Zika virus promotes CCN1 expression via the CaMKIIα-CREB pathway in astrocytes

ABSTRACT Zika virus (ZIKV) infection in the human central nervous system (CNS) causes Guillain–Barre syndrome, cerebellum deformity, and other diseases. Astrocytes are immune response cells in the CNS and an important component of the blood–brain barrier. Consequently, any damage to astrocytes facilitates the spread of ZIKV in the CNS. Connective tissue growth factor/Nephroblastoma overexpressed gene family 1 (CCN1), an important inflammatory factor secreted by astrocytes, is reported to regulate innate immunity and viral infection. However, the mechanism by which astrocyte viral infection affects CCN1 expression remains undefined. In this study, we demonstrate that ZIKV infection up-regulates CCN1 expression in astrocytes, thus promoting intracellular viral replication. Other studies revealed that the cAMP response element (CRE) in the CCN1 promoter is activated by the ZIKV NS3 protein. The cAMP-responsive element-binding protein (CREB), a transacting factor of the CRE, is also activated by NS3 or ZIKV. Furthermore,a specific inhibitor of CREB, i.e. SGC-CBP30, reduced ZIKV-induced CCN1 up-regulation and ZIKV replication. Moreover, co-immunoprecipitation, overexpression, and knockdown studies confirmed that the interaction between NS3 and the regulatory domain of CaMKIIα could activate the CREB pathway, thus resulting in the up-regulation of CCN1 expression and enhancement of virus replication. In conclusion, the findings of our investigations on the NS3-CaMKIIα-CREB-CCN1 pathway provide a foundation for understanding the infection mechanism of ZIKV in the CNS.

CCN1, also called cysteine-rich protein 61 (Cyr61), is a matricellular secreted protein of the cysteine rich 61/ connective tissue growth factor/nephroblastoma overexpressed (CCN) gene family. CCN1 is secreted by reactive astrocytes [17]. It is distributed in a dot shape in the cell membrane, extracellular matrix, and in cytoplasmic perinuclear areas where the endoplasmic reticulum is localized at a high density [18][19][20]. CCN1 regulates multiple cellular functions through integrin receptors and coreceptors, such as heparin sulfate proteoglycans receptors and low-density lipoprotein receptor-related proteins [21]. Additionally, it regulates cell proliferation, adhesion, migration, differentiation, apoptosis, senescence, and gene expression [21]. Recently, CCN1 has been implicated as a pro-inflammatory factor involved in the regulation of inflammatory molecules [22,23]. It is generally known that CCN1 expression is up-regulated in viral or bacterial infection [24][25][26][27]. The presence of CCN1 also facilitates virus replication [25]. Therefore, it is important to investigate the role of CCN1 in the replication and dissemination of ZIKV in the CNS.
Hitherto, multiple pathways have been implicated in the regulation of CCN1 expression, including thecAMPresponsive element-binding protein(CREB) [28]. CREB, a nuclear transcription factor, can be activated by various kinases including theCa 2+ /calmodulin-dependent protein kinase II (CaMKII) and can promote the expression of genes containing the cAMP response element (CRE) [29]. CaMKII, a Ca 2+ /calmodulin-dependent Ser/Thr protein kinase, has four isoforms: CaMKIIα, CaMKIIβ, CaMKIIγ, and CaMKIIδ [30]. Anincrease in the intracellular Ca 2+ concentration leads to the binding of Ca 2+ ions to calmodulin (CaM), resulting in the activation of CaMKII. Upon activation, this enzyme autophosphorylates Thr286, a process that confers Ca 2+ -independent activity on the kinase and significantly increases its affinity for CaM [31]. In addition, CaMKII-CREB signallingis critical in the regulation of synaptic plasticity [32,33].
To explore the interactions between ZIKV and CCN1 in astrocytes, we first confirm the role of CCN1 in viral replication and reveal the specific mechanisms by which ZIKV regulates CCN1 expression. These findings provide a foundation for understanding the pathogenesis of ZIKV in the CNS.
Virus ZIKV (Zika virus/SZ01/2016/China, GenBank: KU866423.2) was obtained from the Wuhan Institute ofVirology, Chinese Academy of Science [34] and was propagated in C6/36 cells.Viral titer was determined by TCID 50 assay; 50 µl of virus suspension was added to 450 µl of MEM. A series of 10-fold dilutions up to a concentration of 10 −11 was prepared with the MEM. Subsequently, 100 µl of each dilution was loaded in quadruplicate into a 96-well plate of Vero cells, followed by 1.5-h incubation for viral absorption. Subsequently, the supernatant containing virus was removed and replaced with fresh MEM. Four to seven days were required to complete the viral infection cycle when no new cytopathogenic effects (CPEs) appeared in the wells. The CPE was observed, and the number of wells associated with the CPE was entered into the Reed & Muench calculation calculator software [35]. UV-ZIKV was prepared by placing samples on ice, 70 cm below a 30-W UV lamp for 30 min.

