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Canadian Society of Microbiologists’ Armand-Frappier Gold
Medal: The emerging role of 25-hydroxycholesterol in innate immunity
Journal: Canadian Journal of Microbiology
Manuscript ID: cjm-2015-0292.R1
Manuscript Type: Review
Date Submitted by the Author: 07-Jun-2015
Complete List of Authors: Singaravelu, Ragunath; National Research Council Canada, Life Sciences
Division; University of Ottawa, Microbiology and Immunology Srinivasan, Prashanth; National Research Council Canada, Life Sciences Division Pezacki, John; National Research Council Canada, Life Sciences Division
Keyword: 25-hydroxycholesterol, cholesterol-25-hydroxylase, immunity, metabolism, virus
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Canadian Society of Microbiologists’ Armand-Frappier Gold Medal: 1
The emerging role of 25-hydroxycholesterol in innate immunity 2
Ragunath Singaravelu, Prashanth Srinivasan, and John Paul Pezacki 3
R. Singaravelu and P. Srinivasan. Department of Biochemistry, Microbiology and Immunology, Faculty 4
of Medicine, University of Ottawa, Ottawa, ON, Canada, K1N 6N5. Life Sciences Division, National 5
Research Council Canada, Ottawa, ON, Canada, K1A 0R6. 6
J.P. Pezacki. Departments of Chemistry, and Biochemistry, Microbiology and Immunology, University of 7
Ottawa, Ottawa, ON, Canada, K1N 6N5. Life Sciences Division, National Research Council Canada, 8
Ottawa, ON, Canada, K1A 0R6. 9
Corresponding authors: Ragunath Singaravelu (E-mail: [email protected]) and John 10
Paul Pezacki (E-mail: [email protected]) 11
12
Abstract: 13
The metabolic interplay between hosts and viruses plays a crucial role in determining the 14
outcome of viral infection. Viruses re-orchestrate the host’s primary metabolic gene networks, 15
including genes associated with mevalonate and isoprenoid synthesis, to acquire the necessary 16
energy and structural components for their viral life cycles. Recent work has demonstrated that 17
the interferon-mediated antiviral response suppresses the sterol pathway through production of a 18
signalling molecule, 25-hydroxycholesterol (25HC). This oxysterol has been shown to exert 19
multiple effects, both through incorporation into host cellular membranes as well as through 20
transcriptional control. Herein we summarize our current understanding of the multi-functional 21
roles of 25HC in the mammalian innate antiviral response. 22
Keywords: 23
25-hydroxycholesterol, cholesterol-25-hydroxylase, metabolism, virus, immunity 24
25
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Introduction: 26
The importance of different lipid components in physiological processes has been studied for 27
over fifty years. In addition to acting as important structural components (Holthuis and Menon 28
2014), energy stores (Walther and Farese 2012), and post-translational modifications of proteins 29
(Resh 2006), it is becoming increasingly apparent that lipids play important roles as signalling 30
molecules in many biological processes. Since the initial discovery of the eicosanoid 31
prostaglandin as a stimulator of vasodilation (von Euler 1936), numerous additional families of 32
lipid metabolites have been identified as cellular signals, including phosphoinositides, 33
sphingolipids, and fatty acids. Aberrant regulation of these lipid signalling pathways has been 34
linked to several diseased states, such as cancer, chronic inflammation, and metabolic syndrome 35
(reviewed in (Wymann and Schneiter 2008)). Therefore, regulation of the biogenesis, 36
modification, and catabolism of these lipid signalling molecules plays a critical role in the 37
maintenance of physiological processes. 38
Recent work has highlighted oxidized forms of cholesterol, oxysterols, as important signalling 39
molecules. One class of oxysterols, 25-hydroxycholesterols (25HCs), has been long-established 40
as potent modulators of cellular metabolism (Brown and Goldstein 1974; Kandutsch and Chen 41
1975). However, until recently, a clear physiological role has yet to be ascribed to 25HC. 42
Recent work has highlighted a dynamic interplay between host metabolism and innate immunity 43
