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Complex I Binding by a Virally Encoded RNA Regulates Mitochondria-Induced Cell Death
Matthew B. Reeves,1*Andrew A. Davies,1Brian P. McSharry,2Gavin W. Wilkinson,2John H. Sinclair1
Human cytomegalovirus infection perturbs multiple cellular processesthat could promote the release of proapoptotic stimuli. Consequently,it encodes mechanisms to prevent cell death during infection.Using rotenone, a potent inhibitor of the mitochondrial enzymecomplex I (reduced nicotinamide adenine dinucleotideubiquinoneoxido-reductase), we found that human cytomegalovirus infectionprotected cells from rotenone-induced apoptosis, a protectionmediated by a 2.7-kilobase virally encoded RNA (ß2.7).During infection, ß2.7 RNA interacted with complexI and prevented the relocalization of the essential subunitgenes associated with retinoid/interferoninduced mortality19,in response to apoptotic stimuli. This interaction, which isimportant for stabilizing the mitochondrial membrane potential,resulted in continued adenosine triphosphate production, whichis critical for the successful completion of the virus' lifecycle. Complex I targeting by a viral RNA represents a refinedstrategy to modulate the metabolic viability of the infectedhost cell.
1 Department of Medicine, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 2QQ, UK. 2 Section for Infection and Immunity, College of Medicine, University of Wales, Heath Park, Cardiff, CF14 4XX, UK.
* Present address: Novartis Institutes for Biomedical Research,500 Technology Square, Cambridge, MA 02139, USA.
To whom correspondence should be addressed. E-mail: js{at}mole.bio.cam.ac.uk
During primary infection or reactivation of human cytomegalovirus(HCMV), especially in the immunocompromised, the virus is ableto replicate in a number of cell types, often resulting in life-threateningdisease (1). HCMV exhibits a relatively protracted life cycle(upwards of 5 days) and at early times of infection (12 to 24hours) encodes a highly abundant 2.7-kb RNA transcript (ß2.7),accounting for >20% of total viral gene transcription (2,3) of unknown function. The RNA may be associated with mitochondria(4), and no protein product of this RNA has ever been detectedin infected cells (3), suggesting that it functions as a noncodingRNA (5).
We investigated the possibility that ß2.7 could functionas a noncoding RNA. A Northwestern screen of a human cDNA librarywith a ß2.7 probe identified potential cellular interactionpartners for the ß2.7 RNA molecule. One of these proteinswas a subunit of the mitochondrial enzyme complex I (reducednicotinamide adenine dinucleotideubiquinone oxido-reductase).Defective complex I activity has been implicated in numerousmitochondrial and genetic diseases, including Leigh's syndrome,Leber's hereditary optic neuropathy, and mitochondrial encephalopathy(6); and inhibition of complex I activity by reactive O or Nspecies or by the direct binding of environmental toxins ultimatelyresults in apoptosis (7, 8).
We first tested whether HCMV infection [multiplicity of infection(MOI) = 5] and, specifically, ß2.7 expression preventedcell death in neuronal U373 cells subjected to mitochondrialstress by treatment with rotenonea highly effective complexI inhibitor (9, 10). As expected, the addition of rotenone promotedsubstantial cell death in U373 cells (70% in Fig. 1). We thencompared the effect of preinfection of cells with the Toledostrain of HCMV and a recombinant Toledo virus, in which theß2.7 gene had been deleted (ß2.7Tol) (5).Toledo-infected U373 cultures showed profoundly (P < 0.001)reduced levels of apoptosis (3%), in contrast to ß2.7Tol-infectedcells (70% in Fig. 1A). Furthermore, the protective effect ofß2.7 could be restored with a revertant virus (Fig. 1A)and by transfection of a ß2.7 expression vector intoU373 cells (Fig. 1B). Thus, HCMV-mediated protection of cellsfrom rotenone-induced apoptosis correlated with expression ofthe viral ß2.7 gene. Although the consensus is thatthe ß2.7 transcript does not encode a protein product(5), we also analyzed a clinical isolate of HCMV (HCMV-3157),which would produce a heavily truncated nonsense protein ifß2.7 were translated (5). HCMV-3157 was as efficientas Toledo at protecting cells from rotenone-induced death (fig.S1A). The protective effect of ß2.7 was observed onlyin Toledo-infected cells (fig. S1B), whereas ß2.7Tol-infectedcells routinely stained for both viral gene expression and terminaldeoxynucleotidyl transferasemediated deoxyuridine triphosphatenick end labeling (TUNEL) (fig. S1B). The proportion of immediate-early(IE)positivity in the ß2.7Tol cells undergoingapoptosis was around 70% (fig. S1C). Given that only 45% ofthe whole population was infected, this finding implied thatviral infection, in the absence of ß2.7, actuallyrendered cells more sensitive to rotenone-induced apoptosis.
