Key result
Neurovirulent 2014 EV-D68 exhibits more compact 5' UTR RNA structural remodeling than historical Fermon strain.
Why the study?
Variations in the EV-D68 5' UTR RNA structure may contribute to neurovirulence in contemporary outbreak strains causing acute flaccid myelitis.
Structural remodeling in the 5' UTR of contemporary EV-D68 strains creates a more compact structure that may increase viral translation efficiency and contribute to emerging neurovirulence.
EV-D68 5' UTR remodeling may inform neurovirulence mechanisms; leaves open causal role in human AFM.
. EV-D68 was initially considered a respiratory virus that primarily affected children. However, in 2014, EV-D68 outbreaks occurred causing the expected increase in respiratory illness cases, but also an increase in acute flaccid myelitis cases (AFM). Sequencing of 2014 outbreak isolates revealed variations in the 5' UTR of the genome compared to the historical Fermon strain. The structure of the 5' UTR RNA contributes to enterovirus virulence, including neurovirulence in poliovirus, and could contribute to neurovirulence in contemporary EV-D68 strains. In this study, the secondary and tertiary structures of 5' UTR RNA from the Fermon strain and 2014 isolate KT347251.1 are analyzed and compared. Secondary structures were determined using SHAPE-MaP and TurboFold II and tertiary structures were predicted using 3dRNAv2.0. Comparison of RNA structures between the EV-D68 strains shows significant remodeling at the secondary and tertiary levels. Notable secondary structure changes occurred in domains II, IV and V. Shifts in the secondary structure changed the tertiary structure of the individual domains and the orientation of the domains. Our comparative structural models for EV-D68 5' UTR RNA highlight regions of the molecule that could be targeted for treatment of neurotropic enteroviruses.
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Eastman et al. (2023) studied Enterovirus D68 neurovirulence. Enterovirus D68 2014 isolate KT347251.1 vs. Enterovirus D68 historic Fermon strain was evaluated on Secondary and tertiary 5' UTR RNA structure differences. The neurovirulent 2014 EV-D68 strain exhibited significant secondary and tertiary structural remodeling of the 5' UTR, producing a more compact globular conformation compared to the historical Fermon strain.
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