Abstract
Defective interfering genes (DIGs) are short viral genomes and interfere with wild-type viral replication. Here, we demonstrate that the new designed SARS-CoV-2 DIG (CD3600) can significantly inhibit the replication of SARS-CoV-2 including Alpha, Delta, Kappa and Omicron variants in human HK-2 cells and influenza DIG (PAD4) can significantly inhibit influenza virus replication in human A549 cells. One dose of influenza DIGs prophylactically protects 90% mice from lethal challenge of A(H1N1)pdm09 virus and CD3600 inhibits SARS-CoV-2 replication in hamster lungs when DIGs are administrated to lungs one day before viral challenge. To further investigate the gene delivery vector in the respiratory tract, a peptidic TAT2-P1&LAH4, which can package genes to form small spherical nanoparticles with high endosomal escape ability, is demonstrated to dramatically increase gene expression in the lung airway. TAT2-P1&LAH4, with the dual-functional TAT2-P1 (gene-delivery and antiviral), can deliver CD3600 to significantly inhibit the replication of Delta and Omicron SARS-CoV-2 in hamster lungs. This peptide-based nanoparticle system can effectively transfect genes in lungs and deliver DIGs to inhibit SARS-CoV-2 variants and influenza virus in vivo, which provides the new insight into the drug delivery system for gene therapy against respiratory viruses.
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Introduction
Clinical studies showed that early treatment or prophylactic treatment is more effective for controlling the viral respiratory diseases such as influenza. Apart from the therapeutic antivirals being developed, the prophylactic antivirals play important roles in preventing transmission, especially in outbreak settings. Vaccination is currently the most effective strategy in preventing viral infection, but vaccine effectiveness was virus strain dependent and varied from 10–60% protection for influenza.1 Vaccine effectiveness of SARS-CoV-2 has been affected by the variants.2,3 The onset of effective vaccine protection requires at least two weeks to generate sufficient titers of neutralizing antibodies. The neuraminidase inhibitors (zanamivir and oseltamivir) against influenza viruses are approved for prophylaxis, but both need to be administrated daily and there are concerns about drug resistance if these neuraminidase inhibitors are frequently used for prophylaxis. Antivirals directly targeting the virus, such as remdesivir, only showed benefits for patients with the mild or moderate symptoms,4,5,6 which implicates that early treatment or prophylactic treatment should be considered for COVID-19 cases. Thus, it is necessary to develop prophylactic antivirals with new antiviral mechanism and broad-spectrum antiviral efficacy for emerging influenza virus and coronavirus, especially for people with risk factors of susceptibility and/or severe diseases.
Defective interfering genes (DIGs) are viral genes with internal deletion.7 Influenza DIGs could inhibit the replication of the cognate full-length viral RNA and the antiviral activity is affected by DIG lengths and the origin of DIGs.8,9,10,11,12 The identification of sub-genomic RNAs of coronaviruses implicated that coronaviruses could generate defective genes during viral replication. However, it is not clear which DIG works best for inhibiting influenza virus and coronavirus in vitro and in vivo. We have previously found that influenza defective interfering genes (DIG-3) delivered by TAT-P1 in mouse lungs could protect mice from influenza A virus infection.12 DIG antiviral activity in lungs was related to the antiviral activity of DIGs and the transfection efficiency of DIGs in the lung airway. The gene transfection mediated by HIV TAT peptide is mainly through the endocytosis, including clathrin-mediated endocytosis,13 caveolae/lipid-raft-mediated endocytosis,14 micropinocytosis,15 and endocytosis independent pathways.16 In the airway and lungs, the passive cellular uptakes of nanoparticles are mainly mediated through endocytosis pathways and affected by the sizes of nanoparticles because of the barrier effect from airway mucus.17,18,19 One feasible way to increase the uptake efficiency in the airway and lung is to optimize the nanoparticle size to reduce the barrier effect of mucus so as to overcome the limit set by the average pore sizes (100–200 nm) in the airway mucus.18,20,21 Although nanoparticle-based drug delivery systems have been studied for decades, a simple gene delivery system with a reproducible and scalable product is needed for gene therapy in the lung airway.
In this study, we first investigated that the defective interfering gene (CD3600) designed from SARS-CoV-2 significantly inhibited the replication of SARS-CoV-2 variants in human HK-2 cells, which indicated that DIG from non-segmented RNA virus could significantly inhibit SARS-CoV-2 replication. We also demonstrated that a defective interfering influenza PA gene (PAD4) showed the best antiviral activity in human A549 cells when compared with twelve other DIGs from polymerase genes of segmented-RNA influenza virus. Treatment of mice with the combination of three defective interfering gene DIG-4 (including PAD4, PB1D3, and PB2D3) conferred the best protection against A(H1N1)pdm09 virus when compared with that of mice treated by PAD4 or DIG-3. A single dose of peptidic nanoparticle TAT2-P1/DIG-4 could efficiently protect 90% mice when TAT2-P1/DIG-4 was given to mice at 3-day before A(H1N1)pdm09 challenge. A single dose of peptidic nanoparticle TAT2-P1/CD3600 could inhibit SARS-CoV-2 replication in hamsters when CD3600 was given to hamster lungs at 1-day before viral challenge. To investigate the delivery vector for gene therapy in lungs, we further developed a peptidic TAT2-P1&LAH4, which significantly increased luciferase expression in lungs, could deliver CD3600 to broadly inhibit SARS-CoV-2 replication of Delta and Omicron variants in hamster lungs. Results from these experiments demonstrated that peptidic nanoparticle DIGs could provide pre-exposure protection on animals infected with influenza virus or SARS-CoV-2. Because of the low possibility of DIGs inducing drug-resistant virus22,23 and less metabolic toxicity of peptide, peptidic DIG nanoparticles can circumvent the drug-resistance problems with broad-spectrum antiviral activities against SARS-CoV-2 and influenza virus.
