key: cord-0277968-y1kxyv0q authors: Spirhanzlova, Petra; Sébillot, Anthony; Vancamp, Pieter; Gothié, Jean-David; Mével, Sébastien Le; Leemans, Michelle; Wejaphikul, Karn; Meima, Marcel; Mughal, Bilal B.; Butruille, Lucile; Roques, Pierre; Remaud, Sylvie; Fini, Jean-Baptiste; Demeneix, Barbara A. title: ZIKA virus effects on neuroprogenitors are exacerbated by the main pyriproxyfen metabolite via thyroid hormone signaling disruption date: 2020-11-03 journal: bioRxiv DOI: 10.1101/2020.11.03.366468 sha: 5e04ec0ae72574416130295e746e209779fd4841 doc_id: 277968 cord_uid: y1kxyv0q North-Eastern Brazil saw intensive application of the insecticide pyriproxyfen (PPF) during the microcephaly outbreak caused by Zika virus (ZIKV). ZIKV requires the neural RNA-binding protein Musashi-1 to replicate. TH represses MSI1. Being a suspected TH disruptor, we hypothesized that co-exposure to the main metabolite of PPF, 4’-OH-PPF, would exacerbate ZIKV effects through increased MSI1 expression. This was tested using in vitro mouse neurospheres and an in vivo TH signaling reporter model, Xenopus laevis. TH signaling was decreased by 4’-OH-PPF in both models. In mouse-derived neurospheres the metabolite reduced neuroprogenitor proliferation as well as markers of neuronal differentiation. The results demonstrated that 4’-OH-PPF significantly induced MSI1 at both the mRNA and protein level, as well as Fasn mRNA. Other TH target genes were also significantly modified. Importantly, several key genes implicated in neuroprogenitor fate and commitment were not dysregulated by 4’-OH-PPF alone, but were in combination with ZIKV infection. These included the neuroprogenitor markers Nestin, Egfr, Gfap, Dlx2 and Dcx. Unexpectedly, 4’-OH-PPF decreased ZIKV replication, although only at the fourth and last day of incubation, and RNA copy numbers stayed within the same order of magnitude. However, intracellular RNA content of neuroprogenitors was significantly decreased in the combined presence of the PPF metabolite and ZIKV. We conclude that 4’-OH-PPF interferes with TH action in vivo and in vitro, inhibiting neuroprogenitor proliferation. In the presence of ZIKV, TH signaling pathways crucial for cortical development are significantly impacted. This provides another example of viral effects that are exacerbated by drug or pesticide use. Significance statement In 2015, an increase in children born with unusually small heads (microcephaly) in North-Eastern Brazil was linked to infection with the ZIKA virus. An insecticide with thyroid hormone disruptive properties was used in the same areas. We investigated whether simultaneous exposure to the insecticide could increase viral susceptibility. The main metabolite 4’-OH-PPF dysregulated thyroid hormone signaling pathways crucial for brain development in both models used. Neural stem cells proliferated less and contained more Musashi-1, a protein the virus needs to replicate. Infecting stem cells pre-exposed to the endocrine disruptor did not amplify viral replication, but aggravated expression of genes implicated in brain development. Our results suggest the insecticide is particularly deleterious to brain development in areas with ZIKA virus prevalence. Multiple lines of evidence link infection by the ZIKA virus (ZIKV) to congenital Zika syndrome 83 and the increased cases of neonatal microcephaly in Central and South America starting from early 84 2015 (1) (2) (3) (4) (5) . Experiments on human brain organoids and neurospheres showed that neural stem cells 85 (NSCs) are a direct target of ZIKV (6). ZIKV reduced proliferation, altered fate choice, increased cell 86 death and decreased neuronal cell layer volumes (7, 8) . ZIKV infection in mice led to smaller brains 87 with thinner cortical layers and associated neurological disabilities by interfering with the cellular 88 processes required for normal brain development (9). Remarkably, a few regions in North-Eastern Brazil showed a much higher prevalence