Poxviral protein E3–altered cytokine production reveals that DExD/H-box helicase 9 controls Toll-like receptor–stimulated immune responses

Host pattern recognition receptors (PRRs) such as Toll-like receptors (TLRs) detect viruses and other pathogens, inducing production of cytokines that cause inflammation and mobilize cells to control infection. Vaccinia virus (VACV) encodes proteins that antagonize these host innate immune responses, and elucidating the mechanisms of action of these viral proteins helped shed light on PRR signaling mechanisms. The VACV virulence factor E3 is one of the most intensely studied VACV proteins and has multiple effects on host cells, many of which cannot be explained by the currently known cellular targets of E3. Here, we report that E3 expression in human monocytes alters TLR2- and TLR8-dependent cytokine induction, and particularly inhibits interleukin (IL)-6. Using MS, we identified DExD/H-box helicase 9 (DHX9) as an E3 target. Although DHX9 has previously been implicated as a PRR for sensing nucleic acid in dendritic cells, we found no role for DHX9 as a nucleic acid-sensing PRR in monocytes. Rather, DHX9 suppression in these cells phenocopied the effects of E3 expression on TLR2- and TLR8-dependent cytokine induction, in that DHX9 was required for all TLR8-dependent cytokines measured, and for TLR2-dependent IL-6. Furthermore, DHX9 also had a cell- and stimulus-independent role in IL-6 promoter induction. DHX9 enhanced NF-κB–dependent IL-6 promoter activation, which was directly antagonized by E3. These results indicate new roles for DHX9 in regulating cytokines in innate immunity and reveal that VACV E3 disrupts innate immune responses by targeting of DHX9.


Host pattern recognition receptors (PRRs) such as Toll-like receptors (TLRs) detect viruses and other pathogens, inducing production of cytokines that cause inflammation and mobilize cells to control infection. Vaccinia virus (VACV) encodes proteins that antagonize these host innate immune responses, and elucidating the mechanisms of action of these viral proteins helped shed light on PRR signaling mechanisms. The VACV virulence factor E3 is one of the most intensely studied VACV proteins and has multiple effects on host cells, many of which cannot be explained by the currently known cellular targets of E3.
Here, we report that E3 expression in human monocytes alters TLR2-and TLR8-dependent cytokine induction, and particularly inhibits interleukin (IL)-6. Using MS, we identified DExD/ H-box helicase 9 (DHX9) as an E3 target. Although DHX9 has previously been implicated as a PRR for sensing nucleic acid in dendritic cells, we found no role for DHX9 as a nucleic acidsensing PRR in monocytes. Rather, DHX9 suppression in these cells phenocopied the effects of E3 expression on TLR2-and TLR8-dependent cytokine induction, in that DHX9 was required for all TLR8-dependent cytokines measured, and for TLR2-dependent IL-6. Furthermore, DHX9 also had a cell-and stimulus-independent role in IL-6 promoter induction. DHX9 enhanced NF-Bdependent IL-6 promoter activation, which was directly antagonized by E3. These results indicate new roles for DHX9 in regulating cytokines in innate immunity and reveal that VACV E3 disrupts innate immune responses by targeting of DHX9.
A cellular innate immune response is triggered by the sensing of pathogen-associated molecular patterns (PAMPs) 3 or mole-cules released from dying cells (damage-associated molecular patterns, DAMPs), which bind to sensors on or within monocytes, macrophages, and dendritic cells (DCs). PAMP and DAMP sensors are mainly pattern recognition receptors (PRRs), which when activated signal via transcription factors such as NF-B and interferon regulatory factors to induce innate immune effectors genes (1). These genes encode interferons, chemokines (e.g. IP10 and RANTES), and pro-inflammatory cytokines (e.g. TNF␣, IL-6, and IL-1␤), which mobilize both innate immune cells and T cells to control infection. The prototypical PRR family are the membrane-bound Toll-like receptors (TLRs) that bind conserved molecules from bacteria, viruses, and parasites (2). Other PRRs include the cytosolic nucleotide-binding oligomerization domain (NOD)-like receptors (NLRs) that bind bacterial products, RIG-I-like receptors (RLRs) that bind viral RNA (1), and cytosolic DNA sensors such as AIM2, IFII6, and cGAS that bind host and pathogen DNA (3)(4)(5).
To overcome PRR-stimulated host defense, viruses have evolved proteins that both antagonize and subvert PRR-dependent gene induction (6,7). Studying how these viral proteins interact with host molecules provides an understanding of viral pathogenesis but can also reveal important aspects of host immune signaling mechanisms, which have been selected for viral antagonism over evolutionary time. For example, we and others have discovered several poxviral proteins that target host proteins subsequently implicated in PRR signaling pathways (6,7). One such host protein is the DEAD box RNA helicase DDX3, which vaccinia virus (VACV) protein K7 interacts to inhibit RLR responses (8).
VACV protein E3 is a multifunctional protein that is vital for viral replication and pathogenesis (9). E3 is comprised of an N-terminal Z-DNA-binding domain (DNABD) and a C-terminal dsRNA-binding motif (DSRM), both of which are required for virulence (10). E3 inhibits dsRNA-dependent protein kinase (PKR) function by sequestering dsRNA via the DSRM, but also by directly binding to PKR (11,12). Other functions of the DSRM include inhibition of the RNA Pol III dsDNA sensing pathway (13), and antagonism of the antiviral protein ISG15 (14). A recent study revealed that many of E3's biological functions do not involve dsRNA binding because mutants of E3 that no longer bound dsRNA were still able to affect viral replication in cell culture, modulate apoptosis, and inhibit production of PRR-stimulated cytokines such as IL-6 (15). Therefore, it is likely that more host protein targets remain to be identified for E3, which would shed further light on how viruses modulate cellular signaling pathways.
Here we show that expression of E3 in human monocytes led to altered PRR-dependent cytokine production, and in particular suppression of IL-6 induction by TLRs. Using MS, the RNA helicase DHX9 (also called RNA helicase A) was identified as an E3-interacting protein. DHX9 has previously been implicated as a PRR for sensing nucleic acid in DCs. However, here we found no role for DHX9 in nucleic acid sensing in monocytes. Rather, suppression of DHX9 expression phenocopied the effect of E3 expression on cytokine and chemokine production stimulated by TLR2, TLR8, and TLR4. Further work showed a role for DHX9 in NF-B-dependent IL-6 promoter induction, which was antagonized by E3. These results suggest a new role for DHX9 in innate immune cytokine regulation and reveal a further mechanism whereby VACV via E3 disrupts innate immunity, via targeting of DHX9.

