GRIM-19 Restricts HCV Replication by Attenuating Intracellular Lipid Accumulation

Gene-associated with retinoid-interferon-induced mortality 19 (GRIM-19) targets multiple signaling pathways involved in cell death and growth. However, the role of GRIM-19 in the pathogenesis of hepatitis virus infections remains unexplored. Here, we investigated the restrictive effects of GRIM-19 on the replication of hepatitis C virus (HCV). We found that GRIM-19 protein levels were reduced in HCV-infected Huh7 cells and Huh7 cells harboring HCV replicons. Moreover, ectopically expressed GRIM-19 caused a reduction in both intracellular viral RNA levels and secreted viruses in HCVcc-infected cell cultures. The restrictive effect on HCV replication was restored by treatment with siRNA against GRIM-19. Interestingly, GRIM-19 overexpression did not alter the level of phosphorylated STAT3 or its subcellular distribution. Strikingly, forced expression of GRIM-19 attenuated an increase in intracellular lipid droplets after oleic acid (OA) treatment or HCVcc infection. GRIM-19 overexpression abrogated fatty acid-induced upregulation of sterol regulatory element-binding transcription factor-1 (SREBP-1c), resulting in attenuated expression of its target genes such as fatty acid synthase (FAS) and acetyl CoA carboxylase (ACC). Treatment with OA or overexpression of SREBP-1c in GRIM-19-expressing, HCVcc-infected cells restored HCV replication. Our results suggest that GRIM-19 interferes with HCV replication by attenuating intracellular lipid accumulation and therefore is an anti-viral host factor that could be a promising target for HCV treatment.


INTRODUCTION
After entry into hepatocytes, hepatitis C virus (HCV) becomes uncoated, and the viral genome is translated into a single polyprotein that is co-and post-translationally processed into structural and non-structural proteins (Gale and Foy, 2005;Lindenbach and Rice, 2005). The HCV non-structural proteins, such as NS3 helicase, NS5A, and NS5B RNA-dependent RNA polymerase, assemble as a replicase complex (RC) that is associated with lipid-rich membrane structures (Aizaki et al., 2004;Lindenbach and Rice, 2005). The newly synthesized viral genomes are packaged into viral particles by the structural proteins, including core, E1, and E2. It has been reported that lipid droplets (LDs) are important organelles for the viral packing step in HCV production (Miyanari et al., 2007).
Moreover, newly assembled HCV particles are observed in close proximity to LDs, indicating that some steps of virus assembly occur near LDs (Miyanari et al., 2007). The resulting virus is released from the hepatocyte in association with host lipoproteins, and therefore, in the blood, HCV is present as a lipoprotein-coated virus (Meredith et al., 2012). Host lipid architectures and molecules involved in lipid metabolism are closely associated with the HCV lifecycle (Suzuki, 2012). Many studies have shown that lots of host factors participate in HCV infection and play important roles in efficient viral replication and propagation (Li et al., 2009). One such host factor is signal transducer and activator of transcription 3 (STAT3) (McCartney et al., 2013;Kong et al., 2016;Vallianou et al., 2016). It was reported that HCV core interacts with and activates STAT3. The interaction induces expression of STAT3dependent genes, such as Bcl-XL and cyclin-D1, resulting in cellular transformation (Yoshida et al., 2002). Another study has shown that STAT3 enhances HCV replication through positive regulation of microtubule dynamics (McCartney et al., 2013). More recently, it has been demonstrated that HCV NS4B induces the production of reactive oxygen species (ROS) via the endoplasmic reticulum overload response (EOR)-mediated cancer-related STAT3 pathway (Kong et al., 2016). Furthermore, the roles of cellular regulators of STAT3 such as protein inhibitor of activated STAT (PIAS) and suppressor of cytokine signaling (SOCS3) have been investigated in the context of HCV pathogenesis (El-Saadany et al., 2013;Li Q. et al., 2014;Xu et al., 2014;Aslam et al., 2016;Zhao et al., 2016). However, the function of gene-associated with retinoid-interferon-induced mortality 19 , which is another cellular inhibitor of STAT3, remains largely unexplored in HCV infection.
GRIM-19 was identified as an interferon (IFN)-β-and retinoic acid (RA)-induced gene with pro-apoptotic properties in breast cancer cell lines (Angell et al., 2000). Studies have demonstrated that GRIM-19 targets multiple signaling pathways and plays a critical role in controlling cell death and growth. Overexpression of GRIM-19 induces cell death, and its suppression or inactivation promotes cell growth (Moreira et al., 2011). Regarding the role of GRIM-19 in cancer development, GRIM-19 expression was severely downregulated in a number of primary renal cell carcinomas (Alchanati et al., 2006), as well as in hepatocellular carcinoma (Liu et al., 2014) and oral squamous cell carcinoma (Li M. et al., 2014). Accordingly, upregulation of GRIM-19 can suppress the growth of specific cancers (Li M. et al., 2014;Liu et al., 2014). These tumor-suppressive activities of GRIM-19 may be attributed to its inhibitory role in the function of STAT3. GRIM-19 was shown to suppress STAT3induced gene expression via direct interaction with the transactivation domain (TAD) of STAT3 (Nallar et al., 2008). In this way, binding of GRIM-19 to STAT3 induces changes in the intracellular distribution of STAT3 and renders cells sensitive to cell death (Shulga and Pastorino, 2012).
In this study, we investigated the role of GRIM-19 as a host factor restricting HCV infection. We observed that HCV infection downregulates GRIM-19 at the post-transcriptional level and that GRIM-19 overexpression interferes with HCV replication. Regarding the mechanism for these effects, we found that GRIM-19 decreases intracellular lipid accumulation by regulating the expression of the sterol regulatory element-binding transcription factor-1 (SREBP-1c) gene and its downstream genes. These results suggest that GRIM-19 may be an anti-viral host factor that could be exploited for the development of novel antiviral agents.