Plasmid construction
The cDNAs of human CCN1 WT (CCN1) and nonsecretory signal-CCN1 mut (NS-CCN1) were obtained from CCF-STTG1 total RNA by RT-PCR using the CCN1 and NS-CCN1 primers, as shown in Table 1. The RT-PCR fragments were cloned into a pcDNA3.1 (+) vector and digested with NheI and BamHI (TaKaRa).
A series of human CaMKIIα mutants were constructed by inserting PCR fragments amplified from human cDNA library into the pcDNA3.1(+) vector and digesting with NheI and HindIII. The fragments and their corresponding PCR primers are listed in Table 1.

CCF-STTG1 cells transfection
CCF-STTG1 cells were plated in an appropriate culture dish. When the plated cells reached approximately 70-80% confluence, the cells were transfected using Lipofectamine TM 3000 (Invitrogen), according to the manufacturer's instructions.
For RNA interference (siRNA) transfection, si-CaMKIIα(targeting sequence in Table 1) and nonspecific scrambled siRNA were purchased from China's RIBOBIO Co., Ltd. The CCF-STTG1 cells were placed into 6-well plates, andtransfection was performed under optimal conditions of 40-60% confluence. Each transfection was performed with 50-nM siRNA using Lipofectamine TM 3000 (Invitrogen), according to the manufacturer's instructions.

Virus infection, inhibitor, and antibody treatments
CCF-STTG1 cells were infected with ZIKV at a multiplicity of infection (MOI) of three tissue infections 50% dose (TCID50)/cell (ZIKV group) or sham-treated with RPMI-1640 medium (mock group). For inhibitor experiments, the cells were infected with ZIKV for 2h in the presence of the indicated inhibitor, washed with RPMI-1640 medium, and placed in a medium containing 10% FBS along with fresh inhibitor, SGC-CBP30 (MedChem Express). For antibody neutralization experiments,the cells were infected with ZIKV for 2h, washed with RPMI-1640 medium, and placed in medium with 10% FBS containing anti-CCN1 antibody (Santa Cruz).

Ethics approval and participation consent
All animal experiments were performed in strict accordance with the regulations described in the Guide for the Care and Use of Laboratory Animals issued by the Ministry of Science and Technology of the People's Republic of China. All efforts were made to minimize suffering. Animal protocols complied with the Guidelines for Animal Care approved by the Laboratory Animal Care and Use Committee at the Wuhan Institute of Virology, Chinese Academy of Sciences (Wuhan, China) (approval number: WIVA07201704; approval date 1 September 2016).

Animal experiments
C57BL/6 mice deficient in IFN I and II receptors (AG6 mouse, ifnagr-/-) were obtained from the Institute Pasteur of Shanghai, Chinese Academy of Sciences and bred in specific pathogen-free conditions at the Wuhan Institute of Virology. Nine-week-old AG6 mice were intraperitoneally injected with 10 5 TCID 50 of ZIKV in 100 µL of phosphate-buffered saline (PBS). Nine 3-weekold AG6 mice fromthe mock group were administered PBS by the same route. The mice were sacrificed on days 2 and 5 post-infection; the whole brain of three mice in each group was dissected and homogenized in 1-mL cold PBS. Subsequently, 50μLof the homogenizing liquid was added to 950μL TRIzol and frozen at −80°C. On day 5 post-infection, three mice in each group were administered 4% paraformaldehyde (PFA) systemic perfusion after anesthesia, and the whole brain was removed for paraffin embedding.

Luciferase assays
HEK293T cells were grown to 40-50% confluence in 12-well plates and co-transfected with an expression plasmid, a luciferase reporter plasmid, and pRL-TK (Renilla luciferase, internal control) using ProFection calcium phosphate reagents, according to the manufacturer's instructions (Promega). Subsequently, 24-48 h post-transfection, the cells were collected and washed once with cold PBS. Passive lysis buffer (Promega) was subsequently added to the cells. After 15 min, supernatants were collected following centrifugation at 12,000 × g for 3 min, and relative luciferase activity was measured with the Dual-Luciferase Reporter Assay System according to the manufacturer's instructions (Promega).

