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Journal of Virology, June 2004, p. 6171-6179, Vol. 78, No. 12
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.12.6171-6179.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Department of Medical Microbiology and Infectious Diseases and Department of Physiology, University of Manitoba, Winnipeg, Manitoba, Canada R3E 0W3
Received 20 November 2003/ Accepted 12 February 2004
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Mycophenolic acid (MPA) is a nonnucleoside, noncompetitive, reversible inhibitor of eukaryotic IMP dehydrogenase (IMPDH) (Fig. 1). IMPDH catalyzes the rate-limiting step in the de novo biosynthesis of purine mononucleotides and is involved in the early steps of GMP synthesis. It is responsible for the conversion of IMP to XMP, which is further converted to GMP, GDP, dGDP, GTP, and dGTP (for review, see reference 1). IMPDH inhibitors are expected to mainly affect viral RNA and/or DNA synthesis when there is an increased need for synthesis, as in the case of virus-infected cells. IMPDH inhibition decreases levels of intracellular guanine nucleotide pools required for adequate RNA and DNA synthesis; therefore, inhibition of IMPDH with MPA has been shown to have antiproliferative (7), immunosuppressive (42), antimicrobial (43), antiviral (63, 70), and antiparasitic (3, 29) effects. Currently, MPA is used clinically to prevent rejection of transplanted kidneys and hearts in combination with steroids and cyclosporine A (2, 33, 66). MPA can inhibit the replication of several viruses in vitro (20, 24, 30, 37, 38, 45, 47, 48) and potentiates the inhibitory effects of acyclic guanosine analogs (such as acyclovir, penciclovir, and ganciclovir) against herpesviruses (47, 48). MPA also potentiates the activity of nucleoside analogs against human immunodeficiency virus (27, 28, 38). This potentiation is thought to occur by an enhancement of antiviral activity caused by depletion of normal dGTP substrate pools, which decreases the competition that nucleoside analogs experience from the normal substrate (dGTP) during the DNA polymerization reaction. Thus, incorporation of the analog and chain termination are increased (15, 19). Despite some progress made in understanding the antiviral properties of MPA, the potential application of its use as a broad-spectrum antiviral agent against both positive- and negative-stranded RNA viruses has not been fully realized.
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FIG. 1. Pathways of purine biosynthesis. MPA inhibits IMPDH, which directly causes depletion of the guanine nucleotides (GMP, GDP, dGDP, GTP, and dGTP) and potentially causes a decrease in succinyl-AMP, which leads to a decrease in adenine nucleotides. The figure was compiled from data in references 1, 14, and 35.
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For this study we examined the antiviral properties of MPA against mammalian reovirus infection. MPA significantly inhibits reovirus replication when used at concentrations less than those when it is used as a clinical immunosuppressive agent. Reovirus inhibition is strain dependent, and genetic reassortant mapping showed the M1 gene, which encodes the minor core protein µ2 that is thought to be a polymerase cofactor, is associated with the antiviral effects of MPA against reoviruses. Studies of RNA and protein production suggest MPA inhibits reovirus replication by preventing both viral RNA and protein production.
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Virus infections and drug treatments. Except where differences have been noted, cells were routinely treated with various concentrations of MPA 1 h prior to infection. Most of the medium was removed and saved (as preadapted medium), and treated cells then were infected with high-titer stocks of T1L, T3D, or T1L x T3D reassortant viruses at various multiplicities of infection (MOIs). A mixture of fresh medium and preadapted medium (3:1; supplemented to contain the same amount of MPA as used during pretreatment) was then added to infected cells, which were incubated at 37°C. Supernatants and cells were harvested at various times (hours) postinfection (hpi) for virus titration by plaque assay as described previously (12). In time course studies, cells were treated with MPA at various times prior to, during, or post-reovirus exposure, and virus was harvested at 72 hpi. In some experiments, infected cells were incubated with 50 µg of guanosine/ml.
