Interferon (IFN) was discovered as an antiviral agent during studies on virus interference (180, 294). Isaacs and Lindenmann reported in 1957 that influenza virus-infected chick cells produced a secreted factor that mediated the transfer of a virus-resistant state active against both homologous and heterologous viruses (180). This seminal observation, along with similar findings described by Nagano and Kojima in 1958 (294), set the stage for subsequent studies that led to the elucidation of the IFN system in exquisite detail.

What is the IFN system? How do IFNs function to inhibit the multiplication of some, but not all, viruses? What strategies are used by viruses to counteract the antiviral actions of IFNs? Considerable progress has been made toward answering these and other questions about IFNs and their effects on the virus-host interaction. Furthermore, IFNs were approved as therapeutics and moved from the basic research laboratory to the clinic. Advances made while elucidating the IFN system contributed significantly to our understanding in multiple areas of mammalian cell biology and biochemistry, ranging from pathways of signal transduction to the biochemical mechanisms of transcriptional and translational control to the molecular basis of viral pathogenesis.

Several of the key features of the human IFN system are summarized in Fig. 1. The IFN system includes cells that synthesize IFN in response to an external stimulus such as viral infection and cells that respond to IFN by establishing an antiviral state (318, 351, 394). Animal viruses are inducers of IFN, and are also sensitive to the antiviral actions of IFNs. Some animal viruses also encode products that antagonize the IFN antiviral response. IFN proteins display autocrine as well as paracrine activities. The IFN response represents an early host defense, one that occurs prior to the onset of the immune response. IFNs possess a wide range of biological activities in addition to the characteristic antiviral activity by which they were discovered (36). This review will focus primarily on the antiviral activities of IFNs. However, IFN cytokines affect a number of other processes including those regulating cell growth, differentiation, and apoptosis, as well as the modulation of the immune response.

View larger version (32K): [in this window] [in a new window]   FIG. 1.   Schematic summary of the IFN system. Virion particles are illustrated as open hexagons, and IFN proteins are illustrated as open circles. The IFN-producing cell shown on the left depicts a cell induced to synthesize IFN in response to either virus infection (IFN- and IFN-) or antigen or mitogen stimulation (IFN-). The IFN-treated cell shown on the right depicts paracrine IFN action in a cell induced to synthesize IFN-regulated proteins that collectively constitute the antiviral response that is responsible for the inhibition of virus multiplication. IFN may also act in an autocrine manner on the IFN producer cell. The numbers refer to the chromosome (Ch) assignment of the human genes encoding the IFNs and their receptors. Adapted from reference 354 with permission of the publisher.

IFNs are a multigene family of inducible cytokines (40, 91, 340, 394, 443). They possess antiviral activity (318, 349, 394). Indeed, the biological activity of IFN is most commonly assayed by determining the antiviral activity in cell culture, although radioimmunoassays and enzyme-based immunoassays are also available for IFNs (318). IFNs are commonly grouped into two types (36, 110, 351). Type I IFNs are also known as viral IFNs and include IFN- (leukocyte), IFN-, (fibroblast), and IFN-. Type II IFN is also known as immune IFN (IFN-). The viral IFNs are induced by virus infection, whereas type II IFN is induced by mitogenic or antigenic stimuli. Most types of virally infected cells are capable of synthesizing IFN-/ in cell culture. By contrast, IFN- is synthesized only by certain cells of the immune system including natural killer (NK) cells, CD4 Th1 cells, and CD8 cytotoxic suppressor cells (10, 443). The natural IFN--producing cells appear to be precursor dendritic cells (114, 381). Purified CD4⁺CD11c type 2 dendritic cell precursors (pDC2s) from human blood produce up to 10³ times more IFN in cell culture than do other blood cells following microbial or viral challenge (381). IFN- genes can be divided into two groups: an immediate-early response gene (IFN-4), which is induced rapidly and without the need for ongoing protein synthesis, and, a set of IFN- genes, consisting of IFN-2, IFN-5, IFN-6, and IFN-8, that display delayed induction and are synthesized more slowly and require protein synthesis (256).

The large number of viral IFN genes in the human include 13 IFN- genes, 1 IFN- gene, and 1 IFN- gene (340). They all lack introns and are clustered on the short arm of chromosome 9 in the human and chromosome 4 in the mouse. The single IFN- gene possesses three introns and maps to the long arm of chromosome 12 in the human, and chromosome 10 in the mouse. Although some IFNs are modified posttranslationally by N- and O-glycosylation, the major human IFN- subspecies are not glycosylated. The IFN- gene products appear to function as monomers, whereas IFN- and IFN- appear to function as homodimers (10, 318, 351, 394). It is not known why there are so many IFN- genes. When the single IFN- gene is deleted from chromosome 4 by targeted disruption, the resultant mice are highly susceptible to viral infection (82). The IFN- subspecies do not compensate for the loss of IFN-, suggesting a unique role for IFN- that is essential for a fully effective antiviral response.

SIGNAL TRANSDUCTION AND ACTIVATION OF TRANSCRIPTION OF INTERFERON-INDUCIBLE GENES

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IFN Receptors

IFNs exert their actions through cognate cell surface receptors that are largely species specific (10, 165, 287, 318). The alpha, beta, and omega IFNs appear to have a common receptor consisting of two subunits, IFNAR-1 and IFNAR-2. Both IFNAR-1 and IFNAR-2 map to chromosome 21 in the human, and chromosome 16 in the mouse. There is a single form of the IFNAR-1 subunit. However, alternative processing of the IFNAR-2 gene transcript produces long (2c), short (2b), and soluble (2a) forms of the encoded subunit (287, 327). IFN- binds to a receptor distinct from that used by IFN-/. Two kinds of subunits also constitute the IFN- receptor complex. The IFN- ligand-binding IFNGR-1 subunit and the accessory IFNGR-2 subunit map to chromosomes 6 and 21 in the human and chromosomes 10 and 16 in the mouse, respectively (10). IFN signaling involves an IFN-mediated heterodimerization of the cell surface receptor subunits, IFNAR-1 and IFNAR-2 with IFN-/ and IFNGR-1 and IFNGR-2 with IFN- (10, 12, 287, 379a, 394).

Pathogenesis studies with knockout mice in which the IFN-/ receptor function has been eliminated by targeted gene disruption illustrate the central importance of the IFN response in virus-host interactions (198). IFN-/ receptor-null mice are unable to establish an antiviral state, demonstrating that IFN-/ appears to be of particular importance in the host response to viral pathogens. IFN-/ receptor-deficient mutant animals are highly susceptible to infection by an array of different viruses exemplified by members of the Poxviridae (vaccinia virus), Arenaviridae (lymphocytic choriomeningitis virus), Rhabdoviridae (vesicular stomatitis virus [VSV]), and Togaviridae (Sindbis virus, Semliki Forest virus, and Venezuelan equine encephalitis virus) despite the presence of an otherwise intact immune system and a normal resistance to the microbial pathogen Listeria monocytogenes (128, 146, 177, 290, 345, 416). By contrast, IFN- receptor-deficient mice in which either the IFNGR-1 or IFNGR-2 gene has been disrupted are greatly impaired in their ability to resist a variety of microbial pathogens and some viral pathogens including vaccinia virus and herpes simplex virus (10, 48, 176, 244, 290). Thus, the IFNAR and IFNGR gene knockout studies established that the viral IFN and immune IFN systems are functionally nonredundant. Interestingly, for IFN antiviral responses involving IFN- and its receptor, IFNGR knockout mutant mice lacking the receptor are more susceptible to both HSV-1 and vaccinia virus challenge than are mutant mice lacking the gene for the IFN- ligand (48). Although animals with IFNGR gene disruptions show no overt defects in embryonic development, they have severe immune system defects (10, 47, 48).

IFN- plays an important role in both innate and adaptive immunity (36, 42). It stimulates innate cell-mediated immunity through NK cells; it stimulates specific cytotoxic immunity based on the recognition of cell surface-bound viral antigens expressed in association with major histocompatibility complex (MHC) proteins; and it activates macrophages (10, 42). These immune responses play an important role in the antiviral and antimicrobial actions of IFN-. Th cells can be divided into three classes based on the pattern of cytokines produced following activation by antigens and mitogens. In addition to IFN-, Th1 cells produce interleukin-2 (IL-2) and tumor necrosis factor beta (TNF-), Th2 cells produce IL-4 and IL-5, and Tr cells produce IL-10 (56, 260). Cellular immunity mediated by Th1 cells and humoral immunity mediated by Th2 cells are modulated by IFN-, which affects the differentiation of naive T cells into either Th1 or Th2 cells (36). IL-12 and IL-18 are IFN--inducing cytokines; IL-12 induction of IFN- is dependent on caspase-1 processing of the IL-18 precursor protein (106, 435).

While IFN- possesses unique immunoregulatory activities that are especially important in the innate host response to microbial infections, it also plays a role in mediating protection against viral infection, especially long-term control of viral infections (48, 176, 244, 290). Double-knockout mice lacking both the IFN- receptor and the IFN-/ receptor are especially sensitive to viral infection (416). Finally, while studies of mice made deficient in components of the IFN receptors by targeted gene disruption have firmly established the importance of the IFN system in the host antiviral response to a wide range of different RNA and DNA viruses (48, 128, 146, 176, 290, 416), the role of IFNs as inhibitors of the replication do vary with the animal system examined (7, 354, 368). This is illustrated by some members of the Reoviridae, including rotaviruses and orthoreoviruses. Studies of mutant mice deficient in either the IFN-/ receptor or IFN- suggest that neither IFN-/ nor IFN- responses play a major role in the clearance of primary rotavirus infection or affect the duration of rotavirus-induced disease in suckling mice (7). However, treatment of calves with recombinant IFN gave substantial protection from bovine rotavirus-induced diarrhea (368). Differences in IFN-inducing capacity between virus strains may be an important parameter contributing to the host response to viral infection by members of the Reoviridae as well as by other viruses (354). For example, reovirus-induced acute myocarditis in mice correlates with viral RNA synthesis rather than with the generation of infectious virus in cardiac myocytes; it has been speculated that the IFN-inducing capacity of reoviruses may determine in part their potential for causing virus-induced acute myocarditis (376). IFN- production can also be induced by reovirus infection, but the capacity of the serotype 1 Lang strain to induce IFN- in peripheral lymph node lymphocytes is dependent on the mouse strain; lymphocytes from C3H mice produce significantly higher levels of IFN- than do those from BALB/c, C57BL/6, and B10.D2 mice (253). In mouse fibroblasts in culture, serotype 3 is a better inducer of IFN-/ than is serotype 1 (374); curiously, serotype 3 virus also is more cytopathic in culture than is serotype 1 virus (291).

IFN-mediated signaling and transcriptional activation of cellular gene expression are best understood in the context of JAK-STAT pathway proteins (75, 232, 362, 363, 394). The principal components of the pathway are summarized in Fig. 2. The signal transducer and activator of transcription (STAT) family of proteins are latent cytoplasmic transcription factors that become tyrosine phosphorylated by the Janus family of tyrosine kinase (JAK) enzymes in response to cytokine stimulation. There are seven known members of the STAT protein family, Stat-1, Stat-2, Stat-3, Stat-4, Stat-5a, Stat-5b, and Stat-6, and four members of the JAK family, Jak-1, Jak-2, Jak-3, and Tyk-2. Different members of the JAK and STAT families have distinct functions in cytokine signaling. Receptor-associated JAKs are activated following binding of IFNs to their cognate multi-subunit transmembrane receptor. Of the known JAKs and STATs, the Jak-1, Jak-2, and Tyk-2 kinases and the Stat-1 and Stat-2 transcription factors play central roles in mediating IFN-dependent biological responses, including induction of the antiviral state (74, 169, 231, 394).

View larger version (29K): [in this window] [in a new window]   FIG. 2.   Schematic of IFN signaling by the Jak-Stat pathway. The signaling process is initiated by binding of the IFN ligand to its cognate receptor subunits. IFN- and IFN- are depicted by the diamond, and IFN- is depicted by the sphere. IFN binding leads to activation of overlapping pairs of Jak and Stat transcription factors by tyrosine phosphorylation. The Jak-1 and Tyk-2 kinases are activated by IFN-/, which leads to the phosphorylation and dimerization of the Stat-1 (p91) and Stat-2 (p113) proteins and subsequent translocation, along with IRF-9 (p48), to the nucleus. The complex of these three proteins, known as IFN-stimulated gene factor 3 (ISGF-3), activates the transcription of IFN-/-inducible genes through the ISRE. The Jak-1 and Jak-2 kinases are activated by IFN-, which leads to the phosphorylation and homodimerization of the Stat-1 protein and subsequent translocation to the nucleus. The Stat-1 dimer complex, known as GAF for gamma activation factor, activates the transcription of IFN- inducible genes through the GAS enhancer element.

Overlapping subsets of JAKs are involved in signaling by the two types of IFNs. Jak-1 and Tyk-2 kinases function in IFN-/ signaling, and the Jak-1 and Jak-2 kinases function in IFN- signaling (10, 287). Tyk-2 interacts with the IFNAR-1 receptor subunit, and Jak-1 interacts with the IFNAR-2 subunit of the IFN-/ receptor. Jak-1 also interacts with the IFNGR-1 receptor subunit, and Jak-2 interacts with the IFNGR-2 subunit of the IFN- receptor. Activation of the receptor-associated JAKs leads to the subsequent phosphorylation of latent cytoplasmic STAT transcription factors. For IFN-/, the phosphorylated forms of Stat-1/ and Stat-2, along with an additional non-STAT protein, p48 (also known as IRF-9), translocate to the nucleus and constitute a complex known as ISGF-3. The ISGF-3 trimeric complex binds to a cis-acting DNA element, designated ISRE, found in IFN-/-inducible genes. For IFN-, the phosphorylated Stat-1 factor homodimerizes, translocates to the nucleus, and binds to a different cis-acting element, designated the gamma-activated sequence (GAS), that is commonly found in IFN--inducible genes (11, 15, 232).

Targeted disruption of the Jak-1, Jak-2, Stat-1, and Stat-2 genes in mice have firmly established the obligatory physiological roles of the encoded Jak-1 and Jak-2 kinases and the Stat-1 transcription factor in the IFN response (103, 169, 278, 307, 327, 341, 362). Disruption of the mouse Stat-1 gene revealed an unexpected physiologic specificity. Stat-1 null mice show a greatly reduced responsiveness to both IFN- and IFN- and show a compromised innate immunity to viral disease (103, 278). Stat-1-deficient mice are extremely susceptible to viral pathogens. However, if reared in a pathogen-free environment, mice lacking Stat-1 are fertile and show no overt developmental abnormalities. Consistent with the biochemical evidence, Stat-2 null mice are defective primarily in their response to IFN-/ (327, 362). The Jak-1 gene disruption results in mice that are runted at birth and typically die within 24 h; mutant mouse embryo fibroblasts (MEF) lacking the Jak-1 kinase are unresponsive to either IFN- or IFN- (341). The Jak-2 gene disruption is embryonic lethal on day 12 to 13; mutant MEF lacking the Jak-2 kinase are not responsive to IFN- but remain responsive to IFN- (307).