RNA isolation, cDNA synthesis, and RT-qPCR
The culture supernatant of 300 μL was placed in 700-μL LS TRIzol (Life Technologies), and the RNA in the culture supernatant was extracted according to the instructions. The culture supernatant was removed, 1 mL TRIzol (Life Technologies) was added, and RNA was extracted from the cell, according to the instructions. TRIzolreagent was used to isolatemouse brain total RNA after homogenization. First-strand cDNA was synthesized using PrimeScript™ RT Reagent Kit with gDNA Eraser (Perfect Real Time) (TaKaRa). For RT-qPCR, cDNA derived from 50-ng RNA was amplified in a 20-µL volume using SYBR GreenER qPCR SuperMix for ABI PRISM (Invitrogen). The primers of human-gapdh, mouse-gapdh, human-ccn1, and mouse-ccn1, and the ZIKV, shown in Table 1, were used for RT-qPCR. The RT-qPCR conditions were set to 95°C for 3 min, 40 cycles at 95°C for 10 s, and 60°C for 45 s. To evaluate the copy number of ZIKV and CCN1 in the samples, the RT-qPCR threshold cycle value was set according to the standard curve obtained with plasmids containing DNA sequences amplified from the corresponding ZIKV or CCN1 cDNA at serial dilutions ranging from 1 × 10 3 to 1 × 10 8 copies/mL.

TAP purification and mass spectrometry
TAP purification assays were performed according to the standard manufacturer's instruction (Stratagene). In brief, 293T cells were transfected with pNTAP-A-NS3 or pNTAP-A control vector. After 36 h post-transfection, cells were harvested and lysed. ZIKV NS3-host protein complexes were first purified using washed streptavidin resin and then washed calmodulin resin. The protein complexes were eluted by calmodulin elution buffer (CEB) and rotated the tube at 4ºC for 30 min followed by precipitation by trichloroacetic acid (TCA) method. The precipitated proteins were identified by mass spectrometry.

Co-IP assay
HEK293T cells were co-transfected with pcDNA-HA-CaMKIIα and pCAGGS-Flag-NS3 or pCAGGS-Flag-NS5 using ProFection calcium phosphate reagents (Promega). Subsequently, 24-36 h post-transfection, the cells were collected using western and IP buffer (Beyotime, Jiangsu, China) containing PMSF protease inhibitor according to the manufacturer's instructions. Whole-cell extract (30 μL) was used as input; the remainder was divided into two equal parts and incubated with the Flag antibody and IgG, separately, at 4°C overnight with gentle rotation. Protein G magnetic beads (Invitrogen) were added into the lysates and incubated for 2-3 h according to the manufacturers' instructions. Precipitates were washed five times with TBST buffer, and the proteins were eluted by boiling the beads for 5 min in 1× SDS sample buffer. Eluted proteins and input whole-cell extracts were analyzed by western blot.

Statistical analysis
Each experiment was repeatedthree times. Statistical analyses were performed using the GraphPad Prism 6.0 software (GraphPad Software, San Diego, CA). Data are expressed as mean ± standard deviation (SD). Probability values of less than 0.05, 0.01, and 0.001 were considered statistically significant and marked with *, **, and ***, respectively, in figures.

ZIKV infects astrocytoma CCF-STTG1 cells and astrocytes in vivo
To determine whether ZIKV could infect astrocytoma and astrocytes, the following two experiments were performed. CCF-STTG1, a human astrocytoma cell line, was used for in vitro studies [36,37]. Immunofluorescence staining demonstrated the presence of ZIKV-Eproteinpositive products in CCF-STTG1 cells (Figure 1(a)).An in vivo infection experiment was conducted as well. Nine-week-old AG6 mice were intraperitoneally injected with 10 5 TCID 50 of ZIKV. Onday 5 post-infection, the entire brain was perfused with 4% PFA and subsequently stripped and analyzed by immunofluorescence staining. Parts of the astrocytes expressing the characteristic marker, GFAP, were found positive for ZIKV-E protein (Figure 1(b)).
Comprehensively, these results indicate that ZIKV can infect astrocytoma in vitro and astrocytes in vivo, which is consistent with thefindings of previous reports [38,39].

