INTRODUCTION

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Rotaviruses, members of the family Reoviridae, are the major etiological agents of severe acute gastroenteritis in infants and young children worldwide and are important pathogens in most mammalian species. It is anticipated that the long-awaited introduction of the first vaccine against human rotavirus into use in North America in 1998 will lead to a reduction in the most severe human illness associated with this virus, but other vaccination and therapeutic approaches are required. Novel strategies may be devised following the identification of cellular receptors for rotavirus and from an understanding of the process of viral entry into cells, particularly into intestinal epithelial cells. These are essential steps for productive rotavirus infection and major determinants of host cell tropism.

The nonenveloped, icosahedral rotavirus particle consists of a genome of 11 segments of double-stranded RNA (48) in a triple-layered protein capsid (66). The outermost layer of each virion is composed of trimers of the 37-kDa glycoprotein VP7 and 60 spikes of the 88-kDa protein VP4, probably as dimers, which extend about 12 nm above the VP7 surface and interact extensively with VP7 throughout the outer surface (47, 65, 66).

Both VP4 and VP7 independently elicit neutralizing, protective antibodies and are virulence determinants (26, 46). VP4 is an important determinant of host cell tropism (27), receptor binding, and cell penetration (37). Proteolytic cleavage of VP4 into two subunits, VP8* (28 kDa) and VP5* (60 kDa) (16), results in increased infectivity (9, 17) and rapid internalization of virus, although it does not appear to affect virus binding to cells (28). Most animal rotaviruses, including the simian strain SA11 and the rhesus rotavirus strain RRV, are able to hemagglutinate (2) and bind to the cell surface via sialic acid (19) by using VP8* (18, 38). However, sialic acid binding does not appear to be essential for the infection of these rotaviruses, since sialic acid-independent mutants of RRV retain their infectivity (42). VP5* contains a long hydrophobic domain including a putative cell fusion region at amino acids (aa) 384 to 401 related by sequence to that of Sindbis virus (39).

VP7 appears also to play a role in rotavirus cell attachment, since it has been identified as the infected cell lysate protein which bound to MA104 cell monolayers (52), and it may interact with VP4 to influence receptor-binding specificity (6, 37, 43).

Previously, we have implicated integrins 21, 41, and x2 in rotavirus cell entry (12). Integrins are heterodimeric, transmembrane glycoproteins important in cell adhesion and signalling. Most human and animal rotaviruses (87%), including SA11, contain the amino acid sequence DGE at aa 308 to 310 of VP5*. The peptide DGE(A) has been reported to act as a ligand in type I collagen for the 21 integrin (54). Many rotaviruses, including SA11, contain the sequence LDV at aa 237 to 239 and the related sequence LDI at aa 269 to 271 in VP7. In the first connecting segment (CS1) of the independently spliced IIICS domain of fibronectin, LDV is the minimal essential sequence for a major site of adhesion of fibronectin to the 41 and 47 integrins on a range of cell types (34). In addition, at aa 253 to 255 in VP7, all mammalian rotaviruses contain the sequence GPR, which is a ligand for the x2 integrin in the N-terminal domain of fibrinogen (36). In our experiments, peptides RDGEE, LDVT, and GPRP and monoclonal antibodies (MAbs) directed to 2, 4, x, 1, and 2 integrin subunits specifically blocked rotavirus infection in an additive and dose-dependent manner (12). MAbs directed to 1, 3, 5, 6, L, M, and 4 did not block SA11 rotavirus infection (10, 12). However, it was not possible to determine from these studies if these integrins interact directly with rotavirus or are involved in virus attachment or in cell penetration.

In this study, we have addressed these issues for the 21 and 41 integrins by comparing the levels of binding and replication of SA11 rotavirus in cells not expressing these integrins with those in the same cells stably transfected with either of these integrins or with the 31 integrin. Cells transfected with the 31 integrin acted as a negative control, since we have shown previously that MAbs to 3 do not affect rotavirus infection of cells (10, 12). The erythroleukemic cell line K562 was chosen on the basis of its human origin, its lack of expression of 21, 31, and 41 integrins (23, 57), and its resistance to infection with SA11 rotavirus (S. L. Londrigan, M. J. Hewish, M. J. Thomson, G. M. Sanders, and B. S. Coulson, unpublished results). K562 cells express endogenous 51 (57). As a result of 2, 3, or 4 transfection, K562 cells also express integrins 21 (8, 22), 31 (22), and 41 (40) on their surface in a constitutively inactive form, which is unable to bind extracellular matrix proteins. However, the conditions under which functional activation of transfected 21 and 41 integrins is achieved are established for K562 cells; they include treatment with the phorbol ester phorbol 12-myristate 13-acetate (PMA) (31, 32). PMA treatment of K562 cells also induces megakaryocytic differentiation and concomitant endogenous surface expression of 21 integrin, which is in at least partially active form, since it is capable of mediating Mg²⁺-dependent adhesion to collagen (7). Thus, via integrin transfection and phorbol ester treatment, the role of 21 and 41 integrins in rotavirus cell entry is amenable to analysis with K562 cells.

