Summary
- Top of page
- Summary
- Background
- Type I IFN signalling pathways
- Flavivirus triggering of type I IFN
- Modulation of innate immune signalling
- Conclusion
- Acknowledgements
- References
Signalling pathways leading to type I interferon production are the first line of defence employed by the host to combat viruses, and represent a barrier that an invading virus must overcome in order to establish infection. In this review we highlight the ability of two members of the Flaviviridae, a globally distributed family of RNA viruses that represent a significant public health concern, to disrupt and evade these defences. Hepatitis C virus is a hepatotropic virus, infecting greater than 170 million people worldwide, while West Nile virus is a neurotropic virus that causes encephalitis in humans and horses. While these viruses cause distinct disease phenotypes, the ability of pathogenic strains to modulate the innate immune response is a key factor in influencing disease outcome. Both viruses have evolved unique strategies to target various aspects of type I interferon induction and signalling in order to prevent viral clearance and to promote virus replication.
Background
- Top of page
- Summary
- Background
- Type I IFN signalling pathways
- Flavivirus triggering of type I IFN
- Modulation of innate immune signalling
- Conclusion
- Acknowledgements
- References
The Flaviviridae are a diverse, globally distributed family of viruses that cause a wide range of diseases in human and other animals. The Flaviviridae are made up of three major genra: Pestivirus, Hepacivirus and Flavivirus. Pestiviruses are a major problem for the agricultural industry due to infections among cattle and pigs, causing reproductive losses and severe diseases among livestock (Gubler, 2007). On the other hand, Hepaciviruses, such as hepatitis C virus (HCV), and Flaviviruses, such as West Nile virus (WNV), represent significant public health concerns for humans. HCV and WNV are the leading causes of virus-induced liver disease and mosquito-borne encephalitis respectively in the United States (Lauer and Walker, 2001; CDC, 2008).
HCV is a hepatotropic virus, infecting greater than 170 million people worldwide. Within the United States, it is estimated that approximately 2% of adults are infected with HCV, while worldwide infection rates range from less than 1% to as high as 20% (Lauer and Walker, 2001). HCV is a blood-borne pathogen, and risk factors for transmission include blood transfusions from infected donors, reuse of needles and syringes by healthcare workers or by intravenous drug users, tattoos and high-risk sexual behaviour (Lauer and Walker, 2001; Maheshwari et al., 2008). A majority of HCV infections become chronic, which in the worst cases result in cirrhosis of the liver, hepatocellular carcinoma and liver failure requiring transplant (Lauer and Walker, 2001). The incidence of new HCV infections in the US peaked in the 1980s and has since been on the decline (Maheshwari et al., 2008). However, persistent HCV infections from this period are contributing to an increasing incidence of HCV-related liver failure. Sequence analysis divides HCV into six genotypes varying in geographic distribution and response to the standard combined therapy of pegylated interferon (IFN)-α and ribavirin (Simmonds, 2004). Genotype 1 viruses are the most prevalent in North America, as well as the most resistant to treatment with only a 50% sustained virologic response (Feld and Hoofnagle, 2005). Currently, there is no approved vaccine or virus-specific therapy for HCV infection.
