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JOURNAL OF VIROLOGY, June 2008, p. 5715–5724 0022-538X/08/$08.00⫹0 doi:10.1128/JVI.02530-07Copyright 2008, American Society for Microbiology. All Rights Reserved.
Critical Role of Virion-Associated Cholesterol and Sphingolipid in Hepatitis C Virus Infection䌤 Hideki Aizaki,1 Kenichi Morikawa,1 Masayoshi Fukasawa,2 Hiromichi Hara,1 Yasushi Inoue,1 Hideki Tani,3 Kyoko Saito,2 Masahiro Nishijima,2 Kentaro Hanada,2 Yoshiharu Matsuura,3 Michael M. C. Lai,4 Tatsuo Miyamura,1 Takaji Wakita,1 and Tetsuro Suzuki1* Department of Virology II1 and Department of Biochemistry and Cell Biology,2 National Institute of Infectious Diseases, Tokyo 162-8640, and Department of Molecular Virology, Research Institute for Microbial Diseases, Osaka University, Osaka 565-0871,3 Japan, and Department of Molecular Microbiology and Immunology, University of Southern California, Los Angeles, California 90033-10544 Received 27 November 2007/Accepted 17 March 2008 In this study, we establish that cholesterol and sphingolipid associated with hepatitis C virus (HCV)
particles are important for virion maturation and infectivity. In a recently developed culture system enabling
study of the complete life cycle of HCV, mature virions were enriched with cholesterol as assessed by the molar
ratio of cholesterol to phospholipid in virion and cell membranes. Depletion of cholesterol from the virus or
hydrolysis of virion-associated sphingomyelin almost completely abolished HCV infectivity. Supplementation
of cholesterol-depleted virus with exogenous cholesterol enhanced infectivity to a level equivalent to that of the
untreated control. Cholesterol-depleted or sphingomyelin-hydrolyzed virus had markedly defective internal-
ization, but no influence on cell attachment was observed. Significant portions of HCV structural proteins
partitioned into cellular detergent-resistant, lipid-raft-like membranes. Combined with the observation that
inhibitors of the sphingolipid biosynthetic pathway block virion production, but not RNA accumulation, in a
JFH-1 isolate, our findings suggest that alteration of the lipid composition of HCV particles might be a useful
approach in the design of anti-HCV therapy.

Hepatitis C virus (HCV) is recognized as a major cause of proteins are observed both in the ER and in the Golgi appa- chronic liver disease, including chronic hepatitis, hepatic ste- ratus (45). Moreover, complex N-linked glycans have been atosis, cirrhosis, and hepatocellular carcinoma. It presently detected on the surfaces of HCV particles isolated from pa- affects approximately 200 million people worldwide (26). HCV tient sera, suggesting that the glycans transit through the Golgi is an enveloped positive-strand RNA virus belonging to the apparatus (44). Interactions between the core and E1/E2 pro- Hepacivirus genus of the family Flaviviridae. Its genome of teins are thought to determine viral morphology and are me- ⬃9.6 kb encodes a polyprotein precursor of ⬃3,000 residues, diated through a cytoplasmic loop present in the polytopic and the structural proteins (core, E1, and E2) reside in its form of E1 (35). Recently, we and others have identified a N-terminal region.
unique HCV genotype 2a isolate, JFH-1, that is able to repli- Little is known about the assembly of HCV and its virion cate and produce high levels of infectious virus in culture structure, because efficient production of authentic HCV par- (HCVcc) (54, 56), enabling us to investigate new aspects of the ticles has only recently been achieved. Nucleocapsid assembly HCV life cycle.
generally involves oligomerization of the capsid protein and In this study, we examine the importance of cholesterol and encapsidation of genomic RNA. This process is thought to sphingolipid in association with the HCV membrane in virion occur upon interaction of the core protein with viral RNA, and maturation and virus infectivity. Mature HCV particles are this core-RNA interaction may induce a change from RNA rich in cholesterol. Cholesterol depletion or hydrolysis of replication to packaging. As with related viruses, the mature sphingolipid from HCV particles results in a loss of infectivity.
HCV virion likely consists of a nucleocapsid and an outer We further demonstrate a requirement for virion-associated envelope composed of a lipid membrane and envelope pro- cholesterol and sphingolipid for viral entry.
teins. Expression of the structural proteins in mammalian cellshas been observed to generate virus-like particles with ultra- MATERIALS AND METHODS
structural properties similar to those of HCV virions (5, 29).
Packaging of these HCV-like particles into intracellular vesi- Cell culture. The human hepatoma cell line Huh-7, which is permissive to
HCV infection, was obtained from Francis V. Chisari (The Scripps Research cles as a result of budding from the endoplasmic reticulum Institute). Human embryonic kidney 293T cells were cultured in Dulbecco's (ER) has also been observed (8, 34). However, HCV structural modified Eagle medium (DMEM)–10% fetal bovine serum. Huh-7 cell lines,which carry subgenomic replicon RNA of either the JFH-1 (20) or the N (11, 17)strain, were cultured as previously described (21, 46).
