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Journal of Virology, February 2008, p. 1518-1525, Vol. 82, No. 3
0022-538X/08/$08.00+0 doi:10.1128/JVI.01704-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Induction of Paclitaxel Resistance by the Kaposi's Sarcoma-Associated Herpesvirus Latent Protein LANA2
C. Muñoz-Fontela,1,4,
L. Marcos-Villar,1,
F. Hernandez,2
P. Gallego,1,5
E. Rodriguez,1
J. Arroyo,1
S.-J. Gao,3
J. Avila,2 and
C. Rivas1,5*
Departmento de Microbiologia II, Fac. Farmacia, Universidad Complutense de Madrid, Plaza Ramon y Cajal sn, Madrid 28040, Spain,1
Departmento de Biologia Molecular, Centro de Biologia Molecular Severo Ochoa, Universidad Autonoma Madrid, Madrid 28049, Spain,2
Department of Pediatrics and Children's Cancer Research Institute, The University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229,3
Department of Oncological Sciences, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1130, New York, New York 10029,4
Centro Nacional de Biotecnologia, CSIC, Darwin 3, Campus Universidad Autonoma Madrid, Madrid 28049, Spain5
Received 6 August 2007/
Accepted 12 November 2007

ABSTRACT
Kaposi's sarcoma-associated herpesvirus (KSHV) is the causal
agent of both KS and primary effusion lymphoma (PEL). Although
treatment with paclitaxel has significant antitumor activity
in KS, drug resistance represents a major obstacle for improving
the overall response and survival of PEL patients. The transcriptional
pattern of KSHV is cell/tissue specific, as revealed by the
fact that the viral latent protein LANA2 is detected exclusively
in B cells. This paper focuses on the mechanism of paclitaxel
resistance observed in PEL cells. Here we show that LANA2 protein
modulates microtubule dynamics through its direct binding to
polymerized microtubules, preventing microtubule stabilization
induced by paclitaxel. This is the first demonstration of paclitaxel
resistance induced by a viral protein and suggests a link between
the expression of LANA2 and the resistance of PEL cells to paclitaxel.

INTRODUCTION
Kaposi's sarcoma-associated herpesvirus (KSHV) is the etiological
agent of all forms of KS and lymphoproliferative disorders,
such as multicentric Castleman's disease and primary effusion
lymphoma (PEL). These disorders show different patterns of viral
protein expression, probably due to a cell-specific/tissue-specific
control of KSHV gene expression that is likely to be relevant
to understanding the pathogenesis of KSHV-related diseases.
In this sense, the protein encoded by ORFK10.5, known as LANA2
or vIRF3, is detected exclusively in B cells latently infected
with the virus (
33). Although LANA2 was initially described
as a nuclear protein (
33), subsequent studies have demonstrated
it to be a nucleocytoplasmic shuttling protein (
24,
29). LANA2
has been suggested to play an important role in KSHV-mediated
tumorigenesis, due to its ability to inhibit p53 and PKR-dependent
apoptosis (
10,
33) or the virus-mediated transcriptional activation
of the alpha interferon promoter (
25). In addition to the differential
KSHV gene expression, KS and PEL show differential sensitivity
to chemotherapy treatment. PELs, unlike most non-Hodgkin's lymphomas,
are relatively resistant to standard cytotoxic chemotherapy,
and virtually all PEL patients succumb to the disease, with
a median survival of approximately 60 days (
20). In contrast,
KS has a good response to the chemotherapeutic agent paclitaxel
that received approval by the U.S. Food and Drug Administration
(FDA) for the treatment of KS (
6,
27).
The taxane paclitaxel (Taxol) is a mitotic inhibitor used commonly as a chemotherapeutic agent in the treatment of breast and ovarian cancer or lymphomas. Paclitaxel binds in vitro to the microtubule polymer, enhancing the polymerization of tubulin (26, 31) and artificially stabilizing microtubules (36, 42). Microtubules are dynamic structures involved in many cellular processes, such as cellular division, proliferation, transport, and maintenance of cell shape. Microtubule dynamics are particularly critical during mitosis, as they are responsible for the capture and alignment of chromosomes at metaphase and the subsequent separation of the chromosomes into two daughter cells at anaphase. The disruption of microtubule dynamics by taxanes leads first to mitotic arrest, resulting in a sustained or transient cell cycle block and eventually to cell death caused by an aberrant exit from mitosis (17, 23, 44, 48). PEL cells are relatively resistant to paclitaxel treatment (1). Several potential mechanisms can be proposed to account for the paclitaxel resistance observed in PEL cells: altered metabolism of the drug, decreased sensitivity to death-inducing stimuli, alterations in microtubule dynamics and altered binding of paclitaxel to the microtubule.