(Schoggins and Randall 2013). Viruses and other pathogenic organisms (Stehr et al. 2012) 44
perturb the metabolic flux of their host to mediate their proliferation. For example, Su, Pezacki 45
et al. demonstrated that the early host response to hepatitis C virus (HCV) infection involves 46
significant modulated expression of host genes associated with lipid metabolism (Su et al. 2002). 47
Hence, cellular metabolism represents a strategic target pathway for modulation during an 48
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antiviral response. Ghazal and coworkers observed a striking down-regulation in sterol 49
biosynthesis pathway-associated gene expression during the innate antiviral response (Blanc et 50
al. 2013). Subsequent work has elucidated 25HC as the key intermediate signalling molecule 51
which is produced in response to viral infection to mediate this antiviral metabolic effect (Blanc 52
et al. 2013; Liu et al. 2013). This review will summarize our knowledge of the oxysterol’s multi-53
faceted influence on cellular metabolism as it pertains to intrinsic antiviral immunity. 54
25HC: oxysterol regulator of sterol homeostasis 55
Cholesterol and its derivatives represent one of the most abundant lipid species in the human 56
body. Sterol metabolites form a crucial component of cellular membranes and lipid droplets; in 57
addition, farnesylpyrophosphate and geranylpyrophosphate, intermediates from the mevalonate 58
pathway, act as substrates for protein prenylation, an important post-translational modification 59
(Nguyen et al. 2010). Therefore, maintenance of sterol homeostasis represents a critical cellular 60
process. The sterol regulatory element-binding proteins (SREBPs) family of transcription factors 61
are master regulators of lipid biosynthesis. Specifically, SREBP2 promotes expression of genes 62
associated with the mevalonate pathway. There exists a well-established negative feedback 63
mechanism regulating cholesterol biosynthesis, including expression of HMG-CoA reductase 64
(HMGCR), the rate-limiting enzyme (Brown and Goldstein 1980). Newly translated SREBPs 65
bind the SREBP cleavage activating protein (SCAP) at the endoplasmic reticulum (ER). In 66
sterol-depleted conditions, this SREBP/SCAP complex is transported to the Golgi, where 67
SREBP is sequentially cleaved by site-1 protease (S1P) and site-2 protease (S2P) into its mature 68
transcription factor form (Figs. 1a-c). In the presence of excess lipids, cholesterol induces a 69
conformational change in SCAP, which causes binding to INSIGs (Adams et al. 2004), thereby 70
anchoring the SREBP/SCAP complex in the ER and preventing maturation of the transcription 71
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factor. This negative feedback mechanism was one of the first characterized regulatory 72
mechanisms of the sterol pathway (Brown and Goldstein 1999). 73
Prior to 25HC’s discovery as an antiviral lipid effector, it was a well-established suppressor of 74
the sterol pathway. Over 40 years ago, it was discovered that oxidized forms of cholesterol, 75
such as 25HC and 7-ketocholesterol , were able to suppress cholesterol biosynthesis over 100 76
times more potently than unoxidized cholesterol (Brown and Goldstein 1974; Kandutsch and 77
Chen 1975). Subsequent work delineated that cholesterol and oxysterols have independent 78
modes of inhibition of sterol synthesis (Adams et al. 2004) (Fig. 1d). Similar to cholesterol, 79
25HC promotes ER retention of the SREBP/SCAP complex. However, in vitro analysis revealed 80
that 25HC did not directly interact with SCAP (Adams et al. 2004). Given that cells 81
overexpressing INSIG were more sensitive to oxysterol-mediated inhibition of the sterol 82
biosynthesis pathway, this suggested that INSIGs were involved in 25HC’s mode of action. This 83
was subsequently confirmed by work from Goldstein, Brown and colleagues, which revealed that 84
INSIG2 directly binds 25HC and not cholesterol (Radhakrishnan et al. 2007). Binding of 25HC 85
was shown to induce a conformational change in INSIG2, which promotes binding to SCAP and 86