Reagents. The primary antibodies used in this study were mouse monoclonal
* Corresponding author. Mailing address: Department of Virology antibodies against vesicular stomatitis virus glycoprotein (VSV-G) (Sigma, St.
II, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku- Louis, MO), HCV E1 (54) and E2 (Biodesign International, Saco, ME), caveo- ku, Tokyo 162-8640, Japan. Phone: 81 3 5285 1111. Fax: 81 3 5285 lin-2 (New England Biolabs, Beverly, MA), and CD81 (BD Pharmingen, Fran- 1161. E-mail: [email protected].
klin Lakes, NJ), as well as rabbit polyclonal antibodies against calnexin (Stress- 䌤 Published ahead of print on 26 March 2008.
gen, Ann Arbor, MI) and HCV core (48). ISP-1/myriocin, cholesterol, and AIZAKI ET AL.
heparinase I were purchased from Sigma, and recombinant Bacillus cereus sphin- TABLE 1. Cholesterol and phospholipid contents of gomyelinase (SMase) was obtained from Higeta Shoyu (Tokyo, Japan). (1R,3R)- N-(3-Hydroxy-1-hydroxymethyl-3-phenylpropyl) dodecanamide (HPA-12), whichwas synthesized as described elsewhere (24), was a gift from Shu Kobayashi (Uni- Content (nmol/mg of protein)a Cell type or virus versity of Tokyo).
Plasmids. pCAE1 and pCAE2 contain HCV cDNAs spanning the E1 region
(amino acids 192 to 383) with a FLAG tag at the N terminus and the E2 region (amino acids 384 to 809) with a Myc tag at the N terminus of strain NIHJ1 (1), respectively, under the control of the CAG promoter (38). pCAV340V and pCAV711V consist of the ectodomains of E1 and E2, respectively, with the N-terminal signal sequences, transmembrane domains, and cytoplasmic domains derived from VSV-G, as described elsewhere (50) (see Fig. 4D).
Virus production. Plasmid pJFH1, containing full-length cDNA of the JFH-1
isolate, was used to generate HCVcc as described elsewhere (23, 33, 34, 54).
Data are averages of three independent measurements ⫾ standard devia- tions. Chol, cholesterol; PL, phospholipids.
pJ6/JFH was obtained from JFH1 by replacement of the 5⬘ untranslated region b J6/JFH1 virus was produced from the pJ6/N2X-JFH1 construct and has to the p7 region (EcoRI-BclI) of J6. In vitro-transcribed RNA from linearized structural proteins from the J6CF strain.
pJFH1 or pJ6/JFH1 was delivered to Huh-7 cells by electroporation. Culturesupernatants were collected at 72 h posttransfection, clarified by low-speedcentrifugation, passed through a 0.45-mm-pore-size filter, and concentrated us-ing an Amicon Ultra-15 unit (Millipore, Bedford, MA) or by ultracentrifugation [1␣,2␣-3H]cholesterol in DMEM for 24 h. Culture supernatants of the cells were (23). Infectious titers, HCV RNA copies, and core protein concentrations of the incubated in the presence or absence of B-CD at 5 mg/ml for 1 h at 37°C, viral stocks were ⬃5 ⫻ 103 focus-forming units per ml, ⬃1 ⫻ 107 copies/ml, and ⬃1 followed by ultracentrifugation on a 60% sucrose cushion. The virus-containing ⫻ 104 fmol/liter, respectively. HCVcc was isolated by a combination of ultrafil- fractions and corresponding fractions from an uninfected culture were lysed in tration, ion-exchange chromatography, heparin affinity chromatography, and su- the buffer containing 1% Triton X-100 (TX-100), and radioactivity was quanti- crose density ultracentrifugation (33; K. Morikawa and T. Wakita, unpublished fied by scintillation counting. Radioactivities (in counts per minute) of HCVcc data). Pseudotyped VSV containing E1 and E2 proteins of the HCV genotype 1a samples were determined by subtracting the radioactivity of uninfected cells from isolate H77c (HCVpv) was generated as previously described (51). Briefly, 293T that of HCVcc-infected cells.
cells transiently expressing E1 and E2 proteins (strain H77) were infected with Metabolic labeling analysis of sphingolipid content. After 2 h of incubation
VSVdelG-GFP/G, in which the G envelope gene was replaced with green fluo- with [14C]serine (0.5 mCi/ml) in Opti-MEM (Invitrogen), the cells were lysed rescent protein (GFP) and pseudotyped with VSV-G.
with 0.1% sodium dodecyl sulfate, and total lipid was extracted with chloroform- Determination of cholesterol and phospholipid contents of HCVcc and in-
methanol (1:2, vol/vol). The extracts were spotted onto silica gel 60 plates fected cells. Cellular and viral lipids were extracted from isolated HCVcc and
(Merck, Darmstadt, Germany) and chromatographed with methyl acetate–1- from uninfected and infected Huh-7 cells. Cholesterol content was determined propanol–chloroform–methanol–0.25% KCl (25:25:25:10:9, vol/vol). Radioac- using the cholesterol oxidase method as previously described (14). Total phos- tive spots were quantitatively detected by BAS 2000 (Fuji Film, Japan).
pholipid content was determined using the method of Rouser et al. (42).
