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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2021.746589</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Zika Virus Requires the Expression of Claudin-7 for Optimal Replication in Human Endothelial Cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zoladek</surname>
<given-names>Jim</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1434027/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Legros</surname>
<given-names>Vincent</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1433916/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jeannin</surname>
<given-names>Patricia</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1110300/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chazal</surname>
<given-names>Maxime</given-names>
</name>
<xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pardigon</surname>
<given-names>Nathalie</given-names>
</name>
<xref rid="aff4" ref-type="aff"><sup>4</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1441334/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ceccaldi</surname>
<given-names>Pierre-Emmanuel</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/856214/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gessain</surname>
<given-names>Antoine</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jouvenet</surname>
<given-names>Nolwenn</given-names>
</name>
<xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1037882/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Afonso</surname>
<given-names>Philippe V.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/821067/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Unit&#x00E9; &#x00C9;pid&#x00E9;miologie et Physiopathologie des Virus Oncog&#x00E8;nes, Institut Pasteur, Centre National de la Recherche Scientifique UMR 3569, Universit&#x00E9; de Paris</institution>, <addr-line>Paris</addr-line>, <country>France</country></aff>
<aff id="aff2"><sup>2</sup><institution>VetAgro Sup, Centre International de Recherche en Infectiologie (CIRI)</institution>, <addr-line>Lyon</addr-line>, <country>France</country></aff>
<aff id="aff3"><sup>3</sup><institution>Unit&#x00E9; Signalisation Antivirale, Institut Pasteur, Centre National de la Recherche Scientifique UMR 3569</institution>, <addr-line>Paris</addr-line>, <country>France</country></aff>
<aff id="aff4"><sup>4</sup><institution>Groupe Arbovirus, Unit&#x00E9; Environnement et Risques Infectieux, Institut Pasteur</institution>, <addr-line>Paris</addr-line>, <country>France</country></aff>
<author-notes>
<fn id="fn1" fn-type="edited-by"><p>Edited by: Erna Geessien Kroon, Federal University of Minas Gerais, Brazil</p></fn>
<fn id="fn2" fn-type="edited-by"><p>Reviewed by: Susanne M. Krug, Charit&#x00E9; &#x2013; Universit&#x00E4;tsmedizin Berlin, Germany; Gefen Yin, Yunnan Agricultural University, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Philippe V. Afonso, <email>philippe.afonso@pasteur.fr</email></corresp>
<fn id="fn3" fn-type="other"><p>This article was submitted to Virology, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>746589</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>07</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>08</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Zoladek, Legros, Jeannin, Chazal, Pardigon, Ceccaldi, Gessain, Jouvenet and Afonso.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Zoladek, Legros, Jeannin, Chazal, Pardigon, Ceccaldi, Gessain, Jouvenet and Afonso</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Zika virus (ZIKV) infection has been associated with a series of neurological pathologies. In patients with ZIKV-induced neurological disorders, the virus is detectable in the central nervous system. Thus, ZIKV is capable of neuroinvasion, presumably through infection of the endothelial cells that constitute the blood-brain barrier (BBB). We demonstrate that susceptibility of BBB endothelial cells to ZIKV infection is modulated by the expression of tight-junction protein claudin-7 (CLDN7). Downregulation of CLDN7 reduced viral RNA yield, viral protein production, and release of infectious viral particles in several endothelial cell types, but not in epithelial cells, indicating that CLDN7 implication in viral infection is cell-type specific. The proviral activity of CLDN7 in endothelial cells is ZIKV-specific since related flaviviruses were not affected by CLDN7 downregulation. Together, our data suggest that CLDN7 facilitates ZIKV infection in endothelial cells at a post-internalization stage and prior to RNA production. Our work contributes to a better understanding of the mechanisms exploited by ZIKV to efficiently infect and replicate in endothelial cells and thus of its ability to cross the BBB.</p>
</abstract>
<kwd-group>
<kwd>flavivirus</kwd>
<kwd>Zika virus</kwd>
<kwd>claudin</kwd>
<kwd>endothelial cells</kwd>
<kwd>infection</kwd>
<kwd>blood-brain barrier</kwd>
</kwd-group>
<contract-num rid="cn2">ANR10-LBX-62 IBEID</contract-num>
<contract-sponsor id="cn1">Pasteur-Fiocruz</contract-sponsor>
<contract-sponsor id="cn2">&#x201C;Investissement d&#x2019;Avenir&#x201D; as part of a &#x201C;Laboratoire d&#x2019;Excellence&#x201D; (LabEx) French research program</contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="57"/>
<page-count count="13"/>
<word-count count="8635"/>
</counts>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<title>Introduction</title>
<p>Zika virus (ZIKV) is an arbovirus from the <italic>Flaviviridae</italic> family, which was first isolated in Uganda in 1947 (<xref ref-type="bibr" rid="ref18">Dick et al., 1952</xref>). It was initially disregarded as only sporadic and mild cases were reported. With the virus outbreaks in the Pacific Islands and the Americas in 2015, ZIKV received widespread attention. These outbreaks were associated with neurological pathologies, such as Guillain-Barr&#x00E9; syndrome (<xref ref-type="bibr" rid="ref7">Cao-Lormeau et al., 2016</xref>), congenital microcephaly (<xref ref-type="bibr" rid="ref9">Cauchemez et al., 2016</xref>), meningoencephalitis (<xref ref-type="bibr" rid="ref8">Carteaux et al., 2016</xref>), and myelitis (<xref ref-type="bibr" rid="ref31">Mecharles et al., 2016</xref>). During ZIKV-induced neurological disorders, the virus is detected in the central nervous system (CNS), and viral RNA can be amplified from the cerebrospinal fluid of infected patients (<xref ref-type="bibr" rid="ref45">Roze et al., 2016</xref>).</p>
