XRN1 Stalling in the 5’ UTR of Hepatitis C Virus and Bovine Viral Diarrhea Virus Is Associated with Dysregulated Host mRNA Stability
Understanding how a persistent virus like Hepatitis C Virus (HCV) interfaces with the cellular machinery during infection can provide significant insights into mechanisms of pathogenesis. We demonstrate that while trying to degrade HCV transcripts, a major cellular exonuclease called XRN1 stalls and gets repressed in the 5’ noncoding region of the viral mRNA. Interestingly, the region where XRN1 stalls in the 5’ UTR includes the viral IRES that is required for translation initiation, uncovering a novel, unexpected function for this well-studied region. Differential mRNA stability is a major regulator of gene expression in cells. Curiously, repression of the cellular XRN1 exonuclease is associated with a general repression of mRNA decay in general in HCV-infected cells. Thus numerous cellular mRNAs are stabilized and accumulate in a dysregulated fashion during HCV infection. Normally short-lived mRNAs are disproportionately affected—including mRNAs that encode immune regulators and oncogenes. Thus, this study suggests a novel role for the 5’ UTR of HCV in molecular pathogenesis—including hepatocellular carcinoma. Furthermore, the 5’ UTR of Bovine Viral Diarrhea virus also represses the XRN1 enzyme and stabilizes cellular mRNA. Therefore a strategy of 5’ UTR-mediated XRN1 repression appears to be conserved among the vector-independent members of the Flaviviridae.
Published in the journal:
. PLoS Pathog 11(3): e32767. doi:10.1371/journal.ppat.1004708
Category:
Research Article
doi:
https://doi.org/10.1371/journal.ppat.1004708
Summary
Understanding how a persistent virus like Hepatitis C Virus (HCV) interfaces with the cellular machinery during infection can provide significant insights into mechanisms of pathogenesis. We demonstrate that while trying to degrade HCV transcripts, a major cellular exonuclease called XRN1 stalls and gets repressed in the 5’ noncoding region of the viral mRNA. Interestingly, the region where XRN1 stalls in the 5’ UTR includes the viral IRES that is required for translation initiation, uncovering a novel, unexpected function for this well-studied region. Differential mRNA stability is a major regulator of gene expression in cells. Curiously, repression of the cellular XRN1 exonuclease is associated with a general repression of mRNA decay in general in HCV-infected cells. Thus numerous cellular mRNAs are stabilized and accumulate in a dysregulated fashion during HCV infection. Normally short-lived mRNAs are disproportionately affected—including mRNAs that encode immune regulators and oncogenes. Thus, this study suggests a novel role for the 5’ UTR of HCV in molecular pathogenesis—including hepatocellular carcinoma. Furthermore, the 5’ UTR of Bovine Viral Diarrhea virus also represses the XRN1 enzyme and stabilizes cellular mRNA. Therefore a strategy of 5’ UTR-mediated XRN1 repression appears to be conserved among the vector-independent members of the Flaviviridae.
Introduction
Hepatitis C virus (HCV) is a positive-sense RNA virus of the Hepacivirus genus within the Flaviviridae that chronically infects approximately 130–150 million people worldwide. It has a 9.6 kb genome that encodes a single large polyprotein that is processed to form 10 proteins [1]. Chronic HCV infection causes acute liver dysfunction, cirrhosis and is associated with the development of hepatocellular carcinoma (HCC). From a molecular perspective, although several viral proteins have been suggested to contribute to HCV-associated carcinogenesis [2], it is not clear how infection with a simple RNA virus that does not encode any known oncogenes causes such a complex and heterogeneous cancer. Thus a deeper understanding of the molecular interaction between HCV RNA and protein components with cellular factors is needed to shed light on molecular mechanisms of viral pathogenesis.
In addition to encoding a large polyprotein from its single open reading frame, HCV contains complex untranslated regions (UTRs) at both the 5’ and 3’ ends. The 3’ UTR is capable of interacting with numerous cellular proteins and contains several regions that are important for viral translation efficiency [3–5], RNA synthesis [6] and providing communication between the 5’ and 3’ portions of the viral genome [7]. The 5’ UTR is better characterized and harbors four conserved stem loops (denoted as stem loops I-IV from the 5’-3’ direction) with several noteworthy features. First, while stem loops I and II are involved in replication [8], stem loops II-IV of the 5’ UTR (plus a short region of coding sequence) form a highly structured internal ribosome entry site (IRES) that is required for HCV translation initiation [9]. Second, the cellular small microRNA miR-122 interacts with two regions near the 5’ end of the HCV genomic RNA [10–15]. Instead of repressing gene expression as one might expect from a miRNA, miR-122 actually stimulates viral gene expression and replication. This appears to be due in part to miR-122 interactions with the 5’ UTR that prevent access of the viral RNA to the cellular 5’-3’ exoribonuclease XRN1 [16–18]. Since targeting miR-122 is currently in clinical trials as a potential anti-HCV therapy [19], it appears that the viral RNA on its own may be highly targeted by XRN1 during infection.
The regulation of cellular mRNA abundance is not solely dependent on transcriptional efficiency, but rather also relies on differential mRNA stability to determine the abundances of transcripts in response to cellular and environmental signals [20]. Studies have demonstrated that between ∼20 and 50% of gene expression may be regulated post-transcriptionally at the level of mRNA decay [21–26]. Furthermore, RNA decay also plays a major role in the quality control of cellular gene expression [27]. The major pathway of general mRNA decay is usually initiated by a deadenylation event followed by exonucleolytic decay of the body of the mRNA [28]. In the 5’-3’ decay pathway, deadenylated mRNAs are first decapped and the resulting 5’ mono-phosphorylated mRNA is rapidly degraded by the highly processive 5’-3’ exonuclease XRN1 [29,30]. In the alternative 3’-5’ pathway, deadenylated transcripts are attacked by either the exosome complex or the 3’-5’ exonuclease DIS3L2 [31]. The exonucleolytic decay of deadenylated mRNAs is highly efficient in mammalian cells and it is very rare to observe decay intermediates.
Given the importance of the cellular mRNA decay machinery in regulating the quality and quantity of gene expression, any perturbation of this machinery could have significant consequences for cellular physiology. Thus viral interference with the decay machinery—perhaps as a natural strategy to stabilize viral transcripts during infection—could cause major disruptions in cellular gene expression patterns. Studies are emerging to suggest that this could be a major strategy employed by a variety of viruses to both maintain efficient viral replication as well as perhaps contribute to viral-induced cytopathology by disrupting cellular gene expression [32].
