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Journal of Virology logoLink to Journal of Virology
. 2021 Mar 25;95(8):e00121-21. doi: 10.1128/JVI.00121-21

Angiomotin Counteracts the Negative Regulatory Effect of Host WWOX on Viral PPxY-Mediated Egress

Jingjing Liang a, Gordon Ruthel a, Cari A Sagum b, Mark T Bedford b, Sachdev S Sidhu c, Marius Sudol d, Chaitanya K Jaladanki e, Hao Fan e,f,g, Bruce D Freedman a, Ronald N Harty a,
Editor: Susana Lópezh
PMCID: PMC8103691  PMID: 33536174

Filoviruses (EBOV and MARV) and arenavirus (LASV) are zoonotic, emerging pathogens that cause outbreaks of severe hemorrhagic fever in humans. A fundamental understanding of the virus-host interface is critical for understanding the biology of these viruses and for developing future strategies for therapeutic intervention.

KEYWORDS: Ebola virus, Marburg virus, Lassa virus, WWOX, angiomotin, VLPs, budding, WW-domain, PPxY motif, virus-host interactions

ABSTRACT

Filoviridae family members Ebola virus (EBOV) and Marburg virus (MARV) and Arenaviridae family member Lassa virus (LASV) are emerging pathogens that can cause hemorrhagic fever and high rates of death in humans. A better understanding of the interplay between these viruses and the host will provide information about the biology of these pathogens and may lead to the identification of new targets for therapeutic development. Notably, expression of the filovirus VP40 and LASV-Z matrix proteins alone drives assembly and egress of virus-like particles (VLPs). The conserved PPxY late (L)-domain motifs in the filovirus VP40 and LASV-Z proteins play a key role in the budding process by mediating interactions with select host WW-domain-containing proteins, which then regulate virus egress and spread. To identify the full complement of host WW-domain interactors, we utilized wild-type and mutant PPxY peptides from EBOV and MARV VP40 and LASV-Z proteins to screen an array of glutathione S-transferase-WW-domain fusion proteins. We identified WW-domain-containing oxidoreductase (WWOX) as a novel PPxY-dependent interactor, and we went on to show that full-length WWOX physically interacts with EBOV VP40, MARV VP40, and LASV-Z to negatively regulate egress of VLPs and of a live vesicular stomatitis virus-EBOV recombinant virus (M40). Interestingly, WWOX is a versatile host protein that regulates multiple signaling pathways and cellular processes via modular interactions between its WW-domains and PPxY motifs of select interacting partners, including host angiomotin (AMOT). Notably, we demonstrated recently that expression of endogenous AMOT not only positively regulates egress of VLPs but also promotes egress and spread of live EBOV and MARV. Regarding the mechanism of action, we show that the competitive and modular interplay among WWOX, AMOT, and VP40/Z regulates VLP and M40 virus egress. Thus, WWOX is the newest member of an emerging group of host WW-domain interactors (e.g., BAG3 and YAP/TAZ) that negatively regulate viral egress. These findings further highlight the complex interplay of virus-host PPxY/WW-domain interactions and their potential impact on the biology of both the virus and the host during infection.

IMPORTANCE Filoviruses (EBOV and MARV) and arenavirus (LASV) are zoonotic, emerging pathogens that cause outbreaks of severe hemorrhagic fever in humans. A fundamental understanding of the virus-host interface is critical for understanding the biology of these viruses and for developing future strategies for therapeutic intervention. Here, we identified host WW-domain-containing protein WWOX as a novel interactor with VP40 and Z and showed that WWOX inhibited budding of VP40/Z VLPs and live virus in a PPxY/WW-domain-dependent manner. Our findings are important to the field as they expand the repertoire of host interactors found to regulate PPxY-mediated budding of RNA viruses and further highlight the competitive interplay and modular virus-host interactions that impact both the virus life cycle and the host cell.

INTRODUCTION

Hemorrhagic fever viruses (HFVs) are global public health threats that can cause sporadic outbreaks and severe disease in humans (1). Among these emerging pathogens, Filoviridae family members Ebola virus (EBOV) and Marburg virus (MARV) and Arenaviridae family member Lassa virus (LASV) represent three deadly HFVs (2, 3) that have been the cause of numerous and recent outbreaks of disease (46). A better understanding of the molecular aspects of HFV infections and host interactions is critical for the development of new countermeasures to combat these emerging pathogens.

The VP40 matrix proteins of EBOV and MARV and the Z matrix protein of LASV coordinate virion assembly and mediate egress of infectious virus (714). Independent expression of VP40 or Z in mammalian cells leads to the formation and egress of virus-like particles (VLPs) via a mechanism that closely mimics the formation and egress of infectious virions. To achieve this, VP40 and Z possess late (L) budding domains that function to recruit or to hijack select host proteins that then facilitate virus-cell separation and virus spread (1520). For example, the amino acid sequence of PPxY is a conserved L-domain motif in EBOV VP40 (eVP40), MARV VP40 (mVP40), and LASV-Z, and early studies by our group and others demonstrated that the viral PPxY motif mediates interactions with specific WW-domain-containing host proteins (2123) such as E3 ubiquitin ligases (e.g., Nedd4, Itch, and WWP1) to positively regulate virus egress (20, 2429). Since L-domains are utilized by a wide range of viruses that have significant public health importance, the identification of common host interactors and regulators will provide important insights into the biology and pathogenies of these viruses and may reveal new targets for the development of broad-spectrum antiviral strategies.