The IFN regulatory factor (IRF) family of transcriptional regulators, like the STATs, are important regulatory factors in the IFN response (299). The IRF-1 protein was first identified as a regulator of the IFN-/ gene promoter, as well as the IFN-stimulated response element (ISRE) found in the promoters of some IFN-/-regulated genes (363). The IRF family of factors includes nine known members: IRF-1, IRF-2, IRF-3, IRF-4, IRF-5, IRF-6, IRF-7, IRF-8, and IRF-9 (p48, ISGF-3). These factors are homologous to each other in the N-terminal region, corresponding to their conserved DNA-binding domain. The IRFs and STATs can function in conjunction with each other to establish the signal transduction and gene regulation events that lead to the induced expression of the proteins that collectively constitute the antiviral state. IRF-9 was initially identified as a component of the trimeric ISGF-3 complex, along with Stat-1 and Stat-2. It is the only component of the ISGF-3 complex for which a nuclear localization signal has been identified (222), and it is the DNA sequence recognition subunit of ISGF-3 (185). The Stat-2 protein appears to form a cytoplasmic complex with IRF-9 that is retained in the cytoplasm in the absence of IFN treatment. The Stat protein subunits are localized in the cytoplasm in untreated cells but rapidly translocate to the nucleus following IFN treatment. IRF-9, on the other hand, is found in both the nucleus and cytoplasm of untreated and IFN-treated cells. Preassociation of IRF-9 with Stat-2 in the cytoplasm has the potential to poise the complex for activation by dimerization with Stat-1, as a rapid response to signaling by IFNs-/. IRF-9 also appears to play an ISGF-3-independent role in responses mediated by IFN- (195). IRF-9 and IRF-1 play essential but nonredundant roles in the IFN response. IRF-1 binds directly to the ISRE found in the promoters of some IFN-/-regulated genes (299) and plays an important role in the antiviral actions of IFN (146, 265, 337).

Most, but not all, of the activities of IFN- are mediated through the Stat-1 protein target of the JAK-STAT signaling pathway. IFN- treatment leads to the tyrosine phosphorylation of the IFNGR-1 receptor subunit on Tyr-440 and the subsequent interaction and phosphoryation of Stat-1 at Tyr-701. Dimerization of Stat-1 through reciprocal SH2 interactions is followed by nuclear translocation and then DNA binding at GAS elements to activate transcription of IFN--inducible genes (169, 232, 362). Serine phosphorylation of the transcriptional activation domain of Stat-1 at Ser-727, positioned within the C-terminal region of Stat-1, enhances transcription by recruitment of p300/CBP, a ubiquitously expressed global transcriptional coactivator with histone acetyltransferase (HAT) activity (397, 446), and also BRCA1 (306). The BRCA1 tumor suppressor acts in concert with Stat-1 to differentially activate the transcription of a subset of IFN--regulated target genes involved in growth control, including the cyclin-dependent kinase inhibitor p21^WAF1. The possible roles of these interactions in the IFN-mediated inhibition of virus multiplication, by affecting responses associated with cell growth and proliferation, are unknown.

STAT factors in addition to Stat-1 and Stat-2, namely, Stat-3, Stat-4, Stat-5, and Stat-6, have also been observed to be activated by IFNs (107, 274, 332). Furthermore, although IFN-mediated signaling and transcriptional activation is presently best understood in the context of the JAK-STAT signal transduction pathway, additional pathways of signal transduction possibly involving the RNA-dependent protein kinase (PKR) (212), mitogen-activated protein kinase (78, 141), and phosphatidylinositol 3-kinase (319) may also be operative under some circumstances. Both IFN- and IFN- can regulate the expression of IFN-responsive genes by a Stat1- and PKR-independent alternative signaling mechanism that requires both the IFN- receptor and Jak-1 kinase (140a, 330a). Surprisingly, some genes are activated by IFN- only when Stat1 is absent, a finding that may be of special significance in those viral infections where Stat1 function is antagonized (330a). Thus, the possibility of an elaborate network that conceivably allows for considerable cross talk between separate pathways involved in IFN signal transduction and the actions of IFNs must be considered.

Two cis-acting DNA elements are the known targets of the Stat and IRF transcription factors: ISRE and GAS. ISRE and GAS are largely responsible for the IFN-regulated promoter activity seen for IFN-inducible genes. The ISRE drives the expression of genes inducible by IFN-/ and has the consensus sequence AGTTTCNNTTTCNPy. It is the binding site for the IFN-stimulated gene factor ISGF-3 and for some of the IRFs (74, 231, 394). Indeed, the crystal structure of an IRF-DNA complex reveals the DNA recognition sequence AANNGAAA and cooperative binding of IRF-2 to a tandem repeat of the GAAA core sequence (118). A novel 15-bp element, designated KCS (for "kinase-conserved sequence"), also is required both for basal and IFN-inducible activity of the promoter for the RNA-dependent protein kinase PKR. The KCS element, GGGAAGGCGGAGTCC, is exactly conserved in sequence and position between the human and mouse Pkr promoters and is the binding site for a protein complex including the Sp1 factor (207, 210).

The GAS element was initially identified as the IFN--responsive DNA element. However, in addition to Stat-1 homodimers that bind DNA at the GAS site, a number of other Stat proteins activated by various cytokines have been shown to bind GAS-like elements as either homo- or heterodimers, including Stat-3, Stat-4, Stat-5, and Stat-6 (74, 169, 231, 394). GAS-like elements have a palindromic core sequence, TTNNNNNAA (10, 362, 394).

Interestingly, the ISRE is not limited to IFN-inducible cellular genes. The Q promoter (Qp) of Epstein-Barr virus (EBV) and the enhancer-1 region of hepatitis B virus (HBV) have an ISRE-like element, vISRE, that is the target of IRF factors (297, 447). Qp is used for the transcription of EBV nuclear antigen 1 (EBNA1) during the highly restricted type I latent infection but is inactive in type III latency. Constitutive activation of EBV EBNA1 gene transcription is mediated in part by IRF-1 activation of Qp. A different IRF factor, IRF-7, binds to the vISRE-like sequence of Qp and represses transcriptional activation by both IFN and IRF-1. Expression of IRF-7 is high in type III latency cells but almost undetectable in type I latency, corresponding to the activity of the Q promoter of EBV in these latency states (447). The EBV latency promoter is positively regulated by Stat factors, and Zta interference with signaling leads to a loss of promoter activity (64). IFN- treatment suppresses the activity of the hepatitis B virus enhancer-1, which possesses an ISRE-like element that is bound by both IRF-1 and IRF-9. Mutation of the HBV vISRE reduces the suppressive effect of IFN-, whereas overexpression of IRF-9 enhances the inhibition of enhancer-1 activity in human hepatoma HuH7 cells (297).

Virus infection activates the transcription of a large number of cellular genes (58, 198, 451). The activation may occur either directly through activation of cellular transcription factors such as IRF-3 or indirectly through prior induction of IFN-/. IRF-3, a key transcriptional activator affected by viral infection, is a subunit of the double-stranded RNA (dsRNA)-activated transcription factor complex (DRAF) (167, 425). It is constitutively expressed in many cells and tissues. It is directly activated by dsRNA or by virus infection and subsequently plays a role in the transcriptional activation of the IFN- and IFN- promoters and IFN-/-responsive genes (299, 361, 440). Activation of IRF-3 involves protein serine/threonine phosphorylation, which results in its cytoplasmic-to-nuclear translocation, stimulation of DNA binding, and association with p300/CBP coactivator, leading to increased transcriptional activation (167, 213, 371). Along with IRF-3, IRF-7 probably plays important roles in the regulation of IFN- synthesis in response to virus infection (424). IRF-7 is also a critical determinant for the induction of IFN- genes in infected cells and functions in part by a positive feedback induction loop mechanism (256, 438).

Results of analyses of genetically altered cell lines suggest that signal transduction by dsRNA is mediated by ISREs without activation of ISGF-3. The IFN signaling pathway components Jak-1, Tyk-2, IRF-9, and Stat-2, necessary for ISGF-3 activation, are not absolutely required for dsRNA-mediated signal transduction (15). Interestingly, virus infection mediates the induction of the IFN-inducible P56 protein in mutant P2.1 cells even though both dsRNA and IFN signaling are nonfunctional in these cells (155). The biochemical nature of the pathway components implicated in direct induction of IFN-inducible genes by virus in the P2.1 cells in the absense of functional dsRNA and IFN signaling pathways have not yet been defined.

Negative regulators of JAK-STAT-mediated signaling and gene activation have been identified. Among these are both viral and cellular proteins which down-regulate JAK-STAT-mediated signals. The family of suppressors of cytokine signaling (SOCS)/STAT-induced STAT inhibitors (SSI)/ cytokine-inducible SH2 protein (CIS) represent cellular proteins that function as negative-feedback regulators of JAK-STAT signaling (295, 395). On the basis of two characteristic conserved domains, a central SH2 domain and the so-called SOCS box at the carboxyl end, there are eight known members (295, 437). SOCS-1 is induced by numerous cytokines including IFN-, binds to the kinase domain of all four members of the JAK family of kinases, and inhibits signaling by suppression of Jak activation (104, 295). Consequently, SOCS-1 inhibits the tyrosine phosphorylation and nuclear translocation of Stat-1 in response to both IFN- and IFN-. SOCS-1, but not SOCS-2, inhibits the antiviral and antiproliferative activities of IFNs in cell lines stably expressing the SOCS proteins (388). Targeted gene disruption of SOCS-1 suggests that the most important physiological function of this signaling suppressor is the negative regulation of IFN- signaling and Stat-1 function (6, 437).

Two members of the protein inhibitor of activated Stat (PIAS) family of cellular proteins, PIAS-1 and PIAS-3, are also negative regulators of STAT signaling. However, the mechanism is different from that of SOCS, which inactivates the Jak kinases. The PIAS-1 and PIAS-3 proteins directly associate with Stat-1 and Stat-3, respectively, in response to treatment with IFNs or IL-6 (380). PIAS-1 specifically interacts with the Stat-1 dimer, but not monomer, to block the DNA-binding activity and thus the Stat-1-mediated gene activation (234, 380).

Negative regulation of JAK-STAT signal transduction is also achieved by dephosphorylation catalyzed by the protein tyrosine phosphatase SHP-1. SHP-1 suppresses the signal transduction process of a variety of cytokines, including IFN- (77), by directly interacting with JAKs and catalyzing their dephosphorylation. A dominant negative form of SHP-2 phosphatase suppresses ISGF-3-dependent transcription (79), suggesting that SHP-2 phosphatase, in contrast to SHP-1, plays a role in IFN-/-induced gene expression.

Both DNA and RNA viruses encode proteins that impair the activity of the JAK-STAT signaling pathway (198). Multiple mechanisms appear to be involved. Among these is mimicry. Several examples exist in which viruses encode products that mimic cellular components of the IFN signal transduction pathway. This molecular mimicry can lead to an antagonism of the IFN signaling process and subsequent impairment of the development of an antiviral state. Poxviruses, for example, encode soluble IFN receptor homologues (vIFN-Rc). These vIFN-Rc homologues are secreted from poxvirus-infected cells and bind IFNs, thereby preventing them from acting through their natural receptors to elicit an antiviral response (385). M-T7, the first poxvirus receptor homologue identified, was found in myxoma virus-infected cells and acts as a decoy to inhibit the biological activity of rabbit IFN-. The vIFN-Rc M-T7 gene product is a critical virulence factor for poxvirus pathogenesis. Other poxviruses also encode soluble IFN-Rc homologues, including vaccinia virus, where the B8R gene encodes the IFN- receptor homologue. A vIFN-/Rc protein is secreted by vaccinia virus and several additional orthopoxviruses. The vIFN-/ receptor homologue, the B18R gene product in the Western Reserve strain and the B19R product in the Copenhagen strain, binds several different IFN- subspecies as well as IFN- and blocks IFN-/ signaling activity (5, 71).

Three additional DNA viruses that affect IFN signaling are adenovirus, papillomavirus, and human herpesvirus 8 (HHV-8). The adenovirus E1A protein blocks IFN-mediated signaling at a point upstream of the activation of ISGF-3. The DNA binding activity of ISGF-3 is inhibited by E1A (230). Overexpression of the IRF-9 subunit of ISGF-3 restores IFN responses and the transcription of ISRE-driven genes in adenovirus-infected cells (230). Sendai virus (SeV), a paramyxovirus that replicates in the cytoplasm of the host, circumvents the IFN-induced antiviral response by interfering with the transcriptional activation of IFN-inducible cellular genes. The C proteins of SeV play an essential role (130); infections with two different C gene mutants of SeV eliminate the ability to prevent the establishment of an antiviral state against vesicular stomatitis virus (131). Impairment of the IFN-induced antiviral response appears to be a key determinant of SeV pathogenicity (93, 131).

Human papillomavirus (HPV) E6 oncoprotein binds selectively to IRF-3 but only very poorly to other cellular IRFs including IRF-2 and IRF-9. Association of E6 with IRF-3 inhibits transactivation, thereby providing HPV with a mechanism to circumvent the antiviral response (343). Adenovirus E1A protein also inhibits IRF-3-mediated transcriptional activation by a mechanism dependent on the ability of E1A to bind p300. CBP/p300 and PCAF histone acetyltransferase (HAT) enzymes are coactivators for several transcription factors including Stat-1; the viral E1A protein represses HAT activity and inhibits p300-dependent transcription and nucleosomal histone modifications by PCAF (57).

HHV-8, a gammaherpesvirus associated with Kaposi's sarcoma, synthesizes an IRF homologue (vIRF) that functions as a repressor of transcriptional activation induced by IFN-/ and IFN- (127, 167). The HHV-8-encoded vIRF protein also represses IRF-1-mediated transcriptional activation. HHV8 vIRF probably plays an important role in HHV-8 pathogenesis and neoplastic transformation by antagonizing IFN- and IRF-mediated transcriptional control. Expression of vIRF antisense in HHV-8-infected cells increases IFN-mediated transcriptional activation and downregulates the expression of HHV-8 genes. Two other herpesviruses, varicella-zoster virus (VZV) and cytomegalovirus (CMV), also disrupt the function of the JAK-STAT signal transduction pathway (1, 283). VZV inhibits the expression of Stat-1 and Jak-2 proteins but has little effect on Jak-1; the expression of two key transcription factors regulated by IFN- signaling, IRF-1 and the MHC class II transactivator (CTIIA), is inhibited in VZV-infected cells, as is the induction of the MHC class II molecules (1). A different strategy of antagonism occurs in CMV-infected cells, where MHC class II expression also is inhibited. There is a specific decrease in the level of Jak-1 due to enhanced protein degradation in CMV-infected fibroblasts (283).

