INTRODUCTION

Top Abstract Introduction Materials and Methods Results Discussion References

Flavivirus is a genus of the Flaviviridae family, which consists of more than 68 members. Most flaviviruses are arthropod borne and are capable of infecting their vertebrate hosts through persistently infected mosquito or tick vectors, such as Japanese encephalitis virus (JEV), tick-borne encephalitis virus, and dengue viruses (DEN). The enveloped virion of a flavivirus contains a single-stranded, positive-sense RNA genome of approximately 11 kb, whose replication is primarily cytoplasmic and membrane associated. All known viral proteins are derived from a polyprotein that is expressed from the single open reading frame (ORF) on the flavivirus genome. The structural proteins of flaviviruses, including those of the capsid (C), membrane (M), and envelope (E), are encoded in the 5' quarter of the ORF, and the nonstructural proteins, namely, NS1 through NS5, are encoded in the rest. In common with other animal positive-sense RNA viruses with a single ORF, the first event of flavivirus replication in infected cells after uncoating is to translate the message-sense RNA genome into a polyprotein, which is co- and/or posttranslationally processed into 10 individual proteins by cellular and viral proteases. Flavivirus particles mature predominantly on intracellular membranes of the cytosol, but not on plasma membranes, of infected cells. Pirating the same intrinsic secretory pathway normally employed by cells to discharge macromolecules, flaviviruses bud from membranes of the endoplasmic reticulum and Golgi apparatus in infected cells to release the mature virions (for reviews, see references 12 and 66). As a result of infection, some flaviviruses cause the infected host cells severe cytopathic effects (CPE). JEV (43) and DEN (2, 21, 22), for example, have been shown to induce infected cells to undergo apoptotic cell death, which is one of the mechanisms that contribute to flavivirus-induced CPE.

As a part of the cellular response system, nuclear factor kappa B (NF-B) acts as an inducible transcription factor that can be quickly activated in response to many noxious stimulants, including virus infections. Normally sequestered by forming a complex with one of its cytoplasmic inhibitors, NF-B actually preexists in the cytoplasm of most cell types as an inactive homodimer or heterodimer comprised of one or two of five different subunits, including p50 (NF-B1), p52, p65 (RelA), c-Rel, and RelB. Upon signaling by different stimuli, the activation cascade of NF-B involves phosphorylation and degradation of the IB (inhibitor of NF-B) proteins, thereby releasing NF-B from cytoplasmic complexes; NF-B then translocates into the nucleus and binds to its cognate DNA sequences. Consequently, the expression of NF-B-dependent genes results in the generation of numerous mediators important for malignant transformation, cell adhesion, cell growth control, apoptosis control, immune functions, and embryonic development (for reviews, see references 3 and 5). In addition, NF-B may also play a crucial role against viruses, as NF-B activation can induce expression of the genes for beta interferon, major histocompatibility complex class I, and several inflammatory cytokines (for a review, see reference 4). On the other hand, a wide variety of viruses from various viral families are capable of activating NF-B in infected cells, including cytomegalovirus (CMV) (69), human immunodeficiency virus type 1 (68), Sendai virus (25, 68), adenovirus (17), hepatitis B virus (15, 50), human T-lymphotropic virus type 1 (26, 28, 54, 58), Epstein-Barr virus (32, 40), influenza virus (60), Sindbis virus (44, 45), and DEN serotype 1 (DEN-1) (52). For Sindbis virus or DEN-1, both of which are single-stranded, positive-sense RNA viruses, apoptotic cell death triggered by infections is facilitated by NF-B activation (44, 45, 52). Because NF-B activation is an active cellular process, it is conceivable that some of these viruses may derive certain replication advantages from expression of NF-B-dependent genes in infected cells. Nevertheless, little is known about whether a cytoplasmic RNA virus requires activation of other nuclear-factors to complete its life cycle in infected cells. This prompted us to investigate in the present study whether NF-B activation in infected cells is essential for flavivirus replication and for flavivirus-induced apoptosis.

Salicylates are widely employed as nonsteroidal anti-inflammatory drugs. In addition to blockage of prostaglandin production by inhibition of cyclooxygenase (COX), sodium salicylate (NaSal) and acetylsalicylic acid (aspirin) also inhibit NF-B activation induced by tumor necrosis factor (TNF) and some other agents, most likely by preventing the phosphorylation of IB and its subsequent degradation by the ubiquitin-proteasome pathway (6, 9, 29, 39, 59, 61, 62). Furthermore, the inhibitory effects of salicylates on TNF-induced phosphorylation and degradation of IB appear to also involve the activation of p38 mitogen-activated protein kinase (MAPK) (70), which is a member of the three structurally related MAPK families identified in mammalian cells. Treatment with salicylates alone was shown sufficient to produce strong p38 MAPK activation in human FS-4 fibroblasts and African green monkey kidney COS-1 cells (70, 71). Hence, besides COX inhibition, the inhibition of NF-B activation or the induction of p38 MAPK activation might be equally important in the pharmacological actions of salicylates.

Both NaSal and aspirin attenuate the gene expression and infectivity of human CMV in coronary artery smooth muscle cells, probably through the COX-2- or NF-B-dependent pathway (73). However, the mechanism by which salicylates act against the replication of RNA viruses remains poorly defined and may utilize strategies fundamentally different from those for antagonizing DNA viruses such as CMV.

