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Journal of Virology, November 2004, p. 12147-12156, Vol. 78, No. 22
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.22.12147-12156.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Molecular and Cellular Biology Program,1 Department of Microbiology, Oregon State University,4 SIGA Technologies, Inc., Corvallis, Oregon,2 TransTech Pharma, Inc., High Point, North Carolina3
Received 19 January 2004/ Accepted 9 July 2004
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51,000 compounds was computationally queried to identify potential active site inhibitors. The resulting biased subset of compounds was assayed for both toxicity and the ability to inhibit the growth of VV in tissue culture cells. A family of chemotypically related compounds was found which exhibits selective activity against orthopoxviruses, inhibiting VV with 50% inhibitory concentrations of 3 to 12 µM. These compounds exhibited no significant cytotoxicity in the four cell lines tested and did not inhibit the growth of other organisms such as Saccharomyces cerevisiae, Pseudomonas aeruginosa, adenovirus, or encephalomyocarditis virus. Phenotypic analyses of virus-infected cells were conducted in the presence of active compounds to verify that the correct biochemical step (I7L-mediated core protein processing) was being inhibited. Electron microscopy of compound-treated VV-infected cells indicated a block in morphogenesis. Compound-resistant viruses were generated and resistance was mapped to the I7L open reading frame. Transient expression with the mutant I7L gene rescued the ability of wild-type virus to replicate in the presence of compound, indicating that this is the only gene necessary for resistance. This novel class of inhibitors has potential for development as an efficient antiviral drug against pathogenic orthopoxviruses, including smallpox. |
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No antiviral drug has been proven to be effective in the treatment of human smallpox. The only antiviral agent currently approved for use against orthopoxviruses is cidofovir, which has been shown to be useful against the molluscum contagiosum and orf viruses in humans (9). However, cidofovir has low oral bioavailability and must be administered intravenously (7), which limits its usefulness. Cidofovir has also been shown to cause nephrotoxicity affecting renal cells and must be coadministered with oral probenecid to reduce the toxic effects (16).
Development of an effective antiviral drug requires the identification of a specific interaction or activity whose disruption will be lethal to the virus and relatively benign to the host. Since viruses, such as orthopoxviruses, are obligate intracellular parasites which utilize many of the host cell's enzymes and metabolic pathways during their replication, this task is often quite difficult, and this fact is chiefly responsible for the relative paucity of successful antiviral drugs. The drugs that have proven effective, such as acyclovir, are typically directed against nucleotide-metabolizing or biosynthetic enzymes. Since many of the orthopoxvirus-encoded enzymes involved in nucleic acid biosynthesis are highly similar to their mammalian counterparts (for example, vaccinia virus [VV] thymidine kinase shares more than 90% identity with the human enzyme), it may prove difficult, if not impossible, to identify compounds that specifically block these viral enzymes.
Fortunately, it has recently been discovered that proteolysis catalyzed by viral-encoded proteinases is a necessary step in the developmental cycle of most viruses. This realization has created a new class of targets for antiviral drug development. Proteinase inhibitors have proven to be effective antiviral drugs that target human immunodeficiency virus, influenza, hepatitis C, and rhinovirus enzymes and that prevent disease in the human host. Small molecule inhibitors of the NS3 protease in hepatitis C virus have recently been shown to be effective both in animal and human trials (17). Thus, it is of particular interest to note that proteolytic maturation of orthopoxvirus core proteins appears to be required for infectious progeny to be produced (13). Studies in our laboratory over the past 10 years have identified the unique cis signals required to direct endoproteolytic cleavage of core protein precursors and established the contextual requirements of core protein maturation; in recent work we have identified the poxvirus gene (I7L) that encodes the viral core protein proteinase.
VV is a large double-stranded DNA virus that is a prototypic member of the orthopoxvirus family. It shares around 90% similarity with variola virus, the causative agent of smallpox, and it is believed that a compound that inhibits VV will also inhibit variola virus. Poxviruses are unique in that they replicate entirely in the cytoplasm of infected cells, encoding most of the genes necessary for their own replication. Briefly, the virus attaches to the outside of the cells, enters, uncoats, undergoes early gene expression, intermediate gene expression, DNA synthesis, late gene expression, virion formation, and virus maturation before egress from the cell. Morphogenic proteolysis occurs in the stage between the formation of the infectious intracellular mature virus from the noninfectious intracellular virus. The gene product of the I7L open reading frame (ORF) has been shown to be the cysteine proteinase responsible for the cleavage of the core protein precursors that occurs in this stage of the viral life cycle (4, 5).
