Supporting information
Mankouri et al. 10.1073/pnas.0912426107
[AMP]/[ATP]
AMPKK
M
O
25 LBK1STRAD
AICAR
Metformin
AKT
HCV
β
α
Active
AMPK
A769662
β
α
Ser485 Inactive
AMPK
β
α
P
Thr172
Energy
γ
AMPK
P
Thr172
γ γ
P
dephosphorylation
Energy requiring processes
Energy
producing
pathways
ADP
ATP
ACC
ATP
ADP
ACC
Fatty acid & cholesterol biosynthesis
P
Fatty acid &
cholesterol
biosynthesis
HCV
replication
P
Fig. S1. Schematic of the regulation of AMP-activated protein kinase (AMPK) activity. When activated by ATP consumption or pharmacological activation,
AMPK is phosphorylated at threonine 172 on the α subunit by an upstream complex, AMPK kinase. Active AMPK then phosphorylates a number of substrates.
Key targets include the two isoforms of acetyl-CoA carboxylase (ACC1/2). Importantly, phosphorylation of ACC1/2 on serine 79/220 by AMPK inhibits enzymatic
activity, concomitantly decreasing cellular fatty acid synthesis which could be deleterious to hepatitis C virus (HCV) infection. HCV (most likely via proteins NS4B
and NS5A) activates the serine/threonine kinase, AKT, which phosphorylates AMPK on an inhibitory residue (serine 485), leading to activation of ACC1/2 and
increased cellular lipid synthesis.
Mankouri et al. www.pnas.org/cgi/content/short/0912426107 1 of 4
S
E
C
)A 1.0 SGR-Luc-JFH-1
al
is
ed
L
u
ci
fe
ra
se
(
R
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U
/ S
0.2
0.4
0.6
0.8
**
** **
N
o
rm
a
Control AICAR A769662 Metformin AKTVIII
0.0
0.2
**
B SGR-Luc-JFH-1
E
C
)
0.2
0.4
0.6
0.8
1.0
0.2
0.4
0.6
0.8
1.0
0.2
0.4
0.6
0.8
1.0
lis
ed
L
u
ci
fe
ra
se
(
R
L
U
/S
0.0
0 0.125 0.25 0.5 1
0.0
0 0.125 0.25 0.5 1
0.0
0 12.5 25 50 100
Metformin [mM]AICAR [mM] A769662 [µM]
N
o
rm
a
DC
NS5A BODIPY Merge
S
G
R
-L
u
c-
JF
H
-1
V
III
C
o
n
tr
o
l
0.4
0.6
0.8
1.0
1.2
d
a
b
so
rb
an
ce
(
54
0n
m
) MTT assay (Huh-7)
S
+
A
K
T
V
NS5A BODIPY Merge
0.0
0.2
N
o
rm
al
is
ed
A
76
96
62
(1
00
µ
M
)
A
IC
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R
(1
m
M
)
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et
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m
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)
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l
Fig. S2. Restoration of AMPK activity using either AMPK agonists or AKTVIII is detrimental to the replication of a genotype 2a (JFH-1) subgenomic replicon
(SGR). (A) Huh-7 cells were transfected with in vitro transcripts of a transient luciferase subgenomic replicon (JFH-1: genotype 2a) (1) and left untreated
(Control) or treated with the indicated compounds overnight. Luciferase activity measured 24 h posttransfection shows the relative level of genome repli-
cation. Error bars indicate mean ± SEM. (B) Huh-7 cells were transfected with in vitro transcripts of a transient luciferase subgenomic replicon (JFH-1: genotype
2a) and treated with the AMPK agonists AICAR, A769662, or metformin at the indicated concentrations overnight. Luciferase activity was measured 24 h
posttransfection and shows the relative level of genome replication. Error bars show SEM. (C) Huh-7 cells were left untreated (Control) or treated with AICAR,
A769662, or metformin at the indicated concentrations for 24 h before analysis of cell viability by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
(MTT) assay. Error bars indicate mean ± SEM. (D) Distribution and abundance of NS5A or cellular lipids (BODIPY) was evaluated in Huh-7 cells transfected with
in vitro transcripts of a transient luciferase subgenomic replicon (JFH-1: genotype 2a) after fixation and permeabilization. Cells were stained for lipid content
with BODIPY dye for 1 h after NS5A labeling. Identical settings were maintained for image capturing. Representative confocal images are shown. Cells were
left untreated (Control) or treated with AKTVIII for 4 h before processing. Replicon transfected cells are outlined in white. (Scale bars, 10 μm.)
1. Targett-Adams P, McLauchlan J (2005) Development and characterization of a transient-replication assay for the genotype 2a hepatitis C virus subgenomic replicon. J Gen Virol 86:
3075–3080.
Mankouri et al. www.pnas.org/cgi/content/short/0912426107 2 of 4
Anti-myc
(AMPK) Anti-NS5A Merge
A
Wildtype
B
S485D
C
S485A
Fig. S3. Expression of an exogenous AMPK Ser485Ala mutant blocks HCV RNA replication. Huh-7 cells stably harboring an HCV genotype 1b culture-adapted
subgenomic replicon (1) were transfected with the indicated Myc-tagged AMPKα constructs and analyzed by immunofluorescence 48 h posttransfection.
Representative confocal images are shown. The upper row of images in A–C shows a wide-field image. (Scale bars, 10 μm.)
1. Krieger N, Lohmann V, Bartenschlager R (2001) Enhancement of hepatitis C virus RNA replication by cell culture-adaptive mutations. J Virol 75:4614–4624.
Mankouri et al. www.pnas.org/cgi/content/short/0912426107 3 of 4
A JFH-1
B
NS5A BODIPY Merge
Released virus Intracellular virus
40
60
80
100
%
in
fe
ct
iv
it
y
p
ar
ed
t
o
c
o
n
tr
o
l)
40
60
80
100
in
fe
ct
iv
it
y
ar
ed
t
o
c
o
n
tr
o
l)
0
20
%
(c
o
m
p
0
20
%
(c
o
m
p
Control AICAR A769662 Metformin Control AICAR A769662 Metformin
Fig. S4. Restoration of AMPK activity with AMPK agonists inhibits assembly and release of infectious genotype 2a (JFH-1) virus. (A) Additional images of Huh-
7 cells transfected with full-length in vitro transcripts of JFH-1. Cells were stained for lipid content with BODIPY dye for 1 h after NS5A labeling. Identical
settings were maintained for image capture. Representative confocal images are shown. JFH-1 transfected cells are outlined in white; untransfected cells in the
same field are outlined in red. (Scale bars, 10 μm.) (B) Huh-7 cells were infected with JFH-1 virus at a multiplicity of infection of 0.5 focus-forming units per cell.
At 24 h posttransfection, the indicated AMPK agonists were added. Virus in both supernatant and clarified cell lysates was titered after a further 24-h
incubation (n = 3). All error bars indicate mean ± SEM.
Mankouri et al. www.pnas.org/cgi/content/short/0912426107 4 of 4
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