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Viruses are obligate intracellular parasites and this characteristic is exemplified by RNA viruses1. The genomes of RNA viruses are usually smaller than the genomes of DNA viruses, and RNA viruses are therefore more reliant on subverting host-cell proteins, and cellular structures and functions to facilitate virus replication. One structure that is targeted by RNA viruses is the nucleolus, a dynamic subnuclear structure. Most DNA viruses and retroviruses replicate in the nucleus, and therefore it makes sense that these viruses target nuclear structures. But as the primary site of replication of positive-strand RNA viruses and most negative-strand RNA viruses is the cytoplasm, the rationale for RNA viruses targeting nuclear structures is not immediately obvious. However, as discussed in this Review, recent research that capitalizes on advances in proteomics and cellular imaging techniques is beginning to increase our understanding of the mechanisms that RNA viruses use to subvert host-cell nucleoli.

Nucleolar structure and function

The nucleolus was one of the first subcellular structures to be identified by early users of the light microscope, appearing as a highly refractive black dot(s) in the nucleus of the cell2, which reflects its dense protein content (Fig. 1). More detailed analysis of mammalian cells by electron microscopy indicated that the nucleolus could be divided into three discrete regions that reflect its primary role in ribosome subunit biogenesis3. These regions can be viewed as compartments formed by the functional association of macromolecules and comprise fibrillar centres, surrounded by dense fibrillar components, which in turn are surrounded by a granular component (Fig. 1). The composition and structure of the nucleolus varies between different biological kingdoms. In mammalian cells the nucleolus is present during interphase but disintegrates and reforms in mitosis4. In yeast the nucleolus is present throughout the cell cycle and is proximal to the nuclear envelope. Plant-cell nucleoli have a fourth nucleolar structure, which has been referred to as a nucleolar vacuole or cavity5.

Figure 1: The structure of the nucleolus.
figure 1

a | Confocal microscopy image of a mammalian cell showing the relative positions of the cytoplasm, nucleus and nucleolus. The nucleus and the nucleolus are separated from the cytoplasm by the nuclear envelope. b | Bright-field microscopy image of a live mammalian cell showing the nucleolus as a highly refractive structure in the nucleus. c–d | Electron microscopy images of the mammalian nucleolus highlighting distinct structures, including the fibrillar centre (FC), dense fibrillar component (DFC), granular component (GC) and perinucleolar region (PNR). Many diagrams of the nucleolus show only a single FC and DFC when, in fact, there are many FCs and DFCs in one nucleolus. e–f | Confocal images of the nucleolus showing how fluorescent fusion proteins of nucleolar proteins can be used as markers for the different regions of the nucleolus including the DFC (EGFP-fibrillarin) (e) and the GC and DFC (DS-Red-B23) (f).

For many years the classic view of the nucleolus focused on its crucial function in ribosomal subunit biogenesis. Ribosomes are composed of a large and small subunit, which each contain their own ribosomal RNA (rRNA) molecules. In eukaryotes there are four different rRNA molecules (28S, 5S and 5.8S rRNAs in the large subunit and 18S rRNA in the small subunit) and >80 proteins. Transcription of the primary 45S pre-rRNA molecule from rDNA initiates in the fibrillar centre, and the nascent molecules are distributed in a 'Christmas tree'-like arrangement. Processing of the 45S pre-rRNA (into 5.8S, 18S and 28S rRNAs) occurs at, or near, the border between the dense fibrillar component and the fibrillar centre, and RNA assembly into ribosomal subunits occurs in the granular component before export into the cytoplasm. An additional feature is the perinucleolar compartment, which has also been implicated in RNA metabolism6 and is associated with chromatin. Although studies of the nucleolus have focused on ribosomal precursor RNA, many other RNA species have been identified in the nucleolus including several precursor tRNA species and the signal-recognition particle7.

The nucleolus has also been proposed as a sensor of cellular stress, and one of the main molecules involved in this process is the tumour suppressor protein p53, which accumulates in the nucleus when cells are subjected to stressful stimuli, such as ultraviolet (UV) light and inhibitor molecules. For example, the inhibition of proteasome activity results in the accumulation of p53 in the nucleolus and its association with nucleolin8, and similar results have been found when cells are exposed to ionizing radiation9. Definitive experiments later showed that nucleolar disruption is a common factor in all stress responses that involve p53, and that impairment of nucleolar function leads to p53 stabilization10,11.

