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Limited Effects of Type I Interferons on Kyasanur Forest Disease Virus in Cell Culture PDF

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RESEARCHARTICLE Limited Effects of Type I Interferons on Kyasanur Forest Disease Virus in Cell Culture BradleyW.M.Cook1,2,CharleneRanadheera3,AidanM.Nikiforuk1,2,ToddA.Cutts1, DarwynKobasa3,4,DeborahA.Court2,StevenS.Theriault1,2* 1 AppliedBiosafetyResearchProgram,NationalMicrobiologyLaboratoryattheCanadianScienceCentre forHumanandAnimalHealthandNationalMicrobiologyLaboratoryattheJ.C.WiltInfectiousDiseases ResearchCentre,PublicHealthAgencyofCanada,Winnipeg,Manitoba,Canada,2 Departmentof Microbiology,TheUniversityofManitoba,Winnipeg,Manitoba,Canada,3 HighContainmentRespiratory VirusesGroup,SpecialPathogensProgram,NationalMicrobiologyLaboratoryattheCanadianScience CentreforHumanandAnimalHealth,PublicHealthAgencyofCanada,Winnipeg,Manitoba,Canada, 4 DepartmentofMedicalMicrobiology,TheUniversityofManitoba,Winnipeg,Manitoba,Canada *[email protected] Abstract a11111 Background Thetick-borneflavivirus,KyasanurForestdiseasevirus(KFDV)causesseasonalinfections andperiodicoutbreaksinsouth-westIndia.Thecurrentvaccineofferspoorprotectionwith OPENACCESS reportedissuesofcoverageandimmunogenicity.Sincetherearenoapprovedprophylactic therapeuticsforKFDV,typeIIFN-α/βsubtypeswereassessedforantiviralpotencyagainst Citation:CookBWM,RanadheeraC,NikiforukAM, CuttsTA,KobasaD,CourtDA,etal.(2016)Limited KFDVincellculture. EffectsofTypeIInterferonsonKyasanurForest DiseaseVirusinCellCulture.PLoSNeglTropDis10 (8):e0004871.doi:10.1371/journal.pntd.0004871 Methodology/PrincipalFindings Editor:SunitKumarSingh,MolecularBiologyUnit ThecontinuedpassageofKFDV-infectedcellswithre-administeredIFN-α2atreatmentdid (MBU),INDIA noteliminateKFDVandhadlittleeffectoninfectiousparticleproductionwhereastheIFN- Received:March4,2016 sensitive,greenfluorescentprotein-expressingvesicularstomatitisvirus(VSV-GFP)infec- tionwascontrolled.FurtherevaluationoftheotherIFN-α/βsubtypesversusKFDVinfection Accepted:June30,2016 indicatedthatsingletreatmentsofeitherIFN-αWAandIFN-αΚappearedtobemoreeffec- Published:August1,2016 tivethanIFN-α2aatreducingKFDVtitres.Concentration-dependentanalysisoftheseIFN- Copyright:©2016Cooketal.Thisisanopen α/βsubtypesrevealedthatregardlessofsubtype,lowconcentrationsofIFNwereableto accessarticledistributedunderthetermsofthe limitcytopathiceffects(CPE),whilesignificantlyhigherconcentrationswereneededfor CreativeCommonsAttributionLicense,whichpermits unrestricteduse,distribution,andreproductioninany inhibitionofvirionrelease.Furthermore,expressionoftheKFDVNS5incellculturebefore medium,providedtheoriginalauthorandsourceare IFNadditionenabledVSV-GFPtoovercometheeffectsofIFN-α/βsignalling,producinga credited. robustinfection. DataAvailabilityStatement:Allrelevantdataare withinthepaper. Conclusions/Significance Funding:Theauthorsreceivednospecificfunding forthiswork. TreatmentofcellculturewithIFNdoesnotappeartobesuitableforKFDVeradicationand theassayusedforsuchstudiesshouldbecarefullyconsidered.Further,itappearsthatthe CompetingInterests:Theauthorshavedeclared thatnocompetinginterestsexist. NS5proteinissufficienttopermitKFDVtobypasstheantiviralpropertiesofIFN.We PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 1/19 InterferonEffectsonKyasanurForestDiseaseVirus suggestthatotherprophylactictherapeuticsshouldbeevaluatedinplaceofIFNfortreat- mentofindividualswithKFDVdisease. AuthorSummary