Abstract
We report that type I interferons (IFNs) upregulate latent membrane protein 1 (LMP-1) expression by direct activation of the ED-L1 promoter in several Epstein-Barr virus (EBV)-carrying Burkitt's lymphoma lines. In EBV-infected primary B cells, IFN-α transiently upregulates LMP-1 mRNA, but not protein levels, followed by downregulation of both, suggesting a novel antiproliferative mechanism of type I IFNs. Furthermore, our results may explain the expression of LMP-1 in memory B cells of systemic lupus erythematosus patients.
TEXT
Epstein-Barr virus (EBV) is a ubiquitous gammaherpesvirus associated with a wide variety of neoplasms, including Burkitt's lymphoma (BL), nasopharyngeal carcinoma, posttransplant lymphoproliferative disease, and Hodgkin's disease. Only a subset of viral genes is transcribed from latent episomal EBV genomes in lymphoblastoid cell lines (LCLs) and in EBV-associated neoplasms. Besides EBV-encoded RNAs (EBERs) and BamHI-A transcripts, in type I latency only EBV nuclear antigen 1 (EBNA-1) is expressed, while in type III latency all six EBNAs and three EBV-encoded latent membrane proteins (LMPs) are expressed. In type II latency, which is observed in Hodgkin T cell and NK cell lymphomas, in the lymphoid tissues of healthy virus carriers and infectious mononucleosis patients one or all of the LMPs are expressed in addition to the type I latency gene products (39). LMP-1 plays a central role in EBV biology, since it acts in part as a constitutively active CD40 receptor analog and is essential for B cell proliferation and transformation by EBV (24). In type III latency, EBNA-2 is the major transactivator of the LMP promoters, while in type II latency, depending on the cellular context, different cytokines (interleukin-4 [IL-4], IL-10, -13, -15, and -21) are responsible for the activation of LMP-1 transcription (20, 26, 27, 28).
Type I interferons (IFNs) are produced in relatively large amounts in response to pathogen sensing by the innate immune system (46). In addition to their direct antiviral activities, these proteins also have antiproliferative and immunomodulatory properties. Consequently, type I IFNs find diverse clinical application in the treatment of certain forms of cancer, as well as in the therapy of viral infections or immunological disorders (31). On the other hand, type I IFNs have a major pathophysiological role in human diseases, such as systemic lupus erythematosus (SLE), with characteristic high IFN-α levels (46).
Several interactions have been described between EBV and the type I IFN system. EBV virions and/or EBER1 (secreted in complex with lupus erythematosus-associated antigen or added exogenously in an in vitro-synthesized form) induces type I IFN production in several cell types, including B cells and plasmacytoid dendritic cells (21, 25, 38). Conversely, IFN-α treatment of adult B cells prior to or at the time of in vitro infection nearly completely prevents EBV-mediated B cell proliferation and outgrowth into LCLs (30, 47), at least partially through the inhibition of the capping of EBV-CD21 complexes (6). However, EBV-infected B cells become progressively resistant to the effects of type I IFNs within a few days postinfection (30, 47), possibly through the inhibitory effect of LMP-1 on IFN-α-induced Tyk2 and subsequent STAT2 phosphorylation (12). On the other hand, the mechanism of the partial inhibition of B cell transformation by type I IFNs added within the first 48 h after infection (30, 47) is still unidentified. Furthermore, despite the observation of this complex network of interactions, no direct effect of type I IFNs has been shown on the regulation of latent EBV gene expression. Using EBV-positive BL lines and freshly infected peripheral blood B cells, we show now that type I IFNs can directly modulate LMP-1 expression.
For initial experiments, we chose the highly IFN-α-sensitive, EBV-positive BL line Daudi (29), in which IFN-α treatment inhibits cell proliferation and concomitantly induces plasmacytoid differentiation (8). Daudi cells were treated with different concentrations of IFN-α, IFN-β, and IFN-γ (Peprotech) for 24 h, and the level of LMP-1 protein was analyzed by Western blotting (Fig. 1A). Type I IFNs strongly upregulated LMP-1 protein expression in a dose-dependent manner, while IFN-γ did not. Since the antiproliferative effect of IFN-α already reaches its maximum at 0.3 ng/ml (data not shown), while LMP-1 expression is not induced even at 0.5 ng/ml (Fig. 1A), the growth-inhibitory effect of IFN-α on Daudi cells is not a consequence of LMP-1 upregulation.