Membrane flotation assay. The membrane flotation assay was performed as
Cholesterol depletion and replacement. To remove cholesterol from the HCV
previously described (46).
envelope, stock samples of HCVcc were treated with methyl-␤-cyclodextrin (B-CD) in DMEM (Sigma) supplemented with 10% fetal bovine serum (Sigma) andnonessential amino acids (Invitrogen, Carlsbad, CA) for 1 h at 37°C, followed by centrifugation at 100,000 ⫻ g for 3 h to form a pellet, which was resuspended in0.5 ml of the medium. In order to replenish cholesterol, the medium of HCVcc Critical role of virion-associated cholesterol. A role of virion-
treated with 5 mg/ml B-CD was replaced with DMEM containing various con- associated cholesterol in infectivity has been demonstrated centrations of exogenous cholesterol (Sigma) and incubated for 1 h, followed bycentrifugation to form a pellet. In order to perform HCVcc infection assays, for several enveloped viruses (4). However, little is known Huh-7 cells were infected with HCVcc, with or without the treatment described about the role of lipids associated with the virions of flavi- above, for 1 h at 37°C and then washed as described above. Viral core protein viruses, including HCV, and their contribution to the viral levels in the cells and in the supernatant were quantified 72 h later using an HCV life cycle. To determine the lipid composition of mature core enzyme-linked immunosorbent assay (Ortho-Clinical Diagnostics, Tokyo, HCV virions, we extracted total lipid from HCVcc (JFH-1 SMase treatment. HCVcc was treated with SMase at various concentrations in
and chimeric J6/JFH-1) prepared from the culture superna- DMEM for 1 h at 37°C and was then centrifuged at 100,000 ⫻ g for 3 h to form tants of cells infected with HCV, as well as the total cellular a pellet, which was resuspended in 0.5 ml of medium for the infection assays.
membrane fractions of uninfected and infected Huh-7 cells.
HCVcc binding and internalization assays. To monitor binding, cells grown in
The cholesterol and phospholipid contents were quantified, a 6-well plate were preincubated for 1 h at 4°C, after which B-CD- or SMase-treated HCVcc was bound to the cells for 1 h at 4°C. As a measure of virus because these are the two major lipid constituents of bio- internalization, following the virus binding procedure, the cells were warmed to logical membranes. The cholesterol-to-phospholipid molar 37°C and maintained for 2 h, after which they were treated with 0.25% trypsin for ratio, which is known as a parameter of membrane viscosity 10 min at 37°C. Huh7-25, a CD81-negative Huh-7 subclone (3), was used to (47), was significantly higher in virus samples (1.29 and 1.26 ensure removal of surface-bound virus by trypsin treatment. For both the binding for JFH-1 and J6/JFH-1, respectively) than in cell mem- and internalization assays, the resulting cells, as described above, were washedwith ice-cold phosphate-buffered saline, followed by lysis with TRIzol reagent brane samples (0.40 and 0.42 for JFH-1-infected and unin- (Invitrogen). Cell-associated virus was quantified by measuring the amount of fected cells, respectively) (Table 1). The ratios in viral sam- HCV RNA in the cell lysate by the real-time reverse transcription-PCR method ples were similar to or greater than those in mammalian plasma (2, 34). Cells were treated with heparinase as previously described (33).
membranes, where most cellular cholesterol is found. Minimal HCV replication assay in HCVcc-infected or replicon cells. HCV subgenomic
contamination of the viral samples with extracellular mi- replicon cells or cells infected with HCVcc were treated with various concentra-tions of inhibitors for 72 h. Total RNA was isolated from replicon cells using crovesicles likely occurred, since only a small amount of lipid was TRIzol reagent (Invitrogen), followed by quantification of HCV RNA by real- detected in a sample prepared from the culture medium of un- time reverse transcription-PCR as previously described (2, 34). Levels of core infected cells (data not shown). Thus, it is likely that HCV virions protein in the culture supernatants of HCVcc-infected cells were tested as de- are enriched with cholesterol during assembly and maturation.
scribed above.