Results
Coronavirus DIGs inhibited the replication of SARS-CoV-2 in human HK-2 cells
To identify DIGs against SARS-CoV-2, according to the possible packaging sequences of coronaviruses including 5’-end, sequences in ORF1b (nsp15), and 3’-end sequences,24,25,26,27 we constructed coronavirus DIGs (CD2100 and CD3600) which included the 5’-end sequences, internal sequences in ORF 1b and the 3’-end sequences of SARS-CoV-2 (Fig. 1a and Supplementary Table 1). We first tested the gene expression of DIGs transfected into human cell lines, including 293 T, Calu-3 and HK-2. High RNA levels of CD2100 and CD3600 were demonstrated in transfected HK-2 cell line, similar to that of RNA expression in 293 T cells (Fig. 1b). Thus, we selected HK-228 for the antiviral assay of CD2100 and CD3600 against SARS-CoV-2. After DIG transfection in HK-2 cells, SARS-CoV-2 was added to cells for infection. CD3600 and CD2100 significantly inhibited SARS-CoV-2 replication when compared with empty vector PHW (Fig. 1c) without obvious cytotoxicity (Supplementary Fig. 1). CD3600 showed significantly better antiviral activity than that of CD2100. To further confirm the antiviral efficacy of CD3600 in cells, we showed that CD3600 significantly inhibited SARS-CoV-2 replication in the dose-dependent manner when compared with PHW (Fig. 1d).
In order to test if coronavirus DIG could exert antiviral activity in multiple growth cycles which can contribute to the expanded antiviral activity of DIG, we demonstrated that virus in supernatants of cells treated with CD3600 showed significantly less viral replication at 24 h and 72 h post infection during viral passages in VeroE6/TMPRSS2 cells when compared with non-DIG empty vector (PHW) control (Fig. 1e, f). These indicated that the transfected CD3600 could exert extended activity against SARS-CoV-2 replication even during viral passages in multiple growth cycles. To further investigate the presence of CD3600 defective virus in passaged supernatants in VeroE6/TMPRSS2 cells, we cultured the same PFU of PHW-treated virus and CD3600-treated virus and collected the supernatants at 72 h post infection for ultracentrifugation to recover the virus for transmission electron microscopy (TEM) assay (Fig. 1g and Supplementary Fig. 2). CD3600-treated cell culture supernatants showed more small spherical particles (<40 nm) when compared with PHW-treated cell culture supernatants (100–150 nm), which indicated that treatment with CD3600 could led to the packaging of smaller particles with less plaque form unit (Fig. 1f). As expected, RT-qPCR showed high CD3600 RNA copies in the supernatants (Fig. 1g) of CD3600-treated virus when compared with PHW-treated virus. These results indicated that CD3600 could be packaged to show the extended antiviral activity in the subsequent virus passage. Moreover, we demonstrated the broad antiviral activity of CD3600 against SARS-CoV-2 variants (Fig. 1i), which was consistent with the antiviral mechanism of DIG against virus by consuming the packaging components of viral replication to competitively inhibit wild-type viral RNA packaging without targeting a specific viral protein. In conclusion, these results indicated that CoV-DIG with the 5’-end, internal sequence in ORF1b, and 3’-end of SARS-CoV-2 could broadly inhibit SARS-CoV-2 replication by maintaining its self-sustaining DIG production in multiple growth cycles.
The optimal DIG against influenza virus in A549 cells and in mice
To identify the potent antiviral DIG against influenza virus, based on our previous DIGs (PAD3, PB1D3 and PB2D3),12 we here designed and constructed ten new DIGs with diverse gene lengths at 3’ and 5’ ends of polymerase genes ranging from 150 nt to 600 nt (Fig. 2a, Supplementary Table 2 and Supplementary Table 3). Each DIG was transfected into A549 cells and then cells were infected with H7N7 virus at 24 h post transfection. We used H7N7 virus which did not require trypsin for virus culture in A549 cells (Fig. 2b). The PAD4, which consists of 450 nt at 3’ and 5’ end of PA gene segment, exhibited the most potent antiviral activity with 4 log reduction of viral load, which was 4 to 10 folds lower than that of PAD3, PB1D3 and PB2D3 used in the previous study.12 The PB2D3, PB1D3, PAD2, and PAD3 showed potent antiviral activity with 2–3 log inhibition of viral replication. The PB2D2, PB2D4, PB1D2, PB1D4, and PAD5 showed weak antiviral activity (Fig. 2b). The PB2D1, PB1D1, and PAD1 with ~150 nt at 3’ and 5’ ends did not show significant antiviral activity, which is consistent with the fact that the polymerase genes need at least 150 nt at 5’ end for viral gene packaging, as demonstrated by previous studies.9,29 These data indicated that PAD4 with 450 nt at 3’ and 5’ ends showed the best antiviral activity. The PB2D3 with 300 nt and PB1D3 with 300 nt at 3’ and 5’ ends showed better antiviral activity than those with shorter or longer DIGs, respectively. Next, we further tested and compared the antiviral activity of single PAD4 with two combinational DIGs (Fig. 2c) in different concentrations. The PAD4 alone showed more potent antiviral activity with > 5-fold lower viral load than that of DIG-3 (the combination of PAD3, PB1D3, and PB2D3) or the combination of DIG-4 (PAD4, PB1D3, and PB2D3) in a dose-dependent manner.
Considering multiple DIGs having higher likelihood to interfere with multiple cognate full-length genes in vivo, we selected DIG-4, single PAD4, and DIG-3 to evaluate the antiviral efficacy in mice. Theoretically, three DIGs can generate seven types of defective interfering influenza viruses, which might have more likelihood to inhibit wild-type virus replication than that of single DIG in mouse lungs. To transfect DIG in vivo, DIGs packaged by TAT-P1 were intratracheally inoculated to mice. Two doses of DIG-4, single PAD4, or DIG-3, given at 48 h and 24 h prior to A(H1N1)pdm09 infection, could protect 100%, 80%, and 80% mice from lethal challenge by A(H1N1)pdm09 virus, respectively (Fig. 2d), which was significantly better than that of empty plasmid PHW (0%). For 1-dose regimen given intratracheally at 24 h prior to infection (Fig. 2e), the survival rate of mice receiving DIG-4 (90%) was significantly higher than those receiving single PAD4 (50%) or DIG-3 (50%). DIG-4 could significantly reduce body weight loss of mice when compared with PHW (Supplementary Fig. 3). The survival data indicated that combinational DIG-4 can provide better protection than the single PAD4 or DIG-3 in mice.