In this study, we explored the effects of NaSal and aspirin on the replication of JEV and DEN-2 in cultured cells. Our results revealed that salicylates not only suppress the replication of JEV and DEN-2 in a dose-dependent manner but also prevent apoptosis of infected cells. Salicylates had only trivial effects on the replication of Sindbis virus, a prototype of the Alphavirus family, under the same conditions. The inhibitory effects of salicylates on flaviviruses did not appear to result from suppression of NF-B activation but instead were at least partially due to the activation of p38 MAPK given that the pyridinyl imidazole compound SB-203580, a highly selective p38 MAPK inhibitor, was able to alleviate the antiflavivirus effects of salicylates. In addition, the flaviviruses seemed not to require NF-B activation in order to replicate in infected cells, since several blocking approaches all failed to influence flavivirus production. Our results suggest that salicylates utilize an NF-B-independent pathway, which may involve p38 MAPK activity, to interfere with flavivirus replication and thereby delay the process of virus-associated apoptosis.

	MATERIALS AND METHODS

Top Abstract Introduction Materials and Methods Results Discussion References

Viruses, cell lines, and chemicals. A plaque-purified Taiwanese JEV strain, RP-9 (13, 14), was employed throughout this study. The propagation of JEV was carried out in baby hamster kidney (BHK)-21 cells utilizing RPMI 1640 medium containing 2% fetal calf serum (FCS; GIBCO). A local Taiwanese strain of DEN-2, PL046, isolated from a dengue fever patient was generously provided by the National Institute of Preventive Medicine, Taiwan, Republic of China (ROC). DEN propagation was carried out in C6/36 cells utilizing RPMI 1640 medium containing 5% FCS (GIBCO). In some experiments Sindbis virus (Ar-339; American Type Culture Collection) was used to infect the target cells. The propagation of Sindbis virus was carried out in BHK-21 or Chinese hamster ovary (CHO) cells utilizing RPMI 1640 medium containing 2% FCS. N18, a mouse neuroblastoma cell line (1) (kindly provided by D. E. Griffin, Johns Hopkins University, Baltimore, Md.), was grown in RPMI 1640 medium containing 10% FCS (GIBCO). NaSal and aspirin were purchased from Sigma. The NF-B peptide inhibitor SN50, its ineffective analogue SN50M, and phorbol 12-myristate 13-acetate (PMA) were obtained from Calbiochem. Lactacystin and indomethacin were acquired from Biomol.

Virus infection and titration. For infection with JEV or DEN, monolayers of the indicated cells grown in 6- or 12-well plates were initially adsorbed with virus at a multiplicity of infection (MOI) of 5 for 1 h at 37°C. After adsorption, the unbound viruses were removed by three gentle washings with serum-free RPMI 1640 medium. Fresh medium containing 2% FCS was added to each plate for further incubation at 37°C. At the end of infection, the culture media were harvested for a plaque-forming assay to determine virus titers. Briefly, a virus dilution was added to 80% confluent BHK-21 cells and incubated at 37°C for 1 h. After adsorption, the cells were washed and overlaid with 1% agarose (SeaPlaque; FMC BioProducts) containing RPMI 1640 with 1% FCS. After incubation for 4 (for JEV) or 7 (for DEN) days, the resulting cells were fixed with 10% formaldehyde and stained with 0.5% crystal violet for plaque counting. Virus titers were expressed as PFU per milliliter.

Western immunoblot analysis. Cell lysates were prepared in a lysis buffer (1% Nonidet P-40, 150 mM NaCl, 50 mM Tris-HCl [pH 7.5], 1 mM EDTA) containing a cocktail of protease inhibitors (20 µg of phenylmethysulfonyl fluoride per ml, 2 µg of leupeptin per ml, 2 µg of aprotinin per ml). Lysates were mixed with an equal volume of sample buffer with 2-mercaptoethanol, separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and transferred to a nitrocellulose membrane (Hybond-C Super; Amersham). The nonspecific antibody-binding sites were blocked with 5% skim milk in phosphate-buffered saline (PBS), and the membranes were reacted with monoclonal antibodies specific for JEV E or NS1 (13). The resulting blot was treated with a horseradish peroxidase-conjugated goat anti-mouse immunoglobulin (Cappel) and developed with ECL reagent (Amersham).

MTT assay. An MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide] assay was used to measure mitochondrial functions, which served as an index of living cells. The assay was carried out as previously described (46, 71) with minor modifications. Briefly, MTT (Sigma) was dissolved in 0.1 M Tris-buffered saline to make a 5-mg/ml solution, which was then filtered to remove insoluble residues. Fifty microliters of MTT solution was added to each well containing tested cells in a 12-well plate and incubated at 37°C for 4 h. At the end of incubation, the MTT solution was removed, and 500 µl of isopropanol containing 0.04 N HCl was added to dissolve the dark-blue crystals precipitated in the wells. A 100-µl portion of the resulting solution was removed from each well and read at 540 nm on a microplate reader (Dynatech MR5000).

