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Journal of Virology, October 1999, p. 8880-8883, Vol. 73, No. 10
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Inhibition of Influenza Virus Replication by
Nitric Oxide
Guus F.
Rimmelzwaan,*
Marianne M. J. W.
Baars,
Pim
de Lijster,
Ron A. M.
Fouchier, and
Albert D. M. E.
Osterhaus
National Influenza Center, Department of Virology, Erasmus
University Rotterdam, 3000 DR Rotterdam, The Netherlands
Received 5 March 1999/Accepted 2 July 1999
 |
ABSTRACT |
Nitric oxide (NO) has been shown to contribute to the pathogenesis
of influenza virus-induced pneumonia in mouse models. Here we show that
replication of influenza A and B viruses in Mabin Darby canine kidney
cells is severely impaired by the NO donor, S-nitroso-N-acetylpenicillamine. Reduction of
productively infected cells and virus production proved to correlate
with inhibition of viral RNA synthesis, indicating that NO affects an
early step in the replication cycle of influenza viruses.
 |
TEXT |
Nitric oxide (NO), a gaseous free
radical has been shown to have multiple biological functions. NO is
catalytically generated by one of the three isoforms of NO synthase
(NOS) from L-arginine. eNOS and nNOS, which are produced in
endothelial cells and neuronal cells, have been shown to play a role in
vasodilatation and neurotransmission, respectively, whereas NO
generated by iNOS (NOS2), the inducible form of NOS, has been shown to
play a role in the defense against a variety of microbial pathogens,
including bacteria, parasites (for a review, see reference
24), and viruses, including herpes simplex virus
type 1 (HSV-1), vesicular stomatitis virus, Japanese encephalitis
virus, poliovirus, murine hepatitis virus, murine leukemia virus,
coxsackievirus, ectromelia virus, rhinovirus, and vaccinia virus
(3, 5, 6, 11, 15, 19, 20, 29, 31, 37).
Although the mode of action of NO is not fully understood, it has been
shown that NO can affect the function of iron- and thiol-containing
proteins (18, 25, 28), such as guanylate cyclase,
ribonucleotide reductase, aconitase, and mitochondrial electron
transport enzymes (22). iNOS can be induced in a number of
different cell types by cytokines or bacterial products. It has been
demonstrated that iNOS is expressed in murine macrophages (36), mouse T cells (35), human hepatocytes
(7), alveolar macrophages (26), and mononuclear
cells (33). NO can also be released from human airway
epithelial cells, the primary target for influenza viruses, after
stimulation with gamma interferon, interleukin 1
(IL-1
), and
tumor necrosis factor alpha (TNF-
) (4, 10, 32).
Interestingly, the production of these cytokines is induced shortly
after infection with influenza viruses (12, 13, 34).
Furthermore, it has been demonstrated that the expression of the
hemagglutinin (HA) of influenza viruses can activate NF-
B, a
transcription factor which has been shown to regulate the expression of
a number of cytokine genes, including the TNF-
and IL-1
genes (27).
Although studies in mouse models have indicated that the release of NO
after infection with influenza viruses also contributes to the
pathogenesis of influenza virus-induced pneumonia, it may be argued
that the production of NO in the respiratory tract may also provide a
first-line defense mechanism against influenza viruses. Since to date
it is not known whether influenza virus replication is sensitive to the
action of NO, we studied the effect of
S-nitroso-N-acetylpenicillamine (SNAP) on
influenza replication in vitro. SNAP is the nitrosylated form of
L-acetylpenicillamine and immediately donates NO when added
to culture medium (14).
Mabin Darby canine kidney (MDCK) cells were infected at different
multiplicities of infection (MOI) with influenza viruses and
immediately after infection were treated with different doses of SNAP
or a control molecule which lacks the NO-donating S-nitroso group, N-acetylpenicillamine (NAP). SNAP and NAP were added
in a dose range which was found to inhibit the replication of other viruses (3, 5, 15, 19, 29). The experiments were performed twice and the results of representative experiments are shown in Fig.
