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Virus-Cell Interactions

Breaking Human Cytomegalovirus Major Immediate-Early Gene Silence by Vasoactive Intestinal Peptide Stimulation of the Protein Kinase A-CREB-TORC2 Signaling Cascade in Human Pluripotent Embryonal NTera2 Cells

Jinxiang Yuan, Xiaoqiu Liu, Allen W. Wu, Patrick W. McGonagill, Michael J. Keller, Courtney S. Galle, Jeffery L. Meier
Jinxiang Yuan
1Department of Internal Medicine, University of Iowa Carver College of Medicine
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Xiaoqiu Liu
1Department of Internal Medicine, University of Iowa Carver College of Medicine
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Allen W. Wu
1Department of Internal Medicine, University of Iowa Carver College of Medicine
2Department of Internal Medicine, Veterans Affairs Medical Center, Iowa City, Iowa 52242
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Patrick W. McGonagill
1Department of Internal Medicine, University of Iowa Carver College of Medicine
2Department of Internal Medicine, Veterans Affairs Medical Center, Iowa City, Iowa 52242
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Michael J. Keller
1Department of Internal Medicine, University of Iowa Carver College of Medicine
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Courtney S. Galle
1Department of Internal Medicine, University of Iowa Carver College of Medicine
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Jeffery L. Meier
1Department of Internal Medicine, University of Iowa Carver College of Medicine
2Department of Internal Medicine, Veterans Affairs Medical Center, Iowa City, Iowa 52242
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  • For correspondence: jeffery-meier@uiowa.edu
DOI: 10.1128/JVI.00061-09
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ABSTRACT

The triggering mechanisms underlying reactivation of human cytomegalovirus (HCMV) in latently infected persons are unclear. During latency, HCMV major immediate-early (MIE) gene expression breaks silence to initiate viral reactivation. Using quiescently HCMV-infected human pluripotent embryonal NTera2 cells (NT2) to model HCMV reactivation, we show that vasoactive intestinal peptide (VIP), an immunomodulatory neuropeptide, immediately and dose-dependently (1 to 500 nM) activates HCMV MIE gene expression. This response requires the MIE enhancer cyclic AMP response elements (CRE). VIP quickly elevates CREB Ser133 and ATF-1 Ser63 phosphorylation levels, although the CREB Ser133 phosphorylation level is substantial at baseline. VIP does not change the level of HCMV genomes in nuclei, Oct4 (pluripotent cell marker), or hDaxx (cellular repressor of HCMV gene expression). VIP-activated MIE gene expression is mediated by cellular protein kinase A (PKA), CREB, and TORC2. VIP induces PKA-dependent TORC2 Ser171 dephosphorylation and nuclear entry, which likely enables MIE gene activation, as TORC2 S171A (devoid of Ser171 phosphorylation) exhibits enhanced nuclear entry and desilences the MIE genes in the absence of VIP stimulation. In conclusion, VIP stimulation of the PKA-CREB-TORC2 signaling cascade activates HCMV CRE-dependent MIE gene expression in quiescently infected NT2 cells. We speculate that neurohormonal stimulation via this signaling cascade is a possible means for reversing HCMV silence in vivo.

Persons with impaired cellular immunity risk tissue-invasive disease from reactivation of latent human cytomegalovirus (HCMV). HCMV reactivation in tissues or blood of immunocompetent patients suffering illness from another cause also occurs but usually goes unnoticed and is self-limiting. For instance, nearly one-third of patients who are critically ill or in septic shock have detectable findings of HCMV reactivation in their bloodstream (12, 26, 43, 45, 80). HCMV reactivation infection in intestinal tissues with preexisting inflammatory disease (e.g., inflammatory bowel disease) is also well described for immunocompetent patients (28, 39, 40, 51). The precise triggering mechanisms that underlie HCMV reactivation are unknown.

So far, only cells of myeloid lineage have been determined to fulfill criteria for cellular sites of HCMV latency in vivo. In healthy HCMV-seropositive persons, precursors of macrophages and dendritic cells, including CD34+ hematopoietic progenitor cells, carry latent HCMV genomes at a low frequency (75). The terminal differentiation of these cells into a macrophage- or dendritic cell-like phenotype is a prerequisite for HCMV reactivation ex vivo (67, 76). However, this reactivation appears to be a rare event, suggesting that other, as yet unidentified factors may promote HCMV reactivation. Stimulation with tumor necrosis factor alpha (TNF-α) or gamma interferon may promote HCMV reactivation from differentiated counterparts of monocytic-dendritic cell precursors that had been infected latently in vitro or in vivo (25, 66, 67, 76).

For both HCMV and murine CMV, viral major immediate-early (MIE) gene expression is greatly restricted or shut off during viral latency, and the productive viral life cycle cannot advance without this expression (57, 74, 75, 78). The MIE enhancer/promoter controlling expression is regulated by the coordinated actions of multiple types of cis-acting elements (57). These elements are bound by cellular transcription factors whose functions are modulated by input supplied by the cell, the virus, and the external surrounding (57). Higher-order chromatin structure contributes to this regulation. Heterochromatin components amass on the inactive MIE enhancer/promoter in viral latency, whereas the chromatin signatures of transcriptional activity predominate at the active MIE enhancer/promoter in acute and reactivation infections (47, 67). MIE enhancer/promoter silencing is also favored by innate antiviral mechanisms that partly involve the repressive actions of nuclear ND10 domain components (e.g., hDAXX, PML, ATRX, and histone deacetylase [HDAC]) (52) but does not involve CpG methylation of the MIE enhancer/promoter (29).

Quiescent HCMV infection of human NTera2/D1 cells (NT2 cells) is a tractable model system for studying the regulation of HCMV MIE enhancer/promoter reactivation (37, 54). NT2 cells share many phenotypic features with pluripotent embryonal cells and have the ability to differentiate into neurons and astrocytes upon retinoic acid (RA) treatment (1, 2) or into epithelial and smooth muscle-like cells after treatment with bone morphogenetic protein 2 (8). Propagation of NT2 cells under progenitor cell growth conditions greatly lowers background levels of both cellular differentiation and active HCMV infection (54). Trichostatin A (TSA), an inhibitor of HDACs, reverses the HCMV MIE enhancer/promoter silencing in these infected cells (54). This result is not linked to cellular differentiation (59). HDAC inhibition disrupts heterochromatin nucleation at the MIE enhancer/promoter (59), akin to the chromatin disruption that accompanies HCMV reactivation in endogenously infected dendritic cells (66). In contrast, RA does not reverse MIE enhancer/promoter silencing in quiescently infected NT2 cells (54), whereas RA-induced differentiated NT2 cells (NT2-D cells) permit both HCMV MIE enhancer/promoter activation and viral replication at the time of infection (21).

We recently reported that stimulation of the cyclic AMP (cAMP) signaling pathway by forskolin (FSK), a chemical activator of cellular adenylyl cyclase, greatly activates HCMV MIE gene expression in NT2 cells containing quiescent HCMV genomes (37). This response requires the five copies of the cAMP response element (CRE) in the MIE enhancer/promoter. Pharmacologic inhibition of cellular protein kinase A (PKA) activity also attenuates the response. The intermediary players in this signaling cascade were not determined.