Analyses of virus-specific RNA synthesis. Subconfluent L929 monolayers in P60 dishes were treated with 0, 300 ng, or 3 µg of MPA/ml for 1 h and then infected with T1L or T3D at an MOI of 10 PFU/cell. After virus adsorption for 1 h, fresh medium that contained the same amount of MPA as that used to pretreat cells was added, and infections were labeled by the addition of [32P]orthophosphate (Perkin-Elmer) to a final concentration of 20 µCi/ml. Infections were incubated at 37°C and harvested at 24 or 72 hpi. Immediately after incubation infections were placed on ice, and cell monolayers were scraped from the plate to harvest cells. Infected cells were treated with lysis buffer (140 mM NaCl, 1.5 mM MgCl2, 10 mM Tris [pH 7.4], 0.5% Nonidet P-40), and cellular nuclei and organelles were removed by low-speed centrifugation. Viral double-stranded (dsRNA) genomes were isolated from cell lysates by phenol-chloroform extraction and precipitated overnight at 20°C in 2.5 volumes of ice-cold ethanol. Viral dsRNA pellets were dried and resuspended in agarose electrophoresis sample buffer (0.25% bromophenol blue, 0.25% xylene cyanol FF, 15% Ficoll). Samples were stored at 20°C if not used immediately. Labeled RNA was resolved in 0.9% horizontal agarose gels that contained 0.1% ethidium bromide to allow RNA visualization under UV light and run at 100 V for 1.5 h in 0.5x Tris-borate-EDTA buffer. Nonlabeled purified T3D virions were used as an RNA marker. Gels were dried onto filter paper and then autoradiographed by exposure to Kodak X-AR sheet film (Kodak) at 80°C.
Identification of total viral protein production. Immunoprecipitations were carried out essentially as described previously (26). Briefly, subconfluent L929 monolayers in P60 dishes were treated with 0, 300 ng, or 3 µg of MPA/ml for 1 h and then infected with T1L or T3D at an MOI of 10 PFU/cell. After virus adsorption for 1 h, fresh medium that contained the same amount of MPA as used to pretreat cells was added and infections were labeled by the addition of [35S]methionine-cysteine (Perkin-Elmer) to a final concentration greater than 20 µCi/ml. Infections were incubated at 37°C and harvested at 24 and 72 hpi. Cytoplasmic extracts were prepared, incubated with anti-T3D reovirus-conjugated protein A-Sepharose beads, and processed as described elsewhere (26). Radiolabeled proteins were dissolved in sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) sample buffer (0.24 M Tris-HCl [pH 6.8], 1.5% dithiothreitol, 1% SDS), heated to 95°C for 3 to 5 min, and resolved in 5-to-15% gradient SDS-PAGE gels (16.0 by 12.0 by 0.1 cm) at 5 mA for 18 h. Gels were fixed and impregnated with Enlightning (Perkin-Elmer), dried onto filter paper, and then fluorographed by exposure to Kodak X-AR sheet film (Kodak) at 80°C.
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30 ng/ml had no significant effect upon the replication of either T1L or T3D when cells were infected at a low MOI of 0.12 PFU/cell. An MPA concentration of 300 ng/ml appeared to produce different effects in T1L infections compared to T3D infections. On average, addition of 300 ng of MPA/ml led to a threefold increase in infectious T1L viral progeny. In some experimental trials, addition of this dose had no significant effect upon T1L production compared to non-drug-treated control infections, whereas in other trials addition of this dose of MPA led to an increase in infectious progeny production that ranged from a one- to eightfold increase. In contrast, application of a dose of 300 ng of MPA/ml to T3D infections consistently led to a decrease in progeny virus production that ranged from 2- to 17-fold (average of 7-fold) less than comparable non-drug-treated control infections. The three- to sevenfold changes in viral replication seen at 300 ng of MPA/ml were not statistically significant when compared to non-drug-treated samples (P > 0.05). Higher concentrations of MPA led to a decrease in virus production for both strains, and these plaque reduction assays demonstrated that decreased production of infectious viral progeny was maximal at an MPA concentration of 30 µg/ml. We observed several strain-dependent differences in responses of T1L and T3D to different doses of MPA, with T3D generally being more sensitive to the antiviral effects of MPA than T1L. In addition to the strain-dependent different responses to 300 ng of MPA/ml noted above, the extent of viral inhibition was also different between T1L and T3D. The inhibition of infectious viral progeny production by MPA was greater in T3D, with a maximum inhibition of 1,560-fold compared to 46-fold for T1L at a dose of 30 µg of MPA/ml. Viral inhibition was not caused by cell toxicity, because there were only small differences in cell viability determined by cell doubling times, trypan blue exclusion, and WST cell toxicity assays at these MPA doses (data not shown). However, cell monolayers started to deteriorate after 24 h of exposure to 100 µg of MPA/ml. The 100-µg/ml MPA dose produced a paradoxical effect: despite the cytotoxic effect seen at this higher drug concentration, production of infectious viral progeny was increased compared to that at lower, less-cytotoxic drug concentrations. For most subsequent experiments, we routinely used a dosage of 3 µg of MPA/ml. This concentration was selected because cytotoxicity was less than at higher MPA concentrations and this concentration would ensure any inhibition seen was due to the inhibitory effects of MPA on the virus rather than cytotoxic effects on the cells. Strain-dependent differences in inhibition were also seen at this concentration of MPA, with near-maximal levels of inhibition. Some studies were also performed using an MPA dosage of 300 ng/ml.
