A Computational Analysis to Construct a Potential Post-Exposure Therapy against Pox Epidemic Using miRNAs in Silico

Mahmudul Hassan, Ewen McLean, and Omar Bagasra^*

South Carolina Centre for Biotechnology, Department of Biology, Claflin University, Orangeburg, SC 29115, USA

*Corresponding Author:

Bagasra O
South Carolina Centre for Biotechnology
Department of Biology, Claflin University
Orangeburg, SC 29115, USA
Tel: 803- 535-5253
E-mail: obagasra@claflin.edu

Received Date: December 16, 2015; Accepted Date: February 15, 2016; Published Date: February 22, 2016

Citation: Hassan M, McLean E, Bagasra O (2016) A Computational Analysis to Construct a Potential Post-Exposure Therapy against Pox Epidemic Using miRNAs in Silico. J Bioterror Biodef 7: 140. doi: 10.4172/2157-2526.1000140

Copyright: © 2016 Hassan M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Background: Smallpox was caused by Variola Virus (VARV) and even though it was eradicated in 1979, there exists the possibility of a zoonotic epidemic from Ortho-pox that may be pathogenic to humans. Moreover, VARV may still be used as a bioterrorist weapon. Monkey Pox Virus (MPXV), which is closely related to smallpox, is endemic to certain parts of Africa where sporadic outbreaks in humans are reported. In 2003, an outbreak of human MPXV occurred in the US after the importation of infected African rodents. Since the eradication of smallpox caused by an Ortho Pox Virus (OPXV) related to MPXV, and cessation of routine smallpox vaccination with the live Vaccinia Virus (VACV), there is an increasing population of people susceptible to VARV and perhaps certain other zoonotic OPXV diseases. Were OPXV to be employed as a bioterrorist weapon, there is distinct possibility that it would be deployed as a chimera pox, with OPXV genes being combined with those of other poxviruses (e.g., MPXV, Tatera pox, etc). In such a case, the currently approved smallpox vaccine VACV, may be ineffective. In recent years the antiviral potential of microRNAs (miRNAs) has been documented and there are numerous miRNAs approved for clinical trials. Most notably, miRNA-122 is in Phsae III clinical trials against Hepatitis C virus (HCV). Our laboratory is investigating the potential use of human miRNAs that can be used as postexposure silencing vehicles against pathogenic poxviruses. Specifically, our goal is to uncover miRNAs that can significantly silence pathogenic pox viruses. Our aim is to use VACV expressing the appropriate anti-poxviruses genetic fragments. Methods: We computationally analysed human miRNAs (hsa-miRNAs) that displayed near perfect homology to VARV and all major potential poxviruses genomes, including MPXV, Camel Pox (CAXV) and Molluscum Contagiosum Pox Virus (MCPV), using gene alignment tools, and determined which of these miRNAs may silence a pathogenic poxvirus. Then, we designed a VACV-based vector, expressing all of the anti-pox miRNAs, with an ability to silence any chimera or naturally-occurring serious zoonotic event. Results: We identified 26 hsa-miRNAs for VARV and 22 miRNAs for VACV, seven for CPXV, 11 for MPXV and 12 for MCPV that showed >90% homology with human miRNAs. We propose a design of a recombinant VACV that expresses all the anti-pox viruses that can quell, essentially, any pathogenic poxvirus that can be a threat to humans. Conclusion: We present evidence, using bioinformatics tools, that a new recombinant VACV can be constructed and used as a post-exposure therapy in the case of a zoonotic outbreak or a bioweapon chimera pox created by genetic engineering.

Keywords

Smallpox; Micro-RNA; Chimera; Cytoplasmic factories; HCV; Post-transcriptional silencing; Mutual homology; Seed region; Variola virus; Vaccinia virus; Viral genome; Post-exposure; Zoonotic; Bioweapon; Genetic engineering

Abbreviations

miRNA: Micro-RNA; HCV: Hepatitis C virus; has-miR: Human micro-RNA; VAR: Variola; VAC: Vaccinia; IMV: Intracellular Mature Virion; EEV: Extracellular Enveloped Virion; RNase III: Ribonuclease; Kbp: Kilo base pair; KDa: Kilo Dalton; ITRs: Inverted Terminal Repeats; VLTF: Viral Late Transcription Factor; RAP94: RNA Polymerase Associated Protein 94; CDS: Coding Sequence; MPXV: Monkey Pox Virus; CPXV: Cowpox Virus; CAXV: Camel pox Virus; MCPV: Molluscum Contagiosum Virus

Introduction

Since its appearance during the Neolithic approximately 12,000 years ago [1], the pox, red plague, or smallpox is said to have slaughtered more people than all other diseases combined. It has not respected geography, having inflicted its terror on all inhabited continents [2]; nor has it valued position or wealth, being responsible for the death and mutilation of Pharaohs, emperors, monarchs, and presidents alike. So frightening and devastating has this disease been throughout history that at least seven religions had idols dedicated to it [3]. Smallpox has been used deliberately and unwittingly as a weapon of biological warfare. Its arrival via an infected slave from the Narváez 1520 expedition is believed responsible for the massive post-Columbian depopulation of Central and South America and so played an influential role in the conquest of Mexico and Peru [2]. The British are known to have employed smallpox as an agent of death during the French and Indian Wars (1754–1763) [4,5] and, in Australia, it has been suggested that the British used smallpox purposefully in the 1789 defence of fragile military positions [6]. Throughout the last century American, Japanese, Soviet and British researchers examined the potential for weaponizing smallpox but this was thwarted mainly due to the efficacy of vaccines.

It was long realized that survivors of smallpox were subsequently immune to reinfection and that individuals who were infected by smallpox by a small scratch to the skin experienced a less severe form of the disease. These observations led to the practice of variolation where people were inoculated artificially using pus from a pock or dried scab. This practice, which in all likelihood originated in China during the 10^th century, spread at first to India and, by the 13^th century appeared in Egypt [2]. By the 17^th century variolation was widely used, being introduced to England from the Ottoman territories by Lady Mary Wortley Montagu in 1721. Interestingly, Edward Jenner was variolized prior to his discovery of vaccination in 1796. Remarkably, it is not known for certain which virus Jenner used for the first vaccinations although it is generally accepted that it was the cowpox virus, CPXV.