ZIKV promotes CCN1 expression in astrocytoma CCF-STTG1 cells and astrocytes in vivo
To analyze the expression profile of CCN1 during ZIKV infection in CCF-STTG1 cells and astrocytes, RT-qPCR (double-standard curves method), western blot, and immunofluorescence staining were performed. The cells were infected with ZIKV at an MOI of 3 (TCID 50 /cell). The results indicated that as infection time increased, intracellular viral RNA content also increased inside the cell, peaking at 72h post-infection (Figure 2(a)). In vitro extracellular viral RNA indicated a clear increase at 60h post-infection that also peaked at 72hpost-infection ( Figure 2(a)).This proved that the virus was released after 60 h post-infection. Furthermore, these results revealed that ZIKV could replicate and be released in CCF-STTG1 cells. CCN1 mRNA and protein expression levels increased in the ZIKV group compared withthose in the mock group (Figure 2(b,c)). This indicates that the ZIKV infection of human astrocytoma CCF-STTG1 cells in vitro up-regulates CCN1 expression. In vivo, ZIKV could infect the brain of AG6 mice. To study the effect of ZIKV infection on the expression of CCN1 in mouse brain, the whole brain of mice was stripped and homogenized; RT-qPCR results showed that CCN1 expression at the mRNA levels was up-regulated in the ZIKV group on days 2 and 5 postinfection, compared with that of the mock group (Figure 2(d)). Immunofluorescence staining of brain paraffin sections showed that CCN1 positive products were distributed in the cytoplasm and extracellular matrix of the astrocytes. Compared with those of the mock group, CCN1 positive products in the ZIKV group increased significantly ( Figure 2(e)). This indicates that ZIKV infection up-regulated CCN1 expression in mouse astrocytes in vivo. Therefore, CCF-STTG1 cells were used as an in vitro model to investigate the mechanism underlying ZIKV infection-mediated CCN1 expression in astrocytes.

CCN1 facilitates ZIKV replication
To examine the role of CCN1 in ZIKV infection, CCN1 plasmids, theirnonsecreted mutant NS-CCN1, and the control pcDNA3.1(+) were transfected into CCF-STTG1 cells, separately. The results show that compared with the control group, CCN1 mRNA was highly expressed in CCN1 and NS-CCN1 groups (Figure 3(a)). But,we found that the CCN1 mRNA in NS-CCN1 group was lower than that in CCN1 group (Figure 3(a)). Subsequently, 6 h post-transfection, the cells were infected with ZIKV at an MOI of 3. Toanalyse the effect of CCN1 on viral replication and release, intracellular and extracellular ZIKV RNA were measured by RT-qPCR analysis 60 h post-infection. A significant increase in intracellular viral RNA was detected in the CCN1 group compared with that in the NS-CCN1 and control groups (Figure 3(b)). Extracellular ZIKV RNA levels of the CCN1, NS-CCN1, and control groups exhibited no significant difference (Figure 3(b)). ZIKV-E protein was detected using western blot to investigate the effects of CCN1 on ZIKV infection. CCF-STTG1 cells overexpressing CCN1 or NS-CCN1 were infected with ZIKV at an MOI of 3 (TCID 50 /cell). Subsequently, 24 h post-infection, an increase in ZIKV-E protein expression was detected in the CCN1 group compared with that in the control and NS-CCN1 groups (Figure 3(c)). Of note, compared with the control group, ZIKV-E  post-infection, the whole brain of ZIKV-infected mice and mock-treated mice were stripped and total RNA were extracted and analyzed using RT-qPCR (double standard curve method). The formula of the standard curve is as follows: mouse-gapdh y = −0.3025x + 11.048, mouse-ccn1 y = −0.2234x +10.124, ZIKV RNA y = −0.2721x + 10.966. (e) Immunofluorescence staining of CCN1 and GFAP in the brain of mice. CCN1 (red), GFAP (green), DAPI (blue). (Bar = 50 μm). Each experiment was repeated three times. Statistical analyses were performed using GraphPad Prism 6.0 software. Data are expressed as the mean ± standard deviation (SD) (*, P < 0.05; **, P < 0.01; ***, P < 0.001).
protein expression in NS-CCN1 groups also showed a small increase (Figure 3(c)). It is suggested that CCN1 may have other intercellular targets on the viral replication.This indicates that CCN1 expression can enhance intracellular ZIKV replication and that CCN1 secretion is important for this process. CCN1 is a secreted protein. Therefore, we used H-78 (Santa Cruz sc-13,100), a CCN1 antibody, to inhibit the activation of downstream CCN1 signals [40,41]. Following infection with ZIKV for 2 h, 1µg or 2µg of H-78 was added in 1.5 mL of complete medium. CCF-STTG1 cells were harvested 36h post-infection. We found that H-78 blocked the synthesis of ZIKV-E protein in a dose-dependent manner (Figure 3(d)). This suggests that CCN1 downstream signaling is important for the enhancement of ZIKV infection.

