Mon travail de thèse s’est focalisé sur l’étude fonctionnelle de deux méthyltransférases (MTases) de la structure coiffe des ARNs, les protéines nsp14 et nsp16, chez le coronavirus responsable du syndrome respiratoire du Moyen-Orient (MERS-CoV). Notre étude a démonté un processus de méthylation séquentiel. La coiffe est d’abord méthylée en position N7 par nsp14 formant la coiffe-0 (7mGpppN). La coiffe-0 est ensuite méthylée en position 2’OH du premier nucléotide de l’ARN par nsp16 stimulée par nsp10 formant une coiffe 1 (7mGpppN2’Om). De plus, nos résultats suggèrent un mécanisme de régulation allostérique de l’activité de nsp16 par nsp10. Nos résultats indiquent que l’interaction nsp10/nsp16 est régulée par la variation de concentration du SAM et/ou de SAH. Le SAM présent à une concentration physiologique, environ 100 µM dans les cellules, favorise l’assemblage du complexe nsp10/nsp16. La faible concentration intracellulaire du SAH produit accélère la dissociation du complexe nsp10/nsp16 permettant le « turnover » de la réaction enzymatique. Par ailleurs, nous avons cartographié les résidus essentiels au recrutement de l’ARN par nsp16. Les méthylations étudiées jouent un rôle important dans la réplication virale. Nous avons donc criblé des inhibiteurs des deux MTases nsp14 et nsp10/nsp16 respectivement à partir des chimiothèques « Prestwick » et « 2P2I3D ». En résumé, mon travail de thèse a décortiqué les bases moléculaires de méthylation de la coiffe chez le MERS-CoV et a permis d’identifier des inhibiteurs de MTases représentant un point de départ crucial pour le développement d’antiviraux contre les CoV. / My PhD work focused on the functional study of two cap RNA methyltransferases (MTases), nsp14 and nsp16, of the Middle-East respiratory syndrome coronavirus (MERS-CoV). Our study demonstrates a sequential methylation process. The cap is first methylated at the N7 position by nsp14 forming a cap-0 (7mGpppN). It is next methylated at the 2’OH position of the first transcribed nucleotide by nsp16 stimulated by nsp10 forming a cap-1 (7mGpppN2’Om). Furthermore, our results suggest an allosteric regulation mechanism of the nsp16 activity by nsp10. Moreover, our results indicate that the nsp10/nsp16 interaction is regulated by the variation of SAM and/or SAH concentration. SAM present at physiologic concentration, around 100µM in cells, enhances the assembly of nsp10/nsp16. The weak intracellular concentration of SAH by-product speeds up the dissociation of nsp10/nsp16 allowing the enzymatic reaction turnover. In addition, we have mapped the essential residues for the recruitment of the RNA by nsp16. The methylations studied in this work play an important role for viral replication. We have therefore screened inhibitors of nsp14 and nsp10/nsp16 MTases respectively from chemical libraries « Prestwick » and « 2P2I3D ». In summary, my PhD work deciphers the molecular bases of cap RNA methylation of MERS-CoV and identifies MTase inhibitors that represent a crucial starting point for the development of antivirals against CoV.

To understand the impact of recurrent pandemics such as MERS-CoV on Respiratory Therapists (RTs) behavior and commitment has become an extremely important and relevant exercise because of the unprecedented MERS-CoV occurrences in Saudi Arabia. The purpose of this study was to assess RTs knowledge, attitudes, and skills, in order to examine the differences in RTs readiness level, training status, and the association and during MERS-CoV disasters. Method used Cross-sectional survey. A web-link survey was emailed to Saudi Society for Respiratory Care (SSRC) members, (N 750). The survey consisted of two parts: knowledge, skills, and attitudes, and the readiness to come to work. Data was collected and analyzed using SPSS 23.0. Findings showed a significant difference between the different levels of work positions (p = 0.027), a gender and work position (p = 0.012). There was a significant moderate correlation between readiness to work and knowledge (r = .407, p < 0.05), a significant low correlation between readiness to work and skills (r = 0.261, p = .05). There was a significant substantial correlation between skills and knowledge (r = .521, p < 0.05). In conclusion, this study showed the importance of establishes effective disaster health bureaucracy by performs periodic health policy analysis for epidemic and pandemic influenza. It called for planning, preparedness to respond effectively using all hazard-approach for potential influenza disasters. It revealed the significance of capability building for first line responders in term of HCWs Check-list education and training programs. Moreover, it supported the establishment of independent local CDC and Disaster Management panel. It recommended flexible bureaucracy and leadership enhancement for HCWs strike teams to increase likelihood success in response for unconventional scenarios.

No description available.

