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Journal of Virology, March 2004, p. 2943-2947, Vol. 78, No. 6
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.6.2943-2947.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Human Macrophage C-Type Lectin Specific for Galactose and N-Acetylgalactosamine Promotes Filovirus Entry
Ayato Takada,1,2 Kouki Fujioka,3 Makoto Tsuiji,3 Akiko Morikawa,3 Nobuaki Higashi,3 Hideki Ebihara,4 Darwyn Kobasa,4 Heinz Feldmann,5 Tatsuro Irimura,3 and Yoshihiro Kawaoka1,2,4*
Division of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Tokyo 108-8639,1
CREST, Japan Science and Technology Corporation, Saitama 332-0012,2
Graduate School of Pharmaceutical Sciences, University of Tokyo, Tokyo 113-0033, Japan,3
Department of Pathobiological Sciences, University of Wisconsin, Madison, Wisconsin 53706,4
Special Pathogens Program, National Microbiology Laboratory, Canadian Science Centre for Human and Animal Health, Winnipeg, Manitoba R3E 3R2, Canada5
Received 10 July 2003/
Accepted 24 November 2003

ABSTRACT
Filoviruses cause lethal hemorrhagic disease in humans and nonhuman
primates. An initial target of filovirus infection is the mononuclear
phagocytic cell. Calcium-dependent (C-type) lectins such as
dendritic cell- or liver/lymph node-specific ICAM-3 grabbing
nonintegrin (DC-SIGN or L-SIGN, respectively), as well as the
hepatic asialoglycoprotein receptor, bind to Ebola or Marburg
virus glycoprotein (GP) and enhance the infectivity of these
viruses in vitro. Here, we demonstrate that a recently identified
human macrophage galactose- and
N-acetylgalactosamine-specific
C-type lectin (hMGL), whose ligand specificity differs from
DC-SIGN and L-SIGN, also enhances the infectivity of filoviruses.
This enhancement was substantially weaker for the Reston and
Marburg viruses than for the highly pathogenic Zaire virus.
We also show that the heavily glycosylated, mucin-like domain
on the filovirus GP is required for efficient interaction with
this lectin. Furthermore, hMGL, like DC-SIGN and L-SIGN, is
present on cells known to be major targets of filoviruses (i.e.,
macrophages and dendritic cells), suggesting a role for these
C-type lectins in viral replication in vivo. We propose that
filoviruses use different C-type lectins to gain cellular entry,
depending on the cell type, and promote efficient viral replication.

INTRODUCTION
Filovirus infection of primates generally presents with severe
hemorrhagic manifestations and produces higher mortality rates
than seen in any of the other viral hemorrhagic fevers (
14,
25,
27). The
Filoviridae family comprises two genera, Marburg
and Ebola, with the latter consisting of four distinct species:
Zaire, Sudan, Ivory Coast, and Reston (
14,
27). Among all filoviruses,
the Zaire species seems to be most virulent, killing up to 90%
of infected persons, while Reston has been less pathogenic than
other species in experimentally infected nonhuman primates and
has never been associated with symptomatic infection in humans
(
15,
25,
27). Despite extensive research, the molecular basis
for the extreme virulence of the Zaire virus remains elusive.
Filovirus is an enveloped, nonsegmented negative-strand RNA virus that contains at least seven structural proteins, all of which are translated from monocistronic polyadenylated mRNA transcripts (12, 27). The fourth gene from the 3' end of the filovirus genome encodes envelope glycoprotein (GP) that is responsible for receptor binding and fusion of the virus with host cell membranes (34, 37). Two GPs, the envelope GP and the nonstructural secretory GP, are expressed from the same gene in Ebola viruses (28, 35).
GPs are highly glycosylated and contain both N- and O-linked carbohydrate chains with different terminal sialylation patterns, which seem to depend on the strain and cell line used for virus propagation (12, 13, 18). C-type lectins, such as dendritic cell- or liver/lymph node-specific ICAM-3-grabbing nonintegrin (DC-SIGN or L-SIGN, respectively), recognize the highly glycosylated Ebola GP and enhance the infectivity of pseudotyped viruses and replication competent Ebola virus when overexpressed on the cell surface (1, 3, 31). High-mannose N-glycans on the GP appear to be important for interaction with these lectins (23). Monocytes and macrophages are the initial targets of filoviruses and are thought to play an important role in viral pathogenesis, since infection of these cells is likely detrimental to host immune functions (9, 11, 17, 29, 33).
Human macrophage C-type lectins specific for galactose/N-acetylgalactosamine (hMGL) have been identified (19, 32). This type II transmembrane protein is expressed by monocyte-derived immature dendritic cells and macrophages and functions as an endocytic receptor for galactosylated GP antigens (19, 20, 32). Because hMGL is the only known macrophage C-type lectin specific for galactose/N-acetylgalactosamine and possesses a ligand specificity distinct from that of DC-SIGN and L-SIGN (32), we embarked on studies to investigate its role as an attachment factor promoting filovirus infection.

