Previous Article | Next Article 
Journal of Virology, September 1999, p. 7722-7733, Vol. 73, No. 9
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Epstein-Barr Virus Infection of Human Astrocyte
Cell Lines
Anne
Menet,1,2,*
Cornelia
Speth,2
Clara
Larcher,2
Wolfgang M.
Prodinger,2
Michael G.
Schwendinger,2
Philippe
Chan,1
Michael
Jäger,3
Fritz
Schwarzmann,3
Heidrun
Recheis,4
Marc
Fontaine,1 and
Manfred
P.
Dierich2
INSERM U519, 76000 Rouen,
France1; Institut für Medizinische
Mikrobiologie und Hygiene, Universität Regensburg, D-93053
Regensburg, Germany3; and Institut
für Hygiene2 and Institut
für Allgemeine und Experimentelle
Pathologie,4 Universität Innsbruck, A-6020
Innsbruck, Austria
Received 19 January 1999/Accepted 21 May 1999
 |
ABSTRACT |
Epstein-Barr virus (EBV) is implicated in different central nervous
system syndromes. The major cellular receptor for EBV, complement
receptor type 2 (CR2) (CD21), is expressed by different astrocyte cell
lines and human fetal astrocytes, suggesting their susceptibility to
EBV infection. We demonstrated the infection of two astrocyte cell
lines, T98 and CB193, at low levels. As infection was mediated by CR2,
we used two stable CR2 transfectant astrocyte cell lines (T98CR2 and
CB193CR2) to achieve a more efficient infection. We have monitored EBV
gene expression for 2 months and observed the transient infection of
T98 and T98CR2 cells and persistent infection of CB193 and CB193CR2
cells. The detection of BZLF1, BALF2, and BcLF1 mRNA expression
suggests that the lytic cycle is initiated at early time points
postinfection. At later time points the pattern of mRNA expressed
(EBER1, EBNA1, EBNA2, and LMP1) differs from latency type III in the
absence of LMP2A transcription and in the expression of BALF2 and BcLF1
but not BZLF1. A reactivation of the lytic cycle was achieved in
CB193CR2 cells by the addition of phorbol esters. These studies
identify astrocyte cell lines as targets for EBV infection and suggest that this infection might play a role in the pathology of EBV in the brain.
 |
INTRODUCTION |
Epstein-Barr virus (EBV) is one of
the eight known human herpesviruses (45). About 90% of the
world's adult population is estimated to be infected with EBV. Primary
infection with EBV normally occurs through salivary exchange in the
oropharynx, and this is believed to result in virus replication in
stratified squamous epithelial cells and in the subsequent infection of
trafficking B lymphocytes. Following primary infection, either
symptomatic or silent, the virus persists in the healthy host
throughout the entire life span by mechanisms that are not fully
understood. There is strong evidence implicating EBV in the
pathogenesis of human tumors of B-cell origin (endemic Burkitt
lymphoma) or of other origin, such as nasopharyngeal carcinoma (an
epithelial malignancy), some cases of Hodgkin's disease, and some
subsets of T-cell lymphoma (44).
A variety of neurological syndromes can occur with primary EBV
infection, clinically manifested as infectious mononucleosis (25,
50). The central nervous system (CNS) syndromes include diffuse
or focal encephalitis (12, 23), aseptic meningitis, Guillain-Barré syndrome, Bell's palsy, acute cerebellar ataxia, transverse myelitis, and peripheral neuropathy (48).
Although such cases are rare, encephalitis represents a serious and
potentially fatal complication of infectious mononucleosis. Furthermore
the role of EBV in demyelinating disease or subacute or chronic
meningoencephalitis such as Rasmussen's encephalitis has been
suspected but has not been investigated in a systematic manner (5,
56, 57). EBV DNA was detected by PCR in brain biopsy samples
obtained from patients in whom EBV was suspected to play a role in
neurological syndromes like encephalitis, CNS lymphoma (22,
26), fatal disseminated lymphoproliferation, progressive
multifocal leukoencephalopathy, multiple sclerosis, or encephalopathy.
In situ assays will be required to demonstrate which and how many cells
of the brain may harbor the virus (40). It seems that
EBV-carrying B lymphocytes in the brain are the most likely source of
the positive PCR results, but those studies could not rule out the
possibility of a direct infection of brain resident cells. EBV DNA was
also found in almost all cases of AIDS-related primary lymphoma of the
CNS (20) early in the course of the disease, even preceding
the detection of lymphoma by radiological examination. Cinque and
coworkers and D'Arminio Monforte and coworkers were able to directly
detect EBV DNA in cerebrospinal fluid (CSF) by PCR (11, 13).
This might originate from a leakage of neoplastic cells containing EBV
into CSF, from virions liberated through cell necrosis, or from an
active lytic EBV infection (11). The presence of EBV in CSF
suggests that the virus can get in contact with neural cells. Thus, to
study the interaction between EBV and astrocytes is interesting for
several reasons.
First, astrocytes constitute the most numerous cell type in the brain.
Over the last decades, it has become increasingly evident that these
cells perform a variety of important cerebral functions (36). Hence, any disruption of astrocyte function would have devastating consequences on brain function. Second, it was reported that astrocytes may be infected by HIV in vivo (3, 38). The life cycle of the virus and the mode of infection are unique for this
cell type, with a low production of viral particles and a high level of
the transcription of the regulatory genes nef and tat (29, 54). Even the interaction of envelope
proteins of human immunodeficiency virus type 1 (HIV-1) with astrocytes
seems to disturb their cellular functions (38).
HIV-1-restricted infection could interfere with the normal astrocyte
functions and lead to a dysregulation of astrocytic interactions with
other neural cell types. Despite the nonpermissive, restricted nature
of HIV-1 infection, it was possible to show that astrocytes can produce
HIV-1 and can contribute to its spreading under the influence of
appropriate signals delivered by permissive cells (like activated
mononuclear phagocytes and lymphocytes) (14). Factors which
modulate the viral load of HIV-1 could influence disease progression
either positively or negatively. The coinfection of cells (or
individuals) with other viruses, particularly herpesviruses, has the
potential to effect such modulations (24). Until now, there
has been no report of a possible interaction between EBV and astrocytes
or HIV-infected astrocytes found in the brains of AIDS patients
suffering from EBV DNA-positive primary cerebral lymphoma. Third, the
most important data which convinced us to study the interaction of astrocytes and EBV were contributed by Gasque and coworkers
(21). Astrocyte cell lines and human fetal astrocytes were
described as the only brain cells expressing complement receptor type 2 (CR2) (21). CR2 is the major known cellular receptor for EBV (1, 39). This is a 145-kDa glycoprotein, first described as
the receptor for the C3d component of complement expressed on human B
lymphocytes (19). The binding sites for EBV and C3dg are
contained within the two amino-terminal short consensus repeats (SCR)
of 60 amino acids (SCR1 and SCR2) (8). A truncated CR2 comprising these two SCRs, the transmembrane, and intracytoplasmic region is sufficient to mediate EBV binding and infection (8, 9). Astrocyte-CR2 functionality was evaluated on astrocyte cell
lines and human fetal astrocytes by the specific binding of C3d and
gp340, recombinant protein of EBV surface protein gp350, which could be
blocked specifically with polyclonal anti-CR2 antibodies (21). These data suggest that at least astrocyte cell lines and human fetal astrocytes can interact with EBV. The possibility of
astrocyte infection by EBV remains to be demonstrated and constitutes the purpose of our study.
We have studied the expression of different genes during the 2 months
following the infection of two different astrocyte cell lines. We have
decided to develop an astrocyte culture model based on a model already
described by Li and coworkers to study the EBV infection of epithelial
cells (30). We have constructed two stably CR2-transfected
astrocyte cell lines. The validity of this model is shown here, in that
we obtained the same EBV transcript pattern for the CR2 transfectant
and wild-type cell lines.
 |
MATERIALS AND METHODS |
Cell culture and viruses.