Zehn Jahre nach dem Ausbruch des Severe Acute Respiratory Syndrome Coronavirus, SARS-CoV, ist ein neues Betacoronavirus, das Middle East Respiratory Syndrome Coronavirus, MERS-CoV, auf der arabischen Halbinsel entdeckt worden. Seine anhaltende Ausbreitung stellt eine Bedrohung für die öffentliche Gesundheit dar. Das Spike (S) Protein der Coronaviren vermittelt den viralen Eintritt in Wirtszellen und bestimmt wesentlich den viralen Tropismus und die virale Pathogenese. Das Verständnis der Determinanten des MERS-CoV Spike (MERS-S)-vermittelnden Eintritts in Zellen könnte daher wichtige Einblicke in die MERS-CoV-Biologie liefern und war somit das erste Ziel dieser Arbeit. Um den Eintritt in die Zelle zu ermöglichen, muss das Coronavirus S-Protein durch Wirtszellproteasen aktiviert werden, welche potentielle Ziele für die therapeutischen Intervention darstellen. Daher sollten im zweiten Ziel dieser Arbeit Proteasen identifiziert werden, die MERS-S aktivieren. Das S-Protein ist das Hauptangriffsziel neutralisierender Antikörper und experimentelle Systeme zur S-Analyse können für die Diagnostik eingesetzt werden. Das letzte Ziel dieser Arbeit war es daher, die MERS-CoV Seroprävalenz in Saudi Arabien zu ermitteln. Es wurde ein lentivirales Vektorensystem etabliert, welches die Analyse des MERS-S-getriebenen Zelleintritts ermöglicht. Mit Hilfe dieses Systems konnte gezeigt werden, dass MERS-S den Eintritt in ein breites Spektrum humaner Zelllinien, wie Lungen-, Nieren- und Darmzellen vermittelt, was mit der klinischen Manifestation von MERS einhergeht. Der Wirtszelleintritt war unabhängig von bereits beschriebenen Coronavirus Eintrittsrezeptoren, wurde jedoch durch die endosomale Cysteinprotease Cathepsin L und die Transmembranserinprotease TMPRSS2 gefördert. Im Gegensatz dazu war die Aktivität von Proprotein Konvertasen für den S-Protein-vermittelnden Eintritt entbehrlich. Schließlich zeigten Neutralisationstests, dass Seren von Patienten aus der östlichen Provinz Saudi Arabiens, die zwischen 2010-2011 und 2012 entnommen wurden, keine MERS-S-neutralisierenden Antikörper enthielten. Dies deutet darauf hin, dass MERS-CoV-Infektionen vor dem Ausbruch 2012 nur selten vorkamen. Die gewonnen Ergebnisse tragen wesentlich zum Verständnis des MERS-CoV-Eintritts in Zellen bei und liefern wichtige Informationen zur MERS-CoV-Epidemiologie. Weiterhin könnte die Beobachtung, dass der Protease-Inhibitor Camostat, der für den Einsatz im Menschen zugelassen ist (in Japan), TMPRSS2 blockiert und damit den MERS-CoV Eintritt inhibiert, helfen, Behandlungsstrategien für MERS-Patienten zu etablieren.

RNA viruses have the fastest evolutionary rates amongst protein-coding organisms on the planet. Ease of sequencing, advanced techniques of analysis and global health and economic concerns have all contributed to the recognition of RNA viruses as a robust research platform. Phylogenetic methods have been at the forefront of analytical techniques used to understand the dynamics of RNA viruses - during natural circulation in populations and in individual hosts, within epidemics, across species barriers and over billions of years that viruses have been around. Most of the work presented in this thesis employs phylogenetic incongruity arising from reassortment and recombination to gain insights into the genomes and populations of RNA viruses. Chapter 2 explores the selection regimes Ebola virus has experienced following a year of circulation in humans inWest Africa, as well as its recent history. Chapter 3 investigates the extent of recombination in MERS-CoV, a novel human pathogen with an obscure epidemiology, which is suggestive of frequent co-infection of some hosts. Chapter 4, on the other hand, documents a pattern of non-intuitive linkage between some segments of the human-endemic influenza B virus genome and explores its potential to speciate. Chapter 5 builds upon chapter 4 and attempts to describe small-scale reassortment between two segments of influenza B virus and the overall migration patterns of influenza B virus in Scotland. Chapter 6 exploits the independence of segments of influenza D virus, a recently described cattle pathogen, and coalescent theory to disentangle the origins of this virus. This thesis exemplifies the success of modern sequencing methods, which, together with the use of sophisticated analytical techniques, have uncovered a wealth of information hidden away in molecular sequences of RNA viruses. The work presented herein demonstrates how reticulate evolution can be exploited as a reliable, and sometimes indispensable, marker to improve inference of evolutionary forces in RNA viruses.

