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Journal of Virology, March 2003, p. 3312-3318, Vol. 77, No. 5
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.5.3312-3318.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Role of the 5'-Proximal Stem-Loop Structure of the 5' Untranslated Region in Replication and Translation of Hepatitis C Virus RNA
Guangxiang Luo,* Shaojie Xin,
and Zhaohui Cai
Department of Microbiology, Immunology, and Molecular Genetics, University of Kentucky College of Medicine, Lexington, Kentucky 40536
Received 27 September 2002/
Accepted 25 November 2002

ABSTRACT
Sequences of the untranslated regions at the 5' and 3' ends
(5'UTR and 3'UTR) of the hepatitis C virus (HCV) RNA genome
are highly conserved and contain
cis-acting RNA elements for
HCV RNA replication. The HCV 5'UTR consists of two distinct
RNA elements, a short 5'-proximal stem-loop RNA element (nucleotides
1 to 43) and a longer element of internal ribosome entry site.
To determine the sequence and structural requirements of the
5'-proximal stem-loop RNA element in HCV RNA replication and
translation, a mutagenesis analysis was preformed by nucleotide
deletions and substitutions. Effects of mutations in the 5'-proximal
stem-loop RNA element on HCV RNA replication were determined
by using a cell-based HCV replicon replication system. Deletion
of the first 20 nucleotides from the 5' end resulted in elimination
of cell colony formation. Likewise, disruption of the 5'-proximal
stem-loop by nucleotide substitutions abolished the ability
of HCV RNA to induce cell colony formation. However, restoration
of the 5'-proximal stem-loop by compensatory mutations with
different nucleotides rescued the ability of the subgenomic
HCV RNA to replicate in Huh7 cells. In addition, deletion and
nucleotide substitutions of the 5'-proximal stem-loop structure,
including the restored stem-loop by compensatory mutations,
all resulted in reduction of translation by two- to fivefold,
suggesting that the 5'-proximal stem-loop RNA element also modulates
HCV RNA translation. These findings demonstrate that the 5'-proximal
stem-loop of the HCV RNA is a
cis-acting RNA element that regulates
HCV RNA replication and translation.

TEXT
Hepatitis C virus (HCV) is an enveloped RNA virus containing
a single-stranded, positive-sense RNA genome approximately 9.6
kb in length (
11,
35). The viral RNA genome is composed of a
single long open reading frame, flanked by untranslated regions
at the 5' and 3' ends (5'UTR and 3'UTR) (
7,
9,
11,
23,
39,
47).
Sequence analysis and comparison studies revealed that both
the 5' and 3' UTRs are the most-conserved regions of the viral
RNA genome among different HCV genotypes and isolates (
9,
23,
39,
47). The conservation of the 5' and 3' UTR sequences suggests
that they contain
cis-acting RNA elements required for HCV RNA
expression, replication, and regulation. A number of studies
have demonstrated that the 5'UTR harbors an internal ribosome
entry site (IRES) that mediates initiation of translation of
the viral polyprotein (
6,
7,
36,
40,
42-
44). Biochemical and
functional studies have revealed that the HCV 5'UTR folds into
a highly ordered complex structure with multiple stem-loops
(
27,
36). These highly folded secondary and tertiary RNA elements
function as
cis-signals for interaction with the 40S ribosome
subunit and/or eukaryotic translation initiation factors (
24,
32,
38). Recent studies have revealed that two RNA stem-loops,
domains IIId and IIIe of the IRES, directly interact with the
40S ribosome subunit and eukaryotic translation initiation factor
3 binds the upstream stem-loop III of the IRES (
27,
38). Genetic
studies using chimeric poliovirus (PV) and bovine viral diarrhea
virus (BVDV) containing the HCV 5'UTR confirmed that the HCV
IRES could functionally replace those of PV and BVDV (
15,
26,
49,
50). A small
Saccharomyces cerevisiae RNA inhibiting PV
IRES-dependent translation was also shown to inhibit HCV IRES
function (
12,
13). Clearly, the HCV IRES is a
cis-acting RNA
element that directs HCV RNA genome expression.
The HCV 5'UTR also plays an important role in viral RNA replication (14). The first 125 nucleotides of the 5'UTR was recently found to be the minimal sequence required for HCV RNA replication (14). However, the sequence and structural requirements of cis-acting RNA elements of the 5'UTR for HCV RNA replication have not been determined. The highly conserved 5'UTR harbors two distinct RNA elements, a short 5'-proximal RNA element (nucleotides 1 to 43) and a longer IRES element consisting of nucleotides 44 to 341 in the 5'UTR (36). The 5'-proximal RNA element can form a stem-loop structure with nucleotides 5 to 20 (Fig. 1). Whether the 5'-proximal stem-loop structure is essential for HCV RNA replication remains to be determined. Recent success in HCV reverse genetics provides us an excellent opportunity to perform genetic analysis of the 5'-proximal stem-loop RNA element in HCV RNA replication (5, 25).
