Antagonism of the Sodium-Potassium ATPase Impairs Chikungunya Virus Infection

ABSTRACT Chikungunya virus (CHIKV) is a reemerging alphavirus that has caused epidemics of fever, arthralgia, and rash worldwide. There are currently no licensed vaccines or antiviral therapies available for the prevention or treatment of CHIKV disease. We conducted a high-throughput, chemical compo...

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Main Authors: Alison W. Ashbrook, Anthony J. Lentscher, Paula F. Zamora, Laurie A. Silva, Nicholas A. May, Joshua A. Bauer, Thomas E. Morrison, Terence S. Dermody
Format: Article
Language:English
Published: American Society for Microbiology 2016-07-01
Series:mBio
Online Access:https://journals.asm.org/doi/10.1128/mBio.00693-16
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author Alison W. Ashbrook
Anthony J. Lentscher
Paula F. Zamora
Laurie A. Silva
Nicholas A. May
Joshua A. Bauer
Thomas E. Morrison
Terence S. Dermody
author_facet Alison W. Ashbrook
Anthony J. Lentscher
Paula F. Zamora
Laurie A. Silva
Nicholas A. May
Joshua A. Bauer
Thomas E. Morrison
Terence S. Dermody
author_sort Alison W. Ashbrook
collection DOAJ
description ABSTRACT Chikungunya virus (CHIKV) is a reemerging alphavirus that has caused epidemics of fever, arthralgia, and rash worldwide. There are currently no licensed vaccines or antiviral therapies available for the prevention or treatment of CHIKV disease. We conducted a high-throughput, chemical compound screen that identified digoxin, a cardiac glycoside that blocks the sodium-potassium ATPase, as a potent inhibitor of CHIKV infection. Treatment of human cells with digoxin or a related cardiac glycoside, ouabain, resulted in a dose-dependent decrease in infection by CHIKV. Inhibition by digoxin was cell type-specific, as digoxin treatment of either murine or mosquito cells did not diminish CHIKV infection. Digoxin displayed antiviral activity against other alphaviruses, including Ross River virus and Sindbis virus, as well as mammalian reovirus and vesicular stomatitis virus. The digoxin-mediated block to CHIKV and reovirus infection occurred at one or more postentry steps, as digoxin inhibition was not bypassed by fusion of CHIKV at the plasma membrane or infection with cell surface-penetrating reovirus entry intermediates. Selection of digoxin-resistant CHIKV variants identified multiple mutations in the nonstructural proteins required for replication complex formation and synthesis of viral RNA. These data suggest a role for the sodium-potassium ATPase in promoting postentry steps of CHIKV replication and provide rationale for modulation of this pathway as a broad-spectrum antiviral strategy. IMPORTANCE Mitigation of disease induced by globally spreading, mosquito-borne arthritogenic alphaviruses requires the development of new antiviral strategies. High-throughput screening of clinically tested compounds provides a rapid means to identify undiscovered, antiviral functions for well-characterized therapeutics and illuminate host pathways required for viral infection. Our study describes the potent inhibition of Chikungunya virus and related alphaviruses by the cardiac glycoside digoxin and demonstrates a function for the sodium-potassium ATPase in Chikungunya virus infection.
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spelling doaj.art-14d88177dc7140fe8068a099bec597622022-12-21T19:08:51ZengAmerican Society for MicrobiologymBio2150-75112016-07-017310.1128/mBio.00693-16Antagonism of the Sodium-Potassium ATPase Impairs Chikungunya Virus InfectionAlison W. Ashbrook0Anthony J. Lentscher1Paula F. Zamora2Laurie A. Silva3Nicholas A. May4Joshua A. Bauer5Thomas E. Morrison6Terence S. Dermody7Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USAElizabeth B. Lamb Center for Pediatric Research, Vanderbilt University School of Medicine, Nashville, Tennessee, USAElizabeth B. Lamb Center for Pediatric Research, Vanderbilt University School of Medicine, Nashville, Tennessee, USADepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USADepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, Colorado, USADepartment of Biochemistry, Vanderbilt University School of Medicine, Nashville, Tennessee, USADepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, Colorado, USADepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USAABSTRACT Chikungunya virus (CHIKV) is a reemerging alphavirus that has caused epidemics of fever, arthralgia, and rash worldwide. There are currently no licensed vaccines or antiviral therapies available for the prevention or treatment of CHIKV disease. We conducted a high-throughput, chemical compound screen that identified digoxin, a cardiac glycoside that blocks the sodium-potassium ATPase, as a potent inhibitor of CHIKV infection. Treatment of human cells with digoxin or a related cardiac glycoside, ouabain, resulted in a dose-dependent decrease in infection by CHIKV. Inhibition by digoxin was cell type-specific, as digoxin treatment of either murine or mosquito cells did not diminish CHIKV infection. Digoxin displayed antiviral activity against other alphaviruses, including Ross River virus and Sindbis virus, as well as mammalian reovirus and vesicular stomatitis virus. The digoxin-mediated block to CHIKV and reovirus infection occurred at one or more postentry steps, as digoxin inhibition was not bypassed by fusion of CHIKV at the plasma membrane or infection with cell surface-penetrating reovirus entry intermediates. Selection of digoxin-resistant CHIKV variants identified multiple mutations in the nonstructural proteins required for replication complex formation and synthesis of viral RNA. These data suggest a role for the sodium-potassium ATPase in promoting postentry steps of CHIKV replication and provide rationale for modulation of this pathway as a broad-spectrum antiviral strategy. IMPORTANCE Mitigation of disease induced by globally spreading, mosquito-borne arthritogenic alphaviruses requires the development of new antiviral strategies. High-throughput screening of clinically tested compounds provides a rapid means to identify undiscovered, antiviral functions for well-characterized therapeutics and illuminate host pathways required for viral infection. Our study describes the potent inhibition of Chikungunya virus and related alphaviruses by the cardiac glycoside digoxin and demonstrates a function for the sodium-potassium ATPase in Chikungunya virus infection.https://journals.asm.org/doi/10.1128/mBio.00693-16
spellingShingle Alison W. Ashbrook
Anthony J. Lentscher
Paula F. Zamora
Laurie A. Silva
Nicholas A. May
Joshua A. Bauer
Thomas E. Morrison
Terence S. Dermody
Antagonism of the Sodium-Potassium ATPase Impairs Chikungunya Virus Infection
mBio
title Antagonism of the Sodium-Potassium ATPase Impairs Chikungunya Virus Infection
title_full Antagonism of the Sodium-Potassium ATPase Impairs Chikungunya Virus Infection
title_fullStr Antagonism of the Sodium-Potassium ATPase Impairs Chikungunya Virus Infection
title_full_unstemmed Antagonism of the Sodium-Potassium ATPase Impairs Chikungunya Virus Infection
title_short Antagonism of the Sodium-Potassium ATPase Impairs Chikungunya Virus Infection
title_sort antagonism of the sodium potassium atpase impairs chikungunya virus infection
url https://journals.asm.org/doi/10.1128/mBio.00693-16
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