In contrast to results for quiescently infected NT2 cells, the CRE do not contribute significantly to MIE gene expression and viral replication in acutely infected fibroblasts and NT2-D cells, irrespective of whether FSK stimulation is applied (36). Inhibition of cellular protein kinase C (PKC), but not PKA, greatly attenuates HCMV MIE gene expression in fibroblasts (42, 60). Thus, the molecular mechanisms by which the HCMV MIE genes are activated differ between acutely productive and reactivated quiescent infections. The delineation of these molecular mechanisms is of interest given the clinical implications of potentially intervening at the initial step in HCMV replication.

cAMP is a ubiquitous intracellular second messenger that is produced by adenylyl cyclase activation after ligation of G-protein-coupled receptors by ligands, including hormones, growth factors, prostaglandins, and neurotransmitters (58, 70, 71). The downstream signaling of cAMP is mediated by interactions with PKA, cyclic nucleotide-gated ion channels, or exchange proteins directly activated by cAMP (Epac). These signaling cascades may cross talk with other signal transduction pathways (e.g., p38 mitogen-activated protein [MAP] kinase, extracellular signal-regulated protein kinase, phosphatidylinositol 3-kinase, AKT, RAS, and PKC) (70). The cAMP messenger yields a distinct biological response through the integrated actions of multiple signal transduction and regulatory networks that ultimately reflects the diversity in stimuli, cells, and external environments (53, 70).

The inactive PKA holoenzyme resides in the cytoplasm as a heterotetramer of paired regulatory and catalytic subunits. Binding of cAMP to the regulatory subunits liberates the catalytic subunits for movement into the nucleus, where they catalyze phosphorylation of cAMP response element-binding transcription factor (CREB) at serine residue 133 (CREB Ser133) and activating transcription factor 1 (ATF-1) at serine residue 63 (ATF-1 Ser63) (58). CREB and ATF-1 activate cAMP-responsive genes by binding as homo- or heterodimers to the CRE (53, 58, 73). Phosphorylation of CREB Ser133 and ATF-1 Ser63 enables target gene activation by recruitment of the transcriptional coactivators CBP and p300 (53, 58, 73). CREB Ser133 or ATF-1 Ser63 is also a substrate for other cellular kinases (e.g., PKC, calcium-calmodulin-dependent kinases II and IV, MSK-1, PP90rsk, and MAP-KAP2) (53). However, genome-wide analysis reveals that only a small subset of CREB-occupied genes in human cells are responsive to cAMP elevation, despite the presence of CREB Ser133 phosphorylation at the majority of these sites (87). These results support the view that signal discrimination through CREB involves other regulatory partners, such as CBP/p300, TAF4, ACT, and the family of transducer of regulated CREB activity (TORC) coactivators (53, 70, 87).

TORC2 was recently shown to be an important regulator of gluconeogenesis in the livers of mammals (41). Under resting conditions, TORC2 (also known as CRTC2) is phosphorylated at serine residue 171 and thereby sequestered in the cytoplasm by interaction with 14-3-3 proteins (70, 79). Induction of cAMP by glucagon or incretin hormones (glucagon-like peptide and glucose-dependent insulin-tropic polypeptide) results in TORC2 dephosphorylation, liberation from 14-3-3 proteins, and entry into the nucleus (38, 41, 72). In some cell types, calcium influx is able to induce the same series of events in conjunction with CREB Ser133 phosphorylation (72). CREB-dependent gene expression is activated when (i) the N-terminal region of dephosphorylated TORC2 associates with the bZIP domain of CREB at target gene promoters and (ii) the C-terminal region of TORC2 recruits TAFII130/135 (70, 79). The interaction of TORC2 and Ser133-phosphorylated CREB also increases CBP/p300 recruitment, and p300 acetylates TORC2 to increase TORC2 activity (48, 65). Lastly, promoter and cellular context further specifies TORC2's ability to activate CREB target gene activity (11, 65, 84).

In this report, we show that vasoactive intestinal peptide (VIP), an immunomodulatory neuropeptide, stimulates HCMV MIE gene activation in quiescently infected NT2 cells. This VIP effect requires the viral CRE in the MIE enhancer/promoter and cellular PKA, CREB, and TORC2. VIP induces TORC2 dephosphorylation and nuclear entry via a PKA-dependent mechanism. A TORC2 S171A mutant lacking a major regulatory phosphorylation site bypasses the need for VIP stimulation for overcoming MIE gene silence.

(This work was presented in part at the 33rd International Herpesvirus Workshop in Estoril, Portugal.)

MATERIALS AND METHODS

Cells and viruses.Human NTera2/D1 cells (NT2 cells) (21) were grown in Dulbecco's modified Eagle's medium (DMEM) (containing 4 mM glutamine and 4.5 g/liter glucose) supplemented with 10% knockout serum replacement (Life Technologies, Rockville, MD) and 3 to 4% charcoal-treated fetal bovine serum, as described previously (54). NT2 cells were free of mycoplasm per the MycoAlert mycoplasm detection assay (Lonza Walkersville, Inc., Walkersville, MD). Background levels of NT2 cell differentiation and HCMV MIE expression were kept to a minimum by daily changes of the growth medium and avoidance of trypsin, cell aggregation, overly confluent adherent cell growth, and low-density seeding. When indicated, knockout serum replacement was removed from the medium to further lower the frequency of NT2 cells permitting MIE expression. Differentiation of NT2 cells was achieved by the addition of 10 μM RA (Sigma, St. Louis, MO) to DMEM plus 10% fetal bovine serum for ≥7 days. Cellular differentiation medium was replaced with NT2 growth medium at least 1 day prior to performing experiments. Human foreskin fibroblasts (HFF) were isolated and grown as described previously (56).

HCMV strain Towne was propagated on HFF. HCMV-GFP (Towne strain) represents rΔ−640/−1108gfp (49), which contains the green fluorescent protein gene driven by the viral native UL127 promoter, which is expressed with early/late kinetics. rWT and rCREM5 (Towne strain) were characterized previously (36). All HCMV isolates were partially purified by centrifugation of infected HFF supernatant filtrate (0.45-μm filter) through a 20% sorbitol cushion in phosphate-buffered saline (PBS); viruses were resuspended in DMEM or RPMI without serum. Virus absorption was carried out for 90 min, and cells were subsequently washed twice or thrice with Hanks' balanced salt solution without calcium and magnesium.

FSK (10 mM) and H-89 (10 mM) stocks (Sigma, St. Louis, MO) were prepared in dimethyl sulfoxide. Phorbol 12-myristate 13-acetate stock (PMA) (50 μM; Sigma) was prepared in ethanol. VIP (100 μM stock; Calbiochem/EMD Biosciences) was dissolved in PBS containing 1% human serum albumin.

