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Journal of Virology, May 2007, p. 4881-4885, Vol. 81, No. 9
0022-538X/07/$08.00+0 doi:10.1128/JVI.02210-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Rab 5 Is Required for the Cellular Entry of Dengue and West Nile Viruses
Manoj N. Krishnan,1
Bindu Sukumaran,1
Utpal Pal,1
Herve Agaisse,2
James L. Murray,3
Thomas W. Hodge,3 and
Erol Fikrig1,2*
Section of Rheumatology, Department of Internal Medicine,1
Section of Microbial Pathogenesis, Yale University School of Medicine, New Haven, Connecticut,2
University of Georgia, College of Veterinary Medicine, Department of Infectious Diseases, Athens, Georgia3
Received 8 October 2006/
Accepted 31 January 2007

ABSTRACT
The mechanisms of cellular entry of dengue and West Nile viruses
are not well characterized. We show that both these viruses
enter HeLa cells by clathrin-dependent endocytosis and require
vacuolar acidic pH. Inhibition of the GTPase Rab 5 or 7, which
regulates transport to early or late endosomes, respectively,
demonstrated that Rab 5 was essential for survival of both dengue
and West Nile virus. These data broaden our understanding of
the pathways required for productive dengue and West Nile virus
infection and may facilitate new strategies for combating disease.