There are two principal forms of the smallpox virus, Variola major (VAVR), the most pathogenic species for humans, and the milder V. minor (VACV) or Vaccinia virus upon which modern smallpox vaccines are based. Global use of the latter led to the eventual eradication of smallpox in 1979. Remarkably, VARV expresses the smallest genome of all ortho pox viruses [7] and, with the potential for intermolecular and intra molecular recombination, genomic insertions and deletions, it has been implied that a VARV-like variant of existing zoonotic ortho pox viruses might emerge naturally [8]. The most prominent amongst these are MPXV and Tatera Pox Virus (TPXV). MPXV is endemic within Africa where sporadic zoonotic outbreaks are reported in humans [9]. In 2003, an outbreak of human MPXV occurred in the US from infected rodents imported from Africa [10]. Since the eradication of smallpox and the secession of routine smallpox vaccination using live VACV virus, there is an increase in the susceptible population who have no protection against ortho pox viruses. Even though the airborne particles are not considered the primary route of infection from monkeys to man, this potential route for transmission exists [11]. Recently, Hutson et al. [12] have shown that the Congo Basin clade of MPXV is more readily transmitted via the respiratory route than the West African clade. Together with the potential for the use of smallpox for bioterrorism, interest in the mechanisms of infection and pathogenesis of this virus persist. For this reason smallpox has recently been listed as one of the top bio-warfare weapons by the Centre for Disease Control and Prevention (CDC) [13].

All poxviruses belong to the family pox viridae replicate in the cytoplasm within distinct cytoplasmic factories (CFs) [14]. Replication is initiated by entry of two types of viral particles into the host cell: either extracellular enveloped virion (EEV) or Intracellular Mature Virion (IMV) [15]. Pox viral genes are expressed in a biphasic manner during the early phase of replication; the early genes encode non-structural proteins that initiate genome replication and late phase of replication while late genes encode structural proteins that involve formation of new viral particles. Vaccinia has 95% sequence identity with the VARV genome [16,17] [Figure 1]. Although, pox viral immunology is still unknown, it has been suggested that VACV produces highly potent antibodies which completely neutralize VARV when it infects humans [18]. However, we propose that in addition to antibodies VACV infection stimulates intracellular immunity or microRNA (miRNAs) that share homologies to VARV and expressions of these miRNAs can silence the gene functions of the virus. The reasoning underlying our hypothesis is based on the well documented data that demonstrates that even the most avid antibodies cannot reach inside host cell CFs and it is unlikely that infection with VACV would completely block any of the intracellular events after the host cells have been infected [14].

Humoral and cell mediated immunity (classical immunity) has powerful effects on the viral-producing cells that express viral antigens on their cellular surfaces and can be cytopathic for the viral-producing cells by antibody-mediated cytotoxic effects or by cell mediated immunity (i.e. CTL). Antibodies can also neutralize viral particles in the vascular and extravascular spaces by binding to them and enhancing phagocytic function [19]. In the case of smallpox infection, the host cells are epithelial cells and intracellular inner linings of the human host places where humoral immunity does to readily reach. Accordingly, our notion that intracellular miRNAs play a pivotal role in quelling VARV replication has biological merit. At the time when the majority of immunological research was carried out (i.e., before the 1980s) miRNA-based immunity was unknown.

MicroRNAs are genomically encoded, small non-coding double stranded RNA molecules (~22 bp) and play a major role in regulation of diverse biological process including gene expression at the posttranscriptional level, and in anti-viral and anti-tumor immunity [20,21]. MicroRNA was discovered around two decades ago and are currently being explored as novel therapeutic agents against several viral diseases [22]. So far, 2,578 mature human miRNAs have been identified from 1,872 precursor sequences (Sanger database version 20) [23]. By utilizing a computational genetic sequence alignment method, we propose the potential use of a recombinant VACV vaccine expressing multiple anti-pox miRNAs as therapeutic agents in case of a zoonotic event or bioterrorist attack. Of course, it will be very difficult to predict the type and nature of pathogens that could be used as bioweapons, but it is essential that we explore a wide range of possible miRNAs that can quell numerous potential human pathogenic poxviruses. It is logical to assume that in the case of bioterrorism the possibility of a chimera poxvirus being used would be high. The basic purpose of bioterrorism is to create “fear”. And, reappearance of one of history’ most dreaded viruses could readily achieve this goal. If traditional methods of vaccination are utilized, it may take years before an appropriate vaccine or therapy could be developed. Even though we have stockpiled VACV that can be injected into naive individuals, it is unlikely, in case of bioterrorism, that the infectious agent would be a classical VARV. We assume it would be a chimera where a typical VACV would be either ineffective or much less effective. Therefore, it is reasonable to predict that a new deadly bioweapon may be a chimera virus of highly pathogenic ortho pox virus genus family members. In a situation like this, currently available VACV may not be fully protective. However, we believe that we can custom design a specific anti-pox miRNA-expressing VACV-based vector that will carry the information for a wide range of potential pathogenic ortho pox viruses. This sort of post-exposure therapy can be mass-produced ahead of time in cell culture bioreactors, and the susceptible population could be vaccinated easily whenever the need arose. The goal of this research was to develop a novel post-exposure therapy against the Pox viral chimera or natural pathogen. The research utilized a VACV backbone–based vector that will express miRNAs in the host cells that would target all the ortho pox viral genes responsible for virulence and pathogenicity.

In order to decipher the mechanisms by which the human host can protect itself against a new chimera pox infection, or zoonotic event, and how a recombinant VACV that contains and expresses mature anti-pox miRNAs sequences may impart intracellular immunity against a chimera pox, we first analyzed the human miRNAs that showed identities to all major potential pathogenic ortho pox viruses. For this, we utilized multiple gene tools and then designed a recombinant vaccine that could quell any potentially pathogenic pox virus or a deadly zoonotic event.

Materials and Methods

Mature miRNA database and gene alignment

At the time of our studies (Sept 2013) 2,578 mature human miRNAs (hsa-miR) were listed in the Sanger database. By utilizing the human miR Base sequences database (https://www.mirbase.org, version 20.0), the hsa-miR sequences were downloaded from the database and aligned with each of the five viral genomes individually (i.e. VARV: Accession# X69198; VACV: Accession # NC_006998; CPXV: Accession# NC_003391; MPXV: Accession# JX878428 and MOCV: Accession# U60315) using a free online gene alignment tool, EMBOSS EXPLORER. Before analysis, each U of hsa-miRs was converted to a T. In addition, all the genomic sequences were annotated in FASTA format before the alignment process since the alignment tools are generally programmed in the FASTA format. The reference genome sequences of both viruses were obtained from https://www.ncbi.nlm.nih.gov/. Following this, we utilized multiple alignment tools to search for miRNA that shared identities with both viruses as described previously [24].

Determination of miRNA alignment to viral sequences

To determine the suitability of each of the hsa-miRNAs as a potential therapeutic agent, we developed and refined the algorithm that incorporated the two critical elements that increases the suitability of a miRNA as a successful silencing agent. These included: 1) the length of the complementary pairing of human miRNAs. In this case, we downloaded the available miRNAs from miRbase and aligned with both VARV and VACV genomes, as miRNA silencing requires a minimum of 19 bp; 2) a perfect or near-perfect alignment at miRNA seed sequences located at the 3’-untranslated region (UTR) base pair 2 to 8 that signals a successful silencing match [24,25] and, 3) an 80%-90% level of identity of the sequence of miRNAs with each of the Ortho pox viral genomes was considered as highly significant (p<0.001) and reported to significantly reduce the “offtarget” silencing of other genes [26].

