Stress Granule-Inducing Eukaryotic Translation Initiation Factor 4A Inhibitors Block Influenza A Virus Replication

Eukaryotic translation initiation factor 4A (eIF4A) is a helicase that facilitates assembly of the translation preinitiation complex by unwinding structured mRNA 5′ untranslated regions. Pateamine A (PatA) and silvestrol are natural products that disrupt eIF4A function and arrest translation, thereby triggering the formation of cytoplasmic aggregates of stalled preinitiation complexes known as stress granules (SGs). Here we examined the effects of eIF4A inhibition by PatA and silvestrol on influenza A virus (IAV) protein synthesis and replication in cell culture. Treatment of infected cells with either PatA or silvestrol at early times post-infection resulted in SG formation, arrest of viral protein synthesis and failure to replicate the viral genome. PatA, which irreversibly binds to eIF4A, sustained long-term blockade of IAV replication following drug withdrawal, and inhibited IAV replication at concentrations that had minimal cytotoxicity. By contrast, the antiviral effects of silvestrol were fully reversible; drug withdrawal caused rapid SG dissolution and resumption of viral protein synthesis. IAV inhibition by silvestrol was invariably associated with cytotoxicity. PatA blocked replication of genetically divergent IAV strains, suggesting common dependence on host eIF4A activity. This study demonstrates that the core host protein synthesis machinery can be targeted to block viral replication.


Introduction
Influenza A viruses (IAV) are enveloped viruses with segmented, negative-sense, single-stranded RNA genomes (vRNAs) that primarily infect epithelial cells in a diverse range of hosts. These viruses bind to cell surface sialic acids and are internalized by endocytosis. Endosomal acidification aids pH-dependent fusion of viral and endosome membranes and acidification of the virion core, thereby allowing uncoating of viral genome segments. These genome segments are then imported into the cell nucleus, where viral mRNA synthesis is initiated by the viral RNA-dependent RNA polymerase (RdRp) complex, which cleaves nascent host RNA polymerase II (pol II)-transcribed RNAs at sites 10-14 nucleotides downstream of 5 7-methyl-guanosine (m7G) caps [1]. These short capped RNAs are used to prime viral mRNA synthesis. Template-directed viral mRNA synthesis is terminated by reiterative decoding of short uridine-rich sequences, which generates 3 -poly-adenylate (polyA) tails. Thus, by coupling a RdRp complex to each incoming genome segment, the virus ensures faithful generation of mRNAs with 5 -caps and polyA tails that largely resemble host mRNAs. the 43S pre-initiation complex, causing arrest of translation initiation, and inducing SG formation [15]. Specifically, treatment with PatA caused SG formation at early times post-infection and diminished accumulation of viral proteins.
In addition to PatA, eIF4A can be inhibited by a variety of natural compounds currently being investigated for anti-cancer properties, including hippuristanol [16], 15-deoxy-delta 12,14prostaglandin J2 (15d-PGJ2) [17], silvestrol [18] and synthetic derivatives. Accumulating evidence indicates that many viruses are highly dependent on eIF4A activity for protein synthesis. For example, PatA has been shown to limit human cytomegalovirus infection [19], whereas silvestrol has been shown to inhibit Ebola virus replication [20].
In this study, we methodically documented the antiviral properties of PatA and silvestrol in three workhorse models of IAV infection; A549 human lung adenocarcinoma cells, Madin-Darby canine kidney (MDCK) cells, and African green monkey kidney epithelial cells (Vero). In all cases, dosages of PatA and silvestrol sufficient to elicit SGs concurrently blocked viral protein accumulation and genome replication. PatA, known to bind irreversibly to eIF4A, could sustain long-term arrest of viral protein synthesis following drug withdrawal, whereas the effects of silvestrol were reversible. Finally, PatA could inhibit genetically divergent strains, suggesting common dependence on eIF4A.

Cell Viability Measurement
Cells were seeded 24 h before drug treatment at a density of 10,000 cells/well in 96-well plates. Drugs were serially-diluted in media to the indicated concentrations and added to cells. After 24-h treatment, AlamarBlue assay (Fisher Scientific, Ottawa, ON, Canada) was conducted according to manufacturer's protocol using a Tecan Infinite M200 PRO microplate reader (excitation = 560 nm, emission = 590 nm). Values were normalized to vehicle control.