	MATERIALS AND METHODS

Top Abstract Introduction Materials and Methods Results Discussion References

Cells. The nonadherent human myelogenous leukemic cell line K562, on which surface expression of only one 1 integrin (51) has been detected (23, 57), was grown in Dulbecco's modification of Eagle's medium (DMEM) which also contained 2 mM L-glutamine (Life Technologies, Inc., Gaithersburg, Md.), 20 mM HEPES (Boehringer, Mannheim, Germany), 26.6 µg of gentamicin (Cidomycin; Roussel UCLAF Australia) per ml, and 2 µg of Fungizone (amphotericin B) (Apothecon, Princeton, N.J.) per ml and was supplemented with 20% (vol/vol) fetal calf serum (FCS; Commonwealth Serum Laboratories, Parkville, Victoria, Australia). Cell transfectants were prepared by transfecting 2 (2-K562 cells), 3 (3-K562 cells), or 4 (4-K562 cells) integrin subunit cDNA into K562 cells. After selection with 1 mg of G418 sulfate (Life Technologies, Inc.) per ml, cells stably expressing each integrin were cloned by cell sorting. The expression profile of the transfected alpha subunit in each transfectant was similar to that of the previously described K562 cells transfected with these integrin subunits (8, 15, 62). Transfectants were grown in the above-supplemented DMEM with the addition of 500 µg of G418 per ml. African green monkey kidney epithelial (MA104) cells were propagated in DMEM with L-glutamine and antibiotics as above and supplemented with 10% (vol/vol) FCS.

Virus. Simian rotavirus SA11, serotype P5B[2], G3 (25), was originally obtained from H. Malherbe (University of Texas Health Science Center, San Antonio, Tex.). Virus was activated with 10 µg of porcine pancreatic trypsin type IX (Sigma, St. Louis, Mo.) per ml for 20 min at 37°C and propagated in MA104 cells by using DMEM containing 1 µg of trypsin per ml as described previously (53). All experiments were performed with SA11 at a multiplicity of infection of 3.

MAbs. Mouse MAbs to human integrin subunits used in blocking experiments and flow cytometry were as follows: AK7, RMAC11, and P1E6, directed against the  chain (CD49b) of 21 integrin (CD49b/CD29; VLA-2) (20, 45, 61) (from Pharmingen, San Diego, Calif.; T. D'Apice, St. Vincent's Hospital, Melbourne, Australia; and Life Technologies, respectively); ASC-6, directed against the  chain (CD49c) of 31 integrin (56), which was donated as ascites fluid by A. Skubitz (University of Minnesota Medical School, Minneapolis, Minn.) as part of the participation of one of us (B.S.C.) in the Sixth International Workshop on Human Leucocyte Differentiation Antigens; and P4C2 and P4G9, directed against the  chain (CD49d) of 41 integrin (30), donated as hybridoma cell supernatant fluids (SNF) by D. Leavesley (Department of Renal Medicine, The Royal Adelaide Hospital, Adelaide, South Australia) and E. Wayner (Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Wash.). Control MAbs were MOPC 21 (purified; Cappel, ICN Pharmaceuticals, Aurora, Ohio), ST-3:1 (immunoglobulin G3 [IgG3]; hybridoma cell SNF directed to human rotavirus ST-3), and RV-5:2 (IgG2b; hybridoma cell SNF directed to human rotavirus RV-5). Control MAbs were matched with test MAbs for determination of isotype and protein concentration, and those directed to rotaviruses did not cross-react with SA11 by fluorescent focus reduction assay or enzyme immunoassay (13). All MAbs except P4C2, P4G9, and ST-3:1 were IgG1.

Rotavirus cell-binding assays. K562 parent or transfected cells were washed once with DMEM by centrifugation at 450 × g for 7 min and then resuspended in ice-cold DMEM at 5 × 10⁵ cells/ml. Confluent monolayers of MA104 cells (5 × 10⁵) were washed twice with cold DMEM. Trypsin-activated SA11 cooled to 4°C was bound to cells on ice for 1 h, and then the cells were washed with cold DMEM. Cold DMEM containing 1 µg of porcine trypsin per ml was added to the cells, which were subjected to two rounds of freeze-thaw to release bound virus and stored at 70°C. Thawed aliquots were treated with 10 µg of porcine trypsin per ml for 20 min at 37°C, and viral titers were determined by indirect immunofluorescent staining (IIF) of MA104 cell monolayers inoculated with serial dilutions of the samples as described previously (11). Virus binding was expressed as a percentage of the titer of infectious virus bound to control cells.

