Persistence and clearance of Ebola virus RNA from seminal fluid of Ebola virus disease survivors: a longitudinal analysis and modelling study

Background By January, 2016, all known transmission chains of the Ebola virus disease (EVD) outbreak in west Africa had been stopped. However, there is concern about persistence of Ebola virus in the reproductive tract of men who have survived EVD. We aimed to use biostatistical modelling to describe the dynamics of Ebola virus RNA load in seminal fl uid, including clearance parameters. Methods In this longitudinal study, we recruited men who had been discharged from three Ebola treatment units in Guinea between January and July, 2015. Participants provided samples of seminal fl uid at follow-up every 3–6 weeks, which we tested for Ebola virus RNA using quantitative real-time RT-PCR. Representative specimens from eight participants were then inoculated into immunodefi cient mice to test for infectivity. We used a linear mixed-eff ect model to analyse the dynamics of virus persistence in seminal fl uid over time. Findings We enrolled 26 participants and tested 130 seminal fl uid specimens; median follow up was 197 days (IQR 187–209 days) after enrolment, which corresponded to 255 days (228–287) after disease onset. Ebola virus RNA was detected in 86 semen specimens from 19 (73%) participants. Median duration of Ebola virus RNA detection was 158 days after onset (73–181; maximum 407 days at end of follow-up). Mathematical modelling of the quantitative time-series data showed a mean clearance rate of Ebola virus RNA from seminal fl uid of –0·58 log units per month, although the clearance kinetic varied greatly between participants. Using our biostatistical model, we predict that 50% and 90% of male survivors clear Ebola virus RNA from seminal fl uid at 115 days (90% prediction interval 72–160) and 294 days (212–399) after disease onset, respectively. We also predicted that the number of men positive for Ebola virus RNA in aff ected countries would decrease from about 50 in January 2016, to fewer than 1 person by July, 2016. Infectious virus was detected in 15 of 26 (58%) specimens tested in mice. Interpretation Time to clearance of Ebola virus RNA from seminal fl uid varies greatly between individuals and could be more than 13 months. Our predictions will assist in decision-making about surveillance and preventive measures in EVD outbreaks

Persistence and clearance of Ebola virus RNA from seminal fluid of Ebola virus disease survivors: a longitudinal analysis and modelling study.

BACKGROUND: By January, 2016, all known transmission chains of the Ebola virus disease (EVD) outbreak in west Africa had been stopped. However, there is concern about persistence of Ebola virus in the reproductive tract of men who have survived EVD. We aimed to use biostatistical modelling to describe the dynamics of Ebola virus RNA load in seminal fluid, including clearance parameters. METHODS: In this longitudinal study, we recruited men who had been discharged from three Ebola treatment units in Guinea between January and July, 2015. Participants provided samples of seminal fluid at follow-up every 3-6 weeks, which we tested for Ebola virus RNA using quantitative real-time RT-PCR. Representative specimens from eight participants were then inoculated into immunodeficient mice to test for infectivity. We used a linear mixed-effect model to analyse the dynamics of virus persistence in seminal fluid over time. FINDINGS: We enrolled 26 participants and tested 130 seminal fluid specimens; median follow up was 197 days (IQR 187-209 days) after enrolment, which corresponded to 255 days (228-287) after disease onset. Ebola virus RNA was detected in 86 semen specimens from 19 (73%) participants. Median duration of Ebola virus RNA detection was 158 days after onset (73-181; maximum 407 days at end of follow-up). Mathematical modelling of the quantitative time-series data showed a mean clearance rate of Ebola virus RNA from seminal fluid of -0·58 log units per month, although the clearance kinetic varied greatly between participants. Using our biostatistical model, we predict that 50% and 90% of male survivors clear Ebola virus RNA from seminal fluid at 115 days (90% prediction interval 72-160) and 294 days (212-399) after disease onset, respectively. We also predicted that the number of men positive for Ebola virus RNA in affected countries would decrease from about 50 in January 2016, to fewer than 1 person by July, 2016. Infectious virus was detected in 15 of 26 (58%) specimens tested in mice. INTERPRETATION: Time to clearance of Ebola virus RNA from seminal fluid varies greatly between individuals and could be more than 13 months. Our predictions will assist in decision-making about surveillance and preventive measures in EVD outbreaks. FUNDING: This study was funded by European Union's Horizon 2020 research and innovation programme, Directorate-General for International Cooperation and Development of the European Commission, Institut national de la santé et de la recherche médicale (INSERM), German Research Foundation (DFG), and Innovative Medicines Initiative 2 Joint Undertaking

