Background EpsteinBarr virus (EBV) is associated withvarious malignant and benign lymphoproliferative disorders.It also efficiently transforms human B lymphocytes in vitro.The latent membrane protein 1 (LMP1) of EBV-infected cells playsa central part in this process by mimicking members of the familyof tumor necrosis factor (TNF) receptors, thereby transmittinggrowth signals from the cell membrane to the nucleus throughcytoplasmic TNF-receptorassociated factors (TRAFs). Isought evidence of LMP1-mediated signal transduction throughTRAFs in tumor tissue from patients with post-transplantationlymphoproliferative disease and non-Hodgkin's lymphomas relatedto the acquired immunodeficiency syndrome (AIDS).
Methods The association of LMP1 with TRAF-1 or TRAF-3 in tumortissue was studied with double-immunofluorescence microscopyand immunoprecipitation assays. Evidence of LMP1TRAFsignaling was sought with an electrophoretic mobility shiftassay for the nuclear factor-B (NF-B) transcription factor.
Results Tumors from eight patients with post-transplantationlymphoproliferative disease, two patients with AIDS-associatednon-Hodgkin's lymphoma, and three patients with endemic Burkitt'slymphoma were analyzed. Tumors from six of the patients withpost-transplantation lymphoproliferative disease were positivefor EBV and expressed LMP1; two samples were EBV-negative. Tumorsfrom both patients with AIDS-associated non-Hodgkin's lymphomawere EBV-positive and expressed LMP1, whereas tumors from allthree patients with Burkitt's tumors were positive for EBV butnegative for LMP1. Double-immunofluorescence microscopy showedthat LMP1 localized with and immunoprecipitated with TRAF-1and TRAF-3 in all eight of the EBV-positive, LMP1-positive samples.An electrophoretic mobility shift assay revealed activated NF-Bin all eight EBV-positive, LMP1-positive samples as well, butnot in either of the EBV-negative, LMP1-negative samples orin the three EBV-positive, LMP1-negative samples.
Conclusions LMP1-mediated signaling through the TRAF systemhas a role in the pathogenesis of the EBV-positive lymphomasthat arise in immunosuppressed patients.
Source Information
From the Marjorie B. Kovler Viral Oncology Laboratories, Department of Medicine, Section of Hematology/Oncology and Virology, University of Chicago, Chicago. Presented in part at the National AIDS Malignancy Conference, Bethesda, Md., April 22, 1997.
Address reprint requests to Dr. Liebowitz at the University of Chicago Medical Center, Department of Medicine, Section of Hematology/Oncology, 5841 S. Maryland Ave., MC2115, Chicago, IL 60637.
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