The dynamic nucleolus

Dramatic inroads have been made into the elucidation of nucleolar function through extensive proteomic analysis of human nucleoli (which indicate the presence of >700 nucleolar proteins)12 and plant nucleoli13, in some cases under differing metabolic conditions14. These studies have contributed to the emerging concept of the nucleolus as a dynamic compartment that is involved in the control of numerous cellular functions. Time-lapse video microscopy and fluorescence recovery after photo-bleaching (FRAP) and fluorescence loss in photo-bleaching(FLIP) assays (Box 1) have shown that the content of the nucleolus is constantly changing3.

Although most of the mammalian nucleolar proteome is associated with ribosome manufacture and rRNA processing (76 ribosomal proteins are located in the nucleolus), many other groups of nucleolar proteins have discrete functions. For example, 25 nucleolar proteins are specifically related to cell-cycle control. Although the number of nucleolar proteins identified has increased with the use of more sophisticated analytical techniques, the relative proportion of proteins in each functional class has remained the same14,15. The interaction between different nucleolar proteins is central to coordinating the functions of this compartment. The multifunctional nature of nucleolar proteins and their numerous protein interactions illustrates an overriding principal of nucleolar architecture: that it is an amalgamation of many protein–protein and protein–nucleic-acid interactions, and disruption of these interactions can cause aberrant nucleolar function and possibly lead to disease16.

Three distinct subsets of nucleolar proteins have been identified that reflect the dynamic nature of the nucleolar proteome12,14. First, proteins that are mainly located in the nucleolus, such as the major nucleolar proteins fibrillarin, which is a component of a nucleolar small nuclear ribonucleoprotein that is involved in rRNA processing; B23.1, which is a putative ribosome assembly factor; and nucleolin, which is involved in the processing of precursor rRNA. Second, proteins that traffic from the nucleolus to the cytoplasm and so are not always resident in the nucleolus, such as ribosomal proteins. Third, proteins for which residence in the nucleolus is time- and/or condition-dependent, such as the 25 nucleolar proteins with functions that are specifically related to cell-cycle control, including cyclin-dependent kinase (CDK)2, CDK7, CDK9, cell division cycle-2-like protein kinase-5 (CDC2L5), CIP1/p21 and Aurora B14. However, other nucleolar proteins can have cell-cycle-related functions, including nucleolin and B23.1 (Ref. 17).

Targeting proteins to and from the nucleolus

The rules and signals that govern the nuclear localization and nuclear export of proteins are well defined. Nuclear-localization signals (NLSs) can be classified into several categories. Most motifs identified so far, including the pat4 and pat7 motifs and bipartite NLSs, are composed of basic amino acids of a given sequence length18,19,20. The pat4 motif consists of a continuous stretch of (usually) four basic amino acids, and the pat7 motif starts with a proline residue and is followed by six amino acids, of which three of the last four are basic. As its name suggests, a bipartite signal contains two separate motifs, both of which are rich in basic amino acids. Protein nuclear-export signals (NESs) also vary, but one of the most common and well characterized NESs is an 11 amino-acid, leucine-rich signal, typified by LX(2,3)LX(2,3)LXL, where several hydrophobic amino acids can substitute for leucine. The number of spacer residues (X) is indicated in brackets19,21.

By contrast, the signals that govern nucleolar localization and retention are not well defined22. The motifs involved are usually rich in arginine and lysine residues, however, there is no immediately obvious consensus sequence or structure. Presumably, proteins that localize to the nucleolus can also have nuclear-import and, if necessary, nuclear-export motifs. The nucleolar-localization signals (NoLSs) that have been identified so far can be grouped into those that contain single motifs and those that contain multiple motifs23. For example, single motifs include MQRKPTIRRKNLRLRRK identified in survivin-deltaEx3, a splice variant of the anti-apoptotic protein survivin24, and the RSRKYTSWYVALKR motif of fibroblast growth factor-2 (Ref. 25). Alternatively, signals can take the form of an interaction between several functional domains of a protein, for example, in two components of the 60S ribosomal subunit — the human ribosomal L7a protein26 and ribosomal protein L5 (Ref. 27). Nucleolar localization can also be regulated by binding small effector molecules, such as nucleostemin binding to GTP28. Whether proteins localize, target, accumulate or are retained in the nucleolus is unknown, and the targeting signals that are associated with nucleolar proteins have been called not only NoLSs but also nucleolar-targeting signals and nucleolar-retention signals.

