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Functional role of the 5′ terminal cloverleaf in Coxsackievirus RNA replication

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Functional role of the 5terminal cloverleaf in Coxsackievirus RNA replication Nidhi Sharma a , Sushma A. Ogram a , B. Joan Morasco a , Allyn Spear a , Nora M. Chapman b , James B. Flanegan a, a Department of Biochemistry and Molecular Biology, College of Medicine, University of Florida, Gainesville, FL 32610, USA b Department of Pathology and Microbiology, University of Nebraska Medical Center, 986495 Nebraska Medical Center, Omaha, NE 68198, USA abstract article info Article history: Received 6 April 2009 Accepted 31 July 2009 Available online 3 September 2009 Keywords: Coxsackievirus RNA replication 5cloverleaf Poly(C) binding protein Viral persistence Using cell-free reactions, we investigated the role of the 5cloverleaf (5CL) and associated C-rich sequence in Coxsackievirus B3 RNA replication. We showed that the binding of poly(C) binding protein (PCBP) to the C-rich sequence was the primary determinant of RNA stability. In addition, inhibition of negative-strand synthesis was only observed when PCBP binding to both stem-loop band the C-rich sequence was inhibited. Taken together, these ndings suggest that PCBP binding to the C-rich sequence was sufcient to support RNA stability and negative-strand synthesis. Mutational analysis of the three conserved structural elements in stem-loop dshowed that they were required for efcient negative- and positive-strand synthesis. Finally, we showed an RNA with a 5terminal deletion (Δ49TD RNA), which was previously isolated from persistently infected cells, replicated at low but detectable levels in these reactions. Importantly, the critical replication elements identied in this study are still present in the Δ49TD RNA. © 2009 Elsevier Inc. All rights reserved. Introduction Coxsackie B virus (CVB) is an enterovirus that belongs to the Picornaviridae family of small nonenveloped positive-strand RNA viruses. CVB is the common cause of acute and chronic myocarditis and dilated cardiomyopathy (DCM) (Reyes and Lerner, 1985; Kandolf et al., 1993; Kandolf, 1993; Martino et al., 1994; Muir et al., 1996; Kim et al., 2001). The viral genome (7.5 kb) contains a 5nontranslated region (NTR), a single large open reading frame (ORF) and a 3NTR with an associated poly(A) tail. A small viral protein, VPg, is covalently linked to the 5end of the viral genome (Kim et al., 2005). The 5NTR includes the highly structured internal ribosome entry site (IRES) that directs the cap-independent translation of the viral genome into a single large polyprotein (Racaniello, 2001). The CVB RNA replication cycle initiates with the synthesis of genome length negative-strand RNA, which subsequently serves as the template for the synthesis of positive-strand progeny RNA. Viral replication is highly asymmetric during acute infections which results in the synthesis of a large number of positive-strands from a single negative-strand RNA template (Sean and Semler, 2008). Conserved RNA sequences and structures present at the 5and 3ends of the viral genome have important functions in the replication of enteroviruses. The 5terminal cloverleaf (5CL) structure is a cis- active element that is required for various aspects of viral RNA repli- cation (Sean and Semler, 2008; Hunziker et al., 2007). The 5CL structure is highly conserved in enteroviruses and is organized into stem aand stem-loops b, cand d. Recently, a conserved C-rich sequence adjacent to the 5CL has been identied in the 5NTR of enteroviral RNA (Toyoda et al., 2007; Zell et al., 2008). In CVB RNA, the C-rich sequence consists of two groups of four C residues separated by a U residue. Cellular poly(C) binding protein (PCBP) binds stem-loop band the C-rich sequence in the 5NTR of enteroviral RNA (Andino et al., 1990a, 1993; Murray et al., 2001; Parsley et al., 1997; Toyoda et al., 2007; Zell et al., 2008; Gamarnik and Andino, 1997). Disrupting PCBP binding to either stem-loop bor the C-rich sequence inhibits PV RNA replication which suggests that PCBP functions as a cofactor during viral RNA replication (Spear et al., 2008; Toyoda et al., 2007; Walter et al., 2002). Although PCBP binds stem-loop band the C-rich sequence in CVB RNA, the role of the PCBP-5CL RNP complex in CVB RNA replication has not been investigated. Structural studies on stem- loop dhave identied three conserved structures which include a dinucleotide bulge, triple pyrimidine mismatch and apical tetraloop (Du et al., 2004; Ohlenschlager et al., 2004; Zell et al., 2002). Viral protein 3C pro or 3CD pro is reported to bind to stem-loop din the 5CL to form a ribonucleoprotein complex (RNP) which includes PCBP (Andino et al., 1990a, 1990b, 1993;Ohlenschlager et al., 2004; Zell et al., 2002). Based on studies with poliovirus (PV), RNP complexes formed at the 5CL and the 3poly(A) tail interact to form a circular 5- 3RNP complex that is required for the initiation of negative-strand RNA synthesis (Barton et al., 2001; Herold and Andino, 2001; Lyons et al., 2001; Teterina et al., 2001; Spear et al., 2008). Several experimental murine models indicate that CVB3 persis- tence is an important factor contributing to dilated cardiomyopathy (Klingel et al., 1992, 1996; Andreoletti et al., 1997; Chapman and Kim, 2008). Of the several mechanisms proposed for viral persistence, restriction of viral replication contributes directly to the development of persistent CVB3 infection (Kandolf et al., 1999). It has been reported Virology 393 (2009) 238249 Corresponding author. Fax:+1 352 392 2953. E-mail address: anegan@u.edu (J.B. Flanegan). 0042-6822/$ see front matter © 2009 Elsevier Inc. All rights reserved. doi:10.1016/j.virol.2009.07.039 Contents lists available at ScienceDirect Virology journal homepage: www.elsevier.com/locate/yviro
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Page 1: Functional role of the 5′ terminal cloverleaf in Coxsackievirus RNA replication

Virology 393 (2009) 238–249

Contents lists available at ScienceDirect

Virology

j ourna l homepage: www.e lsev ie r.com/ locate /yv i ro

Functional role of the 5′ terminal cloverleaf in Coxsackievirus RNA replication

Nidhi Sharma a, Sushma A. Ogram a, B. Joan Morasco a, Allyn Spear a, Nora M. Chapman b, James B. Flanegan a,⁎a Department of Biochemistry and Molecular Biology, College of Medicine, University of Florida, Gainesville, FL 32610, USAb Department of Pathology and Microbiology, University of Nebraska Medical Center, 986495 Nebraska Medical Center, Omaha, NE 68198, USA

⁎ Corresponding author. Fax:+1 352 392 2953.E-mail address: [email protected] (J.B. Flanegan).

0042-6822/$ – see front matter © 2009 Elsevier Inc. Adoi:10.1016/j.virol.2009.07.039

a b s t r a c t

a r t i c l e i n f o

Article history:Received 6 April 2009Accepted 31 July 2009Available online 3 September 2009

Keywords:CoxsackievirusRNA replication5′ cloverleafPoly(C) binding proteinViral persistence

Using cell-free reactions, we investigated the role of the 5′ cloverleaf (5′CL) and associated C-rich sequencein Coxsackievirus B3 RNA replication. We showed that the binding of poly(C) binding protein (PCBP) to theC-rich sequence was the primary determinant of RNA stability. In addition, inhibition of negative-strandsynthesis was only observed when PCBP binding to both stem-loop ‘b’ and the C-rich sequence was inhibited.Taken together, these findings suggest that PCBP binding to the C-rich sequence was sufficient to supportRNA stability and negative-strand synthesis. Mutational analysis of the three conserved structural elementsin stem-loop ‘d’ showed that they were required for efficient negative- and positive-strand synthesis. Finally,we showed an RNA with a 5′ terminal deletion (Δ49TD RNA), which was previously isolated frompersistently infected cells, replicated at low but detectable levels in these reactions. Importantly, the criticalreplication elements identified in this study are still present in the Δ49TD RNA.

© 2009 Elsevier Inc. All rights reserved.