Recently, we screened an array of approximately 115 mammalian WW-domains displayed as glutathione S-transferase (GST) fusion proteins with either wild-type (WT) or PPxY mutant peptides from VP40 and Z protein in an effort to identify the full complement of host WW-domain interactors that may regulate virus egress and spread. In addition to identifying previously described positive interactors such as Nedd4, we surprisingly identified specific host WW-domain-containing interactors (e.g., BAG3 and YAP/TAZ) that we found to negatively regulate egress of VP40 and Z VLPs (3033). Here, we describe the identification of host WW-domain-containing oxidoreductase (WWOX) as the newest member of this emerging list of PPxY interactors that negatively regulate viral PPxY-mediated budding. Indeed, we demonstrate that WW-domain 1 (WW1) of WWOX, a multifunctional tumor suppressor, specifically interacts with the PPxY motifs of eVP40, mVP40, and LASV-Z proteins to inhibit VLP egress. Our identification of WWOX as the newest negative regulator of viral PPxY-mediated budding is particularly intriguing since, like YAP/TAZ and BAG3, WWOX plays a key role in regulating physiologically important cellular pathways, such as transcription (Hippo pathway), apoptosis, cytoskeletal dynamics, and tight junction (TJ) formation, via PPxY/WW-domain interactions (3443). Notably, a robust interacting partner of WWOX, YAP, and BAG3 is angiomotin (AMOT) (38, 4547), a multi-PPxY-containing protein that functions as a “master regulator” of Hippo pathway (YAP/TAZ) signaling, cytoskeletal dynamics, cell migration/proliferation, and TJ integrity (45, 46, 4855). Since we demonstrated recently that expression of endogenous AMOT is critical for positively regulating the budding of VLPs, as well as the egress and spread of live EBOV and MARV in cell culture (32, 33), we postulated that the competitive interplay among VP40/Z, AMOT, and WWOX may contribute mechanistically to the regulation of VLP and virus egress. Indeed, we found that eVP40 and mVP40 proteins were localized away from the site of budding at the plasma membrane (PM) in the presence of WWOX. In addition, we found that AMOT p130, but not PPxY-lacking AMOT p80, could rescue budding of VP40 VLPs and live virus from the inhibitory effect of WWOX. In sum, our findings here identify host WWOX as a novel PPxY interactor with VP40 and Z proteins and suggest that modular mimicry between viral and host PPxY motifs (AMOT) and the competitive nature of their binding to the same WW-domain interactor (WWOX) impacts late stages of the virus life cycle and perhaps cellular processes as well.

RESULTS

Identification of WWOX as a WW-domain interactor with VP40 and Z matrix proteins.

The PPxY L-domain motif is conserved in eVP40, mVP40, and LASV-Z matrix proteins (Fig. 1A), where it plays key roles in mediating host interactions and regulating virus egress. We used biotinylated WT or PPxY mutant peptides from not only eVP40 but also mVP40 and LASV-Z to screen an array of mammalian WW-domains arranged in 14 squares (A to N), each containing a GST-alone control (M) and 12 duplicate samples of GST-WW-domain fusion proteins, to identify novel PPxY interactors (Fig. 1B). We identified a select set of specific WW-domain interactors for each of the WT peptides (Fig. 1C to E); however, no WW-domain interactors were detected for any of the viral PPxY mutant peptides (data not shown). In addition to detecting many previously characterized and expected WW-domain interactors, such as Nedd4, WWP1, and BAG3, we unexpectedly identified for the first time WWOX as a novel interactor with the PPxY motifs of mVP40 (Fig. 1D) and LASV-Z (Fig. 1E) but not with the PPxY motif of eVP40 (Fig. 1C). Interestingly, WWOX is a multifunctional tumor suppressor that plays key roles in regulating physiologically important cellular pathways, such as transcription (Hippo pathway), apoptosis, cytoskeletal dynamics, and TJ formation, via host PPxY/WW-domain interactions (35, 37, 38, 40, 42, 56). These results not only warrant further investigations into a possible role for host WWOX as a viral PPxY interactor and effector of viral egress but also highlight the selectivity, context specificity, and potential competitive interplay of these modular PPxY/WW-domain interactions.

FIG 1.

FIG 1

Identification of WWOX as a host interactor with filovirus and arenavirus matrix proteins. (A) Schematic diagrams of eVP40, mVP40, and LASV-Z proteins, showing amino acid numbers and locations of L-domain motifs. (B) Schematic diagram of the WW-domain array. Each lettered square contains 12 WW- and/or SH3-GST fusion proteins in duplicate. A mock (M) GST control is in the center of each square. The biotinylated WT PPxY or PPxY mutant peptides of eVP40, mVP40, and LASV-Z were used to probe the array. (C to E) The fluorescent patterns for box E, indicating positive interactions between the indicated WT PPxY peptide and specific WW-domains. The WT mVP40 (D) and LASV-Z (E) peptides interacted with WW1 of WWOX (yellow ovals). The WT eVP40 (C) peptide did not interact with WW1 of WWOX (dashed yellow oval).

GST pulldown assays confirm VP40/Z-WWOX interactions.

WWOX contains two WW-domains, separated by a nuclear localization signal and followed by a short-chain dehydrogenase/reductase (SDR) domain (Fig. 2A). WW1 has the typical domain structure and is the main functional domain known to mediate multiple interactions with host PPxY-containing proteins. In contrast, WW2 has an atypical structure due to the replacement of one of its signature tryptophan (W) residues by a tyrosine (Y) residue, such that WW2 functions as a chaperone to facilitate the binding of PPxY ligands to WW1 (57). Here, we used purified GST fusion proteins of WW1 and WW2 (Fig. 2B) in pulldown assays to determine whether they interact with PPxY motifs present in full-length eVP40, mVP40, and LASV-Z proteins expressed in HEK293T cells (Fig. 2C to E). Briefly, cell lysates from HEK293T cells expressing either WT or PPxY mutant viral proteins were incubated with GST alone, GST-WW1, or GST-WW2, and viral interactors were detected by Western blotting. We found that WT eVP40, mVP40, and LASV-Z proteins interacted with WW1 of WWOX (Fig. 2C to E, lanes 3) but not with WW2 (Fig. 2C to E, lanes 5). The PPxY mutant proteins did not interact with either WW1 or WW2. Interestingly, our results using this approach showed that full-length WT eVP40 interacted with WW1 of WWOX, although an interaction between the eVP40 WT peptide and WW1 of WWOX was not detected in the array screen (Fig. 1).

FIG 2.

FIG 2

GST pulldown assays of VP40/Z and WWOX. (A) Schematic diagram of the 414-amino-acid WWOX protein, highlighting the locations of WW1 (pink), WW2 (blue), the nuclear localization signal (NLS) (green), and the SDR domain (orange). (B) Purified GST, GST-WWOX-WW1, and GST-WWOX-WW2 fusion proteins in the input (left) and pulldowns (right) detected by Western blotting using anti-GST antibody. (C to E) (Left) Western blots of HEK293T cell extracts, showing expression of the indicated input WT or mutant PPxY proteins (lanes 1 and 2). (Right) Western blots of full-length WT and PPxY mutants of eVP40, mVP40, and LASV-Z pulled down with either GST alone (lanes 1 and 2), GST-WWOX-WW1 (lanes 3 and 4), or GST-WWOX-WW2 (lanes 5 and 6).

Coimmunoprecipitation to confirm that full-length VP40/Z and WWOX interact.