Results

Human miRNA alignment

The target genes for the hsa-miRNAs were identified by retrieving the genome for VARV, VACV, MPXC, CPXC and MCV individually from PubMed. Each human miRNA (hsa-miR) found within the Sanger database (version 20.0) was determined to be identical to the Coding DNA Sequence (CDS) of the target gene by matching with 19- 26 bp. The lengths of the 19-26 bp hsa-miRs were identical to those of the target genes of both viruses, as identified by alignments, according to the full length coding sequences (CDS) of the two viral genes using the specific alignment tools (Table 1).

Table 1: Human miRNA showing significant mutual identities with both VARV and VACV.

Human miRNAs alignment with VARV genome

First, we analysed the numbers of human miRNAs (has-miRs) that showed significant identity to VARV genomic sequences. As shown in Figure 1, by utilizing bioinformatics tools, we identified 26 miRNAs i.e. hsa-miR-32-5p, hsa-miR-599, hsa-miR-103a-3p, hsa-miR-876- 3p, hsa-miR-488-3p, hsa-miR-4647, hsa-miR-1264, hsa-miR-5186, hsa-miR-198, hsa-miR-6781-3p, hsa-miR-3128, hsa-miR-7161-5p, hsa-miR-3668, hsa-miR-338-3p, hsa-miR-3121-5p, hsa-miR-1205, hsa-miR-4789-3p, hsa-miR-548a-5p, hsa-miR-4528, hsa-miR-337-3p, hsa-miR-6824-3p, hsa-miR-545-5p, hsa-miR-4719, hsa-miR-3921, hsa-miR-33a-3p and hsa-miR-514b-3p that exhibited ~90% sequence identity with the VARV genome.

Three miRNAs i.e. hsa-miR-103a-3p, hsa-miR-5186 and hsa-miR- 4789-3p, exhibited identity to B gene (combined) of the virus and their specific target genes encode hypothetical proteins. Hsa-miR-876-3p and hsa-miR-3668 exhibited identity to E2L gene of the virus that encodes a hypothetical protein. Both hsa-miR-514b-3p and hsa-miR- 548a-5p also showed identity to the M3L gene of the viral genome that also encodes hypothetical protein.

Hsa-miR-1264 and hsa-miR-338-3p exhibited identity to the Q1L gene of the virus where hsa-miR-4528 and hsa-miR-33a-3p exhibited identity to a gene (combined) of the virus. Hsa-miR-198, hsa-miR-6781 and hsa-miR-7161-5p showed alignment to D1L, I4L and F5R genes of the viral genome respectively. Hsa-miR-545-5p exhibited identity to the N2L gene of the virus whereas hsa-miR-3921 showed near perfect identity to the J2L gene of the viral genome. Hsa-miR-4647 aligned to the B gene at VARV genome but its specific targets are unknown.

Human miRNAs alignment with VACV genome

We carried sequence alignments between human miRNAs and VACV genomic sequences as an important step toward determining which miRNAs can be induced by utilizing VACV-based vaccination and to determine which miRNAs are needed in order to design a broad spectrum anti-ortho pox vaccine. As shown in Figure 2 we identified 22 has-miRs by computational analyses and alignment tools. These were has-miRs: hsa-miR-6748-3p, hsa-miR-599, hsa-miR-548aq-3p, hsa-miR-876-3p, hsa-miR-542-3p, hsa-miR-488-3p, hsa-miR-6755-5p, hsa-miR-3128, hsa-miR-3668, hsa-miR-338-3p, hsa-miR-1205, hsamiR- 3121-5p, hsa-miR-6809-3p, hsa-miR-548f-3p, hsa-miR-7111-3p, hsa-miR-337-3p, hsa-miR-6824-3p, hsa-miR-4719, hsa-miR-4774-5p, hsa-miR-6873-3p, hsa-miR-33a-3p and hsa-miR-514b-3p. All of them showed ~ 90% sequence identity with VACV.

Both hsa-miR-876-3p and hsa-miR-3668 exhibited identity to the E2L gene of the virus whereas hsa-miR-599 showed identity to the B2R gene of the viral genome. Hsa-miR-876-3p aligned to the O1L gene of the virus and hsa-miR-7111-3p exhibited identity with the F7L gene of the viral genome. Hsa-miR-514b-3p was aligned to the VACV genome’s L3L gene.

Hsa-miR-548aq-3p, hsa-miR-6809-3p, hsa-miR-548f-3p and hsamiR- 6873-3p were aligned to the VACV genome but their specific target genes remain unknown.

Hsa-miR-542-3p and hsa-miR-6748-3p were aligned with B8R and B13R VACV genes respectively. B8R counteracts the antiviral effects of host IFN-gamma and acts as a soluble IFN-gamma receptor and thus inhibits the interaction between host IFN-gamma and its receptor. The B13R gene, expressed in the early phase of the viral replicative cycle, inhibits the proteolytic activity of interleukin 1-beta converting enzyme (ICE) and ICE-like enzymes. It can also block apoptosis through host tumour necrosis factor (TNF) receptor.

Hsa-miR-33a-3p targets the A41L gene that is responsible for host defence modulation where hsa-miR-6755-3p targets the K2L gene which encodes a serine protease inhibitor-like protein that irreversibly inhibits specific peptidases and blocks the activity of one or more proteins.

Hsa-miR-4774-5p targets J6R genes at VACV genome that are responsible for enzyme DNA-dependent RNA polymerase subunit rpo147 which plays an important role in DNA replication and repair.

Mutually homologous human miRNAs alignment with both VARV and VACV viral genomes

In order to evaluate which miRNAs have mutual homologies to both VARV and VACV we carried out an extensive analyses of the Hsa-miRs that illustrated mutual identities to both of the viruses. By utilizing various gene alignment tools, we identified 13 miRNAs i.e. hsa-miR-599, hsa-miR-876-3p, hsa-miR-488-3p, hsa-miR-3128, hsamiR- 3668, hsa-miR-338-3p, hsa-miR-3121-5p, hsa-miR-1205, hsamiR- 337-3p, hsa-miR-6824-3p, hsa-miR-4719, hsa-miR-33a-3p, and hsa-miR-514b-3p that showed ~ 90% sequence identity with both the VARV and VACV viral genome. Hsa-miR-33a-3p targets the A46L gene (VARV) and A41L gene (VACV) where the A46L gene encodes a hypothetical protein and A41L gene acts as a host defence modulator. Five miRNAs i.e. hsa-miR-599, hsa-miR-876-3p, hsa-miR-3668, hsamiR- 338-3p, and hsa-miR-514b-3p target specific genes in both VARV and VACV genomes. Figure 3 illustrates these mutually homologous miRNAs.