The long-range goals of the experiments reported here are to discover and develop compounds capable of inhibiting the growth of pathogenic orthopoxviruses (such as smallpox) and disease-associated pathology in the human host. In this study, we describe the identification of a novel class of small molecule inhibitors that were modeled to fit into the predicted active site pocket of I7L. The inhibitory phenotype and genetic analysis are consistent with a defect in morphogenesis. Since these compounds are specific for orthopoxviruses and appear to have minimal toxicity to cells, they would appear to warrant further development as smallpox antiviral drug candidates.
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Computational modeling. TransTech Pharma's Translational Technology was designed and developed for rapid lead generation and optimization into preclinical drug candidates. It consists of two subtechnologies: TTProbes and TTPredict. TTProbes is a set of >51,000 pharmacophorically diverse molecules with high information density. TTPredict, on the other hand, is a state-of-the-art computer-based technology that automates high-throughput three-dimensional target model building, binding site identification, and conformational analysis. It is used to dock, score, and rank members of TTProbes set into targets' binding sites.
Cells and viruses. Table 1 provides a list of each cell line and virus strain used. BSC40 cells (21), HeLa cells, 293 cells, and L929 cells were grown in Eagle's minimal essential medium (MEM-E; Gibco-BRL, Rockville, Md.) containing 10% fetal calf serum (FCS) (Gibco-BRL), 2 mM glutamine, and 15 µg of gentamicin sulfate per ml in a 37°C incubator with 5% CO2. VV, cowpox virus, adenovirus, and encephalomyocarditis virus infections were carried out in MEM containing 5% FCS, 2 mM glutamine, and 15 µg of gentamicin sulfate per ml in a 37°C incubator with 5% CO2. Purified VV was prepared as previously described (13). Escherichia coli strains were grown in Luria-Bertani broth or on Luria-Bertani medium containing 1.5% agar and ampicillin (50 µg/ml). Recombinant VV expressing the green fluorescent protein (vvGFP) was constructed by inserting the GFP gene into the thymidine kinase locus in the Western Reserve strain of VV, driven by the VV 7,500-molecular-weight early-late promoter. Saccharomyces cerevisiae was grown in 1245 yeast extract-peptone-dextrose medium (American Type Culture Collection [ATCC], Manassas, Va.), and Pseudomonas aeruginosa was grown in nutrient broth (Difco, Detroit, Mich.).
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TABLE 1. Plasmids, oligonucleotides, cells, and strains used in this studya
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Fluorescence assay. Confluent monolayers of BSC40 cells in 96-well black-sided view plates (Packard) were infected with vvGFP at a multiplicity of infection (MOI) of 0.1 for 30 min at 37°C before the addition of compounds. Controls included uninfected cells and vvGFP-infected cells treated individually with AraC, hydroxyurea, rifampin, or no compound. Compounds were applied to the infected cells in doubling dilutions. Monolayers were incubated at 37°C for 24 h. Plates were washed with 1x phosphate-buffered saline (PBS) and fluorescence was measured by using a Wallac Victor2 V multilabel HTC counter (Perkin-Elmer) with an excitation wavelength of 485 nm, and plates were read at 535 nm. Wells showing a reduction in fluorescence over the untreated vvGFP-infected control lane were visualized under a light microscope to verify loss of virus replication versus removal of cell monolayer from a productive and concomitant CPE.
Determination of TI. The 50% inhibitory concentrations (IC50s) were determined by CPE inhibition as seen by fluorescence by using vvGFP and plaque reduction assays with crystal violet staining or neutral red uptake. The 50% cell toxicity concentrations (TC50s) were determined as the concentrations of compounds that caused 50% of the cells to round up and show signs of toxicity both visibly and through the indication of Alamar Blue dye. The therapeutic index (TI) was calculated as the value for the TC50 divided by the IC50.
Western blot analysis. Confluent monolayers of BSC40 cells in six-well plates were infected with vvGFP at an MOI of 1 for 30 min prior to the addition of compound. One well of cells was pretreated with hydroxyurea for 1 h prior to infection. Each compounds was added to the infected cell monolayers at a concentration of 100 µM. Monolayers were incubated at 37°C for 24 h. Virus-infected cell extracts were harvested by scraping, and the total cell extract was collected in 1.5-ml microcentrifuge tubes. The total cell extract was centrifuged for 15 min at 4°C, and the pellet was resuspended in 100 µl of 1x PBS and subjected to three cycles of freeze-thaw to release the virus from the cell debris. A total of 15 µl of the whole cell extract was run on sodium dodecyl sulfate-polyacrylamide gels and transferred to polyvinylidene difluoride (Pall, Ann Arbor, Mich.) membranes. The membranes were incubated with a 1:1,000 dilution of anti-4b antisera (24) and then with a 1:2,000 dilution of goat anti-rabbit alkaline phosphatase antisera (Bio-Rad, Hercules, Calif.). The proteins were detected by using the alkaline phosphatase development system (Bio-Rad) according to the manufacturer's instructions.
