key: cord-0903344-4dzj4ii1 authors: Rahman, Kazi; Datta, Siddhartha A.K.; Jolley, Abigail A.; Compton, Alex A. title: Cholesterol binds the amphipathic helix of IFITM3 and regulates antiviral activity date: 2022-04-21 journal: bioRxiv DOI: 10.1101/2022.04.21.488780 sha: a3f9d3b5f855ba32d5659b8ab28d8e4126adf5f6 doc_id: 903344 cord_uid: 4dzj4ii1 The interferon-induced transmembrane (IFITM) proteins broadly inhibit the entry of diverse pathogenic viruses, including Influenza A virus (IAV), Zika virus, HIV-1, and SARS coronaviruses by inhibiting virus-cell membrane fusion. IFITM3 was previously shown to disrupt cholesterol trafficking, but the functional relationship between IFITM3 and cholesterol remains unclear. We previously showed that inhibition of IAV entry by IFITM3 is associated with its ability to promote cellular membrane rigidity, and these activities are functionally linked by a shared requirement for the amphipathic helix (AH) found in the intramembrane domain (IMD) of IFITM3. Furthermore, it has been shown that the AH of IFITM3 alters lipid membranes in vitro in a cholesterol-dependent manner. Therefore, we aimed to elucidate the relationship between IFITM3 and cholesterol in more detail. Using a fluorescence-based in vitro binding assay, we found that a peptide derived from the AH of IFITM3 directly interacted with the cholesterol analog, NBD-cholesterol, while other regions of the IFITM3 IMD did not. In addition, a peptide spanning a putative cholesterol recognition motif proximal to the transmembrane domain of IFITM3 exhibited minor cholesterol binding activity. Importantly, previously characterized mutations within the AH of IFITM3 that strongly inhibit antiviral function (F63Q and F67Q) disrupted AH structure and inhibited cholesterol binding. Our data suggest that direct interactions with cholesterol may contribute to the inhibition of membrane fusion pore formation by IFITM3. These findings may facilitate the design of therapeutic peptides for use in broad-spectrum antiviral therapy. Interferon-induced transmembrane (IFITM) proteins belong to a family of small transmembrane proteins known to interfere with diverse membrane fusion events important for human physiology (Coomer et al., 2021; Shi et al., 2017) . IFITM proteins inhibit the cellular entry step of many enveloped viruses pathogenic to humans, like Influenza A virus (IAV), Ebola virus (EBOV), Dengue virus (DENV), SARS coronaviruses, and HIV-1 (Majdoul and Compton, 2021) . IFITM3 is the most characterized family member owing to its antiviral potency and its links to genetic susceptibility to infection in human populations (Zhao et al., 2018) . Previous research has shown that IFITM3 inhibits the virus-cell membrane fusion process by blocking fusion pore formation, a terminal step of the entry process that enables access of enveloped virions to the host cell cytoplasm (Desai et al., 2014; Li et al., 2013) . We recently demonstrated that an amphipathic helix (AH) in the amino terminus of IFITM3 (Chesarino et al., 2017) confers IFITM3 with the ability to alter the biomechanical properties of membranes in living cells (Rahman et al., 2020) . Specifically, IFITM3 decreases membrane fluidity (increases membrane rigidity) in living cells in an AH-dependent manner (Rahman et al., 2020) . This was confirmed in vitro by showing that a peptide corresponding to the AH of IFITM3 is sufficient to promote membrane rigidity in artificial membranes, and interestingly, the AH requires membrane cholesterol in order to alter membranes (Guo et al., 2021) . Furthermore, a sterol binding antibiotic, Amphotericin B, negates the antiviral activity of IFITM3 (Lin et al., 2013) and prevents membrane stiffening by IFITM3 (Rahman et al., 2020) . These reports indicate that the AH and cholesterol are important for the functions of IFITM3, but the relationship between them is poorly understood. Establishing how IFITM3 interacts with and influences the membrane microenvironment is key to understanding how it inhibits membrane fusion pore formation. Cholesterol is a key regulator of the biomechanical properties of lipid bilayers and is known to influence the cell entry step of enveloped viruses (Chernomordik and Kozlov, 2003; Teissier and Pécheur, 2007) . A link between IFITM3 and cholesterol was first raised by showing that IFITM3 disrupts the function of VAMP-associated Protein A (VAPA), a protein controlling cholesterol transport between the endoplasmic reticulum and late endosomes/multivesicular bodies (Amini-Bavil-Olyaee et al., 2013) . As a result, IFITM3 triggers cholesterol accumulation within late endosomes. However, the relevance of this phenotype to the antiviral