Here, we used a coimmunoprecipitation approach to determine whether VP40/Z proteins interact with full-length WWOX protein in mammalian cells. HEK293T cells were cotransfected with WWOX alone or WWOX plus WT or PPxY mutant forms of VP40/Z, and cell extracts were immunoprecipitated with nonspecific IgG or antisera to detect VP40/Z proteins (Fig. 3). We observed that WWOX interacted robustly with WT eVP40 (Fig. 3A, lane 6) and WT mVP40 (Fig. 3B, lane 6) but did not interact strongly with either VP40 PPxY mutant (Fig. 3A and B, lanes 5). Since our anti-Z antiserum is most efficient in detecting LASV-Z by Western blotting, we used anti-WWOX antiserum first for immunoprecipitation, followed by anti-Z antiserum (Fig. 3C). Indeed, we detected an interaction between WWOX and WT LASV-Z (Fig. 3C, lane 6) but not the PPxY mutant of Z (Fig. 3C, lane 5).

FIG 3.

FIG 3

WWOX interacts with VP40/Z in a PPxY-dependent manner. (A) (Right) Extracts from HEK293T cells transfected with the indicated plasmids were immunoprecipitated (IP) with either normal rabbit IgG or anti-eVP40 antiserum, and the precipitated proteins were analyzed by Western blotting (WB) using mouse anti-Myc (WWOX) or anti-eVP40 antiserum (lanes 1 to 6). (Left) Expression controls for eVP40, eVP40-ΔPT/PY, WWOX, and β-actin are shown (lanes 1 to 3). (B) (Right) Extracts from HEK293T cells transfected with the indicated plasmids were immunoprecipitated with either normal mouse IgG or mouse anti-FLAG (mVP40) antiserum, and the precipitated proteins were analyzed by Western blotting using rabbit anti-Myc (WWOX) or mouse anti-FLAG antiserum (lanes 1 to 6). (Left) Expression controls for mVP40, mVP40-P>A, WWOX, and β-actin are shown (lanes 1 to 3). (C) (Right) Extracts from HEK293T cells transfected with the indicated plasmids were immunoprecipitated with either normal mouse IgG or anti-myc (WWOX) antiserum, and the precipitated proteins were analyzed by Western blotting using mouse anti-Myc (WWOX) or rabbit anti-LASV-Z antisera (lanes 1 to 6). (Left) Expression controls for LASV-Z, LASV-Z-ΔPY, WWOX, and β-actin are shown (lanes 1 to 3).

We next sought to determine whether VP40 and Z interact with endogenous WWOX. Human MCF7 cells were either mock transfected or transfected with WT eVP40, mVP40, and LASV-Z, and cell extracts were immunoprecipitated with either nonspecific IgG as a negative control, the appropriate anti-VP40/Z antiserum followed by Western blotting with anti-WWOX antiserum, or the appropriate anti-VP40/Z antiserum followed by Western blotting with the same anti-VP40/Z antiserum as a positive control (Fig. 4). Endogenous WWOX was detected in precipitates from cells expressing eVP40 (Fig. 4A, lane 3), mVP40 (Fig. 4B, lane 3), and LASV-Z (Fig. 4C, lane 3) but not in mock-transfected cells (Fig. 4, lanes 2) or in IgG controls (Fig. 4A, lane 1). Taken together, these results show that full-length eVP40, mVP40, and LASV-Z interacted with exogenous and endogenous full-length WWOX.

FIG 4.

FIG 4

VP40/Z interacts with endogenous WWOX. MCF7 cells were mock transfected or transfected with HA-tagged eVP40 (A), FLAG-tagged mVP40 (B), or HA-tagged LASV-Z (C) as indicated. Extracts were first immunoprecipitated (IP) with either mouse IgG as a negative control, anti-HA, or anti-FLAG antiserum as indicated, and precipitates were then analyzed by Western blotting (WB) using anti-WWOX antiserum (bottom blots, lanes 1 to 3). Precipitates were also analyzed by Western blotting using mouse anti-HA or anti-FLAG antibodies as positive controls (top blots, lanes 1 to 3). Expression (input) controls for endogenous WWOX and β-actin, as well as exogenous eVP40, mVP40, and LASV-Z, are shown (input, lanes 4 and 5).

WWOX inhibits filovirus and arenavirus VLP egress.

Next, we investigated whether expression of WWOX would affect egress of VP40/Z using our well-established VLP budding assay. Briefly, HEK293T cells were transfected with WT or PPxY mutant forms of VP40/Z in the absence or presence of exogenous WWOX, and both cell extracts and VLPs were harvested at 24 h posttransfection. VP40/Z and WWOX proteins were detected in the appropriate cell extracts by Western blotting, and actin was also detected as a loading control (Fig. 5A to C, cell lysates). Interestingly, we found that expression of WWOX inhibited egress of eVP40, mVP40, and LASV-Z VLPs (Fig. 5A to C, compare lanes 1 and 2 in each panel). As expected, the PPxY mutant VP40/Z proteins were themselves defective in VLP budding in the absence and presence of WWOX (Fig. 5A to C, compares lanes 3 and 4 in each panel).

FIG 5.

FIG 5

WWOX inhibits budding of VP40/Z VLPs in a PPxY-dependent manner. (A to C) HEK293T cells were transfected with the indicated plasmids, and proteins in cell lysates and VLPs were detected by Western blotting and quantified using NIH ImageJ software.

To determine whether the inhibitory effect of WWOX on VLP egress was dose dependent, HEK293T cells were transfected with a constant amount of VP40/Z and increasing amounts of WWOX (Fig. 6). We observed a robust and consistent dose-dependent inhibitory effect of WWOX on the egress of eVP40 (Fig. 6A and B), mVP40 (Fig. 6C and D), and LASV-Z (Fig. 6E and F) VLPs in multiple independent experiments. Indeed, budding of eVP40 and mVP40 VLPs was reduced by approximately 80% when equal amounts of VP40 and WWOX plasmids were cotransfected (Fig. 6B and D). Interestingly, inhibition of LASV-Z VLP budding was as pronounced as 80% in the presence of only one-half of the amount of WWOX plasmid as used for VP40 experiments (Fig. 6E and F). Together, our results indicate that WWOX is a novel, broad-spectrum PPxY interactor that negatively regulates egress of VP40/Z VLPs.

FIG 6.

