2020
DOI: 10.1007/s00281-020-00787-z
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Epigenetic control in Kaposi sarcoma-associated herpesvirus infection and associated disease

Abstract: Kaposi sarcoma-associated herpesvirus (KSHV) is the etiologic agent of several malignancies of endothelial and B-cell origin. The fact that latently infected tumor cells in these malignancies do not express classical viral oncogenes suggests that pathogenesis of KSHV-associated disease results from multistep processes that, in addition to constitutive viral gene expression, may require accumulation of cellular alterations. Heritable changes of the epigenome have emerged as an important co-factor that contribut… Show more

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Cited by 27 publications
(36 citation statements)
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References 141 publications
(191 reference statements)
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“…Reports of KS lesions displaying variable percentage of KSHV infected (LANA positive) cells [2,4,22] point to the occurrence of KS-spindle cells that have lost the KSHV-episome. This is consistent with studies showing spontaneous KSHV-episome loss in cultures, and the proposed need of continuous re-infection in the KS-lesions and/or paracrine stimulation from infected cells [22,24,25]. Yet, since our studies have shown that the KSHV-episome is retained during tumor formation because it provides a growth advantage, the existence of KSHV-negative phospho-PDGFRA positive spindle cells in KS lesions also suggest the possibility of a virus-independent "hit and run" mechanisms of sarcomagenesis.…”
Section: Introductionsupporting
confidence: 91%
“…Reports of KS lesions displaying variable percentage of KSHV infected (LANA positive) cells [2,4,22] point to the occurrence of KS-spindle cells that have lost the KSHV-episome. This is consistent with studies showing spontaneous KSHV-episome loss in cultures, and the proposed need of continuous re-infection in the KS-lesions and/or paracrine stimulation from infected cells [22,24,25]. Yet, since our studies have shown that the KSHV-episome is retained during tumor formation because it provides a growth advantage, the existence of KSHV-negative phospho-PDGFRA positive spindle cells in KS lesions also suggest the possibility of a virus-independent "hit and run" mechanisms of sarcomagenesis.…”
Section: Introductionsupporting
confidence: 91%
“…KSHV pathogenesis is associated with the latent infection where the viral genome persists as a multi-copy circular genome, referred to as the episome, in the nucleus of an infected cell [ 3 , 4 ]. The viral episomes are subject to chromatin assembly and epigenetic regulation that restrict viral gene expression to only a few viral genes, yet remain poised for rapid reactivation to complete the viral life cycle [ 5 7 ]. During latency, viral transcription and replication depend on host machinery.…”
Section: Introductionmentioning
confidence: 99%
“…Similar epigenetic modulation has been observed in other virally-induced cancers such as B cell lymphoproliferative diseases by KSHV infection. In KSHV, several genes that function in epigenetic inactivation are suppressed by the interaction of LANA and DNA methyltransferase DNMT3a, LANA and TGF-β type II receptor, and KSHV miRNA induces oncogene expression [ 107 ]. Reversing the actions of viral-induced epigenetic modifications could provide alternative targets to eradicate infection.…”
Section: Viral Infection Epigenetics and Aberrant Splicingmentioning
confidence: 99%