ZIKV NS3 protein activates the CRE in the CCN1 promoter and induces CREB phosphorylation and CCN1 expression
To investigate whether viral invasion or viral replication could induce increased CCN1 expression, we used UV inactivated ZIKV UV-ZIKV in infection assays. To inactivate ZIKV, we used direct UV irradiation, a conventional method used to inactivate viruses [42]. After 30 min of UV irradiation, UV-ZIKV was used to infect CCF-STTG1 cells and ZIKV-E protein was not detected 24 h post-infection (Figure 4(a)). However, ZIKV RNA was detected 12 h post-infection in the UV-ZIKV group, but the amount was much lower than that of the ZIKV group (Figure 4(b)), indicating that the virus had lost its ability to replicate. This indicates that UV-ZIKV was effectively inactivated. Compared to findings by the mock group and ZIKV group, enhancement of CCN1 expression was not observed in the UV-ZIKV group (Figure 4(a,b)). This suggests that ZIKV replication is required to stimulate CCN1 expression.
To investigate which nonstructural proteins are involved in the regulation of CCN1 expression, we used the dual luciferase reporter system. Different nonstructural protein expression plasmids were transiently transfected into HEK293T cells with the full-length CCN1 promoter (p-2299) and TK plasmids. The expression of nonstructural proteins was detected using western blot. The results showed that NS3 could significantly enhance the activation of the full-length CCN1 promoter (Figure 4(c)).
To identify the CCN1 promoter elements affected by NS3, promoter reporter,plasmids containing different elements were constructed (Figure 4(d)). The results showed that promoter activation was lost when the promoter was deficient in the CRE element, suggesting that the CRE of CCN1 is the key target element of NS3 (Figure 4(e)).
To determine whether CREB, the nuclear transcription factor of CRE, was activated by NS3, we harvested Flag-NS3-transfected CCF-STTG1 cells 24 h post-transfection for western blot. The results demonstrated that NS3 enhanced the phosphorylation of CREB at Ser133as well as CCN1 expression (figure 4(f)).

CREB phosphorylation affects CCN1 expression in ZIKV infection
Sendai virus (SV) mediates the activation of the transcription factor CREB [43]. To investigate whether CREB was activated during ZIKV infection thus leading to enhanced CCN1 protein expression, ZIKV-infected CCF-STTG1 cells were harvested 6 h post-infection. The level of CREB Ser133 phosphorylation was enhanced 6h post-infection ( Figure 5(a)). Further experiments were performed using SGC-CBP30, a highly potent and selective CREBBP/EP300 bromodomain inhibitor. SGC-CBP30 binds CREB and acts as a scaffold to stabilize additional protein interactions with the transcription complex. SGC-CBP30 reduced the expression of CCN1 and ZIKV-E protein 24 h postinfection ( Figure 5(b)). These results suggest that ZIKV infection in CCF-STTG1 cells activates the CCN1 protein via the CREB pathway.
Immunofluorescence results indicate that Ser133phosphorylated CREB appeared primarily in the nucleus of GFAP-labeled astrocytes and that Ser133phosphorylated CREB positive cells increased in the ZIKV group compared with those of the mock group ( Figure 5(c)).

NS3 binds to the regulatory domain of CaMKIIα to enhance phosphorylation at Thr286
Using tandem affinity purification (TAP) binding mass spectrometry, CaMKIIα was identified as a target protein that interacts with ZIKV NS3.The top-15 proteins with the highest possibility of interacting with ZIKV NS3 are listed in Table 2. The specific interaction of CaMKIIα with NS3 was further verified by Co-IP. HEK293T cells were co-transfected with HA-CaMKIIα and Flag-NS3 or Flag-NS5 and harvested for Co-IP assaywith anti-Flag antibodyat 28 h post-transfection. The results showed that CaMKII binds to NS3 but not to NS5 (Figure 6(a)), suggesting that the binding is specific. To verify the effect of NS3 on CaMKIIα activity, we examined the phosphorylation of CaMKIIα at Thr286 24h post-transfection. The results indicate that NS3 enhanced the phosphorylation of CaMKIIα at Thr286 (Figure 6(b)).