DNA fragmentation assay. Low-molecular-weight DNA was extracted from apoptotic cells following the published method (65). Briefly, cell suspensions in Hanks buffered salt solution (HBSS) were incubated with 70% ethanol for 24 h at 20°C. The resulting cells were centrifuged to remove ethanol, and the cell pellets were resuspended and incubated in 40 µl of PC buffer (192 mM Na₂HPO₄ mM citric acid [pH 7.8]) at room temperature (RT) for 30 min. After centrifugation at 1,000 × g for 5 min, the supernatants were collected and vacuum concentrated in new microcentrifuge tubes for 15 min using a SpeedVac. Three microliters of NP-40 solution (0.25%) and 3 µl of RNase A solution (1 mg/ml) were then added and incubated at 37°C for 30 min. After incubation, 3 µl of proteinase K solution (1 mg/ml) was added and the mixture was further incubated at 37°C for 30 min. The resulting DNA-containing extracts were then analyzed by 2% agarose gel electrophoresis in 1× Tris-borate-EDTA (TBE) buffer using ethidium bromide (EtBr) staining.

Cellular DNA fragmentation ELISA. Levels of apoptotic cell death were measured by a quantitative sandwich enzyme immunoassay using a commercial kit (Cellular DNA Fragmentation ELISA; Boehringer Mannheim). Cells were labeled with bromodeoxyuridine (BrdU) overnight prior to virus infection. At the various indicated time points postinfection, cells were permeabilized to release the cytoplasmic DNA fragments into the supernatant. The amounts of BrdU-labeled DNA released were measured by an enzyme-linked immunosorbent assay (ELISA) reader (Microplate reader; Molecular Devices) using antibodies against DNA and BrdU.

RNA dot blotting and [³H]uridine incorporation. For RNA preparation, the published method (16) was followed; briefly, cell monolayers in 60-mm dishes were first incubated with RNA lysis buffer (4 M guanidine thiocyanate, 25 mM sodium citrate [pH 7.0], 10 mM -mercaptoethanol, 0.5% N-lauroylsarcosine) for 15 min at 4°C. Cell lysates were extracted twice with acid pheno-chloroform (1:1), and RNA in the aqueous phase was then collected and precipitated by alcohol. Appropriate amounts of RNA from each sample were twofold serially diluted with RNA dilution buffer (diethylpyrocarbonate [DEPC]-treated H₂O-20× SSC [1× SSC is 0.15 M NaCl plus 0.015 M sodium citrate {pH 7.0}]-formaldehyde [5:3:2]) and then applied to a nylon membrane (Boehringer Mannheim) using a dot blotting manifold (Pierce). The resulting RNA samples on the membrane were fixed by UV cross-linking, blotted, and detected by a digoxigenin (DIG) nonradioactive nucleic acid labeling and detection system (Boehringer Mannheim) according to the manufacturer's instructions. Briefly, the filter was prehybridized with DIG Easy Hyb solution (Boehringer Mannheim) at 50°C for 1 h before the probe was added and hybridized overnight. DIG-11-dUTP was incorporated into the DNA probe by Taq polymerase during PCR. To obtain the DIG-labeled DNA probe specific for JEV, a plasmid containing the JEV NS1 gene was used as the template for PCR with a primer set hybridized to nucleotides 2478 (positive sense) (5'-GCGATCCAGACACTGGATGTGCCA-3') and 3534 (negative sense) (5'-GCGGATCCTAAGCATCAACCTGTGA-3') of the JEV cDNA. After overnight hybridization, the filter was washed twice for 5 min in 2× SSC-0.1% SDS at RT and twice for 15 min in 0.1× SSC-0.1% SDS at 68°C. To detect the RNA-DNA binding signal on the filter, an anti-DIG antibody-alkaline phosphatase conjugate was used to bind to the hybridized probe, and the signal was detected by exposing the filter to X-ray film in the presence of the chemiluminescence substrate CSPD (Roche Molecular Biochemicals).

LDH assay. Cell viability was assessed by the release of the cytoplasmic enzyme lactate dehydrogenase (LDH) using a commercial kit (Cytotoxicity Detection Kit; Boehringer Mannheim) following the manufacturer's instructions. Briefly, the culture supernatants from cell samples were clarified by centrifugation, mixed with the reaction mixture (diaphorase-NADH⁺, tetrazolium salt INT-sodium lactate), incubated at RT for about 30 min, and then read by an ELISA reader at 490 nm (Microplate reader; Molecular Devices).

Determination of luciferase activity. Cells were transiently transfected with a reporter plasmid, pNFB-Luc (Stratagene), carrying the luciferase gene downstream of the NF-B promoter. After 18 h, the cells were infected by JEV at an MOI of 5, and at 6 h postinfection the resulting cells were harvested and lysed to determine luciferase activity by using a Luciferase Assay System kit purchased from Promega. To examine the salicylate effect, in some indicated experiments the cells were also treated with 5 mM NaSal. Luciferase activity was expressed as relative light units.

Establishment of cell clones permanently expressing IB-N. All cell lines stably expressing IB-N were cloned from single cells by the limiting-dilution method as previously described (13). To establish cell clones stably expressing IB-N, 60% confluent BHK-21 cells were transfected by Lipofectamine (BRL) with the human IB-N expression plasmid pCMV4/IB-N (11). The transfected cells were selected and cloned in the presence of Geneticin (GIBCO). The expression of IB-N in cell clones was assessed by Western blotting, using an antibody specific for the human IB-N protein (Santa Cruz). The resultant clones were cultured in RPMI 1640 medium containing 5% FCS.

