblast growth and survival. Thus, pigs were subjected to routine blood examinations to determine whether the CD163 modification influenced its function as an erythroblast adhesion receptor. Blood samples were collected from WT and CD163 pigs at four weeks of age. As shown in Fig. , there was no significant difference in the blood hematocrit level, red blood cell count or mean corpuscular volume between the WT and CD163 groups. In addition, CD163 has been described to function as an Hb-Hp complex scavenger receptor. Upon release into circulation, free Hb binds to the plasma glycoprotein Hp, leading to exposure of an epitope that then interacts with the third SRCR domain of CD163. Hb-Hp complexes are internalized to early endosomes and degraded. Hp levels in sera from WT and CD163 pigs were measured at four weeks of age, and results showed that there was no significant difference in Hp levels between the WT and CD163 groups (Fig. ). All these data demonstrated that the overall functional state of CD163 macrophages remained normal.

CD163 PAMs are remarkably resistant to HP-PRRSV infection

To investigate whether CD163 modification can inhibit PRRSV replication, CD163 and WT PAMs were infected with HP-PRRSV strain JXwn06 at several MOIs (0.005, 0.025, 0.1, 0.25 and 2.0). As expected, WT PAMs developed the cytopathic effect (CPE) after infection. However, in CD163 PAMs, no CPE was induced by JXwn06 at any MOI tested (Figure ). At 36 h after infection, culture supernatants and infected cells were collected. As shown in Fig. , the viral titers of the CD163 group were lower than those of the WT group, showing a statistically significant difference. Additionally, compared to viral gene expression in WT PAMs, expression in CD163 PAMs was significantly reduced (Fig. ).

We next analyzed the virus-resistance activity at different time points after infection. CD163 and WT PAMs were seeded into 6-well plates and infected with the HP-PRRSV strain JXwn06 (MOI=0.1). At 0, 12, 24, 36 and 48 hpi, culture supernatants were measured by means of TCID50, and viral gene expression was analyzed by qPCR. Compared with WT PAMs, CD163 modification resulted in 100 to nearly 10000-fold reduction in virus yield during replication (12-48 hpi) (Fig. ). Consistent with viral titers, CD163 modification resulted in over 1000-fold reduction in the ORF7 gene expression of JXwn06 strain (Fig. ). To further confirm the effect of viral replication inhibition, we examined the expression of PRRSV GP5 and N (nucleocapsid) protein by Western blotting and immunofluorescence assay, respectively. As shown in Fig. , compared to the control groups, PRRSV GP5 and N (Green) protein were not detected in CD163 PAMs.

To investigate whether CD163 PAMs were resistant to infection with another HP-PRRSV strain, viral infections with the HP-PRRSV WUH3 strain were also performed. Results of viral gene expression and viral titers were similar to those obtained with JXwn06 infection (Fig.). Taken together, these data suggested that CD163 PAMs were remarkably resistant to HP-PRRSV infection.

CD163 gene modification inhibits PRRSV replication but has no effect on PRRSV binding or internalization

To further explore how the CD163 gene modification influences PRRSV infection, we first determined whether the mutant CD163 protein affects cell entry by PRRSV. Exploiting the fact that PRRSV can be stained with SDOW17-FITC, the process of PRRSV entry into PAMs was visualized by confocal microscopy. After PAMs were incubated with PRRSV at 37°C for 60 min, conditions under which viral attachment and internalization were reached, PAMs were stained with SDOW17-FITC and observed under the microscope. As expected, PRRSV virions bound as normal and were internalized by CD163 PAMs, confirming that modification of the CD163 gene has no effect on viral entry into the cells (Fig. . Then, cells were incubated with PRRSV at 37°C for 5, 7, 9, 11, 13 and 48 h to allow viral internalization and replication. CD163 PAMs exhibited an obvious inhibitory effect on PRRSV replication, showing no viral replication in cells until 48 hpi (Fig. . Taken together, these data suggest that the CD163 gene modification inhibits PRRSV replication but has no effect on PRRSV binding and internalization.

CD163 modification significantly inhibits PRRSV replication in pigs

Finally, to investigate whether CD163 mutant-mediated inhibition of PRRSV replication can be repeated in pigs, we tested the resistance of cloned CD163 pigs to HP-PRRSV infection by intramuscular injection. We chose 4 cloned CD163 pigs from the F0 generation and 6 WT pigs of the same age for the in vivo challenge experiments. After acclimation, pigs were infected with the HP-PRRSV strain JXA1 at 106.5 TCID50 per animal and followed for 21 days after infection.