mechanism of IFITM3 remains unclear. Some studies have shown that inhibition of the cholesterol transporter NPC1, which results in intraendosomal accumulation of cholesterol, blocks infection by IAV, EBOV and DENV at the entry stage (Carette et al., 2011; Kühnl et al., 2018; Poh et al., 2012) . However, other studies have reported that cholesterol redistribution to late endosomes is not sufficient to phenocopy the block to infection mediated by IFITM3 (Desai et al., 2014; Lin et al., 2013; Wrensch et al., 2014) . Therefore, it is possible that both IFITM3 and cholesterol must be present in the same membranes for virus entry inhibition to occur. In this report, we reconcile previously conflicting pieces of evidence by showing that IFITM3 directly interacts with cholesterol. This interaction is dictated primarily by the AH, but a downstream cholesterol recognition motif (CARC) also contributes to cholesterol binding potential. We show that previously described loss-of-function mutations in the AH of IFITM3 disrupt helix formation and result in loss of cholesterol binding. These findings allow for an updated model of antiviral function for IFITM3, one in which the interaction of IFITM3 with its lipid environment alters the biomechanical properties of membranes to disfavor fusion pore formation at membranes serving as entry portals for virus infection. We generated peptides corresponding to regions of IFITM3, including the intramembrane domain (IMD) and the cytoplasmic intracellular loop (CIL), and tested them for cholesterol binding potential by measuring fluorescence spectroscopy of NBD-cholesterol (Wustner, 2007) ( Figure 1A) . Following excitation at 470 nm, this sterol analog emits fluorescence when bound by protein or peptide, but it does not in the unbound state. We mixed increasing concentrations of peptide with a fixed amount of NBD-cholesterol (500 nM) in NP-40-containing buffer, which is inferior to its critical micelle concentration (700 nM) (Avdulov et al., 1997) . Therefore, under these conditions, NBD-cholesterol is not predicted to form micelles. As a result, NBD fluorescence most likely indicates a direct interaction between NBD-cholesterol and peptide in solution. As positive and negative controls for NBD-cholesterol binding, we used peptides derived from rotavirus NSP4 that were previously shown to possess or lack cholesterol binding potential (referred to as NSP4(+) or NSP4(-), respectively) ( Table 1 ) (Schroeder et al., 2012) . Relative to these controls, we found that a peptide spanning the IMD and CIL domains of IFITM3 (amino acids 56-107, referred to as P1) enhanced NBD-cholesterol fluorescence intensity in a dosedependent manner (Figure 1B-C) . To map the region capable of NBD-cholesterol binding, we generated smaller peptides covering the IMD (referred to as P2 and P3) or the CIL (referred to as P4) (Table 1 and Figure 1B) . As observed for P1, NBD-cholesterol fluorescence intensity was enhanced by P2 but not by P3 or P4 ( Figure 1C) . These results demonstrate that the region conferring cholesterol binding potential is found within a portion of the IMD of IFITM3 corresponding to amino acids 56-69. Notably, this region encompasses the AH of IFITM3 (defined as amino acids 59-68 (Chesarino et al., 2017) ). In contrast to NBD-cholesterol, the fluorescence of NBD-phosphatidylethanolamine (PE) was not significantly enhanced by P2 (Figure 1D) , suggesting that lipid binding by the AH of IFITM3 is selective for cholesterol. As a complementary approach to measuring peptide-lipid interactions, we assessed how intrinsic tryptophan fluorescence (Vivian and Callis, 2001) of P2 was affected by the presence of NBD-cholesterol. P2 contains a single tryptophan at amino acid 60 (W60), and fluorescence emission was detected by spectroscopy. In contrast, mutant P2 containing W60A was not fluorogenic (Supplemental Figure 1A) . NBD-cholesterol has a minor excitation peak between 300 and 400 nm, and thus may absorb energy emitted by tryptophan as a result of Forster Resonance Energy Transfer (FRET) (Loura et al., 2001) . Accordingly, we found that intrinsic tryptophan fluorescence of P2 resulted in FRET to NBD-cholesterol, while FRET to NBD-PE was minor (Supplemental Figure 1B) . This was accompanied by a decrease in tryptophan fluorescence of P2 in the presence of NBD-cholesterol, but not in the presence of NBD-PE (Supplemental Figure 1C) . These results are strongly suggestive of a direct and selective interaction between P2 and cholesterol. To identify specific determinants for cholesterol binding within the AH of IFITM3, we introduced mutations into the P2 peptide (Figure 2A ). F63Q and F67Q correspond