Clinical Materials and Ethics Statement
Four liver tissues from patients with chronic HCV infection were obtained during surgical procedures such as cholecystectomy, adrenalectomy, or partial liver resection for intrahepatic duct stones (Seoul St. Mary's Hospital, Seoul, South Korea). Three out of four patients had cirrhotic liver, and the other patient had chronic hepatitis without cirrhosis. None of them had history of anti-viral treatment. In addition, four liver tissues without viral hepatitis were also obtained during surgical procedures, and they were described in the previous report . The study conformed to the current ethical principles of the Declaration of Helsinki and was approved by the Institutional Review Board of both Seoul St. Mary's Hospital and Daejeon St. Mary's Hospital at the Catholic University of Korea. All patients who provided their tissues completed written informed consents before inclusion in the study. Additionally, their personal identifying information was restricted for analysis purposes and is not available to the public.

HCVcc Preparation and Infection
Full-length, infectious HCV RNA of the genotype 2a HCV clone JFH1 was prepared by in vitro transcription using a MEGAscript T7 kit (Ambion) and electroporated into Huh7 cells to obtain cell culture-derived HCV (HCVcc) as previously described (Wakita et al., 2005). Huh7 cells were infected with HCVcc at a multiplicity of infection (MOI) of 0.3 by adsorption for 6 h with periodic rocking and then maintained in complete DMEM as previously described (Sun et al., 2012).

HCV Replicon Systems
An HCV subgenomic replicon (SGR) construct (pSGR-JFH1) and an HCV full-genomic replicon (FGR) construct (pFGR-JFH1) were kindly provided by Dr. Takaji Wakita (National Institute of Infectious Diseases, Tokyo, Japan). The constructs were linearized and then used for in vitro transcription as described above. Huh7 cell-derived cell lines containing the HCV SGR or HCV FGR were established by transfection of in vitrotranscribed HCV subgenomic or HCV full-genomic RNA, followed by selection with 500 µg/mL G418 sulfate as previously described (Date et al., 2007). The selected cell lines were maintained in complete DMEM containing 500 µg/mL G418 sulfate. HCV genotype-3 replicon cells derived from Huh7.5.1 cells were kindly provided from Dr. Sung Key Jang (Pohang University of Science and Technology, Pohang, Kyungbuk, South Korea).

Western Blot Analysis
Huh7 cells and Huh7 cells in which HCV replication occurs were lysed with PRO-PREP Protein Extraction Solution (iNtRon BIOTECHNOLGY) containing protease inhibitors. Total protein content was determined using a Bradford protein assay kit (Bio-Rad Laboratories, Hercules, CA, USA). Thirty micrograms of the extracted proteins were subjected to western blot analysis. The analysis was performed as previously described (Choi et al., 2015). The density of each band was analyzed using the Multi Gauge V3.0 program (Fujifilm, Tokyo, Japan).

