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G Model ARTICLE IN PRESS VIRUS963591–14 VirusResearchxxx(2014)xxx–xxx ContentslistsavailableatScienceDirect Virus Research journal homepage: www.elsevier.com/locate/virusres Coronavirus virulence genes with main focus on SARS-CoV envelope 1 gene 2 3 Q1 MartaL.DeDiegoa,1,JoseL.Nieto-Torresa,JoseM.Jimenez-Guarden˜oa, JoseA.Regla-Navaa,CarlosCastan˜o-Rodrigueza,RaulFernandez-Delgadoa, 4 Fern an doUserab,Lu isEnju anesa,∗ 5 6 aDepartmentsofMolecularandCellBiology,NationalCenterofBiotechnology(CNB-CSIC),CampusUniversidadAutonomadeMadrid,Madrid,Spain 7 bDepartments of Biosafety, Nati onal Centero fBiotech nology (C NB-CSIC),Cam pusUniversi dadAuto nomadeMa drid,Madri d, Spain 8 a r t i c l e i n f o a b s t r a c t 927 10 11 Articlehistory: Coronavirus(CoV)infectionisusuallydetectedbycellularsensors,whichtriggertheactivationofthe 12 Availab leonlinexxx innateimmu nesy stem.Nev er theless, CoVshav ee volvedv iralprot einsth attarg etd ifferentsig na ling 13 pathwaystocounteractinnateimmuneresponses.SomeCoVproteinsactasantagonistsofinterferon 14 Keywords: (IFN)byinhibitingIFNproductionorsignaling,aspectsthatarebrieflyaddressedinthisreview.After 15 Coronavirus CoVi nfe ction,pote ntc ytokinesre lev antincon trolling virus inf ections andprimin g adap tiveimm une 16 Virulence resp onsesare alsogen erated.H owever,a n uncontrolled indu ctionofth esep roinflam matoryc ytokines 1178Q3 SMAERRSS--CCooVV can lead t o pa thog enesis and disease se ve rity as describ ed for SA RS -CoV a nd MERS-CoV. Th e cellular pathwaysmediatedbyinterferonregulatoryfactor(IRF)-3and-7,activatingtranscriptionfactor(ATF)- 1290 IInnnflaatme mimamtiounnity 2/jun, acti vator prot ein (AP)-1, nu clear facto r kapp a-light- chai n-e nhancer of activated B c ells (N F-(cid:2)B), 2212 IInnfltearmfemroantory cytokines aafntde rnvuicrlaelainr ffaeccttoiorn osf, awctitivhaNteFd-(cid:2) TB cpelaltsh (wNFa-yAtTh)e, amreo tshtefr meqauinen dtrliyvaecrsti ovfa ttheed .inKfleyamComVaptororyte riensspionnvsoelv teridgginerthede 23 Envelopeprotein regulationofthesepathwaysandtheproinflammatoryimmuneresponsearerevisitedinthismanuscript. 24 Ionchann el Ithasbe en show nthatthe enve lop e(E)proteinplays avariab leroleinC oV morphog en esis ,depending 2256 APDRDZ Sbinding motif oCnoV t shesu C cohVa sg eMnEuRs,S b-C eoinVg) ,abbus tonluotteilny oets hseenr sti(agle innu ss o(cid:4)mCeo cVa ssessu c(hgeans uMs H(cid:3) V C oorVSs A sRuSc-hC aosV T).GAEcVo, man pdre gheennussiv (cid:4)e accumulationofdatahasshownthattherelativelysmallEproteinelicitsastronginfluenceonthe interactionofSARS-CoVwiththehost.Infact,afterinfectionwithvirusesinwhichthisproteinhasbeen deleted,increasedcellularstressandunfoldedproteinresponses,apoptosis,andaugmentedhostimmune responseswereobserved.Incontrast,thepresenceofEproteinactivatedapathogenicinflammatory responsethatmaycausedeathinanimalmodelsandinhumans. ThemodificationordeletionofdifferentmotifswithinEprotein,includingthetransmembranedomain thatharborsanionchannelactivity,smallsequenceswithinthemiddleregionofthecarboxy-terminus ofEprotein,anditsmostcarboxy-terminalend,whichcontainsaPDZdomain-bindingmotif(PBM),is sufficienttoattenuatethevirus.Interestingly,acomprehensivecollectionofSARS-CoVsinwhichthese motifshavebeenmodifiedelicitedfullandlong-termprotectioneveninoldmice,makingthosedele- tionmutantspromisingvaccinecandidates.Thesedataindicatethatdespiteitssmallsize,Eprotein drasticallyinfluencesthereplicationofCoVsandtheirpathogenicity.AlthoughEproteinisnotessential forCoVgenomereplicationorsubgenomicmRNAsynthesis,itaffectsvirusmorphogenesis,budding, assembly,intracellulartrafficking,andvirulence.Infact,Eproteinisresponsibleinasignificantpropor- tionoftheinflammasomeactivationandtheassociatedinflammationelicitedbySARS-CoVinthelung parenchyma.Thisexacerbatedinflammationcausesedemaaccumulationleadingtoacuterespiratory distresssyndrome(ARDS)and,frequently,tothedeathofinfectedanimalmodelsorhumanpatients. ©2014PublishedbyElsevierB.V. ∗ Correspondingauthorat:DepartmentofMolecularandCellBiology,CentroNacionaldeBiotecnología(CNB-CSIC),Darwin3,CampusUniversidadAutónomadeMadrid, Q2 28049Madrid,Spain.Tel.:+34915854555;fax:+34915854506. E-mailaddresses:[email protected],[email protected](L.Enjuanes). 1 Presen taddress: CenterforVaccineBiolo gyandImmunology,Unive rsit yofRochesterMedicalCenter,601ElmwoodAvenue,14642Rochester,NY,USA. http://dx.doi.org/10.1016/j.virusres.2014.07.024 0168-1702/©2014PublishedbyElsevierB.V. Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 2 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx 28 1. Introduction pathogen-associatedmolecularpatterns(PAMPs)inthecellcyto- 91 plasm.Ontheotherhand,tolllikereceptorsdetectPAMPsinthe 92 29Q4 Anoverviewofthesensorsdetectingvirusinfectionispresented cellsurfaceandinendosomalcompartments. 93 30 first,followedbyadescriptionofthemechanismselicitedbyCoV TheRNAhelicases-dependentcytoplasmicIFNinductionpath- 94 31 proteinstocounteractinnateimmuneresponses.SomeCoVpro- waysusetheadaptormoleculemitochondrialantiviralsignaling 95 32 teins act as antagonists of interferon (IFN) production, whereas protein(MAVS)(Fig.1).MAVSpromotestheactivationofacomplex 96 33 othersinhibitIFNsignaling.Asaconsequence,acollectionofpotent comprisingtheproteinsTNFreceptor-associatedfactor3(TRAF-3), 97 34 cytokin esrele van tincontro llin g virusinfectio ns andprim ing adap- TRAF family m ember-as soci ated NF-(cid:2)B activato r (TAN K ), TANK- 98 35 tiveimmu nerespo ns esaregene rated (LeBonan dT ough,20 02). bindi ngkina se1(TBK-1)andIkap paBkin ase(cid:5)(IKK (cid:5)).Activ eTBK1 99 36 V iruspath ogenesisis fre quentlyass oci ated with anexa cerbated andIKK(cid:5) direct ly phosph oryla tethetr anscrip ti onfacto rsIRF- 3and 100 37 inductionofproinflammatorycytokinesthatismainlydrivenbythe IRF-7, promoting homodimerization (Sharma et al., 2003). Then, 101 38 activationofatleastoneofthefollowingfivepathways:IRF-3and- theIRF-3andIRF-7dimersareimportedintothenucleus,leading 102 39 7,ATF-2/ju n, ju n/fos (AP- 1) ,NF -(cid:2)BandNF -AT .Amongthe m,th eNF - toIR F-3a ndIR F-7-d epende nttr anscriptio n.In add ition,MA VStrig- 103 40 (cid:2)B pathway isthem ostfre quentl yac tivated (Hatad aetal .,20 00; ge rsthe NF- (cid:2)Bpathwaythrou ghIKK(cid:3)andI KK (cid:4)activat ion(K awai 104 41 Mo gensenan d Palu dan,2 001).NF-(cid:2) Bisahete rogeneo us coll ection and Akir a,2007 ). 