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Journal of Virology, September 2007, p. 10113-10122, Vol. 81, No. 18
0022-538X/07/$08.00+0 doi:10.1128/JVI.00692-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Departments of Medicine and Microbiology and Immunology, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, CB #7295, Chapel Hill, North Carolina, 27599,1 Departments of Oncology,2 Medicine, McArdle Laboratory for Cancer Research, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, 53706-15993
Received 30 March 2007/ Accepted 22 June 2007
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EBV infection of normal oropharyngeal epithelial cells in humans results in completely lytic infection (38; reviewed in references 34, 53, and 56). However, in EBV-associated epithelial malignancies, including nasopharyngeal and gastric carcinomas, most of the tumor cells contain one of the latent forms of viral infection (reviewed in references 29, 34, and 53). Presumably, the establishment of a predominantly latent form of EBV infection in these epithelial tumors helps both to ensure that the virus does not kill the tumor cells and to provide a selective growth advantage to the cells. Yet to be identified are the cellular and viral factors responsible for EBV infection of normal epithelial cells being completely lytic, yet converting to a latent form in epithelial tumor cells.
EBV infection of most transformed human epithelial cell lines in vitro also usually leads to the establishment of cells containing EBV in a highly latent form. A notable exception to this general rule is the gastric carcinoma cell line AGS. AGS cells stably infected with the B95-8 strain of EBV support persistently lytic infection (32). Not yet understood is why, among transformed epithelial cell lines, AGS cells are uniquely susceptible to maintaining EBV infection in a highly lytic form.
In this paper, we investigated viral and cellular factors that contribute to lytic EBV infection in AGS cells. We show that AGS cells stably infected with the B95-8 strain of EBV expressed a much higher level of viral lytic proteins than did stably infected HeLa cells, while expressing similar levels of EBNA-1, a latent protein. We examined the activities of the BZLF1 and BRLF1 promoters, Zp and Rp, respectively, in these two cell lines to determine whether their differential responses to infection were due, in part, to differential expression of these genes. We found that Zp activity was dramatically higher in AGS cells than in HeLa cells. The expression of Zp correlated with the presence of active (phosphorylated) c-Jun, a well-known positive regulator of Zp (39). It also inversely correlated with the presence of ZEB1 (also called
EF1, TCF8, AREB6, ZFHEP, ZFHX1A, and BZP) (20, 22, 48-51, 65), a zinc-finger E box-binding cellular transcription factor previously shown to function as a potent negative regulator of Zp in B-cell and epithelial cell lines (36). Thus, we conclude that the combination of high c-Jun activity, together with the loss of negative regulation by ZEB1, likely leads to high-level expression of the BZLF1 gene and, consequently, persistently lytic infection by EBV in AGS cells.
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Plasmids.
Plasmid DNAs were purified through QIAGEN columns as described by the manufacturer. The BZLF1 promoter sequence from nucleotides (nt) –495 to +27 (relative to the transcription initiation site) in the B95-8 strain of EBV was PCR amplified and inserted into the luciferase reporter vector pGL3-basic (Promega, Madison, WI) between the NheI and BglII sites to create pZp-Luc-WT. A series of 5' deletion mutant variants of pZp-Luc-WT were constructed containing the BZLF1 promoter sequences from nt –50 to +27, –70 to +27, –90 to +27, and –221 to +27. Site-directed mutagenesis of pZp-Luc-WT was used to construct pZp-Luc-ZVmt, a mutant variant in which the previously described ZV element ZEB1-binding motif (35, 36) was altered from A to C at nt –12 relative to the Zp transcriptional initiation site. The plasmid pWTZpLUC and its mutant variant p-12CZpLUC contain the region consisting of nt –221 through +40 of the BZLF1 promoter driving expression of the luciferase reporter in pGL3-basic. Plasmid pCiZEB1, a generous gift from Douglas Dean, encodes the full-length chicken homologue of the human ZEB1,
EF1, with an amino-terminal FLAG tag expressed under the control of the cytomegalovirus-IE promoter (48). Plasmid pRp-Luc, containing the region consisting of nt –981 through +37 of the BRLF1 promoter relative to its transcription initiation site, was constructed by PCR amplification of this region of the B95.8 strain of EBV and insertion between the NheI and BglII sites of pGL3-basic.