pcDNA3_GRIM-19
was constructed to overexpress GRIM-19. The GRIM-19 gene was amplified by PCR with GRIM-19-specific primers (GRIM-19-HindIII-F, 5 -CCC AAGCTTACCATGGCGGCGTCAAAGGTG-3 and GRIM-19-EcoR I-R, 5 -CGGAATTCTTACGTGTACCACATGAAGCCG-3 ) using cDNAs that were reverse transcribed using random primers from RNA extracted from Huh7 cells. The PCR products were cut with HindIII and EcoRI and inserted into a pcDNA3 vector (Invitrogen) in frame. To evaluate the efficiency of transfection with foreign gene-encoding plasmid in Huh7 cells, pEGFP-C1_GRIM-19 was constructed. The GRIM-19 gene was amplified by PCR with GRIM-19-specific primers (GRIM-19-BglII, GGAAGATCTATGGCGGCGTCAAAGGTGAAG and GRIM-19-EcoRI-R) as described above. The PCR products were cut with BglII and EcoRI and inserted into the pEGFP-C1 vector (Clontech Laboratories, Mountain View, CA, USA) in frame. pcDNA3_EGFP was kindly provided by Dr. Sean B. Lee (Tulane University, New Orleans, LA, USA). pcDNA3.1-2xflag-SREBP1c was purchased from Addgene (Cambridge, MA, USA).

Transient Transfection
To investigate the effects of GRIM-19 on HCV replication and lipogenesis, Huh7 cells or Huh7 cells in which HCV replication occurs were transfected with various plasmids as described above using FUGENE HD (Promega, Madison, WI, USA) according to the manufacturer's protocol.

Real-time Quantitative Reverse Transcription-PCR (rqRT-PCR)
The levels of HCV RNA in Huh7 cells infected with HCVcc were evaluated to verify the anti-HCV effects of GRIM-19. Total RNA was extracted with TRIzol reagent (Invitrogen) and purified according to the manufacturer's recommendations. cDNA was synthesized from 2 µg of total RNA with primers specific for the HCV 5 UTR (HCV-5 UTR-R, 5 -ACCACAAGGCCTTTCGCAACCCAACGCTAC-3 ) using ImProm-II reverse transcriptase (Promega). cDNA was then subjected to real-time, quantitative RT-PCR (rqRT-PCR) using primer pairs and a TaqMan probe targeting a region within the HCV 5 UTR as previously described (Kim et al., 2009). rqRT-PCR was performed using a LightCycler 480 Probes Master kit (Roche Applied Science) and a LightCycler 480 system (Roche Applied Science) according to the manufacturer's instructions. Endogenous mRNA levels of GRIM-19 and genes involved in lipid metabolism were also assessed using the LightCycler 480 Probes Master kit and the LightCycler 480 system with gene-specific primers and fluorescent probes recommended by Roche Universal Probe Library Design Center. The thermal conditions were designed using the Roche Universal Probe Library's thermocycling conditions following the manufacturer's instructions. Human β-actin was used as a reference gene. All fluorescence data were analyzed using LightCycler 4.0 software (Roche Applied Science), and C t results were exported to Excel spreadsheets. The comparative C t method was used for relative quantification and normalization.

Dual-luciferase Assay
Changes in HCV-internal ribosome entry site (IRES) activity were confirmed by a dual-luciferase assay. A dual-luciferase reporter construct was kindly provided by Dr. Jong-Won Oh (Yonsei University, Seoul, South Korea). It contains a CMV promoter-controlled Renilla luciferase reporter gene followed by the HCV IRES-controlled firefly luciferase reporter gene. Huh7 cells infected with HCVcc were cotransfected with the dual-luciferase reporter construct and pcDNA3_GRIM-19 using fuGENE HD. At 48 h post-transfection, dual-luciferase assays were performed with a Dual-Luciferase Reporter Assay System (Promega) according to the manufacturer's instructions.

Subcellular Fractionation
Huh7 cells infected with HCVcc were transfected with pcDNA3 or pcDNA3_GRIM-19. After 48 h, the cells were subjected to subcellular fractionation into nuclear and cytoplasmic fractions using an NE-PER kit (Pierce, Rockford, IL, USA) according to the manufacturer's recommendations.

Reverse Transcription-polymerase Chain Reaction (RT-PCR)
The mRNA levels of bcl2 and mmp2 were evaluated using RT-PCR. Total RNA extraction and cDNA synthesis using random primers were performed as described above. Gene amplification was performed with GoTaq Polymerase (Promega) and specific primer pairs for bcl2 (bcl2-F, 5 -TCCCTCGCTGCACAAATACTC-3 , and bcl2-R, 5 -TTCTG CCCCTGCCAAATCT-3 ) and mmp2 (mmp2-F, 5 -CCACTGCC TTCGATACAC-3 , and mmp2-R, 5 -GAGCCACTCTCT GGAATCTTAAA-3 ). The PCR program ran as follows: 10 min at 94 • C; 30 cycles of 94 • C for 30 s, 55 • C for 30 s, and 72 • C for 45 s; followed by a final 10 min incubation at 72 • C. The amplified products were separated on 1.5% agarose gels containing 0.5 mg/mL ethidium bromide. The nucleic acids were visualized under UV light using a Gel-Doc CQ system (Bio-Rad, Vienna, Austria), and the band densities of each gene were analyzed using the Multi Gauge V3.0 program with β-actin serving as a loading control.

