Abstract

In a screen for RNA mutagen resistance, we isolated a high fidelity RNA dependent RNA polymerase (RdRp) variant of Coxsackie virus B3 (CVB3). Curiously, this variant A372V is also resistant to amiloride. We hypothesize that amiloride has a previously undescribed mutagenic activity. Indeed, amiloride compounds increase the mutation frequencies of CVB3 and poliovirus and high fidelity variants of both viruses are more resistant to this effect. We hypothesize that this mutagenic activity is mediated through alterations in intracellular ions such as Mg2+ and Mn2+, which in turn increase virus mutation frequency by affecting RdRp fidelity. Furthermore, we show that another amiloride-resistant RdRp variant, S299T, is completely resistant to this mutagenic activity and unaffected by changes in ion concentrations. We show that RdRp variants resist the mutagenic activity of amiloride via two different mechanisms: 1) increased fidelity that generates virus populations presenting lower basal mutation frequencies or 2) resisting changes in divalent cation concentrations that affect polymerase fidelity. Our results uncover a new antiviral approach based on mutagenesis.

Highlights

  • Amiloride and its derivatives are potassium-sparing diuretics used to treat hypertension and to prevent hypokalemia associated with congestive heart failure

  • Using wild type and RNA dependent RNA polymerase (RdRp) fidelity variants of poliovirus and Coxsackie virus B3 (CVB3), we show that amiloride compounds do have mutagenic activity and act on RNA virus populations indirectly, by altering intracellular ion concentrations that affect polymerase fidelity

  • Our results provide the first evidence of a mutagenic activity for amiloride compounds and suggests that A372V resists this effect by increasing RdRp fidelity and lowering basal mutation frequency

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Summary

Introduction

Amiloride and its derivatives are potassium-sparing diuretics used to treat hypertension and to prevent hypokalemia associated with congestive heart failure. These compounds act by inhibiting epithelial Na+ channels and the Na+/H+, Na+/Ca2+ and Na+/ Mg2+ antiport functions [1,2]. Harrison et al isolated two viral RNA dependent RNA polymerase (RdRp) mutants of CVB3 that were more resistant to amiloride than wild type virus. The mechanism for this resistance remains unclear

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