Aurintricarboxylic acid inhibits influenza virus neuraminidase

There is a continuing threat that the highly pathogenic avian influenza virus will cause future influenza pandemics. In this study, we screened a library of compounds that are biologically active and structurally diverse for inhibitory activity against influenza neuraminidase (NA). We found that aurintricarboxylic acid (ATA) is a potent inhibitor of NA activity of both group-1 and group-2 influenza viruses with IC50s (effective concentration to inhibit NA activity by 50%) values at low micromolar concentrations. ATA was equally potent in inhibiting the NA activity derived from wild-type NA and its H274Y mutant which renders NA resistance to inhibition by oseltamivir. Although ATA is structurally distinct from sialic acid, molecular modeling experiments suggested that ATA binds to NA at the enzyme’s substrate binding site. These results indicate that ATA may be a good starting material for the design of a novel class of NA inhibitors for the treatment influenza viruses.


Introduction
Influenza virus causes severe epidemics of respiratory illness each year. In recent years, frequent outbreaks of H5N1 subtype avian influenza infections in humans have caused serious concerns (Chang et al., 2006). Although vaccination is considered the first line of defense, current strategies for vaccine design and manufacturing may not be sufficient to combat an influenza pandemic. Neuraminidase (NA) inhibitors (NAIs) are effective therapeutic agents against influenza viruses by targeting the viral NA protein (von Itzstein et al., 1993;Li et al., 1998;Moscona, 2005). The advent of zanamivir (Relenza) and oseltamivir (Tamiflu) has clearly established that NA is a valid drug target for development of antiinfluenza therapeutics (Klumpp and Graves, 2006;Garman and Laver, 2004). Although these agents are effective as prophylactics and treatment of influenza virus infection, alternative treatments are needed as drug-resistant strains have already emerged in some patients who received oseltamivir treatment (de Jong et al., 2005;Carr et al., 2002;Gubareva et al., 2001;Monto et al., 2006;. Influenza virus NA is essential for virus replication by facilitating the release of progeny virions from infected cells (Seto and Rott, 1966;Palese et al., 1974). NA is also important for the trafficking of virus in the mucus layer of the respiratory tract so that the viruses can get access to the underlying epithelial cells (Klenk and Rott, 1988). NA is present on the surface of viral envelope and is composed of a tetramer of identical 60-kDa glycosylated subunits. X-ray crystallographic studies have revealed the structure of the head of the tetrameric NA . NAs from influenza A viruses are classified into two genetically distinct groups: group-2 includes the N2 and N9 subtypes that have been used for structurebased drug design von Itzstein et al., 1993) and group-1 includes the N1 subtype of the H5N1 or H1N1 strains. The structure of group-1 H5N1 avian influenza NA was recently solved, and it has suggested new opportunities for drug design because the discovery of a novel cavity adjacent to the active site that would close upon substrate binding (Russell et al., 2006).
In this study, we screened a compound library for inhibition of the NA activity derived from influenza A/Udorn/72 (H3N2) virus and identified aurintricarboxylic acid (ATA) as a candidate inhibitor. ATA has previously been shown to interfere with a variety of cellular processes. It was described as a general inhibitor of nucleases (Hallick et al., 1977). ATA has also been shown to protect various cell types from apoptotic cell death which was induced by a variety of factors (Roberts-Lewis et al., 1993;Benchokroun et al., 1995;Andrew et al., 1999;Tsi et al., 2002;Marchisio et al., 2003). There were also reports to indicate that ATA could inhibit various types of kinases involved in cellular singaling pathways, e.g., I kappa B kinase (IKK), extracellular signal-regulated kinase (ERK) (Tsi et al., 2002;Myskiw et al., 2007). ATA was also shown to inhibit cytokineinduced JAK-STAT signaling pathway . Further, ATA has been described as a insulin-like growth factor I (IGF-I) mimetic and could promote proliferation of cells in serum-free culture medium presumably through activation of the insulin-like growth factor 1 signaling pathway (Beery et al., 2001).
In addition to the aforementioned cellular processes that ATA may be interfering, ATA has also been reported to inhibit the replication of different kinds of viruses including human immunodeficiency virus (HIV) (Schols et al., 1989), SARS-CoV (Yap et al., 2005;He et al., 2004), and vaccinia virus (Myskiw et al., 2007), etc. In this study, we discovered that ATA also inhibits the function of the NA encoded by influenza viruses. We also found that ATA is equally effective in inhibiting the wild-type NA and the oseltamivirresistant NA with a H274Y mutation (NA H274Y ) (de Jong et al., 2005). Molecular modeling experiments indicate that ATA binds to the same binding site as the substrate does.

