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Viral fusion with the host cell membrane is a crucial step in the life cycle of enveloped viruses and facilitates entry into the cell and replication of the virus. Typically, viruses possess a specialized protein (or proteins) that binds to receptors on the host cell membrane and triggers the virus-cell membrane fusion1. Viral fusion proteins have been grouped into three main classes (I-III)1. A number of viruses that are currently a major concern for public health, such as influenza virus (representing a long-standing zoonotic emergence from birds) and Middle East Respiratory Syndrome-coronavirus (MERS-CoV) (representing a recent zoonotic emergence from camels), utilize the so-called class I fusion proteins, which require proteolytic processing by host proteases, to exert their fusogenic activity2. Similarly, feline coronavirus (FCoV), which represents a major disease threat for wild and domestic cats, also possess a class I fusion protein. Class I viral fusion proteins are typically synthesized as an uncleaved precursor, and generally consist of two domains that are responsible for receptor binding and triggering the fusion event respectively. To date, the influenza hemagglutinin (HA) is the best understood fusion protein and numerous studies have described its mechanistic role in host cell entry and fusion3. In this case cleavage of the fusion protein occurs at a specific sequence or cleavage site within HA, and in combination with pH-dependent conformational changes, results in the exposure of the viral fusion peptide1,2.
The fusion peptide and its preceding protease recognition sequence are critical for the pathogenicity and the host adaptation of the virus. Changes in the protease recognition sequence can alter cleavage significantly with potentially dramatic consequences for the virus and the host4. On one hand, it can abrogate cleavage and thus eliminate the life cycle of the virus. But on the other hand, a mutation can increase the substrate specificity for a given protease and/or allow a "new" protease to cleave the fusion protein. Subsequently, this can also expand the cell and tissue tropism as observed, e.g., with influenza virus subtypes5,6. Usually low pathogenicity avian influenza (LPAI) viruses and most human influenza viruses are confined to the gastrointestinal or respiratory tract because of the limited localization of the proteases that activate them. Typically, the fusion peptide of such HA proteins is preceded by a four-amino acid sequence that consists of 1-2 non-consecutive basic amino acids, which is recognized by trypsin-like serine proteases like trypsin, matriptase or TMPRSS27,8. When the virus acquires insertions or mutations that change the cleavage site to a polybasic site, it allows furin to activate the HA and to potentially cause a much more severe systemic infection6,9. These viruses are referred to as high pathogenicity avian influenza virus (HPAI), typified by H5N1 strains.
In contrast to influenza HA, many coronaviruses, such as MERS-CoV, have two distinct cleavage sites within their spike protein. The S1/S2 site separates the N-terminal receptor binding domain (S1) from the C-terminal fusion domain (S2), with a second cleavage site, called S2', downstream of the S1/S2 site, in proximity to the fusion peptide10. It was suggested that the sites are cleaved sequentially, at S1/S2 followed by S2'. In contrast to the HA of most influenza virus strains, the MERS-CoV S protein S1/S2 and S2' sites can be recognized by proteases of the proprotein convertase (PC) family, such as furin. Members of this family cleave at paired basic residues with the motif R/K-(X)0,2,4,6-R/K(X, any amino acid)2. Generally, the amino acids upstream of the cleavage site are referred to as P1, P2, P3, etc. counting from the cleavage site and the amino acids downstream are designated as P1', P2', P3', etc.11. FCoV strains can either have a single or a dual cleavage site. Like MERS-CoV, some FCoV strains also possess two cleavage sites (S1/S2 and S2') in their S protein. However, this characteristic is exclusive of serotype I FCoVs (clade A). In contrast, members of the serotype II (clade B) grouping only have a single cleavage site (S2')2,12. Several proteases have been suggested to cleave the FCoV cleavage sites, including furin, trypsin-like proteases and cathepsin. It has been proposed that the S protein of enteric FCoV (also known as feline enteric coronavirus or FECV) is likely to be cleaved by furin in the S1/S2 site, and mutations in this site (as well as at S2') leads to changes in protease requirements. These mutations have been associated with changes in the tropism and pathogenicity of these viruses, allowing the virus to become systemic and macrophage-tropic (also known as feline infectious peritonitis virus or FIPV)13.
Viruses naturally introduce mutations into their genomes during each replication cycle and frequently new subtypes and strains of influenza, MERS-CoV and FCoV are described14,15,16. As a part of a rapid evaluation to assess the public health threat of emerging viruses, it is critical to investigate changes in the cleavage site and how it affects the range of proteases activating these viruses. Here, we describe a peptide-based assay that allows a very quick assessment of how the cleavage site changes in MERS-CoV S protein affect the substrate specificity of a given protease and to rapidly screen various proteases for their ability to cleave a given or multiple sequences4. In a second set of experiments, we used the technique to determine the furin cleavage activity over different FCoV serotypes and strains.
The peptides used in this assay are modified with the fluorescence resonance energy transfer (FRET) pair, 7-methoxycoumarin-4-yl acetyl (MCA) at the N-terminus and N-2,4-dinitrophenyl (DNP) at the C-terminus. During the assay, MCA is excited and emits light energy that is quenched by DNP as long as the pair is in close vicinity to each other. If cleavage occurs, however, DNP is not able to quench the emission anymore and it can be read by the fluorescence plate reader. The changes in the fluorescence is measured during the experiment to determine the peptide cleavage rate, and to calculate the velocity at which the protease cleaves the specific peptide (also known as Vmax)17.
In order to design the peptides, the gene of the respective fusion protein must have been sequenced and/or made available in a database. However, the method is less labor-intense and costly than conventional methods that usually require the cloning of the fusion protein gene into expression vectors to express it in mammalian cells to analyze the cleavage. From start to end, this may take several days up to a few weeks while the peptide assays presented here can be done within one day as soon as peptides and proteases are available. The setup of the assay takes between 5 and 30 min depending on the number of samples and the runtime in the fluorescence plate reader is 1 h. Analysis of the data may take up to 2 h again depending on the sample size.
Here, we chose two different examples to present the assay. In the first example, we present data that compares the furin-mediated cleavage of human and camel-derived MERS-CoV, to assess the potential of the camel-derived strains of being activated in humans if they cross the species barrier. In the second example, we used a fluorogenic peptide assay to determine the furin-mediated cleavage of the S1/S2 and S2' sites or S2' site of two serotype I and two serotype II FCoV strains, respectively. For these experiments, we used trypsin cleavage as a positive control.