105 42 ofdimers,composedofvariouscombinationsofmembersoftheRel The TLRs-dependent IFN induction pathways use the adaptor 106 43 fam ily,wh ichineuk ar yotesin cludep50(NF -(cid:2) B1),p52( NF -(cid:2)B 2), molecu les TIR-domain-c onta ining ada pter-induc ing IFN- (cid:4) (TRIF) 107 44 Rel(c-Rel),p65(RelA)andRelB.Anexacerbatedimmuneresponse andmyeloid-differentiationprimaryresponse88(MyD88)(Fig.1) 108 45 andaweakIFNresponsehavebeenassociatedwithvirulentCoVs (Kawai and Akira, 2007). TRIF-dependent pathway leads to the 109 46 such a sSAR S-Co VandME RS-Co V(Ba asetal.,20 08;La uetal.,2 013; activati ono fIRF-3 and-7, andNF-(cid:2)B.The activation ofIRF -3 and 110 47 Smitsetal.,2010). IRF-7ismediatedbythephosphorylationofthesefactorsbyTBK- 111 48 Th em ain focusofthisreviewistheanalysisoftheroleofthe 1 and IK K(cid:5), whic h p rom ote their activati on , as d escribed a bove. 112 49 CoVen velope (E)p rot eini nvirus pa thog enesis.E p rote inco nta ins TR IF a lso m ediates NF-(cid:2)B a ctiva tion throug h the activa tion of 113 50 seve ral active mo tifs des pit e its small size, bet w een 76 and 109 IKK(cid:3) and IKK(cid:4).MyD 88-med iatedpath wayactiv ates thetranscr ip- 114 51 aminoa cidsde pendin gonthe Co V.The mod ificationo rde letio nof tionf acto rsNF- (cid:2)B,AP-1andATF- 2/jun,th roughthe act ivationof 115 52 EproteinindifferentCoVshasledtoviruseswithdifferentphe- mitogen-activated protein kinases (MAPKs) (Herlaar and Brown, 116 53 n otypesa nd uniquea lterat ion ofv iru s–hosti ntera ctions,su chas 1999;Whitmarsha ndDavi s,1996) .NF-(cid:2)Bis alsoacti vated inthis 117 54 theinductionofstressandunfoldedproteinresponses,orchanges pathwaythroughIKKs(KawaiandAkira,2007). 118 55 incellularionconcentrationsduetotheionchannelactivityofE IRF-3andIRF-7,withthehelpofothertranscriptionfactorslike 119 56 pr otein.Al lthe seactivitiesha vehi gh imp act onCoVp athogen es is NF-(cid:2)B,a ndA P-1,in itiat eth etra ns criptio nofIFN-(cid:4)an dselec ted 120 57 (DeDieg oet al.,20 11;Nieto -Torr eset al.,201 4). IFN-(cid:3)g enes .IFN- (cid:3)andIF N-(cid:4) proteinsaret he nsecre ted fromthe 121 58 E protein PDZ-binding motif (PBM), which during SARS-CoV cell and can act in either an autocrine or a paracrine fashion to 122 59 infection could potentially target more than 400 cellular PDZ amplifytheIFNresponse(Fig.1). 123 60 motifspresentwithincellularproteins,conferstoEproteinvirus CoVs have devised a number of cell type-specific strategies 124 61 pathogenicity modulating properties. Interestingly, deletion or to inhibit type I IFN production (Table 1; Fig. 1). These viruses 125 62 modification o f E protein PBM and in ternal regions within the en codea2 (cid:3)-O-m e thy lase(non-str uctura lpr otei nns p16)t hatcre- 126 63 carboxy-term inu s of E pro tein most frequen tly resul ts in at ten- atesa5 (cid:3)-c apstructureana logoustothece llularmR NAson the viral 127 64 uatedCoVsthataregoodvaccinecandidates(Jimenez-Guarden˜o mRNAs, thereby escaping detection by MDA5 (Zust et al., 2011). 128 65 etal.,2014;Regla-Navaetal.,2014).Inaddition,theidentification MERS-CoV accessory protein 4a is a dsRNA binding protein that 129 66 of sig naling pathways,s uc has NF-(cid:2)B -m ediateds ign aling,respon- blocks IFN induction by supp res sin g PACT-i nduced activatio n of 130 67 sible for CoV pathogenicity has led to the selection of antivirals RIG-IandMDA5(Niemeyeretal.,2013;Siuetal.,2014).TheORF4b 131 68 thatconsiderablyincreasethesurvivalofinfectedanimalmodels encodedaccessoryproteinsofMERS-CoVandtworelatedbatCoVs 132 69 (DeDiegoetal.,2014). localizetothecellnucleusandinhibittypeIIFNproductionand 133 NF-(cid:2)Bs ign alin gpa thway(M att hewset al.,2 0 14) .Interesting ly,a 134 70 1.1. CoronavirusproteinsinhibitingtypeIinterferonproduction MERS-CoV lacking 4a and 4b proteins grew about 10-fold lower 135 thantheparentalvirusinIFNcompetentinfected-cells(Almazan 136 71 IFNsarepotentcytokinesrelevantinthecontrolofvirusinfec- et al., 2013). However, the specific effect of 4a and 4b proteins 137 72 tionsandintheprimingofadaptiveimmuneresponses(LeBonand IFNantagonisticactivityinvirusgrowthandvirulencestillneeds 138 73 Tough,2002).TreatmentwithtypeIIFNinhibitsCoVgrowthintis- to be determined. SARS-CoV membrane (M) protein impairs the 139 74 suecul turean dinanima lmo dels s uch ascyno molg usmac aq ues for ma tion of TRAF 3/TANK/TB K1/IKK(cid:5) co mpl ex, inhib iting IF N-(cid:4) 140 75 andmice(Barnardetal.,2006;Dahletal.,2004;Fuchizakietal., production (Siu et al., 2009). SARS-CoV structural nucleocapsid 141 76 200 3;Haa gmanset al .,20 04;Ku maki et al., 2011; Mahlakoiv et al., (N) protein bloc ks IFN- (cid:4) prod uction afte r induction with Sendai 142 77 2012;Sainzetal.,2004;Stroheretal.,2004;Zhengetal.,2004). virusandpolyI:C,butnotupstreamofcomponentssuchasRIG- 143 78 To cir cumve nt the inhib ition of vir us replica tion, m an y v iruses, I,MD A5,M AVS,IK K(cid:5), TBK 1orTRIF,i nd icatingthatN prot ein acts 144 79 includingCoVs,encodeviralproteinsinhibitingIFNproductionor afterthesesignalingmediators(Kopecky-Brombergetal.,2007;Lu 145 80 signaling (Table 1). However, most of the studies describing the etal.,2011).SARS-CoVpapain-likeprotease(PLP)domainofnsp3 146 81 IFNantag onistac tiv ityofcoron aviru s-e nco dedprot einshaveb een in hibi ts RIG- I and TLR3 -dependen t IFN-(cid:4) p roduc tion, be ing this 147 82 conductedincellstransientlyexpressingtheviralproteins.There- activityindependentofthedeubiquitinatingandproteaseactivi- 148 83 fore,additionalanalysesinthecontextofthevirusinfectionare ties (Clementz et al., 2010), and most probably mediated by the 149 84 required. interactionofPLPdomainwiththeproteinstimulatorofIFNgenes 150 85 Type I IFN production is controlled by two major path- (STING),whichisaproteinthatstimulatesphosphorylationofIRF3 151 86 ways dependent on RNA helicases or toll-like receptors (TLRs) bythekinaseTBK1(Sunetal.,2012).TheinhibitionofIFNproduc- 152 87 (Arpaia and Barton, 2011; Rathinam and Fitzgerald, 2011; tionhasalsobeendescribedfornsp3PLP2ofHCoV-NL63(Clementz 153 88 Sen, 2001) (Fig. 1). RNA helicases containing the cytoplas- etal.,2010;Sunetal.,2012),MHV(Wangetal.,2011;Zhengetal., 154 89 mic CARD domain, retinoic acid-inducible gene 1 (RIG-I) and 2008),andforthePLPdomainofMERS-CoV,whichblocksIFNpro- 155 90 melanoma differentiation-associated protein 5 (MDA5), sense ductionbyinhibitingIRF3phosphorylationandtranslocationinto 156 Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx 3 Table1 Q7 Coron avirusproteinsaffectinginnateimmuneresponses. Protein CoV Immunefunction References Nsp1 SARS-CoV AntagonizestypeIIFNproductionandsignalingbyinducinghostmRNAs Watheletetal.(2007),Kamitanietal. shutoff,promotingthedegradationofhostmRNAsandpreventing (2009),Huangetal.(2011),Tanaka phosphorylationofSTAT1 etal.(2012) UpregulatesCCL5,CXCL10,andCCL3inhumanlungepithelialcellsviathe Lawetal.(2007) activationof NF-(cid:2)B Nsp3 SARS-CoV PreventsIFNproductionbyblockingIRF3phosphorylation,mostprobably Devarajetal.(2007),Friemanetal. byinteractingwithSTING (2009),Sunetal.(2012),Clementz etal.(2010) MHV AntagonizestypeIIFN Zhengetal.(2008),Wangetal.(2011) MERS-CoV AntagonizestypeIIFN Yangetal.(2014) Nsp7 SARS-CoV AntagonizestypeIIFN Friemanetal.(2009) Nsp15 SARS-CoV AntagonizestypeIIFN Friemanetal.(2009) S SARS-CoV Inducesthee xpre s sion ofIL6,IL8,CXCL10andTNFthroughNF-(cid:2)B Wanget al. (2 007),Doschetal.(2009) activationinmacrophages M SARS-CoV BlocksIFN -(cid:4) productionbyimpairingtheformationof Siuetal.(2009) TRAF3– TANK –TBK1/IKK(cid:5) co mplex N SARS-CoV AntagonizestypeIIFNproductionbyblockingIRF-3phosphorylation Luetal.(2011),Kopecky-Bromberg etal.(2007) ActivatesNF-(cid:2)BandupregulatestheexpressionofIL-6 Lia oe tal.(2005),Zhangetal.