Plasmids, transfection, and RNAi.Human TORC2 cDNA was cloned into the SgfI-MluI restriction sites of pCMV6Entry vector (Myc/Flag tagged) (Origene Technologies, Inc., Rockville, MD) to produce TORC2 that is C-terminally tagged with Myc/Flag. DNA sequencing of the resultant constructs confirmed the correct TORC2 cDNA sequence and fused gene configuration. The S171A substitution in TORC2-Myc/Flag was created using QuikChange multisite-directed mutagenesis (Stratagene) and the oligonucleotide CGA CTA CCA TCT GCA CTT AAC AGG ACA AGC gCT GAC TCT GCC CTT CAT. RNA interference (RNAi) experiments entailed the use of Suresilencing short hairpin RNA (shRNA) plasmids (SA BioSciences, Frederick, MD) containing the simian virus 40 promoter-puromycin cassette and the U1 promoter driving expression of shRNA against CREB (5′-TCATCTGCTCCCACCGTAACT-3′), ATF-1 (5′-AGTACAGGGACTTCAGACATT-3′), the PKA catalytic subunit (g, 5′-GTGGGTTGCTTGCTAGAATTTTT-3′; and y, 5′-GCCCTGGGGGTTCTTATCTCTATGA-3′), PKCδ (5′-CACCCAGAGACTACAGTAACT-3′), or TORC2 (r, 5′-CCAGGTTTCTCTAAGGAGATT-3′; b, 5′-TGAAGTCCCTGGAATTAACAT-3′; y, 5′-GCAGCGAGATCCTCGAAGAAT-3′; and g, 5′-CAGCAGCTGCCCAAACAGTTT-3′). Negative control shRNA consisted of the sequence 5′-GGAATCTCATTCGATGCATAC-3′.

NT2 cells in 30-mm2 dishes or 12-well plates were transfected using endotoxin-free plasmid DNA and a combination of Lipofectamine LTX and Plus reagent (Invitrogen) according to the manufacturer's directions. Adherent cells widely dispersed as single cells yield a transient transfection efficiency of 60 to 80%. Approximately 0.5 to 1 million cells in a 30-mm2 dish were transfected with 2.0 to 2.5 μg of plasmid DNA, and the numbers were scaled down proportionately for 12-well plates. The DNA-lipid complexes were added to growth medium lacking antibiotics and incubated with cells for 6 and 24 h for TORC2-F and shRNA studies, respectively. For RNAi studies, HCMV infection was performed either 2 h before or 48 h after transfection with plasmids expressing shRNA. In the former situation, VIP stimulation was carried out from 48 to 72 h postinfection (p.i.). In the latter situation, VIP stimulation was carried out from 2 to 26 h p.i. In both situations, the RNAi-mediated knockdown was carried out for 72 h and the VIP stimulation was performed for 24 h. Knockout serum replacement was omitted from the growth medium throughout the stimulation period. The conditions for shRNA-medicated CREB and ATF-1 knockdowns were determined empirically to achieve the end point of reductions in levels of CREB and ATF-1 individually, without depletion of ATF-1 and CREB, respectively. Attention to this detail was necessary because large reductions in CREB produced by the CREB-specific shRNA were found to also mildly decrease the ATF-1 level, and aggressive knockdown of ATF-1 by ATF-1-specific shRNA mildly decreased the CREB level. Similar results were obtained by using shRNA molecules targeting different sequences in CREB or ATF-1 mRNA, and these results did not seem to correspond to the degree or characteristic of CREB and ATF-1 shRNA nucleic acid sequence similarities between counterpart ATF-1 and CREB mRNA sequences, respectively. TORC2 expression plasmids were transfected for 48 h and, in some experiments, subjected to infection and VIP stimulation at the indicated times.

Nucleic acid analyses.HCMV DNA from each sample was quantified in quadruplicate by a TaqMan real-time PCR method using ABI Prism 7700 and 7000 sequence detection systems (Applied Biosystems, Foster City, CA). A MIE enhancer-specific primer set and probe was used (37). Nuclei and DNA were prepared using previously described methods (56). Primers and probes for quantification of cellular glyceraldehyde-3-phosphate dehydrogenase DNA were purchased from Applied Biosystems. The standard curve method was applied to determine the relative concentration of target DNA in relationship to the cycle threshold value.

Whole-cell RNA was isolated according to the method of Chomczynski and Sacchi (10). cDNA was made using Superscript II RNase H− reverse transcriptase (RT) (Life Technologies, Gaithersburg, MD) and random hexamers, and then each sample was quantified in quadruplicate by real-time PCR, using previously reported primers, probe, and amplification conditions (55). The primers target MIE exons 1 and 2 to produce an MIE amplicon spanning intron A. The cDNAs derived from ribosomal 18S, TORC1, and TORC2 RNAs were amplified and detected with reagents supplied by Applied Biosystems. The standard curve method was applied to determine the relative concentration of target cDNA in relationship to the cycle threshold value.

Protein analyses.Western blots of whole cell, cytoplasmic, or nuclear extracts were performed using methods reported previously (37, 56). Proteins were fractionated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) on 6, 7.5, or 10% Tris-glycine gels and transferred to Protran BA85 nitrocellulose membranes (Schleicher & Schuell BioScience, Keene, NH). Blots were incubated overnight at 4°C with primary antibodies in 1× PBS containing 5% dried milk, incubated with peroxidase-conjugated goat anti-rabbit or -mouse immunoglobulin G (IgG) antibody at room temperature for 90 min or at 4°C overnight (1:1,000 to 1:5,000 dilution in PBS containing 5% dried milk), treated with SuperSignal West Femto maximum sensitivity substrate (Pierce Biotechnology, Inc., Rockford, IL), and exposed to autoradiography film. Primary antibodies were used at 1:500 to 1:2,000 dilutions and included rabbit polyclonal anti-CREB (Upstate Biotechnology, Lake Placid, NY), rabbit monoclonal anti-CREB (Epitomics, Burlingame, CA), rabbit polyclonal anti-phospho-CREB (Upstate Biotechnology), monoclonal murine anti-ATF-1 (25C10G) (Santa Cruz Biotechnology, Inc., Santa Cruz, CA), polyclonal rabbit anti-PKA catalytic subunit (Santa Cruz Biotechnology), murine monoclonal anti-beta tubulin (E7) (University of Iowa Hybridoma Bank, Iowa City, IA), rabbit monoclonal anti-Oct4 (Epitomics), rabbit monoclonal anti-DAXX (Epitomics), rabbit polyclonal anti-CRTC2 (anti-TORC2; ProteinTech Group, Inc., Chicago, IL), and murine monoclonal anti-Flag (OriGene Technologies, Inc., Rockville, MD). HCMV IE1 p72 and IE2 p86 were detected using monoclonal murine antibody MAB810 (Chemicon International), which reacts to an epitope in both proteins. The rabbit polyclonal anti-phospho-CREB antibody against phospho-Ser133, in CREB residues 126 to 136, cross-reacts with ATF-1 phospho-Ser63 (Upstate Biotechnology) (37). Densitometry analysis was performed using the NIH ImageJ 1.34s program.

