Volume 198, 23 February 2017, Pages 109–121
Abstract
Ethnopharmacological relevance
Honeysuckle (Lonicera japonica
Thunb.), a traditional Chinese herb, has widely been used to treat
pathogen infection. However, the underlying-mechanism remains elusive.
Aims of the study
To reveal the host microRNA (miRNA) profile with the anti-viral activity after honeysuckle treatment.
Materials and methods
Here we reveal the differentially expressed miRNAs by Solexa®
deep sequencing from the blood of human and mice after the aqueous
extract treatment. Among these overexpressed innate miRNAs both in human
and mice, let-7a is able to target the NS1 region (nt 3313-3330) of
dengue virus (DENV) serotypes 1, 2 and 4 predicated by the target
predication software.
Results
We
confirmed that let-7a could target DENV2 at the predicated NS1 sequence
and suppress DENV2 replication demonstrated by luciferase-reporter
activity, RT-PCR, real-time PCR, Western blotting and plaque assay.
ICR-suckling mice consumed honeysuckle aqueous extract either before or
after intracranial injection with DENV2 showed decreased levels of NS1
RNA and protein expression accompanied with alleviated disease symptoms,
decreased virus load, and prolonged survival time. Similar results were
observed when DENV2-infected mice were intracranially injected with
let-7a.
Conclusion
We reveal that honeysuckle attenuates DENV replication and related pathogenesis in vivo
through induction of let-7a expression. This study opens a new
direction for prevention and treatment of DENV infection through
induction of the innate miRNA let-7a by honeysuckle.
Keywords
- Honeysuckle;
- Let-7a;
- Dengue virus replication
1. Introduction
Dengue
virus (DENV), a mosquito-borne virus, belongs to the Flaviviridae
family and has four serotypes (DENV1 to DENV4). The DENV genome contains
a 5′ untranslated region (UTR), 3 structural proteins (capsid, C;
membrane, prM; and envelope glycoprotein, E), 7 nonstructural proteins
(NS1, NS2A, NS2B, NS3, NS4A, NS4B, and NS5), and 3′ UTR (Deubel et al., 1990 and Henchal and Putnak, 1990).
Among them, non-structure protein 1 (NS1) is highly conserved among
DENVs and is a 48 kDa glycoprotein which functions as a cofactor for
viral RNA replication, and is expressed either as the membrane or
soluble form at the early phase of infection (Muller and Young, 2013 and Winkler et al., 1989).
In DENV2-infected human endothelial cells, NS1 protein is abundantly
present in membrane/organelle compared to the peri-nucleus and
cytoskeleton at 12 h post-infection (Poungsawai et al., 2011). NS1 can be secreted from the infected cells and accumulated in the supernatant as well as on the cellular membrane (Avirutnan et al., 2007). In addition, NS1 is involved in the formation of immune complexes and complement activation during DENV pathogenesis (Avirutnan et al., 2011).
DENV infection causes diseases from mild dengue fever to severe and
fatal dengue hemorrhagic fever and dengue shock syndrome (DHF/DSS) (Deen et al., 2006, Gubler, 1998, Mackenzie et al., 2004 and Swaminathan and Khanna, 2009). Currently, there are no effective DENV medications.
Honeysuckle (Lonicera japonica Thunb.) is a perennial evergreen plant, which is widely cultivated in China, Japan, Korea, and India ( He et al., 2013). It is used in traditional medicine owing to its pharmacological properties including neuroprotection ( Kwon et al., 2012, Kwon et al., 2011 and Weon et al., 2011), anti-oxidation ( Ku et al., 2009 and Leung et al., 2006), anti-inflammation ( Chen et al., 2012, Kang et al., 2010, Lee et al., 2001 and Park et al., 2005; Park, K.I. et al., 2012; Ryu et al., 2010; Tae et al., 2003; Tzeng et al., 2014; Yoo et al., 2008; Ziyan et al., 2007), anti-carcinogenesis ( Lee et al., 2013, Leung et al., 2008, Leung et al., 2006, Leung et al., 2005 and Liao et al., 2013; Park, H.S. et al., 2012; Yoo et al., 2008; You et al., 2011), as well as anti-bacterial and anti-viral effects (Wang et al., 2013). The aqueous extract of honeysuckle can relieve fever and flu-like symptoms (Shang et al., 2011). The activity of symptom relief induced by honeysuckle can be demonstrated by purification of the ingredients and tested in vivo.
Phytochemical studies have shown that the bud of honeysuckle flower
contains active ingredients which include chlorogenic acid,
isochlorogenic acid, linalool, luteolin, and shuangkangsu (a novel
cyclic peroxide) ( Li et al., 2009 and Shang et al., 2011).
Although honeysuckle extract has been shown to exhibit anti-COX-2,
anti-inflammatory, anti-oxidative, anti-microbial and anti-viral
activities in vitro and in vivo, it remains unclear
whether honeysuckle could affect the infection and replication of DENVs
through induction of the innate microRNA (miRNA) expression.
MicroRNA is a small RNA that is known to be involved in the regulation of cellular activity (Baulcombe, 2004, Chapman and Carrington, 2007 and Stefani and Slack, 2008). In addition, miRNAs are able to regulate viral replication by targeting various viral mRNAs or viral RNA genomes per se ( He et al., 2013 and He et al., 2009; Hsu et al., 2007; Scaria et al., 2006). MiRNAs can regulate the targeted mRNA by interacting with the 3′UTR, 5′UTR, and coding region (Breving and Esquela-Kerscher, 2010). The interaction between miRNA and its target is usually via the seed sequence of miRNAs, which is located at the nucleotide position 2–8 ( Bartel, 2009). The sub-cellular location for miRNAs to execute function is in the cytoplasm, nucleus, and mitochondria ( Breving and Esquela-Kerscher, 2010 and Kren et al., 2009).