(2007) ActivatesAP-1 Heetal.(2003) InducestheexpressionofIL8viaAP-1activation Changetal.(2004) 3a SARS-CoV DownregulatestheexpressionofthetypeIIFNreceptor(IFNAR),leading Minakshietal.(2009) toablockadeontypeIIFNsignaling Inc r easesNF- (cid:2)B andJ N Kac tivityandupregulatesTNF,IL8andCCL5 Obitsuetal.(2009),Kanzawaetal. production (2006) 3b SARS-CoV AntagonizestypeIIFNproductionbyblockingIRF-3phosphorylation. Kopecky-Brombergetal.(2007), InhibitsIFNsignaling Freundtetal.(2009) InducestranscriptionalactivityofAP-1,throughactivationofJNKandERK VarshneyandLal(2011),Varshney pathways,leadingtoCCL2upregulation etal.(2012) 6 SARS-CoV AntagonizestypeIIFNproductionbyblockingIRF-3phosphorylation Kopecky-Brombergetal.(2007), Friemanetal.(2009) InhibitsIFNsignalingbyblockingthenucleartranslocationofthe Friemanetal.(2007) transcriptionfactorSTAT1 7a SARS-CoV ActivatesNF- (cid:2)Band upregulatestheexpressionoftheproinflammatory Kanzawaetal.(2006) mediatorsIL8andCCL5 Nsp3 NL63 AntagonizestypeIIFN Clementzetal.(2010) Nsp1 MHV AntagonizestypeIIFN Zustetal.(2007) N MHV ActsasaninterferonantagonistandpreventsRNAdegradationby Yeetal.(2007) inhibitingRNaseLactivity 2 MHV AntagonizestypeIIFNsignalingandpreventsactivationofthecellular Zhaoetal.(2011,2012) endoribonucleaseRNaseL 5a MHV AntagonizestypeIIFN Koetzneretal.(2010) 4a MERS-CoV BlockinterferoninductionatthelevelofMDA5activationpresumablyby Niemeyeretal.(2013) directinteractionwithdouble-strandedRNA 4b MERS-CoV AntagonizestypeIIFN Matthewsetal.(2014) 7 TGEV Reducestheexpressionofgenesinvolvedintheimmuneresponse,the Cruzetal.(2013) interferonresponse,andinflammation 7a FIPV AntagonizestypeIIFN Dedeurwaerderetal.(2013) 157 thenucleus(Yangetal.,2014).SARS-CoVnsp7andnsp15blockIFN- IRF-9,toformtheIFNstimulatedgenefactor3(ISGF3)complex. 176 158 (cid:4)p roductio nthro ug ha nunid entifiedm echa nism (Friem ane tal., The IS GF 3 het erot rime r transloca tes to the n uc leus and triggers 177 159 2009).SARS-CoVproteinsN,3band6preventIFNproductionby thetranscriptionofIFN-stimulatedgenes(ISGs)thatwilldrivethe 178 160 blockingIRF-3phosphorylation(Devarajetal.,2007;Freundtetal., antiviralresponse. 179 161 2009;Friemanetal.,2009;Kopecky-Brombergetal.,2007). CoronaviruseshavedevelopedstrategiestointerferewithIFN 180 162 TGEV protein 7 inhibits IFN production as it has been shown signaling at different levels. SARS-CoV affects the initial stages 181 163 that a TGEV lacking protein 7 grew with similar titers than the of the cascade by down regulating the expression of IFNAR, and 182 164 wtvirus,butinducedexpressionofgenesinvolvedintheimmune inhibiting the translocation of STAT1 to the nucleus, through 183 165 responseandinterferonresponsetoahigherextentthanthewt proteins 3a and 6, respectively (Frieman et al., 2007; Kopecky- 184 166 virus(Cruzetal.,2013).Inaddition,protein7preventshosttrans- Brombergetal.,2007;Minakshietal.,2009).Inaddition,SARS-CoV 185 167 lationalshutoffandRNAdegradationthroughtheinteractionwith nsp1 affects STAT1 phosphorylation and induces a host trans- 186 168 proteinphosphatase1(PP1)(Fig.1)(Cruzetal.,2011). lational shut off promoting the degradation of cellular mRNAs, 187 furtheraffectingIFNantiviralsignaling(Huangetal.,2011;Jauregui 188 etal.,2013;Kamitanietal.,2009;Tanakaetal.,2012;Watheletetal., 189 169 1.2. CoV proteins inhibiting type I IFN signaling 20 07; Zust etal.,200 7) .SA RS-Co Vprot ein 3b inhib itsIFNsi gn al- 190 ingwithoutinhibitingSTAT1phosphorylation(Kopecky-Bromberg 191 170 Type I IFN signaling starts with its binding to IFNAR receptors eta l.,2007). SARS-CoV nsp1a ntagonizestype IIFNproductionand 192 171 at the cell surface, which leads to the activation of the JAK–STAT sig na lingby inducingh ostm RNAsshut off,p r omo tingthede gra- 193 172 pathway (Samuel, 2001) (Fig. 2). The members of the Janus Kinase dationof cell ularmRN Asan dpreve nting pho sphorylatio nof STAT1 194 173 (JAK) family JAK-1 and protein tyrosine kinase 2 (TYK-2) phospho- (Huang e t al., 20 11; Kam ita ni et al., 20 09; Tanaka et a l., 2012; 195 174 rylate the signal transducer and activators of transcription (STATs) Wathele te tal .,2007 ;Zusteta l.,2 007 ).Inhib itionof do wns tream 196 175 whichbecomeactivated.PhosphorylatedSTAT1andSTAT2recruit Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 4 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx Fig.1. Effectofcoronavirusproteinsoncellularsignalingpathwaysassociatedwiththeinnateimmuneresponse.PAMPssuchasssRNA,dsRNA,orviralproteins,trigger the act ivation o ftranscriptio nfactors lea dingto proinflam matorycy tokineand type IIF Nindu ction.PA MPsactiva tetheP KR,l ead ingto eIF2(cid:3)p hos phor ylationan dhost tran slationinh ib ition,and2(cid:3)–5 (cid:3)OAS,l eadingto R NaseLtriggeringa ndRNAd egra datio n .Th eactivation ofRIG -IandMD A-5 trigg ersthe act ivation ofIRF-3,IRF-7a ndN F-(cid:2)B throughMA VS.Inadd ition ,TLRsacti vatethe M yD88a n dTRIF-dep end entp athways,act ivat ingthetra nsc riptio nfa ctorsIR F-3,IRF- 7,N F-(cid:2)B,and AP -1.Th estep sinh ibited orpromotedbyCoVproteinsareindicatedinredboxes.Besidetheseproteins,otherproteinsthatinhibitorpromotetheIFNsignalingandproductionandinflammatory cytokineexpression,throughanidentifiedmechanism,areindicatedinTable1. 197 effectorsofIFNsignalingpathway(ISGs)hasalsobeendescribed 1.3. Coronavirusproteinsaffectingtheinductionof 211 198 duringcoronavirusinfection.MHVNandns2aswellasSARS-CoV proinflammatorysignals 212 199 N proteins prevent the activation of RNase L, blocking viral RNA 200 degradation(Fig.1)(Yeetal.,2007;Zhaoetal.,2012). Proinflammatory cytokines and chemokines are a part of the 213 201 Other CoV proteins confer IFN-resistance, however, whether necessary initial immune response to pathogens. However, an 214 202 theyinhibitIFNproductionorsignalingisunknown.MHVnsp1is exacerbatedimmuneresponsehasbeenassociatedwiththehigh 215 203 anefficientinterferonantagonistinmice,asreplicationandspread virulenceofSARS-CoV(Baasetal.,2008;Smitsetal.,2010).Expres- 216 204 ofannsp1mutantviruswererestoredalmosttowild-typelevels sionlevelsofproinflammatorycytokines,suchasIL-1,IL-2,IL-6, 217 205 in type I IFN receptor-deficient animals (Zust et al., 2007). MHV andIL-8,andchemokinessuchasCXCL10andCCL2areelevatedin 218 206 pr otein 5 aor itshomologuesfro mrelate dgenu s (cid:4)co ronavi ruses, peri phera lbl oodandlung sof SA RSpatie nts, anda sso ciatedwi th 219 207 conferIFN-resistancetothevirus(Koetzneretal.,2010).FIPV7a diseaseseverity(Cameronetal.,2007;Chienetal.,2006;Jiangetal., 220 208 proteinprotectsthevirusfromtheantiviralstateinducedbyIFN, 2005;Tangetal.,2005;Wongetal.,2004). 