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利用相互关联的未折叠蛋白反应和NLRP3炎性小体途径重新激活弥漫性大B细胞淋巴瘤中的爱泼斯坦-巴尔病毒。

Leveraging the interconnected unfolded protein response and NLRP3 inflammasome pathways to reactivate Epstein-Barr virus in diffuse large B-cell lymphomas.

作者信息

Xu Huanzhou, Hutchinson Tarun E, Koganti Siva, Rousseau Beth A, Xia Daniel, McIntosh Michael T, Bhaduri-McIntosh Sumita

机构信息

Division of Infectious Diseases, Department of Pediatrics, University of Florida, Gainesville, FL 32610, United States.

Child Health Research Institute, Department of Pediatrics, University of Florida, Gainesville, FL 32610, United States.

出版信息

NAR Cancer. 2025 May 5;7(2):zcaf017. doi: 10.1093/narcan/zcaf017. eCollection 2025 Jun.

Abstract

Diffuse large B-cell lymphoma (DLBCL), when associated with Epstein-Barr virus (EBV) in immunocompromised individuals such as AIDS patients, presents a significant treatment challenge. Lytic induction therapy, which reactivates latent EBV to directly kill tumor cells and sensitize them to nucleoside analogs that block viral replication and immune clearance, offers promise. However, little is known about EBV reactivation in DLBCL. Here, we examined four EBV-positive DLBCL cell lines and found variable, cell-line-specific responses to lytic stimuli, with most showing an abortive response-either before or after genome replication, without virus release. This is in contrast to commonly studied lymphoma cells in which EBV reactivation typically leads to a full lytic cycle. Mechanistically, we show that the unfolded protein response (UPR), via a splice variant of the transcription factor XBP1, upregulates TXNIP and NLRP3, activating the inflammasome and removing a barrier to transcription of the EBV latent-to-lytic switch gene . Combining lytic induction with the nucleoside analog ganciclovir enhanced oncolytic cell death. This study identifies a pivotal link between two danger sensing pathways, the UPR and the inflammasome, in reactivating the virus resident in DLBCL and suggests that controlled lytic reactivation could provide a basis for EBV-targeted therapies to improve outcomes in this malignancy.

摘要

弥漫性大B细胞淋巴瘤(DLBCL)在免疫功能低下的个体(如艾滋病患者)中与爱泼斯坦-巴尔病毒(EBV)相关联时,会带来重大的治疗挑战。裂解诱导疗法有望解决这一问题,该疗法可重新激活潜伏的EBV,直接杀死肿瘤细胞,并使它们对阻断病毒复制和免疫清除的核苷类似物敏感。然而,对于DLBCL中EBV的重新激活知之甚少。在这里,我们检测了四种EBV阳性的DLBCL细胞系,发现它们对裂解刺激有可变的、细胞系特异性的反应,大多数表现为流产反应——要么在基因组复制之前,要么在基因组复制之后,且没有病毒释放。这与通常研究的淋巴瘤细胞形成对比,在这些细胞中,EBV重新激活通常会导致完整的裂解周期。从机制上讲,我们表明未折叠蛋白反应(UPR)通过转录因子XBP1的一个剪接变体上调TXNIP和NLRP3,激活炎性小体,并消除EBV潜伏-裂解开关基因转录的障碍。将裂解诱导与核苷类似物更昔洛韦联合使用可增强溶瘤细胞死亡。这项研究确定了两条危险感应途径——UPR和炎性小体——在重新激活DLBCL中驻留的病毒方面的关键联系,并表明可控的裂解重新激活可为针对EBV的疗法提供基础,以改善这种恶性肿瘤的治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a099/12051106/5b857ea710b4/zcaf017figgra1.jpg

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