Rotavirus growth curve determinations. MA104 and K562 parent and transfected cells were prepared as for binding assays. The cells were inoculated with trypsin-activated SA11 rotavirus and incubated at 37°C for 1 h, and the virus inoculum was replaced with an equal volume of warm DMEM containing 1 µg of trypsin per ml. Parent and transfected K562 cells were seeded in aliquots of 1 ml into 24-well plates (Nunclon Delta SI), and all cells were incubated at 37°C in a humidified incubator in 5% (vol/vol) CO₂-95% (vol/vol) air. Infection was terminated by freezing at 70°C at 1, 24, 48, or 72 h postinfection (p.i.). Samples were frozen and thawed twice to release intracellular virus and then stored at 70°C. Viral titers were determined as in binding experiments and expressed as the number of fluorescing cell-forming units (FCFU) per milliliter (11). In MAb blocking experiments, cells were pretreated with MAbs as described for the virus-binding experiments. The titer of virus attributable to interaction with 21 or 41 integrin on transfected K562 cells was determined by subtracting the mean titer of virus bound to K562 cells from the mean titer of virus bound to integrin-transfected cells. The percent blocking by MAbs of the virus titer attributable to interaction with 21 or 41 integrin on transfected K562 cells was determined by expressing as a percentage the ratio of the titer of virus attributable to interaction with integrin on transfected K562 cells in the presence of anti-integrin MAb to the titer of virus attributable to interaction with integrin on transfected K562 cells in the presence of control MAb.

Treatment with phorbol ester. Washed cells were treated with 20 nM PMA (Sigma) in DMEM for 15 min at 37°C (32). PMA was removed by washing twice with cold DMEM (for virus-binding experiments) or DMEM at room temperature (for virus growth assays and flow cytometry).

Flow cytometry. Cell surface expression of integrins was detected by indirect immunofluorescent staining of 3 × 10⁵ cells. Confluent MA104 cell monolayers were washed twice with phosphate-buffered saline (PBS), and cells were detached by incubation at 37°C for 10 min in PBS containing 0.75 mM EDTA. Detached MA104 cells were suspended in DMEM plus 1% (vol/vol) FCS for 30 min at 37°C to allow restitution of surface proteins. Parent and transfected K562 cells were washed twice in PBS containing 1% (vol/vol) FCS and 0.1% (wt/vol) NaN₃ (PBS-FCS-Az). All cells were incubated for 45 min on ice with MAbs to integrin subunits or isotype-matched control MAbs diluted in PBS-FCS-Az to 10 µg/ml (purified MAbs) or 1:8 (hybridoma SNF), then washed as above, and reacted for 45 min on ice with fluorescein isothiocyanate-conjugated sheep anti-mouse F(ab')₂ fragments (Silenus, Melbourne, Australia) diluted 1:50 in PBS-FCS-Az. The cells were fixed with 1% (vol/vol) ultrapure formaldehyde (Polysciences, Warrington, Pa.) before being subjected to analysis of cellular fluorescence on a FACSort flow cytometer (Becton Dickinson). A positive relative linear median fluorescence intensity (RLMFI) (defined as median fluorescence intensity with anti-integrin MAb/median fluorescence intensity with control MAb) was defined as 1.20 (60). Monitoring of surface expression of integrin subunits 2, 3, and 4 on the K562 parent and transfected cells showed that the parent K562 cells expressed the 1 integrin subunit but not the 2, 3, or 4 subunits, consistent with their known endogenous expression of 5 (57), whereas the 2-K562 cells expressed 21 but not 3 or 4, the 3-K562 cells expressed 3 but not 2 or 4, and the 4-K562 cells expressed 4 but not 2 or 3. Testing at 5-month intervals during the course of the experiments showed that the levels of expression of these integrin subunits were stable.

Statistical analysis. The unpaired, two-tailed Student t test was used to assess the statistical significance of differences in virus binding and growth. Significance was set at the 95% level. In graphs, error bars indicate the 95% confidence interval of the mean.