Hsa-miR-337-3p

Hsa-miR-337-3p was aligned both to the VARV and VACV viral genome and it targets C6L gene (VARV) and F2L gene (VACV). HsamiR- 337-3p showed ~90% sequence identity with specific target genes in both viral genomes Figure 4. The VARV C6L gene and VACV F2L gene encodes an essential enzyme dUTPase. It has been reported that dUTPase is exquisitely specific for dUTP and is crucial for the fidelity of DNA replication and repair [27]. Amino acid sequence alignments (protein blast) of both enzymes demonstrated 98% identity to each other Supplementary Figure 1. The enzyme dUTPase not only hydrolyses dUTP to dUMP and pyrophosphate, but also simultaneously reduces dUTP levels and provides the dUMP for dTTP biosynthesis [27]. Our computational analysis indicated that hsa-miR-337-3p will be a potential antiviral agent for blocking the VARV C6L gene and VACV F2L gene as well as both viral replications.

Hsa-miR-1205, hsa-miR-6824-3p and hsa-miR-4719

Three miRNAs (hsa-miR-1205, hsa-miR-6824-3p and hsamiR- 4719) were aligned with the C gene (combined) of the VARV genome and F gene (combined) of the VACV genome. These 3 miRNAs target the C16L gene (VARV) and F12L gene (VACV) where both genes encode EEV maturation protein that is a core protein and plays important roles in the infection of a new host. VARV C16L gene encoded EEV maturation protein exhibited 96% identity with VACV F12L gene encoded EEV maturation protein Figure 5. The EEV mature protein is 65 kDa in mass which facilitates the transport of intracellular viral particles to the cell membrane. Several reports have suggested that EEV maturation protein is expressed during the late phase of infection and plays a crucial role including plaque formation, EEV production and virulence [28]. Although, some earlier evidence suggested that both IMV and EEV infectivity could be inhibited by antibodies two other studies reported that EEV was resistant to neutralization [29].

Hsa-miR-488-3p

Hsa-miR-488-3p was aligned with both the VARV and VACV viral genome Figure 6 and it targets M4R (VARV) and L4R (VACV) where both genes encode DNA-binding virion core proteins which play crucial roles in DNA replication and/or repair. The amino acid sequence alignment of both the VARV M4R gene encoded DNA-binding virion core protein and VACV L4R gene encoded DNA-binding virion core protein displayed 99% identity to each other Supplementary Figure 2. DNA-binding virion core protein is a 25-kD protein that comprises about 6.5% of the total viral polypeptides by mass [30]. It has been reported that DNA-binding virion core protein is proteolytically processed during virion morphogenesis by removal of 32 amino-terminal amino acids from the 28-kD primary translation product encoded by the L4R gene at VACV genome [31,32]. DNA-binding virion core protein is also considered a major core protein that possesses DNA-binding activity. It has been hypothesized that the L4R protein stabilizes a subset of the genomic sequences in a single-stranded conformation [33]. Although, absence of the L4R protein doesn’t have any impact on the virion’s formation, it severely influences infectivity [34].

Hsa-miR-3128

Hsa-miR-3128 was aligned with both the VARV and VACV viral genome (Figure 7) and it targets the A2L gene in both viral genomes that encodes a late transcription factor VLTF-3. VLTF-3 interacts with the late transcription elongation factor H5/VLTF-4. It is expressed during intermediate stages of infection and acts with RNA polymerase to initiate transcription from late gene promoters. Transient transfection assays indicated that A2L is required for the transcriptional transactivation of viral late genes. Activation of late VACV gene transcription is not only dependent on DNA replication, but also the expression of the A2Lgene [35]. Amino acid sequences of both the VARV and VACV VLTF-3 illustrated 100% homology Supplementary Figure 3.

Hsa-miR-3121-5p

Hsa-miR-3121-5p was aligned with both the VARV and VACV viral genome Figure 8 and it targets the H1L gene of the VARV genome and the G1L gene of the VACV genome. Both genes encode an enzyme putative metallo protease where metalloendopeptidase likely plays a role in the maturation of viral proteins. Amino acid sequence alignment of both VARV putative metalloprotease and VACV putative metalloprotease showed 98% identity Supplementary Figure 4. It has been reported that metalloprotease may be involved in maturation of some poxviral proteins by processing them preferentially at Ala-Gly- |-Ser/Thr/Lys motifs at VACV genome [36,37]. The putative metallo peptidase is proteolytically processed during the course of infection by removal of some amino-terminal amino acids from the 46 kDa primary translation product encoded by the H1L gene in VACV.

Human miRNAs that aligned with monkey pox virus (MPXC)

Similar to that described in the preceding section, we carried out miRNA alignment with MPXC genomes. As shown in Supplementary Figure 5, we discovered 19 miRNAs that showed near perfect identity with MPXC genetic sequences, targeting genes in 5’ ITR (hasmiR- 6739), gene D (has-miR-122-3p), gene C (has-miR337-3p and has-miR-1205), gene F (has-miR-876-3p, has-miR-3668, has-miR-613, and has-miR-4719), gene Q (has-miR-338-3p), gene G (has-miR-3121), gene M (has-miR-548a-5p, and has-miR488-3p), gene H (has-miR548- ab), gene A (has-miR-3128), gene B (has-miR-1251-5p, has-miR-599, has-miR-4647 and has-miR-6748-3p), and gene J (has-miR-517-5p). Most interestingly, 9/19 exhibited significant identity to VARV genome. However, there were an additional 10 miRNAs that were unique and did not align with VARV and VACV. Of note, all 19 miRNAs showed perfect alignments at the seed sequences.

Human miRNAs that aligned with camel pox virus (CAXC)

The computational analyses of CPXC revealed 16 human miRNAs that have near perfect identity to CPXC. Nine of these miRNAs were the same as those that showed identity to VARV. As shown in Supplementary Figure 6, these miRNAs targeted various vital elements of CPXC genetic motif and include gene gp047 (has-miR-1205, hasmiR- 6824-3p, and has-miR-4719), gene gp054 (has-miR-3668, an unknown gene * (has-miR-338-3p), gene Vgp088 (has-miR-514-3p), gene gp089 (has-miR-488-3p), gene gp108 (has-miR-7161-5p), gene gp118 (has-miR-3128), gene gp154 (has-miR-4528), gene gp179 (hasmiR- 599, has-miR-4647), gene gp184 (has-miR-103a-3p), gene gp211 (has-miR-123) and two yet to be named genes # and ** where hasmiR- 3914 and has-miR-877-3p respectively showed identity.