	RESULTS

Top Abstract Introduction Materials and Methods Results Discussion References

NaSal and aspirin inhibit the replication of flavivirus, but not that of Sindbis virus, in BHK-21 cells and N18 mouse neuroblastoma cells. Both BHK-21 and N18 cells can support the productive replication of JEV and DEN-2 (13, 47), and the severe CPE induced by the viruses lead to cell death through a mechanism probably involving apoptosis (43). To study the effects of NaSal and aspirin on JEV replication, BHK-21 fibroblasts were first infected with RP-9, a neurovirulent strain of JEV (14), at an MOI of 5, and after 1 h of virus adsorption the infected cells were washed and incubated in the presence of varying amounts of salicylates for 48 h. A concentration of salicylates between 1 and 5 mM was chosen for subsequent experiments because this is the actual serum range suggested for patients treated for chronic inflammatory diseases, and concentrations higher than 6.5 mM have been proven to be too toxic for clinical use (34). As Fig. 1A indicates, within the range of 1 to 5 mM the addition of NaSal or aspirin to the culture medium inhibited JEV replication in a dose-dependent manner. To determine whether or not the antiviral effects of NaSal and aspirin were due merely to the cytotoxic effect of salicylates on BHK-21 cells, an MTT assay was performed to evaluate mitochondrial activity (46) as a viability index for salicylate-treated cells. Figure 1B shows that no significant difference in mitochondrial function was detectable among cells treated with salicylates at concentrations ranging from 1 to 5 mM. In addition, salicylate by itself did not appear to have any direct anti-JEV capability, since pretreatment of JEV stocks with 5 mM NaSal or aspirin for 1 h at 37°C did not affect virus infectivity (data not shown). These results indicated that it was the infected BHK-21 cells that were targeted by salicylates to result in an inhibitory effect on JEV replication. Since we previously demonstrated that JEV could cause severe CPE of infected cells (43), the effects of salicylates on JEV-induced CPE were examined. Morphologically, at 36 h postinfection, CPE resulting from JEV infection were evident in the BHK-21 cells without salicylate treatment, whereas the infected, salicylate-treated BHK-21 cells appeared to be more resistant to virus-induced cytopathic damage (data not shown). The magnitude of cellular damage was then quantified by measuring the amount of LDH, a cytoplasmic enzyme, that had leaked into the culture medium from tested cells. As shown in Fig. 1C, at 36 h postinfection, the release of LDH from JEV-infected cells gradually declined as the concentration of NaSal or aspirin increased, consistent with the antiviral phenomenon seen in Fig. 1A. This result suggested that salicylates alleviated the JEV-triggered CPE in the infected BHK-21 cells in a dose-dependent fashion.

View larger version (29K): [in this window] [in a new window]   FIG. 1.   NaSal and aspirin inhibit flavivirus replication in BHK-21 and N18 cells. (A) BHK-21 cells were infected by JEV at an MO1 of 5, and at 1 h postinfection, the infected cells were treated with varying concentrations of NaSal (SA) or aspirin (ASA). After a 48-h incubation at 37°C, the virus titers (expressed as PFU per milliliter) in the culture media were determined by a plaque forming assay as described in Materials and Methods. Values of virus titers are shown as means ± standard errors of the means for three independent experiments. (B) MTT assay of salicylate-treated BHK-21 cells. BHK-21 cells were treated with SA or ASA at the indicated concentrations for 48 h at 37°C, and the viabilities of the resulting cells were determined by an MTT assay. (C) LDH release assay. At 32 h postinfection, amounts of LDH released from the JEV-infected BHK-21 cells treated with varying amounts of salicylates were measured by an ELISA plate reader at 490 nm. Optical densities at 490 mm are shown as means for representative experiments performed in triplicate. (D) BHK-21 cells were infected by DEN at an MO1 of 5 and were treated with varying concentrations of SA or ASA as indicated. After a 48-h incubation at 37°C, the virus titers (in PFU per milliliter) in the culture media were determined as described for panel A). (E) N18 cells were infected by DEN and treated with SA or ASA. After a 48-h incubation at 37°C, the virus titers (in PFU per milliliter) in the culture media were determined as described for panel A.

Effects of salicylates on synthesis of viral RNA in JEV-infected N18 cells. To further characterize the mechanism of salicylate-mediated inhibition, the effects of NaSal on viral RNA synthesis in JEV-infected N18 cells were investigated. Total viral RNA isolated from RP-9-infected, NaSal-treated N18 cells was quantitated by RNA dot blot analysis using a double-stranded DNA probe specific for the JEV NS1 region (46). As Fig. 2A shows, at 18 h postinfection the amounts of total viral RNA were gradually reduced as the dose of NaSal in the culture medium increased, indicating that salicylate decreased the amount of viral RNA accumulation. As a control, the total amounts of polII-independent RNA synthesis, as detected by [³H]uridine incorporation, did not differ significantly among JEV-infected N18 cells treated with varying concentrations of NaSal (Fig. 2B). These results thus suggest that NaSal exerted its antiflavivirus activity by interfering specifically with flavivirus RNA synthesis in the infected cells.