E3 inhibits cytokine production from human monocytes
E3 has previously been shown to modulate cytokine induction in virally-infected cells (15)(16)(17). To determine whether E3 directly regulated PRR-stimulated cytokine production, we wanted to express E3 in isolation from virus, in an immunerelevant cell line model. Therefore, we generated human THP-1 monocytes cells stably expressing E3 using a retroviral expression system (Fig. 1A). PRR-stimulated cytokine production (TNF␣, IL-6, IP10, and RANTES) was assessed in these cells by ELISA. To focus on the effects of E3 independent of sequestering of nucleic acids, the nonnucleic acid PRR ligands Pam 3 Csk 4 , CL075, and lipopolysaccharide (LPS) were used to stimulate TLR2-, TLR8-, and TLR4-dependent gene induction, respectively. CL075 is a specific agonist for TLR8 in human monocytes (18). Interestingly, expression of E3 in cells affected cytokine production in stimulus-and gene-specific manners. Compared with the other ligands, LPS only stimulated low production of TNF␣, IP-10, and RANTES, which was not affected by E3 expression, whereas LPS-stimulated IL-6 was barely detectable (Fig. 1, B-E). Upon TLR2 stimulation of E3-express- Figure 1. Effect of E3 expression on TLR-stimulated cytokine induction in human monocytes. A, THP-1 cells were transduced with retroviruses encoding HA-tagged E3 or empty vector (EV). After cell selection, lysates were generated and immunoblotted for HA-E3 and ␤-actin, alongside a lysate from HEK293T cells transiently expressing E3. B-E, E3-or EV-expressing THP-1 cells were stimulated with 2 g/ml of Pam 3 CSK 4 (PAM3), 2.5 g/ml of CLO75, 100 ng/ml of LPS or medium alone. The supernatants were removed 24 h later and TNF␣ (B), IL-6 (C), IP10 (D), and RANTES (E) secretion were measured by ELISA. The data are mean Ϯ S.D. of triplicate samples and is representative of three experiments. **, p Ͻ 0.01; ***, p Ͻ 0.001; ****, p Ͻ 0.0001 compared with EV-containing THP-1 cells. N.D., not detected.

DHX9 regulates innate immune cytokine induction
ing cells, IL-6 production was strongly inhibited, TNF␣ production was enhanced, and chemokine induction (IP-10, RANTES) was unaffected (Fig. 1, B-E). In contrast, all TLR8-stimulated cytokines measured (TNF␣, IL-6, IP10, and RANTES) were potently inhibited in cells expressing E3 compared with cells transduced with empty vector (Fig. 1, B-E). Thus, E3 antagonizes specific PRR-stimulated cytokine induction in monocytes. The varied effects of E3 on some cytokines and lack of effect on others implied that inhibitory effects were not due to toxicity or a general suppression of all genes.