Arthropod-borne members of the Flaviviridae (e.g. West Nile virus (WNV) and the Dengue viruses (DENV)) have been shown to contain a conserved structure at the beginning of their 3’ UTRs that plays an important role in viral biology [33]. This region of the 3’ UTR folds into an interesting three helix junction that stalls the cellular XRN1 enzyme as it tries to degrade flaviviral transcripts [34,35]. The stalling of XRN1 at this structure results in the accumulation of large amounts of a short 3’ UTR-derived subgenomic flavivirus ‘sfRNA’ during infection [36,37]. The generation of sfRNA appears to be important for the success of a flavivirus infection as it modulates host RNAi and interferon-responses [38–40]. Furthermore, generation of sfRNA represses the activity of XRN1 both in infected cells and in cell-free assays [41]. The generation of sfRNA and repression of XRN1 in WNV and Dengue virus type 2 (DENV-2) infections is associated with a significant stabilization of cellular mRNAs [41]. Interestingly, HCV and other non-arthropod associated members of the Flaviviridae such as the economically important Bovine Viral Diarrhea virus (BVDV) [42] do not generate an sfRNA-like molecule from their 3’ UTRs [36]. However, significant changes in cellular gene expression occur in both HCV and BVDV infections [43]. Thus it is unclear whether or how these viruses interface with XRN1 and the cellular mRNA decay machinery.
To address this question, in this study we demonstrate that HCV and BVDV contain structured regions in their 5’ UTR near or including the IRES region that both stall and repress XRN1 activity. XRN1 repression by the 5’ UTRs of these viruses can be demonstrated both in biochemical assays as well as in living cells. Interestingly, HCV or BVDV repression of XRN1 is associated with a dramatic repression of the major 5’-3’ decay pathway and a large increase in the stability and abundance of numerous normally short-lived cellular mRNAs. From a pathogenic standpoint, it is interesting to note that the mRNAs of many cellular oncogenes and angiogenic factors are significantly stabilized and increased in abundance during HCV infection. Therefore we conclude that XRN1 repression is a highly conserved and important facet of infections by disparate members of the Flaviviridae.
Results
XRN1 stalls during exonucleolytic decay of the 5’ UTRs of HCV and BVDV
Previous studies on arthropod-borne members of the Flaviviridae indicated that XRN1 stalls on specific structures at the proximal side of the 3’ UTR to generate a short RNA referred to as sfRNA [34,35]. As seen in Fig. 1A, XRN1 stalling/sfRNA generation can be recapitulated from the 3’ UTRs of Japanese Encephalitis virus (JEV) or DENV-2 in cell free systems using either HeLa cytoplasmic extracts (Fig. 1A upper panel) or purified recombinant XRN1 enzyme (Fig. 1A lower panel). While the generation of sfRNA by XRN1 in DENV-2 has been demonstrated several times [34,36,37,41], the biogenesis of sfRNA from JEV by XRN1 has not been formally documented. Importantly, recent collaborative work indicated that XRN1 stalling by these viral 3’ UTRs is due to novel interwoven pseudoknots around a conserved three-way junction [35].
Non-arthropod-borne members of the Flaviviridae, namely the hepaciviruses (e.g. HCV) and the pestiviruses (e.g. BVDV) do not make a detectable short sfRNA during infection from their 3’ UTRs [36]. Since XRN1 stalling is a conserved property of a large number of other members of the Flaviviridae [33], we hypothesized that HCV and BVDV might use structures elsewhere in their genomes such as the coding region or the 5’ UTR in order to stall XRN1. These HCV and BVDV 5’ UTRs, after all, are very highly structured and contain IRES elements that direct initiation of translation [44]. If this hypothesis were correct, XRN1-mediated decay intermediates that result from enzyme stalling on HCV and BVDV mRNAs would be nearly full length in size (∼10Kb), and thus difficult to detect without specifically assessing the 5’ end of these viral transcripts. Interestingly, a previously reported 5’ end analysis of HCV RNAs during infection by circularization RT-PCR revealed large numbers of HCV RNAs with 5’ ends that were truncated to around 55/56 and 80 nucleotides from the bona fide 5’ end [14]. These nested sets of 5’ shortened HCV mRNAs could be consistent with XRN1 decay intermediates generated by the stalling of the enzyme at structures in the 5’ UTR.
To formally test the hypothesis that XRN1 stalls in the 5’ UTR of HCV and BVDV, we created RNA substrates that have a 5’ mono-phosphate (and are therefore susceptible to XRN1 digestion) and contained either an HCV/BVDV 5’ UTR or control sequences. These RNAs were incubated in XRN1 exonuclease assays either using HeLa cytoplasmic extract (Fig. 1B upper panel) or purified recombinant XRN1 (Fig. 1B, lower panel) using incubation times to optimize 5’-3’ exonucleolytic decay. HeLa cytoplasmic extracts were used in these studies due to their well-characterized usage in RNA decay studies (e.g. [41]). However it should be noted that they may also contain XRN2 activity and this 5’-3’ exonuclease may also be contributing to the decay observed in these assays [45]. As seen in Fig. 1B, RNA substrates that contained either the HCV or BVDV 5’ UTRs generated XRN1-mediated decay intermediates. For HCV, three degradation intermediates were identified by cloning and sequencing with 5’ ends at approximately 5, 45 and 123 bases from the normal 5’ end of the genomic RNA. BVDV RNA degradation yielded two decay intermediates, a strong band at ∼70 nt and a weaker but reproducible stop at ∼137 nt from the 5’ end of the genome. The positions of these XRN1 decay stall sites on the HCV and BVDV 5’ UTRs are indicated in Fig. 2. Notably, the stall sites are all positioned at or near predicted sites of structural landmarks in both RNAs [46]. Importantly, no XRN1 decay intermediates are seen with numerous control RNAs in these assays (Figs. 1B, S1A and [47]). The observation of decay intermediates when using purified XRN1 and purified RNA implies that the RNA by itself is sufficient to stall XRN1 and no additional RNA-protein interactions are needed.
