ER stress activates lytic gene expression in KSHV-associated tumor cell lines

Abstract

Background Activating the herpesvirus lytic replication cycle presents an opportunity for targeted therapy. We explored the effects of endoplasmic reticulum (ER) stress inducers on Kaposi’s sarcoma herpesvirus (KSHV) lytic activation in primary effusion lymphoma (PEL) cell lines. We included nelfinavir (an HIV-1 protease inhibitor) in our investigations because it has been reported to induce ER stress in various tumor cell lines [1]. Treatment with bortezomib, thapsigargin or nelfinavir resulted in increased expression of ER stress markers such as activating transcription factor 4 (ATF-4) and the spliced form of X-box binding protein 1 (XBP-1(s) (see figure 1). Treatment was also associated with an increase in RNA expression of the KSHV immediate early “replication and transcriptional activator” (RTA) (see figure 2). To determine whether ER stress mediated KSHV lytic reactivation associated with these agents, we prepared doxycycline-activated short hairpin RNA knockdowns of ER stress genes (Grp78 and XBP-1(s)). Treatment of these knockdowns with doxycycline for 72 hours resulted in inhibition of ER stress and inhibition of viral lytic gene expression.