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of the MS spectra reve<strong>al</strong>ed two ions with massto-charge<br />

ratios (m/z) of 675.1 (z =1 + ) and 338.1<br />

(z =2 + ), which were present in the active fractions<br />

but absent in the background spectra (Fig. 2A).<br />

These m/z v<strong>al</strong>ues, despite the low mass accuracy<br />

of the mass spectrom<strong>et</strong>er (LTQ, Thermo), were<br />

equiv<strong>al</strong>ent to the average c<strong>al</strong>culated m/z v<strong>al</strong>ues of<br />

c-di-GMP and c-di-AMP [675 = (691 + 659)/2].<br />

This observation suggested that the d<strong>et</strong>ected ion<br />

was a hybrid of c-di-GMP and c-di-AMP—that<br />

is, cyclic GMP-AMP, or cGAMP (m/z = 675.107,<br />

z =1 + ; m/z = 338.057, z =2 + ). Collision-induced<br />

dissociation (CID) fragmentation of this ion (m/z =<br />

338.1, z =2 + ) reve<strong>al</strong>ed sever<strong>al</strong> prominent ions<br />

with m/z v<strong>al</strong>ues expected of the product ions of<br />

cGAMP (Fig. 2B). Quantitative mass spectrom<strong>et</strong>ry<br />

using selective reaction monitoring (SRM)<br />

showed that the abundance of the ions representing<br />

cGAMP in the fractions from a C18 column<br />

correlated very well with their IRF3-stimulatory<br />

activities (Fig. 2C and fig. S2C). cGAMP has recently<br />

been identified in the bacterium Vibrio<br />

cholerae and shown to play a role in bacteri<strong>al</strong> chemotaxis<br />

and colonization (10). However, cGAMP<br />

has not been reported to exist or function in eukaryotic<br />

cells.<br />

To verify the identity of the heat-resistant<br />

STING activator, we used a high-resolution highaccuracy<br />

mass spectrom<strong>et</strong>er (Q Exactive, Thermo)<br />

to perform nano-LC-MS an<strong>al</strong>ysis. The cell-derived<br />

STING activator had m/z v<strong>al</strong>ues of 675.107 (z =1 + )<br />

and 338.057 (z =2 + ), which exactly matched<br />

Fig. 4. cGAMP binds to STING and<br />

activates IRF3 in a STING-dependent<br />

manner. (A) Increasing concentrations<br />

of HT-DNA or cGAMP were delivered<br />

to indicated cells, and the induction<br />

of IFN-b was measured by qRT-PCR.<br />

Ins<strong>et</strong> shows immunoblots of STING and<br />

b-tubulin in the cell lines. (B)Indicated<br />

cell lines were infected with HSV1D34.5<br />

or permeabilized with digitonin and<br />

then incubated with cGAMP. Activation<br />

of endogenous IRF3 was an<strong>al</strong>yzed<br />

by native gel electrophoresis<br />

(top). Aliquots of the cytosolic extracts<br />

were heated to denature proteins,<br />

and the supernatant was assayed for<br />

its ability to stimulate IRF3 in permeabilized<br />

Raw264.7 cells (bottom).<br />

(C) cGAMP, c-di-GMP, ISD, or poly(I:C)<br />

was delivered into L929 cells stably<br />

expressing a shRNA against GFP or<br />

STING for the indicated time, followed<br />

by an<strong>al</strong>ysis of IRF3 dimerization. (D)<br />

Recombinant STING protein was incubated<br />

with [ 32 P]ATP or [ 32 P]cGAMP in<br />

the presence or absence of the cold<br />

comp<strong>et</strong>itors as indicated. After UV crosslinking,<br />

the mixtures were resolved by<br />

SDS-PAGE followed by autoradiography.<br />

the theor<strong>et</strong>ic<strong>al</strong> v<strong>al</strong>ues of cGAMP (fig. S2D). To<br />

further characterize the structure and function<br />

of cGAMP, we developed a 10-step single-flask<br />

protocol to chemic<strong>al</strong>ly synthesize cGAMP (fig.<br />

S3). The MS/MS spectra of the cell-derived STING<br />

activator were identic<strong>al</strong> to those of the chemic<strong>al</strong>ly<br />

synthesized cGAMP (Fig. 2D). These results demonstrate<br />

that L929 cells produced cGAMP.<br />

Quantitative reverse transcription polymerase<br />

chain reaction (qRT-PCR) and enzyme-linked<br />

immunosorbent assay (ELISA) showed that chemic<strong>al</strong>ly<br />

synthesized cGAMP induced IFN-b RNA<br />

and protein in L929 cells after introduction into<br />

the cells (Fig. 3A). Titration experiments showed<br />

that cGAMP induced IFN-b RNA robustly even<br />

at concentrations as low as 10 nM (Fig. 3B). Indeed,<br />

ELISA indicated that cGAMP was much<br />

more potent than c-di-GMP in inducing IFN-b<br />

(Fig. 3C). cGAMP was <strong>al</strong>so more potent than<br />

c-di-GMP and c-di-AMP in activating IRF3 (fig.<br />

S4A). To d<strong>et</strong>ermine wh<strong>et</strong>her L929 extracts contained<br />

