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Journal of General Virology (2010), 91, 2762–2772 DOI 10.1099/vir.0.

025650-0

N-(3-Cyanophenyl)-2-phenylacetamide, an
effective inhibitor of morbillivirus-induced
membrane fusion with low cytotoxicity
K. Singethan,1 G. Hiltensperger,2 S. Kendl,1 J. Wohlfahrt,1 P. Plattet,3
U. Holzgrabe2 and J. Schneider-Schaulies1
Correspondence 1
Institut für Virologie und Immunbiologie, University of Würzburg, Germany
J. Schneider-Schaulies 2
Institut für Pharmazie und Lebensmittelchemie, University of Würzburg, Germany
jss@vim.uni-wuerzburg.de
3
Department für klinische Veterinärmedizin, University of Bern, Switzerland

Based on the structural similarity of viral fusion proteins within the family Paramyxoviridae, we
tested recently described and newly synthesized acetanilide derivatives for their capacity to inhibit
measles virus (MV)-, canine distemper virus (CDV)- and Nipah virus (NiV)-induced membrane
fusion. We found that N-(3-cyanophenyl)-2-phenylacetamide (compound 1) has a high capacity
to inhibit MV- and CDV-induced (IC5053 mM), but not NiV-induced, membrane fusion. This
compound is of outstanding interest because it can be easily synthesized and its cytotoxicity is
low [50 % cytotoxic concentration (CC50)¢300 mM], leading to a CC50/IC50 ratio of
approximately 100. In addition, primary human peripheral blood lymphocytes and primary dog
brain cell cultures (DBC) also tolerate high concentrations of compound 1. Infection of human
PBMC with recombinant wild-type MV is inhibited by an IC50 of approximately 20 mM. The cell-to-
cell spread of recombinant wild-type CDV in persistently infected DBC can be nearly completely
inhibited by compound 1 at 50 mM, indicating that the virus spread between brain cells is
dependent on the activity of the viral fusion protein. Our findings demonstrate that this compound
Received 21 July 2010 is a most applicable inhibitor of morbillivirus-induced membrane fusion in tissue culture
Accepted 31 July 2010 experiments including highly sensitive primary cells.

INTRODUCTION complications are acute post-infectious measles enceph-


alitis and, based on a persistent infection, subacute
The genus of closely related viruses Morbillivirus, contains
sclerosing pan-encephalitis (SSPE), which is always lethal.
measles virus (MV) and canine distemper virus (CDV),
SSPE does not occur after measles vaccination (Duclos &
which cause devastating diseases in their hosts. MV, one of
Ward, 1998).
the most contagious aerosol-transmitted viruses, still
causes more than 100 000 deaths each year. After entering CDV causes systemic infections similar to but distinct from
the upper respiratory tract, MV exhibits a pronounced human measles in carnivores such as canines, felids, ferrets,
tropism for mono- and lymphocytic cells and soon viral raccoons and seals, with lethality rates, depending on the
replication is detected in draining lymph nodes (Pfeuffer host, of up to 100 % (Appel et al., 1972; Harder &
et al., 2003; de Swart et al., 2007; Ferreira et al., 2010). Osterhaus, 1997; von Messling et al., 2003). In a high
During measles, patients develop a pronounced leukopenia percentage of animals the CNS is infected, causing severe
that may be due to enhanced adhesion of lymphocytes in complications with infiltration of inflammatory cells and
secondary lymphoid organs (Nanan et al., 1999; Dittmar demyelination (Summers & Appel, 1994; Vandevelde &
et al., 2008). In immunocompetent patients, MV infection Zurbriggen, 1995). Encephalomyelitis is the most common
is usually cleared by the virus-specific immune response, cause of death of CDV-infected animals, meaning that
while the general immune response to other antigens is CDV is much more neurotropic than MV. Live attenuated
suppressed for several weeks after the rash (reviewed vaccines against CDV have existed since the 1950s and their
by Schneider-Schaulies & Schneider-Schaulies, 2009). application led to a drastic reduction in CDV epidemics.
Following replication in lymphoid tissues, virus spreads However, between 1991 and 1995 there were several big
to various organs and can be detected in the skin, the outbreaks in France, Japan, Germany and Scandinavia
gastrointestinal tract, the lungs and the eyes. It may also which especially affected dogs with a high vaccination rate
enter the brain (reviewed by Ludlow et al., 2009). CNS (Blixenkrone-Moller et al., 1993; Gemma et al., 1996). The
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Morbillivirus fusion inhibitor