TAT2-P1 showed better gene delivery efficiency in lung tissues
In order to show better antiviral activity of DIG in vivo, we tried to identify a TAT-peptide based vector with better transfection efficiency in vivo. Previous studies indicated that TAT2 (RKKRRQRRR) is a shorter form of TAT which had better transduction efficiency than that of TAT (YGRKKRRQRRR) in vitro.30,31 Therefore, we constructed a TAT2-P1 vector for evaluating the transfection efficiency in vitro when compared with TAT-P1 (Supplementary Table 4). DNA binding ability of these peptide-based vectors was determined using gel retardation assay (Supplementary Fig. 4a). When the weight ratios of peptide to plasmid DNA were more than 2, plasmid DNA could be completely packaged by these vectors. The in vitro transfection results indicated that TAT-P1 and TAT2-P1 showed similar transfection in 293 T cells (Supplementary Fig. 4b). Next, to assess the DNA transfection efficiency of these vectors in vivo, pCMV-Luc packaged by TAT-P1, TAT2-P1 or in vivo jetPEI was intratracheally inoculated into mice, and the luciferase was measured at 24 h post transfection. TAT2-P1 showed significantly better transfection efficiency in mouse lungs than that of TAT-P1 (Fig. 3a) and TAT2-P1 caused less body weight loss than that of TAT-P1 in mice (Supplementary Fig. 5).
To identify the mechanism of better transfection efficiency of TAT2-P1 in vivo, we measured the particle sizes of these peptide/pCMV-Luc particles. The pCMV-Luc packaged by TAT2-P1 could form smaller particles than that of TAT-P1 (Fig. 3b). TEM pictures of these nanoparticles (Fig. 3c) showed that the particles formed by TAT2-P1 were uniform spherical nanoparticles, which could be beneficial to penetrate the airway mucosal barrier.17,18 The higher transfection efficiency of TAT2-P1 in mouse lungs should be related to the small particle sizes but not due to the transmission efficiency in cells because TAT2-P1 and TAT-P1 showed similar transfection efficiency in cells (Supplementary Fig. 4b). In order to directly confirm the particle size significantly affecting the gene delivery of TAT2-P1 in lungs, we made TAT2-P1/pCMV-Luc with different sizes by mixing TAT2-P1 with DNA in different concentrations but with the same amount of peptide/DNA and ratio (4:1). As shown in Fig. 3b, c, the particle size of TAT2-P1/pCMV-Luc (2 mg ml−1/0.5 mg ml−1) was bigger (~190 nm) than that (~130 nm) of TAT2-P1/pCMV-Luc (1 mg ml−1/0.25 mg ml−1). Furthermore, pCMV-Luc packaged by TAT2-P1 (1 mg ml−1) showed significantly higher transfection efficiency than that of pCMV-Luc packaged by TAT2-P1 (2 mg ml−1) in mouse lungs (Fig. 3d, e), but the transfection efficiency of TAT2-P1 (2 mg ml−1) was similar as TAT2-P1 (1 mg ml−1) in 293 T cells (Supplementary Fig. 6). These data indicated that the higher transfection efficiency of plasmid DNA packaged by TAT2-P1 (1 mg ml−1) than that of TAT2-P1 (2 mg ml−1) in mouse lungs was not due to the difference of DNA package efficiency, but due to the small nanoparticles. Collectively, these results demonstrated that TAT2-P1/DNA caused less body weight loss of mice and could form uniform spherical nanoparticles less than 140 nm, which would penetrate the barrier of the average pore sizes (100–200 nm) in airway mucus so as to increase DNA uptakes for high gene expression in the lung airway.
Antiviral activity of DIGs against influenza virus and SARS-CoV-2
To investigate prophylactic protection of DIG in vivo, a single dose of TAT2-P1/DIG-4 was given to influenza-infected mice 3-day before viral challenge. The survival (90%) of mice treated with single dose of TAT2-P1/DIG-4 was higher than that of mice treated with a single dose of zanamivir (20%) or TAT2-P1/PHW (0%, negative control) (Fig. 4a). Significantly less body weight loss was observed in TAT2-P1/DIG-4 treated mice from day 2 to day 8 when compared with TAT2-P1/PHW group (Fig. 4b). To test the effectiveness of zanamivir, a single dose of zanamivir administrated to mice one day before viral challenge could protect 90% mice (Supplementary Fig. 7), which was consistent with the half-life time of zanamivir.32 The effective antiviral activity of TAT2-P1/DIG-4 was further demonstrated by the reduced viral loads in mouse lungs when compared with viral loads in mice treated with TAT2-P1/PHW (Fig. 4c). These results provided the evidence of using TAT2-P1/DIG as a prophylactic antiviral against influenza virus.
To evaluate the in vivo antiviral activity of CD3600 against SARS-CoV-2, TAT2-P1/CD3600 was inoculated into hamster lungs at 1-day before SARS-CoV-2 inoculation. Because of the non-lethal model of hamsters for SARS-CoV-2 infection and the peak viral titer emerged at 2-day post infection in hamster lungs,33,34 viral titers in hamster lungs were measured by plaque assay at 2-day post infection. The result showed that CD3600 inhibited SARS-CoV-2 replication in hamster lungs when compared with PHW (Fig. 4d). In conclusion, these in vivo data showed that TAT2-P1 could deliver DIGs in the lung airway to provide prophylactic protection on mice against influenza A virus and on hamsters against SARS-CoV-2 replication.