NS3 in cooperation with CaMKIIα activates CRE and up-regulates CCN1 transcription
It has been reported that CaMKII can activate the CRE of a target gene promoter via CREB phosphorylation [45,46]. To determine whether CaMKIIα or the combination of CaMKIIα with NS3 can activatethe CRE of the CCN1 promoter, CaMKIIα and NS3 expression plasmids, pRL-TK, and p-2299 or p-409 were co-transfected into HEK293T cells. Subsequently, 48 h post-transfection, double luciferase assays were performed. Compared with control group transfected pCAGGS-flag and pcDNA3.1, CaMKIIα activated both the full-length promoter p-2299 and the mutant promoter p-409 containing only the CRE, whereas NS3 appeared to enhance this activation (Figure 7(a)). Further experiments were performed to assess whether the interaction of NS3 with CaMKIIα was responsible for the enhanced CCN1 CRE activation. Various amounts of CaMKIIα expression plasmids together with NS3, pRL-TK, and p-409 were co-transfected into HEK293T cells. The cells were harvested 24 h post-transfection for dual reporter luciferase assays. The results showed that the enhanced activation of CCN1 CRE in the NS3&CaMKIIα groups was positively correlated with the amount of transfected CaMKIIα expressing plasmids (Figure 7(b)). Subsequently, the amount of CCN1 mRNA24 h post-transfection was detected by RT-qPCR. The results showed that, compared with the NS3 or CaMKIIα groups, the expression levels of CCN1 mRNA in the NS3&CaMKIIα groups were positively correlated with the transfection dose of the HA-CaMKIIα-expressing plasmids (Figure 7(c)). This demonstrates that NS3 cooperates with CaMKIIα to up-regulate CCN1 expression through the CRE on the CCN1 promoter.

CaMKIIα enhances CREB phosphorylation, CCN1 expression, and ZIKV replication
When CCF-STTG1 cells were infected with ZIKV, enhanced phosphorylation of CaMKIIα at Thr286 was detected (Figure 8(a)). When the ZIKV-infected CCF-STTG1 cells were transfected with NC or si-CaMKIIα, the phosphorylation level of CaMKIIα Thr286 and CREBSer133 decreased and the expressions of CCN1 and ZIKV-E protein reduced as well. Meanwhile, in uninfected cells, si-CaMKIIα does not significantly affect the CCN1 expression compared with the negative control (NC) (Figure 8(b)). These results indicate that, only in ZIKV infection, a decreased CaMKIIα can reduce the phosphorylation of CREB at Ser133, CCN1 expression, and virus replication. When the HA-CaMKIIα-transfected CCF-STTG1 cells were infected with ZIKV, the phosphorylation of CREB Ser133 showed an increasing trend that correlated with the transfection dose of HA-CaMKIIα plasmids; moreover, a unique up-regulating trend was observed for the expression of CCN1 protein.
The ZIKV-E protein shows an increasing trend as well (Figure 8(c)). However, the expression of CCN1 was not affected in the uninfected cells (Figure 8(d)). These results suggest that, in ZIKV infection, CaMKIIα has a distinctive regulatory role in CREB activation and CCN1 expression that facilitates virus replication. Therefore, CaMKIIα is critical in ZIKV-enhanced CREB phosphorylation, CCN1 expression, and ZIKV replication.