Moreover, miRNAs can be transported out of the cell through the
exsosome to execute its regulation activity in a distant recipient cell (Valadi et al., 2007).
Let-7 miRNA was first reported in Caenorhabditis elegans in the regulation of development, and is highly conserved in different species including C. elegans, mice and human ( Reinhart et al., 2000).
Let-7 is widely expressed in the brain, cortex, midbrain, lung,
trachea, heart, stomach, small intestine, colon, muscle, white and brown
adipose tissues, liver, spleen, kidney, thymus, and blood ( Lagos-Quintana et al., 2002, Pasquinelli et al., 2000, Sempere et al., 2004 and Sun et al., 2009). However, the level of let-7 expression is relatively low in bone marrow, which contains many immature cells (Pasquinelli et al., 2000). This is consistent with a characteristic of let-7a that can inhibit cell proliferation-related genes including Ras ( Akao et al., 2006, He et al., 2010 and Johnson et al., 2005), c-Myc ( He et al., 2010 and Sampson et al., 2007), HMGA2 ( Lee and Dutta, 2007, Motoyama et al., 2008 and Sun et al., 2009), NIRF (He, X. et al., 2009), E2F2, and CCND2 (Dong et al., 2010). In addition, let-7a is involved in the expression of inflammation-associated cytokine interleukin-6 (Meng et al., 2007). However, whether let-7a can interact with the RNA of DENV both in vitro and in vivo is not known.
In this study, we clarified how honeysuckle suppresses DENV2 activity both in vitro and in vivo.
This is the first report to demonstrate that miRNA let-7a as an innate
immune response can be induced by honeysuckle aqueous extract, and has
both preventive and therapeutic potential against DENV2 infection in vivo.
2. Materials and methods
2.1. Cell culture and virus
Human hepatoma (Huh7; JCRB number: JCRB0403), baby hamster kidney (BHK-21; ATCC number: CCL-10), and Aedes albopictus
cells (C6/36; ATCC number: CRL-1660) were grown in Dulbecco's modified
Eagle's medium (DMEM; GIBCO, NY, USA) supplemented with 10% fetal bovine
serum (FBS; Trace Biosciences, Sydney, Australia),
penicillin (200 U/ml; Biowest, Nuaillé, France) and streptomycin
(100 μg/ml; Bioweat). Huh7 and BHK-21 cells were grown at 37 °C with 5%
CO2. C6/36 cells were grown at 28 °C with 5% CO2.
DENV2
(PL046) and DENV3 (strain 739079A) were grown in C6/36 cells with 2%
FBS/DMEM. Virus in the culture supernatant was isolated by
centrifugation and filtration through a 0.22 µm filter (Millipore, MA,
USA) before storage at −80 °C. Virus titer was determined by plaque
assay using BHK-21 cells.
2.2. Plasmids
DENV2 NS1 sequence (nt 3313-3333; based on DENV2 NGC strain) and its mutant, which are shown in Figs. 1 and 3A, were amplified from DENV2 infectious clone (Lee et al., 2005) and constructed into a pMIR-Report™ vector (Applied Biosystems, NY, USA) to form pMIR-DENV2-NS1-WT and pMIR-DENV2-NS1-Mut.
2.3. Luciferase assay
The
reporter plasmid, pMIR-DENV2-NS1-WT or pMIR-DENV2-NS1-Mut, was
co-transfected with pRL-TK (an internal control) and miRNA into Huh7
cells with Turbofect™ (Fermentas, PA, USA). The reporter and control
plasmids were mixed at a ratio of 4:1 for transfection. After
transfection and incubation, cells were lysed and the luciferase
activity was measured using Dual-Luciferase Reporter assay kit (Promega,
WI, USA) and determined by luminometer (Minilumate LB9506, Germany).
2.4. RT-PCR and real-time PCR
DENV
NS1 RNA and negative-stranded NS1 RNA were reverse transcribed into
cDNA using High-Capacity cDNA Reverse Transcription Kits (Applied
Biosystems). PCR was performed using YEA DNA polymerase (Yeastern
Biotech, Taipei, Taiwan) and TaKaRa Gradient PCR machine. To reversely
transcribe miRNAs into cDNA, a NCode™ VILO™ miRNA cDNA Synthesis Kit
(Invitrogen, CA, USA) was used. Real-time PCR was conducted using the
Step One Real-Time PCR System (Applied Biosystems).
2.4.1. Primers used in this study are listed as follows
The reverse transcription primer for negative-stranded DENV2 NS1 was Taq-3.2 (Wati et al., 2007), and the cDNA of DENV2 NS1 negative-stranded RNA was amplified by PCR using the primers Taq and Taq-3.1 (Wati et al., 2007).
2.4.2. Primer Taq-3.2 sequence
5′-CGGTCATGGTGGCGAATAAGCAGATCTCTGATGAATAAC-3′.
2.4.3. Primer Taq sequence
5′-CGGTCATGGTGGCGAATAA-3′.
2.4.4. Primer Taq- 3.1 sequence
5′-TTGTCAACTGTTGCACAGTCG-3′.
To detect all 4 serotypes of DENV, the universal PCR primers AD3 and AD4 were used (Henchal et al., 1991).
2.4.5. AD3 primer sequence
5′-CTGATTTCCATCCCGTA-3′.
2.4.6. AD4 primer sequence
5′-GATATGGGTTATTGGATAGA-3′.
To detect endogenous beta-actin mRNA, beta-actin-F and beta-actin-R primers were used. The sequence of beta-actin-F was:
2.4.7. beta-actin-F primer sequence
5′-GGCGGCACCACCATGTACCCT-3′.
2.4.8. beta-actin-R primer sequence
5′-AGGGGCCGGACTCGTCATACT-3′.
