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Journal of Virology, May 2004, p. 5015-5022, Vol. 78, No. 10
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.10.5015-5022.2004
Department of Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee 37232,1 Viral Pathogenesis Laboratory, Vaccine Research Center, National Institutes of Health,2 Laboratory of Pediatric and Respiratory Virus Diseases, Center for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, Maryland 208923
Received 29 September 2003/ Accepted 8 January 2004
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RSV enters uninfected cells by fusion of its host-cell-derived lipid envelope with the plasma membrane of the target cell. This process is mediated by the RSV F glycoprotein (53), a type 1 viral fusion protein (9). The two additional viral surface glycoproteins, G and SH, appear to play a role in augmenting F-mediated fusion (24) and are important for viral viability in vivo, but they have been shown to be dispensable for the replication of RSV in cultured cells (6, 10, 27, 50). Although G was originally identified as the attachment protein for RSV (31), the viability of viruses lacking G indicates that F alone can mediate both attachment and fusion. The role of SH in RSV entry is unclear.
The binding of RSV to host cells is facilitated by the presence of cellular glycosaminoglycans (GAGs), particularly heparan sulfate or other iduronic-acid-containing sugar chains (21, 29, 34). Feldman et al. showed that both G and F can bind to immobilized heparin and that soluble GAGs can inhibit the binding and replication of both wild-type RSV and the cold-passaged isolate cp-52, which lacks the G and SH glycoproteins (16). A recombinant virus expressing only F on its envelope also remains GAG sensitive (51), although this effect may be modulated by the cellular substrate (52). Whether there are host cell proteins on the surfaces of virions that may also contribute to viral attachment has not been reported, although it has been shown that the presence of heparin-like molecules on the virus surface is important for viral entry (4). Given the importance of sulfated GAGs for RSV entry, it is not surprising that many natural and synthetic polyanions, which are capable of competing with the binding of RSV to these sulfated moieties, have been shown to inhibit RSV infection (25, 32).
Members of our laboratory previously described the antiviral activity of a 19-mer peptide derived from the small intracellular GTPase RhoA. This peptide was effective at reducing the replication of RSV in vitro and in vivo in a mouse model of RSV disease (44). Based on truncation studies, it was shown that a slightly shorter peptide comprising amino acids (aa) 80 to 94 of RhoA was optimal for anti-RSV activity. Interestingly, the antiviral activity of this peptide was dependent upon the oxidation of an internal cysteine residue, resulting in the formation of peptide dimers (5). This dependence on an increased molecular weight, coupled with the anionic nature of the optimal peptide sequence, suggested that the antiviral activities of RhoA-derived peptides are unrelated to a specific in vivo F-RhoA interaction, but rather are a reflection of their similarities to other antiviral polyanions.
The purpose of the present study was to determine the mechanism of action of the RhoA-derived peptide 80-94. We report that the inhibition of RSV by this peptide is largely due to a disruption of viral attachment, that this inhibition is dependent on both the net charge and multimerization of the peptide, and that to be potently inhibited by peptide 80-94, viruses must express the G glycoprotein, suggesting that RSV G is a primary target of peptide binding.
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Synthetic peptides and soluble GAGs.
Peptides 80-94 and 83A were synthesized by 9-fluorenylmethoxy carbonyl solid-phase chemistry (Chiron Technologies, San Diego, Calif.) by the FDA Facility for Biotechnology Resources, Bethesda, Md. Peptide 80-94-N was purchased from Biosynthesis Incorporated (Loveland, Tex.). Peptide 80-94 is a linear peptide corresponding to aa 80 to 94 of RhoA, with the sequence ILMCFSIDSPDSLEN. Peptide 83A contains the same sequence with a single substitution of an alanine residue for cysteine 83: ILMAFSIDSPDSLEN. Peptide 80-94-N, ILMCFSINSPNSLQN, contains a substitution of the corresponding amide for each acidic amino acid, resulting in a peptide with no net charge. All peptides were purified by high-performance liquid chromatography to
80% purity and were analyzed by mass spectrometry to verify the correct molecular mass. Peptides 80-94 and 83A were dissolved in sterile-filtered ammonium bicarbonate buffer (1% [wt/vol]), pH 8.0, containing 20% dimethyl sulfoxide (DMSO) to promote the oxidation of the cysteine residue of 80-94. Peptide 80-94-N was generally dissolved in 100% DMSO. Heparin from porcine intestinal mucosa (Sigma, St. Louis, Mo.) and dextran sulfate, of approximately 8,000 kDa (Sigma), were dissolved to 10 mg/ml in sterile phosphate-buffered saline (PBS) and stored in aliquots at 20°C.