	RESULTS

Top Abstract Introduction Materials and Methods Results Discussion References

Binding of infectious SA11 rotavirus to MA104 cells, untransfected K562 cells, and K562 cells transfected with 2, 3, or 4 integrin subunits, and effect of PMA treatment. We developed an assay for binding of infectious SA11 rotavirus to K562 and MA104 cells, in which infectious virus attached to cells on ice was quantitated by IIF titer determination. Preliminary evaluation showed that an additional treatment, with 10 µg of trypsin per ml, of harvests of cells containing cell-bound virus (previously treated with trypsin to render it fully infectious) was necessary for assay reproducibility. This was presumably because cellular proteins associated with harvested virions were digested by the trypsin, allowing the virions to attach to and infect MA104 cells and be detected by IIF. As shown in Fig. 1, in each of three experiments, 2-K562 and 4-K562 cells bound significantly more virus (P  0.0007) than did parent K562 cells whereas the titer of rotavirus bound to 3-K562 cells was not significantly different from that bound to parent cells (P  0.24). The 2-K562 cells, the 4-K562 cells, and the 3-K562 cells bound 1.5- to 2.2-fold, 1.5- to 1.8-fold, and 0.8- to 1.1-fold more virus than did the parent cells, respectively. MA104 cells bound 1.2- to 3.2-fold more virus than did K562 cells in the three experiments, which was a significant difference (P < 0.0001).

View larger version (37K): [in this window] [in a new window]   FIG. 1.   Binding of infectious SA11 rotavirus to untransfected K562 cells, to K562 cells transfected with 2, 3, or 4 integrin subunits, and to MA104 cells, with and without PMA treatment of cells. Virus binding to cells was initiated 20 min after PMA treatment ended. Results shown are representative of three experiments.

The increase in binding of SA11 rotavirus to 2- and 4-transfected K562 cells is abrogated by function-blocking MAb directed to the transfected integrin subunit. Function-blocking MAbs to 2, 3, and 4 were tested for their ability to block SA11 binding to the K562 parent and transfected cells, in order to determine whether the increased binding to 2-K562 and 4-K562 cells over parent and 3-K562 cells was specific for the transfected integrin subunit. The anti-2 MAb AK7, which blocks cell adhesion to collagen (20), the anti-4 MAb P4C2, which blocks adhesion to fibronectin (30), and the anti-3 MAb ASC-6, which blocks adhesion to laminins 1 and 5 (56), were compared with control MAbs MOPC 21 and ST-3:1 for their ability to block cellular binding of infectious SA11 rotavirus. As shown in Fig. 2A, MAb AK7 significantly blocked SA11 virus binding to 2-K562 cells, by 33 to 39% (P  0.0007), but did not significantly affect the binding to K562, 3-K562, or 4-K562 cells (0.36  P  0.78). SA11 binding to 4-K562 cells was blocked 33 to 39% by MAb P4C2 (P  0.003), but this MAb did not significantly affect binding to K562 and 2-K562 cells (0.19  P  0.45 [Fig. 2B]) and did not block virus binding to 3-K562 cells (0.19  P  0.23 [Fig. 2B]). The anti-3 MAb ASC-6 (Fig. 2C) and control MAbs MOPC 21 and ST-3:1 did not affect the binding of SA11 to any of these cell lines.

View larger version (36K): [in this window] [in a new window]   FIG. 2.   Binding of infectious SA11 rotavirus to 2-K562 and 4-K562 cells is significantly and specifically reduced by function-blocking MAbs to the 2 and 4 integrin subunits, respectively. Cells were treated with anti-2 MAb AK7 or control MAb MOPC 21 (A), anti-4 MAb P4C2 or control MAb ST-3:1 (B), or anti-3 MAb ASC-6 or control MAb MOPC 21 (C) prior to virus addition. Results shown are representative of three experiments.

Time course of growth of SA11 rotavirus in untransfected K562 cells, in K562 cells transfected with 2, 3, or 4 integrin subunits, and in MA104 cells. To determine whether the binding of SA11 rotavirus to 21 on 2-K562 cells and to 41 on 4-K562 cells leads to an increase in the productive infection of these cell lines, SA11 virus replication in K562 parent and transfected cells was measured at 1, 24, 48, and 72 h p.i. (Fig. 3). The level of virus replication in MA104 cells was also determined at the same time points and with the same multiplicity of infection to provide a measure of the virus yield obtained in cells permissive to SA11 rotavirus (Fig. 3). At 1 h p.i., significantly higher virus titers were associated with 4-K562 cells than with K562 and 3-K562 cells (P < 0.005). In two of three experiments, at 1 h P.I. significantly higher virus titers were associated with 2-K562 cells than with K562 and 3-K562 cells (P < 0.0011) and with K562 cells than with 3-K562 cells (P < 0.0023). By 24 h p.i., the SA11 rotavirus titers in 2-K562 and 4-K562 cells were increased over the titers in 3-K562 and K562 cells, and this difference in titer widened over time to 48 to 72 h p.i.

View larger version (17K): [in this window] [in a new window]   FIG. 3.   Replication of SA11 rotavirus in untransfected K562 cells, in K562 cells transfected with 2, 3, or 4 integrin subunits, and in MA104 cells, with and without PMA treatment of cells. Virus infection of cells was initiated 20 min after PMA treatment ended. Results shown are representative of three experiments.