View larger version (19K): [in this window] [in a new window]   FIG. 2.   Effects of NaSal on viral RNA synthesis in JEV-infected N18 cells. (A) RNA dot blotting. Total RNAs were isolated at 18 h postinfection from JEV-or mock-infected N18 cells treated with various doses of NaSa1 (SA) as indicated. Appropriate amounts of RNA from each sample were threefold serially diluted (marked as 1 to 1/27 on the left of the panel) and applied to a nylon membrane that was then hybridized with the DIG-labeled DNA probe specific for the JEV NS1 region. (B) [3H]uridine incorporation. JEV-infected N18 cells were treated with varying doses of SA and incubated for 17 h at 37°C. After the resulting cells were labeled with [3H]uridine for 1 h, the newly synthesized, actinomycin D-resistant RNA was isolated. One-tenth of the cell lysates from each sample was counted for incorporation of [3H]uridine into RNA as described in Materials and Methods.

Effects of salicylates on synthesis of JEV glycoproteins. Both E and NS1 proteins of JEV are glycoproteins that can be secreted into culture media during infection (13). To determine whether or not salicylates can influence the synthesis of viral proteins, the amounts of viral glycoproteins accumulating intracellularly or released extracellularly from JEV-infected BHK-21 or N18 cells were determined by Western blot and densitometry analysis using monoclonal antibodies specific for viral E and NS1 glycoproteins. The accumulation of intracellular (Fig. 3A) or extracellular (Fig. 3B) E proteins from both BHK-21 and N18 cells was only slightly affected by different concentrations of NaSal. In contrast, upon NaSal treatment, the amounts of intracellular (Fig. 3A), as well as extracellular (Fig. 3B), NS1 proteins accumulating from JEV-infected cells decreased as the NaSal concentration gradually increased. This inhibitory effect of NaSal on viral protein synthesis was not likely due to its cytotoxic effect on the infected cells, since total protein synthesis, as measured by [³⁵S]methionine incorporation, did not differ significantly among cells treated with varying amounts of NaSal or between treated and untreated cells (data not shown). These data suggest that NaSal may either diminish the amount of NS1 glycoproteins synthesized intracellularly or block the secretion of these glycoproteins from JEV-infected cells. Still, it remains unclear why NaSal selectively influenced the accumulation of JEV NS1 more than that of E or NS1' proteins in infected cells. Whether NaSal affects the stability of NS1 protein at a posttranslational level during JEV replication requires further study. In addition, why NaSal could inhibit viral RNA synthesis (Fig. 2A) more strongly than viral glycoprotein synthesis (Fig. 3), especially at 1 mM NaSal, remains unclear and needs to be addressed thoroughly in future experiments.

View larger version (57K): [in this window] [in a new window]   FIG. 3.   Effects of NaSal on synthesis of JEV glycoproteins in infected BHK-21 and N18 cells. Immunoblot analysis of JEV E or NS1 protein in cell lysates (A) or in supernatants (B) from BHK-21 (lanes 1 to 6) or N18 cells (lanes 7 to 12) cells treated with doses of NaSa1 (SA) ranging from 0 to 5 mM as indicated. NS1' is the longer version of the NS1 protein derived from an aberrant cleavage in the JEV-infected cells (36).

Salicylates suppress flavivirus-induced apoptosis in cultured cells. Since JEV infection triggers apoptotic cell death (43), we investigated whether salicylates are capable of preventing infected cells from undergoing JEV-induced apoptosis. JEV strain RP-9 (at an MOI of 5) was used to infect BHK-21 or N18 cells. At 32 h postinfection, low-molecular-weight DNA was isolated from mock- or JEV-infected cells treated with varying amounts of salicylates, and cells were then examined using agarose gel electrophoresis. As a control, a DNA sample derived from BHK-21 cells infected with JEV exhibited characteristic internucleosomal size laddering (Fig. 4A, lane 1), whereas this DNA pattern was not seen in the sample obtained from mock-infected cells, even though they had been treated with 5 mM NaSal (Fig. 4A, lane 2) or aspirin (lane 6). Salicylates appeared to inhibit JEV-induced apoptosis of infected BHK-21 cells in a dose-dependent manner, since as the concentration of NaSal (Fig. 4A, lanes 3 to 5) or aspirin (lanes 7 to 9) increased, the extent of virus-induced DNA ladder formation gradually decreased.

View larger version (46K): [in this window] [in a new window]   FIG. 4.   Salicylates suppress flavivirus-induced apoptosis in BHK-21 and N18 cells. (A) Agarose gel electrophoresis of DNA fragmentation. BHK-21 cells were either mock infected (lanes 2 and 6) or infected with JEV at an MOI of 5 (lanes 1, 3 to 5, and 7 to 9), and cells were then left untreated (lane 1) or treated with NaSal (SA) (lanes 2 to 5) or aspirin (ASA) (lanes 6 to 9) at the indicated concentrations. Low-molecular-weight DNA was isolated from cells at 32 h postinfection and analyzed by 2% agarose gel in the presence of EtBr. Lane M, 100-bp ladders as DNA markers. (B) Gel analysis of DNA ladders from JEV-infected N18 cells that were left untreated (lane 1) or treated with 5 mM SA (lane 2) at 32 h postinfection. (C) Kinetics of DNA fragmentation from JEV-infected N18 cells that were left untreated (filled squares) or treated (open circles) with 5 mM SA, determined by ELISA. Prior to virus infection, cells were labeled with BrdU overnight. At the indicated time points following infection, the cells were permeabilized to release the cytoplasmic DNA fragments into the supernatants. The amounts of BrdU-labeled DNA released were measured by ELISA as optical densities (O.D.) at 450 nm using antibodies against DNA and BrdU (see Materials and Methods).