Site-directed mutagenesis of the NA gene
pGEM-T Easy plasmids (Promega, Madison, WI, USA) bearing the NA gene fragment from influenza virus strains A/WSN/33 and NIBRG-14 were used as targets for site-directed PCR mutagenesis of NA. To generate site-specific mutations, two primer sets were designed: • WSN H274Y-F (5 -AAT TCT TAC TAC GAG GAA TGT TCC TGT TAC-3 ).
Mutation sites were created by PCR using 0.4 mM dNTP, 0.3 M primers, 2 ng template DNA and an appropriate amount of Turbo Pfu DNA polymerase and buffer (Stratagene, La Jolla, CA, USA). The thermal cycling profile was 95 • C for 5 min followed by 20 cycles of 94 • C for 30 s, 50 • C for 1 min, and 68 • C for 10 min, with final extension of 68 • C for 10 min. After PCR amplification, DpnI was added to digest the plasmid template. The amplified DpnI-insensitive mutated plasmids were introduced into E. coli for selection of the designed mutant sequences.

NA production in insect cells
The NA gene for strain A/WSN/33 (H1N1) was obtained from pPOLI-N1-R (Fodor et al., 2002) by PCR with primers carrying sites for EcoRI and XhoI, N1Bac-F: 5 -CCG CTC GAG CGG CGC CAC CAT GAA TCC AAA CCA GAA AAT-3 and N1Bac-R: 5 -CCG GAA TTC CGG CTA CTT GTC AAT GGT GAA CGG CAA-3 C. The NIBRG-14 (H5N1) subtype NA gene was retrieved from a cDNA library established by reverse transcription with primer Uni12: 5 -AGC AAA AGC AGG-3 followed by PCR amplification with primers N1Bac-F and N1Bac-R.
The PCR-amplified NA inserts were cloned into pGEM-T Easy Vectors (Promega). Then, NA genes were cut out of the pGEM-T plasmid by digestion with EcoRI and XhoI restriction enzymes. The EcoRI-XhoI fragments were then introduced into the modified transfer vector pBacPAK8 (Clontech, Palo Alto, CA, USA), which carries an Enhanced Green Fluorescent Protein gene under the weak metallothionein promoter as a selection marker . These constructs were co-transfected with linear BacPAK8 viral DNA into Sf9 insect cells. In the Sf9 system, successful homologous recombination produces infectious baculovirus expressing NA proteins. To select single clones of recombinant baculoviruses, the culture medium from baculovirus-infected insect cell cultures was harvested and serially diluted to infect Sf9 cells in 96-well plates. Subsequently, selected virus clones were amplified in a 6-well plate. Culture media of infected cells were then collected and stored as virus stocks for the production of NA to be utilized in the NA enzymatic assay. Recombinant baculoviruses, i.e., Bac-NA WT(WSN) , Bac-NA H274Y(WSN) , Bac-NA WT(H5N1) , Bac-NA H274Y(H5N1) , were generated to express the wild-type and H274Y mutants of NA originating from influenza A/WSN/33 (H1N1) and NIBRG-14 (H5N1). Although the His is not exactly located at 274 in the NA WT(WSN) or NA WT(H5N1) , the His to Phe point mutation was referred to as H274Y in this study because "H274Y" has been utilized in the literature to designate this specific amino acid change responsible for Tamiflu resistance (Zürcher et al., 2006;Abed et al., 2006;Baz et al., 2007).

