The Mitochondrial Respiratory Chain Has a Critical Role in the Antiviral

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The Mitochondrial Respiratory Chain Has a Critical Role in the Antiviral Laboratory Investigation (2012) 92, 125–134 & 2012 USCAP, Inc All rights reserved 0023-6837/12 $32.00 The mitochondrial respiratory chain has a critical role in the antiviral process in Coxsackievirus B3-induced myocarditis Linda Ebermann1,2, Sylwia Wika1, Inga Klumpe1,2, Elke Hammer3, Karin Klingel4, Dirk Lassner5, Uwe Vo¨lker3, Ulrike Erben6, Heinz Zeichhardt7, Heinz-Peter Schultheiss1 and Andrea Do¨rner1 Well-established differences in Coxsackievirus B3 (CVB3) elimination in resistant C57BL/6 and permissive A.SW/SnJ mice provide suitable models for studying the significance of the link between mitochondrial respiratory chain (RC), antioxidative stress components and mitochondrion-related apoptosis in the context of myocardial virus elimination. Distinct myocardial CVB3 titer in C57BL/6 (2.5±1.4 Â 104 plaque-forming units (p.f.u.)/g tissue) and A.SW/SnJ mice (1.4±0.8 Â 107 p.f.u./g) were associated with differences in the cardiac mitochondrial function 8 days post infection (p.i.). Infected C57BL/6 mouse hearts disclosed increased complex I (CI) and CIII activity, but restricted CII and normal CIV activity of RC. Reduced expression of the antioxidative catalase was accompanied by elevated lipid peroxidation (LPO), indicating oxidative stress. Intrinsic apoptosis was activated demonstrated by elevated levels of Bax, Bcl-2, caspase 3 and DNA degradation. In contrast, all myocardial RC complex activities were restricted in CVB3-infected A.SW/SnJ mice. The antioxidative system provided sufficient protection against oxidative stress shown by an elevated catalase expression and unaltered LPO. Bax and Bcl-2 levels were unchanged in CVB3-infected A.SW/SnJ mice, while caspase 3 was mod- erately increased but no DNA degradation was detectable. Correlation analyses including data from the two mouse strains revealed that reduced CVB3 titer correlated with increased CI and CIII activity, oxidative stress as well as active apoptosis during acute myocarditis (MC). C57BL/6 mice completely eliminated CVB3 and inflammation and normalized all intracellular parameters, while A.SW/SnJ mice showed permanently restricted CI activity in chronic MC 90 days p.i., at which time the replicating virus was no longer detectable but immunological processes were still active. Consequently, the regulation of energy metabolism appears crucial for an effective virus elimination and may be of prognostic and therapeutic significance for patients with virus-induced MC. Laboratory Investigation (2012) 92, 125–134; doi:10.1038/labinvest.2011.145; published online 3 October 2011 KEYWORDS: apoptosis; Coxsackievirus B3; mitochondria; myocarditis; oxidative phosphorylation; oxidative stress Coxsackievirus B3 (CVB3), a member of the enteroviral the immunology of the host is crucial for the course of the Picornaviridae, is one of the best-described infectious agents disease, intracellular processes of the infected heart that de- associated with myocarditis (MC).1 Interestingly, character- termine the differences in the fate of the virus remain elusive. istics of the virus alone do not explain the vast difference in Mitochondria, the center of cellular energy production, clinical outcomes of CVB3-induced MC. Acute inflammatory have been shown to be prominent targets of viral proteins, heart disease is either characterized by rapid virus elimina- suggesting that they have a central role in the host’s cellular tion and recovery or ongoing chronic inflammation asso- defense system.3–5 The mitochondrial respiratory chain (RC), ciated with virus persistence frequently resulting in dilated the antioxidative system and members of the Bcl-2 cardiomyopathy.2 Although it is widely acknowledged that family strongly influence the mitochondrial integrity and 1Department of Cardiology and Pneumonology, Charite´—Campus Benjamin Franklin, Universita¨tsmedizin Berlin, Berlin, Germany; 2Institute of Biochemistry, Freie Universita¨t Berlin, Berlin, Germany; 3Interfaculty Institute for Genetics and Functional Genomics, Ernst-Moritz-Arndt Universita¨t, Greifswald, Germany; 4Department of Molecular Pathology, Universita¨tTu¨bingen, Tu¨bingen, Germany; 5Institute for Cardiac Diagnostic and Therapy (IKDT), Berlin, Germany; 6Department of Gastroenterology/Infectiology/Rheumatology, Charite´—Universita¨tsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany and 7Department of Virology, Charite´—Universita¨tsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany Correspondence: Dr A Do¨rner, PhD, Department of Cardiology and Pneumonology, Charite´—Universita¨tsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany. E-mail: [email protected] Received 1 March 2011; revised 5 August 