Oxidation of peptides.
Lyophilized peptides were reconstituted in 1% ammonium bicarbonate buffer containing 20% DMSO and allowed to incubate at room temperature overnight. Peptide samples were tested for free SH content before and after room temperature incubation by the use of Ellman's reagent (Pierce Biotechnology, Rockford, Ill.) according to the manufacturer's protocol, adapted to a microwell format. Briefly, cysteine standards and peptide stocks were diluted 1:50 into 200 µl of freshly prepared reaction buffer (0.1 M sodium phosphate [pH 8.0], 1 mM EDTA) containing freshly dissolved Ellman's reagent (1 mM) in 96-well microtiter plates. Samples were mixed for
30 s and then incubated for 15 min at room temperature. The absorbance at 405 nm was then measured with an MRX microplate reader (Dynex Technologies, Chantilly, Va.), and free SH values were calculated based on a standard curve in the range of 0.078 to 10 mM. Both peptides 80-94 and 80-94-N were oxidized to undetectable levels (
5% of preincubation values) after an overnight incubation.
Assessment of antiviral activity by antigen reduction assay. Peptides, heparin, or dextran sulfate was diluted by serial fourfold dilutions in MEM 10 to give a range of final test concentrations from 0.1 to 100 µg/ml. An equal volume of MEM 10 containing RSV was then added to the diluted peptides. Unless otherwise indicated, viruses were diluted to give a final concentration of approximately 500 PFU/well. Ninety microliters of virus-peptide mixture was added in triplicate to HEp-2 cells in 96-well plates that had been seeded the previous day at 1.5 x 104 to 2.0 x 104 cells per well. At 2 to 3 days postinfection, infected and mock-infected cells were fixed in methanol and the extent of viral replication was determined by enzyme-linked immunosorbent assay (ELISA) as described below.
ELISA. Virus replication was measured by detecting the amount of F protein expressed in RSV-infected cells. Briefly, fixed cells were washed in blocking buffer (PBS containing 3% nonfat dry milk) and then incubated for approximately 1 h at room temperature with a mix of anti-F monoclonal antibodies 1200, 1269, and 1243 (2, 40) diluted 1:1,000 in blocking buffer. Cells were then washed three times with PBS-Tween 20 (0.5%), followed by incubation with an anti-mouse horseradish peroxidase-conjugated secondary antibody (Sigma) similarly diluted 1:1,000 in blocking buffer. After three additional washes in PBS-Tween 20, 100 µl of ABTS substrate solution (KPL, Gaithersburg, Md.) was added and allowed to develop until the optical density values of infected control wells with no inhibitor reached approximately 1.0 absorbance unit above that of mock-infected blanks. The absorbance of the wells at 405 nm was read with an MRX microplate reader (Dynex Technologies). To allow for the comparison of multiple experiments, we normalized all data points in each experiment to the level of the internal controls (virus with no inhibitor), and they are represented in figures as fractions of the control value.
