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Both Cyclophilin Inhibitors and Direct-Acting Antivirals Prevent PKR Activation in HCV-Infected Cells
Michael Bobardt1, Udayan Chatterji1, Precious Lim1
1Department of Immunology & Microbial Science, The Scripps Research Institute, La Jolla, California 92037, USA.
Abstract:
We and others demonstrated that the contact between NS5A and the host factor CypA is critical for HCV replication. CypI, by disrupting NS5A-CypA complexes, block HCV replication both in vitro and in patients. Since NS5A also binds to PKR, a central component of the IFN response, we investigated the possibility of a relationship between CypA, NS5A and PKR in the IFN response to HCV. HCV-infected cells treated with CypI, DAAs or IFN were analyzed for the expression and activation of various components of the innate response. We found that CypI (cyclosporine A, alisporivir, NIM811 and sanglifehrins), drastically prevented the activation/phosphorylation, but not the expression of IFN-induced PKR in HCV-infected cells. CypI had no effect on the expression or phosphorylation of other components of the innate response such as eiF2, NF-kB, IRF3, IRF9, STAT1 and STAT2, suggesting a specific effect on PKR. No significant activation of IFN-induced PKR was observed in the absence of HCV. Importantly, we found that several classes of DAAs such as NS3/4A protease, NS5B polymerase and NS5A inhibitors also prevented PKR activation. Furthermore, we found that PKR activation by the dsRNA mimic poly I:C cannot be prevented by CypI or DAAs. Our findings suggest that CypI do not have a unique effect on PKR activation, but rather the suppression of HCV replication by any anti-HCV inhibitor, abrogates PKR activation induced by IFN. Moreover, they suggest that the accumulation of dsRNA intermediates allows HCV to exploit the activation of PKR to counteract the IFN response.
Insights
Cyclosporine derivatives (CypI) and direct-acting antivirals (DAAs) inhibit Hepatitis C virus (HCV) replication by preventing the activation of PKR, a key interferon response protein. This suggests HCV exploits PKR to evade the host immune system.
Area of Science:
- Virology
- Immunology
- Hepatitis C Research
Background:
- Hepatitis C virus (HCV) replication relies on interactions between viral protein NS5A and host factor CypA.
- Disruption of NS5A-CypA complexes by CypI inhibits HCV replication.
- NS5A also interacts with PKR, a crucial component of the interferon (IFN) response pathway.
Purpose of the Study:
- To investigate the relationship between CypA, NS5A, and PKR in the context of HCV-induced IFN response.
- To determine the specific effects of CypI and direct-acting antivirals (DAAs) on the innate immune response components, particularly PKR.
Main Methods:
- Analysis of protein expression and activation in HCV-infected cells treated with CypI, DAAs, or IFN.
- Assessment of PKR activation in response to IFN and its modulation by CypI and DAAs.
- Evaluation of the effect of CypI and DAAs on PKR activation induced by a dsRNA mimic (poly I:C).
Main Results:
- CypI significantly prevented the activation/phosphorylation, but not expression, of IFN-induced PKR in HCV-infected cells.
- CypI specifically affected PKR activation without impacting other innate response components like eIF2, NF-κB, IRF3, IRF9, STAT1, and STAT2.
- Several classes of DAAs (NS3/4A protease, NS5B polymerase, NS5A inhibitors) also prevented PKR activation, similar to CypI.
- Neither CypI nor DAAs could prevent PKR activation induced by the dsRNA mimic poly I:C.
- PKR activation was not significantly observed in the absence of HCV infection.
Conclusions:
- The suppression of HCV replication by any anti-HCV inhibitor (CypI or DAAs) abrogates IFN-induced PKR activation, indicating CypI's effect on PKR is not unique.
- HCV appears to exploit PKR activation, potentially through dsRNA intermediates, to counteract the host's IFN response.
- These findings highlight a mechanism by which HCV evades innate immunity and suggest a common pathway affected by various anti-HCV therapeutics.
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