Detection of cholesterol content of HCVcc. For [3H]cholesterol labeling of
To investigate a potential role for the particular lipid viruses, HCVcc-infected or uninfected cells were incubated with 50 mCi of composition of HCV particles, HCVcc was treated with









ROLE OF VIRION-ASSOCIATED LIPIDS IN HCV INFECTION FIG. 1. Role of HCV-associated cholesterol in infection. (A) Effect of cholesterol depletion on HCV infectivity. HCVcc particles (⬃2 fmol of the core protein) were treated with B-CD at 0.1, 1, and 5 mg/ml for 1 h at 37°C. After removal of B-CD, Huh-7 cells were infected with the treated virus particles,after which the core protein content of infected cells at 72 h p.i. was determined as an indicator of infectivity, as previously established (24). (B) Effectof cholesterol replenishment on infectivity. After treatment with 5 mg/ml B-CD, virus was treated either with medium alone or with medium containingexogenous cholesterol for 1 h at 37°C. (C) Effect of cholesterol depletion and replenishment on density gradient profiles of the viral particles. The HCVcctreated with 5 mg/ml B-CD was replenished with exogenous cholesterol (1 mM) and then separated by 10-to-60% sucrose gradient ultracentrifugation.
The core protein in each fraction was measured. The density of each fraction was determined by refractive index measurement. (D) Effects of cholesteroldepletion and replenishment on viral infectivity. Each fraction (see panel C) was infected, and then the core proteins in the cells were measured at 72 hp.i. (E) Effect of cholesterol depletion on the infectivity of HCVpv (genotype 1a) (shaded bars) or the control, VSVdelG-GFP/G (solid bars). The viruseswere preincubated with B-CD for 1 h at 37°C before infection. (F) (Left) The culture medium from HCVcc-producing cells was fractionated as describedabove. For each fraction, the amounts of core and intracellular core (infectivity) are plotted. Peaks of the core (arrow) and infectivity (arrowhead) areindicated. (Center) An aliquot of fraction 8 (peak of the core) was treated with 1 mM cholesterol for 1 h at 37°C. The resultant aliquot and an untreatedaliquot of the fraction were subjected to sucrose gradient ultracentrifugation. The core in each fraction was plotted. (Right) The infectivities of fractions(Fr.) 6 and 8 (see the left panel) with or without cholesterol treatment were determined as shown above. Data are means from four independentexperiments. Error bars, standard deviations.
increasing concentrations (0.1 to 5 mg/ml) of B-CD, which is evaluated by quantifying the viral core protein in cells at known to extract cholesterol from membranes (40). The 72 h postinfection (p.i.). Using an immunoassay that pro- viral samples were then used to inoculate Huh-7 cells after vides results indicative of HCV infectivity (25), we also removal of B-CD by ultracentrifugation. Infectivity was confirmed a good correlation between the core level and AIZAKI ET AL.
TABLE 2. Depletion of virion-associated cholesterol by B-CD tivity (Fig. 1F, left). As indicated above, maximum infectivitywas obtained with fraction 6 (1.13 g/ml). In contrast, a major Radioactivity (cpm) of fraction of core protein banded at a higher density (1.17 g/ml) in fraction 8. We hypothesized that fraction 8 contains lipids at lower levels than those in fraction 6. However, quantification of lipids, including cholesterol, in the fractions obtained failed, presumably due to a low sensitivity of detection. Thus, to a Determined by subtracting the radioactivity of uninfected cells from that of extend our findings on the involvement of cholesterol, we HCVcc-infected cells in two experiments.
added exogenous cholesterol to fraction 8, followed by ultra- Percentage of the radioactivity of the untreated sample.
filtration to remove unincorporated cholesterol. A subsequentdensity gradient profile demonstrated a shift in the core pro-tein peak to 1.13 g/ml (Fig. 1F, center). A concomitant increase infectious titers (data not shown). As shown in Fig. 1A, core in the infectivity of the fraction, approaching that of untreated protein levels following B-CD treatment at 0.1, 1, or 5 mg/ml fraction 6, was observed (Fig. 1F, right). In contrast, supple- were reduced by 60, 83, or 98%, respectively, from the levels mentation of fraction 6 with exogenous cholesterol did not with the untreated virus. The cholesterol level of HCVcc alter its infectivity (Fig. 1F, right) or change its density gradient treated with 5 mg/ml B-CD was found to be ⬃50% of that of (data not shown). These results suggest that exogenous cho- untreated virions (Table 2).
lesterol supplementation can reverse deficits in the infectivity To demonstrate that the reduced infection efficiency of B- of HCV virions due to low cholesterol content.