E3 interacts with host helicase DHX9
E3 has been shown to interact with both host nucleic acid and proteins, as described above. The fact that specific Pam 3 Csk 4 and CL075 responses were affected by E3 suggested that E3 was targeting host protein(s) to modulate TLR signaling outcomes.
To explore what protein targets of E3 in cells might explain E3 modulation of cytokine production, we infected murine embryonic fibroblasts with vaccinia virus (WR, Western reserve strain), and used an anti-E3 antibody to immunoprecipitate E3-associated proteins. As a control, we compared the anti-E3 antibody immunoprecipitate from WR-infected cells to that derived from cells infected with vaccinia virus WR lacking the gene that encodes E3 (⌬E3L). Immunoprecipitated proteins from WR-and ⌬E3L-infected cells were then separated by SDS-PAGE ( Fig. 2A), and gel slices were prepared and trypsinized. Peptides eluted from gel slices were analyzed by LC-MS. Several potential E3-interacting proteins were identified, by nature of them being detected in the resolved immunoprecipitate from WR-but not ⌬E3L-infected cells. One such protein, DHX9, was of particular interest because it was highly abundant in the WR sample ( Fig. 2A), and because it has been implicated in the A, murine embryonic fibroblasts were infected with WT VACV WR or VACV lacking the E3L gene (⌬E3). Cell lysates were prepared and subject to immunoprecipitation with anti-E3 antibody. Lysates were resolved by SDS-PAGE and gel slices were analyzed for interacting proteins by MS. The position of a band corresponding to DHX9 is indicated. B, HEK293T cells were infected with VACV WR or ⌬E3 and the lysate was subjected to immunoprecipitation with anti-E3 antibody, followed by immunoblotting with antibodies to E3 or DHX9 as indicated. C, THP-1 cells were infected with VACV WR for 16 h and lysates were subjected to immunoprecipitation with anti-DHX9 or IgG antibody, followed by immunoblotting with antibodies to E3 or DHX9 as indicated. D, HEK293T cells were transfected (ϩ) or not (Ϫ) with pCMV-E3-HA and lysates subjected to immunoprecipitation by anti-DHX9 antibody, followed by blotting with antibodies to DHX9 or HA as indicated. E, schematic shows E3 domain structure and truncations used. HEK293T cells were transfected with empty vector or plasmid encoding HA-E3 , HA-E3(1-83), or HA-E3(84 -190), and incubated for 48 h. Cell lysates were then subjected to IP using DHX9 or IgG antibody and then resolved by SDS-PAGE. E3 and DHX9 interactions were analyzed by immunoblotting for HA and DHX9, respectively. Representative of three experiments.

DHX9 regulates innate immune cytokine induction
regulation of gene transcription and translation (19). Thus, here we focused on DHX9 as a potential protein target to explain E3 immunomodulation. We confirmed that E3 could interact with DHX9 in human cells by endogenous IP of E3 from virally-infected HEK293T cells followed by immunoblot for DHX9 (Fig. 2B, top panel). Importantly, in THP-1 cells, where expression of E3 affected cytokine induction (Fig. 1), after vaccinia virus infection a clear interaction was seen between endogenous DHX9 and virally expressed E3 (Fig. 2C). Ectopically expressed E3 in isolation from virus also interacted with endogenous DHX9 (Fig. 2D). Furthermore, both fulllength E3 and the isolated DSRM of E3 interacted with DHX9, whereas the isolated DNABD of E3 did not (Fig. 2E). Hence E3 interacts with host DHX9 via the DSRM.