For immunofluorescence assay (IFA) of HCMV MIE protein and TORC2-Flag, duplicate samples of cells were fixed in ice-cold methanol for 5 min, permeabilized with 0.3% Triton X-100 in PBS for 5 min, and blocked with 10% goat serum in PBS for 30 min at room temperature. Murine monoclonal antibody against the Flag tag (1:200 dilution) (OriGene Technologies, Inc.) or the HCMV IE1 p72 and IE2 p86 proteins (MAB810) (Chemicon International, Charlottesville, VA) (1:1,000 to 1:2,000 dilution) was applied in 10% goat serum in PBS for 1 h at 37°C or overnight at 4°C. Secondary goat anti-mouse antibody conjugated to Alexa Fluor 555 (Molecular Probes Invitrogen, Eugene, OR) was applied at 1:1,000 to 1:5,000 dilutions for 1 h at room temperature. Anti-HCMV IE1 p72 and IE2 p86 antibody conjugated to Alexa Fluor 488 (Chemicon International) was applied after detection of TORC2-Flag by indirect immunofluorescence for the colocalization of these proteins. Cells were counterstained with 4′,6-diamidino-2-phenylindole (1 mg/ml; DAPI). Images were captured by an inverted Olympus IX 51 fluorescence microscope equipped with an X-Cite 120 fluorescence illumination system or by an inverted Zeiss 519 laser scanning confocal microscope. The ratio of MIE-expressing cells (Alexa Fluor 555 positive) to total cells (DAPI positive), with calculated mean and standard deviation (SD), was determined with NIH ImageJ 1.34s software applied to three to eight representative captured images, each comprising the entire field of original magnification at ×20. In the case of manual counting, paired images of MIE- and DAPI-positive NT2 cells were divided into 50 zones of equal size. Ten zones were randomly selected for manual counting of MIE- and DAPI-positive cells. The mean and SD were calculated for the percentage of MIE-positive cells among DAPI-positive cells.

RESULTS

VIP activates HCMV MIE gene expression.The screening of biological agonists of the cAMP/CRE signaling pathway for the ability to activate HCMV gene expression in the NT2 model identified VIP as a candidate. VIP is a 28-amino-acid peptide induced by various stimuli for limited production in multiple human organs and tissues (24, 46) wherein HCMV also replicates. Its levels are increased in disease states (4, 16, 32) in which HCMV also reactivates with greater frequency (26, 33, 40, 43, 51, 80). VIP receptors are expressed on progenitors of neuronal, hepatic, retinal pigment epithelial, and hematopoietic cells (6, 7, 35, 82). On the basis of this information, VIP was further studied in the HCMV reactivation model.

Quiescent HCMV infection was established in NT2 cells after inoculation with HCMV particles partially purified by zonal centrifugation (37, 54). Infection by this method has been shown to yield >98% of NT2 nuclei containing HCMV pp65 at 1 h p.i. at a multiplicity of infection (MOI) of 3 to 5 (37) and approximately three HCMV genome equivalents per nucleus at 24 h p.i. at an MOI of 10 (56). As depicted in Fig. 1A, quiescently infected NT2 cells (MOI of 3 to 5) were subjected to stimulation with VIP at 24 h p.i., and the level of HCMV MIE RNA or protein production was assessed thereafter. Increasing VIP concentrations in the range of 1 to 500 nM resulted in commensurate increases in the level of expression of HCMV spliced MIE RNA (Fig. 1B). As little as 1 nM VIP increased this viral message 3.6-fold at 6 h poststimulation. The 100 nM VIP concentration, which produced a submaximal response (16.4-fold), was applied in subsequent experiments. As shown in Fig. 1C, MIE RNA levels rose 9.9-fold as early as 2 h after VIP treatment. The increase in MIE RNA was greatest at 4 h posttreatment (34.2-fold) and waned at 6 h (19.4-fold), possibly in response to negative autoregulation by the viral MIE gene product, IE2 p86. VIP's actions translate into an approximately 23.5-fold increase in the proportion of infected NT2 cells expressing HCMV MIE protein at 24 h poststimulation (∼21% of cells express MIE [MIE+ cells]) compared to the unstimulated infected NT2 population, which was composed of 0.9% MIE+ cells at baseline in this particular experiment (Fig. 1D). The degree of change between these two groups increases when the background level of MIE+ cells in the unstimulated NT2 population decreases, as illustrated in subsequent studies. The overall profile of findings closely resembles that for 10 μM FSK stimulation (37), although VIP appears to generate a lower level of maximal output for MIE gene expression (Fig. 1B and C).

FIG. 1.
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FIG. 1.

VIP activates HCMV MIE gene expression, resembling the outcome of FSK stimulation. (A) Schematic diagram of experimental design using the quiescently infected NT2 cell model. The conditions and limitations of this model have been detailed previously (37, 54). Infections were carried out at an MOI of 3 to 5 PFU per cell. (B and C) Dose-response (B) and time course (C) data for VIP-induced expression of HCMV-spliced MIE RNA, as measured by real-time RT-PCR and normalized to cell 18S RNA (MIE RNAN). For panel C, VIP (100 nM) and FSK (10 μΜ) were used at the indicated concentrations. (D) IFA for determination of NT2 cell population expressing HCMV MIE proteins (IE1 p72 and IE2 p86) at 24 h of VIP stimulation, with DAPI staining of cell nuclei. A mean of 21.2% (±4.9%) of VIP-stimulated NT2 cells expressed MIE proteins, whereas 0.9% (±0.2%) of unstimulated NT2 cells expressed these proteins, as determined by manual counting (see Materials and Methods).

Viral CRE are required for VIP-induced HCMV MIE gene expression.The importance of the viral MIE CRE in VIP-induced MIE RNA expression was gauged by comparison of wild-type (WT) HCMV and rCRE5 M. rCRE5 M differs from the parental WT in having only two base substitutions in each of the five CRE in the MIE enhancer (36) (Fig. 2A). The experimental controls for these studies revealed that WT HCMV and rCRE5 M yield equivalent amounts of MIE protein in acutely infected HFF and NT2-D cells (Fig. 2B and D) and of viral DNA in nuclei (Fig. 2C) of unstimulated NT2 cells, in accord with previously reported results (36, 37). In contrast, in quiescently infected NT2 cells, the MIE CRE mutations greatly diminished the levels of VIP-induced expression of MIE protein (IE1 p72 and IE2 p86) (Fig. 2B) and RNA (Fig. 2C), as well as the incidence of MIE+ NT2 cells (Fig. 2D). The CRE have a less prominent role in mediating MIE gene activation in response to stimulation with PMA (Fig. 2D), a known activator of classical and novel PKC isoforms having the capability of stimulating CRE-mediated gene expression in other systems. This result suggests that PMA acts through both CRE-dependent and -independent mechanisms in reversing MIE gene silence.

FIG. 2.
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FIG. 2.

VIP's effect requires the HCMV MIE CRE. (A) Schematic diagram of HCMV rCREB5 M (5M) compared to WT virus. rCREB5 M has mutations in all five copies of the CRE in the MIE enhancer. The proximal CRE is a variant AP1/CRE site that functions like the four consensus CRE in response to FSK stimulation (83). (B to D) NT2 cells, HFF, and differentiated NT2 (NT2-D) cells were inoculated with equivalent titers of WT and rCREB5 M HCMV (MOI of 4 for NT2 and NT2-D cells and 0.1 for HFF). MIE proteins (IE1 p72 and IE2 p86) (B) and spliced MIE RNA (C) were analyzed by Western blotting and real-time RT-PCR, respectively, 24 h after stimulation with VIP (100 nM), FSK (10 μM), or nothing. Duplicate experimental samples were pooled for Western blot analysis. MIE proteins were analyzed at 24 h p.i. for HFF and at 48 h p.i. for NT2-D and NT2 cells. The MIE RNA level was normalized to the 18S RNA level (MIE RNAN). Means and SD for triplicate experimental samples depict changes in HCMV MIE RNAN relative to that in infected NT2 cells receiving no stimulation. HCMV DNA in cell nuclei at 24 h p.i. was also quantified by real-time PCR and normalized to cellular 18S DNA (HCMV DNAN). Means and SD for triplicate experimental samples depict changes in the HCMV DNAN level. (D) IFA of MIE+ NT2 cell density after stimulation with VIP (100 nM), PMA (20 nM), or nothing for 24 h. Original magnification, ×20. The bar graph depicts ratios of MIE+ cells to all cells. Means and SD were determined from three random fields, using NIH ImageJ 1.34s software.