The human cell line T98-G was
obtained from the American Type Culture Collection (ATCC) (Manassas,
Va.; CRL-1690) and presented characteristics of glioblastoma
multiforme. A second cell line used in this study, CB193, was a glioma
grade III, kindly provided by B. Delpech (Centre Henri Becquerel,
Rouen, France). T98CR2 and CB193CR2 cell lines were obtained by the
stable transfection of those two astrocyte cell lines with CR2 cDNA
(34). Cell lines were cultivated in Ham's F-12 medium
(J. Bio, Paris, France) supplemented with L-glutamine
(2 mM), penicillin (100 U/ml), streptomycin (100 µg/ml), and 10%
fetal calf serum (FCS) (Biologic Industries, Kibbutz Beth Haemek,
Israel). All B-cell lines, Raji (ATCC; CCL-86), Ramos (ATCC; CRL-1596),
and B95-8 (ATCC; CRL 1612), established from marmoset B cells by
immortalization with EBV in throat washings from an individual
suffering from infectious mononucleosis, were propagated in complete
RPMI 1640 medium (Bio-Whittaker, Verviers, Belgium) supplemented as
described above. The cell lines were routinely screened by the Hoechst
33258 DNA staining method to ensure that they were free of mycoplasma.
MAbs, flow cytometry analysis, and sorting.
Monoclonal
antibodies (MAbs) used for the screening and the analysis of epitopes
expressed by transfected cells were HB5 (immunoglobulin G2a [IgG2a])
(ATCC; HB135) (52), purified from ascites fluid. The isotype
control was VD3 (IgG2a) (42).
For flow cytometry analysis, 106 cells were washed with
fluorescence-activated cell sorting (FACS) buffer (phosphate-buffered saline [PBS]-0.5% bovine serum albumin-0.1% NaN3) and
incubated with MAb at a saturating concentration (2 µg/ml in FACS
buffer) for 30 min on ice and, after washing with cold FACS buffer,
with fluorescein isothiocyanate (FITC)-conjugated anti-mouse
F(ab')2 fragments (Dakopatts, Glostrup, Denmark) diluted
1:50 in FACS buffer. After being washed, the cells were analyzed with a
FACSCalibur apparatus (Becton Dickinson, Mountain View, Calif.).
Virus production.
Infection was done with virus produced by
the B95-8 cell line. After removal of B95-8 cells by centrifugation at
3,000 × g for 15 min, supernatants of cell cultures
were concentrated 500-fold by ultracentrifugation at 25,000 × g for 1.5 h at 18°C. The virus pellet was resuspended in
Ham's F-12-2% FCS and stored in aliquots at
70°C. For infection,
concentrated virus was diluted 1:10 in Ham's F-12-2% FCS. To
inactivate EBV, viral preparations were boiled for 45 min at 95°C.
For cocultivation experiments, B95-8 cells were irradiated from a
137Cs
-source with 30 Gy.
EBV particle quantification and infection procedures.
DNA
from 0.5 ml of viral preparation was prepared by using the Qiagen Blood
kit (Qiagen, Hilden, Germany) according to the instructions of the
manufacturer. Finally the DNA was resuspended in 200 µl of water, and
5 µl was used for each PCR assay. The number of EBV particles was
quantified with a competitive DNA PCR established by Jäger et al.
(28). As an internal standard, pGEM 3Z-30, a construct
containing a sequence from the BRLF2 reading frame with a
30-bp deletion (kind gift of M. Jäger, University of Regensburg,
Regensburg, Germany) was added to the amplification mixture in 10-fold
dilutions from 6 × 106 to 6 × 102 molecules.
For the infection of astrocyte cell lines in monolayer cultures,
approximately 106 cells were washed two times with PBS and
incubated with 1 ml of viral preparation or with 106
irradiated B95-8 cells at 37°C for 2 to 3 h. Cells were then washed several times with PBS and cultivated with 15 ml of complete Ham's F-12 medium.
To evaluate the role of CR2 in astrocyte infection, cells were
preincubated with or without MAb FE8, which blocks infection of B
lymphocytes with EBV (kindly given by W. Prodinger
[43]), at 20 µg/ml for 60 min at 4°C. After three
washes with PBS, cells were incubated with EBV as described before. At
different time points after infection a part of the cells was harvested
and assayed for the presence of EBV DNA and RNA.
DNA extraction and EBV DNA detection.
Cells were harvested
48 h after the addition of EBV by trypsinization and pelleted.
Cellular DNA extraction and EBV DNA detection by PCR were performed as
described by Martin et al. (33). This resulted eventually in
the amplification of a 527-bp fragment (positions 14256 to 14783 of the
EBV genome), a segment which is within the BamHI W repeat.
PCR conditions were as follows: an initial denaturation at 94°C for 3 min, 30 cycles (94°C for 1 min, 55°C for 1 min, and 72°C for 1 min), and 72°C for 10 min. For GAPDH (glyceraldehyde-3-phosphate
dehydrogenase), 5'-GTG AAG GTC GGA GTC AAC G-3' and 5'-GGT GAA GAC GCC
AGT GGA CTC-3' were used. Conditions for PCRs were as follows: an
initial denaturation at 94°C for 3 min, 30 cycles (94°C for 1 min,
52°C for 1 min, and 72°C for 1 min), and 72°C for 10 min. Fifteen
microliters of each reaction mixture was analyzed by electrophoresis
through a 2% agarose gel, stained with ethidium bromide, and blotted
onto nylon membranes (Bio-Rad, Richmond, Calif.) for Southern blotting. Filters were hybridized with 32P-labeled probes under
stringent conditions. As a hybridization probe the PCR product from the
positive control B95-8 cell line was labeled by a standard procedure.
The hybridization signal was quantified with a phosphorimager (Fuji
model BS 100).
Detection of EBV RNA.
Cells were harvested 3, 6, 13, 22, 34, 43, and 62 days after the addition of EBV by trypsinization and
pelleted. Total RNA was prepared from different cell lines by using the
Qiagen RNeasy kit (Qiagen) according to the instructions of the
manufacturer. RNA integrity was confirmed by electrophoresis. RNA
preparations were treated with DNase I (Boehringer; 3 U/µg of RNA
abolishes all DNA traces), and control samples were prepared by
treatment of an aliquot of the RNA preparation with DNase I and RNase A (40 µg/ml for 5 µg of RNA; Boehringer).
Prior to PCR steps, the reverse transcription (RT) was carried out at
37°C for 60 min in a 25-µl final volume with 2 µg of total RNA,
60 U of RNasin (Promega), 1 mM concentrations of deoxynucleoside triphosphates (dNTPs), 300 pmol of oligo(dT) (MWG Biotech, Ebersberg, Germany), and 400 U of Moloney murine leukemia virus-RT (Boehringer) in
the reaction buffer (10 mM Tris-HCl, 15 mM KCl, 0.6 mM
MgCl2 and 5 mM dithiothreitol).
The transcription of EBV genes was assayed by RT and PCR analysis with
a set of EBV-specific oligonucleotide primers (Table 1). PCR (except for EBER1
amplification) was carried out with 4 µl of reverse-transcribed RNA
mixture (with 5 µl of the first PCR product for the nested PCR), in a
final volume of 50 µl with 20 pmol of primers for the first PCR (50 pmol for the nested PCR) in a 1× buffer (Promega), 200 µM
concentrations of dNTPs, 1.5 mM MgCl2, and 1 U of
Taq DNA polymerase (Promega). For the EBER1 amplification, 0.5 µg of mRNA were reverse transcribed directly by
using 50 pmol of each primer with 60 U of RNasin (Promega), 1 mM
concentrations of dNTPs, and 400 U of Moloney murine leukemia virus-RT
(Boehringer) in the reaction buffer (10 mM Tris-HCl, 15 mM KCl, 0.6 mM
MgCl2). The RT was carried out at 37°C for 60 min and 5 min at 95°C to inactivate enzymes. Then 1 U of Taq DNA polymerase (Promega) was added to the mixture.
View this table:
[in this window]
[in a new window]
|
TABLE 1.
Sequences of primers used for RT-PCR and nested PCR and
their positions in the genome of the EBV B95-8 strain
|
|
The PCR conditions used for all amplifications (except for EBER1
amplification) were as follows: 94°C for 3 min, 35 cycles (94°C for
30 s, 55°C for 45 s, and 72°C for 1 min), and 72°C for 10 min. The conditions used for EBER1 were as follows: 94°C for 3 min, 40 cycles (94°C for 30 s, 50°C for 1 min, and 72°C for 1 min), and 72°C for 10 min.