FIG 6

WWOX inhibits budding of VP40/Z VLPs in a dose-dependent manner. (A, C, and E) HEK293T cells were transfected with constant amounts of eVP40, mVP40, or LASV-Z plasmids plus increasing amounts of WWOX. The indicated proteins were detected in cell lysates and VLPs by Western blotting, and proteins in VLPs were quantified (values in parentheses) using NIH ImageJ software. (B, D, and F) Quantification of the relative budding efficiency of eVP40, mVP40, or LASV-Z VLPs under the indicated conditions from three independent experiments (n = 3) was performed. The ratio of WWOX plasmid to viral plasmid is shown in parentheses. Statistical significance was analyzed by one-way analysis of variance (ANOVA). ns, not significant; *, P < 0.05; ****, P < 0.0001.

WW1 of WWOX interacts physically and functionally with VP40/Z proteins.

We next sought to determine whether WW1 of WWOX specifically was important for mediating physical and functional interactions between WWOX and viral PPxY motifs, since WW1 but not WW2 of WWOX bound to full-length eVP40/mVP40 and LASV-Z in our GST pulldown assays. Toward this end, we constructed a WW1 mutant of WWOX (WWOX-W44AP47A) by changing two key amino acids within the domain to alanine, i.e., W44A and P47A (57). HEK293T cells were cotransfected with Myc-tagged WT WWOX or the W44AP47A mutant plus eVP40 (Fig. 7A), mVP40 (Fig. 7C), or LASV-Z (Fig. 7E). Cell extracts were immunoprecipitated with either nonspecific IgG or anti-Myc antibody, and the VP40 and Z proteins were detected in precipitates by Western blotting using appropriate antisera, as indicated (Fig. 7A, C, and E). eVP40, mVP40, and LASV-Z were detected in the WT WWOX precipitates but not in the W44AP47A mutant precipitates (Fig. 7A, C, and E, lanes 3 and 4), confirming that WWOX-VP40/Z interactions are mediated by WW1.

FIG 7.

FIG 7

Role of WW1 in mediating WWOX-VP40/Z interactions and VLP budding inhibition. (A, C, and E) HEK293T cells were transfected with either WT WWOX or WW1 mutant W44AP47A plus either eVP40 (A), mVP40 (C), or LASV-Z (E) as indicated. Cell extracts were immunoprecipitated (IP) with either normal IgG (lanes 1 and 2) or anti-Myc antibody (lanes 3 and 4), and the precipitated proteins were analyzed by Western blotting (WB) using appropriate antisera as indicated. Input levels of the indicated proteins were determined by Western blotting (lanes 5 and 6). (B, D, and F) HEK293T cells were transfected with eVP40 (B), mVP40 (D), or LASV-Z (F) alone or with either WT WWOX or mutant W44AP47A as indicated. Cellular proteins and VLPs were detected by Western blotting, and VLPs were quantified using NIH ImageJ software (values shown in parentheses).

Next, we sought to determine whether the mutation of WW1 would affect the ability of WWOX to inhibit VP40/Z VLP egress. Briefly, HEK293T cells were transfected with VP40/Z alone or in combination with either WT WWOX or the W44AP47A mutant. Cell extracts and VLPs were harvested at 24 h posttransfection. While all proteins were detected at equivalent levels in cell extracts (Fig. 7B, D, and F, cell lysates), a significant decrease in the egress of both VP40 and Z VLPs was observed in cells coexpressing WT WWOX (Fig. 7B, D, and F, VLPs, lanes 1 and 2). In contrast, coexpression of the W44AP47A mutant did not affect VP40/Z VLP egress, compared to controls (Fig. 7B, D, and F, VLPs, lanes 2 and 3). Together, these results show that WW1 of WWOX is crucial not only for mediating the WWOX-VP40/Z physical interactions but also for mediating the inhibitory effect on VP40/Z VLP budding.

siRNA knockdown of endogenous WWOX enhances VP40/Z VLP egress.

Since overexpression of WWOX had a negative regulatory effect on the egress of VP40/Z VLPs, we reasoned that knockdown of endogenous levels of WWOX might have an opposite positive regulatory effect on VP40/Z VLP egress. To test this, we used a small interfering RNA (siRNA) approach to knock down expression of endogenous WWOX in human Huh-7 liver cells and evaluated its effect on VP40/Z VLP egress. Random or WWOX-specific siRNAs plus eVP40, mVP40, or LASV-Z plasmids were transfected into Huh-7 cells, and cell extracts and VLPs were harvested and analyzed by Western blotting (Fig. 8). As expected, WWOX-specific siRNAs, but not random siRNAs, knocked down expression of endogenous WWOX by >70% (Fig. 8A to C, cell lysate). Importantly, we observed consistent 2.5- to 4-fold increases in VP40/Z VLP levels in the presence of WWOX-specific siRNAs, compared to levels in the presence of random control siRNAs, over three independent experiments (Fig. 8A to D, VLPs). These results support our conclusion that the newly identified PPxY interactor WWOX represents the newest member of an emerging list of negative regulators of VP40/Z VLP budding.

FIG 8.

FIG 8

siRNA knockdown of endogenous WWOX positively regulates VLP egress. (A to C) Huh-7 cells were transfected with either random (control) or WWOX-specific siRNAs plus eVP40 (A), mVP40 (B), or LASV-Z (C) plasmids as indicated. Proteins in cell extracts and VLPs were detected by Western blotting and quantified using NIH ImageJ software (values in parentheses). VLP egress from control cells (lane 1) was set at 100%. (D) Quantification of the relative budding efficiency of eVP40, mVP40, and LASV-Z VLPs in the presence of control (blue bars) or WWOX-specific (pink bars) siRNAs from three independent experiments is shown. Statistical significance was analyzed by Student's t test, separately. *, P < 0.05.

WWOX alters the intracellular and membrane localization patterns of VP40.