Isolation of compound-resistant vvGFP isolates. BSC40 cells in six-well plates were infected with vvGFP at an MOI of 0.05 for 30 min at 37°C prior to treatment with compound. The IC50 of the compound was added, and monolayers were incubated at 37°C for 24 h. Total cell extracts were harvested as above, and 10 µl of crude cell extract was used to infect fresh monolayers of BSC40 cells in the presence of compound. This process was repeated nine times with the titer of each passage determined. After the ninth passage, the titer had returned to a level similar to that of untreated virus. Compound-resistant virus was plaque purified to isolate individual resistant viruses and then amplified in six-well plates.
Genomic DNA preparation. Confluent monolayerss of BSC40 cells in six-well plates were infected with compound-resistant virus, treated with the same compound at the IC50, and incubated at 37°C until about 90% CPE was observed. Total cell extracts were prepared by scraping and were placed into a 1.5-ml centrifuge tube and centrifuged for 10 min at 4°C; the pellet was resuspended in 1 ml of 1x PBS and subjected to three freeze-thaw cycles. Aliquots (100-µl) were removed for storage, and the remaining 900 µl was treated with 10 mM Tris-hydrochloride (pH 8), 1 mM EDTA, 5 mM ß-mercaptoethanol, 150 µg of proteinase K per ml, 200 mM NaCl, 1% sodium dodecyl sulfate; the DNA was then extracted with Tris-EDTA buffer saturated with phenol-chloroform-isoamyl alcohol (25:24:1) and ethanol precipitated. The resulting DNA was used for PCR amplification of the VV I7L gene and for cloning.
Plasmids and site-directed mutagenesis.
Table 1 gives a description of all plasmids, oligonucleotides, and strains used. The VV I7L gene was amplified from Western Reserve strain genomic DNA and cloned into pRB21 (3) with PstI and HindIII flanking, yielding plasmid pI7L. Mutant I7L was amplified from the TTP-6171 compound-resistant virus DNA with primers CB26 and CB23 and cloned into pCR2.1-Topo Vector (Invitrogen, Carlsbad, Calif.) with PstI and HindIII flanking, yielding plasmid pCR2.1:I7L. Site-directed mutagenesis of the I7L gene was performed by using a QuikChange site-directed mutagenesis kit (Stratagene, Cedar Creek, Tex.) according to the manufacturer's instructions; primers CB84-85, CB86-87, and CB88-89 were used to mutate amino acids 78, 104, and 324, respectively, by using pI7L as a template, yielding pI7L-78/104, pI7L-78/324, and pI7L-78/104/324. Amino acid 78 of the I7L gene was mutated to create an XbaI site via a silent mutation to facilitate screening for recombinant viruses. Amino acid 104 of the I7L gene had a Y
C mutation, and amino acid 324 had an L
M mutation.
Transient expression. Confluent monolayers of BSC40 cells in six-well plates were infected with vvGFP at an MOI of 0.01 PFU per cell and transfected with 2 µg of plasmid DNA by using DMRIE-C (1,2-dimyristyloxypropyl-3-dimethyl-hydroxy ethyl ammonium bromide and cholesterol) (Invitrogen) according to the manufacturer's instructions. Plasmids contained either no insert, the wild-type I7L ORF, or the mutant I7L ORF with each single mutation or the double mutation. Cells were untreated or treated with the IC50 of the compound and incubated at 37°C. Cells were harvested at 24 h postinfection by pipetting up and down to lift the cells from the surface. The crude extract was centrifuged at 15,000 rpm for 10 min, the supernatant was aspirated off, and the pellet was resuspended in 1 ml of 1x PBS, freeze-thawed three times, and then centrifuged at 600 x g for 3 min to sediment cellular debris. The supernatant was tittered to determine viral yield.
Electron microscopy. Confluent monolayers of BSC40 cells in six-well plates were infected with vvGFP at an MOI of 3 PFU per cell for 30 min prior to treatment with compound. Compound was added at a concentration of 100 µM, and the cells were incubated at 37°C for 24 h. Cells were harvested as above and fixed with 2.5% glutaraldehyde and 1.2% paraformaldehyde in 0.1 M cacodylate buffer (pH 7.3), postfixed in osmium tetroxide, dehydrated, and embedded in Spurr's resin (23). Ultrathin sections were stained by using the double lead stain technique of Daddow (8), with lead citrate (25) and uranyl acetate. Sections were viewed with a Philips CM12 transmission electron microscope, operated at 60 KeV.
