Arsenic trioxide inhibits EBV reactivation and promotes cell death in EBV-positive lymphoma cells

Abstract Background Epstein-Barr Virus (EBV) is associated with hematopoietic malignancies, such as Burkitt’s lymphoma, post-transplantation lymphoproliferative disorder, and diffuse large B-cell lymphoma. The current approach for EBV-associated lymphoma involves chemotherapy to eradicate cancer cel...

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Main Authors: Qinyan Yin, Mark Sides, Christopher H. Parsons, Erik K. Flemington, Joseph A. Lasky
Format: Article
Language:English
Published: BMC 2017-06-01
Series:Virology Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12985-017-0784-7
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author Qinyan Yin
Mark Sides
Christopher H. Parsons
Erik K. Flemington
Joseph A. Lasky
author_facet Qinyan Yin
Mark Sides
Christopher H. Parsons
Erik K. Flemington
Joseph A. Lasky
author_sort Qinyan Yin
collection DOAJ
description Abstract Background Epstein-Barr Virus (EBV) is associated with hematopoietic malignancies, such as Burkitt’s lymphoma, post-transplantation lymphoproliferative disorder, and diffuse large B-cell lymphoma. The current approach for EBV-associated lymphoma involves chemotherapy to eradicate cancer cells, however, normal cells may be injured and organ dysfunction may occur with currently employed regimens. This research is focused on employing arsenic trioxide (ATO) as EBV-specific cancer therapy takes advantage of the fact the EBV resides within the malignant cells. Methods and results Our research reveals that low ATO inhibits EBV gene expression and genome replication. EBV spontaneous reactivation starts as early as 6 h after re-suspending EBV-positive Mutu cells in RPMI media in the absence of ATO, however this does not occur in Mutu cells cultured with ATO. ATO’s inhibition of EBV spontaneous reactivation is dose dependent. The expression of the EBV immediate early gene Zta and early gene BMRF1 is blocked with low concentrations of ATO (0.5 nM – 2 nM) in EBV latency type I cells and EBV-infected PBMC cells. The combination of ATO and ganciclovir further diminishes EBV gene expression. ATO-mediated reduction of EBV gene expression can be rescued by co-treatment with the proteasome inhibitor MG132, indicating that ATO promotes ubiquitin conjugation and proteasomal degradation of EBV genes. Co-immunoprecipitation assays with antibodies against Zta pulls down more ubiquitin in ATO treated cell lysates. Furthermore, MG132 reverses the inhibitory effect of ATO on anti-IgM-, PMA- and TGF-β-mediated EBV reactivation. Thus, mechanistically ATO’s inhibition of EBV gene expression occurs via the ubiquitin pathway. Moreover, ATO treatment results in increased cell death in EBV-positive cells compared to EBV-negative cells, as demonstrated by both MTT and trypan blue assays. ATO-induced cell death in EBV-positive cells is dose dependent. ATO and ganciclovir in combination further enhances cell death specifically in EBV-positive cells. Conclusion ATO-mediated inhibition of EBV lytic gene expression results in cell death selectively in EBV-positive lymphocytes, suggesting that ATO may potentially serve as a drug to treat EBV-related lymphomas in the clinical setting.