Thus, the viral CRE are required for VIP-induced MIE gene expression in quiescently infected NT2 cells, whereas they are dispensable for MIE gene expression in actively infected HFF and NT2-D cells.

VIP triggers a wave of CREB Ser133 and ATF-1 Ser63 phosphorylation but does not change levels of Oct4, hDaxx, and HCMV genome penetration.The potential mechanisms by which VIP overcomes HCMV MIE gene silence were investigated. VIP stimulation increases the levels of phosphorylated CREB Ser133 (pCREB) and ATF-1 Ser63 (pATF-1) but not the levels of total CREB and ATF-1 (Fig. 3A and B). pCREB and pATF-1 levels increased within 10 to 15 min of VIP stimulation and then declined to their respective baseline values by 3 to 8 h poststimulation. The VIP-induced pATF-1 level peaked greatly above its very low baseline value in unstimulated NT2 cells. In contrast, VIP stimulation only modestly increased the pCREB level above the high level of pCREB at baseline. The HCMV MIE proteins, IE1 p72 and IE2 p86, were not detected in unstimulated NT2 cells by Western blotting but became evident by 8 h following VIP stimulation. VIP does not lower the level of cellular Oct4 during this time frame, thus indicating that the cellular differentiation program is not activated (50) and therefore is not responsible for increasing MIE protein expression. It was reported previously that HCMV pp71 is sequestered in the NT2 cytoplasm but that when it is allowed into the nucleus, pp71 targets cellular hDaxx for inactivation and degradation and thereby relieves repression of the MIE genes (69). We show in Fig. 3B that VIP does not appreciably change the hDaxx level in the NT2 model of quiescent infection. Whether VIP modifies hDaxx or pp71 function has not been determined. Lastly, VIP does not appear to enhance viral genome penetration, because the amount of HCMV DNA reaching cell nuclei was unchanged by this stimulus (Fig. 3C).

FIG. 3.
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FIG. 3.

CREB Ser133 and ATF-1 Ser63 phosphorylation levels increase, whereas levels of HCMV genomes in nuclei, cellular Oct4, and cellular hDaxx do not appreciably change. (A and B) Western blot analyses of the indicated proteins in NT2 cells in relation to various times of exposure to VIP (100 nM). Duplicate samples were pooled for analysis. The amino acid residues surrounding Ser133 of CREB (43 kDa) and Ser63 of ATF-1 (38 kDa) are nearly identical, thus allowing use of the same phospho-specific antibody to detect both pCREB and pATF-1. MK, mock-infected cells. (C) HCMV DNA in cell nuclei at 24 h of VIP (100 nM) stimulation, as determined by quantitative PCR and normalized to cellular glyceraldehyde-3-phosphate dehydrogenase DNA (HCMV DNAN). Means and SD for triplicate experimental samples depict changes in HCMV DNAN relative to that in infected NT2 cells receiving no stimulation (none).

This set of experimental results strengthens the perspective that VIP stimulates a signaling cascade that acts through the viral CRE to reverse MIE gene silence. The action is accompanied by a wave of phosphorylation of CREB Ser133 and ATF Ser63 that is possibly involved in CRE-dependent MIE gene expression.

Cellular PKA and CREB are required for VIP-induced HCMV MIE gene expression.While VIP's effect on NT2 cells has not been reported, VIP is known to activate target cellular genes through signaling pathways that involve PKA, PKC, or both, depending on cell type (9, 27). The type of stimulus and the cellular phenotype determine whether PKA (64) or PKC (30, 77) acts through the CRE to increase MIE enhancer/promoter activity in transient assays.

Two different experimental approaches were applied to determine the roles of PKA and PKC in mediating VIP's actions in quiescently infected NT2 cells. We showed that H89, a selective inhibitor of PKA activity, greatly attenuates VIP's ability to increase the MIE+ NT2 population density (Fig. 4A) and MIE protein expression across all cells, in a dose-dependent manner (Fig. 4B). H89 also returned VIP-induced pCREB and pATF-1 levels to baseline values (Fig. 4B). As expected, PKA levels were not changed by H89 (Fig. 4B). Pharmacologic inhibition of classical and novel PKC isoforms did not appreciably decrease VIP's ability to elevate MIE protein expression (data not shown).

FIG. 4.
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FIG. 4.

Either pharmacologic inhibition or depletion of cellular PKA greatly attenuates VIP-induced HCMV MIE gene expression. (A and B) H89, an inhibitor of PKA, was added 30 min before and throughout VIP (100 nM) stimulation. MIE proteins (IE1 p72 and IE2 p86) were detected by IFA (A) or Western blotting (B) at 24 h of VIP or no (none) stimulation. MK, mock-infected cells. (B) VIP-induced IE1 p72 levels were decreased 3.1- and 50.9-fold by 2 and 5 μM H89, respectively, when normalized to β-tubulin. PKA, pCREB, and pATF-1 levels were analyzed in relationship to MIE protein levels. (C to E) NT2 cells were transfected with a plasmid expressing shRNA against the PKA catalytic subunit (PKAig or PKAiy), PKCδ (PKCi), or negative control (NCi) for 72 h. HCMV infection was carried out after (C and D) or before (E) PKA knockdown, as described in Materials and Methods. Expression of IE1 p72 and IE2 p86 in response to VIP stimulation (100 nM) for 24 h was analyzed by Western blotting (D and E) and IFA (C). (C) Original magnification, ×20. The bar graph depicts the ratio of MIE+ cells to all cells. Means and SD were determined from three random fields. (D) PKAig and PKAiy decreased PKA levels 7.6- and 4.4-fold, respectively; PKCi decreased the PKCδ level 3.8-fold. VIP-induced IE1 p72 levels decreased 37.4-, 23.3-, and 2.3-fold as a result of PKAig, PKAiy, and PKCi, respectively. Values were normalized to β-tubulin. Duplicate experimental samples were pooled for Western blot analyses.

We next tested the effect of depletion of the endogenous PKA catalytic subunit on VIP-induced MIE gene expression by using plasmids expressing shRNA that specifically targets the PKA catalytic subunit. The depletion of the PKA catalytic subunit by this RNAi method markedly attenuated VIP's ability to increase the MIE+ NT2 population density (Fig. 4C) and MIE protein production (Fig. 4D) compared to negative control RNAi. This outcome was unchanged by using different RNAi target sequences to deplete the PKA catalytic subunit (Fig. 4D) or by introducing the RNAi after the infection (Fig. 4E). Knockdown of PKCδ by RNAi lowered VIP-induced MIE gene expression only 2.3-fold, in contrast to the 23.3- to 37.4-fold inhibition resulting from PKA knockdown (Fig. 4D), which might reflect cross talk between these two signaling pathways. These combined results indicate that PKA activation is one of the primary drivers in VIP-induced MIE gene expression, whereas PKC appears to contribute little.