Next, we analyzed the LMP-1-inducing effect of IFN-α on a panel of EBV-positive BL lines, including Daudi, Salina, and P3HR1 (lines carrying a virus strain that has a deletion involving EBNA-2, and therefore the cells use the W-promoter for the transcription of the EBNAs and do not express or express only minimal amounts of LMPs [1, 4, 22, 23]), the type I BL lines Akata (45), Rael (32), and Jijoye-M13 (27), the type III BL line Raji (28), and the cord blood-derived LCL CBM1-Ral-STO, transformed with the Rael EBV strain (7). IFN-α treatment for 24 h led to the upregulation of LMP-1 protein expression in Jijoye-M13 cells and in all the BL lines carrying EBNA-2-deleted virus, while LMP-1 mRNA and protein levels did not increase in the other cell lines (Fig. 1B and data not shown). Since IFN-stimulated gene 56 (ISG56; a well-characterized target of the IFN-α-induced IFN-stimulated gene factor 3 [ISGF3] transactivation complex [STAT-1 and -2 and IFN regulatory factor 9] [10]) is highly upregulated upon IFN-α treatment (41), the type I IFN receptor and at least the classical ISGF3 signaling pathway are functional and cannot be responsible for the lack of LMP-1 upregulation in type I BL lines. However, the presence of highly methylated CpG dinucleotides at the LMP-1 regulatory sequences may explain the failure of LMP-1 induction in Rael cells (32, 33, 44). Furthermore, the different inducibility of LMP-1 in type I BL cell lines and BL lines carrying an EBNA-2-deleted virus suggest that the presence of EBNA-3 proteins and/or EBNA-LP may play a role in the upregulation of LMP-1 by IFN-α. The failure of LMP-1 induction in Raji and CBM1-Ral-STO cells is in line with previous observations on the relative insensitivity of type III cells to type I IFNs (12, 30), although upregulation of ISG56 mRNA was only partially reduced in the type III cell lines (5- and 52-fold ISG56 upregulation after 24 h in Raji and CBM1-Ral-STO cells, respectively [data not shown]), compared to its high level of induction in all other lines (41).
To analyze the kinetics and specificity of LMP-1 upregulation, LMP-1 mRNA and protein levels were measured together with LMP-2A and ISG56 mRNA expression in Daudi cells treated with IFN-α for 1, 3, 6, and 24 h (Fig. 1C). Strong (50-fold) upregulation of LMP-1 mRNA was detected already after 1 h, with a maximum increase of more than 200-fold after 3 h, and then progressively decreased at 6 and 24 h. In contrast, LMP-2A mRNA was only slightly (2.1-fold) upregulated during the kinetic analysis, while ISG56 mRNA was rapidly and progressively upregulated to a maximum of 729-fold after 24 h. Upregulation of LMP-1 protein was detected already after 1 h, with a maximum after 6 h and a lower level after 24 h. These results show that IFN-α rapidly and specifically upregulates LMP-1 through transcriptional activation and with a kinetics different from the IFN-α-induced upregulation of the classical target ISG56.
To analyze the role of the ED-L1 (2.8-kb mRNA [18]) and L1-TR (3.5-kb mRNA [40]) promoters in the IFN-α-induced upregulation of LMP-1, the relative levels of total (2.8- and 3.5-kb mRNAs) and 3.5-kb LMP-1 mRNA were measured with real-time reverse transcription-PCR (RT-PCR) in Daudi cells left untreated or treated with IFN-α for 3 h (Fig. 1D). The primers used for PCR analysis are listed in Table 1. Total cellular RNA was isolated using the Quick RNA miniprep kit (Zymo Research), treated with Turbo DNase (Ambion), and then cleaned up with the RNA Clean and Concentrator kit (Zymo Research) according to the manufacturer's instructions. One microgram of RNA was reverse transcribed using the SuperScript VILO cDNA synthesis kit (Invitrogen) according to the manufacturer's instructions. The relative level of each transcript was determined with the LC FastStart DNA Master SYBR green I kit in a LightCycler 1.2 instrument (Roche) using the standard curve method. Each PCR mixture was initially denatured at 95°C for 10 min and then cycled 40 times at 95°C for 8 s, 60°C for 5 s, and 72°C for 8 s. Target genes were measured and normalized simultaneously with the endogenous control glyceraldehyde-3-phosphate dehydrogenase (GAPDH). The analysis showed that, in untreated Daudi cells 75% of LMP-1 mRNAs, while in IFN-α-treated Daudi cells only 2.2% of LMP-1 mRNAs were transcribed from the L1-TR promoter.
Table 1.