Plasmid pZp-CAT, containing the wild-type (WT) BZLF1 promoter sequences of EBV strain B95.8 from nt –221 to +12 driving expression of CAT, variants of it containing cluster base pair substitution mutations in the Zp ZII CRE- and ZIA/ZIB MEF2D-binding motifs (6, 19, 40-42), and pBS-CAT, their empty parental reporter construct, were generous gifts from Erik Flemington. Plasmid pSG424, encoding only the Gal4 DNA-binding domain (DBD), and plasmids pGal4-CREB, pGal4-ATF1, and pGal4-ATF2 were generously provided by Michael Green (37). Plasmid pGal4-c-Jun was a gift from A. Baldwin (58). They express the indicated transcription factors fused in frame to the Gal4 DBD. Plasmid Gal4-E1B-CAT, a chloramphenicol acetyltransferase (CAT) reporter construct containing two copies of the Gal4 DNA-binding site linked to the adenovirus E1B promoter (37), was also provided by Michael Green. Plasmid pGal4-MEF2D, expressing the transcription factor MEF2D fused to the Gal4 DBD, and plasmid Gal4-TK-Luc, a luciferase reporter construct containing Gal4 DNA-binding sites linked to the herpes simplex virus-thymidine kinase promoter, were generous gifts from Xiang-Jiao Yang (23). Plasmid pCI-
EF1, encoding a FLAG-tagged version of the chicken homolog of ZEB1 expressed from a CMV promoter (49), was a generous gift of H. Kondoh and Douglas Dean.
Immunoblot analysis. Immunoblots were performed as previously described (1). Briefly, whole-cell extracts were prepared by lysis in NP-40 lysis buffer supplemented with protease and phosphatase inhibitors. Similar amounts of protein from each extract were separated by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to nitrocellulose membranes. After blocking, the membranes were incubated overnight at 4°C with the following primary antibodies diluted as indicated: anti-EBNA1 (1:1,000; a gift from Sarah Duellman and Richard Burgess, University of Wisconsin School of Medicine and Public Health), anti-BRLF1 (1:100; Argene, Varilhes, France), anti-BZLF1 (1:100; Argene), anti-BMRF1 (1:100; Capricorn, Baltimore, MD), and anti-ß-actin (1:5,000; clone AC-15; Sigma, St. Louis, MO) antibodies diluted in 5% milk in 1x phosphate-buffered saline (PBS)-0.1% Tween 20 (PBS-T); anti-c-Jun (1:5,000; Upstate, Lake Placid, NY), anti-phospho-serine 73-c-Jun (1:1,000, Cell Signaling, Danvers, MA), and ATF-2 (1:250; Santa Cruz Biotechnology, Santa Cruz, CA) antibodies diluted in 5% bovine serum albumin in 1x PBS-T; and anti-ZEB1 (1:500; H102, Santa Cruz Biotechnology) antibody diluted in 5% casein in PBS-T. For ZEB1, whole-cell extracts were prepared by lysis in 50 mM Tris-HCl (pH 7.5), 150 mM NaCl, 1% NP-40, 2 mM EDTA, and 50 mM phenylmethylsulfonyl fluoride, and the cell proteins were separated by an SDS 3% to 8% Novex NuPAGE gel (Invitrogen, Carlsbad, CA) in Tris-acetate buffer, electroblotted onto a nitrocellulose membrane, and blocked in 5% casein. The antibodies were visualized by use of ECL reagent (Amersham, London, United Kingdom) according to the manufacturer's instructions.