To reveal the conservation of the 5'-proximal RNA element, we
performed a BLAST search for known HCV 5'UTR sequences of different
HCV isolates in GenBank. Among 172 BLAST hits, the short RNA
element sequences are highly conserved, with minimal sequence
divergence mainly in the loop of the 5'-proximal stem-loop structure
and downstream of the stem-loop (Fig.
1). The conservation of
the 5'-proximal RNA element suggests an important role in HCV
RNA replication. The conserved RNA sequences and/or structures
located at the ends of viral RNA genomes normally contain
cis-acting
RNA elements required for viral RNA replication (
3,
8,
18,
30,
33).
To determine the sequence and/or structural requirements of the 5'-proximal stem-loop RNA element for HCV RNA replication, we introduced a number of mutations into the 5'-proximal stem-loop RNA element by nucleotide deletions and substitutions (Fig. 2A). Two deletion mutants were constructed by removal of the first 4 and 20 nucleotides from the 5' end, resulting in replicon RNAs designated 5'UTR/d4 and 5'UTR/d20, respectively (Fig. 2A, mutants II and III). To examine the structural requirements of the 5'-proximal stem-loop, the stem was disrupted by either substitution of a stretch of five cytidines (C) at nucleotides 6 to 10 with five uridines (U) (5'UTR/SLUG) (Fig. 2A, mutant IV) or mutation of guanosines (G) at positions 15 to 19 to adenosine (A) (5'UTR/SLCA, Fig. 2A, mutant V). To restore the 5'-proximal stem-loop structure with different sequence, the base-paired nucleotides of the stem were switched by compensatory mutations so that the stem-loop structure was still retained but with nucleotides in opposite order (5'UTR/SLswitch, Fig. 2A, mutant VI). To avoid potential base pairing of the G at position 11 with the switched nucleotide C, the sequence in the loop was also mutated from GAUU to UGAU (Fig. 2A, mutant VI). In addition, the base-paired C-G nucleotides of the stem were mutated to U-A base pairs, resulting in a mutant replicon designated 5'UTR/SLUA (Fig. 2A, mutant VII). To examine the effects of mutations in the loop region introduced to the replicon 5'UTR/SLswitch on HCV RNA replication, we made a separate replicon with mutations from GAUU to UGAU in the loop (5'UTR/M-loop) (Fig. 2A, mutant VIII). These mutations will reveal whether the sequence and/or structure of the 5'-proximal stem-loop is important for HCV RNA replication.
To determine the effects of mutations introduced into the 5'UTR
on HCV RNA replication, we constructed a subgenomic HCV replicon
based on the published sequence (GenBank accession number
AJ242652 and
AJ242654) (
25). The subgenomic HCV RNA contains the 5'UTR,
the neomycin phosphotransferase gene (
neo) fused to sequences
encoding the first 12 amino acids of the core protein, the IRES
from encephalomyocarditis virus, nonstructural genes NS3 to
NS5B of HCV genotype 1b, and the 3'UTR (
5,
25). Since a highly
adapted mutation from serine to isoleucine in NS5A at position
1179 (S
1179I) was reported to dramatically enhance the level
of HCV RNA replication (
5), we introduced this mutation into
the original replicon I
377/NS3-3', resulting in a replicon designated
I
377/NS3-3'/S1179I. This HCV replicon was used for introduction
of the above-described mutations in the 5'-proximal stem-loop
RNA element. Subgenomic HCV replicon RNAs were transcribed by
a T7 RNA polymerase and transfected into Huh7 cells by electroporation.
The replicon RNA-transfected Huh7 cells were then selected for
resistance to antibiotics G418 sulfate. Results are shown in
Fig.
2B and C. Deletion of the first 4 or first 20 nucleotides
from the 5' end failed to induce cell colony formation (Fig.
2B). Likewise, disruption of the stem of the 5'-proximal stem-loop
by nucleotide substitutions resulted in elimination of cell
colony formation (Fig.
2B, 5'UTR/SL
UG and 5'UTR/SL
CA). Restoration
of the 5'-proximal stem-loop structure by compensatory mutations
with different nucleotides rescued the ability of the RNA to
replicate in Huh7 cells, as revealed by cell colony formation
(Fig.
2B, 5'UTR/SL
switch). However, the efficiency of cell colony
formation resulting from the replicon 5'UTR/SL
switch replication
was reduced by approximately 10-fold, suggesting that the sequence
of the stem also plays a role in efficient HCV RNA replication.
Consistent with this finding, substitution of the C/G base-paired
stem with A/U base pairs dramatically decreased the efficiency
of cell colony formation (Fig.