<div>The papain-like protease (PLP) domain of nonstructural protein 3 (nsp3) of the coronavirus (CoV) genome promotes viral replication by processing the CoV polyprotein (protease) and also antagonize innate immune responses by deubiquitinating (DUB) and deISGylating (deISG) host substrates. Selectively removing the DUB/deISG activities of PLP while keeping the protease activity intact is a potential strategy for designing a live attenuated virus. However, it is unclear in the literature the precise mechanism by which PLPs support CoV evasion of the innate immune system. Deciphering the substrate specificity of PLPs for host ubiquitin (Ub) and interferon stimulated gene 15 (ISG15) can therefore help in the design of PLP mutants that selectively lack one activity for evaluating the DUB and deISG mechanism in CoV pathogenesis and replication. </div><div> In this dissertation, we investigate the structure and function of the single PLP (PLpro) from beta-CoVs, severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV), which are dangerous viral pathogens that emerged from a zoonotic source to cause infectious disease in the human population. Additionally, we translate the knowledge gained to the equivalent PLP2 from alpha-CoV porcine epidemic diarrhea virus (PEDV) and feline infectious peritonitis virus (FIPV), which cause fatal disease in suckling piglets on industrial pork farms and household cats, respectively. The primary objective of this work is to rationally design PLP mutants across beta- and alpha-CoVs to help attenuate CoV infection, as no antiviral or vaccine exist for human CoVs and the efficacy of PEDV vaccines are an ongoing research topic. </div><div><br></div><div>In Chapter 1, different human, animal, and the bat origin CoV strains are introduced. The CoV life-cycle and virion structure are outlined, along with the replicase complex for viral replication. The multidomain nsp3 from alpha- and beta-CoV genomes are also described with a focus on the PLP domain and its proposed cleavage sites of the viral polyprotein. The discovery of the first viral protease DUB and the multiple activities of PLPs are defined, which includes a proposed model of how DUB versus deISG activities may act in the innate immune response. This leads into the therapeutic potential of PLP for an antiviral or live attenuated vaccine, which is followed by the introduction of live attenuated vaccines and the reverse genetics system. Next, proof of concept studies on PLP2 mutants are described and the introduction is concluded by stating the ultimate goal for the design of PLP mutants.</div><div><br></div><div>In Chapter 2, we hypothesize that the flanking ubiquitin-like (Ubl2) domain of MERS-CoV PLpro is not required for its enzymatic function. We characterize the specific activity, kinetics, substrate specificity, and inhibition of the PLpro enzyme with and without the Ubl2 domain and reveal that the Ubl2 domain does not significantly alter PLpro function. We determine the structure of the core PLpro, smallest catalytic unit to 1.9 Å resolution and observed no structural changes compared to the wild-type. Additionally, we demonstrate that a purported MERS-CoV PLpro inhibitor is nonselective in non-reducing conditions and should not be pursed for therapeutic use. We show that the core PLpro enzyme i.e. without the Ubl2 domain is a stable and robust construct for crystallization and is also thermally stable based on thermal melting studies with utility for structure-based drug design. </div><div><br></div><div>In Chapter 3, we shed light on the specificity of SARS-CoV PLpro towards Ub versus ISG15 by characterizing the specific activity and kinetic parameters of SARS-CoV PLpro mutants. In addition, the structure of SARS-CoV PLpro in complex with the C-terminal domain of ISG15 is determined and compared with the Ub-bound structure. Based on the structure and kinetic results, the altered specificities of SARS-CoV PLpro mutants Arg167Glu, Met209Ala, and Gln233Glu are compared with the wild-type. Arg167Glu mutant exhibits DUB hyperactivity and is expected to adopt a more favorable interaction with the Arg42 of Ub. At the same time, ARG167GLU contains a shorter side-chain that hinders interaction with the unique Trp123 of ISG15 for deISG activity compared to the wild-type. These results aid in the development of SARS-CoV PLpro mutants that have directed shifts in substrate specificity for Ub versus ISG15. </div><div><br></div><div>In Chapter 4, the process and antiviral activity of ISGylation is reviewed and how viruses can modulate host-derived versus virus-derived machineries to counteract ISGylation for viral infection. MERS-CoV PLpro is cross-reactive for Ub, but less is known about its specificity towards ISG15. In this study, we determine the structure of MERS-CoV PLpro bound with ISG15 to 2.3 Å resolution and reveal a small hydrophobic pocket of ISG15 that consists of P130 and W123, which differs from Ub hydrophobic patch. We design and determine the kinetic parameters for 13 PLpro mutants and reveal that MERS-CoV PLpro only has a single ubiquitin recognition (SUb1) site. Kinetic studies show that removing the charge of the R1649 greatly enhances DUB/protease activity while mutating in an Arg near R42 of Ub or ISG15 hydrophobic region is detrimental to both DUB/deISG activities. Kinetic experiments and probe-reactivity assays showed that Val1691Arg, Val1691Lys, and His1652Arg mutants are drastically reduced DUB/deISG activities compared to the wild-type. Overall, MERS-CoV PLpro mutants with alter kinetic profiles will be useful for discovery tools and DUB/deISG deficient mutants are great candidates for removing host cell antagonism activity by PLpro for live attenuated vaccines.