1 and 2.
SNAP inhibited the replication of both influenza A
(A/Netherlands/202/95 [H3N2]) and influenza B (B/Netherlands/22/95) viruses in a dose-dependent fashion as shown by measuring the HA titers
released in the culture supernatants of infected cells (Fig. 1). The
observed inhibitory effects correlated with the release of
NO2
, an intermediate metabolite of NO, in the
culture medium, as determined with Griess reagent (8). The
strongest inhibition was observed by using SNAP at a concentration of
400 µM. The reduction of HA titer also correlated with a reduction of
the release of infectious virus into the culture supernatants of MDCK
cells infected with influenza virus A/Netherlands/202/95 (Fig. 2).
Twenty-four hours postinfection, the inhibitory effect of NO was most
pronounced using a low MOI for the infection of the MDCK cells. The
addition of SNAP to the cultures did not affect the viability of MDCK
cells as determined by the trypan blue exclusion method, and the
replication of the MDCK cells was slightly reduced. The cell number in
untreated cultures increased from 2.1 × 106 to
2.9 × 106 per well in 24 h, while in the
presence of 400 µM SNAP, the increase was from 1.7 × 106 to 2.1 × 106. Neuraminidase and
hemagglutination activities were also not affected by the direct
addition of SNAP to the virus preparations (data not shown). In
addition to SNAP, the effect of two other NO-donating molecules, sodium
nitroprusside (SNP) and 3-morpholinosydnonimine (SIN-1), was also
tested. It was found that SNP and SIN-1 inhibited replication of
influenza virus A/Netherlands/18/94 (H3N2) at a concentration of 100 µM, which was found to be inhibitory for the replication of other
viruses (3), confirming the inhibitory effect of NO.

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FIG. 1.
Addition of the NO donor SNAP inhibits the replication
of influenza A and B viruses in a dose-dependent manner. MDCK cells
were infected with influenza virus A/Netherlands/202/95 at an MOI of
0.3 (A). The culture supernatants were assayed for hemagglutination
activity 24 h postinfection. MDCK cells were also infected with
influenza virus B/Netherlands/22/95 with an MOI of 0.03 (B). The
culture supernatants were analyzed for HA 48 h postinfection.
Using Griess reagent, the release of NO from SNAP was demonstrated by
detection of its metabolite nitrite (C). The infected cells were
treated with the indicated concentrations of SNAP ( ) or NAP ( ).
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FIG. 2.
The addition of the NO donor SNAP inhibits the release
of infectious virus into the culture supernatant. MDCK cells were
infected with influenza virus A/Netherlands/202/95 at the indicated MOI
and subsequently treated with 400 µM SNAP or NAP or left untreated.
The measurement of infectious virus in culture supernatants of the
cells was performed by limiting dilution analysis and expressed as 50%
tissue culture infective doses per milliliter (TCID50/ml)
as previously described (30).
|
|
This inhibitory effect of NO on influenza virus replication was further
demonstrated by analyzing influenza virus-infected cells in an
immunofluorescence assay using monoclonal antibodies specific for the
nucleoprotein (Imagen A and B; Dakopats) and in RNA hybridization
assays (30). To this end, MDCK cells were infected with
influenza virus A/Netherlands/18/94 (H3N2) at an MOI of 1.0 and treated
with different doses of SNAP or NAP immediately after or 3 h prior
to infection. Compared with untreated control cultures, the number of
infected cells was clearly reduced in SNAP treated cultures, but not in
cultures treated with NAP (Fig. 3). The
inhibition of hemagglutination activity and the release of infectious
virus in the supernatants of these cultures by the addition of SNAP
paralleled the inhibition observed with influenza virus
A/Netherlands/202/95 in the experiments described above (data not
shown).

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FIG. 3.