One step time course of viral replication. Confluent monolayers of BSC40 cells in six-well plates were infected with either vvGFP or v17 at an MOI of 1. One hour after infection, the virus-infected cells were treated with TTP-6171 at a final concentration of either 0, 10, 25, or 60 µM. Cells were harvested at 2, 12, 24, and 48 h postinfection and subjected to three freeze-thaw cycles to release virus, and viral titers were determined in BSC40 cells.
Transfection and isolation of mutant I7L recombinant virus. Confluent monolayers of BSC40 cells in six-well plates were infected with vvGFP at an MOI of 0.05 at 37°C. At 3 h postinfection, 1.5 µg of DNA was transfected into the cells by using DMRIE-C reagent (Invitrogen). Infected cells were harvested 24 h postinfection and the virus was released by three freeze-thaw cycles. After two rounds of plaque purification in the presence of TTP-6171 to select for recombinant virus (vCB), incorporation of the mutated I7L gene into the viral isolates was confirmed by PCR, digest with XbaI, and sequencing.
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FIG. 1. TTPredict three-dimensional model of the VV I7L cysteine proteinase modeled by using the structure of the C-terminal ULP1 protease. (A) Critical binding site residues are shown in colored tubes. (B) Close-up view of the I7L ligand binding and catalytic domain.
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FIG. 2. vvGFP assay. Graphical representation of the relative fluorescence units from 96-well plates of vvGFP-infected BSC40 cells treated with various compounds with an excitation wavelength of 485 nm and read-out at 535 nm. Each bar represents the average of 10 separate readings.
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TABLE 2. TI values of selected compounds
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FIG. 3. Chemical structure of TTP-6171.
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FIG. 4. Light and fluorescent images of vvGFP-infected cells with and without compound TTP-6171.
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TTP-6171 inhibits a late stage in the viral life cycle. To investigate which stage of the viral life cycle TTP-6171 was inhibiting, immunoblot analyses of extracts from cells infected with vvGFP (with or without candidate drugs) were conducted by using a monospecific antiserum against the VV A3L protein. The gene product of the A3L ORF, P4b, is a 72-kDa late protein that is cleaved by I7L to form the mature core protein 4b during a late stage of morphogenesis (5). As A3L is a late gene, no P4b signal on the immunoblot would indicate that TTP-6171 inhibited an early step in viral replication (binding, penetration, early or delayed-early transcription, uncoating, or DNA replication). If both the P4b precursor and 4b product were observed, this would suggest that TTP-6171 acted at a very late stage of viral assembly or egress. In contrast, expression of P4b with no, or reduced, processing to the 4b product would be the phenotype expected if TTP-6171 were an I7L inhibitor. In control experiments the expected phenotypes were observed. Cells infected with vvGFP in the absence of compound express both P4b precursor (apparent molecular mass of 66 kDa) and the processed 4b product (apparent molecular mass of 62 kDa) (Fig. 5, lane 2). When vvGFP-infected cells are treated with rifampin, a morphogenesis inhibitor, P4b is made but not processed (Fig. 5, lane 3). When vvGFP-infected cells are treated with hydroxyurea, an inhibitor of viral DNA replication, no P4b is observed (Fig. 5, lane 4). Lanes 5 to 8 show representative results with a number of the drug candidates tested. In the presence of the drug tested in lane 8, P4b is still being processed to 4b, indicating that inhibition of virus replication is occurring at some stage after morphogenic proteolysis and, therefore, the drug is likely not targeting I7L. Likewise, the drug tested in lane 6 inhibits the production of P4b entirely and therefore blocks some early stage of replication prior to I7L expression. In contrast, the compounds tested in lanes 5 and 7 appear to be hitting the correct stage of the viral life cycle since P4b is made but not processed. The compound tested in lane 5 is TTP-6171.
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FIG. 5. Processing of P4b core protein precursor. Western blot of virus-infected whole-cell extracts probed with P4b antisera. Molecular masses in kDa are indicated on the left side of the blot. In each lane cells are infected with vvGFP in the presence of 100 µM compound as follows: lane 1, mock-infected cells; lane 2, vvGFP alone; lane 3, rifampin (100 µg/ml); lane 4, hydroxyurea (5 mM); lane 5, TTP-6171; lane 6, TTP-130961; lane 7, TTP-176510; and lane 8, TTP-123045.