reason is probably antigenic drift of the wild-type virus. RESULTS


This generates genetically different strains and makes the
vaccine inefficient (Harder & Osterhaus, 1997). Compounds 1 and 5 block morbillivirus envelope
Zoonotic outbreaks of respiratory diseases and encephalitis protein-induced, but not NiV-induced, cell fusion
affecting humans, horses and pigs in Australia, Malaysia We synthesized five acetanilide derivatives (Fig. 1), includ-
and Singapore have led to the isolation of two novel ing the MV-induced fusion inhibitor AS-48 (compound 5;
paramyxoviruses, Hendra and Nipah (NiV) viruses, which
have been assigned to the genus Henipavirus in the family
Paramyxoviridae (Murray et al., 1995; Chua, 2003). The
natural hosts of both viruses are fruit bats of the genus
Pteropus. While causing a respiratory disease with low
mortality rates in pigs, a severe febrile encephalitis with
high mortality rates was observed in NiV-infected humans
(estimated case fatality rate, 40–50 %). Recent outbreaks of
NiV infection in Bangladesh and India have led to further
human deaths and may have been a result of both direct
bat–human and human–human transmissions (Butler,
2004; Chadha et al., 2006). EphrinB2-positive cells,
including endothelial cells, are the major cellular targets
for NiV and syncytia of endothelial cells in blood vessels
are recognized as a characteristic feature of NiV infection
(Wong et al., 2002; Negrete et al., 2005). A late-onset
encephalitis may follow months after the acute infection,
indicating virus persistence in the brain (Tan et al., 2002).
Membrane fusion induced by paramyxoviruses is an essential
step in the viral infection cycle that is mediated by
cooperation of both viral envelope glycoproteins, the
attachment protein (H or G) and the fusion protein (F).
After cleavage of the precursor F protein into F1 and F2
subunits, these subunits form an active H–F1/2 complex
mediating pH independent virus–cell and cell–cell fusion.
Small-molecule inhibitors, fitting into a pocket of the MV F
protein and preventing membrane fusion by blocking the
natural interaction between the two essential heptad-repeat
regions within the F protein, have been designed. They
interfere with the conformational changes of the F protein at
the beginning of the fusion process (Plemper et al., 2004,
2005; Sun et al., 2006). Given the structural similarity of
paramyxovirus F proteins, we tested some of these small-
molecule inhibitors and several derivatives in a NiV F protein-
based fusion assay (Niedermeier et al., 2009). Molecular
modelling indicated that one compound fitted well into a
cavity present in the NiV F protein. This compound inhibited
NiV-induced cell fusion but not MV-induced cell fusion, thus
underlining specific differences between morbillivirus and
henipavirus F proteins (Niedermeier et al., 2009).
We investigated other small-molecule fusion inhibitors,
including N-(3-cyanophenyl)-2-phenylacetamide (com-
pound 1; Sun et al., 2006), and describe its high capacity
to inhibit MV- and CDV-induced, but not NiV-induced, Fig. 1. Compounds and synthesis pathways used in this study. (a)
membrane fusion. Compound 1 is of outstanding interest Compounds 1–5. (b) Scheme 1, synthesis pathway of compounds
because it can be synthesized easily and its cytotoxicity is 1–3. Reagents: (i) NaHCO3, CHCl3, room temperature; (ii) KOH,
low. Even primary human peripheral blood lymphocytes H2O, 100 6C; (iii) SOCl2, MeOH, 70 6C. (c) Scheme 2, synthesis
(PBL) and primary dog brain cells (DBC) tolerated virus- pathway of compounds 4 and 5. Reagents: (i) ethyl chloroformate,
inhibitory concentrations of this compound without signs NEt3, (NH4)2CO3, absolute acetone, room temperature; (ii)
of cytotoxicity. pyridine, phenylacetyl chloride, THF, room temperature.
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K. Singethan and others