to previously characterized mutations that result in near-complete loss of antiviral activity against IAV (Chesarino et al., 2017) . Furthermore, F63Q was shown to abolish the capacity for an IFITM3 peptide to alter membranes in vitro (Guo et al., 2021) . We confirmed that IFITM3 containing F63Q or F67Q exhibited a significant loss in antiviral activity against IAV compared to IFITM3 WT following transfection into cells, while IFITM3 lacking the entire AH (∆59-68) was completely inactive (Supplemental Figure 2A-B) . We found that, compared to P2 peptide containing the WT AH of IFITM3, introduction of F63Q or F67Q strongly reduced NBDcholesterol binding ( Figure 2B ). To confirm that these findings are most likely the result of direct peptide-cholesterol interactions, we examined fluorescence polarization of NBDcholesterol as a function of peptide binding. Fluorescence polarization is performed by exciting reaction mixtures with plane-polarized light and recording the degree of depolarization of emitted light. Small fluorescent molecules in aqueous solution rotate or "tumble" very quickly and assume various orientations, resulting in a high degree of depolarization of emitted light. However, upon association with a larger intermolecular complex, rotation and orientation changes are reduced, and emitted light is more polarized in nature. Consistently, P2 enhanced NBD-cholesterol fluorescence polarization in a dose-dependent manner while peptides containing F63Q or F67Q only did so modestly ( Figure 2C) . These results suggest that phenylalanines within the AH of IFITM3 are crucial determinants for cholesterol binding. Experiments performed with decreased concentrations of peptide and decreased concentration of NBD-cholesterol (50 nM) resulted in the same differential pattern of cholesterol binding among peptides, further ruling out a confounding effect of non-specific peptide-micelle interactions (Supplemental Figure 2C) . We also produced a shorter version of the P2 peptide (referred to as P2-) that consists solely of the AH of IFITM3 (Figure 2A ) and we observed a similar enhancement of NBD-cholesterol fluorescence polarization ( Figure 2D ). These results further refine the cholesterol binding footprint of IFITM3 to amino acids 59-68 in the IMD (the AH itself). To better understand how F63Q and F67Q interfere with the cholesterol binding potential of the AH, we assessed the impact of these mutations on peptide secondary structure using circular dichroism (CD). The CD spectra obtained for P2 and P2-, which possessed a similarly high capacity for NBD-cholesterol binding ( Figure 2D ), are consistent with substantial alphahelical character (Figure 3A ), in agreement with previous findings (Chesarino et al., 2017) . Secondary structure content analysis revealed that P2 and P2-exhibited 44% and 37% helix content, respectively ( Figure 3B ). In contrast, P2 containing F67Q presented 17% helix content and P2 containing F63Q exhibited no helical signature whatsoever ( Figure 3B ). These results suggest that the F63Q and F67Q mutations prevent proper folding of the AH, which may suggest that an intact and properly oriented helix are required for cholesterol binding. Furthermore, these findings provide a mechanistic explanation for why full-length IFITM3 containing F63Q or F67Q exhibit loss of function in cells and in artificial membranes (Chesarino et al., 2017; Guo et al., 2021 ) (Supplemental Figure 2B) . During the preparation of this manuscript, a pre-print was posted that characterized IFITM3 as a sterol-binding protein (Das et al., 2021) . The authors found that endogenous IFITM3 is among the suite of host proteins that cross-links with a cholesterol analog in human cells. Furthermore, they proposed that a region of IFITM3 proximal to the transmembrane domain (TMD) encodes a putative CARC consisting of 104 KCLNIWALIL 113 (underlined residues indicate the basic, aromatic, and aliphatic residues that define a putative cholesterol binding region, as seen in certain G-protein coupled receptors (Fantini and Barrantes, 2013) ). Deletion of this region led to partial loss of cholesterol analog binding, suggesting that this region of IFITM3 protein contributes to cholesterol binding in vivo (Das et al., 2021 ). Therefore, we tested whether a peptide overlapping with 104 KCLNIWALIL 113 conferred potential for direct cholesterol binding in vitro. As shown in Figure 1 , P4 peptide exhibits little to no cholesterol binding activity ( Figure 1A -B). However, the inclusion of the putative CARC motif in P4+ led to increased cholesterol binding relative to P4 ( Figure 4A -C). Therefore, the 104 KCLNIWALIL 113 motif in IFITM3 