ER retention of SREBPs. Thus, 25HC has been established as a potent repressor of SREBP 87
activation. 88
Independent of its effects on SREBPs, high cellular 25HC levels induce rapid proteasomal 89
degradation of HMGCR (DeBose-Boyd 2008; Lu et al. 2015) (Figs. 1f). Russell-Boyd and 90
coworkers demonstrated that 25HC triggers binding of HMGCR to INSIGs, which results in the 91
accelerated degradation of HMGCR through the ubiquitin-proteasome system (Song et al. 2005). 92
TRC8, MARCH6, and gp78 were identified as three key membrane-anchored E3 ubiquitin-93
protein ligases involved in 25HC stimulated HMGCR degradation (Jo et al. 2011; Song et al. 94
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2005; Zelcer et al.). Subsequently, HMGCR is extracted from the ER membrane into the cytosol 95
in a VCP/p97-dependent manner, enabling HMGCR degradation by the 26S proteasome 96
(Elsabrouty et al. 2013; Morris et al. 2014). Through this mechanism, 25HC inhibits the rate-97
limiting step of cholesterol biosynthesis. 98
The liver X receptors (LXRs) represent another class of transcription factors with pivotal roles in 99
the regulation of cellular lipid homeostasis (Fig. 1e). In vitro studies suggest oxysterols, 100
including 25HC, represent potent endogenous agonists for the LXR pathway (Janowski et al. 101
1996; Lehmann et al. 1997). In the presence of excess sterols, the LXR pathway is a feed-102
forward pathway that promotes cholesterol efflux and bile synthesis for sterol excretion 103
(Lehmann et al. 1997; Peet et al. 1998). 25HC has also been shown to promote cholesterol 104
esterification (Brown et al. 1975; Du et al. 2004), which may result in trafficking of cholesterol 105
from membranes to lipid droplets. Overall, 25HC’s multiple modes of action, highlighted here, 106
should cooperate to decrease cellular sterol content. 107
Cholesterol-25-hydroxylase: an interferon stimulated gene 108
25HC is synthesized by cholesterol-25-hydroxylase (CH25H), an ER-localized multi-109
transmembrane protein expressed in vertebrates (Lund et al. 1998). The enzyme hydroxylates 110
cholesterol in an NADPH-dependent manner. Given the modulatory activity of 25HC in 111
multiple lipid pathways, one would expect CH25H knockout mice to exhibit severe metabolic 112
defects in tolerating high fat diets. While triple-knockout mice for the enzymes synthesizing 113
24S-HC, 27HC, and 25HC demonstrated disrupted LXR signalling (Chen et al. 2007), CH25H 114
deficient mice displayed no aberrant metabolic phenotypes when fed high-fat diets. Collectively, 115
this suggested that these different endogenous oxysterol species have redundant functions in 116
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metabolism. Taken together with the observed low CH25H expression levels in lipogenic tissues 117
(Lund et al. 1998), it also pointed to the likelihood that CH25H (and 25HC) possessed functions 118
independent of its metabolic effects. 119
The first studies highlighting a potential role for CH25H in innate immunity demonstrated that 120
ligand activation of the Toll-like receptor (TLR) family of pathogen recognition receptors 121
induced CH25H expression and 25HC secretion in mouse macrophages and dendritic cells (DCs) 122
(Bauman et al. 2009; Diczfalusy et al. 2009; Park and Scott 2010). Similar increases in CH25H 123
expression were observed in influenza virus infected human airway epithelial cells (Gold et al. 124
2014). TLR activation results in the expression of a family of antiviral cytokines, interferons 125
(IFN), which promotes antiviral gene programming through the Jak/STAT pathway. CH25H 126
expression was demonstrated to be induced by IFN-α and IFN-γ in a Jak1- and STAT1- 127
dependent manner (Blanc et al. 2013; Liu et al. 2013; Park and Scott 2010). Subsequent work 128
demonstrated that interferon regulatory factor 1 (IRF1) cooperates with STAT1 to positively 129
regulate CH25H transcription in mouse primary macrophages (Mboko et al. 2014). Conversely, 130
activating transcription factor 3 (ATF3) (Gold et al. 2012), a known inhibitor of TLR-induced 131
cytokine production, represses CH25H expression. Collectively, these studies pointed towards a 132