CD-treated virus was caused by the reduced cholesterol con- Sphingolipid dependence of HCV infectivity. In addition to
tent of the viral envelope, we attempted to reverse the inhib- cholesterol, sphingolipid is a major component of eukaryotic itory effect by adding exogenous cholesterol. Following lipid membranes. We therefore investigated the functional sig- treatment of HCVcc with 5 mg/ml B-CD, the drug was washed nificance of sphingomyelin (SM), the most abundant sphingo- out, and increasing concentrations of cholesterol were added lipid, with regard to HCV infectivity. HCVcc was treated for in an attempt to reconstitute the normal virion cholesterol 1 h with increasing concentrations (0.1 to 10 U/ml) of bacterial content. The addition of 1 mM cholesterol completely reversed SMase, which is known to hydrolyze membrane-bound SM to the virus infectivity (Fig. 1B). After cholesterol was replen- ceramide. Following ultracentrifugation to remove the SMase, ished, the viral RNA was restored to a level similar to that in Huh-7 cells were inoculated with the HCVcc. The amount of the untreated control.
HCV core protein within the cells was quantified at 72 h p.i.
To investigate the effect of cholesterol on the density of Figure 2A shows 50 and 90% reductions in HCV infectivity infectious HCV virions, B-CD-pretreated or untreated viral after incubation of the virion with 0.1 and 1 U/ml SMase, samples, as well as cholesterol-replenished treated viral sam- respectively. We further observed that SMase treatment of ples, were subjected to sucrose density gradient centrifugation HCVpv resulted in a progressive loss of infectivity, while (Fig. 1C). The density of HCVcc core protein at its peak SMase had no effect on the infectivity of the control virus (Fig.
concentration in untreated virus samples was ⬃1.17 g/ml.
2B). This demonstrates that sphingolipid, like cholesterol, When virion-associated cholesterol was removed by B-CD, the plays an essential role in HCV infectivity.
density of HCVcc core protein at its peak concentration was Requirement for virion-associated cholesterol and sphingo-
shifted to 1.20 g/ml. Addition of exogenous cholesterol to this lipid during HCV cell entry. These findings support the idea
cholesterol-depleted sample restored a lower-density fraction that virion-associated cholesterol and sphingolipid may influ- (1.15 g/ml). Figure 1D illustrates the infectivity of each gradi- ence viral entry into host cells by altering the interaction be- ent fraction. Untreated virus had maximum infectivity at ⬃1.13 tween viral particles and a host cell factor(s). Viral entry is a g/ml (fraction 6), while, as expected, fractions from B-CD- multistep process including binding of the virion to the cell treated viral samples exhibited minimal to no infectivity. Re- surface and internalization into the cytoplasm by endocytosis.
plenishment of depleted virus with cholesterol returned infec- To examine whether virion-associated cholesterol and SM tivity to untreated-control levels, and cholesterol-replenished might play a role in cell binding or postbinding events during virus had a buoyant density of ⬃1.07 g/ml (fraction 4), suggest- viral entry, we used a binding assay in which Huh-7 cells pre- ing that HCV-associated cholesterol is crucial for viral infec- incubated for 1 h at 4°C were infected with B-CD- or SMase- tivity and that the effect of a cholesterol-depleting drug is treated HCVcc. Total RNA was extracted after a 1-h addition reversible. We further observed that B-CD treatment of a of the virions at 4°C, followed by quantification of HCV RNA.
pseudotyped VSV containing the E1 and E2 proteins of the As shown in Fig. 3A, treatment of the virions with either B-CD HCV genotype 1a isolate H77c (HCVpv) resulted in a pro- or SMase had little influence on their ability to bind to cells.
gressive loss of infectivity, while B-CD had significantly less It has been shown that CD81 plays an important role in impact on the infectivity of the control virus VSVdelG-GFP/G HCV internalization but is not correlated with viral attachment (7, 33). An anti-CD81 antibody was used as a negative control The results described above raise the possibility that the for reduced viral attachment. It is likely that heparan sulfate infectivity of HCV virions with relatively low levels of incor- proteoglycan on the target cell surface is needed for the initial porated cholesterol might be enhanced by supplementation attachment of HCV (33). Thus, heparinase I was used as a with exogenous cholesterol. Density gradient fractions of cul- positive control for reduced HCV attachment to the cells. To ture supernatants collected from HCV-infected cells were an- examine the roles of cholesterol and sphingolipid on the alyzed with regard to the presence of core protein and infec- HCVcc membrane in viral internalization, a virus-cell mixture ROLE OF VIRION-ASSOCIATED LIPIDS IN HCV INFECTION FIG. 2. Effect of SM hydrolysis on viral infectivity. (A) Effect on the infectivity of HCVcc. HCVcc was treated with 0.1, 1, or 10 U/ml SMase for 1 h at 37°C, after which SMase was removed by ultracentifugation. Huh-7 cells were infected with the treated virus, and the core protein contentof infected cells was determined at 72 h p.i. (B) Effect on the infectivity of HCVpv (genotype 1a) (shaded bars) or the control, VSVdelG-GFP/G(VSV cont) (solid bars). The viruses were preincubated with SMase for 1 h at 37°C before infection. Data are means from four independentexperiments. Error bars, standard deviations.