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spelling doaj.art-6a07a2f0d1cd40fdb8d48a5fb3ce3dbe2022-12-22T01:03:20ZengBMCVirology Journal1743-422X2017-06-0114111210.1186/s12985-017-0784-7Arsenic trioxide inhibits EBV reactivation and promotes cell death in EBV-positive lymphoma cellsQinyan Yin0Mark Sides1Christopher H. Parsons2Erik K. Flemington3Joseph A. Lasky4Department of Medicine, Section of Pulmonary Disease, Tulane University School of MedicineDepartment of Medicine, Section of Pulmonary Disease, Tulane University School of MedicineDepartment of Internal Medicine, Louisiana University School of MedicineDepartment of Pathology and Laboratory, Tulane University School of MedicineDepartment of Medicine, Section of Pulmonary Disease, Tulane University School of MedicineAbstract Background Epstein-Barr Virus (EBV) is associated with hematopoietic malignancies, such as Burkitt’s lymphoma, post-transplantation lymphoproliferative disorder, and diffuse large B-cell lymphoma. The current approach for EBV-associated lymphoma involves chemotherapy to eradicate cancer cells, however, normal cells may be injured and organ dysfunction may occur with currently employed regimens. This research is focused on employing arsenic trioxide (ATO) as EBV-specific cancer therapy takes advantage of the fact the EBV resides within the malignant cells. Methods and results Our research reveals that low ATO inhibits EBV gene expression and genome replication. EBV spontaneous reactivation starts as early as 6 h after re-suspending EBV-positive Mutu cells in RPMI media in the absence of ATO, however this does not occur in Mutu cells cultured with ATO. ATO’s inhibition of EBV spontaneous reactivation is dose dependent. The expression of the EBV immediate early gene Zta and early gene BMRF1 is blocked with low concentrations of ATO (0.5 nM – 2 nM) in EBV latency type I cells and EBV-infected PBMC cells. The combination of ATO and ganciclovir further diminishes EBV gene expression. ATO-mediated reduction of EBV gene expression can be rescued by co-treatment with the proteasome inhibitor MG132, indicating that ATO promotes ubiquitin conjugation and proteasomal degradation of EBV genes. Co-immunoprecipitation assays with antibodies against Zta pulls down more ubiquitin in ATO treated cell lysates. Furthermore, MG132 reverses the inhibitory effect of ATO on anti-IgM-, PMA- and TGF-β-mediated EBV reactivation. Thus, mechanistically ATO’s inhibition of EBV gene expression occurs via the ubiquitin pathway. Moreover, ATO treatment results in increased cell death in EBV-positive cells compared to EBV-negative cells, as demonstrated by both MTT and trypan blue assays. ATO-induced cell death in EBV-positive cells is dose dependent. ATO and ganciclovir in combination further enhances cell death specifically in EBV-positive cells. Conclusion ATO-mediated inhibition of EBV lytic gene expression results in cell death selectively in EBV-positive lymphocytes, suggesting that ATO may potentially serve as a drug to treat EBV-related lymphomas in the clinical setting.http://link.springer.com/article/10.1186/s12985-017-0784-7Epstein-Barr virusEBVArsenic trioxideATOLymphomaCancer
spellingShingle Qinyan Yin
Mark Sides
Christopher H. Parsons
Erik K. Flemington
Joseph A. Lasky
Arsenic trioxide inhibits EBV reactivation and promotes cell death in EBV-positive lymphoma cells
Virology Journal
Epstein-Barr virus
EBV
Arsenic trioxide
ATO
Lymphoma
Cancer
title Arsenic trioxide inhibits EBV reactivation and promotes cell death in EBV-positive lymphoma cells
title_full Arsenic trioxide inhibits EBV reactivation and promotes cell death in EBV-positive lymphoma cells
title_fullStr Arsenic trioxide inhibits EBV reactivation and promotes cell death in EBV-positive lymphoma cells
title_full_unstemmed Arsenic trioxide inhibits EBV reactivation and promotes cell death in EBV-positive lymphoma cells
title_short Arsenic trioxide inhibits EBV reactivation and promotes cell death in EBV-positive lymphoma cells
title_sort arsenic trioxide inhibits ebv reactivation and promotes cell death in ebv positive lymphoma cells
topic Epstein-Barr virus
EBV
Arsenic trioxide
ATO
Lymphoma
Cancer
url http://link.springer.com/article/10.1186/s12985-017-0784-7
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AT christopherhparsons arsenictrioxideinhibitsebvreactivationandpromotescelldeathinebvpositivelymphomacells
AT erikkflemington arsenictrioxideinhibitsebvreactivationandpromotescelldeathinebvpositivelymphomacells
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