compound 11f in Sun et al., 2006), using a modified method


as described by Sun et al. (2006) (see Methods). These
compounds were tested in a cell–cell fusion assay based on the
transfection of viral envelope proteins in the absence of other
viral genes. The envelope proteins of MV (strain Edmonston),
CDV (strain Onderstepoort) and NiV (Malaysia brain isolate)
were used. In this fusion assay the mean sizes of the syncytia
(number of nuclei in a syncytium) are presented as a
percentage of the control versus increasing concentrations of
the compounds (Fig. 2). In this assay, MV-induced cell fusion
was most efficiently inhibited with compound 1 (IC5053 mM;
identical to compound 3g in Sun et al., 2006) followed by
compound 5 (IC5058 mM; identical to compound AS-48),
and less efficiently by compounds 3, 2 and 4. CDV-induced
cell fusion was also efficiently inhibited by compounds 1 and
5 (IC5056 and 4 mM, respectively), whereas NiV-induced cell
fusion was not inhibited in this concentration range. Thus in
our hands, compound 1 was slightly better at inhibiting MV
envelope protein-induced cell fusion than compound 5. Both
substances were similarly active for CDV envelope protein-
induced fusion. Since the synthesis of compound 1 is
straightforward and easy, this compound was an interesting
candidate for further investigation.

Compound 1 efficiently inhibits MV and CDV


uptake and virus-induced cell fusion
In order to assess the ability of compound 1 to inhibit
syncytium formation induced by infectious wild-type MV
and CDV, we used the recombinant wild-type viruses rMV–
IC323–eGFP and rCDV–A75/17red, which express eGFP
and tomato red, respectively. As target cells in this infection-
inhibition assay we used Vero cells expressing the appro-
priate receptors, human and canine CD150 (Vero–hSLAM
and Vero–dogSLAM). In the first series of experiments virus
and inhibitors were mixed, added to the cells and the
mixture incubated for 48 h at 37 uC. Live cells were analysed
using a UV microscope and photomicrographs were taken
(Fig. 3). Syncytium formation was inhibited in a dose-
dependent manner by compound 1 and only few single Fig. 2. Dose-dependent inhibition of envelope protein-induced cell
infected cells were observed in the presence of .10 mM fusion. Vero cells were transfected with plasmids expressing the F
compound 1. Similar results were observed using compound and H proteins of MV strain Edmonston (a), F and H proteins of
5 (data not shown). CDV strain Onderstepoort (b) and F and G proteins of NiV (c).
Compounds were added after transfection at the concentrations
To investigate the effect of the inhibitors separately on virus–
indicated and the cells were incubated for 24 h at 37 6C. Mean
cell and cell–cell fusion, we either pre-incubated virus with
numbers of nuclei in at least 50 syncytia per concentration per
the inhibitors or added the inhibitors after infection of the compound were quantified by microscopy. Relative fusion is
cells (Fig. 4). In Fig. 4(a), rMV–IC323–eGFP and rCDV– presented as a percentage relative to the untreated control cells
A75/17red were mixed with compound 1 and incubated for (100 %). Mean values and SD of three independent experiments
15 min at room temperature prior to infection of Vero– are presented. SD for compounds 1 and 5 are also shown.
hSLAM and Vero–dogSLAM cells for 16 h. Under these
conditions the number of infected cells deceased with
increasing concentrations of the inhibitors. In Fig. 4(b), the results as are shown for compound 1 were obtained with
cells were first infected, then washed and further incubated compound 5 (data not shown). In addition, pre-incubation
in the presence of compound 1 for 24 h at 37 uC. This of cells with compounds 1 or 5, and subsequent infection in
treatment reduced the size of syncitia in an inhibitor the absence of these compounds did not affect infection or
concentration-dependent manner, but did not reduce the syncytium formation (data not shown). Thus both virus–cell
number of infected single cells (foci of infection). Similar and cell–cell fusions were inhibited by compounds 1 or 5.
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Morbillivirus fusion inhibitor

Fig. 3. Inhibition of syncytium formation by compound 1 in recombinant wild-type MV- and CDV-infected Vero–hSLAM and
Vero–dogSLAM cells. (a) Vero–hSLAM cells were infected with rMV–IC323–eGFP. (b) Vero–dogSLAM cells were infected
with rCDV–A75/17red at an m.o.i. of 0.1. Compound 1 was mixed with virus prior to infection in increasing concentrations (0–
30 mM). Virus and inhibitor were left in the cell culture and incubated for 48 h at 37 6C. Fluorescence and bright-field images
were taken using a 20¾ objective lens.