prepared at 4°C as described above was incubated for 2 h at ported that HCV core protein is associated with DRMs in 37°C, followed by trypsinization to remove virions that were cells carrying the full-length HCV replicon. To investigate surface bound but not internalized (Fig. 3B). We verified that whether HCV structural proteins are associated with DRMs 94% of surface-bound-viruses were removed by trypsinization in HCVcc-producing cells, lysates from cells infected with using CD81-negative Huh-7 subclones. A marked reduction in HCVcc were subjected to membrane flotation analysis. In viral RNA levels within cells was detected after pretreatment the absence of detergent treatment, the majority of the core of the virus with either B-CD or SMase. These results strongly (Fig. 4A) and E1 (Fig. 4B) proteins were detected in the suggest that virion-associated cholesterol and sphingolipid membrane fractions. After treatment with cold TX-100, sig- function as key determinants of internalization but not of cell nificant amounts of both viral proteins were recovered from the DRM fraction. However, after treatment with TX-100 at Association of HCV structural proteins with lipid rafts.
37°C, the majority of the E1 and core proteins had shifted to Cholesterol and sphingolipid are major components of lipid the detergent-soluble fractions. We also found that HCV rafts, which can be isolated as detergent-resistant mem- genotype 1b E1 and E2 can be associated with the lipid raft branes (DRMs) by treatment with cold TX-100, followed by in 293T cells transfected with an E1 or E2 expression plas- equilibrium flotation centrifugation. Matto et al. (30) re- mid (Fig. 4C) and that the cytoplasmic tails of envelope FIG. 3. Effects of B-CD or SMase on virus attachment and internalization. (A) Virus attachment to Huh-7 cells was determined at 4°C after treatment of HCVcc with B-CD (1 or 5 mg/ml) or SMase (1 or 10 U/ml). An antibody (Ab) against CD81 was used, in order to ensure that the antibody did notinhibit HCVcc binding (7, 33). Heparinase was used to reduce HCV attachment to the cell. Viral RNA copies were normalized to total cellular RNA,and the normalized RNA copies in the mock-treated sample (⫺) were arbitrarily set at 100%. (B) Virus internalization was measured in Huh7-25, aCD81-negative subclone (CD81⫺) (3), and Huh7-25-CD81, which stably expresses CD81 (CD81⫹), after treatment of the virions with B-CD or SMase.
After internalization for 2 h at 37°C, cells were exposed to trypsin (trypsin ⫹) or phosphate-buffered saline (trypsin ⫺). Huh7-25 was used to ensure thatsurface-bound virus would be removed by trypsin treatment. The amounts of HCV RNA in Huh7-25 and Huh7-25-CD81 cells infected with untreatedHCVcc were assigned the arbitrary value of 100%, respectively. Results are representative of four independent experiments.
AIZAKI ET AL.
FIG. 4. Compartmentation of HCV structural proteins within DRM fractions. Lysates of HCVcc-infected cells were either treated with 1% TX-100, either on ice or at 37°C, or left untreated, followed by sucrose gradient centrifugation. (A and B) For each fraction, the amount of coreprotein was determined by an enzyme-linked immunosorbent assay (A), and E1, calnexin, and caveolin-2 were analyzed by Western blotting (B).
The amount of core protein in each lysate (TX-100, 37°C; TX-100, 4°C; Untreated) was assigned the arbitrary value of 100%. M, membrane; NM,nonmembrane; DS, detergent soluble. (C) Lysates of 293T cells expressing HCV E1 or E2 protein were either treated with 1% TX-100, either onice or at 37°C, or left untreated, followed by discontinuous sucrose gradient centrifugation. Each fraction was concentrated in a Centricon YM-30filter unit and subjected to 12.5% sodium dodecyl sulfate-polyacrylamide gel electrophoresis, followed by immunoblotting with antibodies againstcalnexin, caveolin-2, Myc (E1), or FLAG (E2). (D) (Top) Structures of HCV envelope genes used. Amino acid positions of HCV are indicated.
Signal sequence, transmembrane (TM), and cytoplasmic tail (CT) domains of VSV G protein are shown. (Bottom) Cell lysates expressing chimericHCV E1 or E2 protein were treated with 1% TX-100 on ice or left untreated, followed by discontinuous sucrose gradient centrifugation. It hasbeen reported that VSV-G is not associated with lipid (39). Calnexin, caveolin-2, and chimeric glycoproteins (chimeric E1 and chimeric E2) wereanalyzed by immunoblotting. Fractions are numbered from 1 to 9 in order from top to bottom (light to heavy).
