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Journal of Virology, September 2004, p. 10187-10192, Vol. 78, No. 18
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.18.10187-10192.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Role of Protein Kinase C
in Reactivation of Kaposi's Sarcoma-Associated Herpesvirus
Einat Deutsch, Adina Cohen, Gila Kazimirsky, Sara Dovrat, Hadara Rubinfeld, Chaya Brodie, and Ronit Sarid*
Faculty of Life Sciences, Bar-Ilan University, Ramat Gan, Israel
Received 30 December 2003/
Accepted 18 May 2004

ABSTRACT
TPA (12-
O-tetradecanoylphorbol-13-acetate), a well-known activator
of protein kinase C (PKC), can experimentally induce reactivation
of Kaposi's sarcoma-associated herpesvirus (KSHV) in certain
latently infected cells. We selectively blocked the activity
of PKC isoforms by using GF 109203X or rottlerin and demonstrated
that this inhibition largely decreased lytic KSHV reactivation
by TPA. Translocation of the PKC

isoform was evident shortly
after TPA stimulation. Overexpression of the dominant-negative
PKC

mutant supported an essential role for the PKC

isoform in
virus reactivation, yet overexpression of PKC

alone was not
sufficient to induce lytic reactivation of KSHV, suggesting
that additional signaling molecules participate in this pathway.

TEXT
Kaposi's sarcoma (KS)-associated herpesvirus (KSHV), also known
as human herpesvirus 8, is causally implicated in KS, primary
effusion lymphoma (PEL; also known as body cavity-based lymphoma),
and a subset of multicentric Castleman's disease (
1,
10,
47,
48). Like all other herpesviruses, primary infection with KSHV
precedes lifelong latent infection, while virus reactivation
may occur and lead to an increased risk for disease development
(
21). Only a few viral proteins are expressed during KSHV latency,
whereas extensive KSHV genome expression and productive viral
DNA replication characterize the lytic phase of virus infection
(
19,
29,
43,
46). Detection of KSHV in peripheral blood mononuclear
cells and KSHV seropositivity are strongly predictive of the
development of KS, whereas active replication of KSHV in circulating
lymphoid cells is likely responsible for the spread of virus
to the endothelium and the onset of KS (
8,
51,
62). Relatively
little is presently known about the host and cellular factors
that can affect and play a role in the intracellular signaling
pathways of virus reactivation.
Major tools for studying KSHV biology are latently infected B-cell lines, derived from patients with PEL, in which the virus undergoes spontaneous lytic reactivation in a small steady fraction of the cells (44, 46). Increased, but limited, virus reactivation is observed following exposure of these cell lines to a variety of stimuli such as interleukin-6 (IL-6) (9, 11, 52) and gamma interferon (9), hypoxic conditions (16), coinfection by another viral agent (27, 36, 57), and treatment with chemical reagents such as n-butyrate (37), ionomycin (9, 67), 5-azacytidine (12), and the potent protein kinase C (PKC) activator 12-O-tetradecanoylphorbol-13-acetate (TPA) (39, 44). In addition, ectopic expression of the KSHV lytic replication and transcription activator (KSHV/Rta), encoded by viral open reading frame (ORF) 50, is generally sufficient to disrupt virus latency and induce lytic virus reactivation (33, 61). Thus, it is likely that at least part of the effect of agents that activate the virus lytic cycle is through the transcriptional and posttranscriptional activation of this gene; yet, the upstream signaling cascades that influence the expression of KSHV/Rta have not been fully elucidated (7, 12, 22, 26, 32, 33, 41, 61).
The PKC family, comprised of 12 structurally related lipid-regulated serine-threonine kinases, plays a central role in the transduction of a variety of signals that affect cellular functions and proliferation (45). Diacylglycerols (DAG) and calcium ions are the naturally occurring activators of certain members of this family. Phorbol esters, such as TPA, compete with DAG for the same binding site and function as potent PKC agonists (2, 17, 49). Yet, nonkinase DAG and phorbol ester receptors, such as the Ras guanyl releasing protein (RasGRP) and chimaerins, have also been described previously (18, 45, 55).
Our study was designed to determine the role of PKC in KSHV lytic reactivation by TPA and to identify specific PKC isoforms that contribute to the disruption of the latency of KSHV and to virus reactivation. We demonstrate that the activity of PKC
is required, yet not sufficient, for TPA-mediated virus reactivation.
Selective inhibitors of PKC isoforms inhibit KSHV lytic reactivation.
To establish the role of PKC in KSHV lytic reactivation, we investigated the effects of selective PKC inhibitors in PEL-derived KSHV-infected BCP-1 (5) and BCBL-1 (44) cell lines. These experiments were crucial, since not all phorbol ester responses can be attributed to the activities of PKC isoforms (45). As previously reported, we obtained KSHV lytic reactivation after TPA stimulation (39, 44, 46). This was evident by the induction of the expression of the immediate-early KSHV/ORF45 transcript (66), the T1.1 early transcript (65), and the early lytic protein viral IL-6 (vIL-6) (38) 24 h after stimulation (Fig. 1). Inhibition of the TPA-mediated virus reactivation was evident when 5 µM GF 109203X (bisindolylmaleimide I) (56), which inhibits the PKC
, ß,
,
, and
isoforms (31), was added 30 min prior to the addition of TPA.
To further evaluate the role of PKC in TPA stimulation of KSHV
reactivation, we treated the cells with 5 µM rottlerin,
a selective inhibitor of PKC