For each amplification B95-8 cDNA was used as a positive control, and
the PCR mixture without DNA or with cDNA of uninfected astrocytes was
used as a negative control. Ten microliters from the PCR mixture was
separated by electrophoresis on a 2% agarose gel.
LMP1 detection by immunofluorescence assay.
For latent
membrane protein 1 (LMP1) antigen detection, cells were directly fixed
after trypsinization with 4% paraformaldehyde (in PBS) during 20 min
at 37°C on a slide. After air drying, primary MAb anti-LMP1 CS1-4
(46) (Dakopatts; diluted 1:100 in PBS-1% FCS-0.2%
saponin) was applied to the sections, and the slides were incubated at
37°C for 60 min. The slides were then subjected to two 5-min washes
in PBS-1% FCS, followed by an additional 60-min incubation with
FITC-conjugated goat anti-mouse IgG (Dakopatts) diluted 1:50 in
PBS-1% FCS-0.2% saponin. Washed slides were mounted with glycerol
and examined by using an Olympus fluorescence microscope.
EBNA2 and BZLF1 protein detection by FACS analysis.
MAb PE2
was used for EBNA2 antigen detection (59) (Dakopatts), and
MAb BZ1 was used for BZLF1 detection (60) (Dakopatts). To
increase the specificity of labeling, MAbs were biotin labeled by a
standard procedure. IgG1 was used as an isotype control. For flow
cytometry analysis, 106 cells were fixed with cold acetone.
To diminish the background level, rabbit IgG (serum diluted 1:10 in
PBS-1% FCS-0.2% saponin) was incubated with cells on ice for 30 min. Cells were incubated with biotin-MAb (diluted 1:100 in PBS-1%
FCS-0.2% saponin) for 30 min on ice and with phycoerythrin-conjugated
streptavidin (diluted 1:1,000 in PBS-1% FCS-0.2% saponin) for 30 min on ice. After washing, the cells were analyzed with a FACSCalibur apparatus.
Lytic cycle induction.
For EBV lytic cycle induction,
CB193CR2 cells at day 60 postinfection (p.i.) were exposed to 5 × 10
8 M 12-tetradecanoyl-phorbol-13-acetate (TPA). After
three further days, the cells were harvested, and mRNA was extracted
for BZLF1-mRNA detection by RT-PCR as described above.
 |
RESULTS |
Detection of CR2 in astrocyte cell lines.
CR2 mRNA could be
detected after RT-PCR analysis in the two parental astrocyte cell
lines, T98 and CB193 (data not shown), confirming a previous report by
Gasque and coworkers (21). However, CR2 antigen was not
observed by flow cytometry analysis (Fig. 1 and Table
2) with the anti-CR2 MAb HB5. The lack of
detection of surface CR2 protein with this MAb had also been reported
by Gasque et al. (21). Nevertheless, they showed CR2
expression at low levels when a monospecific polyclonal anti-CR2
antibody and other MAbs like OKB7 were used.

View larger version (20K):
[in this window]
[in a new window]
|
FIG. 1.
Analysis of CR2 expression by using MAb HB5 on wild-type
and CR2-transfected astrocyte lines: T98WT (A), T98CR2 (B), CB193WT
(C), CB193CR2 (D), and Raji (positive control) (E). The cells were
stained with anti-CR2 MAb HB5 (open area) or with an isotype control
(shaded area) and FITC-labeled goat F(ab')2 anti-mouse IgG,
as described in Materials and Methods.
|
|
Transfection of astrocytic cell lines with CR2 expression vector
and expression of transfected CR2.
The low level of CR2 on the two
parental astrocyte cell lines (T98 and CB193) is probably the first
barrier to studies of the influence of EBV interaction with astrocytes.
To overcome this, these cell lines were transfected with the CR2
expression vector pSFFV-CR2. The transfection procedure is presented
elsewhere (34). Figure 1 presents the CR2 expression
after sorting out. The cell population of CB193CR2 was homogeneous,
while T98CR2 still exhibited much broader CR2 expression, even after
several sorting cycles. As shown in Table 2, however, the level of CR2 expression in CB193CR2 and T98CR2 was comparable to that in Raji cells.
Transfected cells are morphologically identical to the untransfected
parent cell line and display essentially the same growth features (data
not shown).
In addition, HB5 or FE8 MAbs immunoprecipitated the 145-kDa CR2 protein
from 125I-surface-labeled T98CR2, CB193CR2, and Raji cells
and only on the CB193 untransfected cell line after a long exposure
(data not shown). The cell membrane localization of CR2 on the
transfected cell lines was confirmed by immunohistochemistry (data not shown).
Functionality of the CR2-transfected cell lines: detection of EBV
DNA and BZLF1 mRNA in CR2-expressing and wild-type cell lines after EBV
infection.
We further determined whether the CR2 protein expressed
on wild-type and transfectant cell lines was able to support infection of the cells with EBV. Cells were exposed to intact virus, cultivated for 48 h in a complete medium, and then analyzed for
BZLF1 expression as well as for the presence of EBV DNA. For
a more sensitive determination of cellular infection, a PCR assay was
used to detect a 527-bp fragment of the BamHI W segment of
the EBV genome. We succeeded in testing all four cell lines, wild types
and transfectants: after Southern blotting, hybridization with
32P-labeled probe, and semiquantification of EBV DNA with a
phosphorimager the higher quantity of EBV DNA in the CR2 transfectant
cell lines was revealed (Fig. 2).

View larger version (61K):
[in this window]
[in a new window]
|
FIG. 2.
Detection of EBV DNA on astrocyte lines 48 h after
infection. DNA from each cell line was prepared and used as a template
for PCR amplification of a 527-bp fragment of the BamHI W
fragment of the EBV genome. (A) PCR amplification products were
resolved on a 2% agarose gel and detected by staining with ethidium
bromide (inverted picture). A negative control that lacked template DNA
(lane 6) and a positive control that used B95-8 DNA as a template (lane
5) were included. Lane 1, T98WT; lane 2, T98CR2; lane 3, CB193WT; lane
4, CB193CR2; M, molecular weight marker (100-bp ladder). (B) The same
DNA preparation was amplified for the GAPDH gene by using specific
primers. (C) Semiquantification of the EBV DNA PCR signal. After
Southern blotting, the membrane was hybridized with a specific
32P-labeled probe. The hybridization signal was analyzed
with a phosphorimager and calculated as arbitrary units. The background
lane shows the hybridization signal from the negative control. The
signal obtained for the positive control was too strong, and the
quantification was impossible.
|
|
To confirm that the EBV DNA signal was due to intracellular EBV genome
and not to virions attached to the surface of the target cells, we also
examined at the same time point the mRNA expression of the early
transcribed gene BZLF1. After total RNA extraction and DNase
I treatment, an RT-PCR followed by a nested PCR and a control treatment
with RNase A were performed as described in Materials and Methods. As
indicated by the presence of the 442-bp product derived from spliced
BZLF1 mRNA, gene expression was observed in all four cell
lines tested at this time point (Fig. 3).
By this approach we could not observe differences in the quantities in
the four infected cell lines. Cells incubated with boiled EBV remained
uninfected (Fig. 3, lanes 6 to 10). We then tested the capacity of
these cell lines to support infection with EBV in the presence of
blocking anti-CR2 MAb FE8, which was shown to block EBV infection of
resting B cells by binding to SCR1 and SCR2 of CR2 (43).
Cells were preincubated in PBS-1% FCS with FE8 (final concentration,
20 µg/ml) before EBV exposure. As shown in Fig. 3 (lanes 11 to 14),
BZLF1 mRNA could not be detected in any of the four cell
lines.

View larger version (34K):
[in this window]
[in a new window]
|
FIG. 3.
Expression of spliced BZLF1 mRNA 2 days after infection.