Since1957KyasanurForestdiseasevirus(KFDV)hascausedseasonalinfectionsandperi- odicoutbreaksinsouth-westIndia.Itisestimatedthatnearly500peopleacquireKFDV annuallyand3–5%ofthoseinfectedsuccumbtothedisease.Thevaccinestrategyiscom- plicatedbythelackofcoverage,complianceandefficacy,highlightedbythefactthatless thanhalfofthetargetpopulationreceivedtherecommendedthreedose-regimen.Besides thepreventionoftickbitesandvaccination,therearenoapprovedantiviralsforKFDV infection.Basedontheseobservations,thecommonly-used-IFN-α2awasassessedand wasnotcapableoflimitingKFDVvirustitres.FurthercharacterizationoftheotherIFN- α/βsubtypesusedatdifferentconcentrationsrevealedthatKFDVreplicationwasinsensi- tivetoallsubtypes,eventhoughsignsofcellulardamagewerereduced.Thus,infectious titre,ratherthanmonolayerstainingorcytopathiceffect(CPE)monitoring,ismorereli- ableforIFNanalyses.ThecapabilityofKFDVtoovercometheantiviralpropertiesofIFN wasattributedtotheNS5protein.Thus,othertreatmentoptionsneedtobeevaluatedfor patientssufferingwithKyasanurForestdisease. Introduction KyasanurForestdiseasevirus(KFDV)isatick-borneflavivirusthatwasidentifiedin1957fol- lowingamonkeyepizooticandacoincidinghumanoutbreakinsouth-westIndia[1].KFDV casespreviouslywerelocalizedwithintheShimogadistrictofKarnataka;howeverKFDVhas beenrecentlydiscoveredintheneighboringstatesofKerala,TamilNadu,GoaandMaharash- tra[2–5]and,possiblyChinain1989[6]increasingthepotentialpublichealthriskassociated withthispathogen.AvaccineforKFDVisavailableforthoselivinginaffectedareasandthose livingwithina5kilometerradiusofapositivecasefromeitherhumans,monkeysortickpools [7],buttherehasbeenissueswithimplementationandefficacy.Themosttroublingaspectof vaccineuseisthatlessthanhalfofthetargetpopulationactuallyreceivethefullthree-dosereg- imenthatisrequiredforprotection[8,9].Withtheannualnumberofcasesrangingfrom400– 500andanassociatedfatalityrateof3–5%[10],thereisaneedforalternativetherapeutic options,besidesthecurrentvaccineandtickbitepreventionmeasures. KFDVisamemberofthetick-borneencephalitisserocomplexwhichincludes:tick-borne encephalitis,theformerRussianspring-summerencephalitis,Omskhemorrhagicfever, Powassan,LangatandLouping-Illviruses[11].AvariantofKFDV,Alkhumrahemorrhagic feverviruslocatedinSaudiArabia[12]andinEgypt[13–15],alsoispartofthiscomplex[16]. Thesingle-strandedpositive-polarityRNAgenomeofKFDVis10,774basesinlengthand encodesasinglepolyprotein:C-prM-E-NS1-NS2A-NS2B-NS3-NS4A-NS4B-NS5[17].KFDV, AlkhumrahemorrhagicfevervirusandOmskhemorrhagicfevervirusareuniquetothiscom- plexastheyprimarilycausehemorrhagicfevermanifestationswithneurologicalinvolvement [18]. Interferon(IFN)wasfirstdescribedforitsabilitytointerferewithvirusinfectionin1957by IsaacsandLindenmann[19,20].Inresponsetoviralinfection,IFNisreleasedfrominfected cellstosurroundinguninfectedcells.Uponbindingtoitsreceptorandsubsequentactivationof PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 2/19 InterferonEffectsonKyasanurForestDiseaseVirus theJak/STATsignalingcascade,thecellular“antiviralstate”isestablished.Theantiviralstate allowsnaïvecellstobecomeresistanttoviralinfectionviaexpressionofIFN-stimulatedgenes (ISG)thathavemanyrolesinprotectingthehostfrominfection[21–23].KFDV,likemany otherflavivirusesincludingdengue,yellowfever,Langat,WestNile,tick-borneencephalitis andJapaneseencephalitisviruses[24–27]employstheNS5proteintopreventantiviralstate