Neuraminidase inhibition assay
The large-scale influenza virus suspension was prepared from MDCK cells infected with influenza virus. To inactivate viral infectivity, virus suspensions were treated with formaldehyde at a final concentration of 0.01% at 37 • C for 30 min. We demonstrated that such preparations were safe for handling on the bench because the viral titer is under the detection limit without decreasing the NA activity (results not shown). Aliquots of the inactivated virus supernatants were stored at −80 • C. The NA enzymatic activity was measured using the fluorogenic substrate MU-NANA (Potier et al., 1979). The NA activity assay was conducted in 96-well plates containing 10 l diluted virus supernatant (containing active influenza NA) and 100 M MU-NANA substrate per well in buffer (32.5 mM 2-(N-morpholino)-ethanesulfonic acid (Wood and Robertson, 2007), 4 mM CaCl 2 at pH 6.5). For compounds screening or for evaluating the inhibitory activity of ATA, the inactivated virus supernatants were pre-incubated with the test compounds for 30 min at 30 • C. The enzymatic reactions were then carried out for 1 h at 37 • C and then terminated by 150 l of the stop solution (25% ethanol, 0.1 M glycine, pH 10.7), and fluorescence intensity of the product 4-MU was measured using a Fluoroskan spectrofluorometer (Labsystems, Helsinki, Finland) with excitation and emission wavelengths of 330 and 445 nm, respectively. The IC 50 for reducing NA activity was then determined. Free 4-MU was used to generate a standard curve to assess NA activity.

CPE inhibition test
To examine if the initial hit compounds identified from the NA inhibition assay can inhibit the cytopathic effect (CPE) of cells infected by influenza viruses, 96-well tissue culture plates were seeded with 200 l of 1 × 10 5 MDCK cells/ml in DMEM with 10% FBS. After cells were incubated 18-24 h at 37 • C, virus at a multiplicity of infectivity (MOI) of 0.2 per cell was mixed with different concentrations of compounds and were then added to the cells. After 1 h viral adsorption, the infected cells were overlaid with 50 l DMEM and 0.5% DMSO and incubated at 37 • C for 72 h. At the end of the incubation, cells were fixed with 100 l of 10% formaldehyde for 1 h at room temperature. After removal of the formaldehyde, the cells were stained with 0.1% crystal violet for 15 min at room temperature. The plates were washed and dried, and the intensity of crystal violet staining for each well was measured at 570 nm. The concentration required for a test compound to reduce the CPE of the virus by 50% (IC 50 ) was determined. Oseltamivir carboxylate (GS4071) was used as a reference control in the CPE inhibition test.

Cytotoxicity assay
Cell viability was determined by MTS assay (Cory et al., 1991). MDCK cells were grown (7000 cells/well) in 96-well plate for 24 h. The medium was replaced with that containing serial diluted compound and the cells were further incubated for 72 h. The culture medium were removed and added 100 l including MTS and PMS mixture solution, the plate was incubated for 30 min. MTS and PMS are purchased from sigma and prepared in PBS (phosphatebuffered saline). To identify a 96-well microtiter plate, 2 ml reagent containing both MTS and PMS at the ratio of 20:1 was mixed immediately with 8 ml serum-free DMEM. Each drug concentration was performed with four repeats. The optical density was measured at OD490 nm in ELISA reader.