Cells were infected with EBV prepared from B95-8 supernatant and
harvested 2 days p.i. RNAs were extracted and submitted to PCR
amplification with specific primers for BZLF1 mRNAs (their sequences
are shown in Table 1). PCR amplification products were detected by
staining with ethidium bromide (inverted picture). Different virus
preparations were used: EBV concentrated from B95-8 supernatant and
diluted in Ham's F-12 medium supplemented with 2% FCS (lane 1, T98WT;
lane 2, T98CR2; lane 3, CB193WT; lane 4, CB193CR2; the B-cell line
Ramos was used as a positive control for the infection procedure in
lane 5), virus inactivated by boiling for 45 min (lane 6, T98WT; lane
7, T98CR2; lane 8, CB193WT; lane 9, CB193CR2; lane 10, Ramos), or cells
preincubated 1 h at 4°C with anti-CR2 MAb FE8 (20 µg/ml)
before infection with active viral preparation (lane 11, T98WT; lane
12, T98CR2; lane 13, CB193WT; lane 14, CB193CR2; lane 15, Ramos). M,
molecular weight marker (100-bp ladder).
|
|
Analysis of viral gene transcription in astrocyte cell lines.
To establish the transcription profile, we infected 106
astrocytes with EBV. The multiplicity of infection was estimated by using the PCR quantification system developed by Jäger et al. (28) and is shown in Fig. 4.
Briefly, this assay was done by a quantitative DNA PCR for transcripts
of the BLRF2 open reading frame encoding viral protein p23
with a competitor construct that contained the corresponding target
sequence of BLRF2 with a deletion of 30 bp. Using this
protocol we were able to quantitatively determine that around
106 virions were added to 106 astrocytes. Since
during DNA extraction a part of the viral DNA was certainly lost, this
probably represents an underestimation of EBV particles present, given
also that the calculated number of EBV genomes probably does not
correspond with the number of infectious virions. Taken together, our
data demonstrated that a low multiplicity of infection (around 1) could
be used efficiently for the infection of all cell lines in this study.

View larger version (17K):
[in this window]
[in a new window]
|
FIG. 4.
Competitive DNA PCR for quantification of viral
particles in EBV preparations used for infection. DNA was extracted
from the EBV preparation and used for BLRF2 PCR. For
quantification a competitor DNA with a 30-bp deletion was added in
10-fold dilutions ranging from 15 × 105 to 15 × 101 molecules per reaction (lanes 1 to 5). When competitor
and viral DNAs were present in similar concentrations (here
approximately 15 × 103 [lane 3]) both PCR products
were visible in similar amounts. Lane 6 shows the PCR negative control.
M, molecular weight marker (100-bp ladder). WT, wild type.
|
|
To study the kinetics of EBV gene expression, the cells were cultivated
up to 62 days p.i. under the same conditions, and total cellular RNAs
were extracted at several time points. Figure 5 and Table
3 present the time course of EBV gene
expression in the four astrocyte cell lines. We could detect some EBV
transcripts in T98 until day 22 p.i. for the wild type and day 43 for the CR2 transfectant cell line. So, it seems likely that the
infection was transient in this cell line. On the contrary CB193WT (the wild type) and CB193CR2 cell lines still expressed EBV mRNA after 2 months p.i. and were still infected 3 months p.i. (data not shown).

View larger version (64K):
[in this window]
[in a new window]
|
FIG. 5.
PCR analysis of BALF2 and BcLF1 mRNAs and spliced BZLF1,
EBNA1, EBNA2, LMP1, and LMP2A mRNAs in T98WT (A), T98CR2 (B), CB193WT
(C), and CB193CR2 (D) cell lines at different time points after
infection. After nested PCR with specific primers the PCR products were
detected by staining with ethidium bromide (inverted picture). The
sizes expected are 442 bp for BZLF1, 117 bp for BALF2, 181 bp for
BcLF1, 172 bp for EBNA1, 300 bp for EBNA2, and 280 bp for LMP2A (see
Materials and Methods for details). M, 100-bp ladder with the prominent
band of 500 bp.
|
|
Since we could not find any data about astrocyte infection, we have
tested several genes implicated in different steps of the viral cycle
in B cells. The specificity of the various oligonucleotide-primer combinations for individual EBV transcripts has been already documented and confirmed in a series of RT-PCR assays carried out with RNA from
cell line B95-8. EBNA1, EBNA2, LMP1, LMP2A, and BZLF1 oligonucleotides specifically amplify cDNA obtained from spliced mRNA. With BALF2 and
BcLF1 oligonucleotides it is not possible to distinguish between cDNA
and genomic DNA. Therefore, the pretreatment of RNA preparations with
DNase I was obligatory. For all the PCR amplifications presented here
RNA preparations were pretreated with DNase I. The amplification specificity was assessed by DNase I and RNase A pretreatment.
As shown in Fig. 5 and Table 3, we observed the transient expression of
BZLF1 mRNA in all four cell lines at days 3 and 6 p.i.,
but the signal was lost at the later time points tested. The finding
that BZLF1 mRNA is expressed suggested that a productive phase of the viral life cycle could occur within the infected astrocyte
lines. To test this hypothesis, we examined mRNA expression of the
early gene BALF2 and the late gene BcLF1.
Interestingly, we observed BALF2 mRNA not only at the same
time points as BZLF1 mRNA but even later when
BZLF1 mRNA were not detected any longer. BALF2
mRNA expression was not detected at day 43 for T98CR2, although the
cells were still infected as other EBV transcripts were present at this
time. We then examined the mRNA expression of the major capsid protein
gene BcLF1 as a late-expressed gene. The same expression profile as for BALF2 mRNA was obtained.
To investigate mRNA expression of some genes expressed in latently
infected cells, we targeted the small noncoding EBER1 RNA for amplification, since this is an abundant EBV latent transcript common to all known forms of latency. The results obtained by hybridization with a 32P-labeled probe are reported in
Table 3. EBER1 RNAs were expressed until day 22 p.i.
for T98WT, until day 43 for T98CR2, and at all the time points tested
for CB193WT and CR2-transfected cell lines.
EBNA1 mRNA is also a common product of all forms of latency.
Two forms of EBNA1 mRNA with different splice structures
have been described: BamHI Q/U/K splice structure, expressed
in particular in Burkitt's lymphoma cell lines and nasopharyngeal
carcinoma cells, and BamHI Y3/U/K splice structure,
characteristic of lymphoblastoid cell lines (LCLs) (7). The
primers were chosen in the exons U and K to examine EBNA1
mRNA expression in astrocyte lines. As illustrated in Fig. 5 and Table
3, EBNA1 mRNA expression was observed in CB193WT and
CB193CR2 at all the time points. The expression pattern was different
for T98WT and T98CR2. Indeed, EBNA1 mRNA expression was
detected at the early time points but was lost at day 22 for T98WT and
at day 34 for T98CR2, although the cells were still infected as
evaluated by EBNA2 and LMP1 mRNA expression (Table 3).
EBNA2 mRNA expression is restricted at the latency type III.
Its functions are important in infected B cells. EBNA2 mRNA
expression was monitored with primers situated in different exons (one
primer covers an exon boundary). The 300-bp product was easily detected by nested PCR until day 22 for T98WT and until day 43 for T98CR2. The
same expression profile for EBNA1 was observed for the CB193 cell line (Fig. 5 and Table 3).
For LMP1 mRNA expression, the signal observed was weak after
the first amplification (data not shown), and so we decided to improve
the sensitivity of detection by using a second round of amplification
with a pair of nested primers located within the first and second
exons, leading to a product of 104 bp for RNA amplification in contrast
to 182 bp for EBV genomic DNA. After the second round of amplification,
the expected 104-bp product could be easily detected on an agarose gel
(Fig. 5). LMP1 mRNA expression was observed at all time
points for CB193WT and CB193CR2 and lost at day 34 for T98WT and
day 62 for T98CR2 (Table 3). As LMP1 mRNAs are
very abundant in LCLs (more than EBNA2 mRNA), immunofluorescence experiments were done to observe LMP1 protein. Indirect immunostaining was performed by using the CS1-4 MAb, and
strongly fluorescent patches could be observed in the persistently infected cell line CB193 (Fig. 6) in some
cells. EBNA2 protein was detected by FACS analysis with MAb PE2.
Because the staining level was very low for B95-8 cell line, we decided
to amplify specific staining by biotin labeling the MAb and then
revealed it with phycoerythrin-conjugated streptavidin. Nonspecific
staining was abolished by preincubating cells with rabbit IgG. Cell
staining was evaluated by the measurement of mean fluorescence
intensity (MFI) (Table 4). The
persistently infected cell line CB193CR2 shows an MFI three times
higher than that of the uninfected CB193CR2 cell line.