establishmentandcompromisedIFNsignalling[28],whereasNS4B-2khasbeenalsoimpli- catedfordengue,WestNileandyellowfeverviruses[26,29,30].Theramificationsofacompro- misedJak/STATpathwaywerehighlightedinmicelackingtheIFN-α/βreceptor.Infectionof thesemicewithWestNile[31],dengue[32]andLangatviruses[33]ledtoincreasedvirusbur- den,earlieronsetofclinicalsignsandhighermortalitywhencomparedtocontrolmock- infectedtypemice. Ofthetype1IFNs(14subtypesofαandoneofβ),onlyIFN-α2aandα2bareFDA- approvedforclinicaltreatmentinhumans[22].Casereportsindicatearelativelynarrowwin- dowforpost-exposuretreatmentagainstotherflavivirusessuchasWestNile,SaintLouis encephalitisandJapaneseencephalitisviruseswitheitherIFN-α2aor2b,especiallyinthe immune-compromisedorduringtheseverestagesofdisease[34–37].Intissueculture,both IFN-α2aandα2barepotentatreducingthereplicationofdenguevirus2[38,39],WestNile [31,40,41],Langat[25]andotherflaviviruses[42].Interestingly,strain-specificresponseswere observedbetweendenguevirus1,3and4,yellowfevervirus(vaccinestrainsFNVand17D) [42]andJapaneseencephalitisvirus(strainsVip,KE-093,KE-094andKE-095)[43].Similarly, theantiviralactivitiesofotherIFN-α/βsubtypesdifferdramaticallyforvesicularstomatitis virus(VSV),humanimmunodeficiencyvirus[44]andhumanrhinoviruses[45].Toour knowledge,withtheexceptionofIFN-α2a,theotherIFN-α/βsubtypeshavenotbeenevaluated againstKFDV. CurrenttreatmentoptionsforKFDVarelimitedtosupportivecare,becausenothera- peuticdrugshavebeenclinicallyapproved.UsingVSVasanIFN-sensitiveviruscontrol forcomparison,theantiviralefficacyoftheIFN-α/βsubtypeswasassessedagainstKFDV infectionincellculture.WeconcludethatIFN-α2awasunabletoeradicateKFDVfromcell culture,butappearedtoofferprotectionformcytopathiceffects(CPE).AlthoughsomeIFN subtypesathigherdosesdidrestrictKFDVreplication,albeitmarginally,furtherscrutiny couldnotdemonstrateastrongdose-dependentresponseintermsofvirionproduction Thus,itisnotappropriatetouseprotectionfromCPEasthesoledeterminantofpotency. Inconclusion,KFDVisnotsensitivetotheantiviraleffectsofIFNanddespitethelackofa concisemechanismforIFNresistance,itisclearthattheNS5proteinisamajor contributor. Methods Cells,VirusesandInterferon Cells. Forallexperiments,humanlungcarcinoma(A549CCL-185)cells(ATCC,Burling- ton,Ontario,Canada)andAfricangreenmonkeykidney(VeroE6CRL-1586)cells(ATCC) werepropagatedinDulbecco’smodifiedeaglemedium(DMEM)(HyClone,Ottawa,Ontario, Canada)growthmediumsupplementedwith10%serum(Gibco,Burlington,Ontario,Canada) and1%antibiotics(Penicillin-Streptomycin)(Gibco).Babyhamsterkidney(BHK-21CCL-10) cells(ATCC)weregrowningrowthmedium,Eagle’sminimumessentialmedium(EMEM) (HyClone)with10%serumand1%antibiotics.Alternatively,duringinfectionstheserumcon- tentineachmediatypewasreducedto2%andtheresultingformulationisreferredtoasvirus maintenancemedium.Allcelllineswereincubatedduringpropagationorinfectionat37°C/ 5%CO ,unlessstatedotherwise. 2 PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 3/19 InterferonEffectsonKyasanurForestDiseaseVirus Viruses. KFDV(P9605strain,GenBankaccessionnumber:HM055369)stockswereprop- agatedinVeroE6cellsinContainmentLevel4(CL-4)laboratoryoftheNationalMicrobiology Laboratory(NML)attheCanadianScienceCentreforHumanandAnimalHealth(CSCHAH) inWinnipeg,Canada.Supernatantswereharvestedat96hourspost-infection(hpi).Stocksof vesicularstomatitisvirusexpressinggreenfluorescentprotein(VSV-GFP)werepropagatedin