In order to confirm that the HCV or BVDV 5’ UTR by itself in the absence of other components of a viral infection in living cells could stall XRN1, we inserted the 5’ UTRs into a reporter downstream of a GFP open reading frame and transfected the expression constructs (or a control reporter that lacked any viral sequences) into 293T cells. A siRNA complementary to the GFP portion of the reporter RNA was added to cleave the transcripts and generate a large pool of RNA substrates available for XRN1 digestion in transfected cells [48]. As seen in the northern blots in Fig. 1C, while the control GFP construct did not generate any mRNA decay intermediates, both the HCV- and BVDV-containing GFP reporter constructs generated mRNA decay intermediates that contained viral RNA sequences. These intermediates were consistent with XRN1 stalling at or near domain II in the HCV 5’ UTR by RNase protection mapping of the 5’ end. The reason we see only one apparent decay intermediate likely includes gel resolution and/or changes in local RNA structure due to context/protein-RNA interactions on the reporter mRNA. Cell-type-specific alterations in the pattern of sfRNA decay intermediates from XRN1 stalling on the yellow fever virus 3’ UTR [37]. Therefore, we conclude that the 5’ UTRs of both HCV and BVDV transcripts contain sequences and/or structures that are capable of stalling the XRN1 enzyme. Thus, it appears that many if not all members of the Flaviviridae may use a related strategy of XRN1-refractory segments in an untranslated region of their transcripts to stall this highly processive cellular exoribonuclease.
XRN1 activity is repressed by the 5’ UTRs of HCV and BVDV
In addition to stalling XRN1, we previously demonstrated that XRN1 enzymatic activity is repressed by the generation of sfRNA from WNV or DENV-2 3’ UTRs [41]. These observations are now extended to include sfRNA generation from the 3’ UTR of JEV in Fig. 3A. Briefly, a radiolabeled reporter RNA containing a 5’ mono-phosphate was efficiently degraded by XRN1 in HeLa cytoplasmic extracts in the absence of any competitor RNA (‘none’ lanes) or in the presence of a control RNA competitor (‘Control RNA’ lanes). However, RNA competitors containing either the 3’ UTR of JEV or the 3’ UTR of DENV-2 dramatically repressed XRN1 activity and this sfRNA-mediated repression was reversible (Fig. 3B). When the rate of RNA decay was measured relative to increasing concentrations of XRN1 enzyme, the rate of the reaction slowed in the presence of an sfRNA generating competitor RNA relative to control conditions, but the enzyme was not effectively titrated away by the RNA inhibitor as would be expected for an irreversible competitor.
To assess whether sequences/structures in the 5’ UTR of HCV and BVDV that stall XRN1 can also repress its activity, similar competition assays were performed as in Fig. 3A. As seen in Fig. 3C, both HCV and BVDV RNAs significantly repressed XRN1 activity in HeLa cytoplasmic extracts compared to control RNA. While the XRN1 repression that was observed with the HCV or BVDV 5’ UTR competitors was substantial, it was consistently approximately half as robust as that observed with DENV-2.
To confirm that XRN1 can be repressed by HCV during infection, the relative levels of uncapped cellular mRNA were measured in naïve Huh7.5 cells, cells infected with HCV (JFH-1 strain) for 72 hours, or Huh7.5 cells that stably harbored an HCV replicon (with the H77 strain 5’ UTR) [49]. Uncapped mRNAs serve as a sensitive readout for XRN1 activity since they naturally represent a very small percentage (∼3%) of the total mRNA population in a cell. As seen in Fig. 3D, there was a significant increase in uncapped FOS and TUT1 mRNAs (two representative short-lived transcripts) as a consequence of HCV infection. Furthermore, Huh7.5 cells harboring the HCV replicon RNA also had significantly more uncapped FOS and TUT1 mRNAs than naïve control cells. Finally, the levels of Xrn1 protein remain unchanged in HCV infected cells (S1B Fig and [50,51]). Thus we conclude that XRN1 activity is repressed when it stalls while attempting to degrade the 5’ UTRs of HCV and BVDV.
Cellular mRNA stability is altered when XRN1 activity is repressed by the HCV or BVDV 5’ UTR
The repression of XRN1 activity by HCV or BVDV infection suggests that cellular mRNA decay may be dramatically dysregulated during viral infection. To test this hypothesis, we measured mRNA half-lives of a representative cellular mRNA (TUT1) in mock infected and HCV or BVDV infected cells. As seen in Fig. 4A & C (right panels), the TUT1 mRNA was significantly stabilized during HCV or BVDV infection. Importantly, TUT1 stabilization was observed in the presence of a truncated sfRNA-like HCV or BVDV RNA as determined by RNase protection assays using a probe that spanned the entire IRES element of each virus (Fig. 4A &C, left panels). To determine whether the stabilization of the TUT1 mRNA could be directly attributed to XRN1 inhibition by the 5’ UTR of HCV or BVDV rather than other viral-specific aspects of infection, we transfected human 293T cells with reporter constructs expressing either GFP mRNA only or a GFP reporter mRNA containing viral 5’ UTR sequences inserted downstream of the open reading frame. We placed the viral 5’ UTR at this downstream location for two reasons. First, a bona fide RNA domain that stalls XRN1 should function regardless of where it is placed in a transcript. Second, placement near the 3’ end provided for easy detection of relatively short decay intermediates on standard acrylamide gels. 293T cells were used in this experiment due to their high transfection efficiency. As seen in Fig. 4B & D (right panels), TUT1 mRNA was significantly stabilized (approximate two-fold increase in mRNA half-life) by the reporter RNA containing the HCV or BVDV 5’ UTR sequence in association with the build-up of truncated sfRNA-like reporter RNAs (left panels). Thus, we conclude that the presence of RNAs containing the HCV or BVDV 5’ UTR has a dramatic effect on TUT1 mRNA stability in host cells.
Finally, we performed a similar transfection experiment using the GFP mRNA constructs +/− the HCV 5’ UTR in 293T cells that were also transfected with either an empty vector (pLKO.1) or a vector expressing an shRNA to knock down XRN1. As seen in Fig. 4E, knockdown of XRN1 on its own results in the significant stabilization of the cellular TUT1 mRNA (p<0.05; see also [41]). Furthermore, when XRN1 knockdown cells are transfected with the GFP construct containing the HCV 5’ UTR, we failed to observe any significant further increase in TUT1 mRNA stability as is observed when cells are treated with a control shRNA vector (pLKO.1). Collectively, these data suggest that the increase in cellular mRNA stability that is associated with the presence of the HCV 5’ UTR requires XRN1.