Suppression of DHX9 expression mimics the effect of E3 on TLR-induced cytokines
To determine whether DHX9 had a role in production of cytokines affected by E3, DHX9 loss-of-function studies were employed. Because DHX9 is an essential gene in both mouse and human (20,21), we used shRNA knock-down to partially deplete protein expression of DHX9, rather than gene targeting of DHX9. Thus, an inducible shRNA lentiviral expression system was used to reduce DHX9 expression in real time. Cell lines were generated using a pTRIPZ lentiviral system in which doxycycline-inducible shRNA could be introduced into THP-1 cells. Three stable shRNA-expressing cell lines were generated: Fig. 3A shows that 72 h treatment of cells with doxycycline led to strong suppression of DHX9 protein expression in cells transduced with lentiviruses encoding two distinct DHX9-targeting shRNAs (A7 and G2), but not in cells transduced with lentiviruses encoding a nonsilencing control (NSC). Similar to E3-expressing monocytes ( Fig. 1), these cells were stimulated with TLR agonists and cytokine production was monitored. A remarkably similar profile of regulation of TLR-stimulated cytokines was observed in cells expressing DHX9 shRNA, compared with cells expressing E3 ( Fig. 1) in that suppression of DHX9 expression inhibited production of all four TLR8-stimulated cytokines, and of TLR2-stimulated IL-6 production, whereas TLR2-stimulated TNF␣ production was enhanced, Figure 3. Effect of DHX9 shRNA on TLR-stimulated cytokine induction in human monocytes. A, THP-1 cells were transduced with lentiviruses encoding DHX9-targeting shRNA (A7 and G2) or a NSC shRNA. After transduction, the THP-1 cells were incubated in 1 g/ml of puromycin for 1 week. Each THP-1 cell line was either left untreated (Ϫ) or incubated with 1 g/ml of doxycycline (ϩ) for 72 h to induce the required shRNA. Lysates were generated, resolved by SDS-PAGE, and immunoblotted for DHX9 and tubulin. B-E, doxycycline-treated THP-1 cells expressing shRNAs NSC, A7, or G2 were stimulated with 2 g/ml of Pam 3 CSK 4 (PAM3), 2.5 g/ml of CLO75, 100 ng/ml of LPS or medium alone. The supernatants were removed 24 h later and TNF␣ (B), IL-6 (C), IP10 (D), and RANTES (E) secretions were measured by ELISA. The data are mean Ϯ S.D. of triplicate samples and is representative of three experiments. *, p Ͻ 0.05; **, p Ͻ 0.01; ***, p Ͻ 0.001; ****, p Ͻ 0.0001 compared with NSC. N.D., not detected.

DHX9 regulates innate immune cytokine induction
and IP-10 and RANTES unaffected (Fig. 3, B-E). The low LPS responses were unaffected by suppression of DHX9 expression, except in the case of IL-6, which was inhibited (Fig. 3, B-E). The correlation between the effects of expression of E3 ( Fig. 1) and suppression of DHX9 expression (Fig. 3), which exactly phenocopied each other, strongly suggest that E3 modulated TLRstimulated cytokines via targeting of DHX9.

No role for DHX9 in DNA or RNA sensing in monocytes
Previous work implicated DHX9 as a cytosolic nucleic acid sensor for both DNA and RNA in DCs, operating upstream of either the TLR adaptor protein MyD88 for DNA, or the RLR adaptor MAVS for RNA (22,23). Therefore, we also tested whether suppression of DHX9 expression impacted DNA and RNA sensing in monocytes. Cytokine production was assessed from THP-1 cells transfected with two types of immune stimulatory DNA to activate cytosolic DNA sensing pathways, and also with cGAMP, which is a direct ligand for STING, the adaptor protein for cGAS. Surprisingly, there was no significant difference in RANTES or IP10 production from cells expressing DHX9 shRNA compared with cells expressing NSC shRNA for any of the agonists tested (Fig. 4, A and B), suggesting no role for DHX9 in DNA sensing or in STING function in monocytes. RNA sensing was examined by stimulating cells with Sendai

DHX9 regulates innate immune cytokine induction
virus, whose defective interfering particles are sensed by RLRs in human cells. There was no difference in responses between NSC cells and two lines expressing DHX9 shRNA, except in the case of IL-6, where potent inhibition was observed (Fig. 4, C-F). These results suggest that DHX9 does not function as a nucleic acid sensor in human monocytes, but rather has more "downstream" gene-specific roles. Of note, we found that IL-6 production by all ligands tested (TLR2, TLR8, TLR4, and RNA virus) depended on DHX9.

