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Journal of Virology, December 2008, p. 11516-11525, Vol. 82, No. 23
0022-538X/08/$08.00+0 doi:10.1128/JVI.01036-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Shamala K. Srinivas,4,
Tim Schacker,5,
Jun-ichi Miyagi,1,2
Rona S. Scott,1,2,3 and
John W. Sixbey1,2,3*
Center for Molecular and Tumor Virology,1 Department of Microbiology and Immunology,2 Feist-Weiller Cancer Center, Louisiana State University Health Sciences Center, Shreveport, Louisiana,3 St. Jude Children's Research Hospital, Memphis, Tennessee,4 University of Washington, Seattle, Washington5
Received 16 May 2008/ Accepted 19 September 2008
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As a portent of disease, this reactivation process is likely to differ substantially from intermittent EBV shedding in lifelong carriers, which accompanies physiological cell differentiation (26) but fails to engender a like humoral immune response. The uniquely permissive EBV-positive BL cell line P3HR-1 offers a case in point, generating a subgenomic infectious particle that reactivates the standard viral genome from a state of latency (28, 29, 38, 40). Its components have been termed heterogeneous (het) DNA, which is characterized by endonuclease digestion fragments varying in both size and homology relative to the standard viral genome (3, 8, 14, 15, 29).
The deleted, rearranged DNA is composed of four noncontiguous regions of EBV DNA joined by three intramolecular recombination events (Fig. 1A), which is the equivalent of approximately one-third of the standard genome (5, 6, 19, 29). Although a general consensus on the abnormally juxtaposed DNA segments making up the novel restriction fragments in het DNA exists, their detection in a variety of configurations, including palindromes, has suggested that there may in fact be a family of defective particles (5, 14, 19, 20). Defective genomes contain origins of replication, terminal sequences required for packaging, and open reading frames encoding transactivators of lytic cycle genes (6, 19) yet still depend on helper functions from standard virus. In contrast to the standard viral genome, which is vertically partitioned as a plasmid, het DNA is not stably maintained in cells (29). Defective virions are generally thought to be independent replicons that are maintained by cell-to-cell spread (28).
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FIG. 1. Points of recombination in P3HR1-derived het DNA. (A) BamHI restriction map of standard P3HR-1 genome adapted from Cho et al. (5) and Rabson et al. (37). Boxes 1 to 4 approximate regions comprising defective het DNA, with arrows indicating orientation in standard genome versus that in het DNA (see panel D). (B) Ethidium bromide gel showing PCR amplicons spanning each junction (W/Z, E/S, and M/B1) of rearranged het DNA. BHRF1 is an EBV gene present in the standard genome only. P3HR-1 clone 5 contains het DNA and standard virus; P3HR-1 clone 13 and BL line Namalwa (NMW) contain standard EBV genomes; BL-2 is an EBV-negative BL line. (C) Sequences at points of recombination in het DNA fragments. Bold, underlined type indicates sequences in W/Z, E/S, and M/B1 after recombination; boxed residues indicate points of recombination at base pairs which are shared by both BamHI fragments and which may be contributed by either one; nonbolded type indicates residues excluded from the het DNA recombination product. Numerical superscripts identify residues specific for EBV type 1 (2, 34) (NCBI GenBank accession number AJ507799) or EBV type 2 (9) (NCBI GenBank accession number DQ279927), P3HR-1 being an EBV type 2 strain: 1, C in type 1 and A in type 2; 2, C in type 1 and T in type 2; 3, A in type 1 and C in type 2; 4, C in type 1 and T in type 2; 5, G in both type 1 and type 2; 6, A in type 1 and G in type 2. The sequence of fusion junction in WZhet DNA determined here by PCR methodology is identical to that previously reported by Jenson and Miller (18). (D) Orientation of het DNA components (adapted from Cho et al. [5]) in relation to the standard genome shown in panel A, with the map coordinates (GenBank accession number AJ507799) at each recombination point. Coordinate 32786 in the seventh BamHI W repeat was arbitrarily chosen, an identical sequence being located at coordinate 29714, 26642, 23570, 20498, 17426, or 14254. The BamHI B1 restriction fragment of P3HR1 strain is encompassed by the BamHI I segment of the AJ507799 sequence. (E) Schematic diagram showing distribution and alteration of EBV open reading frames in het DNA. Standard EBV ORF nomenclature is shown despite reorientation of DNA segments 2 and 3 (e.g., the leftward reading frame BZLF1 is now rightward reading).