VeroE6cellsandharvestedat72hpi. Interferon. Humantype1IFN(α-1through14,β-1)andUniversalIFN(recombinant αA/D)wereobtainedfromPBLAssayScience(Burlington,On.,Canada),dilutedto50,000U/ mlandstockswerestoredat-80°C. VirusClearancebyIFN-α2aTreatment A549andBHKcellswereseededin6-wellplatesfor80–90%confluencyattimeofinfection. Thecellswereinfectedwith11TCID units(equivalenttoamultiplicityofinfection(MOI)of 50 0.00001)ofKFDVorVSV-GFPfor1hour,thenvirusmaintenancemediumsupplemented withafinalconcentrationof2,000U/mlofIFN-α2awasaddedandincubatedfor96hours (KFDV)and48hours(VSV-GFP);thiswasdesignatedaspassage0.Controlswellswere treatedsimilarlywithouttheadditionofIFN.Supernatantswereharvestedandstoredat-80°C fortitration.Theinfected-cellswerewashedwithPBS,passagedbyuseoftrypsin(HyClone) andthecellsweresplit(1:3)intotwonew6wellplatewells.Thesepassage1sampleswere treatedagainwith2,000U/mLIFN-α2aorwereleftuntreatedandre-incubatedfor72hours (KFDV)and48hours(VSV-GFP).Theprocedurewasrepeatedfrompassage1topassage2. Picturesfromvirus-infectedcellswerecapturedusinganEVOSmicroscopeforKFDVsamples underCL-4conditionsandwithanAxiovert40CFLmicroscope(CarlZeiss,Toronto,Ontario, Canada)forVSV-GFPsamplesunderCL-2conditions. ScreeningofIFNα/βSubtypesagainstKFDV A549cellswerepreparedin24-wellplateswithDMEMgrowthmediumfor80–90%con- fluencyattimeofinfection.Inthepre-treatmentscenario,thecellsweretreatedwithorwith- out1,000U/mloftheselectedIFN-α/βsubtypeswasaddedandincubated24hoursbefore virusinfection.ThenthecellswereinfectedwithKFDVataMOIof1for1hour,inoculum wasremoved,cellmonolayerswerewashedandvirusmaintenancemediumwasadded.Inthe post-treatmentexperiments,KFDVataMOIof1wasadsorbedfor1hour,inoculumwas removed,monolayerswerewashed,andthenfreshvirusmaintenancemediumsupplemented withorwithout1,000U/mloftheselectedIFNα/βsubtypes.Supernatantsfromthree-inde- pendentbiologicalreplicateswereharvestedandstoredat-80°Cforvirusquantificationafter anincubationperiodof72hours.StatisticalsignificancewasdeterminedusingOne-way ANOVAanalysisfollowedbyTukey’spost-test. Dose-DependentAntiviralActivityofIFN-αWA,andIFN-α2aagainst KFDVandVSV-GFP Inhibitoryconcentrationsandtitrereduction. A549andBHK-21cellcultureswerepre- paredin96-wellplatesfor80–90%confluence.Cellswereinfectedwith50μl/wellof11 TCID unitsofKFDVorVSV-GFP(equivalenttoaMOIof0.0003)inthreeindependent, 50 triplicatereplicates.Afteranadsorptionperiodof1hour,150μloffreshvirusmaintenance mediumwasaddedwithIFN-α2aorαWApreparedfollowingatwo-folddilutionscheme(4, 000.0U/ml—3.9U/ml).Controlsamplesweremock-treatedandinfectedand,mock-treated anduninfected.Whenmock-treatedinfectedcontrolreached90–100%CPEat96hpi(KFDV) or48hpi(VSV-GFP),supernatantsfrom2,000.0,500.0,62.5,7.8U/mLandmock-treated PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 4/19 InterferonEffectsonKyasanurForestDiseaseVirus controlswereharvestedandstoredat-80°Cfortitrationandthemonolayerswerefixedfor IC andIC determination.Cellmonolayersweretreatedwith10%phosphate-bufferedfor- 50 90 malin,washedwithPBSandstainedwith0.5%(wt/vol)crystalviolet(FisherScientific,Ottawa, Ontario,Canada)dissolvedinasolutionof70%methanol/30%PBS.Afterincubationfor30 minutesatroomtemperature,theexcessdyewasremovedwithtapwater.Onceair-dried,crys- talvioletdyewaselutedin100μlof95%ethanolandscannedwithaMultiSkanAccentmicro- platereaderat570nm(ThermoScientific,Mississauga,Ontario,Canada).Theinhibitory concentrationistheamountofIFN(αWAorα2a)neededtoprotect50%(IC )and90% 50 (IC )ofcellsfromvirus-inducedCPE(KFDVandVSV-GFP).Thesevalueswerecomparedto 90 theun-infectedcontrolswhichrepresentedcellswithoutCPE(100%)andtotheinfectedcon- trolsdefinedasfullCPE(0%protection).Valueswerecalculatedwithcurvefittingusing GraphPadsoftware(Prism5).Forthereductionofvirustitres,un-infectedcontrolsrepre- sentedalackofvirusproductionandfullvirusinfectiontitresweredefinedbytheinfected/ mock-treatedcontrols. Virusquantification. BHK-21cellswereseededinto96-wellplatesfor80–90%con- fluency.Virus-containingsupernatants(KFDVorVSV-GFP)wereseriallydiluted10-fold. Fiftyμlfromeachdilutionwasaddedtotriplicatewellsandincubatedfor1hour.Then,150μl ofvirusmaintenancemediumwasaddedandre-incubatedforCPEdevelopmentthatwaseval- uated5dayspost-infectionforKFDVor72hpiforVSV-GFP.The50%tissuecultureinfec- tious(TCID /mL)dosewascalculatedfollowingtheReedandMuenchformula[46]. 50 Cellularcytotoxicity. A549andBHK-21cellscellcultureswerepreparedin96-wellplates for80–90%confluencyandIFN-αWAandα2awereaddedfollowingatwo-folddilution schemefrom16,000.0–3.9U/mL.Forcontrolpurposes,lowtoxicity(mock-treated)andhigh toxicity(10%TritonX-100)(Sigma,Oakville,Ontario,Canada)wereincludedfortheanalysis. Afterincubationfor96hours,monolayerswerepreparedandsubjectedtocrystalvioletstain- ing,asdescribedabove.TheconcentrationofIFNthatcaused50%celldeathwasdefinedas thecytotoxicityconcentration(CC ).ValueswerecalculatedwithcurvefittingusingGraph- 50 Padsoftware(Prism5). IFNα/βSubtypesAntagonismAssays Cloning. KFDVNS5,NS4B-2kandEbolavirusVP24geneswereclonedintothepCAGGS mammalianexpression-vectorunderchickenbeta-actinpromotercontrol,asdescribedprevi- ously[28]. VSV-GFPinfectionassays. VeroE6cellsweretransfectedusingFugene6(Promega, Madison,Wi.,USA)withpCAGGSexpressingKFDVNS5,NS4B-2k,VP24proteinsormock transfectedwithemptypCAGGSvectorfollowingthemanufacturer’srecommendations.Cells werethentreated,post-transfectionwithvirusmaintenancemediumcontaining1,000U/mLof eachIFN-α/βsubtypesorUniversalIFNfor24hours.Thesupernatantswereremovedandcells wereinfectedwithVSV-GFP(MOIof2)in500μlofvirusmaintenancemediumfor1hourat 37°C/5%CO .Virusinoculumwasremovedandmonolayerswerewashedoncewithvirusmain- 2 tenancemediumandfreshmaintenancemediumwasadded.Afteranincubationperiodof24 hours,picturesweretakenwithlightandfluorescentmicroscopywithanAxiovert40CFLmicro- scope(CarlZeiss)andsupernatantswereharvestedandstoredat-80°Cuntilquantification. Results IFN-α2aTreatmentDoesNotClearKFDVInfectionInVitro Usingvirusclearanceassaysthatinvolvedsuccessivepassagingofinfectedcellculturesalong withthere-applicationofantivirals[47,48],weinvestigatedtheefficacyofIFN-α2aagainst PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 5/19 InterferonEffectsonKyasanurForestDiseaseVirus KFDVandforcontrolpurposes,againstVSV-GFP.Toaddressthis,bothA549andBHK-21 cellswereinfectedwitheitherKFDVorVSV-GFPat11TCID units(MOIof0.0001).After 50 infectionthecellsweretreatedwith2,000U/mLofIFN-α2aat1hpi(passage0).Virussuper- natantswereharvestedfortitration,andpassage0infected-cellsweresubculturedintotwo wellsandIFNwaseitheraddedorwithheld(passage1)andthisprocedurewasrepeatedfor passage2. Initiallythepassage0,IFN-treatedcellsshowedareductioninKFDVtitrefromthemock- treatedcontrolsof100.8TCID /mL(p<0.1)and100.4TCID /mL(p<0.1)inbothA549and 50 50 BHK-21cellsrespectively.However,decreasesweremorestrikingfortheIFN-sensitive VSV-GFPasreductionsof105.2TCID /mL(p<0.01)and106.5TCID /mL(p<0.01)were 50 50 