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10  |  Perez et al.

          2000; Akarsu et al., 2003; Shaw and Palese, 2013b). This interac-  give origin to M1 and M2, respectively; mRNA3 that represses
          tion involves an expose tryptophan at position 78, surrounded   protein synthesis during early stages of infection; and mRNA4
          by a cluster of glutamate residues on NEP, and the NLS on M1   which gives origin to M42 (Inglis and Brown, 1981; Lamb and
          (Akarsu et al., 2003). Binding of NS2/NEP at the NLS on M1   Choppin, 1981; Lamb et al., 1981; Shih et al., 1998). M42 is an
          may have a potential role in preventing vRNP–M1–NS2/NEP   alternative M2 protein that has an antigenically distinct ectodo-
          complexes from being translocated back into the nucleus. NS2/  main.  Experiments  with mutants lacking M2 expression  have
          NEP binds other cellular proteins, such as Crm1 to complete the   shown an up-regulation of mRNA4 and synthesis of M42, which
          export (see below for NS protein function and interactions).  reconstitutes ion channel activity in vivo and in vitro. Its ability to
            Segment 7 also encodes for the M2 protein by translation of an   functionally replace M2 did not appeared to be affected by M42
          spliced mRNA originated from an overlapping ORF (Inglis and   been largely localized in the Golgi network (Wise et al., 2012).
          Brown, 1981; Lamb and Choppin, 1981; Lamb and Lai, 1981,
          1982). The M2 protein of influenza A viruses is approximately   Segment 8: non-structural protein 1 (NS1) and
          97 aa long, classified as a type III transmembrane protein. It pos-  nuclear export protein/non-structural protein 2
          sesses a short ecto-domain (24 aa residues), a transmembrane   (NEP/NS2)
          domain (19 aa), and a cytoplasmic domain (54 aa) with palmi-  The NS1 and NEP proteins are the most studied and best
          tate and phosphate modifications (Lamb et al., 1985; Zebedee   characterized internal IAV proteins with an extensive literature
          et al., 1985). It is found in infected cells and viral envelope as a   (Fernandez-Sesma, 2007; Lin  et  al., 2007; Hale, 2008b, 2014;
          homotetramer composed of two disulfide dimers linked together   Paterson and Fodor, 2012; Marc, 2014; Krug, 2015). Only the
          by non-covalent interactions (Lamb et al., 1985). Each monomer   most salient features are discussed below. The NS1 is a multi-
          possesses an amphiphilic transmembrane alpha-helical domain   functional protein encoded in segment 8 (Inglis et al., 1979;
          that conforms the protein transmembrane channel, with which   Lamb and Choppin, 1979). NS1 exists as a homodimer and is
          amantadine, the specific anti-influenza A drug, interacts (Sugrue   abundantly expressed early in the infection. While recognized as
          and Hay, 1991). M2 constitutes a proton channel and it is respon-  a non-structural protein, a recent report suggests NS1 is present
          sible for proton influx into the virion in response to low pH of the   in substantial amounts as an internal component of purified virus
          endosome (Pinto et al., 1992; Schroeder et al., 1994; Shimbo et   particles (Hutchinson  et  al., 2014). Whether NS1 is actively
          al., 1996), triggering dissociation of the vRNAs from the matrix   packed into virus particles or merely incorporated as a passive
          proteins and fusion of the endosomal and virus membranes,   bystander remains to be determined. The primary function
          releasing the vRNAs into the cytoplasm for further translocation   of NS1 is to suppress the virus-induced host type I interferon
          into the nucleus (Cady et al., 2009). In addition, it is found at the   (IFN-α/β) response (García-Sastre et al., 1998). As a multifunc-
          trans-Golgi network membrane, and there is evidence that sug-  tional protein, NS1 is involved in a plethora of activities during
          gest the involvement of M2 ion channel activity on stabilization   the virus replication cycle, such as temporal regulation of virus
          of the HA during its post-translational modification in the trans-  RNA synthesis, control of virus mRNA splicing, prevention of
          Golgi, regulating pH of the vesicles to ensure proper folding and   the host’s mRNA translation, enhancement of virus mRNA trans-
          to prevent earlier cleavage of HAs with a polybasic cleavage site   lation, regulation of virus particle morphology, and involvement
          such as H5 and H7 HAs (Sugrue and Hay, 1991).         in strain-dependent pathogenesis. All of these functions of NS1
            M2 equilibrates the pH across the viral membrane during   rely on its ability to participate in a multitude of protein–protein
          cell entry and across the trans-Golgi membrane of infected cells   and protein–RNA interactions (Hale et al., 2008b).
          during virus assembly (Pielak and Chou, 2011). Under condi-  The NEP/NS2 protein (121 amino acids) is produced from a
          tions of pH ≥ 7.5, the M2 proton channel is closed and inactive.   virus mRNA transcript generated by splicing of segment 8 (Inglis
          When the pH is ≤ 6.5, the M2 proton channel is open and active.   et al., 1979; Lamb and Choppin, 1979). Amounts of spliced NEP/
          M2’s ability to open and close is dependent on the action of a   NS2 virus mRNA correspond to approximately 10% of unspliced
          single transmembrane domain residue, tryptophan 41 (W41),   NS1 virus mRNA (Lamb et al., 1980). During the virus replica-
          which is highly conserved among all IAVs (reviewed in Manzoor   tion cycle, NEP/NS2 interacts with M1 and vRNP and recruits
          et al., 2017). M2 is essential for viral replication and the target for   the nuclear export machinery to direct the export of newly syn-
          the anti-influenza drugs amantadine and rimantadine (McCown   thesized vRNP complexes (Martin and Helenius, 1991a; Yasuda
          and Pekosz, 2005). Both amantadine and rimantadine bind and   et al., 1993; O’Neill et al., 1998; Shaw and Palese, 2013a). NEP/
          block the inner pore of M2. It must be noted, however, that fully   NS2  interacts  with  members  of  the  nuclear  export  machinery,
          fit and competent resistant strains against these two drugs can   including Crm1 and nucleoporins (O’Neill et al., 1998; Neumann
          emerge readily in the avian reservoir (likely due to their misuse in   et al., 2000). NEP/NS2 appears to help in virus budding (Gorai
          poultry). A commonly observed mutation is the substitution of   et al., 2012) and in regulating the switch between virus transcrip-
          serine at position 31 for asparagine (S31N) within the inner pore   tion and replication (Robb et al., 2009).
          that ultimately prevents drug interaction while preserving proton
          pump activity.                                        Virus life cycle
            Alternative splicing of segment 7 mRNA gives origin to an   As the virus moves towards the target cell, the NA removes muco-
          alternative M protein called M42 (Wise et al., 2012). Four mRNA   polysaccharides present in the extracellular space to allow the HA
          transcripts are involved on M proteins synthesis: mRNA 1 and 2   to find and bind the terminal SA receptors present on glycolipids
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