MATERIALS AND METHODS
Viruses and cells.
A Zaire virus, strain Mayinga, and a vesicular stomatitis virus
(VSV), serotype Indiana, were propagated in Vero E6 cells and
stored at -80°C until use. VSV

G* complemented with the GP
of Ebola or Marburg virus and expressing green fluorescent protein
(GFP) was generated as previously described (
34). Monkey kidney
Vero E6 and human chronic myelogenous leukemia (K562) cells
were grown in Dulbecco modified Eagle medium and RPMI 1640,
respectively, supplemented with 10% fetal bovine serum,
L-glutamine,
and antibiotics. All infectious materials involving Ebola virus
were handled in a biosafety level 4 facility at the Canadian
Science Centre for Human and Animal Health.
Transfection and expression of hMGL cDNA in K562 cells.
A coding sequence of hMGL6A (19, 32) was inserted into a mammalian cell expression vector, pRc/CMV (Invitrogen) in the sense (CR4) and antisense (CR7) orientations. K562 cells were transfected with one of the plasmids by electroporation. After selection with Geneticin (G418 sulfate; Gibco), hMGL6A-positive cells were enriched with immunomagnetic beads by using an anti-hMGL monoclonal antibody (MAb) MLD-1 (20), which does not bind to K562 cells. Cloning of transfectant cells was performed by the limiting dilution method. Flow cytometric analysis with MAb MLD-1 (1:100-diluted ascitic fluid) and fluorescein isothiocyanate-labeled F(ab')2 of anti-mouse immunoglobulin G (Zymed) was performed to determine the levels of MGL(hMGL6A) expression on these cell clones.
Virus titration.
The infectivities of VSV
G* complemented with the various GPs were determined by counting GFP-positive cells by fluorescence-activated cell sorting. Cells were infected with each virus at a multiplicity of infection (as titrated with CR7 cells) of 0.002 to 0.005. The relative percentage of infected cells was determined by setting the number of infected K562 cells (CR7) to 100. The 50% tissue culture infective doses of wild-type Ebola virus and VSV were determined with Vero cells.

RESULTS
Effects of hMGL expression on the infectivity of VSV pseudotyped with Ebola GP.
To investigate the role of hMGL in Ebola virus entry, we generated
stable K562 transfectants expressing hMGL. A plasmid vector
containing a cDNA corresponding to one of the most common splicing
variants of human MGL (hMGL6A) (
19,
32) was transfected into
K562 cells, selected, and cloned. Flow cytometric profiles of
these clones were investigated by the cell surface binding of
MAb MLD-1 (Fig.
1). Two clonal populations of these cells, CR4-4
and CR4-10, expressing intermediate and high levels of cell
surface MGL were chosen for further studies.
Two clones representing hMGL (CR4-4 and CR4-10) and a control
transfectant clone (CR7) were infected with VSV

G* complemented
with the GP of Ebola Zaire (VSV

G*-ZaireGP) or with VSV G protein
(VSV

G*-VSVG) and compared for infectivity. A striking increase
in VSV

G*-ZaireGP infectivity was found in all of the cell clones
expressing hMGL, whereas VSV

G*-VSVG infectivity was not affected
by expression of the lectins (Fig.
2A). Anti-hMGL MAb greatly
reduced the infectivity of VSV

G*-ZaireGP (Fig.
2B), confirming
the contribution of hMGL to this process.
Role of the mucin-like domain of the GP in its interaction with hMGL.
Ebola virus GP contains an O-glycan-rich mucin-like domain.
To elucidate the role of this domain in the enhanced infection
of hMGL-expressing cells, we generated VSV

G* complemented with
GP lacking this domain (VSV

G*-ZaireGP

muc). In agreement with
a previous report by Simmons et al. (
30), deletion of the mucin-like
domain (amino acid positions 311 to 462) did not affect viral
infectivity on Vero cells (data not shown). When we tested the
infectivity of VSV

G*-ZaireGP

muc in hMGL-expressing cells, it
was enhanced, but not as much as that of VSV

G*-ZaireGP (Fig.
2A). These results indicate that the mucin-like domain may play
a role in the interactions of Zaire GP with hMGL.
Increased infectivity by filoviruses of cells expressing hMGL.
To investigate whether our findings on hMGL-mediated infectivity-enhancement extend to other Ebola virus species and Marburg virus, we compared the infectivities of VSV
G* complemented with their respective GPs in K562 transfectants (Fig. 3). In each instance, the pseudotyped viruses infected hMGL-expressing cells (CR4-10) more efficiently than control CR7 cells. However, the enhancement seen with the Reston or Marburg GP was significantly lower (P < 0.05) than corresponding results for the Zaire, Sudan, and Ivory Coast GPs.
Effects of hMGL expression on the infectivity of wild-type Ebola virus.
Finally, to determine the effect of hMGL on authentic Ebola
virus infection, we compared viral replication in the transfectant
cells. As with the pseudotyped viruses, hMGL expression resulted
in an appreciable increase in the infectivity of Ebola virus
but not VSV (Fig.
4). Notably, control cells did not produce
detectable levels of infectious Ebola virus in the supernatants
when infected at a low multiplicity of infection, suggesting
that hMGL apparently serves as a receptor to mediate virus entry.
However, cells infected with the virus at a high multiplicity
of infection produced progeny virus in the supernatants, indicating
that K562 cells are naturally permissive for Ebola Zaire virus,
allowing the virus to undergo multiple cycles of replication.
These results suggest that the expression of hMGL increases
the infectivity of Ebola virus, most likely by promoting virus
attachment to the natural cellular receptors in certain cell
types.

