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Blood, 15 April 2001, Vol. 97, No. 8, pp. 2374-2380
IMMUNOBIOLOGY
Targeted inhibition of calcineurin signaling blocks
calcium-dependent reactivation of Kaposi sarcoma-associated
herpesvirus
J. Paul Zoeteweij,
Ashlee
V. Moses,
Andrea S. Rinderknecht,
David A. Davis,
Willem W. Overwijk,
Robert Yarchoan,
Jan M. Orenstein, and
Andrew Blauvelt
From the Dermatology Branch, the HIV and AIDS
Malignancy Branch, and the Surgery Branch, National Cancer Institute,
Bethesda, MD; the Department of Molecular Microbiology and Immunology,
Oregon Health Sciences University, Portland, OR; and the Pathology
Department, George Washington University, Washington, DC.
Kaposi sarcoma-associated herpesvirus (KSHV) is associated with
KS, primary effusion lymphoma (PEL), and multicentric Castleman disease. Reactivation of KSHV in latently infected cells and subsequent plasma viremia occur before the development of KS. Intracellular signaling pathways involved in KSHV reactivation were studied. In
latently infected PEL cells (BCBL-1), KSHV reactivation in single cells
was determined by quantitative flow cytometry. Viral particle
production was determined by electron microscope analyses and detection
of minor capsid protein in culture supernatants. Agents that mobilized
intracellular calcium (ionomycin, thapsigargin) induced expression of
KSHV lytic cycle-associated proteins and led to increased virus
production. Calcium-mediated virus reactivation was blocked by specific
inhibitors of calcineurin-dependent signal transduction (cyclosporine,
FK506). Similarly, calcium-mediated virus reactivation in KSHV-infected
dermal microvascular endothelial cells was blocked by cyclosporine.
Furthermore, retroviral transduction with plasmid DNA encoding VIVIT, a
peptide specifically blocking calcineurin-NFAT interactions, inhibited
calcium-dependent KSHV reactivation. By contrast, chemical induction of
lytic-phase infection by the phorbol ester
12-O-tetradecanoyl-phorbol-13-acetate was blocked by
protein kinase C inhibitors, but not by calcineurin inhibitors. In
summary, calcineurin-dependent signal transduction, an important
signaling cascade in vivo, induces calcium-dependent KSHV replication,
providing a possible target for the design of antiherpesvirus
strategies in KSHV-infected patients.

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