The increased SA11 virus growth in 2- and 4-transfected K562 cells is abrogated by function-blocking MAb directed to the transfected integrin subunit. In our previous studies, treatment of MA104 cells with the anti-2 MAb AK7 at 12 µg/ml reduced the number of MA104 cells infected with SA11 rotavirus by 60% (12). As shown in Fig. 4A, at 10 µg/ml, MAb AK7 also reduced the titer of SA11 associated with 2-K562 cells but not that of SA11 associated with K562 cells, at 1 and 24 h p.i. Infection of 3-K562 and 4-K562 cells by SA11 was not affected by MAb AK7 at 10 µg/ml (data not shown). The titer of SA11 associated with 2-K562 cells at 1 h p.i. was significantly lower in cells treated with MAb AK7 than in cells treated with irrelevant MAb MOPC 21 (P = 0.0004), whereas the virus titer in K562 cells treated with MOPC 21 was significantly higher than that in AK7-treated cells (P = 0.004). At 24 h p.i., virus titers in control and AK7-treated K562 cells were not significantly different (P = 0.49) but titers in AK7-treated 2-K562 cells were again significantly decreased with respect to those in MOPC 21-treated 2-K562 cells (P = 0.0008).

View larger version (31K): [in this window] [in a new window]   FIG. 4.   SA11 rotavirus association with 2-K562 and 4-K562 cells 1 h p.i. and replication in these cells are significantly and specifically reduced by function-blocking MAbs to the 2 and 4 integrin subunits, respectively, whereas virus association with and replication in K562 cells are not affected by these MAbs. Prior to virus infection, K562 and 2-K562 cells were treated with anti-2 MAb AK7 or control MAb MOPC 21 (A) and K562 and 4-K562 cells were treated with anti-4 MAb P4C2 or control MAb ST-3:1 (B). Results shown are representative of three experiments.

Effect of PMA treatment on SA11 rotavirus growth in untransfected K562 cells and in K562 cells transfected with 2, 3, or 4 integrin subunits. PMA treatment of K562, 2-K562, 3-K562, and 4-K562 cells had no effect on cellular binding of SA11 rotavirus (see above), suggesting that PMA activation of integrins was not necessary for their recognition by SA11. However, in addition to integrin activation, PMA treatment of K562 cells is known to induce megakaryocytic differention of these cells, accompanied by endogenous gene expression of 21 integrin (7). As shown in Fig. 3, SA11 rotavirus grew to significantly higher titers in PMA-treated K562, 2-K562, 3-K562, and 4-K562 cells than in untreated cells (P  0.0001 at 48 h p.i.). In two experiments, virus titers were increased 3.0- to 7.2-fold, 8.2- to 14-fold, 12- to 16-fold, and 16- to 40-fold in K562, 2-K562, 3-K562, and 4-K562 cells, respectively, over those in untreated cells at 48 h after PMA treatment and virus infection. In PMA-treated 4-K562 and 2-K562 cells, virus titers reached means of 2.4 × 10⁷ (SD = 3.0 × 10⁶) and 9.0 × 10⁶ (SD = 7.0 × 10⁵) FCFU/ml, respectively, at 48 h p.i. Titers in the PMA-treated 4-K562 cells were within 1 log unit of those in PMA-treated MA104 cells (mean, 1.9 × 10⁸ FCFU/ml; SD, 2.0 × 10⁷ FCFU/ml). Thus, the combination of 4 expression via transfection and PMA treatment converted K562 cells from SA11 resistant to a level of permissiveness to SA11 infection approaching that of MA104 cells. PMA treatment also slightly enhanced SA11 virus infection of MA104 cells at 24 and 48 h p.i. (P  0.013), but virus titers in MA104 cells with or without PMA treatment were indistinguishable by 72 h p.i. (P = 0.91). Titers of infectious virus associated with all cell lines at 1 h p.i. were not significantly or reproducibly affected by PMA treatment, consistent with the lack of effect of PMA on virus binding to cells.