role for CH25H-catalyzed 25HC production in the intrinsic pathogen response. 133
25HC: broad antiviral lipid effector 134
There is a broad viral requirement for specific lipid microenvironments to facilitate various 135
stages of viral life cycles (Chukkapalli et al. 2012). Several viruses require altered membrane 136
lipid composition for the formation of replication complexes and lipid envelopes, as well as 137
efficient viral entry and egress. This broad dependence on lipid metabolism is further 138
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exemplified by the fact that small molecule inhibitors of both cholesterol and fatty acid 139
biosynthesis have been demonstrated to elicit antiviral effects against several classes of virus 140
(Blanc et al. 2011; Lyn et al. 2014; Mazièrel et al. 1994; Moser et al. 2012; Munger et al. 2008; 141
Pezacki et al. 2009; Sagan et al. 2006; Su et al. 2002). Prior to the discovery of its role in innate 142
immunity, 25HC was similarly demonstrated to possess broad antiviral activity. The first 143
evidence of 25HC’s antiviral activity derived from the observation that 25-HC and cholesterol 144
treated cells had decreased permissiveness to rhinovirus entry due to down-regulated low density 145
lipoprotein receptor (LDLR) expression (Hofer et al. 1994). Subsequent in vitro studies 146
displayed 25HC’s antiviral effect against viral replication in human immunodeficiency virus 147
(HIV) (Moog et al. 1998), HCV (Pezacki et al. 2009; Su et al. 2002), and West Nile virus 148
(WNV) (Mackenzie et al. 2007) models. Collectively, this work established 25HC as a broad 149
antiviral oxysterol. 150
Two recent companion studies elegantly established CH25H-mediated 25HC production as a 151
critical arm of the mammalian innate antiviral response. Blanc et al. performed supernatant 152
oxysterol profiling of interferon-stimulated and virus-infected mouse macrophages – revealing 153
25HC as the only secreted and intracellular oxysterol that was up-regulated (Blanc et al. 2013). 154
In parallel, Liu et al. also confirmed 25HC as a soluble antiviral factor produced during IFN 155
stimulation of macrophages (Liu et al. 2013). Both studies confirmed broad antiviral activity of 156
25HC in vitro against different classes of lipid enveloped RNA and DNA viruses. This was 157
subsequently reaffirmed by several independent studies (Arita et al. 2013; Chen et al. 2014; 158
Mboko et al. 2014), and the antiviral activity was additionally extended to non-enveloped viruses 159
(Civra et al. 2014). Table 1 summarizes the viruses whose susceptibility to 25HC’s antiviral 160
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effects has been validated. Macrophage and dendritic cell secretion of 25HC should enable both 161
paracrine and autocrine effects, suggesting a more systemic antiviral role for 25HC. 162
Limited in vivo studies have been performed examining 25HC’s antiviral role. To date, only two 163
studies have examined the oxysterol’s relevance to innate immunity in vivo. CH25H -/-
mice 164
were demonstrated to possess increased susceptibility to MHV68 infection (Liu et al. 2013). The 165
same study demonstrated that 25HC treatment of humanized mice prior to infection inhibits HIV 166
replication (Liu et al. 2013). In a separate conflicting report, deletion of CH25H resulted in no 167
significant change in influenza A viral loads (Gold et al. 2014). These contradictory results 168
suggest a potential virus-specific antiviral effect of 25HC in vivo. They also highlight the need 169
for further small animal studies to delineate 25HC’s physiological relevance in the innate 170
antiviral response. 171
25HC: multiple potential modes of action 172
25HC appears to exert effects in a multitude of signalling pathways, including the 173
aforementioned SREBP and LXR signalling pathways. While SREBP signalling appeared to 174
contribute to 25HC’s viral inhibition, these antiviral effects appear to occur in an LXR-175
independent manner (Blanc et al. 2013). Below, we discuss the contribution of repressed 176
SREBP signalling and other pathways to 25HC’s effect on the host response to viral infection. 177