It is well known that HP-PRRSV strain infection is characterized by high fever and high mortality in pigs. Therefore, we recorded daily clinical signs, including rectal temperature, overall body condition and respiratory signs, of each pig until death. As shown in Fig. , all challenged pigs exhibited a high fever (over 40°C) from 3 days post-infection (dpi), but two CD163 pigs (#8 and #9) recovered after 13 dpi. As expected, all WT pigs showed typical signs of PRRSV infection and weight loss (Fig. ). Clinical scores of the CD163 group were lower than the scores of the WT group. Specifically, pigs #8 and #9 showed mild clinical signs over the entire study period. The body weights of the two piglets were notably increased after infection (Fig. ). Because of a considerable difference between #8#9 pigs and #10#12 pigs in the CD163 group, the above data were analyzed separately.

PRRSV viremia during the study period was measured by TCID50 assay. These results showed that the mean viremia for WT pigs steadily increased until the pigs died. In the CD163 group (n=4), viremia was transient, reaching a peak at 7 dpi and rapidly declining thereafter. At the termination of the study (21 dpi), viremia in the CD163 pigs declined to negative levels (Fig. ). Notably, when died, the relative PRRSV RNA expression in the lungs of challenged CD163 pigs was significantly lower than that in the lungs of challenged WT pigs (P<0.001) (Fig. ). Challenged WT pigs showed a 0% survival rate, and three of four CD163 pigs survived to the end of the study (21 dpi) (Fig. ). Moreover, these three CD163 pigs recovered from the illness before euthanasia. Macroscopic lesions and hematoxylin/eosin (HE) staining of major tissues revealed that WT pigs had a severely abnormal pathology compared to CD163 pigs, which had no evidence of pathologic changes (Fig. ). Using immunohistochemical staining with an antibody specific to PRRSV, we found that a high percentage of positive viral protein signal could be observed in the tissues of WT pigs but not in CD163 pigs (Fig. ).

Discussion

In this study, we successfully generated pigs in which the endogenous CD163 exon 7 was substituted with the corresponding exon of hCD163L1. Routine blood examinations and ELISA for Hp demonstrated that the overall functional state of CD163 macrophages remained normal. In vitro infection experiments demonstrated that CD163 PAMs were remarkably resistant to HP-PRRSV infection.. In vivo challenge experiments showed that the CD163 mutant protected pigs from HP-PRRSV infection. This study suggested that gene editing-mediated modification of key factors could play an important role in inhibiting PRRSV replication and could be used as a therapeutic tool for treating viral diseases.

Previous studies demonstrated that CD163 and CD169 were receptors for PRRSV. The efficacy of PRRSV infection in susceptible cells was significantly decreased after the receptor molecules were blocked by antibodies 27. Thus, depletion of these receptor genes through genetic modification is an attractive approach for inhibiting PRRSV infection in pigs. A previous study demonstrated that CD169pigs followed the same clinical disease course and PRRSV viremia as WT pigs. However, pigs with defective CD163 were resistant to PRRSV 20. As a scavenger receptor, the biological role of CD163 mainly involves clearance of Hb and potential anti-inflammatory activity 22. CD163 protein consists of nine SRCR class B domains. Previous studies demonstrated that the SRCR domain 3 of CD163 is the critical determinant for the clearing of the Hb-Hp complexes 23. In addition, CD163 also functions as an erythroblast adhesion receptor, in which the SRCR domain 2 of CD163 displays specific erythroblast binding 24, 25. Thus, it may be more advantageous to delete or modify only domain 5, which is essential for PRRSV infection, than to delete the entire CD163 gene. Here, we generated pigs carrying biallelic modified CD163 using the CRISPR/Cas9 system combined with a circular donor vector. Challenge experiment results demonstrated that modification of CD163 remarkably inhibited PRRSV replication and had no effect on the biological role of CD163.