The antiflavivirus effects of salicylates were not mediated by blocking NF-B activation in infected cells. DEN replication activates NF-B in human hepatoma cells, which, in turn, triggers apoptotic cell death (52). Considering that both NaSal and aspirin have been shown to inhibit NF-B activation by preventing the degradation of its cytoplasmic inhibitor IB (39), we investigated whether the NF-B pathway is essential for flavivirus replication or for the process of virus-induced apoptosis, and whether the antiflavivirus effect of salicylates is mediated by blocking NF-B activation in infected cells. Using an NF-B-luciferase reporter plasmid controlled by five NF-B binding sites (pNFB-Luc; Stratagene), we found (Fig. 5A) that after 6 h of infection, JEV could induce NF-B activation compared to the mock infection control (P < 0.005 by the Student t test) and addition of 5 mM NaSal could suppress this activation (P < 0.05 by the Student t test). We next explored the effect of an NF-B-specific cell-permeating peptide inhibitor, SN50, on JEV replication in infected cells (48). At 1 h post-JEVinfection, the infected BHK-21 and N18 cells were treated with varying concentrations of SN50, and virus yields from these cells were assessed after 36 h of incubation. The results (Fig. 6) show that neither SN50 nor its mutant peptide (SN50M, a negative control) suppressed JEV replication in BHK-21 (Fig. 6A) or N18 (Fig. 6B) cells, whereas the control, 5 mM NaSal did so substantially in both types of cells. In addition, using the NF-B-luciferase reporter system, treatment of cells with 100 µg of SN50 was found to reduce JEV-induced NF-B activation by approximately 43% compared to untreated counterparts, whereas the control mutant peptide, SN50M, failed to do so. On the other hand, lactacystin, which is a specific proteasome inhibitor and is also known as a potent inhibitor of NF-B activation (20), exhibited a negligible effect on JEV replication (Fig. 6C). In addition, neither SN50 nor lactacystin blocked the occurrence of apoptotic cell death in JEV- or DEN-infected cells (data not shown). However, both of these inhibitors potently repressed NF-B activation when cells were treated with 10 nM PMA or 10 µg of poly (I · C) (data not shown), which has been shown to activate NF-B, likely through a protein kinase C activation pathway (8, 24, 67, 76).

View larger version (19K): [in this window] [in a new window]   FIG. 5.   Effect of NaSal or the dominant-negative mutant IB-N on JEV-induced NF-B activation. (A) NaSal effect. A total of 8 × 104 BHK-21 cells transfected with pNFB-Luc were either left untreated or treated with 5 mM NaSa1 or for 18 h. The resulting cells were then either infected with JEV (at an MOI of 5) or mock infected, and at 6 h postinfection, cell lysates were prepared for determination of luciferase activity. (B) IB-N effect. A total of 8 × 104 BHK-21 cells were transfected either with pNFB-Luc together with plB-N or with pNFB-Luc plus the pCR3.1 vector, and these cells were then infected with JEV at an MOI of 5 for another 6 h. The resulting cell lysates were prepared and assessed for luciferase activity. Values shown are representative of the results from three independent experiments. Luciferase activity is expressed as relative light units.

View larger version (50K): [in this window] [in a new window]   FIG. 6.   Role of NF-B activation in JEV replication in BHK-21 and N18 cells. (A and B) Effect of the cell-permeating peptide inhibitor SN50 on JEV replication. At 1 h postinfection, JEV-infected BHK-21 (A) or N18 (B) cells were treated with varying doses of SN50, and virus yields from the cells were determined by a plaque assay after a 36-h incubation. As negative controls, the infected cells were either left untreated (Blank) or, treated with the mutant peptide SN50M; as a positive control, cells were treated with 5 mM NaSal (SA). (C and D) Effect of lactacystin (C) or indomethacin (D) on JEV reproduction in BHK-21 cells. At 1 h postinfection, JEV-infected BHK-21 cells were either left untreated (Blank) or treated with varying doses of lactacystin or indomethacin, and after 20 h of incubation, virus yields from the resulting cells were determined by plaque assay as described for Fig. 1A.

View larger version (36K): [in this window] [in a new window]   FIG. 7.   Effects of constitutive IB-N expression on antiflavivirus capability of salicylates. The ability of JEV (A) or DEN (B) to replicate in IB-N-expressing cell clones (IB#1, #8, #12, #17, and #18) was compared to that in wild-type BHK-21 cells by measurement of titers of virus released into the culture medium. (C) The anti-JEV effects of salicylates were determined for the IB-N-expressing cell clones (IB#12 and #17) and the wild-type BHK-21 cells. After 1 h of JEV infection, cells were left untreated or treated with 5 mM NaSal (SA) or aspirin (ASA) and then incubated at 37°C for another 24 h. Virus production in the culture medium was determined by a plaque assay. Data are mean virus titers for two independent experiments.