In many cases, proteins that localize to the cytoplasm and the nucleus or nucleolus contain multiple signals that determine their subcellular localization29,30,31,32. This highlights the difficulty in identifying NoLSs, as many proteins that localize to the nucleolus also localize to the nucleus and contain both classic NLSs and NoLSs, the sequences of which can overlap. Nucleolar localization of a protein can be governed by several factors, including whether the protein associates with another nucleolar-bound protein or alternatively traffics to the nucleolus on its own or associates with RNA transcripts that are being transcribed in the nucleolus. Clearly, combinations of these possibilities could and do occur, compounding the difficulty in predicting and defining NoLSs.

Viruses and the nucleolus

The interaction between viruses and the nucleolus is a pan-virus phenomenon, which is exhibited by DNA viruses, retroviruses and RNA viruses. Whereas DNA viruses and retroviruses that interact with the nucleolus replicate in the nucleus where the nucleolus is immediately accessible, why RNA viruses, particularly positive-strand RNA viruses, interact with the nucleolus when the site of viral-genome replication is in the cytoplasm (Fig. 2) is less intuitive. For positive-strand RNA viruses, viral proteins must transit through the nuclear-pore complex (Box 2) to enter and exit the nucleus. Passage in and out of the nucleolus and nucleus is crucial for virus biology because if the viral proteins that are required for cytoplasmic functions, such as RNA synthesis and encapsidation, are sequestered in the nucleolus or nucleus, then progeny virus production will be affected.

Figure 2: RNA viruses and the nucleolus.
figure 2

Schematic representation of a generic replication strategy used by a positive-strand RNA virus showing localization of the capsid protein to the nucleolus. The virus enters the cell and the genome is uncoated and then translated by ribosomes to produce the viral RNA-dependent RNA polymerase (RdRp). The viral genome is therefore messenger sense and also functions as a template for the synthesis of negative-strand RNA. The RdRp uses the negative strand (or anti-genome) as a catalytic template for the production of new genomic RNA. Therefore, there is usually a molar excess (between 10:1 and 100:1) of positive-strand RNA over negative-strand RNA in infected cells. Positive-strand RNA viruses can either be enveloped or non-enveloped. However, they all produce capsid proteins for binding to viral RNA. These proteins have different names, including capsid, nucleocapsid and nucleoproteins, but all have similar functions. Negative-strand RNA viruses have a more complex life cycle in that the viral genome is not messenger sense and therefore the virus contains the enzymes needed to initiate the transcription of mRNAs and to facilitate replication103.

Although studies of the replication of positive-strand RNA viruses in enucleated cells indicated that there is no direct nuclear component in the life cycle of these viruses33,34, the enucleation in these experiments was not 100% and, although the viruses did replicate, replication was decreased. Conflicting results were also obtained for viruses that belong to the same viral group. For example, the murine coronavirus mouse hepatitis virus was reported to replicate in enucleated cells33 whereas the avian coronavirus infectious bronchitis virus (IBV) requires the nucleus and host-cell factors to replicate34.

New data are now emerging that support the view that many classic positive-strand RNA viruses interact with the nucleus and nucleolus to facilitate virus replication. One of the most well-studied viruses in terms of viral interactions with the nucleolus is HIV. Although HIV has clearly defined cytoplasmic and nuclear replication strategies, the virus has a positive-sense RNA genome — the viral capsid contains two copies of positive-sense RNA, but these are reverse transcribed in the cytoplasm and then trafficked to the nucleus, where the new genome is transcribed and trafficked back to the cytoplasm.