Plaque assay
Plaque assays were used to determine the effect of ATA on influenza virus replication. The plaque assay was performed as described (Sidwell and Smee, 2002) in 6-well plates containing confluent MDCK monolayer cells. GS4071 was used as a reference control in this experiment. The cells were inoculated with influenza A/WSN/33 (H1N1), A/Udorn/72 (H3N2), or NIBRG-14 (H5N1) virus at the titer of approximately 50-100 plaque forming units (PFU) per well. After 1 h incubation at 35 • C, the infection media were aspirated off and each well was then covered with 3 ml agar overlay media containing various concentrations of compounds and incubated for 2 days at 35 • C in a CO 2 incubator. The cells were then fixed by the addition of 1 ml 10% formaldehyde for 1 h at room tempera-ture. After the removal of formaldehyde, the cells were stained with 0.5% crystal violet for 15 min at room temperature. The plates were washed and dried, and the number of plaques was counted for each well. The concentration required for ATA to reduce the number of plaques by 50% (EC 50 ) was then determined.

Virus yield reduction assay
Vero cells were infected with influenza virus A at an MOI of 0.0001 and various concentrations of compounds were added to the cell culture media. After 48 h, the culture media were collected and then subjected to virus titration by plaque forming assay as described.

Molecular modeling
The docking of ATA into the binding site of the H5N1 avian influenza NA protein (Russell et al., 2006) was explored using GEM-DOCK (Yang and Chen, 2004;Yang and Shen, 2005;Yang et al., 2007) and GOLD (Jones et al., 1997) softwares, which have been shown to be powerful tools for molecular recognition and virtual screening (Thomsen and Christensen, 2006;Knox et al., 2007). To validate the molecular modeling programs, we first evaluated the docking accuracies of GEMDOCK and GOLD by docking two known NA inhibitors, GS4071 (oseltamivir carboxylate) and zanamivir, into the binding site. The 3D structure of ATA was prepared by CORINA (Sadowski et al., 1994) and the structures of the GS4071 and zanamivir were extracted from the crystal structures for N1 NA (PDB code 2HU4 (Russell et al., 2006)) and N8 NA (PDB code 2HTQ (Russell et al., 2006)), respectively, in the Protein Data Bank (PDB). The binding pocket (called NA 2HU4 ) of the H5N1 avian influenza NA (PDB code 2HU4 (Russell et al., 2006)) was defined to include the amino acid residues within a 10 Å radius sphere centered around the binding site of GS4071. The coordinates of the atoms in the binding pocket were obtained from the PDB.

ATA inhibits the NA and replication of influenza virus
The Microsource Spectrum Collection compounds and several in-house collected compounds were tested for inhibition of NA activity using the chemiluminescent NA-Star ® assay kit. In this assay, a decrease in chemiluminescence would indicate inhibition of the release of 1,2-dioxetane by enzymatic hydrolysis of NA-Star ® mediated by NA (inactivated viral suspensions of influenza A/Udorn/72 (H3N2)). The compounds were tested at 50 M in the NA activity assay, where GS4071 was employed as a positive control. In this screening assay, NA derived from the NIBRG-14 strain was untilized. There were 24 initial hits, including ATA, displaying inhibition of >50% of chemiluminescence signal (Table 1). Since we wished to discover compounds that are active in inhibiting influenza virus replication, the initial hits from the NA inhibition assay were subject to CPE inhibition assay. ATA and periplocymarin were the only two compounds that at 10 M could inhibit >50% of CPE without causing apparent cytotoxicity (Table 1). The IC 50 of ATA in the CPE inhibition assay was 9.4 M and the selectivity index (CC 50 /IC 50 ) for ATA was approximate 10.2.
Further analysis revealed that ATA inhibited influenza virus NAs in a dose-dependent manner (Fig. 1). The IC 50 values for ATA were 3.3 M, 13.8 M, and 3.3 M for NA in inactivated viral suspensions of influenza A/WSN/33 (H1N1), A/Udorn/72 (H3N2), and NIBRG-14 (H5N1) by using fluorogenic substrate-Mu-NANA, respectively. Thus, ATA was a potent inhibitor of human influenza virus NAs of both group-1 and -2 NAs (Russell et al., 2006). Control experiments determined that ATA, up to 1.18 mM, did not interfere with the fluorescence emission of 4-MU, the enzymatic product in the NA reaction (data not shown). Thus, ATA indeed inhibited the NAmediated hydrolysis of MU-NANA. The IC 50 of GS4071 was less than 0.1 nM for all the 3 kinds of influenza A viruses tested (not shown). The effects of ATA on influenza virus replication were further evaluated using plaque reduction and yield reduction assays. ATA at various concentrations was evaluated in virus plaque reduction assays for influenza A/WSN/33 (H1N1), A/Udorn/72 (H3N2), and the reassortant NIBRG-14 (H5N1). ATA, in a dose-dependent manner, reduced the plaque formation units (PFU) caused by infection of MDCK cells with different strains of influenza virus ( Fig. 2A). The EC 50 values for viral plaque formation were estimated to be 4.1 M, 6.3 M, and 5.4 M for influenza A/WSN/33 (H1N1), A/Udorn/72