The antiflavivirus effects of salicylates were partially undermined by blocking p38 MAPK activation. We next investigated whether p38 MAPK might be involved in the antiflavivirus effects of salicylates. Figure 8A shows that 5 µM SB203580, which is a specific p38-MAPK inhibitor, partially reversed the anti-JEV effect originating from 5 mM NaSal, while addition of SB203580 alone to JEV-infected BHK-21 cells had no inhibitory effect on JEV replication. Similarly, SB203580, but not its ineffective analogue SB202474, also partly neutralized the inhibitory effect of NaSal on DEN replication in BHK-21 cells (Fig. 8B). Together, these results suggest that the activity of p38 MAPK may play a role in the inhibition of flavivirus replication by salicylates in cultured cells.

View larger version (18K): [in this window] [in a new window]   FIG. 8.   Antiflavivirus capability of salicylates in cells treated with the p38 MAPK inhibitor SB203580. (A) BHK-21 cells were infected by JEV at an MOI of 5, and at 1 h postinfection SB203580 (SB) was added to the cells at varying micromolar concentrations in the presence or absence () of 5 mM NaSal (SA). After 36 h of incubation at 37°C, virus yields in the culture media were determined by a plaque assay. (B) BHK-21 cells were infected by DEN at an MOI of 5, and at 1 h postinfection varying doses (micromolar concentrations) of SB203580 or its ineffective analogue SB202474 (SBa) were added cells in the presence or absence () of 5 mM SA. After 36 h of incubation at 37°C, virus yields in the culture media were determined as described for Fig. 1A.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

Aspirin and NaSal are commonly prescribed drugs that have wide spectra of pharmacological activities and multiple sites of action. In this study we demonstrated that aspirin and its metabolite NaSal, at concentrations (1 to 5 mM) compatible with the amounts in the sera of patients undergoing anti-inflammatory therapy, specifically inhibited flavivirus replication, as well as virus-induced apoptosis, in infected cells (Fig. 1 to 4). In contrast, salicylates had only a trivial inhibitory effect on Sindbis virus infection under the same conditions, despite the fact that flaviviruses and Sindbis virus, a prototype of Alphavirus family, have several similarities, i.e., they are both positive-sense RNA viruses that replicate primarily in the cytoplasm of infected cells. These observations indicate that to complete the virus life cycle, flaviviruses and Sindbis virus may differ in their mode of replication, especially in what cellular functions to recruit and how to exploit certain cellular factors to form a viral replicase complex, which may or may not be functionally influenced by salicylates. Alternatively, salicylates may be able to directly target enzymes or structural proteins of flaviviruses more profoundly than those of Sindbis virus. In fact, the significant reduction in JEV NS1 proteins, but not viral envelope proteins, by NaSal treatment (Fig. 3) suggests that the antiflavivirus effects of salicylates may occur by direct blocking of the flavivirus replication machinery, because NS1, which can be expressed only in infected cells, has been shown to participate indispensably in both viral replication and morphogenesis (49, 51, 55, 56). Aside from cellular factors, it remains uncertain what other viral factors might also contribute to such a salicylate-inhibitable phenotype for flavivirus infection in a culture system.

Through a COX-2-dependent pathway, human CMV infection of smooth muscle cells generates a large quantity of cellular reactive oxygen species (ROS); these in turn stimulate NF-B activation, which is critical for CMV replication (73). Aspirin and NaSal have been demonstrated to possess anti-CMV effects, likely by directly scavenging ROS and blocking NF-B activation; additionally, indomethacin, which, like aspirin, is a nonselective COX-1 and COX-2 inhibitor, can attenuate CMV infection by suppressing COX activities as well as by reducing the amount of virus-induced ROS (73). This observation indicates that to exert anti-CMV effects, salicylates and indomethacin primarily intervene in the process of virus triggering of ROS or NF-B activation in CMV-infected smooth muscle cells. In contrast, we found that treatment of infected cells with indomethacin failed to suppress either flavivirus replication (Fig. 6D) or virus-induced apoptosis (data not shown), suggesting that COX activity is not required for flavivirus infections in a culture system. In addition, we found that the specific NF-B inhibitors SN50 and lactacystin had no inhibitory effect on flavivirus replication (Fig. 6A, B, and C), and even with stable expression of dominant-negative IB-N in the host cells, flaviviruses were still capable of replicating efficiently (Fig. 7A and B) and of triggering apoptosis (data not shown). These data clearly illustrate that NF-B activation is not essential either for a flavivirus to reproduce itself or for the infected cells to undergo apoptosis. This result is in contrast to findings from several previous studies concerning DEN-1 (52), DEN-2 (35), Sindbis virus (44, 46), and reovirus (18), in which virus replication activated NF-B, which is necessary for such viruses to induce apoptosis. This discrepancy reaffirms the notion that whether NF-B promotes, inhibits, or plays no role in an apoptotic process appears to depend predominantly on the specific cell type and the type of inducer (for a review, see reference 5). Interestingly, however, our data revealed that both aspirin and NaSal not only diminished flavivirus production (Fig. 1) but also blocked virus-induced apoptosis (Fig. 4), even in IB-N-expressing cells. This finding strongly suggests that salicylates are able to exert their antiflavivirus effects independently of blocking the NF-B pathway in a culture system.

