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The supramolecular chemistry between CB[7] and polyamines have been well-studied and multiple evidence have shown that CB[7] exhibits higher binding affinity with different polyamines, including putrescine, spermidine and spermine, than nucleic acids (Table 1). Therefore, we sought to examine whether the sequestration of polyamines by CB[7] could exert any antiviral activity. To this end, EV-A71 that belongs to the genus Enterovirus of the family Picornaviridae and is the major causative pathogen for hand-foot-and-mouth disease (HFMD) was used for the initial investigation. We used EV-A71 (strain H, VR-1432) that is a common strain for laboratory research. Rhabdomyosarcoma (RD) cells were pretreated with increasing concentrations of CB[7] for 2 h and then infected with EVA71 for one hour at a multiplicity of infection (MOI) of 0.1. At 24 hpi, the antiviral effect of CB[7] was determined via measuring viral RNA accumulation with qRT-PCR. Our data showed that CB[7] exerted potent anti-EV-A71 activity in a dose-dependent manner, with the 50% inhibitory concentration (IC50) value of 344 ± 24.24 μmol/L (Fig. 1A). Besides, the cytotoxicity of CB[7] in RD cells was examined via CCK-8, and the 50% cytotoxic concentration (CC50) of CB[7] in RD cells is greater than 2500 μmol/L (Fig. 1B). Moreover, this anti-EV-A71 effect of CB[7] was also confirmed by measuring virus titers in infected cells via plaque assays (Fig. 1C, 1D) or determining EV-A71 coat protein VP1 via Western blotting (Fig. 1E), respectively. With the promising antiviral effects of CB[7] on the common strain of EV-A71 (strain H, VR- 1432), we further tested the effect of CB[7] on a clinical strain of EV-A71 (strain XY833) in RD cells, and found that the IC50 value of CB[7] against this clinical isolated strain is 346.6 ± 17.98 μmol/L. (Fig. 1F).
Polyamines Nucleic acids/CB[7] Methods Binding constants (Ka, M-1) References Putrescine CB[7] Fluorescence titration in 10 mmol/L NH4OAc buffer of pH 6.0 at ambient temperature 3.7 × 105 Hennig et al. (2007) Spermidine CB[7] ITC titration in 100 μmol/L CaCl2, NaCl and NaHCO3 at 25 ℃ 2.2 × 105 Da Silva et al. (2014) Spermine CB[7] ITC titration in 20 mmol/L PBS buffer of pH 6.0 at 37 ℃ 1.18 × 106 Chen et al. (2017) Putrescine DNA Affinity capillary electrophoresis method in 20 mmol/L Tris-HCl buffer of pH 7.0 at 25 ℃ 1.02 × 105 Ouameur and Tajmir-Riahi (2004) Spermidine DNA Affinity capillary electrophoresis method in 20 mmol/L Tris-HCl buffer of pH 7.0 at 25 ℃ 1.4 × 105 Ouameur and Tajmir-Riahi (2004) Spermine DNA Affinity capillary electrophoresis method in 20 mmol/L Tris-HCl buffer of pH 7.0 at 25 ℃ 2.3 × 105 Ouameur and Tajmir-Riahi (2004) Spermine DNA Gel filtration method in 100 mmol/L Tris-HCl, 2 mmol/ L Mg2+ and 100 mmol/L K+ buffer of pH 7.5 at 4 ℃ 103×105 Igarashi et al. (1982) Spermidine 16S rRNA Gel filtration method in 100 mmol/L Tris-HCl, 2 mmol/ L Mg2+ and 100 mmol/L K+ buffer of pH 7.5 at 4 ℃ 2.2 × 103 Igarashi et al. (1982) Spermine 16S rRNA Gel filtration method in 100 mmol/L Tris-HCl, 2 mmol/ L Mg2+ and 100 mmol/L K+ buffer of pH 7.5 at 4 ℃ 1.8 × 104 Igarashi et al. (1982) Table 1. Binding affinities of polyamines and CB[7] or nucleic acids.