Whether CREB, ATF-1, or both are involved in CRE-dependent MIE gene expression resulting from VIP or FSK (37) stimulation is not known. Therefore, CREB and ATF-1 were selectively depleted by RNAi to assess the relative roles of each of these transcription factors, using experimental conditions detailed in Materials and Methods. As shown in Fig. 5A, the CREB-specific shRNA (CREBi) lowered the CREB level 3.6-fold and did not decrease the ATF-1 level, yet it produced a 13-fold decrease in VIP-induced MIE gene expression compared to negative control shRNA (NCi). The CREB knockdown did not perturb the hDaxx level (Fig. 5A). Infecting cells prior to CREB knockdown also blocked VIP's ability to activate MIE gene expression (Fig. 5B), indicating that CREB functions at the postentry stage of infection to increase MIE gene expression. The depletion of CREB translated into lower pCREB levels, as expected (Fig. 5B and data not shown). In contrast, the knockdown of ATF-1 to an undetectable level via ATF-1-specific shRNA (ATFi) resulted in negligible to minimal changes in VIP-induced MIE protein expression compared to that with NCi or a dissimilar ATF-1-specific shRNA that fails to deplete ATF-1 (ATFiNC) (Fig. 5C). The CREB level was not appreciably changed by ATFi or ATFiNC. The VIP-induced increase in MIE+ NT2 population density was likewise diminished by CREB knockdown and changed negligibly to minimally by ATF-1 knockdown (Fig. 5D and data not shown). Taken together, the results point to CREB having the major role in VIP-induced MIE gene expression. They do not eliminate the possibility that CREB also acts via an indirect mechanism.

FIG. 5.
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FIG. 5.

VIP's effect requires cellular CREB. (A to D) NT2 cells were transfected with a plasmid expressing shRNA against CREB (CREBi), ATF-1 (ATFi), or negative control (NCi) for 72 h. HCMV infection was performed after (A, C, and D) or before (B) CREB/ATF knockdown, as described in Materials and Methods. Expression of IE1 p72 and IE2 p86 in response to VIP stimulation (100 nM) for 24 h was analyzed by Western blotting (A to C) and IFA (D). Duplicate samples were pooled for Western blot analyses. (A) CREB, ATF-1, and hDaxx levels were analyzed in relationship to MIE protein levels. CREBi decreased the VIP-induced CREB level 3.6-fold, the IE1 p72 level 13.0-fold, and the ATF-1 level 0.21-fold compared to NCi and normalized to tubulin. (B) pCREB levels were analyzed in relationship to MIE protein levels. (C) ATF-1 and CREB levels were analyzed in relationship to MIE protein levels. Compared to NCi, ATFi decreased IE1 p72 and IE2 p86 levels 1.2- and 2.1-fold, respectively. ATFiNC decreased IE1 p72 and IE2 p86 levels 1.2- and 1.8-fold, respectively. Results were normalized to the CREB level. (D) RNAi-mediated depletion of CREB and ATF-1, performed using the methods described for panels A and C. Original magnification, ×20. The bar graph depicts the ratio of MIE+ cells to all cells. Means and SD were determined from three random fields.

VIP's effect on HCMV MIE gene expression requires cellular TORC2 and is accompanied by PKA-dependent TORC2 nuclear entry and dephosphorylation.Having determined that the MIE gene is a CREB target gene that is silent during pCREB abundance, we focused on the possibility that VIP regulates a transcriptional coactivator. TORC2, a CREB coactivator, is shown in Fig. 6 to participate in VIP-induced MIE gene expression in quiescently infected NT2 cells. Depletion of TORC2 by RNAi lowered VIP's effect on MIE+ NT2 population density (Fig. 6A) and MIE protein production (Fig. 6B), even when the TORC2 was depleted after the infection (Fig. 6C). The result was reproduced by using different shRNAs to achieve TORC2 knockdown and was not accompanied by changes in pCREB and TORC1 levels (Fig. 6B).

FIG. 6.
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FIG. 6.

VIP's effect requires cellular TORC2. (A to C) NT2 cells were transfected with a plasmid expressing one of four different shRNAs against TORC2 (TORC2iy, TORC2ig, TORC2ir, or TORC2ib) or a negative control (NCi) for 72 h. HCMV infection was carried out after (A and B) or before (C) TORC2 knockdown, as described in Materials and Methods. (A) IFA shows the MIE+ NT2 cell density after VIP stimulation (100 nM) for 24 h. Original magnification, ×20. The bar graph depicts the ratio of MIE+ cells to all cells. Means and SD were determined from five random fields. (B and C) The expression of IE1 p72 and IE2 p86 was analyzed by Western blotting after stimulation for 24 h with VIP (100 nM) or nothing. Duplicate samples were pooled for analyses. Panel B also shows levels of TORC2, TORC1, and pCREB from the same experiment; IE1 p72, IE2 p86, TORC2, and pCREB were detected on same blot in relationship to β-tubulin. Changes in TORC2 and IE1 p72 levels resulting from TORC2i could not be determined accurately by densitometric analysis of the exposed films because band intensities were outside the linear range or undetectable. TORC2 knockdown was at least 3.3-fold (TORC2iy and TORC2ir) or greater (TORC2ig and TORC2ib). IE1 p72 knockdown was at least 25-fold for TORC2iy, TORC2ig, TORC2ir, and TORC2ib.

In hepatocytes and neuroendocrine cells (38, 72), FSK stimulation results in TORC2 nuclear entry and dephosphorylation. The possibility of VIP also acting in this manner was examined in NT2 cells containing a plasmid expressing Flag-tagged TORC2 (TORC2-F). Both confocal microscopy (Fig. 7A) and Western blot (Fig. 7B) analyses of TORC2-F distribution in cytoplasmic and nuclear compartments indicated that VIP stimulation for 15 min promotes TORC2's translocation from the cytoplasm to the nucleus. In VIP-stimulated NT2 cells, the TORC2-Flag (TORC2-F) in whole-cell extracts fractionated by SDS-PAGE existed as two immunoreactive bands differing slightly in electrophoretic mobility, whereas only the slower-migrating band was evident in unstimulated cells (Fig. 7C). Based on published results for FSK stimulation of Flag-tagged TORC2 in other systems (72), the dephosphorylated TORC2-F was expected to migrate faster by SDS-PAGE than its phosphorylated counterpart. This inference is partly backed by evidence showing that VIP induces the dephosphorylation of TORC2 Ser171 (Fig. 7D). VIP's ability to produce these TORC2 alterations at 15 min poststimulation was unaffected by HCMV infection (Fig. 7C versus D; data not shown). At 48 h p.i., the exogenously expressed TORC2-F was still retained in unstimulated NT2 cytoplasm and the MIE proteins were not made, as determined by IFA (Fig. 7E). In contrast, VIP stimulation for 24 h resulted in TORC2-F and MIE proteins colocalizing in NT2 nuclei (Fig. 7E). MIE proteins were also evident in stimulated neighboring cells expressing endogenous TORC2, which is not detected by the anti-Flag antibody.

FIG. 7.
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FIG. 7.