NaSal rapidly and persistently activates p38 MAPK, which appears to be essential for NaSal to induce apoptosis in human fibroblasts and for its inhibitory action on TNF-induced IB phosphorylation and degradation (70, 71). By use of a specific p38 inhibitor, SB203580, we found that NaSal inhibited flavivirus replication, at least in part through mediation of p38 MAPK activation, whereas SB203580 by itself failed to suppress either flavivirus reproduction (Fig. 8). To elucidate the exact role of p38 kinase in the antiflavivirus effects of salicylates, one needs to further explore whether activation of p38 kinase alone, in the absence of salicylate treatment, still leads to inhibition of flaviviruses in infected cells. Alternatively, p38 kinase activation may operate synergistically with another known or unidentified action(s) of salicylates to inhibit flavivirus infection. Our results shown in Fig. 8 seem to support the latter notion, since a specific p38 inhibitor, SB203580, could only partially attenuate the antiflavivirus effects of NaSal in infected BHK-21 cells. However, since p38 kinases consist of p38, p38, p38, and p38 isoforms, and SB203580 specifically inhibits p38 and p38 (36, 42) but not p38 and p38 (19, 27, 41, 75), we cannot exclude the possibility that the incomplete suppression by SB203580 of the antiflavivirus effects of NaSal (Fig. 8) may have been due to failure to block the activity of p38 and/or p38. Among the MAPK subfamilies identified in mammalian cells, p38 kinases (30, 42, 64) are often strongly activated by different kinds of stresses, such as UV irradiation, osmotic shock, TNF, and interleukin 1 treatment. Characteristically, p38 kinase activation has been suggested to play an essential role in triggering apoptosis in several systems (10, 33, 57, 71, 78). Salicylates may conceivably be able, via p38 activation, to create a hostile cellular milieu that abrogates flavivirus infection. It will be of interest to investigate whether the mechanism for p38 involved in the antiflavivirus effects of salicylates is similar to that involved in induction of apoptosis by other death stimuli.

There are other possible actions of salicylates that may contribute to the antiflavivirus effects of salicylates and that can be confirmed by future experiments. NaSal inhibits the activation of p42 and p44 kinases (also referred to as extracellular signal-regulated kinase [ERK]) induced by TNF (72) and also inhibits the activation of ERK in neutrophils for integrin-mediated responses (63). However, by use of PD098059, a specific inhibitor of MEK (the proximal kinase activating ERK), we found that ERK activity may not participate in the antiflavivirus effects of salicylates (data not shown). In addition, in an activator protein-1 (AP-1)-luciferase transgenic mouse model, aspirin or NaSal suppressed UV-induced AP-1 activity in a dose-dependent manner, likely by blocking the activation of ERK, c-Jun N-terminal kinase kinases, and p38 kinase (31). Similarly, aspirin or salicylic acid inhibited AP-1 activation, as well as tumor promoter-induced transformation, in a J6 mouse epidermal cell line; these mechanisms might involve elevation of intracellular H⁺ concentrations (23). Whether flavivirus infections activate AP-1, whether AP-1 activation is required for flavivirus replication, and which AP-1-dependent genes may be pharmacological targets for salicylates in the process of flavivirus inhibition are interesting issues that remain to be studied. In addition, NaSal treatment, which is biochemically distinguishable from heat treatment, has been found to partially trigger a human heat shock response (38) and induce the DNA binding state of human heat shock transcription factor (HSF) (37). In Drosophila melanogaster, NaSal decreases intracellular ATP levels and induces HSF binding, as well as chromosomal puffing (77). Thus, it can be envisioned that salicylates may utilize a heat shock pathway or deplete intracellular ATP levels to render host cells unsuitable for infection by flaviviruses.

In summary, we found that salicylates inhibit flavivirus replication and virus-induced apoptosis in a dose-dependent manner and that this inhibition is apparently not mediated by blocking either COX activities or NF-B activation. On the other hand, a specific p38 inhibitor, SB203580, partially rescued flavivirus replication from the antiflavivirus effects of salicylates, indicating that p38 kinase activation by salicylates is somewhat responsible for the antiflavivirus phenomenon. We also observed that the processes of flavivirus replication and virus-triggered apoptosis did not appear to require NF-B activation, at least in the cell lines used in this study. Together, we conclude that the mechanism by which salicylates suppress flavivirus replication, although it may involve p38 MAPK activity, is independent of blocking the NF-B activation pathway. However, one must exercise caution in interpreting or applying our results concerning how salicylates inhibit DEN infections, since salicylates are notorious for anti-platelet function, giving rise to an increase in bleeding time, a situation that can be extremely hazardous for a dengue hemorrhagic fever or dengue shock syndrome patient inappropriately treated with salicylates. Nevertheless, the results of the present study using salicylates as molecular probes in a culture system contribute to our understanding of flavivirus-host interactions and shed some light on the identification of potential new pharmacological targets for the control of flavivirus infections.