Stimulus-independent role for DHX9 in IL-6 production in human cells
We tested whether the requirement of DHX9 for IL-6 production was true in other human cell types. For this, BEAS-2B bronchial epithelial cells were used, because they produce IL-6 in response to PAMPs and pro-inflammatory cytokines. The lentiviral pTRIPZ system was again employed to generate cell lines stably expressing doxycycline-inducible DHX9 shRNAs (A7 and D11) or a NSC shRNA. Similar to THP-1 cells, doxycycline treatment strongly reduced DHX9 protein expression in the DHX9 shRNA-expressing BEAS-2B cells compared with the NSC cell line (Fig. 5A). Doxycycline-treated cells were stimulated with a range of IL-6-inducing ligands for 24 h (Pam 3 Csk 4 for TLR2 and IL-1, dsRNA for TLR3, transfected dsRNA and transfected dsDNA). In all cases, IL-6 secretion depended on DHX9 because significant inhibition of IL-6 production was seen in A7 and D11 cells compared with NSC cells for all ligands tested (Fig. 5B). Furthermore, an alternative gain-of-function approach to assessing DHX9 also provided evidence of a role for DHX9 in IL-6 production, because transfection of HeLa cells with an expression vector encoding DHX9 led to a plasmid dose-dependent enhancement of MyD88-stimulated IL-6 production (Fig. 5C). Thus, DHX9 is required for IL-6 production by diverse innate immune ligands, and in different human cell types.

DHX9 regulates the IL-6 promoter in an NF-B-dependent manner
Because production of IL-6 by every stimulus tested depended on DHX9, we focused on understanding the role of DHX9 in IL-6 regulation. DHX9 has been shown to regulate both transcription and translation (19), so we first determined whether IL-6 mRNA induction in response to TLR ligands was DHX9-dependent. In NSC THP-1 cells, TLR2 or TLR8 stimulation led to time-dependent induction of IL-6 mRNA, and for both TLR ligands this was significantly impaired in the two independent cell lines expressing DHX9 shRNA, A7 and G2 (Fig. 6, A and B). This suggested a requirement of DHX9 in transcriptional induction of the IL-6 gene. The IL-6 promoter is regulated and induced by TLRs upon activation of both p38 MAP kinase and NF-B (24), so therefore we tested whether activation of these signaling pathways by TLR2 were affected by loss of DHX9 expression. Fig. 7 shows that this was not the case, because the time course of appearance of phospho-p38 in NSC and G2 cells stimulated with TLR2 ligand was very similar. Also, NF-B activation, measured both by monitoring IB␣ degradation, and p65 phosphorylation, was normal in G2 cells (Fig. 7). These data, together with the lack of effect of suppres-sion of DHX9 expression on other TLR-dependent p38-and NF-B-regulated genes (Fig. 3) strongly suggested a role for DHX9 in IL-6 induction downstream of cytosolic signaling pathways.
We therefore next focused on the IL-6 promoter itself. To assess the direct effects of DHX9 on this promoter, an IL-6 promoter-dependent luciferase reporter was employed (Fig.  8A). Ectopic expression of DHX9 alone led to a small but significant induction of this reporter, as did expression of MyD88 (Fig. 8B). Interestingly, co-expression of DHX9 and MyD88 led

DHX9 regulates innate immune cytokine induction
to a synergistic induction of the IL-6 promoter (Fig. 8B), and this stimulation was largely reduced when the NF-B element ( Fig. 8C) but not the AP-1 element (Fig. 8D) was deleted from the IL-6 promoter. These data indicate that DHX9 has a promoter-proximal role in induction of the IL-6 promoter, which depends on the presence of the NF-B element within that promoter.
The ability of DHX9 to enhance TLR-stimulated NF-B-dependent transcription was further explored by use of a reporter gene under the control of an isolated NF-B element. Fig. 9, A and B, shows that induction of this reporter by TLR8 and TLR2 ligands was synergistically enhanced by ectopic expression of DHX9. This synergistic effect of DHX9 expression was also apparent when the NF-Bdependent reporter was induced by direct expression of MyD88 (Fig. 9C). To confirm that the positive effects of DHX9 on NF-Bdependent gene induction were proximal to NF-B at the promoter, the effect of DHX9 on direct induction of the reporter by NF-B subunit p65 was examined. Fig. 9D shows that similar to the case for MyD88 expression, direct expression of p65 induced the NF-Bde-

DHX9 regulates innate immune cytokine induction
pendent reporter, and this was synergistically enhanced by DHX9. Furthermore, the ability of p65 to transactivate a Gal4dependent promoter reporter was also positively affected by DHX9 because MyD88-dependent p65 transactivation was also synergistically enhanced by DHX9 expression (Fig. 9E). Together these data reveal a promoter-proximal role for DHX9 in stimulation of the IL-6 promoter, and of NF-Bdependent transactivation.

