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Blood, 15 May 2001, Vol. 97, No. 10, pp. 3244-3250
NEOPLASIA
Hypoxia induces lytic replication of Kaposi
sarcoma-associated herpesvirus
David A. Davis,
Andrea S. Rinderknecht,
J. Paul Zoeteweij,
Yoshiyasu Aoki,
Elizabeth L. Read-Connole,
Giovanna Tosato,
Andrew Blauvelt, and
Robert Yarchoan
From the HIV and AIDS Malignancy Branch, the
Dermatology Branch, and the Medicine Branch, National Cancer Institute,
National Institutes of Health, Bethesda, MD.
There is substantial evidence that Kaposi sarcoma-associated
herpesvirus (KSHV) plays an important role in the pathogenesis of all
forms of Kaposi sarcoma (KS). It has been noted that KS commonly occurs
in locations, such as the feet, where tissue may be poorly oxygenated.
On the basis of this observation, the potential role of hypoxia in the
reactivation of KSHV replication was explored by studying 2 KSHV-infected primary effusion lymphoma B-cell lines (BC-3 and BCBL-1)
latently infected with KSHV. Acute and chronic exposure of these cells
to hypoxia (1% O2) induced KSHV lytic replication, as
indicated by an increase in intracellular lytic protein expression and
detection of virus in cell supernatants by Western immunoblotting. In
addition, hypoxia increased the levels of secreted viral
interleukin-6. Moreover, hypoxia enhanced the lytic replication
initiated by the viral inducer 12-O-tetradecanoylphorbol-13-acetate. Desferoxamine and cobalt chloride, 2 compounds that increase the intracellular levels of hypoxia-inducible factor 1, were also able to
induce KSHV lytic replication. These studies suggest that hypoxia is an
inducer of KSHV replication. This process may play an important role in
the pathogenesis of KS.

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