VIP's effect corresponds to TORC2's translocation to the nucleus and dephosphorylation. (A to D) NT2 cells transfected for 48 h with a plasmid expressing TORC2 tagged with Flag (TORC2-F) or with negative control vector (NC) were subjected to IFA plus confocal microscopy (A) or Western blotting (B to D) at 15 min of VIP (100 nM) or FSK (10 μM) stimulation or no stimulation (none). Cytoplasm (Cy) and nuclei (Nu) were fractionated prior to the analysis depicted in panel B. Whole-cell extracts were analyzed in panels C and D. HCMV infection was carried out at 24 h posttransfection for the experiment shown in panel D. TORC2-F (pTORC2 and TORC2) was detected with anti-Flag antibody (A-D), and TORC2 Ser171 phosphorylation (pTORC2 Ser171) was detected with phospho-Ser171 antibody (D). Duplicate samples of whole-cell and nuclear proteins from each experimental group were combined prior to fractionation in 7.5% (C) or 10% (B and D) polyacrylamide gels. (E) HCMV-infected NT2 cells were transfected (at 2 h p.i.) for 48 h with a plasmid expressing TORC2-F and stimulated (at 24 h p.i.) with VIP for 24 h. At 48 h p.i., Flag (red) and MIE (green) antigens were detected by IFA, and the results are shown as merged images. Nuclei were counterstained with DAPI. Original magnification, ×40.

To determine whether PKA is involved in VIP's effect on TORC2, PKA was inhibited by H89 or depleted by RNAi prior to VIP stimulation of NT2 cells expressing TORC2-F. We showed that H89 inhibits VIP-induced TORC2 Ser171 dephosphorylation (Fig. 8A) and TORC2 enrichment in nuclei (Fig. 8B). Either H89 or PKA knockdown abrogated the VIP-induced appearance of the TORC2-F band having increased electrophoretic mobility connoting dephosphorylation (Fig. 8A and C).

FIG. 8.
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FIG. 8.

PKA is involved in VIP-induced TORC2 dephosphorylation and nuclear localization. (A and B) Western blot analyses of whole cells (A) and isolated nuclei (B) from NT2 cells expressing TORC2-F (TORC2 and pTORC2) for 48 h and stimulated with VIP (100 nM) or not stimulated (none) for 45 min, with or without H89 (10 μM). (C) Western blot analysis of NT2 whole cells cotransfected for 48 h with plasmids expressing TORC2-F and NCi or PKAi, infected for 24 h with HCMV, and stimulated with VIP (100 nM) for the final 15 min. Triplicate samples from each experimental group (A to C) were combined prior to fractionation in 7.5% (A and C) and 10% (B) polyacrylamide gels.

TORC2 S171A desilences the MIE genes in the absence of VIP stimulation.The finding that VIP induces both TORC2 Ser171 dephosphorylation and TORC2 nuclear entry is consistent with the known function of TORC2 phospho-Ser171 in sequestering TORC2 in the cytoplasm. To determine whether TORC2's dephosphorylation and repositioning to nuclei contribute to MIE gene activation, a Flag-tagged TORC2 S171A mutant devoid of phosphorylation at Ser171 was expressed from a plasmid in unstimulated NT2 cells (Fig. 9A). Both IFA and Western blot methods revealed that Flag-tagged TORC2 S171A localized to nuclei in greater amounts than those of WT TORC2-F (Fig. 9A and B). This finding parallels that of TORC2 S171A's ability to render the MIE genes active, as reflected by the coappearance of TORC2-F S171A and MIE protein in NT2 nuclei (Fig. 9C) and the increases in MIE+ NT2 population density (Fig. 9D) and MIE protein production across all cells (Fig. 9E). Notably, approximately 25% of nuclei immunostaining for TORC2-F S171A did not stain for MIE protein (data not shown). Heterogeneity in the NT2 cell population (37, 54) is one possible reason for this result. The recent report that dephosphorylation of TORC2 Ser-275 is additionally needed to fully activate CREB-dependent gene expression via cAMP signaling in islet cells (31) may also bear on this result. Despite the system's potential imperfection, the experimental approach applied here using TORC2-F S171A has yielded concordant findings linking desilencing of the MIE genes with TORC2's hypophosphorylation and nuclear translocation.

FIG. 9.
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FIG. 9.

TORC2 S171A localizes to the nucleus and activates MIE gene expression in the absence of VIP stimulation. NT2 cells transfected for 48 h with a plasmid expressing TORC2-F (TORC2-F S171) or Flag-tagged TORC2 S171A (TORC2-F S17A) (A to E) and infected with HCMV for 24 h (D and E) or 48 h (C) were analyzed by Western blotting (A and E) or IFA (B to D). TORC2-F S171 and TORC2-F S171A were detected with anti-Flag antibody (A to C and E), and TORC2 Ser171 phosphorylation (pTORC2 Ser171) was detected with phospho-Ser171 antibody (A). For panels A and E, duplicate samples of whole-cell and nuclear proteins from each experimental group were combined prior to fractionation in 7.5% polyacrylamide gels. For panels B to D, NT2 cells were infected at 24 h posttransfection (B and D) or 2 h before transfection (C). Nuclei were counterstained with DAPI. Original magnification, ×20. Flag was detected by indirect IFA (B and C), whereas MIE proteins (IE1 p72 and IE2 p86) were detected by indirect (D) or direct (C) IFA (see Materials and Methods). Merged images of TORC2-F (S171 or S171A) (red) and nuclei (blue) are shown in panel B. A merged image of IFA for TORC2-F S171A (red) and MIE proteins (green) is shown in panel C. The bar graph in panel D depicts the ratio of MIE+ cells to all cells. Means and SD were determined from eight random fields.

DISCUSSION

The following three original findings have come from these studies: (i) VIP was identified as a potent stimulus of HCMV MIE gene expression in human pluripotent embryo-like cells; (ii) the PKA-CREB-TORC2 signaling cascade was delineated as the mechanism behind the HCMV CRE-dependent MIE gene activation in a background of viral quiescence; and (iii) VIP's actions were discovered to include PKA-dependent TORC2 dephosphorylation and nuclear translocation, which likely in turn facilitate MIE gene activation.

In contrast to VIP, adrenergic catecholamines and prostaglandin E2 are examples of agents that do not activate MIE gene expression in NT2 cells (data not shown) but are known to increase CRE-dependent MIE enhancer/promoter activity in plasmids transiently transfected in other cell types (30, 64). VIP has been classified as a neuropeptide, hormone, cytokine, and immune modulator. It regulates both innate and adaptive immune responses (18, 22, 61, 63) in ways that are postulated to favor virus survival (18). VIP is produced by subpopulations of neuronal cells residing in several different organs and tissues (e.g., the central nervous system, retina, gastrointestinal tract, heart, lung, kidney, genital tract, and lymphoid organs), as well as by enteroendocrine cells and immune cells (e.g., Th2 CD4+ T, CD8+ T, and polymorphonuclear cells) (22, 23). The tissue concentrations of VIP vary by anatomic site and disease condition but can enter a range (3, 20, 62) that we show herein is also able to activate the HCMV MIE genes in the NT2 cell model (Fig. 1).