</div><div><br></div><div>In Chapter 5, the goal is to translate the knowledge gained in Chapters 2-4 on beta-CoVs PLpro and evaluate the substrate specificity of alpha-CoVs FIPV and PEDV PLP2 for mutagenesis experiments. First, we design and purify the core PLP2 enzymes for kinetics. PLP2s are efficient DUBs that prefer Ub to ISG15 in vitro, and this preference is conserved in beta-CoV MHV PLP2 as well as alpha-CoV NL63 PLP2. We determine the structure of alpha-CoV PEDV PLP2 to 1.95 Å resolution and reveal the unique Zn-finger coordinating Cys3-His arrangement of the alpha-CoV genus that differs from past beta-CoV PLP crystal structures. To determine residues of the SUb1 site, we generate a homology model of FIPV PLP2 and overlay our PLP2 structures with MERS-CoV PLpro bound with Ub. In addition, we create electrostatic surface maps across coronaviral PLP subfamilies to evaluate the charge distribution of the SUb1 for the rational design of several FIPV and PEDV PLP2 mutants. We evaluate the turnover of PLP mutants for FRET-based substrates and reveal that His101ArgFIPV and Asn101ArgPEDV are drastically reduced in Ub-AMC activity while their peptide activities are within 2-fold of the wild-type. These mutants show delayed reactivity for Ub probes and no longer cleave Ub-chains displaying isopeptide bonds compared to the wild-type. Results from this study reveal a hot spot in both alpha- and beta-CoVs that can be used to selectively remove DUB activity of PLPs for generating a DUB deficient PLP enzyme. </div><div><br></div><div>In this dissertation, we investigate the substrate specificity of PLPs across alpha- and beta-CoVs and develop a fingerprint for Ub and also shed light on ISG15 recognition. Specifically, hot spots were identified in the SUb1 site of different PLPs, which recognize R42 and hydrophobic Ile44 of Ub. Position 97-98 of PLPs can be used to remove DUB activity by substituting an Arg, but usually effect protease function. Substituting an Arg at position 101 and 136 of coronaviral PLPs serve as the best strategy to remove DUB function while not hindering active site functionality. The DUB/deISG deficient mutants described will be useful for inhibiting the ability of PLPs to function in the innate immune response. Ultimately, this work provides a guide for identifying attenuating mutants in existing CoVs for live attenuated vaccines and also a blueprint for engineering PLPs from new emerging CoVs. </div>

The current study projects the third-person perception phenomenon into the area of emergency management, specifically regarding risk communication in the context of religious gatherings. This study utilized the Umrah religious gathering in Makkah, Saudi Arabia, during summer 2019 as a case study (N = 257). This study aimed to investigate whether pilgrims perceive there was a greater effect of health information on others than on themselves. Survey results were translated and then coded and analyzed statistically using SPSS software. The findings indicated that third-person perception existed among pilgrims. Specifically, the perception of pilgrims that the influence of news about MERS-CoV, believed to be undesirable in its effect on themselves, was greater on others than on themselves was found statistically significant. Further, the findings indicated that the more pilgrims watched, listened to, or read news about MERS-CoV, the larger the effect of the news they perceived on themselves and others was. Thus, exposure to MERS-CoV news did not increase, but rather decreased the perception of difference between self and others. Also, the empirical findings indicated that pilgrims who were knowledgeable about MERS-CoV could relate to the coverage. Moreover, if pilgrims believed they were affected by MERS-CoV news, they believed that the MERS-CoV news had a similar or greater effect on other pilgrims. The findings indicated socio-demographics had a partial effect on third-person perception, Finally, the stronger the perceived effect of MERS-CoV news on oneself, the more likely these pilgrims were to take protective actions against the MERS-CoV epidemic. However, the third-person perception anticipated in the use of impersonal communication (pamphlets, television, radio, newspapers, Internet, social media, text message, health clinics, mosques messages, public events, and billboards) and of interpersonal communication (friends, family member, or others you know) was not found significant. Moreover, the perceived effects of MERS-CoV news on others did not show third-person perception regarding behavior intention or consequences. These findings have implications for risk communication and its governance during religious gatherings as well as for the prepared individuals to promote preparation for risk and actions toward risk mitigation.