kinds of influenza A viruses tested (not shown).
To evaluate the effect of ATA in the yield of progeny virus assay, various concentrations of ATA were added to infected MDCK cells by influenza A/WSN/33 with an MOI of 0.0001. After 48 h postinfection, the culture supernatants were collected for virus yield determination by plaque forming assay. As shown in Fig. 2B, at 24 M ATA seemed to have only marginal activity for reducing the yield of influenza progeny virus from infected cells. However, at 48 M, ATA exhibited strong antiviral activity to reduce the viral yield by >1000 fold. As a reference control, GS4071 was only effective to reduce the viral yield when cells were treated by GS4071 at 10 M (Fig. 2C). At lower concentrations of GS4071, no reduction in the yield of progeny virus could be observed.

ATA inhibited the wild-type NA and H274Y oseltamivir-resistant NA
We were interested in examining whether ATA is also effective in inhibiting the oseltamivir-resistant of H5N1 and H1N1 NAs due to a H274Y mutation in NAs (Wang et al., 2002). For safety reasons, we intended to avoid generating and manipulating drugresistant influenza virus mutants. Therefore, insect cell protein expression technology was employed to express several variant NAs for the study of their sensitivity to ATA. Both cell lysates and cell culture supernatants of insect cells infected with Bac-NA WT(WSN) , Bac-NA H274Y(WSN) , Bac-NA WT(H5N1) , or Bac-NA H274Y(H5N1) had NA activity (data not shown). That the cell culture supernatants also contained substantial NA activity may be due to the fact that NA is likely to be embedded in the envelope of budded baculovirus particles as suggested by Mather et al. (1992). The sensitivity of these NA variants to ATA was tested using cell lysates prepared from insect cells infected by baculoviruses. In our assay, the H274Y mutation in NA of the H1N1 and H5N1 subtypes, i.e., NA H274Y(WSN) and NA H274(H5N1) , resulted in resistance to oseltamivir carboxylate (GS4071), the active ingredient of oseltamivir (Mendel  (Abed et al., 2006). The IC 50 values of ATA in inhibiting NA activity were estimated to be 8.7 M, 18.4 M, 5.4 M and 2.3 M for NA WT(WSN) , NA H274Y(WSN) , NA WT(H5N1) , and NA H274Y(H5N1) , respectively (Fig. 3). Thus, ATA remained equally potent in inhibiting the activity of the H274Y mutant forms and the wild-type NAs derived from either the H5N1 or the H1N1 influenza subtypes.

