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Starvation after infection restricts enterovirus D68 replication.

Alagie Jassey1, Michael A Wagner1, Ganna Galitska1

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Starvation after infection (SAI) effectively reduces enterovirus D68 (EV-D68) replication by enhancing autophagy and blocking viral membrane production. This broad-spectrum strategy shows promise against picornaviruses lacking vaccines or treatments.

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Area of Science:

  • Virology
  • Cell Biology
  • Autophagy Research

Background:

  • Enterovirus D68 (EV-D68) is a significant respiratory pathogen linked to acute flaccid myelitis in children.
  • Current therapeutic options, including vaccines and antivirals, are unavailable for EV-D68 infections.
  • EV-D68 hijacks the host cell's autophagy pathway, promoting autophagosome formation for replication but inhibiting lysosome fusion.

Purpose of the Study:

  • To investigate the impact of modulating autophagy through starvation on EV-D68 replication.
  • To determine if starvation, applied before or after infection, affects viral propagation.
  • To explore the potential of autophagy modulation as a broad-spectrum antiviral strategy against picornaviruses.

Main Methods:

  • EV-D68 infected cell cultures were subjected to starvation either before infection (SBI) or after infection (SAI).
  • Viral replication, host protein cleavage, autophagic flux, and viral membrane formation were analyzed.
  • Pharmacological inhibitors of autophagic flux were used to assess the role of downstream autophagy steps.

Main Results:

  • Starvation after infection (SAI) significantly attenuated EV-D68 replication across multiple cell lines, unlike SBI.
  • SAI prevented viral-induced cleavage of key autophagy-related proteins and restored autophagic flux during infection.
  • SAI inhibited the formation of virus-induced membranes essential for picornavirus replication and restricted other picornaviruses.

Conclusions:

  • Autophagosome maturation and fusion are critical for picornavirus replication.
  • SAI represents a promising, broad-spectrum antiviral strategy against EV-D68 and related picornaviruses.
  • Targeting host autophagy flux offers a novel therapeutic avenue for enterovirus infections.