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Journal of Virology, November 2005, p. 13875-13881, Vol. 79, No. 22
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.22.13875-13881.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Stress-Activated Protein Kinases Are Involved in Coxsackievirus B3 Viral Progeny Release
Xiaoning Si,
Honglin Luo,*
Andrew Morgan,
Jingchun Zhang,
Jerry Wong,
Ji Yuan,
Mitra Esfandiarei,
Guang Gao,
Caroline Cheung, and
Bruce M. McManus
Department of Pathology and Laboratory Medicine, The James Hogg iCAPTURE Centre for Cardiovascular and Pulmonary Research, University of British Columbia-St. Paul's Hospital, Vancouver, British Columbia, Canada
Received 8 August 2005/
Accepted 29 August 2005

ABSTRACT
Stress-activated protein kinases (SAPKs), consisting of c-Jun
N-terminal kinase (JNK) and p38 mitogen-activated protein kinase
(p38 MAPK), are activated upon various environmental stimuli,
including viral infections. Cellular survival and death signaling
events following coxsackievirus B3 (CVB3) infection have been
studied in relationship to viral replication, but the role of
SAPKs has not been scrutinized. In this study, we found that
the phosphorylation of JNK1/2 and p38 MAPK was increased during
active replication of CVB3 and that their phosphorylation was
independent of CVB3-induced caspase activation or production
of reactive oxygen species. The roles of these kinases in CVB3
infection were further evaluated using specific inhibitors:
SP600125 for JNK1/2 and SB203580 for p38 MAPK. JNK1/2 inhibitors
reduced CVB3-induced phosphorylation of activating transcription
factor 2, and the p38 MAPK inhibitor reduced CVB3-induced phosphorylation
of heat shock protein 27. Although inhibition of these kinases
by specific inhibitors did not affect CVB3 viral protein synthesis,
inhibition of p38 MAPK but not of JNK1/2 resulted in significant
reduction of viral progeny release, suppression of CVB3-induced
cell death, and blockage of CVB3-induced caspase-3 activation
in infected cells. We conclude that SAPK pathways play critical
roles in the life cycle of CVB3, particularly in viral progeny
release.

INTRODUCTION
Coxsackievirus B3 (CVB3), the primary human pathogen of viral
myocarditis, is a member of the
Enterovirus genus of the family
Picornaviridae. CVB3 contains a single copy of positive-strand
RNA genome which was decoded in the 1980s (
21). In the last
2 decades, enormous work has been undertaken to dissect the
molecular mechanisms underlying the pathogenesis of CVB3-induced
diseases. From this work, the understanding of the transcriptional
and translational control of virus replication, the innate and
acquired immunity of myocarditis, and the survival and death
signaling of CVB3 in both cell culture systems and animal models
has been further refined (
2,
7,
16,
27,
32). Studies from our
laboratory and from others have shown that CVB3 infection results
in activation of several cellular survival signaling pathways,
including p56
lck nonreceptor tyrosine kinase, extracellular
signal-regulated kinase (ERK), and phosphoinositide-3 kinase
(PI3K)/Akt (
13,
15,
26,
29,
35). Activation of some of these
kinases could delay the onset of CVB3-induced apoptosis of infected
cells and facilitate replication of CVB3 (
13,
15,
26,
29,
35).
CVB3 infection also results in cytochrome
c release and caspase-3
cleavage, and this activation of cell death signaling pathways
may facilitate viral progeny release (
5,
6,
13,
30,
41,
52).
In addition, viral protein 2B has been found to suppress apoptotic
host cell responses by manipulating intracellular calcium homeostasis
(
14,
47,
48). However, the role of stress-activated pathways
in CVB3-induced pathogenesis has not been well elucidated.
Stress-activated protein kinases (SAPKs), which are members of the mitogen-activated protein kinase (MAPK) family, include c-Jun N-terminal kinase (JNK) and p38 MAPK (8, 22, 49). Similarly to other members of this family, JNK and p38 MAPK are activated by various stimuli, including stress, UV irradiation, and proinflammatory cytokines, through a MAPK activation module which consists of a MAPK kinase kinase (MEKK), a MAPK kinase (MEK), and MAPK. Recent studies have shown that a number of virus infections lead to activation of JNK1/2 and p38 MAPK, and activation of these SAPKs is required for viral replication and viral progeny release (11, 19, 31, 38, 42). However, the mechanisms leading to the activation of these SAPKs and the effects of SAPK activation on replication differ among different viruses.
