INTRODUCTION
The order
Nidovirales comprises enveloped single-stranded, positive-sense RNA viruses and includes the
Coronaviridae family, which comprises viruses with the largest known RNA genome (∼30 kb) (
1,
2). Coronaviruses (CoVs) have been classified into three genera—
Alphacoronavirus,
Betacoronavirus, and
Gammacoronavirus (
3)—and a fourth, recently proposed,
Deltacoronavirus genus (
3,
4). These viruses are the causative agents of a variety of human and animal diseases. In humans, CoVs produce respiratory tract infections, ranging from the common cold to severe pneumonia and acute respiratory distress syndrome (ARDS) that may result in death (
5–9). In animals, CoVs also cause life-threatening diseases, such as severe enteric and respiratory tract infections, and are economically important pathogens (
10). However, there is only limited information on the molecular mechanisms governing CoV virulence and pathogenesis.
The 5′ two-thirds of the CoV genome encode the replicase proteins that are expressed from two overlapping open reading frames (ORFs) 1a and 1b (
11). The 3′ third of the genome contains the genes encoding structural proteins and a set of accessory genes, whose sequence and number differ between the different species of CoV (
1,
3). Generally, CoV accessory genes have been related with virulence modulation (
12). Severe and acute respiratory syndrome (SARS)-CoV contains the largest number of accessory genes, and it has been proposed that these genes could be responsible for its high virulence (
13,
14). A role for some structural genes, such as SARS-CoV genes E and 6, on CoV pathogenesis and virulence has also been demonstrated (
14–18). Nevertheless, in general, the function of accessory genes during CoV infection requires further studies (
13,
14).
Double-stranded RNA (dsRNA), produced by RNA viruses as a replication intermediate, is a pathogen-associated molecular pattern that mediates the activation of well-characterized antiviral mechanisms leading to protein synthesis shut down and the stimulation of host innate immunity for initial detection of pathogens and subsequent activation of adaptive immunity (
19). The pathway that leads to a block in protein synthesis includes the activation of double-stranded RNA-dependent protein kinase (PKR), leading to eukaryotic translation initiation factor 2 (eIF2α) phosphorylation, and the activation of the 2′-5′-oligoadenylate synthetase (2′-5′OAS) and its effector enzyme, the RNase L (RNase L), responsible for RNA degradation (
19,
20). The host immune response triggered by dsRNA is a key component of the innate immunity and involves activation of both proinflammatory cytokines and the type I interferon (IFN) system (
21,
22).
There are three main cellular receptors for the detection of dsRNA: Toll-like receptor 3 (TLR3), retinoic acid-inducible gene I (RIG-I), and melanoma differentiation-associated gene 5 (MDA5) (
22). TLR3 is located in the endosomal membrane of antigen-presenting cells, while the cytoplasmic sensors RIG-I and MDA5 are the main receptors for viral dsRNA in most cell types (
20). Recently, degradation of host RNA by RNase L was proposed to be an amplifier of the innate immune response by increasing the amount of ligand involved in RIG-I and MDA5 recognition (
23,
24). The signaling pathways activated by RIG-I or MDA5 recognition of dsRNA mainly lead to the activation of transcription factors IRF3/7 and NF-κB that induce the expression of type I IFN and proinflammatory cytokines (
25). This innate immune response must be tightly regulated, since there is only a fine line separating the induction of a protective antiviral response and an exaggerated inflammatory response that can lead to immunopathology (
26).
Due to the deleterious effects of this response on virus survival, many viruses have developed different strategies that counteract the host antiviral responses triggered by dsRNA (
27). Many of the virus-encoded proteins with this activity identified to date interfere with multiple steps of the innate response. In addition, some viruses encode more than one gene modulating innate immunity (
27). CoVs are not an exception and encode several proteins affecting type I IFN and proinflammatory cytokines production. Structural proteins, such as nucleocapsid (N) protein from several CoVs, or SARS-CoV membrane (M) protein have IFN antagonist activity (
28–31). The modulation of innate immune response by CoV nonstructural protein 1 (nsp1), nsp3, and nsp16 has also been described. Nsp1 acts by promoting RNA degradation and host proteins synthesis suppression (
32,
33), reducing both IFN production and signaling (
34,
35). The antagonist effect of nsp3 is conserved in different CoV genera and affects IFN and proinflammatory cytokine production, although the mechanism of nsp3 action has not been determined in all cases (
36–39). The IFN antagonist effect of nsp16 was recently described, involving a mechanism mediated by MDA5 recognition of non-self RNA (
40). As described above, CoV accessory genes have also been related to virulence modulation. Therefore, it could be expected that some of these genes have a role in innate immunity. To date, mouse hepatitis virus (MHV) ns2, 5a, and SARS-CoV 3b and 6 proteins have been reported as IFN antagonists (
28,
41,
42). Although in general the mechanisms used by accessory genes to interfere with the IFN response are not well characterized, SARS-CoV protein 6 has been studied in detail. This viral protein antagonizes both IFN production (
28) and signaling by inhibiting signal transduction and activator of transcription 1 (STAT1) translocation to the nucleus (
43). Further, it was recently reported that MHV ns2 protein acts as a 2′-5′-phosphodiesterase that reduces the amount of 2′-5′-oligoadenylates, avoiding the activation of RNase L and, as a consequence, reducing RNA degradation during viral infection and type I IFN production (
24).