View larger version (95K):
[in this window]
[in a new window]
|
FIG. 6.
Detection of LMP1 by immunofluorescence. EBV-infected
CB193CR2 cells were fixed in 4% paraformaldehyde for 20 min and
incubated for 60 min at room temperature with MAb CS1-4, followed by
goat anti-mouse IgG. (A) LMP1 staining of uninfected cells. (B)
Staining of cells after infection with EBV prepared from B95-8 cell
line. (C) Staining of cells 20 days after infection with -irradiated
B95-8 cells (magnification, ×63).
|
|
Unlike the situation in LCLs, no amplification of the 280-bp product
indicating LMP2A mRNA was detected for all the cell lines after nested PCR at each time point. We tried to enhance the
sensitivity of detection with a Southern blot hybridization of PCR
fragments, but no positive result was obtained.
Taken together these results show that the infection of the T98 cell
line is abortive and that EBV seems to be lost subsequently to the loss
of EBNA1 after approximately 1 month, while CB193 is
persistently infected.
Furthermore, it was possible to reinduce BZLF1 mRNA
expression in the CB193 cell line 70 days p.i. by the addition of TPA. Indeed, EBV lytic replication in LCLs can be induced by different means. Treatment with phorbol esters efficiently induces lytic replication (17, 18, 51). As shown in Fig.
7, EBV-infected CB193 cells responded
well to TPA induction and spontaneously expressed BZLF1 mRNA
at 3 and 6 days poststimulation. BZLF1 protein could be detected at day
3 poststimulation (Table 4). The staining level is very low, but the
system biotin-conjugated MAb BZ1 allows specific labeling.

View larger version (33K):
[in this window]
[in a new window]
|
FIG. 7.
Expression of BZLF1 mRNA 3 and 6 days after stimulation
of CB193CR2 cell line (infected with EBV 70 days before) with TPA
(5 × 10 8 M final concentration). RNA was extracted
and submitted to PCR amplification with specific primers for BZLF1
mRNAs (the sequences are shown in Table 1). PCR amplification products
were detected by staining with ethidium bromide (inverted picture).
RT-PCR results from EBV-infected CB193CR2 cells without stimulation
(lane 1), after 3 days of stimulation (lane 2), or after 6 days of
stimulation (lane 3) are shown. M, molecular weight marker (100-bp
ladder).
|
|
Another mode of viral infection of CB193 cell lines.
The
possibility that EBV infects astrocytes and persists in these cells
convinced us to try to infect the cells directly by coculture with
B95-8 cell line to mimic the in vivo situation. We exposed the four
cell lines to
-irradiated B95-8 cells to address the possibility of
infection of astrocytes by direct contact to EBV harboring
peripheral/circulating B cells or by the virus liberated by B-cells.
The same number of
-irradiated B95-8 cells were put for 2 h on
astrocytes which were then extensively washed, trypsinized, and
centrifuged to remove B cells and cell fragments. In parallel,
-irradiated B95-8 cells were cultivated in a normal medium to
observe the viability of this population. After 15 days of culture it
was not possible to observe living irradiated B95-8 cells. EBV
infection of astrocytes was assessed by the detection of LMP1 protein
by immunofluorescence assay 20 days p.i. As shown in Fig. 6, it was
possible to observe EBV infection in CB193 cells. For T98 cell lines,
the LMP1 staining was too weak to assess the EBV infection of these
cells. The clear size difference between astrocytes and B cells
abolished the possibility that the staining obtained was due to B cells
that were still alive.
 |
DISCUSSION |
EBV DNA was detected by PCR in brain biopsy samples and in the CSF
obtained from patients in whom EBV was suspected to play a role in
neurological syndromes. So, it could make contact with cells expressing
its receptor. CR2 is the major cellular receptor known for EBV (1,
39), although recently another one was described for gastric
carcinoma cells (58). Gasque et al. have examined the
distribution of CR2 in different types of brain resident cells and
found a low-level expression of CR2 in different astrocyte lines and
human fetal astrocytes (21). Even if CR2 expression remains
at a low level, the physiologic role for astrocyte CR2 has not been
defined yet. In accordance with the B-cell system, CR2 expressed on
astrocytes could be involved in the EBV infection of this cell type.
Here, we demonstrated that (i) two different astrocyte cell lines, T98
and CB193, could be infected by EBV, (ii) virus entry into the cells
was mediated by CR2, (iii) EBV infects CR2-transfected T98 and CB193
cells at a higher level, and (iv) the T98 cell line is transiently
infected and CB193 is persistently infected by EBV.
The program of EBV gene expression varies, depending on the lineage of
host cells and the time after infection, and we wanted to characterize
it in astrocytes. In epithelial cells, the lytic cycle is frequently
induced, leading to the production of progeny virus. The infection of B
lymphocytes with EBV establishes a predominantly latent infection.
Data on the lytic replication of EBV in B cells have been obtained
predominantly after reactivation with chemical treatment or by
superinfection of the cells (45). Lytic DNA replication proceeds from the origin oriLyt and results in a 100- to
1,000-fold amplification of the EBV genome via concatemeric
intermediates. The activation of the replicative cycle of EBV starts
with the expression of the immediate-early transactivators Zta, Rta,
and Mta encoded by the BZLF1, BRLF1, and
BMLF1 genes, respectively. Transactivators cooperate in the
activation of further early genes and finally in the expression of late
viral proteins (32). EBV encodes a large number of proteins
involved in viral DNA synthesis. Fixman et al. demonstrated that six
proteins are essential for viral replication, including
BALF2, which encodes a single-stranded DNA binding protein
(16). The transcription of BcLF1, which encodes
the major capsid protein of EBV, permitted evaluation of the
possible production of virus. The transcription pattern obtained
at the early time points (days 3 and 6 p.i.), and not later,
suggests that the lytic cycle in astrocytes starts with replication of
the viral genome, expression of late proteins (structural proteins of
the virus), and probably also with virus production. The key role of
the BZLF1 product, Zta, is maintenance of the balance
between latent and lytic replication (41, 45). The BZLF1 promoter region was reported to contain several
binding motifs for positive and negative regulatory factors (18,
35, 49). Thus, we suggest that transcriptional control of Zta in astrocytes occurs and furthermore, similarly to the reactivation of the
BZLF1 gene in B cells, that transcriptional activation may
be achieved by using phorbol esters (17, 18, 51). The coexpression of proteins observed in the latency of EBV in B cells at
these time points was referred to in the study of Alfieri et al., who
have shown expression of EBNA2, EBNA1, and
LMP1 in the early times after infection of B lymphocytes
(2).
The latent transcription pattern detected in astrocytes was similar to
latency type III in LCLs (32) with the simultaneous expression of EBNA1, EBNA2, LMP1, and
EBER1, except for the lack of LMP2A mRNA in our
cell lines. Of note, the expression of all the latent genes observed in
LCLs was not tested in this study, and this issue is currently under
investigation. It is known that in LCLs different EBNAs are encoded by
individual mRNAs generated by differential splicing of the same long
primary transcripts expressed from either the BamHI C
promoter (Cp) or the BamHI W promoter (Wp) (32),
while EBNA1 expressed in Burkitt lymphoma cells results from a promoter
localized in the BamHI F/Q region of the viral genome
(61). The coexpression of EBNA1 and
EBNA2 suggests that these transcripts are driven from Cp or
Wp promoter in astrocytes.
In latently infected B cells, multiple copies of the viral genome are
maintained predominantly as episomes that are replicated in synchrony
with cellular DNA. Latent replication proceeds from ori P. EBNA1 is the only virus-encoded protein required for replication of the
episomal EBV genome, whereas all other proteins are provided by the
host cell (44). We observed the loss of EBNA1
mRNA expression in T98 cell lines and subsequently the loss of the
virus. The major function of EBNA1 protein is the maintenance of the
EBV genome in an episomal state in latently infected cells
(32), and therefore we propose that ori P is
active in these cells and that the loss of EBNA1 expression
leads to the loss of all traces of virus in the cells. So, we can
qualify the infection of T98 cells as a transient event. For
CR2-transfected T98CR2, the disappearance of infection occurred later,
suggesting a greater number of infected cells in the first phase of
infection. In contrast, we could observe EBV mRNA expression 9 weeks
p.i. in CB193 astrocyte lines, indicating that the viral genome is
stable in these cells. The viral genome is transcribed, and so the
infection is active and persistent. T98 and CB193 cell lines exhibit
different levels of differentiation, and of these two cell lines CB193
shares more features with native astrocytes, such as cell surface
markers like CR1, and morphological characteristics which render this
cell line closer to the in vivo situation.