Apoptosis Assays
Apoptosis was detected with Annexin V/propidium iodide (PI) staining (BD BioSciences) according to the manufacturer's instructions. In total, 10, 000 cells were counted by flow cytometry using a fluorescence-activated cell sorter (FACS, Becton-Dickinson, San Jose, CA, USA). The resulting data were analyzed using Summit 5.2 software (Beckman Coulter Inc., Miami, FL, USA).

Intracellular Lipid Droplet Quantification
Huh7 cells and HCVcc-infected Huh7 cells were treated with 100 µM oleic acid (OA) in serum-free DMEM containing 1% BSA at 24 h post-transfection with pcDNA3_GRIM-19 or pEGFP-C1_GRIM-19. Twenty-four hours later, the cells were subjected to Nile Red staining to evaluate the changes in intracellular lipid content. The cells were washed with ice-cold phosphate-buffered saline (PBS) and fixed with 4% paraformaldehyde for 5 min at room temperature. After being washed with PBS again, the cells were stained with Nile Red (0.5 µg/mL) and 4 ,6-diamidino-2-phenyl-indole (DAPI, 1 µg/mL) (Sigma-Aldrich). After staining, intracellular LDs were quantified by measuring density of fluorescence with a microplate reader (Molecular Devices, Sunnyvale, CA, USA), and the results were normalized to the cellular DAPI content (Hur et al., 2012). The distribution of lipid in cells was observed under an LSM 510 inverted laser-scanning confocal microscope (Carl Zeiss, Jena, Germany).

Immunofluorescence Staining
Huh7 cells and HCVcc-infected Huh7 cells were fixed with 4% paraformaldehyde for 30 min, and permeabilized with PBS containing 0.2% Triton X-100 for 30 min at room temperature. After washing three times with PBS, the cells were treated with a blocking solution (PBS containing 1% BSA, 0.1% gelatin, and 5% goat serum) for 30 min at room temperature, incubated with primary antibody overnight at 4 • C, and washed five times with PBS containing 1% BSA and 0.1% gelatin. The cells were further incubated with secondary antibodies (Molecular Probes, Eugene, OR, USA) for 2 h and washed five times with PBS. Nuclei were visualized using (DAPI) in PBS for 10 min. Stained slides were observed under an LSM 510 inverted laser-scanning confocal microscope (Carl Zeiss).

Statistical Analysis
All data are representative of a minimum of three independent experiments. The data are expressed as the mean ± SD or ±SEM. For comparison of multiple groups, one-way analysis of variance (ANOVA) with Tukey's post hoc test was used to define statistically significant differences among groups. For statistical comparisons between two groups, Student's t-test was used. The statistical significance of differences between groups is expressed by an asterisk ( * P < 0.05, * * P < 0.01, * * * P < 0.001).

GRIM-19 Protein Levels Are Downregulated in HCV-infected Cells
First, we examined the expression of GRIM-19 protein in Huh7 cells infected with genotype 2a HCVcc. As shown in Figure 1A, GRIM-19 expression decreased in Huh7 cells infected with HCVcc. On the 3rd day of HCV infection, protein level of GRIM-19 was downregulated by approximately 20%. Moreover, GRIM-19 expression was decreased by approximately 50% on the 12th day of HCV infection. To confirm the downregulation of GRIM-19 in HCV-replicating cells, we assessed GRIM-19 expression in genotype 2a HCV SGR cells and FGR cells. In these cells, the GRIM-19 protein level was lower than that in Huh7 control cells ( Figure 1B). Furthermore, in the genotype 3 HCV FGR cell line derived from Huh7.5.1 cells, the expression level of GRIM-19 was lower compared to that in parental Huh7.5.1 cells ( Figure 1C). Interestingly, GRIM-19 mRNA levels were not altered in the cells with active HCV replication ( Figure 1D). Next, we determined the protein levels of GRIM-19 in liver tissues from patients with chronic HCV infection. Compared to the liver tissues without viral hepatitis, HCV-infected livers expressed markedly lower levels of GRIM-19 protein ( Figure 1E). These results suggest that HCV infection causes downregulation of GRIM-19 at the post-transcriptional level. (D) Relative levels of endogenous GRIM-19 mRNA in SGR cells, FGR cells, and HCVcc-infected Huh7 cells compared to that in Huh7 cells. β-actin was used as a reference gene. (E) Protein levels of GRIM-19 in liver tissues from patients with chronic liver diseases (CLD) caused by persistent HCV infection (n = 4) were analyzed by western blot analysis. Tissue lysates from liver without viral hepatitis were used as a control (normal; n = 4). β-actin was used as a loading control. The values of the GRIM-19 protein levels were expressed relative to the level in control tissues (right). All data represent the mean ± SEM (n = 3). * P < 0.05, * * P < 0.01, * * * P < 0.001 compared to control.