ROLE OF VIRION-ASSOCIATED LIPIDS IN HCV INFECTION activity in the lysates of Huh-7 cells transfected with an invitro-transcribed JFH-1 replicon RNA containing a luciferasereporter gene (22) (data not shown). Figure 6B shows theeffects of ISP-1 and HPA-12 on de novo sphingolipid biosyn-thesis by replicon cells. No differences in the inhibitory effectsof each compound were observed in replicon cells derivedfrom HCV-N versus JFH-1. When de novo synthesis of sphin-golipids was examined by metabolic labeling with [14C]serine,ISP-1 almost completely inhibited the production of both cer-amide and SM, while HPA-12 greatly inhibited the synthesis ofSM but not ceramide. Levels of phosphatidylethanolamine andphosphatidylserine, into which serine is incorporated by a FIG. 5. Effects of B-CD or SMase treatment of cells on HCV infectivity. Huh-7 cells were either left untreated or treated with B-CD pathway distinct from that of sphingolipid biosynthesis, were at 0.1, 1, or 5 mg/ml (A) or with SMase at 0.1, 1, or 10 U/ml (B) prior not influenced by these drugs. These results suggest that sup- to HCVcc infection. Intracellular core levels were quantitated 72 h p.i.
pression of HCV RNA replication by inhibitors of sphingolipid Data are means from four independent experiments. Error bars, stan- biosynthesis might be dependent on the viral genotype or iso- dard deviations.
This observation prompted us to investigate whether inhib- itors of the sphingolipid biosynthetic pathway might have the proteins are important for their interaction (Fig. 4D). These ability to prevent HCV virion production. Interestingly, when data suggest that subpopulations of HCV structural proteins Huh-7 cells producing JFH-1 HCVcc were treated with ISP-1 are associated with lipid rafts in cells generating the HCV or HPA-12 under conditions similar to those the replicon cells, viral core levels in the culture supernatants were greatly re- Moderate inhibition of HCV infection by B-CD or SMase
duced in a dose-dependent manner. For example, exposure to treatment of host cells. It has recently been reported that
10 ␮M ISP-1 or 1 ␮M HPA-12 reduced viral core protein levels cholesterol depletion or SM hydrolysis from the host cell mem- more than 85% from those for control cells (Fig. 6C). The 50% brane decreases HCV infection, in part by decreasing the level inhibitory concentrations of both drugs were less than 0.1 ␮M, of CD81 on the cell surface (19, 53). The involvement of the 50-fold less than those obtained for the RNA replication of the lipid environment of the host cell plasma membrane in HCV HCV-N-replicon. Together, these results suggest that the infection was investigated in our HCVcc infection system.
sphingolipid biosynthetic pathway plays an important role in Prior to infection, Huh-7 cells were treated with B-CD or the production of HCV particles, but not in genome replica- SMase and then washed with the medium five times. Choles- tion, in JFH-1-based HCVcc.
terol depletion from Huh-7 cells by B-CD at 1 or 5 mg/mlinhibited HCV core levels by 20 and 75%, respectively, com- pared to levels in untreated cells (Fig. 5A). We also found thathydrolysis of SM by SMase at 1 or 10 U/ml on the cells, In this study, we demonstrated the role of HCV virion- respectively, led to moderate reduction of the viral infection, associated cholesterol and sphingolipid in viral infectivity. Al- by 20 or 55% of the infection level of the untreated control though dependence on virion-associated cholesterol for virus (Fig. 5B). There was no influence on cell viability under the entry has been shown for a number of viruses (4, 6, 28, 49), this conditions of these treatments (data not shown). These find- is the first study to demonstrate the importance of envelope ings, compared with the results in Fig. 1A and 2A, suggest that cholesterol in a virus belonging to the family Flaviviridae. Fur- the raft-like environment on the plasma membrane likely thermore, to our knowledge, the functional role of virion mem- serves as a portal for HCV entry, but HCV virion-associated brane-associated SM has not been examined in viruses. Our cholesterol and sphingolipid more readily play more critical previous studies using Chinese hamster ovary cell mutants roles in viral infection.
deficient in SM synthesis have demonstrated that reduction of Inhibitors of the sphingolipid biosynthetic pathway sup-
cellular SM levels enhances cellular cholesterol efflux in the press the production of HCVcc, but not RNA replication, for a
presence of B-CD (9, 12). Thus, it may be possible that SM JFH-1-derived replicon. In the course of studying the involve-
plays a role in the retention of cholesterol on HCV particles ment of lipid metabolism in the HCV life cycle, we observed due to interaction between cholesterol and SM. The finding that inhibitors of the sphingolipid biosynthetic pathway, includ- that B-CD or SMase treatment of HCVcc markedly inhibited ing ISP-1 and HPA-12, which specifically inhibit serine palmi- virus internalization but not cell attachment (Fig. 3) suggests toyltransferase (31) and ceramide trafficking from the ER to that HCV membrane-associated cholesterol and sphingolipid the Golgi apparatus (55), influenced subgenomic replicons de- are crucial for the interaction of viral glycoproteins with the rived from the HCV-N isolate (genotype 1b), but not those virus-receptor/coreceptor required for cell entry. Cholesterol derived from JFH-1. A dose-dependent decrease in HCV depletion or sphingolipid hydrolysis might induce a conforma- RNA copy numbers among HCV-N replicon cells was ob- tional change in the viral envelope, resulting in instability of served upon exposure to ISP-1 or HPA-12, as previously re- the virion structure. Since the cholesterol/phospholipid ratios ported (43, 52). In contrast, these compounds had little or no of membranes affect bilayer fluidity, the maturation of viral effect on viral RNA accumulation in JFH-1 replicon cells (Fig.