also exhibits cholesterol binding potential. Nonetheless, the impact of P4+ on NBD-cholesterol fluorescence is modest compared to that of P2, suggesting that P4+ binds cholesterol relatively weakly ( Figure 4C ). Sequence analysis of IFITM3 orthologs in diverse vertebrate species revealed that the AH is more highly conserved than the CARC ( 104 KCLNIWALIL 113 ) region ( Figure 4D) . Notably, the latter is not conserved between human and mouse IFITM3. Since IFITM3 performs important antiviral activities in both species in vivo (Bailey et al., 2012; Everitt et al., 2012) , this CARC motif may not be essential for antiviral function. Therefore, while our data suggest that IFITM3 contains at least two membrane-proximal regions capable of interacting with cholesterol, the AH is functionally dominant. By showing that IFITM3 exhibits direct cholesterol binding potential via at least two membrane proximal domains (the AH and a CARC motif near the TMD), our results suggest that IFITM3 interacts with this lipid during its transit through and residency within cellular membranes. Indeed, endogenous IFITM3 has been shown to associate with a cholesterol analog in cells following cross-linking (Das et al., 2021) . However, since cross-linking is not necessarily indicative of a direct interaction, our results showing the direct binding of cholesterol by IFITM3-derived peptides in vitro provides an important confirmation of this phenomenon but also identified the protein domain(s) responsible. Since we found that the AH is a major contributor to the direct cholesterol binding potential of IFITM3, this discovery provides a considerable leap forward in our efforts to build a molecular model for how IFITM3 inhibits fusion pore formation between viral and cellular membranes. Previous work from our laboratory and others has shown that the AH is critical for the antiviral functions of IFITM3, and that it is alone responsible for membrane alterations that block virus entry (rigidity and curvature) (Chesarino et al., 2017; Guo et al., 2021; Rahman et al., 2020) . Therefore, our results raise the likely scenario that cholesterol engagement by the AH is functionally tied to its ability to alter membranes in a manner that disfavors fusion between virus and cell. The link between cholesterol binding by the AH and its known functions is supported by the fact that F63Q and F67Q mutations, which were previously shown to cause loss of function of IFITM3 in cells and in artificial membranes (Chesarino et al., 2017; Guo et al., 2021) , dramatically reduce cholesterol binding. The AH is conserved among human IFITM family members, but distinct antiviral specificities have been demonstrated for IFITM1, IFITM2, and IFITM3. This is due, at least in part, to their differential subcellular localization. For example, IFITM1 is primarily located at the plasma membrane while IFITM2 and IFITM3 accumulate in endosomal membranes following endocytosis from the cell surface (Shi et al., 2017) . We predict that IFITM1 and IFITM2 also engage cholesterol at their respective locations, and this may contribute to the block of virus entry at those sites. Nonetheless, the trafficking of IFITM proteins is dynamic and controlled by post-translational modifications, including phosphorylation and S-palmitoylation (Chesarino et al., 2014b) . The phosphorylation of IFITM3 negatively regulates its internalization from the plasma membrane by preventing endocytosis (Chesarino et al., 2014a; Compton et al., 2016; Jia et al., 2012) . Furthermore, mutations in IFITM3 that prevent endocytosis similarly result in enhanced plasma membrane localization. IFITM3 at the cell surface performs important roles ranging from inhibition of HIV-1 infection (Compton et al., 2014; Compton et al., 2016; Lu et al., 2011) to promotion of PI3K signaling (Lee et al., 2020) . Interestingly, depletion of IFITM3 from cells disrupts the formation of cholesterol-rich lipid rafts (Lee et al., 2020) , which are important for both of these processes. Moreover, IFITM3 at the cell surface has been shown to promote infection of SARS-CoV-2, a virus that depends on cholesterol for entry into cells (Shi et al., 2020) . Therefore, it will be interesting to ascertain how cholesterol binding contributes to the various functions, antiviral or otherwise, ascribed to IFITM3 and related IFITM proteins. In addition to a role played by cholesterol in the effector functions of IFITM3, the lipid may indirectly influence function by affecting the conformation and stability of IFITM3 in membranes. S-palmitoylation (the covalent addition of palmitic acid, a fatty acid) at conserved cysteines in IFITM proteins has been shown to