TAT2-P1&LAH4 showed high-efficiency gene transfection in lung tissues
To further investigate peptide-based vectors for gene delivery in the lung airway, we demonstrated that peptide LAH435 showed significantly higher transfection efficiency than TAT2-P1 in cells (Fig. 5a) with TC50 higher than 125 μg ml−1 (Supplementary Fig. 8), but significantly lower transfection efficiency than TAT2-P1 in lung tissues (Fig. 5b). The high transfection efficiency in cells indicated that the high endosomal escape ability of LAH4-packaged plasmids demonstrated by previous study.35 However, the low transfection efficiency in lung tissues might be due to the big size of LAH4-nanoparticles (Fig. 5c) which were not spherical in TEM pictures (Supplementary Fig. 9). Because the size and the shape could be the barrier to pass the mucosal layer in lung tissues,17,18,36 our hypothesis was that we might increase the transfection efficiency by using TAT2-P1 plus LAH4 which could form the small spherical nanoparticles with high endosomal escape ability. When the ratio of TAT2-P1:LAH4 was 4:1 (Fig. 5c and Supplementary Fig. 9), TAT2-P1&LAH4-pCMV could form spherical nanoparticles (~140 nm). The transfection efficiency (4:1) was significantly higher than that of TAT2-P1 in cells (Fig. 5a) and the TAT2-P1&LAH4 nanoparticles could be stable in room temperature for more than 72 h (Supplementary Fig. 10). Importantly, TAT2-P1&LAH4 showed significantly higher transfection efficacy in mouse lungs than that of TAT2-P1 or LAH4 only (Fig. 5b). These results further demonstrated that small nanoparticle sizes (TAT2-P1&LAH4) were important for penetrating airway mucus to increase gene expression in lungs.
TAT2-P1&LAH4/CD3600 inhibited SARS-CoV-2 variants in hamsters
We first demonstrated that TAT2-P1&LAH4/CD3600 inhibited the replication of SARS-CoV-2 (Omicron) in hamster lungs when one dose was given to hamsters at one day before viral challenge (Fig. 4d). Our previous study showed that defensin derived peptide P9R could inhibit SARS-CoV-2.37 P1 is derived from P9R (Supplementary Table 4). We further demonstrated that P1 and TAT2-P1 significantly inhibited SARS-CoV-2 replication (Fig. 5e). When two doses of TAT2-P1&LAH4/CD3600 were given to hamster lungs at 1-day before and 8-hour after SARS-CoV-2 challenge, TAT2-P1&LAH4/CD3600 could more effectively inhibit SARS-CoV-2 Omicron replication in hamster lungs (Fig. 5f). TAT2-P1&LAH4-PHW also inhibited the replication of SARS-CoV-2 (Fig. 5g), which could be attributed to the antiviral activity of TAT2-P1 against SARS-CoV-2 (Fig. 5e, f). The dual function of TAT2-P1 (gene-delivery and antiviral) conferred TAT2-P1&LAH4/CD3600 to show more potent antiviral activity against SARS-CoV-2 in vivo. Moreover, we demonstrated that two doses of TAT2-P1&LAH4/CD3600 significantly inhibited the replication of Delta SARS-CoV-2 in hamster lungs (Fig. 5f). The NP staining further indicated that CD3600 could reduce Omicron and Delta variant replication (Supplementary Fig. 11) in hamster lungs. These results indicated that peptidic TAT2-P1&LAH4 nanoparticles with the advantages of small spherical particles and high efficiency of endosomal escape ability could effectively penetrate airway mucus to express gene in the lung airway and deliver DIG to significantly inhibit the replication of SARS-CoV-2 variants in hamster lungs.
Discussion
In this study, we designed new defective interfering genes (DIGs) of SARS-CoV-2 and influenza A virus and investigated the antiviral activity of DIGs against SARS-CoV-2 variants and influenza A virus. Peptidic DIG nanoparticles with the high efficiency of gene delivery in the lung airway could significantly inhibit SARS-CoV-2 variants and influenza A virus in animal models. With the development of high-efficient gene delivery vectors, DIGs can serve as broad-spectrum antivirals with high barrier to drug resistance.22
For respiratory virus diseases, vaccination is the most effective strategy for prevention. Short of vaccination, the early initiation of antiviral treatment is important for better outcome in patients, which is clearly shown in COVID-19 and influenza. Currently, prophylactic drugs for pre-exposure and post-exposure of influenza virus are recommended by WHO for daily administration for 10 days despite the concern of drug resistance. No widely available and effective drug is yet recommended for the prophylaxis of coronavirus.38,39 Thus, it is important to identify antivirals with new antiviral mechanism for pre- or post-exposure use, which should have the characteristics of rapid-onset and low possibility to induce drug resistant virus. For influenza A virus, one dose of DIG-4 or zanamivir could show prophylactic protection on infected mice when given one day prior to viral challenge. However, one dose of zanamivir could not provide the same protection as DIG-4 for three-day prophylactic protection in our experiments, which indicated that DIG-4 could have the long-term prophylactic antiviral activity against influenza virus.
SARS-CoV-2 vaccines have been found to be promising in controlling COVID-19 in many countries. Due to vaccine hesitancy and variants of concern, antivirals for SARS-CoV-2 are also needed as an alternative approach for the better control of SARS-CoV-2 infection and reduction of mortality. Recently, a therapeutic interfering particle showed promising antiviral activity against SARS-CoV-2,22 which used the lipid nanoparticles as the RNA delivery vector with different design of interfering genome when compared with our study using peptide-DIG nanoparticles. In this study, TAT2-P1&LAH4/CD3600 showed broad activity against SARS-CoV-2 variants in hamsters. The high transfection efficiency of TAT2-P1&LAH4 in the lung airway could be attributed to the small nanoparticle sizes adjusted by TAT2-P1 for better penetration in the airway mucus and the high endosomal escape ability adjusted by LAH4 for gene release. The development of peptide-based gene vectors, with less metabolic toxicity, can provide a promising system for the gene therapy in the lung airway. The toxicity testing showed that peptide-DIG nanoparticles did not show obvious toxicity in vitro (Supplementary Fig. 1) and could slightly reduce the body weight after day 1 inoculation and then the body weight could recover after day 3 inoculation (Supplementary Fig. 5). Further studies to discover peptide vectors causing less or no body weight loss and in vivo safety studies are valuable.
The shorter CD2100 showed less activity than that of CD3600 against SARS-CoV-2, and PAD4 showed the most potent activity against influenza A virus in vitro. These results indicated that the length of DIGs can determine the effectiveness of competitively inhibiting wild-type viral RNA replication.40 Apart from optimizing gene delivery system in the lung airway, further studies on DIGs might identify DIGs with more potent activity against SARS-CoV-2. In addition, the small spherical particles in the supernatants of CD3600-treated virus could show inhibition on viral replication in multiple viral growth cycles, which indicated that the small spherical particles could be virus-like particles with infectious activity and might have immunogenic activity in vivo. Further studies are warranted to investigate the potential possibility against SARS-CoV-2.
