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Research Article
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Published Online: 5 July 2011

Redox Regulation of the Influenza Hemagglutinin Maturation Process: A New Cell-Mediated Strategy for Anti-Influenza Therapy

Publication: Antioxidants & Redox Signaling
Volume 15, Issue Number 3

Abstract

Aim: The aim of this study was to determine whether GSH-C4, a hydrophobic glutathione derivative, affects in vitro and in vivo influenza virus infection by interfering with redox-sensitive intracellular pathways involved in the maturation of viral hemagglutinin (HA). Results: GSH-C4 strongly inhibited influenza A virus replication in cultured cells and in lethally infected mice, where it also reduced lung damage and mortality. In cell-culture studies, GSH-C4 arrested viral HA folding; the disulfide-rich glycoprotein remained in the endoplasmic reticulum as a reduced monomer instead of undergoing oligomerization and cell plasma-membrane insertion. HA maturation depends on the host-cell oxidoreductase, protein disulfide isomerase (PDI), whose activity in infected cells is probably facilitated by virus-induced glutathione depletion. By correcting this deficit, GSH-C4 increased levels of reduced PDI and inhibited essential disulfide bond formation in HA. Host-cell glycoprotein expression in uninfected cells was unaffected by glutathione, which thus appears to act exclusively on glutathione-depleted cells. Innovation: All currently approved anti-influenza drugs target essential viral structures, and their efficacy is limited by toxicity and by the almost inevitable selection of drug-resistant viral mutants. GSH-C4 inhibits influenza virus replication by modulating redox-sensitive pathways in infected cells, without producing toxicity in uninfected cells or animals. Novel anti-influenza drugs that target intracellular pathways essential for viral replication (“cell-based approach”) offer two important potential advantages: they are more difficult for the virus to adapt to and their efficacy should not be dependent on virus type, strain, or antigenic properties. Conclusion: Redox-sensitive host-cell pathways exploited for viral replication are promising targets for effective anti-influenza strategies. Antioxid. Redox Signal. 15, 593–606.

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cover image Antioxidants & Redox Signaling
Antioxidants & Redox Signaling
Volume 15Issue Number 3August 1, 2011
Pages: 593 - 606
PubMed: 21366409

History

Published in print: August 1, 2011
Published online: 5 July 2011
Published ahead of print: 19 May 2011
Published ahead of production: 2 March 2011
Accepted: 2 March 2011
Revision received: 25 February 2011
Received: 21 July 2010

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Rossella Sgarbanti
San Raffaele Pisana Scientific Institute for Research, Hospitalization, and Health Care, Rome, Italy.
Lucia Nencioni
Department of Public Health and Infectious Diseases, “Sapienza” University of Rome, Rome, Italy.
Donatella Amatore
Department of Public Health and Infectious Diseases, “Sapienza” University of Rome, Rome, Italy.
Paolo Coluccio
ISS, Servizio B.G.S.A–Settore Sperimentazione Animale, Rome, Italy.
Alessandra Fraternale
Institute of Biochemistry G. Fornaini, University of Urbino, Urbino, Italy.
Patrizio Sale
San Raffaele Pisana Scientific Institute for Research, Hospitalization, and Health Care, Rome, Italy.
Caterina L. Mammola
Department of Human Anatomy, “Sapienza” University of Rome, Rome, Italy.
Guido Carpino
Department of Human Health, University of Rome “Foro Italico,” Rome, Italy.
Eugenio Gaudio
Department of Human Anatomy, “Sapienza” University of Rome, Rome, Italy.
Mauro Magnani
Institute of Biochemistry G. Fornaini, University of Urbino, Urbino, Italy.
Maria R. Ciriolo
San Raffaele Pisana Scientific Institute for Research, Hospitalization, and Health Care, Rome, Italy.
Department of Biology, University of Rome “Tor Vergata,” Rome, Italy.
Enrico Garaci
Department of Experimental Medicine and Biochemical Sciences, University of Rome “Tor Vergata,” Rome, Italy.
Anna Teresa Palamara
San Raffaele Pisana Scientific Institute for Research, Hospitalization, and Health Care, Rome, Italy.
Department of Public Health and Infectious Diseases, Pasteur Institute, Cenci-Bolognetti Foundation, “Sapienza” University of Rome, Rome, Italy.

Notes

Address correspondence to:Prof. Anna Teresa PalamaraDepartment of Public Health and Infectious Diseases“Sapienza” University of RomeP.le Aldo Moro, 500185 RomeItaly
E-mail: [email protected]

Author Disclosure Statement

No competing financial interests exist.

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