PMA treatment of untransfected K562 cells and of 2-, 3-, and 4-transfected K562 cells induces 2 integrin subunit expression. As increased SA11 growth in PMA-treated K562 cells was independent of transfection with 2, 3, or 4 integrin subunits, it appeared likely that this growth increase resulted from changes induced by PMA which were unrelated to activation of transfected integrins. We therefore examined the effect of PMA treatment on parent K562 cell surface expression of 2, 3, and 4 integrin subunits by flow cytometry over time (Fig. 5). Surface expression of integrins 3 and 4 was not detected at 0, 16, 40, or 48 h after PMA treatment. However, expression of 2 integrin was evident at 16 h after PMA treatment, and levels increased until 48 h after treatment. The kinetics of 2 integrin expression were consistent with the kinetics of SA11 virus titer increases observed up to 48 h p.i. (Fig. 3). The effect of PMA treatment on expression of the 2, 3, and 4 integrin subunits on 2-K562, 3-K562, and 4-K562 cells at 48 h after treatment was also examined and compared with the effects on the levels of integrin expression on K562 and MA104 cells (Table 1). PMA treatment of all the integrin-transfected cell lines led to surface expression of 2 but not 3 or 4 integrin subunits. The levels of 2 integrin expression induced by PMA in K562, 3-K562, and 4-K562 cells, expressed as the RLMFI, ranged from 1.78 to 2.48. In 2-K562 cells, the combination of 2 transfection and induction with PMA produced a higher 2 RLMFI of 3.19. However, the highest 2 RLMFI (4.07) was recorded in MA104 cells. The rank order in ability of SA11 to replicate in all cell lines studied which expressed 2 but not 4 was very similar to the rank order of their levels of 2 integrin expression, as follows: MA104> 2-K562 + PMA > 2-K562  PMA > K562 + PMA > 3-K562 + PMA (Fig. 1 and 3; Table 1). Notably, PMA-treated 4-K562 cells expressed both 2 and 4, consistent with their supporting the highest titers of SA11 among the K562-derived cell lines (Fig. 3).

View larger version (11K): [in this window] [in a new window]   FIG. 5.   Time course of expression of 2, 3, and 4 integrin subunits on K562 cells, with and without treatment with PMA. Integrin expression was determined by flow cytometry with anti-integrin MAbs P1E6 (2), ASC-6 (3), and P4C2 (4) and control MAbs MOPC 21 and ST-3:1.

View this table: [in this window] [in a new window]   TABLE 1.   Effect of PMA treatment of K562, 2-K562, 3-K562, 4-K562, and MA104 cells on surface expression of 2, 3, and 4 integrin subunits 48 h later

SA11 rotavirus shows an increase in binding to K562 cells 24 h after their treatment with PMA, which is blocked by a MAb to the 2 integrin subunit, AK7. The above results suggested that the increased binding and growth of SA11 rotavirus in PMA-treated K562 cell lines was due to increased expression of the 2 integrin subunit. To test this directly, the ability of MAb AK7 to block virus bound to cells at 1 h after PMA treatment, when no 2 integrin is detectable by flow cytometry, and at 24 h after PMA treatment, when 2 integrin is detectable, was tested (Fig. 6). MAb AK7 reduced the titer of SA11 bound to PMA-treated cells 24 h after treatment by 29% (P = 0.007), to a titer indistinguishable from that in the controls, but had no effect on the bound virus titer 1 h after treatment (titer reduced by 6%; P = 0.55). In a repeat experiment, MAb AK7 reduced the titer of SA11 bound to PMA-treated cells by 33% at 24 h after treatment and by 5% at 1 h after treatment (data not shown). In the absence of PMA, MAb AK7 did not affect virus binding to cells (Fig. 6). Control MAb MOPC 21 did not affect the binding ability of virus, since the increase in virus binding to PMA-treated cells from 1 to 24 h after treatment with this MAb (1.2-fold; P = 0.017) was similar to that observed in the absence of any MAb (1.3-fold; data not shown). As expected, the PMA-treated cells at 24 h after treatment expressed 2 integrin detectable by flow cytometry with MAb AK7 (2.21 < RLMFI < 2.45) but did not express this integrin at 1 h after treatment (0.92 < RLMFI < 1.06). Mock-treated K562 cells did not express 2 integrin at 1 or 24 h after treatment (0.98 < RLMFI < 1.05).

View larger version (40K): [in this window] [in a new window]   FIG. 6.   PMA treatment of K562 cells 24 h previously produces increased SA11 rotavirus binding, which is blocked by anti-2 integrin MAb AK7. Cells were mock treated (PMA) or treated with PMA (+PMA) as described in Materials and Methods. Aliquots (0.5 ml) of PMA and +PMA cells (1 × 106) were treated with 10 µg of MAb (AK7 or MOPC 21) per ml for 2 h at 37°C, cooled on ice for 20 min, and assayed for infectious SA11 rotavirus binding. Immediately after treatment, additional aliquots (0.5 ml) of PMA and +PMA cells (5 × 105) were washed with PBS-FCS-Az, stained with MAbs MOPC 21 and AK7, and processed for flow cytometry. Remaining PMA and +PMA cells were maintained at a density of 5 × 105 cells/ml in DMEM for 24 h, and aliquots were treated with MAbs, cooled, and assayed for infectious SA11 rotavirus binding or processed for flow cytometry, as above. *, P = 0.017; **, P = 0.007.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