facilitate membrane anchoring and extend protein half-life (Yount et al., 2012; Yount et al., 2010) , but how cholesterol may affect IFITM3 localization and/or stability is unknown. It is unlikely that cholesterol binding itself impacts the degree to which IFITM3 is palmitoylated in cells, because it was previously shown that IFITM3 F67Q exhibits a similar degree of S-palmitoylation compared to WT (Chesarino et al., 2017) . Therefore, the processes of S-palmitoylation and cholesterol binding are likely to be independent of one another, but their functional impacts may be additive in the context of full-length IFITM3 protein. While we do not know how cholesterol binding by the AH of IFITM3 may regulate its functions, work performed on similar helices identified in other proteins provide important clues and future directions. For example, the M2 protein of IAV encodes an AH that also exhibits cholesterol binding activity (Ekanayake et al., 2016; Elkins et al., 2017; Martyna et al., 2020) . In fact, the aromatic rings of membrane-facing phenylalanines within the AH are believed to play an important role in the M2-cholesterol interaction (Ekanayake et al., 2016) . As a result, cholesterol binding by the AH of M2 increases its depth in lipid bilayers as well as its orientation and promotes membrane rigidity and curvature necessary for virus budding from the plasma membrane. Therefore, we suspect that engagement of cholesterol by the AH of IFITM3 similarly increases its penetrative depth and positioning within membranes and confers it with a greater capacity to stiffen and bend membranes during the virus-cell membrane fusion reaction. In fact, in the aforementioned pre-print posted during preparation of this manuscript, the authors used molecular simulations to suggest that cholesterol affects the positioning of the AH of IFITM3 in membranes (Das et al., 2021) . Therefore, our description of the cholesterol binding potential of the AH likely contributes to this atomic-level observation. While we present clear evidence that the AH of IFITM3 is capable of binding cholesterol in a manner that requires phenylalanines, this region does not encode a clear cholesterol recognition motif (CRAC or CARC). However, this is not surprising since cholesterol binding has been demonstrated by many proteins lacking these motifs, and, importantly, the presence of these motifs does not necessarily predict cholesterol binding potential (Fantini and Barrantes, 2013; Taghon et al., 2021) . Rather, the AH of IFITM3 may correspond to a "tilted" peptide that achieves functional lipid interactions due to its angular insertion in the membrane and the presence of membrane-facing phenylalanines. On the other hand, IFITM3 contains at least one cholesterol recognition motif ( 104 KCLNIWALIL 113 ), and we show here that this site enables some degree of cholesterol binding in vitro. However, since the AH is necessary to modify membranes in living cells (Rahman et al., 2020) and sufficient to modify artificial membranes in vitro (Guo et al., 2021) , the functional consequences of cholesterol binding elsewhere in IFITM3 are unclear. Perhaps the interaction between cholesterol and 104 KCLNIWALIL 113 affects the depth and orientation of the AH in the context of the full-length IFITM3 protein, and there is some evidence to support this possibility (Das et al., 2021) . Nonetheless, 104 KCLNIWALIL 113 is not conserved in mouse IFITM3, despite being well characterized as a restriction factor against IAV in this species (Bailey et al., 2012; Everitt et al., 2012) . In contrast, the AH of IFITM3 is more highly conserved across vertebrates and is known to alter the biomechanical properties of membranes on its own. Therefore, cholesterol binding by the AH of IFITM3 may represent an important feature contributing to its evolutionary conservation. Furthermore, our work also has implications for the controversial role of VAPA as a cofactor for IFITM3 function (Amini-Bavil-Olyaee et al., 2013). Since the AH and the crucial phenylalanines at residues 63 and 67 found therein do not overlap with the region of IFITM3 that mediates an interaction with VAPA (the TMD) (Amini-Bavil-Olyaee et al., 2013), it is unlikely that mutations within the AH influence VAPA binding. While our results do not rule out that VAPA is involved in the functions of IFITM3, they indicate that accumulation of cholesterol in late endosomes per se is unlikely to be responsible for the antiviral activity of IFITM3. Instead, they suggest that the coincidence of cholesterol and IFITM3 at membrane sites serving as portals for virus entry is responsible for restriction. A model whereby IFITM3 and cholesterol