Chronic Inflammatory Microenvironment in Epidermodysplasia Verruciformis Skin Lesions: Role of the Synergism Between HPV8 E2 and C/EBPβ to Induce Pro-Inflammatory S100A8/A9 Proteins

Persistent genus β-HPV (human papillomavirus) infection is a major co-factor for non-melanoma skin cancer in patients suffering from the inherited skin disease epidermodysplasia verruciformis (EV). Malignant EV lesions are particularly associated with HPV type 5 or 8. There is clinical and molecular...

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Main Authors: Marta Podgórska, Monika Ołdak, Anna Marthaler, Alina Fingerle, Barbara Walch-Rückheim, Stefan Lohse, Cornelia S. L. Müller, Thomas Vogt, Mart Ustav, Artur Wnorowski, Magdalena Malejczyk, Sławomir Majewski, Sigrun Smola
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-03-01
Series:Frontiers in Microbiology
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Online Access:http://journal.frontiersin.org/article/10.3389/fmicb.2018.00392/full
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author Marta Podgórska
Monika Ołdak
Monika Ołdak
Anna Marthaler
Alina Fingerle
Barbara Walch-Rückheim
Stefan Lohse
Cornelia S. L. Müller
Thomas Vogt
Mart Ustav
Artur Wnorowski
Magdalena Malejczyk
Sławomir Majewski
Sigrun Smola
author_facet Marta Podgórska
Monika Ołdak
Monika Ołdak
Anna Marthaler
Alina Fingerle
Barbara Walch-Rückheim
Stefan Lohse
Cornelia S. L. Müller
Thomas Vogt
Mart Ustav
Artur Wnorowski
Magdalena Malejczyk
Sławomir Majewski
Sigrun Smola
author_sort Marta Podgórska
collection DOAJ
description Persistent genus β-HPV (human papillomavirus) infection is a major co-factor for non-melanoma skin cancer in patients suffering from the inherited skin disease epidermodysplasia verruciformis (EV). Malignant EV lesions are particularly associated with HPV type 5 or 8. There is clinical and molecular evidence that HPV8 actively suppresses epithelial immunosurveillance by interfering with the recruitment of Langerhans cells, which may favor viral persistence. Mechanisms how persistent HPV8 infection promotes the carcinogenic process are, however, less well understood. In various tumor types chronic inflammation has a central role in tumor progression. The calprotectin complex consisting of S100A8 and S100A9 proteins has recently been identified as key driver of chronic and tumor promoting inflammation in skin carcinogenesis. It induces chemotaxis of neutrophil granulocytes and modulates inflammatory as well as immune responses. In this study, we demonstrate that skin lesions of EV-patients are massively infiltrated by inflammatory cells, including CD15+ granulocytes. At the same time we observed a very strong expression of S100A8 and S100A9 proteins in lesional keratinocytes, which was mostly confined to the suprabasal layers of the epidermis. Both proteins were hardly detected in non-lesional skin. Further experiments revealed that the HPV8 oncoproteins E6 and E7 were not involved in S100A8/A9 up-regulation. They rather suppressed differentiation-induced S100A8/A9 expression. In contrast, the viral transcription factor E2 strongly enhanced PMA-mediated S100A8/A9 up-regulation in primary human keratinocytes. Similarly, a tremendous up-regulation of both S100 proteins was observed, when minute amounts of the PMA-inducible CCAAT/enhancer binding protein β (C/EBPβ), which is expressed at low levels in the suprabasal layers of the epidermis, were co-expressed together with HPV8 E2. This confirmed our previous observation that C/EBPβ interacts and functionally synergizes with the HPV8 E2 protein in differentiation-dependent gene expression. Potent synergistic up-regulation of S100A8/A9 was seen at transcriptional and protein levels. S100A8/A9 containing supernatants from keratinocytes co-expressing HPV8 E2 and C/EBPβ significantly induced chemotaxis of granulocytes in migration assays supporting the relevance of our finding. In conclusion, our data suggest that the HPV8 E2 protein actively contributes to the recruitment of myeloid cells into EV skin lesions, which may support chronic inflammation and progression to skin cancer.