2C, 5'UTR/SL
UA). The findings
indicate that the 5'-proximal stem-loop structure is essential
for HCV RNA replication. When the loop sequence was mutated
from GAUU to UGAU, however, the efficiency of cell colony formation
was not affected (Fig.
2C, 5'UTR/M-loop). This finding further
confirms that the loop of the 5'-proximal stem-loop can tolerate
nucleotide mutations, which were found in natural HCV isolates
(Fig.
1).
To further determine whether formation of cell colonies was the result of HCV RNA replication, we measured both positive- and negative-strand RNAs of the HCV replicons isolated from the replicon-bearing Huh7 cells using an RNase protection assay (RPA). As shown in Fig. 3B, both positive- and negative-strand RNAs of the replicon 5'UTR/SLswitch were detected at levels similar to those present in a wild-type replicon-harboring cell line (Fig. 3B). The RNA products of the replicon 5'UTR/SLswitch migrated slightly faster than those of the wild-type replicon RNA as the first 20 nucleotides of the mutant replicon 5'UTR/SLswitch RNA would not match the sequence of the wild-type RNA probes. However, the levels of positive-strand RNA of the replicon 5'UTR/SLUA were dramatically reduced (Fig. 3C). The negative-strand RNA of the replicon 5'UTR/SLUA present in Huh7 cells resistant to G418 was not detectable by RPA but was detected by strand-specific reverse transcription-PCR, suggesting that a more stable C/G base-paired stem-loop RNA element is required for efficient RNA replication (data not shown). Sequence analysis of the replicon RNAs isolated from G418-resistant Huh7 cells confirmed mutations introduced to the 5'-proximal stem-loop RNA element (data not shown). Taken together, these findings demonstrate that the 5'-proximal stem-loop structure plays an essential role in HCV RNA replication.
It was previously reported by others that the 5'-proximal RNA
element formed by nucleotides 1 to 43 (Fig.
1) is dispensable
for IRES function (
20,
21,
34,
50). To determine the effects
of mutations in the 5'-proximal stem-loop RNA element on translation,
we replaced the
neo gene with the chloramphenicol acetyltransferase
(CAT) gene in the HCV replicon. Wild-type and mutant 5'UTR-CAT
RNAs were transfected into Huh7 cells by lipofection. The levels
of CAT expression were determined by a CAT assay (Fig.
4A).
Deletions and nucleotide substitutions of the stem-loop structure
resulted in reduction of CAT expression by two- to five-fold
except that mutations of the loop sequences had no effect on
RNA translation (Fig.
4A). Restoration of the stem-loop structure
by compensatory mutations did not rescue translation of the
impaired RNA (Fig.
4A, 5'UTR/SL
switch). To determine whether
the transfected RNAs reached the same levels in the cell, RPA
was used to quantitate the levels of 5'UTR-CAT RNAs extracted
from Huh7 cells at 3 and 6 h posttransfection. As shown in Fig.
4B, there is no significant difference in the levels of wild-type
and mutant 5'UTR-CAT RNAs at 3 and 6 h posttransfection. As
the levels of CAT expression were also determined at 6 h posttransfection,
reduction of CAT expression was indeed due to impairment of
RNA translation by mutations introduced into the 5'-proximal
stem-loop RNA element. These findings demonstrate that sequence
of the 5'-proximal stem-loop RNA element is also important for
optimal RNA translation. This conclusion was further supported
by similar findings derived from a minigenome-like CAT RNA,
which consists of the 5'UTR, a reporter gene CAT, and 3'UTR.
In the presence of the 3'UTR, deletion of the first 20 nucleotides
from the 5'end (5'UTR/d20), disruption of the stem-loop structure
(5'UTR/SL
CA and 5'UTR/SL
UG), or restoration of the stem by compensatory
mutations (5'UTR/ SL
switch) all resulted in reduction of CAT
expression by 50%, as determined by immunoprecipitation (data
not shown). These results confirmed that the sequence of the
5'-proximal stem-loop RNA element also modulates HCV RNA translation.
The question arose whether mutations in the 5'-proximal stem-loop
RNA element affect the RNA stability. It was reported that some
mutations introduced to the 5'UTRs of PV and BVDV RNAs destabilize
the viral RNA and thereby affect its translatability and replication
in the cell (
3,
48). To address this concern, we determined
the levels of wild-type and mutant HCV replicon RNAs by RPA
at different time points after RNA transfection. Full-length
HCV replicon RNAs were transfected into Huh7 cells, and total
RNA was extracted at 3, 24, and 48 h, respectively, after RNA
transfection. It was found that deletion of the first 20 nucleotides
(5'UTR/d20), disruption of the stem-loop structure by nucleotide
substitutions (5'UTR/SL
CA), as well as the restored stem-loop
mutant (5'UTR/SL
switch) did not significantly affect the levels
of HCV RNAs compared to the level of a wild-type replicon (data
not shown). Therefore, mutations of the 5'-proximal RNA element
did not appear to alter the RNA stability.
