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Chapter 4: Pathogenesis of TBE


          protect  mice  from  lethal  infection.  In  the   TBEV proteins; prM, E, NS2A, NS2B and NS3.
          absence of this response, the virus replicates   The  interaction  between  NS3  and  viperin
          uncontrollably  in  all  organs,  induces  a  rapid   results in proteasome-dependent degradation
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          opening  of  the  blood-brain  barrier,  and  the   of  NS3.   The  stability  of  prM,  E,  NS2A  and
          mice succumb very quickly. This research has   NS2B are affected by viperin, but only in the
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          also shown that IFNAR is important in all cell   presence  of  NS3.   Interestingly,  although
          types;   hematopoietic,   stroma,   neuro-  viperin  does  not  directly  interact  with  the
                                         5
          ectodermal and cells in the periphery.      TBEV  C  protein,  viperin  expression  induces  C
                                                      particle  formation  and  release  from  virus
          Most steps in the viral “life” cycle are targeted   infected  cells  and  disturbing  the  assembly
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          by 1 or several antiviral proteins encoded by   process of TBEV.  Viperin mediates this effect
          the  ISGs.  Although  several  ISGs  have  been   by  interacting  and  sequestering  the  cellular
          screened against TBEV (Figure 3), only 2 have   protein  Golgi  brefeldin  A-resistant  guanine
          been identified to be antivirally active so far;   nucleotide exchange factor 1 (GBF1),  which
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          the  rodent  tripartite  motif  (TRIM)  protein,   is  involved  in  the  vesicular  trafficking  of  the
          TRIM79α, and viperin (virus inhibitory protein,   secretory pathway 48,49  and is a pro-viral factor
          endoplasmic   reticulum-associated,   IFN-  for  many  different  viruses. 50-53   Thus,  viperin
          inducible). 40,41   The  antiviral  mechanism  of   may  target  other  viruses  via  its  interaction
          TRIM79α  is  direct  targeting  of  the  viral   with GBF1. The in vivo importance of viperin
          polymerase,  the  non-structural  protein  5   during  TBEV  infection  was  recently  shown  in
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                                                               -/-
          (NS5),  an  essential  component  of  the   the  viperin   mice.   This  study  shows  that
          replication  complex,  for  lysosomal  degrada-  specific regions of the brain rely differentially
          tion.  TRIM79α  seems to be  specific for  TBEV   on  the  antiviral  activity  of  viperin  for
          and  LGTV,  because  mosquito-borne  flavi-  protection against LGTV. Viperin is important
          viruses; WNV and Japanese encephalitis virus   in the olfactory bulb and cerebrum, while viral
          (JEV), were shown not to be restricted by this   replication was unchanged in cerebellum and
                 40
          protein.   Viperin,  on  the  other  hand,  is  a   brain  stem  in  the  absence  of  viperin.  This
          highly conserved protein with broad spectrum   effect  is  due  to  the  different  neuronal  sub-
          antiviral  activity,  which  has  been  shown  to   types, viperin expression is very important in
          restrict  a  diverse  range  of  viruses  from   cortical neurons but not at all in granular cell
          different  families.  For  the Flaviviridae  family,   neurons  isolated  from  the  cerebellum.
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          viperin  restricts  hepatitis  C,  DENV,  WNV  and   Although  only  2  antiviral  proteins  have  been
          TBEV.  However,  the  antiviral  mechanism   identified so far, there are likely several others
          seems  to  depend  on  the  specific  virus.  For   that  are  involved  in  the  restriction  and
          TBEV,  viperin  selectively  targets  the  positive   protection against TBEV and LGTV in vivo. One
          stranded  RNA  synthesis.  The  intracellular   of  the  difficulties  in  identifying  antiviral  ISGs
          location  to  the  ER  via  viperin's  N-terminal   might  be  the  redundancies  seen  between
          amphipathic  alpha  helix  is  important  as  it   different proteins.
          coincides  with  viral  replication.  The  antiviral
          activity is depending on the radical S-adenosyl   Even  though  different  ISGs  can  potently
          methionine (SAM) domain and the proper iron  restrict  TBEV  replication  if  induced  before
          -sulphur maturation of the protein. 41,42  Recent   infection, 40,41,54,55  IFN treatment after infection
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          studies  have  identified  several  viral  and   has limited effect in vitro.  The reason for this
          cellular  interaction  partners  to  viperin. 42-47    is  the  expression  of  an  IFN  antagonist,
          Viperin is able to target TBEV in multiple ways   NS5. 55,56   The  NS5  protein  of  LGTV  interferes
          mediating  antiviral  activity  in  a  cell  type-  with the phosphorylation of Jak1 and Tyk2 in
          specific manner. Viperin interacts with several   response  to  IFNβ,  which  leads  to  failure  of



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