Molluscum contagiosum virus (MOCV),
IMPORTANCEThe inability to propagate molluscum contagiosum virus, which causes benign skin lesions in young children and more extensive infections in immunosuppressed adults, has constrained our understanding of the biology of this human-specific virus. In the present study, we characterized the RNAs synthesized in abortively infected cultured cells and a human skin lesion by nextgeneration sequencing. These studies provided an initial transcription map of the MOCV genome, suggested temporal regulation of gene expression, and indicated that the in vitro replication block occurs prior to intermediate and late gene expression. RNA-seq and reporter assays, as described here, may help to further evaluate MOCV gene expression and define conditions that could enable MOCV replication in vitro. M olluscum contagiosum virus (MOCV) is the sole member of the Molluscipoxvirus genus of the Chordopoxvirinae subfamily of the Poxviridae (1). Although many poxviruses cause zoonoses, variola virus (the causative agent of smallpox) and MOCV are the only known human-specific poxviruses (2, 3). MOCV has a worldwide distribution and commonly infects young healthy children, where it causes papular skin lesions that may persist for many months before spontaneous resolution (4). However, widespread disfiguring skin lesions may occur in individuals with immunodeficiencies. For the latter, the most successful therapy is treatment of the underlying immunodeficiency. Although several MOCV variants have been recognized by restriction endonuclease analysis and limited DNA sequencing, they produce indistinguishable lesions (4).Knowledge of MOCV is limited because of the lack of either a cell culture system or useful animal model. The inoculation of primate cells with MOCV produces an abortive infection with cell rounding and related cytopathic effects (CPE) (5). However, the cells regain a more normal appearance after 48 h (6, 7). Evidence that MOCV gene expression is necessary for CPE was supported by the ability of inhibitors of RNA and protein synthesis to prevent this phenomenon (7,8). Following infection, electron microscopy revealed MOCV cores within the cytoplasm, consistent with early gene expression, but the disassembly of the cores or assembly of new virus particles was not observed (7). More direct evidence for early gene expression in human fibroblasts was obtained by RNA-DNA hybridization and reverse transcription-PCR (RT-PCR) (7,