Real Time Quantitative PCR
Total RNA was isolated using the RNeasy Plus Mini kit (Qiagen Inc., Toronto, ON, Canada) according to manufacturer's protocol. Viral genomic and messenger RNAs were reverse-transcribed as described in [2] using Maxima H Minus Reverse Transcriptase (Thermo Fisher Scientific, Grand Island, NY, USA) in separate reactions containing the gene-specific primer for 18S rRNA (5 -AGGGCCTCACTAAACCATCC-3 ) and either the influenza A virus-specific universal primer Uni12 (5 -AGCAAAAGCAGG-3 , for vRNA) or the oligo(dT) 18 primer (for mRNA). Quantitative PCR analysis was performed using GoTaq PCR master mix (Promega, Madison, WI, USA). Relative initial template quantities were determined using the C t method. Primer sequences and PCR thermal cycling protocol are available upon request.

Puromycylation Assay
Cells were treated 10 min prior to lysis with 10 µg/mL puromycin. As a structural analog of an aminoacyl tRNA, puromycin is incorporated into nascent polypeptide chains thus providing a snapshot of cellular translation at the time of treatment [24]. Lysates were analyzed according to the immunostaining protocol described above, using a mouse monoclonal anti-puromycin antibody (MABE343, MilliporeSigma, Etobicoke, ON, Canada).

Pateamine A and Silvestrol Induce Stress Granules and Inhibit Viral Protein Accumulation in Dose-Dependent Manner
We previously demonstrated that IAV was sensitive to pharmacologic induction of translation arrest and SG formation in the early stages of infection [11]. To gain a fuller understanding of how eIF4A-targeting drugs can trigger SG formation and disrupt viral replication, IAV-infected A549 (human), Vero (green monkey) and MDCK (dog) cells were treated at 1 h post-infection (hpi) with increasing doses of PatA and silvestrol. In all three cell lines, PatA triggered SG formation and inhibited IAV protein accumulation at concentrations above 2.5 nM ( Figure 1A-D). By contrast, SG formation was triggered in response to 40 nM silvestrol in infected A549 cells, and 160 nM silvestrol in infected MDCK cells. Remarkably, Vero cells were highly resistant to translation arrest and SG induction by silvestrol. For both PatA and silvestrol, SG induction tightly correlated with inhibition of viral protein synthesis across all three cell lines.  Stress granule induction and viral protein accumulation were visualized at 9 hpi by immunofluorescence microscopy using an antibody to stress granule marker TIAR (red) and a polyclonal anti-influenza antibody (green). Nuclei were stained with Hoechst dye (blue). Representative images are shown for each cell line and treatment condition. There were three biological replicates of A549 cell experiments, and two biological replicates for Vero and MDCK cell experiments.

Pateamine A Is More Potent Than Silvestrol at Inhibiting Viral Replication in Cultured Cells
Previously, we demonstrated that 10 nM PatA blocked IAV replication in A549 cells through sustained total protein synthesis arrest and SG formation [11]. To further test the effects of PatA and silvestrol on infectious virus release in the three most common cell culture models of IAV infection, we treated A549, Vero and MDCK cells with increasing concentrations of these drugs at one hour post-infection with the PR8 strain of IAV. At 24 hpi, culture supernatants were harvested and the infectious virus titers were determined using plaque assays in MDCK cells (Figure 2A,B). In agreement with results presented in Figure 1, 5 nM PatA was sufficient to reduce virus replication 10-fold in all three cell lines. By contrast, the effects of silvestrol were quite variable between the three cell lines. Silvestrol was much less effective at inhibiting virion release from MDCK cells compared to A549 cells, and it had no effect in Vero cells. Overall, these results reveal tight correlation between viral protein accumulation and infectious virus production in these cell lines, and the unexpected remarkable resistance of Vero cells to silvestrol. We also tested the effects of PatA and silvestrol on cell viability after 24 h treatment using the AlamarBlue assay ( Figure 2C,D). Both drugs exhibited notable cytotoxicity at the concentrations required for maximal inhibition of virus replication. However, the cytotoxic effects varied significantly between the cell lines tested. Five nanomolars of PatA had little effect on A549 cells, but it caused a sharp decrease in viability of MDCK cells. By contrast, among the three cell types, A549 cells were most sensitive to silvestrol. Taken altogether, these results suggest that PatA is more effective than silvestrol at inhibiting virus replication at sub-cytotoxic concentrations and exhibits a narrow therapeutic index in A549 cells.