In this study, we show for the first time that the phosphorylation of both JNK1/2 and p38 is increased during CVB3 replication. However, only inhibition of p38 MAPK, and not inhibition of JNK1/2, reduces CVB3-induced cell death, caspase-3 activation, and CVB3 viral progeny release, while having little effect on viral protein expression.

MATERIALS AND METHODS
Cell culture, virus, and materials.
HeLa cells (American Type Culture Collection) were grown and
maintained in Dulbecco's modified Eagle's medium (DMEM) supplemented
with 10% heat-inactivated newborn calf serum (Invitrogen). CVB3
(Kandolf strain) was propagated in HeLa cells and stored at
80°C. Virus titers were routinely determined by plaque
assays as described below.
SP600125, SB203580, and the JNK peptide inhibitor 1 were purchased from Calbiochem. The general caspase inhibitor benzyloxycarbonyl-Val-Ala-Asp- fluoromethylketone (zVAD.fmk) was obtained from BD Biosciences. The monoclonal anti-ß-actin antibody and antioxidant N-acetyl-L-cysteine (NAC) were purchased from Sigma Chemical Company. The monoclonal anti-VP1 antibody was purchased from DakoCytomation. The polyclonal anti-phospho-p38 MAPK was purchased from Cell Signaling. The monoclonal anti-hsp27, anti-phospho-JNK, and anti-phospho-ATF-2 antibodies, polyclonal anti-phospho-hsp27 antibody, and horseradish peroxidase-conjugated secondary antibodies were purchased from Santa Cruz Biotechnology.
Virus infection.
HeLa cells were grown in complete medium (DMEM supplemented with 10% newborn calf serum) to 70 to 80% confluence prior to infection. HeLa cells were then infected with CVB3 at a multiplicity of infection (MOI) of 10, unless otherwise indicated, or sham infected with phosphate-buffered saline (PBS) for 1 h in serum-free DMEM. Cells were then washed with PBS and cultured in serum-free DMEM for the indicated periods of time. For inhibitor experiments, HeLa cells were preincubated with inhibitors for 30 min and then infected with CVB3. One hour postinfection, cells were washed with PBS twice and then incubated with fresh DMEM containing various concentrations of compounds.
Western blot analysis.
Cell lysates were prepared as described previously (29). Equal amounts of protein were subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis and then transferred to nitrocellulose membranes. Membranes were blocked for 1 h with nonfat dry milk solution (3% in PBS) containing 0.1% Tween 20. Blots were then incubated with the primary antibody for 1 h, followed by incubation for an additional hour with the secondary antibody. Immunoreactive bands were visualized by enhanced chemiluminescence (Amersham).
Cell viability assay.
A modified 3,4-(5-dimethylthiazol-2-yl)-5-(3-carboxymethoxy phenyl)-2-(4-sulfophenyl)-2H-tetrazolium salt (MTS) assay (Promega), which measures mitochondrial function, was used to detect cell viability. HeLa cells were grown in 96-well plates and serum starved for 24 h. Following CVB3 infection (MOI = 1), the culture medium was replaced with serum-free DMEM with or without inhibitors. Twenty hours postinfection, cells were incubated in MTS solution for 2 h, and absorbance was measured with an enzyme-linked immunosorbent assay plate reader (490 nm). MTS assays were performed in triplicate.
Caspase-3 activity assay.
Caspase-3 activity assay was measured according to the manufacturer's suggestion (R&D Systems). HeLa cells were preincubated with various inhibitors for 30 min and then infected with CVB3 (MOI = 5) or sham infected with PBS. Seven hours postinfection, cell lysates were harvested and subjected to caspase-3 activity assay by use of a fluorogenic substrate.
Plaque assay.
CVB3 titers in cell supernatants were determined on monolayers of HeLa cells by an agar overlay plaque assay in triplicate as described previously (1). Briefly, samples were serially diluted 10-fold and overlaid on 90- to 95%-confluent monolayers of HeLa cells in six-well plates and incubated for 1 h. Medium was aspirated, HeLa cells were washed with PBS twice, and 2 ml of complete DMEM containing 0.75% agar was overlaid onto each well. Cells were incubated at 37°C for 72 h, fixed with Carnoy's fixative (75% ethanol-25% acetic acid) for 30 min, and stained with 1% crystal violet. Plaques were counted, and viral concentrations were calculated as PFU per milliliter.
Statistical analysis.
Two-way analysis of variance with multiple comparisons and paired Student's t tests were performed. Values shown are the means ± standard deviations (SD). A P value of < 0.05 was considered significant.

