In vitro and in vivo inhibition of the host TRPC4 channel attenuates Zika virus infection

EMBO Mol Med. 2024 Aug;16(8):1817-1839. doi: 10.1038/s44321-024-00103-4. Epub 2024 Jul 15.

Abstract

Zika virus (ZIKV) infection may lead to severe neurological consequences, including seizures, and early infancy death. However, the involved mechanisms are still largely unknown. TRPC channels play an important role in regulating nervous system excitability and are implicated in seizure development. We investigated whether TRPCs might be involved in the pathogenesis of ZIKV infection. We found that ZIKV infection increases TRPC4 expression in host cells via the interaction between the ZIKV-NS3 protein and CaMKII, enhancing TRPC4-mediated calcium influx. Pharmacological inhibition of CaMKII decreased both pCREB and TRPC4 protein levels, whereas the suppression of either TRPC4 or CaMKII improved the survival rate of ZIKV-infected cells and reduced viral protein production, likely by impeding the replication phase of the viral life cycle. TRPC4 or CaMKII inhibitors also reduced seizures and increased the survival of ZIKV-infected neonatal mice and blocked the spread of ZIKV in brain organoids derived from human-induced pluripotent stem cells. These findings suggest that targeting CaMKII or TRPC4 may offer a promising approach for developing novel anti-ZIKV therapies, capable of preventing ZIKV-associated seizures and death.

Keywords: Antiviral Target; Calcium; Epilepsy; TRPC4 Channel; Zika Virus.

MeSH terms

  • Animals
  • Calcium-Calmodulin-Dependent Protein Kinase Type 2* / antagonists & inhibitors
  • Calcium-Calmodulin-Dependent Protein Kinase Type 2* / metabolism
  • DEAD-box RNA Helicases
  • HEK293 Cells
  • Humans
  • Mice
  • Nucleoside-Triphosphatase
  • Seizures / drug therapy
  • Seizures / metabolism
  • Seizures / virology
  • Serine Endopeptidases
  • TRPC Cation Channels* / antagonists & inhibitors
  • TRPC Cation Channels* / metabolism
  • Viral Proteases
  • Viral Proteins / metabolism
  • Virus Replication / drug effects
  • Zika Virus Infection* / metabolism
  • Zika Virus Infection* / virology
  • Zika Virus* / drug effects
  • Zika Virus* / physiology

Substances

  • TRPC Cation Channels
  • TRPC4 ion channel
  • Calcium-Calmodulin-Dependent Protein Kinase Type 2
  • NS3 protein, Zika virus
  • Viral Proteins
  • Viral Proteases
  • Serine Endopeptidases
  • Nucleoside-Triphosphatase
  • DEAD-box RNA Helicases