The in vitro infection experiments in the present study demonstrated that modification of CD163 gene remarkably inhibited PRRSV replication in PAMs. We further demonstrated that the virus-resistance effect was sustained and stable at several MOIs. In the entry process, HS and CD169 on PAMs contribute to the attachment and internalization of PRRSV virions. Subsequently, CD163 promotes uncoating and release of the viral genome from early endosomes into the cytoplasm. After PAMs were incubated with PRRSV at 37°C for 60 min, immunofluorescence showed that PRRSV virions could bind to and be internalized by CD163 PAMs. Longer incubation and observation showed that the PRRSV virions could not replicate after internalization. Consistent with previous studies, the modified CD163 gene inhibited PRRSV replication but had no effect on PRRSV binding and internalization.

Although CD163 pigs showed a transient fever and viremia after infection, we didn't detect respiratory signs, lung pathology and viral load in the lungs of CD163 pigs. These evidences demonstrated that these pigs were resistant against HP-PRRSV infection, especially pigs #8 and #9. Over the entire study period, pigs #8 and #9 showed mild clinical signs. The body weights of the two piglets were notably increased after infection. In addition, the PRRSV RNA relative expression in the lungs of the four cloned pigs was significantly lower than that in the lungs of challenged WT pigs (P<0.001). Fifteen days after infection, all six pigs in the WT group died, showing a 0% survival rate. However, in the CD163 group, only pig #10 died at 16 dpi, and the other three pigs (#8 #9 and #12) survived to the termination of the study. Although pig #10 did not survive, the PRRSV RNA relative expression in its lung showed that it effectively repressed PRRSV infection compared to the WT pigs. In the CD163 group, the virus-resistance effect in pigs #10 and #12 was weaker than that in pigs #8 and #9. Interestingly, the same cell colony was used to generate these four pigs. Considering that pigs #8 #9 were littermates and pigs #10 #12 were littermates in the F0 generation, we speculated that the weak virus-resistance effect in pigs #10 and #12 was due to the SCNT technology and background of the surrogate pig recipient.

In this study, we used highly pathogenic strain of PRRSV (HP-PRRSV) for challenge experiments, and this strain contains a unique 30-amino acid deletion in its nsp2 region and was isolated from diseased swine in China in 2006. Since then, HP-PRRSV has been the major epidemic viral strain in pigs in China and neighboring countries, causing enormous economic losses. In a recent publication, Burkard et al. excised exon 7 from the genome of pigs yielding a CD163 ΔSRCR5 genotype by using two CRISPR/Cas9 sgRNAs flanking exon 7 of CD16328 , but this publication lacked in vivo challenge experiments. According to other publications, CD163 pigs were protected from PRRSV NVSL 97-789520, and CD163-HL11m pigs were protected from Type 1 PRRSV SD13-1529. However, these PRRSV strains are not HP-PRRSV. In the present study, there of four CD163 pigs infected with HP-PRRSV survived and showed only slightly clinical signs compared with controls.

The results of the present study suggested that modifying CD163 remarkably inhibited HP-PRRSV replication and protected pigs from HP-PRRSV infection. Thus, the present study established a good foundation for breeding PRRSV-resistant pigs via gene editing technology.

Material and methods

Ethics statement

Experiments involving animals were performed in accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals in China. The protocol was approved by the Committee on the Ethics of Animal Experiments of China Agricultural University (Permit Numbers: SKLAB-2013-04-02, SKLAB-2013-04-03). In cages, the pigs were provided HEPA-filtered air, pig diet and tap water ad libitum. The environmental conditions included a controlled light cycle (9 h light), temperature (20-26˚C) and air humidity (40%-60%). Any animal that displayed excessive infection was immediately euthanized via CO2 asphyxiation. At the termination of the study, survived pigs were euthanized by lethal CO2 overdoses. The pigs used for obtaining PAMs were euthanized by sodium pentobarbital overdose.

Plasmids, cells and viruses

pX330 vector was purchased from Addgene. Based on exon 7 sequence of CD163, we designed gRNAs. The paired synthesized oligonucleotides were 501F (5'-CACCGGGAACTACAGTGCGGCACTG-3') and 501R (5'- AAACCAGTGCCGCACTGTAGTTCCC-3'), which were annealed and cloned into the pX330 plasmid (Addgene) following the Zhang laboratory protocol 30.