Fig. 1. HCMV protects cells from rotenone-induced apoptosis. (A) Percentage of TUNEL-positive cells in mock- (1 and 2), Toledo- (3 and 4), ß2.7Tol- (5 and 6), and ß2.7Tol-Revertant (ß2.7Tol-Rev)infected (7 and 8) U373 cells incubated with acetone (1, 3, 5, and 7) or rotenone (ROT) (2, 4, 6, and 8). n = 3 independent experiments. Asterisks denote P < 0.01 with Student's t test. Error bars indicate 1 SEM. (B) Percentage of TUNEL-positive pREP10- (Con) (1) and pREP10-ß 2.7transfected (2) cells incubated with rotenone. from three independent analyses. Reverse transcription (RT)PCR for ß2.7 expression in pREP10- (lane 1) and pREP10-ß2.7transfected (lane 2) cells is shown.
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One role of the HCMV ß2.7 transcript may be to mediateprotection of the cell from apoptotic pathways activated bymetabolic stress of complex I. Genes associated with retinoid/interferoninducedmortality (GRIM)19 is a subunit of complex I that isessential for its assembly and function (11). HCMV infectionup-regulates steady-state mRNA levels of some subunits of mitochondrialcomplexes I to V (12), but virus infection has no impact onGRIM-19 protein expression, up to 120 hours post infection (hpi)in U373 cells (fig. S2, A and B). We did, however, detect changesin GRIM-19 localization in response to rotenone and virus infection.In U373 cells, GRIM-19 expression appeared to be diffuse throughoutthe cytoplasm of the cell (Fig. 2A), and it became relocalizedinto discrete perinuclear clumps after the addition of rotenoneto uninfected U373 cells. However, preinfection with Toledoprevented this relocalization (Fig. 2A). GRIM-19 is known tolocalize to the nucleus under certain conditions (13), and italso interacts with the signal transducer and activator of transcription(STAT)3 protein to prevent the nuclear import of STAT-3in a perinuclear location (14). Although the GRIM-19 in Toledo-infectedU373 remained predominantly cytoplasmic within the cell, itdid exhibit a more punctuate pattern within the cytoplasm (Fig. 2A),perhaps suggesting more association with mitochondria. However,HCMV itself has profound effects on mitochondrial shape andlocalization after infection (15), and this may also partiallyaccount for the difference in GRIM-19 staining. In contrast,in ß2.7Tol-infected cells, the rotenone-induced perinuclearrelocalization of the GRIM-19 protein was still observed (Fig. 2A),identical to that observed with uninfected cells treated withrotenone (d in Fig. 2A). Thus, rotenone-induced mitochondrialstress promotes the relocalization of GRIM-19 within the cell,which can be abrogated by expression of the HCMV ß2.7transcript.
Fig. 2. HCMV interacts with and prevents the rotenone-induced relocalization of, GRIM-19 in virally infected cells. (A) GRIM-19 localization (red) in mock- (a and d), Toledo- (b and e), and ß2.7Tol-infected (c and f) U373 cells incubated with solvent control (Con) (a, c, and e) or rotenone (b, d, and f) 24 hpi. (B to D) Immunoprecipitation of control immunoglobulin G (lane 2), GRIM-19 (G-19) (lane 3), native complex I (C-1) (lane 4), and native complex V (C-V) (lane 5) from Toledo- (B and C) or ß2.7Tol-infected (D) cells, and RT-PCR for ß2.7 [(B) and (D), lanes 1 to 5], IE72 (C), or a ß2.7 PCR with no prior RT [(B), lanes 6 to 10]. Inputs are shown in lane 1. (E) IPs on Toledo-infected cells with anti-sense oligonucleotides to ß2.7 (lane 3) or IE72 (lane 4) or with no oligonucleotide (N) (lane 2). Silver stain of 1% input (INP) (lane 1), the immunoprecipitated proteins (lanes 2 to 4), and known protein loading controls (5 to 500 ng, lanes 5 to 7) is shown. (F) GRIM-19 expression in 10% input (lane 1) and the ß2.7 (lane 2) and IE72 (lane 3) RNA-IP samples.