The miRNA levels of let-7a, mouse snoRNA55, and human U54 were measured by real-time PCR.
2.4.9. The hsa-let-7a PCR primer sequence was
5′-GCCTGAGGTAGTAGGTTGTATAGTTA-3′.
2.4.10. The snoRNA55(Mus) PCR primer sequence was
5′-TGACGACTCCATGTGTCTGAGCAA-3′.
2.4.11. The U54(homo) PCR primer sequence was
5′-GGTACCTATTGTGTTGAGTAACGGTGA-3′.
Primers DENV2-NS1-F and DENV2-NS1-R were used to amplify the DENV2 NS1 RNA by PCR.
2.4.12. The sequence of DENV2-NS1-F
5′-CACAGATAACGTGCATACATGGAC-3′.
2.4.13. The sequence of DENV2-NS1-R
5′-TGAGGCCGCAGAGATCG-3′.
The
mRNA level of endogenous beta-actin and the level of infected DENV2 NS1
RNA were measured by real-time PCR using the primers of beta-actin-F,
beta-actin-R, DENV2-NS1-F, and DENV2-NS1-R.
2.5. Western blot analysis
Protein
samples were prepared by lysing the cells in RIPA buffer and
centrifugation at 13,600 rpm for 15 min at 4 °C. RIPA buffer contained
PMSF, EGTA, aprotinin, leupeptin, Na3VO4 (Sigma,
MO, USA), and EDTA (Merck, Darmstadt, Germany). Proteins were analyzed
by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE),
and the proteins in the gel were transferred onto Immobilon-P Membrane
(PVSF) (IPVH00010; Millipore). Blocking solution (TBST) with 5% milk was
applied onto the PVSF membrane for 1 h. After incubation with the
specific primary antibody at 4 °C overnight, the secondary antibody was
added. The PVSF membrane was stained with the secondary antibody for 1 h
at room temperature (RT). Finally, the data were analyzed using the
Biospectrum Imaging system (UVP, CA, USA). The expression level of the
protein was quantified using Image-J software. Anti-NS1 primary antibody
(dilution rate 1:540) was a gift from Dr. Huan-Yao Lei (National Cheng
Kung University, Taiwan). Anti-beta-actin antibody (dilution rate
1:5000) was purchased from Sigma.
2.6. Immunofluorescence assay (IFA)
Cells
were seeded on the slide and incubated with virus for various times.
Then, the cells were washed with PBS and fixed in 3.7% formaldehyde/PBS
solution for 30 min at RT. After washing with PBS, the slide was
incubated with 0.1% Triton X-100 (Merck) for 30 min, and washed with PBS
before incubating with 2% BSA (Sigma) for 1 h at RT. The slide was then
stained with anti-DENV2-NS1 primary antibody (dilution rate 1:100;
Abcam, Cambridge, UK) at 4 °C overnight. The slide was washed with PBS
and incubated with the goat anti-mouse IgG-Alexa 488 secondary antibody
(dilution rate 1:200; Invitrogen) for 1 h at 37 °C. After washing with
PBS, the slide was stained with Hochest dye (dilution rate 1:200; Sigma)
for 30 min at RT for nuclei staining. Finally, the slide was examined
under a confocal microscope (FV-1000; Olympus, Tokyo, Japan). The images
were merged using Photoshop software.
2.7. Plaque assay
BHK-21
cells were cultured on the 12-well plate overnight at 37 ℃ before
infection with dengue viruses. Cells and virus were incubated for 2 h
with shaking at RT. The incubation solution was discarded and 1 ml of
0.8% carboxy methyl cellulose (Sigma) with 2% FBS/DMEM was added. Cells
were maintained for 4 days at 37 °C. The cells were washed with PBS
twice and stained with 2% crystal violet solution (Sigma) for 1 h at RT
followed by washing with water. The plaques on the plate were then
counted (Lee et al., 2008).
2.8. Animal model
To test the effect of honeysuckle and let-7a on DENV infection and replication in vivo, C57/B6 and ICR suckling mouse models were used ( Lee et al., 2005).
Despite these two models of DENV infection could not show the clinical
symptoms mimic to infection in human, they are good animal models to
evaluate DENV virulence and replication. The C57/B6 mice were maintained
at the Model Animal Research Center (MARC) of Nanjing University and
the ICR suckling mice were maintained at the Animal Facility of National
Cheng Kung University. Mice were bought from Nanjing University
(Nanjing, China) and National Laboratory Animal Center (Taipei Taiwan).
Mice were housed at 22 °C with a 12-hr light-dark cycle in an on-site
animal facility.
Animal
welfare and experimental studies complied with the guidelines of the
Care and Use of Laboratory Animals (National Research Council, 1996) and
the Model Animal Care and Use Program (MACUP) supervised and this study
was specifically approved by the Institutional Animal Care and Use
Committee (IACUC) of the Model Animal Research Center (MARC) of Nanjing
University and the IACUC of National Cheng Kung University (the approval
number: No. 101291).
Intracranial injection of DENV2 was administered to the ICR suckling mice, and 2% FBS/DMEM was used for the mock infection.
To
study the effect of let-7a on DENV2-infected mice, let-7a was i.c.
injected after the mice had been i.c. inoculated with DENV2. The
negative control was 15 μM negative control miRNA in DMEM.
DENV2-infected
mice that received honeysuckle (40 μl) or let-7a treatment were
examined for the expression levels of viral NS1 RNA and protein as well
as viral titer in the brains by real-time PCR, Western blotting, and
plaque assay. The disease symptoms and survival rate of the treated mice
were also determined. Anti-NS1 and anti-beta-actin antibodies were used
to examine the DENV2 NS1 protein level in infected mice brains.