The EBNA2 protein expression level is low in the EBV-infected CB193CR2
cell line. We used for this experiment the supernatant from ascites
fluid and not purified MAb; furthermore, the study of Brink et al.
revealed that PE2 MAb is not very sensitive (6). These two
reasons could explain why the labeling level for the B95-8 cell line,
as well as for CB193CR2 cells persistently infected by EBV, is so low.
EBNA2 protein expression by EBV-infected astrocyte lines could
dysregulate cellular metabolism as in B cells (32). Furthermore, studies have shown that EBV, like other herpesviruses, can
activate the HIV-1 long terminal repeat and in particular EBNA2
transactivates the HIV-1 long terminal repeat and enhances HIV-1
replication in T cells (62). On the contrary, HIV-1
expression seems to be downregulated in partially purified B cells
coinfected with EBV in vitro (27). This difference in HIV-1
expression by the EBV-infected cells could depend on the permissiveness
of the cells for EBV replication: EBNA2 may downregulate HIV-1
expression in B cells permissive for EBV replication and upregulate
HIV-1 expression in T cells which are nonpermissive for EBV replication (62). Until now, there has been no report about a possible
interaction between EBV and HIV-infected astrocytes found in the brains
of AIDS patients suffering from EBV DNA-positive primary cerebral lymphoma.
Interestingly the high-level expression of LMP1 protein in infected
astrocyte lines was observed by immunofluorescence assay. Recent
reports, focused on the essential role of this protein (10,
31), have shown that LMP1 plays a central role in the transformation process of human B lymphocytes in vitro. It can mimic
members of the family of tumor necrosis factor receptors and thereby
transmit growth signals from the cell membrane to the nucleus through
cytoplasmic tumor necrosis factor receptor-associated factors (TRAFs).
LMP1-bound proteins activate NF-
B and thereby cause cell
proliferation. Liebowitz et al. showed the interaction between the
EBV-transforming protein LMP1 and the TRAF-1 and TRAF-3 signal
transduction molecules in some lymphomas, in addition to the activation
of NF-
B in these tumors (31). The high-level expression
of LMP1 by infected astrocytes could induce cellular changes that may
be of interest for the interaction of EBV with normal astrocytes in vivo.
An uncommon feature of EBV gene expression in astrocytes is the
constitutive expression of early genes (virus replicative) and late
genes (BALF2 and BcLF1, respectively) in the
absence of the transactivator Zta. Since Zta is essential for the lytic cycle in B cells and this gene is not present in any of our cell lines,
we cannot explain this observation by the coexistence of one population
latently infected with a transcription pattern close to the LCL pattern
and another infected lytically (15, 41, 47, 55). Recently,
Nakamura et al. (37) demonstrated that EBV-infected MT2
clones express proteins associated with the latent viral cycle
(including EBNA1 and LMP1) and that constitutive transcription from
early replicative and late genes occurs. In their model the BZLF1
protein was observed in most of the EBV-infected MT2 clones and could
activate transcription of those genes. In contrast the same experiment
carried out on the human B-cell lines BJAB and Louckes did not result
in the expression of early genes. We assume that persistently infected
astrocytes, like MT2 clones, express at the same time some latent,
early, and late genes. In this case the transcriptional control of
early genes would be independent of Zta, whereas another transcription
transactivator may be involved in this process. In accordance with the
results from the study of Bogedain et al. we propose that in
astrocytes, as in LCLs, where the influence of Zta expression is less
efficient than in cells derived from Burkitt lymphomas, Rta could play
an important transactivator role (4).
In conclusion the investigations presented provide evidence that two
astrocyte lines tested express functional CR2, the major EBV receptor.
The virus binds specifically to these cells, infects them, and induces
the expression of several EBV genes. The presence of some EBV proteins
(LMP1, EBNA2, and BZLF1) in some infected cells demonstrates that the
virus is expressed and suggests that astrocyte metabolism is modified
after infection. The lytic cycle seems to take place in the early
stages p.i., and later a switch to a latent pattern occurs with an
uncommon transcription profile. The infection of T98 is transient, but
the CB193 cell line is persistently infected. To facilitate further
studies, we used two CR2 transfectant astrocyte lines. Although the
presence of the transfected plasmid in CB193CR2 and T98CR2 could affect
the transcription of the EBV genome, we have demonstrated that the transcriptional pattern in the transfectant cell lines was similar to
that in parental cell lines. Thus, our studies validate the use of our
transfectant model to obtain a more efficient infection of astrocytes
with EBV. Moreover, we were able to infect these cell lines with
cell-free virus and also directly via
-irradiated B95-8 cells. Thus,
this study contributes to a better understanding of the interaction
between EBV and astrocytes and thereby of the pathogenesis of EBV
infection in vivo.
 |
ACKNOWLEDGMENTS |
We thank Laco Kacani for critically discussing the manuscript and
Marie T. Schouft and Heidi Recheis for excellent technical assistance.
We are grateful to Fritz Schwarzmann and Hans Wolf, University of
Regensburg, for helpful advice during the progress of this work.
This work was supported in part by grants from the Austrian Science
Fund F202 and by the Biomed 2 Programme of the European Commission
BMH4-CT96-1005, travel grant Amadee (Action Integrees). Anne Menet is
supported by a grant from the French Ministry of Science (contrat 9636).
 |
FOOTNOTES |
*
Corresponding author. Present address: INSERM U519,
Faculté de Médecine et de Pharmacie, 38 Blvd.
Gambetta, 76000 Rouen, France. Phone: 33-2-35-14-85-42. Fax:
33-2-35-14-85-41. E-mail: annemenet{at}hotmail.com.
 |
REFERENCES |
| 1.
|
Ahearn, J. M., and D. T. Fearon.
1989.
Structure and function of the complement receptors, CR1 (CD35) and CR2 (CD21).
Adv. Immunol.
46:183-219[Medline].
|
| 2.
|
Alfieri, C.,
M. Birkenbach, and E. Kieff.
1991.
Early events in Epstein-Barr virus infection of human B lymphocytes.
Virology
181:595-608[Medline].
|
| 3.
|
Bagasra, O.,
E. Lavi,
L. Bobroski,
K. Khalili,
J. P. Pestaner,
R. Tawadros, and R. J. Pomerantz.
1996.
Cellular reservoirs of HIV-1 in the central nervous system of infected individuals: identification by the combination of in situ polymerase chain reaction and immunohistochemistry.
AIDS
10:573-585[Medline].
|
| 4.
|
Bogedain, C.,
P. Alliger,
F. Schwarzmann,
M. Marschall,
H. Wolf, and W. Jilg.
1994.
Different activation of Epstein-Barr virus immediate-early and early genes in Burkitt lymphoma cells and lymphoblastoid cell lines.
J. Virol.
68:1200-1203[Abstract/Free Full Text].
|
| 5.
|
Bray, P. F.,
K. W. Culp,
D. E. McFarlin,
H. S. Panitch,
R. D. Torkelson, and J. P. Schlight.
1992.
Demyelinating disease after neurologically complicated primary Epstein-Barr virus infection.
Neurology
42:278-282[Abstract/Free Full Text].
|
| 6.
|
Brink, A. A.,
D. F. Dukers,
A. J. Van der Brule,
J. J. Oudejans,
J. M. Middeldorp,
C. J. Miejer, and M. Jiwa.
1997.
Presence of Epstein-Barr virus latency type III at the single cell level in post-transplantation lymphoproliferative disorders and AIDS related lymphomas.
J. Clin. Pathol.
50:911-918[Abstract/Free Full Text].
|
| 7.
|
Brooks, L.,
Q. Y. Yao,
A. B. Rickinson, and L. S. Young.
1992.
Epstein-Barr virus latent gene transcription in nasopharyngeal carcinoma cells: coexpression of EBNA1, LMP1, and LMP2 transcripts.
J. Virol.
66:2689-2697[Abstract/Free Full Text].
|
| 8.
|
Carel, J. C.,
B. Frazier,
T. J. Ley, and V. M. Holers.
1989.