Several nonsegmented negative-strand RNA viruses encode gene products that antagonize IFN receptor-mediated signaling from both type I / and type II  IFN receptors. For example, infection with simian virus 5 or mumps virus leads to an increased proteosome-mediated degradation of Stat-1 (94) whereas in cells infected with parainfluenza virus type 2 there is a degradation of Stat-2 (442). In the case of Sendai virus, the C proteins interfere with IFN action in at least two ways. C proteins prevent the synthesis of Stat-1 and they also induce an increased turnover of Stat-1 (130, 201). The VP35 protein of Ebola virus, a negative-strand RNA virus, functions as a type I IFN antagonist although the precise biochemical mechanism of the antagonism has not yet been defined (21). VP35 inhibits virus induction of the IFN- promoter and dsRNA- and virus-mediated activation of ISRE-driven gene expression (21).

The replication of a wide range of different DNA and RNA animal viruses is inhibited by IFN, both in cell culture and in animals (318, 351, 394). For many of the viruses that are sensitive to the antiviral action of IFN in cell culture systems, the primary step of the virus multiplication cycle inhibited typically is the synthesis of viral polypeptides (36, 351). Exceptions do exist, however. Papovaviruses and certain retroviruses often are inhibited in IFN-sensitive cell systems at early and late steps, respectively, of their multiplication cycles (36, 349, 351), myxoviruses and rhabdoviruses may be inhibited in certain cell types at or before primary transcription (158, 393), and adenoviruses and poxviruses can be comparatively resistant to the antiviral actions of IFN because of virus-encoded antagonists (264, 351). Among the IFN-induced proteins implicated in the antiviral actions of IFNs in virus-infected cells are PKR, the 2',5'-oligoadenylate synthetase (OAS) and RNase L, the RNA-specific adenosine deaminase (ADAR), and the Mx protein GTPases. Double-stranded RNA plays a central role in modulating protein phosphorylation, RNA degradation, and RNA editing catalyzed by the IFN-inducible enzymes: the PKR kinase, the OAS synthetases, and the ADAR1 deaminase (181, 353). dsRNA interestingly also serves as a template for gene silencing (25). IFN also induces a form of nitric oxide synthase (iNOS2) and the MHC class I and II molecules, all of which play important roles in immune responses to infections.

PKR is an IFN-inducible, RNA-dependent protein kinase (68, 352) known in the earlier literature as DAI; dsI; P1 kinase; P1/eIF-2 kinase; p65, p67, or TIK (for the mouse enzyme); and p68 or p69 (for the human enzyme) (69). In IFN-treated cells, PKR is found predominantly in the cytoplasm and associated with ribosomes (318, 352, 412); however, small amounts of PKR have also been localized to the nucleus by cell fractionation and immunofluorescence analyses (183, 412). As summarized in the Fig. 3 schematic, PKR is activated by autophosphorylation, a process mediated by RNA with double-stranded character (68, 328, 352). Following activation, PKR catalyzes the intermolecular phosphorylation of at least six protein substrates: the PKR protein itself (410, 411); the  subunit of protein synthesis initiation factor 2, eIF-2 (348); the transcription factor inhibitor IB (211, 303); the Tat protein encoded by human immunodeficiency virus (HIV) (272); the 90-kDa NFAT protein (220); and the M-phase specific dsRNA-binding phosphoprotein MPP4 (310).

View larger version (25K): [in this window] [in a new window]   FIG. 3.   Functions of selected IFN-inducible proteins. Among the IFN-induced proteins believed to affect virus multiplication within single cells are PKR kinase, which inhibits translation initiation through the phosphorylation of protein synthesis initiation factor eIF-2; the OAS synthetase family and RNase L nuclease, which mediate RNA degradation; the family of Mx protein GTPases, which appear to target viral nucleocapsids and inhibit RNA synthesis; and ADAR, which edits double-stranded RNA by deamination of adenosine to yield inosine. IFN-induced expression of MHC class I and class II antigens and NOS may contribute to the antiviral responses observed within whole animals. Ag, antigen. Adapted from reference 351 with permission of the publisher.

Protein synthesis factor eIF-2 so far is the best characterized of the PKR substrates, in both structural and functional terms. Serine phosphorylation of eIF-2 catalyzed by PKR occurs at Ser-51 (311, 348). This phosphorylation of eIF-2 leads to an inhibition of translation by impairing the eIF-2B-catalyzed guanine nucleotide exchange reaction (68, 125, 352, 366). A variety of physiologic conditions, including IFN treatment and virus infection (351, 352, 355), cause the phosphorylation state of eIF-2 to increase and mRNA translation to subsequently decrease. Activation of PKR and subsequent phosphorylation of eIF-2 change the translational pattern of the host cell.

Human PKR is a 551-amino-acid protein with a molecular mass of about 62 kDa as deduced from the cDNA open reading frame (ORF) (209, 279, 352, 412). By contrast, the mouse and rat PKR proteins are somewhat smaller, 515 amino acids (178, 401) and 514 amino acids (276), respectively. The 11 conserved catalytic subdomains characteristic of protein serine/theonine kinases are, without exception, located in the C-terminal half of PKR (352). Replacement of the subdomain II-invariant Lys-296 with arginine (K296R) eliminates both autocatalytic and eIF-2 protein kinase activities of PKR (17, 409). The N-terminal region of the PKR protein possesses a repeated motif (dsRBM, or R), whose core is about 20 amino acid residues and is responsible for the dsRNA-binding activity (108, 144, 189, 269, 309). Mutational analyses established that the N-terminal proximal copy of dsRBM is both necessary and sufficient for the RNA-binding activity of PKR, although both copies of dsRBM are required for optimal kinase activity (145, 268, 273, 352).

The RNA-dependent autoactivation of PKR involves autophosphorylation of PKR (68, 188, 350, 352, 370, 387). Biochemical and genetic studies suggest that the autophosphorylation can occur by either intramolecular (31, 120) or intermolecular (204, 342, 410, 411) mechanisms. There are multiple sites of autophosphorylation on PKR, predominantly serine residues but also including threonine residues (120, 221, 348). Phosphopeptide analysis suggests a multiple of about four major phosphorylation sites per PKR molecule (411). No PKR phosphorylation on tyrosine is detectable (178, 221).

A number of RNA effectors of PKR function, that is, RNA activators and RNA inhibitors, have been identified. RNA activators include both synthetic and natural dsRNA, for example (rI)_n-(rC)_n and reovirus genome dsRNA, respectively (352). Undistorted A-form dsRNA has its sequence-rich information buried in the major groove, and indeed, no sequence specificity has been observed in interactions between PKR and dsRNA per se (68, 352). Certain highly structured single-stranded viral RNA species are also activators, as exemplified by HIV TAR RNA, reovirus s1 mRNA, and hepatitis delta virus RNA (67, 351). RNA inhibitors of PKR autophosphorylation include dsRNA at high concentration and also three highly structured viral single-stranded RNA (ssRNA) species: adenovirus VAI RNA, EBV EBER RNA, and HIV TAR RNA (68, 264, 351, 352). Synthetic aptamer RNAs selected from a library of ~10¹⁴ RNA sequences containing a randomized region of 50 nucleotides (nt) include both activators and inhibitors of PKR autophosphorylation and eIF-2 phosphorylation (33).

The basis of the RNA selectivity of PKR activation remains an important question. While kinase activation is associated with the formation of a stable PKR dsRNA complex that requires ~30 to 50 bp of duplex RNA and is optimal with about 80 bp, the PKR protein appears to interact with as little as 11 bp of dsRNA (32, 254). Both the full-length PKR protein and the truncated N-terminal region of the PKR protein containing the two copies of the dsRBM motif bind VAI RNA (267) and an 85-bp dsRNA (365) with comparable affinity, with an apparent K_D between 2 and 4 nM. Mutations in PKR that impair RNA binding have similar effects on the binding of both activator and inhibitor RNAs (144, 267, 268). This suggests that the discrimination between activator and inhibitor RNAs presumably takes place after RNA binding. Curiously, the cellular protein activator PACT (308a) and the carbohydrate heparin (136, 170) can substitute for RNA in mediating the autophosphorylation and activation of PKR. Heparin oligosaccharide with 8 sugar residues is nearly as efficient as heparin with 16 residues in activating PKR, whereas heparin with 6 residues is a very poor activator (136). The RNA-binding activity of wild-type PKR is not competed by heparin, and PKR mutants that fail to bind to and be activated by dsRNA can be activated by heparin and by PACT (136, 309).

Southern blot and nucleotide sequence analyses are consistent with a single Pkr gene, and fluorescence in situ hybridization shows that genomic clones colocalize to human chromosome 2p21-22 and mouse chromosome 17E2 (16, 208, 390). The human Pkr gene consists of 17 exons and spans about 50 kb (208), whereas the mouse gene is 16 exons and spans about 28 kb (401). The organization of the regulatory and catalytic subdomains of the PKR protein are remarkably preserved between the human and mouse Pkr genes; the amino acid junction positions for 13 of the 15 protein coding exons are exactly conserved (208).

The TATA-less Pkr promoter possesses an ISRE as well as a novel 15-nt KCS element, which so far has been identified only in the human and mouse Pkr promoters (206, 401). KCS affects basal as well as IFN-inducible expression of PKR (207, 210). IFN- is an efficient inducer of two Pkr mRNAs in human cells, of ~2.5 and ~6.0 kb (279, 412), but IFN- is a relatively poor inducer of them (412). Tissue-specific differences in the ratios of the three PKR transcripts are observed in mice; for example, a 2.5-kb mRNA is the predominant species in testes, but in both lung and heart tissues a 4.0-kb species is predominant over the 2.5- and 6.0-kb mRNAs (178). The molecular basis and functional significance of the three forms of PKR mRNA transcripts remain unresolved. For human PKR, alternative exon 2 splice variants with different translational activity and abundance have been found in placental tissue, but their relationship to the 2.5- and 6.0-kb transcripts has not been defined (190). In addition to the regulation of PKR by IFN-inducible transcriptional activation, the synthesis of PKR in transfected mammalian cells is autoregulated primarily at the level of translation by a mechanism dependent on catalytically active PKR (20, 409).

Several studies establish that changes in protein phosphorylation mediated by the IFN-inducible PKR play an important role in the antiviral actions of IFNs as well as the control of cell growth mediated by IFNs (68, 228, 352, 356). Evidence for the involvement of the IFN-inducible PKR in the antiviral actions of IFN and the control of translation in virus-infected cells comes from three types of analyses: (i) the study of virus replication in mammalian cells expressing PKR cDNAs (29, 224, 281, 293); (ii) the analysis of mutant mice and MEF deficient in PKR by targeted disruption of the Pkr gene (2, 13, 436; L. Basu and C. E. Samuel, unpublished data); and (iii) the analysis of virus-encoded inhibitors of the PKR kinase (188, 264, 350, 387). For example, the replication of encephalomyocarditis (EMC) virus (281), HW (29, 293), vaccinia virus (224), and VSV (398; Basu and Samuel, unpublished) is reduced in cell culture by overexpression of the cDNA encoding wild-type PKR but not by expression of the catalytic subdomain II point mutant PKR (1-551)K296R, which lacks kinase activity. Furthermore, in replication-competent HIV-1, chimeric genomes that express the wild-type PKR but not the K296R mutant in place of nef inhibited their own expression in cis and pNL4-3 in trans (29). A systematic analysis designed to identify the precise point(s) of virus replication blocked in transfected cells overexpressing wild-type PKR cDNA, similar to earlier studies carried out with cells treated with purified cloned IFNs (262, 415), has not been reported yet. Mutant Pkr^0/0 mice with a targeted disruption in the N-terminal region of PKR that deletes the methionine start codon and RNA-binding motif I show a reduced antiviral response to EMC virus induced by IFN- (436). In mutant Pkr^0/0 mice with the disruption in the catalytic domain, the antiviral responses to influenza virus and vaccinia virus are normal (2). However, these mutant mice lacking PKR are predisposed to lethal intranasal infection by VSV (13), and MEF derived from these knockout mice treated with recombinant IFN- display a reduced antiviral state against VSV compared to those from wild-type parental mice (398; Basu and Samuel, unpublished). Tat-mediated activation of transcription factor NF-B and transcriptional induction of the HIV-1 long terminal repeat LTR also are impaired in mouse cells in which the Pkr gene is knocked out. Both functions are restored by cotransfection of Tat with the cDNA for PKR (81). The HSV ICP34.5 gene product mediates neurovirulence in the mouse model by antagonizing the function of PKR. ICP34.5 is not required for HSV-1 multiplication in nonneuronal cells in culture but is required for replication in the central nervous system. In mice with the PKR gene disrupted in the N-terminal RNA-binding regions, mutant HSV lacking ICP34.5 show wild-type replication and neurovirulence (226).

Adenovirus virus-associated (VA) RNA antagonizes the antiviral action of IFN by preventing the activation of PKR (264, 352). The growth of wild-type adenovirus that produces VA RNA is not inhibited by IFN, but IFN treatment inhibits the growth of adenovirus mutants that are unable to produce VA RNA (197). In the absence of functional VA RNA, adenovirus produces virus-specific RNAs that activate PKR (197, 264), which appears to be responsible for the observed inhibition of translation and the IFN sensitivity of VA mutant virus growth. Additional examples of escape strategies from the antiviral actions of IFN involving antagonism of PKR by virus-encoded gene products will be considered separately (see "Viral antagonists of IFN-induced proteins" below). While adenovirus VA RNA illustrates a well-defined example of how a single viral gene product can drastically affect IFN sensitivity of a virus by targeting a specific IFN-inducible protein (PKR), studies with other viral systems have also shown that the IFN response can differ markedly for a given type of virus. For example, the effect of IFN treatment on the multiplication of reovirus is dependent on the kind of host cell, the type of IFN, and the serotype of reovirus. Reovirus multiplication is sensitive to the antiviral action of IFN in some cell lines but is not significantly inhibited by IFNs in other lines (354). The principal step of reovirus macromolecular synthesis inhibited in reovirus-infected IFN-sensitive mouse fibroblast and monkey kidney cells is the translation of viral mRNA into viral protein. Analysis by two-dimensional isoelectric focusing sodium dodecyl sulfate-polyacrylamide gel electrophoresis and immunoblotting reveals that the phosphorylation of eIF-2 is increased in IFN-treated cells following infection with reovirus (355).

