<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2023.1116695</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Veterinary Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Lactate is useful for the efficient replication of porcine epidemic diarrhea virus in cell culture</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Wuri</surname> <given-names>Nile</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2127417/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Gou</surname> <given-names>Hongchao</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/393754/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Bin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Menglu</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Songqi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Weixiao</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>He</surname> <given-names>Haiyan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2165058/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Fan</surname> <given-names>Xuelei</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Chunhong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/692473/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname> <given-names>Zhicheng</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Geri</surname> <given-names>Letu</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2084056/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Shen</surname> <given-names>Haiyan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/469018/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhang</surname> <given-names>Jianfeng</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/630535/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Key Laboratory of Livestock Disease Prevention of Guangdong Province, Scientific Observation and Experiment Station of Veterinary Drugs and Diagnostic Techniques of Guangdong Province, Ministry of Agriculture and Rural Affairs, Institute of Animal Health, Guangdong Academy of Agricultural Sciences</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>College of Veterinary Medicine, Inner Mongolia Agricultural University</institution>, <addr-line>Hohhot</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Maoming Branch Center of Guangdong Laboratory for Lingnan Modern Agricultural Science and Technology</institution>, <addr-line>Maoming</addr-line>, <country>China</country></aff>
<aff id="aff4"><sup>4</sup><institution>College of Veterinary Medicine, South China Agricultural University</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Fangyu Wang, Henan Academy of Agricultural Sciences (HNAAS), China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Tongling Shan, Shanghai Veterinary Research Institute (CAAS), China; Engin Berber, Cleveland Clinic, United States</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Jianfeng Zhang &#x02709; <email>13668939298&#x00040;139.com</email></corresp>
<corresp id="c002">Haiyan Shen &#x02709; <email>haiyan_0001&#x00040;163.com</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Veterinary Infectious Diseases, a section of the journal Frontiers in Veterinary Science</p></fn>
<fn fn-type="equal" id="fn002"><p>&#x02020;These authors have contributed equally to this work and share first authorship</p></fn></author-notes>
<pub-date pub-type="epub">
<day>13</day>
<month>02</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>10</volume>
<elocation-id>1116695</elocation-id>
<history>
<date date-type="received">
<day>05</day>
<month>12</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>01</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2023 Wuri, Gou, Zhang, Wang, Wang, Zhang, He, Fan, Zhang, Liu, Geri, Shen and Zhang.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Wuri, Gou, Zhang, Wang, Wang, Zhang, He, Fan, Zhang, Liu, Geri, Shen and Zhang</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>Porcine epidemic diarrhea virus (PEDV) is a deadly pathogen infecting pig herds, and has caused significant economic losses around the world. Vaccination remains the most effective way of keeping the PEDV epidemic under control. Previous studies have shown that the host metabolism has a significant impact on viral replication. In this study, we have demonstrated that two substrates of metabolic pathway, glucose and glutamine, play a key role in PEDV replication. Interestingly, the boosting effect of these compounds toward viral replication appeared to be dose-independent. Furthermore, we found that lactate, which is a downstream metabolite, promotes PEDV replication, even when added in excess to the cell culture medium. Moreover, the role of lactate in promoting PEDV was independent of the genotype of PEDV and the multiplicity of infection (MOI). Our findings suggest that lactate is a promising candidate for use as a cell culture additive for promoting PEDV replication. It could improve the efficiency of vaccine production and provide the basis for designing novel antiviral strategies.</p></abstract>
<kwd-group>
<kwd>porcine epidemic diarrhea virus</kwd>
<kwd>metabolites</kwd>
<kwd>glucose</kwd>
<kwd>glutamine</kwd>
<kwd>lactate</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="32"/>
<page-count count="9"/>
<word-count count="5064"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1. Introduction</title>
<p>Porcine epidemic diarrhea (PED), caused by the porcine epidemic diarrhea virus (PEDV), has caused huge losses to the global pig industry. This virus mainly affects neonatal piglets and its symptoms include vomiting, diarrhea, dehydration, growth retardation and high mortality (<xref ref-type="bibr" rid="B1">1</xref>). PEDV was first isolated in Belgium in 1978 and named CV777. In 1994, an inactivated vaccine was developed by attenuating this strain on Vero cells, which played an important role in the prevention and treatment of PED (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>). However, in October 2010, a new variant of PEDV was discovered in China. Starting in 2013, it caused a pandemic in the United States, Canada, Mexico and other places, before spreading to countries around the world (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>). As a result, commercial vaccines using the classical PEDV strains proved ineffective against the circulating strains. This led to attempts to produce a new generation of inactivated vaccines based on the PEDV variants (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>). However, they were plagued by the problem of low viral titers and high production costs (<xref ref-type="bibr" rid="B8">8</xref>). Amongst the methods attempted to increase the replication efficiency of PEDV was the addition of trypsin to the cell culture medium of PEDV-infected Vero cells. Attempts were also made to trigger the overexpression of PEDV nsp16, in order to promote viral proliferation in a manner that negatively regulates innate immunity. Hence, the development of new methods to promote viral replication in the culture medium could be a useful step in vaccine development.</p>
<p>Previous studies have shown that viruses alter the metabolism of host cells in order to provide optimal conditions for rapid and efficient reproduction and transmission (<xref ref-type="bibr" rid="B9">9</xref>&#x02013;<xref ref-type="bibr" rid="B12">12</xref>). Viruses rely on the host cell machinery for reproduction. They promote anabolism, which results in the production of the macromolecules required for virion replication and assembly. Metabolic phenotypes conferred by viral infection often reflect the metabolic changes in host cells, such as the upregulation of nutrient consumption and anabolism to support viral replication or rapid cell growth, respectively (<xref ref-type="bibr" rid="B13">13</xref>). Previous studies have shown that pathogens alter the host cell metabolism, particularly the host cell&#x00027;s central carbon metabolism, for the benefit of their own metabolic processes (<xref ref-type="bibr" rid="B14">14</xref>). Shytaj et al. (<xref ref-type="bibr" rid="B15">15</xref>) also found that the down-regulation of glycolysis significantly reduces HIV-1 virion production. In addition, Gou et al. (<xref ref-type="bibr" rid="B16">16</xref>) found that glutamine metabolism affects the pseudorabies viral replication. The pathogenicity and replication of the coronavirus SARS-CoV-2 has also been reported to be dependent on glycolysis and glycosylation. Glucose, in the form of adenosine triphosphate (ATP) derived from glycolysis, acts as an energy source for the viral host cells. It is also involved in glycan formation, which is essential for the synthesis of glycoproteins during glycosylation (<xref ref-type="bibr" rid="B17">17</xref>). Taken together, these results demonstrate the importance of glucose and glutamine metabolism during the viral infection of cells.</p>
<p>In this study, we have investigated the effect of metabolites on PEDV replication in Vero cells. We found that glucose, glutamine and lactate are essential for the infection of Vero cells by classical as well as mutant PEDV strains. Lactate was even found to promote the replication of PEDV. These findings may provide useful insights for improving the virus titers of PEDV vaccine.</p></sec>
<sec id="s2">
<title>2. Materials and methods</title>
<sec>
<title>2.1. Cell culture</title>
<p>Vero cells were cultured in Dulbecco&#x00027;s modified Eagle&#x00027;s medium (DMEM; Gibco, USA) containing 5% fetal bovine serum (FBS; Biological Industries, USA), 100 &#x003BC;g/ml streptomycin, and 100 units/ml penicillin at 37&#x000B0;C in a humidified environment with 5% CO<sub>2</sub>.</p>
</sec>
<sec>
<title>2.2. Virus culture</title>
<p>DMEM containing 100 &#x003BC;g/ml streptomycin and 100 units/ml penicillin was used for culturing PEDV on Vero cells. To explore the importance of glucose and glutamine metabolism in PEDV replication, 12-well plates confluent with a monolayer of Vero cells were seeded and infected with PEDV. The effect of metabolites on PEDV infection was analyzed using normal DMEM, glucose-free DMEM, and DMEM supplemented with glucose and lactate. The effects of glutamine on PEDV were analyzed using glutamine-free DMEM and DMEM supplemented with glutamine. The PEDV GD/HZ/2016, CV777 and TB strains of PEDV available in our laboratory were used for this study.</p>
</sec>
<sec>
<title>2.3. Western blot</title>
<p>Cells were lysed using cell lysis buffer (ThermoFisher Scientific, China) containing the protease inhibitor PMSF to prevent protein degradation. After measuring the protein concentration, 5&#x000D7; protein buffer was added and the proteins were denatured in a 98&#x000B0;C water bath. The protein samples were separated on 12% SDS&#x02013;PAGE Gel SuperQuick Preparation Kit (Beyotime, China), alongside the prestained color protein marker (ThermoFisher Scientific, China). The proteins on the gel were transferred to PVDF membranes (Millipore, China) using a Trans-blot Turbo (Bio-Rad, China), and then blocked with QuickBlock&#x02122; Western Blocking Buffer (Beyotime, China). Membranes were cut, based on the bands of the protein marker, immediately after blocking. The excised membranes were incubated overnight at 4&#x000B0;C with PEDV N antibody (Medgene Labs, Brookings, SD, USA) and glyceraldehyde-3-phosphate dehydrogenase (GAPDH; ABclonal, China). The corresponding HRP-conjugated goat anti-mouse and anti-rabbit IgG (H &#x0002B; L) secondary antibodies were added the next day, followed by incubation for 1 h at room temperature. After elution, imaging was performed on a Bio-Rad imager with diluted NcmECL Ultra (NCM, China).</p>
</sec>
<sec>
<title>2.4. Reverse transcriptase-quantitative polymerase chain reaction</title>
<p>After the extraction of total RNAs using TaKaRa MiniBEST Universal RNA Extraction Kit (TaKaRa, China), the expression of the PEDV N gene was specifically detected by the reverse transcriptase-quantitative polymerase chain reaction (RT-qPCR) method (primers are listed in <xref ref-type="table" rid="T1">Table 1</xref>). HiScript<sup>&#x000AE;</sup> II one Step qRT-PCR SYBR Green Kit (Vazyme, China) was used for detection by RT-qPCR.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Primer used in the RT-qPCR study.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Gene</bold></th>
<th valign="top" align="left"><bold>Forward primer (5<sup>&#x02032;</sup>-3<sup>&#x02032;</sup>)</bold></th>
<th valign="top" align="left"><bold>Reverse primer (5<sup>&#x02032;</sup>-3<sup>&#x02032;</sup>)</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic><bold>PEDV N</bold></italic></td>
<td valign="top" align="left">GCAAAGACTGAACCCACTAA T</td>
<td valign="top" align="left">GCCTCTGTTGTTACTTGGAG</td>
</tr> <tr>
<td valign="top" align="left"><italic><bold>ACTB</bold></italic></td>
<td valign="top" align="left">GGACTTCGAGCAGGAGATGG</td>
<td valign="top" align="left">AGGAAGGAGGGCTGGAAGAG</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec>
<title>2.5. Median Tissue Culture Infectious Dose (TCID<sub>50</sub>) measurement</title>
<p>Serial 10-fold dilutions (10<sup>&#x02212;1</sup> to 10<sup>&#x02212;8</sup>) of the virus solution were prepared and inoculated in a 96-well plate confluent with a monolayer. After incubate for 4&#x02013;5 days in a 5% CO<sub>2</sub> incubator at 37&#x000B0;C, the cells were examined for cytopathic changes. The viral titer of each viral fluid was calculated according to the Reed-Muench equation.</p>
</sec>
<sec>
<title>2.6. Cell Counting Kit-8</title>
<p>The Vero cell viability at the time of lactate addition was detected using the Cell Counting Kit-8 (CCK-8; Abcam, China). Vero cells were grown in 96-well plate for 24&#x02013;36 h, followed by incubation with DMEM containing 0, 2, 5, 10, 15, 20, 30, 40, 60, and 100 mM lactate for 24 h. Ten microliter of CCK-8 reagent was added to each well, and the cells were incubated for 1 h in a cell incubator. The optical density was measured at 450 nm using a microplate reader. The % viable cells were determined as follows: <inline-formula><mml:math id="M1"><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mrow><mml:mfrac><mml:mrow><mml:mi>O</mml:mi><mml:mi>D</mml:mi><mml:mi>t</mml:mi></mml:mrow><mml:mrow><mml:mi>O</mml:mi><mml:mi>D</mml:mi><mml:mi>c</mml:mi></mml:mrow></mml:mfrac></mml:mrow><mml:mo stretchy="false">)</mml:mo></mml:mrow><mml:mo>&#x000D7;</mml:mo><mml:mn>100</mml:mn><mml:mi>%</mml:mi></mml:math></inline-formula>, where ODt and ODc are the absorbance of treated and control cells, respectively.</p></sec></sec>
<sec id="s3">
<title>3. Results</title>
<sec>
<title>3.1. Glucose and glutamine play an important role in PEDV replication</title>
<p>Several previous studies have demonstrated the role of glucose in viral replication (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B18">18</xref>). Since we wanted to investigate its importance in PEDV replication, we infected Vero cells, grown in DMEM medium which was deficient in or supplemented with 20 mM glucose, with the PEDV strain CV777 and the variant PEDV strain PEDV GD/HZ/2016. We observed that the glucose starvation medium produced less viral RNA than normal controls at 24 h of infection (<xref ref-type="fig" rid="F1">Figures 1A</xref>, <xref ref-type="fig" rid="F1">D</xref>). This result was also confirmed by western blot, which detected the expression of the PEDV-N protein (<xref ref-type="fig" rid="F1">Figures 1B</xref>, <xref ref-type="fig" rid="F1">E</xref>). While the virus titer was detected in the cell supernatant, it was found that the titer of the glucose-deficient group was significantly lower than that of the normal group (<xref ref-type="fig" rid="F1">Figures 1C</xref>, <xref ref-type="fig" rid="F1">F</xref>). The results prove that glucose plays an important role in PEDV replication. According to Hirabara et al. (<xref ref-type="bibr" rid="B19">19</xref>), in addition to glucose metabolism, glutamine metabolism is also altered during the reprogramming of the host cell metabolism by the virus. In order to investigate this aspect, we used glutamine-free and glutamine-supplemented DMEM to culture PEDV. It was found that the lack of glutamine also reduced the replication ability of PEDV at 24 h of infection, and the virus replication recovered after glutamine supplementation (<xref ref-type="fig" rid="F1">Figures 1G</xref>, <xref ref-type="fig" rid="F1">H</xref>). These results suggest that glutamine also plays an important role in PEDV replication.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>The role of glucose and glutamine in PEDV replication. <bold>(A&#x02013;C)</bold> Glucose starvation (-Glu) inhibited the replication of PEDV GD/HZ/2016 (GD) strain in Vero cells, as seen by the analysis of the mRNA levels <bold>(A)</bold>, protein levels <bold>(B)</bold>, and viral titers <bold>(C)</bold> 24 h post infection. &#x0002A;<italic>p</italic> &#x0003C; 0.05; &#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.01; &#x0002A;&#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.001; &#x0002A;&#x0002A;&#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.0001. <bold>(D&#x02013;F)</bold> Glucose starvation also inhibited the replication of the PEDV CV777 strain in Vero cells, as shown by the analysis of PEDV N mRNA levels <bold>(D)</bold>, protein levels <bold>(E)</bold>, and virus titers <bold>(F)</bold> at 24 h post infection. <bold>(G, H)</bold> RT-qPCR and TCID<sub>50</sub> analysis of the effect of glutamine starvation in culture medium (-Glut) and supplementation with 2 mM glutamine (&#x02013;Glut&#x0002B;Glut) on PEDV GD/HZ/2016 replication. <bold>(I, J)</bold> PEDV GD/HZ/2016 N mRNA levels and viral titers after the addition of DMEM with 5, 10, 20, 40, and 80 mM glucose. <bold>(K, L)</bold> PEDV GD/HZ/2016 N mRNA levels and viral titers after the addition of DMEM with 5, 10, 20, and 40 mM glutamine. The meaning of ns is &#x0201C;no significance&#x0201D; <italic>p</italic> &#x0003E; 0.05.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-10-1116695-g0001.tif"/>
</fig>
<p>Based on the above results, we speculated that normal DMEM supplemented with excess glucose and glutamine may promote PEDV replication. Subsequently, we cultured PEDV in normal DMEM with the gradient addition of glucose. However, it was found that the excessive addition of glucose did not have a significant replication-promoting effect (<xref ref-type="fig" rid="F1">Figures 1I</xref>, <xref ref-type="fig" rid="F1">J</xref>). Subsequent gradient addition of glutamine to normal DMEM also did not show any effect on PEDV replication (<xref ref-type="fig" rid="F1">Figures 1K</xref>, <xref ref-type="fig" rid="F1">L</xref>).</p>
</sec>
<sec>
<title>3.2. Lactate is a key factor in the glycolytic pathway to promote PEDV infection</title>
<p>A previous study has reported that lactate plays a role in the infection of Influenza A virus in human airway epithelial cells (<xref ref-type="bibr" rid="B20">20</xref>). In view of this, we attempted to investigate whether lactate plays an important role in the infection of Vero cells by PEDV. We first examined the toxicity of lactate to Vero cells using the CCK-8 assay. The 50% cell cytotoxicity (CC<sub>50</sub>) calculations showed that lactate was not excessively toxic to cells up to a concentration of 23.06 mM (<xref ref-type="fig" rid="F2">Figure 2A</xref>). Since one molecule of glucose is broken down into two molecules of lactate through glycolysis, we supplemented glucose-free DMEM with 20 mM lactate. As expected, the PEDV titers recovered in the lactate-supplemented group, when compared to the glucose-depleted DMEM group, and surpassed the levels of the normal DMEM group (<xref ref-type="fig" rid="F2">Figures 2B</xref>, <xref ref-type="fig" rid="F2">C</xref>). In order to establish the concentration of lactate producing the most pronounced promoting effect, we added lactate to glucose-depleted DMEM medium in a gradient manner. The results showed that the addition of 20mM and 10 mM lactate to Vero cells infected with PEDV GD/HZ/2016 and PEDV-CV777, respectively, produced the maximum promoting effect (<xref ref-type="fig" rid="F2">Figures 2D</xref>&#x02013;<xref ref-type="fig" rid="F2">H</xref>).</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Lactate is a key compound in the glycolytic pathway for the promotion of PEDV infection. <bold>(A)</bold> The CC<sub>50</sub> was calculated from the dose-response curves generated from the CCK-8 experimental data and subjected to nonlinear regression analysis. <bold>(B, C)</bold> Enhanced replication of PEDV GD/HZ/2016 (GD) strain was observed on supplementation of glucose-free DMEM with 20 mM lactate (&#x02013;Glu&#x0002B;Lac), as shown by the analysis of the PEDV N mRNA levels <bold>(B)</bold> and protein levels <bold>(C)</bold> at 24 hpi. <bold>(D&#x02013;F)</bold> Replication of the PEDV GD/HZ/2016 strain was restored on supplementation of glucose-free DMEM with 5, 10, 20, and 30 mM lactate, as shown by the analysis of the PEDV N mRNA levels <bold>(D)</bold>, protein levels <bold>(E)</bold>, and viral titers <bold>(F)</bold>. <bold>(G, H)</bold> The analysis of the PEDV N mRNA levels <bold>(G)</bold> and viral titers <bold>(H)</bold> showed that the supplementation of 5, 10, and 20 mM lactate in glucose-free DMEM restored the replicative capacity of the PEDV CV777 strain. The significance of <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05; <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.01; <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.001; <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.0001.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-10-1116695-g0002.tif"/>
</fig>
</sec>
<sec>
<title>3.3. The promoting effect of lactate on different strains of PEDV is concentration-specific</title>
<p>After the above results demonstrated the importance of lactate in PEDV replication, we attempted to evaluate the effect of excessive addition of lactate on PEDV replication. The cells were grown in normal DMEM supplemented with 10 mM lactate, and the virus was collected 24 h after infection. The results of the PEDV N mRNA assay showed that lactate promoted the replication of both PEDV GD/HZ/2016 and PEDV-CV777 strains (<xref ref-type="fig" rid="F3">Figures 3A</xref>, <xref ref-type="fig" rid="F3">G</xref>). The findings were also supported by the results of the western blotting (<xref ref-type="fig" rid="F3">Figures 3B</xref>, <xref ref-type="fig" rid="F3">H</xref>). Lactate promotes PEDV GD/HZ/2016 in the detection of viral titers (<xref ref-type="fig" rid="F3">Figure 3C</xref>). The gradient addition of lactate in normal DMEM was performed in order to determine the concentration of lactate having the greatest promoting effect. The viral RNA and viral titers were detected 24 h after infection. The results showed that 10 mM of lactate had the most pronounced promoting effect on the PEDV GD/HZ/2016 strain (<xref ref-type="fig" rid="F3">Figures 3D</xref>&#x02013;<xref ref-type="fig" rid="F3">F</xref>), while 20 mM lactate had the maximum effect on PEDV-CV777 strain (<xref ref-type="fig" rid="F3">Figures 3I</xref>, <xref ref-type="fig" rid="F3">J</xref>). In conclusion, the addition of 10&#x02013;20 mM lactate to normal DMEM can promote PEDV replication.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>The promoting effect of lactate on different strains of PEDV is concentration-specific. Analysis of PEDV N mRNA levels <bold>(A)</bold>, protein levels <bold>(B)</bold>, and viral titers <bold>(C)</bold> in Vero cells grown in normal DMEM supplemented with 10 mM lactate and infected with 0.0001 MOI PEDV GD/HZ/2016 strain. <bold>(D&#x02013;F)</bold> The effect of the supplementation of normal DMEM with 2, 5, 10, 20, and 30 mM lactate on the replication of PEDV GD/HZ/2016 strain, as shown by the analysis of the PEDV N mRNA levels <bold>(D)</bold>, protein levels <bold>(E)</bold>, and viral titers <bold>(F)</bold> in Vero cells. The addition of 10 mM lactate to normal DMEM promoted the replication of PEDV CV777 strain, as shown by the PEDV N mRNA <bold>(G)</bold> and protein levels <bold>(H)</bold>. <bold>(I, J)</bold> The increase in the PEDV CV777 replication on addition of 5, 10, and 20 mM lactate to normal DMEM was found to be concentration-dependent, as shown by the PEDV N mRNA levels <bold>(I)</bold> and viral titers <bold>(J)</bold>. <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05; <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.01; <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.0001.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-10-1116695-g0003.tif"/>
</fig>
</sec>
<sec>
<title>3.4. Lactate promotes the replication of PEDV variant strains in Vero cells</title>
<p>To confirm that lactate promotion has the same effect on PEDV GD/HZ/2016 strain with a different MOI, Vero cells were infected with PEDV GD/HZ/2016 at MOI of 0.01, 0.001, and 0.0001. A normal DMEM group and a lactate-added DMEM group were set at the same time. The results showed that lactate had a promoting effect on PEDV GD/HZ/2016 strains with different MOIs (<xref ref-type="fig" rid="F3">Figures 3A</xref>&#x02013;<xref ref-type="fig" rid="F3">C</xref>, <xref ref-type="fig" rid="F4">4A</xref>&#x02013;<xref ref-type="fig" rid="F4">F</xref>).</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Lactate promotes the replication of PEDV variant strains in Vero cells. <bold>(A&#x02013;C)</bold> Enhanced viral replication of 0.01 MOI PEDV GD/HZ/2016 strain in Vero cells after addition of 10 mM lactate to normal DMEM, as shown by the analysis of the PEDV N mRNA levels <bold>(A)</bold>, protein levels <bold>(B)</bold>, and viral titer <bold>(C)</bold>. <bold>(D&#x02013;F)</bold> Ten millmolar lactate has a viral replication-promoting effect on the PEDV GD/HZ/2016 strain at 0.001 MOI. PEDV N mRNA levels <bold>(G)</bold> and viral titers <bold>(H)</bold> indicated that 10 mM lactate has a promoting effect on laboratory-preserved variant PEDV TB strains. <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05; <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.01; <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.0001.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-10-1116695-g0004.tif"/>
</fig>
<p>To demonstrate the ability of lactate to promote PEDV of other clinical strains, experiments were performed on PEDV TB strains belonging to the GII genotype isolated from clinical samples. Viruses were collected 72 h after infection, and the viral RNA and titer assays showed that lactate promotes PEDV replication regardless of serotype (<xref ref-type="fig" rid="F4">Figures 4G</xref>, <xref ref-type="fig" rid="F4">H</xref>).</p></sec></sec>
<sec id="s4">
<title>4. Discussion</title>
<p>Vaccination is an efficient and cost-effective step in the prevention and control of PED to reduce the economic losses associated with this epidemic (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B21">21</xref>). However, consistently high viral titers are difficult to obtain during the propagation of PEDV <italic>in vitro</italic>, which poses a challenge in vaccine development. Therefore, attempts are being made to elucidate the compounds which could be added to the cell culture medium for promoting virus production. This could help overcome some of the challenges in vaccine production including high production cost, low efficacy of antigens and poor immune response due to low antigen yield.</p>
<p>Glucose and glutamine are the main carbon sources for energy balance and biosynthesis in mammalian cells, and are the main substrates in the culture medium. Many studies have demonstrated that an increase in the uptake of glucose and glutamine during viral infection, and have highlighted their importance in virus replication (<xref ref-type="bibr" rid="B22">22</xref>&#x02013;<xref ref-type="bibr" rid="B24">24</xref>). In our study, we tested the effect of glucose and glutamine on the proliferation of PEDV in Vero cells using a low-glucose and low-glutamine environment. We found that viral replication was significantly lower in the low-glucose and low-glutamine group, when compared to the normal group. The result suggests that glucose and glutamine affect PEDV replication and play an important role in PEDV infection.</p>
<p>In view of the above results, we speculated that the exogenous addition of glucose and glutamine would promote the replication of PEDV. However, we did not observe any promotion of PEDV replication upon the addition of excess glucose or glutamine. This is consistent with previous findings with respect to the foot-and-mouth virus, which showed that virus production was unaffected by the presence of excess glucose and glutamine (<xref ref-type="bibr" rid="B25">25</xref>). However, Guo et al. (<xref ref-type="bibr" rid="B26">26</xref>) indicated that the exogenous addition of glucose promoted the production of Singapore grouper iridovirus (SGIV) viroids, while the exogenous supplementation with glutamine had no effect. High glucose environments were reported to promote viral replication in enteroviruses and Usutu virus (USUV) (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>). Taken together, although glucose and glutamine have been shown to be essential substrates in PEDV replication, they do not promote PEDV replication when added in excess.</p>
<p>Lactate is produced not only in the metabolism of glucose but also by that of glutamine. The fermentation of glutamine to lactate is called the Warburg effect (<xref ref-type="bibr" rid="B29">29</xref>). A previous study had reported that lactate plays a major role in the replication of Vesicular Stomatitis Virus (VSV), and it can promote the replication of Influenza A (IAV) (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B30">30</xref>). In our study, we supplemented lactate in glucose-free DMEM. It was found to have a restorative effect on PEDV replication, thus highlighting its importance in the process. The importance of lactate has also been reported in studies on other viruses (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B30">30</xref>&#x02013;<xref ref-type="bibr" rid="B32">32</xref>). In addition, we added lactate to the normal medium of genotype I and II PEDV-infected Vero cells and found that lactate has the effect of promoting viral titers. This finding suggests that lactate is a promising substrate for improving PEDV titers during vaccine production. Our experiments demonstrated that lactate has a promoting effect on both genotype I and II PEDV strains. We also added lactate when infecting Vero cells with PEDV GD/HZ/2016 strains of different MOIs. The results showed that the promotion of PEDV by lactate was independent of the initial inoculation dose. Furthermore, the replication of clinical PEDV TB strains (genotype II) verified this phenomenon. Taken together, the results suggest that lactate has a positive effect on PEDV replication.</p>
<p>In this study, we have used lactate, a metabolite produced during the virus-host interaction, for the first time to promote PEDV replication and increase viral titers. Glucose and glutamine in the medium played an important role during the PEDV infection of Vero cells. Interestingly, glucose and glutamine did not enhance PEDV replication when added in excess. The addition of lactate in excess promoted viral replication, which could be advantageous in the production of vaccines.</p></sec>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors.</p></sec>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>NW performed the data analysis and drafted the manuscript. NW, HG, BZ, and MW conducted the experiments. HG, CZ, ZL, and LG participated in the data analysis. JZ and HS conceptualized this study. SW, WZ, HH, and XF prepared the materials for the experiments. All authors contributed to the article and approved the submitted version.</p></sec>
</body>
<back>
<sec sec-type="funding-information" id="s7">
<title>Funding</title>
<p>This work was supported by grants from the National Key Research and Development Program of China (grant number 2022YFD1800804-06), the open competition program of top ten critical priorities of Agricultural Science and Technology Innovation for the 14th Five-Year Plan of Guangdong Province (grant number 2022SDZG02), Start-up Research Project of Maoming Laboratory (grant number 2021TDQD002), the Special Fund for Scientific Innovation Strategy-Construction of High Level Academy of Agriculture Science-Prominent Talents (grant number R2020PY-JC001), the Science and Technology Planning Project of Guangdong Province, China (grant numbers 202103000096, 2020A1515010950, and 2021A1515011125), the Independent Research and Development Projects of Maoming Laboratory (grant number 2022KF010), and the National Natural Science Foundation of China (grant number 31302101).</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<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 sec-type="disclaimer" id="s8">
<title>Publisher&#x00027;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>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sueyoshi</surname> <given-names>M</given-names></name> <name><surname>Tsuda</surname> <given-names>T</given-names></name> <name><surname>Yamazaki</surname> <given-names>K</given-names></name> <name><surname>Yoshida</surname> <given-names>K</given-names></name> <name><surname>Nakazawa</surname> <given-names>M</given-names></name> <name><surname>Sato</surname> <given-names>K</given-names></name> <etal/></person-group>. <article-title>An immunohistochemical investigation of porcine epidemic diarrhoea</article-title>. <source>J Comp Pathol.</source> (<year>1995</year>) <volume>113</volume>:<fpage>59</fpage>&#x02013;<lpage>67</lpage>. <pub-id pub-id-type="doi">10.1016/S0021-9975(05)80069-6</pub-id><pub-id pub-id-type="pmid">7490338</pub-id></citation></ref>
<ref id="B2">
<label>2.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Song</surname> <given-names>D</given-names></name> <name><surname>Moon</surname> <given-names>H</given-names></name> <name><surname>Kang</surname> <given-names>B</given-names></name></person-group>. <article-title>Porcine epidemic diarrhea: a review of current epidemiology and available vaccines</article-title>. <source>Clin Exp Vaccine Res.</source> (<year>2015</year>) <volume>4</volume>:<fpage>166</fpage>&#x02013;<lpage>76</lpage>. <pub-id pub-id-type="doi">10.7774/cevr.2015.4.2.166</pub-id><pub-id pub-id-type="pmid">26273575</pub-id></citation></ref>
<ref id="B3">
<label>3.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>D</given-names></name> <name><surname>Fang</surname> <given-names>L</given-names></name> <name><surname>Xiao</surname> <given-names>S</given-names></name></person-group>. <article-title>Porcine epidemic diarrhea in China</article-title>. <source>Virus Res.</source> (<year>2016</year>) <volume>226</volume>:<fpage>7</fpage>&#x02013;<lpage>13</lpage>. <pub-id pub-id-type="doi">10.1016/j.virusres.2016.05.026</pub-id><pub-id pub-id-type="pmid">27261169</pub-id></citation></ref>
<ref id="B4">
<label>4.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Niederwerder</surname> <given-names>MC</given-names></name> <name><surname>Hesse</surname> <given-names>RA</given-names></name></person-group>. <article-title>Swine enteric coronavirus disease: a review of 4 years with porcine epidemic diarrhoea virus and porcine deltacoronavirus in the United States and Canada</article-title>. <source>Transbound Emerg Dis.</source> (<year>2018</year>) <volume>65</volume>:<fpage>660</fpage>&#x02013;<lpage>75</lpage>. <pub-id pub-id-type="doi">10.1111/tbed.12823</pub-id><pub-id pub-id-type="pmid">29392870</pub-id></citation></ref>
<ref id="B5">
<label>5.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>X</given-names></name> <name><surname>Zhang</surname> <given-names>Q</given-names></name> <name><surname>Zhang</surname> <given-names>L</given-names></name> <name><surname>Zhou</surname> <given-names>P</given-names></name> <name><surname>Yang</surname> <given-names>J</given-names></name> <name><surname>Fang</surname> <given-names>Y</given-names></name> <etal/></person-group>. <article-title>A newly isolated Chinese virulent genotype GIIb porcine epidemic diarrhea virus strain: biological characteristics, pathogenicity and immune protective effects as an inactivated vaccine candidate</article-title>. <source>Virus Res.</source> (<year>2019</year>) <volume>259</volume>:<fpage>18</fpage>&#x02013;<lpage>27</lpage>. <pub-id pub-id-type="doi">10.1016/j.virusres.2018.10.012</pub-id><pub-id pub-id-type="pmid">30342075</pub-id></citation></ref>
<ref id="B6">
<label>6.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Collin</surname> <given-names>EA</given-names></name> <name><surname>Anbalagan</surname> <given-names>S</given-names></name> <name><surname>Okda</surname> <given-names>F</given-names></name> <name><surname>Batman</surname> <given-names>R</given-names></name> <name><surname>Nelson</surname> <given-names>E</given-names></name> <name><surname>Hause</surname> <given-names>BM</given-names></name></person-group>. <article-title>An inactivated vaccine made from a U.S. field isolate of porcine epidemic disease virus is immunogenic in pigs as demonstrated by a dose-titration</article-title>. <source>BMC Vet Res</source>. (<year>2015</year>) <volume>11</volume>:<fpage>62</fpage>. <pub-id pub-id-type="doi">10.1186/s12917-015-0357-1</pub-id><pub-id pub-id-type="pmid">25881296</pub-id></citation></ref>
<ref id="B7">
<label>7.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Subramaniam</surname> <given-names>S</given-names></name> <name><surname>Yugo</surname> <given-names>DM</given-names></name> <name><surname>Heffron</surname> <given-names>CL</given-names></name> <name><surname>Rogers</surname> <given-names>AJ</given-names></name> <name><surname>Sooryanarain</surname> <given-names>H</given-names></name> <name><surname>LeRoith</surname> <given-names>T</given-names></name> <etal/></person-group>. <article-title>Vaccination of sows with a dendritic cell-targeted porcine epidemic diarrhea virus S1 protein-based candidate vaccine reduced viral shedding but exacerbated gross pathological lesions in suckling neonatal piglets</article-title>. <source>J Gen Virol.</source> (<year>2018</year>) <volume>99</volume>:<fpage>230</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1099/jgv.0.001001</pub-id><pub-id pub-id-type="pmid">29300158</pub-id></citation></ref>
<ref id="B8">
<label>8.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Won</surname> <given-names>H</given-names></name> <name><surname>Lim</surname> <given-names>J</given-names></name> <name><surname>Noh</surname> <given-names>YH</given-names></name> <name><surname>Yoon</surname> <given-names>I</given-names></name> <name><surname>Yoo</surname> <given-names>HS</given-names></name></person-group>. <article-title>Efficacy of porcine epidemic diarrhea vaccines: a systematic review and meta-analysis</article-title>. <source>Vaccines.</source> (<year>2020</year>) <volume>8</volume>:<fpage>642</fpage>. <pub-id pub-id-type="doi">10.3390/vaccines8040642</pub-id><pub-id pub-id-type="pmid">33147824</pub-id></citation></ref>
<ref id="B9">
<label>9.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fontaine</surname> <given-names>KA</given-names></name> <name><surname>Camarda</surname> <given-names>R</given-names></name> <name><surname>Lagunoff</surname> <given-names>M</given-names></name></person-group>. <article-title>Vaccinia virus requires glutamine but not glucose for efficient replication</article-title>. <source>J Virol.</source> (<year>2014</year>) <volume>88</volume>:<fpage>4366</fpage>&#x02013;<lpage>74</lpage>. <pub-id pub-id-type="doi">10.1128/JVI.03134-13</pub-id><pub-id pub-id-type="pmid">24501408</pub-id></citation></ref>
<ref id="B10">
<label>10.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Thai</surname> <given-names>M</given-names></name> <name><surname>Graham</surname> <given-names>NA</given-names></name> <name><surname>Braas</surname> <given-names>D</given-names></name> <name><surname>Nehil</surname> <given-names>M</given-names></name> <name><surname>Komisopoulou</surname> <given-names>E</given-names></name> <name><surname>Kurdistani</surname> <given-names>SK</given-names></name> <etal/></person-group>. <article-title>Adenovirus E4ORF1-induced MYC activation promotes host cell anabolic glucose metabolism and virus replication</article-title>. <source>Cell Metab.</source> (<year>2014</year>) <volume>19</volume>:<fpage>694</fpage>&#x02013;<lpage>701</lpage>. <pub-id pub-id-type="doi">10.1016/j.cmet.2014.03.009</pub-id><pub-id pub-id-type="pmid">24703700</pub-id></citation></ref>
<ref id="B11">
<label>11.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Passalacqua</surname> <given-names>KD</given-names></name> <name><surname>Lu</surname> <given-names>J</given-names></name> <name><surname>Goodfellow</surname> <given-names>I</given-names></name> <name><surname>Kolawole</surname> <given-names>AO</given-names></name> <name><surname>Arche</surname> <given-names>JR</given-names></name> <name><surname>Maddox</surname> <given-names>RJ</given-names></name> <etal/></person-group>. <article-title>Glycolysis is an intrinsic factor for optimal replication of a norovirus</article-title>. <source>MBio.</source> (<year>2019</year>) <volume>10</volume>:<fpage>e02175</fpage>&#x02013;<lpage>18</lpage>. <pub-id pub-id-type="doi">10.1128/mBio.02175-18</pub-id><pub-id pub-id-type="pmid">30862747</pub-id></citation></ref>
<ref id="B12">
<label>12.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Neogi</surname> <given-names>U</given-names></name> <name><surname>Elaldi</surname> <given-names>N</given-names></name> <name><surname>Appelberg</surname> <given-names>S</given-names></name> <name><surname>Ambikan</surname> <given-names>A</given-names></name> <name><surname>Kennedy</surname> <given-names>E</given-names></name> <name><surname>Dowall</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Multi-omics insights into host-viral response and pathogenesis in Crimean-Congo hemorrhagic fever viruses for novel therapeutic target</article-title>. <source>Elife.</source> (<year>2022</year>) <volume>11</volume>:<fpage>e76071</fpage>. <pub-id pub-id-type="doi">10.7554/eLife.76071</pub-id><pub-id pub-id-type="pmid">35437144</pub-id></citation></ref>
<ref id="B13">
<label>13.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Polcicova</surname> <given-names>K</given-names></name> <name><surname>Badurova</surname> <given-names>L</given-names></name> <name><surname>Tomaskova</surname> <given-names>J</given-names></name></person-group>. <article-title>Metabolic reprogramming as a feast for virus replication</article-title>. <source>Acta Virol.</source> (<year>2020</year>) <volume>64</volume>:<fpage>201</fpage>&#x02013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.4149/av_2020_210</pub-id><pub-id pub-id-type="pmid">32551788</pub-id></citation></ref>
<ref id="B14">
<label>14.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bilz</surname> <given-names>NC</given-names></name> <name><surname>Jahn</surname> <given-names>K</given-names></name> <name><surname>Lorenz</surname> <given-names>M</given-names></name> <name><surname>Ludtke</surname> <given-names>A</given-names></name> <name><surname>Hubschen</surname> <given-names>JM</given-names></name> <name><surname>Geyer</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title>Rubella viruses shift cellular bioenergetics to a more oxidative and glycolytic phenotype with a strain-specific requirement for glutamine</article-title>. <source>J Virol.</source> (<year>2018</year>) <volume>92</volume>:<fpage>e00934</fpage>-<lpage>18</lpage>. <pub-id pub-id-type="doi">10.1128/JVI.00934-18</pub-id><pub-id pub-id-type="pmid">29950419</pub-id></citation></ref>
<ref id="B15">
<label>15.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shytaj</surname> <given-names>IL</given-names></name> <name><surname>Procopio</surname> <given-names>FA</given-names></name> <name><surname>Tarek</surname> <given-names>M</given-names></name> <name><surname>Carlon-Andres</surname> <given-names>I</given-names></name> <name><surname>Tang</surname> <given-names>HY</given-names></name> <name><surname>Goldman</surname> <given-names>AR</given-names></name> <etal/></person-group>. <article-title>Glycolysis downregulation is a hallmark of HIV-1 latency and sensitizes infected cells to oxidative stress</article-title>. <source>EMBO Mol Med.</source> (<year>2021</year>) <volume>13</volume>:<fpage>e13901</fpage>. <pub-id pub-id-type="doi">10.15252/emmm.202013901</pub-id><pub-id pub-id-type="pmid">34289240</pub-id></citation></ref>
<ref id="B16">
<label>16.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gou</surname> <given-names>H</given-names></name> <name><surname>Bian</surname> <given-names>Z</given-names></name> <name><surname>Li</surname> <given-names>Y</given-names></name> <name><surname>Cai</surname> <given-names>R</given-names></name> <name><surname>Jiang</surname> <given-names>Z</given-names></name> <name><surname>Song</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Metabolomics exploration of pseudorabies virus reprogramming metabolic profiles of PK-15 cells to enhance viral replication</article-title>. <source>Front Cell Infect Microbiol.</source> (<year>2020</year>) <volume>10</volume>:<fpage>599087</fpage>. <pub-id pub-id-type="doi">10.3389/fcimb.2020.599087</pub-id><pub-id pub-id-type="pmid">33585273</pub-id></citation></ref>
<ref id="B17">
<label>17.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bojkova</surname> <given-names>D</given-names></name> <name><surname>Klann</surname> <given-names>K</given-names></name> <name><surname>Koch</surname> <given-names>B</given-names></name> <name><surname>Widera</surname> <given-names>M</given-names></name> <name><surname>Krause</surname> <given-names>D</given-names></name> <name><surname>Ciesek</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Proteomics of SARS-CoV-2-infected host cells reveals therapy targets</article-title>. <source>Nature.</source> (<year>2020</year>) <volume>583</volume>:<fpage>469</fpage>&#x02013;<lpage>72</lpage>. <pub-id pub-id-type="doi">10.1038/s41586-020-2332-7</pub-id><pub-id pub-id-type="pmid">32408336</pub-id></citation></ref>
<ref id="B18">
<label>18.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname> <given-names>H</given-names></name> <name><surname>Niu</surname> <given-names>Y</given-names></name></person-group>. <article-title>Metabolomic profiling reveals new insight of fowl adenovirus serotype 4 infection</article-title>. <source>Front Microbiol.</source> (<year>2021</year>) <volume>12</volume>:<fpage>784745</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2021.784745</pub-id><pub-id pub-id-type="pmid">35111140</pub-id></citation></ref>
<ref id="B19">
<label>19.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hirabara</surname> <given-names>SM</given-names></name> <name><surname>Gorjao</surname> <given-names>R</given-names></name> <name><surname>Levada-Pires</surname> <given-names>AC</given-names></name> <name><surname>Masi</surname> <given-names>LN</given-names></name> <name><surname>Hatanaka</surname> <given-names>E</given-names></name> <name><surname>Cury-Boaventura</surname> <given-names>MF</given-names></name> <etal/></person-group>. <article-title>Host cell glutamine metabolism as a potential antiviral target</article-title>. <source>Clin Sci.</source> (<year>2021</year>) <volume>135</volume>:<fpage>305</fpage>&#x02013;<lpage>25</lpage>. <pub-id pub-id-type="doi">10.1042/CS20201042</pub-id><pub-id pub-id-type="pmid">33480424</pub-id></citation></ref>
<ref id="B20">
<label>20.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Thyrsted</surname> <given-names>J</given-names></name> <name><surname>Storgaard</surname> <given-names>J</given-names></name> <name><surname>Blay-Cadanet</surname> <given-names>J</given-names></name> <name><surname>Heinz</surname> <given-names>A</given-names></name> <name><surname>Thielke</surname> <given-names>AL</given-names></name> <name><surname>Crotta</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Influenza A induces lactate formation to inhibit type I IFN in primary human airway epithelium</article-title>. <source>iScience.</source> (<year>2021</year>) <volume>24</volume>:<fpage>103300</fpage>. <pub-id pub-id-type="doi">10.1016/j.isci.2021.103300</pub-id><pub-id pub-id-type="pmid">34746710</pub-id></citation></ref>
<ref id="B21">
<label>21.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sato</surname> <given-names>T</given-names></name> <name><surname>Oroku</surname> <given-names>K</given-names></name> <name><surname>Ohshima</surname> <given-names>Y</given-names></name> <name><surname>Furuya</surname> <given-names>Y</given-names></name> <name><surname>Sasakawa</surname> <given-names>C</given-names></name></person-group>. <article-title>Efficacy of genogroup 1 based porcine epidemic diarrhea live vaccine against genogroup 2 field strain in Japan</article-title>. <source>Virol J.</source> (<year>2018</year>) <volume>15</volume>:<fpage>28</fpage>. <pub-id pub-id-type="doi">10.1186/s12985-018-0940-8</pub-id><pub-id pub-id-type="pmid">29394943</pub-id></citation></ref>
<ref id="B22">
<label>22.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Eagle</surname> <given-names>H</given-names></name> <name><surname>Habel</surname> <given-names>K</given-names></name></person-group>. <article-title>The nutritional requirements for the propagation of poliomyelitis virus by the HeLa cell</article-title>. <source>J Exp Med.</source> (<year>1956</year>) <volume>104</volume>:<fpage>271</fpage>&#x02013;<lpage>87</lpage>. <pub-id pub-id-type="doi">10.1084/jem.104.2.271</pub-id><pub-id pub-id-type="pmid">13345971</pub-id></citation></ref>
<ref id="B23">
<label>23.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lewis VJ</surname> <given-names>Jr</given-names></name> <name><surname>Scott</surname> <given-names>L</given-names></name></person-group>. <article-title>Nutritional requirements for the production of herpes simplex virus. I. Influence of glucose and glutamine of herpes simplex virus production by HeLa cells</article-title>. <source>J Bacteriol</source>. (<year>1962</year>) <volume>83</volume>:<fpage>475</fpage>&#x02013;<lpage>82</lpage>. <pub-id pub-id-type="doi">10.1128/jb.83.3.475-482.1962</pub-id><pub-id pub-id-type="pmid">14464909</pub-id></citation></ref>