To begin to address the mechanism by which WWOX inhibits VLP egress, we sought to determine whether WWOX affects the intracellular localization patterns of VP40. HEK293T cells were transfected with either eVP40 or mVP40 alone or with WWOX, and the intracellular patterns of expression of VP40 and WWOX were visualized by confocal microscopy. As we observed previously, expression of eVP40 or mVP40 alone resulted in their abundant localization at the PM in the form of membrane projections as a result of VLP formation and subsequent egress (Fig. 9A and B, top rows). However, this typical PM pattern of localization for VP40 was altered in the presence of WWOX, such that VP40 exhibited a more internal and punctate pattern of expression with fewer distinct PM projections (Fig. 9A and B). In addition to a reduced amount of VP40 at the PM in the presence of WWOX, we observed what appeared to be a low level of VP40 in the nucleus along with WWOX (Fig. 9A and B). To further assess the altered distribution pattern for VP40 in the presence of WWOX, we isolated cytosolic, nuclear, and PM fractions from cells expressing either VP40 alone or VP40 plus WWOX, and we quantified the proteins by Western blotting (Fig. 9C and D). β-Actin, lamin A/C, and Na/K-ATPase served as markers for the cytosolic, nuclear, and PM fractions, respectively. Consistent with the confocal imaging observations, we observed that the levels of eVP40 and mVP40 were reduced in the PM fractions in cells coexpressing WWOX, compared to control cells (Fig. 9C and D, plasma membrane). We did not observe any difference in VP40 expression levels in the cytosolic fractions from WWOX-positive versus WWOX-negative cells (Fig. 9C and D, cytosol); however, we did observe an ∼2-fold increase in VP40 levels in the nuclei of cells expressing WWOX, compared to those expressing VP40 alone (Fig. 9C and D, nucleus). This finding does correlate well with some of the confocal images showing that VP40 (particularly mVP40) is prevalent in the nucleus in WWOX-expressing cells (Fig. 9B, bottom row). Taken together, these results suggest that WWOX may inhibit the egress of VP40 VLPs, in part, by relocating VP40 away from the site of budding at the PM, as well as perhaps chaperoning a portion of VP40 into the nucleus.

FIG 9.

FIG 9

WWOX alters the intracellular localization of eVP40 and mVP40. (A and B) HEK293T cells were transfected with eVP40 (A) or mVP40 (B) alone or with WWOX as indicated. Representative images displaying the intracellular localization patterns of eVP40 (green), mVP40 (green), WWOX (red), and nuclei (blue) are shown. Scale bars = 10 μm. (C and D) HEK293T cells were transfected with eVP40 (C) or mVP40 (D) alone or with WWOX as indicated. The cytosolic, nuclear, and PM fractions were isolated at 24 h posttransfection, and the indicated proteins were detected by Western blotting.

AMOT counteracts the inhibitory effect of WWOX and rescues budding of VP40 VLPs and live virus.

We demonstrated recently that the multi-PPxY-containing protein AMOT p130 positively regulates the budding of eVP40 and mVP40 VLPs, as well as the egress and spread of live EBOV and MARV in cell culture (32, 33). Intriguingly, the PPxY motifs of AMOT p130 interact with WW-domains of negative regulators of VP40 budding (YAP, BAG3, and WWOX) (38, 4547), as well as with WW-domains of positive regulators of VP40 budding (Nedd4 and Itch) (58). AMOT also functions as a master regulator of several physiologically relevant pathways/processes, including the Hippo pathway, apoptosis, cytoskeletal organization at the PM, and TJ integrity (45, 46, 4850, 5255). Thus, a potential role for AMOT as a central and key regulator of PPxY-mediated egress of RNA viruses warrants further investigation.

Toward that end, we sought to determine whether the interplay between PPxY-containing AMOT p130 (positive regulator of VP40 budding) and WW-domain-containing WWOX (negative regulator of VP40 budding) would influence the egress of VP40 VLPs. We first utilized a structure-based docking approach to assess the binding potential of the PPxY motifs from eVP40, mVP40, and AMOT p130 to interact with the WW1 of WWOX (Fig. 10A). Using Schrödinger's peptide docking module, we showed that the P1 pocket of WW1 of WWOX (Fig. 10A to C, white module) formed by T27 and W29 (Fig. 10A to C, pink) interacts with the P1 residue of the PPxY motif (Fig. 10A to C, highlighted proline in the green peptide). The Y side chain of the PPxY motif (Fig. 10A to C, highlighted tyrosine in the green peptide) occupies the Y pocket of WW1, which is a hydrophobic groove consisting of side chains from A20, H22, and T27 (Fig. 10A to C, pink). Importantly, the analysis of the protein-peptide docking scores revealed that PPxY motif 2 of AMOT p130 has the greatest potential (the best docking score, i.e., −97.66) to bind to WW1, followed by the mVP40 PPxY motif (score of −79.20) and then the eVP40 PPxY motif (score of −71.11) (Fig. 10A to C).

FIG 10.

FIG 10

AMOT rescues VP40 VLP budding in the presence of WWOX. (A to C) Docking models are shown for the following protein-peptide combinations: WWOX WW1 (white) and eVP40 PPxY peptide (MRRVILPTAPPEYMEAI) (green) (A), WWOX WW1 (white) and mVP40 PPxY peptide (MQYLNPPPYADHGANQL) (green) (B), and WWOX WW1 (white) and AMOT PPxY peptide 2 (QLMRYQHPPEYGAARPA) (green) (C). The first proline (blue) of the PPxY motif occupies the P1 pocket of WWOX WW1, which is formed by W29 and T27, and the Y side chain (pink) of the PPxY motif occupies the Y pocket, which is composed of T27, A20, and H22. (D to G) HEK293T cells were transfected with the indicated combinations of plasmids. Cell lysates and VLPs were harvested, and proteins were analyzed by Western blotting and quantified using NIH ImageJ software (values in parentheses). Bar graphs of eVP40 (E) and mVP40 (G) represent data from three independent experiments. Statistical significance was analyzed by one-way ANOVA. ns, not significant; *, P < 0.05; ****, P < 0.0001. (H) Schematic diagrams of AMOT p130 and AMOT p80, highlighting the locations of LPTY (pink) and two PPEY (blue) motifs, followed by the coiled coil domain (CC) (yellow) and the PSD-95/Dlg1/ZO-1 domain (PDZ) (green).

To determine whether AMOT could rescue the budding of VP40 VLPs in the presence of WWOX, HEK293T cells were transfected with the indicated combinations of plasmids (Fig. 10D to H), and proteins were detected by Western blotting of both cell extracts and VLPs at 24 h posttransfection. Consistent with previous results, we found that expression of AMOT p130 alone did not negatively affect the egress of eVP40 (Fig. 10D, compare lanes 1 and 2) or mVP40 (Fig. 10F, compare lanes 1 and 2) VLPs; however, expression of WWOX significantly inhibited the egress of both VP40 VLPs (Fig. 10D and F, compare lanes 1 and 3). Interestingly, coexpression of AMOT p130 overcame the inhibitory activity of WWOX and rescued the egress of both eVP40 and mVP40 VLPs back to WT levels (Fig. 10D and F, lanes 4 and 5). The ability of AMOT p130 to rescue VP40 VLP egress was dependent on PPxY motifs, since AMOT p80, which lacks all PPxY motifs (Fig. 10H), did not rescue budding of VP40 VLPs (Fig. 10D and F, lanes 6). These results were reproducible and significant in repeated independent experiments (Fig. 10E and G).