are both required to inhibit fusion pore formation reconciles previously conflicting data from multiple publications. Specifically, it has been shown that enforced cholesterol accumulation in late endosomes following NPC1 inactivation variably inhibits IAV, which undergoes pH-dependent fusion at this site (Desai et al., 2014; Lin et al., 2013; Wrensch et al., 2014) . In contrast, it is possible that loss of NPC1 function in cells expressing IFITM3 may result in virus entry inhibition. This possibility was supported by showing that inactivation of NPC1 by U18666A inhibits IAV infection in IFITM3-competent cells but lesser so in IFITM3-deficient cells (Kühnl et al., 2018) . Nonetheless, direct evidence that IFITM3 function requires the presence of cholesterol demands methods that remove or inactivate cholesterol from cells. The use of methyl-beta-cyclodextrin to deplete cholesterol in IFITM3-expressing cells has been reported to have variable effects on infection (Amini-Bavil-Olyaee et al., 2013; Lin et al., 2013) . Since many viruses depend upon cholesterol for entry (including IAV) (Sun and Whittaker, 2003) , other strategies are needed in order to directly test a cholesterol requirement in the antiviral activities of IFITM3. In addition to affecting the angular depth of the AH in membranes, which may allow it to inflict change to membrane fluidity and curvature, it is possible that IFITM3 binds to and sequesters cholesterol that is ordinarily used by viral envelope glycoproteins to complete the membrane fusion reaction. Overall, the findings presented and discussed here provide an advance towards our understanding of how IFITM3 impacts membrane microenvironments. However, it remains to be determined how coordination of cholesterol contributes to the precise mechanism by which IFITM3 disfavors fusion pore formation. A coordinated effort of in silico, in vitro, and in cellulo work will be required to resolve this important question and doing so will enable the development of innovative antiviral therapies that mimic the molecular action of IFITM3. Peptides listed in Table 1 were synthesized with >98% purity by Vivitide. Lyophilized peptides were reconstituted in DMSO or 30% acetonitrile containing 0.1% TFA to produce working stocks of 1 mg/mL and were stored at -20°C. (Reitz et al., 2008) using a Tecan Infinite M1000. Fluorescence intensities obtained from NBD-cholesterol/NBD-PE alone (no peptide) were subtracted from fluorescence obtained from samples containing both NBD-Cholesterol/NBD-PE and peptide. NBD fluorescence polarization was measured in reactions as outlined above, except that reactions were incubated at room temperature for 1 h prior to excitation with plane-polarized light using a Tecan Infinite M1000 (excitation: 470 nm; emission: 540 nm). 25 μ g of peptide was lyophilized and resuspended in 10 mM sodium borate (pH 7.4), 150 mM NaCl, 3.3% ethanol and 25 mM SDS to achieve a final peptide concentration of 60 μ M and to promote a hydrophobic environment and peptide folding according to a previous report (Chesarino et al., 2017) . A solution lacking peptide was used for background correction. Spectra were acquired at 25 C in continuous mode between 200 and 250 nm on a Jasco J-1500 CD Spectropolarimeter. The spectra were recorded at a scan rate of 10 nm/min, with a data pitch of 1 nm, a bandwidth of 1 nm, and a digital integration time of 8 seconds, and were presented as averages of three acquisitions. The spectra were deconvolved to estimate the secondary structural content using PEPFIT which uses a peptide-specific basis set (Reed and Reed, 1997) . Averages of the top five deconvolved estimates for each peptide are presented. 50 μ M P2 peptide was incubated in the presence or absence of NBD-cholesterol/NBD-PE for 16 hours at 4°C and intrinsic tryptophan fluorescence was measured by fluorescence spectroscopy (excitation: 295 nm; emission: 205-300 nm) (Reitz et al., 2008) using a Tecan Infinite M1000. FRET between peptide and NBD-cholesterol/NBD-PE was measured by fluorescence spectroscopy (excitation: 295 nm; emission: 500-600 nm) using a Tecan Infinite M1000. Influenza A Virus [A/PR/8/34 (PR8), H1N1] was purchased from Charles River Laboratories. HEK293T cells (ATCC: CRL-3216) were seeded in 12-well plates and transiently transfected with plasmid amounts that resulted in approximately equivalent mean fluorescence intensities of FLAG, as determined by flow cytometry (Supplemental Figure 2A) IFITM3 sequences from the indicated species (common name shown) were retrieved from NCBI GenBank, partial amino acid alignments were generated using MUSCLE. 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