As discussed in various
posts before, viral proteins interfere with autophagy at various points to
promote viral replication either by subverting the cellular autophagy machinery
to form replication centers, to prevent the presentation of viral antigen via
the MHC Class -I/-II complex, interfere with antiviral signalling or to prevent
the degradation of viral proteins and thus increase viral replication. The localisation of viral proteins to the ER
can induce ER stress and thus promote autophagy, thus counteracting or delaying
apoptosis, whereas other viral proteins derived from the same virus inhibit the
fusion with the lysosome or prevent the maturation of the autophagosome by
various mechanisms including binding to Beclin-1. Deregulation of autophagy however is not
limited to cells infected with viruses or bacteria but can also be observed in
human cancers. In the context of infection of cells with oncogenic viruses, interference with the autophagy pathway has been documented for
proteins derived from a variety of oncogenic viruses, including but not limited
to proteins encoded by Human T-Cell Leukemia/Lymphoma Virus-1 (HTLV-1), JC
virus (JCV), BK polyomavirus (BKPyV), Epstein-Barr virus (EBV), Kaposi’s
Sarcoma-Associated Herpesvirus (KSHV), Hepatitis B virus (HBV), and Hepatitis C
virus (HCV). Akin to the infection of cells with positive strand RNA viruses,
the induction of autophagy can have positive effects (e.g. BKPyV) or negative
effects (e.g. JCV) on viral replication. Since the expression of viral
oncoprotein commonly also induces the DNA damage response and thus might
promote autophagy via increasing the expression of pro-autophagy genes in a
p53-dependent manner as discussed before, oncogenic viruses the regulation of
autophagy might contribute to the transformation of cells both in vitro and in
vivo.
Kaposi Sarcoma-
Associated Herpesvirus (KSHV) - also known as Human Herpesvirus 8 (HHV8) - is
the causative agent of Kaposi’s Sarcoma (KS), a cancer associated with
prominent cutaneous lesions. Being a Herpesvirus, KSHV is a large dsDNA virus
with genome of approx. 165 kb in size. An amorphous protein layer, the
tegument, surrounds the capsid and a lipid envelope derived from the cellular
plasma membrane. The genome itself encodes for a number of viral variants of
cellular proteins including Cyclin D (v-Cyclin D), Flice inhibitory protein
(v-FLIP), and Bcl-2 (v-Bcl2) as well as Latency-associated nuclear antigen
(LANA) which has a p53 binding activity that are required for the
transformation of primary spindle cells infected with KSHV into tumour cells.
v-Cyclin D and v-Bcl2
v-Cyclin D is a
homologue of the cellular Cyclin D and as such forms an active holoenzyme with
both Cyclin dependent kinases (CDK) -4
and -6. Unlike cellular Cyclin D however, v-Cyclin D also associates with CDK-2
and CDK-9 in addition to having a broader substrate range than cellular Cyclin
D. Complexes of v-Cyclin D and CDK-6 are also refractory to Cip/Kip and INK4
families of Cyclin-dependent kinase inhibitors (CKIs). Consequently, v-Cyclin D
has been demonstrated to increase DNA synthesis via phosphorylation of Orc1 and
Cdc6 in tumour cell lines whilst inducing the DNA damage response via
activation of the ATM-Chk2 pathway in hTERT immortalised and primary human
dermal microvascular endothelial cells
(HDMEC) as evidenced by increase in γH2AX and 53BP1 positive foci.
Similar to HDMEC expressing H-RasV12 , the expression of induces
either autophagy dependent apoptosis or an irreversible cell cycle arrest known
as oncogene-induced senescence (OIS).
As discussed before the
activation of p53 by various pathways, including ATM and ATR, induces the
formation of the autophagosome by increasing the expression of several genes,
including DRAM and Sestrin-1. In the case of KSHV v-Cyclin D, in TIME cells
expressing v-Cyclin D, increased levels of DRAM and Sestrin-1 have been
observed as well as increased levels of p53 phosphorylated at Ser-15,
indicating that the expression of KSHV v-Cyclin D induces autophagy via
activation of p53 by ATM but not ATR. Interestingly, the expression of LANA
does not counteract v-Cyclin D induced autophagy, reflecting experimental data
that only a small amount of LANA binds p53.