Transmissible gastroenteritis virus (TGEV) is an
Alphacoronavirus that contains three accessory genes: 3a, 3b, and 7 (
44–46). TGEV gene 7 is located at the 3′ end of the genome and is the last ORF. We have recently demonstrated that TGEV protein 7 counteracts host antiviral response and influences virus pathogenesis (
47). TGEV protein 7 reduces both eIF2α phosphorylation and cellular RNA degradation by RNase L (
47). The mechanism of TGEV protein 7 action is dependent on its binding to cellular protein phosphatase 1 (PP1) (
47). In addition, infection with a mutant virus lacking gene 7 expression (rTGEV-Δ7) results in increased pathological damage compared to the parental (rTGEV-wt) virus (
47).
In this work, to understand the molecular mechanisms leading to the increased rTGEV-Δ7 pathogenesis, the role of protein 7 on the host cell has been further analyzed by studying differential patterns of gene expression during infection with either the wild-type or mutant virus. An enhanced proinflammatory response was observed in the absence of protein 7, both in vitro and in vivo. This increased proinflammatory gene expression was associated with elevated levels of macrophage recruitment and activation in the infected tissues, being, at least in part, the cause for the enhanced tissue damage caused by viral infection in the absence of protein 7.
DISCUSSION
We have previously shown that an rTGEV lacking protein 7 expression was more virulent and caused increased pathology than the parental virus (
47). To analyze the potential mechanism underlying this enhanced pathology, the patterns of gene expression after infection by each of these viruses were analyzed using microarrays covering the complete porcine genome. A marked upregulation of proinflammatory cytokine mRNA expression was observed in infections with the virus deficient in protein 7. The identification of elevated TNF, CCL2, and IFN-β confirmed the increased proinflammatory pattern at the protein level. Furthermore, similar results were obtained in
in vivo infections, indicating that the presence of protein 7 reduced inflammatory changes after TGEV infection both in cell cultures and
in vivo.
Viruses are good tools for understanding the molecular mechanisms modulating inflammation, especially signaling pathways that increase disease severity. The increased inflammation observed after rTGEV-Δ7 infection, caused by an exacerbated innate immune response and leading to an enhanced pathogenesis, was also described for human viruses infecting the respiratory tract, such as respiratory syncytial virus (RSV) or influenza virus. TGEV is a virus with enteric and respiratory tropism. Lung and gut infection by virulent TGEV caused significant inflammation in both tissues, and animal death is mainly due to the severe unbalance of Na
+ and K
+ ions caused by the clinical manifestation of the infection (
68). It is important to note that the work described here was performed with the cell culture-adapted TGEV used in the previous study (
47), which only displays respiratory tropism causing lung damage and no apparent gut infection. TGEV is a porcine virus, and the work presented here has been performed using the natural host, which is immunologically more similar to humans (>80%) than mice (<10%) (
69). Therefore, our findings might be informative for the conserved pathways leading to increased pathology both in pigs and humans.
TGEV protein 7 reduced the dsRNA triggered antiviral response (
47). As a consequence, rTGEV-Δ7 infection caused enhanced cell death, cellular RNA degradation, and protein synthesis shutoff (
47). The results presented here were most likely not conditioned by these effects, since both microarray and RT-qPCR analyses were performed using the same amount of total intracellular RNA of equal quality, extracted from living cells attached to the plate. In addition, microarray data normalization corrects any differences in mRNA amount between samples, and in RT-qPCR the mRNA levels always referred to the amount of GUSB that correlated with the percentage of living cells. In the case of cytokine measurements in the supernatants of infected cells, cell death most likely did not significantly affect quantifications, since similar differences between rTGEV-wt and rTGEV-Δ7 viruses were obtained when intracellular protein extracts were used for ELISAs (data not shown). In addition, up to a 20-fold increase in mRNA accumulation led to an increase no more than 3.5-fold in protein levels when rTGEV-wt and rTGEV-Δ7 infections were compared (
Fig. 4). Similarly, differences up to 10
3-fold in mRNA levels led to no more than 10-fold differences in protein accumulation, when comparing mock-infected cells to rTGEV-wt-infected cells (
Fig. 4). This result suggested that shutoff caused by the rTGEV-Δ7 virus was not affecting cytokine measurements.
The infection of swine by rTGEV-Δ7 virus caused higher lung damage than that caused by rTGEV-wt (
47). Neutrophils and macrophages have been proposed to cause lung damage during most cases of acute lung injury and ARDS (
70). Granulocytes were recruited to the TGEV-infected lungs, both in the presence and in absence of protein 7, suggesting that they play a role in TGEV-induced inflammation.