Figure 1. CB[7] inhibits the replication of EV-A71. A RD cells were treated with CB[7] at various concentrations for 2 h, after that cells were washed by PBS and infected with EV-A71 at a MOI = 0.1 for 1 h, and then cells were washed by PBS for three times and CB[7] were added. Total RNAs were extracted at 24 hpi and viral RNA accumulation was measured via qRT-PCR. B Cell viability of RD cells determined with CCK-8 assay. C RD cells were pretreated with various concentrations of CB[7] before infection with EV-A71, and supernatant was collected at 24 hpi for plaque assay. D Quantification of viral titers. E Western blotting for EV-A71 VP1 protein in RD cells treated with CB[7]. F The antiviral effect of CB[7] against EV-A71 (XY-833) was determined as described in (A). G–I Antiviral effects of 625 μmol/L CB[7] for EV-A71 in HeLa cells, Caco-2 cells and Vero cells. J–L Cell viability of HeLa cells, Caco2 cells and Vero cells determined with CCK-8 assay. ***P < 0.001.
We further examined the inhibitory effects of CB[7] on EV-A71 in different cell lines, including human cervical carcinoma HeLa cells, green monkey kidney Vero cells, and human colon adenocarcinoma CaCo-2 cells, via measuring viral RNA accumulation. As shown in Fig. 1G–1I, CB[7] treatment at a concentration of 625 μmol/L for 2 h significantly inhibited EV-A71 replication in all these cell lines. Besides, the CC50 values of CB[7] in these cell lines were all higher than 2500 μmol/L (Fig. 1J–1L).
Next, we sought to examine the antiviral effects of CB[7] on other enteroviruses, including CV-A16, CVB3 and Echo 11 that are causative pathogens for HFMD, myocarditis and neonatal sepsis-like disease, respectively. We pretreated RD cells with CB[7] prior to infection with CV-A16, CVB3 or Echo 11, respectively, and viral RNA accumulation was determined via qRT-PCR. Our data showed that CB[7] treatment effectively inhibited the replication of CV-A16 (Fig. 2A) with the IC50 values of 433.3 ± 36.04 μmol/L and Echo 11 with the IC50 values of 276.1 ± 33.12 μmol/L (Fig. 2B), respectively. And CVB3 was also found to be sensitive to CB[7] (Fig. 2C). Together, our findings indicate that CB[7] exhibits a potent broad-spectrum antiviral activity against diverse enteroviruses.
Figure 2. CB[7] inhibits the replication of enteroviruses. A–B The antiviral effect of CB[7] against CV-A16 A in RD cells and Echo-11 B in HeLa cells were determined as described in Fig. 1A. C Antiviral effect of 625 μmol/L CB[7] for CVB3 in HeLa cells was measured via qRT-PCR. *P < 0.05.
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To explore whether other RNA viruses are also sensitive to CB[7], we examined the antiviral activity of CB[7] against ZIKV that belongs to mosquito-borne flavivirus and is an important human pathogen for neonatal microcephaly (Yuan et al. 2017; Hu et al. 2019; Qiu et al. 2020). Human non-small cell lung cancer A549 cells were pretreated with various concentrations of CB[7] for 2 h before infection with ZIKV for 1 h at an MOI of 0.1, and the viral RNA accumulation was measuring via qRT-PCR at 24 hpi. We identified that CB[7] inhibited ZIKV replication in a dosedependent manner, with IC50 value of 285.6 ± 19.42 μmol/L in A549 cells (Fig. 3A). The CC50 value of CB[7] in A549 cells is more than 2500 μmol/L (Fig. 3B). Besides, this anti-ZIKV effect of CB[7] was also confirmed by determining ZIKV envelope protein via Western blotting (Fig. 3C) and plaque assays (Fig. 3D-3E). Consistently, CB[7] also showed anti-ZIKV effect in baby hamster kidney BHK-21 cells (Fig. 3F).
Figure 3. CB[7] inhibits the replication of Zika virus. A A549 cells were treated with CB[7] at various concentrations for 2 h, after that cells were washed by PBS and infected with ZIKV at a MOI = 0.1 for 1 h, and then cells were washed by PBS for three times and CB[7] were added. Total RNAs were extracted at 24 hpi and viral RNA accumulation was measured via qRT-PCR. B CCK-8 assay for the cell viability of A549 cells determined with CCK-8 assay. C Western blotting for Zika virus Envelope protein in A549 cells treated with CB[7]. D A549 cells were pretreated with various concentrations of CB[7] before infection with ZIKV, and supernatant was collected at 24 hpi for plaque assay. E Quantification of viral titers. F Antiviral effect of 625 μmol/L CB[7] for ZIKV in BHK cells was measured via qRT-PCR. ***P < 0.001.