Since the induction of
autophagy by H-RasV12 has been linked to the
induction of OIS, the expression of v-Cyclin D may also induce OIS by a similar
mechanism. KSHV infected cells however do not display OIS, suggesting that the
viral genome encodes proteins inhibiting autophagy. One of these proteins is
v-Bcl2 which similar to cellular Bcl-2 binds Beclin-1 and thus prevents the
formation of the phagophore. In the case of v-Bcl2 derived from the murine
γ-Herpesvirus 68 (γHV68), a mutant variant of γHV68 which expresses a v-Bcl2
variant that does not bind Beclin-1 does not maintain a chronic infection in
mice whereas a mutant unable to bind the pro-apoptotic Bak protein establishes
chronic infections comparable to wt
virus, indicating that the ability to inhibit autophagy is required to
establish a chronic infection. In the case of KSHV v-Bcl2, cellular assays
indicate that v-Bcl2 does not bind Bak but in vitro studies using purified
proteins suggest that v-Bcl2 can bind Bak.
The importance of inhibiting autophagy in KSHV infected cells is further highlighted by data indicating that in HEK 293T cells infected with KSHV the viral replication and transcription activator (RTA) encoded by KSHV ORF 50 increases the expression of cellular Bcl-2 following KSHV reactivation; indeed in cells transfected with shRNA targeting cellular Bcl-2, increased apoptosis and decreased viral replication can be observed (if the formation of autophagosomes is decreased as well has not been investigated).If similar to EBV RTA the expression of other autophagy related genes is also induced remains to be seen.
Inhibition of v-Cyclin D induced autophagy by v-Bcl2 and vFLIP prevents OIS |
The importance of inhibiting autophagy in KSHV infected cells is further highlighted by data indicating that in HEK 293T cells infected with KSHV the viral replication and transcription activator (RTA) encoded by KSHV ORF 50 increases the expression of cellular Bcl-2 following KSHV reactivation; indeed in cells transfected with shRNA targeting cellular Bcl-2, increased apoptosis and decreased viral replication can be observed (if the formation of autophagosomes is decreased as well has not been investigated).If similar to EBV RTA the expression of other autophagy related genes is also induced remains to be seen.
v-FLIP
The viral Fas-associated
death domain-like interleukin-1β (IL-1β)-converting enzyme-inhibitory protein
(vFLIP) has been postulated to bind to caspase-8 -and thus prevent
caspase-8/Fas mediated apoptosis- although the initial results could not be
confirmed in transgenic mice expressing vFLIP. Instead, vFLIP has been shown to
regulatory components of the IκB kinase signalosome (in particular NEMO and
IKKαβγ), inducing the expression of anti-apoptotic proteins such as cellular
inhibitor of apoptosis (cIAP)-1 and -2 as well as c-FLIP via NF-κB dependent
signaling pathways inducing the expression of cytokines. Unlike cFLIP, binding
of vFLIP to NEMO is independent of TRAF thus constitutively activating NF-κB
signalling pathways.
Inducing autophagy of a
lymphoma cell line positive for KSHV, BCBL-1, and HEK 293T cells expressing a
KSHV-ΔvFLIP construct by Rapamycin treatment induces growth arrest and
autophagy-induced apoptosis, which can be attenuated by transfection of
Beclin-1 siRNA, indicating that the induction of autophagy by KSHV is indeed
sufficient to induce apoptosis. Autophagy induced cell death however can also
be prevented by transfection of plasmids allowing the expression of wt vFLIP or mutant vFLIP carrying a deletion
of the Fas-Associated protein with Death Domain (FADD), indicating that
the ability of vFLIP to bind caspase-8 is not required for preventing
apoptosis. Human NIH 3T3 and HCT 116 cells or murine MEF expressing vFLIP
derived from KSHV, Herpesvirus Saimiri (HSV), or Molluscum contagiosum virus (MCV) were able to prevent starvation induced autophagy
and NIH 3T3 cells expressing an inducible Trex-BCBL-vFLIP plasmid reduced the
formation of autophagosomes (as well as
growth arrest and apoptosis) compared to cells expressing the Trex-BCBL
plasmid following Rapamycin treatment, indicating that vFLIP indeed is
sufficient to inhibit autophagy. When immunoprecipated, KSHV vFLIP was shown to
bind Atg3 via an Atg3 binding domain, thus preventing the conversion of LC3-I
to LC3-II; accordingly, the expression of vFLIP whilst not preventing the
formation of LC3-I positive autophagic vesicles inhibits the formation of
LC3-II positive autophagosomes. Taken together with v-Bcl2 however the
expression of both proteins together should prevent the formation of
autophagy-related vesicles.
Since the expression of KSHV
v-Cyclin D induces autophagy -and thus OIS- as discussed above, the expression
of both v-Bcl2 and vFLIP counteracts OIS, allowing increased cell
proliferation. It should be noted however that preventing OIS also leads to a
mitotic catastrophe and aberrant centrosome duplication, both which are common
features of tumour cells and indeed can be observed in KSHV infected cells.