Introduction

Coxsackie B virus (CVB) is an enterovirus that belongs to thePicornaviridae family of small nonenveloped positive-strand RNAviruses. CVB is the common cause of acute and chronic myocarditisand dilated cardiomyopathy (DCM) (Reyes and Lerner, 1985; Kandolfet al., 1993; Kandolf, 1993; Martino et al., 1994; Muir et al., 1996; Kimet al., 2001). The viral genome (∼7.5 kb) contains a 5′ nontranslatedregion (NTR), a single large open reading frame (ORF) and a 3′ NTRwith an associated poly(A) tail. A small viral protein, VPg, is covalentlylinked to the 5′ end of the viral genome (Kim et al., 2005). The 5′ NTRincludes the highly structured internal ribosome entry site (IRES) thatdirects the cap-independent translation of the viral genome into asingle large polyprotein (Racaniello, 2001). The CVB RNA replicationcycle initiates with the synthesis of genome length negative-strandRNA, which subsequently serves as the template for the synthesis ofpositive-strand progeny RNA. Viral replication is highly asymmetricduring acute infections which results in the synthesis of a largenumber of positive-strands from a single negative-strand RNAtemplate (Sean and Semler, 2008).

Conserved RNA sequences and structures present at the 5′ and 3′ends of the viral genome have important functions in the replicationof enteroviruses. The 5′ terminal cloverleaf (5′CL) structure is a cis-active element that is required for various aspects of viral RNA repli-cation (Sean and Semler, 2008; Hunziker et al., 2007). The 5′CLstructure is highly conserved in enteroviruses and is organized intostem ‘a’ and stem-loops ‘b’, ‘c’ and ‘d’. Recently, a conserved C-rich

ll rights reserved.

sequence adjacent to the 5′CL has been identified in the 5′ NTR ofenteroviral RNA (Toyoda et al., 2007; Zell et al., 2008). In CVB RNA, theC-rich sequence consists of two groups of four C residues separated bya U residue. Cellular poly(C) binding protein (PCBP) binds stem-loop‘b’ and the C-rich sequence in the 5′ NTR of enteroviral RNA (Andinoet al., 1990a, 1993; Murray et al., 2001; Parsley et al., 1997; Toyodaet al., 2007; Zell et al., 2008; Gamarnik and Andino, 1997). DisruptingPCBP binding to either stem-loop ‘b’ or the C-rich sequence inhibits PVRNA replication which suggests that PCBP functions as a cofactorduring viral RNA replication (Spear et al., 2008; Toyoda et al., 2007;Walter et al., 2002). Although PCBP binds stem-loop ‘b’ and the C-richsequence in CVB RNA, the role of the PCBP-5′CL RNP complex in CVBRNA replication has not been investigated. Structural studies on stem-loop ‘d’ have identified three conserved structures which include adinucleotide bulge, triple pyrimidine mismatch and apical tetraloop(Du et al., 2004; Ohlenschlager et al., 2004; Zell et al., 2002). Viralprotein 3Cpro or 3CDpro is reported to bind to stem-loop ‘d’ in the 5′CLto form a ribonucleoprotein complex (RNP) which includes PCBP(Andino et al., 1990a, 1990b, 1993;Ohlenschlager et al., 2004; Zellet al., 2002). Based on studies with poliovirus (PV), RNP complexesformed at the 5′CL and the 3′ poly(A) tail interact to form a circular 5′-3′ RNP complex that is required for the initiation of negative-strandRNA synthesis (Barton et al., 2001; Herold and Andino, 2001; Lyonset al., 2001; Teterina et al., 2001; Spear et al., 2008).

Several experimental murine models indicate that CVB3 persis-tence is an important factor contributing to dilated cardiomyopathy(Klingel et al., 1992, 1996; Andreoletti et al., 1997; Chapman and Kim,2008). Of the several mechanisms proposed for viral persistence,restriction of viral replication contributes directly to the developmentof persistent CVB3 infection (Kandolf et al., 1999). It has been reported

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Fig. 1. Translation and replication of CVB3 and PV1 RNA in HeLa S10 translation–replication reactions. (A) Schematic diagram of the full-length CVB3 RNA transcript. P1represents the capsid proteins and P2 and P3 represent the replication proteins. TheRNA has an authentic 5′ terminus generated by a hammerhead ribozyme (Rz) upstreamof the first 5′ terminal nucleotide. (B) HeLa S10 translation–replication reactionscontaining [35S]methionine and RzPV1 RNA or RzCVB3 RNA transcripts were incubatedat 34 °C for 4 h. At the end of the incubation, samples were removed and the labeledproteins were analyzed by SDS-PAGE and visualized by autoradiography. The positionof the individual viral proteins is indicated. (C) Replication of the RzPV1 and RzCVB3RNA transcripts was measured in preinitiation replication complexes (PIRCs) isolatedfrom HeLa S10 translation–replication reactions incubated at 34 °C for 4 h. The PIRCswere resuspended in replication assay buffer containing [α-32P]CTP and incubated at37 °C for 1 h as described in Materials and methods. The labeled product RNAs wereanalyzed by electrophoresis in a denaturing CH3HgOH-agarose gel and visualized byautoradiography. In these denaturing gels, all RNA structure is completely disrupted,including RI and RF RNAs. Both negative-strand and positive-strand RNAs run as asingle band of labeled RNA. Equivalent loading of RNA in each lane was confirmed byethidium bromide staining of the gel to visualize the 28S and 18S rRNAs.

239N. Sharma et al. / Virology 393 (2009) 238–249

in a CVB1 induced chronic inflammatory myopathy (CIM) model thatpositive-strand synthesis was greatly reduced and viral RNA persistedin a double-stranded form (Tam and Messner, 1999). In other studies,CVB3 viral RNA isolated from the hearts of persistently infectedmice contained 5′ terminal deletions (TD) that ranged from 7 to 49nucleotides (Kim et al., 2005; Chapman and Kim, 2008). More recentstudies demonstrated the generation of 5′ TD mutations in CVBinfected primary cardiac and pancreatic cells as well as in human hearttissue associated with myocarditis (Chapman et al., 2008; Kim et al.,2008). In tissue culture cells, these 5′ TD genomes exhibited a low ratioof (+)/(−) strand synthesis (Kim et al., 2005, 2008). Taken together,these studies suggest that during CVB replication 5′ TD mutantgenomes arise and persist in host cells (Chapman and Kim, 2008).

In this study, we utilized HeLa S10 translation-replication reac-tions to study CVB3 RNA replication. To better understand the role ofthe 5′CL in CVB3 RNA replication, we used preinitiation replicationcomplexes (PIRCs) isolated from HeLa S10 reactions to measurenegative- and positive-strand RNA synthesis (Barton et al., 1995;Sharma et al., 2005; Molla et al., 1991; Spear et al., 2008). Weinvestigated the effect of disrupting the PCBP binding sites in stem-loop ‘b’ and the C-rich sequence on negative-strand synthesis. Ourresult showed that negative-strand synthesis was inhibited onlywhen both PCBP binding sites in the 5′CL region were mutated. Theeffect of specific mutations in the three structurally conserveddomains in stem-loop ‘d’ which include the dinucleotide bulge, thepyrimidine mismatch and the apical tetraloop was also investigated.We showed that all three structurally conserved elements wererequired to maintain wildtype levels of negative- and positive-strandsynthesis. Finally, we investigated the ability of a mutant RNA with alarge 5′ terminal deletion (Δ49TD RNA) to translate and replicate incell-free reactions. The results showed that the translation of theΔ49TD RNA was reduced by about 50%, and that the overall level ofRNA replication was low but measurable in these reactions.