Global analysis of host mRNA decay rates during HCV infection
In order to expand the observation of viral 5’ UTR-induced repression of XRN1/mRNA stabilization, we measured global mRNA decay rates in mock infected and HCV infected Huh7.5 cells after 120 hours at which point the infection rate was ∼70%. One hour prior to RNA extraction, cells were pulse labeled with 4-thiouridine (4sU) to mark nascent transcripts. Three populations were isolated and sequenced: total RNA, 4sU-labeled nascent transcripts and unlabeled transcripts. Categorizing the mapped reads from each population revealed three important features: nascent transcripts were enriched for pre-mRNA, as seen by the increase in the presence of intronic reads (S2A Fig); HCV infection did not appear to interfere with global mRNA processing in the infected cell (S2A Fig); and the relative abundances of RNA in each replicate sample clustered well (S2B Fig). These analyses suggest that we generated a high quality data set for further examination. Total mRNA abundances, transcription rates and half-lives were determined as previous described [52,53] and compared between mock and HCV infected samples (S4 Table). Importantly, the changes in specific mRNA levels that we observed correlated well with a data set obtained at similar times of HCV infection by Walters et al. [43] (S2C Fig). Interestingly, in both replicates we observed an overall increase in cellular mRNA abundance in HCV infected cells compared to mock infected cells without a concomitant increase in transcription rate prior to normalization (Fig. 5A). Rather, there was a global increase in mRNA stability directly associated with the global increases in mRNA abundance seen in HCV infected cells (Fig. 5A). A broad increase in mRNA abundance caused by XRN1 repression would be expected to affect mRNAs with short half-lives more dramatically than mRNAs with long half-lives. As shown in Fig. 5B, the increase in mRNA abundance scaled directly with the stability of the mRNA prior to infection. For all mRNAs with calculated half-lives of less than 4 hours, each progressive decrease in stability resulted in a significant increase in abundance. This was associated with similar progressive increases in stability but not transcription (Fig. 5B, center and right panels). Thus, we conclude that HCV infection causes a significant dysregulation of mRNA stability whose effects are most strongly observed in mRNAs that have a short half-life in uninfected cells.
We further investigated the Gene Ontology (GO) of differentially regulated mRNAs in mock versus infected cells using InnateDB [54]. RNAs that increased in abundance were enriched for innate immune responses and transcription factors (Fig. 5C). These functional groups tend to consist of unstable mRNAs [55,56]. Interestingly, none of the GO categories that were significantly enriched in the up-regulated mRNA abundance dataset reached significance in the up-regulated mRNA transcription dataset (Fig. 5C). By comparison, all GO categories significantly enriched in down-regulated mRNA abundance were also significant in the down-regulated mRNA transcription set (Fig. 5D). This suggests decreases in mRNA abundance are primarily transcriptionally driven, while increases in mRNA abundance are not.
To confirm our observations regarding dramatic increases in mRNA abundance and stabilization in HCV infected cells, we repeated mRNA half-life analysis with a more classical actinomycin D transcriptional shut off approach in mock-treated or HCV infected cells and analyzed changes in RNA abundance over a time course using qRT-PCR assays. We selected unstable innate immunity and transcription factors, focusing on three oncogenes (MYC, JUN and FOS) and three angiogenic factors (VEGFA, HIF1A and CXCL2). Since HCV infection is associated with the development of hepatocellular carcinoma, these factors might contribute to the development of a diseased state. As seen in Fig. 6 and in S1 and S2 Tables in S1 Text, all six of these mRNAs were significantly increased in abundance 2–4 fold (panel A) as well as significantly stabilized (mRNA half-lives increased ∼2-fold) (panel C) in HCV infection after 72 hours. Finally, Gene Set Enrichment Analysis (GSEA) demonstrated a significant enrichment in upregulated mRNAs in HCV infection for genes that have promoter binding sites for AP-1 (JUN and FOS heterodimer) and MYC (S4 Fig). Thus the stabilization of these oncogenic transcription factor mRNAs also appears to lead to the generation of functional protein which further dysregulates cellular gene expression during viral infection.
To further assess whether the increases in abundance and stability we observed reflected functional mRNAs rather than the accumulation of non-functional uncapped mRNA decay intermediates resulting from XRN1 repression, we determined the relative levels of capped and polyadenylated mRNAs in mock versus HCV infected cells. As shown in Fig. 6B, there was a significant 2–3 fold increase in the abundance of intact and presumably fully translatable levels of mRNAs of the six oncogene and angiogenic factors assayed above. Thus, in addition to significant increases observed in the minor population of uncapped mRNAs in infected cells (Fig. 3D), there was also a dramatic increase in intact mRNAs (the major mRNA species) due to infection. We therefore suggest that by repressing XRN1 during HCV infection, a feedback mechanism takes place that appears to repress the entire 5’-3’ decay pathway, preventing the initial steps of decay that involve deadenylation and decapping.
Cellular mRNA stability is also altered when XRN1 activity is repressed by the BVDV 5’ UTR
Finally, to generalize our observations regarding dysregulation of cellular mRNA stability in an HCV infection to another non-arthropod-borne member of the Flaviviridae, we assessed the abundance and stability of select cellular mRNAs in BVDV infected MDBK cells. As shown in Fig. 7A, the abundance of both FOS and JUN mRNAs was significantly upregulated (three to six fold) in a BVDV infection. Furthermore, the proteins encoded by these mRNAs were also upregulated in a BVDV infection (Fig. 7B) (and a similar increase in protein expression was seen in HCV infection (S4 Fig). As seen in Fig. 7C, the increase in abundance of the FOS and JUN mRNAs can largely be accounted for by the approximately five and three-fold significant increase in mRNA half-life in a BVDV infection, respectively. Importantly, XRN1 levels are not significantly changed during BVDV infection (S1B Fig). Thus, we conclude that dysregulation of cellular mRNA stability is a common occurrence in hepacivirus and pestivirus infections and may play a heretofore unforeseen role in the success of viral replication as well as viral-induced pathogenesis.
Discussion
In addition to the well-described role of the 5’ UTR IRES element in translation [9] and the binding of miR-122 to two sites in the HCV 5’ UTR to influence RNA stability [13,57], the data described in this study uncover an additional, unexpected role for the 5’ UTRs of HCV and BVDV in repressing the cellular XRN1 exoribonuclease. These observations indicate that the stalling/repression of XRN1 by a non-coding region in the genomes of members of the Flaviviridae is an evolutionarily conserved strategy for promoting the successful outcome of an infection. The stalling of XRN1, its subsequent repression and the implications of repressing this major cellular mRNA decay enzyme on gene expression in infected cells is summarized in Fig. 8. This conserved aspect of flavivirus infections suggests a potentially attractive antiviral target for therapeutics that may have broad-spectrum activity against members of the Flaviviridae.