WNV, on the other hand, is a mosquito-borne, neurotropic virus that causes encephalitis among humans and horses (Gubler, 2007). WNV was originally isolated in the West Nile region of Uganda in 1937 from the blood of a human showing fever-like symptoms (Smithburn et al., 1940). WNV is endemic within areas of Europe, Asia, the Middle East, Africa and, more recently, North America, and is divided into two distinct lineages based on geographical distribution and severity of disease outcome in humans (Lanciotti et al., 1999; Lanciotti et al., 2002). Lineage I viruses are represented by emergent strains associated with outbreaks of encephalitis and meningitis in Europe, the Middle East and North America (Lanciotti et al., 1999). In contrast, lineage II viruses are less virulent in humans and largely represent non-emergent strains geographically isolated within Southern Africa and the island countries of Madagascar and Cyprus (Smithburn et al., 1940; Gubler, 2007). Lineage I virus infections in humans generally causes a febrile illness characterized by flu-like symptoms, muscle aches, joint pain, fatigue, maculopapular or roseolar rash, and nausea (Hayes et al., 2005; Davis et al., 2006). Occasionally, severe infections occur causing encephalitis, meningitis, meningioencephalitis and mortality (Lanciotti et al., 1999; Hayes et al., 2005). Among clinically diagnosed cases in the US, rates of neuroinvasion are between 30–50%, and of these cases, there is 5–10% mortality rate (CDC, 2008). Although the more severe symptoms are associated with infections in young children, the elderly, transplant patients or immunocompromized individuals, in recent years healthy young adults have been afflicted with neurological disease (Emig and Apple, 2004; Debiasi et al., 2005; Fischer, 2008). This indicates an increase in virulence that can occur independently of immune senescence or immune deficiencies. There is no vaccine or specific treatment options for WNV infection.
Virus and host factors contribute to the major differences found between WNV and HCV infections, including tissue tropism (multiple versus targeted), infection outcome (acute versus persistent) and host range (broad versus limited) respectively. While HCV and WNV cause distinct disease outcomes, there is strong correlation between disease severity and the ability of pathogenic strains to modulate the innate immune response. In this review, we highlight the major pathways involved in triggering innate immune defences during HCV and WNV infection and the countermeasures employed by these viruses to modulate these responses.
Type I IFN signalling pathways
- Top of page
- Summary
- Background
- Type I IFN signalling pathways
- Flavivirus triggering of type I IFN
- Modulation of innate immune signalling
- Conclusion
- Acknowledgements
- References
Type I IFN and the actions of innate immune genes are the first line of defence employed by the host to combat virus infection and are responsible for deterring virus replication and spread. Triggering type I IFN induction during infection begins with host recognition of an invading pathogen through unique biological structures called pathogen-associated molecular patterns (PAMP). In mammals, the major pattern recognition receptor (PRR) pathways include the retinoic acid inducible gene-I (RIG-I)-like receptor (RLR) and toll-like receptor (TLR) signalling pathways. In the case of RNA virus infections, viral nucleic acid structures and motifs, recognized by RLRs or TLRs, are the major stimulators of type I IFN induction.
RIG-I like receptors
The RLRs are cytoplasmic sensors of viral RNA, consisting of three members: RIG-I, melanoma differentiation antigen 5 (MDA5) and laboratory of genetics and physiology-2 (LGP2) (Kang et al., 2002; Yoneyama et al., 2004; 2005; Sumpter et al., 2005; Saito and Gale, 2008). The molecular structures of RIG-I and MDA5 are similar, consisting of two tandem caspase association and recruitment domains (CARD) in the N-terminus and an RNA helicase domain in the C-terminus (Yoneyama et al., 2005). In addition, RIG-I has a repressor domain that interacts with the CARD domains to maintain the receptor in a closed and non-active conformation in the absence of infection (Saito et al., 2006). LGP2 contains an RNA helicase domain but lacks the CARD domains and may function as a regulator of RLR signalling (Saito et al., 2006; Venkataraman et al., 2007). RIG-I and MDA5 recognize unique structures and sequence motifs of viral RNA (Kato et al., 2008; Saito et al., 2008). Single-stranded (ss)RNA containing a 5′-triphosphate, short double-stranded (ds)RNA and uridine- or adenosine-rich viral RNA motifs have been identified as RIG-I ligands (Hornung et al., 2006; Saito et al., 2008; Takahasi et al., 2008). The minimum RNA length for RIG-I recognition is 21 nucleotides, while MDA5 is believed to recognize long dsRNA (> 5 kb) (Marques et al., 2006; Kato et al., 2008). RIG-I and MDA5 become activated after binding RNA ligand and in turn bind to IFN-β promoter stimulator-1 (IPS-1; also known as Cardif, MAVS and VISA) (Kawai et al., 2005; Meylan et al., 2005; Seth et al., 2005; Xu et al., 2005). IPS-1 is a CARD protein and an essential adaptor of RLR signalling, wherein it functions to bind RIG-I or MDA5 through CARD–CARD interaction that promotes the activity of a poorly defined macromolecular complex consisting of signalling components that result in the activation of the transcription factors interferon regulatory factor-3 (IRF-3) and nuclear factor-κB (NF-κB). RLR signalling through IPS-1 leads to assembly of the IFN-β enhanceosome complex within the nucleus, consisting of IRF-3, NF-κB, CBP/p300 and ATF-2/c-Jun, and triggering induction of IFN-β (Johnson and Gale., 2005).