221 209 but it needs the presence of ORF3 encoded proteins to exert its Themostimportantsignaltransductionpathwaysactivatedby 222 210 antagonisticfunction(Dedeurwaerderetal.,2013). virusesleadingtotheexpressionofproinflammatorycytokinesare 223 Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx 5 via AP-1 in lung epithelial cells (Chang et al., 2004). The acces- 252 sory protein 3a upregulates mRNA and fibrinogen levels in lung 253 epithelialcells(Tanetal.,2005).Inaddition,3aproteinincreases 254 NF-(cid:2)B an d JNK acti vit ies and up reg ulates th e T NF, IL8 and CCL5 255 productioninmurinemacrophagesandlungcelllines(Kanzawa 256 et al., 2006; Obitsu et al., 2009). Similarly, SARS-CoV 7a protein 257 als oa ctivate sNF-(cid:2)B an du pregula testheex pressionof th eproin- 258 flammatorymediatorsIL8andCCL5inalungcellline(Kanzawa 259 etal.,2006).Theaccessoryprotein3binducestranscriptionalactiv- 260 ityofAP-1,throughactivationofJNKandERKpathways,leadingto 261 CCL2upregulationinahumanhepatomacellline(Varshneyetal., 262 2012;VarshneyandLal,2011).Thepresenceofprotein7inTGEV 263 reducedtheexpressionofproinflammatorygenes,comparedtoa 264 viruslackingthisprotein,indicatingthatTGEVprotein7inhibits 265 proinflammatorycytokineexpression(Cruzetal.,2013). 266 In summary, several structural and non-structural SARS-CoV 267 proteinsaffecttheexpressionofproinflammatorysignals,mostfre- 268 quentlyb ymo dula tingtheNF -(cid:2) Bpathwayand,t oalowe rext ent, 269 byaffectingAP-1signaling. 270 1.4. Virulenceofrecombinantcoronaviruseslackingspecificviral 271 proteins 272 The generation of viral mutants lacking specific proteins or 273 domains, or containing point mutations is an invaluable tool to 274 studythecontributionofaparticularproteintothevirulenceofthe 275 virus.Thesesystemsofferadvantagesincomparisontooverexpres- 276 sionsystemsbecauseinthiscasethestudiesareperformedinthe 277 contextofinfection,inthepresenceoftheotherviralproteins,in 278 ascenarioinwhichtheonlydifferenceisthepresenceofasingle 279 mutatedordeletedviralprotein.Incontrast,theover-expressionof 280 specificproteinsfrequentlyyieldsoverwhelmingamountsofpro- 281 (cid:4)Figp.r o2t. eEinffsecatr eofs eccorreotneadvfirroums ptrhoetecienlsl aonnd tyapmep Il iIfFyNt hseigInFaNlinregs. pTohnes eIFaNc-t(cid:3)iv aatnindg IFtNhe- tein tha t may res ult toxic to t he viru s–host cell inte raction re qu ired 282 IS GF3comp lex formedb ySTA T1, STA T2an dIRF-9, lead ing totheexp ressionof the for a balanced virus replication. 283 interfe ron-stim ulatedg en es(ISG) .Thest eps inhibit edorpr om ote dbyCoVpr ote ins TostudytheroleofSARS-CoVgroupspecificprotein6during 284 areindicatedinredbo xes. viral i nfectio n t wo a pp roaches ha ve bee n used. In one of them, 285 SARS-CoVprotein6hasbeenexpressedinthecontextofanatten- 286 uatedmousehepatitisvirus(MHV).Thisrecombinantvirusgrew 287 224 mediatedbyfactorsIRF-3and-7,ATF-2/jun,AP-1,NF-(cid:2)BandNF- more rapidly andtohig hert itersinc ellc ultureandin them urine 288 225 AT(MogensenandPaludan,2001).Theactivationofthesefactors centralnervoussystemthanthecontrolvirus,leadingtoincreased 289 226 hasbeenbrieflydescribedabove.NF-ATisconstitutivelypresent mortalityinmice(Hussainetal.,2008;Netlandetal.,2008;Pewe 290 227 inthecytoplasminalatentphosphorylatedform.Increasinglevels etal.,2005).Intheotherapproach,aSARS-CoVlackingprotein6 291 228 ofcytoplasmiccalciumactivatethecalmodulin-dependentphos- wasengineered.TheSARS-CoVdeletionmutantgrewwithlower 292 229 phatase calcineurin that activates NF-AT by dephosphorylation titersbutessentiallymaintaineditsvirulenceintransgenicmice 293 230 (Crabtree,1999). expressingthehumanreceptorforSARS-CoVhACE-2,asitkilled 294 231 Activat ionofNF-(cid:2)Bisahallmarkofmostinfectionsincluding 100%ofthe mic ewitha delayof1 da y(Zhaoeta l.,2009). Th es edata 295 232 viral infections, leading to pathological outcomes. In fact, SARS- indicatedthatSARS-CoVprotein6,inthecontextoftheinfectionby 296 233 CoV-infected-aged macaques develop a more severe pathology, thevirusofwhichitisastructuralcomponent(Huangetal.,2007), 297 234 withanincreaseindifferentialexpressionofgenesassociatedwith doesnotseemtohaveahighinfluenceonSARS-CoVvirulence. 298 235 inflam m ation,w ith NF-(cid:2)Basa centralpl ay er,and areductio nin In fect ion of im mun e supp ressed h am sters with recombinant 299 236 theexpression ofty peIIFN -(cid:4) (S mitset al.,201 0). SARS-CoVvi rus esbearin gdisruption sinthege ne7c odingregion 300 237 SeveralCoV-encodedproteinsinterferewiththeproductionof showednosignificantchangesinreplication,tissuetropism,mor- 301 238 inflammatorymediators.SARS-CoVnsp1playsanimportantrole bidity,ormortalitysuggestingthatthe7aand7bproteinsarenot 302 239 inCCL5,CXCL10,andCCL3upregulationinhumanlungepithelial essentialforviruspathogenesis(Schaecheretal.,2008).Deletion 303 240 ce llsvia theactiv atio nofN F-(cid:2)B(Lawet al .,2007) .The nsp3PLP ofeachof gen es3a ,6,7a,and7bf romSARS-C oV did notaf fectvirus 304 241 dom ain disru ptsNF-(cid:2)B sig naling ,mos tp roba blyby inhi biting the gr owth in mice to ah igh ext en t(You ntetal.,2 005 ).A SARS -CoV 305 242 degrada tionofph ospho rylatedI(cid:2)B -(cid:3),w hichdimi nis hestheind uc- lacking the grou ps pe cific genes6 ,7a,7b ,8a ,8b ,and9 bg rewsimi- 306 243 tion of proinflammatory cytokines, leading to virus attenuation larlytotheparentalvirusandinducedaslightlydiminishedweight 307 244 (Friemanetal.,2009).ThestructuralSARS-CoVNproteinactivates lossandadelayinthetimeofdeathintransgenicmiceexpress- 308 245 NF-(cid:2)B-dr ive nt ranscri ptio nandupre gulatesthe e xpressio nofIL-6 ing hACE -2 ,whi ch are highl ys uscept ibl etothedis ease( DeDiego 309 246 byfacilitating thetransloca tion ofNF-(cid:2)Bfro mc ytosolton uc leus eta l.,2008) .Althou gh further analysisus ing oth eranim almodels 310 247 (Liaoetal.,2005;Zhangetal.,2007).Inaddition,theexpressionof shouldbeperformed,thesedatasuggestedthatthecontribution 311 248 Nprotein,butnottheMprotein,activatestheAP-1pathway(He ofproteins6,7a,7b,8a,8band9btothevirulenceofSARS-CoVis 312 249 etal.,2003).Similarly,SARS-CoVSproteininducestheexpressionof limited. 313 250 TN F,I L6,IL8 ,andCXCL 10through N F-(cid:2)Ba ctivation in macrophag es A recombinant MHV with a deletion in nsp1 (a homolog of 314 251 (Doschetal.,2009;Wangetal.,2007),andtheexpressionofIL-8 SARS-CoVnsp1)grewnormallyintissueculture,butwasseverely 315 Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 6 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx 316 attenuatedinvivo.Interestingly,replicationandspreadofthensp1 pergramoftissue,inVeroE6cellsorinlungsofinfectedBALB/c 379 317 deletionmutantviruswasrestoredalmosttowild-typelevelsin mice,respectively,inareproduciblefashion(DeDiegoetal.,2007, 380 318 typeIIFNreceptor-deficientmice,indicatingthatnsp1interferes 2008; Fett et al., 2013). Nevertheless, the presence of E protein 381 319 efficiently with the type I IFN system in vivo (Zust et al., 2007). optimizesSARS-CoVyields.ThecontributionofEproteintoCoV 382 320 Similarly,amutantviruslackingaconserveddomainofMHVnsp1, morphogenesis could be mediated through its interaction with 383 321 showednogrowthdefectsincellculture,butwashighlyattenuated other virus structural proteins within the virus envelope (M, 3a, 384 322 invivo(Leietal.,2013). 