Volume 14, Issue 3, Pages (September 2013)

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Volume 14, Issue 3, Pages 281-293 (September 2013) Enteroviruses Harness the Cellular Endocytic Machinery to Remodel the Host Cell Cholesterol Landscape for Effective Viral Replication  Olha Ilnytska, Marianita Santiana, Nai-Yun Hsu, Wen-Li Du, Ying-Han Chen, Ekaterina G. Viktorova, Georgy Belov, Anita Brinker, Judith Storch, Christopher Moore, Joseph L. Dixon, Nihal Altan-Bonnet  Cell Host & Microbe  Volume 14, Issue 3, Pages 281-293 (September 2013) DOI: 10.1016/j.chom.2013.08.002 Copyright © 2013 Elsevier Inc. Terms and Conditions

Cell Host & Microbe 2013 14, 281-293DOI: (10.1016/j.chom.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 1 Disrupting Host Cell Endocytic Machinery Impacts Both Enteroviral Replication and Cellular Cholesterol Landscape (A) CVB3 replication when CME components are depleted. Mean peak replication data ± SEM, from two independent experiments with six replicates each, were normalized with respect to cell viability and plotted as percentage of nontarget siRNA-treated cells. ∗∗p < 0.01. (B) PV and CVB3 replication when caveolins are depleted. Mean peak replication data ± SEM from two independent experiments with six replicates each were normalized with respect to cell viability and plotted as percentage of nontarget siRNA-treated cells. ∗∗p < 0.01. (C) Plasma membrane cholesterol is stored in lipid droplets when CME components are depleted. Scale bar, 5 μm. (D) Quantification of lipid droplets immunolabeled with anti-ADRP. Mean data ± SEM from n = 50 cells for each siRNA treatment are plotted. (E) Steady-state esterified cholesterol levels when CME components are depleted. Mean data ± SEM of three independent experiments for each siRNA. (F) Steady-state free cholesterol (FC) and esterified cholesterol (EC) levels when caveolins are depleted. Mean data ± SEM of three independent experiments for each siRNA. (G) Free cholesterol distribution when Cav 2 is depleted. Free cholesterol is labeled with filipin. Scale bar, 5 μm. Figure 1 is related to Figure S1 and Table S1. Cell Host & Microbe 2013 14, 281-293DOI: (10.1016/j.chom.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 2 Enteroviral Replication Organelles Are Enriched in Cholesterol and PI4P Lipids (A) Free cholesterol and PI4P distribution in mock infected HeLa cell. Scale bar, 5 μm. (B–E) Free cholesterol and PI4P distribution in CVB3-, HRV2-, PV-, and Echovirus-infected cell replication organelles. Scale bar, 5 μm. (F) SIM imaging of free cholesterol and PI4P distribution at CVB3 replication organelles. Figure 2 is related to Figure S2. Cell Host & Microbe 2013 14, 281-293DOI: (10.1016/j.chom.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 3 Cholesterol Facilitates Viral RNA Synthesis and Attenuates Viral 3CDpro Processing (A) Acute free cholesterol extraction from PM inhibits PV replication. Mean data ± SEM of PV replication and cholesterol levels are plotted (n = 50 cells for each condition). (B) Cholesterol rescues CVB3 replicon replication. Mean data ± SEM from six replicates for each condition normalized by luciferase mRNA expression are plotted. (C) Inhibition of replication organelle biogenesis after acute MβCD treatment. Antibodies against dsRNA and 3A proteins detect replication organelles. Scale bar, 5 μm. (D) Cell-free PV RNA translation and synthesis assay. Viral RNA synthesis assayed by 32P-CTP (top) and translation assayed by 35S-methionine labeling (bottom) on filipin-treated membranes. (E) Immunoblot analysis of 3CDpro, 2BC, and 3AB processing after mock, MβCD (1 hr pretreatment), or filipin treatment (at 3 hr pi). Viral proteins were harvested at 5 hr pi. (F) 3CDpro:3Dpol protein ratio after cholesterol perturbation. Mean data ± SEM from three independent experiments are plotted. Figure 3 is related to Figure S3. Cell Host & Microbe 2013 14, 281-293DOI: (10.1016/j.chom.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 4 High Free Cholesterol Pools in Niemann-Pick Type C Disease Fibroblasts Stimulate Replication (A) Free cholesterol distribution in wild-type and NPC2−/− fibroblasts. (B) PV replicon replication in wild-type and NPC2−/− fibroblasts. Mean data ± SEM with six replicates each are plotted. (C) Peak PV replication levels for wild-type, NPC1−/−, and NPC2−/− fibroblasts. Mean data ± SEM from five independent experiments, normalized by the expression of reporter luciferase RNA, are plotted. ∗∗∗p < 0.001. (D) Cholesterol and viral dsRNA distribution in wild-type and NPC2−/− fibroblasts. (E) Free cholesterol levels within WT and NPC2−/− fibroblast replication organelles. Mean data ± SEM, from wild-type (n = 30) and NPC2−/− (n = 30) fibroblasts, are plotted. (F) Acute cholesterol extraction inhibits PV replicon replication in NPC2−/− fibroblasts. Mean data ± SEM from two independent experiments are plotted. (G) 3CDpro/3Dpol ratio in wild-type and NPC2−/− fibroblasts. Mean data ± SEM from three independent experiments are plotted. Scale bars, 10 μm. Figure 4 is related to Figure S4. Cell Host & Microbe 2013 14, 281-293DOI: (10.1016/j.chom.