(
24). Results shown in Fig.
2 demonstrate
that rottlerin largely reduced the TPA-dependent induction of
KSHV in BCP-1 and BCBL-1 cells, suggesting an essential role
for PKC

activity in virus reactivation. Of note, we monitored
possible toxic effects of the pharmacological treatments by
cell cycle analysis with a fluorescence-activated cell sorter
and found that treatment with rottlerin alone induced high levels
of cell death in BCBL-1 but not in BCP-1 cells, whereas combined
treatment with rottlerin and TPA avoided this response (data
not shown). This effect probably reflects the nonspecific activity
of rottlerin.
Expression and translocation of PKC
prior to and after the addition of TPA.
To further study the possible involvement of the PKC

isoform
in TPA-induced lytic reactivation of KSHV, we examined the effect
of TPA stimulation on the expression and translocation of PKC

.
These experiments were necessary since prolonged exposure to
TPA is known to induce down-regulation of the classical and
novel PKC isoforms (
45) and translocation of PKC is characteristic
of PKC activation (
6,
45). We detected expression of PKC

in
both cell lines (Fig.
3A and B) while an elevated level of expression
was noted in BCP-1 cells 1 h after TPA stimulation. The cellular
localization varied between cell lines, yet transient translocation
of PKC

was evident upon TPA stimulation both in BCP-1 and BCBL-1
cells (Fig.
3C and D).
Ectopic expression of dominant-negative PKC
inhibits TPA-mediated KSHV reactivation.
Though rottlerin has been widely used to study the role of PKC
(
14,
34,
64), some questions about the use of this compound
have been raised recently (
15,
30,
35,
54). Therefore, we further
explored the role of PKC

in virus lytic reactivation by employing
recombinant adenoviral vectors (
28) to transiently overexpress
a mouse kinase-defective K376R PKC

mutant (
4). Overexpression
of the transduced gene was confirmed by Western blot analysis
with antibodies to the PKC

that barely recognize the human isoform
(nPKC

rabbit polyclonal immunoglobulin G; Santa Cruz Biotechnology,
Inc.). In accord with the findings obtained with rottlerin,
expression of the dominant-negative PKC

mutant largely inhibited
KSHV lytic reactivation (Fig.
4). This result is consistent
with the hypothesis that KSHV lytic reactivation by TPA depends
to a large extent on the activity of PKC