The donor vector was constructed on the basis of porcine CD163 genomic sequence and human CD163L1 cDNA sequence (NCBI Reference Sequence: NM_001297650). The 5' and 3' arms of the construct were amplified by PCR from DNA isolated from the fetal fibroblasts that would be used for later transfections. The 5' arm was 6392 bp and the 3' arm was 999 bp. The 315 bp replacement exon was CD163L1 exon 11. The inserted fragment and two arms were cloned into pPGKneo plasmid (provided by Dr. Yu Zhengquan; China angricultural University, Beijing, China).

Marc-145 cells and porcine fetal fibroblasts were maintained in Dulbecco's modified Eagle's medium (DMEM) (Gibco, Cat. 11995-073) supplemented with 10% fetal bovine serum (FBS) at 37°C with 5% CO2. Porcine alveolar macrophages (PAMs) were obtained using lung lavage as previously described, and maintained in RPMI 1640 supplemented with 10% FBS and penicillin/streptomycin. The porcine fetal fibroblasts were transfected with DNA constructs using an Amaxa Nucleofector Kit (Lonza) according to the manufacturer's instructions.

Three HP-PRRSV strains were used to infect PAMs or the animals: JXwn06 (GenBank accession No. EF641008.1), WUH3 (GenBank accession No. HM853673.2) and JXA1 (GenBank accession No. EF1122445). JXwn06 was a gift from Prof. Wenhai Feng of China Agricultural University. WUH3 was a gift from Prof. Shujun Zhang of Huazhong Agricultural University. JXA1 was a gift from Prof. Kegong Tian of National Research Center For Veterinary Medicine. The PRRSV strains were grown as previously described 31. And viral titers were determined by microtitration infectivity assay and expressed as TCID50 as previously described 32.

Generation of gene-modified pigs

Porcine fetal fibroblasts (from Landrace pigs) were established as described previously 33. Approximately 1 × 106 fetal fibroblasts were transfected with 1.7 μg pX330-501 vector and 3.3 μg donor vector. After 48 h, the cells were transferred to ten 10-cm plates with selective medium containing G418 (600 μg/mL, promega). After 10 days, the resistant colonies were selected and expanded, and a small sample of every colony was subjected to genotyping. DNA was extracted from these samples and subjected to PCR analysis using the following primers: 7tF/7tR, 39F/40R and 43F/44R. Using the primers 7tF (5'-TTCTCCCTCACCGAAATGCT-3')/7tR (5'-GCAGTGACGGAACAATCTCC-3'), the amplified fragments of the positive and negative colonies were both 703 bp, but we could distinguish them by the restriction endonuclease (BbsI) reaction. The primers used for the second PCR amplification were 39F (5'-AGATGCCATATCTCTTTCTG-3') and 40R (5'-ATATCGGAGATACCCACAGT-3'). The amplified fragment was 1317 bp in length and included the 3' arm sequence. The primers used for the third PCR amplification were 43F (5'-CTAACCAGTGGCTTTACACCAGGCA-3') and 44R (5'-CCCACAGAAAGAGATATGGCATCTCC-3'). The amplified fragment was 12544 bp and contained the 5' arm, the drug-selectable marker and part of intron 6. After identifying the positive clone, somatic cell nuclear transfer (SCNT) was conducted as described 33, 34. Approximately 400 reconstructed embryos were transferred to each surrogate sow, and pregnancy was checked using abdominal ultrasound examination at 1 month after the SCNT. Cloned pigs were delivered by natural birth after approximate 115 days.

Quantitative real-time PCR (qRT-PCR)

Total RNA was extracted with TRIzol (Invitrogen) following manufacturer's instructions. M-MLV Reverse Transcriptase was used for reverse transcription according to the manufacturer's protocol (Promega). qRT-PCR analysis was performed in 96-well plates using the Roche Light Cycler 480 System (LC 480; Roche, Basel, Switzerland). The relative expression of these genes were calculated using the 2-ΔΔct method 35 and GAPDH mRNA was set up as endogenous controls. The primers used for qPCR amplification were ORF7-F (5'-AATAACAACGGCAAGCAGCA-3') and ORF7-R (5'-GCACAGTATGATGCGTCGGC-3'). qRT-PCR was performed on each sample in triplicate.