RESULTS
Activation of SAPKs during CVB3 replication.
It has been reported that SAPKs are phosphorylated during replication
of various viruses, including human immunodeficiency virus (
11,
42), Sindbis virus (
34), and encephalomyocarditis virus (EMCV)
(
19). In the current study, we investigated whether infection
with CVB3 could cause activation of JNK and p38 MAPK, two key
members of the SAPKs. As shown in Fig.
1A, we found that p38
MAPK was phosphorylated beginning at approximately 5 hours postinfection,
during the active virus replication cycle. There was also an
increase in the phosphorylation levels of JNK1/2 at the same
time, although the increase in phosphorylation is much less
dramatic for JNK than it is for p38. The increased phosphorylation
of p38 MAPK and JNK1/2 was concurrent with expression of viral
capsid protein VP1 in infected cells.
To further explore possible mechanisms of activation of JNK1/2
and p38 MAPK during CVB3 replication, we utilized UV-irradiated
CVB3 that was capable of virus receptor engagement but unable
to replicate (
29). As shown in Fig.
1B, there were no significant
changes in the phosphorylation levels of p38 MAPK and JNK1/2
in cells infected with UV-irradiated CVB3, suggesting that phosphorylation
of p38 MAPK and JNK1/2 was associated with CVB3 replication.
Activation of p38 MAPK and JNK1/2 is independent of CVB3-induced oxidative stress or caspase activation.
We have previously shown that there is an increased reactive oxygen species (ROS) generation during CVB3 replication, and ROS production could be alleviated by treatment with antioxidant NAC or general caspase inhibitor zVAD.fmk (44). Since oxidative stress has been reported to mediate p38 MAPK and JNK1/2 activation under many different conditions (20, 33, 37), we sought to investigate whether oxidative stress plays causative roles in activation of p38 MAPK and JNK1/2 during CVB3 replication. We found that oxidative stress alleviation by NAC or caspase inhibition by zVAD.fmk did not prevent CVB3-induced p38 MAPK and JNK1/2 activation (Fig. 2), suggesting that p38 MAPK and JNK1/2 activation was unlikely to be caused by CVB3-induced oxidative stress and caspase activation.
Effects of inhibition of SAPKs on CVB3 life cycle.
We next investigated the roles of the activation of JNK1/2 and
p38 MAPK in CVB3 viral protein synthesis by using specific inhibitors:
SP600125 (for JNK1/2) (
4) and SB203580 (for p38 MAPK) (
12).
We chose to use activating transcription factor 2 (ATF-2) and
heat shock protein 27 (hsp27), which are downstream substrates
of JNK1/2 and p38 MAPK pathways (
18,
24,
25,
28,
39,
45), to
evaluate optimal doses of these inhibitors. We found that there
was a significant increase in the phosphorylation status of
ATF-2 during CVB3 replication but not following CVB3 receptor
engagement (Fig.
3A). The JNK1/2 inhibitor SP600125 reduced
CVB3-induced phosphorylation of ATF-2 by up to 50% at concentrations
of 20 µM and 50 µM (Fig.
3B). To confirm that activation
of JNK1/2 following CVB3 infection is responsible for ATF-2
activation, we used a peptide inhibitor of JNK (JNK inhibitor
1), and found that it was also able to reduce CVB3-induced ATF-2
phosphorylation (Fig.
3B).
We also found that CVB3 infection led to a marked increase in
phosphorylation levels of hsp27, and there was a dose-dependent
decrease of hsp27 phosphorylation upon treatment with p38 MAPK
inhibitor (Fig.
4A). Phosphorylation levels of hsp27 in infected
cells decreased to approximately 30% of the peak level when
treated with 50 µM p38 MAPK inhibitor. However, inhibition
of p38 MAPK did not reduce CVB3-induced ATF-2 phosphorylation
(Fig.
4A).
We then examined the CVB3-induced phosphorylation status of
JNK1/2 and p38 MAPK and the expression of viral capsid protein
VP1 upon specific inhibitor treatment. As shown in Fig.
3C and
4B, neither did SP600125 interfere with CVB3-induced activation
of p38 MAPK, nor did SB203580 interfere with CVB3-induced activation
of JNK1/2, suggesting that these two pathways were independently
regulated during the virus life cycle. We also did not detect
any significant inhibition of viral protein synthesis by using
these inhibitors (Fig.
3C and
4B), suggesting that SAPK pathways
play roles distinct from those of the previously characterized
ERK1/2 and PI3K/Akt pathways (
13,
15,
35).