Here we show that the KSHV latent protein LANA2 has associated microtubule-depolymerizing activity and inhibits the binding of a fluorescent taxoid to its target, the microtubule. These results (i) suggest that LANA2 is important in the regulation of cytoskeleton organization and (ii) have implications for our understanding of the mechanisms of paclitaxel resistance in PEL cells.

MATERIALS AND METHODS
Cell culture and transfection.
The human breast cancer cell line MCF-7 and the human embryonic
kidney cell line HEK293 were grown in Dulbecco's modified Eagle
medium (DMEM) (Gibco BRL) supplemented with 10% fetal bovine
serum, penicillin (100 units/ml), streptomycin (100 µg/ml),
and 2 mM
L-glutamine. The NIH-3T3 cell line was grown in DMEM
supplemented with antibiotic, glutamine, and 10% calf serum.
The BCP-1 PEL cell line (as well as the KSHV-negative human
B-cell lymphomas MHH-PREB-1 and Karpas-422) was maintained in
RPMI medium plus 20% fetal bovine serum supplemented with antibiotics
and glutamine. The 3T3-pcDNA and 3T3-LANA2 cell lines were generated
by stable transfection of NIH-3T3 cells with the empty vector
pcDNA or the LANA2 expression plasmid pcDNA-LANA2. Transfected
cells were selected by growth in the presence of 500 µg
ml
–1 G418. Stable pools (uncloned mass culture) of transfected
cells were maintained in DMEM supplemented with 10% calf serum
and 500 µg ml
–1 G418. Cells were transfected at
50 to 70% confluence by using the cationic polymer transfection
system (FuGENE; Roche) or Lipofectamine (Invitrogen), according
to the manufacturer's instructions. In some experiments, cells
were treated 24 h after transfection with paclitaxel or Flutax
at concentrations between 10 nM and 10 µM.
Plasmids, antibodies, and reagents.
pcDNA-LANA2, EGFP-LANA2, pcDNA-LANA2 (bp 1 to 430), pcDNA-LANA2 (bp 430 to 1066), pcDNA-LANA2 (bp 1066 to 1321), and pcDNA-LANA2 (bp 1321 to 1706) plasmids were described previously (30, 33). A bacmid containing the wild-type KSHV genome (Bac36) and the green fluorescent protein (GFP) gene cassette was described previously (49). Monoclonal anti-alpha-tubulin antibody was purchased from AbD Serotec, anti-Foxo3a antibody was a gift from Eric W.-F. Lam (Imperial College, London, United Kingdom), and anti-p53 antibody was kindly provided by Manuel Serrano (CNIO, Madrid, Spain). Anti-actin antibody was obtained from ICN. Anti-LANA2 antibody was purchased from Affinity BioReagents. Antibody against alpha-tubulin acetylated on Lys 40 was obtained from Sigma. Paclitaxel and nocodazole were purchased from Sigma. The fluorescent taxoid Flutax was purchased from Molecular Probes.
Western blot analysis and immunofluorescence.
Whole-cell lysates were prepared by resuspending cell pellets in lysis buffer (50 mM Tris-HCl, 5 mM EDTA, 250 mM NaCl, 50 mM NaF, 0.1% Triton, 0.1 mM Na3VO4, and protease inhibitors 1 mM phenylmethylsulfonyl fluoride and 1 µg/ml aprotinin and leupeptin). The lysates were cleared by centrifugation for 15 min at 13,000 x g at 4°C, and total protein extracts were determined. Protein lysates were resolved by separation on sodium dodecyl sulfate-polyacrylamide gel electrophoresis gels, electroblotted, and incubated with the antibodies indicated. For immunofluorescence assays, cells were fixed in 2% paraformaldehyde-phosphate-buffered saline (PBS) for 20 min at room temperature, followed by permeabilization in PBS-0.5% Triton X-100 for 30 min at room temperature. After preblocking in 3% bovine serum albumin-PBS for 30 min, cells were incubated for 60 min with the correspondent antibodies and washed three times with PBS. Cells were then incubated with secondary antibodies for 60 min at room temperature and washed three times in PBS. Finally, cells were mounted with Mowiol containing or not containing DAPI (4',6'-diamidino-2-phenylindole; DAKO). Cell preparations were observed with a Nikon Eclipse TE2000-U microscope or with a Bio-Rad laser scanning confocal microscope.