Figure 2 summarizes these effects in the context of HCV infection. The relevance of each of 178
these modes of inhibition appears to be context-specific, depending on the virus as well as on the 179
pre-existing cellular lipid environment. 180
Modification of cellular membranes 181
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While previous work described an antiviral effect for 25HC at the stage of viral replication, Liu 182
and coworkers demonstrated that 25HC also broadly inhibits viral entry (Liu et al. 2013). The 183
authors demonstrated that longer pre-treatment of cells with 25HC results in strong inhibition of 184
vesicular stomatitis virus (VSV) infection. This suggested that 25HC induces an antiviral 185
cellular state prior to infection. After showing a lack of effect on virion attachment, 25HC was 186
determined to inhibit VSV virion fusion to the host cell. This was attributed to changes in the 187
cellular membrane properties, as 25HC treatment also inhibited Nipah virus (NiV) F and G 188
protein-mediated cell-cell fusion. These results were also extended to HIV entry, demonstrating 189
that 25HC modulates membrane properties to inhibit both pH-dependent (VSV) and pH-190
independent (HIV and NiV) modes of viral fusion. The efficiency of virion fusion is sensitive to 191
host membrane lipid composition and fluidity. For example, HIV has been shown to require 192
cholesterol-rich microdomains to facilitate viral entry (Carter et al. 2009). 25HC-mediated 193
suppression of SREBP activation and induction of HMGCR degradation could, therefore, 194
contribute to decreased rates of viral entry. 195
Furthermore, 25HC has been shown to modulate membrane fluidity and cholesterol accessibility 196
(Bielska et al. 2014; Richert et al. 1984), which may contribute to the observed decrease in 197
membrane fluidity in interferon treated cells (Chatterjee et al. 1982). Given that small molecule 198
inhibitors of fusion demonstrate broad antiviral activity against enveloped viruses (St.Vincent et 199
al. 2010), 25HC’s effect on the plasma and endosomal membranes represents a potential 200
contributing mechanism to its antiviral effects. Similarly, modulation of intracellular membranes 201
should result in an antiviral effect against positive RNA viruses, which are known to induce 202
significant ER, Golgi, lysosome, or endosome membrane remodelling to create scaffolds that 203
serve as sites of viral replication (Miller and Krijnse-Locker 2008). Direct integration of 25HC 204
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into these intracellular membranes could restrict the ability of viruses to properly house their 205
replication complexes, while indirect 25HC-induced changes in lipid components of both host 206
membranes and virion envelopes could impair the viruses’ ability to infect bystander cells. 207
Interactions with oxysterol binding proteins 208
The oxysterol binding protein (OSBP) and OSBP related proteins (ORPs) represent another 209
family of proteins which can interact with 25HC. This family of proteins bind and transfer 210
sterols between cellular organelles, such as the Golgi and ER membranes (Mesmin et al. 2013). 211
Interestingly, RNA viruses have been shown to co-opt OSBP and ORPs to facilitate assembly 212
(Amako et al. 2009) and/or to shuttle and enrich cholesterol at sites of viral replication (Barajas 213
et al. 2014; Strating et al. 2015; Wang et al. 2014). In fact, small molecule targeting of OSBP 214
has shown broad-range efficacy in inhibition of enterovirus replication (Strating et al. 2015). In 215
the absence of viral infection, 25HC relocalizes OSBP from the cytoplasm to the Golgi 216
(Ridgway et al. 1992). This has been linked to 25HC’s antiviral effect towards rhinoviruses, 217
where 25HC prevents OSBP-mediated shuttling of cholesterol to the membranous scaffolds of 218
viral replication (Roulin et al. 2014). It remains unknown whether OSBP or any of the ORPs are 219
capable of mediating transfer of 25HC directly to the membranes modified by viruses for 220
replication and particle assembly. 221