The last step of the life cycle of an enterovirus is to release viral progeny into the medium (5). Our previous studies have shown that apoptosis pathways play an important role in regulating viral progeny release, as evidenced by a decrease of viral progeny release in cells treated with general caspase inhibitor (6). Since one of the best-characterized roles of SAPKs is to respond to environmental stress and deliver signals for apoptosis when there is an irrevocable damage occurring, we further investigated the roles of SAPK pathways in viral progeny release. We found that inhibition of p38 MAPK but not of JNK was associated with a significant reduction of viral progeny release into the medium, as assayed by plaque assay (Fig. 5). High-dose (50µM) SB203580 treatment resulted in a nearly eightfold reduction of viral progeny release (Fig. 5B), whereas SP600125 treatment did not significantly reduce viral progeny release (Fig. 5A). Taken together, these data suggest that the p38 MAPK pathway, but not the JNK pathway, plays a pivotal role in regulating viral progeny release.
Effects of inhibition of SAPKs on cell viability of infected cells.
CVB3 infection has been shown to cause cytopathic effects in
infected cells and eventually cause cell death by activating
intracellular death signaling pathways (
5,
13). It has also
been shown that JNK1/2 and p38 MAPK activation is often linked
to apoptotic signals (
9,
49,
51). We thus investigated whether
inhibition of JNK1/2 or p38 MAPK could reduce cell death in
CVB3-infected cells. As shown in Fig.
6A, inhibition of p38
MAPK by SB203580 significantly improved viability by more than
twofold for infected cells at a dose of 50 µM, although
the inhibitor treatment alone reduced cell viability by approximately
20%. However, inhibition of JNK1/2 by SP600125 did not prevent
the death of infected cells (Fig.
6B). To further explore whether
activation of p38 MAPK and JNK1/2 plays any roles in CVB3-induced
apoptosis of infected cells, we measured caspase-3 activity
in these cells. We found that inhibition of p38 MAPK by SB203580,
but not inhibition of JNK1/2 by SP600125, significantly reduced
caspase-3 activity in infected cells (Fig.
6C), suggesting that
reduction of apoptosis upon inhibition of p38 MAPK contributed
to decreased CVB3 progeny release and prolonged cell viability
of infected cells. Taken together, our data suggest that activation
of p38 MAPK following active viral replication of CVB3 plays
an important role in mediating CVB3-induced cell death in order
to efficiently release viral progeny into the medium for further
infection.

DISCUSSION
Viral infections are known to activate various cellular signaling
pathways to facilitate replication. We and others have shown
that CVB3 replication results in activation of cell survival
pathways mediated by activation of ERK1/2 (
13,
29,
35) and PI3K/AKT
(
15) and in activation of cell death pathways mediated by cytochrome
c release and caspase-3 cleavage (
5,
13,
30,
52). CVB3 replication
also induces prominent production of ROS following caspase cleavage,
which might contribute to activation of these cellular pathways,
which are required for virus replication and viral progeny release
(
44). Activation of SAPKs during replication of a variety of
viruses has been reported; however, their roles in CVB3 infection
remain unclear.
In this study, we found that both JNK1/2 and p38 MAPK were independently activated during the course of CVB3 infection in HeLa cells, and activation of both JNK1/2 and p38 MAPK required active replication of CVB3. The independent activation of JNK1/2 and p38 MAPK, as well as that of ERK1/2, which we and others have reported previously (13, 29, 35), suggests that MAPK signaling pathways are manipulated by CVB3 and that each pathway may have distinct cellular functions in relation to the viral life cycle.
The major function of MAPK signaling pathways is to regulate gene expression in response to extracellular stimuli (46). We previously found that CVB3 infection resulted in the induction of expression of c-Fos and c-Jun, which could hetero-dimerize to form activation protein 1 (AP-1) complexes (10, 32). AP-1 protein is a major transcription factor involved in cell proliferation, cellular and viral gene expression, and cell death and survival (43). Because the induction of AP-1 by stress is mediated mostly by the JNK1/2 and p38 MAPK pathways (43, 50), we investigated whether CVB3 infection resulted in activation of other components of AP-1, including ATF subfamilies (36). We examined the phosphorylation status of ATF-2, a common substrate for both JNK1/2 and p38 MAPK (18, 25, 28, 39), following CVB3 infection. We found that there was a marked increase in the phosphorylation of ATF-2 through the JNK1/2 pathway but not through the p38 MAPK pathway after CVB3 infection. The control of ATF-2 activation by the JNK1/2 pathway but not by the p38 MAPK pathway was surprising to us, because many other viruses primarily use the p38 MAPK pathway to activate ATF-2 (19, 38). The roles of increased JNK1/2 and ATF-2 phosphorylation during CVB3 infection remain to be elucidated. Recent studies from Kim et al. (23) suggest that CVB3 infection up-regulates cysteine-rich protein gene (cyr61) expression to mediate cell death via the JNK1/2 pathway; however, our results showed that inhibition of the JNK1/2 pathway did not prevent CVB3-induced caspase-3 activation and subsequent cell death. We speculate that activation of JNK/ATF-2 may be involved in the initiation of host antiviral mechanisms (40).