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The presence of WZhet DNA in human lesions, together with the unique biology manifest by that rearrangement in vitro, led us to consider the pathogenic potential implicit in the remaining two recombination sites. Here, we defined at the nucleotide level the points of recombination between BamHI M and BamHI B1 (M/B1) and between BamHI E and BamHI S (E/S) in het DNA found in cell clone 5 of the P3HR-1 cell line and verified their presence in clinical materials.
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Salivary samples. Oral specimens were collected with an absorbent cotton salivette (Sardstat) placed sublingually after informed donor consent was gained under an Institutional Review Board-approved protocol of the AIDS Clinical Trials Unit of Harborview Medical Center, Seattle, WA. The cotton pledget was vortexed in 5 to 10 ml of phosphate-buffered saline and a cell pellet obtained by centrifugation. DNA was harvested from the cell pellet with a QIAamp DNA blood mini kit (Qiagen).
DNA PCR and quantitative reverse transcription-PCR (qRT-PCR).
The PCR primer sets used successfully to amplify points of recombination in het DNA are listed in Table 1. DNA PCR was performed for 35 cycles (94°C for 30 s, 55°C [BHRF1, W/Z, and M/B1] or 52°C [E/S] for 1 min, and 72°C for 1 min) in a 50-µl reaction mixture containing 0.6 µM primers, 0.2 mM deoxynucleoside triphosphates (Promega), and 0.75 U Taq DNA polymerase in the manufacturer's buffer (Promega) with a PTC-200 thermal cycler (MJ Research). PCR products were electrophoresed on a 2% agarose gel with 1x Tris-acetate-EDTA. Gels were denatured with 0.5 M NaOH-1.5 M NaCl and then neutralized with 0.5 M Tris-HCl (pH 7)-1.5 M NaCl. DNA was transferred by Southern blotting to nylon membranes (GE Osmonics), cross-linked by UV (Bio-Rad Laboratories), and hybridized with oligonucleotide probes end labeled with a [
-32P]ATP by T4 polynucleotide kinase (USB). Limiting-dilution DNA PCR was performed using 10-fold dilutions of total cellular DNA, virion DNA, or plasmids containing cloned junctions of het DNA fragments. For PCR of virion DNA derived from P3HR-1 clone 5, 150 µl of concentrated cell-free virus was incubated at 37°C for 30 min with 5 U DNase (Promega). DNase was inactivated with 20 µl of stop solution at 65°C for 15 min. DNA was harvested with a QIAamp DNA blood mini kit (Qiagen) and 2 µl used in the initial dilution of the template for the PCRs.
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TABLE 1. Sequences of primers and probes for PCR analysis of P3HR-1 het DNAa
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The transcript levels of EBV genes BZLF1 and BSMLF1 (SM) in acutely infected BL2 cells were determined by qRT-PCR with a Bio-Rad iCycler, using Sybr green chemistry. In brief, RNA was extracted according to the RNA STAT60 protocol (Tel-test). For cDNA synthesis, 5 µg of RNA was treated with 5 U RQ1 RNase-free DNase (Promega) and converted to cDNA by first-strand synthesis using random hexamer primers and Moloney murine leukemia virus reverse transcriptase (Invitrogen). Fifty nanograms of cDNA was amplified using the following exon-specific primer pairs at the given concentrations: for SM, 5'AACGAGGATCCCGCAGAGA3' (5' coordinate 71955; GenBank accession number AJ507799; 200 nM) and 5'ATCGCAGTCTGTGTTGGTGTCT (5' coordinate 71781; 200 nM); for BZLF1, 5'CCGGCACGACGCACA3' (5' coordinate 90405; 600 nM) and 5'TTATTTCTAGTTCAGAATCGCATTCC3' (5' coordinate 90212; 600 nM); and for GAPDH (glyceraldehyde-3-phosphate dehydrogenase), 5'GAAGGTGAAGGTCGGAGT3' (5' coordinate 108; GenBank accession number NM_002046; 400 nM) and 5'GAAGATGGTGATGGGATTTC3' (5' coordinate 333; 400 nM). Standard two-step cycling conditions were used with a 60°C annealing temperature. The comparative cycle threshold method was used to assay differences in transcript levels, with cycle threshold values determined by automated threshold analysis. All samples were run in triplicate, together with reactions to quantify expression of an internal control gene, the human GAPDH gene. Uninfected BL2 cells and reverse transcriptase-negative samples served as negative controls.