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FIG. 2. Effect of MPA in L929 cells; effect of MPA on production of infectious reovirus progeny. L929 cells were pretreated with the indicated concentrations of MPA for 1 h before infection with T1L and T3D at an MOI of 0.12 PFU/cell. After virus adsorption, cells were overlaid with fresh MEM that contained the indicated concentrations of MPA and incubated at 37°C. Virus was harvested between 65 and 72 hpi, and viral titer was determined. Results are displayed as the relative titer, with infectious progeny virus produced at each MPA concentration expressed as a proportion of virus produced in the untreated control (0 MPA). The data represent the average of a minimum of three experiments, and the error bars represent 1 standard deviation.
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Time of MPA addition affects level of viral growth inhibition. When MPA was added 1 h preinfection or at 0, 3, 6, 12, or 24 hpi, differences in levels of viral inhibition were seen. Production of infectious viral progeny was reduced the most compared to untreated control cells when MPA was added between 0 and 12 hpi (P < 0.005) (Fig. 3). Viral replication was inhibited less when drug was added 1 h preinfection than when drug was added at the time of infection (T1L, 22-fold compared to >85-fold [P = 0.084]; T3D, 123-fold compared to >580-fold [P = 0.029]). Inhibition of virus production was minimal in cells treated with MPA at 24 hpi and was not significantly different from non-drug-treated control infections. Strain-dependent differences in response to the addition of MPA occurred whether the drug was added 1 h preinfection, at the time of infection, or 3 or 6 hpi. However, the greatest, and statistically significant, difference in viral inhibition between T1L and T3D was seen when cells were pretreated with MPA. Similar results were seen when MPA-treated cells were infected at MOIs of 1.2 and 12 (data not shown).
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FIG. 3. Time course of the effect of MPA on production of infectious virus progeny. L929 cells were infected with T1L and T3D at an MOI of 0.12 PFU/cell and harvested between 65 and 72 hpi. MPA was added at the indicated times with respect to virus inoculation. Results are displayed as the relative titer compared to progeny virus production in the untreated control. The data represent the average of a minimum of two experiments, and the error bars represent 1 standard deviation.
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TABLE 1. Genotypes of T1L x T3D intertypic reassortants tested for MPA sensitivity
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TABLE 2. Statistical analyses of genes associated with differential MPA effects
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FIG. 4. Virus production over time in the presence of MPA. L929 cells were pretreated with MPA for 1 h before infection with T1L and T3D at an MOI of 0.12 PFU/cell. After virus adsorption, cells were overlaid with fresh MEM that contained the indicated concentrations of MPA and incubated at 37°C. Virus was harvested between 0 and 72 hpi, and viral titer was determined. The data represent the average of a minimum of two experiments, and the error bars represent 1 standard deviation.
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FIG. 5. Effect of exogenous guanosine on infectious virus progeny production in the presence of MPA. L929 cells were pretreated with MPA for 1 h before infection with T1L and T3D at an MOI of 0.12 PFU/cell. After virus adsorption, cells were overlaid with fresh MEM that contained no supplements, 3 µg of MPA/ml, 50 µg of guanosine/ml, or a combination of MPA plus guanosine. Virus was harvested between 65 and 72 hpi, and viral titer was determined. The data represent the average of a minimum of two experiments, and the error bars represent 1 standard deviation.
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FIG. 6. Effect of MPA on viral RNA and protein production. (A) Agarose gel analysis of [32P]orthophosphate-labeled viral RNA. Pretreated L929 cells were either mock infected (M) or infected with T1L or T3D in the presence of 0, 300 ng, or 3 µg of MPA/ml, labeled with [32P]orthophosphate, and incubated at 37°C as detailed in Materials and Methods. At 24 or 72 hpi, dsRNA was purified and agarose gels were run at 125 V for 2 h, dried, and exposed to X-ray film. The locations of the L, M, and S gene segments are indicated between the day 1 and day 3 panels. (B) Immunoprecipitation fluorograph of [35S]methionine-cysteine-labeled cell extracts mock infected (M) or infected with T1L or T3D and treated as described for panel A. Extracts were precipitated with anti-T3D polyvalent antiserum conjugated to protein A-Sepharose. Labeled proteins were resolved in 5-to-15% gradient SDS-PAGE gels (16.0 by 12.0 by 0.1 cm) at 5 mA for 18 h, and the gels were fixed, dried, and exposed to X-ray film. The location of the major , µ, and classes of reovirus proteins are indicated between the day 1 and day 3 panels.