Repression of protein prenylation 222
Prenylated host and viral proteins have also been implicated in the replication of viruses, 223
including HCV, hepatitis delta virus, pseudorabies virus, and respiratory syncytial virus (Bordier 224
et al. 2003; Gower and Graham 2001; Kapadia and Chisari 2005; Wang et al. 2005) . Since 225
repression of SREBP signalling should result in down-regulation of cellular farnesyl and 226
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geranylgeranyl pyrophosphate levels, 25HC should elicit alterations in protein prenylation status, 227
which may convey an alternative mechanism of viral inhibition. This is consistent with recent 228
work demonstrating that supplementation with geranylgeraniol can rescue the antiviral effects of 229
lower concentrations of 25HC against murine cytomegalovirus (Blanc et al. 2013). 230
Integrated stress response 231
Transcriptome profiling of 25HC-treated macrophages revealed that, independent of its effect on 232
LXR and SREBP signalling, 25HC could activate genes associated with the integrated stress 233
response (ISR) in macrophages (Shibata et al. 2014). Activation of this pathway was attributed 234
to altered amino acid metabolism and increased oxidative stress and results in suppression of 235
translation, which may contribute to 25HC’s broad antiviral activity. 236
Potentiation of interferon signalling 237
A recent study demonstrated that 25HC potentiates IFN-β expression in primary human 238
bronchial epithelial cells stimulated with poly(I:C), a viral RNA analogue (Koarai et al. 2012). 239
This was partially attributed to increased nuclear translocation of a key transcription factor, IFN 240
regulatory factor 3 (IRF3). In addition, the study demonstrated that 25HC increased nuclear 241
factor-kappa B (NF-κB) signalling, another key regulator of type I and III IFN expression 242
(Ichikawa et al. 2013; Onoguchi et al. 2007). It remains to be seen whether this IFN/25HC-243
mediated feed-forward loop is conserved in other cell types and in vivo. 244
Effects on inflammation and adaptive immunity 245
In addition to its effects on innate immunity, recent studies have proposed a role for 25HC in the 246
regulation of inflammation and adaptive immunity. Gold and colleagues identified pro-247
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inflammatory effects of CH25H-catalyzed 25HC production in mouse macrophages (Gold et al. 248
2014). This activation is mediated, in part, by increased recruitment of activator protein 1 (AP-249
1) transcription factor complex to the promoters of TLR-responsive genes. Accordingly, 250
influenza A virus-infected CH25H knockout mice presented with lower morbidity due to 251
decreased inflammation. Another 25HC-mediated pro-inflammatory effect may result from its 252
activation of NF-kB signalling, resulting in increased release of interleukin (IL)-6 and IL-8 253
(Koarai et al. 2012; Rydberg et al. 2003). Type I IFN signalling has previously been linked to 254
decreased inflammasome activity and production of the pro-inflammatory cytokine IL-1β; 255
however, the ISG responsible for this effect on IL-1β signalling was unclear until a recent study 256
observed increased IL-1β expression levels in CH25H knockout mice (Reboldi et al. 2014). The 257
authors identified IL-1β expression as a SREBP target gene in macrophages, and CH25H as the 258
key ISG responsible for IFN-mediated repression of IL-1β inflammasome activation. 25HC-259
mediated activation of LXR signalling may also negatively influence inflammation via LXR-260
mediated trans-repression (Joseph et al. 2003; Ogawa et al. 2005); however, it remains to be seen 261
if this represents a physiologically relevant mechanism of action in vivo for 25HC. Collectively, 262
these studies illustrate a complex role for 25HC in the regulation of inflammation. 263
There have also been a few studies investigating 25HC’s influence on adaptive immunity that 264
have highlighted a repressive role for the oxysterol. Macrophage-secreted 25HC suppressed 265
both immunoglobulin A (IgA) class switching in B cells as well as IL-2-stimulated B cell 266