E3 antagonizes DHX9-dependent NF-B transactivation
Finally, we assessed the effect of expression of E3 on the ability of DHX9 to stimulate NF-B-dependent gene induction events, to determine whether E3 directly inhibited the positive effect of DHX9 on NF-Bdependent transactivation. E3

DHX9 regulates innate immune cytokine induction
expression was found to significantly suppress the ability of DHX9 to synergize with MyD88 for IL-6 production (Fig. 10A). We also found that E3 could significantly inhibit the positive effect of DHX9 on TLR8-stimulated NF-Bdependent reporter gene induction (Fig. 10B). Finally, we observed a direct effect of E3 on DHX9-dependent NF-B transactivation because E3 significantly suppressed the enhancement of p65-stimulated NF-Bdependent reporter gene induction by DHX9 (Fig. 10C). Together, these data reveal a role for DHX9 in PRR-stimulated gene regulation, and strongly sug-gest that E3 antagonizes DHX9-dependent innate immune gene induction.

Discussion
Because poxviruses target critical nodes in innate immune signaling, determining the host targets of VACV proteins with immunomodulatory properties has proved useful in elucidating in detail innate immune signaling mechanisms. In this regard, E3, which is one of the most intensely studied VACV proteins, has multiple effects on host cells, many of which cannot be explained by the known cellular targets of E3. Here we identify DHX9 as a new target for E3 in human cells, and propose that E3 antagonism of DHX9 function is a viral strategy to modulate innate immune cytokine production, and in particular to suppress IL-6 induction.
DHX9 belongs to the DExD/H-box family of proteins, originally shown to function in RNA metabolism, but now known to have broad roles in viral replication, innate immunity, cell signaling, and gene induction (19). DHX9 is a case in point, having been shown to bind both ssRNA and ssDNA, to unwind doublestranded nucleic acids (25,26), to sense both dsDNA and dsRNA in DCs (22,23), to shuttle between the cytoplasm and nucleus (27), and to participate in transcription and translation of both cellular and retroviral mRNAs (28,29). In fact, many viruses are reported to hijack DHX9 and use it to enhance viral replication, transcription, and translation, including influenza A virus, HIV-1, human T cell leukemia virus type 1, foot-andmouth disease virus, and hepatitis C virus (30 -34).
However, VACV E3 represents the first definitive example of viral antagonism of DHX9 to suppress PRR-stimulated cytokine induction. Interestingly, DHX9 has been identified as a substrate for PKR, the best-defined protein target of E3 (35). Phosphorylation of DHX9 by PKR antagonized the capacity of DHX9 to stimulate transactivation of HIV-1 genes (35,36). Whether E3 can bind PKR and DHX9 simultaneously, or whether DHX9 has a role in VACV gene transactivation or VACV replication, remains to be determined. There is a real possibility that DHX9 has a role in VACV replication because it has been shown that for the poxvirus myxoma virus, DHX9 is a pro-viral effector that promotes viral replication in THP-1 cells (37). That study also showed that the myxoma virus protein M029, which is a truncated orthologue of E3, targeted DHX9 to conscript the host helicase for proviral effects (37). Targeting of DHX9 by two distinct but related poxviral proteins attests to the importance of this viral-host protein interaction through evolution. Furthermore, M029 lacks the N-terminal DNABD found in E3, but has an intact C-terminal DSRM (38), consistent with the fact that we found that E3 interacts with DHX9 via the DSRM and not the DNABD (Fig. 2E). Although both E3 and DHX9 can bind to RNA, benzonase treatment of cell lysates to degrade nucleic acids did not prevent the E3-DHX9 interaction (data not shown) suggesting that it is not dependent on RNA.
Examining the role of E3 in isolation in human monocytes allowed us to directly assess the effect of E3 on PRR-stimulated cytokine induction, and to subsequently implicate DHX9 in specific E3-antagonized pathways. This showed that E3 expression very effectively inhibited PRR-stimulated IL-6 production, which required DHX9. VACV E3 was previously demonstrated