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FIG. 6. Electron micrographs of BSC40 cells infected with virus at an MOI of 3. Cells were harvested 24 h after infection and fixed, and ultrathin sections were prepared for transmission electron microscopy. Bar represents 400 nm. Arrows indicate intracellular mature virus. IV, intracellular virus; N, nucleus; CR, crescent-shaped viral particles. Panels A to D show v17 in the absence of compound, panels E to H show v17 treated with TTP-6171 (100 µM), and panels I to P show vvGFP treated with TTP-6171 (100 µM).
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FIG. 7. Passaging for drug resistance. (A) Viral titer of vvGFP passaged in the presence of TTP-6171. (B) Locations of mutations within the I7L ORF found in the TTP-6171-resistant virus isolate. Mutated residues are underlined. WT is wild-type virus; v17 is a TTP-6171-resistant isolate. (C) One-step growth curve of vvGFP and v17. Cells were infected at an MOI of 1 and treated with either 0, 10, 25, or 60 µM TTP-6171; cells were harvested at 2, 12, 24, or 48 h postinfection, and the viral titers were determined.
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FIG. 8. Transient expression. Wild-type or mutant viruses were grown in BSC40 cells and transfected with either plasmids containing no insert, wild-type I7L, or mutant I7L. The graph shows viral titers obtained in the presence or absence of TTP-6171. Transient expression with each plasmid is with wild-type virus. Light bars indicate no drug treatment (), while dark bars indicate treatment with 25 µM TTP-6171 (+).
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By using homology-based computational modeling, a structural model of the VV I7L cysteine proteinase, which is responsible for essential morphogenic cleavage reactions during viral maturation, was developed (Fig. 1). This model was used in concert with in silico drug docking procedures to query a combinatorial chemical library. A biased subset of compounds that was predicted to bind to the I7L catalytic site was directly tested for their ability to inhibit VV replication in vivo (Fig. 2 and 3). A number of chemically related effective inhibitors were identified, with the prototype being compound TTP-6171 (Table 2). Investigation of the mechanism of TTP-6171-mediated inhibition of VV replication indicated that although early stages of VV replication were unaffected, cleavage of the major core protein precursors and subsequent maturation of the immature viral intermediates into infectious intracellular mature virions were blocked (Fig. 5 and 6). These data were consistent with the idea that I7L catalytic activity is the target of TTP-6171 inhibition. To confirm this hypothesis, TTP-6171-resistant mutants were selected, and mutations within the I7L gene were shown to be responsible for the resistance phenotypes (Fig. 7 and 8).
TTP-6171 represents a very promising poxvirus antiviral drug candidate. When compared to cidofovir, which is the best-known poxvirus antiviral drug, TTP-6171 appears to have superior characteristics in tissue culture. Whereas cidofovir has a TC50 of 280 µM, IC50 of 33 µM, and a TI of 8 against VV (15), under similar conditions TTP-6171 has an IC50 of 12 µM and almost undetectable toxicity against a variety of tissue culture cells from a number of species, including monkey (BSC40), human (HeLa and 293), and mouse (L929) when examined 24 h after exposure. TTP-6171 does show some toxicity at high concentrations upon prolonged exposure, and hit-to-lead chemical optimization is under way to improve the pharmacological profile of this compound. TTP-6171 appears to exhibit an excellent specificity in that it does not inhibit growth of any of the other nonorthopox organisms tested, which include RNA viruses (ecotropic murine virus and mouse hepatitis virus), yeast, bacteria, or adenovirus. The latter result is particularly noteworthy because adenovirus has been shown to have a 90-amino-acid region with homology to the cysteine proteinase of I7L (1, 18). Although in this study TTP-6171 was only tested against several strains of VV and cowpox virus, it is highly likely that TTP-6171 will be broadly effective against other orthopoxviruses. As shown in Table 3, it appears that virtually all poxviruses require I7L-mediated essential morphogenic maturation of their core proteins as all contain an AGX motif at the same location within the P4b precursor. Within the Orthopoxviridae, sequence identity of the I7L gene is between 95 to 99% (including variola and monkeypox virus), and the residues flanking the catalytic site are completely conserved. Furthermore, the sequence conservation of the I7L gene remains considerable in other poxvirus genera, especially around the catalytic site, suggesting that TTP-6171 may have promise as an antiviral drug to treat more exotic poxvirus diseases as well as those of present concern, such as smallpox and monkeypox.
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TABLE 3. Sequence identity of catalytic region of I7L among various poxviruses
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We thank Brita Hanson, Shirley Kickner, Stephen Ireland, and Guoxiang Huang for technical assistance. We thank Mike Nisson for assistance with the electron microscopy. We also thank R. C. Condit for ts16 and D. Pickup for cowpox virus.
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