DISCUSSION
Although lectins on antigen-presenting cells potentially function
as an endocytic receptor for antigen uptake, DC-SIGN, originally
identified as an attachment factor for human immunodeficiency
virus (HIV) gp120 (
8), has been thought to facilitate HIV entry
into susceptible cells and to play a role in transferring infectious
virus particles from dendritic cells to CD4/CCR5 type T cells
(
2,
3,
4,
6,
16,
21,
22,
23,
26). L-SIGN, which is expressed
on the sinusoidal endothelial cells in the human liver and lymph
nodes, also promotes HIV entry (
4,
26). These lectins preferentially
bind to endogenous high-mannose oligosaccharides (
10,
24). DC-SIGN
and L-SIGN were recently shown to enhance the infectivity of
viruses pseudotyped with the Ebola GP (
1,
3,
31), suggesting
the involvement of these lectins in the pathogenesis of Ebola
virus infection. We demonstrate here that another C-type lectin,
hMGL, whose ligand specificity is distinct from that of DC-SIGN,
and L-SIGN (
32) also functions as an attachment factor to promote
filovirus entry, suggesting that filoviruses rely on several
different C-type lectins for efficient entry into antigen-presenting
cells.
The inability of patients infected with Ebola virus to develop adequate immune responses can be partly attributed to infection of the mononuclear phagocyte and fibroblastic reticular systems. Infection of these cells could disrupt antigen trafficking and appropriate cytokine production, resulting in inadequate immune responses. Like DC-SIGN, hMGL is expressed in limited types of myeloid lineage cells (i.e., immature dendritic cells and intermediate precursors of macrophages) but not in monocytes (19). Enhanced infection of antigen-presenting cells that express C-type lectins such as hMGL and DC-SIGN may play an important role in the pathogenesis of filovirus infections. However, since the oligosaccharide composition of GP molecules may depend on the type of virus-producing cells and may affect GP specificity for a given lectin (23), further studies are needed to directly show the association between lectin-mediated tropism and pathogenicity in filovirus infection.
Another C-type lectin, the hepatic asialoglycoprotein receptor found exclusively in hepatocytes, recognizes GPs displaying N-linked sugar chains with terminal galactose residues and was initially identified as a receptor for Marburg virus (5). However, since filoviruses are pantropic and cells lacking this receptor (e.g., human endothelial cells and epithelial cells) are susceptible to these viruses, other ubiquitous cellular receptors must exist. Similarly, although the human folate receptor alpha was identified as a cofactor that mediates infection by both Marburg and Ebola viruses (7), other molecules must also mediate filovirus entry, since not all cell types that are naturally permissive for filoviruses express this protein (36).
Whether C-type lectins directly serve as a primary receptor to mediate filovirus natural entry is controversial (1, 31), although the available data suggest that C-type lectins, including hepatic asialoglycoprotein receptor, DC-SIGN, L-SIGN, and hMGL, function as an attachment factor to promote virus infection. The mucin-like domain on the GP appears important for interaction with these lectins. It should also be noted that the tissue tropism of filoviruses is associated with the tissue distribution of these lectins, which may explain why filoviruses preferentially infect monocytes/macrophages, dendritic cells, endothelial cells, and hepatocytes. One way to test this hypothesis in future investigations would be to use the reverse genetics approach to generate recombinant Ebola viruses lacking the ability to interact with lectins (e.g., mutants with a deletion of the GP mucin-like domain).

ACKNOWLEDGMENTS
We thank Michael Whitt for VSV

G*; Daryl Dick, Michael Garbutt,
and Allen Grolla for excellent technical assistance; and John
Gilbert for editing the manuscript.
This study was supported by Grants-in-Aid for Scientific Research on Priority Areas from the Ministries of Education, Culture, Sports, Science, and Technology of Japan to A.T.; by National Institute of Allergy and Infectious Diseases Public Health Service research grants to Y.K.; by CREST (Japan Science and Technology Corp.) to A.T. and Y.K.; and by a research grant from the Canadian Institutes of Health Research to H.F. (MOP-43921).

FOOTNOTES
* Corresponding author. Mailing address: Institute of Medical Science, University of Tokyo, Shirokanedai, Minato-ku, Tokyo 108-8639, Japan. Phone: 608-265-4925. Fax: 608-265-5622. E-mail:
kawaoka{at}ims.u-tokyo.ac.jp.


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Journal of Virology, March 2004, p. 2943-2947, Vol. 78, No. 6
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.6.2943-2947.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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