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Fig. 4. Virus–cell fusion and cell–cell fusion are inhibited by compound 1. (a) The viruses (rMV–IC323–eGFP and rCDV–A75/
17red) were mixed with compound 1 and incubated for 15 min at room temperature prior to infection of cells. Vero–hSLAM and
Vero–dogSLAM cells, upper and lower panels respectively, were incubated at 37 6C for 16 h. (b) The cells were first infected
with the viruses for 1 h at 37 6C, then washed with PBS and further incubated in medium in the presence of compound 1 for
24 h at 37 6C. Images were taken using a 20¾ objective lens.

As a consequence of the inhibition of virus-induced membrane were determined using Vero–hSLAM and Vero–dogSLAM
fusion, the titres of infectious viral particles were reduced by cells for virus production and titration, respectively. Inhibition
compounds 1 and 5 in a concentration-dependent manner (Fig. of viral titres of more than 2 logs (.99.5 %) was obtained
5). Viral titres of rMV–IC323–eGFP and rCDV–A75/17red with concentrations of 30 mM for compounds 1 and 5.
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Morbillivirus fusion inhibitor

assessed the toxicity of compound 1 using phytohaemag-


glutinin (PHA)-stimulated primary human peripheral blood
lymphocytes (PBL). In this case we used the DNA-
intercalating substance 7-amino-actinomycin D conjugated
to APC-Alexa Fluor 750 (7AAD), which is incorporated into
damaged cells, and evaluated the result by flow cytometry.
Compound 1 was non-toxic in PBL at concentrations
¡100 mM, whereas compound 5 was non-toxic only at
concentrations ¡30 mM (Fig. 6b). The CC50 values of
compounds 1 and 5 in PBL were approximately 300 and
100 mM, respectively.

Fig. 5. Reduction of virus titres by treatment with compounds 1


and 5 in MV- and CDV-infected Vero cells. Vero–hSLAM and
Vero–dogSLAM cells (1¾105), were infected with rMV–
IC323eGFP (a) and rCDV–A75/17red (b), respectively, at an
m.o.i. of 0.1 in the presence of increasing concentrations of
compounds 1 or 5, as indicated, and incubated for 3 days. As in
Fig. 4, the compounds were mixed with virus prior to infection and
left in the culture. Total virus (cell-bound and released) was
prepared and titrated using Vero–hSLAM and Vero–dogSLAM
cells (results with SD of three independent experiments are
presented).

