C.114- Highly pathogenic Influenza virus A H5N1 (Vietnam, Hong Kong) polymerase PB2 contains a snake disintegrin homologous to platelet integrin ITGA2b (gpIIb), which blocks the formation of platelet clot.

Présentation Poster au 8TH EUROPEAN MEETING ON VIRAL ZOONOSES( Saint Raphaël, France, Octobre 2017)

Guy Mong Ky Tran(1) & Adrien Caprani(2)

(1) Retired since 2014 from University of Auvergne Rhone-Alpes, Health Regional Agency, Public Health Department, Hospital Hotel-Dieu, Clermont-Ferrand ; 31 Av du Bois – Chatenay Malabry, France. email: mkg_tran@yahoo.fr

(2) Association « Positifs », 147 chemin de la futaie, 83550 Vidauban, email: positifpresident@yahoo.fr

Avian Influenza virus A H5N1 is compared to chicken Ebola as its symptomatology is characterized by a massive internal hemorrhage. We have found in Influenza virus an urokinase-plasminogen activator and an epitope FP on the platelet surface integrin gpIIIa (ITGB3) inducing auto-antibodies against platelets ; here we focus on the hemorragin (hemorragic protein) from Crotalidae, Viperidae and australian Elapidae snakes, called also disintegrin (flavostatin, flavoviridin, trimestatin, echistatin gamma, applagin, ML-6,9,10) which contain a RGD adhesion motif, homologous to the RGN of platelet integrin ITGA2b. Disintegrin inhibits platelet aggregation induced by ADP, thrombin, collagen, arachidonic acid and thromboxan A2. By comparing ITGA2b, snake disintegrin to Influenza virus H5N1 (Hong Kong/Vietnam) polymerase PB2, we found an alignment centered on RGD:      ITGA2b          723-PMKKNAQI  GIaML V S  VGN-740

Influenza     48-(P,V)KaaRGQYSGF-VR(L,T)FQQ-65



Disintegrin  412-VEEcDcGSPSNPSNPccD/KFPLc/RPgaQcaSgLccDQcRFMKEGTI-454

ITGA2b                      778-QVELRGNSFPASLVV-792

Influenza                 108-MRILVRGNS-PAFNYN(A,K)T-125

Disintegrin                  455-CRIARGD-FPD-DYcNG K T-472

Despite the absence of any cysteine in ITGA2b and Influenza, the alignment could be done with disintegrin (13 cysteines, all gapped). Conclusion : The strategy of snake and Influenza virus is to mimic platelet integrin ITGA2b (gpIIb), particularly at the adhesion motif 783-RGNSFP-788, to block the aggregation of platelets and impede the formation of the platelet clot. Theoretically, a drug designed to mimic RGD by cyclisation (cycloRGD) would block the disintegrin. As the perturbation of coagulation in hemorragic Influenza is complex (fibrinolysis, auto-immune thrombocytopenia), the therapeutic approach must be a combination of plasminogen activator inhibitor, FP peptidomimetics, cycloRGD and heparin (Calciparin was efficient in a DIC induced by a Crotalus viridis bite, and also in Marburg). Whether selenium could be efficient, as it is in Haantan virus hemorragic fever, must be tried in Influenza. Ligands of the Na+ voltage-gated channel may be useful. Intriguingly, the Bost-Blalock theorem was confirmed in the case of RGD (ITGA2b) binding to FPVS (ITGB3).