Abstract Human papillomavirus (HPV) is the causative agent of 99% of cervical cancers, around 60% of which are caused by the high-risk type 16. While two of its three oncoproteins, E6 and E7, have been well characterized, the biological functions of the E5 protein remain elusive. Recent studies have suggested that E5 enhances HPV-induced oncogenesis, although in isolation it is not tumorigenic. In this study, we analyzed the gene expression changes induced by the endoplasmic reticulum (ER) resident HPV-16 E5 protein in primary human keratinocytes. Using real-time RT-PCR, we identified the downregulation of spliced X-box binding protein 1 (XBP-1), a key player in the ER-stress response, as a biochemical marker of E5 expression. The transmembrane kinase receptor responsible for the cleavage of XBP-1, ER-to-nucleus signaling 1 protein (IRE1α/ERN1), was also downregulated in E5-transduced cells. Furthermore, a microarray analysis of E5-transduced keratinocytes revealed the downregulation of another member of the ER-stress response pathway, prostaglandin G/H synthase and cyclooxygenase (COX-2/PTGS2). In addition, levels of COX-2 and XBP-1 were measured in keratinocytes expressing either low-risk HPV-6b E5 or a C-terminal 16E5 mutant containing a two amino acid mutation. The latter mutant had the histidine and alanine residues (conserved in the high-risk HPVs) replaced with tyrosine and isoleucine (conserved in the low-risk HPVs). Importantly, neither 6bE5 nor the H77YA78I 16E5 mutant was able to affect levels of these ER-stress response genes, suggesting that the ability to induce such changes in gene expression is specific to high-risk 16E5. Since preliminary data showed that expression of the E6 and E7 proteins in keratinocytes greatly induced XBP-1 splicing, we hypothesized that 16E5 might play a protective role against the host response to viral infection. In agreement with this postulate, we found that cells co-expressing E6, E7 and E5 had lower levels of COX-2 expression than cells expressing E6 and E7 alone. Interestingly, the levels of COX-2 in E6/E7-transduced cells were also supressed when compared to vector alone, suggesting that multiple pathways of COX-2 repression may exist. The mechanism by which E5 downregulates COX-2 is currently unknown, but it can be overcome by treatment with thapsigargin or tunicamycin, which initiate ER stress via calcium fluxes and abnormal protein glycosylation respectively. It is therefore unlikely that E5 is specifically tempering these pathways. Our data suggest a potential role for E5 in repressing the cellular ER-stress response following HPV infection. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr LB-112.
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