Beta-actin was the internal control for both RNA and protein
investigation. Clinical score was defined as follows: 0: healthy; 1:
weight loss; 2: reduced mobility; 3: difficulty moving with forelimb or
hind limb weakness; 4: paralysis and very ill; 5: death.
2.9. Honeysuckle aqueous extract preparation and blood miRNA profile in human participants and mice
Human
subject assessment was conducted according to the Declaration of
Helsinki, and this study was specifically approved by the Institutional
Review Board (IRB) of National Cheng Kung University Hospital (IRB
approval number: IBR-99-127). Written informed consent was obtained from
each of the participants. For each volunteer in this study, a dosage of
honeysuckle aqueous extract was prepared as immersed 10 g of
honeysuckle dry flower bud in 500 ml double distill-water and cook for
20 min before drinking. Volunteer ingested 2 dosages a day (one in the
morning and one in the evening) for continue 4 days as a complete
treatment course. One day after honeysuckle treatment, blood samples
were taken and immediately mixed with TRIzolTM (Invitrogen). The total
RNAs in the blood samples was analyzed by Solexa® deep sequencing.
Dried
honeysuckle flower was purchased from Shandong province, China (Linyi
Jin Tai Yao Ye Co. LTD, Shandong, China; voucher specimen number: 2011).
The honeysuckle (L. japonica Thunb.) was identified by Dr.
Guanghai Liu, a taxonomist of Linyi Honeysuckle Institute, Shandong,
China. One dose of honeysuckle aqueous extract was prepared by boiling
10 g of honeysuckle flower in 500 ml double distill-water for 20 min
before consumption. The fingerprint of compounds in honeysuckle aqueous
extract was determined by UPLC-Q/TOF MS (Supplementary data 2 and Supplementary Table 2),
and was used to ensure the consistency of honeysuckle usage in this
study. Volunteers ingested 2 dosages a day (one in the morning and one
in the evening) for 4 consecutive days. One day after honeysuckle
treatment, blood samples were taken and immediately mixed with TRIzol™
(Invitrogen). The total RNA in the blood samples was analyzed by Solexa® deep sequencing.
To
study honeysuckle-induced miRNA expression profile in human blood, a
total of 17 health volunteers were recruited. In the treatment group, 6
men (aged between 23 and 29 years old) and 2 women (aged 23–25 years)
ingested honeysuckle aqueous extract. Three men (age 23–30) and 6 women
(age 23–27) drank water and their blood samples were used as the control
group.
To study the
honeysuckle-induced miRNA expression profile in mice, eight hundred male
mice (C57/B6 strain; aged 10 weeks and 64 weeks; four hundred mice/age
group; 200 mice/treatment group) were treated with honeysuckle aqueous
extract or double distilled water. To mimic the human medicine treatment
and prevent side effects from overdose, the body weight of each mouse
was measured and the amount of honeysuckle was calculated based on the
dosage for a 50 kg man. Thus, for a 25 g C57/B6 mouse (age either 10
weeks or 64 weeks), the dosage of honeysuckle aqueous extract was
0.005 g of honeysuckle in 0.2 ml double distilled water. For each 4 g
ICR suckling mouse, the dosage of honeysuckle aqueous extract was
0.0008 g of honeysuckle in 40 μl double distilled water. Honeysuckle
aqueous extract was prepared as follows: 3 g of dried honeysuckle flower
were boiled in 150 ml double distilled water for 20 min until there was
50 ml water left. This extract solution was stored at −80 °C. The mice
were fed with the honeysuckle aqueous extract (40 μl or 0.2 ml according
to their body weight) twice a day for 4 consecutive days and the blood
samples were taken at the indicated times for RNA extraction. Total RNA
was extracted using TRIzol™ reagent. The total RNA including miRNA were
analyzed by deep sequencing. The level of let-7a miRNA in the blood of
the ICR mice was evaluated by real-time PCR.
Solexa®
deep sequencing and data analysis were performed following the
manufacturer's protocol (Beijing Genomics Institute, Shenzhen, China; http://www.genomics.cn/en/index).
Briefly, small RNAs were annealed with 5′ and 3′ adaptors before RT-PCR
and sequencing analysis. The sequencing results were then compared with
miRNAs in the miRNA database to identify candidate miRNAs. The
sequencing result revealed the copy number of the matched miRNAs in the
examined blood samples. The expression level of each matched miRNA among
the total miRNAs was normalized and represented as the expression of
transcriptions per million counts, and was then statistically analyzed
by standard deviation (std). The normalized data were marked as “std
number”. The normalized miRNA expression level after log2 conversion
(treatment/control) was shown as the fold change of each identified
miRNA. The significance of the fold change of miRNA expression levels
was determined by the p-values. A p-value of <0.05 was defined as
significant.
The miRBase website (http://www.mirbase.org) was used to search for human homologues of the endogenous matched miRNAs of the mice (Kozomara and Griffiths-Jones, 2011). The dengue virus type 2 PL046 sequence (DENV2 PL046; NCBI accession number AJ968413; http://www.ncbi.nlm.nih.gov) was queried on the ViTa viral target prediction website (http://vita.mbc.nctu.edu.tw) to predict the miRNA targets of virus genome sequences (Hsu et al., 2007). The clustering family and seed sequence group family of the miRNAs were analyzed using the smirnaDB website (http://www.mirz.unibas.ch/cloningprofiles).