Although many RNA-virus proteins have been shown to localize to the nucleolus, most attention has focused on capsid and RNA-binding proteins, which have been shown to localize to the nucleolus in infected cells or when overexpressed. These include proteins from positive-strand RNA viruses, including the coronavirus nucleocapsid protein35,36,37,38,39, the arterivirus nucleocapsid protein40,41, the alphavirus capsid protein42 and non-structural protein nsP2 (Ref. 43), the dengue virus core protein44, umbravirus ORF3 (Ref. 45), the potato leafroll virus capsid protein46 and proteins from negative-strand RNA viruses, including the Newcastle disease virus (NDV) matrix protein47 and the influenza virus nucleoprotein48,49. For many years it was believed that these findings were phenomenological, and that viral capsid and RNA-binding proteins might simply localize to the nucleolus because they diffuse through the nuclear-pore complex and associate with compartments in the nucleus that have high RNA contents, and therefore with the nucleolus because it is transcriptionally active. In this case, localization to the nucleolus would have no physiological consequences for the virus or the cell. However, RNA-virus replication is error prone and selection pressure might apply to such a fortuitous localization (given the 700 nucleolar proteins and their diverse roles), with the concomitant effect that the virus could select for changes in its genome that ultimately disrupt nucleolar function or recruit nucleolar proteins to aid virus replication.

There is a potential correlation between the nucleolar localization of a viral protein and the loss of an essential nucleolar function16,50. The molecular mechanisms that are responsible for this effect are unknown, but the displacement and relocalization of nucleolar proteins by viral proteins could increase or decrease the nucleolar, nuclear or cytoplasmic pool of these proteins. Certainly, the accumulation of viral proteins in the nucleolus could potentially cause volume exclusion or crowding effects, which have been proposed to have a fundamental role in the formation of nuclear compartments including the nucleolus51. Therefore, disruption of nucleolar architecture and function might be common in virus-infected cells if viral proteins target the nucleolus or a stage of the virus lifecycle disrupts nucleolar proteins. For example, poliovirus infection results in the selective redistribution of nucleolin from the nucleolus to the cytoplasm52 and inactivation of the nucleolar protein UBF (upstream binding factor), which shuts off RNA polymerase I transcription in the host cell53. The infection of cells with IBV has been shown to disrupt nucleolar architecture37 and cause arrest of the cell cycle in G2 and failure of cytokinesis36,54,55. The IBV and arterivirus nucleocapsid proteins associate with nucleolin55 and fibrillarin56, respectively. Similarly, the HIV-1 Rev protein has been shown to localize to the DFCs and GCs, and overexpression of Rev alters the nucleolar architecture and is associated with the accumulation of B23.1 (Ref. 57). Rev overexpression also correlates with an increase in the proportion of cells in the G2 and M phases of the cell cycle and cells that have failed cytokinesis57,58. Indeed, changes in nucleolar architecture have been observed in lymphocytes from patients infected with HIV-1 and this correlated with a loss of cell-cycle control59. From a therapeutic perspective, administering interleukin-2 can reverse the loss of cell-cycle control and might be a useful tool for HIV-1 therapy60.

Transporting RNA-virus proteins to the nucleolus

Many different RNA-virus proteins localize to the nucleolus. Viral proteins that traffic to the nucleolus contain motifs that resemble host NoLSs, and therefore viral nucleolar trafficking might use a form of molecular mimicry61. The discovery of specific nucleolar-trafficking signals in viral proteins would indicate that they are functionally relevant61. Historically, virology has informed and driven many areas of cell biology, including the discovery of the first NLS in an SV40-virus protein62, which subsequently led to the identification and characterization of NLSs in other viral and cellular proteins18. However, similar to nucleolar-targeting signals in host cells, no overall conserved nucleolar trafficking motif has been identified in viral proteins.

In some virus proteins both NLSs and NoLSs function in concert to direct a protein to the nucleolus. The nucleocapsid protein of the arterivirus porcine reproductive and respiratory syndrome virus (PRRSV) localizes to the nucleolus41 and has been shown to contain two potential NLSs: a pat4 motif and a downstream pat7 motif63. Analysis revealed that a 31 amino-acid sequence that incorporates the pat7 motif could direct the nucleocapsid protein to both the nucleus and nucleolus63. The protein also contains a predicted NES, presumably to allow the protein to traffic back into the cytoplasm to contribute to viral function in that compartment61. Viral proteins might also traffic to the nucleolus through association with cellular proteins. For example, the hepatitis delta antigen has been shown to contain an NoLS that also corresponds to a site that promotes binding to nucleolin64. Mutating this region prevents nucleolin binding to the delta antigen and prevents nucleolar trafficking. By implication, this relates nucleolin binding to nucleolar trafficking.

