A recombinant severe acute respiratory syndrome coronavirus (SARS-CoV) lacking the envelope (E)
protein is attenuated in vivo. Here we report that E
protein PDZ-binding motif (
PBM), a domain involved in
protein-
protein interactions, is a major determinant of virulence. Elimination of SARS-CoV E
protein PBM by using reverse genetics caused a reduction in the deleterious exacerbation of the immune response triggered during
infection with the parental virus and virus attenuation. Cellular
protein syntenin was identified to bind the E
protein PBM during SARS-CoV
infection by using three complementary strategies, yeast two-hybrid, reciprocal coimmunoprecipitation and confocal microscopy assays.
Syntenin redistributed from the nucleus to the cell cytoplasm during
infection with viruses containing the E
protein PBM, activating
p38 MAPK and leading to the overexpression of inflammatory
cytokines. Silencing of
syntenin using siRNAs led to a decrease in
p38 MAPK activation in SARS-CoV infected cells, further reinforcing their functional relationship. Active
p38 MAPK was reduced in lungs of mice infected with SARS-CoVs lacking E
protein PBM as compared with the parental virus, leading to a decreased expression of inflammatory
cytokines and to virus attenuation. Interestingly, administration of a
p38 MAPK inhibitor led to an increase in mice survival after
infection with SARS-CoV, confirming the relevance of this pathway in SARS-CoV virulence. Therefore, the E
protein PBM is a virulence domain that activates immunopathology most likely by using
syntenin as a mediator of
p38 MAPK induced
inflammation.