Recent studies have defined novel signalling pathways and a variety of innate immune signalling partners of IPS-1 that contribute to the induction of IFN and innate defences during virus infection. These include, but are not limited to, DDX3, an RNA helicase that links IRF-3 activation to the TBK1 protein kinase (Schroder et al., 2008), TRIM22, a signalling adaptor protein that recruits ubiquitin ligase to modify the activity of the IPS-1 signalling complex (Gack et al., 2007), and the TRAF proteins, which participate in IPS-1-mediated NF-κB activation (Guo and Cheng, 2007). Additionally, the recent discovery and characterization of STING, an endoplasmic reticulum signalling adaptor protein, provides evidence that virus infection triggers signalling cross-talk between endoplasmic reticulum and mitochondrial components of innate antiviral immunity (Ishikawa and Barber, 2008). Thus, the overall antiviral processes that are triggered in the host cell during acute virus infection are complex and highly integrated. While the virus-specific signalling events of this complex pathway integration have not been defined, it is likely that innate defence signalling is tailored to specific viral pathogens in order to elicit a host response geared to suppress the specific virus challenge.
TLR signalling
The TLR family of innate immune signalling proteins consist of more than 10 different members, of which three recognize unique ribonucleic acid structures and motifs (Akira et al., 2006). TLR3, TLR7 and TLR8 are important for host defence against RNA viruses. TLR3 recognizes dsRNA ligands, whereas TLR7 and TLR8 recognize uridine and guanosine-rich ssRNA ligands (Alexopoulou et al., 2001; Diebold et al., 2004; Heil et al., 2004). TLR3 is expressed either on the cell surface or within the endosomal compartment (Matsumoto et al., 2003). Upon binding dsRNA TLR3 recruits the adaptor molecule TIR domain containing adaptor-inducing IFN-β (TRIF) and activates the transcription factors IRF-3 and NF-κB to trigger IFN-β transcription (Akira et al., 2006). TLR7 and TLR8 are expressed within the endosomal compartment (Heil et al., 2004). Upon binding ssRNA ligands, the adaptor molecule myeloid differentiation factor 88 (MyD88) is recruited to the TLR and the transcription factors IRF-7 and NF-κB are activated to trigger pro-inflammatory cytokines and type I IFN induction (Akira et al., 2006).
Type I IFN signalling
Induction of an antiviral state within a cell results from activation of JAK/STAT signalling leading to expression of interferon-stimulated gene (ISG) products (Fig. 1). Secreted type I IFN (IFN-α and IFN-β) bind in an autocrine or paracrine manner to cells through the IFN-alpha receptors 1 and 2 to initiate the JAK/STAT signalling pathway. Once IFN is bound to its cognate receptors, the receptor-associated Janus kinases (Jaks) Jak1 and tyrosine kinase 2 (Tyk2) are activated and phosphorylate key tyrosine residues on the cytoplasmic subunit of the receptor to allow for the recruitment and phosphorylation of the signal transducer and activator of transcription 1 and 2 (STAT1 and STAT2). STAT1 and STAT2 heterodimerize and associate with interferon regulatory factor 9 to form the ISGF3 transcription factor complex. This complex translocates to the nucleus and binds to specific regions of DNA known as interferon-stimulated response elements, and turns on transcription of ISGs. Amplification of the type I IFN response occurs through a positive feedback loop involving IFN-induced expression of IRF-7 followed by IRF-7-dependent transcription of various IFN-α species (Sen, 2001; Horvath, 2004).