Results

CVB3 replication in HeLa S10 translation-replication reactions

We used preinitiation replication complexes (PIRCs) isolated fromHeLa S10 translation-replication reactions to study the mechanism ofCVB3 RNA replication. In HeLa S10 reactions that contained CVB3 RNAtranscript (Fig. 1A), we observed that viral protein synthesis andpolyprotein processing were at levels similar to those observed withPV RNA (Fig. 1B). As expected, we observed small differences in themobility of several viral proteins compared to the PV proteins. TheCVB3 viral proteins, 3AB and 3A were not labeled in these reactionssince these proteins do not contain any methionine residues. Inprevious studies, we showed that the synthesis of labeled PVnegative- and positive-strand RNA can be measured in PIRCs thatare resuspended in replication assay buffer containing [α-32P]CTP(Morasco et al., 2003; Sharma et al., 2005). To measure CVB3 RNAreplication, PIRCs were isolated from reactions containing RzCVB3RNA transcripts as described in Materials and methods. This RNAtranscript contained an authentic 5′ terminal end and supports bothnegative- and positive-strand synthesis. Full-length labeled productRNA was analyzed using denaturing CH3HgOH-agarose gel electro-phoresis. In these denaturing gels, all RNA structure is disrupted andfull-length negative-strand RNA and/or positive-strand RNA run as asingle labeled band in the gel. This allowed us to quantitate theamount of labeled negative- and positive-strand RNA synthesized ineach reaction accurately. The results showed that full-length productRNA was synthesized in the reaction containing the RzCVB3 RNA atlevels similar to that observed in the reaction with RzPV1 RNA (Fig.1C). These results confirmed that both the translation and replicationof CVB3 RNA could be efficiently measured in HeLa S10 translationreactions and PIRCs, respectively.

To verify that RzCVB3 RNA supports both negative- and positive-strand RNA synthesis, PIRCs were isolated from HeLa S10 reactionscontaining RzCVB3 RNA. The PIRCs were resuspended in replicationassay buffer, incubated for the indicated times, and the resultinglabeled product RNAs were characterized using non-denaturingagarose gel electrophoresis (Fig. 2). A heterogeneous high molecularweight labeled RNA characteristic of replicative-intermediate (RI)RNA and replicative-form (RF) RNA was detected as early as 15 min.There was a large increase in the amount of RI/RF RNA between 15and 30 min and a much smaller increase between 30 and 60 min(Fig. 2, lanes 2–5). Single-stranded (ss) labeled product RNA, whichrepresents full-length positive-strands released from RI RNA, was firstdetected at 30 min and then increased significantly between 30 and60 min (Fig. 2, lanes 4–5). As expected, both labeled RI/RF RNA andlabeled ss RNA were synthesized in the 60 min control reactioncontaining RzPV1 RNA (Fig. 2, lane 1). Therefore, these resultsconfirmed that PIRCs formed with RzCVB3 RNA first synthesized

Page 3: Functional role of the 5′ terminal cloverleaf in Coxsackievirus RNA replication

Fig. 2. RzCVB3 RNA supports both negative- and positive-strand RNA synthesis in HeLaS10 translation–replication reactions. Replication of the RzPV1 and RzCVB3 RNAtranscripts was measured in PIRCs isolated from HeLa S10 translation–replicationreactions incubated at 34 °C for 4 h. Both RNAs have an authentic 5′ end and supportnegative- and positive-strand synthesis. The PIRCs were resuspended in replicationassay buffer and samples were removed at the indicated time points. The labeledproduct RNAs from each time point were analyzed by electrophoresis in a non-denaturing 1% agarose-TAE gel and visualized by autoradiography. Equivalent loadingof RNA was confirmed by ethidium bromide staining of the gel.

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negative-strand containing RI/RF RNA and then full-length positive-strand RNA in a temporally separate and sequential fashion.

Effect of PCBP binding site mutations in the 5′CL region onnegative-strand synthesis

To investigate the role of the 5′CL-PCBP interaction in negative-strand synthesis during CVB3 RNA replication, we used a subgenomicRNA replicon (P23 RNA) which encodes all of the replication proteinsand replicates efficiently in PIRCs isolated from HeLa S10 reactions(Fig. 3A). Mutations were engineered in the two PCBP binding sites inthe 5′CL region. In previous studies with PV, a point mutation instem-loop ‘b’ (C24A or C24U) was shown to disrupt PCBP binding tothe 5′CL (Andino et al., 1993; Murray et al., 2001; Parsley et al.,1997). In other studies with PV and CVB3, mutations in the C-richsequence disrupted PCBP binding to the 5′CL region (Toyoda et al.,2007; Zell et al., 2008). In particular, it was shown that two adjacentC residues in the C-rich sequence were required for efficient bindingof PCBP to the 5′CL region (Toyoda et al., 2007). Based on theseprevious studies, we engineered two mutations in the CVB3 5′CLregion of P23 to disrupt PCBP binding to the 5′CL region. The C24Amutation in stem-loop ‘b’, and the (C91,93,97,99A) mutation in theC-rich sequence were engineered in the 5′CL region (Fig. 3B). Inaddition, a double mutant that contained both these mutations wasalso engineered in P23. Electrophoretic mobility shift assays (EMSAs)were performed to confirm that these mutations inhibited PCBPbinding to the 5′CL region. As expected, the wildtype 5′CL RNA probeformed a 5′CL-RNP complex with recombinant PCBP2 (Fig. 3C,lane 2). In contrast, this complex was not formed in binding assaysthat contained the C24A mutant RNA probe, the C-rich sequencemutant RNA probe (C91,93,97,99A) or the double mutant RNA probe(Fig. 3C, lanes 3–8). The results of the EMSAs indicated that both theC24A mutation and C-rich sequence mutation inhibited PCBP bindingto the 5′CL region RNA probe.

We next determined if the two PCBP binding site mutationsinhibited CVB3 negative-strand synthesis. To measure negative-strand synthesis, PIRCs were isolated from reactions containing themutant RNAs and replication assays were performed as described inMaterials and methods. The amount of full-length labeled productRNA was analyzed using denaturing CH3HgOH-agarose gel electro-phoresis and was quantitated using a PhosphorImager. In PIRCscontaining C24A RNA, negative-strand synthesis was partiallyinhibited and was about 40% of the level observed with wildtypeP23 RNA (Fig. 3D, lanes 1–2). In contrast, negative-strand RNAsynthesis was undetectable in reactions that contained either the C-rich sequence mutant RNA or the double mutant RNA (Fig. 3D, lanes3–4). These results indicated that negative-strand synthesis waspartially inhibited in replication complexes when the PCBP bindingsite in stem-loop ‘b’ was mutated. However, when the PCBP bindingsite in the C-rich sequence was mutated negative-strand synthesiswas completely inhibited.

To determine if the PCBP binding site mutations affected thestability of CVB3 RNA, we compared the stability of the wildtype andmutant RNAs in HeLa S10 reactions as described in Materials andmethods. The amount of full-length labeled input RNA remaining at 90and 180 min was determined using denaturing CH3HgOH-agarose gelelectrophoresis. In reactions containingwildtype P23 RNA, therewas agradual reduction in the amount of intact RNA and about 60% of thelabeled input RNA remained intact after 180 min (Fig. 4A, lanes 1–3).In reactions containing the C24A RNA, we observed that the RNA wasless stable and that approximately 35% of the labeled input RNAremained intact after 180min (Fig. 4A, lanes 4–6). However, the C-richsequence mutant RNA and the double mutant RNA were both veryunstable and were completely degraded by 90 min (Fig. 4A, lanes 7–9and 10–12). These results indicated that PCBP binding to the 5′CLregion was required to stabilize CVB3 RNA and that binding to the C-rich sequence was a major determinant of viral RNA stability.

Because the PCBP binding site mutations destabilized the viralRNAs, we used transcript RNAs with a 5′ cap to measure negative-strand synthesis.We confirmed that the 5′ cap restored the stability ofthe C24A mutant RNA, the C-rich sequence mutant RNA and thedouble mutant RNA (data not shown). Furthermore, we observed nosignificant difference in the translation of the capped mutant RNAsand capped wildtype P23 RNA (data not shown). Therefore, we wereable to use the capped transcript RNAs to measure the effect of thePCBP binding site mutations on negative-strand RNA synthesisindependent of their effects on stability (Barton et al., 2001; Spearet al., 2008). RNA replication assays were performed and labeledproduct RNAs were analyzed by denaturing agarose gel electropho-resis and quantitated. No significant difference in negative-strandsynthesis was observed in reactions containing either wildtype P23RNA, C24A RNA or the C-rich sequence mutant RNA (Fig. 4B, lanes 1–3). In contrast, negative-strand synthesis was significantly inhibited inreactions containing the doublemutant RNA andwas about 30% of thelevels observed with wildtype P23 RNA (Fig. 4B, lanes 1 and 4). Theseresults indicated that within functional RNA replication complexes,the presence of at least one PCBP binding site in the 5′CL region wassufficient to support efficient negative-strand synthesis.