Ectopically Expressed GRIM-19 Reduces HCV RNA Replication
To investigate the roles of GRIM-19 in the HCV viral life cycle, we overexpressed GRIM-19 in HCVcc-infected or HCV replicon cells (Figure 2). GRIM-19 was ectopically expressed in the cells via transient transfection as described in section "Materials and Methods". Before evaluation of the effect of GRIM-19 overexpression on HCV replication, the transfection efficiency of Huh7 cells was checked using flow cytometry after transfection with enhanced green fluorescent protein (EGFP)fused GRIM-19-encoding plasmids. As shown in Figure 2B, GFP fluorescence was detected in a high percentage of Huh7 cells transfected with EGFP-fused GRIM-19-encoding plasmids, even though the density of fluorescence among the cells was different. In the same transient transfection conditions, GRIM-19 was overexpressed in HCVcc-infected Huh7 cells. When Huh7 cells were infected with HCVcc at an MOI of 0.3, the level of intracellular HCV RNA was gradually increased until the 12th day after infection (Figure 2G). The level of intracellular HCV RNA on the 15th day was comparable to that on the 12th day (data not shown). These results indicate that the ratio of Huh7 cells infected with HCVcc to uninfected cells reached the highest level on approximately the 12th day after HCVcc infection at an MOI of 0.3. Therefore, to examine the effect of GRIM-19 overexpression on HCV replication, Huh7 cells infected with HCVcc were seeded on the 9th day post-infection, and the next day, the cells were transfected with GRIM-19 encoding plasmid. After 48 h, the levels of intracellular HCV RNA and protein were evaluated. As shown in Figure 2C, GRIM-19 overexpression resulted in an approximately 50% decrease in the levels of intracellular HCV RNA in Huh7 cells infected with HCVcc. Moreover, transient transfection with GRIM-19-encoding plasmid also reduced the protein level of HCV NS5A (Figure 2C, right). Ectopically expressed EGFP did not have an effect on the levels of either intracellular HCV RNA or HCV NS5A protein ( Figure 2C). Interestingly, GRIM-19 transfected, HCVccinfected cells secreted a much lower number of viral particles (Figure 2D, left). When Huh7 cells were re-infected with culture supernatants obtained from HCVcc-infected, GRIM-19transfected cells, the levels of intracellular HCV RNA were lower (Figure 2D, right). Anti-HCV activity of GRIM-19 was also confirmed in FGR cells and SGR cells. As expected, GRIM-19 overexpression reduced the HCV RNA level to less than 50% in FGR cells and SGR cells (Figures 2E  right, F). Additionally, ectopically expressed GRIM-19 reduced the protein level of HCV core in FGR cells (Figure 2E, right). Moreover, in the cells, EGFP overexpression did not have an effect on the levels of either intracellular HCV RNA or HCV core protein ( Figure 2E). Furthermore, repeated transfection of Huh7 cells infected with HCVcc with GRIM-19 encoding plasmid resulted in additive inhibitory effects on HCV RNA replication ( Figure 2G). In the first round of transfection with GRIM-19, the level of HCV RNA was 59% that of pcDNA3-transfected cells. After the fourth round of GRIM-19 transfection, the level of HCV RNA was 19% that of vehicle-transfected, HCVcc-infected Huh-7 cells. To confirm the suppressive function of GRIM-19 on HCV replication, we examined whether the inhibitory effect of GRIM-19 on HCV replication could be abolished  by siRNA against GRIM-19. In HCVcc-infected, GRIM-19-overexpressing Huh7 cells, transfection with GRIM-19 siRNA abrogated the suppressive effect of GRIM-19 on HCV replication ( Figure 2H). Collectively, these results suggest that GRIM-19 overexpression inhibits HCV.