<p>In normal condition, the CNS is protected from blood-borne pathogens by the blood-brain barrier (BBB), a structure composed of astrocytes, pericytes, microglia cells, a basal membrane, and a continuous endothelium with tight junctions (<xref ref-type="bibr" rid="ref3">Ballabh et al., 2004</xref>; <xref ref-type="bibr" rid="ref38">Obermeier et al., 2016</xref>). In order to penetrate the CNS, ZIKV must cross the BBB. ZIKV infection induces BBB disruption in the later stages of the disease (<xref ref-type="bibr" rid="ref27">Leda et al., 2019</xref>), as evidenced by fibrinogen diffusion into the CNS parenchyma (<xref ref-type="bibr" rid="ref39">Panganiban et al., 2020</xref>) and neuroinvasion of infected monocytes (<xref ref-type="bibr" rid="ref2">Ayala-Nunez et al., 2019</xref>; <xref ref-type="bibr" rid="ref16">de Carvalho et al., 2019</xref>). However, during early ZIKV infection stages, the BBB remains intact. This is also the case during infection with other flaviviruses (<xref ref-type="bibr" rid="ref37">Mustafa et al., 2019</xref>), where neuroinvasion occurs by transcytosis or productive infection of endothelial cells (<xref ref-type="bibr" rid="ref6">Bramley et al., 2017</xref>; <xref ref-type="bibr" rid="ref35">Mladinich et al., 2017</xref>; <xref ref-type="bibr" rid="ref40">Papa et al., 2017</xref>; <xref ref-type="bibr" rid="ref13">Cle et al., 2020</xref>).</p>
<p>Zika virus has a broad tropism for human cell types. ZIKV enters cells by endocytosis in a pH-dependent manner. The factors favoring ZIKV entry is not well defined. Adsorption of the virus at the cell surface is mediated through heparan sulfate proteoglycans (HSPG) and C-type lectin receptors interaction (<xref ref-type="bibr" rid="ref23">Hamel et al., 2015</xref>; <xref ref-type="bibr" rid="ref25">Kim et al., 2017</xref>). Endocytosis might involve apoptotic mimicry, as previously suggested for the related dengue virus (DENV; <xref ref-type="bibr" rid="ref1">Amara and Mercer, 2015</xref>). <italic>In vitro</italic>, ZIKV endocytosis is mediated through recognition of phosphatidylserines present on the viral envelope by members of the TAM family (i.e., TYRO3, AXL, and MER) or TIM-1 receptor (<xref ref-type="bibr" rid="ref23">Hamel et al., 2015</xref>; <xref ref-type="bibr" rid="ref34">Meertens et al., 2017</xref>; <xref ref-type="bibr" rid="ref17">Dejarnac et al., 2018</xref>). Although <italic>in vitro AXL</italic> depletion or the use of anti-AXL antibodies rendered cells resistant to infection (<xref ref-type="bibr" rid="ref29">Liu et al., 2016</xref>; <xref ref-type="bibr" rid="ref34">Meertens et al., 2017</xref>), <italic>in vivo AXL</italic> (or members of the TAM family) knock-out in IFNAR<sup>&#x2212;/&#x2212;</sup> mice had no significant effect on these mice susceptibility to ZIKV infection (<xref ref-type="bibr" rid="ref24">Hastings et al., 2017</xref>; <xref ref-type="bibr" rid="ref54">Wang et al., 2017</xref>). The current model suggests that the AXL-dependent signaling inhibits the antiviral interferon (IFN) response, thereby promoting viral replication (<xref ref-type="bibr" rid="ref11">Chen et al., 2018</xref>). Other factors have been proposed to act as cell-type specific receptors for ZIKV, such as, for example, integrin &#x03B1;V&#x03B2;5 and NCAM1 in neural stem cells (<xref ref-type="bibr" rid="ref49">Srivastava et al., 2020</xref>; <xref ref-type="bibr" rid="ref56">Wang et al., 2020</xref>).</p>
<p>Claudins (CLDNs) are a large family of transmembrane proteins involved in cell-to-cell or cell-to-substrate interactions (<xref ref-type="bibr" rid="ref26">Krause et al., 2008</xref>). They participate in the formation of tight junctions and are therefore key components of physiological barriers. Upon flavividae infection, BBB and TJ are often disrupted: infection with West Nile virus and classic swine fever virus both lead to claudin-1 degradation (<xref ref-type="bibr" rid="ref32">Medigeshi et al., 2009</xref>; <xref ref-type="bibr" rid="ref44">Roe et al., 2012</xref>; <xref ref-type="bibr" rid="ref55">Wang et al., 2021</xref>) and Japanese encephalitis virus infection induces the degradation of claudin-5 (<xref ref-type="bibr" rid="ref10">Chang et al., 2015</xref>). Claudins can also directly participate in viral infection (<xref ref-type="bibr" rid="ref15">Colpitts and Baumert, 2017</xref>). Within the <italic>Flaviviridae</italic> family, dengue viruses use CLDN1 as a receptor in hepatocytes (<xref ref-type="bibr" rid="ref14">Coller et al., 2009</xref>; <xref ref-type="bibr" rid="ref22">Gao et al., 2010</xref>) and hepatitis C virus (HCV) exploits CLDN1, 6, and 9, as receptors in hepatocytes (<xref ref-type="bibr" rid="ref19">Evans et al., 2007</xref>; <xref ref-type="bibr" rid="ref33">Meertens et al., 2008</xref>).</p>
<p>Herein, we studied the susceptibility of BBB endothelial cells to ZIKV infection and identified CLDN7 as a key proviral factor in endothelial cells.</p>
</sec>
<sec id="sec2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="sec3">
<title>Cell Lines</title>
<p>Human kidney epithelial HEK 293T (ATCC, CRL-11268), human lung epithelial A549 (ATCC, CCL-185), and African green monkey kidney epithelial Vero E6 (ATCC, CRL-1586) cells were maintained in high-glutamine and high-glucose DMEM (Thermo fisher) supplemented with 10% fetal bovine serum (FBS; Thermo fisher), 100U/ml penicillin and 100&#x03BC;g/ml streptomycin (Thermo fisher). <italic>Aedes albopictus</italic> C6/36 (ATCC, CRL-1660) cells were maintained in Leibovitz&#x2019;s L-15 medium (Thermo fisher) supplemented with 10% FBS. Transformed human bone marrow endothelial cells TrHBMEC (<xref ref-type="bibr" rid="ref48">Schweitzer et al., 1997</xref>), human cerebral microvascular endothelial cells (hCMEC/D3; Merck, SCC066), and primary human umbilical vein endothelial cells HUVEC (ATCC, CRL-1730) cells were maintained in complete EndoGRO Basal Medium (Merck) supplemented with 5% FBS, 0.2% EndoGRO-LS supplement, 5ng/ml rhEGF, 10mM <sc>l</sc>-glutamine, 1&#x03BC;g/ml hydrocortisone hemisuccinate, 0.75U/ml heparan sulphate, and 50&#x03BC;g/ml ascorbic acid (Merck). Alternatively, hCMEC/D3 cells have been maintained in EBM-2 basal medium (Lonza) supplemented with 5% FBS, 1.5&#x03BC;M hydrocortisone (Merck), 5&#x03BC;g/ml ascorbic acid (Merck), 1% chemically defined lipid concentrate (Thermo fisher), 1ng/ml human bFGF (Merck), 10&#x03BC;M HEPES (Thermo fisher), and antibiotics. This culture condition was used when compared to EndoGRO media. All cells were kept at 37&#x00B0;C with 5% CO<sub>2</sub> except for C6/36 which were kept at 28&#x00B0;C with no CO<sub>2</sub>.</p>
</sec>
<sec id="sec4">
<title>Viruses</title>
<p>Two strains of ZIKV were used in this study: the AF/1991/HD78788 strain (GenBank: KF383039) obtained in Senegal in 1991, which belongs to the African lineage, and the Brazil/2016/INMI1 strain (GenBank: KU991811) isolated during the 2016 outbreak in Brazil, which belongs to the Asian lineage. Japanese encephalitis virus JEV/G3/RP-9 (<xref ref-type="bibr" rid="ref28">Liang et al., 2009</xref>) and yellow-fever vaccine strain YFV/17D (GenBank: MG051217) were used as controls, as they are closely related to ZIKV. Virus stocks were produced in C6/36 cells. All infections were performed in 2% FBS media in BSL-3 facilities.</p>
</sec>
<sec id="sec5">
<title>Gene Knockdown</title>
<p>Gene knockdown was performed using lentiviral vectors carrying shRNA. To produce these lentiviral vectors, HEK 293T cells were co-transfected with psPAX2 (encoding HIV Gag/Pol, 4.68&#x03BC;g; Addgene: 12260), pMD2.G [vesicular stomatitis virus G protein (VSV-G), 2.52&#x03BC;g; Addgene: 12259], and pLKO.1 encoding the shRNA (TRC-Hs1.0 library, 9&#x03BC;g, GE Dharmacon). Transfection was performed using LipoD-293 transfection reagent (Sinagen) according to the manufacturer&#x2019;s recommendations. After 72h, supernatants were collected, centrifuged, and stored at &#x2212;80&#x00B0;C.</p>