In addition to playing a role in the antiviral actions of IFNs (36, 351), PKR is implicated in the control of cell proliferation (228, 356). For example, stable transformants of NIH 3T3 cells overexpressing catalytically inactive human PKR proteins display a transformed phenotype and are highly tumorigenic when injected into nude mice (19, 203, 280). Further evidence in support of the notion that PKR-mediated perturbation of the homeostatic balance of translation can cause malignant transformation comes from overexpression of either mutated eIF-2 which cannot be phosphorylated (100) or the 58-kDa cellular inhibitor which impairs PKR kinase activity (18). Overexpression of either the PKR inhibitory protein p58 (18) or the nonphosphorylatable mutant Ser51Ala eIF-2 (100) causes malignant transformation of NIH 3T3 cells. The tumor suppressor activity of IRF-1 also appears to be mediated, in part, by PKR (196). And in yeast, the wild-type but not mutant PKR cDNA mediates a growth suppression phenotype (65, 342). Somewhat unexpectedly, however, no evidence of tumor suppressor activity of PKR was observed in two independent mouse mutants devoid of functional PKR by targeted gene disruption (2, 436).

The IFN-inducible 2-5A response leading to the degradation of RNA requires two enzymes, OAS and RNase L (Fig. 3). OAS catalyzes the synthesis of oligoadenylates of the general structure ppp(A2'p)_nA, commonly abbreviated 2-5A. As their name implies, they possess a 2',5'-phosphodiester bond linkage (192). RNase L, a latent endoribonuclease, becomes activated by binding 2-5A oligonucleotides. A third enzymatic activity, that of a phosphodiesterase, also is involved in the metabolism and action of 2-5A oligoadenylates (Fig. 3). The phosphodiesterase catalyzes the hydrolysis of oligonucleotides possessing 2',5'-phosphodiester bonds, thereby attenuating the 2-5A response. The expression, regulation, and function of the OAS and the 2-5A-dependent RNase L has been characterized extensively in IFN-treated and virus-infected cells (191, 322, 334, 357, 394).

Three size forms of OAS, designated OAS1, OAS2, and OAS3 (334), have been identified in human cells by immunoblotting and by characterization of cDNA and genomic clones. OAS proteins of 40, 46, 69, 71, and 100 kDa are detectable by Western analysis (60, 255, 258). The 40- and 46-kDa forms of OAS, designated OAS1, are identical to each other over their N-terminal 346 amino acids but differ at their C-terminal regions. They are encoded by alternatively spliced 1.6- and 1.8-kb transcripts derived from a single gene (26, 174, 432). The differential splicing of OAS1 occurs between exons 5 and 6 (27, 359). The 69- and 71-kDa medium forms of human OAS, designated OAS2, likewise appear to be generated by differential splicing. The OAS2 isoforms, identical over their N-terminal 683 amino acids, consist of two adjacent domains each homologous to the 40-kDa isoform of OAS1 (255). Several RNA transcripts hybridize to OAS2 cDNAs, with sizes of 2.8, 3.3, 3.9, and 4.5 kb (258). The 100-kDa large isoform of OAS, designated OAS3, is a 1,087-amino acid protein as deduced from cDNA sequence; it is composed of three adjacent repeat domains, each homologous to OAS1 (215, 336). An IFN-inducible transcript of ~7 kb encodes OAS3. Based on analysis of cDNA and genomic clones, the small (40- and 46-kDa), middle-sized (69-kDa), and large (100-kDa) OAS proteins are products of three distinct genes, clustered over ~130 kb on human chromosome 12 in the region 12q24.2 (60, 174, 175, 255, 258). Thus, it appears that mammalian OAS genes underwent successive gene duplication events, resulting in the three sizes of enzymes containing one (OAS1), two (OAS2), or three (OAS3) homologous domains (215).

Oligomerization of OAS1 and OAS2 appears necessary for enzymatic activity (137, 358). In their native forms, the small OAS1 isoform exists as a ~180-kDa tetramer, the middle-sized OAS2 isoform exists as a ~160-kDa dimer, and the large OAS3 protein exists as a monomer (258). Mutations affecting a tripeptide sequence CFK impair subunit association and are characterized by a reduction in OAS enzymatic activity (137). The three different-sized forms of OAS are associated with different subcellular fractions, including membranes, cytoplasm, and nucleus; they differ in the concentration of dsRNA required for their activation; they differ in the reaction conditions required for their optimal enzymatic activity; and they differ in the size pattern of the 2-5A products produced (172, 173, 179, 334, 433). The full physiological significance of these differences is not yet known. While three forms of OAS are seen in human cells, the cDNAs so far isolated and characterized in other species, including mouse, rat, pig and chicken, appear to correspond most closely to the OAS1 form (334).

Although OAS proteins are activated by dsRNA, there is no obvious structural homology between the dsRNA-binding domains of the OAS proteins and those of PKR or ADAR (139, 269). However, like PKR and ADAR1 (68, 312, 352), the OAS enzymes possess separate subdomain regions responsible for their RNA-binding activity and for their catalytic activity (334, 357). OAS enzymes are activated during viral infection (334). Although in most instances the activator RNA has not been defined precisely, it is presumed to be of viral origin. Conceivably, viral "dsRNA" activators might include single-stranded transcripts which possess significant double-stranded character in addition to the obvious potential sources of dsRNA structures such as RNA duplexes as part of their replicative intermediates, RNA duplexes derived by symmetric transcription from opposing promoters, and RNA duplexes that are genomic dsRNAs released from unstable virions or subviral particles of Reoviridae family members. Two well-characterized viral RNAs that do affect OAS enzymatic activity are the HIV TAR RNA and adenovirus VA RNA. The TAR RNA sequence, present at the 5'-termini of HIV transcripts, forms a stable secondary structure and possesses an intrinsic ability to activate both OAS and PKR (250). By contrast, a mutant form of TAR RNA with disrupted secondary structure does not activate either IFN-induced enzyme. The activation of OAS and PKR by TAR RNA suggests a mechanism for the control of HIV replication by the IFN system (29, 250, 293). Curiously, adenovirus VA RNA that antagonizes PKR has just the opposite effect on the OAS; VA RNA can both bind and activate OAS (86). The ATP-binding domain of recombinant human 40-kDa OAS identified by photoaffinity labeling and sequence analysis includes Lys-K199 that is photolabeled with 8-azido-[-³²P]ATP; Lys-199 is present in a dodecapeptide sequence that is highly conserved among all OAS proteins as deduced from human, mouse, and rat cDNAs (202).

The induction of OAS has been extensively characterized in a variety of different human and mouse cell lines and tissues (36, 351, 394). Early studies revealed that the magnitude of induction is dependent on the type of IFN, the type of cell, and the growth state of the cell. For example, induction levels range from about 10-fold for human HeLa cells that often show a high basal enzyme level (11) to about 10,000-fold for chicken embryo cells that have a low basal enzyme level (14). The three different-sized forms of OAS are all induced by IFN-, IFN-, and IFN- (60, 433). The 5'-flanking region of the OAS1, OAS2, and OAS3 genes all contain an ISRE (28, 335, 422). However, the induction by IFN-, IFN-, and IFN- of different isoforms of OAS, as well as total OAS enzymatic activity, differs among human cell lines in vitro and in primary sources, for example among donors of normal peripheral blood mononuclear cells (433). This no doubt reflects differences in the organization of additional regulatory elements between the promoters and the abundance of the trans-acting factors in different types of cells and tissues. For example, the OAS3 promoter possesses elements conferring direct inducibility not only by IFNs but also by TNF and retinoic acid (335). Consensus binding sites for IRF family members are present within OAS promoters (63, 335). Ectopic expression of IRF-1 leads to activation of the OAS gene promoter, whereas expression of IRF-2 leads to repression of the OAS promoter (63).

RNase L, the endoribonuclease activated by 2-5A oligonucleotides, is also variously known in the earlier literature as the 2-5A-dependent RNase and RNase F (322). The presence of a functional 2-5A oligomer is required for the conversion of RNase L from an inactive monomeric form to the active dimeric form. The RNase L protein acquires endoribonuclease catalytic activity after binding 2-5A, a process associated with the formation of stable homodimers (97, 98, 160). The ability of 2-5A derivatives to activate RNase L correlates with their ability to mediate dimer formation (97). However, RNase L has also been reported as a dimer of regulatory and catalytic subunits (347), a state which possibly corresponds to a heteromeric complex of the RNase L protein with the RNase L inhibitor protein RLI (38). Activated RNase L catalyzes the degradation of both viral and cellular RNAs, including cellular rRNA, by cleaving on the 3' side of -UpXp- sequences (113, 434).

The gene for RNase L, designated RNS4, maps to human chromosome 1q25 by fluorescence in situ hybridization (389). The mRNA transcript of the human RNS4 gene is about 5.0 kb as measured by Northern blot analysis; the protein-coding sequence constitutes only about 40% of the nucleotide sequence of the mRNA (450). The human RNase L protein is 741 amino acids, about 83 kDa as deduced from the cDNA sequence (450). Analysis of aligned human and mouse RNase L sequences suggests several intriguing features of the proteins. RNase L displays a similarity to RNase E, an RNase implicated in the control of mRNA stability in Eschericia coli (403, 450). The N-terminal half of RNase L possesses nine ankyrin-like domains that may be involved in protein-protein interactions (160). A duplicated phosphate-binding loop motif within the N-terminal half of RNase L functions in the binding of the 2-5A oligonucleotides as established from cDNA mutagenesis studies (160, 322). Antagonists that impair 2-5A-dependent RNase L activity have been described. These include a cellular protein of 68 kDa, designated RLI (38), and oligonucleotide derivatives of 2-5A that accumulate in certain types of virus-infected cells (55).

RNase L is constitutively present in most types of cells (112), although treatment with IFN-/ enhances RNase L activity in some types of cells (111, 182). Subsequent Northern blot analysis established that IFN-/ increases the steady-state amount of the RNase L transcript in mouse cells by about threefold (450). The RNase L inhibitor, RLI, is not regulated by IFN (38).

The availability of cDNA clones for OAS and for RNase L facilitated studies of the roles of these enzymes in biological processes including virus replication. Among the various families of animal viruses examined, the Picornaviridae shows the best correlation between activation of the 2-5A pathway and inhibition of virus replication (61, 70, 346, 349). Constitutive expression in hamster or mouse cells of cDNA clones encoding the small form of the OAS is sufficient to establish an antiviral state, and this state appears selective for picornaviruses (61, 70, 346). For example, Chinese hamster ovary cells constitutively expressing the 40-kDa form of the human OAS are resistant to infection by Mengo virus but not VSV or herpesviruses (61). Similar results are observed with human and mouse cells transfected to constitutively express a cDNA for OAS1. Human T98G cells that express the cDNA encoding the 40-kDa form of human OAS and mouse NIH 3T3 cells that express the cDNA encoding the 43-kDa form of murine OAS display a resistance to EMC virus replication but not to VSV replication (70, 346). The resistance to EMC virus replication correlates with the expression of OAS enzyme activity (70, 346). Likewise, mouse cells stably expressing either the 69- or 71-kDa isoform of human OAS2 show a partial antiviral response to EMC virus (257). Constitutive expression of the 69-kDa OAS2 in human HT1080 cells likewise causes inhibition of EMC virus replication but not of VSV, SeV, or reovirus replication (138). In agreement with the apparently selective inhibition of picornavirus replication observed for cells overexpressing the OAS cDNAs (61, 70, 346), overexpression of the RNase L inhibitor in stably transfected HeLa cells partially inhibits the antiviral activity of IFN against EMC virus but not against VSV (38). Likewise, overexpression of a dominant negative mutant of RNase L also antagonizes the antiviral activity of IFN against EMC virus (160). Conversely, treatment of cells with 2-5A oligomer molecules provides some protection against picornavirus infection (171, 334).

Targeted disruption of the RNase L gene effectively provides a functional knockout of the 2-5A pathway, because the only known activity of 2-5A is the activation of the latent RNase L protein. Studies carried out with mice with a homozygous RNase L^/ gene disruptions illustrate the importance of the 2-5A pathway in the antiviral actions of IFN. RNase L^/ mice die more rapidly in response to infections with EMC virus than do RNase L^+/+ wild-type mice (448, 449). Furthermore, RNase L^/ MEF are defective in apoptotic responses (449). Mice triply deficient in RNase L, PKR, and Mx, generated by combination of the RNase L null with the PKR null in a Mx1^/ background, show an added deficiency in the antiviral response to EMC virus (448). However, a substantial residual antiviral response is observed in MEF lacking all three proteins, RNase L, PKR, and Mx1, further illustrating the redundant nature of pathways that collectively constitute the innate antiviral response of IFN-/ (448). Somewhat surprising, the level of IFN-induced gene products even may be elevated in the absence of functional RNase L. Comparative kinetic analyses with RNase L^/ mutant and RNase^+/+ wildtype MEF suggest an RNase L-dependent destablization of IFN-induced mRNAs, consistent with a possible role for the 2-5A system in the attenuation of the IFN response (233).

Posttranscriptional RNA modifications such as deamination of adenosine to yield inosine provide an important mechanism by which the functional activity of viral and cellular RNAs can be altered and, hence, by which biological processes can be affected (22, 51, 252, 344, 384). One important RNA-editing enzyme, ADAR1, is an IFN-inducible RNA-specific adenosine deaminase (134, 312, 313). Several studies implicate the IFN-inducible ADAR1 deaminase in the editing of viral RNA transcripts and cellular pre-mRNAs. The biological importance of RNA editing in animal cells is significant and far ranging (22, 24, 51, 249, 384).

ADAR was first identified as a dsRNA-unwinding activity in Xenopus oocytes (23, 333). ADAR catalyzes the covalent modification of highly structured RNA substrates by hydrolytic C-6 deamination of adenosine to yield inosine. The resultant A-to-I transitions destabilize the dsRNA helix by disrupting base pairing; RNA becomes more single stranded in character because stable AU base pairs are changed to the considerably less stable IU pair (23, 419). Hypoxanthine, the base of the nucleotide inosine generated from adenosine by the deamination, is typically recognized as guanine by the translational and transcriptional machinery (4). Posttranscriptional conversion of adenosine to inosine has been demonstrated in both viral RNAs and nucleus-encoded cellular mRNAs.