In vivo, rTGEV-Δ7 infection caused an increased expression of proinflammatory cytokines such as TNF, CCL2, and CCL5, whose main function is macrophage recruitment and activation (
26,
71,
72). In addition, at least
in vitro, rTGEV-Δ7 infection induced the expression of CD40 receptor (
Fig. 2B), which has been involved in macrophage activation (
73). In agreement with these results, in the lungs from rTGEV-Δ7-infected animals, an increase in macrophage recruitment and activation was observed compared to the rTGEV-wt-infected animals. In line with these data, MHV infection of CCL5 receptor knockout mice causes a reduced pathology due to a decrease in macrophage recruitment (
74). In addition, it was recently reported that coronavirus infection of transgenic mice expressing CCL2 led to an enhanced pathology leading to death, caused by a dysregulated immune response without effective virus clearance (
75). Similar observations were obtained after influenza virus infection of CCL2 (CCR2
−/−) or CCL5 (CCR5
−/−) receptors knockout mice (
76). Lung pathology was reduced in influenza virus-infected CCR2
−/− mice, since monocyte recruitment is severely impaired in these animals (
76). In contrast, CCR5
−/− infected mice showed increased mortality associated with elevated macrophage infiltration in the lungs due to an increased expression of CCL2 (
76). The data obtained in the present work suggested that macrophages were involved in the enhanced inflammation produced during infection in the absence of protein 7 and were in agreement with the role of CCL2 in the immunopathology mediated by macrophage recruitment.
An exacerbated proinflammatory cytokine production and an excessive immune cell recruitment leading to tissue destruction contributing to virus caused pathology, similar to that observed after rTGEV-Δ7 infection, has been described for several viral infections (
77–79). This immunopathology, known as “cytokine storm,” could be the cause for the extreme virulence of several viruses, such as pandemic influenza virus H5N1 or SARS-CoV (
80). Once started, increased proinflammatory cytokines could continue driving immunopathology progression, even in the absence of viral replication. In fact, lung damage in SARS-CoV-infected patients persists after virus titer reduction, suggesting that pathology is mainly caused by the immune response (
81). Similarly, in RSV infections, the severity of the infection has been correlated with CCL2 and CCL5 expression (
72). In addition, cellular recruitment, mediated by cytokine expression, has been considered responsible for damaging both infected and uninfected areas of the lung (
26). In line with these observations, rTGEV-Δ7 infection caused a “cytokine storm” that led to a progression in lung damage (
47).
In the absence of protein 7, an increased expression in IFN-β, IFN-stimulated genes (ISGs), and proinflammatory genes was observed. Similar upregulation of genes was reported for viruses with mutations in virus-encoded IFN antagonists, such as influenza virus with the mutated NS1 gene (
82,
83). To date, virus-encoded IFN antagonists were mainly analyzed in overexpression studies, and the activity of only around half of these antagonists was demonstrated in the context of viral infection (
27). The IFN antagonist activity of TGEV protein 7 decreasing IFN-β production was demonstrated here, in the context of viral infection, although more studies are required to further determine the characteristics and mechanism of IFN antagonism by protein 7.
As expected for a virus defective in an IFN antagonism pathway, the rTGEV-Δ7 mutant virus was more sensitive to IFN-β-induced antiviral effects (data not shown). Nevertheless, the rTGEV-Δ7 virus underwent efficient replication despite increased IFN-β production. This was explained by the amount of IFN-β produced by ST cells, being 103-fold lower than the minimal concentration required for decreasing TGEV replication (data not shown). Most likely, this result was a consequence of the presence of other virus-encoded IFN antagonists in both rTGEV-wt and rTGEV-Δ7 genomes.
We have previously shown that TGEV protein 7 limited RNase L activation and eIF2α phosphorylation through its binding to PP1 phosphatase (
47). RNase L has been involved in the IFN response, since cells deficient in this enzyme, infected with different viruses, produce lower IFN-β amounts than normal cells (
23). It was proposed that the RNA degradation products generated by RNase L are recognized by RIG-I, acting as amplifiers of IFN production (
23). In fact, the direct implication of RNase L on IFN production has been recently demonstrated using an MHV accessory protein ns2 mutant virus (
24). In addition, PKR has also been recently involved in the amplification of innate immune response through a translational control mechanism, dependent on eIF2α phosphorylation, leading to increased IFN-β production and NF-κB activation (
84). Therefore, the increased IFN-β and proinflammatory cytokines production observed during rTGEV-Δ7 infection, in the absence of protein 7, could be explained in the context of the previously proposed TGEV protein 7 mechanism of action, highlighting the role of RNase L and eIF2α phosphorylation in innate immunity. The results presented here confirm the role of CoV accessory genes in the modulation of innate immune responses during infection. The tight regulation of deleterious inflammatory responses by virus-encoded proteins seems to modulate both virus and host survival.