Luciferase assays. Cells were transfected using FuGENE 6 (Roche, Indianapolis, IN) or TransIT LT1 (Mirus Corp., Madison, WI). Luciferase assays were performed with extracts prepared 48 h after transfection by freeze-thawing the cell pellet in reporter lysis buffer according to the manufacturer's instructions (Promega, Madison, WI). Luciferase activity was determined with an Auto Lumat LB953 luminometer (Berthold Technologies, Oak Ridge, TN) in buffer containing 12.5 mM glycylglycine, 2 mM EGTA, 7.5 mM MgSO4, 7.5 mM K2HPO4, 0.5 mM dithiothreitol, 1 mM ATP, 100 µM luciferin, and 50 mM Tris-HCl (pH 7.5).
CAT assays. Cells were transfected using FuGENE 6. Two days posttransfection, cell extracts were prepared and incubated at 37°C with 14C-labeled chloramphenicol (Amersham, London, United Kingdom) in the presence of acetyl coenzyme A (Roche, Indianapolis, IN) as previously described (21). The percent acetylation of chloramphenicol was quantified by thin-layer chromatography using a PhosphorImager.
EBV real-time PCR. The cell supernatant was removed and centrifuged at 2,000 x g for 5 min. One hundred microliters of clarified supernatant was digested with 2 U RQ1 RNase-free DNase (Promega) for 1 h at 37°C. Following digestion, DNase-resistant EBV genomic DNA was isolated from the supernatant and cell pellets by using a QIAGEN DNeasy tissue kit according to the manufacturer's instructions. Cell pellets were washed twice with 1x PBS, followed by extraction of total genomic DNA as described above. Real-time PCR was then performed as previously described (55).
BZLF1 immunofluorescence. AGS-EBV cells were grown on glass coverslips and fixed in 100% ice-cold methanol. Cells were incubated with BZLF1-specific mouse monoclonal antibody (Argene) at a 1:50 dilution or an isotype control antibody and then incubated with a 1:1,000 dilution of Texas Red-conjugated goat anti-mouse antibody (Jackson ImmunoResearch, West Grove, PA). Cell nuclei were then counterstained with DAPI (4',6'-diamidino-2-phenylindole) (Sigma) and visualized using a fluorescence microscope.
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FIG. 1. EBV-infected AGS cells, but not HeLa cells, have persistently lytic viral gene expression. (A) Protein analysis for the expression of lytic viral genes in AGS-EBV and HeLa-EBV cell lines. Whole-cell extracts were prepared and assayed by immunoblot analysis for the presence of the indicated EBV IE (BZLF1 and BRLF1) and early (BMRF1) lytic proteins. The blot was also probed for ß-actin as a loading control. (B) Immunoblot analysis was performed to examine EBNA1 expression in AGS-EBV and HeLa-EBV cells. (C) BZLF1 expression was examined in AGS-EBV cells by immunofluorescence using an anti-BZLF1 antibody (ab) or an isotype control antibody (upper panels). DAPI staining of nuclei is shown below each antibody stained panel.
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FIG. 2. The EBV IE promoter Zp is highly active in AGS cells. EBV-negative AGS and HeLa cells were transiently transfected with 1 µg DNA per 3.5-cm-diameter well with a reporter plasmid DNA in which the luciferase-coding region was driven from (A) the region consisting of nt –495 through +27 of the BZLF1 promoter, Zp, or (B) the region consisting of nt –981 through +37 of the BRLF1 promoter, Rp. Forty-eight hours later, the cells were harvested, and luciferase activities was determined with normalization to the activity present in the same cell type transfected in parallel with pGL3-basic, the promoterless parental reporter plasmid. Transfections were performed in duplicate; shown here are representative data from one such experiment. Error bars indicate ranges.