of ZIKV-90 associated microcephaly than others, prompting the question as to whether other factors could be linked 91 to this regional effect (10, 11). It has been suggested that the use of the pesticide pyriproxyfen (PPF), 92 a juvenile hormone analog, approved worldwide for use against household insects and in agriculture 93 (12, 13) , could be implicated in the rise of microcephaly cases (3, (14) (15) (16) . High amounts of PPF were 94 used in the same northeastern region where most ZIKV cases associated with microcephaly were found 95 (17, 18) . This could be yet another example of drug or pesticide exacerbating the effects of viral infection 96 (19, 20) . Even though a small cohort (< 80 cases) did not find a link between PPF and congenital 97 microcephaly (3), it remains to be experimentally investigated whether or not the pesticide could be 98 implicated in the microcephaly outbreak (15). PPF was first introduced into Brazilian drinking water in late 2014 to control the Aedes aegypti 100 mosquito population, the vector for the dengue and the ZIKA viruses. The WHO recommended that 101 daily intake of PPF should not exceed 0.3 mg/L for an average adult, and advised that the concentration 102 of PPF in drinking water containers should be lower than 0.01 mg/L (13). The main pathway of PPF 103 metabolism is hydroxylation at the 4'-position, producing principally 4'-OH-PPF in both vertebrates and 104 invertebrates (13, (21) (22) (23) . PPF is documented to be rapidly taken up and metabolized, resulting in low 105 bio-concentrations of the parent compound circulating in the organism (21). We therefore hypothesized 106 that 4'-OH-PPF rather than PPF could be the main compound acting in vivo. We decided thus to carry 107 out our experiments using the PPF main metabolite 4'-OH-PPF. In 2017, Chavali et al. found that the RNA binding protein Musashi-1 (MSI1) is indispensable 109 for ZIKV replication. MSI1 is an important translational regulator in NSCs in both vertebrates and 110 invertebrates (24). Interestingly, we previously showed that this gene is downregulated in vivo in the 111 murine subventricular zone (SVZ) by T3/thyroid hormone (TH) receptor α (TRα), when progenitors 112 commit to the neuroblast lineage (25). THs regulate many brain developmental processes including cell 113 proliferation, migration and differentiation to acquire the characteristic brain cyto-architecture (26, 27) . In severe cases of hypothyroidism, disruption of these processes also leads to smaller brains and 115 aberrant cortical layer formation (28). Considering that PPF was previously shown to interfere with 116 thyroid-responsive endpoints in the amphibian metamorphosis assay and the male and female pubertal 117 rat assays (29), we questioned if co-exposure to the two factors -4'-OH-PPF and ZIKV -promoted 118 increased viral replication. We tested whether 4'-OH-PPF exposure could inhibit TH action, by increasing MSI1 expression 120 and as such perturb NSC properties and replication. We used two TH model systems, Xenopus laevis 121 5 tadpoles and adult mouse SVZ neuroprogenitors. In Xenopus laevis, we studied TH-disruptive effects 122 in vivo using the XETA-assay, msi1 expression as well as various morphometric and behavioral 123 endpoints (30, 31 132 tadpoles were exposed to an environmentally-relevant dose range of 4'-OH-PPF in the presence or 133 absence of 5 nM T3 using the XETA assay. Control tadpole brains showed low basal fluorescence under 134 physiological conditions (Fig 1A, left panel) . As expected, adding 5 nM T3 strongly increased eGFP 135 transcription, resulting in increased fluorescent activity (Fig 1A, middle panel) . When simultaneously 136 exposing to 4'-OH-PPF and T3, the fluorescent signal strongly decreased (Fig 1A, right panel) . Testing 137 the fluorescent signal in each condition with a specific concentration of 4'-OH-PPF + T3 showed the 138 fluorescence in brains to be significantly reduced (Fig 1B, C , 0.05