Viral Internal Ribosome Entry Site (IRES)-Mediated Translation of the HCV Genome Is Not Altered by GRIM-19
Next, we investigated whether GRIM-19 overexpression had an effect on HCV-IRES activity. Huh7 cells were transfected with GRIM-19-encoding plasmid and a dual-luciferase reporter construct, allowing cap-dependent expression of Renilla luciferase and HCV IRES-dependent translation of firefly luciferase. As shown in Figure 2I, forced expression of GRIM-19 did not alter HCV IRES activity. These results suggest that the suppressive effect of GRIM-19 on HCV RNA replication is not caused by alteration of HCV-IRES activity.

GRIM-19 Overexpression Does Not Alter the Subcellular Localization or the Transcriptional Activity of Phosphorylated STAT3 in HCVcc-infected Cells
As described above, one of the host factors that interact with HCV proteins is STAT3. Because GRIM-19 is known to interact with phosphorylated STAT3 and transport it out of the nucleus (Shulga and Pastorino, 2012), we investigated whether GRIM-19 overexpression has an effect on STAT3 activation in HCVccinfected Huh7 cells. First, we aimed to confirm the amount and subcellular localization of phosphorylated STAT3 in Huh7 cells infected with HCVcc after transfection with a GRIM-19encoding plasmid. The level of phosphorylated STAT3 increased after infection with HCVcc in Huh7 cells ( Figure 3A); however, overexpression of GRIM-19 did not reduce the increased phosphorylation of STAT3 ( Figure 3A). Furthermore, GRIM-19 overexpression did not induce translocation of phosphorylated STAT3 (Figure 3B). Follow-up experiments showed that the expression levels of bcl2 and mmp2, which are induced by transcriptional activation of STAT3, were not altered by overexpression of GRIM-19 ( Figure 3C). Furthermore, GRIM19 overexpression did not induce sufficient apoptosis to show anti-HCV activity in HCV-replicating Huh7 cells (Figure 3D). These results suggest that the inhibitory effect of GRIM-19 on HCV replication is not associated with altered STAT3 activation in HCV-infected cells.

GRIM-19 Attenuates Intracellular Lipid Accumulation
The level of HCV RNA was significantly downregulated by transfection with GRIM-19-encoding plasmids in SGR cells ( Figure 2F). This suggests that the anti-viral function of GRIM-19 may be closely associated with HCV replication or viral RC formation. As shown in Figure 2I, GRIM-19 overexpression does not restrict viral translation. In addition, the dependence of HCV replication and viral RC formation on intracellular lipid accumulation is well known (Kapadia and Chisari, 2005;Mankouri et al., 2010;Pisonero-Vaquero et al., 2014;Akil et al., 2016). Therefore, we further investigated whether GRIM-19 overexpression affects intracellular lipid accumulation. Huh7 cells and HCVcc-infected Huh7 cells were transfected with GRIM-19-encoding plasmids. In both types of cells, treatment with OA increased intracellular lipid levels by up to approximately 140% (Figures 4A,D). However, in cells overexpressing GRIM-19, the levels of intracellular lipid accumulation after treatment with OA were comparable to that of untreated cells (Figures 4A,D). Moreover, the number and size of LDs after OA treatment were smaller in the cells transfected with EGFP-fused GRIM-19-encoding plasmids compared to that in untransfected cells (Figures 4B,E). Furthermore, as shown in Figure 4C, HCV core protein was detected in most Huh7 cells infected with HCVcc on the 9th day post-infection, and in the cells, the amount of intracellular lipids increased without OA treatment, as previously reported (Figure 4D) (McRae et al., 2015;Akil et al., 2016). Additionally, overexpression of GRIM-19 significantly reduced the level of intracellular lipid accumulation caused by HCV infection (Figure 4D). These results may indicate that GRIM-19 can ameliorate intracellular lipid accumulation in hepatocytes.