In this study we have demonstrated that two integrins, 21 and 41, are capable of acting as cellular receptors for SA11 rotavirus. For 21, this was shown in two ways. First, nonpermissive cells transfected with the 2 integrin subunit supported significantly elevated levels of SA11 virus attachment and growth, which could be blocked by an anti-2 antibody, but not by MAbs to 3 or 4 integrins or by an irrelevant MAb. Second, the same cells, when induced to express 21 by PMA treatment, also supported significantly elevated levels of SA11 virus attachment and growth. In K562 cells not expressing 2 integrin prior to PMA treatment, this increased virus binding could be blocked by an anti-2 antibody but not by an irrelevant MAb. This suggests that the major effect of PMA on SA11 cell entry was via induction of 2 integrin expression. However, PMA has pleiotropic effects on K562 cells (7, 31, 32), so that other enhancing effects of PMA on SA11 cell entry, including activation of transfected integrin or induced 2, cannot be ruled out.

Overall, infectious SA11 rotavirus bound to 21 integrin expressed on the cell surface either by transfection or by induction of endogenous expression, and this binding led to productive infection of the cell. It is likely that 21 will prove to be a receptor for many rotaviruses, since the anti-2 MAb AK7 and type I collagen block infection of MA104 cells by all rotavirus strains we have tested so far. These include SA11, RRV, and human strains RV-5, RV-4, K8, and 116E (12; M. J. Thomson and B. S. Coulson, unpublished results). From MA104 cells, SA11 rotavirus immunoprecipitates two proteins indistinguishable from two of those specifically precipitated by anti-1 integrin MAbs, and MAb AK7 at 10 µg/ml blocked the binding of SA11 to these cells by 35% (S. L. Londrigan, P. Witterick, and B. S. Coulson, unpublished results).

A peptide (RDGEE) containing a putative 21 integrin ligand sequence DGE(A) (54) and a sequence related to the newly proposed 21 integrin ligand sequence GER (33) has been shown to block SA11 infection of MA104 cells (12). Together with our demonstration here that SA11 binds to 21 integrin, this suggests that the binding of SA11 to 21 may have similar properties to the binding of this integrin to its natural ligand, type I collagen. In support of this, anti-2 MAbs AK7, RMAC11, Gi9, and P1E6 block the adhesion of type I collagen (which contains the sequence DGEA) to 21, with MAb P1E6 reducing adhesion the least (20, 29). This blocking pattern correlates with the relative abilities of these MAbs to block SA11 infection, since all were able to block infection but mAb P1E6 was the least effective (10, 12). In addition, the anti-1 MAb 4B4, which inhibits the attachment of various cells to integrin ligands, also blocked SA11 infection of MA104 cells, whereas the anti-1 MAb K20, which does not affect cell attachment to ligands (58), did not affect SA11 infectivity (10).

The 41 integrin was shown to be a SA11 receptor by using nonpermissive cells transfected with the 4 integrin subunit, which supported significantly elevated levels of SA11 virus attachment and growth over parent cells. The increases in virus binding and infectious-virus yield were blocked by an anti-4 antibody but not by irrelevant MAbs. We have also found that RD cells express 4 integrin (Londrigan, Hewish, et al., unpublished) and that RRV infectivity in these cells is reduced by the function-blocking anti-4 MAb P4C2 (Thomson and Coulson, unpublished).

The viral protein responsible for binding to 41 has not been identified. Previously, we showed that VP7 contains the 4 integrin ligand sequence LDV (12). Interestingly, VP4 of murine rotaviruses also contains the sequence LDV, at aa 538 to 540. Another 4 integrin ligand sequence, IDA, found in the C-terminal HepII domain of fibronectin (44), is present in VP4 at aa 538 to 540 in 33 (43%) of the 77 group A mammalian and avian rotavirus sequences in GenBank, including SA11, RRV, and some human strains (21). Further studies, including blocking of SA11 binding with peptides and MAbs directed to VP4 and VP7, are needed to determine the virus proteins and sequences required for rotavirus-integrin binding.

The highest level of SA11 replication was within 1 log unit of the yield in MA104 cells and occurred when both 21 and 41 integrins were being expressed in the K562 cells. This highest level was a 2.7-fold increase over the titer in cells expressing only 21. Thus, these integrins appear to contribute independently to rotavirus-cell interactions, but when both are present, 21 may be more important than 41. This is consistent with our previous observations that integrin ligand peptides and anti-integrin MAbs exhibited additive blocking of SA11 infectivity (12).

Although the transfected integrins 2 and 4 are expressed on K562 cells in an inactive form, PMA activation of these integrins did not affect virus-cell attachment. Thus, integrin activation by PMA was not required for SA11 rotavirus binding to 21 and 41. In addition to PMA treatment, activation in these cells is mediated by divalent cations, activating MAbs to 1 and integrin ligands (3, 32, 67). The RDGEE and LDV/IDA sequences in VP4 and VP7 may be accessible for integrin binding, allowing SA11 rotavirus to activate the integrins itself. We are further investigating the effects of integrin activation on rotavirus interactions with transfected cells.