Discussion
As a pro-inflammatory factor, CCN1 expression can be enhanced by CVB3, oncolytic herpes simplex virus-1 (HSV-1)and influenza A virus (IAV) infection [25,26,47]. In this study, we found that ZIKV also enhanced the expression of CCN1 in the astroglioma cell line CCF-STTG1. Furthermore, this enhancement was observed in the astrocytes of AG6 mice, a wellknown model of ZIKV infection [48]. Astrocytes are an important type of glial cell and are critical for brain development and function [49]. Additionally, astrocytes participate in regulating synapse formation and immune responses in the brain [6,10]. Therefore, regulatory changes in the inflammatory factor CCN1 secreted by astrocytes and their role during neurotropic virus infection were investigated.
It has been reported that CCN1 expression aids the replication of coxsackievirus B3 (CVB3) [25]. Our study showed that CCN1 promoted ZIKV replication in CCF-STTG1 cells. In the presence of an anti-CCN1 monoclonal antibody, ZIKV replication was reduced in a dose-dependent manner. These results suggest that CCN1 likely binds to receptors on the cell membrane Table 2. Partial mass spectrometry results for TAP-tagged ZIKV NS3. and activates downstream pathways that regulate ZIKV replication. It has been reported that CCN1 can activate multiple signaling pathways via binding to different integrin receptors [50], such as PI3K/Akt/NF-кB [51], ERK1/ERK2 MAPK [52], β-catenin-TCF/Lef [53], and AP-1-dependent pathways [54]. Interestingly, the nonsecretory mutant of CCN1also promotes the replication of ZIKV; it has been suggested that other intercellular targets of viral replication may have existed. The downstream CCN1 pathways that regulate ZIKV replication is worthy of investigation.
Our study mainly focuses on the mechanism by which ZIKV enhances CCN1 expression in astrocytes. The CCN1 promoter contains a variety of cis-regulatory elements and is regulated by various factors including growth factors, hormones, and cytokines [55]. We constructed a reporter plasmid, p-2299, containing the full-length CCN1 promoter to screen for viral proteins that activate CCN1 expression. Our study showed that UV-ZIKV could not induce the enhancement of CCN1 expression in CCF-STTG1 cells, suggesting that structural proteins may not be involved in the regulation of CCN1 expression. Therefore, the regulatory ability of seven nonstructural proteins on CCN1 promoter p-2299 was studied. Our results showedthat NS3 was important in this process. NS3 protein is a multifunctional protein with serine protease, nucleoside-triphosphatase-dependent RNA helicase, adenosine triphosphatase, and RNA 5-triphosphatase activities; additionally, it is important for viral replication [56]. pCAGGS-Flag (800 ng) (as a control) or HA-CaMKIIα (900 ng) and Flag-NS3 (800 ng) or HA-CaMKIIα (900 ng) and pCAGGS-Flag (800 ng), together with pRL-TK, and p-2299 or p-409 were co-transfected into HEK293T cells using ProFection calcium phosphate reagents. Subsequently, 48 h post-transfection, double luciferase assays were performed. The results were presented as Relative Luciferase Activity (firefly luciferase activity/renilla luciferase activity). (b) Various doses of HA-CaMKIIα, 1000-ng Flag-NS3, p-409, and pRL-TK were transfected into HEK293T cells using ProFection calcium phosphate reagents. The cells were harvested 24 h posttransfection for dual reporter luciferase assays. The results were presented as Relative Luciferase Activity (firefly luciferase activity/ renilla luciferase activity). (c) Various doses of HA-CaMKIIα and 1000-ng Flag-NS3 were used for transient transfection into CCF-STTG1 cells using Lipofectamine TM 3000 reagent. The cells were harvested 24 h post-transfection for RT-qPCR (comparative delta-delta Ct). Each experiment was repeated three times. Statistical analyses were performed using GraphPad Prism 6.0 software. Data are expressed as the mean ± standard deviation (SD)(*, P < 0.05; **, P < 0.01; ***, P < 0.001). Densitometry ratio of p-CaMKIIa blots to CaMKIIa were labeled below the blots (b) si-CaMKIIα (50-nM per well) was transfected into CCF-STTG1 cells in a 6-well plate using Lipofectamine TM 3000. After transfection for 43-46 h, the cells were inoculated with RPMI or ZIKV (MOI = 3). Subsequently, the cells were harvested 6 h or 24 h post-infection for western blot. Densitometry from p-CaMKIIa and CCN1 blots normalized for beta-actin were labeled below the blots.The relative level of ZKIV E and CCN1 protein of three experiments were quantized and summarized in the bar graph on the right(c, d) HA-CaMKIIα (0-1.5-μg) per well was transfected into CCF-STTG1 cells in a 6-well plate using Lipofectamine TM 3000. After transfection for 8-10 h, the cells were inoculated with ZIKV (MOI = 3) (c) or mock infected with RPMI-1640 (d) . Subsequently, the cells were harvested 6 h or 36 h post-infection for western blot. The relative level of p-CREB, CCN1 and ZKIV E protein of three experiments were quantized and summarized in the bar graphs below.The blots were visualized and analyzed using the Bio-Rad imaging system. Statistical analyses were performed using GraphPad Prism 6.0 software. Data are expressed as the mean ± standard deviation (SD) (*, P < 0.05; **, P < 0.01; ***, P < 0.001).