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MPA inhibits production of infectious reovirus progeny in other cell lines. In order to be clinically useful as a broad-spectrum antiviral agent, a compound might need to exert its effects in a variety of tissues. Since the sensitivity of virus-cell culture systems to ribavirin, another IMPDH inhibitor, and MPA are often dependent on the host cell line being used (47, 55, 57), we examined the effects of MPA on the production of infectious reovirus progeny in other cell lines. Vero and U373 cells, which are known to support reovirus replication (6, 32), were pretreated with various concentrations of MPA for 1 h before infection with T1L or T3D at an MOI of 0.12 PFU/cell. Cells were incubated in the presence of various MPA concentrations at 37°C and harvested between 65 and 72 hpi, and the viral titer was determined (Fig. 7).
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FIG. 7. Effect of MPA on production of infectious reovirus progeny in other cell lines. Vero (A) and U373 (B) cells were pretreated with the indicated concentrations of MPA for 1 h before infection with T1L and T3D at an MOI of 0.12 PFU/cell as described in the legend to Fig. 2. Virus was harvested between 65 and 72 hpi, and viral titer was determined. Results are displayed as the relative titer compared to progeny virus production in the untreated control. The data represent the average of a minimum of two experiments, and the error bars represent 1 standard deviation.
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30 ng of MPA/ml had no significant effect on either T1L or T3D virus production. An MPA concentration of 300 ng/ml appeared to produce a different effect in T1L infections compared to those with T3D. Addition of 300 ng of MPA/ml had no significant inhibitory effect on T1L production compared to non-drug-treated controls, whereas it caused a 10-fold decrease in production of T3D infectious viral progeny compared to untreated controls. Higher concentrations of MPA led to a decrease in virus production for both strains, with maximal inhibition of viral production at 30 µg/ml. Viral production was decreased 535- and 1,379-fold for T1L and T3D, respectively, compared to non-drug-treated controls. In addition to strain-dependent different responses at 300 ng/ml, we also observed that T3D was more sensitive to the effects of MPA than T1L. These differences were greatest at 3 µg of MPA/ml, unlike in L929 cells where strain-dependent differences were greatest at 30 µg/ml (Fig. 2).
The effects of MPA on reovirus infection in U373 cells were similar to those in L929 and Vero cells, in that MPA concentrations of
30 ng/ml had no significant effects on viral titer compared to non-drug-treated controls (Fig. 7B). However, in contrast to L929 and Vero cells, strain-dependent differences in viral inhibition were minimal, with T3D slightly more sensitive than T1L to the inhibitory effects of MPA at a concentration of 300 ng/ml. Maximum inhibition of virus production for both T1L and T3D was around 250-fold and occurred at 3 and 30 µg of MPA/ml.
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In this study, we investigated the ability of MPA, a nonnucleoside inhibitor of IMPDH, to inhibit reovirus replication in L929, Vero, and U373 cells. Using plaque reduction assays, growth studies, and biosynthetic labeling, we demonstrated MPA inhibits reovirus replication, prevents an increase in reovirus titer beyond input titer, and inhibits production of reovirus progeny by reducing levels of viral RNA and protein. Our data convincingly show MPA is an antireovirus agent and, although it cannot prevent reovirus infection, it can attenuate reovirus replication. In the presence of 3 µg of MPA/ml, viral replication was suppressed for at least 24 and 48 hpi in T1L and T3D infections, respectively, compared to non-drug-treated controls, where viral titers increased dramatically after 12 hpi (Fig. 4). To test whether this represented a decrease in infectious viral progeny or a true decrease in viral production, we investigated the effect of MPA on RNA and protein production. Both RNA and protein production of both virus clones were suppressed in the presence of 3 µg of MPA/ml, and only T3D progeny RNA and protein production were substantially reduced in the presence of 300 ng of MPA/ml, when infections were harvested at 72 hpi (Fig. 6). The inhibitory effect of MPA was not due to cell toxicity and was reversed by the addition of exogenous guanosine (Fig. 5). These observations support the interpretation that the major mechanism of action of MPA is to deplete intracellular GTP and inhibit viral polymerase activity, and they are consistent with reports of in vitro antiviral activity in other virus systems (20, 24, 30, 45, 65, 70).
