Complexity of Host Micro-RNA Response to Cytomegalovirus Reactivation After Organ Transplantation

Am J Transplant. 2016 Feb;16(2):650-60. doi: 10.1111/ajt.13464. Epub 2015 Oct 13.

Abstract

Human (Homo sapiens) micro-RNAs (hsa-miRNAs) regulate virus and host-gene translation, but the biological impact in patients with human cytomegalovirus (hCMV) infection is not well defined in a clinically relevant model. First, we compared hsa-miRNA expression profiles in peripheral blood mononuclear cells from 35 transplant recipients with and without CMV viremia by using a microarray chip covering 847 hsa-miRNAs. This approach demonstrated a set of 142 differentially expressed hsa-miRNAs. Next, we examined the effect of each of these miRNAs on viral growth by using human fibroblasts (human foreskin fibroblast-1) infected with the hCMV Towne strain, identifying a subset of proviral and antiviral hsa-miRNAs. miRNA-target prediction software indicated potential binding sites within the hCMV genome (e.g., hCMV-UL52 and -UL100 [UL = unique long]) and host-genes (e.g., interleukin-1 receptor, IRF1). Luciferase-expressing plasmid constructs and immunoblotting confirmed several predicted miRNA targets. Finally, we determined the expression of selected proviral and antiviral hsa-miRNAs in 242 transplant recipients with hCMV-viremia. We measured hsa-miRNAs before and after antiviral therapy and correlated hsa-miRNA expression levels to hCMV-replication dynamics. One of six antiviral hsa-miRNAs showed a significant increase during treatment, concurrent with viral decline. In contrast, six of eight proviral hsa-miRNAs showed a decrease during viral decline. Our results indicate that a complex and multitargeted hsa-miRNA response occurs during CMV replication in immunosuppressed patients. This study provides mechanistic insight and potential novel biomarkers for CMV replication.

Keywords: cytomegalovirus; micro-RNA.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antiviral Agents / therapeutic use*
  • Blotting, Western
  • Case-Control Studies
  • Cells, Cultured
  • Cohort Studies
  • Cytomegalovirus / pathogenicity
  • Cytomegalovirus Infections / diagnosis
  • Cytomegalovirus Infections / drug therapy
  • Cytomegalovirus Infections / etiology*
  • Fibroblasts / drug effects
  • Fibroblasts / metabolism
  • Follow-Up Studies
  • Graft Rejection / diagnosis
  • Graft Rejection / drug therapy
  • Graft Rejection / etiology*
  • Graft Survival
  • Host-Pathogen Interactions
  • Humans
  • MicroRNAs / genetics*
  • Organ Transplantation / adverse effects*
  • Postoperative Complications
  • Prognosis
  • RNA, Messenger / genetics
  • RNA, Viral / genetics
  • Real-Time Polymerase Chain Reaction
  • Reverse Transcriptase Polymerase Chain Reaction
  • Risk Factors
  • Viremia / diagnosis
  • Viremia / drug therapy
  • Viremia / etiology*
  • Virus Replication / drug effects
  • Virus Replication / genetics*

Substances

  • Antiviral Agents
  • MicroRNAs
  • RNA, Messenger
  • RNA, Viral