Human miRNAs that aligned with molluscum contagiosum virus subtype 1 (MC)

Our computational studies unveiled 21 human miRNAs that targeted a wide variety of MCV genetic motifs Supplementary Figure 7. These included the gene MC003L (has-miR-3960), MC018L (hasmiR- 3130-3p), MC019L (has-miR-764), gene MC 028L (has-miR- 6729-5p), gene MC035R (has-miR-4798-3p and has-miR-6885-5p), gene MC072L (has-miR-595), gene MC079R (has-miR-3130), gene MC090R (has-miR-4782-5p), gene 094R (has-miR-6789-3p), gene MC115L (has-miR-3135b), gene MC129R (has-miR-4254), MC131R (has-miR-3160-3p), gene MC140L (has-miR-6872-3p), gene MC159L (has-miR-208a-3p), gene MC161R (has-miR-4520a-3p), gene MC163 (has-miR-3663-3p and has-miR-6069), gene ITR-3’ (has-miR-4668-5p) and a unknown gene designated* (has-miR-3912-5p).

Discussion

Although smallpox was eradicated over 35 years ago, the disease still remains a threat. High mortality, high infectivity and low resistance of the contemporary population due to absence of vaccination against smallpox for over three decades make the virus very attractive to bioterrorists. The potential presence of stocks of the virus as a bioweapon, the possibility of creating genetic chimeras of deadly poxviruses that may bypass even VACV based immunization and spread of the disease by zoonosis are matters of serious concern (Figure 9). One example of such a potential event is seen with the ectromelia virus, a mouse pox virus. Jackson et al. [38-41] reported that expression of the murine IL-4 gene by a recombinant ectromelia virus caused enhanced lethality for inherently resistant C57BL/6 mice, and overcame protective immune responses induced by vaccination. The enhanced lethality of the ECTVIL- 4 recombinant was likely due to immunosuppression, although the exact mechanism of action remains to be determined. Hence, it is reasonable to be alert to either genetically engineered virus or natural recombinant strains of POXV that may become lethal to humans and or food animals and to seek effective anti-pox agents that could be used in the event of a pox outbreak.

One may question the validity of carrying our miRNA analyses that can quell a man-made pox epidemic and even a need to develop an alternate VACV-based vaccine. It may be argued that VACV was an effective vaccine against VARV in part because VACV cross-reacted with other OPXV. Therefore, VACV would presumably be an effective vaccine against any chimera pox that can be harmful to humans. However, we consider that a deliberate bio-weaponization of pox viruses is not beyond the realms of possibility. Further, we argue that VACV would not be effective against chimeras if someone transfected multiple OPXVs in cells in the presence of VACV antibodies, creating a selective pressure such that only the VACV resistance chimeras would emerge and bypass the VACVinduced resistance. It would be similar to growing E.coli in the presence of penicillin and developing a penicillin resistant strain.

One of the most difficult aspects of poxviruses is their high degree of complexity. These are among the largest and most complex of animal viruses. VACV is the prototypical member of the Ortho pox virus genus and of the Pox viridae as a whole. The genomic length of the members of the Ortho pox viruses varies from 170-240 kbp and these members show substantial similarity to each other and are serologically cross-reactive [42]. VACV is notable in being not only the smallpox vaccine but also a very close evolutionary relative of the smallpox virus. It has over 200 genes and its replication occurs in a sequential manner with the early genes expressed immediately after entering the host cell, from the still encapsulated genome. The early phase is followed by genome replication, synthesis of intermediate- and late-class mRNAs, the complex processes of new virion assembly, and then cell exit [43].

Multiple studies have characterized the global kinetics of transcription and homeostasis during poxvirus infection. Hybridization studies have shown that by 2 hours and 7 hours post-infection of HeLa cells with VACV virus, 50%-60% and 80%-90% respectively, of the total poly (A) +RNA was virus specific [44]. More recently, deep sequencing of VACV and host cell transcriptomes showed that, at 4 hours post-infection of HeLa cells, 25 to 55% of poly(A)+ RNA sequences were viral mRNAs [45-47]. Although overall amounts of mRNA were comparable in infected and uninfected cells, the proportion attributable to the virus was shown to change significantly [45]. In A594 cells infected with a virus very similar to VACV virus, namely, rabbit pox virus, a decline in overall cellular mRNA levels was reported beginning at 2.5 hours post-infection, and, by 5 hours post-infection transcriptome levels were markedly lower for the majority of cellular genes [48].

The tools of molecular biology have provided numerous advances in understanding the basic biology and immunology of poxviruses [49-56]; however, there is much that remains undiscovered [57]. A number of unanswered questions relate to evolutionary biology, and an evolutionary perspective may provide important insights into the functional biology of these viruses, particularly in the area of immune evasion. Most interesting among the unknown is what role VARV homologous miRNAs play in quelling smallpox after exposure to VACV used as a vaccine. Until two decades ago, classical immunity was considered to be the major mode of defence against VARV after VACV immunization. However, since then important roles of innate immunity and miRNAs have been shown to play major roles in viral infections [58]. Therefore, classical immunitybased interpretations may not be as comprehensive as it was thought previously [59-61].

Role of miRNA in intracellular defences

In the current study, we have utilized bioinformatics tools to analyse whether both VARV and VACV virus chimeras of pox can be silenced by miRNA targeting the specific genetic sequences of the two viruses.

While it has been suggested that host miRNAs may down-regulate viral gene expression as an antiviral defence mechanism, such a mechanism has not been explored in the pox viruses. As it is difficult to conduct such studies on VARV, which would be unavailable for this type of research, computational analyses represent an alternative method that can provide some insight.

We identify miRNAs which would target the key early, intermediate and late genes of any pox virus in the ortho pox genus. Historically, infections with these viruses have proven to be pathogenic to humans [8]. Since, VARV and VACV share significant genetic homology and the latter has successfully been developed as a vaccine against smallpox, we hypothesize that a recombinant vaccinia virus that expresses all the miRNAs that do not share mutual identity with VARV can be utilized as a post-exposure therapeutic vaccine and as a vaccine against any chimera pox-based bioweapon or in case of serious zoonotic events. This proposed vaccine would target all the closely-related, potentially pathogenic viruses (i.e. CAXV, CPXV, MPXV and Molluscum Contagiosum, etc.) Our study also provides an interesting hypothesis concerning the miRNA-based antiviral defence mechanism against poxvirus in humans. Among the effects, some studies showed the binding mode between human-encoded miRNAs and viruses. For example, a transcript in human foamy virus (PFV) can be used as the target site of human-encoded miR-32 [62]; hepatitis C virus (HCV) replication is regulated by miR-122 that is currently in Phase III clinical trial as an anti-HCV therapy [63]; and human-encoded miRNAs can target crucial HIV-1 genes [64].