Lastly, we sought to determine whether expression of WWOX would impair PPxY-mediated egress of virus and also whether the interplay among the WWOX, AMOT, and viral PPxY motifs regulates the release of virus. Here, we used our previously described vesicular stomatitis virus (VSV) recombinant virus M40 (VSV-M40), which contains the PTAPPEY L-domain motifs and flanking residues from eVP40 in place of the PPxY L-domain motif and flanking residues of VSV M protein (15). Briefly, HEK293T cells were first transfected with vector alone, WWOX, or WWOX plus AMOT p130 or AMOT p80 and then infected with VSV-M40 at a multiplicity of infection (MOI) of 0.1 for 8 h. Cell extracts and supernatants were harvested for Western blot analysis and virus titration, respectively (Fig. 11). Notably, virus titers were significantly lower in the presence of WWOX, compared to control (Fig. 11A). Similar to our observations with VP40 VLPs, virus titers were rescued back to control levels when AMOT p130, but not AMOT p80, was coexpressed with WWOX (Fig. 11A). Expression of viral and host proteins in all samples was confirmed by Western blotting (Fig. 11B). Taken together, these data demonstrate that the competitive interplay among WWOX, AMOT, and VP40 PPxY motifs regulates not only VLP egress but also egress of recombinant virus VSV-M40.

FIG 11.

FIG 11

WWOX and AMOT regulate the release of infectious recombinant virus VSV-M40. (A) HEK293T cells were first transfected with vector alone, WWOX, or WWOX plus AMOT p130 or p80 for 24 h and then were infected with recombinant virus VSV-M40 at an MOI of 0.1 for 8 h. Supernatants were harvested and virus titers were determined by standard plaque assays on BHK-21 cells. Each bar represents the average of three independent experiments performed in duplicate. Statistical significance was analyzed by one-way ANOVA. ns, not significant; ****, P < 0.0001. (B) The indicated proteins from VSV-M40-infected cell extracts were detected by Western blotting.

DISCUSSION

WWOX was originally discovered as a tumor suppressor that exerts proapoptotic and inhibitory functions on a variety of tumors (59), and WWOX has been linked to the micropathology of some oncogenic viruses, such as Epstein-Barr virus and human T-cell lymphotropic virus (6062). WWOX has an extensive and diverse interactome that includes an array of PPxY-containing proteins such as AMOT, p73, AP-2γ, ErbB-4, ezrin, TMEM207, SMAD3, and VOPP1; therefore, WWOX plays a key role in regulating several physiologically important cellular pathways, such as transcription (Hippo pathway), apoptosis, cellular respiration, cytoskeletal dynamics, and TJ formation, via PPxY/WW-domain interactions (34, 37, 38, 40, 41, 51, 6367). Here, we report on the identification of host WWOX as a novel WW-domain-containing interactor with the PPxY motifs of eVP40, mVP40, and LASV-Z matrix proteins, leading to negative regulation of VP40/Z VLP egress. Although mainly a cytoplasmic protein, WWOX does interact with several transcription factors and can shuttle in and out of the nucleus (3540, 64, 67). Interestingly, we found that expression of WWOX correlated with modestly increased levels of VP40 detected in the nucleus. This finding raises the possibility not only that WWOX-mediated shuttling of a portion of VP40 into the nucleus could contribute to its negative effect on VP40 VLP egress by reducing the amount of VP40 at the PM but also that competitive PPxY/WW-domain interactions among WWOX, VP40, and cellular transcription factors could affect the biology and pathogenesis of the virus. For example, EBOV infection upregulates transforming growth factor β (TGF-β) signaling, and effectors of TGF-β signaling, such as PPxY-containing SMAD3, are activated, leading to the epithelium-to-mesenchyme-like transition (EMT). Reduced expression of cell adhesion molecules and loss of epithelial cell integrity enhanced EBOV pathogenesis (68). Interestingly, WWOX engages in TGF-β signaling (69, 70) and directly binds to the SMAD3 PPxY motif, sequestering SMAD3 in the cytoplasm and thus inhibiting TGF-β signaling and SMAD3 transcriptional activity (65). Indeed, downregulation of WWOX induces EMT, decreases cell attachment, and increases cell motility (71). It will be of interest to determine whether WWOX-VP40 interactions disrupt WWOX function and induce EMT during live EBOV infection.

WWOX is the newest addition to an emerging list of functionally related, host WW-domain interactors (e.g., BAG3 and YAP) that negatively regulate VP40/Z PPxY-mediated budding (3033). This growing trend suggests that there may be a complex interplay among a wide array of virus-host PPxY/WW-domain interactions occurring during virus infection, and the potential consequent impact of these virus-host interactions on endogenous host PPxY/WW-domain interactions may impact the biology of both the virus and the host during infection. Similar to our findings for negative regulators of budding, BAG3 and YAP-1, WWOX alters the intracellular localization pattern of VP40. Indeed, we not only observed a decrease in localization of VP40 at the PM but also observed more punctate and disorganized staining of VP40, which remained at the PM in shortened protrusions. Thus, the mechanisms by which BAG3, YAP, and WWOX negatively regulate VP40 VLP egress likely involve, at least in part, disruption of VP40 localization and/or assembly at the site of budding at the PM via direct PPxY/WW-domain interactions and subsequent sequestration.