2.10. UPLC-Q/TOF MS and UPLC analysis
UPLC-Q/TOF
MS experiments were performed on a Dionex Ultimate 3000 HPLC system
(Thermo, Dionex, Germany) coupled with impact HD Q/TOF MS (Bruker
Daltonics, German). The aqueous extract of L. japonica was
separated by Kinetex C18 column (2.1×150 mm, i.d., 2.6 mm particle size,
Phenomenex, Torrance, USA) with gradient eluting system at a flow rate
of 0.5 ml/min with (A) 0.1% formic acid in 100% acetonitril and (B) 0.1%
formic acid in Mili-Q water as elute of 2.5–5.0% A at 0–30 min,
5.0–25.0% A at 30–60 min, 25.0–100.0% A at 60–70 min, 100.0–75.0% A at
70–75 min, and 75.0–50.0% A at 75–80 min. The MS source was operated in
negative ion mode. Nitrogen was used as a nebulizing (0.3 bar) and
drying gas (4.0 L/min, 200 °C). Helium was used as the collision gas.
2.11. Statistical analysis
Data
are presented as mean±standard error for the indicated number of
separate experiments. Statistical differences were analyzed by two-way
analysis with Mann-Whitney U test. The statistical difference
of Kaplan-Meier survival curves of mice was analyzed with Log Rank test.
All statistics were calculated using SigmaState version 3.5 (Systat
Software, San Jose, CA, USA).
3. Results
3.1. Honeysuckle up-regulated miRNAs could target DENV NS1 sequence
MiRNAs
play important roles in suppressing pathogens in human and animals.
Whether honeysuckle suppresses microbial infection through the
regulation of miRNAs has not been explored. To identify miRNAs which
participate in honeysuckle-mediated suppression of DENV2 replication,
the miRNA expression profiles of a honeysuckle-treated group and an
untreated control group were compared by Solexa® deep
sequencing analysis. Here, we determined the profile of differentially
expressed miRNA in the blood of mice (400 young and 400 old mice) and
human volunteers (17 young people) after ingestion of either honeysuckle
aqueous extract or double distilled water for four days followed by
next generation sequencing analysis. In the human Solexa®
deep sequencing data, a total of 1921 miRNAs were screened and 80 of
them were found to be up-regulated 1.2 fold in the honeysuckle-treated
groups. Among them, twenty-two miRNAs were predicted to target the RNA
genomes of DENV2 (Supplementary Table 1),
and three miRNAs (let-7a, let-7b, let-7i) were predicted to target the
RNA genomes of DENV1, DENV2, and DENV4 strains at the conserved NS1
region from nucleotide position 3313–3333 (Fig. 1; Table 1).
In summary, above predicated miRNAs may play suppressive roles in
dengue virus replication both in mice as well as in human. Among the
up-regulated miRNAs, let-7a showed the highest expression level compared
to other up-regulated miRNAs (Supplementary Table 1, 48%).
miRNAs predicated to target DENV2 genome aTargeted region in DENV2 genome and corresponding protein in bracket b10 week-old mice c64 week-old mice dHuman eHuman precursor cluster let-7a 3313-3333 (NS1) fX X X hsa-mir-98 let-7b 3313-3333 (NS1), X X X hsa-mir-98 10639-10660 (3′UTR) let-7i 3314-3333 (NS1), X X X hsa-let-7i 10327-10349 (3′UTR) miR-148b 8208-8229 (NS5) X X X hsa-mir-148b miR-221 4651-4673 (NS3), X X X hsa-mir-221 8973-9005 (NS5) -
- a
- DENV genome sequence was from DENV2 PL046 strain (NCBI accession number #AJ968413).
- b
- Ten week-old C57B6 mice represent young age mice.
- c
- Sixty four week-old mice represent old age mice.
- d
- Human volunteers were between 23 and 30 year-old.
- e
- The cluster family was listed based on human miRNA profile.
- f
- X: Endogenous miRNAs induced after honeysuckle treatment
3.2. Honeysuckle treatment induced let-7a expression both in vivo and in vitro
Because
let-7a expression was increased in the blood of mice and human after
honeysuckle ingestion twice a day for four consecutive days, we then
clarified whether honeysuckle could induce let-7a expression.
Honeysuckle induction of endogenous let-7a expression in mice was
investigated according to the schematic procedure shown in Fig. 2A.
Our data showed significant up-regulation of let-7a in the blood of the
ICR suckling mice at day 2 (11.25 fold) and day 4 (2 fold) after
ingestion of honeysuckle aqueous extract. This induction was diminished
at day 6 post-treatment (Fig. 2B).
Similarly, our cell line data showed a significant increase of let-7a
expression in hepatoma Huh7 cells after treatment with honeysuckle water
extraction for 36 h and 48 h detected by real-time PCR (Supplementary data 1). In summary, honeysuckle can induce endogenous let-7a expression both in vitro and in vivo.
3.3. Let-7a specifically targets DENV2 NS1 sequence, suppresses NS1 expression and viral replication
To
confirm that let-7a can specifically target DENV2 NS1 sequence and
suppresses its expression, the suppression of exogenous let-7a on DENV2
NS1 expression in human hepatoma Huh7 cells was evaluated. Either wild
type DENV2 NS1 (3313–3333) or NS1 sequence with mutations at the
targeting region were cloned into the 3′UTR region of the reporter
plasmid pMIR-Report™, which together with let-7a (miR let-7a) or
non-specific miRNA (N.C.) were co-transfected into Huh7 cells by
transient transfection (Fig. 3A).
Our data reveal that the luciferase activity of the wild type
pMIR-DENV2-NS1-WT was significantly suppressed by the exogenous let-7a
as compared to the non-specific N.C. miRNA, and the NS1 mutant
pMIR-DENV2-NS1-Mut showed no change by either let-7a or N.C. (Fig. 3A). Moreover, let-7a suppressed the luciferase activity of the wild type pMIR-DENV2-NS1-WT when let-7a dosage was increased (Fig. 3B). These results indicate that let-7a specifically targets the DENV2 NS1 sequence at the 3313-3333 region.