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spelling doaj.art-516afee0845e48c98cf63578fde47bb42022-12-22T00:10:52ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2018-03-01910.3389/fmicb.2018.00392351390Chronic Inflammatory Microenvironment in Epidermodysplasia Verruciformis Skin Lesions: Role of the Synergism Between HPV8 E2 and C/EBPβ to Induce Pro-Inflammatory S100A8/A9 ProteinsMarta Podgórska0Monika Ołdak1Monika Ołdak2Anna Marthaler3Alina Fingerle4Barbara Walch-Rückheim5Stefan Lohse6Cornelia S. L. Müller7Thomas Vogt8Mart Ustav9Artur Wnorowski10Magdalena Malejczyk11Sławomir Majewski12Sigrun Smola13Institute of Virology, Saarland University Medical Center, Homburg, GermanyInstitute of Virology, Saarland University Medical Center, Homburg, GermanyDepartment of Histology and Embryology, Center of Biostructure Research, Medical University of Warsaw, Warsaw, PolandInstitute of Virology, Saarland University Medical Center, Homburg, GermanyInstitute of Virology, Saarland University Medical Center, Homburg, GermanyInstitute of Virology, Saarland University Medical Center, Homburg, GermanyInstitute of Virology, Saarland University Medical Center, Homburg, GermanyDepartment of Dermatology, Saarland University Medical Center, Homburg, GermanyDepartment of Dermatology, Saarland University Medical Center, Homburg, GermanyIcosagen Cell Factory OÜ, Institute of Technology, University of Tartu, Tartu, EstoniaInstitute of Virology, Saarland University Medical Center, Homburg, GermanyDiagnostic Laboratory of STDs, Department of Dermatology and Venereology, Medical University of Warsaw, Warsaw, PolandDepartment of Dermatology and Venereology, Medical University of Warsaw, Warsaw, PolandInstitute of Virology, Saarland University Medical Center, Homburg, GermanyPersistent genus β-HPV (human papillomavirus) infection is a major co-factor for non-melanoma skin cancer in patients suffering from the inherited skin disease epidermodysplasia verruciformis (EV). Malignant EV lesions are particularly associated with HPV type 5 or 8. There is clinical and molecular evidence that HPV8 actively suppresses epithelial immunosurveillance by interfering with the recruitment of Langerhans cells, which may favor viral persistence. Mechanisms how persistent HPV8 infection promotes the carcinogenic process are, however, less well understood. In various tumor types chronic inflammation has a central role in tumor progression. The calprotectin complex consisting of S100A8 and S100A9 proteins has recently been identified as key driver of chronic and tumor promoting inflammation in skin carcinogenesis. It induces chemotaxis of neutrophil granulocytes and modulates inflammatory as well as immune responses. In this study, we demonstrate that skin lesions of EV-patients are massively infiltrated by inflammatory cells, including CD15+ granulocytes. At the same time we observed a very strong expression of S100A8 and S100A9 proteins in lesional keratinocytes, which was mostly confined to the suprabasal layers of the epidermis. Both proteins were hardly detected in non-lesional skin. Further experiments revealed that the HPV8 oncoproteins E6 and E7 were not involved in S100A8/A9 up-regulation. They rather suppressed differentiation-induced S100A8/A9 expression. In contrast, the viral transcription factor E2 strongly enhanced PMA-mediated S100A8/A9 up-regulation in primary human keratinocytes. Similarly, a tremendous up-regulation of both S100 proteins was observed, when minute amounts of the PMA-inducible CCAAT/enhancer binding protein β (C/EBPβ), which is expressed at low levels in the suprabasal layers of the epidermis, were co-expressed together with HPV8 E2. This confirmed our previous observation that C/EBPβ interacts and functionally synergizes with the HPV8 E2 protein in differentiation-dependent gene expression. Potent synergistic up-regulation of S100A8/A9 was seen at transcriptional and protein levels. S100A8/A9 containing supernatants from keratinocytes co-expressing HPV8 E2 and C/EBPβ significantly induced chemotaxis of granulocytes in migration assays supporting the relevance of our finding. In conclusion, our data suggest that the HPV8 E2 protein actively contributes to the recruitment of myeloid cells into EV skin lesions, which may support chronic inflammation and progression to skin cancer.http://journal.frontiersin.org/article/10.3389/fmicb.2018.00392/fullHPVE2epidermodysplasia verruciformisinflammationC/EBPS100A8/A9
spellingShingle Marta Podgórska
Monika Ołdak
Monika Ołdak
Anna Marthaler
Alina Fingerle
Barbara Walch-Rückheim
Stefan Lohse
Cornelia S. L. Müller
Thomas Vogt
Mart Ustav
Artur Wnorowski
Magdalena Malejczyk
Sławomir Majewski
Sigrun Smola
Chronic Inflammatory Microenvironment in Epidermodysplasia Verruciformis Skin Lesions: Role of the Synergism Between HPV8 E2 and C/EBPβ to Induce Pro-Inflammatory S100A8/A9 Proteins
Frontiers in Microbiology
HPV
E2
epidermodysplasia verruciformis
inflammation
C/EBP
S100A8/A9
title Chronic Inflammatory Microenvironment in Epidermodysplasia Verruciformis Skin Lesions: Role of the Synergism Between HPV8 E2 and C/EBPβ to Induce Pro-Inflammatory S100A8/A9 Proteins
title_full Chronic Inflammatory Microenvironment in Epidermodysplasia Verruciformis Skin Lesions: Role of the Synergism Between HPV8 E2 and C/EBPβ to Induce Pro-Inflammatory S100A8/A9 Proteins
title_fullStr Chronic Inflammatory Microenvironment in Epidermodysplasia Verruciformis Skin Lesions: Role of the Synergism Between HPV8 E2 and C/EBPβ to Induce Pro-Inflammatory S100A8/A9 Proteins
title_full_unstemmed Chronic Inflammatory Microenvironment in Epidermodysplasia Verruciformis Skin Lesions: Role of the Synergism Between HPV8 E2 and C/EBPβ to Induce Pro-Inflammatory S100A8/A9 Proteins
title_short Chronic Inflammatory Microenvironment in Epidermodysplasia Verruciformis Skin Lesions: Role of the Synergism Between HPV8 E2 and C/EBPβ to Induce Pro-Inflammatory S100A8/A9 Proteins
title_sort chronic inflammatory microenvironment in epidermodysplasia verruciformis skin lesions role of the synergism between hpv8 e2 and c ebpβ to induce pro inflammatory s100a8 a9 proteins
topic HPV
E2
epidermodysplasia verruciformis
inflammation
C/EBP
S100A8/A9
url http://journal.frontiersin.org/article/10.3389/fmicb.2018.00392/full
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