Mosquito-borne flaviviruses were transmitted through vector mosquito to host mammals (Qiu et al. 2020). Thus, we sought to examine whether CB[7] could also inhibit ZIKV in mosquito cell lines, including A. aegypti Aag2 cells and A. albopictus C6/36 cells. As shown in Fig. 4A, 4B, CB[7] treatment efficiently inhibited ZIKV replication in these two cell lines, with the IC50 values of 426.5 ± 98.6 μmol/L in Aag2 cells and 560.1 ± 80.7 μmol/L in C6/36 cells, respectively. Besides, the CC50 values of CB[7] in these two cell lines are both greater than 2500 μmol/L (Fig. 4C, 4D).
Figure 4. CB[7] inhibits the replication of flaviviruses in mosquito cell lines. A-B Aag2 (A) and C6/36 (B) cells were treated with CB[7] at various concentrations for 2 h, after that cells were washed by PBS and infected with ZIKV at a MOI = 0.1 for 1 h, and then cells were washed by PBS for three times and CB[7] were added. Total RNAs were extracted at 24 hpi and viral RNA accumulation was measured via qRT-PCR. C-D Cell viability of Aag2 cells and C6/36 cells determined with CCK-8 assay. Aag2 E and C6/ 36 F cells were treated with CB[7] at various concentrations for 2 h, after that cells were washed by PBS and infected with DENV2 at a MOI = 0.1 for 1 h, and then cells were washed by PBS for three times and CB[7] were added. Total RNAs were extracted at 24 hpi and viral RNA accumulation was measured via qRT-PCR.
We further examined the antiviral activity of CB[7] against DENV2, another important mosquito-borne flavivirus responsible for dengue hemorrhagic fever (Miao et al. 2019; Wang et al. 2020; Du et al. 2021), in Aag2 and C6/36 cells, respectively. As a result, the IC50 values of CB[7] anti-DENV2 are 420.2 ± 67.84 μmol/L in Aag2 and 379.3 ± 57.42 μmol/L in C6/36 cells, respectively (Fig. 4E, 4F). Together, our findings indicate that CB[7] can inhibit mosquito-borne flaviviruses in both mammalian and mosquito cells.
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We sought to expand our findings in other RNA viruses. Thus, we examined the effect of CB[7] on SFV, a prototypic alphavirus, in human embryonic kidney 293T cells. Consistent with the antiviral effects of CB[7] on enteroviruses and flaviviruses, CB[7] exerts anti-SFV activity in 293T cells in a dose-dependent manner, with IC50 value of 603.4 ± 64.65 μmol/L and CC50 value of more than 2500 μmol/L (Fig. 5A and 5B). Collectively, our data demonstrate that CB[7] possesses the broad-spectrum antiviral effects against a wide range of RNA viruses in different cell lines.
Figure 5. CB[7] inhibits the replication of alphavirus. A 293 T cells were treated with CB[7] at various concentrations for 2 h, after that cells were washed by PBS and infected with SFV at a MOI = 0.1 for 1 h, and then cells were washed by PBS for three times and CB[7] were added. Total RNAs were extracted at 24 hpi and viral RNA accumulation was measured via qRT-PCR. B Cell viability of 293 T cells determined with CCK-8 assay.
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After identifying that CB[7] can inhibit viral RNA replication of diverse RNA viruses, we sought to examine whether the broad-spectrum antiviral activity of CB[7] is directly related to polyamine depletion. To this end, we adopted an RNAi-based loss-of-function to target ODC1, which mediates polyamines production (Pegg 2008; Mounce et al. 2016b). Interestingly, in the presence of ODC1 knockdown (siODC1; Fig. 6A), the treatment of CB[7] failed to further inhibit the viral RNA accumulation of EV-A71 in RD cells (Fig. 6B), indicating that the antiEV-A71 effect of CB[7] was absent in ODC1-deficient cells. Similarly, our data also showed that knockdown of ODC1 in A549 cells (Fig. 6C) impaired the antiviral activities of CB[7] against DENV2 and ZIKV (Fig. 6D–6E). Therefore, the antiviral activity of CB[7] is dependent on the polyamine pathway.