Predicting viral and cellular NoLSs is problematic, and currently there is no bioinformatics software available to do so. As a retrospective example, the IBV nucleocapsid protein localizes to the nucleolus and associates with nucleolin35,37,55, therefore one would predict that this protein would contain an NoLS. Comparing the sequence of several different RNA virus NoLSs to the complete amino-acid sequence of the IBV nucleocapsid protein indicates that a basic amino-acid motif in the C-terminal region of the protein could be considered a candidate NLS and/or NoLS. Indeed, this signal is conserved in all coronavirus nucleocapsid proteins35,36,65 and, on this basis, it was predicted that this motif would be involved in the pathogenesis of the severe acute respiratory syndrome coronavirus (SARS-CoV)65. However, deletion and substitution mutagenesis revealed that an eight amino-acid motif located in the N-terminal region of the IBV nucleocapsid protein was necessary and sufficient for the protein to traffic to the nucleolus66, and the N-terminal and central region of the SARS-CoV nucleocapsid protein, rather than the C-terminal region, contained motifs which could function as both NLSs and NoLSs38,39,67.

The fact that viral proteins contain NoLSs is a strong indication that viruses have evolved specific nucleolar functions. Evidence that the disruption of the nuclear or nucleolar trafficking of positive-strand RNA-virus proteins affects viral pathogenesis is now emerging. For example, the Semliki Forest virus non-structural protein nsP2 can localize to the nucleolus68, and disruption of this localization through a single amino-acid change results in a reduction in neurovirulence69. Such in vitro data have also been backed up by persuasive in vivo data. Mutation of the arterivirus nucleocapsid protein pat7 NLS motif in the context of a full-length clone revealed that this sequence might have a key role in virus pathogenesis in vivo as animals infected with mutant viruses had shorter duration of viraemia than with wild-type viruses70. Interestingly, reversions occurred in the mutated nucleocapsid gene sequence, and although the amino-acid sequence of the pat7 motif was altered, its function was not; this new signal was defined as a pat8 motif70.

Similarly, point mutations in the Japanese encephalitis virus (JEV) core protein that abolished nuclear and nucleolar localization resulted in recombinant viruses with impaired replication in mammalian cells compared with wild-type virus71. Curiously, replication of recombinant viruses was not impaired in insect cells71. This could potentially be related to differences in nucleolar architecture72 and proteomes between these cell types. The JEV core protein has been shown to interact with B23.1 and is translocated from the nucleolus to the cytoplasm73. Flaviviruses (such as JEV, dengue virus and West Nile virus) seem to have a nuclear stage to the synthesis of viral RNA, and several components of the viral replicase together with newly synthesized RNA have been found in the nucleus of infected cells74. One intriguing question is how such viral RNA traffics from the nucleus to the cytoplasm. Most cellular mRNAs are spliced, and the splicing process recruits proteins needed for efficient nuclear export75. Certain DNA viruses, such as herpesvirus saimiri, produce intron-less mRNA, and these viruses have evolved specific viral proteins (such as herpesvirus saimiri ORF57)76 that interact with the cellular mRNA-export machinery (for example, the mRNA-processing and -export factor ALY) to transport viral mRNA from the nucleus to the cytoplasm77,78, and a similar process might be used by RNA viruses. For example, in plants, tomato bushy stunt virus (TBSV) redistributes ALY from the nucleus to the cytoplasm, and this might be a way the virus mediates host-cell protein synthesis79. Also, in plants, RNA silencing, a host defence mechanism, targets viral RNAs for degradation in a sequence-specific manner, and plant viruses use several mechanisms to counteract this system. TBSV encodes a protein, P19, which interferes with this pathway. However, ALY might transport P19 from the cytoplasm to the nucleus or nucleolus and disrupt its silencing-suppressor activity80.

Hijacking the nucleolus

One of the first descriptions of an interaction between the nucleolus and viral genomes and/or proteins was the observation that plant viroid RNA was present in the nucleolus of infected cells81. Indeed, different plant-virus proteins involved in long-distance phloem-associated movement of virus particles, or with roles in binding to the RNA-virus genomes, localize to the nucleolus45,82,83,84, and these proteins can contain appropriate NLSs and NESs to direct protein trafficking31. 'Hijacking' the nucleolus is not exclusive to plant viruses and might also occur with mammalian viruses. Similar to the plant rhabdovirus maize fine streak virus (MFSV), the nucleocapsid and phosphoproteins of which localize to the nucleolus83, the animal negative-strand RNA virus Borna disease virus has been reported to use the nucleolus as a site for genome replication85, and its RNA-binding protein has the appropriate trafficking signals for import and export to and from the nucleus86. The RNA of the hepatitis delta virus genome is transcribed in the nucleolus87; this is similar to the potato spindle tuber viroid, in which RNAs of opposite polarity are sequestered in different nuclear compartments, with the positive-sense RNA being transported to the nucleolus88.