Analysis of the inhibition of Paramyxo- and Flavivirus-induced membrane fusion

CD9 und andere Mitglieder der Tetraspaninfamilie sind an der strukturellen Organisation und der Plastizität der Plasmamembran beteiligt. Dabei inhibiert mAK K41, ein spezifischer CD9-Antikörper, die Hundestaupe-induzierte Zell-Zellfusion und die Virusfreisetzung, während die MV-induzierte Zell-Zellfusion nicht beeinflusst wird. So ist die extrazelluläre Domäne des Hämagglutinin-Proteins von CDV diejenige, die die Empfindlichkeit der Zell-Zellfusion gegenüber dem CD9-Antikörper verursacht, die aber selbst nicht an das CD9-Molekül bindet. Diese Erkenntnisse ließen vermuten, dass strukturelle Veränderungen an der Plasmamembran der Grund für die Hemmung sind bzw. räumliche Expressionsmuster des Rezeptors involviert sein könnten. In der vorliegenden Arbeit konnte gezeigt werden, dass mAK K41 das Konformationsepitop der großen extrazellulären Domäne (LEL) von CD9 erkennt, die nachweislich über ß1-Integrin mit verschiedenen Signalwegen im Innern in Kontakt steht. Die Bindung dieser Domäne induziert folglich eine schnelle Umlagerung und ein Clustern der CD9-Moleküle bis zur Bildung von netzähnlichen Strukturen an den Kontaktstellen zweier Zellen. Durch konfokale und rasterelektronenmikroskopische Untersuchungen konnten mikrovilli-ähnliche Ausstülpungen aufgedeckt werden, die von beiden Seiten aneinander liegender Zellen gebildet werden. Nach einer Zeitspanne von 2 h bis 20 h bildeten diese CD9-haltigen Ausstülpungen feine, mehrere µm lange Mikrovilli aus, die sich in einer Art Geflecht miteinander vernetzten und mikrovilli-artige Reißverschlussstrukturen bildeten. Weiterhin konnte eine starke Kolokalisierung des Ewi-F-Proteins vor und nach der Antikörperinkubation gezeigt werden, sowie eine partielle Kolokalisierung mit ß1-Integrin. Im Vergleich konnten MV-Proteine innerhalb der CD9-haltigen Netzstrukturen beobachtet werden, während CDV-Proteine komplett aus diesen ausgeschlossen wurden. Somit ist die Ausgrenzung der viralen Fusionsmaschinerie von CDV von den CD9-Clustern sowie die physikalische Trennung von den Zellkontakten wohl die Erklärung für die Inhibition der Virus-induzierten Zell-Zellfusion durch mAK K41. Da experimentell keine kausale Verbindung zwischen der Induktion der CD9-haltigen Cluster und bestimmten Signalwegen gezeigt werden und auch kein Beweis hervorgebracht werden konnte, dass die Grundlage der Netzstrukturen durch die Umlagerung des Zytoskeletts entsteht, scheint die Interaktion des Antikörper selbst die treibende Kraft für die Strukturbildung zu sein (Singethan et al., 2008). Zusammenfassend ist zu sagen, dass die Ergebnisse die Relevanz des CD9-Moleküls in gesunden und pathogenen Zell-Zellfusionsprozessen unterstreichen und eindeutig zeigen, dass CD9 die Zellfusion von CDV steuern kann, indem es den Zugang der Fusionsmaschinerie zu den Zellgrenzen reguliert. Das Nipah-Virus (NiV) ist ein hochpathogenes Paramyxovirus, das in Schweinen eine Erkrankung des Respirationstrakts und in Menschen eine schwere fiebrige Enzephalitis mit hohen Mortalitätsraten verursacht. Da es noch keine Vakzine bzw. antivirale Medikamente gegen dies Erkrankung gibt, war die Entwicklung kleiner inhibitorischer Moleküle notwendig. Für das Masern-Virus (MV) wurden bereits kleine Inhibitoren, wie Ox-1, AM-2 und AS-48 entwickelt, die in die Bindungstasche des MV F-Proteins passen und so die Membranfusion verhindern. Basierend auf struktureller Ähnlichkeiten der Paramyxovirus F-Proteine konnte ein Testsystem mit F- und H- oder G-exprimierenden Vektoren entwickelt werden, indem eine Gruppe von Chinolon-Derivaten sowie mehrere andere Substanzen auf ihre Fähigkeit untersucht wurden, die eine MV-, CDV- oder NiV-spezifische Fusion zu hemmen. Dazu wurde zuerst die Zytotoxizität aller Substanzen bewertet, um anschließend ihre Hemmungsaktivität in Zell-Zellfusion-Assays zu untersuchen. So inhibierten zwei Substanzen, QED15B - 12 und QED15A - 12, aus der Gruppe der Chinolon-Derivate die NiV-induzierte Synzytienbildung in Hüllprotein-Transfektions- und Infektions-Assays. Bei molekularen Untersuchungen der Bindungstasche des NiV F-Proteins wurde die hemmende Aktivität beider Chinolon-Derivate bestätigt. So konnte eine hervorragende Wechselwirkung und strukturelle Paßform für die Protein-Bindetasche identifiziert werden und deren Interaktion bewiesen werden. Somit konnte die Substanzklasse der Chinolone als Inhibitoren gegen die NiV-Fusion identifiziert und der Mechanismus der Interaktion mit der Bindetasche als Grund für die inhibierende Wirkung aufgeklärt werden (Niedermeier S. und Singethan K. et al., 2008 zur Veröffentlichung eingereicht). Dabei sind diese Chinolon-Derivate mit ihrer Struktur, die völlig verschieden von den meisten aktiven Molekülen gegen die Masern-induzierte Zellfusion sind, eine vielversprechende neue Verbindungsstruktur, auf der weitere Entwicklungen neuer Inhibitoren und antiviraler Agentien aufgebaut werden können. Letztlich sollte ein