Nucleic-acid based, RNAi provides immune defence when the body is faced with challenges from transgenes, viruses, transposons, and aberrant mRNAs. Short interfering RNAs (siRNA) or miRNA molecules trigger gene silencing in eukaryotic cells. Investigators have identified more than 3,000 different human miRNAs (hsa-miRs), and it has come to be regularly accepted that cellular gene regulation is significantly impacted by cellular miRNAs. Recent scholarship demonstrates that some viruses can actually encode miRNAs if these are processed through cellular RNAi. During ontogenesis, and in the development of certain tissues, miRNAs are differentially expressed. A single miRNA has the complex capacity to target multiple genes simultaneously [25,65-67]. During the last few years, several investigators have studied the possible role of miRNA in VACV-mediated protective mechanisms [68-77]. Therefore, Grinberg et al. [78] studied the effects of VACV viral infection on the expression of host-encoded miRNAs. A marked general suppression of most miRNAs in the infected cells was observed within 24 hours post-VACV infection of a number of cell types. They showed that this suppression was associated with abrogation of expression of the Dicer1 enzyme, which is a key enzyme in the generation of miRNAs. Hikichi et al. [79] have explored how miRNA regulates glycoprotein B5R in oncolytic VACV and how certain miRNA can reduce the viral pathogenicity without impairing anti-tumour efficacy. They showed that miRNA regulation also enables tumour-specific viral replication by altering the expression of targeted viral genes. Since the deletion of viral glycoprotein B5R not only decreases viral pathogenicity but also impairs the oncolytic activity of VACV virus, they used miRNAbased gene regulation to suppress B5R expression through let-7a, a miRNA that is down-regulated in many tumours. The expression of B5R and the replication of miRNA-regulated VACV (MRVV) with target sequences homologous to let-7a in the 3’-untranslated region (UTR) of the B5R gene depended on the endogenous expression level of let-7a in the infected cells. Intra-tumoural administration of MRVV in mice with human cancer xenografts that expressed low levels of let-7a resulted in tumour-specific viral replication and significant tumour regression without side-effects, which were observed in the control virus. Their results demonstrated that miRNA-based gene regulation is a potentially novel and versatile platform for engineering VACV viruses for cancer biotherapy. Simon-Mateo and Garcia et al. [80] have analysed whether Plum pox virus (PPV) chimeras bearing miRNA target sequences (miR171, miR167, and miR159), which have been reported to be functional in Arabidopsis, were affected by miRNA function in three different host plants. They determined that some of these PPV chimeras had clearly impaired infectivity compared with those carrying nonfunctional miRNA target sequences. The behaviours of PPV chimeras were similar but not identical in all the plants tested, and the deleterious effect on virus infectivity depended on the miRNA sequence cloned and on the site of insertion in the viral genome. The effect of the miRNA target sequence was drastically alleviated in transgenic plants expressing the silencing suppressor P1/HCPro. Furthermore, they showed that virus chimeras readily escape RNA silencing interference through mutations within the miRNA target sequence, which mainly affected nucleotides matching the 5’-terminal region of the miRNA. From the above observations, we hypothesize that utility of the one or two anti-pox miRNAs may not be an entirely useful strategy but multiple miRNA expressing vectors based on VACV are very useful. Table 3 lists additional miRNA expression VACV vector that can be designed to quell any Pox viral epidemic, natural zoonotic or man-made.

One may question why virulent poxviruses infect humans despite the existence of human miRNAs that can quell them easily. We believe that this may be due to temporal tissue and cell specific expressions of miRNAs that express only certain type of cells at specific periods of cell differentiation and life cycle. Evolutionarily, a down-regulation or absence of certain anti-viral miRNAs makes these cells highly vulnerable to certain viral infections. This can be explained by the primary targets of VARVthe epithelial cells - but not other cell types. Similarly, the prime targets of poliovirus are cells that express CD155 or Necl-5 receptor positive cells and no other cell types. Therefore, we believe that VARV target cells are devoid of anti-VARV miRNAs [25,26].

We have approached the identity issue at the molecular (intracellular) level, a level at which potential interference would take place. Since there are 13 miRNAs that are mutually homologous with VARV and VARV and many of the miRNAs that also share identity also are mutually homologous to MPXV and CPXV, we suggest that addition of 26 miRNAs would complete a recombinant VARV that would be able to serve as a new universal vaccine in case of serious zoonotic events or a chimera pox bioweapon. These miRNAs would be processes and mature and reach their intended target by the natural process that is present in every nucleated cell [25].