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FIG. 3. Sequences between nt –70 and +27 are sufficient for high-level expression of the BZLF1 promoter in AGS cells. AGS cells were transfected in parallel with 1 µg DNA per 3.5-cm-diameter well of the pZp-luciferase reporter plasmids containing the indicated regions of Zp relative to the Zp transcription initiation site. Forty-eight hours later, cells were harvested and luciferase activities were determined with normalization to the activity obtained with the promoterless pGL3-basic plasmid transfected in parallel. Transfections were performed in duplicate; shown here are representative data from one such experiment. Error bars indicate ranges. Rel., relative.
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FIG. 4. The Zp ZII element CRE motif is essential for high-level expression of the BZLF1 promoter in AGS cells. (A) Schematic diagram of the BZLF1 promoter showing known cis-acting elements and their trans-acting factors. (B) AGS cells were transfected in parallel with 1 µg DNA per 3.5-cm-diameter well of CAT reporter plasmids in which expression was driven by the region consisting of –221 through +12 of Zp (WT) or variants of it containing a cluster of 4-bp substitution mutations in (i) both the ZIA and ZIB MEF2D DNA-binding motifs (ZIA mt and ZIB mt), or (ii) the ZII region CRE motif (ZII mt). Cells were harvested 48 h after transfection, and CAT activities were determined with normalization to the activity observed with the promoterless parental plasmid, pBS-CAT. Transfections were performed in duplicate; shown here are representative data from one such experiment. Error bars indicate ranges. Rel. relative.
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The activities of the Gal4-CREB, Gal4-ATF1, and Gal4-MEF2D fusion proteins were found to be similar to that of the Gal4 DBD by itself in both of these cell lines (Fig. 5A and B). In contrast, the Gal4-ATF2 and Gal4-c-Jun fusion proteins enhanced transcription significantly more in AGS cells than they did in HeLa cells. Thus, the transcriptional activation domains of ATF-2 and c-Jun exhibit higher levels of functional activity in AGS cells than they do in HeLa cells.
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FIG. 5. Functional activities in AGS versus HeLa cells of the transcriptional activation domains of cellular transcription factors known to bind the Zp ZII motif. (A) AGS and HeLa cells were cotransfected in parallel with (i) pGal4-EIB-CAT, and (ii) an expression plasmid encoding the Gal4 DBD by itself or linked to the activation domain of the indicated cellular transcription factor. Cells were harvested 48 h after transfection and assayed for CAT activity with normalization to the activity obtained with the expression plasmid encoding only the Gal4 DBD. (B) AGS and HeLa cells were cotransfected in parallel with (i) pGal4-TK-Luc and (ii) an expression plasmid encoding the Gal4 DBD by itself or fused in frame to the activation domain of MEF2D. Cells were harvested 48 h later and assayed for luciferase activity. These transfections were performed in duplicate; shown here are representative data from one such experiment. Error bars indicate ranges.
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FIG. 6. AGS cells contain little or no ZEB1 but express high level c-Jun. Whole-cell extracts were prepared from AGS, HeLa, DG75, and MCF-7 cells. Equivalent amounts of total protein from each extract were resolved by PAGE, blotted to membranes, and probed with antibodies specific to (A) ATF-2, c-Jun, and (B) ZEB1. The blots were reprobed with antibody specific to ß-actin as a control.