Figure 6. The antiviral activity of CB[7] relies on the polyamine pathway. A ODC1 mRNA level in RD cells after transfected with 50 μmol/L of siODC1 for 24 h. B 50 μmol/L siRNAs targeting cellular ODC1 (siODC1) and 50 μmol/L negative control siRNAs (siNC) were transfected into RD cells, respectively, for 24 h. After that, the siRNA-transfected cells were pretreated with 1250 μmol/L CB[7] for 2 h and following infection with EV-A71 at an MOI of 0.1. C ODC1 mRNA level in A549 cells after transfected with 50 μmol/L of siODC1 for 24 h. D–E 50 μmol/L siRNAs targeting cellular ODC1 (siODC1) and 50 μmol/L negative control siRNAs (siNC) were transfected into A549 cells, respectively, for 24 h. After that, the siRNA-transfected cells were pretreated with 1250 μmol/L CB[7] for 2 h and following infection with DENV2 (D) or ZIKV(E) at an MOI of 0.1, respectively. Total RNAs were extracted at 24 hpi and viral RNA accumulation was measured via qRT-PCR with t-test (GraphPad Prism). *P < 0.05; **P < 0.01; n.s., no significance.
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Moreover, we tested the effects of CB[7] on diverse RNA viruses in the presence of DFMO, an FDA-approved specific enzymatic inhibitor of ODC1. As shown in Fig. 7A–7D, DFMO treatment significantly inhibited the viral RNA replication of DENV2, ZIKV, CVB3 and Echo 11 in A549 and HeLa cells, respectively, in line with the previous observations (Mounce et al. 2016b; Kicmal et al. 2019). Moreover, our data showed that the antiviral effects of CB[7] against these viruses were remarkably inhibited in cells pre-treated with DFMO (Fig. 7E–7H).
Figure 7. Supplying additional polyamine impairs the antiviral activity of CB[7] and CB[7] shows no effect on the IFN system A–D 500 μmol/L DFMO were added to the indicated cells for 72 h, after that cells were infected with DENV2 (A), ZIKV (B), CVB3 (C) and Echo 11 (D) for 1 h, respectively. Cells were then washed with PBS and DFMO were added back to cells for additional 24 h. Total RNAs were extracted at 24 hpi and subjected to qRT-PCR. E–H The indicated cells were pretreated with 500 μmol/L DFMO for 72 h and then treated with 625 μmol/L CB[7] for 2 h, following infection with DENV2 (E), ZIKV (F), CVB3 (G) and Echo 11 (H). Total RNAs were extracted at 24 hpi and viral RNA accumulation was measured via qRT-PCR with t-test (GraphPad Prism). I–J A549 (I), RD (J) were treated with 1250 μmol/L CB[7] or 1250 μmol/L CB[7] plus 500 μmol/L spermine for 2 h before cells were infected with ZIKV or EV-A71. Total RNAs were extracted at 24 hpi and viral RNA accumulation was measured via qRT-PCR with t-test (GraphPad Prism). K–M A549 cells were treated with different concentrations of CB[7] for 24 h, total RNAs were extracted to test the mRNA level of indicated genes. **P < 0.01; ***P < 0.001; n.s., no significance.
To further confirm that the antiviral activity of CB[7] relies on polyamine, we sought to test the possibility that supplying additional polyamine could restore viral replication inhibited by CB[7]. Our data showed that supplementation of spermine restored the restricted replication of ZIKV and EV-A71 in A549 and RD cells treated with CB[7], respectively (Fig. 7I–7J). In addition, CB[7] treatment showed no effect on the gene expression levels of IFN-β as well as ISGs (Fig. 7K–7M), indicating that the antiviral activity of CB[7] is not due to innate immune induction.
In summary, our findings demonstrate that CB[7] has a broad-spectrum antiviral activity against diverse RNA viruses through sequestrating polyamines.