Inhibiting autophagy however also inhibits the secretion of cytokines as well
as preventing the expression of viral latent proteins. It should be noted that
the ectopic expression of a DED1 alpha2-helix ten amino-acid (alpha2) peptide
or a DED2 alpha4-helix twelve amino-acid (alpha4) peptide containing the
vFLIP-Atg3 binding domain in KSHV infected cells induces autophagy and autophagy
associated apoptosis probably by sequestering vFLIP, preventing the interaction
of vFLIP with Atg3.
vFLIP and autophagy:inhibition via binding to ATG3 |
Recent data indicate that the inhibition of autophagy KSHV vFLIP in endothelial Long-Term-Infected Telomerase-Immortalized Endothelial Cells (TIVE-LTC), leads to an accumulation of Ser-403 phosphorylated p62/SQSTM-1 in the cytoplasm. As discussed before, Ser-403 phosphorylated p62/SQSTM-1 can induce the ubquitinylation of Keap1 and its degradation via the proteasome concomitant with stabilisation and clear translocation of Nrf2. Indeed, vFLIP induces the nuclear translation of Nrf2 in TIVE-LTC cells as well as induction of genes related to angiogenesis, inflammation, and the antioxidant response. In TIVE-LTC the stabilisation of Nrf2 is increased via vFLIP mediated activation of PKCζ via cycloxygenase-2 (COX-2)/PGE-2 mediated signalling pathways. It remains to be seen however if the expression of the vFLIP-Atg3 binding domain can reverse the increase of Nrf2 by stimulating p62/SQSTM-1 dependent selective autophagy.
v-Cyclin D, v-Bcl2,
vFLIP are however not the only KSHV proteins interfering with autophagy.
Proteins which induce the formation of the phagophore include the K1, vIL-6,
and a viral G protein coupled receptor (vGPCR) of KSHV, all of which activate
the Phosphoinositide 3kinase (PI3K)– AKT–mTORC1 pathway and the ORF45 protein
has been shown to contribute to the activation of mTORC1 in lymphatic
endothelial cells by activating the ERK2–RSK1–TSC2 pathway. KSHV K7 inhibits the maturation of autophagosomes by binding Rubicon thus preventing the fusion of the autophagosome with the lysosome.
The expression of K7, vBcl-2 and vFLIP
therefore is central to the ability of KSHV to evade antiviral signalling
pathways whilst maintaining signalling required for cellular survival and
proliferation.
Another viral protein, ORF 57, has been shown to increase the
expression of X-linked inhibitor of apoptosis (XIAP). Interestingly, XIAP has
been linked to autophagy inhibition via degradation of Mdm2 and stabilization
of p53 in serum starved MEF, which has been linked to increased tumourgenesis
in mice. The question remains if this is also true for cells –murine or human-
expressing KSHV or the murine γHV68. Interestingly, the expression of Rhesus monkey rhadinovirus (RRV) derived vFLIP in Hela as well as in RRV infected BJAB cells inhibits apoptosis whilst increasing the formation of LC3-II positive autophagosomes. So far however a smilier effect has not been reported in cells derived from rabbits.
Further reading
Silva LM, & Jung JU (2013). Modulation of the autophagy pathway by human tumor viruses. Seminars in cancer biology, 23 (5), 323-8 PMID: 23727156
Sariyer IK, Merabova N, Patel PK, Knezevic T, Rosati A, Turco MC, & Khalili K (2012). Bag3-induced autophagy is associated with degradation of JCV oncoprotein, T-Ag. PloS one, 7 (9) PMID: 22984599
Bouley SJ, Maginnis MS, Derdowski A, Gee GV, O'Hara BA, Nelson CD, Bara AM, Atwood WJ, & Dugan AS (2014). Host cell autophagy promotes BK virus infection. Virology, 456-457, 87-95 PMID: 24889228
Leidal AM, Cyr DP, Hill RJ, Lee PW, & McCormick C (2012). Subversion of autophagy by Kaposi's sarcoma-associated herpesvirus impairs oncogene-induced senescence. Cell host & microbe, 11 (2), 167-80 PMID: 22341465
Pratt ZL, & Sugden B (2012). How human tumor viruses make use of autophagy. Cells, 1 (3), 617-30 PMID: 24710493