<p>Cells were exposed for 2h to the lentivirus-containing medium, and gene expression was allowed for 48h then transduced cells were selected with 1&#x03BC;g/ml Puromycin (Merck) for 2weeks. The obtained culture is thus a mix population of transduced cells.</p>
</sec>
<sec id="sec6">
<title>Microarray Analysis</title>
<p>Biotinylated single strand cDNA targets were prepared, starting from 250ng of total RNA, using the Ambion WT Expression Kit (Cat # 4411974) and the Affymetrix GeneChip&#x00AE; WT Terminal Labeling Kit (Cat # 900671) according to Affymetrix recommendations. Following fragmentation and end-labeling, 3&#x03BC;g of cDNAs were hybridized for 16h at 45&#x00B0;C on <italic>GeneChip</italic>&#x00AE; <italic>Human Gene 2.0 ST arrays</italic> (Affymetrix) interrogating over 400,000 RefSeq transcripts and ~11,000 LncRNAs. The chips were washed and stained in the GeneChip&#x00AE; Fluidics Station 450 (Affymetrix) and scanned with the GeneChip&#x00AE; Scanner 3000 7G (Affymetrix) at a resolution of 0.7&#x03BC;m. Raw data (CEL Intensity files) were extracted from the scanned images using the Affymetrix GeneChip&#x00AE; Command Console (AGCC) version 4.1.2. CEL files were further processed with Affymetrix Expression Console software version 1.4.1 to calculate probe set signal intensities using Robust Multi-array Average (RMA) algorithms with default settings. Data have been loaded into Array Express, accession number E-MTAB-10813.</p>
</sec>
<sec id="sec7">
<title>Gene Expression Analysis</title>
<p>Cellular RNA was extracted using the RNeasy Plus Mini Kit (Qiagen), quantified (Nanodrop ND-1000) and 500ng was reverse-transcribed using the SuperScript II Reverse Transcriptase (Thermo fisher) and random hexamer primers (Eurobio) with the following cycle: 2min at 95&#x00B0;C; 90min at 42&#x00B0;C; and 15min at 70&#x00B0;C (GeneAmp PCR System 9700, Applied Biosystems). SYBR Green RT-qPCR was performed on 25ng of complementary DNA with iTaq Universal SYBR Green Supermix (Biorad) using primers listed in <xref ref-type="supplementary-material" rid="SM1">Supplementary Table 1</xref> with the following protocol: 15min at 95&#x00B0;C followed by 40cycles consisting of 15s at 95&#x00B0;C, 20s at 60&#x00B0;C, and 30s at 72&#x00B0;C (Mastercycler ep Realplex Thermal Cycler, Eppendorf). The melting curve was also obtained to control the amplified product. Relative expression was analyzed using the &#x2212;&#x2206;&#x2206;<italic>C</italic><sub>T</sub> method.</p>
<p>Functional enrichment analysis of the differentially expressed genes was performed using FunRich 3.1.3 (<xref ref-type="bibr" rid="ref41">Pathan et al., 2015</xref>).</p>
</sec>
<sec id="sec8">
<title>Western Blot Analysis</title>
<p>Cells were lysed using RIPA buffer (Merck) containing protease inhibitor cocktail (Merck) for 15min on ice. Cellular debris were not pelleted since claudins often accumulate in the insoluble fraction. Whole cell lysates were heat-denatured 70&#x00B0;C for 10min in LDS Sample Buffer and 500mM DTT (Novex). Proteins were resolved on NuPAGE 4&#x2013;12% Bis Tris gel (Novex) in MOPS buffer and were transferred to nitrocellulose membranes (Trans Blot Turbo, Biorad). Blocking followed by immunoblotting was performed on an iBind Flex Western Device (Thermo fisher) using antibodies listed in <xref ref-type="supplementary-material" rid="SM1">Supplementary Table 2</xref> according to the manufacturer&#x2019;s recommendations.</p>
</sec>
<sec id="sec9">
<title>Viral Titration Assay</title>
<p>Supernatants were sequentially diluted 10-fold and inoculated onto Vero E6 monolayers in 24-well plates. After 1h incubation, 2% carboxymethyl cellulose (CMC; Merck) overlay containing 2% FBS culture medium was added to each well. For foci-formation assays, plates were then incubated at 37&#x00B0;C for 72h. Following the incubation, CMC overlay was removed and a PBS &#x2013; paraformaldehyde 4% (Electron Microscopy Sciences) solution was added into each well and incubated at room temperature for 15min. Fixation solution was removed and plates were washed three times with PBS. Cells were then permeabilized with PBS &#x2013; Triton 0.2% for 3min, washed three times, and incubated in blocking buffer (PBS &#x2013; Tween 20 0.1% &#x2013; FBS 1%) for 30min followed by 2h incubation with pan-<italic>Flavivirus</italic> antibody 4G2 purified from the ATCC hybridoma. Plates were washed three times with PBS followed by an hour-long incubation with a secondary antibody conjugated to horseradish peroxidase (Biorad). Detection was achieved using the VIP Peroxidase Assay (Vector) according to the manufacturer&#x2019;s recommendations. Titer is expressed as foci-forming units (FFU).</p>
<p>Alternatively, for plaque-formation assays, plates were incubated at 37&#x00B0;C for 5days after adding the CMC overlay. They were then washed and fixed as described earlier. Plates were stained with a 1% crystal violet solution (Merck). Titer is expressed as plaque-forming units (PFU).</p>
</sec>
<sec id="sec10">
<title>Replication Assay</title>
<p>Infected cells were washed with PBS, and cellular RNA was extracted using the Nucleospin 96 RNA kit (Macherey Nagel). One-step RT-qPCR was performed using the Power SYBR Green RNA-to-<italic>C</italic><sub>T</sub> kit (Thermo fisher) with the following protocol: 30min at 48&#x00B0;C, 10min at 95&#x00B0;C followed by 40 cycles consisting of 15s at 95&#x00B0;C, and 1min at 60&#x00B0;C (QuantStudio 6 Flex Real-Time PCR System, Applied Biosystems). The melting curve was also obtained. Genome equivalent (GE) concentration was assessed with the standard curve method using known concentrations of synthetic RNA fragments corresponding to the ZIKV <italic>NS5</italic> coding region and was normalized to GAPDH level.</p>
</sec>
<sec id="sec11">
<title>Binding and Internalization Assay</title>
<p>Cells were seeded in 2% FBS medium 24h prior to infection. Pre-chilled cells were incubated with ZIKV (multiplicity of infection &#x2013; MOI 1 and 10) for 1h at 4&#x00B0;C to block the internalization of the viruses. The cells were then washed three times with cold PBS to remove unbound particles. Cell surface adsorbed ZIKV particles was analyzed by harvesting RNA at this step. ZIKV internalization was induced by adding warm medium and keeping the cells at 37&#x00B0;C for 2h. The cells were then treated with trypsin (Thermo fisher) to remove un-internalized particles, cells were pelleted, and RNA was harvested.</p>
</sec>
<sec id="sec12">
<title>Immunofluorescence</title>
<p>Cells were fixed with 4% paraformaldehyde (PFA; Sigma-Aldrich) for 30min at room temperature, permeabilized with 0.5% Triton X-100 in PBS, and then blocked with PBS containing 0.05% Tween and 5% BSA before incubation with the anti-NS1 17A12 antibody (<xref ref-type="bibr" rid="ref47">Schul et al., 2007</xref>). Antibody labeling was revealed with Alexa Fluor 488-conjugated antibody. Coverslips were mounted on slides using ProLong Gold Antifade reagent with NucBlue solution (Invitrogen). Images were acquired with a Zeiss LSM 700 inverted confocal microscope.</p>