Our present results revealed that reovirus strains T1L and T3D differed in their sensitivities to MPA in L929 cells, with T3D more sensitive to the antiviral effects of MPA than T1L. Maximum inhibition was seen at a level of 30 µg of MPA/ml, where inhibition of T3D was 1,560-fold compared to 46-fold for T1L in L929 cells (Fig. 2). Genetic reassortant analysis of strain-dependent differences suggested the M1 gene, which encodes the µ2 protein, as the primary determinant of the difference in inhibition between T1L and T3D in L929 cells (Table 1 and 2). Some reassortant clones (e.g., EB129 and KC19, among others) appeared to be exceptions to the presumed M1 mapping, and a few other viral genes (M2, M3, and S1) appeared to contribute to the phenotypic differences. Interestingly, other studies (for example, references 61 and 71) have also found that some phenotypes do not map unambiguously to the M1 gene, necessitating statistical evaluation. To determine the statistical significance of each reovirus gene in the differential MPA sensitivity phenotype, a variety of statistical tests were performed. Division of the reassortant data set into halves and a univariate chi-square analysis of the distribution of each gene in each half indicated that the M1 gene was the most significant single determinant (P = 0.005) and that the S3 gene also was significant, but to a lesser extent (P = 0.02) (Table 2). A Wilcoxon rank sum analysis (that assigns weight to the placement of each gene within the data set) indicated the M1 gene was the most significant determinant (P = 0.00025) but also suggested that the M2 (P = 0.017), M3 (P = 0.0028), and S1 (P = 0.026) genes contributed to the phenotypic differences. Multiple logistical regression analyses were also performed to determine whether the above genes truly contributed to the phenotypic differences or whether the apparent contribution was caused by nonrandom gene distributions (49) in the available reassortants (Table 2). Irrespective of whether multiple logistical regression was performed on the complete data set of all individual experiments (data not shown) or whether it was performed on the average fold reductions (values in Table 1), the M1 gene was found to be the only major determinant of MPA phenotypic differences (P = 0.04).
The reovirus M1 gene is 2,304 bp long (67, 69, 72) and encodes the minor reovirus structural protein µ2. It is a minor component of the inner capsid, present in only 20 to 24 copies per particle (10). Protein µ2 has not been definitively localized within the reovirus particles but is thought to associate with the RNA-dependent RNA polymerase and reside near the icosahedral five-fold axes (22, 56). The functions of µ2 are only partially understood. The M1 gene segment is genetically associated with viral strain differences in the severity of cytopathic effect in mouse L929 cells, the frequency of myocarditis in mice, the levels of viral growth in cardiac myocytes and endothelial cells, the degree of organ-specific virulence in SCID mice, and the level of interferon induction in cardiac myocytes (25, 39, 44, 61, 62). The µ2 protein has also been shown to bind RNA and to be involved in formation of viral inclusions through microtubule binding in infected cells (4, 40, 53). Other genetic studies have associated the M1 gene with viral strain differences in the in vitro transcriptase and nucleoside triphosphatase activities of viral core particles (51, 71), which have been used to suggest that µ2 is a transcriptase cofactor, but µ2 remains the most poorly understood of the eight proteins found in reovirus virions. The complete sequence of the M1 gene segment has been reported for both T1L and T3D (53, 69, 72). The T1L and T3D M1 sequences are among the most highly conserved among different reovirus strains, showing about 98% nucleotide identity and >98.5% amino acid identity, which indicates 1 or more of the 10 amino acid differences found between the strains' µ2 proteins are responsible for the phenotypic differences. Computer-based comparisons of the M1 gene and µ2 protein sequences to others in GenBank have failed to show significant homology to other proteins, so that no clear indications of the function of µ2 have been revealed. However, small regions of sequence similarity to NTP-binding motifs have been identified near the middle of µ2.
The results of this study provide further insight into the reovirus minor core protein µ2, which remains the most functionally and structurally enigmatic of the reovirus proteins. The strain-specific difference in antiviral activity of MPA was genetically associated with the M1 gene segment (Table 1). Based on the mechanism of action of MPA, this suggests the µ2 protein plays a role in the uptake and processing of GTP in viral transcription and strengthens the evidence that the µ2 protein can function as an NTPase and is likely a transcriptase cofactor. Results from work with an MPA-resistant Sindbis virus mutant suggested that an alteration of the RNA guanylyltransferase was responsible for the MPA-resistant phenotype (60), and it is possible the reovirus µ2 protein may also contribute to guanylyltransferase activity. Previous work has indicated that the core spike protein
2 has guanylyltransferase activity (8, 36, 54) and, while the location of µ2 is unknown, it is presumed to be in close proximity to, or interact with, protein
2 (50). Generation and study of an MPA-resistant reovirus mutant may help elucidate additional roles played by minor core protein µ2 in reovirus replication.
This work was supported by grants MT-11630 and GSP-48371 from the Canadian Institutes of Health Research. L.L.H. is the recipient of a Canadian Institutes of Health Research MD/PhD studentship.
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