proliferation (Bauman et al. 2009). This repressive role for 25HC in adaptive immunity is also 267
consistent with SREBP signalling’s critical role in CD8+ T cell clonal expansion during viral 268
infection (Bensinger et al. 2008; Kidani et al. 2013). 269
Future Outlook 270
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It should be noted that 25HC is metabolized by several other host enzymes; therefore, it is 271
important to consider the roles of these other enzymes and modified oxysterols in the antiviral 272
response. For example, CYP7B1 hydroxylates 25HC to form 7α25HC, an oxysterol which also 273
plays an important role as a guidance cue for B cells through interaction with Epstein-Barr virus 274
induced receptor 2 (EBI2) (reviewed in (Daugvilaite et al. 2014)). Recent work has also 275
identified hydroxysterol sulfotransferase 2B1b (SULT2B1b) as the enzyme which catalyzes 276
sulfation of 25HC to 25-hydroxycholesterol-3-sulfate (25HC3S) (Ren and Ning 2014). Studies 277
have generally found the sulfated oxysterol to have effects opposing to 25HC on both 278
inflammation and metabolism (Ren and Ning 2014). While metabolomic profiling revealed no 279
significant increase in sulfated oxysterol levels during interferon stimulation of macrophages 280
(Blanc et al. 2013), it remains to be seen if 25HC3S plays a role in the antiviral response in other 281
cell types and tissues, such as the liver, where 25HC3S has been shown to be localized in the 282
nuclei and mitochondria (Ren et al. 2006). Future work should consider the importance of 25HC 283
as an intermediate metabolite for other oxysterols which may be key players in immunity. 284
In summary, our understanding of 25HC has rapidly evolved from its initial use as a research 285
tool to its discovery as a natural product. To date, a large body of evidence has supported a key 286
role for 25HC in regulating the crosstalk between metabolism and immunity, however, several 287
questions remain. This IFN-regulated oxysterol has been clearly demonstrated to possess 288
antiviral activity against several classes of viruses, however, we are only beginning to understand 289
how 25HC elicits these broad antiviral effects. The physiological contribution of each of the 290
25HC linked pathways (LXR, SREBP, AP1, OSBP and ISR) to the oxysterol’s role in the 291
antiviral response should be analyzed in vivo. The effect of 25HC on transcription has, thus far, 292
been focused on coding genes. It remains to be seen whether the oxysterol elicits any antiviral 293
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effects through modulation of the non-coding transcriptome. Furthermore, the majority of 294
experiments looking at 25HC have been performed in both in vitro and in vivo mouse models. 295
Patients with HCV chronic infection possess elevated serum levels of 25HC and other oxysterols 296
(Ikegami et al. 2014), however, it is unclear if this was a direct effect of the virus, or a product of 297
autoxidation or the metabolic disease associated with HCV infection (Ikegami et al. 2012). 298
Future work should determine the relevance of CH25H and 25HC to human viral immunity. 299
Acknowledgements 300
Due to space restrictions, we apologize to authors whose work was not cited in this review. R.S. 301
would like to thank the Canadian Society of Microbiology (CSM) for the Armand-Frappier 302
Outstanding Graduate student award, along with the NSERC Vanier Scholarship and the Ontario 303
Graduate Scholarship (OGS) for support in the form of funding. J.P.P. would like to thank the 304
Canadian Institutes for Health Research (CIHR) and the Natural Sciences and Engineering 305
Research Council of Canada (NSERC) for funding in the form of operating grants. Lastly, R.S. 306
would like to thank the National Canadian Research Training Program in Hepatitis C (NCRTP-307
HepC) for additional training and support. 308
309
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Table 1: Summary of viruses responding to 25HC treatment 622
Virus Reference
Ebola Virus (Liu et al. 2013)
Gammaherpesvirus (Mboko et al. 2014)
Hepatitis C virus (Chen et al. ; Pezacki et al. 2009; Sagan et al.