Testsystem für Untersuchungen der Dengue-Virus…Members of the tetraspanin family including CD9 contribute to the structural organization and plasticity of the plasma membrane. K41, a CD9-specific mAb, inhibits canine distemper virus (CDV) induced cell-to-cell fusion and virus release, whereas measles virus (MV) induced cell-to-cell fusion is not affected. The extracellular domain of the viral haemagglutinin (H) of CDV determines the susceptibility of cell-cell fusion to certain CD9-antibodies, however does not itself bind to CD9. This suggested that structural alterations of the plasma membrane influencing the activity and/or spatial expression pattern of receptors are involved. In the present thesis we found that K41, which recognizes a conformational epitope on the large extracellular loop (LEL) of CD9, induces rapid relocation and clustering of CD9 in net-like structures especially at contact areas between two cells. The high resolution analyses by confocal and electron microscope revealed that CD9 clustering is accompanied by the formation of microvilli-like protrusions that are formed from both sides of adjacent cell surfaces. After about 2 h to 20 h the protrusions are forming more and more structures like microvilli zippers. While the cellular CD9-associated protein EWI-F is co-clustering with CD9 at cell contact areas after and before mAb K41 treatment, the ß1-integrin can only partially be found within the CD9 structures built at the cell interfaces. In contrast viral proteins in infected cells were differentially affected by the treatment of mAb K41. While MV envelope proteins were detected within the microvilli zippers, the CDV proteins were displaced and excluded from CD9 clusters. The exclusion of the viral fusion machinery and its physical separation from cell contact areas explains the inhibition of virus-induced cell-cell fusion by K41. Since we have no experimental support that signal transduction and remodeling of the cytoskeleton may drive the clustering, it is more likely that the antibody interaction on the cell surface is the driving force (Singethan et al., 2008). Although it is known that LEL is interacting with ß1-Integrin and inducing signaling pathways within the cell, it was not possible to find any evidence for the involvement of any signaling pathway.The findings underscore the relevance of the tetraspanin CD9 for healthy and pathogenic cell-to-cell fusion processes and clearly show that CD9 can regulate cell-cell fusion by controlling the access of the fusion machinery of CDV to cell contact areas. Nipah virus (NiV), a highly pathogenic paramyxovirus, causes a respiratory disease in pigs and severe febrile encephalitis in humans with high mortality rates. There is no vaccine and no antiviral treatment available until now. Small molecule inhibitors, like Ox-1, AM-2 or AS-48, fitting into a pocket of the measles virus (MV) F protein and preventing membrane fusion have been designed earlier. Based on the structural similarity of viral fusion (F) proteins within the family Paramyxoviridae, we tested a library of quinolone derivatives and several other small molecules in a NiV, CDV and MV envelope protein-based fusion assay. The cytotoxicity of all substances was evaluated and they were tested for their ability to inhibit cell-to-cell fusion induced by the three mentioned viruses. The most active molecules, QED15A-12 and QED15B-12, inhibiting the syncytium formation induced by transfection of pCz-CFG5-NiV-F and -G and infection with NiV, revealed aan active quinolone-type compound structure, which is different from the most active molecules against MV induced cell fusion. In conclusion, this study revealed a class of promising compounds fitting into a protein cavity of the NiV F protein and inhibiting NiV-induced cell-cell fusion (Niedermeier S. and Singethan K. et al., 2008 submitted for publication). Finally we had the aim to establish a test system for investigations of the Dengue-Virus envelope protein induced virus-cell fusion using DENV-E pseudotyped retroviral particles. This should open an experimental way to develop small inhibitory peptides and molecules against the Dengue E-protein, which mediates the fusion of the viral membrane with the cellular membrane, working under BSL-2 conditions. As there is not sufficient information about intermediate conformational stages of the class II fusion proteins during the fusion process, similarities to the class I proteins should help to develop highly active antiviral peptides inhibiting this process. Although cloning of DENV-3-E-cDNA in the pCG-eGFP vector lead to a high expression of the E-protein, the test system based on pseudotyped retroviral particles could not be established. Even though there were used several different modification strategies like exchanging 3´protein tails in order to get a protein with a tail of the envelope protein of MuLV, which should lead to a better packaging into the pseudotyped particle system based on MuLV

