The
Coronaviridae family is a group of enveloped viruses with a large, positive-stranded RNA genome of about 30 kb which comprises two genera,
Coronavirus and
Torovirus. This family has been recently grouped in the new order
Nidovirales together with the
Arteriviridae family (reviewed in reference
7a). Coronaviruses cause a wide spectrum of diseases in humans and animals but primarily infect the respiratory and gastrointestinal mucosa (reviewed in reference
38). These infections are generally acute, and destruction of the lining epithelia is considered to be a central event in their pathogenesis. When propagated in culture, coronaviruses generally induce extensive cell death. However, the nature of the events leading to cell death in coronavirus-infected cells remains largely unknown.
In recent years, a number of viruses have been shown to induce programmed cell death (PCD), an active cellular self-destruction process that plays an essential role in development and homeostasis but also in cell defense against viral infections (for reviews, see references
35,
37,
43, and
46). The molecular pathways used by viruses to induce apoptosis are still poorly understood. For influenza virus, it has been proposed that the double-stranded-RNA-activated protein kinase could play a role in the induction of apoptosis (
42). For a dozen viruses, a viral gene product has been identified as an apoptosis-inducing factor (reviewed in reference
43), but for RNA viruses (excluding retroviruses) only open reading frame 5 (p25) of the arterivirus porcine reproductive and respiratory syndrome virus (
41), glycoprotein E
rns of pestiviruses (
4), and structural capsid protein VP2 of infectious bursal disease virus (
10) were shown to induce apoptosis when expressed alone in a cell culture. On the other hand, as endonucleases are activated during apoptosis, many DNA viruses have evolved genes encoding proteins which suppress or delay apoptosis, thus allowing production of large amounts of progeny virus. For example, the poxvirus
crmA gene product (
44) and baculovirus p35 (
6) prevent induction of apoptosis by inhibition of the cell death central effector machinery, which includes the cysteine proteases (caspases) of the ICE/CED-3 family that are activated during apoptosis (reviewed in reference
29).
The role of apoptosis in the pathogenesis of coronavirus infections is poorly documented. T-cell-mediated apoptosis in murine hepatitis virus-infected cells has been observed in vivo (
21). T-cell depletion mediated by apoptosis was recently evidenced in feline infectious peritonitis virus-infected, diseased cats and shown to involve noninfected cells (
12). Direct apoptosis in virus-infected cells could not be detected in vitro in either of these studies. We sought to address this issue by using transmissible gastroenteritis virus (TGEV) as a model. TGEV, a porcine coronavirus, replicates in the differentiated enterocytes covering the intestinal villi, inducing a severe atrophy which results in acute diarrhea (
33). TGEV can be propagated ex vivo in a variety of porcine cell lines, including swine testis (ST) cells (
27) and various cell lines expressing porcine aminopeptidase N (APN), which acts as a cellular receptor for TGEV (
7). The infected monolayers undergo obvious cytopathic changes characterized by shrinking of the cells, which detach from the plate. In this paper, we demonstrate that TGEV induces PCD ex vivo in different cell lines by morphologic, cytometric, and biochemical means. Apoptosis was found to be blocked by the caspase inhibitor
N-benzyloxycarbonyl-Val-Ala-Asp-fluoromethylketone (Z-VAD.fmk) and inhibited by pyrrolidine dithiocarbamate (PDTC), a thiol reducing agent. The transcription factor NF-κB was activated strongly and early in TGEV-infected cells but did not appear to be a major effector of TGEV-induced apoptosis.
DISCUSSION
This report provides clear evidence that TGEV induces apoptotic cell death, as shown by internucleosomal DNA cleavage, nuclear condensation, and breakdown of ΔΨ
m in ST cells. Signs of apoptosis were observed in three other TGEV-infected cell lines, including a nonporcine cell line stably expressing porcine APN as a virus receptor. The first signs of apoptosis could be observed at around 12 h p.i., concomitant with the end of the viral cycle (
18). TGEV-induced apoptosis was shown to be caspase dependent, based on the preventive effect of Z-VAD.fmk, an inhibitor of proapoptotic ICE-like proteases (caspases). Inhibition of TGEV-induced apoptosis with Z-VAD.fmk did not enhance or inhibit virus production as measured at 18 h p.i. These observations are consistent with the notion that apoptosis could play a crucial role in the CPE of TGEV. Recently, Sindbis virus (SV)-induced apoptosis was shown to be inhibited by Z-VAD.fmk (
28a). Treatment of human immunodeficiency virus-infected T cells by caspase inhibitors has been shown to sustain virus production (
5). It has been suggested that Z-VAD.fmk inhibits apoptosis by blocking a key effector protease upstream of at least four other caspases (
25). It would be interesting to define more precisely the nature of the caspases activated during TGEV-induced apoptosis.