Cell cycle analysis.
MCF-7 cells in 10-mm dishes were transfected with the indicated plasmids and then incubated in the absence or presence of paclitaxel or vinblastine 24 h after transfection. Cells were fixed and stained by using propidium iodine 48 h after transfection as described previously (30). The distribution of cells in the different phases of the cell cycle was determined by analytical flow cytometry using a CyAn analyzer (DakoCytomation), and data were analyzed by using Summit software (DakoCytomation).
Live-cell Flutax binding studies.
Cells were incubated with Flutax, and at the indicated time, they were imaged using a Nikon Eclipse TE2000-U microscope. In parallel, cells incubated with Flutax were washed in PBS and the fluorescent taxoid content of intact cells, excluding propidium iodide, was determined by flow cytometric analysis using a CyAn analyzer.
In vitro polymerization assay.
In vitro transcription-translation of LANA2 was carried out using the TNT quick coupled transcription/translation system (Promega). Phosphocellulose-purified tubulin was obtained from purified bovine brain tubulin as described previously (46). In vitro tubulin assembly was performed following the method of Vallee (43) in the presence or absence of LANA2.

RESULTS
LANA2 inhibits both G2 arrest and microtubule polymerization in response to paclitaxel.
The treatment of some cell lines with low doses of paclitaxel
provokes cell cycle arrest in G
2/M due to the ability of paclitaxel
to induce the stabilization of microtubule and the disruption
of the mitotic spindle (
15,
17). The paclitaxel-sensitive breast
cancer cell line MCF-7 was transfected with enhanced GFP (EGFP)-LANA2
or the empty vector pEGFP. Following treatment of the cells
with 10 nM of paclitaxel, a G
2/M arrest was observed in the
EGFP-expressing cells, whereas no significant arrest was found
in the EGFP-LANA2-positive cells (Fig.
1a). Together with the
G
2/M arrest, an increase in p53 and Foxo3a levels after paclitaxel
treatment has been reported previously (
14,
35,
40). As shown
in Fig.
1b, the treatment of EGFP-transfected cells with 10
nM of paclitaxel induced an increase of p53 and Foxo3a protein
levels that was not observed after paclitaxel treatment of the
EGFP-LANA2-transfected cells. A high concentration of paclitaxel
increases polymer mass and also induces microtubule bundle formation
in interphase cells, a phenomenon that becomes a hallmark of
paclitaxel binding (
37). When MCF-7 cells were treated with
concentrations of paclitaxel over 10 µM, we observed the
formation of typical microtubule bundles as described previously
(Fig.
1c). However, bundle formation in cells transfected with
pcDNA-LANA2 was clearly reduced (Fig.
1c).
LANA2 expression impairs the ability of the fluorescent taxoid Flutax to bind microtubules.
To directly characterize the effect of the expression of LANA2
over paclitaxel action, we employed a paclitaxel derivative
conjugated with fluorescein isothiocyanate and Flutax and tested
microtubule staining in mouse NIH-3T3 fibroblasts. A derivative
3T3 cell line stably expressing LANA2 was generated by the transfection
of NIH-3T3 cells with pcDNA-LANA2 and the selection by culture
in medium supplemented with G418. Cells resistant to G418 show
the expression of LANA2, as demonstrated by Western blot analysis
or immunofluorescence with an anti-LANA2 antibody (Fig.
2a).
The incubation of cells in medium supplemented with Flutax (1
µM) revealed stained microtubule cytoskeleton only in
3T3-pcDNA cells, not in 3T3-LANA2 cells (Fig.
2b). The measurement
of Flutax incorporation by flow cytometric analysis revealed
Flutax labeling in a population of 3T3-pcDNA cells at 60 min
after drug exposure, whereas no incorporation was found in the
3T3-LANA2 cells (Fig.
2c). Although PEL cells have previously
been demonstrated to be resistant to paclitaxel treatment, the
resistance of these cells to bind to the taxoid component has
not been reported. In order to determine whether PEL cells are
resistant to bind to Flutax, KSHV-positive BCP-1 cells or the
KSHV-negative B-cell lymphomas MHH-PREB-1 and Karpas-422 were
incubated with the fluorescent taxoid Flutax (1 µM) for
16 h. After washing cells with PBS, we determined the incorporation
of Flutax by flow cytometric analysis. More than 70% of the
KSHV-negative B cells were positive for Flutax binding (Fig.