Effect of 5′CL stem-loop ‘d’ mutations on negative-strand RNA synthesis

In previous studies, stem-loop ‘d’ of the 5′CL has been shown toplay an important role in picornavirus RNA replication (Andino et al.,1990a, 1993, 1990b; Gamarnik and Andino, 1998; Barton et al., 2001;Rieder et al., 2003). The dinucleotide bulge, the pyrimidine mismatchand the apical tetraloop have been identified as three highlyconserved structures within stem-loop ‘d’ of the 5′CL (Fig. 5) (Duet al., 2004; Zell et al., 2002). To investigate the role of these conservedstructures in negative- and positive-strand RNA synthesis, weengineered specific mutations in these three structures in stem-loop

Page 4: Functional role of the 5′ terminal cloverleaf in Coxsackievirus RNA replication

Fig. 3. Effect of PCBP binding site mutations in the 5′cloverleaf (5′CL) region on rPCBP2 binding and negative-strand synthesis. (A) A schematic diagram of the CVB3 P23 RNAtranscript is shown here. CVB3 P23 RNA is a subgenomic RNA replicon in which the P1 coding region is deleted. The RNA replicon encodes all of the CVB3 replication proteins andcontains the 5′ NTR, 3′ NTR and the 3′ poly(A)80 tail. Wildtype and mutant P23 RNA transcripts contain two additional 5′ terminal G nucleotides and support only negative-strandsynthesis. (B) Sequence diagram of the 5′CL region showing the PCBP binding site mutations used in this study. The arrows indicate the position of each C to Amutation in stem-loop‘b’ and the C-rich sequence. (C) An electrophoretic mobility shift assay (EMSA) was used to measure the binding of recombinant PCBP2 (rPCBP2) to either wildtype or mutant 32P-labeled RNA probes. The labeled probes used in each reaction were as follows: 5′CL-wildtype (lanes 1–2), 5′CL(C24A) (lanes 3–4), 5′CL(C91,93,97,99A) (lanes 5–6) and 5′CL(C24A/C91,93,97,99A (lanes 7–8). The RNA probes were incubated alone or with rPCBP2 and then analyzed by EMSA as described in Materials and methods. (D) Negative-strand synthesiswas measured as described in Materials and methods using PIRCs isolated from HeLa S10 translation–replication reactions containing either wildtype P23 RNA or the mutant P23RNA indicated above. The labeled product RNAs were analyzed by electrophoresis in a denaturing CH3HgOH-agarose gel and visualized by autoradiography. Equivalent loading ofRNA in each lane was confirmed by ethidium bromide staining of the gel.

241N. Sharma et al. / Virology 393 (2009) 238–249

‘d’. The Mfold secondary structure prediction program indicated thatthe stem-loop ‘d’mutations used in this study did not alter the overallpredicted secondary structure of the 5′CL (Zuker, 2003). In addition,we observed no significant effect on either PCBP binding or RNAstability of these mutant RNAs (data not shown). Only in the case ofthe shortened stem-loop ‘d’ mutant RNA was PCBP binding and RNAstability partially reduced. Finally, we showed that the stem-loop ‘d’mutations had no significant effect on the translation of the individualmutant RNAs (data not shown). Therefore, we were able to directlyinvestigate the effect of disrupting these conserved structures instem-loop ‘d’ on viral RNA replication.

To determine what effect the shortening of stem-loop ‘d’ had onnegative-strand synthesis, we deleted nucleotides GCUA46–49 andnucleotides GC78–79 in P23 (Fig. 6A). This resulted in the deletion ofthe dinucleotide bulge and the nucleotides at the base of stem-loop‘d’. In reactions that contained P23 RNA with the shortened stem-loop ‘d’, negative-strand synthesis was completely inhibited(Fig. 6A, lanes 1–2). Even after long-term exposure of the gel, nonegative-strand synthesis was observed with this mutant RNA (datanot shown). This result suggested that the dinucleotide bulge and

the nucleotides at the base of stem-loop ‘d’ were critical fornegative-strand synthesis. To specifically investigate the function ofthe dinucleotide bulge (U48A49) in CVB3 replication, we usedmutant RNAs in which we deleted one nucleotide (ΔU48 or ΔA49),deleted both nucleotides (ΔUA)48–49, or switched the nucleotides(UA→AU)48–49 in the bulge (Fig. 6B). Deleting one nucleotide in thebulge had no significant effect on negative-strand synthesis (Fig. 6B,lanes 2–3). Switching the position of the nucleotides in the bulgeresulted in only a slight inhibition of negative-strand synthesis(Fig. 6B, lane 5). In contrast, deleting the dinucleotide bulge,(ΔUA)48–49, severely inhibited negative-strand synthesis to about10% of the level observed with wildtype P23 RNA (Fig. 6B, lane 4).However, a bulge of at least one unpaired nucleotide (A or U) atthis position in stem-loop ‘d’ was required to support wildtypelevels of negative-strand synthesis.

To investigate the role of the triple pyrimidine mismatch in CVB3RNA replication, we eliminated themismatch by introducing standardWatson–Crick base pairs in this sequence. This was done by changingeither the sequence of the upper strand (UCU→AAA) or the lowerstrand (UUU→AGA) of the mismatch region (Fig. 7A). In reactions

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Fig. 4. Effect of PCBP binding site mutations on RNA stability and negative-strand synthesis. (A) RNA stability of wildtype P23 or the indicated mutant P23 RNAs was measured inHeLa S10 translation–replication reactions. 32P-labeled wildtype P23 or the indicated mutant P23 RNAs were added to HeLa S10 translation–replication reactions at a finalconcentration of 50 μg/ml and incubated for 180min at 34 °C. Samples were removed at the indicated time points, and the amount of labeled RNA that remained intact was analyzedby denaturing CH3HgOH-agarose gel electrophoresis and autoradiography. (B) Negative-strand synthesis was measured using PIRCs isolated from HeLa S10 translation–replicationreactions containing either capped P23 RNA or the capped mutant P23 RNAs indicated above. The labeled product RNAs were analyzed by denaturing CH3HgOH-agarose gelelectrophoresis and visualized by autoradiography. Equivalent loading of RNA in each lane was confirmed by ethidium bromide staining of the gel.

242 N. Sharma et al. / Virology 393 (2009) 238–249

that contained either (UCU→AAA) mutant RNA or (UUU→AGA)mutant RNA, we observed a small increase in negative-strandsynthesis (Fig. 7A, lanes 2–3). This result was observed in repeatedexperiments where negative-strand synthesis was approximately 40%higher than the levels observed with wildtype P23 RNA. Therefore,eliminating the highly conserved pyrimidine mismatch resulted in asmall increase in negative-strand synthesis.

The function of the apical tetraloop in CVB3 replication wasinvestigated by either adding a nucleotide (C64+C) or deletingnucleotide C64 in the tetraloop (ΔC64) (Fig. 7B). In reactions contain-

Fig. 5. Sequence diagram (top) and surface representation of the NMR structure(bottom) of stem-loop ‘d’ in the 5′CL. The three structural elements predicted by NMRare the dinucleotide bulge (orange), the pyrimidine mismatch (green) and the apicaltetraloop (red). Coordinates were obtained from the Protein Data Bank: 1txs (http://www.rcsb.org) for the NMR structure of stem-loop ‘d’ of the 5′CL domain of theenteroviral 5′ UTR RNA (Du et al., 2004). The surface structure was rendered using thePyMOL Molecular Graphics System (2002) on http://www.pymol.org.

ing (C64+C) mutant RNA, no significant difference in negative-strandsynthesis was observed compared to the levels observed withwildtype P23 RNA (Fig. 7B, lanes 1 and 3). In contrast, negative-strand synthesis was significantly inhibited in the reaction containingthe ΔC64 mutant RNA and was about 10% of the levels observed withwildtype P23 RNA (Fig. 7B, lanes 1–2). Therefore, decreasing, but notincreasing the size of the apical loop severely inhibited negative-strand initiation.