Clearance of Measles Virus from Persistently Infected Cells by Short Hairpin RNA▿

Subacute sclerosing panencephalitis (SSPE) is a demyelinating central nervous system disease caused by a persistent measles virus (MV) infection of neurons and glial cells. There is still no specific therapy available, and in spite of an intact innate and adaptive immune response, SSPE leads inevitably to death. In order to select effective antiviral short interfering RNAs (siRNAs), we established a plasmid-based test system expressing the mRNA of DsRed2 fused with mRNA sequences of single viral genes, to which certain siRNAs were directed. siRNA sequences were expressed as short hairpin RNA (shRNA) from a lentiviral vector additionally expressing enhanced green fluorescent protein (EGFP) as an indicator. Evaluation by flow cytometry of the dual-color system (DsRed and EGFP) allowed us to find optimal shRNA sequences. Using the most active shRNA constructs, we transduced persistently infected human NT2 cells expressing virus-encoded HcRed (piNT2-HcRed) as an indicator of infection. shRNA against N, P, and L mRNAs of MV led to a reduction of the infection below detectable levels in a high percentage of transduced piNT2-HcRed cells within 1 week. The fraction of virus-negative cells in these cultures was constant over at least 3 weeks posttransduction in the presence of a fusion-inhibiting peptide (Z-Phe-Phe-Gly), preventing the cell fusion of potentially cured cells with persistently infected cells. Transduced piNT2 cells that lost HcRed did not fuse with underlying Vero/hSLAM cells, indicating that these cells do not express viral proteins any more and are “cured.” This demonstrates in tissue culture that NT2 cells persistently infected with MV can be cured by the transduction of lentiviral vectors mediating the long-lasting expression of anti-MV shRNA