Fig. 6. Determination of cell viability in the presence of compounds


using Vero cells and PBL. (a) Vero cells (1¾105 per well) were
Cytotoxicity of the compounds incubated for 48 h with increasing concentrations of compounds 1
Cytotoxicity in Vero cells was determined using the or 5. After removal of the medium, cells were incubated for 2 h at
tetrazolium salt 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl- 37 6C with MTT solution, then for 45 min at room temperature with
extraction solution; finally, aliquots were evaluated using an ELISA
tetrazolium bromide (MTT), which is incorporated in living
reader. Results are presented as percentage viability relative to
cells and converted into a violet formazan product by
DMSO-treated control cells. (b) PBL (2¾105) were treated with
mitochondrial dehydrogenases. After treatment of Vero the compounds 1 or 5 for 48 h and processed for flow cytometry.
cells, no considerable cytotoxic effects of compounds 1 or 5 Before measurement, the cells were incubated with 7AAD for
were observed at concentrations ¡100 mM (Fig. 6a), and at 10 min, then washed with FACS buffer and the incorporation of
concentrations of 300 mM 46 and 28 % of cells remained 7AAD measured using the far-red channel of the flow cytometer.
vital, respectively. Compound 5 was always slightly more Results are the mean values from three independent experiments
toxic than compound 1. Since Vero cells are quite robust and are presented as the percentage of viable cells relative to
and may not reflect the sensitivity of primary cells, we also untreated healthy cells.
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Compound 1 can be used in sensitive primary drastically reduced in the presence of compound 1,
cultures of lymphocytes and brain cells indicating that the activity of the F protein is required
The above findings encouraged us to test the capacity of for cell-to-cell spread of CDV in persistently infected DBC.
compound 1 to inhibit the infection of primary human Morphologically, there was no sign of toxicity detectable in
PBL with recombinant wild-type MV and DBC with compound 1-treated DBC cultures, thus demonstrating
recombinant wild-type CDV. PBL were stimulated with that this concentration is well tolerated by these sensitive
PHA for 48 h prior to infection to stimulate the expression primary brain cells.
of the MV receptor CD150 (not shown; Tatsuo et al., 2000;
Erlenhoefer et al., 2001). The cells were then infected at an
m.o.i. of 0.5 with rMV–IC323–eGFP in the absence or DISCUSSION
presence of increasing concentrations of compound 1 and We investigated the capacity of two previously described
48 h later the infection of CD3+ T and CD19+ B MV inhibitors and three new derivatives to inhibit MV-,
lymphocytes was analysed by flow cytometry (Fig. 7). A CDV- and NiV-induced membrane fusion. MV and CDV
higher percentage of B than T lymphocytes was infected envelope protein-mediated membrane fusion was selec-
(approximately 50 and 30 %, respectively) with the tively inhibited by compounds 1 and 5, whereas NiV F/G
recombinant wild-type MV (Fig. 7b). In addition, the protein-mediated cell fusion was not affected. Compound
mean fluorescence intensity (MFI) of eGFP, which directly 1 [N-(3-cyanophenyl)-2-phenylacetamide] was found to be
reflects the level of virus replication, was three- to fourfold of special interest because it can be synthesized easily and
higher in B than in T lymphocytes, and was 50 % inhibited its cytotoxicity is low. Even primary human PBL and
by compound 1 (and compound 5, data not shown) at primary DBC tolerated virus-inhibitory concentrations of
concentrations of approximately 20 mM in both cell types compound 1 without signs of cytotoxicity. The finding that
(Fig. 7c). a higher percentage of B than T lymphocytes is infected by
DBC were infected with rCDV–A75/17red at an m.o.i. of wild-type MV and that B cells express more viral protein,
0.01 and cultivated for 12 days at 37 uC in the presence or as indicated by eGFP, reflects a finding in lymphatic tissue
absence of concentrations of 50 mM compound 1 (Fig. 8). by Condack et al. (2007). The infection of both B and T
The number of foci and the cell-to-cell spread were cells was inhibited by compounds 1 or 5 by 50 % at

Fig. 7. Inhibition of MV infection of primary


human PBL. PBL (1¾105 per well) were
infected in the absence or presence of
compound 1 with rMV–IC323–eGFP at an
m.o.i. of 0.5. The cells were incubated for 48 h
at 37 6C and then processed for flow cyto-
metry with PE-conjugated antibodies to CD3
and CD19 to allow separate analysis of T and
B lymphocytes. (a) Examples of dot plots
showing infection (eGFP expression) of
CD3+ T cells and CD19+ B cells.
Percentages of cells are given in the quad-
rants. (b) The percentages of MV-infected
(eGFP-positive) B and T cells of the total
number of gated B and T cells in the presence
of increasing concentrations of compound 1.
(c) The eGFP expression (MFI) of infected B
and T cells in the presence of increasing
concentrations of compound 1. Results and SD
of five independent experiments are given.

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Morbillivirus fusion inhibitor