Cloning and sequencing PCR products.
PCR products were purified from gels with a QIAquick gel extraction kit (Qiagen). For efficient ligation, a poly(A) tail was added by incubating 7 µl of a purified PCR product with 1 µl of 2 mM dATP and 2 U Taq DNA polymerase (Promega) for 30 min at 70°C. The product was ligated into pCR2.1 (TA-cloning kit; Invitrogen) and transformed into one-shot INV
F' competent cells per the manufacturer's protocol (Invitrogen). Bacterial colonies were transferred to membranes that were sodium dodecyl sulfate treated, denatured, and hybridized to oligonucleotide probes (Table 1). Plasmid DNA in three positive colonies from each sample was harvested using a QIAprep spin mini prep kit (Qiagen), and the sequence was determined by fluorescent dye-terminator sequencing (SeqWright DNA Technology). The coordinates for the M/B1 and E/S points of recombination were determined from the wild-type EBV genomic sequence data (GenBank accession number AJ507799) (2, 34).
Gardella gel system.
To separate circular, linear, concatemeric, and other replicative intermediate forms of EBV DNA occurring over an acute time course postinfection, BL-2 cells infected in vitro were embedded in agarose plugs and run on Gardella gels as previously described (11), but with modifications. Briefly, 103 to 105 cells were resuspended in PBS at fixed time points postinfection, mixed with equal volumes of 1% low-melting-temperature SeaPlaque agarose (FMC), and transferred to a disposable mold (Bio-Rad Laboratories). Solidified plugs were incubated overnight at 50°C in 500 µl lysis buffer (0.5 M EDTA [pH 8.5], 1% Sarcosyl, 0.5 mg/ml proteinase K) and stored at 4°C. Plugs were loaded into wells of a horizontal 0.8% SeaPlaque agarose gel and electrophoresed in 0.5x Tris-borate-EDTA at 200 V for 15 h at 4°C. For gel lanes analyzed by Southern blotting, DNA was transferred to nylon membranes, cross-linked by UV, and hybridized with a randomly [
-32P]dCTP-labeled BamHI M fragment of EBV DNA as a probe. For gel segments used in conjunction with DNA PCR (7), 13 equivalent gel slices were obtained from the length of each lane, perpendicular to the direction of electrophoresis. Each gel segment was melted at 65°C, and 1 µl of the molten agarose was used for PCR. Three separate reactions were performed on each slice for the W/Z, M/B1, and E/S junctions. The PCR products were run on a 2% agarose gel and Southern blotted onto a nylon membrane that was hybridized with oligonucleotide probes 5' end labeled with [
-32P]ATP. As a control for EBV genome configuration, similar analyses were performed on the established cell lines Raji (episomes) and B95-8 (episomes and linear forms) as well as on purified virion DNA (linear forms) from B95-8.
Nucleotide sequence accession numbers. The sequence data defining points of recombination in het DNA fragments E/S and M/B1 have been assigned GenBank accession numbers EU669823 and EU669824, respectively.