3b,6,7b,and9b)(Arndtetal.,2010;Boscarinoetal.,2008;Chen 385 323 Deletion of group specific proteins ns2, HE, 4ab, and 5a from etal.,2009;Neumanetal.,2008;Panetal.,2008;vonBrunnetal., 386 324 MHV led to attenuated viruses in the natural host, the mice (de 2007).Eproteinhasthreepotentialpalmitoylationresiduesinits 387 325 Haanetal.,2002).AMHVmutantmissingproteinns2wasunable carboxy-terminus.Thepalmitoylationofthesesitesisessentialfor 388 326 toreplicateintheliverortoinducehepatitisinwild-typemice,but theformationofvesiclesincludingEproteinthatcontributetoCoV 389 327 was highly pathogenic in RNase L deficient mice, indicating that morphogenesis(Boscarinoetal.,2008;Lopezetal.,2008).Also,the 390 328 proteinns2increasesthepathogenicityofthevirusbyanRNaseL extent of E protein palmitoylation affects its interaction with M 391 329 dependentmechanism(Zhaoetal.,2011,2012). protein(Boscarinoetal.,2008). 392 330 Genus(cid:3) CoVssucha sTGEV m issi nggen e7,orFIPVlackingatthe Thep resenceof Ep rot eininCoVsparticlesisverylowingeneral 393 331 sametimegenes3abcand7abshowedmodificationoftheinflam- (around20moleculespervirion)(Godetetal.,1992),althoughthis 394 332 matory response and virulence. TGEV 7 protein deletion mutant couldvarydependingonthespecies(LiuandInglis,1991).Inter- 395 333 increased proinflammatory responses and acute tissue damage estingly,Eproteinishighlyabundantinthecytoplasmofinfected 396 334 afterinfection,leadingtoamorepathogenicvirus(Cruzetal.,2011, cells,whatmaybeduetoitsroleinvirustransportandmorpho- 397 335 2013).Incontrast,FIPVdeletionmutantwasattenuatedincatsand genesis(Ortegoetal.,2007).Aroleinintracellulartraffickinghas 398 336 induced protection against feline infectious peritonitis (Haijema beendescribedforCoVEprotein.ThehydrophobicdomainofIBV 399 337 etal.,2004).InthiscasetheeffectofFIPVproteins3abcor7bdele- Eproteinseemsimportantfortheforwardtraffickingofcargoto 400 338 tiononitsvirulenceprevailedoverthedeletionofFIPVprotein7a, theplasmamembrane.Infact,Eproteinaltersthehostsecretory 401 339 whichistheproteinequivalenttoTGEVprotein7. pathwaytotheapparentadvantageofthevirus,increasingtheeffi- 402 cacyofinfectiousvirusrelease(RuchandMachamer,2011,2012). 403 ThereforeEproteinseemstoplayaroleinvirusegress. 404 340 2. RequirementofcoronavirusEproteinincoronavirus E protein oligomerizes and forms ion channels that influence 405 341 replicationandmorphogenesis theelectrochemicalbalanceinsomesubcellularcompartmentsof 406 hostcells,asdescribedbelow. 407 342 CoVEproteinismultifunctional,affectingseveralstepsofthe 343 viral cycle. SARS-CoV can infect mouse brain, whereas in the 344 absence of E protein this tissue tropism has not been observed 3. EffectofSARS-CoVEgenedeletiononviralpathogenesis 408 345 (DeDiegoetal.,2008).However,inthiscase,theinvolvementofE 346 proteininentryisnotnecessarilyrequiredtoexplaintheobserved To study the effect of SARS-CoV E protein on viral pathogen- 409 347 differen ce ,asth e rest rictioncoul doperat ea talater ste p.Epro- esis, a SARS -CoV lacki ng the full-le ng th E gen e ( rSAR S-CoV-(cid:2)E) 410 348 teinexpressionisnotinvolvedinCoVgenomereplication,asboth wasengineered.ThedeletedviruswasattenuatedingoldenSyrian 411 349 SARS-CoVwithandwithoutEproteinsynthesizethesameamounts hamsters,andintransgenicmiceexpressingtheSARS-CoVreceptor 412 350 ofgenomicandsubgenomicmRNAs(DeDiegoetal.,2011). hACE-2(DeDiegoetal.,2007,2008).Inaddition,amouseadapted 413 351 Therequ irem entofEpro teinin CoVmorp ho gen esishasbeen SARS-Co Vlacking E gen e(rSA RS-Co V-M A15-(cid:2)E ) wasatt enuated 414 352 underdebate.Infact,Eproteinseemsnecessaryforviruslikepar- inconventionalyoungandagedBALB/cmice(DeDiegoetal.,2014; 415 353 ticleformationusingsomeexperimentalsystems(Hoetal.,2004; Fettetal.,2013),indicatingthattheexpressionofEgeneincreases 416 354 Mort olaandRo y,2004 )but notothers(Hu angetal. ,200 4). Dif ferent viru sp ath ogenici ty.rSARS-C oV- (cid:2)Et itersdecrea se d inviv o,incom- 417 355 CoVshaveshownvariablerequirementsforEproteinduringmor- parisontoparentalvirustiters.However,intrinsicpropertiesofE 418 356 phogenesis,resultinginthreedifferentphenotypes.Oneofthem protein,andnotjustadecreaseinvirustiters,mayincreasetheviral 419 357 isshownby genus(cid:3) cor onavi ruses,like TGEV,anda lsob y genus pathoge nesi s.In fac t, viralmu tan tsla ckingE pro teinion cha nnel 420 358 (cid:4) MERS-C oV , whic h in the absence of E prote in ar e re plic ation- activity and P BM , gro w si milarly to the w t v irus, an d n everthe- 421 359 competent propagation-defective viruses (Almazan et al., 2013; lessareattenuated(seeSections5and6)(Jimenez-Guarden˜oetal., 422 360 Curtis et al., 2002; Ortego et al., 2002, 2007). Both TGEV and 2014;Nieto-Torresetal.,2014). 423 361 MERS- Co Vm issing Eprotei nw ere propa gatedin pack aging cells To identifymech an ism sleadingtorSARS-CoV-(cid:2)Eattenuation, 424 362 byprovidingEproteinintrans,leadingtohighvirustiters.Inthis geneexpressionwascomparedincellsinfectedwiththeattenu- 425 363 cas e,theleve lo frecove re dvirus eswasp ro porti onalt othea mo unt ated (cid:2)Evirusan dinw tvirus-in fec tedc ells.Stres sresp ons egenes 426 364 ofEproteinprovidedbythepackagingcellline(Ortegoetal.,2002). were preferentially upregulated during infection in the absence 427 365 AsecondphenotypeofCoVsmissingEprotein,isrepresentedby ofEgene.Interestingly,expressionofEproteinintransreduced 428 366 ge nus(cid:4)M HV,with ar educt ionofvi ru stitersh ig herthan100 0- th e stress responseinc ellsinfected w it hrSARS -Co V-(cid:2)E orwith 429 367 fold(KuoandMasters,2003).Thethirdphenotypewasobserved respiratorysyncytialvirus,orincellstreatedwithdrugs,suchas 430 368 forg enus (cid:4)SA RS-CoV,i nwhich del etion mutantsmis sing Eprotein tunicamyci n and tha psigar gin , t hat e licit cel l stre ss by d iffere nt 431 369 onlyreducedtheirreplicationbetween20and200-fold,leadingto mechanisms(DeDiegoetal.,2011).Inaddition,SARS-CoVEprotein 432 370 virusesthatreplicatebothincellcultureandinvivo,anddisplayan down-regulatedthesignalingpathwayinositol-requiringenzyme 433 371 attenuatedphenotype(DeDiegoetal.,2007,2008,2014;Enjuanes 1(IRE-1)oftheunfoldedproteinresponse,andlimitedcellapo- 434 372 et al., 2008). The assembled viral particles could be the base for ptosis. The expression of proinflammatory cytokines was lower 435 373 sa fev accine cand idates,once add itionalsa fetygu ard sha veb een inrSAR S-Co V-(cid:2)E-infec ted cellscomparedt orSARS-Co V-in fected 436 374 incorporatedatadistalpositionintheCoVgenome. ones,suggestingthattheincreaseinstressresponsesandthereduc- 437 375 WhereasthedeletionofEproteinindifferentCoVsmayaffect tionofinflammationintheabsenceoftheEgenecontributedto 438 376 virusproduc tion todiffer en t extents, it isclearth atfor CoVs such the att enuation of rS AR S-C oV-(cid:2)E ( De Dieg o et al ., 2011). The se 439 377 as SARS-CoV, E protein is not essential, since SARS-CoV missing results were confirmed in mice. A reduced expression of proin- 440 378 E p rotein can p roduce v ir us ti ters close to 1× 106pfu p er ml or flamma tory c ytokines, d ec reased n umber o f neutrophi ls i n lung 441 Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx 7 442 infiltrates,anddiminishedlungpathologywereobservedinSARS- 5. SARS-CoVEproteinPDZbindingdomainandSARS-CoV 503 443 CoV-MA15 -(cid:2)E -infectedm ice,c omparedt othe wtvirus- in fected