Several lines of evidence derived from this study demonstrate that the 5'-proximal stem-loop structure is essential for HCV RNA replication and its sequence also modulates optimal HCV RNA translation. Cell colony formation resulting from HCV RNA replication was completely eliminated by either removal of the entire stem-loop (5'UTR/d20) or disruption of the stem-loop structure (5'UTR/SLCA and 5'UTR/SLUG) (Fig. 2). Restoration of the stem-loop structure by compensatory mutations with different nucleotides, however, was able to rescue HCV RNA replication (Fig. 2). The loop of the 5'-proximal RNA element can tolerate nucleotide variation, since mutations from GAUU to UGAU had no effect on the efficiency of cell colony formation (Fig. 2). In addition, the sequence of the 5'-proximal stem-loop structure also plays an important role in HCV RNA replication. The replicon RNA with an A/U base paired stem of the 5'-proximal stem-loop was replicated at an extremely low level (Fig. 3C). Moreover, the 5'-proximal stem-loop RNA element also modulates HCV RNA translation. Deletion and nucleotide substitutions of the 5'-proximal stem-loop RNA all decreased the HCV IRES-mediated translation by two- to fivefold (Fig. 4). These results are consistent with the findings reported by others that the 5'-proximal stem-loop RNA element was required for optimal HCV RNA translation (14, 16).
With many positive-strand RNA viruses, the 5'UTR has multiple important roles in the regulation of viral RNA translation and/or replication (3, 4, 10, 18, 19, 22, 45, 48). In the case of PV, a cloverleaf structure at the 5' end of the viral RNA genome controls both viral RNA translation and replication through differential interactions with a cellular protein, poly(C) binding protein, and the viral protein 3CD (3, 17, 18, 31, 37, 41). A recent study also has shown that the cloverleaf structure is required for initiation of negative-strand RNA synthesis of PV RNA (3). For BVDV, a stem-loop structure at the immediate 5' terminus of the BVDV genome is critical for not only viral RNA replication but also RNA translation (4, 48). The question of how the 5'-proximal stem-loop RNA element of HCV genome controls RNA replication and translation remains to be determined. Little is known about the molecular mechanisms of HCV RNA replication. In general, it is believed that HCV probably follows a replication strategy similar to that of other positive-stranded RNA viruses. The genomic RNA initially serves as an mRNA for translation of viral polyprotein. Following translation, RNA replication is initiated by synthesis of complementary negative-strand RNA that in turn acts as a template for synthesis of nascent positive-strand RNA genome (1, 33, 46). Therefore, the HCV 5'UTR, upon replication, becomes the complementary 3'UTR of the negative-strand RNA, which initiates positive-strand RNA replication. Thus, it is most likely that mutations of the 5'-proximal stem-loop RNA impaired the positive-strand RNA replication. It is also possible that the 5'-proximal stem-loop element might play a role in the negative-strand RNA synthesis like the cloverleaf RNA structure of PV (3). In this scenario, the 5'-proximal stem-loop element would play important roles in both positive- and negative-strand RNA replication. Another possible role of the 5'-proximal stem-loop RNA element might be to regulate HCV RNA translation and replication. Since HCV RNA acts as a template for both protein synthesis and negative-strand RNA replication, the question arises how these two different processes are regulated. In PV, the actively translating ribosomes were found to inhibit viral RNA replication (2, 18). A cloverleaf RNA structure in the 5'UTR, however, controls the switch of PV RNA translation to replication (18). As revealed by results derived from this study, the sequence of the 5'-proximal stem-loop RNA element is also required for optimal translation. Whether and how the 5'-proximal stem-loop RNA element regulates both HCV RNA translation and replication through interactions with viral and cellular proteins remain to be determined.

ACKNOWLEDGMENTS
We thank Ralf Bartenschlager (University of Heidelberg, Heidelberg,
Germany) for kindly providing the Huh7 cell line used in this
study. We thank Amiya Banerjee (Cleveland Clinic), who suggested
that we replace the C/G stem of the 5'-proximal stem-loop with
an A/U stem. We also thank Bob Geraghty for critical reading
of the manuscript.
This work was partially supported by NIH grant AI51592.

FOOTNOTES
* Corresponding author. Mailing address: Department of Microbiology, Immunology, and Molecular Genetics, University of Kentucky College of Medicine, 800 Rose St., MN378 UKMC, Lexington, KY 40536-0298. Phone: (859) 257-5577. Fax: (859) 257-8994. E-mail:
gluo0{at}uky.edu.

Present address: 302 Infectious Diseases Hospital, Beijing, China. 

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Journal of Virology, March 2003, p. 3312-3318, Vol. 77, No. 5
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.5.3312-3318.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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