observedinA549andBHK-21cellsrespectively(Fig1AandFig2A). WhencomparingtheIFN-treatedcellsfrompassage0topassage1andpassage1topassage 2,onlyVSV-GFPshowedmarkeddifferencesintitres.Therewerenoapparentdecreasesin KFDVtitresproducedfromIFN-treatedA549cells(passage1:decreaseof100.1TCID /mL 50 (notsignificant)frompassage0,andforpassage2:increaseof100.7TCID /mL(p<0.1)from 50 passage1)(Fig1A)andfromIFN-treatedBHK-21cells(passage1:increaseof100.6TCID / 50 mL(notsignificant)frompassage0,andpassage2:decreaseof100.3TCID /mL(notsignifi- 50 cant)frompassage2)(Fig2A).TheresultsfromKFDVcontrastthatofVSV-GFPinwhich sharpdeclinesintitreswereobservedinA549cells(passage1:decreaseof101.6TCID /mL 50 (p<0.1)frompassage0,andareductionof101.7TCID /mL(p<0.01)frompassage1)(Fig 50 1A)andBHK-21cells(passage1:adecreaseof102.9TCID /mL(p<0.01),andpassage2:no 50 virusdetected)cells(Fig2A). Asanticipated,whenIFN-treatedcellsfromeitherpassage0orpassage1weresubcultured andnotfurthertreatedwithIFN,virustitresandCPEforbothKFDVandVSV-GFPwere characteristicofthemock-treatedpassage0controls.DespitetheapparentinabilityofIFNto significantlyimpactKFDVpropagation,theappearanceofCPEwasnotablyreducedcompared tomock-treatedinbothcelltypestested(Fig1BandFig2B).EvenwiththelackofvisibleCPE intheIFN-treatedcells,KFDVcouldnotbeeliminatedfrominfectedcellculturebytreatment withIFN-α2a. PreliminaryScreeningofIFN-α/βSubtypeswithTimeofAdditionagainst KFDV PreviousstudiesevaluatingIFNtreatmentagainstflavivirusesincellculturehaverevealedthat IFNismoreeffectivewhenaddedtocellsbeforevirusinfectionandbecomeslesseffectiveover timeonceinfectionhasbeenestablished[25,31,39,41].Tofurtherexpandourunderstanding oftheefficacyofIFNtreatmentagainstKFDVinfection,weevaluatedtheantiviralactivityof theIFN-α/βsubtypesinbothpre-infectionandpost-infectiontimeframes. A549cellswereinfectedwithKFDV(MOIof1)andtreatedwith1,000U/mLofeachIFN- α/β,whichwasaddedeither24hoursbeforeor1hourafterinfection.WhenCPEreached90– 100%inmock-treatedcontrols,supernatantswereharvestedandtitrated.Regardlessoftimeof addition,bothIFN-αKandIFN-αWAweremoreeffectivethanIFN-α2aatreducingKFDV titres(Fig3).Whencomparedtothemock-treatedcontrols,foldreductionsinpre-infection andpost-infectiontimeframeswere16-fold(IFN-αK),14-fold(IFN-αWA)and3-fold(IFN- α2a)(Fig3,greybars)and,132-fold(IFN-αKp<0.01),37-fold(IFN-αWAp<0.01)and6-fold (IFN-α2ap<0.1)(Fig3,blackbars),respectively. ThesedatasuggestthatIFN-αKandIFN-αWAmayinduceresponsesthataremoreeffec- tivethanthoseproducedbyIFN-α2aforrestrictingKFDVinfectionregardlessofthetimeof treatmentrelativetoinfection. PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 6/19 InterferonEffectsonKyasanurForestDiseaseVirus Fig1.IFN-α2adoesnotclearKFDVinfectioninA549cells.A549cellswereinfectedwitha11TCID units(MOIof0.00001)oftheindicatedvirus,and 50 eithertreatedormock-treatedwith2,000U/mLofIFN-α2a(designatedasP0).MonolayerswerepassagedwhenuntreatedcontrolsreachedCPEof90%, 96and48hpiforKFDVandVSV-GFP,respectivelyand2,000U/mLofIFN-α2awaseitheraddedoromitted(P1)andafter72hpiforKFDVand48hpifor VSV-GFP.Thisprocedurewasrepeatedagainforpassage2(P2).(A)Beforeeachpassage,supernatantswereharvestedfortitrationbyTCID assay 50 determinationonBHK-21cells.Theaveragesandstandarddeviationfromthreebiologicalreplicatesareshowngraphicallyandexpressedinlog scale 10 TCID /mL.Statisticalsignificanceisdenotedas*P<0.1,**P<0.05,***P<0.01.