Arthropod-borne members of this virus family use structures in their 3’ UTRs to perhaps generate large amounts of a non-coding sfRNA to provide additional functions such as modulating the invertebrate RNAi anti-viral response [33]. Large amounts of sfRNA produced in these infections could also allow an optimal interaction between the virus and its insect vector, including cellular protein binding/sequestration [58]. The selective pressure from the RNAi pathway, however, is likely not as great for the Flaviviridae members that do not use insect infections as part of their transmission cycle [40]. Thus, viruses like HCV and BVDV can readily use structures in the 5’ UTR instead of structures in their 3’ UTR, resulting in larger, nearly intact XRN1 decay intermediates when compared to the plus-sense genomic RNA. This strategy, particularly with the presence of an IRES element that has its main structural features localized to the distal half of the 5’ UTR [9], may maintain additional functionality to the XRN1-decay intermediates that are generated, perhaps including translatability.
While the unique three-helix junction structure that stalls XRN1 on the 3’ UTR of flaviviruses has recently been solved [35], the relationship with the structure in the 5’ UTR of HCV and BVDV that blocks the enzyme await further study. The RNA structure around the IRES region is rather complex in both HCV and BVDV, including pseudoknots that are also a hallmark of flaviviral 3’UTR structures [59]. In addition, an extended set of small conserved nucleotide blocks that was noted among XRN1-stalling region of the insect-borne flaviviruses [35] can also be identified in the HCV 5’ UTR. Another interesting question for future analysis is whether stalling of XRN1 is a general property of all or at least some other viral IRES elements. If so, this may reveal an interesting general strategy used by RNA viruses to effectively address two major, often functionally interrelated aspects of post-transcriptional gene expression in the cytoplasm—translation initiation and RNA stability. XRN1 repression, however, is not a strategy used by all RNA viruses. In our previously reported studies with Sindbis virus [60], we see no evidence of massive stabilization of cellular mRNAs as we do with HCV infections. In fact, we see mRNA destabilization due to the usurping of the cellular HuR factor by Sindbis virus.
The presence of miR-122, which interacts with two regions near the proximal end of the HCV 5’ UTR [13], could possibly have an influence on XRN1 repression and will require additional experimentation. However based on the ability of the HCV 5’ UTR to repress the activity of XRN1 in HeLa cytoplasmic extracts which do not contain appreciable amounts of miR-122 (Fig. 3), at this juncture we favor a model based on the available literature that the interaction of miR-122 with the HCV 5’ UTR makes the viral RNA refractory to XRN1 loading (either directly or by inhibition of an unidentified cellular phosphatase that acts on the 5’ trisphosphate), resulting in viral RNA stabilization. In this model, any population of HCV RNA that does not effectively interact with miR-122, however, would be a substrate for initiation of XRN1-mediated decay and would contribute to the stalling and repression of the cellular enzyme. Thus the HCV 5’ UTR may have a bipartite strategy for interfacing with XRN1—ensuring the availability of intact genomic RNA for replication and packaging through miR-122 interaction while allowing a portion of its RNA to lure the enzyme to initiate decay in order to repress XRN1 activity. Ultimately, this repression of XRN1 dysregulates cellular mRNA decay and likely prevents or significantly alters changes in gene expression which promote the proper cellular response to infection.
Repressing XRN1 appears to also repress the deadenylation and decapping aspects of the 5’-3’ mRNA decay pathway, resulting in the increased accumulation of capped and polyadenylated mRNAs during HCV infection. We envision the apparent shut down of the entire decay pathway by the 5’ UTR of HCV/BVDV could be due to at least three mechanisms (or a combination thereof). First, XRN1 has been shown to physically interact with the DCP1 component of the decapping complex [61]. Thus XRN1 repression by stalling on the 5’UTR of viral RNAs could also sequester/alter the localization of the decapping complex in an unproductive fashion. Likewise, deadenylation could be physically co-localized with XRN1 as well through interactions between hPAT1, the CAF1-CCR4-NOT deadenylation complex and the decapping complex [62]. Second, flavivirus infections, including HCV, have been shown to disrupt P bodies [50]. The disruption of these localized sites of aggregated mRNA decay components could contribute to the shutdown of the entire 5’-3’ decay pathway. Finally, XRN1 has been recently implicated as a key factor in mediating the buffering between the rates of transcription and mRNA decay for genes in order to maintain appropriate levels of gene expression in yeast [63,64]. Thus it is possible that by repressing XRN1, HCV and other flaviviruses are disrupting this natural aspect of buffering in cellular gene expression for at least some transcripts that ultimately contributes to their increased abundance.
Did flaviviruses independently evolve the ability to stall XRN1, or do perhaps select subsets of cellular mRNAs possess XRN1-refractory structures that allow the generation of RNAs with novel 5’ ends that may have independent functions from their parent mRNAs? Note that the XRN1 decay intermediate observed in Fig. 4 were generated from a bona fide mRNA made from a transfected reporter plasmid. Since most cellular RNAs would be vastly less abundant than viral RNAs in the cell, the amount of repression of XRN1 by the reversible, presumably slow release of the stalled enzyme on these RNAs observed in cells would likely be minimal and perhaps worth the expense in cells to generate novel RNAs.
The dysregulation of cellular mRNA stability and the associated increase in the abundance of numerous usually short lived mRNAs has significant implications for pathologies associated with HCV infection. Chronic HCV infection has been strongly linked to development of HCC. Along these lines, it is interesting to note that XRN1 has been previously implicated as a possible tumor suppressor gene in osteosarcoma [65]. While the causes of HCC are likely complex, involving inflammatory and fibrotic responses to the injured liver, dysregulated expression of short-lived mRNAs in HCV-infected cells leading to elevated expression of oncogenic factors may contribute to HCC.
Materials and Methods
XRN1 biochemical assays
In vitro XRN1-mediated RNA decay assays were performed using internally radiolabeled, 5’ monophosphorylated RNAs as previously described [41]. The 200nt fragment of the JEV 3’ UTR, the 218nt portion of the DENV-2 3’ UTR, the 389nt HCV 5’ UTR, the 440nt BVDV 5’ UTR and control RNAs used in study are described in the Supplementary methods (S1 Text).
