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Journal of Virology, May 1999, p. 4181-4187, Vol. 73, No. 5
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Cellular Tropism and Viral Interleukin-6 Expression
Distinguish Human Herpesvirus 8 Involvement in Kaposi's Sarcoma,
Primary Effusion Lymphoma, and Multicentric Castleman's
Disease
Katherine A.
Staskus,1,*
Ren
Sun,2
George
Miller,3,4,5
Paul
Racz,6
Anthony
Jaslowski,7
Craig
Metroka,8
Helena
Brett-Smith,9 and
Ashley T.
Haase1
Department of Microbiology, University of
Minnesota Medical School, Minneapolis, Minnesota
554551; Department of Molecular and
Medical Pharmacology, University of California Los Angeles, Los
Angeles, California 900952; Departments
of Molecular Biophysics and Biochemistry,3
Pediatrics,4 and Epidemiology
and Public Health,5 Yale University School
of Medicine, New Haven, Connecticut 06520; Bernhard-Nocht
Institute for Tropical Medicine, Hamburg,
Germany6; David Grant Medical Center,
Travis AFB, California 945357;
Columbia University College of Physicians and Surgeons, New
York, New York 100198; and Hospital
of Saint Raphael, New Haven, Connecticut 065119
Received 23 September 1998/Accepted 15 February 1999
Human herpesvirus 8 (HHV-8) infection has been implicated in the
etiology of Kaposi's sarcoma (KS), primary effusion lymphoma (PEL),
and multicentric Castleman's disease (MCD), three diseases that
frequently develop in immunocompromised, human immunodeficiency virus-positive individuals. One hypothesis that would account for
different pathological manifestations of infection by the same virus is
that viral genes are differentially expressed in heterogeneous cell
types. To test this hypothesis, we analyzed the localization and levels
of expression of two viral genes expressed in latent and lytic
infections and the viral homologue of interleukin-6 (vIL-6). We show
that PEL parallels KS in the pattern of latent and lytic cycle viral
gene expression but that the predominant infected cell type is a B
cell. We also show that MCD differs from KS not only in the infected
cell type (B-cell and T-cell lineage) but also in the pattern of viral
gene expression. Only a few cells in the lesion are infected and all of
these cells express lytic-cycle genes. Of possibly greater significance
is the fact that in a comparison of KS, PEL, and MCD, we found dramatic differences in the levels of expression of vIL-6. Interleukin-6 is a
B-cell growth and differentiation factor whose altered expression has
been linked to plasma cell abnormalities, as well as myeloid and
lymphoid malignancies. Our findings support the hypothesis that HHV-8
plays an important role in the pathogenesis of PEL and MCD, in which
vIL-6 acts as an autocrine or paracrine factor in the
lymphoproliferative processes common to both.
*
Corresponding author. Mailing address: Department of
Microbiology, University of Minnesota, UMHC196, 420 Delaware St., S.E., Minneapolis, MN 55455. Phone: (612) 624-9118. Fax: (612) 626-0623. E-mail: kathryn{at}lenti.med.umn.edu.
Journal of Virology, May 1999, p. 4181-4187, Vol. 73, No. 5
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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