Immunofluorescence attachment assay. HEp-2 cells in 96-well tissue culture dishes (Costar) were chilled for approximately 1 h at 4°C. The medium was then removed and serial dilutions of RSV in ice-cold MEM 10 were added and allowed to bind for 30 min at 4°C. After this incubation, the cells were washed three times in cold PBS to remove unbound virus and were fixed in methanol. Bound virus was then detected by indirect immunofluorescence. After a brief incubation in blocking buffer (PBS with 3% nonfat dry milk), cells were incubated with a 1:500 dilution of primary antibody (the pool of anti-F monoclonal antibodies described above or anti-G monoclonal antibody MAB 858-2 [Chemicon, Temecula, Calif.]) or an isotype control monoclonal antibody for 1 h at room temperature. Cells were then washed three times in PBS-Tween and incubated with a 1:500 dilution of an Alexa Fluor 488-labeled anti-mouse secondary antibody (Molecular Probes, Eugene, Oreg.). After a final series of washes in PBS-Tween, 100 to 200 µl of PBS was added to each well and images of each well were captured with a Zeiss Axiovert 200 M fluorescence microscope (Carl Zeiss Microimaging, Thornwood, N.Y.) equipped with an ORCA-ER digital camera (Hamamatsu, Bridgewater, N.J.). After acquisition, all images were uniformly adjusted for viewing with Zeiss Axiovision software and Adobe Photoshop.
Inhibition of attachment assessed by immunofluorescence. RSV at 4 x 106 PFU/ml was premixed with 25 µg of heparin, dextran sulfate, or peptide/ml in ice-cold MEM 10, added to HEp-2 cells at 4°C, bound, and detected as described above.
Flow-based attachment assay. HEp-2 cells were dissociated from tissue culture flasks by use of a nonenzymatic cell dissociation solution (Cellstripper; Mediatech Inc., Herndon, Va.) and were resuspended in cold MEM 10. After 10 to 15 min on ice, cells were pelleted by centrifugation for 5 min at 800 x g and then resuspended to 106 cells/ml in MEM 10 containing RSV A2 at 1.6 x 105 to 4 x 107 PFU/ml. After being incubated on ice for 30 min to allow binding, cells were pelleted and washed in cold PBS to remove unbound virus. After being washed, cells were resuspended in cold PBS with a 1:1,000 dilution of anti-F, anti-G, or control monoclonal antibodies plus 2 µg of propidium iodide (PI)/ml and were incubated for 15 min on ice, followed by a single wash in PBS and a second 15-min incubation with a 1:1,000 dilution of anti-mouse Alexa Fluor 488 secondary antibody. Cells were then washed and fixed in 1% paraformaldehyde in PBS and evaluated by flow cytometry with a FACSCalibur instrument (Becton Dickinson, San Jose, Calif.). Dead cells were excluded from analysis based on PI staining. Data were analyzed with FlowJo, version 4.2 (Tree Star, San Carlos, Calif.).
Inhibition of attachment assessed by flow cytometry. HEp-2 cells were dissociated and resuspended in cold MEM 10 as described above. Peptides, heparin, or dextran sulfate was serially diluted in ice-cold MEM 10 to give a range of concentrations and was premixed with RSV A2 at 107 PFU/ml. Cells were pelleted, resuspended in premixed virus plus inhibitor, and incubated for 30 min on ice. After the incubation, cells were washed three times in PBS and bound virus was detected by flow cytometry using a pool of anti-F monoclonal antibodies as described above.
Calculation of EC50 values. Data from the antigen reduction assay and the flow-based binding assay were used to calculate 50% effective concentration (EC50) values by use of nonlinear curve fit analysis software (SigmaPlot 2001; SPSS Inc., Chicago, Ill.); EC50 values represent the amount of inhibitor calculated to give a 50% reduction in viral infectivity or binding. Briefly, EC50 values were individually calculated for each of three or more individual experiments by nonlinear regression analysis based on the best possible curve fit for each data set (curve fits were compared based on r2 values and were generally in the range of 0.950 to 0.999). The geometric mean of the individual EC50 values was then calculated.
