Human Cytomegalovirus Stimulates Cellular IKK2 Activity and Requires the Enzyme for Productive Replication^†

HCMV infection stimulates cellular IKK activity.

To determine whether HCMV regulates the activity of the upstream IKK complex, quiescent HELF cells were infected with HCMV AD169 at a multiplicity of infection (MOI) of 10 PFU/cell, and whole-cell extracts were prepared at the indicated times. The complex was immunoprecipitated with an anti-IKK1 monoclonal antibody (MAb), and IKK activity was measured with the specific glutathione S-transferase (GST)-IκBα substrate, as previously described (17), and compared with that in mock-infected cells. Preliminary experiments confirmed the coimmunoprecipitation of IKK1 and IKK2. As shown in Fig. 1A (upper panel), HCMV induced a significant increase in IKK activity after only 15 min. This lasted until 90 min and then declined. Quantitation of band intensity from four independent experiments demonstrated that the increase was about fourfold between 15 and 90 min and twofold at 4 and 24 h (Fig. 1A, middle panel). These results demonstrate that HCMV infection activates IKK during the same time frame as induction of NF-κB DNA binding activity (Fig. 1A, lower panel).

IKK2 is required for HCMV-mediated NF-κB activation.

IKK2 is the predominant IKK activated by all known proinflammatory stimuli (4, 9). To evaluate its contribution to HCMV-induced IKK activity, a FLAG-tagged IKK2 protein bearing a substitution of Lys 44 to Ala was transiently transfected in HELF cells with the indicator plasmid 5xNF-κB LUC. Mutagenesis of the critical Lys residue abolished the protein's kinase activity and gave it a dominant-negative (dn) phenotype (19). The cells were then infected with HCMV at an MOI of 5 PFU/cell, and the reporter gene activity was measured 18 h later. As shown in Fig. 1B, overexpression of increasing amounts of dnIKK2 significantly reduced HCMV-induced NF-κB transactivation of the reporter gene. A fourfold reduction was measured in extracts from cells that received the highest amount of dnIKK2, suggesting that endogenous IKK2 is required for virus-stimulated activation of the NF-κB pathway. Immunoblotting analysis of extracts from these transfected cells with anti-IKK2 or anti-FLAG MAbs confirmed the expression of exogenous IKK2 (Fig. 1B).

Effect of an IKK2 inhibitor on HCMV-mediated NF-κB activation.

AS602868 is an anilino derivative selected for its ability to block IKK2. It is a competitive ATP binding inhibitor and is highly specific for IKK2 (50% inhibitory concentration [IC₅₀] = 62 nM), since it has no effect on IKK1 (IC₅₀ > 30 μM), nor on a large panel of recombinant kinases, and prevents NF-κB activation in different cell lines (7). To determine its effects on HCMV-induced IKK activity, endogenous IKK was immunoprecipitated from whole extracts of HCMV-infected HELF cells for 1 h and IKK activity was determined in the presence of increasing concentrations of AS602868. As shown in Fig. 2A, it blocked the ability of immunopurified IKK to phosphorylate in vitro the GST-IκBα substrate at a concentration as low as 1 μM (lanes 3 to 5). Moreover, treatment of the infected cells with AS602868 (20 μM for 1 h before HCMV infection) completely inhibited virus-mediated IKK activation at 1 h postinfection (p.i.) (Fig. 2A, lanes 7 and 8). We also looked to see whether the subsequent steps in the NF-κB activation pathway were altered by IKK2 inhibition. First, the effect of inhibition on NF-κB DNA binding activity triggered by HCMV infection was assessed by electrophoretic mobility shift assay (EMSA). Quiescent HELF cells pretreated for 1 h with AS602868 were infected with HCMV, and nuclear extracts were prepared at the indicated time points p.i. and evaluated for NF-κB binding activity. As shown in Fig. 2B, IKK2 inhibition prevented NF-κB activation for up to 24 h p.i. Then, to determine the consequences of IKK2 inhibition on HCMV-stimulated NF-κB-dependent gene expression, we analyzed the effects of AS602868 on expression of transiently transfected 5xNF-κB LUC. Transfected HELF cells were serum starved and then infected with HCMV at an MOI of 5 PFU/cell in the absence or presence of increasing AS602868 concentrations. At 18 h p.i., cell extracts were prepared and assayed for luciferase activity. As shown in Fig. 2C, the HCMV-induced NF-κB transactivation of the reporter gene was inhibited in a dose-dependent manner.

Altogether, these results demonstrate that inhibition of the upstream IKK2 activity blocked the subsequent steps of the NF-κB signaling pathway stimulated by HCMV infection.

IKK2 activity is required for completion of the HCMV lytic cycle.

To analyze the dependence of HCMV gene expression on induction of IKK2 activity, the effects of its inhibition on viral protein expression were examined by immunoblotting. Figure 3A shows that AS602868 significantly reduced the expression of the two major IE proteins throughout infection, since their content was strongly decreased at both early (4 and 8 h) and late (24 and 48 h) times p.i. compared to cells infected in the absence of the inhibitor. AS602868 also reduced the expression of both an early gene, UL44 (DNA polymerase processivity factor), and a true late gene (UL99) (Fig. 3A). High levels of both UL44 and UL99 were detected at 24 and 48 h p.i., respectively, in infected controls that did not receive AS602868. These results demonstrate that HCMV gene expression is blocked even at the IE phase and that all subsequent events in the cascade are inhibited.