Effect of stem-loop ‘d’ mutations on positive-strand RNA synthesis

We next determined the effect of the stem-loop ‘d’ mutations onpositive-strand synthesis. Altering the sequence of stem-loop ‘d’ inthe 5′CL of the input (+) strand RNA results in a change in thecomplimentary sequence at the 3′ end of the newly synthesizednegative-strand RNA. Since the 3′ end of the negative-strand RNAfunctions as the site for positive-strand initiation, mutations in thenegative-strand template can potentially affect positive-strand initi-ation. To investigate the effect of the stem–loop ‘d’ mutations onpositive-strand synthesis, we determined the ratio of (+)/(−) strandsynthesis. To measure the ratio of (+)/(−) strand synthesis ofwildtype RNA, we used RzP23 RNA and P23 RNA in independentreactions. Only labeled negative-strand RNA is synthesized inreactions with P23 RNA. In contrast, both labeled negative- andpositive-strand RNA is synthesized in reactions containing RzP23RNA. The amount of labeled RNA synthesized in both reactions wasquantitated and the ratio of (+)/(−) strand synthesis was calculated(as described in Materials and methods). Labeled product RNA fromeach reaction was analyzed by denaturing agarose gel electrophoresisand quantitated. In replication assays with wildtype P23 RNA, theratio of (+)/(−) strand synthesis was between 14 and 18 in threeseparate experiments (Figs. 8 and 9). This ratio was consistent with

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Fig. 6. Effect of mutations in the dinucleotide bulge on negative-strand synthesis. Negative-strand synthesis was measured using PIRCs isolated from HeLa S10 translation–replication reactions containing either wildtype P23 RNA or the mutant P23 RNAs indicated above. The labeled product RNAs were analyzed by denaturing CH3HgOH-agarose gelelectrophoresis and visualized by autoradiography. Equivalent loading of RNA in each lane was confirmed by ethidium bromide staining of the gel. Sequence diagrams of stem–loop‘d’withmutations in the dinucleotide bulge are shown on the left. The nucleotides deleted in themutant RNAs are boxed and the nucleotides that have been switched are underlined.(A) Negative-strand synthesis in reactions containing either P23 RNA or P23-(ΔGCUA)46–49(ΔGC)78–79 RNA. (B) Negative-strand synthesis in reactions containing P23 RNA or P23RNA with mutations in the dinucleotide bulge.

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the ratio of (+)/(−) strand synthesis that was observed in cell-freereactions in studies with PV RNA (Sharma et al., 2005; Spear et al.,2008). Mutations that specifically inhibit positive-strand synthesiswould consequently decrease the (+)/(−) strand ratio below thewildtype control. To investigate the role of the dinucleotide bulge inpositive-strand synthesis, we used P23 or RzP23 RNA with mutationsin the dinucleotide bulge and determined the ratio of (+)/(−) strandsynthesis. With themutant RNAs in which one nucleotidewas deleted(ΔU48 or ΔA49), the ratio of (+)/(−) strand synthesis was reduced to6 and 8, respectively (Fig. 8, lanes 3–6). When the nucleotides in thebulge were switched from UA to AU, the ratio was reduced to 10 (Fig.8, lanes 9–10). In contrast, when both nucleotides in the bulge weredeleted ((ΔUA)48–49), the ratio of (+)/(−) strand synthesis wasreduced to 2, which indicated that positive-strand synthesis wasdramatically inhibited by this mutation (Fig. 8, lanes 7 and 8). Overall,these results demonstrated that the UA dinucleotide bulge wasrequired to support wildtype levels of positive-strand synthesis.

To investigate the role of the triple pyrimidine mismatch region inpositive-strand synthesis, we used two mutant RNAs in which thenucleotides in the mismatch region were paired (see Fig. 9). Inreactions containing either mutant RNA, the ratio of (+)/(−) strandsynthesis was reduced to 8 (Fig. 9A, lanes 3–4 and B, lanes 3–4). Inaddition, our results showed that positive-strand synthesis wasspecifically inhibited by about 30%. Therefore, these results indicatedthat maintaining the pyrimidine mismatch was required for efficientpositive-strand synthesis and to maintain a high ratio of (+)/(−)strand synthesis.

We next investigated the role of the apical tetraloop in positive-strand synthesis using the two mutant RNAs (ΔC64 and C64+C)shown in Fig. 9. In reactions with the ΔC64 and C64+C RNAs, the ratioof (+)/(−) strand synthesis was reduced to 4 and 3, respectively(Fig. 9A, lanes 5′–6′ and B, lanes 5–6). Therefore, either decreasing orincreasing the size of the apical loop resulted in a significant inhi-bition of positive-strand synthesis.

Replication of Δ49 terminal deletion RNA in HeLa S10 reactions

In previous studies, CVB3 viral RNA with 5′ terminal deletions(TDs) ranging from 7 to 49 nucleotides have been isolated fromhearts of persistently infected mice and from a human myocarditicheart (Kim et al., 2005; Chapman et al., 2008). The largest 5′ TDRNA contained a 49-nucleotide deletion in the 5′ terminus of theviral genome (Δ49TD RNA). In examining the structure of theΔ49TD RNA, we observed that the triple pyrimidine mismatch, theapical tetraloop in stem–loop ‘d’ and the C-rich sequence were allconserved in the 5′ CL region of the Δ49TD RNA (Fig. 10A). Toinvestigate the ability of RzP23-Δ49TD RNA (or RzΔ49TD RNA) toreplicate in PIRCs isolated from HeLa S10 reactions, we firstcharacterized protein synthesis in reactions containing RzΔ49TDRNA. Labeled viral proteins identical to those encoded by wildtypeRzP23 RNA were observed in the reaction containing the RzΔ49TDRNA (Fig. 10B, lanes 1–2). The overall level of protein synthesiswas about 50% of the level observed with wildtype RNA. Tomeasure the overall level of RNA replication, PIRCs were isolated

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Fig. 7. Effect of mutations in the triple pyrimidine mismatch or in the apical tetraloop on negative-strand synthesis. Negative-strand synthesis was measured using PIRCs isolatedfrom HeLa S10 translation–replication reactions containing either wildtype P23 RNA or the mutant P23 RNA indicated above. The labeled product RNAs were analyzed bydenaturing CH3HgOH-agarose gel electrophoresis and visualized by autoradiography. Equivalent loading of RNA in each lane was confirmed by ethidium bromide staining of thegel. (A) Negative-strand synthesis in reactions containing P23 RNA or P23 RNA with mutations in the pyrimidine mismatch region. The sequence diagrams of the mutations in thepyrimidine mismatch region are shown on the left. The nucleotides that have been mutated are underlined. (B) Negative-strand synthesis in reactions containing P23 RNA or P23RNAs with mutations in the apical tetraloop. The sequence diagrams of the mutations in the apical tetraloop are shown on the left. The nucleotide that was deleted is boxed andthe nucleotide that was inserted is underlined.

244 N. Sharma et al. / Virology 393 (2009) 238–249

from reactions containing either RzΔ49TD or RzP23 RNAs, whichsupport both negative- and positive-strand synthesis. Labeled pro-duct RNAs synthesized in each reaction were analyzed by elec-trophoresis on a denaturing agarose gel as described in Materialsand methods. The gel was stained with ethidium bromide toconfirm that equivalent amounts of RNA were loaded in eachreaction (Fig. 10C, left panel). The results indicated that RNAreplication was significantly reduced in the reaction containing theRzΔ49TD RNA compared to the amount observed with thewildtype RzP23 RNA (Fig. 10C, lanes 1–2). A small but detectableamount of labeled product RNA was observed after longerexposure of lane 2 containing the Δ49TD product RNA (Fig. 10C,lane 2′). We determined that the amount of labeled RNAsynthesized in the RzΔ49TD RNA reaction was b1% of the levelobserved with wildtype RzP23 RNA. These results demonstratedthat the RzΔ49TD RNA supported low but measurable levels ofRNA replication in cell-free reactions and was consistent with theability of Δ49TD RNA to replicate at low levels and establishpersistent infections.