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EBV sequence coordinates at points of recombination were determined in reference to the entire wild-type EBV genome (GenBank accession number AJ507799) (2, 34) (Fig. 1D). The E/S recombination truncated the 5' portions of two open reading frames, BERF4 and BSLF1, contained in respective BamHI fragments and transcribed in opposing directions, their 3' ends now fused back to back (Fig. 1E). The M/B1 fusion joined BamHI M of the standard P3HR-1 genome to BamHI B1 at a point between open reading frames BMLF1 and BMRF2, leaving intact in het DNA the region (BSLF2 and BMLF1) that encodes the SM lytic-cycle early protein. Likewise, BamHI B1 was fused just 3' to the polyadenylation signal of LF3 (leftward reading frame 3), an EBV early gene with a putative role in lytic DNA replication (45). LF3 is positioned adjacent to a lytic origin of replication (termed DR) also retained in het DNA (Fig. 1E).
Detection of comparable het DNA fusion fragments in clinical samples. As a first step toward assessing a potential role for het DNA in the biology of EBV reactivation in vivo, we determined if junctions newly defined in P3HR-1 het DNA could also be detected at sites of replication in human infections. We applied the PCR analysis outlined above to salivary specimens obtained on a single occasion from 20 human immunodeficiency virus (HIV)-positive individuals known to be susceptible to mucosal lesions characterized by exuberant EBV replication and high levels of recombinogenic activity (43). Of the 19 donors positive for standard EBV, two contained recombinants manifesting not only the WZhet rearrangement previously found in clinical materials but also the two newly defined points of recombination in E/S and M/B1. An additional two donors were positive only for the WZhet rearrangement and two others for just the M/B1 junction (Table 2). Cloning and sequencing of PCR products confirmed that the points of recombination in the clinical samples were identical to those found in het DNA fragments from the P3HR-1 virus strain, each junctional sequence being ascertained from three to six clones of amplified product per patient and in two or more patients (Tables 2 and 3).
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TABLE 2. Presence of P3HR-1 het DNA-defined points of recombination in salivary samples from HIV-positive patients
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TABLE 3. Persistence of het DNA in oral samples
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Persistence of WZhet recombinants at sites of EBV replication in vivo. To determine if het rearrangements could be consistently detected in successive oral samples over periods of up to 1 year, 33 specimens were evaluated from an additional seven donors selected on the basis of WZhet-positive samples (Table 3). In the analysis of multiple samplings from single donors, the WZhet rearrangement overwhelmingly predominated, with 27 of the 33 samples found positive. One sample from each of two separate donors subsequently contained a second rearrangement (E/S), detected only by a nested PCR approach. Because the primer sets also recognize sequences in the standard genome but exponentially amplify only rearranged or deleted het DNA, limiting dilutions of total cellular DNA from P3HR-1 clone 5 were used as templates to assess whether the failure to detect all junctions in clinical samples might reflect various degrees of competition for primer sets by the standard genome. P3HR-1 cells contain from 30 to several hundred EBV genome equivalents per cell. In contrast, only 1 out of approximately 200 cells is het DNA positive (10, 38). Despite the high level of standard-viral-genome background, each het primer set the amplified targeted sequences with similar efficiency (Fig. 2A).
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FIG. 2. Packaging of het fusion junctions into viral particles. (A) The efficiencies of the PCR primer sets targeting the het junctions are comparable, despite the abundance of the standard genome, as shown by a Southern blot of PCR products, using total cellular DNA from P3HR-1 clone 5 (het DNA positive) as a template. The starting dilution contained 100 ng of total cellular DNA. BHRF1 is an EBV gene present in standard virus but absent from het DNA. (B) PCR products from 10-fold dilutions of DNA obtained from DNase-treated virions in concentrated culture supernatant from the P3HR-1 clone 5 cells shown in panel A. The starting dilution contained 150 ng virion DNA.