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 5 Enteroviruses Elevate Intracellular Free Cholesterol Pools (A) Quantification of free and esterified cholesterol pools at 0 and 4 hr post CVB3 infection. Mean data ± SEM from three independent experiments are plotted. (B) LDL uptake during CVB3 infection. Mean BODIPY-LDL uptake data from infected cells at 2 hr (n = 30) and 4 hr pi (n = 30) and for mock-infected cells at 4 hr pi (n = 30) were plotted as percentage of uptake of mock-infected cells at 2 hr pi (n = 30) ± SEM. (C) Free and esterified cholesterol biosynthesis at 0, 2, and 4 hr post CVB3 infection. Mean data ± SEM from one experiment with three replicates are plotted. (D) Free cholesterol redistributes from PM to replication organelles during CVB3 infection. Cells expressing FAPP1-mRFP and colabeled with BODIPY-cholesterol were infected and imaged by time-lapse confocal microscopy. See also Movie S1, Movie S2, Movie S3, and Movie S4. Scale bar, 5 μm. (E) Quantification of plasma membrane BODIPY-cholesterol levels during CVB3 infection. Mean data ± SEM from mock (n = 10) and CVB3 (n = 10) infected cells are plotted. (F) Dynasore blocks BODIPY-cholesterol trafficking from plasma membrane to replication organelles. HeLa cells expressing FAPP1-mRFP were infected with CVB3 for 3 hr, pulsed with BODIPY-cholesterol, and subsequently chased with either DMSO or Dynasore (80 μM) for 1 hr prior to confocal imaging. Scale bar, 5 μm. (G) Dynasore blocks CVB3 replication. DMSO- or Dynasore (80 μM)-treated cells were transfected with CVB3 replicons. Mean data ± SEM of peak replication levels in three independent experiments for each condition are plotted. (H) Dynasore blocks endogenous free cholesterol pools from trafficking to replication organelles. Experimental design similar to that in (F), but cells were fixed and labeled with filipin and anti- 3A antibodies. Mean data ± SEM from n = 30 cells for each condition are plotted. Figure 5 is related to Figure S5 and to Movie S1, Movie S2, Movie S3, and Movie S4. Cell Host & Microbe 2013 14, 281-293DOI: (10.1016/j.chom.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 6 Enteroviral 3A Proteins Recruit Rab11 Recycling Endosomes and Target Free Cholesterol to Replication Organelles (A) Live-cell SIM imaging of Rab11-YFP and FAPP1-mRFP distribution in CVB3-infected cells at peak replication. Insets highlight single-replication organelles. (B) Confocal time-lapse images of Rab11-YFP and FAPP1-mRFP dynamics in CVB3-infected cells. See also Movie S5. Scale bar, 5 μm. (C) Fusion of Rab11-YFP recycling endosomes with replication organelles in boxed region in (B). See also Movie S6. Scale bar, 1 μm. (D) Quantification of Rab11 colocalization with FAPP1-labeled replication organelles. Mean Pearson correlation coefficients ± SEM are plotted (n = 5 cells for each time point). (E) Enhanced coimmunoprecipitation of PI4KIIIβ with Rab11 in CVB3-infected cells at peak replication. (F) Ectopic CVB3 3A expression recruits Rab11 to 3A-containing membranes. Scale bar, 5 μm. (G) Ezetimibe inhibits PV replicon replication. Mean peak replication data ± SEM of replicon transfected cells from three independent experiments with six replicates each are plotted. ∗∗∗p < 0.001. Figure 6 is related to Figure S6 and to Movie S5 and Movie S6. Cell Host & Microbe 2013 14, 281-293DOI: (10.1016/j.chom.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 7 Cholesterol Landscape and Enteroviral Replication (A) Upon infection, viral proteins (e.g., 2BC) modulate CME to enhance the net uptake of PM and extracellular cholesterol pools. Internalized cholesterol is pooled in Rab11 recycling endosomes and targeted to PI4P-enriched replication organelles via protein-protein interactions among viral 3A, Rab11, and PI4KIIIβ proteins. Additionally, some endocytosed cholesterol is transferred to the replication organelles indirectly, through the ER, as the organelles emerge from ER exit sites. (B) Enteroviral replication is inhibited when CME is disrupted: cholesterol cannot be internalized/transported to replication organelles; PM free cholesterol pools are instead trafficked by alternate pathways to lipid droplets for storage. (C) Enteroviral replication is stimulated in cells with functional CME and high free cholesterol pools at the PM and endosomal compartments (e.g., NPC, Cav1, or Cav2 depleted). Cell Host & Microbe 2013 14, 281-293DOI: (10.1016/j.chom.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions