ORIGINAL RESEARCH article

Front. Cell. Infect. Microbiol., 09 August 2019

Sec. Virus and Host

Volume 9 - 2019 | https://doi.org/10.3389/fcimb.2019.00291

Modulation of Type-I Interferon Response by hsa-miR-374b-5p During Japanese Encephalitis Virus Infection in Human Microglial Cells

  • Molecular Biology Unit, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

Abstract

Japanese Encephalitis virus (JEV) is a neurotropic ssRNA virus, belonging to the Flaviviridae family. JEV is one of the leading causes of the viral encephalitis in Southeast-Asian countries. JEV primarily infects neurons however, the microglial activation has been reported to further enhance the neuroinflammation and promote neuronal death. The PI3K/AKT pathway has been reported to play an important role in type-I interferon response via IRF3. Phosphatase and tensin homolog (PTEN), a negative regulator of PI3K/AKT pathway, participates in microglial polarization and neuroinflammation. The microRNAs are small non-coding endogenously expressed RNAs, which regulate the gene expression by binding at 3′ UTR of target gene. The human microglial cells were infected with JEV (JaOArS982 strain) and up-regulation of microRNA; hsa-miR-374b-5p was confirmed by qRT-PCR. The genes in PI3K/AKT pathway, over-expression and knock-down studies of hsa-miR-374b-5p with and without JEV infection were analyzed through immuno blotting. The regulatory role of hsa-miR-374b-5p on the expression of type-I interferon was determined by luciferase assays. JEV infection modulated the expression of hsa-miR-374b-5p and PI3K/AKT pathway via PTEN. The over-expression of hsa-miR-374b-5p suppressed the PTEN while up-regulated the AKT and IRF3 proteins, whereas, the knockdown rescued the PTEN expression and suppressed the AKT and IRF3 proteins. The modulation of hsa-miR-374b-5p regulated the type-I interferon response during JEV infection. In present study, we have shown the modulation of PTEN by hsa-miR-374b-5p, which regulated the PI3K/AKT/IRF3 axis in JEV infected microglial cells.

Introduction

The Japanese Encephalitis virus (JEV) is a mosquito-borne Flavivirus belongs to Flaviviridae family. The Flaviviridae family also includes Dengue virus (DENV), West Nile Virus (WNV), Yellow Fever Virus (YFV), Tick Borne Encephalitis Virus (TBEV), and ZIKA Virus (ZIKV) (Gould and Solomon, 2008). JEV is one of the leading causes of viral encephalitis in Southeast-Asian countries, with an annual incidence of 70,000 and case fatality rate of 30–50%, predominantly affecting children and elderly people (Campbell et al., 2011). JEV has devised several molecular strategies to evade the hosts immune response in order to establish itself successfully inside the host (Aleyas et al., 2010; Yang et al., 2011).

Microglial cells are the resident macrophages in the central nervous system (CNS) and play roles in phagocytosis, immune surveillance, and antigen presentation (Colonna and Butovsky, 2017; Salter and Stevens, 2017). JEV has been reported to persist in microglial cells, which could be a plausible reservoir for infection (Thongtan et al., 2010). The JEV primarily infects and kills neurons and further enhances the neuroinflammatory events by producing chemokines and cytokines, which in turn activates microglial cells and leads to neuronal death in a bystander fashion (Ghoshal et al., 2007; Chen et al., 2010, 2012a). The microglial activation is regarded as one of the signs of neuroinflammation during viral infections (Conrady et al., 2013; Drokhlyansky et al., 2017; Mathur et al., 2017; Dello Russo et al., 2018). MicroRNAs are the endogenously expressed small non-coding RNAs, which regulate the gene expression by binding to the 3′ UTR of target mRNA (Ambros, 2004; Singh et al., 2008). We and others have previously reported the perturbation in cellular microRNA expression patterns during JEV infection for the purpose of replication and immune evasion (Cullen, 2013; Sharma et al., 2015, 2016; Rastogi et al., 2018).

The viral infection to microglial cells activates multiple signaling cascades, where the first-line-of-defense, type-I interferon response, plays a major role in orchestrating the anti-viral signaling by producing the IFN-α/β (Samuel, 2001; Randall and Goodbourn, 2008). The binding of these pleiotropic cytokines to their receptor IFNAR (IFNαR1/R2) stimulates the ISGs (IFN-stimulated genes) by binding to the IFN-stimulated response cis-elements (ISREs) inside the nucleus (Aaronson and Horvath, 2002). The type-I interferon responses have been reported to be transcriptionally regulated by RIG-I/Mda5 pathway, TLR3 and TLR4 mediated TRIF (Jiang et al., 2014) and TLR7/8 and TLR9 pathways. TRIF pathway leads to the activation of interferon regulatory factor 3 (IRF3), whereas the TLR7/8 and TLR9 pathway leads to the activation of interferon regulatory factor 7 (IRF7) (Daffis et al., 2008). We and others have reported the type I interferon promotes neuroinflammation in activated microglial cells (Furr and Marriot, 2012; Main et al., 2016) as well as in the JEV infected microglial cells (Manocha et al., 2014; Sharma et al., 2015; Lannes et al., 2017).

The involvement of the PI3K/AKT signaling has been reported in various cellular functions; however its dysregulation has been reported in neuroinflammation (Tang et al., 2017; Yang et al., 2017). In addition, the AKT/IRF3 axis has been studied in Traumatic Brain Injury (TBI) (Wang et al., 2015) and auto-inflammatory disorders (Oh et al., 2018). The activation of PI3K/AKT pathway during viral infection has been correlated to viral replication, viral entry (Esfandiarei et al., 2004; Lee et al., 2005) and virus-induced apoptosis (Esfandiarei et al., 2004; Lee et al., 2005; Schabbauer et al., 2008). In addition, the activation of IRF3 via PI3K/AKT pathway has been reported in the production of IFN-β response (Joung et al., 2011; Lu et al., 2011; Tarassishin et al., 2011a; Cianciulli et al., 2016; Wang et al., 2017).

The PTEN (phosphatase and tensin homolog) is a tumor suppressor protein and a negative regulator for PI3K/AKT pathway, where the phosphorylation of PTEN negatively regulates PI3K/AKT pathway (Vazquez et al., 2000, 2001). The PTEN protein has been reported for its role in neuropathic pain, neuroinflammation, and modulating the microglial polarization through PTEN/AKT axis (Zhao et al., 2014; Huang et al., 2015; Wang et al., 2015; Cao et al., 2017). Although, PTEN has been studied in various tumors (Cheng et al., 2015; Yu et al., 2016), oncolytic viruses (Wu et al., 2017) but its role in microbial innate immunity has been recently identified, where it induces the interferon responses. The type-I interferon inducing capability of PTEN rely on its phosphatase activity, where the phosphorylation of PTEN activates the type-I interferon response (Li et al., 2016). The microRNA, hsa-miR-374b-5p has been identified in various cancers, neurodegeneration like Alzheimer's, hypoxic-ischemic encephalopathy and epilepsy etc. (Bian et al., 2019).

This is the first report where the role of PTEN has been highlighted in the modulation of type-I interferon response during JEV infection. We demonstrated the suppression of PTEN by microRNA, hsa-miR-374b-5p at 24 h of JEV infection in human microglial cells. The suppression of a negative regulator induced the PI3K/AKT pathway and promoted the type-I anti-viral response via IRF3. The suppression of type-I anti-viral response during later stages of the infection process might be the strategy of JEV to subvert the anti-viral response.

Materials and Methods

Cell Culture

The human microglial cells (Dello Russo et al., 2018), PS (porcine kidney cells) and Vero cells were cultured in DMEM (GIBCO) supplemented with heat inactivated 10% FBS (GIBCO) and 100 U/ml of penicillin, 100 mg/ml streptomycin and 29.2 mg/ML. L-Glutamine (GIBCO) in humidified CO2 incubator at 37°C. The human microglial cell line was the kind gift from Prof. Anirban Basu, National Brain Research Centre (NBRC), Manesar, Haryana.

The Virus Propagation, Titration, and Infection

The JaOArS982 strain of JEV was propagated in suckling BALB/c mice at NBRC, Manesar. The in-vitro propagation was done in the Vero cells at the MOI of 0.1 in the incomplete DMEM medium. The incomplete DMEM cell culture media was replaced by complete DMEM post infection (2 h) and left in CO2 incubator for 5 days or until 80% cell death was observed. The virus were titrated in PS cells by using plaque assay as described elsewhere (Sharma et al., 2015).

All of the JEV infection experiments were conducted in human microglial cells at the MOI of 5 in 6 well cell culture plates at the cell density of 0.3 × 106 cells/well in incomplete DMEM for 2 h. The incomplete DMEM was changed to complete DMEM and the cells were harvested at 12, 24, and 48 h post JEV infection and stored at −80°C until further use.

RNA Isolation, Micro RNA Expression and Real-Time PCR

The Qiagen miRNeasy kit (#217004; Qiagen, Venlo, Netherlands) was used for the isolation of total RNA from the microglial cells harvested at different time points. The complementary DNA (cDNA) was prepared by using Superscript II reverse transcriptase system (#11904-018, Invitrogen, CS, USA) using the manufacturer's protocol. The thermal cycles for synthesizing cDNA were: 65°C-5 min, 25°C-10 min, 42°C-50 min, and 70°C-10 min, then, RNase H treatment-20 min at 37°C. The JEV infection in the human microglial cells was confirmed by q-PCR against the JEV NS3 gene, normalized to GAPDH by using Agilent Brilliant III ultrafast SYBR green master mix (#600882, Agilent Technologies, California, US) (Table 1).

Table 1

Viral NS3 Forward5′ AGAGCGGGGAAAAAGGTCAT 3′
Viral NS3 Reverse5′ TTTCACGCTCTTTCTACAGT 3′
GAPDH Forward5′ ATGGGGGAAGGTGAAGGTCG 3′
GAPDH Reverse5′ GGGGTCATTGATGGCAACAATA 3′
Mimics of hsa-miR-374b-5p5′ AAAUGGCAUUAUAUAUAUUAUA 3′
Scramble of hsa-miR-374b-5p5′ CAGAUUCUAUUUGCCCAAGAA 3′

List of primers, microRNA oligos, and scramble sequence.

To study the microRNA expression, the cDNA was synthesized by using MultiScribe TaqMan Reverse Transcriptase (#4366596; Applied Biosystems, Waltham, MA, USA) along with hsa-miR-374b-5p specific primers according to manufacturer's protocol. The microRNA expression was analyzed using a real time PCR machine (Agilent AriaMx) by using a hsa-miR-374b-5p-specific TaqMan probe and universal PCR master mix (#4324018; Applied Biosystems). The expression of hsa-miR-374b-5p was normalized by endogenous control RNU6b expression.

Protein Isolation, Estimation, and Immuno-Blotting

The microglial cells harvested at different time points were used for protein isolation by using complete RIPA buffer (#89900 Pierce, Thermo Fischer Scientific) and protease inhibitor cocktail (#80650123 GE Biosciences). Briefly, the pellets were dissolved in RIPA buffer, sonicated for 5 min and centrifuged at 10,000 × g for 20 min at 4°C. The supernatant was collected, and the protein was estimated by BCA assay (#23227 Pierce, Thermo Fischer Scientific). The protein was run on 10% SDS-PAGE and then transferred to PVDF membrane (#IPVH00010 Immobilon, Merck, Millipore). The blocking was done in 5% skimmed milk (#sc-2324 Santa Cruz) for an hour and the specific primary antibody was incubated in 5% skimmed milk at 4°C overnight. The anti-PTEN antibody (# 9559S CST), anti-AKT antibody (#2920S CST), anti-p-AKT antibody (#9271), anti-IRF3 antibody (#4302S CST), and anti-β-tubulin antibody (# 250904 ABBiotec) were given in a 1:1000 dilution while anti-p-PTEN (#9549P CST) and anti-p-IRF3 (#4947S CST) were blocked and incubated in 5% BSA, in 1:1000 dilutions overnight. The goat-anti-rabbit and mouse anti-goat secondary antibody were given at 1:50,000 for 2–3 h at room temperature in 5% skimmed milk and 5% BSA. The blots were developed in ChemiDoc (Azure Biosystems) by using west femto ECL substrate (#34095 Super Signal West Femto Thermo Fischer Scientific) at different exposures. The Image J (ver: 1.42q) software has been used for densitometry of immunoblots.

Over-expression and Inhibition Studies

The human microglial cells were seeded in 6 well plate at the density of 0.4 × 106 cells/well, one day prior to transfection. The cells were transfected with 200 pmol of hsa-miR-374-5p mimics (Bioserve, Hyderabad, India) and 200 pmol of hsa-miR-374b-5p scramble (ILS) at the confluence of 70% by using chemical method, Lipofectamine 2000 (#11668-019; Invitrogen, Carlsbad, CA, USA). The scramble sequence and mock transfected cells were used as controls. The overexpression study was confirmed by quantitative real-time PCR using TaqMan microRNA assay after 48 h post-transfection. The gene targets were confirmed by Immuno-blotting. The microRNA Inhibitor studies were performed by transfecting the anti-miR against (200 pmol) hsa-miR-374b-5p (#AM11339, Invitrogen, Carlsbad, CS, USA) and anti-miR scramble cy3 negative control (#AM17011, Invitrogen, Carlsbad, CS, USA) by using Lipofectamine 2000 (#11668-019; Invitrogen, Carlsbad, CA, USA) and cells were harvested 48 h post transfection. The inhibitor studies were confirmed by quantitative real-time PCR using TaqMan microRNA assay. The gene targets were confirmed by Immuno-blotting. The transfected cells were infected post 24 h at the MOI of 5 for another 24 h. The cells were harvested 48 h post-transfection.

Luciferase Assay

The human microglial cells were seeded in 6 well plates at the density of 0.4 × 106 cells/well and were co-transfected with IFN-β-luciferase plasmid (1 μg) and normalized by β-gal (700 ng) vector. For over-expression and inhibitor studies, 200 pmol of hsa-miR-374b-5p mimics, scramble, anti-miR and cy3 negative control were co-transfected in human microglial cells and the luciferase activity was measured post 48 h. The cells were infected after 24 h post transfection at MOI 5.

The luminescence was measured by using a Luciferase assay kit (#E4030; Promega, Madison, WI, USA) as per the manufacturer's protocol and the luminescence activity was measured on multimode reader (Synergy HTX, Bio-Tek). The luminescence values were normalized by using β-gal plasmid vector. The β-galactosidase activity was measured at the absorbance of 420 nm by plate reader (imark plate reader, Bio-Rad).

Statistical Analysis

All experiments were conducted in triplicate (n = 3) and one-tailed, paired Student's t-test was used to make comparison between data sets. The data are shown as mean ± S.E from three independent experiments and data was considered significant when P < 0.05; * denotes P < 0.05, ** denotes P < 0.01, *** denotes P < 0.001.

Results

JEV Infection Modulates the PI3K/AKT Pathway in Human Microglial Cells

We and others have previously reported the JEV infection in the brain resident macrophages (microglial cells) (Thongtan et al., 2010; Manocha et al., 2014; Sharma et al., 2015; Lannes et al., 2017). The modulation of several cell signaling pathways leading to various neuroinflammatory events during JEV infection has been reported (Manocha et al., 2014; Sharma et al., 2015). The recent reports have highlighted the induction of immune responses through PI3K/AKT pathways (Sarkar et al., 2004; Hazeki et al., 2007; Polumuri et al., 2007; Radler et al., 2017) involving the AKT and IRF3 genes (Tarassishin et al., 2011b). PTEN is a negative regulator of PI3K/AKT pathway, and we observed the suppression of p-PTEN/PTEN at 12 and 24 h (60 and 70% respectively) post JEV infection, whereas the expression of PTEN increased at 48 h compared to un-infected human microglial cells (Figures 1A,B). In addition, we demonstrated the modulation of AKT and IRF3 proteins at different time points by immunoblotting (Figures 1C–F). At early time point, 12 and 24 h post JEV infection, the p-AKT/AKT and p-IRF3/IRF3 proteins were shown to be up-regulated, whereas at later stages of the infection progress (at 48 h), the expression of p-AKT/AKT and p-IRF3/IRF3 have shown the decreasing trend (Figures 1C–F). Therefore, the JEV infection in human microglial cells modulates the PI3K/AKT pathway via PTEN during early and late courses of infection.

Figure 1

JEV Infection in Human Microglial Cells Modulates the Micro RNA-374b-5p Expression

The microRNAs have been reported to modulate the interferon response during viral infections (Buggele et al., 2013). In addition, hsa-miR-374b-5p has been reported to increase PTEN expression in various types of cancers (Li et al., 2015; Long et al., 2018). In our results, we demonstrated the gradual increase of microRNA hsa-miR-374b-5p expression levels from 24 to 48 h post JEV infection with the fold change of 2.5 to 5 (Figure 2). The up-regulation of microRNA hsa-miR-374b-5p at 24 h and suppression of PTEN at 24 h during JEV infection may be co-related (Figures 1A,B).

Figure 2

The hsa-miR-374b-5p Targets PTEN and Modulates the Expression of AKT and IRF3

To confirm the targeting of microRNA with PTEN, the hsa-miR-374b-5p mimics and scrambled (hsa-miR-374b-5p) were transfected in human microglial cells and incubated for 48 h (Table 1). The up-regulation of mimics was confirmed by TaqMan microRNA assay, while no changes were observed in the samples transfected with scrambled sequences (Figure 3A). The expression of PTEN protein was reduced by 70% (Figures 3B,C), whereas the other proteins, AKT and IRF3 were up regulated by 1.5 and 1.2-fold post transfection (Figures 3D–G). The microRNA, hsa-miR-374b-5p targeted to PTEN and modulated the genes involve in activation of interferon response via PI3K/AKT pathway.

Figure 3

The anti-miR-374b-5p Rescues the Expression of PTEN and Suppresses the Expression of AKT and IRF3

To further validate the targeting of microRNA, hsa-miR-374b-5p on its target PTEN, the hsa-miR-374b-5p was silenced by using microRNA inhibitors (200 pM) and cy3 anti-miR negative control (200 pM) in human microglial cells for 48 h utilizing transfection approaches. The suppression of microRNA was confirmed by TaqMan microRNA assay with around 60% suppression, while no changes were observed in the cy3 anti-miR control (Figure 4A). The immunoblot analysis during the anti-miR treatment rescued the expression of PTEN by 1.1-fold (Figures 4B,C) and the expressions of AKT and IRF3 were suppressed by 20 and 60% post transfection (Figures 4D–G). Therefore, we concluded the hsa-miR-374b-5p alone can specifically modulate the expression of PI3K/AKT pathway.

Figure 4

The Effect of hsa-miR-374b-5p Over-expression and Knockdown During JEV Infection

The hsa-miR-374b-5p was overexpressed and knocked down in the microglial cells during the JEV infection to illustrate the role of microRNA. Since, the hsa-miR-374b-5p expression increased at 24 h, the JEV infection was given 24 h post transfection at MOI 5 in human microglial cells. The infection was confirmed by NS3 q-PCR post 48 h of transfection (Figures 5A, 6A). The viral replication, as measured by the expression levels of NS3, increased during the over-expression of microRNA mimics, while it suppressed by inhibitors (Figures 5A, 6A). The effect of the hsa-miR-374b-5p mimics suppressed the p-PTEN/PTEN levels (Figures 5B,C) and up-regulated the p-AKT/AKT and p-IRF3/IRF3 levels (Figures 5D–G), whereas as a result of the suppression by anti-miR inhibitors, the expression levels were rescued for p-PTEN/PTEN (Figures 6B,C) and suppressed the expression of p-AKT/AKT and p-IRF3/IRF3 levels (Figures 6D–G).

Figure 5

Figure 6

The Activation of type-I Interferon Response During JEV Infection in Human Microglial Cells

The phosphorylated form of AKT (p-AKT) activates IRF3 (Joung et al., 2011; Lu et al., 2011). The p-IRF3 in turn promote the type-I interferon response (Chang et al., 2006; Tarassishin et al., 2011a,b). To study the effect of hsa-miR-374b-5p on type-I interferon response during JEV infection, IFN-β luciferase plasmid were co-transfected with microRNA mimics, scramble, anti-miR and cy3 anti-miR negative control in human microglial cells for 48 h. After, 24 h of transfection, JEV infection at MOI 5 was given for 24 h. The result shows a 2-fold up-regulation of IFN-β response upon over-expression of the mimic (200 pM) during JEV infection, while the inhibition of hsa-miR-374b-5p using anti-miR, during JEV infection results in the 90% suppression. In addition, the type-I interferon response is mediated via hsa-miR-374b-5p, no JEV infection was given during over-expression and knock-down experiments (48 h). The IFN-β levels increase 1.1-fold during mimic (200 pM) conditions. Similarly, the inhibition (anti-miR 200 pM) experiments suppress 40% of IFN-β level which is less than the combination of JEV and inhibitor together (Figure 7).

Figure 7

Discussion

The viral infection initiates an early innate anti-viral immune response by type-I interferon (IFN-α/β) during the early phases of infection (Samuel, 2001; Randall and Goodbourn, 2008). The viral sensors in the cells induce the anti-viral responses through different pathways, such as the RIG-I and TLR3 pathways (Jiang et al., 2014), resulting in the production of type-I interferon. We and others earlier reported the modulation of interferon response during JEV infection (Manocha et al., 2014; Sharma et al., 2015; Ye et al., 2017). The JEV have devised several strategies to subvert the innate immune response in order to establish in host (Lee et al., 2005; Sharma et al., 2016). The PI3K/AKT pathway has been reported to play important roles in generation of immune responses either by positively or negatively regulating the downstream factors like, GSK3β, AP-1, NF-κB, NF-AT, CREB and JAK-STAT (Sarkar et al., 2004; Hazeki et al., 2007; Polumuri et al., 2007; Radler et al., 2017). In addition, the involvement of the PI3K/AKT pathway has also been reported in the expression of type I and type III interferon responses (Nguyen et al., 2001; Rani et al., 2002; Cianciulli et al., 2016). The activation of PI3K/AKT pathway results in the production of interferon response via IRF3 transcription factor (Tarassishin et al., 2011b; Cianciulli et al., 2016; Tang et al., 2017; Yang et al., 2017).

The PTEN (Phosphatase and tensin homolog) is a dual phosphatase and a negative regulator for PI3K/AKT pathway. The PTEN protein is involved in myriad of cellular functions and its dysregulation has been reported in various types of cancers (Xiao et al., 2016; Khalid et al., 2017; Shen et al., 2019). However, many reports highlighted the aberrant expression of PTEN in neurodegenerative disorders, neuroinflammation, neuropathic pain, and microglial polarization (Ning et al., 2004; Choi et al., 2005; Griffin et al., 2005; Zhao et al., 2014; Wang et al., 2015; Cao et al., 2017). In addition, the microbes mediated-innate immune responses via PTEN have been recently reported (Li et al., 2016). The present study demonstrated the modulation of PTEN at different time points during JEV infection in human microglial cells. The dephosphorylated PTEN is an active form of PTEN, which suppressed the p-PTEN levels and led to the activation of PI3K/AKT pathway (Vazquez et al., 2001; Chen et al., 2012b; Zhao et al., 2014). The phosphorylation of AKT at ser473 led to the activation of interferon regulatory factor 3 (IRF3) by phosphorylating the IRF3 at ser396 (Tarassishin et al., 2011a,b). We earlier reported the generation of innate-antiviral immune response by a negative regulator, TRIM21 which resulted in the induction of type-I interferon via IRF3 activation (Manocha et al., 2014). A similar response has been shown by PTEN during JEV infection, where the suppression of PTEN resulted in the activation of AKT proteins. The activated AKT, (p-AKT) phosphorylated the IRF3 expression (p-IRF3) at early time points during JE infection. The PI3K/AKT signaling pathway has been reported to be exploited by Flaviviruses in promoting viral entry, replication and blocking the apoptotic pathway (Lee et al., 2005; Das et al., 2010; Chen et al., 2017) in order to establish inside the host. On the other hand, the robust production of type-I interferon responses through the activation of PI3K/AKT pathway has been reported at early time point during microbial infections (Nguyen et al., 2001; Rani et al., 2002; Hazeki et al., 2007). The same has been observed in our previous study, where we have shown the increased levels of type-I interferon expression at the early time points of 12 h and 24 h during JEV infection (Manocha et al., 2014). Hence, the JEV modulated the p-PTEN/PTEN at an early time point to enter and replicate, while at the later stages of the infection's progression, the virus suppressed the PTEN and shut down the PI3K/AKT/IRF3 axis to suppress the type-I interferon response.

MicroRNAs have been reported to be involved in the immune suppression during viral infections (Sharma et al., 2016; Rastogi et al., 2018). The hsa-miR-374b-5p has been extensively reviewed in various disorders, neurodegenerative disorders, encephalopathy, amyotrophic lateral sclerosis (ALS), and cardiovascular disorders (Bian et al., 2019). In this study we demonstrated the novel role of hsa-miR-374b-5p in immune activation during JEV infection. We demonstrated the up-regulation of microRNA, hsa-miR-374b-5p during JEV infection (24 h). Further, the target prediction databases (TargetScan, miRdb, and miRWalk) identified PTEN as one of the putative targets. We demonstrated the targeting of the PTEN by microRNA, hsa-miR-374b-5p during JEV infection (24 h) by utilizing over-expression and knock-down approaches. To further validate the involvement of AKT and IRF3 in type-I interferon activation, the expression levels of p-AKT/AKT and p-IRF3/IRF3 proteins were confirmed by immunoblotting. We observed the activation of the IFN-β promoter during over-expression and suppression studies by using microRNA mimics and inhibitors, respectively, during the JEV infection (Figure 7). In addition, to delineate the effects of over-expression and knock-down, the IFN-β levels were studied without JEV infection, where there was a comparatively lower expression of IFN-β levels. Our findings have been complemented by the previously published reports, where the p-AKT was reported to activate IRF3, which resulted in the activation of type-I interferon responses (Rani et al., 2002; Randall and Goodbourn, 2008; Tarassishin et al., 2011b). In summary, we reported the modulation of PI3K/AKT/IRF3 axis by the negative regulator, PTEN via microRNA hsa-miR-374b-5p mediated pathway during JEV infection. However, the single microRNA can target multiple genes and the multiples genes can be targeted by multiple miRNAs or single miRNA. So, this PI3K/AKT/IRF3 axis might also get modulated by other microRNAs either by targeting the same or other genes. Therefore, further studies are required to understand the involvement of other microRNAs in the modulation of PI3K/AKT/IRF3 axis during JEV infection. The activation of PI3K/AKT at early stages of the infection might be helpful for JEV internalization and the suppression at the later stages indicated the ability of JEV in modulating the host's cellular anti-viral response as a part of immune evasion during the course of infection.

Statements

Data availability statement

The datasets generated for this study are available on request to the corresponding author.

Author contributions

MR conducted all of the experiments and wrote the manuscript. SS conceived the concept and guided throughout the experiments and contributed to the manuscript preparation.

Funding

Authors are highly acknowledging the funding support (Grant No: BT/PR8706/AGR/36/767/2013) from the Department of Biotechnology (DBT), Govt. of India. MR was a recipient of CSIR-Senior Research Fellowship.

Acknowledgments

The authors highly acknowledge the help provided by Prof. Anirban Basu, National Brain Research Center, Manesar, Haryana. Authors are thankful to Prof. Adolfo Gracia-Sastre, Mount Sinai School of Medicine, New York, USA for providing IFN-β Luciferase vector as a kind gift.

Conflict of interest

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.

    Abbreviations

  • BSA

    bovine serum albumin

  • DENV

    Dengue virus

  • DMEM

    Dulbecco's modified eagle medium

  • IFN-β

    interferon β

  • IRF3 and 7

    interferon regulatory factor 3 and 7

  • ISGs

    interferon stimulated genes

  • ISRE

    IFN-stimulated response elements

  • JEV

    Japanese Encephalitis Virus

  • Mda5

    Melanoma differentiation-associated protein 5

  • MOI

    multiplicity of infection

  • p-PTEN

    phosphorylated phosphatase and tensin homolog

  • PS

    porcine kidney cells

  • PTEN

    phosphatase and tensin homolog

  • PVDF

    polyvinylidene fluoride

  • RIGI

    retinoic acid inducible gene-I

  • TBEV

    Tick Borne Encephalitis Virus

  • TLR3 and 4

    Toll-like receptor 3 and 4

  • TRIF

    TIR-domain-containing adapter-inducing interferon-β

  • WNV

    West Nile Virus

  • YFV

    Yellow Fever Virus

  • ZIKV

    ZIKA virus.

References

  • 1

    AaronsonD. S.HorvathC. M. (2002). A road map for those who don't know JAK-STAT. Science296, 16531655. 10.1126/science.1071545

  • 2

    AleyasA. G.HanY. W.GeorgeJ. A.KimB.KimK.LeeC.-K.et al. (2010). Multifront assault on antigen presentation by Japanese encephalitis virus subverts CD8+ T cell responses. J. Immunol.185, 14291441. 10.4049/jimmunol.0902536

  • 3

    AmbrosV. (2004). The functions of animal microRNAs. Nature431, 350355. 10.1038/nature02871

  • 4

    BianH.ZhouY.ZhouD.ZhangY.ShangD.QiJ. (2019). The latest progress on miR-374 and its functional implications in physiological and pathological processes. J. Cell. Mol. Med.23, 30633076. 10.1111/jcmm.14219

  • 5

    BuggeleW. A.KrauseK. E.HorvathC. M. (2013). Small RNA profiling of influenza A virus-infected cells identifies miR-449b as a regulator of histone deacetylase 1 and interferon beta. PLoS ONE8:e76560. 10.1371/journal.pone.0076560

  • 6

    CampbellG. L.HillsS. L.FischerM.JacobsonJ. A.HokeC. H.HombachJ. M.et al. (2011). Estimated global incidence of Japanese encephalitis: a systematic review. Bull. World Health Organ.89, 76674; 774a−774e. 10.2471/BLT.10.085233

  • 7

    CaoS. N.YuW. W.ZangC. X.BaoX. Q.SunH.ZhangD. (2017). Mechanism of non-receptor tyrosine kinase Src regulating neuroinflammation through phosphatase and tensin homology protein in microglia. Zhongguo Yi Xue Ke Xue Yuan Xue Bao39, 534538. 10.3881/j.issn.1000-503X.2017.04.012

  • 8

    ChangT. H.LiaoC. L.LinY. L. (2006). Flavivirus induces interferon-beta gene expression through a pathway involving RIG-I-dependent IRF-3 and PI3K-dependent NF-κB activation. Microbes Infect.8, 157171. 10.1016/j.micinf.2005.06.014

  • 9

    ChenC. J.OuY. C.LinS. Y.RaungS. L.LiaoS. L.LaiC. Y.et al. (2010). Glial activation involvement in neuronal death by Japanese encephalitis virus infection. J. Gen. Virol.91, 10281037. 10.1099/vir.0.013565-0

  • 10

    ChenH. H.ChenC. C.LinY. S.ChangP. C.LuZ. Y.LinC. F.et al. (2017). AR-12 suppresses dengue virus replication by down-regulation of PI3K/AKT and GRP78. Antiviral Res.142, 158168. 10.1016/j.antiviral.2017.02.015

  • 11

    ChenS. T.LiuR. S.WuM. F.LinY. L.ChenS. Y.TanD. T.et al. (2012a). CLEC5A regulates Japanese encephalitis virus-induced neuroinflammation and lethality. PLoS Pathog.8:e1002655. 10.1371/journal.ppat.1002655

  • 12

    ChenZ.ChenB.XuW. F.LiuR. F.YangJ.YuC. X. (2012b). Effects of PTEN inhibition on regulation of tau phosphorylation in an okadaic acid-induced neurodegeneration model. Int. J. Dev. Neurosci.30, 411419. 10.1016/j.ijdevneu.2012.08.003

  • 13

    ChengD.ZhangL.YangG.ZhaoL.PengF.TianY.et al. (2015). Hepatitis C virus NS5A drives a PTEN-PI3K/Akt feedback loop to support cell survival. Liver Int.35, 16821691. 10.1111/liv.12733

  • 14

    ChoiJ. S.ParkH. J.KimH. Y.KimS. Y.LeeJ. E.ChoiY. S.et al. (2005). Phosphorylation of PTEN and Akt in astrocytes of the rat hippocampus following transient forebrain ischemia. Cell Tissue Res.319, 359366. 10.1007/s00441-004-1033-0

  • 15

    CianciulliA.CalvelloR.PorroC.TrottaT.SalvatoreR.PanaroM. A. (2016). PI3k/Akt signalling pathway plays a crucial role in the anti-inflammatory effects of curcumin in LPS-activated microglia. Int. Immunopharmacol.36, 282290. 10.1016/j.intimp.2016.05.007

  • 16

    ColonnaM.ButovskyO. (2017). Microglia function in the central nervous system during health and neurodegeneration. Annu. Rev. Immunol.35, 441468. 10.1146/annurev-immunol-051116-052358

  • 17

    ConradyC. D.ZhengM.Van RooijenN.DrevetsD. A.RoyerD.AllemanA.et al. (2013). Microglia and a functional type I IFN pathway are required to counter HSV-1-driven brain lateral ventricle enlargement and encephalitis. J. Immunol.190, 28072817. 10.4049/jimmunol.1203265

  • 18

    CullenB. R. (2013). MicroRNAs as mediators of viral evasion of the immune system. Nat. Immunol.14, 205210. 10.1038/ni.2537

  • 19

    DaffisS.SamuelM. A.SutharM. S.KellerB. C.GaleM.DiamondM. S. (2008). Interferon regulatory factor IRF-7 induces the antiviral alpha interferon response and protects against lethal West Nile virus infection. J. Virol.82, 84658475. 10.1128/JVI.00918-08

  • 20

    DasS.ChakrabortyS.BasuA. (2010). Critical role of lipid rafts in virus entry and activation of phosphoinositide 3' kinase/Akt signaling during early stages of Japanese encephalitis virus infection in neural stem/progenitor cells. J. Neurochem.115, 537549. 10.1111/j.1471-4159.2010.06951.x

  • 21

    Dello RussoC.CappoliN.ColettaI.MezzogoriD.PacielloF.PozzoliG.et al. (2018). The human microglial HMC3 cell line: where do we stand? A systematic literature review. J. Neuroinflammation15:259. 10.1186/s12974-018-1288-0

  • 22

    DrokhlyanskyE.Goz AyturkD.SohT. K.ChrenekR.O'loughlinE.MadoreC.et al. (2017). The brain parenchyma has a type I interferon response that can limit virus spread. Proc. Natl. Acad. Sci. U.S.A.114, E95E104. 10.1073/pnas.1618157114

  • 23

    EsfandiareiM.LuoH.YanagawaB.SuarezA.DabiriD.ZhangJ.et al. (2004). Protein kinase B/Akt regulates coxsackievirus B3 replication through a mechanism which is not caspase dependent. J. Virol.78, 42894298. 10.1128/JVI.78.8.4289-4298.2004

  • 24

    FurrS. R.MarriotT. I. (2012). Viral CNS infections: role of glial pattern recognition receptors in neuroinflammation. Front. Microbiol.3:201. 10.3389/fmicb.2012.00201

  • 25

    GhoshalA.DasS.GhoshS.MishraM. K.SharmaV.KoliP.et al. (2007). Proinflammatory mediators released by activated microglia induces neuronal death in Japanese encephalitis. Glia55, 483496. 10.1002/glia.20474

  • 26

    GouldE. A.SolomonT. (2008). Pathogenic flaviviruses. Lancet371, 500509. 10.1016/S0140-6736(08)60238-X

  • 27

    GriffinR. J.MoloneyA.KelliherM.JohnstonJ. A.RavidR.DockeryP.et al. (2005). Activation of Akt/PKB, increased phosphorylation of Akt substrates and loss and altered distribution of Akt and PTEN are features of Alzheimer's disease pathology. J. Neurochem.93, 105117. 10.1111/j.1471-4159.2004.02949.x

  • 28

    HazekiK.NigorikawaK.HazekiO. (2007). Role of phosphoinositide 3-kinase in innate immunity. Biol. Pharm. Bull.30, 16171623. 10.1248/bpb.30.1617

  • 29

    HuangS. Y.SungC. S.ChenW. F.ChenC. H.FengC. W.YangS. N.et al. (2015). Involvement of phosphatase and tensin homolog deleted from chromosome 10 in rodent model of neuropathic pain. J. Neuroinflammation.12:59. 10.1186/s12974-015-0280-1

  • 30

    JiangR.YeJ.ZhuB.SongY.ChenH.CaoS. (2014). Roles of TLR3 and RIG-I in mediating the inflammatory response in mouse microglia following Japanese encephalitis virus infection. J. Immunol. Res.2014:787023. 10.1155/2014/787023

  • 31

    JoungS. M.ParkZ.-Y.RaniS.TakeuchiO.AkiraS.LeeJ. Y. (2011). Akt contributes to activation of the TRIF-dependent signaling pathways of TLRs by interacting with TANK-binding kinase 1. J. Immunol.186, 499507. 10.4049/jimmunol.0903534

  • 32

    KhalidA.HussainT.ManzoorS.SaalimM.KhaliqS. (2017). PTEN: a potential prognostic marker in virus-induced hepatocellular carcinoma. Tumour Biol.39:1010428317705754. 10.1177/1010428317705754

  • 33

    LannesN.SummerfieldA.FilgueiraL. (2017). Regulation of inflammation in Japanese encephalitis. J. Neuroinflammation14:158. 10.1186/s12974-017-0931-5

  • 34

    LeeC. J.LiaoC. L.LinY. L. (2005). Flavivirus activates phosphatidylinositol 3-kinase signaling to block caspase-dependent apoptotic cell death at the early stage of virus infection. J. Virol.79, 83888399. 10.1128/JVI.79.13.8388-8399.2005

  • 35

    LiN.YangL.WangH.YiT.JiaX.ChenC.et al. (2015). MiR-130a and MiR-374a function as novel regulators of cisplatin resistance in human ovarian cancer A2780 cells. PLoS ONE10:e0128886. 10.1371/journal.pone.0128886

  • 36

    LiS.ZhuM.PanR.FangT.CaoY. Y.ChenS.et al. (2016). The tumor suppressor PTEN has a critical role in antiviral innate immunity. Nat. Immunol.17, 241249. 10.1038/ni.3311

  • 37

    LongZ. W.WuJ. H.CaiH.WangY. N.ZhouY. (2018). MiR-374b promotes proliferation and inhibits apoptosis of human GIST cells by inhibiting PTEN through activation of the PI3K/Akt pathway. Mol. Cells41, 532544. 10.14348/molcells.2018.2211

  • 38

    LuX.MasicA.LiuQ.ZhouY. (2011). Regulation of influenza A virus induced CXCL-10 gene expression requires PI3K/Akt pathway and IRF3 transcription factor. Mol. Immunol.48, 14171423. 10.1016/j.molimm.2011.03.017

  • 39

    MainB. S.ZhangM.BrodyK. M.AytonS.FrugierT.SteerD.et al. (2016). Type-1 interferons contribute to the neuroinflammatory response and disease progression of the MPTP mouse model of Parkinson's disease. Glia64, 15901604. 10.1002/glia.23028

  • 40

    ManochaG. D.MishraR.SharmaN.KumawatK. L.BasuA.SinghS. K. (2014). Regulatory role of TRIM21 in the type-I interferon pathway in Japanese encephalitis virus-infected human microglial cells. J. Neuroinflammation11:24. 10.1186/1742-2094-11-24

  • 41

    MathurV.BuraiR.VestR. T.BonannoL. N.LehallierB.ZardenetaM. E.et al. (2017). Activation of the STING-dependent type I interferon response reduces microglial reactivity and neuroinflammation. Neuron96, 12901302.e6. 10.1016/j.neuron.2017.11.032

  • 42

    NguyenH.RamanaC. V.BayesJ.StarkG. R. (2001). Roles of phosphatidylinositol 3-kinase in interferon-gamma-dependent phosphorylation of STAT1 on serine 727 and activation of gene expression. J. Biol. Chem.276, 3336133368. 10.1074/jbc.M105070200

  • 43

    NingK.PeiL.LiaoM.LiuB.ZhangY.JiangW.et al. (2004). Dual neuroprotective signaling mediated by downregulating two distinct phosphatase activities of PTEN. J. Neurosci.24, 40524060. 10.1523/JNEUROSCI.5449-03.2004

  • 44

    OhC.RyooJ.ParkK.KimB.DalyM. B.ChoD.et al. (2018). A central role for PI3K-AKT signaling pathway in linking SAMHD1-deficiency to the type I interferon signature. Sci. Rep.8:84. 10.1038/s41598-017-18308-8

  • 45

    PolumuriS. K.ToshchakovV. Y.VogelS. N. (2007). Role of phosphatidylinositol-3 kinase in transcriptional regulation of TLR-induced IL-12 and IL-10 by Fc gamma receptor ligation in murine macrophages. J. Immunol.179, 236246. 10.4049/jimmunol.179.1.236

  • 46

    RadlerP. D.WehdeB. L.WagnerK. U. (2017). Crosstalk between STAT5 activation and PI3K/AKT functions in normal and transformed mammary epithelial cells. Mol. Cell Endocrinol.451, 3139. 10.1016/j.mce.2017.04.025

  • 47

    RandallR. E.GoodbournS. (2008). Interferons and viruses: an interplay between induction, signalling, antiviral responses and virus countermeasures. J. Gen. Virol.89, 147. 10.1099/vir.0.83391-0

  • 48

    RaniM. R.HibbertL.SizemoreN.StarkG. R.RansohoffR. M. (2002). Requirement of phosphoinositide 3-kinase and Akt for interferon-beta-mediated induction of the beta-R1 (SCYB11) gene. J. Biol. Chem.277, 3845638461. 10.1074/jbc.M203204200

  • 49

    RastogiM.SrivastavaN.SinghS. K. (2018). Exploitation of microRNAs by Japanese Encephalitis virus in human microglial cells. J. Med. Virol.90, 648654. 10.1002/jmv.24995

  • 50

    SalterM. W.StevensB. (2017). Microglia emerge as central players in brain disease. Nat. Med.23, 10181027. 10.1038/nm.4397

  • 51

    SamuelC. E. (2001). Antiviral actions of interferons. Clin. Microbiol. Rev.14, 778809, table of contents. 10.1128/CMR.14.4.778-809.2001

  • 52

    SarkarS. N.PetersK. L.ElcoC. P.SakamotoS.PalS.SenG. C. (2004). Novel roles of TLR3 tyrosine phosphorylation and PI3 kinase in double-stranded RNA signaling. Nat. Struct. Mol. Biol.11, 10601067. 10.1038/nsmb847

  • 53

    SchabbauerG.LuyendykJ.CrozatK.JiangZ.MackmanN.BahramS.et al. (2008). TLR4/CD14-mediated PI3K activation is an essential component of interferon-dependent VSV resistance in macrophages. Mol. Immunol.45, 27902796. 10.1016/j.molimm.2008.02.001

  • 54

    SharmaN.KumawatK. L.RastogiM.BasuA.SinghS. K. (2016). Japanese Encephalitis Virus exploits the microRNA-432 to regulate the expression of suppressor of cytokine signaling (SOCS) 5. Sci. Rep.6, 2768527685. 10.1038/srep27685

  • 55

    SharmaN.VermaR.KumawatK. L.BasuA.SinghS. K. (2015). miR-146a suppresses cellular immune response during Japanese encephalitis virus JaOArS982 strain infection in human microglial cells. J. Neuroinflammation12:30. 10.1186/s12974-015-0249-0

  • 56

    ShenF.ZhengH.ZhouL.LiW.LiuJ.XuX. (2019). Identification of CD28 and PTEN as novel prognostic markers for cervical cancer. J. Cell Physiol.234, 70047011. 10.1002/jcp.27453

  • 57

    SinghS. K.Pal BhadraM.GirschickH. J.BhadraU. (2008). MicroRNAs–micro in size but macro in function. FEBS J.275, 49294944. 10.1111/j.1742-4658.2008.06624.x

  • 58

    TangG.YangH.ChenJ.ShiM.GeL.GeX.et al. (2017). Metformin ameliorates sepsis-induced brain injury by inhibiting apoptosis, oxidative stress and neuroinflammation via the PI3K/Akt signaling pathway. Oncotarget8, 9797797989. 10.18632/oncotarget.20105

  • 59

    TarassishinL.LoudigO.BaumanA.Shafit-ZagardoB.SuhH. S.LeeS. C. (2011a). Interferon regulatory factor 3 inhibits astrocyte inflammatory gene expression through suppression of the proinflammatory miR-155 and miR-155*. Glia59, 19111922. 10.1002/glia.21233

  • 60

    TarassishinL.SuhH. S.LeeS. C. (2011b). Interferon regulatory factor 3 plays an anti-inflammatory role in microglia by activating the PI3K/Akt pathway. J. Neuroinflammation8:187. 10.1186/1742-2094-8-187

  • 61

    ThongtanT.CheepsunthornP.ChaiworakulV.RattanarungsanC.WikanN.SmithD. R. (2010). Highly permissive infection of microglial cells by Japanese encephalitis virus: a possible role as a viral reservoir. Microbes Infect.12, 3745. 10.1016/j.micinf.2009.09.013

  • 62

    VazquezF.GrossmanS. R.TakahashiY.RokasM. V.NakamuraN.SellersW. R. (2001). Phosphorylation of the PTEN tail acts as an inhibitory switch by preventing its recruitment into a protein complex. J. Biol. Chem.276, 4862748630. 10.1074/jbc.C100556200

  • 63

    VazquezF.RamaswamyS.NakamuraN.SellersW. R. (2000). Phosphorylation of the PTEN tail regulates protein stabilityand function. Mol. Cell Biol.20, 50105018. 10.1128/MCB.20.14.5010-5018.2000

  • 64

    WangG.ShiY.JiangX.LeakR. K.HuX.WuY.et al. (2015). HDAC inhibition prevents white matter injury by modulating microglia/macrophage polarization through the GSK3beta/PTEN/Akt axis. Proc. Natl. Acad. Sci. U.S.A.112, 28532858. 10.1073/pnas.1501441112

  • 65

    WangL.YangL.FikrigE.WangP. (2017). An essential role of PI3K in the control of West Nile virus infection. Sci. Rep.7:3724. 10.1038/s41598-017-03912-5

  • 66

    WuQ.LiZ.MellorP.ZhouY.AndersonD. H.LiuQ. (2017). The role of PTEN - HCV core interaction in hepatitis C virus replication. Sci. Rep.7:3695. 10.1038/s41598-017-03052-w

  • 67

    XiaoJ.HuC. P.HeB. X.ChenX.LuX. X.XieM. X.et al. (2016). PTEN expression is a prognostic marker for patients with non-small cell lung cancer: a systematic review and meta-analysis of the literature. Oncotarget7, 5783257840. 10.18632/oncotarget.11068

  • 68

    YangY.LiuY.XueJ.YangZ.ShiY.ShiY.et al. (2017). MicroRNA-141 targets Sirt1 and inhibits autophagy to reduce HBV replication. Cell Physiol. Biochem.41, 310322. 10.1159/000456162

  • 69

    YangY.YeJ.YangX.JiangR.ChenH.CaoS. (2011). Japanese encephalitis virus infection induces changes of mRNA profile of mouse spleen and brain. Virol. J.8:80. 10.1186/1743-422X-8-80

  • 70

    YeJ.ChenZ.LiY.ZhaoZ.HeW.ZohaibA.et al. (2017). Japanese encephalitis virus NS5 inhibits type I interferon (IFN) production by blocking the nuclear translocation of IFN regulatory factor 3 and NF-κB. J. Virol.91, e00039e00017. 10.1128/JVI.00039-17

  • 71

    YuX.LiT.XiaY.LeiJ.WangY.ZhangL. (2016). Herpes simplex virus type 1 VP22-mediated intercellular delivery of PTEN increases the antitumor activity of PTEN in esophageal squamous cell carcinoma cells in vitro and in vivo. Oncol. Rep.35, 30343040. 10.3892/or.2016.4694

  • 72

    ZhaoM.ZhouA.XuL.ZhangX. (2014). The role of TLR4-mediated PTEN/PI3K/AKT/NF-κB signaling pathway in neuroinflammation in hippocampal neurons. Neuroscience269, 93101. 10.1016/j.neuroscience.2014.03.039

Summary

Keywords

JEV, human microglial cells, hsa-miR-374b-5p, type-I interferon response, viral immune evasion

Citation

Rastogi M and Singh SK (2019) Modulation of Type-I Interferon Response by hsa-miR-374b-5p During Japanese Encephalitis Virus Infection in Human Microglial Cells. Front. Cell. Infect. Microbiol. 9:291. doi: 10.3389/fcimb.2019.00291

Received

09 May 2019

Accepted

29 July 2019

Published

09 August 2019

Volume

9 - 2019

Edited by

Darci R. Smith, Biological Defense Research Directorate, Naval Medical Research Center, United States

Reviewed by

Peter Halfmann, University of Wisconsin-Madison, United States; Bradley S. Hollidge, United States Army Medical Research Institute of Infectious Diseases (USAMRIID), United States

Updates

Copyright

*Correspondence: Sunit K. Singh

This article was submitted to Virus and Host, a section of the journal Frontiers in Cellular and Infection Microbiology

Disclaimer

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.

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