The cDNA encoding the human ADAR1 deaminase (K88 cDNA) was isolated in a screen for IFN-regulated cDNAs (312). It hybridizes to a single major transcript of ~7 kb in human cells (313). Accumulation of ADAR1 transcripts is increased about fivefold by IFN treatment (312, 313). Both IFN- and IFN- induce ADAR1 transcript accumulation (313). As deduced from the cDNA ORF, human ADAR1 is a 1,226-amino-acid protein with a molecular mass of about 136 kDa (194, 312), but the protein migrates at about 150 kDa on sodium dodecyl sulfate-polyacrylamide gel electrophoresis gels (312). Southern blot and sequence analyses are consistent with a single Adar1 gene. Genomic Adar1 clones colocalize to human chromosome 1q21.1-21.2 (423, 427) and mouse chromosome 3F2 (428) as shown by fluorescence in situ hybridization. Sequence analysis demonstrated that the human Adar gene consists of 16 exons and spans about ~40 kbp (240, 423), including two alternative exon 1 structures (134, 135).

Two immunologically related forms of ADAR are found in human cells: an IFN-inducible ~150-kDa protein (p150) and a constitutively expressed ~ 110-kDa protein (p110). Cell fractionation and immunofluorescence studies localized the IFN-inducible p150 protein to both the cytoplasm and nucleus, whereas the constitutively expressed p110 protein is present predominantly if not exclusively in the nucleus (312). The predicted sequence of ADAR includes a putative bipartite nuclear localization signal (194, 302, 312), consistent with immunolocalization and biochemical studies (8, 39, 301). The mechanism of synthesis of the two proteins involves alternative exon 1A and 1B structures that initiate from different promoters, one IFN-inducible and the other not (134, 135). Exons 1A and 1B are spliced to exon 2 at precisely the same junction. The methionine initiation codon for the 1,226-amino-acid ORF specifying the inducible p150 is in exon 1A; the synthesis of exon 1A-containing transcripts is driven by an IFN-inducible promoter that possesses a consensus ISRE (134, 135). Exon 1B does not include an AUG initiation codon; an AUG codon within exon 2 initiates translation of the 931-amino-acid ORF encoding the constitutively expressed p110 protein.

An additional ADAR different from ADAR1 p150/p110, designated ADAR2, has been cloned (216, 275, 286). The 80-kDa ADAR2 protein is not inducible by IFN and does not cross-react immunologically with either the p110 or the p150 protein versions of ADAR1. The ADAR2 gene maps to human chromosome 21q22.3 (286), different from the 1q21 assignment of the inducible ADAR1 (423, 427).

The C-terminal region of the ADAR1 protein constitutes the catalytic domain of the deaminase (217, 237, 248). The nucleic acid-binding domains, for dsRNA and for Z-DNA, are located N-terminal of the catalytic domain. ADAR1 possesses, in the central region of the predicted ORF, three copies of the dsRNA binding motif, designated dsRBM_I, dsRBM_II, and dsRBM_III (166, 194, 240, 312), that are highly conserved among themselves and with respect to the dsRBM originally identified in the IFN-inducible PKR (144, 269). Mutational analyses show that the dsRBM_III motif of ADAR1 is essential for deaminase activity whereas RII is dispensable (217, 237, 240). Chimeric proteins in which the dsRBM of ADAR1 are replaced with those of PKR retain deaminase activity with synthetic dsRNA substrates but show dramatically reduced editing activity with natural RNA substrates (241). Furthermore, VAI and aptamer RNA antagonists of PKR significantly inhibit the deaminase activity of chimeric PKR-ADAR1 proteins but less so of wild-type ADAR1 (241). These results indicate that the dsRNA-binding motifs are functionally distinct from each other, as measured by binding substrates in a manner recognized by the enzyme catalytic center for deamination. Comparison of cDNA and genomic sequences revealed the exon location of the dsRBD domains within ADAR and PKR. Curiously, the intron phases prior to the three exons of the human Adar1 gene that contain the dsRBM copies, exons 3, 5, and 7, are all phase 2 (240, 423). Even more striking is the finding that this codon phasing observed for the human Adar gene dsRBM-motif exons is conserved exactly for the two R-motif exons of the mouse and human Pkr genes (208, 240, 423). With the IFN-inducible ADAR, dsRNA functions as the substrate for deamination and the dsRBM_III copy is of fundamental importance for catalytic activity (237, 240). With the IFN-inducible PKR kinase, dsRNA functions as an effector that mediates autophosphorylation and kinase activation (68, 188, 352).

ADAR1 also binds Z-DNA in addition to binding highly structured ssRNAs (166, 367). The Z-DNA-binding motif is repeated (Z, Z) within the N-terminal region of ADAR (367). Z-DNA-binding activity is not required for either deaminase activity or dsRNA-binding activity, and, conversely, dsRNA binding activity is not required for Z-DNA-binding activity (235). Although two separate regions of ADAR, the dsRNA-binding motif and the Z-DNA-binding region, display high sequence similarity to the vaccinia virus E3L protein (312), the functional significance of this similarity remains to be established.

RNA editing by adenosine deamination is of major biological significance. RNA A-to-I editing produces RNA transcripts that differ from their template; I is recognized as G (4), not A, by polymerases and ribosomes. Thus, RNA modification has the potential to alter the protein-coding capacity of the edited transcript and the sequence of replicated RNAs. ADAR is implicated in two types of RNA-editing processes that are dependent on double-stranded regions within the substrate RNA (22, 24). First, A-to-I modifications are found at multiple sites in viral RNAs, as exemplified by the biased hypermutations observed in minus-strand RNA virus genomes during lytic and persistent infections. Second, the C-6 adenosine deamination catalyzed by ADAR can be highly site specific, occurring at one or a few sites, as exemplified by hepatitis delta virus (HDV) RNA and the GluR receptor channel and serotonin pre-mRNAs.

Extensive editing, referred to as hypermutation, was first observed in the matrix (M) protein of measles virus recovered from patients with subacute sclerosing panencephalitis (SSPE) and measles inclusion body encephalitis (51-53). Similar hypermutations with clustered U-to-C (A to G) conversions also have been observed for transcripts encoded by other viruses including parainfluenza virus type 3 (292), VSV (304), Borna disease virus (115), avian leukosis virus (157), and polyomavirus (214) in cell culture systems. For the minus-strand RNA viruses, the hypermutation mediated by adenosine deamination is proposed to represent a modification associated with persistence of infection (51, 292). For the dsDNA polyomavirus, the modification is proposed to represent a mechanism by which RNA transcripts expressed early after infection are inactivated after viral replication (214). Recent studies have identified a novel RNase specific for inosine-containing RNA (360), which may affect the stability of I-containing RNAs. A-to-I editing has also been described in the 5'-transactivating response region of HIV RNA transcripts after injection into Xenopus oocytes (372). However, similar editing changes have not yet been observed in HIV transcripts in patients, although other alterations have been seen (43).

In contrast to the extensive A-to-I (G) hypermutation editing observed for several viral RNAs (51-53, 157, 214, 292, 304), both viral and cellular RNA substrates are also known in which the conversion of adenosine to inosine by ADAR occurs with high selectivity at specific A positions (22, 252, 344). For example, in HDV, RNA editing plays an essential role in the production of two HDV proteins from one ORF; the two proteins have different functions in the life cycle of the circular ssRNA HDV. The synthesis of the large form of delta antigen occurs following selective conversion of an amber UAG termination codon to a UIG tryptophan codon, with the editing site present in the self-complementary dsRNA structure (218). The HDV editing occurs in the antigenomic RNA and requires formation of the dsRNA structure near the amber/w site (49, 323). Selective adenosine deamination is also observed with cellular RNAs. The conversion of adenosine to inosine at specific positions in neurotransmitter receptor pre-mRNAs by ADAR leads to specific amino acid substitutions that alter receptor function (248, 344). Adenosine deamination at the Q/R site in exon 11 and the R/G site in exon 13 leads to amino acid substitutions that decrease Ca²⁺ permeability and alter the kinetics of channel gating, respectively, of the glutamate GluR-B receptor subunit (243, 386). Likewise, for the serotonin 2C receptor pre-mRNA, three amino acid substitutions within exon 3 at the I/V, N/S, and I/V sites caused by selective RNA editing led to a decrease in G-protein coupling (45). A putative RNA duplex structure between the target exon and a complementary sequence in the adjacent downstream intron, referred to as the editing complementary sequence (ECS), is required for the specific editing of the GluR-B and serotonin 2C receptor pre-mRNAs (248, 344). The IFN-inducible ADAR1 catalyzes the A-to-I editing at the R/G site but not the Q/R site of GluR-B (238). For serotonin-2C pre-mRNA, only one of the sites is edited by ADAR1 (239). However, no information is yet available concerning a possible relationship between viral pathogenesis and the editing of the GluR-B and serotonin-2C neurotransmitter receptors. Glutamate neurotransmission involving N-methyl-D-aspartate receptors and neuronal NOS (nNOS) activity in part mediates neuronal DNA strand breaks and poly(ADP-ribose) polymerase (PARP) activity (320). PARP transfers ADP-ribose groups from NAD⁺ to nuclear proteins after activation by DNA strand breaks, and PARP overactivation can cause cell death by depletion of ATP. IFN-mediated increases in ADAR1 levels may potentially contribute to the glutamate toxicity, since A-to-I editing of the N-methyl-D-aspartate receptor pre-mRNA yields receptors subunits with amino acid substitutions which affect receptor function (238, 369).

Proteins MxA and Mx1 of the Mx family of proteins are possibly the best characterized of the known IFN-inducible gene products with antiviral activity, in the context of direct experimental evidence obtained from animal model studies which establish that Mx alone is sufficient to block the replication of virus in the absence of any other IFN-/-inducible proteins (8, 158). Mx proteins are GTPases that belong to the superfamily of dynamin-like GTPases (393, 417). The intrinsic GTPase activity of Mx proteins is required for their antiviral activity (329). The highly conserved tripartite GTP binding motif is present within the N-terminal region of the ~70- to ~80-kDa proteins (8, 158, 393). Mx proteins associate with themselves and, importantly, with viral protein complexes. The central and C-terminal regions of Mx play important roles in these protein-protein interactions (199, 325). Mx is inducible by IFN- and IFN- but not by IFN- (8, 382). A combination of genetic and biochemical evidence establishes that at least some of the Mx proteins, as illustrated by the human MxA protein, possess an intrinsic antiviral activity. The spectrum of antiviral activities of the Mx proteins, and the molecular mechanisms by which they act to inhibit virus replication, are dependent on the specific Mx protein, its subcellular site of localization, and the type of challenge virus examined.

Two members of the Orthomyxoviridae family, influenza virus and Thogoto virus, played pivotal roles in the discovery of IFN (180) and in the subsequent antiviral mechanism studies of the Mx proteins (199, 200, 426). The principal features of the influenza virus multiplication cycle essential to understanding this orthomyxovirus in studies of the antiviral actions of IFN and the biochemistry of Mx proteins are summarized in Fig. 4. Influenza virus virions are enveloped and possess a segmented, minus-strand ssRNA genome (198a). The viral envelope HA glycoprotein mediates binding to cellular sialic acid-containing receptors. Virion penetration occurs via receptor-mediated endocytosis and is followed by partial uncoating and release of the parental viral nucleocapsid into the cytoplasm. Acidification mediated by the viral M2 ion channel is essential for the early stage of infection by the influenza A viruses, whereas the NB and CM2 proteins may be the functional counterparts of M2 in influenza B and C viruses. The parental nucleocapsid is imported into the nucleus, where primary transcription catalyzed by the virion-associated polymerase (P1, P2, P3) occurs using 5'-capped structures derived from cellular mRNAs as primers. Each of the eight minus-strand RNA genome segments is transcribed into ssRNA of the polarity of mRNA. Influenza virus transcripts are processed and transported to the cytoplasm, where they are translated by the host cell protein-synthesizing machinery. Various coding strategies are used by the influenza viruses, including translation of full-length transcripts in a single reading frame, translation of spliced transcripts, and translation of two overlapping reading frames in a transcript. Primary gene expression from parental particles typically accounts for 5% or less of the total viral RNA and protein synthesized in an infected cell. Secondary gene expression from progeny ribonucleoprotein (RNP) particles accounts for the vast majority of the viral mRNA, and thus viral protein, found in influenza virus-infected cells. Newly synthesized progeny nucleocapsids may participate in further transcription or be exported to the cytoplasm, where particle assembly occurs at the plasma membrane, with release of the enveloped virions by a budding process.

View larger version (42K): [in this window] [in a new window]   FIG. 4.   Schematic diagram of the influenza virus multiplication cycle including sites of action of the IFN-induced Mx and PKR proteins. Enveloped influenza virus virion particles are depicted as spheres, in which the viral HA glycoprotein mediates binding to the cellular receptor. Virus penetration via receptor-mediated endocytosis is followed by partial uncoating and release of the viral nucleocapsid into the cytoplasm. The eight minus-strand RNA genome segments are shown as wavy lines in the nucleocapsid structures. The parental nucleocapsid is imported into the nucleus, where primary transcription is catalyzed by the virion-associated polymerase. Influenza virus transcripts are processed and transported to the cytoplasm, where they are translated by the host cell protein-synthesizing machinery. The IFN-induced PKR protein kinase that inhibits translation by phosphorylation of eIF-2, can be antagonized by the accumulated viral NS1 protein that binds dsRNA. The IFN-induced family of Mx antiviral proteins appear to act by affecting viral nucleocapsid transport and RNA synthesis. Human MxA accumulates in the cytoplasm, whereas mouse Mx1 accumulates in the nucleus of IFN-treated cells. The GTPase activity of Mx proteins is required for their antiviral activity. Newly synthesized progeny nucleocapsids may participate in further transcription or may be exported to the cytoplasm, where particle assembly occurs at the plasma membrane, with release of the enveloped progeny virions by a budding process.

The antiviral activity of IFN-induced Mx proteins is exerted at one of two steps to inhibit myxovirus multiplication. Either viral nucleocapsid transport or viral RNA synthesis is blocked, dependent on whether Mx is present in the cytoplasm or nucleus of the IFN-treated virus-infected host cell (8, 158, 393, 426). The human genome contains two related Mx proteins, MxA and MxB, that are induced by IFN-/ (3, 158, 393). As deduced from studies with cDNA clones, the human MxA protein is 662 amino acids whereas the MxB protein is 715 amino acids (3). Human MxA and MxB both map to chromosome 21 (132). The MxA protein normally accumulates in the cytoplasm of IFN-treated cells and possesses antiviral activity (3, 158, 393, 426). Stable transformants expressing the MxA protein acquire an antiviral activity against a range of RNA viruses, but MxB so far has not been found to display an antiviral activity (158). The antiviral activity of MxA, which undergoes oligomerization, is dependent upon GTP binding and hydrolysis (325, 338).