Discussion

In this study, we demonstrated that PIRCs isolated from HeLa S10translation–replication reaction can be utilized to investigate themechanisms that regulate CVB3 RNA replication. Importantly, CVB3RNA replicates efficiently in these reactions at levels equivalent to thatobservedwith PV RNA.We showed that within replication complexes,the presence of at least one PCBP binding site in the 5′CL region (i.e.,stem–loop ‘b’ or C-rich sequence) was sufficient to support efficientnegative-strand synthesis. Furthermore, we demonstrated that thestructurally conserved domains in stem–loop ‘d’ of the 5′CL, whichinclude the dinucleotide bulge, the triple pyrimidine mismatch andthe apical tetraloop were required for efficient RNA replication.Finally, we showed that a CVB3 mutant RNA that contained a 5′terminal deletion (Δ49TD RNA) was able to replicate at low levels inthese reactions.

PCBP binding in the 5′CL region is important for efficient negative-strandRNA synthesis

Previous studies showed that PCBP binding to the 5′CL wasrequired to maintain PV RNA stability in HeLa S10 reactions (Murrayet al., 2001). Except for viral protein 2Apro, the presence or absence ofother viral proteins, including 3Cpro or 3CDpro had no effect on PV RNAstability (Jurgens et al., 2006). A C24Amutation in stem–loop ‘b’ in the5′CL of PV RNA inhibits PCBP binding and completely destabilizes theRNA (Murray et al., 2001; Ogram and Flanegan, unpublished results).In contrast, results from the current study showed that CVB3 (C24A)RNA was about 60% as stable as wildtype RNA. Therefore, the C24Amutation only partially reduced the stability of CVB3 RNA. Interest-ingly, mutating the PCBP binding site in the C-rich sequencecompletely destabilized CVB3 RNA. Based on these results, weconclude that PCBP binding to the 5′CL region, and in particular theC-rich sequence, was a major determinant of CVB3 RNA stability.

PCBP as a component of the 5′CL-RNP complex also functions as acofactor for negative-strand initiation (Parsley et al., 1997; Walter etal., 2002; Spear et al., 2008; Toyoda et al., 2007; Andino et al., 1990a,1993;Gamarnik and Andino, 1997, 2000). Results from our laboratorywith PV RNA showed that PCBP binding to stem–loop ‘b’was requiredfor negative-strand RNA synthesis but not for positive-strandsynthesis (Spear et al., 2008). Furthermore, using a protein–RNAtethering system, we showed that PCBP tethered to the 5′CL forms afunctional replication complex that is able to initiate negative-strandsynthesis. This confirmed that the PCBP–stem–loop ‘b’ RNP complex isrequired for negative-strand initiation (Spear et al., 2008). In addition,PCBP binding to the C-rich sequence is also shown to be required forPV RNA replication, presumably at the level of negative-strandinitiation (Toyoda et al., 2007). In contrast, in this study we showedthat mutating the PCBP binding site in either stem–loop ‘b’ or the C-rich sequence had no significant effect on CVB3 negative-strandsynthesis. Inhibition of negative-strand synthesis was only observedwhen both PCBP binding sites in the 5′CL were mutated. Therefore, inreplication complexes, the presence of only one PCBP binding site in

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Fig. 8. Effect of mutations in the dinucleotide bulge on positive-strand synthesis.Negative- and positive-strand synthesis and the ratio of (+)/(−) strand synthesis wasdetermined as described in Materials and methods. PIRCs were isolated from HeLa S10translation–replication reactions containing either wildtype P23 RNA or themutant P23RNAs indicated above. The labeled product RNAs were analyzed by denaturingCH3HgOH-agarose gel electrophoresis and visualized by autoradiography. Equivalentloading of RNA in each lane was confirmed by ethidium bromide staining of the gel.Negative-strand synthesis was measured in reactions containing P23 or the mutant P23RNAs. Negative- and positive-strand synthesis was measured in reactions containingRzP23 or mutant RzP23 RNAs.

Fig. 9. Effect of mutations in the triple pyrimidine mismatch or the apical tetraloop onpositive-strand synthesis. Negative- and positive-strand synthesis and the ratio of(+)/(−) strand synthesis was determined as described in Materials and methods.PIRCs were isolated from HeLa S10 translation–replication reactions containing eitherP23 RNA or the mutant P23 RNAs indicated above. The labeled product RNAs wereanalyzed by denaturing CH3HgOH-agarose gel electrophoresis and visualized byautoradiography. Equivalent loading of RNA in each lane was confirmed by ethidiumbromide staining of the gel. (A) Negative-strand synthesis was measured in reactionscontaining P23 RNA, P23-(UUU→AGA)71–73 RNA or P23-(ΔC64) RNA. Negative- andpositive-strand synthesis was measured in reactions containing wildtype RzP23 RNA,RzP23-(UUU→AGA)71–73 RNA or RzP23-(ΔC64) RNA. Lanes 5′ and 6′ are a longerexposure of lanes 5 and 6. (B) Negative-strand synthesis was measured in reactionscontaining P23 RNA, P23-(UCU→AAA)54–56 RNA or P23-(C64+C) RNA. Negative- andpositive-strand synthesis was measured in reactions containing wildtype RzP23 RNA,RzP23-(UCU→AAA)54–56 RNA or RzP23-(C64+C) RNA.

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the 5′CL region of CVB3 RNA was sufficient to support efficientnegative-strand synthesis. These results in combination with theresults from the stability assays indicate that PCBP binding to the C-rich sequence alone was sufficient to partially stabilize CVB3 RNA andto support negative-strand initiation.

Stem-loop ‘d’ is important for efficient negative- and positive-strandRNA synthesis

The sequence and structure of stem–loop ‘d’ of the 5′CL is highlyconserved among enteroviruses (Zell et al., 2002). The dinucleotidebulge, the pyrimidine mismatch and the apical tetraloop areconserved structures within stem–loop ‘d’ (Fig. 5) (Du et al., 2004;Zell et al., 2002). The UA dinucleotide bulge is conserved in stem–loop‘d’ of CVB3 and in other human enteroviruses. In human rhinoviruses(e.g. HRV2 and HRV14) a single nucleotide bulge is present at this site(Zell et al., 2002). The conservation of a bulge at the site suggests thatit plays an important role in one or more steps in the viral RNAreplication cycle. The results of the current study showed that bothnegative- and positive-strand synthesis were strongly inhibited whenthe dinucleotide bulgewas deleted from stem–loop ‘d’. Interestingly, asingle nucleotide bulge in stem–loop ‘d’ supported wildtype levels ofnegative-strand synthesis but not positive-strand synthesis. Based onthese results, we conclude that either a dinucleotide or a singlenucleotide bulge is sufficient to maintain wildtype levels of negative-strand synthesis. The dinucleotide bulge, however, is required tomaintain high levels of positive-strand synthesis, which is character-istic of the highly asymmetric replication of the enterovirus genomeduring acute infections. Therefore, these results provide a mechanisticexplanation as to why the dinucleotide bulge in stem–loop ‘d’ isconserved in enteroviruses.

