Infectious Agents Associated Cancers Epidemiology and Molecular Biology

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episome from generation to generation [ 105 , 106 ]. The C-terminal DNA-binding


domain of LANA interacts with the host TR sequences to initiate semiconservative


replication by recruiting the host cell origin recognition complex (ORC) and mini-


chromosome maintenance (MCM) proteins, whereas the N-terminal chromosomal


binding domain enhances this latent replication process [ 107 ]. LANA has also been


reported to bind to several viral promoters and suppress viral lytic gene transcrip-


tion to maintain the latent process. For example, LANA can inactivate the intracel-


lular domain of Notch (ICN), which mediates transactivation of ORF50/replication


and transcription activator (RTA) and interacts with RBP-Jk, located in the pro-


moter of RTA, to repress the function of RTA, thereby preventing lytic reactivation


[ 108 ]. In addition to maintaining the KSHV latent genome, LANA also binds and


interacts with multiple cellular proteins, such as the tumor suppressors Rb and p53


to partly inactivate their functions [ 109 ]. Meanwhile, LANA can impact host gene


expression by interacting with certain transcription factors including ATF4/CREB2


and CPB [ 110 ]. In conclusion, LANA is a multifunctional protein that plays a cen-


tral role in the establishment and maintenance of viral latency.


v-Cyclin, the product of ORF72, shares 54% homology and 32% identity with

cellular cyclin D2, which binds and activates cellular cyclin-dependent kinase 6


(CDK6) to regulate cell cycle progression and proliferation [ 111 , 112 ]. v-Cyclin


forms a complex with CDK6 to mediate Rb phosphorylation and activation of p27


and histone H1 [ 113 ]. Although the exact role of this viral protein in the regulation


of KSHV latency is not fully understood, studies indicate that v-cyclin can interact


with CDK6, and the v-cyclin-CDK6 complex participates in mediating the


phosphorylation of nucleophosmin (NPM), promoting the interaction between


NPM and LANA and the recruitment of HDAC1 to maintain KSHV latency [ 114 ].


In addition, v-cyclin might induce apoptosis through the inactivation of the anti-


apoptotic factor BCL2, and the expression of v-cyclin is low during latency, which


prevents KSHV- triggered apoptosis [ 115 , 116 ]. In a similar functional relationship


to that of murine gammaherpesvirus 68 (MHV68) v-cyclin, KSHV v-cyclin modu-


lates the latent- lytic switch [ 117 ].


ORF71/vFLIP, also referred to as K13, is homologous with cellular FLICE [Fas-

associated death domain (FADD)-like interleukin-1 beta-converting enzyme, now


called caspase-8] [ 118 , 119 ]. vFLIP activates the NF-κB pathway through two


approaches: direct upregulation of the antiapoptotic transcription factor NF-κB and


binding to the inhibitor of NEMO (also referred to as IKK-gamma) [ 120 , 121 ].


NF-κB activation can hinder lytic gene expression, whereas NF-κB inactivation can


induce lytic reactivation. Therefore, vFLIP plays a critical role in maintaining


KSHV latency and promoting cell proliferation and survival [ 122 ]. Moreover,


vFLIP can also activate the JNK signal pathway by binding to RIP and TRAF2


upstream of IKK [ 123 ].


Kaposin, also known as K12, is composed of at least three proteins named

kaposin A, B, and C, which show differential translation initiation [ 104 ]. Kaposin


A is located in intracellular membranes and the plasma membrane and has the


potential to transform rodent fibroblasts, and the resulting cell lines form tumors in


nude mice. Kaposin B is a small soluble nuclear protein that can bind and activate


7 KSHV Epidemiology and Molecular Biology

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