2d). However, only 15% of the BCP-1 cells showed staining with
the fluorescent compound (Fig.
2d), suggesting that the resistance
of PEL cells to paclitaxel is related to the inhibition of paclitaxel
binding to these cells.
LANA2 binds to polymerized microtubules.
To test whether LANA2 can bind to microtubules, we performed
an in vitro microtubule cosedimentation assay with purified
tubulin in the presence of in vitro-translated LANA2 protein.
After the polymerization of tubulin, LANA2 was detected in the
pellet fraction associated with polymerized microtubules (Fig.
3a). To determine whether there is a discrete region within
the primary structure of LANA2 that mediates microtubule binding,
we tested the abilities of different LANA2 deletion constructs
to associate with polymerized microtubules. Although only the
C terminus of LANA2 was detected exclusively in the pellet fraction,
two other LANA2 deletion constructs were detected in the polymerized
microtubule fraction, suggesting that LANA2 binding is not restricted
to a specific region (Fig.
3b). Finally, two-color fluorescence
microscopy with the anti-LANA2 antibody and a monoclonal antibody
to alpha-tubulin revealed that the LANA2 dots label microtubules
in BCP-1 cells, indicating the colocalization of LANA2 and tubulin
in PEL cells (Fig.
3c).
LANA2 expression decreases microtubule stability.
Acetylated tubulin is an indicator of stable microtubules; therefore,
we next examined the distribution of acetylated tubulin in the
LANA2-expressing cells. As shown in Fig.
4a, 3T3-LANA2 cells
show diminished acetylated tubulin staining in comparison with
that of the 3T3-pcDNA cells, suggesting that the presence of
LANA2 decreases microtubule stability. In addition, since vinblastine
is known to destabilize microtubules (
16,
19), cell cycle progression
in the different cell lines following exposure to vinblastine
was also evaluated. As expected, control 3T3-pcDNA cells accumulated
in the G
2/M phase of the cell cycle after exposure to 8 nM vinblastine
(Fig.
4b). Interestingly, the treatment of 3T3-LANA2 cells with
this depolymerizing agent resulted in a higher fraction of cells
accumulated in the G
2/M phase and an accumulation of cells in
the hypodiploid region of the histograms. An increased sensitivity
to vinblastine by cells expressing LANA2 was also observed for
B cells. KSHV-negative MHH-PREB-1 cells show a mild degree of
G
2/M arrest after incubation with 8 nM vinblastine for 24 h.
However, a large fraction of hypodiploid cells was seen in BCP-1
PEL cells following vinblastine exposure (Fig.
4b).
Coexpression of LANA2 with the KSHV latent proteins expressed in 293 cells prevents microtubule polymerization in response to paclitaxel.
In order to determine whether the resistance of PEL cells to
paclitaxel could be due to the expression of other KSHV latent
genes, HEK293 cells were cotransfected with the bacmid containing
the KSHV genome and GFP (Bac36) DNA, together with the empty
vector pcDNA or the pcDNA-LANA2 expression plasmid, and their
responses to paclitaxel were analyzed. As expected, HEK293 cells
cotransfected with Bac36 DNA and the empty vector pcDNA did
not show LANA2 expression, and only those cells cotransfected
with the pcDNA-LANA2 plasmid showed positive labeling for both
Bac36 and LANA2 (Fig.
5). In addition, and as shown in Fig.
5, aster-like microtubule changes induced by paclitaxel treatment
were detected only in cells cotransfected with Bac36 DNA and
pcDNA (not in cells expressing LANA2), suggesting LANA2 as the
main mediator of the paclitaxel resistance observed in PEL cells.

DISCUSSION
Since its approval by the FDA in 1992 for the treatment of ovarian
cancer, the use of paclitaxel in cancer chemotherapy has increased
dramatically. The antiproliferative action of paclitaxel relates
to its abilities to bind tubulin, promote microtubule assembly,
and stabilize microtubules by bundle formation (
22,
36,
37).