</sec>
<sec id="sec13">
<title>Quantification and Statistical Analysis</title>
<p>Specific statistical tests used to analyze experimental datasets are described in the respective figure legends. Graphical representations and statistical analyses were performed using GraphPad Prism version 8.2 for MacOS (GraphPad Software). Nonparametric tests were used, as we could not ascertain that the hypothesis for parametric tests were fulfilled. When comparing cells in the different media (<xref rid="fig1" ref-type="fig">Figure 1</xref> and <xref ref-type="supplementary-material" rid="SM1">Supplemental Figures 1</xref>, <xref ref-type="supplementary-material" rid="SM1">2</xref>), two-way ANOVA (followed by Sidak&#x2019;s <italic>post-hoc</italic> tests) or the Mann-Whitney and Kruskal-Wallis tests were used (data are unpaired). When comparing the knockdown, we considered paired tests as a single batch of cells was transduced with the different shRNAs, and a new batch was used for each replicate. Therefore, two-way ANOVA (followed by Sidak&#x2019;s <italic>post-hoc</italic> tests) or Friedman tests (followed by Dunn&#x2019;s <italic>post-hoc</italic> tests) were used. Values of <italic>p</italic> indicated in figure legends corresponds to ANOVA result.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption><p>Culture medium alters hCMEC/D3 susceptibility to Zika virus (ZIKV) infection. <bold>(A,B)</bold> Time-course quantification of viral RNA through RT-qPCR in hCMEC/D3 cells cultured in EBM-2 (red) or EndoGRO (blue) and infected with the African HD78788 ZIKV strain. <bold>(A)</bold> Cells were infected at a MOI of 1 (<italic>n</italic>=4 independent experiments). <bold>(B)</bold> Cells were infected at a MOI of 0.1 (<italic>n</italic>=3 independent experiments). <bold>(C,D)</bold> Time-course quantification of viral production in the supernatant of hCMEC/D3 cells cultured in EBM-2 (red) or EndoGRO (blue) and infected with the African HD78788 ZIKV strain. <bold>(C)</bold> Cells were infected at a MOI of 1 (<italic>n</italic>=4 independent experiments). <bold>(D)</bold> Cells were infected at a MOI of 0.1 (<italic>n</italic>=3 independent experiments). <bold>(E,F)</bold> Quantification at 72h post-infection of viral RNA through RT-qPCR in hCMEC/D3 cells cultured in EndoGRO or EBM-2 and infected with the Brazilian INMI1 ZIKV strain. <bold>(E)</bold> Cells were infected at a MOI of 1 (<italic>n</italic>=3 independent experiments). <bold>(F)</bold> Cells were infected at a MOI of 0.1 (<italic>n</italic>=3 independent experiments). For each sample point, the experiment was performed in triplicate (each data point is the mean of three wells). Experiments were performed three or four times, as indicated. Data are presented as mean&#x00B1;SEM. Statistical significance was obtained using 2-Way ANOVA tests with Sidak&#x2019;s <italic>post-hoc</italic> for <bold>(A&#x2013;D)</bold> and Mann-Whitney test for <bold>(E,F)</bold>. Indicated value of <italic>p</italic> represents the difference for the &#x201C;culture medium&#x201D; factor. <sup>&#x002A;</sup><italic>p</italic>&#x2264;0.05 (<italic>post-hoc</italic> corrected value of <italic>p</italic>). See also <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>.</p></caption>
<graphic xlink:href="fmicb-12-746589-g001.tif"/>
</fig>
</sec>
</sec>
<sec id="sec14" sec-type="results">
<title>Results</title>
<sec id="sec15">
<title>The Susceptibility of hCMEC/D3 Cells to ZIKV Infection Depends on the Culture Medium</title>
<p>The human cerebral microvascular endothelial cell line hCMEC/D3 is a widely used model for <italic>in vitro</italic> human BBB studies (<xref ref-type="bibr" rid="ref57">Weksler et al., 2005</xref>). Since ZIKV neuroinvasion relies on a productive infection of BBB endothelial cells (<xref ref-type="bibr" rid="ref29">Liu et al., 2016</xref>; <xref ref-type="bibr" rid="ref35">Mladinich et al., 2017</xref>; <xref ref-type="bibr" rid="ref40">Papa et al., 2017</xref>; <xref ref-type="bibr" rid="ref43">Richard et al., 2017</xref>; <xref ref-type="bibr" rid="ref13">Cle et al., 2020</xref>), we examined the susceptibility to ZIKV infection of hCMEC/D3 cells.</p>
<p>We confirmed using RT-qPCR analysis that hCMEC/D3 cells can be productively infected with an African ZIKV strain (<xref rid="fig1" ref-type="fig">Figures 1A</xref>,<xref rid="fig1" ref-type="fig">B</xref>). The cells released infectious particles (<xref rid="fig1" ref-type="fig">Figures 1C</xref>,<xref rid="fig1" ref-type="fig">D</xref>), indicating that a complete viral replication cycle. Intriguingly, we found a difference in infection efficiency that was dependent on the cell culture medium, both in terms of viral RNA yield and production of infectious particles (<xref rid="fig1" ref-type="fig">Figure 1</xref>, EndoGRO vs. EBM-2). Differences were more marked at a lower MOI (<xref rid="fig1" ref-type="fig">Figures 1A</xref>,<xref rid="fig1" ref-type="fig">C</xref> vs. <xref rid="fig1" ref-type="fig">Figures 1B</xref>,<xref rid="fig1" ref-type="fig">D</xref>). Similar differences in viral susceptibility were observed with a Brazilian ZIKV strain (belonging to the Asian lineage), at 72h post-infection (<xref rid="fig1" ref-type="fig">Figures 1E</xref>,<xref rid="fig1" ref-type="fig">F</xref>).</p>
<p>Our first hypothesis was that factors present in the medium could interfere with viral infectivity. To test this, we suspended the viral stock in one or the other medium (or in DMEM as a control) and the inoculum was let to adsorb for 2h on hCMEC/D3 (previously cultured in EndoGRO). Cells were then washed and cultured in EndoGRO for 48h. RT-qPCR analysis performed at 48h post-infection revealed that the levels of intracellular viral RNA were similar in the three conditions (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>). This suggests that the culture media does not alter the cell-virus interaction <italic>per se</italic>. The differential susceptibility observed in the two culture conditions likely depend on differential gene expression.</p>
<p>We cultured hCMEC/D3 cells in EndoGRO or in EBM-2 prior to infection. Infection and subsequent culture were then performed in DMEM. We found that viral replication efficacy was dependent on the medium in which the cells were initially cultured (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 2</xref>). This suggests that the cells, while being cultured in the different media, have acquired intrinsic differences to ZIKV infection susceptibility.</p>
</sec>
<sec id="sec16">
<title>Cells Cultured in EndoGRO Overexpress <italic>Claudin</italic>-7 When Compared to Cells Cultured in EBM-2</title>