TEXT
Dengue virus (DNV) and West Nile virus (WNV) are medically important
flaviviruses that contain class II viral envelope proteins.
Several aspects of the intracellular survival of DNV and WNV
are known; however, the molecular mechanisms governing their
entry into host cells have not been fully delineated (
2,
4,
7). Viruses with class II envelope proteins require acidic pH
in different intracellular compartments to trigger viral fusion
with the host membrane (
13,
22). An earlier study, however,
reported that DNV entry occurred by direct fusion with the plasma
membrane in both mammalian and mosquito cells (
12,
20). Because
of this discrepancy, further investigations are required to
characterize the exact mechanisms involved in the cellular entry
of DNV. WNV is reported to enter cells through clathrin-dependent
endocytosis and colocalize with both early and late endosomes
(
3). Microtubule disruption impairs WNV infectivity, and because
early to late endosomal transport requires microtubules, it
was interpreted that WNV requires transport from early to late
endosomes for infection (
3). However, microtubule disruption
may affect multiple cellular functions, and hence, the specificity
of the requirement of early and late endosomal compartments
for the completion of the life cycle of WNV is not known. In
this report, we characterize the precise cellular uptake pathways
and compartments involved in the entry of DNV and WNV into HeLa
cells, using chemical inhibitors, dominant-negative mutant gene
overexpression, and RNA interference (RNAi).
We first tested the requirement of low endosomal pH for the entry of these viruses using the endosomotropic weak base NH4Cl, because it instantaneously raises the pH of cellular vacuolar compartments (23, 24). HeLa cells preadsorbed with the viruses for 1 h at 4°C (multiplicity of infection [MOI] of 10) were transferred to 37°C, and then culture medium containing 20 mM NH4Cl was added and incubated for 16 h or 10 h for DNV and WNV, respectively. The 2741 strain of WNV (John F. Anderson, Connecticut Agricultural Experiment Station) (1) and DNV serotype 2 (New Guinea C strain) (Aravinda de Silva, University of North Carolina) were used throughout. NH4Cl strongly inhibited the infection of both DNV and WNV (
90%; P < 0.05) when added prior to, or up to 5 min after, incubation at 37°C, suggesting that their infections have an early pH-dependent step (Fig. 1A). We further tested the involvement of acidic pH in the entry of DNV and WNV by silencing the gene encoding vacuolar ATPase (VATPase), a proton pump key to establishing the low pH of endosomal compartments (15). HeLa cells transfected with 50 nM of small interfering RNAs (siRNAs) targeting VATPase and a nonspecific sequence (Dharmacon) for 4 days were exposed to either DNV or WNV (MOI of 10) for 16 or 10 h (at 37 °C), respectively, and analyzed by both immunofluorescence and quantitative reverse transcription-PCR (Q-RT-PCR). siRNA-treated cells were completely viable throughout the experimental period, and knockdown was verified at the transcript and protein levels (not shown). Both immunofluorescence- and Q-RT-PCR-based quantifications demonstrated up to 80% (P < 0.05) inhibition of DNV or WNV in VATPase-silenced cells, confirming the requirement of low endosomal pH for infection (Fig. 1B and C). The requirement of low vacuolar pH suggests that DNV may be entering HeLa cells by endocytosis. Treatment of HeLa cells with the receptor-mediated endocytosis inhibitor chlorpromazine (10 µg/ml) reduced infection of DNV and WNV by up to 80% (P < 0.01) (Fig. 1D). Both NH4Cl and chlorpromazine were not cytotoxic within the experimental time frame. RNAi-based silencing (Fig. 1B and C) and dominant-negative mutant overexpression (Fig. 1E and F and 2D to F or P to R) of Eps15, a gene required for clathrin-dependent endocytosis (18), also reduced infection of DNV and WNV by up to 80% (P < 0.05) and 70% (P < 0.05), respectively. The inhibitory effect of chlorpromazine and the dominant-negative Eps15 mutant on WNV infection observed in this study are similar to those in a previous report (3).
Rab 5 and 7 GTPases are the key regulators of transport to early
and late endosomes (
8,
19,
25), and ablation of Rab 5 and 7
has been used to study viral entry (
14,
21). To identify the
exact endosomal compartment(s) traversed by endocytosed DNV
and WNV, we silenced Rab 5 and 7 using RNAi. Rab 5 and 7 were
strongly repressed at the RNA level (74% for Rab 5 [
P < 0.05]
and 81% for Rab 7 [
P < 0.05]) and protein level (72% and
77%, respectively) by RNAi. Lysosomal degradation of internalized
horseradish peroxidase by HeLa cells was used to validate that
knockdown of Rab 5 and 7 indeed blocks transport through the
respective compartments (not shown). Immunofluorescence showed
that only up to 20% (
P < 0.05) of the total cells treated
with Rab 5 siRNA were permissive to either DNV or WNV (Fig.
4A). Using Q-RT-PCR, we also detected a 10-fold (
P < 0.001)
or 11-fold (
P < 0.05) reduction in the multiplication of
DNV and WNV, respectively, in Rab 5-repressed cells (Fig.
4B).
Depletion of Rab 7 expression did not have any impact on the
infectivity of either DNV or WNV (Fig.
4A and B). We also utilized
dominant-negative mutants of Rab 5 (Rab 5 S34N) and 7 (Rab 7
T22N) to assess the requirement of transport to early and late
endosomes in the entry of DNV and WNV. Similar to the results
of knockdown experiments, Rab 5 dominant-negative overexpression
reduced the infection by DNV and WNV up to 70% (
P < 0.05),
as determined by both immunofluorescence (Fig.
4C and
2G to I and S to U)
and Q-RT-PCR (Fig.
4D). Rab 7 mutant overexpression did not
impair DNV and WNV infection (Fig.
4C and D and
2J to L and V to X).
Thus, these two lines of evidence suggest that DNV and WNV require
expression of Rab 5 but not Rab 7 for infection of HeLa cells.
We then used a virus-induced cell-cell fusion assay to examine
the fusion-initiating pH threshold of these two highly related
viruses as an indirect measure of viral fusion location. Virus-infected
and virus-preadsorbed HeLa cells labeled with CellTracker Green
CMFDA (Molecular Probes) fluorescent dye were mixed together
and exposed to buffers of various pHs (
9,
16). As shown in Fig.
3, the number of cells engaged in fusion induced by both DNV
and WNV increased notably at pH 6.4 or below (up to 29% [
p = 0.05] for WNV and 21% [
p < 0.05] for DNV).
In this report, we demonstrated that both DNV and WNV enters
HeLa cells through clathrin-dependent endocytosis and that after
endocytosis, both DNV and WNV require transport to earlybut
not lateendosomes before an acidic pH-dependent step
presumably results in the release of the viral genome into the
cytoplasm, leading to successful infection. In addition, we
determined that the pH thresholds for membrane fusion of both
DNV and WNV are in the same range, thus further indicating that
they fuse presumably in the same pH compartment within the cells.
Both viruses induce notable cell-cell fusion below pH 6.4, reaching
a maximum at 6.2 or lower, a pH similar to that of early endosomes
(
17). Earlier studies also demonstrated that WNV fuses with
cellular membranes with various efficiencies below pH 6.7 (
5,
6,
10,
11). The findings of this study are notable because previous
studies reported that DNV enters its host cells by direct fusion
with the plasma membrane, though none of those studies involved
HeLa cells (
12,
20). In summary, this report broadens our understanding
of the host cellular entry mechanisms adopted by DNV and WNV,
two important human pathogens. It is reasonable to presume that
related flaviviruses may use similar mechanisms, which can potentially
be exploited for the development of novel therapeutics.

ACKNOWLEDGMENTS
We thank Alice Dautry-Varsat for the Eps 15 mutant and Tatjana
Dragic for Rab 5 and 7 mutants.
This work was funded by grants from the NIH.

FOOTNOTES
* Corresponding author. Mailing address: Section of Rheumatology, Department of Internal Medicine, Yale University School of Medicine, The Anlyan Center for Medical Research and Education, Room S525A, 300 Cedar Street, P.O. Box 208031, New Haven, Connecticut 06520-8031. Phone: (203) 785-2453. Fax: (203) 785-7053. E-mail:
erol.fikrig{at}yale.edu 
Published ahead of print on 14 February 2007. 

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Journal of Virology, May 2007, p. 4881-4885, Vol. 81, No. 9
0022-538X/07/$08.00+0 doi:10.1128/JVI.02210-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
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