Although the morphological features of apoptosis have been appreciated for several decades, the biochemical pathways responsible for induction of apoptosis are only beginning to be elucidated. In this study, we investigated different biochemical aspects of TGEV-induced apoptosis in an attempt to understand by which pathway cell death is triggered during infection. The production of reactive oxygen species has been proposed to be an important, although facultative, pathway for induction of PCD (
17). Activation of the transcription factor NF-κB is necessary for SV-induced apoptosis in rat AT-3 prostate carcinoma cells, and it was proposed that the inhibitory effect of several antioxidants, including PDTC, against SV (AR339)-induced apoptosis in rat AT-3 prostate carcinoma cells was due to their ability to inhibit NF-κB activation (
24). This mechanism was also proposed for dengue virus, for which virus-induced apoptosis was blocked by NF-κB decoy experiments (
26). Two of our observations suggest that oxidative stress may occur during TGEV infection: (i) the thiol agent PDTC was shown to inhibit the apoptotic process, and (ii) NF-κB was activated a few hours after the virus cycle had started. However, this transcription factor did not seem to be necessary for induction of apoptosis, as shown by NF-κB decoy experiments. This suggests that for TGEV, pathways activated by oxidative stress, possibly via functional impairment of the endoplasmic reticulum (
1,
31), but not involving NF-κB activation, may account for virus-induced apoptosis.
Recent data suggest that mitochondria are well placed to be sensors of oxidation damage and may play a major role in PCD (reviewed in references
11 and
47). Nuclear apoptosis can be preceded by a precipitous collapse of ΔΨ
m and loss of selective ion permeability, leading to the formation of mitochondrial permeability transition pores and the release of apoptosis-initiating factors, triggering the latent activity of caspases. Cells with a low ΔΨ
m rapidly proceed to DNA fragmentation, within 15 min to several hours (
17). Time course analysis of TGEV-infected ST cells showed a breakdown of ΔΨ
m roughly concomitant with the beginning of internucleosomal DNA cleavage. More precise kinetics, however, would be required to determine whether mitochondrial breakdown precedes the activation of caspases and DNA degradation.
It has been proposed that Bcl-2, a natural antiapoptotic factor present essentially in mitochondrial membranes, neutralizes the damaging effects of oxidants (
15). Bcl-2 is believed to prevent apoptosis by regulating the mitochondrial pore permeability transition and by inhibiting caspases via an intermediate (
17a). Overexpression of human Bcl-2 was first shown to block or delay apoptosis induced by infection with SV and influenza viruses (
14,
22). Similar results have been observed with other, but not all, viruses (
23,
45). Preliminary experiments indicated that human Bcl-2 is unable to block or delay apoptosis induced by TGEV infection, suggesting that pathways that cannot be inhibited by Bcl-2 may be activated during TGEV infection.
In conclusion, the present study provided evidence that TGEV can act as a true apoptotic inducer in cultured cells. The available data point to oxidative stress as a possible trigger for TGEV-induced apoptosis. However, owing to the recognized complexity of this biological process, additional investigations are needed to substantiate this view. An important finding is that TGEV-induced cell death could be efficiently prevented by a caspase inhibitor, consistent with the notion that apoptosis potentially represents a major mechanism in the viral CPE. Accordingly, it would be interesting to examine in vivo whether PCD plays a role in the pathogenesis of TGEV infection. Finally, TGEV is, to our knowledge, the first coronavirus reported to trigger direct apoptosis in infected cells. It would be worth pursuing investigations to determine whether such a property could be shared by other members of this family.