<p>First, we examined whether hCMEC/D3 cells cultured in the two media differentially expressed AXL and other members of the TAM family (i.e., TYRO3 and MER), which have been found to regulate endothelial susceptibility to ZIKV (<xref ref-type="bibr" rid="ref29">Liu et al., 2016</xref>; <xref ref-type="bibr" rid="ref43">Richard et al., 2017</xref>). Western blot analysis revealed that AXL expression remained unchanged in either medium (<xref rid="fig2" ref-type="fig">Figure 2A</xref>). Similarly, we did not see any significant difference in the expression of <italic>AXL</italic> at the mRNA level (<xref rid="fig2" ref-type="fig">Figure 2B</xref>). While TYRO3 and MER proteins are not detectable by western blot in hCMEC/D3 cells, we found that the mRNA levels of <italic>TYRO3</italic> and <italic>MER</italic> were comparable in both media (<xref rid="fig2" ref-type="fig">Figure 2B</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption><p>Differential gene expression in hCMEC/D3 depending on culture medium. <bold>(A)</bold> hCMEC/D3 cells were cultured in EndoGRO or EBM-2, and cell lysates were processed by western blot for studying expression levels of AXL and claudin-5. &#x03B1;-Tubulin serves as loading control. <bold>(B)</bold> hCMEC/D3 cells were cultured in EndoGRO or EBM-2, and mRNA levels for <italic>AXL</italic>, <italic>TYRO3</italic>, and <italic>MERTK</italic> in EndoGRO relative to EBM-2 were quantified (<italic>n</italic>=4 independent experiments). <bold>(C)</bold> hCMEC/D3 cells were cultured in EndoGRO or EBM-2, and mRNA was processed on an Affymetrix GeneChip Human Gene 2.0ST (<italic>n</italic>=3 independent experiments). The volcano plot presents the relative expression change of human genes in EndoGRO relative to EBM-2 and the statistical significance of the change. Thresholds (displayed as grey lines): <italic>p</italic>&#x003C;10<sup>&#x2013;4</sup>, relative expression &#x003C;0.5 and relative expression &#x003E;2. <bold>(D)</bold> hCMEC/D3 cells were cultured in EndoGRO or EBM-2, and mRNA levels for <italic>CLDN3</italic>, <italic>CLDN5</italic>, and <italic>CLDN7</italic> in EndoGRO relative to EBM-2 were quantified (<italic>n</italic>=4 independent experiments). Data are presented as mean&#x00B1;SEM.</p></caption>
<graphic xlink:href="fmicb-12-746589-g002.tif"/>
</fig>
<p>We compared the transcriptome of hCMEC/D3 cells cultured in EBM-2 and in EndoGRO to identify cellular genes that could account for differences in susceptibility. Microarray analysis showed that the expression of most genes was left unchanged in the two conditions, at the exception of 101 genes, which were upregulated in cells cultured in EBM-2 as compared to cells cultured in EndoGRO, and of 38 genes that were upregulated in cells cultured in EndoGRO as compared to EBM-2 cultured cells (<xref rid="fig2" ref-type="fig">Figure 2C</xref> and <xref ref-type="supplementary-material" rid="SM1">Supplementary Tables 3</xref> and <xref ref-type="supplementary-material" rid="SM1">4</xref>).</p>
<p>Among the proteins expressed at higher level in EndoGRO medium than in EBM-2, we identified Claudin-7 (CLDN7). This gene caught our attention as claudins have been identified as modulators of cellular sensitivity to viruses from the <italic>Flaviviridae</italic> family (<xref ref-type="bibr" rid="ref15">Colpitts and Baumert, 2017</xref>). The endogenous protein expression levels of CLDN7 could not be detected at the protein level in endothelial cells, as previously reported (<xref ref-type="bibr" rid="ref53">Vu et al., 2009</xref>; <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 3</xref>). It was, however, detected in A549 and HEK 293T epithelial cells. Of note, CLDN7 could only be detected when analyzing whole cell lysates (i.e., non-centrifuged, comprising the insoluble fraction). RT-qPCR analysis confirmed that <italic>CLDN7</italic> mRNA abundance increased in cells grown in EndoGRO when compared to cells cultured in EBM-2 (<xref rid="fig2" ref-type="fig">Figure 2D</xref>), consistent with the microarray analysis. In contrast, the mRNA levels of <italic>CLDN5</italic> and <italic>CLDN3</italic> &#x2013; the other predominant claudins expressed in hCMEC/D3 cells (<xref ref-type="bibr" rid="ref57">Weksler et al., 2005</xref>; <xref ref-type="bibr" rid="ref53">Vu et al., 2009</xref>; <xref ref-type="bibr" rid="ref46">Schrade et al., 2012</xref>; <xref ref-type="bibr" rid="ref51">Urich et al., 2012</xref>) &#x2013; were unchanged. Of note, at the protein level, <italic>CLDN5</italic> expression was comparable in the different conditions (<xref rid="fig2" ref-type="fig">Figure 2A</xref>).</p>
</sec>
<sec id="sec17">
<title>Downregulation of <italic>Claudin</italic>-7 Reduces hCMEC/D3 Susceptibility to ZIKV Infection</title>
<p>We hypothesized that the ability of ZIKV to replicate more efficiently in cells grown in the EndoGRO medium, as compared to cells grown in EBM-2, could be (at least partially) due to differences in <italic>CLDN7</italic> expression levels.</p>
<p>To test the impact of <italic>CLDN7</italic> knockdown (KD) on hCMEC/D3 susceptibility to African ZIKV infection, hCMEC/D3 cells were transduced with lentiviral vectors expressing shRNA sequences targeting <italic>CLDN7</italic> or, as controls, <italic>CLDN5</italic> transcripts or non-targeting shRNAs (CTRL). Transduced cells were selected over 2weeks by puromycin treatment. The obtained cultures were a mix of populations of transduced cells.</p>
<p>As CLDN7 cannot be detected by western blot in hCMEC/D3 cells (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 3</xref>), Knockdown was validated by RT-qPCR on cellular mRNA (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 4</xref>). As half-life of claudins is short (6&#x2013;12h; <xref ref-type="bibr" rid="ref52">Van Itallie et al., 2019</xref>), one can assume that a significant reduction in claudin mRNA leads to reduced protein levels. Of note, <italic>CLDN5</italic> seems consistently overexpressed in the <italic>CLDN7</italic>-KD cells (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 4</xref>).</p>
<p>Transduction <italic>per se</italic> had no significant impact on hCMEC/D3 susceptibility (i.e., production of viral RNA and infectious particles) to ZIKV since hCMEC/D3 cells transduced with a lentiviral vector expressing a control shRNA (CTRL) were as susceptible as non-transduced (WT) hCMEC/D3 cells (<xref rid="fig3" ref-type="fig">Figures 3A</xref>,<xref rid="fig3" ref-type="fig">B</xref>). KD of <italic>CLDN5</italic> did not alter viral replication and production (<xref rid="fig3" ref-type="fig">Figures 3A</xref>,<xref rid="fig3" ref-type="fig">B</xref>). In contrast, viral replication and production were significantly reduced in <italic>CLDN7</italic>-KD cells, as compared to control cells (<xref rid="fig3" ref-type="fig">Figures 3A</xref>,<xref rid="fig3" ref-type="fig">B</xref>). <italic>CLDN7</italic> expression was also required for optimal replication of the Brazilian strain of ZIKV (<xref rid="fig3" ref-type="fig">Figures 3C</xref>,<xref rid="fig3" ref-type="fig">D</xref>), as shown by RT-qPCR analysis.