vi rulence 504 444 ones (DeDiego et al., 2014), indicating that lung inflammation 445 contributes to SARS-CoV virulence. Furthermore, infection with A functional PDZ-binding motif (PBM) has been identified 505 446 rSARS-CoV- (cid:2)E resultedin adecrease dactivationo fthetrans crip- at th e carboxy- terminus end of E protein usi ng in vitro and 506 447 tionfactorNF- (cid:2)B. Impo rta n tly,treatm entwithN F- (cid:2)B inhibitors, in vivo approaches(Fig.4 )(Jim en ez -Guarden ˜oeta l.,2 014; Teoh 507 448 ledtoareductionininflammationinbothSARS-CoV-infectedcul- et al., 2010). PDZ motifs are abundant modules involved in pro- 508 449 turedcellsandmice,andsignificantlydiminishedlungpathology. tein–proteininteraction,whichconsistof80–90aminoacidsthat 509 450 These changes increased mice survival after SARS-CoV infection recognizeaspecificpeptidesequence(PBM)foundintheextreme 510 451 (DeDie goetal. ,2014).Th eseda taindica tedth atNF-(cid:2)Ba ctivation C-termini o ftargetp roteins (Hungand Sheng ,2002 ).I nth ehuman 511 452 isamajorcontributortotheinflammationinducedafterSARS-CoV genome,morethan900PDZdomainsarefoundinover400pro- 512 453 in fe ction, andthatdru gs inh ibitingNF-(cid:2)Ba ctivation are promising teins(Sp aller,2 006) .Itha sbe endescrib edt hatpr ote insco ntai ning 513 454 antivirals to treat SARS-CoVinduced disease, and most probably PDZ domains can be involved in cellular processes of relevance 514 455 theinflammationcausedbyotherpathogeniccoronaviruses,such for viruses, such as cell–cell junctions, cellular polarity and sig- 515 456 asMERS-CoV. nal transduction pathways (Javier and Rice, 2011). According to 516 457 Interestingly,hamstersimmunizedwiththeattenuatedrSARS- thisdata,severalviruses,suchasinfluenzaAvirus(Jacksonetal., 517 458 CoV-(cid:2)E develop ed high s erum-neutr alizin g an tibody tite rs, and 200 8),tic k-borne encepha litisv iru s(TBEV)( M elike tal.,2012 ),a nd 518 459 wereprotectedafterthechallengewithhomologous(Urbani)and humanpapillomavirus(HPV)(Kiyonoetal.,1997)encodeproteins 519 460 heterologous(GD03)SARS-CoVstrains(Lamirandeetal.,2008).In withPBMsthattargetcellularPDZmotifscarryingproteinsduring 520 461 addition, SARS-CoV missing E protein partially protected trans- infection.Throughtheseinteractions,cellularpathwaysinfluence 521 462 genic mice against challenge with virulent SARS-CoVs (Netland viralreplication,disseminationinthehost,andpathogenesis(Javier 522 463 et al. , 2010 ). More over, rSAR S-CoV -MA15-(cid:2) E totally protected andR ice,2011). 523 464 young and old (up to 2 years) BALB/c mice against the viru- ToidentifySARS-CoVEproteincellulartargetscontainingPDZ 524 465 lent mouse adapted virus (Fett et al., 2013), by inducing high domains, yeast two-hybrid based studies were undertaken. The 525 466 humoralandcellularimmuneresponses.Thesedataindicatedthat protein associated with Lin Seven 1 (PALS1), a tight junction- 526 467 theviruseslackingEgenearepromisingliveattenuatedvaccine associatedprotein,wasthefirstPDZproteinidentifiedasatarget 527 468 candidates. of E protein PBM, and this interaction was confirmed using co- 528 immunoprecipitation studies in mammalian cells (Teoh et al., 529 2010).PALS1isakeycomponentofthecomplexthatcontrolspolar- 530 ityestablishmentandtightjunctionformationinepithelia.Studies 531 using Vero E6 cells infected with SARS-CoV showed that E pro- 532 446790 4m. oSdAifiRcSa-tCiooVn Ea npdr ovtieriuns aamtteinnou aatnido ncarboxy-terminus ttheien e rc etloopciacl iezxepd r PesAsLi So1n toof tEh pe r EoRteGinI C i na nMdD GCoKlg ei prietghieolnia. lI nce allds d l ietdio tno, 553334 delayedtightjunctionandpolarityestablishment.Theresultssug- 535 444444444444444444444444444445557777777778888888888999999999900012345678901234567890123456789012 ivaCtctm(tt2iotT2StwcrtpsplefdIennnuReerhhohemaetAxi f00orroivraeic gtols ieacerloopb11mVRnlucseletastubdmTleut g-imsura 40heyeS r -s nllllolo leasplsaeteMitndtl,e))-eaomlcfl i enx sitse e,.esCsrnadss - tno cei,os ay m oAdsItwdir Ndumaotgekatn(ninsnifmo-awht o1 ormnetVlt i- datitetaeuglceinSahleinc5 nertrg nvmh-arruini astinAod eia nvra,M-lmteelanpiEoibe ntfyum tin (cid:2)ooRcaat, heeao ft evus g,efAhpianntcamvySee cdgii osen-iaEto dccngsr igc 1s-ndtttse ariu ir.raoviciae CSr eohnsce m5e u idnuiywneoiailtdATn,rlvomnn fl n r st ese udmdlcniliawh sisVoRcu i t.aenenssirod,ttpuu mlttiryne s Sm-.suv ihihaflif rnleiacbwnnt e2Mtc e r-uniels iedaoghttlrbSsh Cmsac c0f aalongiri meietkAt oosAuteo(ltaco1tim owh igd liaF hibrut,as1tltnRVeos4mnn od elei t ueidiurSietm5e gtSnst)ig n e fsionb teoAartao.l nni-Eo.-snE s ti m uemu oandmoEntC oRio t f gT3 iptditnlnixa h*fe pfi,pono eSlhanhihv) aaE) tyg gulevmrt Vcr e-sni iee aeotg dwocn os(or Citt axhE, -ptdrsiesRrco urheni t,tnenoM Sa eociuoa eor aepelensaeturttVAce oo enf lsrpihi,itgrnom tAo mie nr nntb rth lRdioarmnhpw l deiuger cn1l ae,o oieiS tfb iwaebssliy dnnna5d-ieidlecxo me-nntumtetcsaaN noigue iCcihuhyhrah,s,enrintlcm tsmli vsantor-aa c eoa alciwgaebo st ativiuidntltVddl(gietmhnrdn nea fyl i nnaRailoec ue uv,o iriedn n a fhv m coinrdernamneiwmdcnltnsre iegeaereie-gyhedsecre eend uitiflu apt aini ul ltntdineis lteednc(aaessntceiaahapecahli Zo finrorc,e-litaeasnmdt te eaclbscm ohN iranslt i.tltna(, otdatno,taiyoe eph ,eas Rwmhs ncar crrin tteac nn2 sohetnaibeevbeeih hhtodsisdreatn0u t tigughtae. oe uehaooh lme ivt ahv1gaIi l sssoecx opdscfnawxoaeetnevit 4u ,,o nytpht rr ptte-prtt nwidmoa )tbeiuyv lhn- erN alede.ctrher a terdtiu s elrleuhh eouenot nPva eelaI cttbem rsde .nsmi sfemtievreecnyt,uiamcsea t nsaeprnm tlrdarlt2uEtutthsssiySbesnlpueoloitg tuo i ei 0ettm nA ireoewwhatncsanakpp ainntott1esrgon onsRrteatig insrraf afuii s 4ohneeelnnuttnoooese S ooonttylshhn)dddTeeea.ssss------rtfff.,,,, ottrrtsleFIwmavwsgI2dtoPtram2Ctunneheihhoeeiiu ttieBft20eofiooreit ii ntfiodshmlaiesrsa19tMVnnseueeseennprSWtt gttuhecls 4Ecne rrd si oeh A.osPr r oic fi,kieepte ,) ud nilion ee.tnt niBRei2gf. ugesbdihpanhi oa rgfnH fT steptMtS0Icnesur uitmet ente ihhne ahnt-utir0hChdnaEiiiccm rnh iCasao onteellotc0oloetcet gstseeaagvetironipsiflireaihr )f Vnl n ooii rdbpl eeeah yV,ep,rlnangciip( m g-flnlnx t hoowaas,,iMamua gtd N er rjm a.Cart tvoopttapri eaoeloiesadeeeLmcchhAmaneIbo scarctasttafsinsic,6eert eoueVkoc et ePutntt t me a tt lrs3edhif ehdlooiridxKwel phevbnpaotgnngEt,mP ewo myyaa olr)arecspadetgegr i ucB,eg-dto,Hl rpttt t tiaincyur riyotnphMhtseoynoheewtirceriyeeC eryn tredfieg nraidf oae ovia riyrgto , assisgwcntscnP n c (e tmebhanst h hsVhaiaT.o epyciagAsgetn mutset inTslcooyiem -tiili3l osl efiLtd n snlSoiolttOooywoogtgrmy y8cnr S eiiSAsobnukae ,fahehuvvoCne u 1b r, nArkliticu Rs nbaetM nsma4tlvnnne syfhoe .oib Rone.tSdieu cdun3id a daetfoeitmyAprwnST-Atse lo c hEen sue uiaiCli hi-ahd iP(n nEhnn,yanss b atrcrnlC lJsoruteKe . oens fei gp et i(pp ,eh,woiVamvaolo rnmt SKns,v nddr2edrew eaaVestir fpASaoiecurod itwte0 c m nafti,nAntuoedeletiwRporH ntmhniu1n thdmefiheenf rntseRar3Smh oec0eC ii aim(elieaicvutstt-nSvao8eoz ueJn)cctoEhish ,reeCiea-.tid-u. cstvhiit m V rf etccC elncmGoiptt tsm astru oveoTheo he b-to Vrtrso,mepunmnips nHhiadeu iaoeaiyieVrnimt rgaetsgumnr