A minority of rotaviruses, including SA11 and RRV, utilize terminal sialic acids for virus-cell binding, and the infectivity of these rotaviruses in neuraminidase-treated cells is reduced (19). However, sialic acid is not essential for the infectivity of these rotaviruses, since sialic acid-independent RRV mutants are infectious (42). GM₃-related monosialogangliosides from piglet intestine bound infectious OSU porcine rotavirus but were not sufficient to confer permissivity to OSU or human rotavirus Wa infection on CHO cells (49). Interestingly, GM₃ associates with 21 integrin to promote platelet adhesion to collagen (63). CHO cells do not express 2 or 4 integrins, and so the block in CHO cells to rotavirus replication may be due to lack of appropriate integrin expression. In K562 cells not expressing 2 or 4 integrins, very little SA11 replication occurred (Fig. 3). Infection of cells with SA11, neonatal calf diarrhea virus (NCDV), and Wa rotavirus is also blocked by Ricinus communis agglutinin I (5, 55); therefore, some rotaviruses may also recognize -D-galactose. This lectin binds to both 2 and 1 integrin subunits (23), which are heavily N glycosylated and contain terminal sialic acid residues (24). We hypothesize that binding of rotaviruses to cells involves initial carbohydrate recognition, particularly on integrins and integrin-associated glycosphingolipids, followed by a closer protein-protein interaction of virus with integrins via integrin ligand sequences on VP4 and possibly VP7. Since VP4 is the viral spike protein and contains the sialic acid-binding domain, binding of VP4 to cellular carbohydrates and integrins might precede any VP7 binding.

Rotavirus binding to integrin could facilitate virus-cell membrane interactions, including membrane permeabilization induced by VP5 or VP7 (51), fusion (39), and endocytosis. Integrin-ligand binding and the NPXY internalization signal present in the cytoplasmic domain of 1 integrins are required for integrin assembly into focal adhesions and the induction of "outside-in" cell signalling (59). Thus, rotavirus-integrin binding may induce a signal required for virus internalization. This is the case for adenovirus endocytosis, which requires phosphoinositide-3-OH kinase activation following v integrin binding to the virion penton base (35).

Rotavirus replication is detected primarily in the mature enterocytes of the middle and upper villus epithelium of the small intestine. The 21 integrin is present at sites of proliferating or differentiating epithelium, for example, on the migratory front of Caco-2 colonic adenocarcinoma cells (1). In the small bowels of children and adults, it is expressed in the crypt basal domain and at the lateral domain of crypt and lower villus enterocytes, where it mediates intercellular adhesion (4). Thus, assuming that rotavirus also uses 21 integrin as a receptor in vivo, access of rotavirus to this integrin might be prevented by intercellular tight junctions. Apical expression of 1 integrins in the intestinal cell line T84 is induced following breaching of the tight junctions by neutrophil transmigration (41), suggesting one mechanism by which rotavirus may gain access to 21 integrin. This problem of access also applies to echovirus type 1 binding to 21 integrin (its cellular receptor) in the intestine and to adenovirus-mediated gene delivery to the intestine via integrins (14). Once 21 integrin was accessed in the lower villus, rotavirus-infected cells might migrate to the middle villus region before sufficient viral antigen is synthesized to be detectable by IIF, explaining the observed virus tropism for enterocytes on the middle and upper villus.

Rotavirus usage of 41 integrin as a receptor on 4-transfected K562 cells suggests that rotavirus might use 41 and/or 47 integrins to interact with leukocytes, which are the only cells normally expressing 4 integrins. Intestine-homing memory T and B cells express 47 integrin which mediates the binding of the mucosal vascular addressin cell adhesion molecule 1 and is required for their efficient trafficking into mucosal lymphoid tissues and for their recirculation through the gastrointestinal tract and lamina propria. Rotavirus infection in children results in a specific circulating memory T-cell response that is mainly CD4⁺ and 47⁺ (50). In murine rotavirus infection, the memory B cells providing the secretory IgA response and protective humoral immunity also express 47 (64). Rotavirus binding to or infection of these 47⁺ cells could interfere with their homing and protective role and contribute to the observed short duration of protection against disease conferred by natural rotavirus infection. It is also possible that these cells facilitate rotavirus spread both within the intestine and to other organs.

Our demonstration that 21 and 41 can act as receptors for SA11 rotavirus provides a basis for many further studies directed at fully understanding the process of rotavirus-cell interactions and viral pathogenesis. This information will be crucial to our ability to produce more effective vaccines and antirotavirus agents.