Previous studies showed that influenza defective interfering virus did not rely on interferon response to protect influenza challenged mice and could protect elderly mice.41,42 Also, the antiviral activity of influenza DIG was not relying on DIG protein expression.8 The rapid-onset of prophylactic antiviral activity of peptide-DIG nanoparticles against influenza virus in mice and SARS-CoV-2 in hamsters also implicated that the antiviral activity of DIG relies on the competitively inhibition on wild-type viral replication. The broad-spectrum antiviral activities of influenza DIG against different influenza A viruses and CD3600 against SARS-CoV-2 variants suggest that antiviral DIG is less prone to develop viral resistance.8,22,23 These peptide-DIG nanoparticles can be a potential candidate for providing the rapid-onset prophylactic protection with high barriers to drug resistance against influenza A virus and SARS-CoV-2 variants.
Material and methods
Animal experiments
Animal experiments in this study were evaluated and approved by the Committee on the Use of Live Animals in Teaching and Research of the University of Hong Kong.
Cell and virus cultures
Madin Darby canine kidney (MDCK, CCL-34), A549 (CCL-185), 293 T (CRL-3216), VeroE6 (CRL-1586), Calu-3 (HTB-55),43 VeroE6-TMPRSS2 (VeroE6-T),and HK-2 (CRL-2190)28 cells from ATCC were cultured in Dulbecco minimal essential medium (MEM), DMEM or DMEM-F12K with 5–10 % fetal bovine serum, 100 μg ml−1 streptomycin and 100 IU ml−1 penicillin. Viruses used in this study included A/Hong Kong/415742Md/2009 (H1N1),44 A/Netherlands/219/2003 (H7N7),45 and SARS-CoV-2 variants.46,47,48 Influenza A viruses were cultured in MDCK cells, while SARS-CoV-2 variants were cultured in VeroE6 or VeroE6-TMPRSS2 cells,
Coronavirus DIG construction and expression
According to previous studies which identified the possible packaging genes for coronavirus,24,25,49 we synthesized the 5’-end sequences (~700 and 1200 bp), the internal sequences in ORF1b and the 3’-end sequences of SARS-CoV-2 of HKU-001a (GenBank: MT230904.1, Supplementary Table 1). The synthesized genes were inserted into phw2000 vector to generate plasmid CD2100 and CD3600 for expressing defective genes of SARS-CoV-2. The constructed plasmid DIGs were verified by Sanger sequencing. The CD2100 and CD3600 expression in 293 T, A549 and HK-2 cells were measured by RT-qPCR after the plasmids were transfected into cells at 24 h post transfection. For determining DIG RNA expression, RNA samples were treated by DNase I (QIAGEN, Cat # 79254) and further purified by RNeasy Mini Kit (Qiagen, Cat # 74106). The RNA expression levels were detected by RT-qPCR with DIG primers (Supplementary Table 5).
Influenza DIG construction
According to our previous DIGs having ~300 nt located at the 5’ and 3’ ends,12 we firstly constructed DIGs with ~150 nt and 450 nt located at the 5’ and 3’ ends (Supplementary Table 2 and Supplementary Table 3). Based on the antiviral activities in A549 cells, we further constructed DIGs with about 225 nt and 600 nt at the 3’ and 5’ ends. The wild-type A/WSN/1933 PB2, PB1 and PA genes were used as the templates to generate defective interfering PB2, PB1 and PA genes (DI-PB2, DI-PB1 and DI-PA). Short gene segments at the 5′ and 3’ ends of DIGs were amplified by specific primers (Supplementary Table 6 and Supplementary Table 7). The amplified short gene fragments were fused by fusion PCR50 to generate DI-PB2, DI-PB1 and DI-PA genes using two pairs of primers for each gene (Supplementary Table 6 and Supplementary Table 7). The fused DI-PB2, DI-PB1 and DI-PA genes (Supplementary Table 2 and Supplementary Table 3) were inserted into the phw2000 vector to generate plasmid DIGs of pDI-PA, pDI-PB1, and pDI-PB2, respectively. The constructed plasmid DIGs were verified by sequencing.
In vitro DIG transfection and antiviral assay
To test the antiviral activity of DIGs in vitro, plasmid DIGs or empty vector phw2000 (PHW) were transfected into A549 or HK-2 cells by Lipofectamine 3000 reagent (Invitrogen, Cat # 1857483) or GeneJuice (Sigma, Cat # 70967). After 24 h transfection, cells transfection media were replaced by fresh DMEM with 0.005 MOI of A(H7N7) virus or 0.01 MOI of SARS-CoV-2 for infection in A549 (influenza) or HK-2 (SARS-CoV-2) cells. Supernatants viral culture were collected at 48 h post infection for measuring viral titers by plaque assay as what we described previously.44 The antiviral activity of DIG was generated by comparing the viral titers in supernatants of cells transfected with plasmid DIGs or PHW.
Peptide synthesis
TAT-P1, TAT2-P1, LAH4, P1 and TAT were synthesized by the company of ChinaPeptide (Hefei, China) as shown in Supplementary Table 4. The purity of peptides was >90%. The mass and purity of peptide was verified by mass spectrometry and HPLC.
Toxicity assay
To detect the cytotoxicity, the 50% cytotoxic concentration (CC50) of peptide was measured by MTT assay as what we described previously.44 The 293 T or HK-2 cells (3 × 104 cells per well in DMEM) were seeded in 96-well cell culture plate supplemented with 10% FBS. After overnight culture, culture media were replaced with DMEM supplemented with different concentrations of peptides and 1% FBS. After 24 h culture at 37 °C, MTT (10 μl of 5 mg ml−1) was added to cells for incubation at 37 °C for 4 h, and then100 μl of 0.01 M HCl in 10% SDS was added to cells for further incubation at room temperature with shaking overnight. Finally, plates were read at OD570. Cells without peptides were used as the experiment control. The in vivo toxicity of nanoparticles was measured by testing the body weight change of mice intratracheally inoculated with 40 μl of TAT-P1/DNA (20 μg/5 μg) or TAT2-P1/DNA (20 μg/5 μg).