DHX9 regulates innate immune cytokine induction
to inhibit IL-6 induction in infected cells by an unidentified largely PKR-independent mechanism (16). E3 targeting of IL-6 in vivo is likely important because IL-6 -deficient mice have been reported to support up to a 1000-fold greater viral replication in the lungs, due to a defective cytotoxic T cell response against VACV (39). One mechanism revealed, which could explain the role for DHX9 in IL-6 induction, was enhancement of NF-Bdependent promoter transactivation, which was shown to be directly antagonized by E3 (Fig. 10). The ability of DHX9 to enhance IL-6 promoter induction was largely dependent on the presence of the NF-B element within that promoter (Fig. 8), and that DHX9 acts very proximal to NF-B was shown by the fact that DHX9 enhanced NF-Bdependent reporter gene expression initiated by direct expression of the p65 NF-B subunit (Fig. 9D). In fact, the ability of a p65-Gal4 fusion protein to transactivate a Gal4-dependent promoter was also synergistically enhanced by DHX9 expression (Fig. 9E). The precise mechanism by which DHX9 facilitates this transcriptional activity of NF-B has yet to be fully elucidated. DHX9 has been shown to mediate an association between the coactivator CREB-binding protein (CBP) and RNA polymerase II (40), and NF-B p65 mediates maximal IL-6 promoter activation via CBP for at least some ligands that induce IL-6 (41).
Furthermore, DHX9 has been identified as an interaction partner for p65, and capable of enhancing NF-B dependent reporter gene expression induced by p65, TNF␣, or NIK (42). Specifically, DHX9 was shown to associate with the transactivation domain of p65 (42). Also, DHX9 can interact with RNA polymerase II to enhance CBP-dependent transcription (43). Therefore, it is likely that in the case of the IL-6 promoter, PRR-stimulated NF-Bdependent promoter stimulation, via CBP, requires, or is enhanced by, the presence of DHX9 proximal to NF-B and CBP on the promoter.
A second function for DHX9 revealed by E3 antagonism of PRR-stimulated cytokine production was in the induction of TLR8-dependent cytokines. In contrast to the case for IL-6, this function seemed to be stimulus-and not promoter-specific because although DHX9 was required for maximal CL075stimulated TNF␣, IP10, and RANTES production, and each of these were inhibited by E3, DHX9 was not required for, and E3 did not inhibit, TLR2-dependent production of these cytokines (Fig. 3). The mechanism whereby DHX9 contributes to TLR8dependent cytokine induction is not clear, and there are a number of possibilities. Because all the genes tested do have NF-Bbinding elements in their promoters, it could be that TLR8-stimulated NF-Bdependent genes are more dependent on an NF-B⅐DHX9⅐CBP complex than similar genes induced by TLR2, but this seems unlikely. Another possibility is that DHX9 here has a cytosolic role in TLR8 signaling, and cytosolic roles for DHX9 in innate immune signaling have been proposed previously, in terms of nucleic acid sensing (22). In fact, Kim et al. (22) showed that DHX9 could interact with MyD88, which they interpreted as MyD88 being an adaptor protein for DHX9-dependent dsDNA sensing. It is therefore possible that a DHX9-MyD88 interaction may enhance endosomal TLR signaling (for example, by TLR8) but not be required for cell membrane TLR signaling (for example, by TLR2).
Finally, in contrast to previous reports in DCs (22,23), we found no role for DHX9 in nucleic acid sensing in monocytes, although as expected from our IL-6 promoter studies, RNA virus-stimulated IL-6 production was DHX9-dependent (Fig.  4D). In fact, one of the key genes used as a readout of nucleic acid sensing in the studies in DCs was IL-6. Because we found a stimulus-and cell-independent role for DHX9 in IL-6 induction (e.g. Fig. 5), at least some of the data implicating DHX9 as an innate immune nucleic acid sensor of both dsDNA and dsRNA could be re-interpreted in the context of a role for DHX9 in IL-6 promoter induction. In conclusion, our study demonstrates a broad role for DHX9 in innate immune cytokine regulation and reveals a new mechanism whereby VACV, via E3, disrupts innate immunity by targeting DHX9.

DHX9 regulates innate immune cytokine induction Generation of THP-1 cells stably expressing E3
E3 was subcloned from pCMV-HA into pMSCVneo (pMSCV-E3). HEK293T cells were transfected with 4 g of pMSCV-E3, 1 g of VSVg, and 1 g of Gag-pol. Cells were also transfected with pMSCV empty vector (pMSCV-EV), VSVg, and Gag-pol. The supernatants were collected and then THP-1 cells were transduced with the retroviral supernatants using 0.5 g of Polybrene. Selection of the cells was carried out using 1 mg/ml of G418. After selection, lysates of pMSCV-EV-and pMSCV-E3-infected THP-1 cells were generated and the expression of E3 was tested by immunoblotting for HA.