RNA analyses in cells, viral infection and transfection studies
Huh7.5, MDBK and HEK 293T cells were used in the study for HCV infection, BVDV infection and transfection analyses respectively. For transfections, the HCV or BVDV 5’ UTR were subcloned into the NotI site of peGFP-N1 and introduced into cells using Lipofectamine 2000. Total RNA was isolated with TRIzol and RNAs were quantified by qRT-PCR, northern blotting or RNase protection as described in detail in the Supplementary methods. mRNA abundance, synthetic rate and stability were determined using actinomycin D shut off and RT-qPCR or metabolic 4sU labeling and RNAseq as described in detail in the Supplementary methods.
Analysis of capped/uncapped and polyadenylated mRNAs
Total RNA from naïve Huh7.5 cells, HCV infections or Huh7.5 cells harboring a replicon HCV construct was fractionated into capped and uncapped pools using an antibody that recognizes the methyl-guanosine cap structure (Synaptic Systems) as described in Moon et al. [41]. Please see the Supplementary Methods section of S1 Text for additional details.
Western blotting
Western blotting was performed as described in Barnhart et al. [60] as outlined in the Supplementary methods.
Supporting Information
Zdroje
1. Scheel TK, Rice CM. (2013) Understanding the hepatitis C virus life cycle paves the way for highly effective therapies. Nat Med 19: 837–849 doi: 10.1038/nm.3248 23836234
2. Shlomai A, de Jong YP, Rice CM. (2014). Virus associated malignancies: The role of viral hepatitis in hepatocellular carcinoma. Semin Cancer Biol. 26C:78–88.
3. Bradrick SS, Walters RW, Gromeier M. (2006) The hepatitis C virus 3'-untranslated region or a poly(A) tract promote efficient translation subsequent to the initiation phase. Nucleic Acids Res 34: 1293–1303. 16510853
4. Bung C, Bochkaeva Z, Terenin I, Zinovkin R, Shatsky IN, et al. (2010) Influence of the hepatitis C virus 3'-untranslated region on IRES-dependent and cap-dependent translation initiation. FEBS Lett 584: 837–842. doi: 10.1016/j.febslet.2010.01.015 20079737
5. Bai Y, Zhou K, Doudna JA. (2013) Hepatitis C virus 3'UTR regulates viral translation through direct interactions with the host translation machinery. Nucleic Acids Res 41: 7861–7874. doi: 10.1093/nar/gkt543 23783572
6. Yi M, Lemon SM. (2003) 3’ nontranslated RNA signals required for replication of hepatitis C virus RNA. J Virol 77: 3557–3568. 12610131
7. Kumar A, Ray U, Das S. (2013) Human La protein interaction with GCAC near the initiator AUG enhances hepatitis C Virus RNA replication by promoting linkage between 5' and 3' untranslated regions. J Virol 87: 6713–6726. doi: 10.1128/JVI.00525-13 23552417
8. Friebe P, Lohmann V, Krieger N, Bartenschlager R. (2001) Sequences in the 5' nontranslated region of hepatitis C virus required for RNA replication. J. Virol 75: 12047–12057. 11711595
9. Niepmann M. (2013) Hepatitis C virus RNA translation. Curr Top Microbiol Immunol 369: 143–166. doi: 10.1007/978-3-642-27340-7_6 23463200
10. Jopling CL, Yi M, Lancaster AM, Lemon SM, and Sarnow P. (2005) Modulation of hepatitis C virus RNA abundance by a liver-specific MicroRNA. Science 309: 1577–1581. 16141076
11. Jopling CL, Schutz S, Sarnow P. (2008) Position-dependent function for a tandem microRNA miR-122-binding site located in the hepatitis C virus RNA genome. Cell Host Microbe 4: 77–85. doi: 10.1016/j.chom.2008.05.013 18621012
12. Cox EM, Sagan SM, Mortimer SA, Doudna JA, Sarnow P. (2013) Enhancement of hepatitis C viral RNA abundance by precursor miR-122 molecules. RNA 19: 1825–1832. doi: 10.1261/rna.040865.113 24106328
13. Wilson JA, Huys A. (2013) miR-122 promotion of the hepatitis C virus life cycle: sound in the silence. Wiley Interdiscip Rev RNA 4: 665–676. doi: 10.1002/wrna.1186 23881584
14. Li Y, Masaki T, Yamane D, McGivern DR, Lemon SM. (2013) Competing and noncompeting activities of miR-122 and the 5' exonuclease Xrn1 in regulation of hepatitis C virus replication. Proc Natl Acad Sci U S A 110: 1881–1886. doi: 10.1073/pnas.1213515110 23248316
15. Thibault PA, Huys A, Dhillon P, Wilson JA. (2013) MicroRNA-122-dependent and -independent replication of Hepatitis C Virus in Hep3B human hepatoma cells. Virology 436: 179–190. doi: 10.1016/j.virol.2012.11.007 23245472
16. Mortimer SA, Doudna JA. (2013) Unconventional miR-122 binding stabilizes the HCV genome by forming a trimolecular RNA structure. Nucleic Acids Res 41: 4230–4240. doi: 10.1093/nar/gkt075 23416544
17. Conrad KD, Giering F, Erfurth C, Neumann A, Fehr C, et al. (2013) MicroRNA-122 dependent binding of Ago2 protein to hepatitis C virus RNA is associated with enhanced RNA stability and translation stimulation. PLoS One. 8(2):e56272. doi: 10.1371/journal.pone.0056272 23405269
18. Li Y, Masaki T, Lemon SM. (2013) miR-122 and the Hepatitis C RNA genome: more than just stability. RNA Biol 10: 919–923. doi: 10.4161/rna.25137 23770926
19. Janssen HL, Reesink HW, Lawitz EJ, Zeuzem S, Rodriguez-Torres M, et al. (2013) Treatment of HCV infection by targeting microRNA. N Engl J Med 368: 1685–1694. doi: 10.1056/NEJMoa1209026 23534542
20. Schoenberg DR, Maquat LE. (2012) Regulation of cytoplasmic mRNA decay. Nat Rev Genet 13: 246–259 doi: 10.1038/nrg3160 22392217
21. García-Martínez J, Aranda A, Pérez-Ortín JE. (2004) Genomic run-on evaluates transcription rates for all yeast genes and identifies gene regulatory mechanisms. Mol Cell 15: 303–313. 15260981
22. Cheadle C, Fan J, Cho-Chung YS, Werner T, Ray J, et al. (2005) Stability regulation of mRNA and the control of gene expression. Ann N Y Acad Sci 1058: 196–204. 16394137
23. Elkon R, Zlotorynski E, Zeller KI, Agami R. (2010) Major role for mRNA stability in shaping the kinetics of gene induction. BMC Genomics 11: 259. doi: 10.1186/1471-2164-11-259 20409322
24. Shalem O, Groisman B, Choder M, Dahan O, Pilpel Y. (2011) Transcriptome kinetics is governed by a genome-wide coupling of mRNA production and degradation: a role for RNA Pol II. PLoS Genet. 7(9):e1002273. doi: 10.1371/journal.pgen.1002273 21931566
25. Schwanhäusser B, Busse D, Li N, Dittmar G, Schuchhardt J, et al. (2011) Global quantification of mammalian gene expression control. Nature 473: 337–342. doi: 10.1038/nature10098 21593866
26. Cacace F, Paci P, Cusimano V, Germani A, Farina L. (2012) Stochastic modeling of expression kinetics identifies messenger half-lives and reveals sequential waves of co-ordinated transcription and decay. PLoS Comput Biol 8: e1002772. doi: 10.1371/journal.pcbi.1002772 23144606