Western blotting

PAMs were lysated using immunoprecipitation (IP) lysis buffer with protease inhibitors (Biotechnology, China). Protein concentrations of the extracts were measured with a BCA assay (Beyotime). Equal amount of each sample was separated using sodium dodecyl-sulphate polyacrylamide gel electrophoresis (SDS-PAGE) and then transferred onto polyvinylidene difluoride (PVDF) membranes, and then blocked with 5% milk in TBST at room temperature for one hour. PRRSV GP5 protein is probed with a specific polyclonal antibody (produced and characterized by Pro. Wenhai Feng). Then, blots were incubated with goat anti-rabbit secondary antibody (for the GP5 polyclonal antibody) (1:10,000 dilution, ZSGB-Bio) for one hour at room temperature, followed by wash in TBST. The PVDF membranes were then processed using a Super Signal West Pico Chemiluminescent Kit (Thermo Scientific) and exposed to autoradiography film.

Immunofluorescence assay (IFA)

PAMs were fixed with cold methanol-acetone (1:1) for 10 min at 4°C, washed three times with phosphate buffered saline (PBS), and blocked with 1% BSA-PBS for 30 min at 37°C. Then, the cells were incubated with SDOW17 (1:200, mAb; Rural Technologies) against PRRSV N protein at 37°C for 1 h. After three washes with PBS, the cells were stained with (FITC)-conjugated goat anti-mouse IgG antibody (1:1000, abcam) at 37°C for 1 h. Finally, the nuclei were stained with DAPI (1:1000, Beyotime) for 5 min. Stainings were observed using fluorescence microscopy.

Flow cytometry

PAMs were blocked with 1% BSA-PBS for 30 min at 37°C. Then the cells were incubated with antibodies against CD163 (mouse anti-human CD163 antibody, AbD Serotec, MCA1853) or CD169 (FITC-conjugated mouse anti-pig CD169 antibody, BIO-RAD, MCA2316F) at 37°C for 1 h. After washing with PBS three times, PAMs for detecting CD163 were incubated with Alexa Fluor 488-labeled goat anti-mouse IgG antibody (Invitrogen) at 37°C for 1 h. After washing with PBS three times, PAMs were immediately analyzed on a BD LSRFortessa flow cytometer (BD Biosciences) with FCS Express 5 software (De Novo Software). A minimum of 10,000 cells were analyzed for each sample.

ELISA

The amount of Hp in serum was measured using an ELISA kit for Haptoglobin (Cloud-Clone Corp Inc.) according to the manufacturer's instructions. Examination was performed on each sample in triplicate.

In vitro infection of PAMs with HP-PRRSV

PAMs were obtained using lung lavage from CD163 pigs and wild-type pigs of the same age and gender. Approximately 106 PAMs per well were added to 6 well plates and incubated overnight at 37oC in 5% CO2, then were gently washed to remove non-adherent cells. Viral infections were performed using PRRSV JXwn06 or WUH3 strains at several MOIs respectively. The PAMs and culture medium were harvested at different time points.

In vivo infection with HP-PRRSV

In vivo studies were carried out at National Research Center for Veterinary Medicine. Two groups were established: the CD163 group and the WT group (n = 4 for the CD163 group; n = 6 for the WT group). These ten healthy, 6-week-old piglets were brought into challenge facility. Before virus challenge, all piglets were confirmed to be negative for PRRSV infection. Pigs were infected by intramuscular injection with the HP-PRRSV strain JXA1 at 106.5 TCID50 per headage and followed for 21 days after infection. The rectal temperature was recorded daily, starting 2 days prior to challenge until death. PRRSV-induced clinical signs including respiratory distress, inappetence, lethargy and fever were recorded using a scoring system 36, 37. Clinical sign scores ranged from 0: normal, to 1: mild inappetence and/or lethargy, 2: cough and/or sneeze and/or rubefaction, 4: severe respiratory distress and/or blue ear and/or depletion of appetite. Blood samples were collected at 0, 3, 5, 7, 10, 14 and 21 dpi. Serum was separated from blood sample, and stored at -80°C. After euthanasia, pigs were necropsied and tissues were fixed in 10% buffered formalin for histopathology study.

Histopathology assay and immunohistochemistry staining

To evaluate histological lesions in the tissues of the different groups, hematoxylin/eosin (HE) staining was performed. The lung and tonsil were fixed in 10% buffered formalin, routinely processed, paraffin-embedded, and stained using Harris's HE staining. For immunohistochemistry, the mouse monoclonal antibody specific to PRRSV nucleocapsid protein was used as primary antibody. All steps were carried out as described previously 38. The slides were visualized by microscope photographs.

Supplementary figures.

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