Next, HCMV DNA synthesis in the presence of increasing concentrations of AS602868 was measured by dot blot DNA hybridization. DNA samples from HCMV-infected HELF cells were isolated at 96 h p.i. and sequentially hybridized with ³²P-labeled HCMV IE1 and glyceraldehyde-3-phosphate dehydrogenase probes. Figure 3B shows that AS602868 significantly inhibited synthesis in a dose-dependent manner with an IC₅₀ lower than 0.05 μM. Since late gene expression cannot start before the beginning of viral DNA replication, these results corroborate the impairment of UL99 expression shown in Fig. 3A. Since NF-κB regulates a wide variety of cell processes, inhibition of IKK2 activity may alter the overall ability of infected cells to support HCMV DNA synthesis. To demonstrate that cells treated with AS602868 can support viral DNA replication, HELF cells were infected in the presence of 10 μM AS602868 for 96 h. The inhibitor was then removed, and the infection was allowed to proceed for another 24 or 48 h. Viral DNA synthesis was analyzed by dot blot hybridization. As shown in Fig. 3C, DNA synthesis resumed after the removal of AS602868. Inhibition of viral DNA replication by AS602868 is thus reversible.

Finally, to determine whether IKK2 activity is required for progression and completion of HCMV replication, virus yield along with cell viability were measured in HELF cells infected with HCMV AD169 in the presence of increasing concentrations of AS602868. As shown in Fig. 4A, inhibition of IKK2 activity produced a significant dose-dependent inhibition of HCMV yield at 6 days p.i. The calculated IC₅₀ and IC₉₀ values were less than 0.01 and 1 μM, respectively. Moreover, AS602868 did not affect the viability of HELF cells at concentrations up to 30 μM for up to 4 days of exposure. The 50% cytotoxic concentration was >30 μM, demonstrating that AS602868's antiviral activity is indeed specific and not due to generalized cytotoxicity.

In view of AS602868's potent inhibition of the AD169 laboratory strain, the sensitivity of HCMV isolated from clinical specimens was assessed. Moreover, since ganciclovir (GCV)-resistant strains have been noted during prolonged treatment, inhibition in this context was evaluated by measuring the effect of AS602868 on two GCV-resistant strains deficient in drug phosphorylation due to mutations in the UL97 gene (8). Figure 4B shows the effect of different AS602868 concentrations on viral titers determined by measuring the viral yield of virus-infected HELF at 10 days p.i. The sensitivities of the GCV-resistant strains were comparable to that of the AD169 strain.

This study provides the first illustration of the ability of HCMV to stimulate IKK activity. It also showed that IKK2 is functionally required for HCMV-induced NF-κB activation and that IKK2 activity is essential for the completion of productive viral replication, since its inhibition suppressed viral DNA synthesis and production of viral progeny.

Increasing knowledge of the molecular mechanisms that regulate the NF-κB pathway provides a further rationale for the development of new inhibitors (2, 27). Since NF-κB is important for ensuring adequate levels of expression of both viral and cellular proteins critical for completion of the viral replicative cycle, blocking HCMV-induced NF-κB activation may be a way of inhibiting viral replication. Specific inhibition of NF-κB signaling by overexpression of a degradation-resistant IκBα protein resulting in suppression of stimulation of HCMV major IE enhancer-promoter activity by tumor necrosis factor alpha is relevant in this respect (22). This finding suggests that inhibitors of NF-κB activation may be an alternative way of interfering with HCMV reactivation from latency, since this event is partly regulated by NF-κB activation and is tumor necrosis factor alpha dependent in individuals with a high risk of inflammation-related HCMV reactivation (14, 18, 25).

Since it is now clear that IKK2 is the kinase primarily responsible for regulating NF-κB activation, the search for specific inhibitors of its activity may provide a new class of agents with multiple therapeutic benefits as anti-inflammatory, anticancer, and antimicrobial drugs. Here we have reported the anti-HCMV activity of the specific IKK2 inhibitor AS602868. In vivo studies have demonstrated its efficacy in preventing NF-κB activation as well as its disease-modifying effects in animals with chronic inflammatory diseases whose pathogenesis involves NF-κB activation, such as rat adjuvant arthritis and mouse collagen-induced arthritis (3, 23).

We observed that different HCMV strains are highly sensitive to AS602868 at concentrations that did not significantly alter cell viability. This specificity may depend on the low levels of NF-κB activity in uninfected cells. Selective induction of this pathway by HCMV infection could thus provide a specific target for anti-CMV molecules. Inhibition of NF-κB activation by AS602868 may thus be deleterious to viral replication only. The overall decrease in the concentration of essential IE1 and IE2 (Fig. 3A) is likely to be sufficient to inhibit progression of viral replication by affecting the initiation of early gene expression and viral DNA synthesis. However, inhibition of the expression of other HCMV genes may contribute to AS602868's antiviral effect. A database search of potential NF-κB sites within the HCMV AD169 genome, in fact, revealed that several binding sites for NF-κB factors are dispersed throughout the viral genome in addition to those already characterized within the enhancers controlling the expression of ie1/ie2 (UL122 and -123) and the immunomodulatory US3 protein (18). Five sites are contained within the 5′-flanking region of genes encoding putative viral glycoproteins (TRL10/IRL10, UL11, UL13, and UL40), suggesting that expression of these viral genes may also be affected by IKK2 inhibition.

IKK2 is thus an attractive anticytomegaloviral target and may be a good candidate for a new class of antiviral drugs for use in combination with conventional anticytomegaloviral chemotherapy.