A Broad-Spectrum Antiviral Peptide Blocks Infection of Viruses by Binding to Phosphatidylserine in the Viral Envelope

The ongoing threat of viral infections and the emergence of antiviral drug resistance warrants a ceaseless search for new antiviral compounds. Broadly-inhibiting compounds that act on elements shared by many viruses are promising antiviral candidates. Here, we identify a peptide derived from the cowpox virus protein CPXV012 as a broad-spectrum antiviral peptide. We found that CPXV012 peptide hampers infection by a multitude of clinically and economically important enveloped viruses, including poxviruses, herpes simplex virus-1, hepatitis B virus, HIV-1, and Rift Valley fever virus. Infections with non-enveloped viruses such as Coxsackie B3 virus and adenovirus are not affected. The results furthermore suggest that viral particles are neutralized by direct interactions with CPXV012 peptide and that this cationic peptide may specifically bind to and disrupt membranes composed of the anionic phospholipid phosphatidylserine, an important component of many viral membranes. The combined results strongly suggest that CPXV012 peptide inhibits virus infections by direct interactions with phosphatidylserine in the viral envelope. These results reiterate the potential of cationic peptides as broadly-acting virus inhibitors

A Broad-Spectrum Antiviral Peptide Blocks Infection of Viruses by Binding to Phosphatidylserine in the Viral Envelope

The ongoing threat of viral infections and the emergence of antiviral drug resistance warrants a ceaseless search for new antiviral compounds. Broadly-inhibiting compounds that act on elements shared by many viruses are promising antiviral candidates. Here, we identify a peptide derived from the cowpox virus protein CPXV012 as a broad-spectrum antiviral peptide. We found that CPXV012 peptide hampers infection by a multitude of clinically and economically important enveloped viruses, including poxviruses, herpes simplex virus-1, hepatitis B virus, HIV-1, and Rift Valley fever virus. Infections with non-enveloped viruses such as Coxsackie B3 virus and adenovirus are not affected. The results furthermore suggest that viral particles are neutralized by direct interactions with CPXV012 peptide and that this cationic peptide may specifically bind to and disrupt membranes composed of the anionic phospholipid phosphatidylserine, an important component of many viral membranes. The combined results strongly suggest that CPXV012 peptide inhibits virus infections by direct interactions with phosphatidylserine in the viral envelope. These results reiterate the potential of cationic peptides as broadly-acting virus inhibitors

A broad-spectrum antiviral peptide blocks infection of viruses by binding to phosphatidylserine in the viral envelope.

The ongoing threat of viral infections and the emergence of antiviral drug resistance warrants a ceaseless search for new antiviral compounds. Broadly-inhibiting compounds that act on elements shared by many viruses are promising antiviral candidates. Here, we identify a peptide derived from the cowpox virus protein CPXV012 as a broad-spectrum antiviral peptide. We found that CPXV012 peptide hampers infection by a multitude of clinically and economically important enveloped viruses, including poxviruses, herpes simplex virus-1, hepatitis B virus, HIV-1, and Rift Valley fever virus. Infections with non-enveloped viruses such as Coxsackie B3 virus and adenovirus are not affected. The results furthermore suggest that viral particles are neutralized by direct interactions with CPXV012 peptide and that this cationic peptide may specifically bind to and disrupt membranes composed of the anionic phospholipid phosphatidylserine, an important component of many viral membranes. The combined results strongly suggest that CPXV012 peptide inhibits virus infections by direct interactions with phosphatidylserine in the viral envelope. These results reiterate the potential of cationic peptides as broadly-acting virus inhibitors