Pateamine A Is More Potent Than Silvestrol at Inhibiting Viral Replication in Cultured Cells
Previously, we demonstrated that 10 nM PatA blocked IAV replication in A549 cells through sustained total protein synthesis arrest and SG formation [11]. To further test the effects of PatA and silvestrol on infectious virus release in the three most common cell culture models of IAV infection, we treated A549, Vero and MDCK cells with increasing concentrations of these drugs at one hour post-infection with the PR8 strain of IAV. At 24 hpi, culture supernatants were harvested and the infectious virus titers were determined using plaque assays in MDCK cells (Figure 2A,B). In agreement with results presented in Figure 1, 5 nM PatA was sufficient to reduce virus replication 10-fold in all three cell lines. By contrast, the effects of silvestrol were quite variable between the three cell lines. Silvestrol was much less effective at inhibiting virion release from MDCK cells compared to A549 cells, and it had no effect in Vero cells. Overall, these results reveal tight correlation between viral protein accumulation and infectious virus production in these cell lines, and the unexpected remarkable resistance of Vero cells to silvestrol. We also tested the effects of PatA and silvestrol on cell viability after 24 h treatment using the AlamarBlue assay ( Figure 2C,D). Both drugs exhibited notable cytotoxicity at the concentrations required for maximal inhibition of virus replication. However, the cytotoxic effects varied significantly between the cell lines tested. Five nanomolars of PatA had little effect on A549 cells, but it caused a sharp decrease in viability of MDCK cells. By contrast, among the three cell types, A549 cells were most sensitive to silvestrol. Taken altogether, these results suggest that PatA is more effective than silvestrol at inhibiting virus replication at subcytotoxic concentrations and exhibits a narrow therapeutic index in A549 cells.

Silvestrol Withdrawal Causes SG Dissolution and Resumption of Viral Protein Accumulation
PatA and silvestrol have distinct molecular structures and mechanisms of eIF4A disruption. Both molecules induce eIF4A dimerization and force an engagement with RNA, thereby depleting eIF4A from eIF4F complexes and inhibiting cap-dependent translation [14,25]. However, PatA has been shown to be an irreversible translation inhibitor [13], whereas silvestrol-dependent translation inhibition occurs reversibly [16]. These distinct properties provided an opportunity to determine whether IAV can "recover" from SG formation following withdrawal of the SG-inducing drug. To address this directly, IAV-infected A549 cells were incubated with 20 nM PatA or 320 nM silvestrol starting from 1 hpi. At 4 hpi, drug was washed off of some infected cells, and SG formation and viral protein accumulation were analyzed using immunofluorescence microscopy at 12 hpi ( Figure 3A). Consistent with our previous observations [11], after withdrawal of PatA, SGs persisted for the remainder of the time-course, and viral proteins did not accumulate beyond the levels observed at 1 hpi. However, silvestrol withdrawal at 4 hpi led to SG disassembly and robust IAV protein accumulation; thus, "wash-off" (WO) reversed the effects of silvestrol. To confirm that SG dissolution due to silvestrol withdrawal coincides with the resumption of protein synthesis, we treated A549 cells with silvestrol or PatA and labelled newly synthesized proteins with a 10-min pulse of puromycin at various times post-treatment [24]. The newly-synthesized peptides were visualized by western blot ( Figure 3B). Both silvestrol and PatA caused strong inhibition of protein synthesis at 1 h post-treatment, which was sustained throughout the 24 h treatment time-couse. Silvestrol withdrawal at three hours allowed for a complete restoration of protein synthesis at later times ( Figure 3B, lanes 7 and 12). By contrast, protein synthesis was never restored following PatA wash-off ( Figure 3B, lanes 8 and 13). Together, these findings demonstrate that IAV can recover from transient drug-induced translation arrest and resume the viral replication cycle when eIF4A inhibition is relieved.