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Varied molecular configurations of individual het fusion fragments in acutely infected BL cells. Infection of EBV-negative cells with virus inoculums containing het genomes has previously been reported to increase the molar ratio of het DNA to standard genomic DNA (5). Using that observation to investigate the possibility of diversity among het replicons, we first infected the EBV-negative BL-derived BL2 cell line with a virus preparation from P3HR1 clone 5 cells containing het particles and standard virus. Internalization of virus from mixed inoculums (clone 5) or from preparations of standard (clone 13) P3HR-1 virus alone was ascertained at 48 h postinfection by a Southern blot hybridized with a probe that recognized both the standard 4.6-kb BamHI M DNA fragment and the 7.5-kb M/B1 fragment of het DNA (Fig. 3A). Despite equivalent uptakes of standard genome from both virus preparations, viral activity was altered in BL2 cells by the presence of het DNA. As shown by qRT-PCR, transcripts from the immediate-early and early genes BZLF1 and BSMLF1 (SM) were markedly elevated in het DNA-containing cells, consistent with the ability of het DNA to induce the viral lytic cycle via constitutive expression of BZLF1 (Fig. 3B).
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FIG. 3. Relative expression levels of EBV lytic genes in BL2 cells infected with P3HR-1 het DNA-positive and het DNA-negative virus stocks. (A) Radiograph of Southern blot of BamHI-restricted BL-2 cellular DNA 48 h after infection with virus preparation from P3HR-1 clone 5 (het and standard genomes) or P3HR-1 clone 13 (standard genome). The standard BamHI M fragment is 4.6 kb; the 7.5-kb band represents the M/B1 fusion fragment of het DNA. The figure represents a composite of lanes run on the same gel. (B) qRT-PCR amplification profiles of transcripts from EBV immediate-early gene BZLF1 and early gene SM, present in both standard and het genomes. Expression was normalized to GAPDH levels. Values for cells infected with standard virus alone (clone 13) were arbitrarily set at 1. Each cycle number difference at the threshold (where product plot crosses the horizontal red line) represents a twofold product difference. Samples were run in triplicate. Red represents het DNA-positive P3HR-1 clone 5-derived virus; blue represents het DNA-negative P3HR-1 clone 13-derived virus.
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FIG. 4. PCR/Gardella gel analysis of het DNA configuration in acute infection. (A) Relative positions of episomal and linear configurations of EBV DNA. (Left) Radiograph of Southern transfer from Gardella gel, with three lanes each of 105 B95-8 cells (latent and lytic infection) and Raji cells (latent infection). A single lane contained concentrated culture supernatant from B95-8 cells. The probe was derived from the BamHI M segment of EBV DNA. Gel segments numbered 1 to 14 approximate gel slices taken from replicate lanes (not shown) bearing 103 cells that were analyzed by PCR (right), with the EBV BHRF1 gene segment targeted for amplification. The locations of the standard linear and episomal configurations of EBV DNA determined by this approach served as a control for analysis of het DNA. (B) Sequential appearance of het DNA rearrangements on distinct molecules within acutely infected BL2 cells. (Left) Southern blot with individual Gardella gel lanes containing 105 BL2 cells at sequential time points after infection with the P3HR-1 clone 5-derived virus stock (standard and het genome positive) previously characterized in Fig. 2B. Note the appearance of the hybridization signal in wells at 48 h with the concurrent incremental increase in the linear signal. (Right) PCR analysis of replicate lanes containing 103 acutely infected BL2 cells at comparable time points. Each of 13 gel slices at every time point was analyzed for all three points of recombination (W/Z, E/S, and M/B1). Hybridized blots of PCR products are grouped to show changes in relative position within the Gardella gel of DNA molecules bearing a single recombination joint over time. The signal at 0.5 h postinfection (hpi) represents input defective particles (linear molecules) prior to DNA replication.