Primer | Sequencea |
---|---|
Total LMP-1 | 5′-GCAGGAGGGTGATCATCAGT-3′ |
5′-GTCCTCTATTCCTTTGCTCTCATG-3′ | |
3.5-kb LMP-1 | 5′-TACGTAGCCGCCCTACATAAG-3′ |
5′-CCTCTCAAGGTCCAGGTCCAT-3′ | |
LMP-2A | 5′-CAGGCAGGCATACTGGATTC-3′ |
5′-CGATGAGGAACGTGAATCTAATG-3′ | |
EBNA-2 | 5′-GGACACAAGAGCCATCACCT-3′ |
5′-CAAAGCATTCGCATAGCAGA-3′ | |
ISG56 | 5′-GTGACATCTCAATTGCTCCAGAC-3′ |
5′-GGAGCCTGGCTAAGCAAAAC-3′ | |
GAPDH | 5′-GGAAGGTGAAGGTCGGAGTCA-3′ |
5′-ATGGGTGGAATCATATTGGAACA-3′ |
Sequences of forward and reverse primers are provided. The LMP-1 coding and regulatory regions containing the primer binding sites were sequenced in Daudi cells. Primers (Sigma-Aldrich) for LMP-1 were designed on the basis of these sequences.
To test whether de novo protein synthesis is required for the rapid induction of LMP-1 by type I IFNs, Daudi cells were preincubated with or without cycloheximide (CHX; Sigma-Aldrich), a protein synthesis inhibitor, for 30 min, after which the cells were left untreated or treated with IFN-α for an additional 1 h, and LMP-1 mRNA levels were measured (Fig. 1E). CHX treatment did not block IFN-α-induced upregulation of LMP-1 but strongly enhanced it, proving that LMP-1 transcription is directly induced by type I IFN signaling.
Type I IFNs activate the classical JAK/STAT and several alternate pathways, including the extracellular signal-regulated kinase 1 and 2 (ERK-1/2), p38 mitogen-activated protein kinase (MAPK), insulin receptor substrate (IRS)–phosphatidylinositol (PI) 3′-kinase, Jun N-terminal kinase (JNK), Crk, protein kinase C (PKC), and NF-κB pathways (31, 35, 36, 37, 43). First, we analyzed the role of the alternate pathways by measuring LMP-1 and ISG56 mRNA levels in Daudi cells treated with IFN-α or left untreated for 90 min in the presence or absence of inhibitors of MEK1 (PD98059; Calbiochem), p38 MAPK (SB203580; Calbiochem), PI 3′-kinase (wortmannin; Calbiochem), JNK-1, -2, and -3 (SP600125; Calbiochem), PKCα, -β, -γ, -δ, and -ε (Gö6850; Calbiochem), NF-κB (BAY117082 [Calbiochem] and MG132 [Enzo]) (Fig. 2A). PD98059 did not, while all other inhibitors slightly (SB203580, wortmannin, SP600125, Gö6850, and MG132) or moderately (BAY117082) prevented LMP-1 upregulation. SB203580, wortmannin, and MG132 minimally inhibited, while all other inhibitors did not affect or slightly enhanced ISG56 upregulation. These results suggest a partial role for the NF-κB, PKC, and JNK pathways in the type I IFN-induced transcription of LMP-1.
IFN-α activates STAT-1, -2, -3, -5, and -6 in human BL lines, mostly through the classical JAK/STAT pathway (9, 14, 43). The tyrosine kinase inhibitor piceatannol has been reported to selectively prevent the IFN-α-induced tyrosine phosphorylation of STAT-3 and -5, but not that of STAT-1 and -2 through the specific inhibition of Tyk2 kinase activity in the Ramos BL and Jurkat T cell lines (43). Our analysis using Daudi cells showed that piceatannol (Sigma-Aldrich) strongly inhibits phosphorylation of STAT-5, while it only slightly prevents STAT-2 and -3 phosphorylation and does not affect STAT-1 phosphorylation upon IFN-α treatment (Fig. 2B), providing an efficient tool for the selective analysis of the role of STAT-5 in the IFN-α-induced upregulation of LMP-1. Since piceatannol is a specific inhibitor of Syk tyrosine kinase as well, the effect of BAY613606, a highly selective inhibitor of Syk (49), was also tested. Daudi cells were treated with IFN-α or left untreated for 90 min in the presence or absence of piceatannol or BAY613606 (Sigma-Aldrich), and LMP-1 and ISG56 mRNA levels were measured (Fig. 2A). Piceatannol strongly inhibited while BAY613606 moderately inhibited LMP-1 upregulation, although both compounds only slightly blocked ISG56 upregulation. These results suggest that STAT-1, -2, and -3 tyrosine phosphorylation is not needed or is not sufficient for the direct upregulation of LMP-1 mRNA by IFN-α, while Tyk2 and Syk tyrosine kinase activities and STAT-5 tyrosine phosphorylation may play a role in it.