ne nuo llot pxeK oa esrgspd.anoeaa as,fis lgdaadnib UzE eecMsehe icti2tnnillepectin-fieandyhamtnr ecca1ea0sigtenGile nEbc esdcu tt˜pefti oantP 0a r efv-edi kcRaunloer lErybanoBsooo ay3aodric i nlos aSt lrafndlh otfMcf a;rosen s spad ttro-a eyw tt twugun UotelhrtdmCbtlrelifirph ybh so w avnrmi ooeieaonditean etoeyitseoinmaeghtnsnwnVh˜rd hnel tar a eidtnia. a iecroamgair,e, ifseeepnPnpie vvsuapcnefe pn l rHdxx2oEBdo e rtSoiitlm e pwgCmim irrppeoa e0c rfC M AeddwPt luupp ottrttgtrr1uott ysooeReiBhaiiiessrreehhV aiic 4o onnnV nttnooeeettSMiassleiiisihnn)dooggea.ssssss-------ttf..., 555555555555555555555555555555553333444444444455555555556666666667890123456789012345678901234567 Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 8 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx Fig.3. EngineeredrSARS-CoVs-MA15withpointmutationsanddeletionsinEgene.TheorganizationofEproteinisshown.Eproteinsequenceisdividedintothreedomains: theaminoterminal(N-terminal),thetransmembraneandthecarboxy-terminal(C-terminal).ThefigureillustratesthedeletionsandpointmutationsengineeredwithinE protein.Theasterisk(*)indicatesmutationsintheresiduesS3A,V5L,T9A,T11A.Grayboxatthebottomindicatesmutantvirulence:(+)indicatesavirulentphenotypeand (−)indic ates anatten ua tedpheno type. 568 bydeletingEproteinPBMcouldbethebasisforthedevelopment studies(Parthasarathyetal.,2008;Pervushinetal.,2009;Torres 593 569 ofrecombinantvaccines,asthosedescribedbydeletingthewhole etal.,2006). 594 570 SARS-CoVEproteinorinternaldomainsofthisprotein(Fettetal., The first functional evidence of SARS-CoV E protein acting as 595 571 2013;Lamirandeetal.,2008;Netlandetal.,2010;Regla-Navaetal., aviroporinwasprovidedafteritsexpressioninbacteria,whereE 596 572 2014). proteinoligomerizedandmodifiedmembranepermeability(Liao 597 et al., 2004, 2006). Direct measurement of E protein IC activity 598 573 6. IonchannelactivityofSARS-CoVE,3aand8aproteins was first reported using synthetic peptides representing full-length 599 574 an dvir ulence SARS-CoV E protein or its N-terminal 40 amino acids, including 600 thetransmembranedomain,inartificiallipidmembranes(Wilson 601 575 A wide range of animal viruses encode hydrophobic proteins et al., 2004). This IC activity was confirmed, and mutations that 602 576 thato ligom erize inh ostcell membr aneslea dingtostructu reswith suppressed this function were identified (Torres et al., 2007; 603 577 ion c hannel (IC) ac tivity . Th ese protein s, name d v iroporins, may Verdia-Baguena et al., 2012). In addition, compounds that inhibit 604 578 infl uence vi ral r eplicatio n and assembly , as wel l as virus p arti- the SARS-CoV E protein ion conductivity were described, although 605 579 cle entry and r elease from infe cted cells. Vir opori ns have a high their efficacy in the context of a viral infection was not reported 606 580 imp acton rel evantho stcel lphysiol ogical processes (Nieva e tal., (Pervushin et al., 2009). Initially, it was considered that SARS-CoV 607 558812 2vi0r1a2l)in. fTehcet iroenfosr.e, th ese prot eins are usefu l targets t o coun ter act Eca ptrioontesi no vfoerrm meodn aonv aICle wntit ahn aino nesn,h aanndc efodr s Nelae+ctoivveitry K fo+ri monosn (oWvaillseonnt 660089 583 M ostoftheRNAvirusesencodingtheseproteinsonlyhaveone et al., 2004). However, recent studies showed that the selectivity 610 584 viroporin i nth eirge nome( Castan˜o-R odrig uezetal .,201 4).H ow- of SARS-CoV E protein IC was dependent on the charge of the lipid 611 585 ever,SAR S-C oVen codesth reeproteinswithIC ac tiv ity:E,3 aand membranes in which the pore was reconstituted, which strongly 612 586 8a,w hichindica testhat SARS- CoVisthe RNA vi rusexpre ss ing the suggested that the lipid head-groups are an integral component 613 587 hig hestnu mberofv irop orinsknow n up toda te. of the channel pore (Fig. 5) (Verdia-Baguena et al., 2012, 2013). 614 588 TheI Cactivit yo fEprotein isthem ost ex tensivelycharacterized This novel finding highlights the relevance of the lipid membrane 615 589 among th ethree SA R S-CoVv iro por insus ingstructu ral,functional composition in the SARS-CoV ion channel structure and activity. 616 590 and ph ysio logica l assays. E protein ha s a si ngle transm embrane The influence of SARS-CoV E protein IC activity in cell ion 617 591 dom aintopology andits m onomers olig om erize inapentameric homeostasis is highly dependent on its subcellular localization. 618 592 ioncond uctivepo re,a sd eterminedb ylineardich ro is mandNMR After SARS-CoV infection, E protein mainly accumulates in the 619 Fig.4. RecombinantSARS-CoVswithEproteinPBMtruncatedormutatedbyreversegenetics.SARS-CoVEproteinsequenceanditscorrespondingdomainsareshownatthe top. Be low,sequence scorrespon ding to theen dofE proteinar es hownin bo xesfort hediffere ntvirusm u tants.SA RS-CoV-E -wt ,w ildtypesequen ce.InSAR S-C oV-E-(cid:2) P BM andSARS-CoV-E-mutPBMvirusmutants,EproteinPBMwaseliminatedbytheintroductionofdeletionsorpointmutations,reducingorkeepingthefullproteinlength, respectively.InSARS-CoV-E-potPBM,fouraminoacidsofEproteinwerereplacedbyalanine,togenerateanewpotentialPBM.RedboxeshighlightPBMswithinEprotein. Grayboxont he rightindicatesthevir ulen ceofth emu tan ts :(+)ind icate savirulen tp henotyp ea nd(−)in d icates anatten uated phen otype . Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx 9 vectorialtransportofNa+ ionsdrivenbyepithelialsodiumchan- 665 nels(ENa C)andNa +/ K+ ATPase isesta bli shed(Holl enhorst etal., 666 2011).VirusesdisplayingEproteinionchannelactivitycausedan 667 increased damage within pulmonary epithelia, which correlated 668 with edema accumulation (Fig. 6) (Nieto-Torres et al., 2014). In 669 addition,SARS-CoVEproteindecreasedthelevelsandactivityof 670 ENaCinlungepithelialcells,viatheactivationofdistinctPKCiso- 671 forms,decreasingbothENaCexocytosisandendocytosisrates(Ji 672 etal.,2009).ThesedataindicatedthattheactivationofPKCbySARS- 673 CoVEprotein,whichmayleadtodecreasedlevelsandactivityof 674 ENaCattheapicalsurfaceoflungepithelialcells,andtheICactivity 675 ofEproteincontributetothelungedemaobservedafterSARS-CoV 676 infection. 677 Pulmonary epithelial damage is associated with a deleterious 678 exacerbated inflammatory response triggered in the lungs after 679 SARS-CoV infection. Evaluation of key inflammatory cytokines 680 involvedinepithelialdamageandedemaaccumulationrevealed 681 rFeigp.r 5es. eSnttreudc tiunr bel oufe S, AanRdS -EC poVro Ete pinro mteoinn opmroetreso alirpei dsihco iwonn c ahsa rnende cl.y Plihnodseprhs.o Nlipotide st haraet wthaayt sILo-f1t (cid:4)h,e TmNiFc eanindf eIcL t-e6d awmiothu nthtse w vierures eisn cdriespaslaeydi ning Ethper olutenign aioirn- 668823 lipidheadgroups(blueellipses)alsofacetheionchannellumen. conductivitycomparedtotheinfectionwiththemutantslackingIC 684 activity(Niet o-Torrese ta l.,20 14).IL-1 (cid:4)iso neo fthemo stimpo r- 685 620 endoplasmicreticulum–Golgiintermediatecompartment(ERGIC) tantproinflammatorycytokinesinvolvedinARDSdisease(Meduri 686 621 regionofthe infectedcells,w herevirusmo rphogenesisa ndbud- etal .,1995;Puginet al.,1996). IL-1(cid:4)act iva tiono ccursw henthe 687 622 dingtakeplace(Nieto-Torresetal.,2011).Inartificialmembranes, inflammasome complex is stimulated by viral proteins with ion 688 623 mimickingtheERGICmembranecomposition,whereEproteinis channel activity (Ichinohe et al., 2010; Ito et al., 2012; McAuley 689 624 mainlyinserted,Eproteinshowedaslightselectivityforcations etal.,2013;Triantafilouetal.,2013).Theinflammatoryresponse 690 625 over an ions, wit h no pre ference fo r a sp ecific catio n ( Verdia- eli cite dbyIL -1(cid:4)isaccom pa nied byani ncre aseinTNF,and bothsig- 691 626 Baguenaetal.,2012).IthasbeensuggestedthatEproteincould nalsareamplifiedbytheaccumulationofIL-6,whicharekeyevents 692 627 alsobelocatedatthecellplasmamembrane,whichcouldinflu- duringARDSprogressionafterSARS-CoVinfection(Tisonciketal., 693 628 encecelldepolarization(Liaoetal.,2006;Pervushinetal.,2009). 