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Comparable lanes, run simultaneously with the blotted portion of the gel but removed for PCR analysis, were transected at points indicated numerically (Fig. 4B), the original autoradiogram serving as a reference for excision of gel slices and assessment of het DNA mobility. Three PCRs employing primer pairs targeting separate points of recombination were performed on each of the 13 sequential gel slices excised from the lanes representing sequential time points (Fig. 4B). Two findings deserve mention. First, the three fusion joints of het DNA localized to distinct DNA molecules. At 30 min postinfection, prior to the commencement of replication, a PCR product was obtained with primer sets for W/Z and M/B1 only, each located at the position of linear DNA and representing input het genomes but located in separate gel slices (segments 10 and 11, respectively). Because Gardella gels are quite effective at distinguishing linear molecules from their circular and higher-order genomic structures but lack sensitivity in resolving linear molecules of similar size, the separation clearly places them within discrete DNA molecules. Disparate mobilities were similarly observed at postreplication time points (e.g., 72 h, when W/Z only is in gel segment 6, M/B1 only in segment 7, and E/S only in segment 4) (Fig. 4B).
The second finding of note is that E/S was not detected until 48 h postinfection and then only in the well (Fig. 4B). This finding appears at odds with the roughly equivalent representation of junctional fragments in the original inoculum (Fig. 2B). E/S may have been below detectable limits until amplified by an initial round of replication, hence its initial detection in the well. However, the detection of M/B1 at 30 min postinfection (Fig. 4B) and the sensitivity of the DNA PCR-modified Gardella approach puts this explanation in doubt (7). Alternatively, its absence may reflect poor infectivity of a separate class of replicons bearing this rearrangement, with the appearance at 48 h representing generation de novo by recombination events accompanying WZhet-driven EBV replication. In a similar vein, the reappearance of M/B1 in the well at 24 h may also signify a new recombination event or, alternatively, differences in efficiency of replication among distinct het DNA fragments. The same temporal order of het fragment appearance postinfection delineated by our Gardella gel analysis (W/Z followed by M/B1 and E/S) was apparent in earlier data from Miller and colleagues (28), where less-sensitive restriction fragment analysis postinfection led to detection of WZhet at 3 days, followed sequentially by detection of M/B1 and E/S over the ensuing 4-day interval.
In short, contrary to what would be expected from intracellular propagation of a single het replicon, where every primer pair would yield a product from the same gel slice, recombinations appeared to be situated on multiple DNA molecules. The findings suggest the existence of a population of defective molecules, some of which may predominate in terms of infectivity. Not all may represent functional replicons. However, a hybridization signal both in the well and in the linear position for all fragments at 96 h supports the likelihood that all three rearrangements are present in at least a subpopulation of het DNA molecules.
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The fidelity of sites of recombination in three novel het EBV DNA restriction fragments derived from both the laboratory strain P3HR-1 and the wild-type virus may indicate a selection for sequences required for survival or having potential biologic significance consequent to altered gene expression. Our data by no means exclude the possibility of additional points of recombination, such as those previously reported for WZhet DNA (35), given the selection bias inherent in our excision, from ethidium bromide-stained gels, of PCR products for cloning that fell within the expected size range. Unlike the case with WZhet, neither of the two newly defined points of recombination appear likely to confer new biological properties upon het DNA as far as can be determined by sequence alone, either through generating novel open reading frames or by altering the regulation of the expression of a standard EBV protein.
The E/S recombination occurred via the 3' portions of the "rightwardly" and "leftwardly" transcribed genes BERF4 and BSLF1, truncating the 5' regions of both (Fig. 1E). Of more interest is what was left intact after the M/B1 rearrangement. Recombination in BamHI B1 occurred 51 nucleotides beyond the polyadenylation site for the LF3 gene, preserving this early gene and the adjacent viral oriLyt region (45). Given that LF3 function remains poorly defined, any advantage that additional transcripts from LF3 might provide in lytic infection is at this point purely speculative. Most standard viral strains contain two nearly identical repetitive sequences with oriLyt activity, designated DL and DR (i.e., left and right duplications), adjacent to internal reiterations IR2 and IR4, respectively. Other than lytic origins, the duplications contain multiple promoters regulating the adjacent genes BHLF1 and LF3, respectively, whose products are the most abundant poly(A)+ viral transcripts synthesized during the EBV lytic cycle (32, 33, 46). LF3 is less tightly regulated than BHLF1, being identified in tumors of both epithelial and lymphoid origin, often in conjunction with Zta (44, 46).