2011; accepted 16 August 2011 www.laboratoryinvestigation.org | Laboratory Investigation | Volume 92 January 2012 125 Mitochondrial function in CVB3 myocarditis L Ebermann et al consequently need to be examined to understand the link graded 0 for no, 1 for low, 2 for medium and 3 for extensive between mitochondrial function and CVB3 within the immune cell infiltrations. Myocardial and cellular CVB3 infected heart. titers were determined by plaque-forming assay as previously The RC, the final step of ATP production, transfers elec- described.12 trons from donor molecules via complexes I to IV (CI–CIV) to the acceptor molecule O2, generating the transmembrane RNA Preparation and Real-Time PCR electrochemical gradient used by the ATP synthase to syn- Total RNA was isolated from myocardium using TRIzol thesize ATP. Imbalance in this tightly coordinated system reagent (Invitrogen, Karlsruhe, Germany), and cDNA was leads to misrouting of electrons and increased generation of generated using standard protocols. Quantitative real-time reactive oxygen species (ROS).6,7 ROS are highly reactive and PCR was performed to quantify mRNA expression of tumor damages proteins, lipids and nucleic acids. Components of necrosis factor a (TNFa), interleukin 1b (IL-1b) and trans- the antioxidative stress system such as mitochondrial super- forming growth factor b-1 (TGFb) using the Mastercycler oxide dismutase (SOD2) and catalase activity neutralize these realplex system (Eppendorf, Hamburg, Germany) and the toxic radicals. Maladjustment in RC and disturbance of respective TaqMan Gene Expression Assays from Applied the antioxidative system result in mitochondrial instability Biosystems (Darmstadt, Germany). Gene expression was and apoptosis.8 In those cases, members of the Bcl-2 family normalized in relation to the endogenous housekeeping gene specifically modulate mitochondrial processes initiating hypoxanthine phosphoribosyltransferase 1 (HPRT1). programmed cell death.9 While Bcl-2 suppresses apoptosis, Bax increases the permeability of the inner mitochondrial Mitochondrion Isolation membrane, induces the release of proapoptotic factors that Heart tissue was disrupted with scissors in 10 volumes activate the caspase cascade, initiating cellular degradation. of isolation buffer containing 300 mM sucrose, 5 mM We hypothesize here that the regulation of mitochondrial 3-(N-morpholino)propanesulfonic acid, 1 mM glycol-bis function has a significant impact on the myocardial virus (2-aminoethylether)-N,N,N’, N’-tetraacetic acid, 1 mg/ml load in CVB3-induced MC. To test this hypothesis, we used bovine serum albumin, protease inhibitor mix diluted 1:100 two mouse strains that have been well described for their (Sigma-Aldrich, Steinheim, Germany) pH 7.4. Tissue was different capacity to eliminate CVB3 from the heart. While homogenized in a glass potter and subsequently centrifuged CVB3-infected C57BL/6 mice rapidly eliminate the virus and at 1000 g for 10 min at 4 1C. The supernatant was centrifuged recover from MC, A.SW/SnJ mice develop chronic MC based at 12 000 g for 30 min for mitochondrion preparation. on virus persistence.10,11 These mouse models closely reflect The mitochondrial pellet was washed in 200 ml isolation the etiopathologies in human CVB3-induced MC. buffer and again centrifuged at 12 000 g for 30 min. The mitochondria were resuspended in 50 ml isolation buffer. The MATERIALS AND METHODS supernatant was centrifuged for the preparation of cytosolic Model of Murine MC proteins at 16 000 g for 1 h. Protein concentration was All animal studies were performed according to national determined by the bicinchoninic acid test (Pierce, Bonn, guidelines and were approved by the institutional animal care Germany). committee. The investigation conforms to the ‘Guide for the Care and Use of Laboratory Animals’ stated by the US Determination of RC Complex Activities National Institutes of Health. Transfection-derived CVB3 CI activity was measured spectrophotometrically by the (Nancy strain, ATCC VR-30) was propagated on HeLa cells, oxidation of NADH with decylubiquinone at 340 nm, CII isolated and stored at À80 1C until use. Sixteen 6-week-old activity by the oxidation of succinate with ubiquinone at male C57BL/6 mice and 16 age-matched mice of the A.SW/ 600 nm, CIII by the reduction of cytochrome c with SnJ background were intraperitoneally inoculated with decylubiquinol at 550 nm and CIV by the oxidation of 5 Â 105 plaque-forming units (p.f.u.) of CVB3 in 200 mlof reduced cytochrome c at 550 nm, as described in Jarreta et al.13 phosphate-buffered saline (PBS). A subgroup of age-matched C57BL/6 and A.SW/SnJ mice sham-infected with 200 ml PBS Mass-Spectrometry Analyses served as controls. Eight infected and uninfected mice of each Mitochondrial proteins of individual mice (n ¼ 4 per group) strain were
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