(B)Cellmonolayerswerevisualizedwithlightmicroscopypriorto 50 passaging.Mock,non-IFNtreated/infectedcontrols.UI,Un-infectedcontrols. doi:10.1371/journal.pntd.0004871.g001 PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 7/19 InterferonEffectsonKyasanurForestDiseaseVirus Fig2.IFN-α2adoesnotclearKFDVinfectioninBHK-21cells.BHK-21cellswereinfectedwitha11TCID units(MOIof0.00001)oftheindicatedvirus, 50 andeithertreatedormock-treatedwith2,000U/mLofIFN-α2a(designatedasP0).MonolayerswerepassagedwhenuntreatedcontrolsreachedCPEof 90%,96and48hpiforKFDVandVSV-GFP,respectivelyand2,000U/mLofIFN-α2awaseitheraddedoromitted(P1)andafter72hpiforKFDVand48 hpiforVSV-GFP.Thisprocedurewasrepeatedagainforpassage2(P2).(A)Beforeeachpassage,supernatantswereharvestedfortitrationbyTCID 50 assaydeterminationonBHK-21cells.Theaveragesandstandarddeviationfromthreebiologicalreplicatesareshowngraphicallyandexpressedinlog 10 scaleTCID /mL.Statisticalsignificanceisdenotedas*P<0.1,**P<0.05,***P<0.01.(B)Cellmonolayerswerevisualizedwithlightmicroscopyprior 50 topassagingCellmonolayerswerephotographedpriortopassaging.Mock,non-IFNtreated/infectedcontrols.UI,Un-infectedcontrols. doi:10.1371/journal.pntd.0004871.g002 PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 8/19 InterferonEffectsonKyasanurForestDiseaseVirus Fig3.Screeninginterferon-α/βsubtypesagainstKFDV.CulturesofA549cellswerepre-treated(greybars)24hourspriortoinfectionorpost-treated (blackbars)1hourafterinfectionwith1,000U/mLofIFN-α(B2,C,D,F,G,H2,I,J1,K,WA,2a,2bor4b),IFN-β(beta-1)andarecombinantIFN-α (Universal)subtypesandinfectedwithKFDVataMOIof1.Supernatantswereharvestedforeachtreatmentafter72hoursofincubationandquantified (expressedinlog scaleTCID /mL)onBHK-21(ATCC)whenthemock-treatedcontrolcellsdisplayedCPEnear100%.Pre-infectiontreatment 10 50 experimentswereassayedintwobiologicalreplicatesandpost-infectiontreatmentexperimentswereassayedinthreebiologicalreplicates;theresulting averagesandstandarddeviationsarepresented.Mock,Mock-treatedwithIFN.UI,Un-infectedcontrol.IFN-α2bwasexcludedfrom24-hourpre- infectiontreatment.*Significantcomparedtomock-treatedsamples(P<0.1).***Significantcomparedtomock-treatedsamples(P<0.01). doi:10.1371/journal.pntd.0004871.g003 Dose-DependentAntiviralActivityofIFN-αK,IFN-αWAandIFN-α2a ThetwocandidateIFNsubtypes,IFN-αKandIFN-αWAwereobservedtobemoreeffective thanIFN-α2aatrepressingKFDVreplicationataconcentrationof1,000U/mL.Tofurther explorethisfinding,wesoughttodetermineifthepotencydifferencesofIFN-αWAcompared toIFN-α2acanbemaintainedoverarangeofconcentrations.Thiswastestedbyanalyzingthe abilityofeachIFNsubtypestoprotectA549andBHK-21cellsfromthecytopathologyof KFDV(11TCID unitsequaltoMOIof0.0003)andaIFN-sensitivecontrolvirus(VSV-GFP) 50 (11TCID unitsequaltoMOIof0.0003)followingatwo-folddilutionschemeforeachIFN. 50 ThetraditionalapproachtodefiningIFNpotencywasutilized;theseassaysinvolvetheuseof multiplecelltypesincludingA549cells,treatedwithIFNandchallengedwithastrongcytolytic viruslikeVSV,thenanalyzedempiricallywithmonolayerstaining/spectroscopy[21,49–51]. Asanadditionalmeasure,IFNstrengthwasassessedbyinfectiousvirionproductiondeter- minedbyTCID titrationfromselectIFNconcentrations. 