Abstract

APE1 is a multifunctional protein with a DNA base excision repair function in its C-terminal domain and a redox activity in its N-terminal domain. The redox function of APE1 converts certain transcription factors from inactive oxidized to active reduced forms. Given that among the APE1-regulated transcription factors many are critical for KSHV replication and pathogenesis, we investigated whether inhibition of APE1 redox function blocks KSHV replication and Kaposi’s sarcoma (KS) phenotypes. With an shRNA-mediated silencing approach and a known APE-1 redox inhibitor, we demonstrated that APE1 redox function is indeed required for KSHV replication as well as KSHV-induced angiogenesis, validating APE1 as a therapeutic target for KSHV-associated diseases. A ligand-based virtual screening yielded a small molecular compound, C10, which is proven to bind to APE1. C10 exhibits low cytotoxicity but efficiently inhibits KSHV lytic replication (EC50 of 0.16 μM and selective index of 165) and KSHV-mediated pathogenic phenotypes including cytokine production, angiogenesis and cell invasion, demonstrating its potential to become an effective drug for treatment of KS.

Highlights

  • Kaposi’s sarcoma-associated herpesvirus (KSHV), termed human herpesvirus type 8 (HHV8), is a member of the γ-herpesviridae subfamily

  • We showed that the redox function of apyrimidinic endonuclease 1 (APE1) is absolutely required for KSHV replication, virally induced cytokine secretion and angiogenesis

  • Blockade of APE1 expression or inhibition of APE1 redox activity led to inhibition of KSHV replication and reduction of cytokine release and angiogenesis

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Summary

Introduction

Kaposi’s sarcoma-associated herpesvirus (KSHV), termed human herpesvirus type 8 (HHV8), is a member of the γ-herpesviridae subfamily. This virus has been proven to be the etiological agent of Kaposi’s sarcoma (KS) [1]. Almost 100% of KS lesions, regardless of their source or clinic subtype (i.e., classic, AIDS-associated, African endemic, and post transplant KS), are infected with KSHV. KS is the most common malignancy associated with HIV-infection. KSHV is associated with two lymphoproliferative diseases, namely primary effusion lymphoma (PEL) [3] and multicentric Castleman’s disease (MCD) [4]. There is no definitive cure for KS and other KSHV-associate diseases

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