were also much less effectively inhibited by compound 1


(compare IC50 of 6.5 mM with IC50 of .600 mM for resistant
strains) (Doyle et al., 2006; Sun et al., 2006). The IC50
concentration of compound 1, obtained in our fusion-
inhibition assay using transfection of the viral envelope
proteins of MV strain Edmonston (IC50 of approximately
3 mM), coincided quite well with the described value for MV
Edmonston (6.5 mM). In addition, we obtained similar results
for the CDV envelope proteins of strain Onderstepoort (IC50
of approximately 6 mM). These data suggest that compound 1
interacts at a similar site for the CDV-F protein and for the
MV-F protein site determined earlier.
In comparison with certain peptides derived from heptad-
repeat regions (HR) of the F protein, which imitate the
natural interaction between HR-A and HR-B necessary for
the conformational change of the F protein, small-molecule
inhibitors are not immunogenic, are more soluble, are easier
to synthesize and show better gastrointestinal adsorption
(Meanwell & Krystal, 2000). In tissue culture experiments
compound 1 may replace the fusion-inhibiting peptide (FIP;
Z-D-Phe-Phe-Gly where Z is a benzyloxycarbonyl protection
group; Richardson & Choppin, 1983). FIP is widely used for
Fig. 8. Inhibition of the spread of CDV in dog brain cultures by
inhibition of morbillivirus-induced cell fusion but its
compound 1. DBC were infected with rCDV–A75/17red at an
mechanism of action is not clear. In contrast to compound
m.o.i. of 0.01 and further cultivated in the presence (50 mM; a, b)
1, FIP is supposed to interact with the cell membrane and to
or absence (c, d) of compound 1 for 12 days at 37 6C. The red
fluorescence shows infected cells (a, c) in comparison with the
inhibit the conversion of phospholipid bilayers to the
bright-field photographs demonstrating that the primary brain cell hexagonal phase (Epand, 1986).
cultures are intact (b, d). Binding of morbillivirus attachment protein H to its host
cell receptor simultaneously activates protein F, which will
then undergo a structural rearrangement leading to virus–
concentrations of approximately 20 mM. The spread of cell or cell–cell membrane fusion. These processes are not
recombinant wild-type CDV in DBC was nearly completely only important during acute infections, but may also
inhibited by concentrations of 50 mM compound 1, influence viral spread during persistent infections in the
suggesting that infection and virus spread in these brain. It has been demonstrated that the F protein of wild-
persistently infected cultures are dependent on the activity type CDV is a major determinant of persistent infection
of the viral fusion protein. Thus, compound 1 is a most (Plattet et al., 2005, 2009). CDV-A75/17, a virulent
applicable inhibitor for tissue culture experiments with demyelinating viral strain isolated from the lymphoid
highly sensitive primary cells and may be a good candidate tissues of an experimentally infected dog, spreads efficiently
for application in an animal model of MV or CDV in DBC cultures with extremely limited cell–cell fusion and
infections. a low level of cytolysis, whereas the attenuated laboratory
strain Onderstepoort induces ample syncytium formation
Compound 1 was assessed earlier as a derivative of an and cell lysis. However, non-cytolytic cell-to-cell spread
effective inhibitor of MV-induced membrane fusion (AS- promotes viral persistence and the development of chronic
48, compound 5) (Plemper et al., 2004, 2005; Sun et al., disease (Vandevelde & Zurbriggen, 2005). In line with
2006). Sun et al. (2006) tested the activity of compound 1 these results, it has been documented that haemagglutinin
(compound 3g in Sun et al., 2006) using Vero cells and an was strictly required to allow efficient CDV-A75/17 spread
attenuated vaccine-like MV strain (Edmonston), which in DBC (Wyss-Fluehmann et al., 2010). However, in the
uses the receptor CD46 on Vero cells (Erlenhoefer et al., latter study the absence of protein H may have influenced
2002). In this publication the most efficient compound was protein F transport competence and/or proper folding of
compound 5, which carries nitro and amido groups meta protein F. Here we now extend these results further using
and ortho to the anilide nitrogen, respectively. This one of the fusion inhibitors (compound 1) binding to a
compound was also tested and found to be active against cavity in protein F by clearly demonstrating that, in the
various wild-type MV strains with IC50 values of 0.6–3 mM presence of protein H, protein F is also essential for
(Plemper et al., 2005). Importantly, compounds 1 and 5 controlling CDV cell-to-cell lateral spread in brain cell
interact, presumably, with the same region in the viral F cultures. These data support the notion that cell-to-cell
protein, since compound 5-resistant strains, with a transmission of wild-type CDV in brain cells lacking
mutated aa 462 in the C-terminal heptad-repeat domain, signalling lymphocyte activation molecule (SLAM) expres-
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sion is driven by a classical mechanism of fusion, thereby using a protein G column. Phycoerythrin PE-labelled antibodies to
presumably implicating an as yet unidentified cellular CD3, CD14, CD19 and CD69 were obtained from Becton Dickinson.
receptor, protein H attachment and subsequent triggering
Synthesis of small-molecule inhibitors. Compounds 1–5 (Fig. 1)
of protein F. were synthesized in a similar way to that which has been described for
Ribavirin (RBV) is the only approved antiviral that is in use compound 5, a lead structure of the third generation of the substances
oxazole 1 and acetamide 4 (Plemper et al., 2004, 2005; Sun et al.,
against MV infections of the CNS (SSPE) and NiV 2006). Compound 1 was synthesized according to Sun et al. (2006),
infections. It is a water-soluble synthetic nucleoside with using equimolar amounts of 3-aminobenzonitrile and phenylacetyl
broad-spectrum antiviral properties that has been shown to chloride in the presence of sodium carbonate. The resulting product
be active in vitro against many viruses (Huffman et al., was suspended in an aqueous solution of sodium hydroxide (2 M)