Gel retardation assay
According to the previous study,12 peptide TAT-P1 and TAT2-P1 (1 mg ml−1, 0.5 mg ml−1 and 0.25 mg ml−1) and DNA (0.5 μg) were premixed at various weight ratios in 4 μl of H2O at room temperature for 15 mins. Samples were loaded into a 1.2% w/v agarose gel and gel electrophoresis was performed in TAE buffer at 100 V for 25 min and then the agarose gel was visualized by the ultraviolet (UV) illumination.
Hydrodynamic sizes of nanoparticles
According to the previous study,12 peptides and DNA were mixed at various weight ratios. Peptides and plasmid DNA were prepared separately in H2O and then equal volumes of peptides and DNA were mixed together to give a final volume of 4 μl containing 0.5 μg of plasmid and DNA. After the incubation of the complexes at room temperature for 15 min, the 4 μl complexes were diluted to 50 μl by distilled water and then the particle sizes were measured by DynaPro® Plate Reader (WYATT, USA).
Transmission electron microscopy analysis
To determine virus or nanoparticle size and shape, virus or peptide/DNA nanoparticles were mixed with the weight ratio (4:1) of peptide:DNA for inoculation at room temperature for 30 min and then were applied to continuous carbon grids. The excess solution was removed. The grids were transferred into 4% uranyl acetate for 1 min incubation and then remove the solution. Finally, the grids were air-dried at room temperature.37 For each peptide/DNA nanoparticle, TEM images were taken from two independent experiments by FEI Tecnal G2-20 TEM.
In vitro luminescence assay
Peptides (1 mg ml−1, 0.5 mg ml−1 and 0.25 mg ml−1) and plasmid DNA (0.5 μg) were mixed at various weight ratios in 4 μl of H2O. After incubation at room temperature for 15 min, 293 T cells in 24-well plate were transfected with the peptide/DNA complexes (4 μl in 400 μl DMEM media) including peptides and 0.1 μg of each pHW2000 plasmid encoding the NP, PA, PB1, PB2 and the mini-genome of pPoLI-fluc-RT (pLuciferase).45 Finally, the luminescence was measured by Luciferase assay system (Promega, Cat # E1910) at 24 h post transfection,.
In vivo bioluminescence assay
Peptides and pCMV-Luc (ThermoFisher, Cat # RF233236) were prepared at weight ratios (4:1) of peptide:DNA with 20 μg peptides and 5 μg plasmid in 40 μl of H2O. After incubating the complexes for 15 min, the complexes were intratracheally inoculated to mice at 24 h before measuring the luciferase in mouse lungs. The in vivo jetPEI (Polyplus, Cat # 201-10 G) mixed with pCMV-Luc (0.7 μl + 5.0 μg) were used as a positive control. Mouse lungs inoculated with in vivo jetPEI or peptide only were collected as the negative control. To detect bioluminescence, lung tissues were homogenized and centrifuged at 16,000 × g for 10 min. The supernatants were used to measure the luciferase expression by Cypridina luciferase kit (ThermoFisher, Cat # 16168). The relative luciferase expression in lungs was normalized to 1 mg protein. For in vivo bioluminescence imaging, the substrate was added to lungs for taking images by IVIS® Spectrum In Vivo Imaging System (PerkinElmer, USA).
RT-qPCR assay
Real-time quantitative PCR (RT-qPCR) was performed as what we did previously.44 Extracted RNAs were transcribed to cDNA using primer Uni-12 or random primers by Strand cDNA synthesis Kit (Takara, Cat # 6210 A). The cDNA was then amplified using gene specific primers (Supplementary Table 5) for DI-PB2, DI-PA, DI-PB1, CD2100 and CD3600 using SYBR Green I Master (Takara). For quantitation, 10-fold serial dilutions of standard plasmid equivalent from 101 to 106 copies per reaction were used to generate the standard curve. RT-qPCR was performed using LightCycler® 96 system (Roche, USA).
Nucleocapsid (NP) immunofluorescence assay
Infected hamster lungs were collected at day 2 post infection. Tissues were processed for anti-nucleocapsid assay. Tissue slides were blocked by Sudan Black B and 1% BSA at room temperature for 1 h. Slides were incubated with rabbit IgG anti-NP (1:1000)51 at room temperature for overnight at 4 °C and then washed by PBS and then incubated with goat anti-rabbit IgG Alexa-488 (Life Technologies, Cat # A32731, 1:200) at room temperature for 30 min. Finally, slides were washed by PBS and incubated with DAPI for nucleus staining. Fluorescence images were taken by confocal microscope (LSM 900, Germany).
In vivo antiviral assay
Antiviral analysis of nanoparticle DIG in vivo was carried out in BALB/c mice and hamsters.43 Female BALB/c mice (9–12 weeks) and female hamsters (4–6 weeks) were obtained from The University of Hong Kong Centre for Comparative Medicine Research. All experimental protocols followed the standard operating procedures of the approved biosafety level 2/3 animal facilities.52 For the influenza DIG experiments, we used the mouse adapted A(H1N1)pdm09 virus to challenge mice to investigate the DIG antiviral activity. To identify the prophylactic efficacy, mice were intratracheally inoculated with 40 μl of TAT-P1/DIG (20.0 μg/5.0 μg), TAT2-P1/DIG (20.0 μg/5.0 μg), or zanamivir (40.0 μg/mouse in PBS) at 1–3 days before viral challenge. After nanoparticle DIG inoculation, mice were intranasally inoculated with 3 LD50 of A(H1N1)pdm09 virus. Survivals and general conditions were monitored for 16 days or until death. For DIGs against SARS-CoV-2 variants including Delta and Omicron in hamsters, TAT2-P1/CD3600, TAT2-P1/PHW, TAT2-P1&LAH4/CD3600, TAT2-P1&LAH4/PHW (50.0 μg/12.5 μg), or TAT2-P1 (50 μg) were intratracheally inoculated to hamsters at 1-day before viral challenge (250 PFU) and intranasally inoculated to hamsters at 8 h post infection. Experimental animals were randomly allocated to each group. Viral loads in hamster lungs were tested at 2-day post infection.