Cells that constitutively express the human MxA protein show a high degree of antiviral activity, displaying resistance to several members of the Orthomyxoviridae including influenza A and C viruses and Thogoto virus, but not Dhori virus (8, 117, 158, 259, 315). Interestingly, a number of additional RNA viruses including members of the Bunyaviridae (LaCrosse virus, hantavirus), Paramyxoviridae (measles virus, parainfluenza 3), Rhabdoviridae (VSV), and Togaviridae (Semliki Forest virus) are inhibited by MxA expression either in cultured cells or in transgenic mice (8, 158, 314). The multiplication of members of the Picornaviridae (Mengo virus, EMC virus) is not inhibited. MxA protein protects MxA transgenic mice from lethal virus infections independently of other IFN-/-induced proteins (163).

MxA transgenic mice with mutations in the endogenous Mx1 and Mx2 genes have been crossed with IFNAR-1 mutant mice that lack the IFN-/ receptor subunit as a result of targeted gene disruption. The resultant offspring mice show resistance to Thogoto virus and La Crosse virus, two minus-strand RNA viruses, and also to Semliki Forest virus, a plus-strand RNA virus, thus providing strong evidence for the intrinsic antiviral activity of MxA. The absence of the functional IFN-/ receptor in this transgene mouse model eliminates the possibility that other IFN-induced proteins might act in conjunction with the ectopic MxA protein to provide protection against virus infection (163).

The mouse genome, like the human genome, encodes two Mx proteins. Mouse Mx1 and Mx2 map to chromosome 16 (8, 158). The mouse Mx1 protein, an IFN-/-inducible 631-amino-acid protein, accumulates in the nucleus (102). The Mx2 gene is nonfunctional in all laboratory strains of mice because of a single-nucleotide insertion that alters the reading frame (391). However, the Mx2 mRNA of feral mouse strains NJL and SPR is functional. Feral mouse Mx2 encodes a 656-amino-acid protein, as deduced from the cDNA sequence. The IFN-induced expression of feral mouse Mx2 confers resistance to VSV (184). In contrast to the nuclear localization of mouse Mx1, the mouse Mx2 protein, like the human MxA protein, accumulates in the cytoplasm (184). The mouse Mx1 protein selectively inhibits the replication of members of the Orthomyxoviridae, including influenza virus and Thogoto virus (8, 158, 392). Interestingly, the Mx1-based resistance to Thogoto virus in Mx1^+/+ mice is bypassed in tick-mediated virus delivery; the mechanism is unknown but possibly involves an antagonism of IFN production or action by components of the tick saliva (87).

The step of influenza virus multiplication blocked by mouse Mx1 is primary transcription catalyzed by the virion-associated polymerase (205, 315). For human MxA, studies with Thogoto virus have revealed that the IFN-induced MxA GTPase interacts with viral nucleocapsids by binding to the NP nucleoprotein component (199). Thus, the nuclear import of viral nucleocapsids is impaired, which consequently prevents primary transcription (200). Both wild-type MxA which localizes to the cytoplasm, and an engineered nuclear form of MxA that contains the nuclear localization signal of simian virus 40 T antigen, block chloramphenicol acetyltransferase reporter gene expression of reconstituted viral ribonucleoprotein (RNP) complexes produced using minireplicon systems (426). Thus, the available data suggest that MxA recognizes viral RNPs, and that if this interaction occurs in the cytoplasm, nucleocapsid transport to the nucleus is impaired, but if the MxA viral RNP interaction occurs in the nucleus, transcription is impaired.

In addition to antiviral effects exerted at the single-cell level that reduce viral macromolecular synthesis and hence virus yield (Fig. 1), both IFN-/ and IFN- modulate a number of immunoregulatory functions involving interactions between cells, for example those of NK cells (37) and Th cells (10, 42) with virus-infected cells. Cytotoxic T lymphocytes play an especially important role in the host response to viral infections. They recognize peptides derived from viral proteins when presented in infected cells in association with MHC proteins, designated HLA in humans. The MHC class I and II molecules present the antigenic peptides, derived by proteolyis of foreign viral protein antigens, to the cytotoxic T cells. Both MHC class I-restricted CD8⁺ T cells and MHC class II restricted CD4⁺ T cells are activated during viral infection. Virus-specific, MHC-restricted recognition and killing of infected cells by activated T cells is a key component of the host response to, and recovery from, infection (10, 35, 42, 231, 242, 441).

Elevation of MHC class I and II antigen levels mediated by IFN is believed to increase the efficiency of cellular immune responses to infections in the intact animal. MHC antigen levels are increased in human cells treated with IFN (36, 351). Both IFN-/ and IFN- treatments lead to increased levels of class I (HLA-A, HLA-B, and HLA-C) MHC molecules, but only IFN- is an efficient inducer of class II (HLA-D) MHC molecules (42). Differential regulation of MHC class I expression is seen between B and T lymphocytes (223). Loss-of-function studies using knockout mice lacking either IFN receptors or the Stat-1 transcription factor suggest an essential role of IFN signaling and the Stat-1 factor for maintenance of basal expression of the MHC class I antigens (223). IRF-1 plays a key role in the IFN-inducible expression of MHC class I gene expression (337). MHC class II expression is efficiently induced by IFN- on many cell types including monocytes, macrophages, microglia, astrocytes, fibroblasts, and endothelial cells (72, 420).

The MHC class II transactivator factor (CIITA) is the master regulator of MHC class II expression. Most cell types do not express basal CIITA. Expression of CIITA and hence MHC class II is inducible by IFN- (59, 396). Multiple promoters and alternative exon 1 structures spliced to a shared exon 2 lead to the generation of distinct CIITA mRNAs that determine the cell type specificity and modulation of MHC class II gene expression (289, 321). In addition to MHC class II gene expression, studies of CIITA knockout mice suggest that CIITA is involved in the regulation of IL-4 expression (143). IFN- also affects the processing and presentation of antigenic peptides by modulating the expression of cellular components of the proteasomes that generate the peptides and also of cellular components that target the peptides for interaction with MHC class I molecules (42, 441). Viruses have evolved a variety of mechanisms to interfere with the generation of viral peptides, the trafficking of the peptides within the cell, and the surface expression of MHC class I antigens associated with the peptides (439).

The importance of the MHC class II-restricted T-cell response to viral infection also is illustrated by the fact that several viruses, including the herpesviruses CMV and VZV (1, 283), antagonize the IFN--inducible MHC class II molecular expression. This provides a strategy of limiting immune surveillance by T cells. Introduction of mutations in the CTL epitopes of viral proteins represents another strategy used by viruses to escape immune surveillance (305). Mutations may affect the binding to MHC class I proteins or their specific recognition by CTLs, or both. Interestingly, two different mutations in the same CTL epitope of the NP protein of H3N2 influenza A virus, which abrogated MHC class I presentation and allowed escape from recognition by CTLs, were identified in viral isolates at different times that abrogated MHC class I presentation and allowed escape from recognition by CTLs (418). Mutations that affect CTL epitopes that result in escape from CTL-mediated immune surveillance occur for viruses that cause persistent infections including EBV (46), HIV (142, 271), and HCV (430). Conceivably, errors that result from the absence of proofreading during replication by viral RNA polymerases (101) and posttranscriptional RNA editing catalyzed by cellular enzymes such as ADAR1 (24, 312) contribute to the evolution of RNA virus genomes, resulting in sequence variants that give rise to the virus variants that escape from immune surveillance. Although sequence changes in short periods have been described for viruses including influenza virus (109) and HIV (156), examples also exist for relative genetic stability in viral RNA populations possibly due to changes in selective pressures and competition between variants (96).

IFN- plays a major immunomodulatory role and is a key mediator of virus-specific cellular immunity (176, 187, 290). IFN-/ can promote IFN- expression in T cells (35). However, in mice, during the endogenous immune response to viral infections when systemic IFN-/ production is observed, IFN- expression is sometimes inhibited. Studies with knockout mice show that the inhibition occurs by a mechanism dependent on both the IFN-/ receptor and the Stat-1 transcription factor (300). However, in the absence of Stat-1, not only are the IFN-/-mediated inhibitory effects completely abrogated but also IFN-/ themselves can induce IFN- expression consistent with the existence of a Stat-1-independent pathway as well as the well-established Stat-1-dependent signaling pathway for IFN-/ (140a, 330a). Thus, IFN-/ appear to play a key role in the coordination of innate and adaptive immune responses during viral infection (35, 300).

The host response to HSV infection provides an example of the importance of cell-mediated immunity. IFN- can protect mice from fatal HSV-1 encephalitis (47, 48, 133, 444) but has no substantial effect on the efficiency of viral replication or the extent of neuroinvasiveness. In the mouse model of ocular infection, IFN- impedes the establishment of HSV-1 latent infection in ganglia of the more susceptible BALB/c mice but not of the less susceptible C57BL/6 mice. IFN- has no significant effect on HSV maintenance or UV-mediated reactivation in mice (227). The HSV-1 protein ICP34.5 contributes to the viral neurovirulence seen in the mouse model by a mechanism involving antagonism of PKR function, as revealed from studies using virus deleted in ICP34.5 and mice lacking PKR (12, 226). Studies of Sindbis virus (SV)-induced encephalomyelitis in the antibody knockout mouse model also revealed a specific role for IFN- in SV clearance from the central nervous system (34a). T cells used IFN- to mediate noncytolytic site-specific clearance of SV from some but not all types of neurons.

The importance of immunological mechanisms in the host response to infection is further illustrated by the effects of IFN- on Venezuelan equine encephalitis (VEE) virus, a highly infectious arthropod-borne member of the Togaviridae endemic in parts of Central and South America. VEE virus is a plus-strand enveloped RNA virus with a genome of ~11 kb (198a). In the mouse model for VEE virus infection and pathogenesis, the virus is highly lymphotrophic during the early stages of infection, prior to invasion of the central nervous system. IFN- and IFN- play an important role in the pathogenesis of VEE virus (147, 247). Treatment of mice with polyethylene glycol-conjugated recombinant hybrid IFN-A/D results in enhanced survival after either subcutaneous or aerosol inhalation challenge with VEE virus. The mechanism of protection appears to involve modulation of the host immune response, since the rapid activation of splenic CD4, CD8, and B cells seen in untreated animals was absent in polyethylene glycol-conjugated IFN--treated mice which showed increased macrophage activation and decreased TNF- production (247).

Transgenic mice have been developed as an HBV animal model for the study of viral replication and pathogenesis (150). Adoptive transfer of activated anti-HBV CTLs rapidly eliminates HBV from the liver in this mouse model. The antiviral mechanism mainly involves CTL-mediated induction of cytokine expression, including IFN-, rather than target lysis (149). Induction of inflammatory cytokines in HBV transgenic mice occurs following liver infection with unrelated viruses including lymphocytic choriomeningitis virus, adenovirus, and CMV. These infections also lead to a transient inhibition of HBV replication by noncytolytic mechanisms (54, 151). Inactivation of HBV mediated by the CTL-elaborated cytokine expression seems to occur by at least two mechanisms: elimination of HBV nucleocapsids and destablilization of HBV RNAs (152). Intrahepatic HBV replication in the transgenic mouse model is also inhibited by infection with the malarial parasite Plasmodium yoelii. Malaria infection of HBV transgenic mice clears HBV virions from the liver by triggering an inflammatory response; the induction of IFN- and IFN-/ appears essential for the inhibition of HBV (266). Use of an adenovirus vector system to obtain liver-specific expression of the mouse IFN-2 gene provides protection from induced acute hepatitis following challenge with mouse hepatitis virus type 3 (9). Livers from infected mice treated with IFN-2 show a substantial reduction in the level of mouse hepatitis virus type 3 mRNAs, along with an increase in transcript levels for OAS and inflammatory cytokines, including TNF- and IFN-.

NOS catalyzes NADPH-dependent oxidation of L-arginine to yield nitric oxide (NO) and citrulline (148, 251, 261). NOS is a family of three enzyme isoforms (298): inducible NOS (iNOS, or NOS2), which is inducible by IFN-; neuronal NOS (nNOS, or NOS1); and endothelial NOS (eNOS, or NOS3). Maximal expression of mouse iNOS following treatment with IFN- and lipopolysaccharide requires the IFN- sequence GAS element within the iNOS promoter (126). NO produced by iNOS plays a key role in immunological defenses as an antimicrobial and antiviral agent. iNOS is implicated in the function of activated macrophages as well as the pathogenesis of inflammatory and autoimmune disease (298). Activated macrophages play roles in both innate and adaptive immune responses (73, 176) and IFN-, rather than IFN-/, mediates the activation of macrophages.

In addition to the NO produced in large amounts by iNOS, further reactive nitrogen intermediates are derived from NO by oxidation, reduction, or adduction. NO and these derived reactive intermediates can greatly affect aspects of mammalian physiology, which include mediating the killing of infected cells (282, 298). Some of the cytotoxic effects of NO are due to its reactivity with iron in the active sites of mitochondrial enzymes, thereby affecting electron transport chain function (250) or cellular regulatory proteins that affect iron metabolism (193). iNOS and NO appear especially important in the antimicrobial mechanisms of macrophages (250, 282, 298, 377). However, for some viruses, including ectromelia virus (mousepox virus), vaccinia virus, and herpesviruses, iNOS plays an important role in the host response to infection and inhibition of virus replication in mouse macrophages (187). iNOS knockout mice are substantially more susceptible to mousepox than are wild-type mice (298). Interestingly, for some antimicrobial responses, loss-of-function studies using knockout mice suggest that the inability to produce reactive nitrogen intermediates by iNOS can be compensated for by phagocyte oxidase-mediated production of reactive oxygen intermediates (377).

