Abstract

Respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory tract infections in young children. Currently, there is no RSV vaccine or universally accessible antiviral treatment available. Addressing the urgent need for new antiviral agents, we have investigated the capacity of a non-coding single-stranded oligonucleotide (ssON) to inhibit RSV infection. By utilizing a GFP-expressing RSV, we demonstrate that the ssON significantly reduced the proportion of RSV infected A549 cells (lung epithelial cells). Furthermore, we show that ssON’s antiviral activity was length dependent and that both RNA and DNA of this class of oligonucleotides have antiviral activity. We reveal that ssON inhibited RSV infection by competing with the virus for binding to the cellular receptor nucleolin in vitro. Additionally, using a recombinant RSV that expresses luciferase we show that ssON effectively blocked RSV infection in mice. Treatment with ssON in vivo resulted in the upregulation of RSV-induced interferon stimulated genes (ISGs) such as Stat1, Stat2, Cxcl10, and Ccl2. This study highlights the possibility of using oligonucleotides as therapeutic agents against RSV infection. We demonstrate that the mechanism of action of ssON is the inhibition of viral entry in vitro, likely through the binding of the receptor, nucleolin and that ssON treatment against RSV infection in vivo additionally results in the upregulation of ISGs.

Highlights

  • Human respiratory syncytial virus (RSV) is a negative sense singlestranded RNA virus of the Pneumoviridae family

  • We evaluated anti-RSV activity against a RSV-A virus expressing GFP (RSV-GFP) by assessing the proportion of A549 infected cells using flow cytometry (Supplementary Figure 1, gating strategy)

  • We found that single-stranded oligonucleotide (ssON) effectively blocked RSV infection for all multiplicity of infection (MOI) assessed regardless of whether ssON was added before infection or simultaneously with the virus (Figure 1B)

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Summary

Introduction

Human respiratory syncytial virus (RSV) is a negative sense singlestranded RNA virus of the Pneumoviridae family. It causes acute severe infections in the lower respiratory tract of children, the elderly and immunocompromised individuals [1]. There is currently no RSV-specific antiviral treatment or vaccine against RSV, except for an immunoprophylactic anti-RSV monoclonal antibody (Palivizumab) or intravenous immunoglobulin (IVIG) treatment. Several ongoing clinical studies are exploring potential RSV vaccines and new anti-RSV monoclonal antibodies, successful progress has been slow. Many recent studies are focusing on the development of alternative RSV inhibitors and the pipeline of new anti-RSV therapeutics was recently reviewed [6]. Examples of new antiviral compounds are the fusion inhibitors Presatovir (GS-5806), TMC353121 and JNJ-678, and replication inhibitors such as Lumicitabine (ALS-8176) [7]

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