Assessment of postattachment inhibition of viral infectivity. HEp-2 cells in 96-well plates were chilled to 4°C. RSV (103 PFU/well) was then added and allowed to bind at 4°C for 30 min. After binding, cells were washed three times in ice-cold PBS to remove any unbound inoculum. Fresh medium was then added at 4°C and plates were transferred to a 37°C incubator for warming. A peptide or soluble heparin, at a final concentration of 25 µg/ml in MEM 10, was added or removed at various time points as follows. For inhibitor pretreatment of cells, cells were treated for 30 min at 4°C with the inhibitor, which was then washed out before the virus was added. For binding inhibition only, the inhibitor and virus were added to the cells concurrently and washed out after a 30-min binding period. For postattachment inhibition, inhibitors were added after the inoculum was removed, but prior to the transfer to 37°C. For inhibition throughout, the inhibitor and virus were added concurrently and neither was subsequently removed. For postwarming inhibition, the inhibitor was added 2 h after the transfer of cell monolayers to 37°C. Each sample group was compared in quadruplicate to similarly treated control wells containing no inhibitor.
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FIG. 1. Antiviral activity of peptide 80-94 is dependent upon net negative charge. Peptides 80-94 and 80-94-N were oxidized by incubation in 20% DMSO and then were tested for antiviral activity against RSV. The virus was premixed with an inhibitor and added to HEp-2 cells. At 2 days postinfection, cells were fixed and the extent of viral replication was assessed by ELISA. The curves shown are from separate experiments and are representative of three or more experiments with each peptide. Data points are the means of triplicate samples and error bars represent 1 standard deviation.
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FIG. 2. Peptide 80-94 inhibits viral attachment. (A) Validation of immunofluorescence attachment assay. One hundred microliters of RSV in cold MEM 10 was added at 4 x 107 (a and e), 4 x 106 (b and f), or 4 x 105 (c and g) PFU/ml to HEp-2 cells in 96-well plates at 4°C. After an incubation for 30 min at 4°C to allow binding, virus-treated cells and mock-treated controls (d and h) were washed three times in cold PBS and then fixed in methanol. Bound virus was detected by indirect immunofluorescence with an anti-F monoclonal antibody, followed by an Alexa Fluor 488-labeled secondary antibody. Fluorescence and phase-contrast images of each sample were taken. The fluorescence images alone are shown in the top row, and the merged phase-contrast and fluorescence images are shown in the bottom row. (B) HEp2 cell monolayers in 96-well plates were incubated with 4 x 106 PFU of RSV/ml at 4°C in the presence of 25 µg of peptide, heparin, or dextran sulfate/ml, as indicated. After 30 min at 4°C, the cells were washed and bound virus was detected by immunofluorescence as described above.
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In order to more carefully quantitate the ability of the various inhibitors to block viral attachment, we adapted the immunofluorescence assay for flow cytometry. In agreement with a previous study (34), we observed that the binding of virus can be detected by flow cytometry and that the magnitude of binding is linear when cells are incubated with 2.5 x 105 to 4 x 107 PFU/ml (Fig. 3A). We tested the ability of peptides and sulfated polysaccharides to interfere with viral attachment by mixing 107 PFU of RSV/ml with a range of test concentrations of each inhibitor before allowing attachment at 4°C. This analysis revealed that peptide 80-94, soluble heparin, and dextran sulfate were able to efficiently interfere with the binding of virus to HEp-2 cells at 4°C, while peptides 83A and 80-94-N were not (Fig. 3B and Table 1). The amount of each compound necessary for a 50% inhibition of viral infectivity (EC50) correlated extremely well with the effective doses that inhibited the binding of virus in the flow cytometry assay (Table 1). Because the viral infectivity assay and the attachment assay are both dependent on the detection of viral antigen, we went on to verify that the polyanions used did not interfere with the binding of antibody to viral antigen. At the maximum concentration used for our assays, none of the compounds tested had a significant effect on the binding of the detecting antibody to RSV-infected cells (data not shown). Thus, the decrease in antigen detected in the presence of inhibitors was an accurate reflection of the amount of viral binding or replication and was not an artifact of the detection process. The strong correlation between the EC50 values for attachment and infectivity inhibition suggests that the ability of peptide 80-94 to inhibit viral attachment may be sufficient to account for its antiviral activity.