DNA microarrays or gene chips containing probe sets representing several thousand distinct genes provide a powerful approach to the characterization of transcription profile changes that underlie cellular responses to IFN treatment and viral infection. More than 100 of the ~6,800 human genes represented on an Affymetrix oligonucleotide array set were identified as candidate genes differentially regulated by IFN treatment of the human fibrosarcoma cell line HT1080. IFN treatment for 6 h with 1,000 U of either IFN- or IFN- showed ~100 genes in the HT1080 cell line with greater than twofold changes and ~25 genes with greater than fourfold changes relative to untreated cells (85). Previously, only one gene was known that was selectively induced by IFN- but not by IFN- or IFN- (331); however, the microarray analysis surprisingly revealed more than 20 candidate genes whose mRNAs were up-regulated by IFN- but not by IFN- or IFN- (85). IFN- is an approved therapy for treatment of relapsing forms of multiple sclerosis, and changes in focal areas of relatively severe central nervous system tissue damage detected by MRI in patients with MS are slowed by IFN- (383). The mechanism is unknown, but the selective effects of IFN- on gene expression may provide avenues leading to elucidation of the relevant biology. Northern blot or nuclease protection analyses will permit the confirmation and better quantitation of the genes identified as transcriptional targets of IFNs. Conceivably, a temporal analysis of IFN treatment and the examination of additional cell lines or tissues may uncover candidate genes that show even greater levels of induction, or suppression, than that seen after 6 h of IFN treatment of the HT1080 cells. Microarray analyses have also been used to examine global changes in gene expression following virus infection (58, 451). In such studies, IFN-inducible genes are often identified. This is illustrated in studies with human CMV (451, 452) and human papillomavirus (58), where commercial arrays from Affymetrix or Incyte Pharmaceuticals permitted the expression analysis of nearly 7,000 known genes and expressed sequence tags. After human CMV infection of primary human foreskin fibroblasts for 40 min, 8 h, or 24 h, more than 250 genes changed by a factor of 4 or more, with roughly half increasing and half decreasing in steady-state expression level. Among the genes whose expression was increased after 8 or 24 h infection with CMV were more than 20 associated with the IFN system (451). In HPV31 cells, transfected human keratinocytes that stably maintain HPV DNA as an episome, the ~150 down-regulated genes included those whose expression is normally increased in response to IFN treatment. The basal expression level of at least 10 of the ~70 most strongly suppressed genes included IFN response genes, among which was the gene for the key transcription factor Stat-1 (58). DNA microarray analysis of liver gene expression during the course of acute resolving HCV infection with genotype 1a virus in a young adult male chimpanzee revealed a dramatically increased expression of several known IFN-inducible genes in a temporally distinct pattern (33a).

In a profile analysis of gene expression using oligonucleotide-based microarray gene chips, the most abundant IFN-induced mRNA identified in HT1080 cells was the 561 mRNA which encodes the IFN-inducible P56 protein (85). In HPV31 cells, the 561 transcript for P56, interestingly, was among the most strongly suppressed (58). The cDNA for P56 was among the earliest IFN-regulated cDNAs cloned (62). Biochemical studies established that protein P56 interacts with the p48 subunit of translation initiation factor eIF-3, also known as the Int-6 protein, and inhibits its function (153, 154). P56 thus has the capacity to alter the translational pattern of IFN-treated cells. However, a role for P56 in the antiviral actions of IFN has not yet been established. The replication of two RNA viruses, VSV and EMC virus, is unaffected in transfected cells that overexpress the P56 protein (155).

Among the increasing number of known IFN-inducible proteins are the P200 family of proteins (219, 229), of which the mouse p202 and p204 proteins are perhaps the best characterized (76, 236, 285, 421). These proteins have the capacity to alter the transcriptional pattern of gene expression in IFN-treated cells. However, like P56, the role of this interesting family of proteins in the antiviral actions of IFN has not yet been established. p202 is a nuclear chromatin-associated protein that acts as a modulator of transcription; p202 inhibits the activities of several factors including NF-B, c-Fos and c-Jun, E2F1, E2F4, MyoD, and p53 (76, 285). Targeted gene disruption of the Ifi202a gene results in a dosage compensation in the expression of the related Ifi202b gene and no apparent phenotype of the knockout mice (421). p204, another of the IFN-inducible p200 family members, is primarily nucleolar. p204 binds the RNA-specific UBF1 transcription factor and inhibits rRNA transcription (236). Thus, the biochemical mode of action of p202 and p204 IFN-inducible proteins appears similar: they inhibit the activities of distinct sequence-specific transcription factors by binding to them and subsequently inhibiting their sequence-specific binding to DNA. Both p202 and p204 inhibit cell growth when overexpressed (236, 285). Studies of members of the p200 family of proteins from mice and from humans suggest that they are involved in the control of cell proliferation and affect differentiation (89, 429).

The fundamental importance of the IFN system as a host defense against viral infection is further illustrated by the finding that a number of viruses encode gene products that antagonize the IFN-induced antiviral response (Fig. 5). Viruses utilize several different strategies to block the induction and action of IFN-inducible proteins. Members of the Poxviridae family of viruses, including vaccinia virus, occupy a centrally important position in the elucidation of mechanisms by which the IFN-induced antiviral response is impaired by virus-encoded products. The principal features of the vaccinia virus multiplication cycle essential to understanding the use of poxviruses in studies of antagonism of the IFN response are summarized in Fig. 6. Vaccinia virus virions are large, ovoid, enveloped particles with a dumbbell-shaped core. They possess a single linear dsDNA genome of ~190 kbp with a hairpin loop at each end. Poxviruses replicate in the cytoplasm of their infected host. Following binding to the cell surface, penetration by fusion with the host cell membrane results in the release of viral cores into the cytoplasm. Virion-associated enzymes catalyze the synthesis of 5'-capped and 3'-polyadenylated early viral mRNAs. These mRNAs are translated by the host protein-synthesizing machinery to produce viral enzymes and factors for DNA replication and intermediate transcription (83, 198a). In addition, a number of virus-encoded antagonists of the IFN system are produced (36). These include IFN- and IFN-/ receptor homologues, as discussed already, and two additional proteins, E3L and K3L, which affect the activity of IFN-induced proteins and the induction of IFN-/. Following early viral gene expression, uncoating of the subviral core occurs followed by DNA replication. Intermediate gene expression from progeny DNA produces transcription factors required for late-gene expression. The late-gene products include the structural proteins and enzymes necessary for progeny virion assembly. Assembly and maturation of progeny virions occur within the cytoplasm of the infected cell (198a).

View larger version (29K): [in this window] [in a new window]   FIG. 5.   Antagonism of the antiviral actions of IFN by viral gene products. Virus-encoded products that antagonize the IFN signaling pathway leading to transcriptional activation of IFN-regulated genes include adenovirus E1A; EBV EBNA2; HHV-8 K9; HPV E6; poxvirus B8R, B18R, and M-T7; SV5 V protein; and SeV C proteins. Virus-encoded RNA and protein products that antagonize the biochemical activity of IFN-induced cellular proteins include adenovirus VA RNA, EBV EBER RNA, HCV NS5a and E2 proteins, HSV 34.5 and Us11 proteins, influenza virus NS1 protein, and SV40 T-antigen.

View larger version (44K): [in this window] [in a new window]   FIG. 6.   Schematic diagram of the vaccinia virus multiplication cycle including sites of action of poxvirus-encoded antagonists of the IFN response. The enveloped vaccinia virion particle has a large linear dsDNA genome. Virus penetration probably involves fusion between the viral envelope and cellular membranes, with release of the subviral core particle into the cytoplasm, where virus replication occurs. Early viral mRNAs synthesized by the virion-associated RNA polymerase include viral transcripts that encode IFN system antagonists. The E3L RNA-binding protein impairs activation of the PKR kinase and the OAS synthetases, IFN-induced enzymes that are activated by dsRNA. K3L is a substrate homologue of eIF-2 and is believed to antagonize the translation inhibition mediated by PKR. The B8R and B18R proteins are soluble IFN- and IFN-/ receptor homologues, respectively, that serve as decoys to bind the extracellular induced IFNs. Early viral gene products include proteins and enzymes needed for further uncoating and for viral DNA replication and intermediate transcription. Late genes transcribed after DNA replication encode the structural proteins and enzymes necessary for progeny virion formation in the cytoplasm.

The vaccinia virus E3L and K3L gene products stimulate translation through inhibition of the IFN-induced cellular protein kinase PKR (68, 352). E3L and K3L function by different mechanisms. The viral E3L protein is a dsRNA-binding protein that both sequesters dsRNA activators of PKR (379) and interacts directly with the eIF-2 substrate-binding region of PKR (373), thereby down-regulating PKR autoactivation and eIF-2 phosphorylation. The vaccinia virus E3L protein is a potent inhibitor not only of the PKR kinase but also of the OAS (339, 351, 379) and ADAR (Y. Liu, K. Wolff, and C. E. Samuel, unpublished results). E3L acts in part by sequestering activator RNA or PKR and OAS and presumably substrate RNA of ADAR1. Antagonism of PKR autophosphorylation and eIF-2 phosphorylation has been directly linked to inhibition of the IFN-induced antiviral response (68, 121, 263, 352). Deletion mutants of vaccina virus lacking the E3L gene are sensitive to the antiviral effects of IFN. RNA-binding proteins including the reovirus 3 protein, rotavirus NSP3 and E3L mutants that retain RNA-binding activity complement the E3L gene deletion and reverse the IFN-sensitive phenotype. Vaccinia virus mutants that express E3L proteins that are unable to bind dsRNA are IFN sensitive. The vaccinia virus K3L protein is a virus-encoded homologue of the eIF-2 substrate. The K3L pseudosubstrate inhibits PKR-catalyzed phosphorylation of eIF-2. Deletion mutants of vaccina virus lacking the K3L gene, which encodes the eIF-2 homologue, are more sensitive to the antiviral effects of IFN than are wild-type virus. Vaccinia virus can rescue IFN-sensitive viruses such as VSV and EMC virus from the antiviral actions of IFN. Complementation studies suggest that the E3L gene product is most probably responsible for the vaccinia virus-mediated rescue of VSV from the antiviral effects of IFN and that the K3L gene product is at least partially responsible for the rescue of EMC virus (378).

The combined use of mutant influenza viruses lacking NS1 and mouse cells and mice genetically deficient in PKR have provided eloquent proof that the NS1 protein of influenza virus can antagonize the IFN-inducible PKR protein kinase in the mouse model. NS1, the only nonstructural protein encoded by influenza A viruses, is abundantly expressed in virus-infected cells and performs several regulatory functions during the infective cycle, including regulation of synthesis, transport, splicing, and translation of mRNAs. NS1 also prevents activation of PKR by binding to dsRNA activator RNAs (246). Temperature-sensitive mutant influenza A viruses with an RNA-binding defective NS1 protein cannot block the activation of PKR in infected cells (161). These temperature-sensitive mutant virus strains exhibit temperature sensitivity in virus protein synthesis at the translational level in a manner that correlates with increased activation of PKR and phosphorylation of eIF-2. When the NS1 gene is deleted through the use of reverse genetics, the delNS1 virus is able to replicate in IFN-deficient cells and is pathogenic in Stat-1 knockout mice but not in wild-type mice (129). The delNS1 virus does not replicate in wild-type mice expressing PKR but does replicate in mutant knockout mice in which the Pkr gene has been disrupted (30). These results suggest that a major function of the influenza virus NS1 protein is to counteract or prevent the PKR-mediated antiviral response, at least from studies performed with mouse cells and whole mice that are naturally Mx deficient. Curiously, only a very few mouse strains, including A2G and SL/NiA, possess the functional Mx1 gene that confers resistance to influenza in mice (8, 158, 393). However, humans possess a functional Mx gene (MxA) that indeed is a useful marker for IFN-/ therapy in patients and whose product possesses antiviral activity both in cell culture and in MxA transgenic mice (3, 158). Thus, the relative contribution of the NS1-mediated antagonism of PKR and the MxA-mediated antiviral activity in determining the outcome of influenza virus infections in humans is yet to be fully resolved.

Adenovirus, poliovirus, and SV40 provide three additional examples of viruses that antagonize the IFN-induced PKR kinase by different strategies. Adenovirus VAI RNA antagonizes the antiviral state of IFN by preventing the activation of PKR; deletion mutants that do not express VAI RNA display IFN sensitivity, whereas wild-type virus that produces large amounts of VAI RNA is relatively resistant to IFN-/ (264). Poliovirus infection leads to a degradation of PKR (39), although the protease responsible for the down-regulation has not yet been identified. Translation of SV40 early RNA is relatively resistant to the antiviral effects of IFN (351). SV40 large-T antigen antagonizes PKR function but does so downstream of the kinase activation step (330). The mechanism is not resolved, but one possibility is a T-antigen-mediated enhancement of the phosphatase activity responsible for the dephosphorylation of eIF-2 similar to that observed in HSV-infected cells. In HSV infection, eIF-2 phosphorylation is reduced even though PKR is activated, due to the interaction of the HSV 34.5 protein with phosphatase 1 (162).

Studies of the genetic evolution of HCV suggest that IFN- therapy alters virus-host interactions as a result of changes in the nature of circulating HCV quasi-species (245, 316). HCV genotype 1b resistance to IFN- therapy is associated with changes in the NS5A gene central region quasi-species (317). The HCV second envelope hypervariable region (HVR1), an 81-nt sequence located at the 5' end of the E2 gene, shows changes in HVR1 quasi-species major variants during and after IFN therapy in patients who failed to clear HCV RNA. Although the underlying mechanisms are unknown, the quasi-species changes appear to be induced by changes in the host environment that probably result from IFN-induced enhancement and post-IFN attenuation of neutralizing and possibly cytotoxic responses to the envelope hypervariable region HVR1 (316). One intriguing possibility is an IFN-mediated selection for resistant viruses mediated by editing of HCV viral RNA catalyzed by the IFN-inducible RNA-editing enzyme ADAR1 (312). The HCV envelope protein E2 and nonstructural protein NS5A both inhibit PKR under some experimental conditions (122, 404). A potential outcome of the inhibition of PKR by the two HCV-encoded proteins, NS5A and E2, in addition to permitting virus replication in the presence of IFN, might include the promotion of cell growth that may contribute to HCV-associated hepatocellular carcinoma (408). Results obtained with the UHCV-11 human cell line engineered to inducibly express the entire HCV genotype 1a polyprotein have provided further evidence that the expression of HCV proteins interferes with the antiviral action of IFN as measured with EMC virus (116). However, in this system, combined cell localization and biochemical analyses indicate that HCV interferes with the antiviral action of IFN independently of PKR. Neither PKR activation nor eIF-2 phosphorylation was affected by expression of HCV proteins in their biological context (116). Expression of the HCV polyprotein in UHCV-11 cells impairs signal transduction through the JAK-STAT pathway (164), which consequently would affect the IFN-mediated regulation of a large number of genes in addition to PKR.

During virus infection, PKR may become activated by viral RNA products and then, in some cases, later become inhibited, thereby reversing any PKR-mediated translational block that had been established. The mechanism by which PKR-catalyzed phosphorylation of eIF-2 is antagonized differs among viruses and can involve either RNA or protein modulators. Among the best-characterized viral RNA inhibitor of PKR is the adenovirus virus-associated VAI RNA (264). VAI RNA is produced in large amounts at late times after infection and subsequently impairs the activation of PKR and phosphorylation of eIF-2 (263, 264). Virus mutants which lack functional VAI RNA multiply poorly because of virus-specific RNAs which activate PKR, thereby causing an inhibition of late viral protein synthesis. Adenovirus VAI RNA is bound by the dsRBMs of PKR, the same motifs that also bind activator RNAs (267). Modulation of eIF-2 phosphorylation is the primary function of viral VAI RNA, at least in cell culture, because replacement of serine 51 by alanine not only eliminates the phosphorylation site on the eIF-2 substrate but also functionally complements the deletion of VA from the virus genome. Howerver, VAI RNA does antagonize ADAR1 (225, 241) in addition to PKR (197, 264). EBV-encoded EBER RNAs, which functionally can substitute for adenovirus VAI RNA in vivo, also inhibit PKR activation (68).