The detection in clinical material of an incomplete complement of het-specific fragments over multiple samplings parallels findings for P3HR-1 cell subclones, where some het DNA restriction fragments, but not others, were identified (25). The consistent detection of WZhet DNA alone over sampling periods extending for periods up to a year indicates that the defective genome can be sustained at least for the short term in infected hosts. WZhet persistence has previously been reported in the clinical setting of an EBV-positive thymic carcinoma, where detection at diagnosis was confirmed 1 year later at sites of tumor reoccurrence (36). Two donors positive for the WZhet fragment alone on initial testing became E/S positive on subsequent sampling occasions (Table 3), raising at least the possibility that WZhet-induced replication of latent virus may generate rearrangements anew in the accompanying standard genome.
Analysis of viral DNA configuration in BL2 cells immediately postinfection, whether in the intact Gardella gel, where standard and het genomes were indistinguishable, or in lanes transected for het DNA analysis, revealed a temporal pattern of hybridization that progressed from linear genomes to DNA in the wells to an increased abundance of linear genomes without detection of unit length circular intermediates. The absence of the latter may reflect a purely lytic infection, the establishment of episomal forms by standard virus being delayed or altogether abrogated by het DNA. Although it has been suggested that DNA configurations other than circles could serve as the initial templates for viral replication (17), the issue was not specifically addressed here. Noteworthy for its similarity, however, is the absence of a predominant, detectable population of episomal EBV DNA in the permissive infection characteristic of oral hairy leukoplakia in HIV infection/AIDS (13), where het DNA is also found (35).
It remains unclear whether a viral strain similar to that of the nontransforming P3HR-1 type 2 virus is required for generation of het DNA in vivo. Deemed a laboratory variant, P3HR-1 was isolated in a cell clone of the BL cell line Jijoye (16) and contains a 6,800-bp deletion in the EBNA2-encoding region of its transformation-competent parent Jijoye (4, 24, 37). The type-specific single-nucleotide polymorphisms contained in the BamHI E sequences retained in het DNA allow some characterization of the parental virus (Fig. 1C). In donor saliva in which both type 1 and type 2 EBVs were detected, het DNA was type 2 (data not shown). Should het derivation be limited to nontransforming parental strains, it need not diminish the relevance of the current findings. EBNA2 rearrangements are regularly detected in lesions of oral hairy leukoplakia as well as in oral washings of healthy donors (42, 43). The recent evidence that generation of EBNA2 deletion variants within EBV-positive endemic BL confers superior survival advantage upon tumor cells moves these so-called rare products of recombination closer to pathogenic center stage (22, 23).
When viewed in the context of the natural history of EBV infection, interplay between EBV het DNA and its parental helper strain may elucidate circumstances surrounding the dramatic antibody response to EBV lytic cycle antigens that precedes EBV-linked cancers and distinguishes EBV reactivation occurring as a harbinger of disease from intermittent shedding characteristic of the healthy virus carrier state. As yet unexplained and largely unexplored, these early precipitating events in the immunocompetent host may mimic the exuberant replication and recombinogenic activity occurring in the abbreviated time frame of HIV infection/AIDS, where the incidence of EBV-associated malignancies is high. In each scenario, primary infection by EBV antedates the onset of disease by years, but the time to neoplasia from EBV reactivation is short by comparison. Such a temporally shortened sequence of events implies cause and effect and raises important questions regarding the part played by viral DNA rearrangement and recombination in EBV pathogenesis.
This work was supported by the National Institutes of Health (grants CA114416, CA67372, and P20 RR018724).
Published ahead of print on 25 September 2008. ![]()
Present address: Department of Microbiology, Fukushima Medical University, 1-1 Hikarigaoka, Fukushima 960-1295, Japan. ![]()
Present address: Research Programs Review Branch, NCI, NIH, DHHS, 6116 Executive Branch Blvd., Rm. 8133, MSC 8328, Bethesda, MD 20892. ![]()
Present address: Department of Medicine, Infectious Diseases Section, University of Minnesota, MMC 250, 516 Delaware Street, Minneapolis, MN 55455. ![]()
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