Proteolytic cleavage of haemagglutinin (HA) is essential for the infectivity of influenza A viruses (IAVs). This is usually mediated by trypsin-like proteases present in the respiratory tract. However, the ability to use plasminogen (PLG) as an alternative protease may contribute to pathogenesis of IAV infections and virus replication outside the respiratory tract. It was demonstrated previously that neuraminidase (NA) of the IAV strain A/WSN/33 can sequester PLG, allowing this virus to replicate in a PLG-dependent fashion. However, PLG also promotes replication of other IAVs, although its mode of action is poorly understood. Here, using NA-deficient viruses, we demonstrate that NA is not required for the binding of PLG and subsequent cleavage of HA. However, we demonstrate that the cellular protein annexin 2 (A2) can bind PLG and contributes to PLG-dependent cleavage of HA and subsequent IAV replication. Collectively, these results indicate that PLG promotes IAV replication in an A2-dependent fashion in the absence of NA.
INTRODUCTIONInfluenza A viruses (IAVs) possess two major glycoproteins, haemagglutinin (HA) and neuraminidase (NA), which protrude from the viral envelope. To infect host cells, cleavage of the precursor HA molecule (HA0) into HA1 and HA2 subunits by proteases is required (Klenk & Garten, 1994). The HA proteins of highly pathogenic H5 and H7 pantropic avian virus subtypes contain multiple basic amino acids (R-X-R/K-R) that can be cleaved by an intracellular subtilisin-type enzyme. In contrast, most IAVs have a single arginine at the HA cleavage site and the HA of these viruses can only be cleaved by extracellular trypsin-like proteases (Steinhauer, 1999). Therefore, IAV replication in humans is usually restricted to the upper respiratory tract due to its dependence on these proteases present at this anatomical site (Bottcher et al., 2006), in addition to other factors such as the presence of specific receptors (Shinya et al., 2006;van Riel et al., 2006;Yen et al., 2009). Blood-derived proteases, such as plasminogen (PLG), may contribute to the pathogenesis of IAV infections by providing an alternative source of proteases for virus replication in the respiratory tract. In addition, occasionally IAVs also replicate outside the respiratory tract (Fislova et al., 2009;Mizuguchi, 2006) and the use of PLG as an alternative protease may contribute to dissemination of IAV to extra-respiratory tissues, although the mechanism of action remains poorly understood. For the IAV strain A/WSN/33 (H1N1), it was shown that its NA determined the neurovirulence of this virus (Goto & Kawaoka, 1998;Goto et al., 2001;Li et al., 1993) and that conversion of PLG, abundantly present in plasma, into plasmin provided an alternative mechanism for the cleavage of the HA molecule, contributing to dissemination of this virus to the brain (Goto & Kawaoka, 1998;Goto et al., 2001). In particular, a carboxy-terminal lysine and the lack of an oligosaccharide chain at position 146 of NA were essential for PLG binding. However, we ...