Analysis of epitope expression and the functional repertoire of recombinant complement receptor 2 (CR2/CD21) in mouse and human cells.
J. Immunol.
143:923-930[Abstract].
|
| 9.
|
Carel, J. C.,
B. L. Myones,
B. Frazier, and V. M. Holers.
1990.
Structural requirements for C3d,g/Epstein-Barr virus receptor (CR2/CD21) ligand binding, internalization, and viral infection.
J. Biol. Chem.
265:12293-12299[Abstract/Free Full Text].
|
| 10.
|
Cheung, S. T.,
S. F. Leung,
K. W. Lo,
K. W. Chiu,
J. S. Tam,
T. F. Fok,
P. J. Johnson,
J. C. Lee, and D. P. Huang.
1998.
Specific latent membrane protein 1 gene sequences in type 1 and type 2 Epstein-Barr virus from nasopharyngeal carcinoma in Hong Kong.
Int. J. Cancer
76:399-406[Medline].
|
| 11.
|
Cinque, P.,
M. Brytting,
L. Vago,
A. Castagna,
C. Parravicini,
N. Zanchetta,
A. D'Arminio Monforte,
B. Wahren,
A. Lazzarin, and A. Linde.
1993.
Epstein-Barr virus DNA in cerebrospinal fluid from patients with AIDS-related primary lymphoma of the central nervous system.
Lancet
342:398-401[Medline].
|
| 12.
|
Cleary, T. G.,
W. Henle, and L. K. Pickering.
1980.
Acute cerebellar ataxia associated with Epstein-Barr virus infection.
JAMA
243:148-149[Medline].
|
| 13.
|
D'Arminio Monforte, A.,
P. Cinque,
L. Vago,
A. Rocca,
A. Castagna,
C. Gervasoni,
M. R. Terreni,
R. Novati,
A. Gori,
A. Lazzarin, et al.
1997.
A comparison of brain biopsy and CSF-PCR in the diagnosis of CNS lesions in AIDS patients.
J. Neurol.
244:35-39[Medline].
|
| 14.
|
Di Rienzo, A. M.,
F. Aloisi,
C. Santarcangelo,
C. Palladino,
E. Olivetta,
D. Genovese,
P. Verani, and G. Levi.
1998.
Virological and molecular parameters of HIV-1 infection of human embryonic astrocytes.
Arch. Virol.
143:1599-1615[Medline].
|
| 15.
|
Farrell, P. J.,
D. T. Rowe,
C. M. Rooney, and T. Kouzarides.
1989.
Epstein-Barr virus BZLF1 trans-activator specifically binds to a consensus AP-1 site and is related to c-fos.
EMBO J.
8:127-132[Medline].
|
| 16.
|
Fixman, E. D.,
G. S. Hayward, and S. D. Hayward.
1992.
trans-acting requirements for replication of Epstein-Barr virus ori-Lyt.
J. Virol.
66:5030-5039[Abstract/Free Full Text].
|
| 17.
|
Flemington, E., and S. H. Speck.
1990.
Autoregulation of Epstein-Barr virus putative lytic switch gene BZLF1.
J. Virol.
64:1227-1232[Abstract/Free Full Text].
|
| 18.
|
Flemington, E., and S. H. Speck.
1990.
Identification of phorbol ester response elements in the promoter of Epstein-Barr virus putative lytic switch gene BZLF1.
J. Virol.
64:1217-1226[Abstract/Free Full Text].
|
| 19.
|
Fujisaku, A.,
J. B. Harley,
M. B. Frank,
A. Gruner,
B. Frazier, and V. M. Holers.
1989.
Genomic organization and polymorphisms of the human C3d/Epstein-Barr virus receptor.
J. Biol. Chem.
264:2118-2125[Abstract/Free Full Text].
|
| 20.
|
Gaidano, G.,
A. Carbone, and R. Dalla Favera.
1998.
Pathogenesis of AIDS-related lymphomas: molecular and histogenetic heterogeneity.
Am. J. Pathol.
152:623-630[Medline].
|
| 21.
|
Gasque, P.,
P. Chan,
C. Mauger,
M. T. Schouft,
S. Singhrao,
M. P. Dierich,
B. P. Morgan, and M. Fontaine.
1996.
Identification and characterization of complement C3 receptors on human astrocytes.
J. Immunol.
156:2247-2255[Abstract].
|
| 22.
|
Geddes, J. F.,
M. B. Bhattacharjee,
K. Savage,
F. Scaravilli, and J. E. McLaughlin.
1992.
Primary cerebral lymphoma: a study of 47 cases probed for Epstein-Barr virus genome.
J. Clin. Pathol.
45:587-590[Abstract/Free Full Text].
|
| 23.
|
Gilbert, J. W., and A. Culebras.
1972.
Cerebellitis in infectious mononucleosis.
JAMA
220:727-735.
|
| 24.
|
Griffiths, P. D.
1998.
Studies of viral co-factors for human immunodeficiency virus in vitro and in vivo.
J. Gen. Virol.
79:213-220[Medline].
|
| 25.
|
Grose, C.,
W. Henle,
G. Henle, and P. M. Feorino.
1975.
Primary Epstein-Barr virus infections in acute neurologic diseases.
N. Engl. J. Med.
292:392-395[Abstract].
|
| 26.
|
Hamilton Dutoit, S. J.,
M. Raphael,
J. Audouin,
J. Diebold,
I. Lisse,
E. Pedersen,
E. Oksenhendler,
L. Marelle, and G. Pallesen.
1993.
In situ demonstration of Epstein-Barr virus small RNAs (EBER 1) in acquired immunodeficiency syndrome-related lymphomas: correlation with tumor morphology and primary site.
Blood
82:619-624[Abstract/Free Full Text].
|
| 27.
|
Henderson, E. E.,
J. Y. Yang,
R. D. Zhang, and M. Bealer.
1991.
Altered HIV expression and EBV-induced transformation in coinfected PBLs and PBL subpopulations.
Virology
182:186-198[Medline].
|
| 28.
|
Jäger, M.,
N. Prang,
M. Mitterer,
C. Larcher,
H. P. Huemer,
U. Reischl,
H. Wolf, and F. Schwarzmann.
1996.
Pathogenesis of chronic Epstein-Barr virus infection: detection of a virus strain with a high rate of lytic replication.
Br. J. Haematol.
95:626-636[Medline].
|
| 29.
|
Kleinschmidt, A.,
M. Neumann,
C. Moller,
V. Erfle, and R. Brack Werner.
1994.
Restricted expression of HIV1 in human astrocytes: molecular basis for viral persistence in the CNS.
Res. Virol.
145:147-153[Medline].
|
| 30.
|
Li, Q. X.,
L. S. Young,
G. Niedobitek,
C. W. Dawson,
M. Birkenbach,
F. Wang, and A. B. Rickinson.
1992.
Epstein-Barr virus infection and replication in a human epithelial cell system.
Nature
356:347-350[Medline].
|
| 31.
|
Liebowitz, D.
1998.
Epstein-Barr virus and a cellular signaling pathway in lymphomas from immunosuppressed patients.
N. Engl. J. Med.
338:1413-1421[Abstract/Free Full Text]. (Comment, 338:1461-1463.)
|
| 32.
|
Longnecker, R.
1998.
Molecular biology of Epstein-Barr virus, p. 135-174.
In
D. J. McCance (ed.), Human tumor viruses. American Society for Microbiology, Washington, D.C.
|
| 33.
|
Martin, D. R.,
R. L. Marlowe, and J. M. Ahearn.
1994.
Determination of the role for CD21 during Epstein-Barr virus infection of B-lymphoblastoid cells.
J. Virol.
68:4716-4726[Abstract/Free Full Text].
|
| 34.
| Menet, A., P. Chan, M. Schwendinger, W. M. Prodinger, M. P. Dierich, and M. Fontaine. 1999. Unpublished
data.
|
| 35.
|
Montalvo, E. A.,
Y. Shi,
T. E. Shenk, and A. J. Levine.
1991.
Negative regulation of the BZLF1 promoter of Epstein-Barr virus.
J. Virol.
65:3647-3655[Abstract/Free Full Text].
|
| 36.
|
Murphy, S.
1993.
Astrocytes, pharmacology and function.