Silvestrol Withdrawal Causes SG Dissolution and Resumption of Viral Protein Accumulation
PatA and silvestrol have distinct molecular structures and mechanisms of eIF4A disruption. Both molecules induce eIF4A dimerization and force an engagement with RNA, thereby depleting eIF4A from eIF4F complexes and inhibiting cap-dependent translation [14,25]. However, PatA has been shown to be an irreversible translation inhibitor [13], whereas silvestrol-dependent translation inhibition occurs reversibly [16]. These distinct properties provided an opportunity to determine whether IAV can "recover" from SG formation following withdrawal of the SG-inducing drug. To address this directly, IAV-infected A549 cells were incubated with 20 nM PatA or 320 nM silvestrol starting from 1 hpi. At 4 hpi, drug was washed off of some infected cells, and SG formation and viral protein accumulation were analyzed using immunofluorescence microscopy at 12 hpi ( Figure 3A). Consistent with our previous observations [11], after withdrawal of PatA, SGs persisted for the remainder of the time-course, and viral proteins did not accumulate beyond the levels observed at 1 hpi. However, silvestrol withdrawal at 4 hpi led to SG disassembly and robust IAV protein accumulation; thus, "wash-off" (WO) reversed the effects of silvestrol. To confirm that SG dissolution due to silvestrol withdrawal coincides with the resumption of protein synthesis, we treated A549 cells with silvestrol or PatA and labelled newly synthesized proteins with a 10-min pulse of puromycin at various times post-treatment [24]. The newly-synthesized peptides were visualized by western blot ( Figure 3B). Both silvestrol and PatA caused strong inhibition of protein synthesis at 1 h post-treatment, which was sustained throughout the 24 h treatment time-couse. Silvestrol withdrawal at three hours allowed for a complete restoration of protein synthesis at later times ( Figure 3B, lanes 7 and 12). By contrast, protein synthesis was never restored following PatA washoff ( Figure 3B, lanes 8 and 13). Together, these findings demonstrate that IAV can recover from transient drug-induced translation arrest and resume the viral replication cycle when eIF4A inhibition is relieved.  At 4 hpi, some wells were washed briefly with PBS and received fresh infection media without drugs as shown on the schematic outline of the experiment. At 12 hpi, mock and virus-infected cells subjected to continuous incubation with Sil. or PatA, or to drug wash off (WO) at 4 hpi, were analyzed by immunofluorescence staining with the polyclonal anti-influenza antibody (IAV, green) and the antibodies to SG markers TIAR (red) and G3BP (blue). (B) Total translation rates in A549 cells were analyzed using metabolic labelling with puromycin and subsequent western blotting with antipuromycin antibody. In some cases, after initial three-hour treatments, Sil. or PatA were washed off prior to puromycin labeling. Total protein was visualized using BioRad Stain-Free reagent.

Prolonged eIF4A Inhibition Triggers Apoptosis
SG formation promotes cell survival in response to environmental stresses [9]. However, the SGinducing eIF4A inhibitors silvestrol and PatA have been shown to promote apoptosis of cancer cells [25][26][27][28]. Moreover, apoptosis has been observed in late-stage IAV infection, and is thought to be required for efficient virion production [29][30][31][32]. To determine whether eIF4A disruption affects the fate of IAV-infected cells in our system, both infected and uninfected A549 cells were treated with 320 nM silvestrol or 20 nM PatA, and apoptosis was measured by immunoblotting for PARP cleavage products. Following 16 h incubation with drugs, PARP cleavage species accumulated in both mockinfected and IAV-infected cells alike, indicating that sustained eIF4A disruption overcomes any prosurvival effects of SG formation, resulting in apoptosis ( Figure 4A, lanes 5-8). Interestingly, the sustained translation arrest by silvestrol not only diminished viral protein accumulation, but also prevented the RdRp from switching tasks between viral mRNA synthesis and genome replication ( Figure 4B). This finding is consistent with our previous observations for PatA [11], suggesting that both drugs affect the viral replication cycle in the same way. Importantly, despite being widely used as an eIF2α phosphorylation-independent SG inducer, prolonged PatA treatment triggered PKRdependent eIF2α phosphorylation ( Figure 4C). Dysregulated RdRp activity and an inability to produce the viral PKR antagonist NS1 should enable detection of viral pathogen-associated molecular patterns (PAMPs), but remarkably, we observed that PatA treatment caused PKR- or PatA, or to drug wash off (WO) at 4 hpi, were analyzed by immunofluorescence staining with the polyclonal anti-influenza antibody (IAV, green) and the antibodies to SG markers TIAR (red) and G3BP (blue). (B) Total translation rates in A549 cells were analyzed using metabolic labelling with puromycin and subsequent western blotting with anti-puromycin antibody. In some cases, after initial three-hour treatments, Sil. or PatA were washed off prior to puromycin labeling. Total protein was visualized using BioRad Stain-Free reagent.