50 Forthecytopathologyassessment,upperandlowerparametersweredefinedaseitherfull CPE(0%cellprotection)frommock-treatedsamplesandabsenceofCPE(100%cell PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 9/19 InterferonEffectsonKyasanurForestDiseaseVirus Table1. Antiviralactivityofinterferon-α/βagainstthecytopathologyofKFDVandVSV-GFP. Interferon(IFN)Species KFDVIC (U/mL) VSV-GFPIC U/mL) KFDVIC (U/mL) VSV-GFPIC (U/mL) CC (U/mL) 50 50 90 90 50 A549a WA 5.2 5.1 406.8 48.5 >16,000.0 2a 7.4 5.6 125.4 50.0 K 18.8 NDc 108.0 NDc BHK-21b WA 23.3 NDc 23,711.0 3,808.0 >16,000.0 2a 6.9 988.1 2,048.0 56.2 aIC ,CC andIC valuesfromthreetechnicalreplicatesofeachofthreebiologicalreplicatesinA549cells. 50 50 90 bIC ,CC andIC valuesfromthreetechnicalreplicatesofeachofonebiologicalreplicatesinBHK-21cells. 50 50 90 cND=notdetermined. doi:10.1371/journal.pntd.0004871.t001 protection)fromun-infectedsamples,therebyallowingIC andIC tobedeterminedfor 50 90 eachIFN.InitiallybothIFNsubtypesappearedequallyaspotent,astheIC valuesforIFN- 50 αWAandIFN-α2awerecomparableagainstKFDV(5.2and7.4U/mL)andVSV-GFP(5.1 and5.6U/mL)inA549cells(Table1).However,thesametrendwasnotobservedinBHK-21 cellswithIC valuesof23.3(IFN-αWA)and6.9U/mL(IFN-α2a)forKFDV.AnIC of988.1 50 50 U/mLwasdeterminedforIFN-α2aagainstVSV-GFPandavaluecouldnotbedetermined (ND)forIFN-αWA.ThismayhavebeenbecausetheamountofIFNrequiredtoreachtheIC 50 wasgreaterthanthehighestconcentrationtestedandthereforecouldnotbedeterminedusing thecurvefittingsoftware(Table1).IC valuesobtainedfromKFDV-infectedA549cellsthat 90 weretreatedwithIFN-αWA(406.8U/mL)andIFN-α2a(125.4U/mL)weresignificantly higherthanVSV-GFP-infectedA549cellsthatweretreatedwithIFN-αWA(48.5U/mL)and IFN-α2a(50.0U/mL)(Table1).AsimilartrendwasobservedforKFDV-infectedBHK-21 cells.The90%protectionfromIFN-αWA(23,711.0U/mL)wasextrapolatedbycurvefitting softwareasitwasmuchgreaterthanthehighestamounttested(16,000.0U/mL).Thispre- dictedvaluewassignificantlyhigherthanthatofIFN-α2a(2,048.0U/mL).Withrespectto VSV-GFP-infectedBHK-21cellsthatweretreatedwithIFN,theIC wasdeterminedtobe3, 90 808.0U/mLforIFN-αWAand56.2U/mLforIFN-α2a(Table1).IFN-inducedcytotoxicity (CC )wasnotdeterminedasaconcentrationof16,000.0U/mL,anamountthatwasthree 50 timeslargerthanthehighestconcentrationusedforexperimentsledtocelldeathinA549 (25%cytotoxicity)andBHK-21(11%cytotoxicity)cells.Forcontrolparameters,un-treated (0%cytotoxicity)and10%TritonX-100-treated(100%cytotoxicity)samplesdefinedthe upperandlowerlimitsofCC (Table1).Whileitwasapparentthathighconcentrationsof 50 bothIFN-αWAandIFN-α2aarerequiredtopreventKFDV-inducedCPE,theexperiments utilizingBHK-21cellshighlighttheproblemsofobtainingqualitativedataforIFN-protection viaCPE,especiallyagainstVSV-GFP. TofurtherdefineIFNpotencywithrespecttothevariationofICvaluesanddose-depen- dence,virustitresfromarangeofIFNconcentrations(2,000.0,500.0,62.5and7.8U/mL) selectedfromthetwo-foldIFNdilutionexperimentsinbothA549andBHK-21cellswerecom- paredtoun-treatedcontrols.ThiswascomparedastitrereductionsforbothKFDVand VSV-GFP(controlvirus).Forthehighest(2,000.0U/mL)andlowest(7.8U/mL)concentra- tionsassessedforKFDV-infectedA549cells,titrereductionsof100.7and100.5TCID /mL 50 (IFN-αWA)and,100.5and100.4TCID /mL(IFN-α2a),respectively,weremeasured.InBHK- 50 21cellsinfectedwithKFDV,titrereductionswerenotobservedfor2,000.0and7.8U/mLof IFN-αWA;however,reductionsof100.9and100.1TCID /mLwereobservedforIFN-α2a.By 50 PLOSNeglectedTropicalDiseases|DOI:10.1371/journal.pntd.0004871 August1,2016 10/19

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Bradley W. M. Cook1,2, Charlene Ranadheera3, Aidan M. Nikiforuk1,2, The tick-borne flavivirus, Kyasanur Forest disease virus (KFDV) causes
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