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We next tested whether this effect on GRIM-19 relocalizationwas due to a physical interaction between the GRIM-19 proteinand ß2.7 RNA during infection. ß2.7 RNAwas specifically immunoprecipitated from infected cells withAn anitbody to GRIM-19 (Fig. 2B). We also observed an interactionwith native complex I, which is found only on the inner mitochondrialmembrane, suggesting that the interaction between ß2.7RNA and GRIM-19 targets complex I in mitochondria. No immunoprecipitationof a similarly abundant viral RNA (IE72 in Fig. 2, B and C)with GRIM-19, complex I, or complex V (Fig. 2C) was observed.As expected, analyses using the ß2.7Tol virus showedno ß2.7-specific polymerase chain reaction (PCR) band(Fig. 2D).
In a reciprocal analysis, we captured ß2.7 RNA withthe use of biotin-labeled oligonucleotide probes (Fig. 2E).Immunoprecipitations (IPs) of the ß2.7-captured complexesdid contain GRIM-19 (Fig. 2F). Thus, ß2.7 RNA specificallyinteracts with GRIM-19, but with few other proteins in vivo.
The observed physical interaction with GRIM-19 and complex Iwas investigated further. Active complex I supports the formationof an electrochemical gradient (M) across the inner mitochondrialmembrane, which is imperative for the efficient production ofadenosine triphosphate (ATP) (16). Expression of ß2.7RNA during infection or transfection protected M stability fromrotenone (fig. S3, A and B), suggesting that the ß2.7RNA interaction with complex I could affect mitochondrial energyproduction under oxidative stress after infection. Previousdata have shown that, unlike in herpes simplex virus (17), ATPlevels in HCMV-infected cells are maintained at 24 hpi (18),a requirement probably attributable to HCMVs' comparativelyprotracted growth phase (19). We therefore analyzed the roleof ß2.7 in ATP production.
Rotenone substantially reduced ATP production in U373 cells(75% reduction, 1 and 2 in Fig. 3A). However, in Toledo-infectedcells, only a 1.2-fold reduction was observed (84 to 67% inFig. 3A), suggesting that HCMV protected ATP production in infectedcells. In ß2.7Tol-infected cells, rotenone treatmentresulted in a 2.5-fold depletion of intracellular ATP (77 to33% in Fig. 3A). At 6 hpi, before ß2.7 RNA expression,no protection from rotenone-induced ATP depletion occurred (fig.S4). Using a second strain of HCMV AD169 that encodes two copiesof the ß2.7 gene, we eliminated the possibility thatgreen fluorescent protein (GFP) expression from the ß2.7gene locus would have a phenotypic effect, because a recombinantAD169 virus still expressing GFP and one functional copy ofthe ß2.7 gene maintained ATP levels (Fig. 3A). Thus,the ß2.7 transcript is important for maintaining ATPproduction.
Fig. 3. ß2.7 expression maintains ATP production in infected cells. (A) Percentage of ATP content of mock- (1 and 2), ß2.7Tol- (3 and 4), Toledo- (Tol) (5 and 6), AD169-, and AD169-GFPinfected cells with (2,4, 6,8, and 10) or without (1, 3, 5, 7, and 9) rotenone for 2 hours was determined at 48 hpi, as compared to mock (1). (B) Percentage of ATP in mock-(1), ß2.7Tol- (2), Toledo- (3), AD169- (4), or AD169-GFPinfected cells (5) 5 dpi. n = 3 independent experiments. Asterisks denote P < 0.01 with Student's t test. Error bars indicate 1 SEM.