As a result of their small genomes and limited coding capacities, the recruitment of cellular proteins with defined functions in RNA metabolism would be a logical step to facilitate RNA-virus infection. As nucleolar proteins have many crucial functions in cellular RNA biosynthesis, processing and translation it comes as no surprise that nucleolar proteins are incorporated into the replication and/or translation complexes formed by RNA viruses. Given that some nucleolar proteins have many functions, the same nucleolar protein might be used by a virus for different aspects of the replication pathway. One example of this is the interaction of nucleolin with picornaviruses. On the one hand, nucleolin has been shown to interact with the internal ribosome entry sites (IRESs) found in the 5′ non-coding region of the poliovirus genome, and this interaction stimulates IRES-dependent translation (this also occurs with the hepatitis C virus (HCV) IRES)89. As their name suggests, IRES elements promote non-cap-dependent translation90. On the other hand, nucleolin has also been shown to interact with the poliovirus 3′-non-coding region, which is involved in the regulation of negative-strand RNA synthesis and in the early events of virus infection52.

Nucleolin can bind to the HCV NS5B protein, and it has been suggested that this interaction is involved in the function of NS5B during virus infection91. Interaction of picornaviruses with the nucleolus could also shut down host-cell translation. Studies indicate that the human rhinovirus 3C protease precursors, 3CD′ and 3CD, localize in the nucleoli of infected cells early in infection and inhibit cellular RNA transcription through proteolytic mechanisms92. This general property is not restricted to human rhinoviruses and the inhibition of cellular translation has also been described for encephalomyocarditis virus93,94.

RNA viruses, the nucleolus and disease. Nucleoli and other subnuclear structures are crucial for cell function, and disruption of these structures through interaction with viruses is likely to contribute to cellular disease, particularly through the disruption and/or displacement of nucleolar proteins. One possible link is between virus infection and the induction of autoimmune diseases. Several nucleolar proteins are associated with autoimmune disease95, for example, nucleolin is associated with systematic lupus erythematosus and fibrillarin with systemic sclerosis. Nucleolin can regulate cytokine mRNA decay indirectly through its RNA-binding activity, and inflammatory cytokines are involved in the pathogenesis of cell-mediated autoimmune diseases96. Disruption of the nucleolus and the relative subcellular distribution of nucleolar proteins through virus infection might have a role in the early events of an autoimmune response, possibly through mechanisms such as molecular mimicry.

HIV – from RNA trafficking to therapy

Studies of the biology of HIV replication have provided fundamental insights into why viruses target the nucleolus and, more importantly, how this information can be used to treat HIV infection. HIV replication involves both cytoplasmic and nuclear steps and results in unspliced, single-spliced and multiple-spliced RNAs and about 15 proteins. Several HIV proteins, including Rev97 and the transactivator Tat98, have been shown to localize to the nucleolus. The Rev protein exports partially or unspliced mRNA from the nucleus. Export is mediated in part by the exportin-1 nuclear-export pathway and interaction with the human Rev-interacting protein (hRIP)99. As for several other viral proteins that target the nucleolus, Rev was shown to contain a NoLS100,101 that is distinct from the NLS101. Mutation of this signal prevented the subcellular localization of Rev to the nucleolus and also reduced the efficiency of its RNA-export function101. The structure of the nucleolus also seemed to be a key factor in the localization of Rev102. Rev has been reported to undergo multimerization in both the cytoplasm and the nucleolus, but fluorescence resonance energy transfer(FRET) and FRAP studies have shown that Rev predominately forms multimers in the nucleolus103. Rev also binds to a cis-acting RNA element called the Rev-response element (RRE), which is found in all unspliced and incompletely spliced viral mRNAs, and this promotes the translocation of these mRNAs across the nuclear-pore complex.