Pekkonen P, Järviluoma A, Zinovkina N, Cvrljevic A, Prakash S, Westermarck J, Evan GI, Cesarman E, Verschuren EW, & Ojala PM (2014). KSHV viral cyclin interferes with T-cell development and induces lymphoma through Cdk6 and Notch activation in vivo. Cell cycle (Georgetown, Tex.), 13 (23), 3670-84 PMID: 25483078
Zhi H, Zahoor MA, Shudofsky AM, & Giam CZ (2014). KSHV vCyclin counters the senescence/G1 arrest response triggered by NF-κB hyperactivation. Oncogene PMID: 24469036
E X, Hwang S, Oh S, Lee JS, Jeong JH, Gwack Y, Kowalik TF, Sun R, Jung JU, & Liang C (2009). Viral Bcl-2-mediated evasion of autophagy aids chronic infection of gammaherpesvirus 68. PLoS pathogens, 5 (10) PMID: 19816569
Münz C (2011). Beclin-1 targeting for viral immune escape. Viruses, 3 (7), 1166-78 PMID: 21994775
Wirawan E, Lippens S, Vanden Berghe T, Romagnoli A, Fimia GM, Piacentini M, & Vandenabeele P (2012). Beclin1: a role in membrane dynamics and beyond. Autophagy, 8 (1), 6-17 PMID: 22170155
Su M, Mei Y, Sanishvili R, Levine B, Colbert CL, & Sinha S (2014). Targeting γ-herpesvirus 68 Bcl-2-mediated down-regulation of autophagy. The Journal of biological chemistry, 289 (12), 8029-40 PMID: 24443581
Wen HJ, Yang Z, Zhou Y, & Wood C (2010). Enhancement of autophagy during lytic replication by the Kaposi's sarcoma-associated herpesvirus replication and transcription activator. Journal of virology, 84 (15), 7448-58 PMID: 20484505
Santarelli R, Gonnella R, Di Giovenale G, Cuomo L, Capobianchi A, Granato M, Gentile G, Faggioni A, & Cirone M (2014). STAT3 activation by KSHV correlates with IL-10, IL-6 and IL-23 release and an autophagic block in dendritic cells. Scientific reports, 4 PMID: 24577500Wen HJ, Yang Z, Zhou Y, & Wood C (2010). Enhancement of autophagy during lytic replication by the Kaposi's sarcoma-associated herpesvirus replication and transcription activator. Journal of virology, 84 (15), 7448-58 PMID: 20484505
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Kalt I, Borodianskiy-Shteinberg T, Schachor A, & Sarid R (2010). GLTSCR2/PICT-1, a putative tumor suppressor gene product, induces the nucleolar targeting of the Kaposi's sarcoma-associated herpesvirus KS-Bcl-2 protein. Journal of virology, 84 (6), 2935-45 PMID: 20042497
Ritthipichai K, Nan Y, Bossis I, & Zhang Y (2012). Viral FLICE inhibitory protein of rhesus monkey rhadinovirus inhibits apoptosis by enhancing autophagosome formation. PloS one, 7 (6) PMID: 22745754
Lee JS, Li Q, Lee JY, Lee SH, Jeong JH, Lee HR, Chang H, Zhou FC, Gao SJ, Liang C, & Jung JU (2009). FLIP-mediated autophagy regulation in cell death control. Nature cell biology, 11 (11), 1355-62 PMID: 19838173
Gjyshi O, Flaherty S, Veettil MV, Johnson KE, Chandran B, & Bottero V (2014). Kaposi's Sarcoma-Associated Herpesvirus Induces Nrf2 Activation in Latently-Infected Endothelial Cells Through SQSTM1 Phosphorylation and Interaction with Polyubiquitinated Keap1. Journal of virology PMID: 25505069
Liang Q, Chang B, Brulois KF, Castro K, Min CK, Rodgers MA, Shi M, Ge J, Feng P, Oh BH, & Jung JU (2013). Kaposi's sarcoma-associated herpesvirus K7 modulates Rubicon-mediated inhibition of autophagosome maturation. Journal of virology, 87 (22), 12499-503 PMID: 24027317
Liang C, Oh BH, & Jung JU (2015). Novel functions of viral anti-apoptotic factors. Nature reviews. Microbiology, 13 (1), 7-12 PMID: 25363821
Nishimura K, Ueda K, Guwanan E, Sakakibara S, Do E, Osaki E, Yada K, Okuno T, & Yamanishi K (2004). A posttranscriptional regulator of Kaposi's sarcoma-associated herpesvirus interacts with RNA-binding protein PCBP1 and controls gene expression through the IRES. Virology, 325 (2), 364-78 PMID: 15246275
Huang X, Wu Z, Mei Y, & Wu M (2013). XIAP inhibits autophagy via XIAP-Mdm2-p53 signalling. The EMBO journal, 32 (16), 2204-16 PMID: 23749209
Lambert PJ, Shahrier AZ, Whitman AG, Dyson OF, Reber AJ, McCubrey JA, & Akula SM (2007). Targeting the PI3K and MAPK pathways to treat Kaposi's-sarcoma-associated herpes virus infection and pathogenesis. Expert opinion on therapeutic targets, 11 (5), 589-99 PMID: 17465719
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