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We hypothesized that the impact of ß2.7 expressionon ATP production may be more profound at later times of infection.Analysis in the absence of rotenone showed that ATP levels inß2.7Tol dropped significantly (P < 0.01) at 5 dayspost infection (dpi), in direct contrast with Toledo-infectedcells. Confirmation that the difference was not an artifactof GFP production was performed with the AD169-GFPinfectedcells, in which the levels of ATP were comparable to those ofthe parent virus AD169 (Fig. 3B).
Deletion of the viral ß2.7 gene from HCMV has no significanteffects on growth kinetics in fibroblasts (5) (Fig. 4A). Atfirst, this appears to be contradictory; however, fibroblastsare particularly resistant to the induction of apoptosis byrotenone and oxidative stress (20), as compared with neuronalcells (21). However, a ß2.7Tol growth defect was observedwhen compared with the Toledo virus (Fig. 4B), which was moreprofound in the presence of rotenone (Fig. 4B), as is entirelyconsistent with the ß2.7 transcript supporting virusproduction in times of metabolic stress. Tissue culture wasperformed in glucose-enriched media, and fibroblasts, particularlyin times of diminished ATP production from the electron transportchain (ETC), use this additional glucose to generate ATP viaalternate pathways (22). We observed that glucose-depleted mediaimpaired the growth of the ß2.7Tol virus in U373 andfibroblast cells, as compared with Toledo (Fig. 4C). This findingcorrelated with a drop in ATP production in ß2.7Tol-infectedfibroblasts (fig. S5A) and the relocalization of GRIM-19 inß2.7Tol-infected, but not Toledo-infected, cells (fig.S5B). Because cells in vivo are not exposed to such artificiallyhigh levels of glucose and are more reliant on the ETC for ATPproduction, the effects of ß2.7 expression in vivoon metabolism are probably more overt than they are during tissueculture.
Fig. 4. Toledo, but not ß2.7Tol, grows normally in metabolically stressed cells. (A) Growth of Toledo (triangle), AD169 (diamond), AD169-GFP (square), or ß2.7Tol (cross) in human fibroblasts (HFs). PFU, plaque-forming units. (B) Growth of Toledo (diamond and triangle) or ß2.7Tol (square and cross) in U373 cells. At 24 hpi, Toledo-infected (triangle) and ß2.7Tol-infected (cross) U373 cells were incubated with rotenone (asterisk). (C) Growth of Toledo (square and cross) or ß2.7Tol (diamond or triangle) in U373 and HF cells in glucose-depleted media.
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Metabolic dysfunction, the breakdown of mitochondrial integrity,and the release of proapoptotic stimuli are hallmarks of mitochondria-inducedapoptosis (23). HIV-1 targets complex I for degradation promotingapoptosis (24), presumably by promoting the formation of reactiveoxidative species. Because of the pivotal nature of mitochondriain cell death, it is not surprising that HCMV targets mitochondriafunction and makes a concerted effort to subvert the apoptoticresponse including UL36 (caspase inhibitor), UL37x1 (a B celllymphoma 2 homolog with profound anti-apoptotic activity) (25,26), and UL38, which protects infected cells from endoplasmicreticulum stress (27). UL37x1 is also known to promote mitochondrialmembrane stability (26) and is predominantly active at latetimes of infection (>48 hpi) (28). In contrast, the ß2.7gene RNA is expressed much earlier during infection. Consequently,it is likely that HCMV has evolved multiple functions in orderto hijack the mitochondria in the cell to enable continued energyproduction, as well as protection from cell death.
An intriguing aspect of this study is that an RNA molecule isused directly to exert these effects. Although at first appearingunusual, this may represent a highly refined viral strategy.First, because of the sheer numbers of mitochondria within thecell, the expression of a highly abundant RNA allows the virusto saturate these organelles effectively. Second, by disposingof the need to translate the superabundant ß2.7 RNA,the virus can achieve this effect more quickly throughout thecourse of infection.
29. The authors thank L. Teague for excellent technical assistance and S. Brown for assistance with some of the preliminary studies. This study was funded by the Wellcome Trust.
Received for publication 26 March 2007. Accepted for publication 23 April 2007.
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