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption><p>CLDN7-Knockdown alters hCMEC/D3 susceptibility to ZIKV infection. The hCMEC/D3 cells were transduced with lentivectors containing shRNAs targeting CLDN5 and CLDN7 transcripts or a non-targeting control shRNA (CTRL). <bold>(A)</bold> Time-course quantification of viral RNA through RT-qPCR in transduced hCMEC/D3 cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>=0.03 (2-Way ANOVA, Sidak&#x2019;s <italic>post-hoc</italic>)]. <bold>(B)</bold> Time-course quantification of viral production in the supernatant in transduced hCMEC/D3 cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>=0.01 (2-Way ANOVA, Sidak&#x2019;s <italic>post-hoc</italic>)]. <bold>(C)</bold> Quantification at 72h post-infection of viral RNA through RT-qPCR in transduced hCMEC/D3 cells infected with INMI1 ZIKV at a MOI of 1 [<italic>n</italic>=6 independent experiments, <italic>p</italic>&#x003C;0.0001 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(D)</bold> Quantification at 72h post-infection of viral production in the supernatant in transduced hCMEC/D3 cells infected with INMI1 ZIKV at a MOI of 1 [<italic>n</italic>=6 independent experiments, <italic>p</italic>&#x003C;0.0001 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(E)</bold> Quantification at 48h post-infection of viral production in the supernatant in transduced hCMEC/D3 cells infected with RP9 JEV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>=0.07 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(F)</bold> Quantification at 48h post-infection of viral production in the supernatant in transduced hCMEC/D3 cells infected with 17D YFV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>&#x003C;0.001 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. Each experiment was performed in triplicate. Data are presented as mean&#x00B1;SEM. <sup>&#x002A;&#x002A;&#x002A;</sup><italic>p</italic>&#x2264;0.001; <sup>&#x002A;&#x002A;</sup><italic>p</italic>&#x2264;0.01; <sup>&#x002A;</sup><italic>p</italic>&#x2264;0.05; ns, <italic>p</italic>&#x003E;0.05 (<italic>post-hoc</italic> corrected value of <italic>p</italic>). See also <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 4</xref>.</p></caption>
<graphic xlink:href="fmicb-12-746589-g003.tif"/>
</fig>
<p>Together these data demonstrate that <italic>CLDN7</italic> expression favors ZIKV infection in hCMEC/D3 cells. Importantly, Japanese encephalitis and yellow fever viruses, both closely related to ZIKV, were replicating as efficiently in control hCMEC/D3 cells than in <italic>CLDN7</italic>-KD cells (<xref rid="fig3" ref-type="fig">Figures 3E</xref>,<xref rid="fig3" ref-type="fig">F</xref>). This demonstrates that <italic>CLDN7</italic> is specifically involved in hCMEC/D3 susceptibility to ZIKV infection.</p>
</sec>
<sec id="sec18">
<title><italic>Claudin-7</italic> KD Reduced Susceptibility to ZIKV Infection of Endothelial Cells, but Not Epithelial Cells</title>
<p>We evidenced the contribution of <italic>CLDN7</italic> in ZIKV replication in hCMEC/D3 cells. We examined whether <italic>CLDN7</italic> was also favoring ZIKV infection in two other endothelial cell lines: bone marrow endothelial cells (TrHBMEC) and umbilical vein endothelial cells (HUVEC). We also tested the effect of silencing <italic>CLDN7</italic> expression in two epithelial cell lines: alveolar basal cells (A549) and embryonic kidney cells (HEK 293T).</p>
<p>Knockdown efficiency was validated by RT-qPCR in these four cell lines (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figures 5A</xref>&#x2013;<xref ref-type="supplementary-material" rid="SM1">D</xref>). We considered only cells with a &#x2212;&#x2206;&#x2206;<italic>C</italic><sub>T</sub> (compared to WT cells) lower than &#x2212;2; for HUVEC and HEK 293T, only one shRNA-derived cell line (out of five tested) was considered for further analysis (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figures 5A</xref>&#x2013;<xref ref-type="supplementary-material" rid="SM1">D</xref>). For epithelial cells, downregulation was validated at the protein level by western blot analysis (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figures 5E</xref>,<xref ref-type="supplementary-material" rid="SM1">F</xref>).</p>
<p>We found that downregulation of <italic>CLDN7</italic> significantly reduced infectious particle production in both endothelial cell types, TrHBMEC (<xref rid="fig4" ref-type="fig">Figure 4A</xref>) and HUVEC (<xref rid="fig4" ref-type="fig">Figure 4B</xref>). In contrast, no significant difference in viral yield was observed upon CLDN7-KD in A549 (<xref rid="fig4" ref-type="fig">Figure 4C</xref>) and HEK 293T epithelial cells (<xref rid="fig4" ref-type="fig">Figure 4D</xref>). Likewise, viral RNA production was significantly reduced in <italic>CLDN7</italic>-KD endothelial cells as compared to control cells (<xref rid="fig4" ref-type="fig">Figures 4E</xref>,<xref rid="fig4" ref-type="fig">F</xref>) but not in epithelial cells (<xref rid="fig4" ref-type="fig">Figures 4G</xref>,<xref rid="fig4" ref-type="fig">H</xref>).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption><p>CLDN7-Knockdown alterations are limited to endothelial cells. TrHBMEC, HUVEC, A549, and HEK 293T cells were transduced with lentivectors containing shRNAs targeting CLDN7 transcripts or a non-targeting control shRNA (CTRL). <bold>(A)</bold> Relative quantification at 48h post-infection of viral production in the supernatant in transduced TrHBMEC cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>=0.011 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(B)</bold> Relative quantification at 48h post-infection of viral production in the supernatant in transduced HUVEC cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>=0.0087 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(C)</bold> Relative quantification at 48h post-infection of viral production in the supernatant in transduced A549 cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>&#x003E;0.05 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(D)</bold> Relative quantification at 48h post-infection of viral production in the supernatant in transduced HEK 293T cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>&#x003E;0.05 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(E)</bold> Relative quantification at 48h post-infection of viral replication in transduced TrHBMEC cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>=0.005 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(F)</bold> Relative quantification at 48h post-infection of viral replication in transduced HUVEC cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>=0.045 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(G)</bold> Relative quantification at 48h post-infection of viral replication in transduced A549 cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>&#x003E;0.05 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(H)</bold> Relative quantification at 48h post-infection of viral replication in transduced HEK 293T cells infected with HD78788 ZIKV at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>&#x003E;0.05 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. Each experiment was performed in triplicate. Data are presented as mean&#x00B1;SEM. <sup>&#x002A;</sup><italic>p</italic>&#x2264;0.05; ns, <italic>p</italic>&#x003E;0.05 (<italic>post-hoc</italic> corrected value of <italic>p</italic>). See also <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 4</xref>.</p></caption>