Prolonged eIF4A Inhibition Triggers Apoptosis
SG formation promotes cell survival in response to environmental stresses [9]. However, the SGinducing eIF4A inhibitors silvestrol and PatA have been shown to promote apoptosis of cancer cells [25][26][27][28]. Moreover, apoptosis has been observed in late-stage IAV infection, and is thought to be required for efficient virion production [29][30][31][32]. To determine whether eIF4A disruption affects the fate of IAV-infected cells in our system, both infected and uninfected A549 cells were treated with 320 nM silvestrol or 20 nM PatA, and apoptosis was measured by immunoblotting for PARP cleavage products. Following 16 h incubation with drugs, PARP cleavage species accumulated in both mock-infected and IAV-infected cells alike, indicating that sustained eIF4A disruption overcomes any pro-survival effects of SG formation, resulting in apoptosis ( Figure 4A, lanes 5-8). Interestingly, the sustained translation arrest by silvestrol not only diminished viral protein accumulation, but also prevented the RdRp from switching tasks between viral mRNA synthesis and genome replication ( Figure 4B). This finding is consistent with our previous observations for PatA [11], suggesting that both drugs affect the viral replication cycle in the same way. Importantly, despite being widely used as an eIF2α phosphorylation-independent SG inducer, prolonged PatA treatment triggered PKR-dependent eIF2α phosphorylation ( Figure 4C). Dysregulated RdRp activity and an inability to produce the viral PKR antagonist NS1 should enable detection of viral pathogen-associated molecular patterns (PAMPs), but remarkably, we observed that PatA treatment caused PKR-dependent eIF2α phosphorylation in both mock-infected and infected cells ( Figure 4C, lanes 2 and 4).

Effects of Silvestrol and Pateamine A on IAV Replication Are Not Strain-Specific
We determined that the lab-adapted H1N1 PR8 strain used in this study, which is the preferred backbone for vaccine production worldwide, is sensitive to eIF4A inhibition. To determine whether a genetically divergent IAV strain could be similarly affected by eIF4A inhibiting drugs, A549 cells were infected with the H3N2 Udorn strain. Infected cells were treated with 320 nM silvestrol at 4 hpi, and the viral RNA and protein accumulation was determined over a 12 h time-course. Consistent with our previous findings using the PR8 strain, silvestrol treatment affected RdRp switching from viral mRNA synthesis to viral genome replication tasks ( Figure 5A,B) due to failure to accumulate viral proteins ( Figure 5C). Our findings to date indicate that PatA is better than silvestrol at inhibiting PR8 replication at sub-cytotoxic doses. For this reason, we investigated the effects of PatA on release of Udorn from A549 cells. We observed a similar magnitude of inhibition of Udorn virion production in cells treated with low nanomolar doses of PatA ( Figure 5D). Indeed, 5 nM PatA treatment resulted in a 10-fold reduction of virion production by both Udorn ( Figure 5D) and PR8 (Figure 2A), with 40 nM silvestrol having a similar effect ( Figure 2B). At these concentrations, both drugs had minimal effect on viral nucleoprotein (NP) accumulation, but noticeably reduced accumulation of matrix protein M1 ( Figure 5E). Importantly, these low doses of PatA and silvestrol did not augment apoptosis induction triggered by Udorn infection, as measured by the extent of PARP cleavage at 24 hpi ( Figure 5E).
Viruses 2017, 9,388 10 of 14 effect on viral nucleoprotein (NP) accumulation, but noticeably reduced accumulation of matrix protein M1 ( Figure 5E). Importantly, these low doses of PatA and silvestrol did not augment apoptosis induction triggered by Udorn infection, as measured by the extent of PARP cleavage at 24 hpi ( Figure 5E).