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FIG. 3. Quantitation of attachment inhibition by flow cytometry. (A) HEp-2 cells were incubated on ice with serial fourfold dilutions of RSV to allow viral attachment. After 30 min, cells were washed three times in cold PBS and bound virus was detected with anti-F (closed circles), anti-G (open circles), or control (closed triangles) monoclonal antibodies. (B) HEp-2 cells at 106/ml were incubated with 107 PFU of RSV/ml for 30 min on ice in the presence or absence of peptide 80-94 (circles), 83A (triangles), or 80-94-N (squares), as shown. Unbound virus was removed by washing in PBS, and bound virus was detected by flow cytometry with anti-F monoclonal antibodies. Geometric mean fluorescence values from two separate experiments with each peptide are shown with nonlinear curve fits.
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TABLE 1. Inhibition of RSV infectivity and binding by tested inhibitors
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FIG. 4. Peptide inhibition of RSV occurs at the time of entry with similar functional properties to soluble heparin. RSV was added to prechilled HEp-2 cells and allowed to bind at 4°C for 30 min. Cells were then washed three times in ice-cold PBS to remove the unbound inoculum, replenished with MEM 10 at 4°C, and transferred to 37°C to allow viral entry. Peptide 80-94 or soluble heparin was added and/or removed at various time points. x axis labels indicate when peptide or heparin was present during the assay. Pretreat, cells were treated for 30 min at 4° with inhibitor and then washed before virus was added; binding only, the inhibitor and virus were added to the cells concurrently and inhibitors were washed out with the virus after a 30-min binding period; postbinding, inhibitors were added after the inoculum was removed but prior to the transfer to 37°C; throughout, the inhibitor and virus were added concurrently and neither was subsequently removed; postwarming, the inhibitor was added 2 h after transfer of the plate to 37°C.
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FIG. 5. Inhibitory effects of peptide 80-94, dextran sulfate, and heparin on recombinant RSV. Recombinant RSV strains were tested for their susceptibility to inhibition by the 80-94 peptide, soluble heparin, or dextran sulfate. Briefly, the virus and inhibitors were premixed and added to HEp-2 cells. After 48 to 72 h at 37°C, the extent of viral replication was assessed based on the amount of viral antigen (F protein) produced. Virus rgRSV-SGF expresses all three surface glycoproteins, SH, G, and F. rgRSV-GF does not express SH, and rgRSV-F expresses neither SH nor G. Data from three independent experiments with each virus, normalized to internal controls, are shown.
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5 kDa) polyanionic molecules have been shown to be excellent in vitro inhibitors of attachment and entry for several enveloped viruses, including herpesviruses, retroviruses, orthomyxoviruses, and paramyxoviruses (11, 32). For many of these viruses, this has been shown to be due to the blocking of important charge-charge interactions involved in the binding of the virus to its cellular receptor(s). Such an inhibition is generally dependent upon the molecular weight and extent of the negative charge of the polyanions used and is somewhat nonspecific, in the sense that the interactions are thought to be largely charge mediated and of low affinity and may involve several sites on a particular viral or cellular protein (32). The inhibition of human immunodeficiency virus (HIV) by dextran sulfate, for example, has been shown to involve the association of dextran sulfate with several positively charged regions of the surface glycoprotein gp120 (7, 14, 22, 37, 39) and to interfere with the binding of gp160 to its receptor (30, 35), coreceptor (39), and cell surface heparan sulfate (38, 45). Although not as thoroughly studied, RSV is also inhibited by large polyanions, and for RSV this inhibition was shown to occur at the levels of both binding and fusion (25). When the antiviral activity of a RhoA-derived peptide was originally described, it was in the context of a recently described interaction between RSV F and RhoA (43), and the possibility of a direct interference upon F-RhoA interaction was considered as a mechanism of action (44). While our present data do not directly address this hypothesis, they do indicate that the antiviral activity of the RhoA-derived peptide 80-94 is likely to be more general in nature. Previous work indicated that the antiviral potency of RhoA peptides is not correlated with their structural similarity to RhoA (5), nor does their mechanism of activity seem to be specific for RSV F, given the relative insensitivity of the rgRSV-F virus to inhibition by peptide 80-94. In this light, the ability of RhoA-derived peptides to inhibit RSV entry should be viewed as a phenomenon separate from and perhaps unrelated to the previously described interaction between F and RhoA.