References

1. Barquet N, Domingo P (1997) Smallpox: the triumph over the most terrible of the ministers of death. Ann Intern Med 127: 635-642.
2. Fenner F, Henderson DA, Arita I, Jezek Z, Ladnyi I (1988) Smallpox and its eradication. Geneva : World Health Organization 1371-1409.
3. Henderson DPR (2009) Smallpox- the Death of a Disease: The Inside Story of Eradicating a Worldwide Killer: Prometheus Books
4. StearnEWaS AE (1945) The Effect of Smallpox on the Destiny of the Amerindian. Boston: Mass: Bruce Humphries.
5. Anderson F(2001) Crucible of War: The Seven Years’ War and the Fate of Empire in British North America 1754-1766: Random House Inc.
6. Warren C (2014) Smallpox at Sydney Cove – who, when, why?Journal of Australian Studies 38:68-86.
7. Shchelkunov SN, Marennikova, SS and Moyer RW (2005) Orthopoxviruses pathogenic for humans.
8. Shchelkunov SN (2013) An increasing danger of zoonotic orthopoxvirus infections. PLoSPathog 9:e1003756.
9. Jezek Z, Szczeniowski M, Paluku KM, Mutombo M, Grab B (1988) Human monkeypox: confusion with chickenpox. Acta Trop 45:297-307.
10. Centers for Disease Control and Prevention (2003) Update: Multistate Outbreak of monkey pox - Illinois, Indiana, Kansas, Missouri, Ohio, and Wisconsin. MMWR Morb Mortal Wkly Rep 52: 561-564.
11. Verreault D, Killeen SZ, Redmann RK, Roy CJ (2013) Susceptibility of monkeypox virus aerosol suspensions in a rotating chamber. J Virol Methods 187:333-337.
12. Hutson CL, Carroll DS, Self J, Weiss S, Hughes CM, et al. (2010) Dosage comparison of Congo Basin and West African strains of monkeypox virus using a prairie dog animal model of systemic orthopoxvirus disease. Virology 402:72-82.
13. Riedel S (2005) Smallpox and biological warfare: a disease revisited. Proc (BaylUniv Med Cent) 18:13-20.
14. Mutsafi Y, Zauberman N, Sabanay I, Minsky A (2010) Vaccinia-like cytoplasmic replication of the giant Mimivirus. Proc Natl AcadSci USA 107:5978-5982.
15. Smith GL, Vanderplasschen A, Law M (2002) The formation and function of extracellular enveloped vaccinia virus. J Gen Virol83:2915-2931.
16. Massung RF, Loparev VN, Knight JC, Totmenin AV, Chizhikov VE, et al. (1996) Terminal region sequence variations in variola virus DNA. Virology 221:291-300.
17. Walsh SR, Dolin R (2011) Vaccinia viruses: vaccines against smallpox and vectors against infectious diseases and tumors. Expert review of vaccines 10:1221-1240.
18. Matho MH, Maybeno M, Benhnia MR, Becker D, Meng X, et al. (2012) Structural and biochemical characterization of the vaccinia virus envelope protein D8 and its recognition by the antibody LA5. Journal of virology 86:8050-8058.
19. Janeway CA Jr TP, Walport M (2001) TheHumoral Immune Response. Immunobiology: The Immune System in Health and Disease.
20. Bartel DP (2009) MicroRNAs: target recognition and regulatory functions. Cell136:215-233.
21. Chen K, Rajewsky N (2007) The evolution of gene regulation by transcription factors and microRNAs. Nature reviews Genetics 8:93-103.
22. Janssen HL, Reesink HW, Lawitz EJ, Zeuzem S, Rodriguez-Torres M, et al. (2013) Treatment of HCV infection by targeting microRNA. N Engl J Med368:1685-1694.
23. Kozomara A, Griffiths-Jones S (2014)miRBase: annotating high confidence microRNAs using deep sequencing data. Nucleic acids research 42:D68-73.
24. Khokhar A, Noorali S, Sheraz M, Mahalingham K, Pace DG, et al. (2012) Computational analysis to predict functional role of hsa-miR-3065-3p as an antiviral therapeutic agent for treatment of triple infections: HCV, HIV-1, and HBV. The Libyan journal of medicine7:19774.
25. Bagasra O, Stir AE, Pirisi-Creek L, Creek KE, Bagasra AU, et al. (2006) Role of micro-RNAs in regulation of lentiviral latency and persistence. Applied immunohistochemistry & molecular morphology : AIMM / official publication of the Society for Applied Immunohistochemistry 14:276-290.
26. Bagasra O, Bagasra AU, Sheraz M, Pace DG (2012) Potential utility of GB virus type C as a preventive vaccine for HIV-1. Expert review of vaccines 11:335-347.
27. Mol CD, Harris JM, McIntosh EM, Tainer JA (1996) Human dUTPpyrophosphatase: uracil recognition by a beta hairpin and active sites formed by three separate subunits. Structure 4:1077-1092.
28. van Eijl H, Hollinshead M, Rodger G, Zhang WH, Smith GL (2002) The vaccinia virus F12L protein is associated with intracellular enveloped virus particles and is required for their egress to the cell surface. The Journal of general virology 83:195-207.
29. Law M, Smith GL (2001) Antibody neutralization of the extracellular enveloped form of vaccinia virus. Virology 280:132-142.
30. Yang WP, Bauer WR Purification and characterization of vaccinia virus structural protein VP8.
31. Yang WP, Bauer WR (1988) Purification and characterization of vaccinia virus structural protein VP8. Virology167:578-584.
32. Yang WP, Kao SY, Bauer WR (1988) Biosynthesis and post-translational cleavage of vaccinia virus structural protein VP8. Virology 167:585-590.
33. Traktman P (1996) Poxvirus DNA Replication. DNA Replication in Eukaryotic Cells.Cold Spring Harbor Laboratory Press 775-98.
34. Wilcock D, Smith GL (1994) Vaccinia virus core protein VP8 is required for virus infectivity, but not for core protein processing or for INV and EEV formation. Virology202:294-304.
35. Keck JG, Baldick CJ Jr, Moss B (1990) Role of DNA replication in vaccinia virus gene expression: a naked template is required for transcription of three late trans-activator genes. Cell 61:801-809.
36. Ansarah-Sobrinho C, Moss B (2004) Vaccinia virus G1 protein, a predicted metalloprotease, is essential for morphogenesis of infectious virions but not for cleavage of major core proteins. Journal of virology 78:6855-6863.
37. Hedengren-Olcott M, Byrd CM, Watson J, Hruby DE (2004)The vaccinia virus G1L putative metalloproteinase is essential for viral replication in vivo. Journal of virology 78:9947-9953.
38. Jackson RJ, Ramsay AJ, Christensen CD, Beaton S, Hall DF, et al. (2001) Expression of mouse interleukin-4 by a recombinant ectromelia virus suppresses cytolytic lymphocyte responses and overcomes genetic resistance to mousepox. J Virol75:1205-1210.
39. Reed KD, Melski JW, Graham MB, Regnery RL, Sotir MJ, et al. (2004) The detection of monkeypox in humans in the Western Hemisphere. The New England journal of medicine 350:342-350.
40. Li Y, Carroll DS, Gardner SN, Walsh MC, Vitalis EA, et al. (2007) On the origin of smallpox: correlating variolaphylogenics with historical smallpox records. Proceedings of the National Academy of Sciences of the United States of America 104:15787-15792.
41. Hughes AL, Irausquin S, Friedman R (2010)The evolutionary biology of poxviruses. Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases 10:50-59.
42. Macneil A, Abel J, Reynolds MG, Lash R, Fonnie R, et al. (2011) Serologic evidence of human orthopoxvirus infections in Sierra Leone. BMC research notes 4:465.
