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Blood, 1 November 2004, Vol. 104, No. 9, pp. 2903-2911.
Prepublished online as a Blood First Edition Paper on July 1, 2004; DOI 10.1182/blood-2003-12-4436.
Previous Article | Next Article 
Submitted December 31, 2003
Accepted June 16, 2004
The small GTPase Rac1 links the Kaposi's sarcoma-associated herpesvirus vGPCR to cytokine secretion and paracrine neoplasia
Silvia Montaner, Akrit Sodhi, Joan-Marc Servitja, Amanda K Ramsdell, Ana Barac, Earl T Sawai, and J S Gutkind*
Oral and Pharyngeal Cancer Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA
Department of Medical Pathology and Comparative Pathology Graduate Group, University of California at Davis, Davis, CA, USA
* Corresponding author; email: sg39v{at}nih.gov.
Kaposi's sarcoma (KS) is a multifocal angioproliferative neoplasm strictly dependent on angiogenic growth factors and cytokines and invariably associated with infection by the Kaposi's sarcoma-associated herpesvirus (KSHV/HHV-8). A G protein-coupled receptor encoded by KSHV (vGPCR) is able to initiate KS-like tumors when targeted to the vascular endothelium of mice. Analogous to human KS, vGPCR sarcomagenesis involves the paracrine secretion of angiogenic growth factors and pro-inflammatory molecules from vGPCR-expressing cells. Here we demonstrate that vGPCR upregulates expression and secretion of critical KS cytokines by stimulating key transcription factors, including NF B, AP-1, and NFAT, through the activation of the small G protein Rac1. Inhibition of Rac1 blocked vGPCR-induced transcription and secretion of KS cytokines, including IL-6, IL-8 and GRO , in vitro, and reduced vGPCR tumorigenesis in vivo. Moreover, endothelial-specific infection with the constitutively-active Rac1 QL induced vascular lesions in mice that were remarkably similar to early vGPCR experimental lesions. These results identify Rac1 as a key mediator of vGPCR paracrine neoplasia, suggesting that this small G protein and its downstream effectors may represent suitable therapeutic targets for the treatment of KS.

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