Data availability
All data that support the conclusions of the study are available from the corresponding authors upon a reasonable request.
References
Centers for Disease, C. & Prevention Update: drug susceptibility of swine-origin influenza A (H1N1) viruses, April 2009. MMWR Morb Mortal Wkly Rep. 58, 433–435 (2009).
Lopez Bernal, J. et al. Effectiveness of Covid-19 Vaccines against the B.1.617.2 (Delta) Variant. N. Engl. J. Med 385, 585–594 (2021).
Choi, A. et al. Serum Neutralizing Activity of mRNA-1273 Against SARS-CoV-2 Variants. J. Virol. 95, e0131321 (2021).
Beigel, J. H. et al. Remdesivir for the Treatment of Covid-19 - Final Report. N. Engl. J. Med. 383, 1813–1826 (2020).
Spinner, C. D. et al. Effect of Remdesivir vs Standard Care on Clinical Status at 11 Days in Patients With Moderate COVID-19: A Randomized Clinical Trial. Jama 324, 1048–1057 (2020).
Thiruchelvam, K., Kow, C. S., Hadi, M. & Hasan, S. S. The use of remdesivir for the management of patients with moderate-to-severe COVID-19: A systematic review. Expert. Rev. Anti. Infect. Ther. 20, 211–229 (2021).
Huang, A. S. & Baltimore, D. Defective viral particles and viral disease processes. Nature 226, 325–327 (1970).
Meng, B. et al. Unexpected complexity in the interference activity of a cloned influenza defective interfering RNA. Virol. J. 14, 138 (2017).
Duhaut, S. D. & Dimmock, N. J. Defective segment 1 RNAs that interfere with production of infectious influenza A virus require at least 150 nucleotides of 5’ sequence: evidence from a plasmid-driven system. J. Gen. Virol. 83, 403–411 (2002).
Dimmock, N. J., Rainsford, E. W., Scott, P. D. & Marriott, A. C. Influenza virus protecting RNA: an effective prophylactic and therapeutic antiviral. J. Virol. 82, 8570–8578 (2008).
Bdeir, N. et al. A system for production of defective interfering particles in the absence of infectious influenza A virus. PLoS One 14, e0212757 (2019).
Zhao, H. et al. Dual-functional peptide with defective interfering genes effectively protects mice against avian and seasonal influenza. Nat. Commun. 9, 2358 (2018).
Richard, J. P. et al. Cellular uptake of unconjugated TAT peptide involves clathrin-dependent endocytosis and heparan sulfate receptors. J. Biol. Chem. 280, 15300–15306 (2005).
Ferrari, A. et al. Caveolae-mediated internalization of extracellular HIV-1 tat fusion proteins visualized in real time. Mol. Ther. 8, 284–294 (2003).
Wadia, J. S., Stan, R. V. & Dowdy, S. F. Transducible TAT-HA fusogenic peptide enhances escape of TAT-fusion proteins after lipid raft macropinocytosis. Nat. Med. 10, 310–315 (2004).
Duchardt, F., Fotin-Mleczek, M., Schwarz, H., Fischer, R. & Brock, R. A comprehensive model for the cellular uptake of cationic cell-penetrating peptides. Traffic 8, 848–866 (2007).
Zhao, F. et al. Cellular uptake, intracellular trafficking, and cytotoxicity of nanomaterials. Small 7, 1322–1337 (2011).
Duncan, G. A., Jung, J., Hanes, J. & Suk, J. S. The Mucus Barrier to Inhaled Gene Therapy. Mol. Ther. 24, 2043–2053 (2016).
Foroozandeh, P. & Aziz, A. A. Insight into Cellular Uptake and Intracellular Trafficking of Nanoparticles. Nanoscale Res Lett. 13, 339 (2018).
Mastorakos, P. et al. Highly compacted biodegradable DNA nanoparticles capable of overcoming the mucus barrier for inhaled lung gene therapy. Proc. Natl Acad. Sci. USA 112, 8720–8725 (2015).
Suk, J. S. et al. The penetration of fresh undiluted sputum expectorated by cystic fibrosis patients by non-adhesive polymer nanoparticles. Biomaterials 30, 2591–2597 (2009).
Chaturvedi, S. et al. Identification of a therapeutic interfering particle-A single-dose SARS-CoV-2 antiviral intervention with a high barrier to resistance. Cell 184, 6022–6036.e6018 (2021).
Dimmock, N. J. & Easton, A. J. Defective interfering influenza virus RNAs: time to reevaluate their clinical potential as broad-spectrum antivirals? J. Virol. 88, 5217–5227 (2014).
Qin, L. et al. Identification of probable genomic packaging signal sequence from SARS-CoV genome by bioinformatics analysis. Acta Pharm. Sin. 24, 489–496 (2003).
Masters, P. S. Coronavirus genomic RNA packaging. Virology 537, 198–207 (2019).
Escors, D., Izeta, A., Capiscol, C. & Enjuanes, L. Transmissible gastroenteritis coronavirus packaging signal is located at the 5’ end of the virus genome. J. Virol. 77, 7890–7902 (2003).
Kuo, L. & Masters, P. S. Functional analysis of the murine coronavirus genomic RNA packaging signal. J. Virol. 87, 5182–5192 (2013).
Yeung, M. L. et al. Soluble ACE2-mediated cell entry of SARS-CoV-2 via interaction with proteins related to the renin-angiotensin system. Cell 184, 2212–2228.e2212 (2021).
Duhaut, S. D. & Dimmock, N. J. Heterologous protection of mice from a lethal human H1N1 influenza A virus infection by H3N8 equine defective interfering virus: comparison of defective RNA sequences isolated from the DI inoculum and mouse lung. Virology 248, 241–253 (1998).
Park, J. et al. Mutational analysis of a human immunodeficiency virus type 1 Tat protein transduction domain which is required for delivery of an exogenous protein into mammalian cells. J. Gen. Virol. 83, 1173–1181 (2002).
