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Blood, 15 October 2005, Vol. 106, No. 8, pp. 2790-2797.
Prepublished online as a Blood First Edition Paper on June 23, 2005; DOI 10.1182/blood-2005-04-1390.
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Submitted April 5, 2005
Accepted June 12, 2005
Human herpesvirus 8 enhances human immunodeficiency virus replication in acutely infected cells and induces reactivation in latently infected cells
Elisabetta Caselli, Monica Galvan, Enzo Cassai, Arnaldo Caruso, Laura Sighinolfi, and Dario Di Luca*
Section of Microbiology, Department of Experimental and Diagnostic Medicine, University of Ferrara, Ferrara, Italy
Chair of Microbiology, University of Brescia, Brescia, Italy
Division of Infectious Diseases, S. Anna Hospital, Ferrara, Italy
* Corresponding author; email: ddl{at}unife.it.
Human herpesvirus-8 (HHV-8) is etiologically associated with Kaposi's sarcoma (KS), the most common AIDS-associated malignancy. Previous results indicate that the HHV-8 viral transactivator ORF50 interacts synergistically with Tat protein in the transactivation of Human Immunodeficiency Virus (HIV) LTR, leading to increased cell susceptibility to HIV infection. Here, we analyze the effect of HHV-8 infection upon HIV replication in monocyte-macrophage and endothelial cells, as potential targets of coinfection. Primary or transformed monocytic and endothelial cells were infected with a cell free HHV-8 inoculum and subsequently infected with lymphotropic or monocytotropic strains of HIV. The results show that HHV-8 coinfection markedly increases HIV replication in both cell types. HHV-8 infection induces also HIV reactivation in chronically infected cell lines and in PBMCs from asymptomatic HIV patients, suggesting the possibility that similar interactions might take place also in vivo. Furthermore, coinfection is not an essential condition, since contiguity of differently infected cells is sufficient for HIV reactivation. The results suggest that HHV-8 might be a cofactor for HIV progression and that HHV-8 infected endothelial cells might play a relevant role in transendothelial HIV spread.

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