<ref id="B24">
<label>24.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fontaine</surname> <given-names>KA</given-names></name> <name><surname>Sanchez</surname> <given-names>EL</given-names></name> <name><surname>Camarda</surname> <given-names>R</given-names></name> <name><surname>Lagunoff</surname> <given-names>M</given-names></name></person-group>. <article-title>Dengue virus induces and requires glycolysis for optimal replication</article-title>. <source>J Virol</source>. (<year>2015</year>) <volume>89</volume>:<fpage>2358</fpage>&#x02013;<lpage>66</lpage>. <pub-id pub-id-type="doi">10.1128/JVI.02309-14</pub-id><pub-id pub-id-type="pmid">25505078</pub-id></citation></ref>
<ref id="B25">
<label>25.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dill</surname> <given-names>V</given-names></name> <name><surname>Zimmer</surname> <given-names>A</given-names></name> <name><surname>Beer</surname> <given-names>M</given-names></name> <name><surname>Eschbaumer</surname> <given-names>M</given-names></name></person-group>. <article-title>Investigation of cell culture conditions for optimal foot-and-mouth disease virus production</article-title>. <source>BMC Biotechnol.</source> (<year>2019</year>) <volume>19</volume>:<fpage>33</fpage>. <pub-id pub-id-type="doi">10.1186/s12896-019-0527-5</pub-id><pub-id pub-id-type="pmid">31174517</pub-id></citation></ref>
<ref id="B26">
<label>26.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname> <given-names>X</given-names></name> <name><surname>Zheng</surname> <given-names>Q</given-names></name> <name><surname>Pan</surname> <given-names>Z</given-names></name> <name><surname>Huang</surname> <given-names>Y</given-names></name> <name><surname>Huang</surname> <given-names>X</given-names></name> <name><surname>Qin</surname> <given-names>Q</given-names></name></person-group>. <article-title>Singapore grouper iridovirus induces glucose metabolism in infected cells by activation of mammalian target of rapamycin signaling</article-title>. <source>Front Microbiol.</source> (<year>2022</year>) <volume>13</volume>:<fpage>827818</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2022.827818</pub-id><pub-id pub-id-type="pmid">35432224</pub-id></citation></ref>
<ref id="B27">
<label>27.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname> <given-names>B</given-names></name> <name><surname>Zou</surname> <given-names>Z</given-names></name> <name><surname>Chu</surname> <given-names>H</given-names></name> <name><surname>Chan</surname> <given-names>G</given-names></name> <name><surname>Tsang</surname> <given-names>JO</given-names></name> <name><surname>Lai</surname> <given-names>PM</given-names></name> <etal/></person-group>. <article-title>Lipidomic profiling reveals significant perturbations of intracellular lipid homeostasis in enterovirus-infected cells</article-title>. <source>Int J Mol Sci.</source> (<year>2019</year>) <volume>20</volume>:<fpage>5952</fpage>. <pub-id pub-id-type="doi">10.3390/ijms20235952</pub-id><pub-id pub-id-type="pmid">31779252</pub-id></citation></ref>
<ref id="B28">
<label>28.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wald</surname> <given-names>ME</given-names></name> <name><surname>Sieg</surname> <given-names>M</given-names></name> <name><surname>Schilling</surname> <given-names>E</given-names></name> <name><surname>Binder</surname> <given-names>M</given-names></name> <name><surname>Vahlenkamp</surname> <given-names>TW</given-names></name> <name><surname>Claus</surname> <given-names>C</given-names></name></person-group>. <article-title>The interferon response dampens the usutu virus infection-associated increase in glycolysis</article-title>. <source>Front Cell Infect Microbiol.</source> (<year>2022</year>) <volume>12</volume>:<fpage>823181</fpage>. <pub-id pub-id-type="doi">10.3389/fcimb.2022.823181</pub-id><pub-id pub-id-type="pmid">35186796</pub-id></citation></ref>
<ref id="B29">
<label>29.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Damiani</surname> <given-names>C</given-names></name> <name><surname>Colombo</surname> <given-names>R</given-names></name> <name><surname>Gaglio</surname> <given-names>D</given-names></name> <name><surname>Mastroianni</surname> <given-names>F</given-names></name> <name><surname>Pescini</surname> <given-names>D</given-names></name> <name><surname>Westerhoff</surname> <given-names>HV</given-names></name> <etal/></person-group>. <article-title>A metabolic core model elucidates how enhanced utilization of glucose and glutamine, with enhanced glutamine-dependent lactate production, promotes cancer cell growth: the WarburQ effect</article-title>. <source>PLoS Comput Biol.</source> (<year>2017</year>) <volume>13</volume>:<fpage>e1005758</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pcbi.1005758</pub-id><pub-id pub-id-type="pmid">28957320</pub-id></citation></ref>
<ref id="B30">
<label>30.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>W</given-names></name> <name><surname>Wang</surname> <given-names>G</given-names></name> <name><surname>Xu</surname> <given-names>ZG</given-names></name> <name><surname>Tu</surname> <given-names>H</given-names></name> <name><surname>Hu</surname> <given-names>F</given-names></name> <name><surname>Dai</surname> <given-names>J</given-names></name> <etal/></person-group>. <article-title>Lactate is a natural suppressor of RLR signaling by targeting MAVS</article-title>. <source>Cell</source>. (<year>2019</year>) <volume>178</volume>:<fpage>176</fpage>&#x02013;<lpage>89</lpage>.e115. <pub-id pub-id-type="doi">10.1016/j.cell.2019.05.003</pub-id><pub-id pub-id-type="pmid">31155231</pub-id></citation></ref>
<ref id="B31">
<label>31.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>de Bari</surname> <given-names>L</given-names></name> <name><surname>Atlante</surname> <given-names>A</given-names></name></person-group>. <article-title>Including the mitochondrial metabolism of L-lactate in cancer metabolic reprogramming</article-title>. <source>Cell Mol Life Sci.</source> (<year>2018</year>) <volume>75</volume>:<fpage>2763</fpage>&#x02013;<lpage>76</lpage>. <pub-id pub-id-type="doi">10.1007/s00018-018-2831-y</pub-id><pub-id pub-id-type="pmid">29728715</pub-id></citation></ref>
<ref id="B32">
<label>32.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname> <given-names>L</given-names></name> <name><surname>He</surname> <given-names>R</given-names></name> <name><surname>Fang</surname> <given-names>P</given-names></name> <name><surname>Li</surname> <given-names>M</given-names></name> <name><surname>Yu</surname> <given-names>H</given-names></name> <name><surname>Wang</surname> <given-names>Q</given-names></name> <etal/></person-group>. <article-title>Hepatitis B virus rigs the cellular metabolome to avoid innate immune recognition</article-title>. <source>Nat Commun.</source> (<year>2021</year>) <volume>12</volume>:<fpage>98</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-020-20316-8</pub-id><pub-id pub-id-type="pmid">33397935</pub-id></citation></ref>
</ref-list>
</back>
</article>