43. McFadden G (2005) Poxvirus tropism. Nature reviews Microbiology3:201-213.
44. Boone RF, Moss B (1978) Sequence complexity and relative abundance of vaccinia virus mRNA's synthesized in vivo and in vitro. Journal of virology26:554-569.
45. Yang Z, Bruno DP, Martens CA, Porcella SF, Moss B (2010) Simultaneous high-resolution analysis of vaccinia virus and host cell transcriptomes by deep RNA sequencing. Proceedings of the National Academy of Sciences of the United States of America 107:11513-11518.
46. Yang Z, Bruno DP, Martens CA, Porcella SF, Moss B (2011) Genome-wide analysis of the 5' and 3' ends of vaccinia virus early mRNAs delineates regulatory sequences of annotated and anomalous transcripts. Journal of virology 85:5897-5909.
47. Yang Z, Reynolds SE, Martens CA, Bruno DP, Porcella SF (2011) Expression profiling of the intermediate and late stages of poxvirus replication. Journal of virology 85:9899-9908.
48. Brum LM, Lopez MC, Varela JC, Baker HV, Moyer RW (2003) Microarray analysis of A549 cells infected with rabbitpox virus (RPV): a comparison of wild-type RPV and RPV deleted for the host range gene, SPI-1. Virology 315:322-334.
49. Dunlop LR, Oehlberg KA, Reid JJ, Avci D, Rosengard AM(2003) Variola virus immune evasion proteins. Microbes and infection / Institut Pasteur5:1049-1056.
50. Everett H, McFadden G (2002) Poxviruses and apoptosis: a time to die. Current opinion in microbiology 5:395-402.
51. Moss B (2006) Poxvirus entry and membrane fusion. Virology 344:48-54.
52. Nachman MW, Boyer SN, Aquadro CF (1994)Nonneutral evolution at the mitochondrial NADH dehydrogenase subunit 3 gene in mice. Proceedings of the National Academy of Sciences of the United States of America 91:6364-6368.
53. Seet BT, Johnston JB, Brunetti CR, Barrett JW, Everett H, et al. (2003) Poxviruses and immune evasion. Annual review of immunology 21:377-423.
54. Shisler JL, Moss B (2001) Immunology 102 at poxvirus U: avoiding apoptosis. SeminImmunol13:67-72.
55. Smith SA, Kotwal GJ (2002) Immune response to poxvirus infections in various animals. Critical reviews in microbiology 28:149-185.
56. Zhang L, Villa Ny, McFadden G (2009) Interplay between poxviruses and the cellular ubiquitin/ubiquitin-like pathways. FEBS Lett 583:607-614.
57. Lefkowitz EJ, Wang C, Upton C (2006) Poxviruses: past, present and future. Virus research 117:105-118.
58. Jiang X, Kanda T, Wu S, Nakamura M, Miyamura T, et al. (2014) Regulation of microRNA by hepatitis B virus infection and their possible association with control of innate immunity. World J Gastroenterol 20:7197-7206.
59. Bagasra O, Prilliman KR (2004) RNA interference: the molecular immune system. Journal of molecular histology 35:545-553.
60. Bagasra O, Amjad M (1997) Natural immunity against human immunodeficiency viruses: prospects for AIDS vaccines. Frontiers in bioscience 2:d401-416.
61. O B (1999) HIV and Molecular Immunity: Prospect for AIDS Vaccine. Natic MA: Eaton publishing.
62. Lecellier CH, Dunoyer P, Arar K, Lehmann-Che J, Eyquem S, et al. (2005) A cellular microRNA mediates antiviral defense in human cells. Science 308:557-560.
63. Murakami Y, Aly HH, Tajima A, Inoue I, Shimotohno K (2009) Regulation of the hepatitis C virus genome replication by miR-199a.Journal of hepatology 50:453-460.
64. Hariharan M, Scaria V, Pillai B, Brahmachari SK (2005) Targets for human encoded microRNAs in HIV genes. Biochemical and biophysical research communications337:1214-1218.
65. Bagasra O (2006) A unified concept of HIV latency. Expert opinion on biological therapy6:1135-1149.
66. Kanak M, Alseiari M, Balasubramanian P, Addanki K, Aggarwal M, et al. (2010) Triplex-forming MicroRNAs form stable complexes with HIV-1 provirus and inhibit its replication. Applied immunohistochemistry & molecular morphology : AIMM / official publication of the Society for Applied Immunohistochemistry 18:532-545.
67. Zhang GL, Li YX, Zheng SQ, Liu M, Li X, et al. (2010) Suppression of hepatitis B virus replication by microRNA-199a-3p and microRNA-210. Antiviral research 88:169-175.
68. Berzsenyi MD, Woollard DJ, McLean CA, Preiss S, Perreau VM, et al. (2011) Down-regulation of intra-hepatic T-cell signaling associated with GB virus C in a HCV/HIV co-infected group with reduced liver disease. Journal of hepatology 55:536-544.
69. Fenizia C, Keele BF, Nichols D, Cornara S, Binello N, et al. (2011) TRIM5alpha does not affect simian immunodeficiency virus SIV(mac251) replication in vaccinated or unvaccinated Indian rhesus macaques following intrarectal challenge exposure. Journal of virology 85:12399-12409.
70. 70. Haro I, Gomara MJ, Galatola R, Domenech O, Prat J, et al. (2011) Study of the inhibition capacity of an 18-mer peptide domain of GBV-C virus on gp41-FP HIV-1 activity. BiochimBiophysActa1808:1567-1573.
71. Haro I, Gomara MJ, Galatola R, Domenech O, Prat J, et al. (2011) Study of the inhibition capacity of an 18-mer peptide domain of GBV-C virus on gp41-FP HIV-1 activity. BiochimBiophysActa1808:1567-1573.
72. Herrera E, Gomara MJ, Mazzini S, Ragg E, Haro I (2009) Synthetic peptides of hepatitis G virus (GBV-C/HGV) in the selection of putative peptide inhibitors of the HIV-1 fusion peptide. The journal of physical chemistry B113:7383-7391.
73. Kwong PD (2005) Human immunodeficiency virus: refolding the envelope. Nature 433:815-816.
74. Koedel Y, Eissmann K, Wend H, Fleckenstein B, Reil H(2011) Peptides derived from a distinct region of GB virus C glycoprotein E2 mediate strain-specific HIV-1 entry inhibition. Journal of virology 85:7037-7047.
75. Moenkemeyer M, Schmidt RE, Wedemeyer H, Tillmann HL, Heiken H (2008) GBV-C coinfection is negatively correlated to Fas expression and Fas-mediated apoptosis in HIV-1 infected patients. Journal of medical virology 80:1933-1940.
76. Sanchez-Martin MJ, Busquets MA, Girona V, Haro I, Alsina MA, et al. (2011) Effect of E1(64-81) hepatitis G peptide on the in vitro interaction of HIV-1 fusion peptide with membrane models. Biochimicaetbiophysicaacta1808:2178-2188.
77. Schwarze-Zander C, Neibecker M, Othman S, Tural C, Clotet B, et al. (2010) GB virus C coinfection in advanced HIV type-1 disease is associated with low CCR5 and CXCR4 surface expression on CD4(+) T-cells. Antiviral therapy 15:745-752.
78. Zhou T, Xu L, Dey B, Hessell AJ, Van Ryk D, et al. (2007) Structural definition of a conserved neutralization epitope on HIV-1 gp120. Nature 445:732-737.
79. Grinberg M, Gilad S, Meiri E, Levy A, Isakov O, et al. (2012) Vaccinia virus infection suppresses the cell microRNA machinery. Archives of virology 157:1719-1727.
80. Hikichi M, Kidokoro M, Haraguchi T, Iba H, Shida H, et al. (2011) MicroRNA regulation of glycoprotein B5R in oncolytic vaccinia virus reduces viral pathogenicity without impairing its antitumor efficacy. Molecular therapy : the journal of the American Society of Gene Therapy19:1107-1115.

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