A more plausible explanation for the antiviral effects of the 80-94 peptide is suggested by the polyanionic nature of the peptide itself and its dependence on multimerization for its antiviral activity, both of which are hallmarks of previously described polyanionic inhibitors of enveloped viruses. The RhoA-derived peptide 80-94, like other polyanions, blocks the binding of RSV to host cells with approximately the same effective concentration at which it inhibits viral replication. This inhibition is dependent on the G protein of RSV, in agreement with its role as the primary attachment protein. Interestingly, the peptide was also effective at inhibiting the infectivity of a virus that had been prebound at 4°C. This agrees with the previous observation that polyanions can block both binding and postbinding entry events of RSV (25) and with the observation of a fusion-inhibiting activity of the 77-95 peptide in previous studies (44). The basis for the inhibition of RSV entry at a postbinding step by heparin, oxidized peptide 80-94, and other polyanions (25) is not clear and is the object of ongoing research. It has previously been shown that the N-terminal fusion peptide of gp41, the analogous viral fusion protein of HIV, can interact with polyanions (17), suggesting that polyanions may (at least for HIV) have a direct effect on viral fusion. However, the relative ineffectiveness of peptide 80-94 in inhibiting replication of the F-only virus indicates that direct effects of peptide 80-94 on the F protein are minimal. Given the dependence of peptide 80-94 on G for its antiviral effect, it may be that the peptide binds to complexes of F and G at the virion surface or to a conformation of F that is dependent upon the coexpression of G. Alternatively, the binding of peptide or other large polyanions to G may sterically block important sites on F that are necessary for the process of fusion. A requirement for steric hindrance or multisite binding would be consistent with the observation that the peptide activity requires multimerization. The identification of the specific binding targets of the 80-94 peptide is an ongoing area of research.
The identification of an in vitro interaction between RhoA and RSV F (43) and a subsequent report of antiviral activity by a RhoA-derived peptide (44) have led to several investigations into the role of RhoA in RSV infections. The results presented here indicate that the inhibition by RhoA-derived peptides is a function of the intrinsic biophysical properties of the peptides themselves and has no bearing on an interaction between RSV glycoproteins and RhoA in an infected cell. While RhoA and RSV F do interact in vitro, there is no evidence that they directly interact during RSV infection, and the inhibition of RSV by RhoA-derived peptides should not be seen as substantiating this hypothesis.
Even though RhoA and RSV F may not directly interact in vivo, RhoA signaling pathways are involved in several important aspects of RSV biology. RhoA is activated during RSV infections of cultured cells (18), and this activation is necessary for the production of viral filaments, although it is not essential for viral replication (36). RhoA activation appears to be important for the budding of RSV from lipid rafts (36), and cytoskeletal rearrangements mediated by RhoA contribute to, but are not essential for, the growth of RSV in some cell lines (3). RhoA signaling may also contribute to RSV pathogenesis, since interference with RhoA signaling pathways reduces the airway hyperreactivity induced by RSV infection in sensitized mice (23). Thus, RhoA appears to play an important role in RSV infection and disease, although this is likely due to the intrinsic importance of RhoA to cellular physiology (15, 20, 33), rather than as a specific binding partner for RSV F, as was previously hypothesized (43).
Although the antiviral activity of RhoA-derived peptides is likely unrelated to the role of RhoA in RSV biology, studies of these peptides have provided insights into the ways in which RSV entry can be inhibited. We have shown here that the RhoA-derived peptide 80-94 is able to block both the attachment of RSV to host cells and a postattachment step in the RSV entry process and that this activity is dependent on both molecular weight and the net negative charge. This activity is largely dependent upon the presence of the G protein of RSV and appears functionally similar to RSV inhibition by soluble heparin or dextran sulfate. A further investigation of the postattachment neutralization of RSV by these molecules should lead to a better understanding of the process of RSV entry and the respective roles of RSV F and G in this process.
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