From a therapeutic perspective, targeting the activity of the Rev protein in the nucleolus might have potential as an effective anti-viral strategy. For example, introducing an RRE decoy that localizes to the nucleolus resulted in a significant inhibition of the replication of HIV-1 in cell culture104. Similarly, the HIV Tat protein contains a NoLS105. Tat binds to a motif in HIV RNA known as the trans-activation response element (TAR). The Tat–TAR interaction increases the processivity of RNA polymerase II and promotes RNA elongation, thereby increasing the efficiency of HIV RNA transcription. Similar to the RRE decoy strategy, a chimeric nucleolar RNA–TAR decoy that localized to the nucleoli of human cells inhibited HIV-1 replication106. Taking the study further, the use of anti-HIV short hairpin RNA in cultured T cells and haematopoietic-stem-cell-derived monocytes demonstrated the potential therapeutic use of targeting the nucleolar stages of HIV-1 replication107.

Another interaction between HIV-1 and the nucleolus has also been exploited in the development of an anti-retroviral therapy. Studies indicated that HIV-1 RNA could traffic through the nucleolus (possibly as part of an export strategy). Therefore, Michienzi and colleagues108 made use of this information and incorporated a hammerhead ribozyme into the U16 small nucleolar RNA (snoRNA) that was designed to cleave HIV-1 RNA. This construct was introduced into HeLa CD4+ T cells and, when these cells were infected with HIV-1, replication of the virus was suppressed108. For therapy, this construct could be introduced into haematopoietic stems cells that have been removed from HIV-1-infected individuals, along with constructs carrying the TAR decoy and small interfering RNAs (siRNAs) to knockdown CCR5 (the co-receptor for HIV-1)109 (Fig. 3). Targeting CCR5 is a useful strategy110 because siRNA-resistant viruses will (and do) occur; however, it should not be considered a stand-alone strategy as knockdown of the receptor is not 100%. Used together with conventional anti-viral chemotherapy this approach might allow 'drug holidays', or ultimately could be used in combination with anti-viral drugs or when drug-resistant viruses are present.

Figure 3: HIV and the nucleolus – a potential therapeutic strategy?
figure 3

Our knowledge of the interaction between HIV and the nucleolus is leading to the design of novel therapeutic strategies, and has been pioneered by John Rossi's group. Although these approaches are currently targeted at patients with both AIDS and lymphoma they might be applicable to all individuals infected with HIV-1. Haematopoietic stem cells are taken from infected individuals and treated with lentiviral vectors that contain an anti-tat/rev short hairpin RNA (shRNA), an anti-CCR5 ribozyme and a nucleolar-localizing trans-activation response element (TAR) RNA decoy. TAR is a region of secondary RNA structure that is located within the HIV long terminal repeat and is present in all HIV mRNAs. The region prevents the efficient use of the mRNA unless it is bound by the HIV transactivator (Tat) protein. The engineered stem cells then form part of a bone marrow transplant back into the (now) irradiated individual. As a result T cells are produced that are resistant to HIV-1 infection. As with anti-HIV chemotherapy, the triple combination approach is used to prevent the build up of resistant viruses.

Implications and future research directions

Until recently, with the exception of HIV, research into the interactions between RNA viruses and the nucleolus has in general been descriptive and has focused on the identification of viral proteins that localize to the nucleolus and the delineation of NoLSs. The functional implications of these interactions are now being realized, and great progress is being made in elucidating why RNA viruses target the nucleolus and the role of the nucleolar localization of viral proteins in virus replication. Through the use of reverse genetics and full-length clone technologies, this research could lead to the development of new recombinant vaccines based on viral proteins that are deficient in nucleolar trafficking and are therefore attenuated in replication. The study of viral interactions with the nucleolus also presents cell biologists with an opportunity to gain new insights into nucleolar processes and functions. For example, as previously discussed, UBF is inactivated in poliovirus-infected cells and, as might be predicted, RNA polymerase I transcription is downregulated53. However, in adenovirus-infected cells most nucleolar UBF is sequestered in replication centres formed by this DNA virus; but in this case, RNA polymerase I transcription is unaffected111, therefore casting doubt on the assumption that UBF is required for RNA synthesis.

Both the cell and viral biology of the nucleolus can, and hopefully will, be exploited for the design of novel therapeutic strategies against viral infection. This is best illustrated in forthcoming clinical trials for therapies to combat HIV-1 (Ref. 16). So, although the nucleolus was one of the first subcellular structures to be discovered, nucleolar research is still providing new and exciting insights into both viral and cellular biology.