The number of influenza virus-infected MDCK cells is
affected by the addition of SNAP to the cultures before or after
infection. SNAP or NAP was added at the indicated concentrations 3 h before infection or 1 h after infection of the cells with
influenza virus A/Netherlands/18/94 at an MOI of 1.0. Twelve hours
postinfection, the cells were fixed with acetone and incubated with a
monoclonal antibody specific for the nucleoprotein.
|
|
To identify which step in the replication cycle of influenza virus was
inhibited, the synthesis of vRNA and mRNA encoding the proteins HA and
NP was monitored in parallel by an RNA hybridization assay using
digoxigenin (DIG)-labelled RNA probes specific for negative- and
positive-sense HA and NP RNA molecules and
-actin mRNA. The latter
probe was transcribed from the pBluescript plasmid containing the
-actin coding sequence (9), as described previously (30). The addition of the NO donor 3 h prior to
infection significantly reduced the synthesis of both vRNA and mRNA
(Fig. 4). When SNAP was added 1 h
postinfection, inhibition of RNA synthesis was also observed, although
it was less pronounced. Levels of
-actin mRNA were not significantly
affected by the addition of SNAP, indicating that the transcriptional
activity and mRNA stability of the MDCK cells were not influenced by
NO.

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FIG. 4.
The synthesis of virus-specific positive strand (mRNA
and cRNA) and negative strand (vRNA) is impaired by the addition of
SNAP to the cultures. SNAP (S) or NAP (N) was added to the cultures at
the indicated concentrations 3 h before or immediately after
infection with influenza virus A/Netherlands/18/94. Untreated cultures
were included as controls (C). MDCK cells were infected at an MOI of
1.0 and RNA was extracted 12 h postinfection. Threefold serial
dilutions of the RNA preparations were transferred to the membranes and
subsequently hybridized to DIG-labelled RNA probes specific for
positive-sense HA or NP mRNA/cRNA, negative-sense HA and NP vRNA, and
positive-sense -actin RNA, which was included as a control for
cellular mRNA, as described previously (30).
|
|
Taken together, the data presented demonstrate that NO inhibits the
replication of influenza viruses, probably during the early steps of
the virus replication cycle, involving the synthesis of vRNA and mRNA
encoding viral proteins. Therefore we hypothesize that the production
of NO by iNOS in airway epithelial cells, induced by cytokines which
are known to be synthesized shortly after infection with influenza
viruses by NK cells and macrophages (12, 13), provides an
antiviral effect in these cells. This mechanism would reduce primary
replication of influenza viruses before other effector mechanisms of
the immune system, such as those mediated by B and T lymphocytes, are
activated to control the infection. To be beneficial for the host, the
production of NO must be tightly regulated to exert antiviral rather
than harmful effects, such as cell death and tissue destruction. This
regulation of NO production could be at the transcriptional and the
translational level but also at the level of enzyme activity during
infection, as was demonstrated in a mouse-Cryptococcus
neoformans model (21). At present, it is unclear
whether the level of in vivo-synthesized NO compares to the level of NO
released from NO donors in vitro. Only recently, limited information
has become available on the induction of NO after respiratory virus
infections, including influenza (17, 23). The contribution
of NO to the pathogenesis of influenza virus-induced pneumonia of mice
(2, 16) was also observed in HSV-1-induced pneumonia in this
species (1). However, a clear antiviral effect of NO was
also demonstrated against the latter virus in vitro (6, 15).
This pathological effect of NO in virus-induced pneumonia may be
specific for mouse models for pneumonia, since the peak of exhaled NO
in experimentally infected humans was not associated with the clinical
symptoms of these individuals (23).
 |
ACKNOWLEDGMENTS |
We thank Conny Kruyssen for handling of the manuscript, Ger van der
Water for continuous support, and Theo Bestebroer for excellent
technical assistance.
This work was supported by the Foundation for Respiratory Virus
Infections notably Influenza (SRVI).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: National
Influenza Center, Department of Virology, Erasmus University Rotterdam,
P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. Phone: 31 10 4088066. Fax: 31 10 4089485. E-mail:
rimmelzwaan{at}viro.fgg.eur.nl.
 |
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Journal of Virology, October 1999, p. 8880-8883, Vol. 73, No. 10
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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