GRIM-19 Overexpression Downregulates the Expression Levels of SREBP1-c and Its Target Genes
Next, we investigated the mRNA level of transcription factors involved in regulating the intracellular lipid level after transfection with GRIM-19-encoding plasmids. We examined the expression of the following transcription factors: (i) SREBP-1c, known to induce de novo lipogenesis to generate free fatty acid (FFA) (Sanders and Griffin, 2016); (ii) peroxisome proliferator-activated receptor α (PPARα), required for mitochondrial, peroxisomal, and microsomal FFA oxidation (Memon et al., 2000); and (iii) peroxisome proliferator-activated receptor γ (PPARγ), which is known to contribute to FFA uptake (Ahmadian et al., 2013). Among these three transcription factors, only SREBP-1c expression levels were significantly upregulated in Huh7 cells treated with 100 µM OA and downregulated by transfection with GRIM-19-encoding plasmids before OA treatment (Figures 5A  left, C). Interestingly, the mRNA levels of SREBP-1c target genes involved in triglyceride biosynthesis such as FAS, SCD, and ACC were upregulated following treatment with OA and downregulated as a result of GRIM-19 overexpression induced prior to OA treatment ( Figure 5B). Moreover, increased ACC and FAS protein levels resulting from OA treatment were downregulated by ectopically expressed GRIM-19 ( Figure 5C). In both FGR cells and Huh7 cells infected with HCVcc, the expression levels of SREBP-1c, FAS, and ACC were remarkably downregulated by GRIM-19 overexpression (Figures 5D,E). Unexpectedly, the protein levels of SCD were not significantly altered by GRIM-19 overexpression in the cells (Figures 5C-E). Next, we further determined the effect of GRIM-19 on the expression levels of other enzymes involved in lipid metabolism. Interestingly, the expression levels of diacylglycerol acyltransferase-1 (DGAT-1) and diacylglycerol acyltransferase-2 (DGAT-2), which catalyze the final step in triglyceride biosynthesis, were not significantly affected by GRIM-19 overexpression ( Figure 5F). Likewise, microsomal triglyceride transfer protein (MTP), which is involved in the assembly/secretion of very low density lipoproteins (VLDL), was not upregulated by OA treatment even though overexpression of GRIM-19 decreased the MTP mRNA level (Figure 5F). Taken together, these results demonstrate that GRIM-19 may ameliorate intracellular lipid accumulation by regulating the expression of SREBP-1c and its target genes.

GRIM-19 Restricts HCV Replication through Downregulation of SREBP-1c
To confirm the suppressive effect of GRIM-19 on intracellular lipid accumulation, we examined whether the restrictive effect of GRIM-19 on HCV replication could be abolished by OA treatment or normalization of SREBP-1c expression. As shown in Figure 6A, OA treatment in the absence of GRIM-19 transfection increased the HCV RNA titer in HCVccinfected Huh7 cells. Moreover, in HCVcc-infected, GRIM-19overexpressing Huh7 cells, downregulation of HCV RNA was restored by OA treatment (Figure 6A). In the same manner, SREBP-1c overexpression increased the level of HCV RNA and abolished the restrictive effect of GRIM-19 on HCV replication ( Figure 6B). These results suggest that the inhibitory effect of GRIM-19 overexpression on HCV replication is mediated by downregulation of SREBP-1c.