enzymes that could synthesize other types<br />

of dinucleotides or oligonucleotides capable of<br />

activating IRF3, we tested <strong>al</strong>l four ribonucleotides<br />

in various combinations (fig. S4B). ATP<br />

and GTP were both necessary and sufficient to<br />

support the synthesis of an activator of IRF3,<br />

further supporting the idea that L929 cells contain<br />

an enzyme that synthesizes cGAMP from ATP<br />

and GTP.<br />

To d<strong>et</strong>ermine wh<strong>et</strong>her DNA virus infection<br />

leads to the production of cGAMP in cells, we<br />

A B<br />

C<br />

10 2<br />

10<br />

IFNβ RNA (fold) 103<br />

0<br />

RNAi: GFP STING<br />

Time(hr): 0 2 4 0 2 4<br />

ISD<br />

cGAMP<br />

c-di-GMP<br />

poly(I:C)<br />

IB: STING<br />

IB: Tubulin<br />

293T<br />

293T-STING<br />

DNA cGAMP DNA cGAMP DNA cGAMP<br />

HEK293T HEK293T-STING L929<br />

IB: IRF3<br />

RNAi: GFP STING<br />

IB: STING<br />

IB: Tubulin<br />

Lane: 1 2<br />

(IRF3)2<br />

IRF3<br />

(IRF3)2<br />

IRF3<br />

(IRF3)2<br />

IRF3<br />

(IRF3)2<br />

IRF3<br />

D<br />

Cold<br />

Comp<strong>et</strong>itor<br />

STING:<br />

STING/<br />

[ 32 P]-cGAMP<br />

Endogenous<br />

IRF3<br />

infected L929 cells with HSV-1 lacking ICP34.5,<br />

a vir<strong>al</strong> protein known to antagonize interferon<br />

production in the infected cells (11). Like DNA<br />

transfection, HSV-1DICP34.5 infection led to<br />

IRF3 activation in L929 cells (Fig. 3D, upper).<br />

Cell extracts from the DNA-transfected or virusinfected<br />

cells contained a heat-resistant factor that<br />

could activate IRF3 in permeabilized Raw264.7<br />

cells (Fig. 3D, lower panel). As a control, we infected<br />

L929 cells with a vesicular stomatitis virus<br />

strain, VSV = DM51[fusedtogreenfluorescent<br />

protein (VSV-DM51-GFP)], an RNA virus known<br />

to trigger strong interferon production through<br />

the RIG-I pathway (12, 13). In contrast to HSV-1,<br />

VSV-infected cells did not contain the heatresistant<br />

IRF3 activator in the same in vitro assay,<br />

<strong>al</strong>though VSV infection did induce IRF3<br />

activation in L929 cells (Fig. 3D). The heatresistant<br />

factor in HSV-1–infected cells was<br />

enriched by reversed-phase high-performance<br />

liquid chromatography (HPLC) and quantified<br />

by nano-LC-MS using SRM. DNA-transfected<br />

or HSV-1–infected cells, but not mock-treated<br />

or VSV-infected cells, produced elevated levels<br />

of cGAMP (Fig. 3E). Kin<strong>et</strong>ic experiments showed<br />

that after DNA was transfected into L929 cells,<br />

cGAMP was produced before IRF3 dimerization<br />

and IFN-b induction could be d<strong>et</strong>ected (Fig.<br />

3F). To test wh<strong>et</strong>her DNAviruses could induce<br />

cGAMP production in human cells, we infected<br />

THP1 cells with HSV1 or vaccinia virus (VACV;<br />

Fig. 3G). Both viruses induced IRF3 dimerization<br />

HEK293T<br />

Mock<br />

HSV1<br />

cGAMP<br />

Activity<br />

Assay<br />

cGAMP<br />

Mock<br />

HSV1<br />

HEK293T<br />

STING<br />

cGAMP<br />

HEK293T HEK293T<br />

STING L929<br />

Mock<br />

HSV1<br />

L929<br />

Mock<br />

HSV1<br />

cGAMP<br />

lane 1 2 3 4 5 6 7 8 9<br />

Mock<br />

HSV1<br />

Mock<br />

HSV1<br />

cGAMP<br />

lane 1 2 3 4 5 6 7<br />

[ 32 P]-ATP [ 32 P]-cGAMP<br />

*<br />

Lane:<br />

cGAMP c-di-GMP c-di-AMP<br />

- + - + + + + + + + + + + + +<br />

ATP<br />

GTP<br />

REPORTS<br />

(IRF3)2<br />

IRF3<br />

(IRF3)2<br />

IRF3<br />

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15<br />

www.sciencemag.org SCIENCE VOL 339 15 FEBRUARY 2013 829<br />

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