2006; Su et al. 2002)
Herpes Simplex Virus-1 (Blanc et al. 2013; Liu et al. 2013)
Human immunodeficiency virus (Liu et al. 2013; Moog et al. 1998)
Human papillomavirus-16 (Civra et al. 2014)
Human rotavirus (Civra et al. 2014)
Influenza A virus (H1N1) (Blanc et al. 2013)
Mouse cytomegalovirus (Blanc et al. 2013)
Murine gamma herpes virus 68 (Blanc et al. 2013; Liu et al. 2013)
Nipah virus (Liu et al. 2013)
Poliovirus (Arita et al. 2013)
Rhinovirus (Civra et al. ; Hofer et al. 1994; Roulin et al.)
Rift Valley Fever Virus (Liu et al. 2013)
Russian Spring-Summer Encephalitis
Virus
(Liu et al. 2013)
Varicellar Zoster Virus (Blanc et al. 2013)
Vesicular stomatitis virus (Liu et al. 2013)
West Nile virus (Mackenzie et al. 2007)
623
624
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Figure 1: Summary of 25HC’s effects on sterol homeostasis. An overview of 25HC’s 625
multiple modes of action in the sterol pathway. (A,B) In low sterol and oxysterol conditions, the 626
SREBP/SCAP complex is transported to the Golgi, where SREBP is cleavage into its mature 627
from cleavage by two proteases (S1P and S2P). (C) This mature form translocates to the 628
nucleus, where it regulates genes associated with lipid metabolism. (D) In sterol- and oxysterol- 629
rich conditions, cholesterol binds to SCAP, or 25HC binds to INSIG, inducing conformational 630
changes which promote binding between SCAP and INSIG, retaining the SREBP/SCAP 631
complex at the ER, preventing SREBP activation. (E) Lastly, high oxysterol levels acts as an 632
agonist for LXR signalling, which regulates genes associated with cholesterol efflux and bile 633
synthesis. (F) Lastly, 25HC also promotes association of INSIGs with HMGCR, the enzyme 634
catalyzing the rate limiting step of cholesterol biosynthesis, and promotes its degradation via the 635
ubiquitin-proteasome system. 636
Figure 2: Overview of 25HC’s antiviral effects on HCV life cycle. IFN-stimulated 25HC 637
production has the potential to impair HCV infection at several stages of its viral life cycle. An 638
overview of the HCV lifecycle is shown in the top left image. 25-HC has the potential to 639
influence the virus’ life cycle at three main stages: entry and fusion, replication, and assembly. 640
(A) At the stage of entry, 25HC decreases SREBP-regulated LDLR expression, a proposed entry 641
receptor for the virus (Molina et al. 2007). Also, 25HC modulates the lipid composition of the 642
plasma membrane, potentially modulating fluidity and impairing subsequent viral fusion. (B) 643
Similarly, modulation of cellular membranes will influence HCV replication complex formation, 644
which relies on significant ER membrane remodeling. The virus also depends on OSBP proteins 645
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as a key host factor for viral replication and virion maturation (Amako et al. 2009; Wang et al.). 646
25HC’s interaction with OSBP could interfere with the virus’ shuttling of cholesterol to 647
replication complexes. HCV hijacks the geranylgeranylated host factor FBL2 for replication; 648
however, this may be impaired due to 25HC’s effects on protein prenylation. The virus also 649
relies on lipid droplets as a platform for assembly. There should be an overall decrease in 650
cellular lipid content (and lipid droplets) due to 25HC’s inhibition of the SREBP signalling. (C) 651
25HC should also exert broad antiviral effects due to potentiation of IFN signalling and 652
activation of the integrated stress response. 653
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