Academic Press, San Diego, Calif.
|
| 37.
|
Nakamura, H.,
D. Iwakiri,
Y. Ono, and S. Fujiwara.
1998.
Epstein-Barr-virus-infected human T-cell line with a unique pattern of viral-gene expression.
Int. J. Cancer
76:587-594[Medline].
|
| 38.
|
Nath, A.,
C. Power, and J. D. Geiger.
1996.
Interactions of the human immunodeficiency with astrocytes.
Perspect. Drug Discov.
5:30-42.
|
| 39.
|
Nemerow, G. R.,
R. Wolfert,
M. E. McNaughton, and N. R. Cooper.
1985.
Identification and characterization of the Epstein-Barr virus receptor on human B lymphocytes and its relationship to the C3d complement receptor (CR2).
J. Virol.
55:347-351[Abstract/Free Full Text].
|
| 40.
|
Pedneault, L.,
B. Z. Katz, and G. Miller.
1992.
Detection of Epstein-Barr virus in the brain by the polymerase chain reaction.
Ann. Neurol.
32:184-192[Medline].
|
| 41.
|
Prang, N.,
H. Wolf, and F. Schwarzmann.
1995.
Epstein-Barr virus lytic replication is controlled by posttranscriptional negative regulation of BZLF1.
J. Virol.
69:2644-2648[Abstract].
|
| 42.
|
Prodinger, W. M.,
C. Larcher,
M. Schwendinger, and M. P. Dierich.
1996.
Ligation of the functional domain of complement receptor type 2 (CR2, CD21) is relevant for complex formation in T cell lines.
J. Immunol.
156:2580-2584[Abstract].
|
| 43.
|
Prodinger, W. M.,
M. Schwendinger,
J. Schoch,
M. Köchle,
C. Larcher, and M. P. Dierich.
1998.
Characterization of the C3dg binding to a recess formed between short consensus repeats 1 and 2 of complement receptor type 2 (CR2, CD21).
J. Immunol.
161:4604-4610[Abstract/Free Full Text].
|
| 44.
|
Rickinson, A. B., and E. Kieff.
1996.
Epstein-Barr virus, p. 2397-2446.
In
B. N. Fields, D. M. Knipe, and P. M. Howley (ed.), Fields virology, 3rd ed. Raven Press, Philadelphia, Pa.
|
| 45.
|
Roizman, B.
1996.
Herpesviridae, p. 2221-2230.
In
B. N. Fields, D. M. Knipe, and P. M. Howley (ed.), Fields virology, 3rd ed. Raven Press, Philadelphia, Pa.
|
| 46.
|
Rowe, M.,
H. S. Evans,
L. S. Young,
K. Hennessy,
E. Kieff, and A. B. Rickinson.
1987.
Monoclonal antibodies to the latent membrane protein of Epstein-Barr virus reveal heterogeneity of the protein and inducible expression in virus-transformed cells.
J. Gen. Virol.
68:1575-1586[Abstract/Free Full Text].
|
| 47.
|
Sarisky, R. T.,
Z. Gao,
P. M. Lieberman,
E. D. Fixman,
G. S. Hayward, and S. D. Hayward.
1996.
A replication function associated with the activation domain of the Epstein-Barr virus Zta transactivator.
J. Virol.
70:8340-8347[Abstract].
|
| 48.
|
Schooley, R. T., and R. Dolin.
1990.
Epstein-Barr virus (infectious mononucleosis), p. 1172-1185.
In
G. L. Mandell, R. G. J. Douglas, and J. E. Bennett (ed.), Principles and practice of infectious diseases. Churchill-Livingstone, New York, N.Y.
|
| 49.
|
Schwarzmann, F.,
N. Prang,
B. Reichelt,
B. Rinkes,
S. Haist,
M. Marschall, and H. Wolf.
1994.
Negatively cis-acting elements in the distal part of the promoter of Epstein-Barr virus trans-activator gene BZLF1.
J. Gen. Virol.
75:1999-2006[Abstract/Free Full Text].
|
| 50.
|
Silverstein, A.,
G. Steinberg, and M. Nathanson.
1972.
Nervous system involvement in infectious mononucleosis.
Arch. Neurol.
26:353-358[Medline].
|
| 51.
|
Speck, S. H.,
T. Chatila, and E. Flemington.
1997.
Reactivation of Epstein-Barr virus: regulation and function of the BZLF1 gene.
Trends Microbiol.
5:399-405[Medline].
|
| 52.
|
Tedder, T. F.,
L. T. Clement, and M. D. Cooper.
1984.
Expression of C3d receptors during human B cell differentiation: immunofluorescence analysis with the HB-5 monoclonal antibody.
J. Immunol.
133:678-683[Abstract].
|
| 53.
|
Tierney, R. J.,
N. Steven,
L. S. Young, and A. B. Rickinson.
1994.
Epstein-Barr virus latency in blood mononuclear cells: analysis of viral gene transcription during primary infection and in the carrier state.
J. Virol.
68:7374-7385[Abstract/Free Full Text].
|
| 54.
|
Tornatore, C.,
K. Meyers,
W. Atwood,
K. Conant, and E. Major.
1994.
Temporal patterns of human immunodeficiency virus type 1 transcripts in human fetal astrocytes.
J. Virol.
68:93-102[Abstract/Free Full Text].
|
| 55.
|
Urier, G.,
M. Buisson,
P. Chambard, and A. Sergeant.
1989.
The Epstein-Barr virus early protein EB1 activates transcription from different responsive elements including AP-1 binding sites.
EMBO J.
8:1447-1453[Medline].
|
| 56.
|
Walter, G. F., and R. R. Renella.
1989.
Epstein-Barr virus in brain and Rasmussen's encephalitis.
Lancet.
i:279-280. (Letter.)
|
| 57.
|
Warner, H. B., and R. I. Carp.
1988.
Multiple sclerosis etiology an Epstein-Barr virus hypothesis.
Med. Hypotheses
25:93-97[Medline].
|
| 58.
|
Yoshiyama, H.,
S. Imai,
N. Shimizu, and K. Takada.
1997.
Epstein-Barr virus infection of human gastric carcinoma cells: implication of the existence of a new virus receptor different from CD21.
J. Virol.
71:5688-5691[Abstract].
|
| 59.
|
Young, L. S.,
C. Alfieri,
K. Hennessy,
H. S. Evans,
C. O'Hara, and K. C. Anderson.
1989.
Expression of Epstein-Barr virus transformation-associated genes in tissues of patients with EBV lymphoproliferative disease.
N. Engl. J. Med.
321:1080-1085[Abstract].
|
| 60.
|
Young, L. S.,
R. Lau,
M. Rowe,
G. Niedobitek,
G. Packham, and F. Shanahan.
1991.
Differentiation-associated expression of the Epstein-Barr virus BZLF1 transactivator protein in oral hairy leukoplakia.
J. Virol.
65:2868-2874[Abstract/Free Full Text].
|
| 61.
|
Young, L. S., and M. Rowe.
1992.
Epstein-Barr virus, lymphomas and Hodgkin's disease.
Semin. Cancer Biol.
3:273-284[Medline].
|
| 62.
|
Zhang, R. D.,
M. Guan,
Y. Park,
R. Tawadros,
J. Y. Yang,
B. Gold,
B. Wu, and E. E. Henderson.
1997.
Synergy between human immunodeficiency virus type 1 and Epstein-Barr virus in T lymphoblastoid cell lines.
AIDS Res. Hum. Retroviruses
13:161-171[Medline].
|
Journal of Virology, September 1999, p. 7722-7733, Vol. 73, No. 9
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
This article has been cited by other articles:
-
Lovett-Racke, A. E., Racke, M. K.
(2006). Epstein-Barr virus and multiple sclerosis.. Arch Neurol
63: 810-811
[Full Text]
-
Masy, E., Adriaenssens, E., Montpellier, C., Crepieux, P., Mougel, A., Quatannens, B., Goormachtigh, G., Faumont, N., Meggetto, F., Auriault, C., Groux, H., Coll, J.
(2002). Human Monocytic Cell Lines Transformed In Vitro by Epstein-Barr Virus Display a Type II Latency and LMP-1-Dependent Proliferation. J. Virol.
76: 6460-6472
[Abstract]
[Full Text]