We recently revealed a key role for endogenous AMOT in positively regulating the egress and spread of PPxY-containing filoviruses (32, 33). AMOT p130 contains multiple PPxY motifs that mediate interactions with WW-domains of YAP, BAG3, and WWOX (negative regulators of budding) and, in doing so, function as master regulators of several physiologically relevant pathways/processes, including transcription (Hippo pathway), actin polymerization, and TJ formation/integrity (4554). Interestingly, stability and turnover of AMOT p130 itself are tightly regulated by PPxY/WW-domain interactions with Nedd4 E3 ubiquitin ligase family members (positive regulators of budding) (58). Thus, the competitive interplay and modular mimicry between the PPxY motifs of AMOT p130, as well as PPxY-containing family members AMOT-L1 and AMOT-L2 (72, 73), and viral VP40/Z proteins for binding to positive or negative host WW-domain interactors to regulate virus egress and dissemination and to affect host pathways is of keen interest. Here, we demonstrated that expression of AMOT p130 rescued the inhibitory effect of WWOX on both VP40 VLP and live virus egress in a PPxY-dependent manner, whereas AMOT p80, which lacks all PPxY motifs, did not rescue VP40 VLP or virus egress. We speculate that the PPxY motifs of AMOT p130 and VP40 may compete for binding to WWOX in virus-infected cells and that the outcome of this virus-host competition would affect virus budding in either a positive or negative manner. In addition, this virus-host competition would likely have an impact on WWOX function and its interactome. For example, ezrin is a membrane-cytoskeleton linker protein that participates in cell adhesion, migration, and assembly of cellular junctions (7477), and ezrin interacts with the WW-domain of WWOX via its PPVY motif (63). It will be of interest to determine whether filoviral PPxY motifs could disrupt endogenous WWOX-ezrin interactions, resulting in altered membrane-cytoskeleton remodeling and/or cell junction formation and integrity, which could then influence virus spread and pathogenicity.

In sum, we have identified host WWOX as a WW-domain interactor with the PPxY motifs of eVP40, mVP40, and LASV-Z, which negatively regulate egress of VP40/Z VLPs. The identification of WWOX as the newest negative regulator of viral PPxY-mediated budding is particularly intriguing due to its broad interactome and its regulatory role in several physiologically important pathways. Additional studies at biosafety level 2 (BSL2) and BSL4 will be needed to further dissect the complex molecular and modular interplay among viral PPxY motifs, host PPxY motifs (e.g., AMOT p130), and host WW-domains from both positive (e.g., Nedd4, WWP1, and Itch) and negative (e.g., WWOX, YAP, and BAG3) regulators of virus egress and to assess the biological relevance of these virus-host interactions during live virus infection. Notably, WWOX and AMOT family gene knockout mice are available and will provide valuable models to test the dynamics of these virus-host interactions in vivo and in cells derived from these animals (7880).

MATERIALS AND METHODS

Cell lines and plasmids.

HEK293T, MCF-7, BHK-21, and Huh-7 cells were maintained in Dulbecco’s modified Eagle’s medium (DMEM) (Corning) supplemented with 10% fetal bovine serum (FBS) (GIBCO) and penicillin (100 U/ml)-streptomycin (100 μg/ml) (Invitrogen), and the cells were grown at 37°C in a humidified 5% CO2 incubator. The plasmids encoding WT eVP40, eVP40-ΔPT/PY, and hemagglutinin (HA)-tagged WT eVP40 were described previously. FLAG-tagged WT mVP40 and mVP40 with a P-to-A substitution were kindly provided by S. Becker (Institut für Virologie, Marburg, Germany). WT LASV-Z and HA-tagged WT LASV-Z were kindly provided by S. Urata (Nagasaki, Japan), and LASV-Z-ΔPY was described previously (14). VP40 and Z proteins are expressed from the pCAGGS vector. The pCMV-Myc-tagged WWOX plasmid was kindly provided by Rami I. Aqeilan (Jerusalem, Israel). The pCMV-Myc-tagged WW1 mutant WWOX was constructed by mutating W44 and P47 to A (alanine). Plasmids expressing Myc-tagged AMOT p130 and p80 were kindly provided by D. McCollum (University of Massachusetts Medical School, MA).

WW-domain array screens.

The proline rich motif “reading” array consists of approximately 115 WW- and SH3-domains from mammalian proteins (and yeast). We prepared biotinylated peptides harboring WT or mutated PPxY motifs from EBOV WT VP40 (MRRVILPTAPPEYMEAI) (boldface type highlights the key amino acids in the sequences that are mediating protein-protein interactions) or mutant VP40 (MRRVILPTAAAEAMEAI), MARV WT VP40 (MQYLNPPPYADHGANQL) or mutant VP40 (MQYLNAAPAADHGANQL), and LASV-Z WT (TAPPEIPPSQNPPPYSP) or mutant (TAPPEIPPSQNAAPASP). All of the peptides were fluorescently labeled and used to screen the specially prepared “proline-rich” reading array as described previously (32).

GST pulldown assay.

GST alone and GST-tagged WWOX WW1 and WW2 fusion proteins were expressed in BL-21 cells and subsequently purified and conjugated to glutathione (GSH) beads (GE Healthcare). HEK293T cells were transfected with WT eVP40, eVP40-ΔPT/PY, FLAG-tagged WT mVP40, mVP40-P>A, WT LASV-Z, or LASV-Z-ΔPY. At 24 h after transfection, the cell extracts were incubated at 4°C for 6 h with the GSH beads described above, with continuous rotation. The protein complexes were pulled down with beads and subjected to Western blot analysis. The rabbit eVP40 antiserum (IBT Bioservices), mouse anti-FLAG antibody (Fitzgerald), and rabbit LASV-Z antiserum (IBT Bioservices) were used to detect eVP40, mVP40, LASV-Z, and their PPxY mutants, respectively. The mouse anti-GST antibody (Sigma) was used to detect GST or GST-WWOX WW1 and WW2 fusion proteins.

Immunoprecipitation assay.

HEK293T cells seeded in 6-well plates were transfected with the indicated plasmid combinations using Lipofectamine reagent (Invitrogen). At 24 h posttransfection, cells were harvested and lysed, and the cell extracts were subjected to Western blot analysis and coimmunoprecipitation. The protein complexes were precipitated by either rabbit or mouse IgG and appropriate antisera as indicated. First, the cell extracts were incubated with antiserum overnight at 4°C with continuous rotation, and then the protein A/G agarose beads (Santa Cruz Biotechnology) were added to the mixtures and incubated for 5 h with continuous rotation. After incubation, beads were collected via centrifugation and washed five times. The input cell extracts and immunoprecipitates were then detected by Western blotting with appropriate antisera as indicated. The antisera used included rabbit anti-eVP40, mouse anti-FLAG (for FLAG-tagged mVP40), rabbit anti-LASV-Z, and mouse anti-Myc (Millipore), rabbit anti-Myc (Sigma), mouse anti-HA (Sigma), rabbit anti-WWOX (Cell Signaling Technology), and mouse anti-WWOX (Santa Cruz Biotechnology).

VLP budding assay and WWOX titration.