These effects of the drug are correlated with the arrest of
cells in the G
2/M phase of the cell cycle as well as cellular
toxicity (
15,
34,
36). In this sense, those proteins that regulate
microtubule dynamics by interacting with tubulin dimers or polymerized
microtubules clearly have the potential to modulate the sensitivity
of a cell toward paclitaxel. The good response to paclitaxel
exhibited by KS resulted in the approval of this drug by the
FDA for its use in the treatment of this disease (
6,
27). However,
there are no current therapies effective against PEL; it remains
a fatal disease, with a median life expectancy of approximately
2 months (
20). The results in this report demonstrate that the
latent protein LANA2, expressed exclusively in KSHV-infected
B cells, was able to inhibit G
2/M cell cycle arrest and reduced
bundle formation induced by the chemotherapeutic agent paclitaxel
in the MCF-7-sensitive cell line. In addition, LANA2 impaired
the ability of the fluorescent taxoid Flutax to bind and decorate
microtubules. Since Flutax competes with paclitaxel for the
same microtubule binding site, these results suggest that LANA2
interferes with the taxoid binding to microtubules. A predominant
interaction of Flutax with sites at which tubulin is newly polymerized
was suggested (
11). The results obtained after an in vitro tubulin
polymerization assay demonstrated that LANA2 was able to interact
with polymerized tubulin, thus reinforcing our hypothesis.
Several mechanisms have been proposed to account for the resistance observed in human tumors or cell lines to paclitaxel: overexpression of the multidrug transporter P-glycoprotein (13), altered metabolism of the drug, decreased sensitivity to death-inducing stimuli (2), alterations in microtubule dynamics, and altered binding of paclitaxel to its cellular target, the microtubule (8, 9). Since the paclitaxel-binding site is present only on polymerized tubulin, not on tubulin dimers (31), the selection of a less stable polymer, that is, a polymer with increased microtubule dynamics, could potentially offer a survival advantage for a tumor challenged with a microtubule-stabilizing drug such as paclitaxel. According to Cabral and coworkers, paclitaxel-resistant cell lines contain "hypostable" microtubules in which the equilibrium between the dimer and polymer is shifted toward the former (4, 5, 28). We wanted to determine whether the binding of LANA2 to the tubulin might alter the microtubule dynamics. It has been shown that a minor population of microtubules is stabilized in cultured cells, and they are enriched in acetylated and/or detyrosinated tubulin (3, 21, 32, 38, 39, 41, 45). In the present study, we have shown that the level of acetylated tubulin was clearly reduced in the 3T3 cells expressing LANA2, suggesting that LANA2 expression is responsible for a less stable polymer. These results are also in agreement with the observation that in the paclitaxel-resistant cell lines, the equilibrium between weakly and highly dynamic microtubules has been shifted toward the latter (7, 12, 18, 47). Moreover, since vinblastine is known to destabilize microtubules (16, 19), LANA2 expression may result in increased susceptibility to the mitotic effects of vinblastine. The stronger perturbation in cell cycle progression observed in the LANA2-expressing cells indicates that the expression of LANA2 results in increased cell susceptibility to vinblastine.
The interference of LANA2 expression in KSHV-infected B cells leads to a rapid induction of cell death (our unpublished observations), thus precluding a direct demonstration of the role of LANA2 in the paclitaxel resistance of PEL cells. However, in order to determine whether the resistance of PEL cells to paclitaxel could be due to the expression of other KSHV latent genes, HEK293 cells were cotransfected with the bacmid containing the KSHV genome (Bac36). Cells transfected with Bac36 DNA did not show any resistance to paclitaxel, pointing to LANA2 as the main factor that mediates PEL resistance.
Together, these results demonstrate that LANA2 increases cell resistance to paclitaxel by binding to polymerized tubulin and by the modulation of microtubule dynamics. The identification of LANA2 as a negative microtubule regulator sheds new light on its role in PEL resistance to paclitaxel.

ACKNOWLEDGMENTS
We are very grateful to M. A. Piris for supplying the MHH-PREB-1
and Karpas-422 cell lines.
This work was supported by a grant from Ministerio de Ciencia y Tecnologia de España (BIO2005-02417) and Fundación Mutua Madrileña. L.M.-V. was supported by Comunidad de Madrid.

FOOTNOTES
* Corresponding author. Mailing address: Centro Nacional de Biotecnologia, CSIC, Darwin 3, Campus Universidad Autonoma, Madrid 28049, Spain. Phone: 34-91-5854837. Fax: 34-91-5854506. E-mail:
crivas{at}cnb.uam.es 
Published ahead of print on 21 November 2007. 
These authors contributed equally to this work. 

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Journal of Virology, February 2008, p. 1518-1525, Vol. 82, No. 3
0022-538X/08/$08.00+0 doi:10.1128/JVI.01704-07
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