Because
DENV3 genome RNA could not be targeted by let-7a (predicated by ViTa
software), we used it to confirm the specific targeting of let-7a on
DENV2 but not DENV3 genome sequence. Huh7 cells were transiently
transfected with let-7a followed by DENV2 or DENV3 infection. Huh7 cells
were transiently transfected with let-7a for 24 h followed by infection
with DENV2 or DENV3 for another 48 h. DENV2 NS1 expression was
significantly suppressed by let-7a at a concentration of 200 nM;
however, DENV3 NS1 gene expression was not affected by let-7a at the
same concentration by RT-PCR analysis (Fig. 4A). It is well known that Ras is the target gene of let-7a and its expression could be inhibited by let-7a (Akao et al., 2006, He et al., 2010 and Johnson et al., 2005).
Here, a dosage-dependent inhibition of endogenous Ras expression was
demonstrated under increased amount of let-7a treatment, indicating that
let-7a is functional (Fig. 4B).
Under such conditions, our data demonstrated that exogenous let-7a
showed dosage dependent inhibition on NS1 protein expression (Fig. 4B).
DENV2 negative-stranded NS1 expression was also decreased by let-7a in a
dose-dependent manner, indicating that let-7a suppresses viral
replication (Fig. 4C).
The dosage-dependent inhibition of let-7a on DENV2 NS1 expression in
Huh7 cells was further demonstrated by immunofluorescence staining (Fig. 4D).
Altogether, overexpression of exogenous let-7a could inhibit DENV2
replication in Huh7 cells through the specific inhibition of NS1 gene
expression.
3.4. Honeysuckle treatment before DENV2 infection decreased clinical score, viral replication and prolonged the survival time of infected ICR suckling mice
Because
honeysuckle has been widely used against various pathogen infection in
China, the prophylactic effect of honeysuckle on DENV2 infection in ICR
suckling mice was evaluated. ICR suckling mice were pretreated with
honeysuckle at day 4 after birth (twice a day) followed by intracranial
(i.c.) injection of DENV2 (PL046 strain, 2.5×105 PFU) on day 7. All the mice continuously drank honeysuckle aqueous extract until day 13 (Fig. 5A).
Our
data showed that honeysuckle pretreatment before DENV2 infection
significantly decreased the clinical scores of the infected mice at day 6
compared with the DENV2-infected mice without treatment (Fig. 5B).
The clinical scores included weight loss, reduced mobility, difficulty
moving, forelimb or hind limb weakness, paralysis, and death.
Honeysuckle pre-treatment also prolonged the survival time of
DENV2-infected mice by one day compared to DENV2-infected group without
honeysuckle treatment (Fig. 5C).
Pre-treatment of honeysuckle consistently suppressed DENV2 NS1 RNA and
protein expression by 20% and 68% in the brain tissue compared with
DENV2-infected mice without treatment by RT-PCR and Western blotting,
respectively (Fig. 5D
and E). Pre-treatment of honeysuckle further decreased viral titer
(42%) in the brain tissue of the infected mice compared to the
DENV2-infected mice without treatment (Fig. 5F).
Altogether, honeysuckle pretreatment alleviated the disease symptoms,
prolonged survival time, and was accompanied with inhibition of DENV2
replication and viral titer in the brains of the suckling mice.
3.5. Honeysuckle treatment decreased disease symptoms, prolonged survival time, and suppressed DENV2 replication and viral titer in DENV2-infected suckling mice
We then
evaluated the effect of honeysuckle treatment on DENV2 infected ICR
mice. Suckling mice were i.c. injected with DENV2 (2.5×105
PFU) at day 6 followed by honeysuckle treatment starting at day 7 twice a
day for four days. All the mice were sacrificed at day 12 (Fig. 6A).
Our
data showed that honeysuckle treatment after DENV2 infection
significantly decreased the clinical scores of the infected mice at day
4, 5 and 6 compared to the DENV2-infected mice without honeysuckle (Fig. 6B). Honeysuckle treatment also prolonged the survival time of the infected mice from day 8 to day 10 (Fig. 6C). Honeysuckle treatment resulted in a 27% reduction of NS1 RNA expression and a 52% reduction of NS1 protein expression (Fig. 6D
and E). Further study revealed that honeysuckle treatment decreased
over 30% viral titer in the brain tissue of the infected mice (Fig. 6F).
In conclusion, our findings demonstrated that honeysuckle treatment
partially suppressed the disease symptoms, prolonged survival time, and
inhibited DENV2 replication and titer in the mice.
3.6. Let-7a treatment alleviated disease symptoms, prolonged survival time, and suppressed DENV2 replication and viral titer in DENV2 infected suckling mice
The data in Fig. 6
revealed that honeysuckle treatment alleviated clinical scores and
increased the survival time of DENV2-infected ICR suckling mice. Let-7a
was one of the most up-regulated miRNAs by honeysuckle as demonstrated
above both in vitro and in vivo. We further showed
that let-7a specifically targets DENV2-NS1, but not DENV3-NS1,
accompanied with reduced expression levels of RNA and protein of
DENV2-NS1 as well as DENV2 replication ( Fig. 3 and Fig. 4).
Here, we further clarified the effect of exogenous let-7a on the
pathogenesis of DENV2-infected ICR suckling mice and DENV2 replication.
The ICR suckling mice were i.c. injected with DENV2 (2.5×105
PFU) at day 6 followed by i.c. injection of let-7a (7.5 μM and 15 μM in
20 μl of DMEM) at day 7 and day 9, and then sacrificed at day 11 (Fig. 7A).
Our data showed that exogenous let-7a treatment (15 μM) significantly
alleviated the clinical score of DENV2-infected mice at day 5, 6 and 7
compared to the untreated DENV2-infected mice (Fig. 7B). Furthermore, let-7a treatment prolonged the survival of the infected mice from day 8 to day 9 (Fig. 7C).