The triple pyrimidine mismatch in stem–loop ‘d’ is absolutelyconserved among enteroviruses and rhinoviruses (Zell et al., 2002).NMR studies of CVB3 stem–loop ‘d’ shows that the mismatch region isbase paired with a C:U base pair in themiddle with two U:U base pairson each side, and forms an A-form like helical structure (Du et al.,2004; Ohlenschlager et al., 2004) (Fig. 5). The triple pyrimidinemismatch results in the narrowing of theminor groove and significantwidening of the major groove due to the small size of the pyrimidine–pyrimidine base pairs (Du et al., 2004; Ohlenschlager et al., 2004)

(Fig. 5). In this study, we eliminated the triple pyrimidinemismatch instem–loop ‘d’ by introducing standardWatson–Crick base pairs in thisregion. This change should result in the formation of a standard A-form helix in place of the modified “A-form like” helix present inwildtype RNA. Our results showed that this change in stem–loop ‘d’resulted in a 40% increase in negative-strand synthesis and a 30%reduction in positive-strand synthesis. Overall, this resulted in areduction in the ratio of (+)/(−) strand synthesis from 16 to 8. Thiswould lead to less efficient virus replication and a net reduction in theformation of progeny virus. These results help explain why the triplepyrimidine mismatch is conserved in stem–loop ‘d’.

In most enteroviruses, the size of the apical tetraloop in stem–loop‘d’ is maintained even though the sequence of the apical tetraloop isless conserved (Rieder et al., 2003; Zell et al., 2002). Based on bothNMR and biochemical studies, the apical tetraloop appears to becritical to the structure of stem–loop ‘d’ (Du et al., 2004; Ohlens-chlager et al., 2004). In the current study, decreasing the size of thetetraloop by deleting nucleotide C64 resulted in a large inhibition ofboth negative-strand and positive-strand synthesis. In contrast,

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Fig. 10. Replication of RzP23-Δ49TD RNA in PIRCs isolated from HeLa S10 translation–replication reactions. (A) Sequence diagram of the 5′CL of the Δ49TD RNA is shown. Thenucleotides in grey represent the deleted nucleotides. (B) HeLa S10 translation–replication reactions containing [35S]methionine and the indicated RNAs were incubated at 34 °C for3 h. Samples were removed from each reaction and the labeled proteins were analyzed by 9–18% SDS-PAGE and visualized by autoradiography. (C) Replication of RzP23 RNA andRzP23-Δ49TD RNAwasmeasured in PIRCs as described inMaterials andmethods. The labeled product RNAs were analyzed by electrophoresis in a denaturing CH3HgOH-agarose gel.Equivalent loading of RNA from each reaction was confirmed by ethidium bromide staining of the gel and is shown on the left. The labeled product RNAs were detected byautoradiography and are shown on the right. Lane 2′ is a longer exposure of lane 2.

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increasing the size of the tetraloop by inserting an extra nucleotidehad little effect on negative-strand synthesis but again resulted in asignificant inhibition of positive-strand synthesis. Based on theseresults, we concluded that apical tetraloop is a critical structure that isrequired to maintain wildtype levels of both negative- and positive-strand RNA synthesis.

In summary, the results of this mutagenic study on stem–loop ‘d’suggests that all three of the conserved structures in stem–loop ‘d’play a critical role in CVB3 RNA replication, but not in translation orRNA stability. In addition, it is interesting that all of the mutationstested inhibited positive-strand synthesis and that only a subset ofthe mutations inhibited negative-strand synthesis. For example,mutations that reduced the size of the dinucleotide bulge,eliminated the triple pyrimidine mismatch or increased the size ofthe apical tetraloop specifically inhibited positive-strand synthesiswithout inhibiting negative-strand synthesis. At the present time,we cannot explain these differences, but they indicate that theconserved RNA structures present in stem–loop ‘d’ have specificfunctional roles that are required for the initiation of negative andpositive-strand synthesis.

Translation and replication of Δ49TD RNA

It has been proposed that viruses can establish persistent infec-tions by using different mechanisms to escape immune surveillance

by the host. During persistent infections, there is a decrease in theoverall level of viral replication while the viral genome is main-tained in the host cell (Tyler et al., 2001). In group B Coxsackieviruspersistent infections, a large decrease in viral replication and adecrease in the ratio of (+)/(−) strand synthesis is observed.Replication defective group B Coxsackieviruses have been isolatedfrom myocarditic hearts and in cell culture. Characterization of theRNA from these viruses showed that the only changes in the RNAgenome were 5′ terminal deletions (TD) that ranged in size from 7to 49 nucleotides (Chapman et al., 2008; Kim et al., 2005, 2008).The 5′ TD RNA with the largest deletion (Δ49TD RNA) still containstwo of the three conserved structures in stem–loop ‘d’ discussedabove (i.e, the pyrimidine mismatch and apical tetraloop) as well asthe C-rich sequence adjacent to the 5′CL (Fig. 10A). The results fromthis study showed that mutant RNAs which contained the triplepyrimidine mismatch and the apical tetraloop in stem–loop ‘d’supported detectable levels of both negative- and positive-strandsynthesis. In addition, we showed that RNAs, which contained theC-rich sequence, were relatively stable and supported negative-strand synthesis. Consistent with these findings, we showed thatthe RzΔ49TD RNA translated efficiently and supported low butdetectable levels of RNA replication. Based on the results of thisstudy, it seems reasonable to predict that 5′ terminal deletionslarger than Δ49, which remove additional conserved structures instem–loop ‘d’, will completely inhibit RNA replication. This provides

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a mechanistic explanation why Δ49 is the largest 5′ terminaldeletion observed in viral RNA isolated from persistently infectedcells. Additional studies using the cell-free replication assays willallow us to further investigate CVB3 RNA replication and themolecular basis for establishing persistent infections.

Materials and methods

Coxsackievirus cDNA clones

A previously described cDNA clone of cardiovirulent Coxsack-ievirus B 3 (CVB3) strain 28 was used as the parent clone for theconstructs used in this study (Tracy et al., 2002). CVB3 28 contains a5′ hammerhead ribozyme downstream of the T7 promoter region,for generating transcript RNAs with authentic 5′ terminal ends(Fig. 1A). The following plasmids were derived from the CVB3 28plasmid: (i) pRzP23 was generated by introducing two Sfo I sites atnucleotides 734 and 3334 in CVB3 28. A consensus Kozak sequenceand an initiating ATG (CCACCATG) was also introduced downstreamof the Sfo I site at position 3323. This plasmid was digested with Sfo Ito remove the coding sequence for the structural proteins (P1) andthen re-ligated. A Mlu I site was engineered downstream of the poly(A) tail by site-directed mutagenesis to linearize this plasmid.pRzP23 contains sequences for the 5′NTR, the P23 coding region,the 3′NTR and associated poly(A) tail of CVB3. During transcription,the Rz cleaves itself to generate a P23 transcript with the authenticCoxsackievirus 5′ terminal end (RzP23). Transcripts containing theauthentic viral 5′ end are capable of supporting both negative- andpositive-strand RNA synthesis. (ii) pP23 was generated by deletingthe sequences encoding the 5′ hammerhead ribozyme. Instead, twonon-viral G residues were introduced downstream of the T7promoter for efficient transcription by the T7 polymerase. Transcriptscontaining these non-viral G residues synthesized only negative-strand viral RNA (Fig. 3A). All of the plasmids described below werederived from plasmid pP23 by site-directed mutagenesis. (i) In pP23-(C24A), nucleotide C24 in P23 was altered to A. (ii) pP23-(C91,93,97,99 A) was derived from pP23 by changing nucleotidesC91, C93, C97, C99 to A. (iii) A double mutant, pP23-(C24A)/(C91,93,97,99 A) was generated by engineering C24A and(C91,93,97,99 A) mutations together. (iv) pP23-(ΔGCUA)46–49-(ΔGC)78–79 was engineered by deleting nucleotides 46–49 andnucleotides 78–79. (v) In pP23-ΔU48, nucleotide U48 was deleted.(vi) In pP23-ΔA49 nucleotide A49 was deleted from pP23. (vii) pP23-(ΔUA)48–49 was engineered by deleting nucleotides U48 and A49 frompP23. (viii) pP23-(UA→AU)48–49 was derived by substitutingnucleotides at position 48–49 from UA to AU. (ix) In pP23-(UCU→AAA)54–56, nucleotides UCU54–56 were substituted withAAA. (x) In pP23-(UUU→AGA)71–73, nucleotides UUU71–73 werechanged to AGA71–73. (xi) pP23-(ΔC64) was generated by deletingnucleotide C64. (xii) In pP23-(C64+C), an additional nucleotide (C)was inserted at position 64. (xiii) pRzP23Δ49TD was engineered bydeleting nucleotides 1–49 from the 5′ end and in addition, thesequence upstream of the ribozyme was modified to be comple-mentary to nucleotides 50–64. Plasmids iv–xii were also engineeredin pRzP23. Mutations introduced in all of the plasmids describedabove were verified by sequencing. pT7-Rz-PV1(A)80 has beenpreviously described and was used to generate the poliovirus(PV1) transcript RNA that was used as control (Morasco et al., 2003).