Specific inhibitors to JNK1/2 and p38 pathways allow us to dissect the individual roles of these pathways in viral replication. We found that inhibition of p38 MAPK but not of JNK1/2 was associated with reduced viral progeny release, improved cell viability, and decreased cell apoptosis in CVB3-infected cells. However, viral protein synthesis was unlikely to be affected by these inhibitors.
Previous studies have shown that virus infection often leads to p38 MAPK activation, although cellular functions of p38 MAPK vary and appear to be virus specific. Hirasawa et al. (19) reported that p38 MAPK was activated during EMCV replication and that cellular activity of p38 MAPK was required for efficient translation and transcription of EMCV viral RNA. Inhibition of p38 MAPK was associated with reduced replication of EMCV and Mengovirus (19), both cardiospecific picornaviruses. However, such inhibition has no effect on replication of human rhinovirus (17) or coxsackievirus B4 (19), the latter being an enterovirus closely related to CVB3. Activation of p38 MAPK was also observed in replication of human immunodeficiency virus (11, 42), herpes simplex virus (31), murine coronavirus (3), Sindbis virus (34), and varicella-zoster virus (38), but its cellular effects varied. The marked reduction of viral progeny release, along with the apparent lack of reduction in viral protein synthesis, upon inhibition of p38 MAPK suggests that p38 MAPK is not involved in suppressing internal ribosome entry site-dependent translation in the CVB3 life cycle, contrary to its role in the EMCV life cycle (19). While the exact cellular mechanisms leading to activation of p38 MAPK remain elusive, our data suggest that its activation is unlikely to be triggered by CVB3-induced oxidative stress. It has been reported that viral progeny release requires apoptosis of infected cells (6). In the current study, we have demonstrated that inhibition of p38 MAPK results in reduced apoptosis and increased cell viability, which likely contributes to the decreased viral progeny release.
In summary, we have demonstrated that CVB3 infection results in independent activation of the JNK1/2 and p38 MAPK pathways. Activation of p38 MAPK but not of JNK1/2 plays an important role in regulating CVB3-induced apoptosis, which is required for efficient viral progeny release. Taken together, our data strongly suggest that SAPK pathways play important roles in the pathogenesis of CVB3 infection.

ACKNOWLEDGMENTS
This work was supported by grants from the Heart and Stroke
Foundation of New Brunswick (to B.M.M.) and the Canadian Institutes
of Health Research (CIHR) (to B.M.M. and H.L.). X.S. is a recipient
of the CIHR IMPACT Post-Doctoral Fellowship, CIHR Michael Smith
Fellowship, and the Heart and Stroke Foundation of Canada (HSFC)
Research Fellowship. H.L. is a New Investigator of the CIHR/St.
Paul's Hospital Foundation Award and a Scholar of the Michael
Smith Foundation for Health Research (MSFHR). J.Y. is a recipient
of a Doctoral Traineeship from the HSFC, CIHR, and the MSFHR.
G.G. is a recipient of a Doctoral Traineeship from the HSFC
and the MSFHR. C.C. is supported by a Doctoral Traineeship from
the CIHR, and M.E. is supported by the Heart and Stroke Foundation
of British Columbia and Yukon and the MSFHR.

FOOTNOTES
* Corresponding author. Mailing address: The James Hogg iCAPTURE Centre for Cardiovascular and Pulmonary Research, University of British Columbia-St. Paul's Hospital, 1081 Burrard St., Vancouver, British Columbia, Canada V6Z 1Y6. Phone: (604) 682-2344, ext. 62847. Fax: (604) 806-9274. E-mail:
hluo{at}mrl.ubc.ca.


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Journal of Virology, November 2005, p. 13875-13881, Vol. 79, No. 22
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.22.13875-13881.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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