Further study revealed that let-7a treatment at the concentration of
7.5 μM and 15 μM resulted in a 13–26% reduction of NS1 positive-stranded
RNA expression (Fig. 7D) and a 27–52% reduction of NS1 protein expression (Fig. 7E).
Finally, let-7a treatment at both 7.5 μM and 15 μM decreased the viral
titer in the brain tissue of the infected mice by over 94% (Fig. 7F).
In conclusion, let-7a treatment showed a similar result to that of
honeysuckle treatment by alleviating the disease symptoms and prolonging
the survival time of DENV2-infected mice. Furthermore, let-7 suppressed
DENV2 replication and led to decreased virus titer in the brain of the
infected mice.
4. Discussion and conclusion
Honeysuckle,
a traditional medicine with multiple functions has been used for
thousands of years in China. However, the underlying mechanism of its
anti-pathogen function remains unclear. Each year over 390 million
people were infected by DENV and 96 million showed symptoms (Bhatt et al., 2013).
There is currently no effective therapy or vaccine against dengue virus
infection. Here, we demonstrate that honeysuckle can alleviate disease
symptoms and prolong the survival time of the infected suckling mice
when these mice received honeysuckle either before or after DENV2
infection (Fig. 5 and Fig. 6).
During DENV replication in the cell, early viral protein is directly
translated from its positive-stranded RNA genome followed by replication
and synthesis of late mRNAs and proteins. DENV shows the highest
translation and replication rate at 10 h and 70 h p.i., respectively (Filomatori et al., 2006).
In DENV2-infected human endothelial cells, a large amount of NS1
protein was detected in the membrane and organelles at 12 h p.i. (Poungsawai et al., 2011).
Our data showed that the expression levels of DENV2 NS1 RNA and protein
were reduced in the mouse brain tissue when suckling mice received
honeysuckle either before or after viral infection, suggesting that
DENV2 replication was suppressed (Fig. 5D, E, F and Fig. 6D, E, F).
To
clarify how honeysuckle suppresses DENV2 replication through miRNA,
deep sequencing analysis was conducted to identify the overexpressed
miRNAs in the blood of mice and human volunteers after honeysuckle
treatment. We further analyzed overexpressed miRNAs in human blood
samples and found that some miRNAs are predicted to be able to target
the DENV genome sequences at NS1 and 3′UTR regions (Table 1).
We also demonstrated that the overexpressed miRNA let-7a could target
the DENV NS1 sequence in the human cell line and the mouse model.
Moreover, our analysis reveal that the DENV2 NS1 sequence region
3313-3333 could be recognized and targeted by honeysuckle induced miRNAs
(Fig. 1).
In humans, six of the twenty-two DENV2-targeting miRNAs can target NS1
sequence at the 3302-3333 region among 80 of the honeysuckle
up-regulated miRNAs (Supplementary Table 1).
Similar phenomenon was seen in the mice after honeysuckle ingestion
(data not shown). Above results suggest that the NS1 sequence 3302-3333
is a hotspot targeted by honeysuckle-induced miRNAs. Interestingly, NS1
3313-3333 region corresponding to amino acid 297-303 with the peptide
sequence “SLRTTT” (AA 297-302; Fig. 1) is within the most-conserved region 267-312 of DENV (Chen et al., 2010 and Masrinoul et al., 2011).
This unique region has 98–100% identity in four serotypes of DENVs, and
can’t induce the strong immune response compared to other conserved
regions (Chen et al., 2010).
This feature warrants the development of universal miRNAs against four
serotypes of DENVs. NCBI BLAST analysis indicates that the peptide
“SLRTTT” presents in both JEV and DENV and shows 100% alignment with
human MHC binding protein-2 (MBP-2), c-Myc intron-binding protein 1,
transcription factor HIVEP2, intestinal mucin, transcription factor
ATRX, zinc finger helicase, X-linked nuclear protein,
neuroblastoma-amplified protein, and ral GTPase-activating protein
subunit beta. Because this conserved peptide sequence region was
detected in diverse human proteins, therefore, it is difficult to induce
strong immune response through the immune selection mechanism. On the
other hand, the C-terminal domain of DENV NS1 (amino acid 271–352,
nucleotide 3234–3477) is an epitope of anti-NS1 autoantibody, which
cross-reacts with human endothelial cells and platelets and causes
pathogenesis of platelet dysfunction (Stevens et al., 2009 and Wan et al., 2014).
Because let-7a is a ubiquitously expressed miRNA in the cells, it may
suppress DENV2 replication by targeting the NS1 (from 3313 to 3333)
region (Fig. 1)
in addition to the conventional antibody suppression. Therefore, to
prevent anti-NS1 autoantibody-related auto-immune diseases,
honeysuckle-induced let-7a provides an alternative approach to suppress
DENV replication in vivo. It is possible that the host innate
miRNA immunity was generated by a competitive process during the
co-evolution of DENV and its host. In summary, the conserved sequence in
DENV NS1 region lacks of effective epitope for antibody recognition.
However, this conserved region can be targeted and inhibited by specific
miRNAs such as let-7a.
Let-7a expression was significantly increased in the blood of both human volunteers and mice after honeysuckle treatment (Fig. 2, Table 1). The water extraction of honeysuckle increased let-7a expression in human hepatoma Huh7 cells (Supplementary data 1). These findings support our speculation that honeysuckle can induce let-7a expression both in vitro and in vivo. Further studies reveal that let-7a specifically targets DENV2 NS1 (region 3313-3333) to reduce the levels of DENV2 NS1 ( Fig. 3 and Fig. 4),
suggesting that let-7a indeed targets the DENV2 NS1 sequence to reduce
DENV activity. The specific targeting of let-7a at the DENV2 NS1
sequence was further validated by its preferential suppression of DENV2
but not DENV3 (Fig. 4A). Our findings confirmed the prediction of the ViTa in silico
analysis. We further demonstrated that intracranial inoculation of
let-7a after DENV2 infection of the suckling mice attenuated the disease
symptoms, and prolonged the survival time of the mice ( Fig. 7B and C). Both positive as well as negative RNA and protein levels of DENV2 NS1 were suppressed by let-7a treatment (Fig. 4A, B, C and 4D),
suggesting that let-7a suppresses DENV2 activity. Moreover, decreased
viral load in the brain tissue of mice after let-7a treatment with
statistical significance was detected compared to that of the untreated
group (Fig. 7F).