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Activated c-Jun and ZEB1 may both contribute to stringency of viral latency in EBV-infected epithelial lines. Selection for stable EBV-positive cell lines might result in lines which have altered levels of cellular transcription factors in comparison to the original EBV-negative cells. Therefore, we also examined the levels of total c-Jun, activated (phosphorylated) c-Jun, total ATF-2, and ZEB1 in four different stably infected EBV-positive epithelial cell lines which have dramatically different levels of lytic viral protein expression. As shown in Fig. 7, AGS-EBV cells, which support the highest level of persistent lytic EBV protein expression, also expressed the highest level of activated c-Jun, and the lowest level of ZEB1. Three stable EBV-positive epithelial cell lines (C666, HeLa-EBV, and Hone-EBV), which express much lower levels of lytic EBV proteins than do the AGS-EBV cells, each had a very low level of activated-c-Jun as well as detectable ZEB-1 expression. Relative to the uninfected HeLa cells (Fig. 6), HeLa cells selected for stable EBV infection unexpectedly expressed more total c-Jun, although the level of activated c-Jun remained low (Fig. 7B). Interestingly, C666 NPC cells, while tightly latent, contained a relatively low, albeit detectable, level of ZEB1. On the other hand, Hone-EBV cells, which had detectable lytic viral protein expression, contained a higher level of ZEB1. It is possible that other positive regulators of Zp activity, such as C/EBP proteins (30), are expressed at high levels in Hone-EBV cells, overcoming to some degree the repressive effect of ZEB1. The stringent viral latency observed in C666 cells (which, unlike most NPC lines, have retained the original tumor EBV genome even after many passages in culture) may be due in part to epigenetic modifications of the viral genome, such as the methylation of Zp, which promotes viral latency, and/or the low level of total and activated c-Jun in this line.
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FIG. 7. Comparison of lytic viral gene expression versus c-Jun, ATF2, and ZEB1 expression in different stably EBV-infected epithelial lines. Immunoblot analysis showing the relative levels in the indicated cell lines of (A) lytic viral protein expression, and (B) various cellular transcription factors known to regulate Zp activity. P-c-Jun was probed with an antibody which recognizes the phosphorylated (activated) form of c-Jun; c-Jun was probed with an antibody recognizing total c-Jun.
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EF1, led to a twofold reduction in the expression of Zp (Fig. 8B). Similar results were obtained when AGS cells were transfected with pWTZpLUC versus p-12CZpLUC, i.e., WT and –12C ZV element mutant reporter plasmids, respectively, containing the region consisting of nt –221 through +40 of the BZLF1 promoter (data not shown). Finally, we also found that transfecting EBV-AGS cells with the ZEB1 expression vector significantly reduced the level of BZLF1 expression derived from the intact viral genome in these cells (Fig. 8C). This result was particularly impressive given that only about half of the cells were transfected (data not shown). Thus, we conclude that ZEB1 functions as a repressor of the BZLF1 promoter in AGS cells, albeit less potently than in HeLa cells, likely due to AGS cells containing a high level of activated c-Jun (Fig. 7B). The high level of Zp activity observed in AGS cells is due, in part, to little if any ZEB1 being present in these cells.
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FIG. 8. ZEB1 functions as a repressor of Zp in both HeLa and AGS cells but is normally absent from the latter cells. (A) HeLa cells were transfected by utilizing LT1 transfect reagent (Mirus Corp., Madison, WI) in parallel with 0.2 µg per 15-mm-diameter well of either the reporter plasmid pWTZpLUC (WT) or a ZV element mutant variant of it, p-12CZpLUC (ZVmt), containing a 1-bp A-to-C substitution mutation at nt –12. (B) AGS cells were cotransfected in parallel with (i) the reporter plasmid pZp-Luc WT or ZVmt (0.2 µg DNA per 15-mm-diameter well), and (ii) the ZEB1 expression plasmid pCiZEB1 or its empty parental plasmid (0.2 µg DNA per 15-mm-diameter well). Cells were harvested 48 h later, and luciferase activities were determined. Transfections were performed in triplicate; shown here are representative data from one such experiment. Error bars indicate standard deviations. (C) AGS-EBV cells were transfected utilizing Lipofectamine 2000 (Invitrogen, Carlsbad, CA) with the ZEB1 expression plasmid pCiZEB1 or its empty parental plasmid (1.0 µg DNA per 35-mm-diameter well). Immunoblots were performed 2 days later on transfected cell extracts to examine the expression of ZEB1, BZLF1, and ß-actin.
