New insight into widespread virus behind birth defects

A Northwestern Medicine study published in Developmental Cell provides new insights into how cytomegalovirus—a common virus in the herpes family—replicates within human cells, and identifies proteins that may be therapeutically targeted to suppress infection.

Human cytomegalovirus (HCMV) is widespread around the world, infecting between 60 to 100 percent of all adults. There is currently no cure or vaccine for HCMV; once infected, people carry the virus for life.

Although HCMV typically does not cause any symptoms in healthy adults, the virus can be life-threatening for people with weakened immune systems or babies infected before birth. In fact, HCMV is the leading cause of congenital birth defects and can result in long-term health problems, including hearing loss, small head size, vision impairment and developmental delay.

“HCMV has been described as a ‘silent global burden’ because it is so widespread, yet people remain largely unaware of its effects on the fetus and on child development,” said principal investigator Derek Walsh, Ph.D., associate professor of Microbiology-Immunology.

Previous research has shown that during the viral replication process, HCMV forms a unique structure in the cytoplasm of cells called the assembly compartment (AC), where viral particles mature. Little was known, however, about how this structure behaves or functions during infection.

In the current study, the scientists developed new multi-color live cell imaging approaches in order to study the AC in living cells, in real-time. Their findings revealed that the compartment is highly dynamic and acts as a novel form of microtubule organizing center that allows the virus to remodel the host cell. In order to do so, it takes control of specialized microtubule regulatory proteins.

In collaboration with scientists at the University of Illinois at Chicago, the team also developed small peptides that target such host proteins and block the process of infection—with potential implications for the development of antiviral drugs in the future.

“This is an attractive option, as targeting specialized host proteins rather than evolutionarily adaptable viral proteins avoids the emergence of drug-resistant strains,” Walsh explained.

The authors note that beyond just advancing understanding of how HCMV replicates and identifying new therapeutic targets, the study also provided new insights into how microtubules are regulated and function in the cell.

In future research, the scientists intend to continue to use HCMV as a model system to understand microtubule regulation within the cell and how this benefits the virus, as well as further investigate whether the small peptides developed in the study might have therapeutic benefit.

Dean Procter, Ph.D., a postdoctoral fellow in Walsh’s laboratory, was the first author of the study.

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