27. Mühlemann, O, Jensen, TH. (2012) mRNP quality control goes regulatory. Trends Genet I 70–77.
28. Garneau NL, Wilusz J, Wilusz CJ. (2007) The highways and byways of mRNA decay. Nat Rev Mol Cell Biol 8: 113–126. 17245413
29. Jinek M, Coyle SM, Doudna JA. (2011) Coupled 5' nucleotide recognition and processivity in Xrn1-mediated mRNA decay. Mol Cell 41: 600–608. doi: 10.1016/j.molcel.2011.02.004 21362555
30. Chang JH, Xiang S, Xiang K, Manley JL, Tong L. (2011) Structural and biochemical studies of the 5'→3' exoribonuclease Xrn1. Nat Struct Mol Biol 18: 270–276 doi: 10.1038/nsmb.1984 21297639
31. Reis FP, Pobre V, Silva IJ, Malecki M, Arraiano CM. (2013) The RNase II/RNB family of exoribonucleases: putting the 'Dis' in disease. Wiley Interdiscip Rev RNA 4: 607–615. doi: 10.1002/wrna.1180 23776156
32. Moon SL, Wilusz J. (2013) Cytoplasmic viruses: rage against the (cellular RNA decay) machine. PLoS Pathog. 9(12):e1003762. doi: 10.1371/journal.ppat.1003762 24339774
33. Roby JA, Pijlman GP, Wilusz J, Khromykh AA. (2014) Noncoding subgenomic flavivirus RNA: multiple functions in West Nile virus pathogenesis and modulation of host responses. Viruses 6: 404–427. doi: 10.3390/v6020404 24473339
34. Chapman EG, Moon SL, Wilusz J, Kieft JS (2014) RNA structures that resist degradation by Xrn1 produce a pathogenic Dengue virus RNA. Elife 3: e01892. doi: 10.7554/eLife.01892 24692447
35. Chapman EG, Costantino DA, Rabe JL, Moon SL, Wilusz J, et al. (2014) The structural basis of pathogenic subgenomic flavivirus RNA (sfRNA) production. Science 344: 307–310. doi: 10.1126/science.1250897 24744377
36. Pijlman GP, Funk A, Kondratieva N, Leung J, Torres S, et al. (2008) A highly structured, nuclease-resistant, noncoding RNA produced by flaviviruses is required for pathogenicity. Cell Host Microbe 4: 579–591. doi: 10.1016/j.chom.2008.10.007 19064258
37. Silva PA, Pereira CF, Dalebout TJ, Spaan WJ, Bredenbeek PJ. (2010) An RNA pseudoknot is required for production of yellow fever virus subgenomic RNA by the host nuclease XRN1. J Virol 84: 11395–11406. doi: 10.1128/JVI.01047-10 20739539
38. Funk A, Truong K, Nagasaki T, Torres S, Floden N, et al. (2010) RNA structures required for production of subgenomic flavivirus RNA. J. Virol 84: 11407–11417. doi: 10.1128/JVI.01159-10 20719943
39. Schnettler E, Sterken MG, Leung JY, Metz SW, Geertsema C, et al. (2012) Noncoding flavivirus RNA displays RNA interference suppressor activity in insect and Mammalian cells. J Virol 86: 13486–13500. doi: 10.1128/JVI.01104-12 23035235