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As an initial step toward achieving this goal, we first established epithelial cell lines that support either persistently latent or lytic EBV infection (Fig. 1). We found that Zp and Rp were both quiescent in the latently infected HeLa cells; on the other hand, Zp was constitutively active in the persistently lytically infected AGS cells, consistent with its lytic state (Fig. 2). Deletion and base pair substitution analyses revealed that at least one of the cis-acting regulatory elements required for this high constitutive expression in AGS cells mapped to the region consisting of nt –70 to –50 of Zp within the ZII CRE motif-containing element (Fig. 3 and 4). Noteworthy was the finding that EBV-infected AGS cells contain much higher levels of activated c-Jun, a protein known to activate Zp via binding of this CRE motif (6, 39, 41, 61), than do EBV-infected HeLa cells (Fig. 7). We further showed that the activation domains of both c-Jun and ATF-2, another CRE motif-binding protein, can function in AGS cells as transcriptional activators (Fig. 5). Lastly, we found that the cellular transcription factor, ZEB1, previously shown to function as a major negative regulator of Zp activity in other cell types (36), is largely absent from AGS cells, but highly abundant in HeLa cells (Fig. 6 and 7), while still able to function as a repressor of Zp in either cell type (Fig. 8).
The fact that EBV can exist in a highly latent state in HeLa cells as well as in 293 cells (13, 14), another ZEB1-positive epithelial cell line (X. Yu., Z. Wang, and J. E. Mertz, submitted for publication), is consistent with ZEB1 functioning as a central gatekeeper of Zp expression. Nevertheless, our finding that C666 cells (an EBV-positive NPC line) express only a low level of ZEB1 yet are stringently latent suggests that reduced ZEB1 expression by itself is likely not sufficient to induce lytic EBV gene expression. Thus, we conclude that the unusually high level of expression of BZLF1 in EBV-infected AGS cells is probably due to its specific combination of the presence of positive regulatory transcription factors (i.e., activated c-Jun and ATF-2) and the absence of negative regulatory ones (i.e., ZEB1), with the precise molar ratio of activators to repressors determining the level of Zp activity (36).
The factors that regulate whether ZEB1 levels are high or low in cells are only beginning to be understood. Chua et al. (10) recently reported that minimally transformed MCF10A mammary epithelial cells also contain little ZEB1; however, the addition of the p65 subunit of NF-
B results in the expression of ZEB1, leading to repression of E-cadherin synthesis, followed by epithelial-to-mesenchymal transition of the cells. Likewise, ZEB1 levels are quite high in many Burkitt's lymphoma B-cell lines, including DG75 (Fig. 6B) (35, 36) and Akata (X. Yu and J. E. Mertz, unpublished data), and primary blood and memory B cells (Table 1), other physiologically relevant cell types in which EBV can exist in a highly latent state (5, 34, 53). ZEB1 levels are also low in some early-passage lymphocytic cell lines in which infection by EBV is quite lytic (28), yet higher in later passages of the same cell line in which infection has gone latent (A. Ellis, S. C. Kenney and J. E. Mertz, unpublished data). Interestingly, a 2-bp substitution mutation in the ZV element of Zp is sufficient to lead to spontaneous reactivation of the B95.8 strain of EBV in both epithelial and B cells under growth conditions in which its parental WT virus rarely, if ever, reactivates (Yu et al., submitted for publication). Also striking is the finding that ZEB1 expression rapidly drops to low levels following differentiation induced by activation with anti-immunoglobulin (Table 1), a condition that frequently leads to the reactivation of EBV out of latency into lytic replication (60). Thus, we conclude that a positive correlation exists between ZEB1 being absent or unable to bind the ZV element of Zp and EBV infection of the cells being lytic, a correlation likely due to ZEB1 playing a central role in regulating the expression of the BZLF1 promoter (35, 36). Given these findings, we speculate that variable levels of ZEB1 expression in different cell types likely contributes to the stringency of EBV latency versus lytic replication that occurs during natural EBV infection in humans.