Discussion
IAV mRNAs generally resemble host mRNAs, which enables efficient translation by host cell machinery. However, these features also make them susceptible to stress-induced arrest of protein synthesis. Host translation initiation requires eIF4A, a helicase that unwinds mRNA secondary structure to permit ternary complex scanning for translation initiation codons. IAV protein synthesis also requires eIF4A function, as it was shown to be sensitive to hippuristanol treatment and the overexpression of dominant-negative eIF4A mutants [33]. Here, we demonstrate that IAV translation is highly sensitive to PatA and silvestrol. These drugs limited viral protein accumulation and elicited the formation of SGs. Because progression through the viral replication cycle depends on accumulation of key viral proteins, these eIF4A inhibitors prevent the viral polymerase complex from switching from viral mRNA synthesis to viral genome replication. Both molecules could block replication of genetically-divergent IAV strains, PR8 and Udorn, suggesting a potential universal dependence on eIF4A activity. While the effects of silvestrol were reversible, PatA, known to bind irreversibly to eIF4A, sustained long-term arrest of viral protein synthesis following drug withdrawal.

Discussion
IAV mRNAs generally resemble host mRNAs, which enables efficient translation by host cell machinery. However, these features also make them susceptible to stress-induced arrest of protein synthesis. Host translation initiation requires eIF4A, a helicase that unwinds mRNA secondary structure to permit ternary complex scanning for translation initiation codons. IAV protein synthesis also requires eIF4A function, as it was shown to be sensitive to hippuristanol treatment and the overexpression of dominant-negative eIF4A mutants [33]. Here, we demonstrate that IAV translation is highly sensitive to PatA and silvestrol. These drugs limited viral protein accumulation and elicited the formation of SGs. Because progression through the viral replication cycle depends on accumulation of key viral proteins, these eIF4A inhibitors prevent the viral polymerase complex from switching from viral mRNA synthesis to viral genome replication. Both molecules could block replication of genetically-divergent IAV strains, PR8 and Udorn, suggesting a potential universal dependence on eIF4A activity. While the effects of silvestrol were reversible, PatA, known to bind irreversibly to eIF4A, sustained long-term arrest of viral protein synthesis following drug withdrawal.
Because many oncogenes have structured 5 -UTRs, and depend on eIF4A activity for their synthesis, eIF4A inhibitors have been extensively studied for anti-cancer activity. Low doses of PatA have been shown to inhibit proliferation of tumor xenografts without appreciable toxicity in murine models [34]. Indeed, PatA was able to inhibit oncogene synthesis at low doses that did not impinge on bulk protein synthesis rates, demonstrating that mRNA 5 -UTR structure and nucleotide sequence play key roles in determining susceptibility and dose-dependent effects of eIF4A inhibitors [35]. As in cancer cells, efficient virus replication requires sustained high rates of protein synthesis, which may likewise be dependent on eIF4A helicase activity. For example, Ebola virus has been shown to be exquisitely sensitive to eIF4A inhibition by silvestrol [20]. Ebola virus mRNAs have highly-structured 5 -UTRs [36][37][38] and require eIF4A helicase activity. By contrast, IAV mRNA 5 -UTRs are relatively short, and comprised of divergent host-derived mRNA segments fused to conserved viral mRNA segments. The heterogeneous nature of these 5 -UTRs challenges RNA structure prediction algorithms, but the short, conserved regions do not display significant secondary structure that would necessitate high eIF4A activity. Consistent with this, IAV mRNA translation is inhibited by relatively high doses of silvestrol and PatA that would be predicted to deplete eIF4A from translation preinitiation complexes. Our findings are in agreement with previous studies that indicate that eIF4A helicase activity is required for translation initiation on IAV mRNAs, but it appears that processive unwinding of long, structured 5 -UTRs is not required. Consistent with this model, IAV infection was shown to deplete the eIF4A processivity factor eIF4B [39]. The virus replicates efficiently in eIF4B-depleted cells, and likely benefits from diminished synthesis of eIF4B-dependent interferon-stimulated genes like IFITM3. Viral mRNP complexes remain only partially characterized, but they probably lack eIF4B, and have other properties that distinguish them from host mRNPs. For example, there is some evidence that eIF4E1 is also dispensable for viral mRNA translation [40]. Moreover, IAV NS1 is known to stimulate viral mRNA translation, which may be linked to its ability to bind to viral mRNP complexes through interactions with eIF4G1 and PABP [41]. A better understanding of the precise composition of viral mRNP complexes will likely inform our understanding of the role played by eIF4A and other core translation factors. Beyond these considerations of mRNP composition, dependence on eIF4A helicase activity might also be influenced by host shutoff, which is expected to markedly influence the availability of host translation factors.