<graphic xlink:href="fmicb-12-746589-g004.tif"/>
</fig>
<p>Our data demonstrate that CLDN7 favors ZIKV replication in endothelial cells but not in epithelial cells.</p>
</sec>
<sec id="sec19">
<title>Claudin-7 Is Not Involved in the Early Steps of the Viral Cycle</title>
<p>We next assessed which step of the viral cycle required the expression of CLDN7. To determine whether CLDN7 could be involved in viral adsorption to the cell membrane, hCMEC/D3 cells were infected with ZIKV for 1h at 4&#x00B0;C, which allows viral binding but prevents virus internalization. Unbound viruses were then removed through extensive washing. ZIKV RNA levels, corresponding to virions that remained attached to cell membranes, were quantified by RT-qPCR analysis. As expected, more viral particles were bound to the cells when incubated at a MOI of 10 than at a MOI of 1 (<xref rid="fig5" ref-type="fig">Figures 5A</xref>,<xref rid="fig5" ref-type="fig">B</xref>). However, no difference in viral RNA yield was detected between WT and <italic>CLDN7</italic>-KD cells, suggesting that CLDN7 is dispensable for ZIKV binding to cell membranes.</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption><p>CLDN7-Knockdown does not alter the early steps of ZIKV cycle. The hCMEC/D3 cells were transduced with lentivectors containing shRNAs targeting CLDN5 and CLDN7 transcripts or a non-targeting control shRNA (CTRL). <bold>(A,B)</bold> Binding of HD78788 ZIKV to transduced hCMEC/D3 cells, quantification of viral RNA through RT-qPCR in cells culture with the virus for 1h at 4&#x00B0;C and extensively washed. <bold>(A)</bold> Cells were infected at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>&#x003E;0.05 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(B)</bold> Cells were infected at a MOI of 10 [<italic>n</italic>=5 independent experiments, <italic>p</italic>&#x003E;0.05 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(C,D)</bold> Internalization of HD78788 ZIKV in transduced hCMEC/D3 cells, quantification of viral RNA through RT-qPCR in cells from the binding assay furthermore kept for 2h at 37&#x00B0;C followed by removal of un-internalized virions. <bold>(C)</bold> Cells were infected at a MOI of 1 [<italic>n</italic>=3 independent experiments, <italic>p</italic>&#x003E;0.05 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(D)</bold> Cells were infected at a MOI of 10 [<italic>n</italic>=3 independent experiments, <italic>p</italic>&#x003E;0.05 (Friedman test, Dunn&#x2019;s <italic>post-hoc</italic>)]. <bold>(E)</bold> Transduced hCMEC/D3 cells were infected with a MOI of 1 and kept for 16h to allow the virus to complete one replication cycle. Cells were stained with anti-NS1 antibodies and DAPI. ZIKV NS1-positive hCMEC/D3 cells were quantified (<italic>n</italic>=2 independent experiments). Each experiment was performed in triplicate. Data are presented as mean&#x00B1;SEM. ns, <italic>p</italic>&#x003E;0.05 (<italic>post-hoc</italic> corrected value of <italic>p</italic>).</p></caption>
<graphic xlink:href="fmicb-12-746589-g005.tif"/>
</fig>
<p>We next tested whether CLDN7 was involved in virus internalization. Following a 1h incubation at 4&#x00B0;C, cells were cultured at 37&#x00B0;C for 2h. Cells were treated with trypsin to remove non-internalized viral particles. Quantification of intracellular ZIKV RNA present in the cells, representing internalized particles, showed no significant difference between the control cells and <italic>CLDN7</italic>-KD hCMEC/D3 cells at MOI 1 and 10 (<xref rid="fig5" ref-type="fig">Figures 5C</xref>,<xref rid="fig5" ref-type="fig">D</xref>), suggesting that CLDN7 does not contribute to ZIKV internalization.</p>
<p>The proportion of infected hCMEC/D3 cells was determined using staining against the viral non-structural protein NS1 at 16h post-infection, and a time that corresponds to a unique replication cycle (<xref rid="fig5" ref-type="fig">Figures 5E</xref>, <xref rid="fig6" ref-type="fig">6</xref>). At a MOI of 1, around 11% hCMEC/D3 cells were expressing the NS1 protein. In contrast, in <italic>CLDN7</italic>-KD cells, only around 4% of cells were positive for NS1, independently of the shRNA that was used. These data confirm our previous RT-qPCR and titration analyses (<xref rid="fig3" ref-type="fig">Figure 3</xref>) and thus further validate the role of CLDN7 as a proviral factor in endothelial cells. Of note, the distribution of NS1 was comparable in infected WT and CLDN7-KD cells (<xref rid="fig6" ref-type="fig">Figure 6</xref>).</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption><p>CLDN7-Knockdown does not alter ZIKV infection phenotype. The hCMEC/D3 cells were transduced with lentivectors containing shRNAs targeting CLDN5 and CLDN7 transcripts or a non-targeting control shRNA (CTRL). Transduced hCMEC/D3 cells were infected with ZIKV at a MOI of 1 and kept for 16h to allow the virus to complete one replication cycle. Confocal analysis of cells stained with anti-NS1 antibodies (green) and DAPI (blue). Representative images of ZIKV infected hCMEC/D3 cells.</p></caption>
<graphic xlink:href="fmicb-12-746589-g006.tif"/>
</fig>
<p>Together these results demonstrate that <italic>CLDN7</italic> downregulation does not affect viral attachment or internalization but reduces the number of cells expressing the viral protein NS1, suggesting that CLDN7 facilitates viral replication at a post-entry stage but prior to viral protein translation.</p>
</sec>
</sec>
<sec id="sec20" sec-type="discussions">
<title>Discussion</title>
<p>Since its emergence in the Pacific Islands and the Americas in 2015, ZIKV is classified as a neurotropic virus. Numerous reports have evidenced its neuroinvasion and neurovirulence abilities. The access of ZIKV to the CNS purportedly requires productive infection of BBB endothelial cells (<xref ref-type="bibr" rid="ref30">Liu et al., 2010</xref>; <xref ref-type="bibr" rid="ref35">Mladinich et al., 2017</xref>; <xref ref-type="bibr" rid="ref40">Papa et al., 2017</xref>; <xref ref-type="bibr" rid="ref13">Cle et al., 2020</xref>).</p>
<p>We confirmed that human BBB endothelial cells are susceptible to ZIKV infection (<xref ref-type="bibr" rid="ref30">Liu et al., 2010</xref>; <xref ref-type="bibr" rid="ref35">Mladinich et al., 2017</xref>; <xref ref-type="bibr" rid="ref40">Papa et al., 2017</xref>; <xref ref-type="bibr" rid="ref13">Cle et al., 2020</xref>). There are two commercially available media for the culture of cerebral endothelial cell. Intriguingly, we found that hCMEC/D3 cells were more susceptible to viral infection when cultured in EndoGRO than in EBM-2. We found that differences in susceptibility are likely due to medium-induced changes in the expression profile of hCMEC/D3. Microarray analysis revealed that cells cultured in EndoGRO expressed significantly more <italic>CLDN7</italic> than cells grown in EBM-2.</p>