The fundamental importance of PKR in the modulation of the translational pattern in virus-infected cells is further demonstrated by the large number of viruses that encode proteins that affect PKR function and subsequently the biochemical activity of initiation factor eIF-2 (121, 263, 352). The 3 major capsid protein of reovirus was among the first animal virus proteins identified that antagonize PKR function by sequestering activator dsRNAs (354). The preferential translation of reovirus mRNAs and the inhibition of cellular protein synthesis appear to be mediated in part by a 3-dependent mechanism that is dependent upon both the subcellular localization of 3 (364) and the interaction of 3 with µ1c, the other major outer capsid protein of reovirus virions (445). Proteolytic cleavage of 3 results in enhanced dsRNA-binding activity (354), but the association of 3 with µ1c eliminates dsRNA-binding activity and the ability to antagonize PKR function and stimulate protein synthesis (445). Reovirus mRNAs also can activate PKR. For example, the poorly translated s1 mRNA, which encodes the minor capsid protein 1, is an efficient RNA activator of PKR, whereas the efficiently translated s4 mRNA, which encodes 3, is a poor PKR activator (352, 354).

Changes in the translational machinery in influenza virus-infected cells mediated by down-regulation of PKR occur by two different strategies. One involves the viral nonstructural RNA-binding protein NS1 (121, 161), and the other involves the activation of the stress-related cellular P58^IPK inhibitor of PKR (121, 277). NS1, found abundantly in influenza virus-infected cells, performs several regulatory functions during the viral infective cycle, including regulation of synthesis, transport, splicing, and translation of mRNAs. NS1 prevents the activation of PKR by binding to dsRNA activator RNAs. Temperature sensitive mutant influenza A viruses with an RNA-binding-defective NS1 protein cannot block the activation of PKR in infected cells. These ts mutant virus strains exhibit temperature sensitivity in virus protein synthesis at the translational level in a manner that correlates with increased activation of PKR and phosphorylation of eIF-2. P58^IPK, a constitutively expressed cellular protein, inhibits PKR activity through direct protein-protein interaction with PKR. Influenza virus infection activates P58^IPK by promoting dissociation from its negative regulator, heat shock protein 40 (hsp40); cellular P58^IPK is believed to be targeted with hsp70 to PKR, thereby inhibiting kinase function in influenza virus-infected cells (277). The baculovirus PK2 gene product also inhibits PKR by a dimerization mechanism. Baculovirus PK2 protein is a truncated viral kinase that forms a heteromeric complex with the cellular PKR, thereby blocking kinase autophosphorylation and eIF-2 phosphorylation. Insect cells infected with wild-type baculovirus, but not pk2-deleted virus, exhibited reduced phosphorylation and increased translational activity (88).

TAR, a highly structured RNA leader element located at the 5' end of all HIV transcripts, activates PKR involved in inhibition of viral protein synthesis through eIF-2 phosphorylation (68, 252, 352). HIV uses two proteins to counter this TAR-mediated activation of PKR. PKR function is down-regulated by the cellular TAR-RNA-binding protein (TRBP), which forms an inactive heterodimer with PKR (29), and by the viral trans-activating Tat protein, which inhibits autophosphorylation of PKR and competes with eIF-2 (44). HIV Tat protein also activates transcription factor NF-B through a process that requires the function of PKR (81). The relative roles during the HIV infective process of the negative (44) and positive (81) effects of Tat protein on PKR activity are not yet fully resolved.

In HSV-infected cells, the viral 34.5 protein affects phosphatase function, thereby blocking the shutoff of protein synthesis mediated by activated PKR (162, 226). In the absence of the 34.5 gene, eIF-2 is phosphorylated and protein synthesis is impaired beginning at about 5 h after infection, but in the presence of 34.5, protein synthesis continues even though PKR is activated. The 34.5 protein serves as a regulatory subunit of protein phosphatase 1 and redirects the phosphatase to dephosphorylate eIF-2P (162). The HSV Us11 protein can substitute for the 34.5 protein if it is present early in infection before PKR is activated. Us11 is an RNA-binding protein that blocks the shutoff of protein synthesis by preventing the activation of PKR and subsequently the phosphorylation of eIF-2 (50, 326).

HCV is the causative agent of the majority of non-A, non-B cases of hepatitis (168). Chronic HCV infection results in liver cirrhosis and hepatocellular carcinoma. There is not yet an effective vaccine for HCV. The current U.S. Food and Drug Administration-approved therapy for hepatitis C is based on systemic administration of recombinant human IFN-. Although clearance of HCV is seen in only about 20% of patients treated with IFN-, a combination treatment of IFN- and ribavirin (Repetron) is efficacious in about 40% of the HCV patients (80, 270). The mechanistic explanation for the low response rate to IFN therapy is not fully resolved but may involve a combination of factors including HCV genotype and functional antagonism of one or more cellular components involved in the signaling or actions of IFN (324, 400, 404). HCV is an enveloped flavivirus with a plus-strand RNA genome of ~9.5 kb that encodes a precursor protein of ~3,000 amino acids. Cleavage of this polyprotein precursor generates both viral structural proteins, including the envelope glycoproteins E1 and E2, and nonstructural proteins, including NS5A. HCV, like vaccinia virus, encodes multiple proteins that act synergistically to disrupt PKR function. Two HCV-encoded proteins, the nonstructural protein NS5A (122) and the envelope protein E2 (404), repress PKR through direct interaction with the kinase. NS5A is a phosphoprotein that interacts with a region of the PKR catalytic domain that also serves as a dimerization domain, thereby disrupting PKR dimerization and PKR-mediated eIF-2 phosphorylation (122, 124). The HCV envelope protein E2 also binds to and inhibits PKR; E2 contains a sequence identical to the phosphorylation sites of PKR and the eIF-2 substrate (404). Inhibition of PKR by the NS5A and E2 proteins of HCV may facilitate the survival and proliferation of the infected host, ultimately leading to HCV-associated hepatocellular carcinoma (408). However, the resistance to IFN resulting from the expression of HCV proteins appears in some instances to be independent of PKR-mediated control of protein synthesis (116, 164). Independent of the IFN sensitivity-determining region (ISDR) of protein NS5A, IFN- treatment inhibits HCV RNA replication in human hepatoma cells in culture. A deletion of 47 amino acids encompassing the ISDR of NS5A is among the adaptive mutations clustered in NS5A that confer an increased efficiency of HCV RNA replication in culture; this and other adaptive HCV mutants were IFN sensitive (41). The NS5A protein also interacts with cellular proteins in addition to PKR, including growth factor receptor protein Grb2 (400) and karyopherin 3, which is implicated in nucleoplasmic transport (66). The binding of Grb2 by NS5A in a SH3 domain ligand-dependent manner perturbs mitogenic signaling (400). The binding of human karyopherin 3 by NS5A blocks function of the 3 protein in the yeast model system (66). It is conceivable that the antagonism of the antiviral actions of IFN attributed to the HCV NS5A protein are the consequence of multiple different NS5A-host cell protein interactions, including PKR, Grb2, karyopherin 3, and possibly other cellular proteins as well, which collectively contribute to enhancing virus growth and pathogenesis by disruption of multiple cellular functions (41, 116, 164).

Dengue virus (DV) is a flavivirus that causes dengue hemorrhagic fever and shock syndrome, an arthropod-borne infectious disease in humans that is prevalent in the tropical and subtropical regions of the world (288). Like HCV (168), there is no effective vaccine at present for DV (288). DV infection, both antibody dependent and independent, is significantly inhibited by pretreatment of cells in culture with IFN- and IFN- (90). The mechanism is not resolved, but indications are that IFN inhibits DV infection of hepatoma HepG2 cells by impairing the production or stability of minus-strand DV RNA. Such an effect could result from a block in translation of the parental DV plus-strand genome RNA that encodes the viral polymerase or, alternatively, from a block in the transcription or increased degradation of minus-strand viral RNA. The importance of the IFN system in DV infection and pathogenesis of humans is supported by studies in a mouse model. Mutant mice deficient in IFN receptors through targeted gene disruption are killed by intraperitoneal infection with mouse-adapted DV, but wild-type control mice survive infection (186).

Apoptosis, or controlled cell death, can serve as a defense mechanism for the host cell to combat viral infection. The apoptotic response involves a cascade of intracellular signals initiated in response to a wide variety of stimuli, including viral infection. Morphologic changes associated with apoptosis of virus-infected cells include condensation of chromatin and vacuolization of the infected-cell cytoplasm. Biochemical changes include activation of cellular proteases and nucleases and degradation of cell DNA to nucleosome-sized fragments. The fundamental importance of apoptosis as a component of the host response to viral infection is illustrated by the fact that a number of viruses encode gene products that either induce or inhibit apoptosis (105, 159, 375, 405). Untimely early destruction of infected host cells may greatly reduce virus yields. Hence, viruses have evolved strategies to antagonize the apoptotic response by encoding viral gene products that target effector components in the apoptotic cascade. Suppression or delay of apoptosis can extend the time available following infection to produce new virions prior to destruction of the host biosynthetic pathways utilized by the virus. The opposite also occurs. Viral gene products have been identified that function as inducers of apoptosis, possibly to facilitate the release and spread of progeny virions from the infected host (105, 159, 375, 405).

A wide variety of strategies are used by viruses to affect the balance between growth and death of the infected host cell. The adenovirus E1A gene product stabilizes p53 and induces p53-dependent apoptosis (375, 405). This effect of E1A is countered by the adenovirus E1B-19K, E1B-55K, and E3 proteins, which all antagonize the apoptotic process. The adenovirus E3 gene product promotes the degradation of Fas, which prevents apoptosis (413). The E1B-55K-mediated block of apoptosis involves antagonism of p53 function (406), whereas the E1A-19K protein is a Bcl-2 homologue that forms heterodimers with proteins such as Bax (431). Bcl-2 is an apoptosis suppressor that prolongs cell survival (34). Among additional viral Bcl-2 homologues identified are the LMW5-HL protein of African swine fever virus, which functions to antagonize apoptotic cell death, and the BHRF1 protein of EBV, which protects human B cells from programmed death (159). The E6 protein of HPV and SV40 large-T antigen also impair p53-mediated apoptosis (159, 375, 405).

Cowpox virus blocks apoptosis by encoding CrmA, a serpin family protease inhibitor that blocks the IL-1-converting enzyme (ICE) protease (119). ICE, a cysteine protease, is a key component of the apoptotic response in mammalian cells. The vaccinia virus B13R gene product is homologous to CrmA and inhibits apoptosis induced by Fas or TNF- (95). The baculovirus p35 protein, which prevents apoptosis during infection of insect cells, likewise inhibits the ICE family of proteases (284). Apoptosis via the Fas and TNF death receptors involving the death domain (FADD) signaling cascade includes the recruitment of several proteins such as the procaspase-8 protease FLICE. Lymphotropic gammaherpesviruses including HHV-8, herpesvirus saimiri, equine herpesvirus -2, and bovine herpesvirus 4, encode FLICE-inhibitory proteins known as vFLIPS that are recruited to the activated receptor but that lack proteolytic activity and thus do not activate death signals (414).

IFN-/ are essential mediators of apoptosis. Primary MEF undergo apoptosis when infected with EMC virus, VSV, and HSV, but apoptosis induced by these viruses is inhibited by anti-IFN-/ antibodies and in homozygous null cells lacking either the IFN receptor or the Stat-1 signaling factor (402). IFN alone does not induce apoptosis unless the treatment is combined with dsRNA. Two important mediators of the IFN-induced antiviral response, PKR (12, 399) and the 2-5A-dependent RNase L (92, 449), play key roles as effectors of apoptosis. Overexpression of wild-type PKR but not catalytically inactive PKR causes apoptosis in the presence of dsRNA (12). Induction of apoptosis by PKR involves eIF-2 and NF-B, because overexpression of the S51A mutant of eIF-2 or the S32,36A mutant of IB leads to an inhibition of apoptosis (140, 407). Interestingly, up-regulation of Fas receptor mRNA accumulation correlates with PKR activation and subsequent apoptosis (99, 140). Apoptosis is substantially suppressed following treatment with dsRNA, TNF-, or lipopolysaccharide of cells from mice with a targeted disruption of either the PKR gene (84) or the RNase L gene (449). Suppression of apoptosis in the PKR null cells was associated with defects in activation of IRF-1 and in Fas mRNA induction (84). Several viral antagonists of PKR function have been described (121, 352); presumably repression of PKR by these viral products would impair the apoptotic response. For example, the antiapoptotic and oncogenic potentials of HCV are linked to IFN resistance by viral repression of PKR (123). Resistance to apoptosis is attributed to an HCV NS5A-mediated block in eIF-2 phosphorylation; furthermore, cells expressing NS5A exhibit a transformed phenotype.

Success in the basic research laboratory led to the subsequent utilization of IFNs as therapeutics in the clinic. Three kinds of human IFNs, IFN-, IFN-, and IFN-, have been approved for clinical use by the Food and Drug Administration (http://www.fda.gov/cber/products.htm). Diseases of known viral origin for which IFN- species are most widely used are hepatitis C and hepatitis B (Table 1). Indications for which IFN- has been approved, in addition to chronic hepatitis C and chronic hepatitis B, are Kaposi's sarcoma, genital warts (condylomata acuminata), hairy cell leukemia, chronic myelogenous leukemia, and malignant melanoma. IFN- is approved for treatment of relapsing forms of multiple sclerosis, and IFN- is approved for treatment of the chronic hereditary immune disorder chronic granulomatous disease). IFNs for clinical use are the products of several biotechnology and pharmaceutical companies. These include IFN-2a as Roferon A (Hoffman-La Roche), IFN-2b as Intron A (Schering Corp), consensus IFN-con as Infergen (Amgen), human leukocyte-derived IFN-n3 as Alferon N (Interferon Sciences), and human lymphoblastoid-derived IFN-n1 as Wellferon (Glaxo Wellcome). Avonex (Biogen) and Betaseron (Chiron, Berlex) are IFN-, and Actimmune (Genentech) is IFN-. In January 2001, the Food and Drug Administration approved a pegylated form of IFN-2b (PEG-Intron; Schering) for treatment of chronic hepatitis C in patients not previously treated with IFN-. Roche is also developing pegylated IFN-2a (Pegasys) for use in treatment of chronic hepatitis C.