DISCUSSION
In this study, we uncovered a new biological function of GRIM-19 in lipid metabolism, as summarized in Figure 7. HCV replication caused the GRIM19 protein level to decrease. However, restoration of the downregulated level of GRIM-19 by transient transfection with a GRIM-19-encoding plasmid restricted HCV replication. Interestingly, GRIM-19 overexpression downregulated the expression of SREBP-1c and its target genes, resulting in abrogation of the intracellular lipid accumulation induced by HCV replication. These results suggest that GRIM-19 can be thought of as a host factor that restricts HCV replication.
It is known that HCV exploits host lipid architectures and molecules involved in lipid metabolism for its efficient replication and propagation (Miyanari et al., 2007;Negro and Sanyal, 2009;Syed et al., 2010). For example, HCV genome replication, in common with other positive-strand RNA viruses, occurs within a "membranous web" derived from intracellular vesicles (Egger et al., 2002;Miyanari et al., 2007). Additionally, it has been reported that LDs act as a platform for HCV replication and assembly (Miyanari et al., 2007). HCV core protein recruits HCV RNA, non-structural proteins, and replication complexes to LD-associated membranes. Thus, this recruitment is critical for infectious virus particle production (Miyanari et al., 2007). For these reasons, HCV induces intracellular lipid accumulation to optimize the cellular environment for persistent infection (Kapadia and Chisari, 2005;Mankouri et al., 2010;Akil et al., 2016). As one of the strategies to increase intracellular lipids, HCV activates SREBPs (Waris et al., 2007;Negro and Sanyal, 2009;Syed et al., 2010). Recent research has demonstrated that HCV NS4B, NS5A, and core protein may activate SREBP-1c and its target genes, resulting in enhanced fatty acid biosynthesis (Park et al., 2009;Syed et al., 2010;Xiang et al., 2010;Garcia-Mediavilla et al., 2012). Moreover, inhibiting or silencing SREBP by treatment with 25-hydroxycholesterol inhibits HCV were analyzed using western blot analysis. β-actin was used as an internal control for loading. (D,E) Protein levels of SREBP-1c and its target genes after transfection with pcDNA3 or pcDNA3_GRIM-19 in FGR cells (D) and Huh7 cells infected with HCVcc at day 9 post-infection (E). β-actin was used as an internal control for loading. (F) mRNA levels of DGAT1, DGAT-2, and MTP were analyzed as in (A). The data represent the mean ± SEM (n = 3). * P < 0.05, * * P < 0.01, * * * P < 0.001 compared to control. . The values of the HCV RNA levels were expressed relative to the level in cells transfected with pcDNA3. The data represent the mean ± SEM (n = 3). * P < 0.05, * * P < 0.01, * * * P < 0.001 compared to control.
In the present study, we showed that GRIM-19 overexpression impeded the lipid accumulation induced by OA treatment and HCV infection through downregulation of SREBP-1c expression. Furthermore, the expression of SREBP-1c target genes, such as ACC and FAS but not SCD was markedly downregulated by GRIM-19 overexpression. Luyimbazi et al. (2010) demonstrated that translation of SCD is regulated by eukaryotic initiation factor 4E (eIF4E), suggesting that mTOR may regulate SCD through the mTOR/4E-BP1/eIF4E axis. More recently, it was reported that eIF4E could be activated in HCV-replicating cells for efficient viral translation (George et al., 2012;Licursi et al., 2012;Panda et al., 2014). Based on these reports, we speculate that eIF4E activation by HCV could be one of the reasons that mRNA levels of SCD are decreased by GRIM-19 overexpression but the protein levels of SCD are not affected under the same conditions. However, future investigations are needed to understand the exact mechanisms of a sustained level of SCD protein after transfection with GRIM-19-encoding plasmids. Despite the fact that SCD expression was not modulated by GRIM-19 overexpression, these findings suggest that GRIM-19 may abrogate intracellular lipid accumulation by inhibiting SREBP-1c activation and that these inhibitory effects could restrict HCV replication. Signal transducer and activator of transcription 3, a major oncogenic transcription factor involved in cancer development and progression, is regulated by GRIM19 in some tumor cell lines (Alchanati et al., 2006;Kalakonda et al., 2007), but little is known regarding their relationships in viral infections. For this reason, we explored a specific functional link between FIGURE 7 | A proposed model of the mechanism underlying the anti-HCV activity of GRIM-19. After HCV infection, lipid biosynthesis is upregulated via SREBP-1c activation. SREBP-1c is a transcription factor that enhances the expression of genes involved in fatty acid biosynthesis such as ACC, FAS, and SCD, causing increased levels of triglycerides that help create an appropriate microenvironment for persistent HCV infection. Conversely, GRIM-19 function is downregulated through the reduction of its protein levels in HCV-replicating cells. However, restoration of GRIM-19 expression can disrupt this suitable microenvironment by downregulating SREBP-1c expression.
GRIM19 and STAT3 in HCV infection. However, our results showed that the inhibitory effect of GRIM-19 on HCV replication was not associated with altered STAT3 activation in HCVinfected cells. Moreover, the precise mechanism by which GRIM-19 downregulates SREBP-1c gene expression remains unclear. Hence, further investigation is warranted concerning the functional links among GRIM-19, STAT3, and SREBP-1c in HCV infection. Interestingly, a recent study showed that leptininduced STAT3 downregulates SREBP-1c expression in hepatic stellate cells (Zhang et al., 2013). Therefore, it appears that STAT3 activity is not strongly associated with GRIM-19 inhibition of SREBP-1c expression.
To date, the role of p53 in lipid metabolism is still uncertain; however, p53 and its target genes may be anti-viral host factors in HCV pathogenesis because they are also impaired by HCV infection (Nishimura et al., 2009). Recently, Zhou et al. (2011) demonstrated that the p53 tumor suppressor was regulated by GRIM-19 expression. They showed that GRIM-19 helps to stabilize p53 by interacting with E6 and E6AP proteins and inducing ubiquitination and degradation of E6AP, resulting in the promotion of apoptosis in a cervical cancer cell line (Zhou et al., 2011). In contrast, another study by Ruedo-Rincon et al. (2015) demonstrated that p53 could decrease SCD expression by repressing SREBP-1c. Based on these results, we speculate that p53 is involved in the negative regulation of SREBP-1c expression by GRIM-19. However, future investigations are needed to understand the exact mechanisms of the interaction between p53 and GRIM-19 during SREBP1-c expression and lipid metabolism.

CONCLUSION
Our data reveal a previously unknown role of GRIM-19 in lipid metabolism during HCV pathogenesis. GRIM-19 overexpression abrogated intracellular lipid accumulation through downregulation of SREBP-1c and its target genes, resulting in restriction of HCV replication. These results provide valuable information regarding GRIM-19, a host factor involved in HCV replication. Furthermore, this new knowledge regarding GRIM-19 may facilitate new strategies against diseases related to lipid metabolic disorders.