<p>Although the complete composition of the media is not available, we know that EBM-2 is supplemented with bFGF while EndoGRO is supplemented with rhEGF. As previous papers have shown that epithelial cells overexpress CLDN7 upon EGF stimulation (<xref ref-type="bibr" rid="ref5">Borok et al., 1996</xref>; <xref ref-type="bibr" rid="ref12">Chen et al., 2005</xref>; <xref ref-type="bibr" rid="ref21">Ferretti et al., 2017</xref>), we could hypothesize that CLDN7 overexpression may be, at least partially, due to the presence of rhEGF in EndoGRO. However, the transcriptomic differences (<xref ref-type="supplementary-material" rid="SM1">Supplementary Tables 3</xref> and <xref ref-type="supplementary-material" rid="SM1">4</xref>) cannot be fully attributed to the differences between EGF and FGF signaling: functional enrichment analysis using the software FunRich 3.1.3 did not evidenced a significant EGF-related signature. Other elements in the media likely participate in media-induced transcriptomic differences.</p>
<p>As reported in other studies, we found that CLDN7 protein expression was not detectable using western blot analysis and commercially available antibodies (<xref ref-type="bibr" rid="ref53">Vu et al., 2009</xref>). Thus, we used CLDN7 mRNA abundance as a proxy for <italic>CLDN7</italic> expression. Stable shRNA-mediated CLDN7 downregulation impaired ZIKV replication in hCMEC/D3 cells and two other endothelial cell lines (i.e., HUVEC and HBMEC cells). However, the differential expression of <italic>CLDN7</italic> may not solely explain the differences in susceptibility observed between the cells grown in the two media. Indeed, the replication curves between CLDN7-KD cells and cells cultured in EBM-2 are not comparable at a MOI of 1 (<xref rid="fig1" ref-type="fig">Figure 1A</xref> vs. <xref rid="fig3" ref-type="fig">Figure 3A</xref>). Other cellular factors (as detected in the microarray) are thus likely to be at play and contribute to the differences in viral susceptibility.</p>
<p>The importance of claudins in the infection of other members of the <italic>Flaviviridae</italic> family has been previously reported (<xref ref-type="bibr" rid="ref15">Colpitts and Baumert, 2017</xref>). In particular, CLDN1 is a major entry receptor for both HCV and dengue viruses in hepatocytes (<xref ref-type="bibr" rid="ref19">Evans et al., 2007</xref>). Claudins form a large family of 24 members that are differentially expressed across tissues (<xref ref-type="bibr" rid="ref26">Krause et al., 2008</xref>). There could be some redundancy between claudins as viruses might be able to interact with a variety of them. For instance, HCV can use CLDN6 and CLDN9 as alternative receptors to CLDN1 (<xref ref-type="bibr" rid="ref33">Meertens et al., 2008</xref>). Such redundancy may explain why KD of CLDN7 in epithelial cells had no impact on viral replication. These cells express many claudins, which may substitute CLDN7. The nature of the claudins used by ZIKV may thus be cell-type or tissue specific.</p>
<p>Viral infection is carried out through several distinct steps. First, the virus is adsorbed at the cell surface, which is mediated by the interaction of the viral envelope with HSPG or C-type lectin receptors, such as DC-SIGN (<xref ref-type="bibr" rid="ref23">Hamel et al., 2015</xref>; <xref ref-type="bibr" rid="ref25">Kim et al., 2017</xref>). Different internalization paths have been proposed for ZIKV. For instance, the AXL-dependent internalization would mimic the internalization of apoptotic bodies (<xref ref-type="bibr" rid="ref34">Meertens et al., 2017</xref>). Internalization could also occur upon usage of integrins (<xref ref-type="bibr" rid="ref56">Wang et al., 2020</xref>), sialic-acids (<xref ref-type="bibr" rid="ref50">Tan et al., 2019</xref>), or HSP70 (<xref ref-type="bibr" rid="ref42">Pujhari et al., 2019</xref>). It is unclear whether viruses that exploit these different receptors end up in the same endosomal compartment or whether their fate depends on receptor usage, as suggested for related yellow fever viruses (<xref ref-type="bibr" rid="ref20">Fernandez-Garcia et al., 2016</xref>). We show that CLDN7-KD does not affect ZIKV adsorption or internalization in endothelial cells.</p>
<p>By immunofluorescence analysis, we found that NS1 protein localization was comparable between CTRL and <italic>CLDN7</italic>-KD infected cells. This suggests that CLDN7 is not necessary for the establishment of effective replication sites in the cell. Indeed, if CLDN7 was part of the replication site, we would expect alterations in their perinuclear organization, as found for instance for Atlastin-3 (<xref ref-type="bibr" rid="ref36">Monel et al., 2019</xref>).</p>
<p>Our data point to a role of CLDN7 anywhere between internalization and RNA production. It could for instance have a direct role in the fusion of the viral envelope with the endosomal membrane, as evidenced for occludin in the context of HCV infection (<xref ref-type="bibr" rid="ref4">Benedicto et al., 2009</xref>). It could also have a more indirect function, such as regulating viral trafficking within endosomal compartments. Unfortunately, subcellular colocalization of CLDN7 and the virus could not be investigated in our system, as endogenous CLDN7 was not detectable by immunofluorescence.</p>
<p>In conclusion, we have found that CLDN7 is a susceptibility factor to ZIKV infection in endothelial cells. This finding provides functional insights into the mechanisms leading to ZIKV susceptibility in human endothelial cells <italic>in vivo</italic> and may be subsequently used as a novel target for antiviral drug development to prevent BBB disruption associated with ZIKV-related neurological disorders.</p>
</sec>
<sec id="sec21" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/<xref rid="sec24" ref-type="sec">Supplementary Material</xref>.</p>
</sec>
<sec id="sec22">
<title>Author Contributions</title>
<p>JZ, VL, and PA conceived the study. P-EC, AG, and PA obtained funding. JZ, PJ, MC, and PA performed experiments. VL and NP provided viruses. JZ and PA wrote the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="sec41" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by a Pasteur-Fiocruz grant and the &#x201C;Investissement d&#x2019;Avenir&#x201D; as part of a &#x201C;Laboratoire d&#x2019;Excellence&#x201D; (LabEx) French research program: Integrative Biology of Emerging Infectious Diseases (ANR10-LBX-62 IBEID). JZ was the recipient of a PhD fellowship from the ED562 &#x2013; BioSPC and French ministry of education and research. VL was supported by a fellowship from the &#x201C;Fondation pour la Recherche M&#x00E9;dicale&#x201D; (FRM).</p>
</sec>
<sec id="conf1" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec001" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<p>Microarray was performed by the Plateforme GenomEast of IGBMC, Illkirch, France. NS1 antibody was a kind gift from Marie Flamand (Institut Pasteur, Paris).</p>
</ack>
<sec id="sec24" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2021.746589/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fmicb.2021.746589/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.PDF" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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