40. Pijlman GP. (2014) Flavivirus RNAi suppression: decoding non-coding RNA. Curr Opin Virol 7C: 55–60.
41. Moon SL, Anderson JR, Kumagai Y, Wilusz CJ, Akira S, et al. (2012) A noncoding RNA produced by arthropod-borne flaviviruses inhibits the cellular exoribonuclease XRN1 and alters host mRNA stability. RNA 18: 2029–2040. doi: 10.1261/rna.034330.112 23006624
42. Houe H. (2003) Economic impact of BVDV infection in dairies. Biologicals 31: 137–143. 12770546
43. Walters KA, Syder AJ, Lederer SL, Diamond DL, Paeper B, et al. (2009) Genomic analysis reveals a potential role for cell cycle perturbation in HCV-mediated apoptosis of cultured hepatocytes. PLoS Pathog 5(1):e1000269. doi: 10.1371/journal.ppat.1000269 19148281
44. Pestova TV, Shatsky IN, Fletcher SP, Jackson RJ, Hellen CU. (1998) A prokaryotic-like mode of cytoplasmic eukaryotic ribosome binding to the initiation codon during internal translation initiation of hepatitis C and classical swine fever virus RNAs. Genes Dev 12: 67–83. 9420332
45. Sedano CD, Sarnow P. (2014) Hepatitis C virus subverts liver-specific miR-122 to protect the viral genome from exoribonuclease Xrn2. Cell Host Microbe. 16: 257–264. doi: 10.1016/j.chom.2014.07.006 25121753
46. Grassmann CW, Yu H, Isken O, Behrens SE. (2005) Hepatitis C virus and the related bovine viral diarrhea virus considerably differ in the functional organization of the 5' non-translated region: implications for the viral life cycle. Virology 333: 349–366. 15721367
47. Mukherjee D, Gao M, O'Connor JP, Raijmakers R, Pruijn G, et al. (2002) The mammalian exosome mediates the efficient degradation of mRNAs that contain AU-rich elements. EMBO J 21: 165–174. 11782436
48. Orban TI, Izaurralde E. (2005) Decay of mRNAs targeted by RISC requires XRN1, the Ski complex, and the exosome. RNA 11: 459–469. 15703439
49. Blight KJ, Kolykhalov AA, Rice CM. (2000) Efficient initiation of HCV RNA replication in cell culture. Science 290: 1972–1974. 11110665
50. Pérez-Vilaró G, Scheller N, Saludes V, Díez J. (2012) Hepatitis C virus infection alters P-body composition but is independent of P-body granules. J Virol 86: 8740–8749. doi: 10.1128/JVI.07167-11 22674998
51. Pager CT, Schütz S, Abraham TM, Luo G, Sarnow P. (2013) Modulation of hepatitis C virus RNA abundance and virus release by dispersion of processing bodies and enrichment of stress granules. Virology 435: 472–484. doi: 10.1016/j.virol.2012.10.027 23141719
52. Dölken L, Ruzsics Z, Rädle B, Friedel CC, Zimmer R, et al. (2008) High-resolution gene expression profiling for simultaneous kinetic parameter analysis of RNA synthesis and decay. RNA 14: 1959–1972. doi: 10.1261/rna.1136108 18658122
53. Payne, TL, Blackinton, J, Frisbeem, A, Pickeral, J, Sawant, S, et al. (2014) Transcriptional and Post-transcriptional Regulation of Cytokine Gene Expression in HIV-1 Antigen-specific CD8+ T Cells that Mediate Virus Inhibition. J Virol Jun 4. pii: JVI.00802-14.
54. Breuer K, Foroushani AK, Laird MR, Chen C, Sribnaia A, et al. (2013) InnateDB: systems biology of innate immunity and beyond—recent updates and continuing curation. Nucleic Acids Res 41: D1228–1233. doi: 10.1093/nar/gks1147 23180781
55. Sharova LV, Sharov AA, Nedorezov T, Piao Y, Shaik N, et al. (2009) Database for mRNA half-life of 19,977 genes obtained by DNA microarray analysis of pluripotent and differentiating mouse embryonic stem cells. DNA Res 1: 45–58. doi: 10.1093/dnares/dsn030 19001483
56. Lam LT, Pickeral OK, Peng AC, Rosenwald A, Hurt EM, et al. (2001) Genomic-scale measurement of mRNA turnover and the mechanisms of action of the anti-cancer drug flavopiridol. Genome Biology 2: RESEARCH0041.
57. Shimakami T, Yamane D, Jangra RK, Kempf BJ, Spaniel C, et al. (2012) Stabilization of hepatitis C virus RNA by an Ago2-miR-122 complex. Proc Natl Acad Sci U S A 109: 941–946. doi: 10.1073/pnas.1112263109 22215596
58. Bidet K, Dadlani D, Garcia-Blanco MA. (2014) G3BP1, G3BP2 and CAPRIN1 are required for translation of interferon stimulated mRNAs and are targeted by a Dengue virus non-coding RNA. PLoS Pathog 10(7):e1004242. doi: 10.1371/journal.ppat.1004242 24992036
59. Berry KE, Waghray S, Mortimer SA, Bai Y, Doudna JA. (2011) Crystal structure of the HCV IRES central domain reveals strategy for start-codon positioning. Structure 19: 1456–1466. doi: 10.1016/j.str.2011.08.002 22000514
60. Barnhart MD, Moon SL, Emch AW, Wilusz CJ, et al. (2013) Changes in cellular mRNA stability, splicing, and polyadenylation through HuR protein sequestration by a cytoplasmic RNA virus. Cell Rep 5: 909–917. doi: 10.1016/j.celrep.2013.10.012 24210824
61. Braun JE, Truffault V, Boland A, Huntzinger E, Chang CT, et al. (2012) A direct interaction between DCP1 and XRN1 couples mRNA decapping to 5' exonucleolytic degradation. Nat Struct Mol. Biol 19: 1324–1331. doi: 10.1038/nsmb.2413 23142987
62. Ozgur S, Chekulaeva M, Stoecklin G. (2010) Human Pat1b connects deadenylation with mRNA decapping and controls the assembly of processing bodies. Mol Cell Biol 30: 4308–4323. doi: 10.1128/MCB.00429-10 20584987
63. Sun M, Schwalb B, Pirkl N, Maier KC, Schenk A, et al. (2013) Global analysis of eukaryotic mRNA degradation reveals Xrn1-dependent buffering of transcript levels. Mol Cell 52: 52–62. doi: 10.1016/j.molcel.2013.09.010 24119399
64. Medina DA, Jordán-Pla A, Millán-Zambrano G, Chávez S, Choder M, et al. (2014) Cytoplasmic 5'-3' exonuclease Xrn1p is also a genome-wide transcription factor in yeast. Front Genet 5: 1. doi: 10.3389/fgene.2014.00001 24567736
65. Zhang K, Dion N, Fuchs B, Damron T, Gitelis S, et al. (2002) The human homolog of yeast SEP1 is a novel candidate tumor suppressor gene in osteogenic sarcoma. Gene 298: 121–127. 12426100
Štítky
Hygiena a epidemiologie Infekční lékařství LaboratořČlánek vyšel v časopise
PLOS Pathogens
2015 Číslo 3
- Perorální antivirotika jako vysoce efektivní nástroj prevence hospitalizací kvůli COVID-19 − otázky a odpovědi pro praxi
- Stillova choroba: vzácné a závažné systémové onemocnění
- Diagnostický algoritmus při podezření na syndrom periodické horečky
- Jak souvisí postcovidový syndrom s poškozením mozku?
- Diagnostika virových hepatitid v kostce – zorientujte se (nejen) v sérologii
Nejčtenější v tomto čísle
- Bacterial Immune Evasion through Manipulation of Host Inhibitory Immune Signaling
- Antimicrobial-Induced DNA Damage and Genomic Instability in Microbial Pathogens
- Is Antigenic Sin Always “Original?” Re-examining the Evidence Regarding Circulation of a Human H1 Influenza Virus Immediately Prior to the 1918 Spanish Flu
- An 18 kDa Scaffold Protein Is Critical for Biofilm Formation