envelopes with high cholesterol/phospholipid ratios via associ- 6A). Furthermore, these compounds did not affect luciferase ation with rafts may be important for the stability of HCV AIZAKI ET AL.
FIG. 6. Anti-HCV effects of inhibitors of the sphingolipid biosynthetic pathway. Subgenomic replicon cells derived from HCV isolate N or JFH-1, as well as HCVcc-producing cells, were treated with ISP-1 (0.1, 1, or 10 ␮M), HPA-12 (0.1, 1, or 10 ␮M) or alpha interferon (IFN) (100U/ml) for 72 h. HCV RNA titers in the replicon cells (A) and the HCV core protein content of the culture medium of infected cells (C) weredetermined. Data are means from four independent experiments. Error bars, standard deviations. (B) De novo synthesis of sphingolipid in theabsence or presence of ISP-1 (10 ␮M) and HPA-12 (10 ␮M) was monitored in duplicate by metabolic labeling with [14C]serine for 2 h at 37°C.
Cer, ceramide; PE, phosphatidylethanolamine; PS, phosphatidylserine.
particles. Replenishing the viral membrane with cholesterol studies have demonstrated budding at the plasma membrane following treatment with 5 mg/ml B-CD successfully restored (13, 36, 37, 41), and it has been proposed that the site of viral infectivity to the same level as that of untreated virus (Fig.
budding may be virus and cell type dependent (27). We dem- 1), suggesting that reversible B-CD-induced changes in HCV onstrate here that subpopulations of HCV structural proteins structure might critically influence viral infectivity. However, partition into cellular detergent-resistant, lipid-raft-like mem- we were unable to restore viral infectivity by replenishing cho- brane fractions in HCVcc-producing cells (Fig. 4) and that lesterol after pretreatment of the virion with concentrations of inhibitors of the sphingolipid biosynthetic pathway block HCV B-CD exceeding 10 mg/ml (data not shown). Under these virion production (Fig. 6). Furthermore, a large proportion of conditions, it is likely that large holes in the viral membrane HCV E2 protein incorporated into HCVcc is endoglycosidase destroy the virus, a result that cannot be reversed by supplying H resistant (data not shown). Thus, membrane compartments containing cholesterol- and sphingolipid-rich microdomains How are cholesterol and sphingolipid involved in the HCV may be involved in HCV virion maturation. Another explana- virion during the process of virus maturation? Like most pos- tion for the recruitment of these lipids to the HCV membrane itive-stranded RNA viruses, HCV is thought to assemble at the may be an association between the virus and very-low-density ER membrane. However, Miyanari et al. (32) reported that lipoprotein (VLDL) or low-density lipoprotein. Recently, lipid droplets are important for HCVcc formation. These au- Huang et al. (16) demonstrated a close link between HCV thors have shown that the characteristics of lipid-droplet-asso- production and VLDL assembly, suggesting that an HCV- ciated membranes in Huh-7 cells differ from those of ER VLDL complex is generated and secreted from cells.
membranes. In the case of flaviviruses, for which the mecha- Recent reports have demonstrated that CD81-mediated nism of viral assembly and budding remains unclear (15), a few HCV infection is partly dependent on cell membrane choles- ROLE OF VIRION-ASSOCIATED LIPIDS IN HCV INFECTION terol (19) and SM (53). We further characterized the role of 4. Bender, F. C., J. C. Whitbeck, H. Lou, G. H. Cohen, and R. J. Eisenberg.
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Postgrad Med J 2001;77:759–764 Hypokalaemia and hyperkalaemia A Rastergar, M Soleimani compartments. Humans, as carnivorous ani- Disturbances in potassium homoeostasis mals, consume large amount of potassium presenting as low or high serum potas- intermittently. Dietary potassium, which is sium are common, especially among hos-

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Laboruntersuchungen im Institut für Klinische Chemie und Labormedizin (IKL) - Krankenhaus Dresden-Friedrichstadt - Direktor: Prof. Dr. Dr. med. Th. Demant Kommentiertes Leistungsverzeichnis Letzte Aktualisierung: 09.02.2011 Zum Gebrauch des Leistungsverzeichnisses . Notfallparameter. Leistungsverzeichnis des Instituts: 1.