Filovirus VP40 and arenavirus LASV-Z VLP budding assays in HEK293T cells were described previously (14). The eVP40, mVP40, and LASV-Z proteins in VLPs and cell extracts were detected by SDS-PAGE and Western blotting and quantified using NIH ImageJ software. The anti-eVP40 antiserum was used to detect WT eVP40 and the eVP40-ΔPT/PY mutant, the anti-FLAG monoclonal antibody was used to detect FLAG-tagged mVP40 and mVP40-P>A, and the anti-LASV-Z antiserum was used to detected LASV-Z and LASV-Z-ΔPY. For VLP budding and WWOX titration experiments, HEK293T cells were transfected with 0.1 μg of eVP40 or mVP40 or 0.2 μg of LASV-Z and increasing amounts (0.1, 0.5, and 1.0 μg) of WWOX plasmids. The total amounts of transfected DNA were equivalent in all samples. The cell extracts and VLPs were harvested at 24 h posttransfection and subjected to Western blotting.

siRNA knockdown assay.

Huh-7 cells seeded in 6-well plates were transfected with human WWOX-specific or random siRNAs (Dharmacon) at a final concentration of 50 nM per well using Lipofectamine 2000 reagent (Invitrogen). At 24 h after siRNA transfection, cells were transfected again with 1.0 μg of eVP40, mVP40, or LASV-Z plasmid. VLPs and cell extracts were harvested at 48 h posttransfection, and the indicated proteins in cell extracts and VLPs were detected by Western blotting.

Indirect immunofluorescence assay.

HEK293T cells were transfected with the indicated plasmid combinations. At 24 h posttransfection, cells were washed with cold phosphate-buffered saline (PBS), fixed with 4% formaldehyde for 15 min at room temperature, and then permeabilized with 0.2% Triton X-100. After three washes with cold PBS, cells were incubated with rabbit anti-eVP40 or anti-FLAG (mVP40) antiserum and mouse anti-Myc (WWOX) antibody. Cells were stained with Alexa Fluor 488-labeled goat anti-rabbit IgG and Alexa Fluor 594-labeled goat anti-mouse IgG secondary antibodies (Life Technologies). Cell nuclei were stained with 4′,6-diamidino-2-phenylindole (DAPI) in Prolong anti-fade mountant (Thermo Fisher Scientific). Microscopy was performed using a Leica SP5 fluorescence lifetime imaging microscopy (FLIM) inverted confocal microscope. Serial optical planes of focus were taken, and the collected images were merged into one by using the Leica Application Suite AF software.

Cytosolic, nuclear, and PM protein fractionation.

HEK293T cells were transfected with the indicated plasmid combinations, and cells were scraped and washed with cold PBS at 24 h posttransfection. Cells were then collected via low-speed centrifugation. The cytosolic, nuclear, and PM fractions were isolated sequentially using the Minute PM protein isolation kit (Invent) following the manufacturer's instructions. Proteins within the cytosolic, nuclear, and PM fractions were detected via SDS-PAGE and Western blotting. β-Actin, lamin A/C, and Na/K-ATPase were used as cytosolic, nuclear, and PM controls, respectively, and were detected using mouse anti-β-actin (Proteintech), mouse anti-lamin A/C (Cell Signaling Technology), and rabbit anti-Na/K-ATPase (Abcam) monoclonal antibodies. The eVP40, mVP40, and WWOX in each subcellular fraction were detected using the antisera mentioned above.

Protein-peptide docking analysis.

(i) Homology modeling. The amino acid sequence of WWOX WW1 was obtained from the UniProt database (81) (positions 16 to 49; GenBank accession number Q9NZC7). A sequence similarity search was carried out using the Protein BLAST tool (82) to find protein templates. ClustalW2 (83) was used to generate the target-template sequence alignment. The homology modeling of the WWOX WW1 was performed by Modeller v9.22, based on the template ubiquitin ligase Nedd4 (PDB code 1I5H) (84), which is the closest template to WWOX WW1, with 64% sequence identity. The discrete optimized protein energy (DOPE) (85) scoring function was then used to score the models and to pick the best-scoring model for peptide docking.

(ii) Protein-peptide docking. The protein-peptide docking analysis was carried out using the Glide module. The modeled WW1 of WWOX was prepared using the Protein Preparation Wizard tool in Schrodinger. The peptides were constructed with Maestro, and multiple conformers were generated using the MacroModel sampling method. The receptor grid for peptide docking purposes was generated with default settings and the centroid of the Y18, A20, H22, E25, T27, and W29 residues defined as the grid center. The Glide SP-PEP protocol was used to dock peptide conformers (86).

AMOT-mediated rescue of VLP budding.

HEK293T cells were transfected with 0.2 μg of eVP40 or mVP40 plus 0.5 μg of WWOX and increasing amounts (0.25 or 0.5 μg) of AMOT p130 or 0.5 μg AMOT p80 plasmids. The total amounts of transfected DNA were equivalent in all samples. VLPs and cell extracts were harvested at 24 h posttransfection and then subjected to SDS-PAGE and Western blotting, and results were quantified using NIH ImageJ software.

Transfection/infection assays.

HEK293T cells were first transfected for 24 h with pCAGGS vector alone, WWOX (1.0 μg), or WWOX (1.0 μg) plus AMOT p130 (0.5 μg) or AMOT p80 (0.5 μg) and subsequently were infected with VSV-M40 at an MOI of 0.1. Supernatants and cell extracts were harvested at 8 h postinfection, separately. Released VSV-M40 virions in supernatants were titrated in duplicate via standard plaque assays on BHK-21 cells. Cellular and viral proteins were detected by Western blotting using appropriate antibodies.

ACKNOWLEDGMENTS

We thank S. Becker, S. Urata, R. I. Aqeilan, D. McCollum, and J. Kissil for kindly providing reagents. We thank members of the Harty laboratory for fruitful discussions and suggestions on this work.

Funding was provided in part by National Institutes of Health grants AI138052, AI139392, and EY031465 to R.N.H. Probing of arrayed WW-domains was made possible via the University of Texas M. D. Anderson Cancer Center Protein Array and Analysis Core CPRIT grant RP180804 to M.T.B. H.F. and C.K.J. were supported by the Biomedical Research Council of the Agency for Science, Technology, and Research (A*STAR). The funders had no role in study design, data collection and analysis, the decision to publish, or preparation of the manuscript.

M.T.B. is a cofounder of EpiCypher. B.D.F. and R.N.H. are cofounders of Intervir, LLC.

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