In order to validate the LMP-1-inducing effect of type I IFNs in primary B cells, peripheral blood B cells (purified by positive selection with CD19 Dynabeads [Invitrogen]) of healthy adult donors were infected with B95-8 virus and 8 or 30 h after infection were left untreated or treated with IFN-α for 90 min, when LMP-1 mRNA levels were measured. In B cells of donor 1 (Fig. 3A), IFN-α treatment upregulated LMP-1 mRNA levels by 8- and 1.8-fold at the 8- and 30-h time points, respectively. In B cells of donor 2 at the 8-h time point (Fig. 3B), LMP-1 mRNA could be detected only after IFN-α treatment, while EBNA-2 mRNA levels were nearly equal in both the untreated and treated samples. To analyze LMP-1 upregulation at the protein level, peripheral blood B cells were treated 24 h after EBV infection with IFN-α for 3 h (donor 3) or 24 h (donor 4), when LMP-1 mRNA and protein levels, together with the EBNA-2 protein level (only after the 24-h treatment), were measured (Fig. 3C). Three hours of IFN-α treatment upregulated LMP-1 mRNA expression by 1.43-fold, while the LMP-1 protein level did not change, suggesting inhibition of LMP-1 translation. Interestingly, 24 h of IFN-α treatment moderately reduced (by 46%) LMP-1 mRNA, while it strongly downregulated LMP-1 (by 80%) and EBNA-2 protein levels. Since these proteins play an essential role in EBV-induced B cell transformation (24), their downregulation may explain the previously reported partial inhibition of transformation by IFN-α when added 24 h postinfection (30, 47). Previous publications also reported the downregulation of EBNAs upon type I IFN treatment in EBV-infected peripheral blood lymphocytes (17), T cell-depleted mononuclear cells (5, 11), and B cells (2). However, in those studies, type I IFNs were added prior to or at the time of in vitro infection, when inhibition of EBV-mediated CD21 capping by IFN-α (6) may completely prevent later steps of the infection. Since viral entry and the transition to the circular form have already occurred by 24 h postinfection (19), inhibition of these steps cannot be responsible for the observed downregulation of EBNA-2 and LMP-1 in our experiments, suggesting a novel inhibitory mechanism of type I IFNs on EBV-induced B cell transformation. According to previous publications (2′–5′), oligoadenylates may play a role in this mechanism (17).
SLE is a complex, multifactorial disease involving genetic, epigenetic, and environmental risk factors, but it is now well-established that elevated levels of type I IFNs have a central role in its pathophysiology (46). Several lines of evidence suggest that EBV infection also plays an important role in the pathophysiology of SLE, possibly by antigenic cross-reactivity between viral antigens and self-antigens, and/or the rescue of preexisting autoreactive B cells from apoptosis (15, 34). LMP-1 mRNA is the most frequently detected latent EBV product in the increased population of EBV-infected memory B cells in the blood of SLE patients, although it is never detected in the blood of healthy individuals (13). Since LMP-1 induces B cells to express B cell-activating factor (BAFF) and a proliferation-inducing ligand (APRIL), which are mediators of B cell survival, T cell-independent antibody production, and immunoglobulin class switching (16), LMP-1 appears to be an important link between EBV infection and SLE. Since EBV-positive BLs originate from and therefore represent either late germinal center B cells or memory B cells (3, 48), our observations on the LMP-1-inducing effect of IFN-α in these lines and in primary B cells may explain the expression of LMP-1 mRNA in the memory B cells of SLE patients and suggest a direct connection between immune dysfunction and altered regulation of EBV latency in SLE. However, the lack of IFN-α-induced LMP-1 protein upregulation, despite its transcriptional induction in primary B cells, calls for careful analysis of LMP-1 protein expression in the memory B cells of SLE patients in future studies.
Nucleotide sequence accession numbers.
The LMP-1 coding and regulatory regions containing the primer binding sites were sequenced in Daudi cells and deposited in GenBank/EMBL/DDJB with accession numbers HE653895 and HE653896.
ACKNOWLEDGMENTS
This work was supported by grants from the The Swedish Cancer Society (Cancerfonden) and Karolinska Institutet. D.S., M.A., L.W., L.L.K., H.M., and N.N. are or were recipients of cancer research fellowships from the Cancer Research Institute (New York)/Concern Foundation (Los Angeles).
D.S., L.L.K., and E.K. designed the research; D.S., M.A., D.U., L.W., L.L.K., H.M., and N.N. performed research; D.S. and E.K. analyzed and interpreted data; D.S. created the figures; D.S., G.K., and E.K. wrote the manuscript. All authors read and commented on the manuscript. D.S. has access to all study materials and data and is responsible for the integrity of the study.
Footnotes
Published ahead of print 15 February 2012
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