Human Cytomegalovirus-Infected Glioblastoma Cells Display Stem Cell-Like Phenotypes

ABSTRACT Glioblastoma multiforme (GBM) is the most common brain tumor in adults. Human cytomegalovirus (HCMV) genomes are present in GBM tumors, yielding hope that antiviral treatments could prove therapeutic and improve the poor prognosis of GBM patients. We discovered that GBM cells infected in vi...

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Main Authors: Che Liu, Paul A. Clark, John S. Kuo, Robert F. Kalejta
Format: Article
Language:English
Published: American Society for Microbiology 2017-06-01
Series:mSphere
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/mSphere.00137-17
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author Che Liu
Paul A. Clark
John S. Kuo
Robert F. Kalejta
author_facet Che Liu
Paul A. Clark
John S. Kuo
Robert F. Kalejta
author_sort Che Liu
collection DOAJ
description ABSTRACT Glioblastoma multiforme (GBM) is the most common brain tumor in adults. Human cytomegalovirus (HCMV) genomes are present in GBM tumors, yielding hope that antiviral treatments could prove therapeutic and improve the poor prognosis of GBM patients. We discovered that GBM cells infected in vitro with HCMV display properties of cancer stem cells. HCMV-infected GBM cells grow more slowly than mock-infected controls, demonstrate a higher capacity for self-renewal determined by a sphere formation assay, and display resistance to the chemotherapeutic drug temozolomide. Our data suggest that HCMV, while present in only a minority of the cells within a tumor, could contribute to the pathogenesis of GBMs by promoting or prolonging stem cell-like phenotypes, thereby perpetuating tumors in the face of chemotherapy. Importantly, we show that temozolomide sensitivity is restored by the antiviral drug ganciclovir, indicating a potential mechanism underlying the positive effects observed in GBM patients treated with antiviral therapy. IMPORTANCE A role for HCMV in GBMs remains controversial for several reasons. Some studies find HCMV in GBM tumors, while others do not. Few cells within a GBM may harbor HCMV, making it unclear how the virus could be contributing to the tumor phenotype without infecting every cell. Finally, HCMV does not overtly transform cells in vitro. However, tumors induced by other viruses can be treated with antiviral remedies, and initial results indicate that this may be true for anti-HCMV therapies and GBMs. With such a poor prognosis for GBM patients, any potential new intervention deserves exploration. Our work here describes an evidence-based model for how HCMV could contribute to GBM biology while infecting very few cells and without transforming them. It also illuminates why anti-HCMV treatments may be beneficial to GBM patients. Our observations provide blueprints for future in vitro studies examining how HCMV manipulates stem cell-specific pathways and future clinical studies of anti-HCMV measures as GBM therapeutics.
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spelling doaj.art-8cee44aa671943ee9a03558c9490e6652022-12-21T20:00:03ZengAmerican Society for MicrobiologymSphere2379-50422017-06-012310.1128/mSphere.00137-17Human Cytomegalovirus-Infected Glioblastoma Cells Display Stem Cell-Like PhenotypesChe Liu0Paul A. Clark1John S. Kuo2Robert F. Kalejta3Institute for Molecular Virology and McArdle Laboratory for Cancer Research, University of Wisconsin—Madison, Madison, Wisconsin, USADepartment of Neurological Surgery, University of Wisconsin—Madison, Madison, Wisconsin, USADepartment of Neurological Surgery, University of Wisconsin—Madison, Madison, Wisconsin, USAInstitute for Molecular Virology and McArdle Laboratory for Cancer Research, University of Wisconsin—Madison, Madison, Wisconsin, USAABSTRACT Glioblastoma multiforme (GBM) is the most common brain tumor in adults. Human cytomegalovirus (HCMV) genomes are present in GBM tumors, yielding hope that antiviral treatments could prove therapeutic and improve the poor prognosis of GBM patients. We discovered that GBM cells infected in vitro with HCMV display properties of cancer stem cells. HCMV-infected GBM cells grow more slowly than mock-infected controls, demonstrate a higher capacity for self-renewal determined by a sphere formation assay, and display resistance to the chemotherapeutic drug temozolomide. Our data suggest that HCMV, while present in only a minority of the cells within a tumor, could contribute to the pathogenesis of GBMs by promoting or prolonging stem cell-like phenotypes, thereby perpetuating tumors in the face of chemotherapy. Importantly, we show that temozolomide sensitivity is restored by the antiviral drug ganciclovir, indicating a potential mechanism underlying the positive effects observed in GBM patients treated with antiviral therapy. IMPORTANCE A role for HCMV in GBMs remains controversial for several reasons. Some studies find HCMV in GBM tumors, while others do not. Few cells within a GBM may harbor HCMV, making it unclear how the virus could be contributing to the tumor phenotype without infecting every cell. Finally, HCMV does not overtly transform cells in vitro. However, tumors induced by other viruses can be treated with antiviral remedies, and initial results indicate that this may be true for anti-HCMV therapies and GBMs. With such a poor prognosis for GBM patients, any potential new intervention deserves exploration. Our work here describes an evidence-based model for how HCMV could contribute to GBM biology while infecting very few cells and without transforming them. It also illuminates why anti-HCMV treatments may be beneficial to GBM patients. Our observations provide blueprints for future in vitro studies examining how HCMV manipulates stem cell-specific pathways and future clinical studies of anti-HCMV measures as GBM therapeutics.https://journals.asm.org/doi/10.1128/mSphere.00137-17brain cancercancerchemoresistancechemotherapyherpesvirus
spellingShingle Che Liu
Paul A. Clark
John S. Kuo
Robert F. Kalejta
Human Cytomegalovirus-Infected Glioblastoma Cells Display Stem Cell-Like Phenotypes
mSphere
brain cancer
cancer
chemoresistance
chemotherapy
herpesvirus
title Human Cytomegalovirus-Infected Glioblastoma Cells Display Stem Cell-Like Phenotypes
title_full Human Cytomegalovirus-Infected Glioblastoma Cells Display Stem Cell-Like Phenotypes
title_fullStr Human Cytomegalovirus-Infected Glioblastoma Cells Display Stem Cell-Like Phenotypes
title_full_unstemmed Human Cytomegalovirus-Infected Glioblastoma Cells Display Stem Cell-Like Phenotypes
title_short Human Cytomegalovirus-Infected Glioblastoma Cells Display Stem Cell-Like Phenotypes
title_sort human cytomegalovirus infected glioblastoma cells display stem cell like phenotypes
topic brain cancer
cancer
chemoresistance
chemotherapy
herpesvirus
url https://journals.asm.org/doi/10.1128/mSphere.00137-17
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AT paulaclark humancytomegalovirusinfectedglioblastomacellsdisplaystemcelllikephenotypes
AT johnskuo humancytomegalovirusinfectedglioblastomacellsdisplaystemcelllikephenotypes
AT robertfkalejta humancytomegalovirusinfectedglioblastomacellsdisplaystemcelllikephenotypes