.
Ectopic expression of PKC
does not affect KSHV lytic reactivation.
Based on the findings that inhibition of PKC

activity by rottlerin
or by ectopic expression of the kinase-inactive PKC

inhibited
TPA-mediated KSHV lytic reactivation, we further investigated
the role of PKC

activation in KSHV lytic reactivation. We transduced
the PKC

with a recombinant adenovirus and assayed its effect
on virus reactivation in the absence of and following the addition
of TPA. Ectopic expression of PKC

did not induce virus reactivation
nor synergize with TPA in the induction of lytic KSHV reactivation.
Similar results were obtained with bistratene A, a cyclic polyether
toxin that activates PKC

(
23,
58-
60) (data not shown).
Taken together, our data suggest the following: (i) PKC is an important mediator in regulating KSHV lytic reactivation after TPA stimulation, (ii) activation of PKC
is essential for TPA-mediated KSHV lytic reactivation, and (iii) stimulation of PKC
is not sufficient to induce KSHV lytic reactivation. Our experiments suggest that non-PKC phorbol ester receptors, such as RasGRP and chimaerins, probably do not play a primary role in TPA-mediated virus reactivation; however, this pathway could have a secondary role that has not been explored. Notably, we observed translocation of PKC
in the majority of cells that were treated with TPA, though virus activation occurs only in a small fraction of the cells (63). This implies that additional cellular molecules may act as rate-limiting factors for virus reactivation. It is also reasonable to assume that methylations, deletions, or rearrangements of key genes on the KSHV genome prevent KSHV reactivation in a subset of cells regardless of the cellular condition. Downstream effectors of PKC in this pathway have yet to be identified. Since PKC activation frequently leads to activation of members of the mitogen-activated protein kinases that can also be activated in response to a variety of extracellular stimuli and stress, one may envision a number of alternative signal transducing pathways that could induce lytic KSHV reactivation. In addition, isoforms of PKC may posttranslationally modulate the DNA-binding and transcriptional activity of KSHV/Rta.
Emerging evidence points to central roles for PKC isoforms during various phases of infection with different viruses. Activation of PKC
during primary de novo infection has been recently reported to play an essential role during the initial stages of KSHV infection (42). Similarly, the entry of several other enveloped viruses, including rhabdoviruses, alphaviruses, poxviruses, adenoviruses, and influenza virus, has been proposed to require the activity of PKC (13, 50). Enhancer activation of the human immunodeficiency virus provirus is affected by PKC (20), and the use of synthetic analogues of DAG in conjunction with highly active antiretroviral therapy has been recently proposed (25). Infection with murine cytomegalovirus has been shown to recruit cellular PKC for phosphorylation and dissolution of the nuclear lamina (40). Alternatively, during infection, viruses may target PKC isoforms, which may in turn alter the natural functions of the infected cells (3, 53, 68). Thus, the variable effects of PKC on a range of signal transduction pathways may alter the outcomes of virus exposure and infection both in vitro and in vivo. This may also provide, in the future, a potential therapeutic means to interfere with the consequence of virus infection. As the distinct characteristics attributed to the various PKC isoforms suggest that the composition of PKC isoforms in a particular cell type should determine its cellular response, extensive exploration of the involvement of PKC in KSHV lytic reactivation in a variety of cell types is necessary.

ACKNOWLEDGMENTS
We thank Yuan Chang and Patrick Moore for providing cell lines
and antibodies to KSHV vIL-6 and Don Ganem for providing antibodies
to KSHV/Rta.
This work was supported by the Association for International Cancer Research.

FOOTNOTES
* Corresponding author. Mailing address: Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 52900, Israel. Phone: 972-3-5317853. Fax: 972-3-5351824. E-mail:
saridr{at}mail.biu.ac.il.


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Journal of Virology, September 2004, p. 10187-10192, Vol. 78, No. 18
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.18.10187-10192.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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