However, the NS3 protein can only function with the assistance of the NS2B protein [57]; therefore, the role of NS2B-NS3 in the expression of CCN1 cannot be excluded. Additionally, owing to the low expression level of NS2B, as shown in Figure 4(c), the possible role of NS2B in the regulation of CCN1 cannot be ruled out. Thus, whether viral proteins other than NS3 regulate CCN1 expression necessitates further study.
Previous studies have indicated that the promoter region of CCN1 contains multiple response elements, including CArG, FAP, Oct, TBE1&2, AP1, and CRE [58]. As shown in Figure 2(b,c), the CCN1 level varied in the mock group. This phenomenon has been reported in a previous study [58], and it may be related to the CArG element in the CCN1 promoter, which is regulated by the SRF serum response factor. When serum is gradually used in the culture medium, the activity of CCN1 promoter decreases and the expression of CCN1 promoter decreases gradually. However, the CRE regulatory element in the CCN1 promoter activated by ZIKV is enough to activate the expression. Other promoter mutant studies indicated that the CRE on the CCN1 promoter was regulated by NS3. CREB is a trans-acting factor of the CRE. CREB is activated through the phosphorylation of Ser133, which increases its association with CREB-binding proteins or other transcription coactivators that increase the rate of transcription [59]. In our study, the phosphorylation of CREB Ser133 was enhanced during ZIKV infection or NS3 overexpression. Furthermore, SGC-CBP30, a CREBBP/EP300 inhibitor, could inhibit the ZIKV-induced enhancement of CCN1 expression and ZIKV replication. This suggests that CREB phosphorylation and CREB binding to CREBBP/ EP300 are critical to ZIKV-mediated CCN1 expressions in astrocytes. Moreover, the CREB Ser133 phosphorylation state is determined by the activation levels of CREB kinases such as PKA, RSK, calmodulin kinase, and MSK1/2 [60]. Thus, the signaling pathway used by NS3 to influence CREB Ser133 phosphorylation and CCN1 expression is worthy of investigation.
CaMKIIα, an important kinase in the Ca 2+ signaling pathway, was found to bind to the ZIKV NS3 protein. Further studies indicated that NS3 specifically interacted with CaMKIIα and that NS3 was primarily bound to the CaMKIIα regulatory domain residues 280-300 and enhanced its phosphorylation at Thr286. In the resting state, the autoinhibitory subdomain of CaMKIIα binds to the catalytic domain, of which residues 297-300 occupy the substrate binding site of the catalytic domain and residues 282-294 bind to the ATP binding site of the catalytic domain, interfering with the binding of ATP and kinases and inhibiting kinase activity [61]. When Ca 2+ /CaM binds to the CaM binding site of the CaMKIIα regulatory domain, the catalytic domain of the kinase is released to bind the substrate and ATP, thus promoting the Thr286 site phosphorylation of the autoinhibitory subdomain [62]. When the binding between the autoinhibitory subdomain and catalytic domain was blocked by CaMKIIα Thr286 phosphorylation, Figure 9. Schematic diagram of the mechanism by which ZIKV regulates CCN1 expression in astrocytes. We found that NS3 specifically interacted with the regulatory domain of CaMKIIα and enhanced CaMKIIα phosphorylation at the Thr286 site. Activated CaMKIIα enhanced CREB Ser133 phosphorylation activity in the cell nucleus, which increased its association with CBP or other transcription coactivators, thereby promoting the expression of CCN1 genes containing CRE. However, it is unclear whether CaMKIIα directly or indirectly regulates CREB phosphorylation.
CaMKIIα was still activated, regardless of Ca 2+ [62]. We speculated that the interaction of CaMKIIα with NS3 can lead to the continuous activation of CaMKIIα in a Ca 2+ /CaM-independent manner. Studies of chronic neuropathic pain caused by nerve injury and inflammation have shown that activated CaMKIIα can enhance CREB activity in the cell nucleus, thereby altering the expression of CRE-containing genes [63,64]. Additionally, our study indicated that NS3 overexpression could enhance the phosphorylation of CREB Ser133 and that NS3 binding to CaMKIIα could better stimulate CCN1 CRE activation and enhance CCN1 transcription. Therefore, NS3 could indeed affect CCN1 expression by activating CaMKIIα-CREB-CRE signaling cascade through interaction with CaMKIIα.
Furthermore, ZIKV could stimulate the phosphorylation of CaMKIIα Thr286. It has been reported that CaMKII activity is increased in nerve injury [65] and that CaMKII promotes inflammation [66]. The Thr286 phosphorylation site is known to be required for autonomous CaMKIIα activities [62]. In our study, the results of overexpression and interference demonstrate that CaMKIIα is involved in enhancing CREB Ser133 phosphorylation, CCN1 expression, and viral replication. Moreover, this regulation occurred in ZIKV infection. We hypothesize that NS3 is critical in activating the CaMKIIα-CREB-CCN1 signaling pathway by ZIKV to promote viral replication in astrocytes, which is beneficial to the spread of viruses in the CNS.
In conclusion, we demonstrated that ZIKV infection up-regulates CCN1 protein in human astrocytes and that the NS3-CaMKIIα-CREB pathway is critical for CCN1 up-regulation ( Figure 9). Moreover, our results suggest that the secretory CCN1 protein likely binds to receptors on the cell membrane to regulate ZIKV replication. Collectively, these findings elucidate the mechanisms by which ZIKV regulates CCN1 expression may provide information for the development of anti-ZIKV drugs.