In
addition to the involvement of humoral and cellular immune responses in
DENV-related DHF and DSS development, viral load also plays an
important role in disease progression and symptom development (Pawitan, 2011). DENV infection could up-regulate cytokines including IFN-γ, MCP-1, and RANTES in the infected mice (Tuiskunen et al., 2011),
which affect the inflammatory response and cause the cytokine storm and
result in plasma leakage and death. In summary, viral load and cytokine
production affect the severity of clinical symptoms in DENV patients (Rothman, 2011).
In our mouse model, although both honeysuckle and let-7a could suppress
DENV2 NS1 expression and viral load to various degrees, the improvement
in disease symptoms and survival rate of the infected mice was limited
and transient (Figs. 5C, 6C and 7C).
This discrepancy may be explained at least in part by the presence of
residual viruses and/or overexpression of cytokines. Nevertheless, our
findings suggest that an optimal therapeutic approach for the treatment
of DENV2 patients may be a combined therapy of honeysuckle and
immunopathogenesis-related drugs.
Zhou et al. reported that honeysuckle per se encoded the miR2911 can be uptaken by the host to target the influenza A viruses genome sequence and suppress its infection ( Zhou et al., 2015).
However, above finding has been subverted by miRBase (a biological
database), which announces that miR2911 is a fragment of rRNA not
microRNA.
MiRNAs play
diverse roles under different conditions. Thus, in order to develop a
drug capable of inducing endogenous miRNAs which can target the viral
genome and inhibit viral replication, we also need to consider its side
effects on the host. Some miRNAs show a suppressive effect on viral
replication but are also toxic to the host when they are highly
expressed. It is possible that some plants can also induce
DENV-targeting miRNAs which have side effects in patients. Honeysuckle
is a traditional herb which has long been used to treat flu-like
symptoms in China, suggesting that the possible side effects induced by
honeysuckle are negligible. However, the toxicity study in human of the
extract of honeysuckle needs further investigation. Our data showed that
honeysuckle induces multiple DENV2-targeting miRNAs simultaneously.
These different miRNAs have different target sequences on the DENV2
genome (Table 1).
Therefore, honeysuckle offers a unique advantage in that it can prevent
drug resistance that caused by viral RNA sequence mutation, a
phenomenon seen with many antiviral drugs.
Various
active ingredients of honeysuckle have been reported with
anti-microbial activities; however the functional component in
honeysuckle responsible for let-7a overexpression and the anti-DENV
activity remains undetermined. In the present study, we demonstrate for
the first time that honeysuckle uptake enhances innate miRNA let-7a to
suppress DENV2 activity both in vitro and in vivo. In
addition, this study opens a new avenue for exploring the antiviral
effects through the regulation of the endogenous miRNAs.
Competing interests
We have read the Journal's policy and the authors of this manuscript have no competing interests.
Author contributions
Conceived
and designed the experiments: DDG, HSL, SFY. Analyzed the data: YRL,
SFY, HSL, DDG. Wrote the first draft of the manuscript: YRL, HSL, DDG.
Agreed with manuscript results and conclusions: XMR, HZ, SDH, YSL, TMY,
HDH, CCH. ICMJE criteria for authorship read and met: YRL, SFY, XMR, HZ,
SDH, HDH, CCH, YSL, TMY, HSL and DDG.
Acknowledgements
We
thank Ms. Lingling Yu, Xiaohong Xu, Maoshan Chen, Shuwen He
(BGI-Shenzhen), Ms. Yaping Zhang and Mr. Zhen Bian (NJU, China) for
their technical support. We also thank Dr. Maobin Dn (IBJPCAS), Dr.
Guanghai Liu (LHI), Mr. Faqiang Wang (LJP Co), Dr. Fenyong Liu (UC
Berkeley), Dr. Yie Liu (NIH, USA), and members of the State Key
Laboratory of Pharmaceutical Biotechnology (NJU, China) for their
assistance.
This work
was supported by “Project 985” and “Project 211” grants provided by the
Ministry of Education of the People's Republic of China, and the Open
Fund of the State Key Laboratory of Pharmaceutical Biotechnology,
Nanjing University, China (Grant number# KF-GN-200906) to DDG. It was also supported by grants from the National Science Council of Taiwan (NSC 101-2314-B-705-003-MY3) and Chiayi Christian Hospital.
Appendix A. Supplementary material
- Supplementary material Supplementary Data 1. Honeysuckle extract induced let-7a expression in Huh7 cells. Honeysuckle (200 g) was extracted from 4 liter of double distilled water and the extract was quantified after frozen drying. Huh7 cells were treated with honeysuckle for 36 h and 48 h and the expression of let-7a was determined by real-time PCR. Double distilled water was used as the mock control.
- Supplementary material Supplementary Table 1. Differential expression levels of miRNAs in human blood after honeysuckle treatment. Human drank honeysuckle extract, and the differentially expressed miRNAs were determined by Solexa® deep sequencing. Among them, the miRNAs targeting DENV2-NS1 region were identified. Supplementary Table 2. The spectra of the compounds in honeysuckle aqueous extract determined by UPLC-Q/TOF MS.
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