1973; Gururangan et al., 1990; Honda et al., 1994; Ishii and refluxed for 30 h. Compound 2 was precipitated by the addition
of concentrated hydrochloric acid. For esterification, 1 equiv. of
et al., 1996; Chong et al., 2001; Graci & Cameron, 2006;
compound 2 and 10 equiv. of thionyl chloride were dissolved in
Elia et al., 2008). Although RBV was used as an antiviral methanol and refluxed for 17 h. The solvent was removed in vacuo
agent during the first NiV outbreak in 1999 in Malaysia, its and the residue was recrystallized from methanol to yield product 3
antiviral properties could not be confirmed in the generally (Fig. 1b). Compounds 4 and 5 were synthesized by a two-step
accepted hamster model (Georges-Courbot et al., 2006). In procedure, starting off with the amidation of the corresponding
the case of SSPE the treatment with inosiplex (isoprino- benzoic acids. Therefore, 1 equiv. of the corresponding benzoic acid,
5 equiv. of ethyl chloroformate and 7 equiv. of triethylamine were
sine), intraventricular alpha interferon and RBV, which is
dissolved in absolute acetone under argon atmosphere. The in situ-
applied in many cases, may at best prolong the disease generated anhydrides were converted into the corresponding primary
course (Weissbrich et al., 2003). Unfortunately, the high amides using ammonium carbonate. The final amidation was carried
concentrations of RBV required have undesirable side out in tetrahydrofuran (THF), using equimolar amounts of the
effects, e.g. haemolytic anaemia (De Franceschi et al., corresponding amide and phenylacetyl chloride in the presence of
2000). Future work will show whether compounds with 3 equiv. of pyridine to yield compounds 4 and 5. The crude products
were purified and isolated by column chromatography (Fig. 1c).
lower toxicity based on phenyl-2-phenylacetamide may be
suitable for application in vivo. Expression plasmids, transfection and quantification of cell–
cell fusion. NiV glycoprotein genes (F and G; GenBank accession no.
AF212302; Malaysian isolate from human brain tissue kindly
provided by Pierre Rollin and Tom Ksiazek, Centers for Disease
METHODS Control and Prevention, Atlanta, GA, USA) were cloned into vector
Cells, viruses and antibodies. Vero cells (African green monkey; pczCFG, a derivative of the replication-deficient murine leukemia
ATCC CRL 6318), Vero cells expressing human CD150 (Vero– virus, yielding pczCF5–NiVFtag2 and pczCF5–NiVG (Moll et al.,
hSLAM) and Vero cells expressing canine CD150 (Vero–dogSLAM; 2004). The CDV strain OND-LP protein H and protein F expressing
Vero–hSLAM and Vero–dogSLAM were gifts of Dr Y.Yanagi, Kyushu plasmids used for transfection were pCG–CDV–H and pCG–CDV–F.
University, Fukuoka, Japan) were cultured in Eagle’s minimal The MV strain Edmonston protein H- and protein F-expressing
essential medium (MEM) containing 5 % FCS, 100 U penicillin ml21 plasmids were pCG–H5 and pCG–F1. For transient expression cells
and 100 mg streptomycin ml21. Recombinant MV wild-type strain were transfected using polyethyleneimine (PEI 25 kDa; Polyscience).
IC323–eGFP [rMV–IC323–eGFP (Hashimoto et al., 2002)] was Briefly, a monolayer of 46105 Vero cells per well of a six-well plate
propagated using Vero–hSLAM. CDV strain Onderstepoort large were washed with pre-warmed medium. Mixtures of 2 mg DNA in
plaque was propagated in Vero cells and recombinant CDV wild-type 50 ml serum-free medium and 3 ml PEI (1 mg PEI ml21 in serum-free
strain A75/17, expressing tomato red [rCDV–A75/17red, (Plattet et al., medium) in 50 ml serum-free medium (incubated for 30 min at room
2004)] was propagated in Vero–dogSLAM cells. temperature) were added to 1 ml medium per well. Syncytia were
quantified after 24 or 48 h of incubation at 37 uC. Compounds were
PBMC obtained from buffy coats of healthy adult volunteers were added to the media prior to infection at the indicated concentrations.
diluted 1 : 6 in Versene (GIBCO) and enriched with lymphocyte Phase-contrast photomicrographs were taken of random regions by
separation medium LSM 1077 (PAA Laboratories). Fresh PBMC were using a 206 objective lens with a digital camera (Leica) and the mean
washed three times with PBS and suspended in RPMI 1640 (GIBCO) number of nuclei per syncytium in each well was calculated from
medium containing 10 % FCS. PBMC were plated and incubated for several experiments.
2 h at 37 uC to separate non-adherent PBL from adherent cells. PBL
were stimulated with 2.5 mg PHA-L ml21 (PHA, Roche Diagnostics) Cell viability assays. MTT (Sigma) is incorporated into living cells
for 48 h before infection. Stimulation of the cells was assessed by and converted into a violet formazan product by mitochondrial
measuring CD69 and CD150 expression by flow cytometry. DBC dehydrogenases. Only living vital cells and cells in the very early phase
(dissociated brain tissue cultures derived from neonatal dogs) were of apoptosis can transform MTT to crystals. Vero cells (2.56105) in a
prepared and maintained on poly-L-lysine-coated dishes as described six-well plate were pre-incubated for 20 h with the chemical
by Zurbriggen et al. (1984, 1995). compounds. Medium was removed and the cells incubated for 2 h
with 1 ml fresh medium per well (MEM with 5 % FCS). After removal
Polyclonal dog-anti-CDV hyperimmune serum was a kind gift from of the medium, cells were incubated for 2 h at 37 uC with 750 ml MTT
M. Appel, Cornell University, Ithaca, NY, USA, and was used at a solution per well. The solution was removed and the cells incubated
1 : 1500 dilution. MV-specific hyperimmune serum from a patient for 45 min at room temperature with 750 ml extraction solution.
with SSPE was used at a 1 : 6000 dilution. The secondary antibody, Twelve 50 ml aliquots were transferred into a 96-well plate and A570
FITC-conjugated rabbit-anti-dog, was obtained from DAKO and evaluated using an ELISA plate reader. Results (mean values) were
Alexa Fluor488-conjugated anti-human secondary antibody was presented as percentage viability relative to control cells that were
obtained from Molecular Probes. A mAb against CD150 (5C6) was treated with amounts of DMSO equivalent to those used for the
generated in our laboratory (Erlenhoefer et al., 2001) and purified compounds.
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Morbillivirus fusion inhibitor