We previously established that SGs do not form at any point during IAV infection [10], and that three viral proteins can inhibit SG formation [11]. We also demonstrated that an early window of opportunity exists, before sufficient quantities of SG antagonizing viral proteins accumulate, when the virus is exquisitely sensitive to stress-induced translation arrest. Here, we further elucidated the mechanism of action of SG-inducing eIF4A inhibitors PatA and silvestrol. To date, most of our observations of SGs formed in IAV-infected cells indicate that these granules have canonical composition and properties. Throughout our studies, SG formation in infected cells reliably indicated disruption of viral protein accumulation and viral replication [10,11]. In this study, we observed that silvestrol withdrawal coincided with rapid SGs dissolution and re-initiation of viral protein synthesis. By contrast, ongoing translation arrest triggered by PatA resulted in persistence of SGs throughout the observation period. It has been recently demonstrated that PKR is recruited to SGs by direct interaction with G3BP, and that this recruitment results in PKR activation [42,43]. We observed eIF2α phosphorylation in both infected and uninfected cells after prolonged SG induction by PatA or silvestrol. Using PKR knock-out A549 cells we demonstrated that this eIF2α phosphorylation is PKR-dependent, in agreement with the proposed model of SG-dependent activation of PKR [42,43].
Our results show the magnitude of the threat that host-targeted translation inhibitors pose for viral replication. Nevertheless, the eIF4A inhibitors studied here have some undesirable properties that may be difficult to surmount. We observed that eIF4A inhibition resulted in cytotoxic effects that largely tracked with viral inhibition in all cell lines examined. The human (A549), dog (MDCK) and green monkey (Vero) cell lines studied here displayed markedly different sensitivities to silvestrol treatment, which cannot be explained by structural differences in eIF4A because all three isoforms of eIF4A (eIF4A-I, -II, and -III) are highly conserved between these species. Interestingly, while silvestrol has been shown to bind to eIF4A-I and eIF4A-II, PatA has been shown to bind to all three isoforms, including eIF4A-III [34,[44][45][46]. While eIF4A-I and eIF4A-II function in the cytoplasm, eIF4A-III is localized to the nucleus and thus has no role in translation initiation. Instead, it is a member of the exon junction complex deposited on mRNA post-splicing, where it has been shown to participate in nonsense mediated decay [47]. Moreover, eIF4A-III was previously shown to interact with the IAV polymerase complex [48]. The functional significance of this interaction is unknown, and the contribution of eIF4A-III inhibition by PatA to its antiviral effects remain to be determined.
There is an outstanding need for new antivirals for influenza. Past history has shown that direct-acting antivirals are often rendered ineffective by rapid viral evolution. For this reason, host-targeted antivirals are an attractive alternative approach that should limit the emergence of drug-resistant variants. RNA silencing screens have shown that influenza virus replication depends on thousands of host genes, some of which may be potential candidates for therapeutic intervention. Our data indicates that inhibition of viral protein synthesis potently disrupts the viral replication cycle, and drugs that can block viral protein synthesis may serve as attractive candidates for host-directed antivirals. Despite their antiviral activity against IAV at high doses, PatA and silvestrol appear to lack specificity for viral translation complexes, and impede bulk translation in infected and uninfected cells alike. This distinguishes IAV from other viruses (e.g., Ebola, HCMV) and from cancer models, which were shown to be exquisitely sensitive to much lower doses of eIF4A inhibitor. For these reasons, an effective host-targeted antiviral translation inhibitor for influenza will ideally be specific for infected cells, while sparing uninfected cells. Alternatively, a detailed characterization of IAV mRNP complexes could highlight unique features that could be exploited by future antivirals.