Molecular modeling
The GEMDOCK and GOLD were employed to predict the docked conformations of ATA, GS4071, and zanamivir, respectively, in the binding cavity of NA 2HU4 based on calculated binding energies. Fig. 4 shows that the docked conformations of two known compounds (GS4071 and zanamivir) with the lowest scoring values were compared with the crystal structures based on the root-meansquare deviation (RMSD) of heavy atoms. The average RMSDs from GEMDOCK and GOLD were less than 1.2 Å and 1.5 Å for GS4071 and zanamivir, respectively. Thus, the derived GEMDOCK and GOLD parameters were adapted to predict the docked conformation of ATA in the binding site.
The docked conformation (Figs. 4 and 5) and the hydrogen bond network of ATA are slightly different from those of GS4071 and of Fig. 4. Docked conformations of aurintricarboxylic acid (ATA) (green), GS4071 (gray), and zanamivir (blue) in H5N1 avian influenza neuraminidase. The docked conformation of ATA is obtained by using GEMDOCK and the binding pocket of N1 neuraminidase is derived from Protein Data Bank (PDB code 2HU4). The main contact residues (yellow) of N1 neuraminidase are labeled and hydrogen bonds (dash with green line) between ATA (green) and the neuraminidase are indicated. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of the article.) zanamivir. To analyze the binding mechanism of ATA to NA 2HU4 , we divided the binding site of NA 2HU4 into several subsites, S1 (R292, Y347, R371 and R118), S2-S3 (E119, R156, D151, R152, W178 and E227) and S4-S5 (I222, R224, S246 and E276) (Stoll et al., 2003;Kati et al., 2002). GS4071 and zanamivir inhibits NA by mimicking the electrostatic and hydrogen bond interactions of substrate binding at three subsites (S1, S2, and S3) and hydrophobic interactions of the S4-S5 subsites (Kim et al., 1997). The conformational analysis indicated that in the subsite S1, ATA forms a hydrogen bond network that is highly conserved for the known NAIs (Stoll et al., 2003;Kati et al., 2002;Russell et al., 2006) (Table 2). ATA also forms hydrogen bonds with Y347, R371, and R118 but not with the guanidine group of R292, which forms a hydrogen bond with GS4071 and zanamivir. An in vitro selection study demonstrated that the mutation R292K is the most common substitution in Group 2 NAs resistant to oseltamivir . The resistance results partially from the loss of a hydrogen bond from R292 to the carboxylate group of oseltamivir. This mutation would have little effect in Group  1 NAs because the carboxylate group forms an additional hydrogen bond with Y347 (Russell et al., 2006). Results from GEMDOCK and GOLD suggest that ATA interacts in subsite S2 with the side chain of E119 and the backbone oxygen of D151 and, in subsite S3, with the carboxyl group of E227 and backbone oxygen of W178 through several hydrogen bond interactions (Figs. 4 and 5 and Table 2). In addition, the carboxyl group of ATA appears to form new hydrogen bonds with the nitrogen atoms of R156 in a bidentate hydrogen bond donor-acceptor mode. On the other hand, the known NAIs GS4071 and zanamivir utilized the amino group to form strong charge-charge type hydrogen bond interactions with E119 and D151 (Kim et al., 1997). The 2hydroxybenzoic acid group of ATA has steric interactions with the hydrocarbon chains of I222, R224, S246 and E276 that constitute a hydrophobic pocket in S4 and S5 and is related to the inhibition of NA by ATA (Russell et al., 2006;Kim et al., 1997). The H274 amino acid residue that is mutated in GS4017-resistant influenza strains is positioned in this pocket (Russell et al., 2006;Le et al., 2005). The H274Y mutation could perturb the rearrangement space of E276, leading to increased resistance to GS4071 (Varghese et al., 1998;Yen et al., 2005;Wang et al., 2002). Upon comparison of the orientations of the substitution groups of GS4071 and ATA in this pocket, we observed that ATA binding allows for more rearrangement space for E276.

