34Sustained phosphotinositide3-kinase (PI3K) signaling is critical to the maintenance of 35 herpesvirus latency. We have previously shown that the beta-herpesvirus, human 36 cytomegalovirus (CMV), regulates epidermal growth factor receptor (EGFR), upstream of PI3K, 37 to control states of latency and reactivation. Inhibition of EGFR signaling enhances CMV 38 reactivation from latency and increases viral replication, but the mechanisms by which EGFR 39 impacts replication and latency is not known. We demonstrate that HCMV downregulates 40 MEK/ERK and AKT phosphorylation, but not STAT3 or PLCγ for productive replication. 41Similarly, inhibition of either MEK/ERK or PI3K/AKT, but not STAT or PLCγ, pathways increases 42 viral reactivation from latently infected CD34 + hematopoietic progenitor cells (HPCs), defining a 43 role for these pathways in latency. We hypothesized that CMV modulation of EGFR signaling 44 might impact viral transcription. Indeed, EGF-stimulation increased expression of the UL138 45 latency gene, but not immediate early or early viral genes, suggesting that EGFR signaling 46 promotes latent gene expression. The early growth response-1 (EGR1) transcription factor is 47 induced downstream of EGFR signaling through both PI3K/AKT and MEK/ERK pathways. 48 EGR1 expression is important for the maintenance of HPC stemness and its downregulation 49 drives HPC differentiation and mobilization. We demonstrate that EGR1 binds upstream of 50 UL138 and is sufficient to promote UL138 expression. Further, disruption of EGR1 binding 51 upstream of UL138 prevented CMV from establishing a latent infection in CD34 + HPCs. Our 52 results indicate a model whereby UL138 modulation of EGFR signaling feeds back to promote 53 UL138 expression and suppression of replication to establish or maintain viral quiescence. 54 55 AUTHOR SUMMARY 56 Buehler et al. 3CMV regulates EGFR signaling to balance states of viral latency and replication. CMV blocks 57 downstream PI3K/AKT and MEK/ERK signaling pathways through down-regulation of EGFR at 58 the plasma membrane. PI3K/AKT and MEK/ERK signaling increases expression of the EGR1 59 transcription factor that is necessary for the maintenance of stem cell stemness. A decrease in 60 EGR1 expression promotes HPC mobilization to the periphery and differentiation, a known 61 stimulus for CMV reactivation. We identified functional EGR1 binding sites upstream of the 62 UL138 gene and EGR-1 binding stimulates UL138 expression. Additionally, down-regulation of 63 EGR1 by CMV miR-US22 decreases UL138 expression emphasizing the importance of this 64 transcription factor in expression of this latency gene. Lastly, we demonstrate that a CMV 65 mutant virus lacking an upstream EGR1 binding site is unable to establish latency in CD34 + 66HPCs. This study defines one mechanism by which EGFR signaling impacts viral gene 67 expression to promote CMV latency. 68
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129CMV downregulates total and cell surface levels of EGFR. We previously demonstrated that 130 CMV modulates EGFR total and cell s...