Key result
Coxsackievirus B3 protease 2A cleaves nuclear pore protein 98, leading to its cytoplasmic redistribution and the downregulation of cardioprotective genes NRG1 and ERBB4 during viral myocarditis.
Why the study?
To understand the molecular pathogenesis of Coxsackievirus B3 infection and provide strategies for developing treatments by examining the role of nuclear pore protein 98 in viral myocarditis.
CVB3-induced cleavage of NUP98 by protease 2A impairs the cardioprotective NRG1 signaling pathway, contributing to myocardial damage in viral myocarditis.
May impair cardioprotection in viral myocarditis; hypothesis-generating from animal data and leaves open human translation.
Myocarditis, inflammation of the heart muscle, affects all demographics and is a major cause of sudden and unexpected death in young people. It is most commonly caused by viral infections of the heart, with Coxsackievirus B3 (CVB3) being among the most prevalent pathogens. To understand the molecular pathogenesis of CVB3 infection and provide strategies for developing treatments, we examined the role of a key nuclear pore protein 98 (NUP98) in the setting of viral myocarditis. NUP98 was cleaved as early as 2 h post-CVB3 infection. This cleavage was further verified through both the ectopic expression of viral proteases and in vitro using purified recombinant CVB3 proteases (2A and 3C), which demonstrated that CVB3 2A but not 3C is responsible for this cleavage. By immunostaining and confocal imaging, we observed that cleavage resulted in the redistribution of NUP98 to punctate structures in the cytoplasm. Targeted siRNA knockdown of NUP98 during infection further increased viral protein expression and viral titer, indicating an antiviral role of NUP98. Moreover, we discovered that expression levels of neuregulin-1 (NRG1), a cardioprotective gene, and presenilin-1 (PSEN1), a cellular protease processing the tyrosine kinase receptor ERBB4 of NRG1, were reliant upon NUP98 and downregulated during CVB3 infection. In addition, expression of these NUP98 target genes in myocardium tissue not only occurred at an earlier phase of infection, but also appeared in areas away from the initial inflammatory regions. Collectively, CVB3-induced cleavage of NUP98 and subsequent impairment of the cardioprotective NRG1-ERBB4/PSEN1 signaling cascade may contribute to increased myocardial damage in the context of CVB3-induced myocarditis. To our knowledge, this is the first study to demonstrate the link between NUP98 and the NRG1 signaling pathway in viral myocarditis.
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Hanson et al. (2019) studied Viral myocarditis (n=10). Coxsackievirus B3 (CVB3) infection vs. Sham infection (PBS) was evaluated on NUP98 cleavage and expression of cardioprotective genes (NRG1, ERBB4, PSEN1). Coxsackievirus B3 protease 2A cleaves nuclear pore protein 98, leading to its cytoplasmic redistribution and the downregulation of cardioprotective genes NRG1 and ERBB4 during viral myocarditis.
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