Discussion
There is an urgent need for new anti-influenza therapeutics and the objective of this study was to identify novel NA inhibitors whose chemical structures are distinct from that of sialic acid. After screening approximately 2000 structurally diverse compounds, we found that ATA has potent inhibitory activity for NA. ATA has previously been found to inhibit influenza virus replication and the mechanism of action was attributed to the inhibition of influenza viral polymerases activity by ATA (Steward et al., 1977;Liao et al., 1975). In these previous studies, ATA was shown to inhibit viral polymerase in in vitro assays using purified influenza virus protein. However, we have tested the inhibitory activity of ATA against influenza viral polymerase using a cell-based assay and we found that ATA did not inhibit influenza polymerase. In this assay, we added ATA to human embryonic kidney 293 cells co-expressing influenza A/WSN/33 (H1N1) polymerase complex proteins including PA, PB1, PB2, and NP, along with a reporter plasmid, pPOLI-CAT-RT. The reporter plasmid, pPOLI-CAT-RT, contained a vRNA-like RNA encoding the reporter gene chloramphenicol acetyltransferase (CAT), in negative sense, flanked by the 5 and 3 noncoding regions of the NS vRNA segment of influenza virus (Pleschka et al., 1996). To our surprise, ATA did not inhibit RNAdependent RNA polymerase (RdRp)-derived expression of CAT at a concentration up to 12 M (not shown). At this concentration, viral plaque formation was clearly inhibited (Fig. 2A). Based on the cellbased RdRp assay, we concluded that the polymerase of influenza A/WSN/33 (H1N1) may not be the primary molecular target of ATA.
Our findings are reminiscent of previous studies on the inhibitory effects of ATA for HIV-1. ATA was found to inhibit HIV replication and the mechanism was proposed to be through the inhibition of the viral reverse transcriptase (RT) (Balzarini et al., 1986). However, later results indicated that ATA inhibits HIV replication primarily through the binding of virus to CD4 receptor on cell surface (Schols et al., 1989;De Clercq, 2005). In addition to influenza virus and HIV, ATA was recently reported to inhibit other viruses such as SARS-CoV and vaccinia virus (He et al., 2004;Myskiw et al., 2007). ATA is a very strong inhibitor of influenza virus compared to its anti-SARS-CoV activity; the EC 50 of ATA for SARS-CoV was 0.2 mg/mL (He et al., 2004), whereas the EC 50 of ATA for influenza virus in this study was in the low M range. It is interesting to note that the EC 50 of ATA, measured in plaque reduction assay, and IC 50 , measured in the NA inhibition assay, were in the same order of magnitude. However, the IC 50 and EC 50 of GS4071 were less than 0.1 nM and ∼40 nM, respectively, for influenza A/WSN/33 (H1N1), A/Udorn/72 (H3N2), and the reassortant NIBRG-14 (H5N1). Inasmuch as ATA also has a pleiotropic effect on cellular functions (Hallick et al., 1977;Roberts-Lewis et al., 1993;Benchokroun et al., 1995;Andrew et al., 1999;Tsi et al., 2002;Marchisio et al., 2003;Myskiw et al., 2007;Chen et al., 2002;Beery et al., 2001), NA may not be the sole target that ATA interferes to exert its strong antiviral actions. Our findings are congruent with a recent report indicating that ATA inhibits the replication of vaccinia virus through targeting both cellular and viral factors (Myskiw et al., 2007).
Finally, molecular modeling experiments predicted that ATA binds to the substrate binding site of NA. The molecular modeling experiments have been applied to examine the docking of ATA in its monomeric, dimeric, and trimeric froms since ATA was known to be present in multimeric forms (Cushman et al., 1991a,b). The docked conformations of ATA monomer, ATA dimer, ATA trimer, and an ATA polymer using GEMDOCK are distinctive (results not shown). We found that ATA dimer and ATA trimer lost some important hydrogen bond interactions, which are present upon binding of ATA monomer, GS4071 and zanamivir to NA (Table 2). Further, an ATA polymer, which consists of more than three ATAs, cannot be docked into the pocket. These observations imply that the ATA monomer might be the best form to inhibit the activities of NA among the ATA monomeric or polymeric forms. It is warranted to examine the exact binding mode of ATA and NA through crystallographic studies. An understanding of the exact binding modes ATA to NA would shed light on the design of a novel class of NAIs to combat influenza virus infections. The finding that ATA is a novel NAI shall prove to be important in the design of second-generation NAIs to block the replication of influenza viruses that are resistant to oseltamivir treatment.