Vives, E., Brodin, P. & Lebleu, B. A truncated HIV-1 Tat protein basic domain rapidly translocates through the plasma membrane and accumulates in the cell nucleus. J. Biol. Chem. 272, 16010–16017 (1997).
Brown, A. N. et al. Effect of half-life on the pharmacodynamic index of zanamivir against influenza virus delineated by a mathematical model. Antimicrob. Agents Chemother. 55, 1747–1753 (2011).
Chan, J. F. et al. Simulation of the clinical and pathological manifestations of Coronavirus Disease 2019 (COVID-19) in golden Syrian hamster model: implications for disease pathogenesis and transmissibility. Clin. Infect. Dis. 71, 2428–2446 (2020).
Kaptein, S. J. F. et al. Favipiravir at high doses has potent antiviral activity in SARS-CoV-2-infected hamsters, whereas hydroxychloroquine lacks activity. Proc. Natl Acad. Sci. USA 117, 26955–26965 (2020).
Lam, J. K. et al. Effective endogenous gene silencing mediated by pH responsive peptides proceeds via multiple pathways. J. Control Release 158, 293–303 (2012).
Wang, Z., Tiruppathi, C., Minshall, R. D. & Malik, A. B. Size and dynamics of caveolae studied using nanoparticles in living endothelial cells. ACS Nano 3, 4110–4116 (2009).
Zhao, H. et al. A broad-spectrum virus- and host-targeting peptide against respiratory viruses including influenza virus and SARS-CoV-2. Nat. Commun. 11, 4252 (2020).
Principi, N. et al. Drugs for Influenza Treatment: Is There Significant News? Front. Med. 6, 109 (2019).
Anand, U. et al. Potential Therapeutic Targets and Vaccine Development for SARS-CoV-2/COVID-19 Pandemic Management: A Review on the Recent Update. Front. Immunol. 12, 658519 (2021).
Marriott, A. C. & Dimmock, N. J. Defective interfering viruses and their potential as antiviral agents. Rev. Med. Virol. 20, 51–62 (2010).
Scott, P. D., Meng, B., Marriott, A. C., Easton, A. J. & Dimmock, N. J. Defective interfering virus protects elderly mice from influenza. Virol. J. 8, 212 (2011).
Easton, A. J. et al. A novel broad-spectrum treatment for respiratory virus infections: influenza-based defective interfering virus provides protection against pneumovirus infection in vivo. Vaccine 29, 2777–2784 (2011).
Zhao, H. et al. Cross-linking peptide and repurposed drugs inhibit both entry pathways of SARS-CoV-2. Nat. Commun. 12, 1517 (2021).
Zhao, H. et al. A novel peptide with potent and broad-spectrum antiviral activities against multiple respiratory viruses. Sci. Rep. 6, 22008 (2016).
Zhao, H. et al. Novel residues in the PA protein of avian influenza H7N7 virus affect virulence in mammalian hosts. Virology 498, 1–8 (2016).
Chen, L. L. et al. Impact of SARS-CoV-2 variant-associated RBD mutations on the susceptibility to serum antibodies elicited by COVID-19 infection or vaccination. Clin. Infect. Dis. 74, 1623–1630 (2021).
Zhao, H. et al. SARS-CoV-2 Omicron variant shows less efficient replication and fusion activity when compared with delta variant in TMPRSS2-expressed cells. Emerg. Microbes Infect. 11, 1–18 (2021).
Zhao, H. et al. Fusion-inhibition peptide broadly inhibits influenza virus and SARS-CoV-2 including Delta and Omicron variants. Emerg. Microbes Infect. 11, 926–937 (2022).
Seim, I., Roden, C. A. & Gladfelter, A. S. Role of spatial patterning of N-protein interactions in SARS-CoV-2 genome packaging. Biophys. J. 121, 1580 (2021).
Heckman, K. L. & Pease, L. R. Gene splicing and mutagenesis by PCR-driven overlap extension. Nat. Protoc. 2, 924–932 (2007).
Zhao, H. et al. A trifunctional peptide broadly inhibits SARS-CoV-2 Delta and Omicron variants in hamsters. Cell Disco. 8, 62 (2022).
Zheng, B. J. et al. Delayed antiviral plus immunomodulator treatment still reduces mortality in mice infected by high inoculum of influenza A/H5N1 virus. Proc. Natl Acad. Sci. USA 105, 8091–8096 (2008).
Acknowledgements
This study was supported by fundings from Health@InnoHK, Innovation and Technology Commission, the Government of the Hong Kong Special Administrative Region; the Health and Medical Research Fund, the Government of the Hong Kong Special Administrative Region (COVID1903010-Project 13); the National Program on Key Research Project of China (2020YFA0707500), Theme-Based Research Scheme of the Research Grants Council (T11-709/21-N), Emergency Key Program of Guangzhou Laboratory (EKPG22-01), the National Key Research and Development Programme on Public Security Risk Prevention and Control Emergency Project, the Health and Medical Research Fund (22210792), and donations of Michael Seak-Kan Tong, Richard Yu and Carol Yu, Lee Wan Keung Charity Foundation Limited, May Tam Mak Mei Yin, Respiratory Viral Research Foundation Limited, the Shaw Foundation Hong Kong, Hui Ming, Hui Hoy and Chow Sin Lan Charity Fund Limited, Chan Yin Chuen Memorial Charitable Foundation, The Chen Wai Wai Vivien Foundation Limited, and Marina Man-Wai Lee. We thanks Dr Jenny K.W. Lam for providing LAH4 for the experiments.
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H.Z., and K.Y. designed this study. H.Z., H.L., C.Z., X.M., and Z.P. performed experiments. H.Z., MY., J.F.C., K.T., and K.Y. provided experiment materials. H.Z. wrote the manuscript. H.Z., K.T., and K.Y. interpreted the results and revised the manuscript. K.Y., and H.Z. provided the grants for this study. All authors have read and approved the article.
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Zhao, H., Zhang, C., Lam, H. et al. Peptidic defective interfering gene nanoparticles against Omicron, Delta SARS-CoV-2 variants and influenza A virus in vivo. Sig Transduct Target Ther 7, 266 (2022). https://doi.org/10.1038/s41392-022-01138-0
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DOI: https://doi.org/10.1038/s41392-022-01138-0
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