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TABLE 1. Relative amounts of ZEB1 mRNA in primary human B cellsc
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B (8, 46). Thus, LMP1 may affect the expression of ZEB1 and, consequently, Zp via NF-
B effecting the expression of ZEB1. Consistent with this hypothesis is our preliminary finding that LMP1, known to repress Zp and promote viral latency (2), regulates Zp activity, in part, via ZEB1 binding to the ZV element (R. J. Kraus and J. E. Mertz, unpublished data). Furthermore, ZEB1 can function as either a positive or a negative regulator of transcription depending upon promoter context, cell type, and posttranslational modifications (e.g., phosphorylation and acetylation) induced by factors in the environment (e.g., tumor necrosis factor alpha and transforming growth factor beta) (48, 51) in which the cells are grown. Thus, there likely exist multiple determinants, in addition to cell type, that contribute to whether and how ZEB1 effects expression of the BZLF1 promoter. Here we used cell lines stably infected with EBV due to the difficulty of efficiently infecting epithelial cells with virions of EBV. Thus, we cannot definitively exclude the possibility that HeLa cells are initially susceptible to lytic EBV infection, but most are killed by the primary infection and only the small percentage of cells which remained viable by managing to inhibit lytic infection went on to become the stably infected cells we studied here. Contrary to this hypothesis is our finding that both the Zp and Rp IE promoters have essentially no activity in HeLa cells in the absence of any selection.
Another question raised by our studies is why AGS cells infected with the B95-8 strain of EBV support long-term, persistently lytic infection. We speculate that the same cellular factors that contribute to high Zp activity (i.e., the presence of activated c-Jun and the lack of ZEB1) and, consequently, lytic infection may also contribute to the continued viability of the AGS cells. This is the first report of an epithelial cell line that can tolerate a high level of lytic EBV infection while remaining viable. Although the B95-8-infected AGS cells grow significantly more slowly than uninfected AGS cells do (data not shown), we have, nevertheless, observed that the infected cells can be maintained for many months in culture despite persistently lytic EBV gene expression (data not shown). Furthermore, we have found that up to half of the B95-8-infected AGS cells express the IE protein BZLF1 as well as the late viral protein VCA (32). The ability of AGS cells to tolerate highly lytic EBV infection suggests that lytic EBV induction by itself may not be sufficient to kill all tumor cells; rather, lytic replication may need to be combined with drugs such as ganciclovir, which is converted to a cytotoxic nucleotide analogue in lytically infected cells (16), to achieve the killing of tumor cells.
Whether either of the two cellular factors identified here as important for lytic EBV infection in AGS cells also plays a role during natural EBV infection of oropharyngeal epithelial cells in humans remains unknown. Lytic EBV infection in normal oropharyngeal cells likely requires epithelial cell differentiation (27, 29, 34, 38, 53, 56, 57, 66), something most epithelial tumor cells fail to do. MacCallum et al. (43) suggested that epithelial cell differentiation may increase Zp activity by enhancing the activities of CREB and ATF-1. The effects of epithelial cell differentiation on ZEB1 abundance and transcriptional activity have yet to be explored. The identification of pathways that can induce lytic EBV infection in undifferentiated epithelial tumor cells is important for designing lytic induction strategies for treating EBV-positive NPC and gastric cancers. Our results reported here suggest that finding ways to decrease ZEB1 expression or repressor activity, while simultaneously increasing the activity of transcription factors that bind to the Zp CRE motif, will be essential for identifying maximally effective lytic induction strategies.
This work was supported by NIH grants PO1CA19014, R01CA66519, and R01CA58853 to S.C.K.; RO1AI107034 to J.E.M.; and P30CA14520 to the UWCCC and by a grant from the Pardee Foundation to J.E.M.
Published ahead of print on 11 July 2007. ![]()
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