Generation of cells inducibly expressing DHX9 shRNA
To generate THP-1 and BEAS-2B cells stably expressing doxycycline-inducible shRNA, shRNA encoding-lentiviruses were first generated in HEK293T cells. DHX9-targeting shRNA pTRIPZ vectors (Thermo Scientific Open Biosystems), and a NSC shRNA designed with minimal homology to known mammalian genes were used. HEK293T cells were transfected with 4 g of shRNA-expressing pTRIPZ vector, 3 g of psPAX2, and 1 g of pMD2. 48 h later, the supernatants were harvested and replaced with fresh media. The lentivirus-containing supernatants were centrifuged and then filtered through 0.45-m filters. They were stored at 4°C until use. The supernatants were harvested again at 72 h, centrifuged, and filtered. THP-1 or BEAS-2B cells were seeded at 2 ϫ 10 6 cells per 10-cm plate. 24 h later, THP-1 cells were centrifuged at 1000 ϫ g for 5 min and resuspended in 50% (v/v) complete RPMI (5 ml) and 50% (v/v) lentivirus supernatant medium (5 ml) with 4 g of Polybrene. Adherent BEAS-2B cells had their supernatant pipetted off and then 50% (v/v) complete Dulbecco's modified Eagle's medium and 50% (v/v) lentivirus supernatant (with Polybrene) was gently added to the cells. The cells were incubated at 37°C for 48 h. The transduction step was then repeated in the absence of Polybrene. After a further 48 h, the cells were selected by the addition of 1 g/ml of puromycin. The cells were then left for 5-7 days at 37°C and tested for shRNA expression. shRNA expression was assayed by incubating the cells in 1 g/ml of doxycycline for 24, 48, and 72 h and looking for expression of green fluorescent protein by fluorescent microscopy. After confirmation of green fluorescent protein expression upon the addition of doxycycline, DHX9 protein and mRNA knockdown were assayed. A total of eight clones were tested and the three clones (A7, G2, and D11) found to give the most effective knockdown of DHX9 mRNA and protein were later employed, alongside the NSC cell line. The targets sequences of the DHX9 shRNAs were: A7, 5Ј-ATGACATAAACAACATCGT-3Ј, G2, 5Ј-TGCACTTCTTGTTCTTCCT-3Ј, and D11, 5Ј-TTCGT-TCAATTGAGACATG-3Ј).
For E3-DHX9 interaction studies in HEK293T cells, E3-expressing vectors were transfected into cells using GeneJuice (Novagen). 48 h following transfection, the cells were lysed with 1% (v/v) NP-40 lysis buffer. Lysates were pre-cleared using a 50% (v/v) slurry of protein A-Sepharose beads (Sigma) and then immunoprecipitated with the appropriate antibody. To examine E3-DHX9 interaction in virally-infected human monocytes, 100 million undifferentiated THP-1 cells were infected with VACV for 16 h. Cells were then lysed in lysis buffer containing 50 mM Hepes, 1 mM EDTA, 10% glycerol, 1% Nonidet P-40, 300 mM NaCl together with 10 l/ml of aprotinin, 1 mM phenylmethylsulfonyl fluoride, and 1 mM sodium orthovanadate. Clarified lysates were immunoprecipitated using either 1.6 g of anti-DHX9 antibody (Novus Biologicals catalog number NB110-40579) or 1.6 g of rabbit IgG. Resulting immunoprecipitates were subjected to SDS-PAGE and immunoblotted for either E3 or DHX9.

Analysis of E3 protein interactome
Murine embryonic fibroblasts were infected with VACV or ⌬E3L and 24 h later cell lysates were prepared and immunoprecipitated with anti-E3 Ab. Lysates were then subjected to SDS-PAGE and Coomassie staining. Gel slices were prepared, and proteins in gel slices were reduced by treatment with DTT and then alkylated by treatment with iodoacetamide. Gel slices were then subject to trypsin digest and peptides were eluted. Peptides were identified by LC-MS by FingerPrints Proteomics (University of Dundee, UK).

Reporter gene assays
Cells were seeded in 96-well plates (HeLa cells at 0.5 ϫ 10 5 cells/ml, HEK293 cells at 1 ϫ 10 5 cells/ml) and transfected 24 h later with expression vectors and luciferase reporter genes indicated in the figure legends, using GeneJuice. In all cases, 20 ng/well of phRL-TK reporter gene was cotransfected to nor-DHX9 regulates innate immune cytokine induction malize data for transfection efficiency. For IL-6 promoter or NF-B reporter gene assays, 60 ng of reporter gene was used. For the p65 transactivation assay, 3 ng of a vector encoding p65-Gal4 fusion protein was used in combination with 60 ng of pFR-luciferase reporter. The total amount of DNA per transfection was kept constant at 230 ng by addition of pCMV empty vector. Cells were lysed in Passive Lysis Buffer (Promega) and whole cell lysates were analyzed for luciferase activity. Firefly luciferase activity was normalized to Renilla luciferase activity, and data are expressed as the mean fold-induction, relative to control levels, for a representative experiment performed in triplicate.

Statistical analysis
All data were analyzed with GraphPad Prism version 5.02 software. Statistical analysis was performed using the twotailed unpaired Student's t test.