To determine the toxicity of the compounds in cells growing in Erlenhoefer, C., Wurzer, W. J., Löffler, S., Schneider-Schaulies, S.,
suspension (PBMC), incorporation of 7AAD (7AAD staining ter Meulen, V. & Schneider-Schaulies, J. (2001). CD150 (SLAM) is a
solution; eBioscience) into damaged cells was measured by flow receptor for measles virus, but is not involved in viral contact-
cytometry. Fluorescence was detected in the far-red range of the mediated proliferation inhibition. J Virol 75, 4499–4505.
spectrum (650 nm long-pass filter). Erlenhoefer, C., Duprex, W. P., Rima, B. K., ter Meulen, V. &
Schneider-Schaulies, J. (2002). Analysis of receptor (CD46, CD150)
usage by measles virus. J Gen Virol 83, 1431–1436.
ACKNOWLEDGEMENTS Ferreira, C. S., Frenzke, M., Leonard, V. H., Welstead, G. G.,
We thank the Deutsche Forschungsgemeinschaft and the Elite Richardson, C. D. & Cattaneo, R. (2010). Measles virus infection of
Netzwerk Bayern for financial support. alveolar macrophages and dendritic cells precedes spread to lymphatic
organs in transgenic mice expressing human signaling lymphocytic
activation molecule (SLAM, CD150). J Virol 84, 3033–3042.
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