RNA transcript preparation

The plasmid DNAs described above were linearized by digestionwith Mlu1. In vitro transcription was performed in a 100 μltranscription reaction mixture containing bacteriophage T7 RNApolymerase and 1 mM of each nucleoside triphosphate (Barton et al.,1996). The 5× transcription buffer contained 200 mM Tris–HCl

(pH7.9), 50 mM MgCl2 and 10 mM spermidine. After 2 h incubationat 37 °C, 0.5% SDS buffer [10 mM Tris–HCl (pH 7.5), 100 mm NaCl,1 mM EDTA, 0.5% sodium dodecyl sulfate] was added, and thereaction was extracted three times each with phenol–chloroform–

isoamylalcohol followed by three extractions with chloroform–

isoamylalcohol (Barton et al., 1996). Transcript RNA was precipitatedin three volumes of ethanol and purified by chromatography on aSephadex G-50 gel filtration column. The procedure has beendetailed previously for the preparation of PV RNA transcripts (Bartonet al., 1996). To synthesize RNAs with a 5′ cap, 7-methyl guanosinecap analog (1 mM) was added to the transcription reaction mixtureand the concentration of GTP was lowered to 0.2 mM (Barton et al.,2001; Spear et al., 2008). The transcripts purified by G-50 gelfiltration were stored in ethanol at −20 °C until further use. Nodifference in RNA translation and replication was observed betweenuncapped and capped wildtype transcript RNAs in the HeLa S10translation–replication reactions (Barton et al., 2001).

HeLa S10 translation–replication reactions

HeLa S10 extracts and HeLa translation initiation factors wereprepared as previously described (Barton et al., 1996). HeLa S10translation–replication reactions contained 50% HeLa S10 extract,20% HeLa translation initiation factors, 1× nucleotide reaction mix(1 mM ATP, 0.25 mM GTP, 0.25 mM UTP, 60 mM PotassiumAcetate, 15.5 mM HEPES–KOH [pH 7.4], 30 mM creatine phosphate,0.4 mg/ml creatine kinase). Transcript RNAs (5 μg) were added to100 μl of HeLa S10 translation–replication reactions containing2 mM guanidine hydrochloride and incubated at 34 °C for 3 h. Tomonitor protein synthesis, 10 μl from the HeLa S10 translation–replication reactions was removed and 15 μCi of [35S]methioninewas added to the reaction prior to the incubation.

Analysis of translation of CVB3 RNA transcripts

At the end of the incubation, duplicate 2 μl samples wereremoved from HeLa S10 translation–replication reactions contain-ing [35S]methionine and added to 100 μl of 3% casamino acids (3%casamino acids in 0.1N KOH). Labeled viral proteins wereprecipitated in 5% tricholoroacetic acid (TCA), collected on filtersand counted in a liquid scintillation counter (Barton et al., 1996).This assay was used to quantitate the level of protein synthesis inall experiments to determine whether equivalent levels of proteinswere synthesized in each reaction. In addition, to characterize thelabeled proteins synthesized in these reactions, samples wereremoved from HeLa S10 translation–replication reactions contain-ing [35S]methionine and solubilized in 1× Laemmli sample buffer.The labeled proteins were analyzed by 9%–18% SDS-PAGE anddetected by autoradiography (Barton et al., 1996).

Analysis of viral negative-strand RNA synthesis in PIRCs

RNA replication was measured in preinitiation replicationcomplexes (PIRCs) isolated from HeLa S10 translation–replicationreactions containing the indicated transcript RNAs and 2 mMguanidine hydrochloride. The reactions were incubated at 34 °C forthe indicated times. PIRCs were isolated by centrifugation andwere resuspended in a replication buffer containing [α-32P]CTP and50 μg/ml puromycin and incubated at 37 °C for 1 h as previouslydescribed (Barton et al., 2001; Sharma et al., 2005; Spear et al.,2008). The resulting 32P-labeled product RNA was analyzed bydenaturing CH3HgOH-1% agarose gel electrophoresis (Barton et al.,1996). In these denaturing gels, the RNA structure is completelydisrupted, including RI and RF RNA, and the labeled product RNAruns as a single band in these gels. The labeled product RNAs weredetected by autoradiography and quantitated using a Phosphor-

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Imager (Molecular Dynamics). Equivalent loading of RNA wasconfirmed by ethidium bromide (EtBr) staining of the gel tovisualize the 28S and 18S rRNA.

Non-denaturing agarose gel electrophoresis

In the experiment described in Fig. 2, the labeled product RNAfrom the replication reaction was analyzed by non-denaturingagarose gel electrophoresis. The labeled product RNA from thereplication reaction was resuspended in 1× TAE and about 25% ofthe sample was loaded on a 1% agarose-TAE gel. The gel was run at35 mA for approximately 1 h 15 min.

Analysis of positive-strand synthesis

Positive-strand synthesis was determined as previously de-scribed (Sharma et al., 2005). Briefly, PIRCs were isolated fromindependent reactions containing either RzP23 transcript RNA orP23 transcript RNA. RzP23 RNA contains an authentic 5′ terminusgenerated by the addition of a hammerhead ribozyme (Rz)upstream of the first viral nucleotide and supports both negative-and positive-strand synthesis. P23 RNA contains two additional Gresidues at the 5′ terminus and supports only negative-strandsynthesis. To calculate the total amount of positive-strand RNAsynthesized, the amount of negative-strand RNA synthesized in theP23 RNA containing reaction was subtracted from the RNAsynthesized in the RzP23 RNA containing reaction, which includesboth negative- and positive-strand RNA. The ratio of (+)/(−)strand synthesis was calculated by dividing the amount of positive-strand RNA synthesized by the amount of negative-strand RNAsynthesized (Sharma et al., 2005).

RNA stability assays

Labeled viral RNAs were transcribed in reactions containing 50 μCiof [α-32P]CTP (400 Ci/mmol) and added to HeLa S10 reactions at aconcentration of 50 μg/ml. The reaction mixtures were incubated at34 °C for 3 h. At the indicated times, 20 μl of the reaction mixture wasremoved and added to 400 μl of 0.5% SDS buffer. The labeled RNAremaining at each time point was recovered by phenol–chloroformextraction and ethanol precipitation. The intact-labeled RNA wasanalyzed by denaturing CH3HgOH-1% agarose gel electrophoresis andvisualized by autoradiography and quantitated using a Phosphor-Imager (Jurgens et al., 2006). Equivalent loading of RNA wasconfirmed by EtBr staining and visualization of the 28S and 18S rRNA.

Electrophoretic Mobility Shift Assays (EMSAs)

To make probes that contained the 5′ cloverleaf (5′CL) region, aBmgB1 site at nucleotide position 123 was engineered in plasmidspP23, pP23-(C24A), pP23-(C91,93,97,99 A) and pP23-(C24A)/(C91,93,97,99 A). The plasmid DNAs were digested with BmgB1 andused in in vitro transcription reactions containing [α-32P]CTP aspreviously described (Spear et al., 2008). The RNA probes containedthe first 123 nucleotides of the 5′ terminus of the CVB3 genome, andwere either wildtype or contained the individual PCBP binding sitemutations or the double mutation. Bacterially expressed recombinantPCBP2 (rPCBP2) was used in EMSAs (Spear et al., 2008). EMSAs wereperformed with wildtype or mutant RNA probes and rPCBP2 aspreviously described (Silvestri et al., 2006).

Acknowledgments

This work was supported by a grant from the American HeartAssociation (AHA-0555308B). We thank Brian O’Donnell for excellenttechnical assistance.

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