VIP exerts its actions through two structurally related G-protein-coupled receptor B family members, VPAC1 and VPAC2 (44). One or both of these receptors are expressed on a wide range of cell types, including neuronal, epithelial, smooth muscle, and immune cells (e.g., T cells, macrophages, monocytes, dendritic cells, and polymorphonuclear cells) (22). Progenitors of neuronal, hepatic, retinal pigment epithelial, and hematopoietic cells also express functional VIP receptors (6, 7, 35, 82). While there are no published reports linking VIP to HCMV reactivation in vivo, this association is plausible based on the following considerations. First, VIP and its receptors are found in organs and tissues in which HCMV characteristically produces reactivation disease. Second, increases in VIP levels and risk for HCMV reactivation are coincident under certain clinical conditions. For instance, studies conducted over a decade ago with rabbits (5), rats (86), dogs (19), pigs (68), and humans (4) indicate that circulating levels of VIP increase substantially in response to sepsis or endotoxemia. Septic shock or endotoxemia is also linked to murine CMV and HCMV reactivation in mice (13, 14) and humans (26, 43, 80), respectively. VIP levels are also elevated in persons suffering from inflammatory bowel disease (16, 32), another medical condition in which HCMV reactivates with greater frequency (33, 51), even in the absence of immunosuppressive therapy (40). Lastly, VIP's presence in the secretome of HCMV Ad169-infected HFF (17) is consistent with the idea that VIP may promote the active phase of viral infection.

VIP has the ability to differentially induce cAMP-dependent and -independent signaling pathways, with a predilection that is partly determined by cell type. PKA, PKC, or both (9, 27), as well as the downstream MAP kinase cascade (81), can be involved in signal transduction. VIP acts via CREB and/or Ets family members to stimulate target gene expression (15, 27, 81). Binding sites for both types of transcription factors are located in the HCMV MIE enhancer/promoter (57).

In the NT2 model, we find that VIP quickly induces expression of the MIE genes in HCMV strain Towne (Fig. 1). This result is not unique to a fibroblast-tropic HCMV strain, as the endothelium-tropic HCMV strain VR1814 reacts to VIP stimulation in the same manner (data not shown). The CRE, PKA, CREB, and TORC2 are each required to carry out VIP's effect on HCMV MIE gene expression. Two base substitutions in each of the five CRE in the viral MIE enhancer nearly abolish VIP's ability to activate these genes (Fig. 2). The VIP effect is not the result of altered HCMV genome penetration of nuclei, cellular differentiation, or a decrease in the amount of the cellular hDaxx repressor of HCMV gene expression (Fig. 3). VIP promptly induces a wave of phosphorylation of CREB Ser133 and ATF-1 Ser63 that is blocked by inhibition of cellular PKA (Fig. 3). The pATF-1 wave peaks well above its negligible baseline level, whereas the pCREB level rises only modestly above its high baseline value. Either pharmacologic inhibition or RNAi-mediated depletion of PKA greatly attenuates VIP-induced MIE gene expression (Fig. 4). In contrast, PKC contributes very little to the VIP effect in this system.

Despite the impressive rise in pATF-1 level resulting from PKA activation, RNAi-mediated knockdown of the ATF-1 level minimally influences VIP-induced MIE gene expression (Fig. 5). In contrast, VIP-induced MIE gene expression is greatly attenuated by RNAi-mediated depletion of CREB and pCREB (Fig. 5). While our findings do not eliminate the possibility that CREB acts via an indirect mechanism to desilence viral MIE gene expression, they are nonetheless consistent with the model that pCREB acts directly through the viral CRE to activate MIE gene expression in response to VIP stimulation. However, pCREB is already abundant in unstimulated cells, suggesting that phosphorylation of CREB at Ser133 alone may not be sufficient to render the MIE genes active. This notion fits recent findings indicating that pCREB commonly occupies transcriptionally inactive cellular promoters that remain responsive to cAMP elevation (87). We revealed that TORC2 is one of the other key regulators of CRE-dependent MIE gene expression in NT2 cells. This regulation is linked to VIP-induced TORC2 dephosphorylation and translocation to the nucleus (Fig. 6 and 7). The ability of TORC2 S171A to both localize to the nucleus and desilence the MIE genes in the absence of VIP stimulation further highlights TORC2's regulatory importance (Fig. 9). This result also suggests that in some cells, baseline pCREB levels may be enough to mediate MIE gene transcription. Additional studies addressing the interaction and binding of pCREB and TORC2 at the MIE enhancer/promoter in relation to VIP stimulation will be needed to further clarify the mechanism.

VIP acts through PKA to elevate levels of dephosphorylated TORC2 and to enhance TORC2 nuclear entry (Fig. 8). Recently published findings for other cell types indicate that activated PKA inhibits AMP-activated protein kinase family members that are responsible for phosphorylating TORC2 at Ser171 (34, 38). Conceivably, VIP-induced PKA activation may also indirectly increase dephosphorylated TORC2 abundance via PKA-mediated inhibition of AMP-activated protein kinase family members, such as salt-inducible kinase.

The NT2 model has enabled the characterization of possible mechanisms underlying HCMV quiescence and reactivation. Whether the findings produced in this model are translatable to models of HCMV latency in myeloid precursors is unknown, but it is an area ripe for investigation. Our data for NT2 cells suggest that other stimulus-induced signaling pathways that do not involve the CRE can also contribute to MIE gene activation (Fig. 2). The HDAC inhibitor TSA is also known to activate MIE gene expression, in a CRE-independent manner, in these cells (37). TSA and FSK act together synergistically to increase MIE gene expression and to expand the MIE+ population in comparison to either agent alone (37). Thus, it is plausible that the concerted actions of multiple signaling pathways, in conjunction with the reprogramming of cells for differentiation, are needed to fully desilence the MIE genes and to complete the viral replication cycle (85). Lastly, we have not excluded the possibility that other agonists of the G-protein-coupled receptor B family might activate CRE-dependent MIE gene expression, especially in other cell types. Future studies should consider the potential roles of VIP (and related agonists) and the PKA-CREB-TORC2 signaling cascade in the in vivo activation of quiescent or smoldering HCMV infection.

ACKNOWLEDGMENTS

We are grateful to Mark F. Stinski for his insight and critical reading of the manuscript. We thank Magnus Wu and Chase Hardin for their assistance in the laboratory. We also thank Thomas M. O'Dorisio and members of the Stinski laboratory for helpful discussions of this work.

This work was supported by an American Heart Association grant-in-aid award and a Veterans Affairs Merit Award to J.L.M.

FOOTNOTES

    • Received 11 January 2009.
    • Accepted 7 April 2009.
  • Copyright © 2009 American Society for Microbiology

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Breaking Human Cytomegalovirus Major Immediate-Early Gene Silence by Vasoactive Intestinal Peptide Stimulation of the Protein Kinase A-CREB-TORC2 Signaling Cascade in Human Pluripotent Embryonal NTera2 Cells
Jinxiang Yuan, Xiaoqiu Liu, Allen W. Wu, Patrick W. McGonagill, Michael J. Keller, Courtney S. Galle, Jeffery L. Meier
Journal of Virology Jun 2009, 83 (13) 6391-6403; DOI: 10.1128/JVI.00061-09

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Breaking Human Cytomegalovirus Major Immediate-Early Gene Silence by Vasoactive Intestinal Peptide Stimulation of the Protein Kinase A-CREB-TORC2 Signaling Cascade in Human Pluripotent Embryonal NTera2 Cells
Jinxiang Yuan, Xiaoqiu Liu, Allen W. Wu, Patrick W. McGonagill, Michael J. Keller, Courtney S. Galle, Jeffery L. Meier
Journal of Virology Jun 2009, 83 (13) 6391-6403; DOI: 10.1128/JVI.00061-09
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KEYWORDS

Antigens, Viral
cytomegalovirus
Cytomegalovirus Infections
Immediate-Early Proteins
Signal Transduction
Vasoactive Intestinal Peptide

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