2012;Wangetal.,2005).Webelievethatthisexacerbateddele- 694 629 EffortsdonebyourgrouptoidentifythepresenceofEproteinin teriousresponseisacausalagentoftheobserveddamageinthe 695 630 thecellsurface,ortodetectICactivityinthecellsurfacebyusing lungparenchymaofanimalsinfectedwiththevirusesdisplaying 696 631 patch-clamptechnologyshowedtheabsenceofthisactivityinthe ionchannelactivity. 697 632 plasmamembrane(Nieto-Torresetal.,2011).Accordingly,anaddi- Insummary,inhibitionofSARS-CoVEproteinICactivity,with- 698 633 tionalstudyindicatedthatEproteindoesnotformionchannelsat out significantly affecting virus growth, led to a virus inducing 699 634 thecellsurface(Jietal.,2009).Therefore,wehaveconcludedthatE an attenuated pathogenesis. Attenuation correlated with a mod- 700 635 proteinionchannelactivityisonlyshownintheintracellularstruc- erateinflammatoryresponseleadingtolessepithelialdamageand 701 636 tures,whereEproteinhasbeenlocated(Nieto-Torresetal.,2011; edemaaccumulation.Thesefindingsmayhaveimplicationsforthe 702 637 RuchandMachamer,2012). otherviroporinsencodedbySARS-CoVand,mostimportantly,for 703 638 Ionicimbalanceswithincellscaninterferewithinnateimmu- theidentificationoftherapiestoprotectagainsthighlypathogenic 704 639 nityandaffectviruspathogenesis.Interestingly,disruptionofion CoVssuchasSARS-CoVandMERS-CoV,orothervirusesencoding 705 640 gradientswithintheendoplasmicreticulumandGolgiapparatus proteins with IC activity. For example, hexamethylene amiloride 706 641 byviralproteinswithICactivitydelayedproteintransportprevent- (HMA),aninhibitoroftheHIV-1Vpuproteinionchannelactivity, 707 642 ingMHCmoleculesfromreachingtheplasmamembrane(Cornell alsoinhibitedSARS-CoV,HCoV-229EandMHVEproteinionchan- 708 643 etal.,2007;deJongetal.,2006).Recently,ithasbeendescribedthat nelconductance(Pervushinetal.,2009;Wilsonetal.,2006)and, 709 644 ionicimbalancescontrolledbyviroporinsaresensedbytheinflam- asaconsequence,suppressedthereplicationofthewtHCoV-229E 710 645 masome, which triggers the activation of key pro-inflammatory andMHV(Wilsonetal.,2006).Therefore,thisionchannelinhibitor 711 646 cytokines sucha sIL-1(cid:4), am ajordeterm in anto fdiseaseprogres- may bean efficien t ant iviralc ompound toco ntr olthere plication 712 647 sion(Ichinoheetal.,2010;Itoetal.,2012;McAuleyetal.,2013; severalmembersoftheCoronaviridaefamily. 713 648 Triantafilouetal.,2013). 8aand3aproteinsareSARS-CoVviroporinsaswell,buttheir 714 649 TheintroductionofpointmutationsthatinhibitedSARS-CoVE ionchannelactivitiesaremuchlessstudiedthanthatofEprotein.A 715 650 proteinICactivityledtoattenuatedviruses,withoutsignificantly 29ntdeletionoccurredinORF8whenthevirusfirstinfectedhuman 716 651 affectingvirusproduction(Nieto-Torresetal.,2014).Furthermore, beings,splittingORF8intoORF8aandORF8b.ORF8aencodesa39- 717 652 viruses in which E protein IC activity was suppressed quickly amino-acid-longpolypeptidewhosefirst35residuesareidentical 718 653 evolvedbyincorporatingmutationsthatrestoredionconductivity totheN-terminalpartoftheORF8primaryproduct(Oostraetal., 719 654 andavirulentphenotype(Nieto-Torresetal.,2014).Afterinfec- 2007).ORF8ashowsICactivitywhenreconstitutedintoartificial 720 655 tionwithvirusesdisplayingEproteinIC,increaseddamagewithin lipidbilayers(Chenetal.,2011),butthisactivityhasnotbeeniden- 721 656 pulmonary epithelia and edema accumulation within lung air- tifiedincells.Arolefor8aproteininvirusreplicationandinvitro 722 657 ways (Fig. 6), the ultimate determinant of ARDS, was observed, apoptosisthroughamitochondrial-dependentpathwayhasbeen 723 658 comparedtomiceinfectedwithviruseslackingEproteinIC(Nieto- suggested(Chenetal.,2007)buttheexperimentswereperformed 724 659 Torres et al., 2014). Enhanced liquid levels within lung airways withaHAtaggedvariantof8aproteinandsomeoftheresultsare 725 660 avoidproperoxygenexchangeleadingtoseverehypoxemiaand atvariancewiththosepreviouslyreported(Oostraetal.,2007).A 726 661 eventually to death (Matthay and Zemans, 2011). Ionic balances variantofSARS-CoVwithadeletionof415ntresultingintheloss 727 662 playacentralroleincontrollingliquidamountspresentwithinair ofORF8,wasisolatedtowardtheendoftheSARSepidemicand,in 728 663 spaces.Lungepitheliacreateanosmoticgradientbetweentheinte- spiteofthisdeletion,someoftheinfectedpatientsdied,suggesting 729 664 rioroftheairwaysandtheinterstitialspaces.Toresolveedema,a thatORF8isnotessentialforviruspathogenicity(Chiuetal.,2005). 730 Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024 G Model ARTICLE IN PRESS VIRUS963591–14 10 M.L.DeDiegoetal./VirusResearchxxx(2014)xxx–xxx Fig.6. EffectofSARS-CoVEproteinionchannelactivityinlungpathology.Thelunghistopathologyinmiceinfectedwithavirusdisplaying(EIC+)orlacking(EIC−)E proteinionchannelactivityat4dayspostinfection(dpi)isshownatthetop.Lungsectionswereanalyzedbyhematoxylinandeosinstainingatanoriginalmagnificationof 20×.Air spa ceswhe reedem aw a sacc umu latedare indica te dwith as teri sks. Immu nofluore scenc estaining of lungsections ,an ddeta ilofbron ch iol arepith eliaat4dpi,at a magn ificationo f40×a nd190 ×,re spectivelyis sho wnatthe botto m.Lunge pitheliawaslabeledu singana nt iNa+ /K+ATPas ean tibody (g reen)andSA RS-CoVi nfe c tion wa s trackedwitha na nti- Npr oteina ntibody(red ).N ucleia re sho wninbl ue.De squamat edep ithelial cellsa nd cell debrisareobse rvedinlu ngairw ays afterEIC+v irusinfec tion (whitearrows). 731 3a protein is a 274 aa SARS-specific structural component bytheself-oligomerizationofsyntheticpeptidescorrespondingto 736 732 of the virus with three transmembrane domains (TMDs) in its eachofthethreeTMDsintoartificiallipidbilayers.OnlyTMD2and 737 733 N-terminus. 3a protein forms a potassium ion channel after TMD3peptidesrestoredICactivity(Chienetal.,2013).However, 738 734 tetramerizationviainter-monomerdisulfidebridges(Cys133)(Lu additionalstudiesarerequiredtocharacterizetheICselectivityof 739 735 etal.,2006).TheICactivityof3aproteinhasbeencharacterized thereconstitutedviroporin.SARS-CoV3aproteininfluencesvirus 740 Pleasecitethisarticleinpressas:DeDiego,M.L.,etal.,CoronavirusvirulencegeneswithmainfocusonSARS-CoVenvelopegene.Virus Res.(2014),http://dx.doi.org/10.1016/j.virusres.2014.07.024

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