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The Journal of Immunology, 2001, 167: 505-513.
Copyright © 2001 by The American Association of Immunologists

Kaposi’s Sarcoma-Associated Herpesvirus G Protein-Coupled Receptor Constitutively Activates NF-{kappa}B and Induces Proinflammatory Cytokine and Chemokine Production Via a C-Terminal Signaling Determinant

Mario Schwarz and Philip M. Murphy1

Laboratory of Host Defenses, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Kaposi’s sarcoma-associated herpesvirus (KSHV) is believed to be the causative agent of Kaposi’s sarcoma (KS), a multicentric growth factor-dependent tumor common in AIDS patients characterized histopathologically by spindle cell proliferation, angiogenesis, and leukocyte infiltration. Recently, open reading frame 74 of KSHV has been implicated as a major viral determinant of KS. Open reading frame 74 encodes KSHV G protein-coupled receptor (GPCR), a constitutively active chemokine receptor that directly transforms NIH 3T3 cells in vitro and induces multifocal KS-like lesions in KSHV-GPCR-transgenic mice. Interestingly, receptor-positive cells are very rare in lesions from these mice, implicating an indirect mechanism of tumorigenesis. In this regard, here we report that expression of KSHV-GPCR in transfected epithelial, monocytic, and T cell lines induced constitutive activation of the immunoregulatory transcription factors AP-1 and NF-{kappa}B. This was associated with constitutive induction of the proinflammatory NF-{kappa}B-dependent cytokines IL-1{beta}, IL-6, and TNF-{alpha}, and chemokines monocyte chemoattractant protein-1 and IL-8, as well as the AP-1-dependent basic fibroblast growth factor. In addition, IL-2 and IL-4 production was induced in transfected Jurkat T cells. Truncation of the final five amino acids in the cytoplasmic tail of KSHV-GPCR caused complete loss of its transforming and NF-{kappa}B-inducing activities, without affecting receptor expression or ligand binding. These data suggest that KS results in part from KSHV-GPCR induction of proinflammatory cytokine and growth factor gene expression, mediated by a signaling determinant within the last five amino acids of the C terminus, a domain that is also critical for direct cell transformation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Kaposi’s sarcoma (KS)2 is a multifocal, highly vascular tumor consisting of characteristic spindle cells and infiltrating leukocytes (1). KS occurs in several epidemiologically distinct forms, but is most commonly associated with HIV-1 infection and is the most common AIDS-associated tumor. According to criteria set by the Centers for Disease Control, the presence of KS in an HIV-1-infected individual is sufficient for the clinical diagnosis of AIDS.

Unlike cancer, KS does not appear to be due to clonal expansion of a transformed cell. Instead, it appears to be a hyperplastic disorder caused in part by local production of inflammatory cytokines such as IL-1, and growth factors such as basic fibroblast growth factor (bFGF) (1, 2). Based on strong epidemiologic and histopathologic associations, the primary cause of KS is thought to be infection with human herpesvirus 8. This virus was originally identified in KS lesions from AIDS patients (3) and is therefore also commonly referred to as KS-associated herpesvirus (KSHV). KSHV is a member of the {gamma} Herpesviridae, which include EBV Herpesvirus saimiri (HVS), and {gamma} herpesvirus 68. These viruses naturally infect humans, nonhuman primates, and mice, respectively. KSHV has also been associated epidemiologically in AIDS patients with B cell primary effusion lymphoma (PEL) and multicentric Castleman’s disease (4). The KSHV genome has been localized to spindle cells of KS, but only a small subpopulation of these cells actually expresses viral transcripts (5).

How KSHV induces KS is not known; however, the viral genome sequence has provided important clues that together strengthen the prevailing cytokine/growth factor theory of pathogenesis. In particular, KSHV encodes functional homologs of cell cycle control proteins and immunoregulatory cytokines (reviewed in Ref. 6). The latter include an IL-6 homolog, three CC chemokine homologs, two of which have been shown to have angiogenic activity, and an unusual constitutively active chemokine receptor named KSHV G protein-coupled receptor (GPCR), which has both angiogenic and oncogenic activity (7, 8). KSHV-GPCR is the product of open reading frame 74, which is conserved in HVS (9, 10) and {gamma} herpesvirus 68 (11), but not in EBV, and has highest homology with human CXC chemokine receptor (CXCR) 2 (7, 12). Both KSHV-GPCR and the HVS receptor, which is named ECRF3, bind the CXCR2 ligands IL-8, growth-related oncogene-{alpha} (GRO-{alpha}), and neutrophil-activating peptide-2 (7, 9). However, KSHV-GPCR also binds additional CXC chemokines and multiple CC chemokines, giving it the broadest chemokine specificity of any known chemokine receptor (7). KSHV-GPCR ligands are classified as agonists (e.g., GRO-{alpha}) or inverse agonists (e.g., IFN-{gamma}-induced protein-10 (IP-10)) depending on whether they increase or decrease the constitutive activity of the receptor (13).

KSHV-GPCR-transfected NIH 3T3 cells form highly vascularized tumors when injected into nude mice, suggesting that the receptor is a viral oncogene and a key determinant of KS (7, 8). Consistent with this, mice bearing a KSHV-GPCR transgene under the control of the CD2 promoter develop multicentric, angioproliferative lesions histologically similar to KS (14). However, in this model an indirect mechanism of tumorigenesis rather than direct cell transformation is more likely because KSHV-GPCR-positive cells are rare in KS-like lesions. Similarly, spindle cells in primary KS tumors positive for KSHV-GPCR transcripts are also uncommon and coexpress lytic transcripts (5). KSHV-GPCR is also expressed as an early lytic gene in the latently infected PEL cell line BCBL-1 (5). Together these observations have been used to argue against a direct tumorigenic role of KSHV-GPCR in KS.

Constitutive signaling by KSHV-GPCR in NIH 3T3 cells has been shown previously to induce expression of vascular endothelial growth factor (VEGF) and to activate a protein kinase C-responsive promoter containing an AP-1-binding motif to drive reporter gene expression (7, 8). VEGF and its receptors are expressed in primary KS tumors (15). This suggested that KSHV-GPCR could induce KS by regulating expression of AP-1-dependent growth factors that could act in an autocrine or paracrine manner. However, VEGF cannot by itself account for the complex cellular composition of this tumor. Here we examine in a model system whether KSHV-GPCR can directly activate immunoregulatory transcription factors and induce production of proinflammatory cytokines and chemokines and angiogenic growth factors.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Construction of expression plasmids

KSHV-GPCR DNA was generated by PCR from BCBL-1 lymphoma cell genomic DNA (obtained from Jeffrey Cohen, Laboratory of Clinical Investigation/National Institute of Allergy and Infectious Diseases/National Institutes of Health, Bethesda, MD) using the sense oligo 5'-GCGCATATAAGCTTGCCACCATGGCGGCCGAGGATTTCCTAACCATC and the anti-sense oligo 5'-CGCGATATGTCGACCTCGAGTCACGAGCTACGTGGTGGCGCCGGACATGAAAGA. The resulting product was cloned between the HindIII and XhoI sites of the plasmid pcDNA3.1/Hygro (Invitrogen, San Diego, CA) to create the plasmid pcKSHV-GPCR. enhanced green fluorescent protein (EGFP) fusion constructs were created using the pEGFP-N1 vector (Clontech Laboratories, Palo Alto, CA) with the sense oligo 5'-CGCGATATGTCGACCTCGAGCCACCATGGCGGCCGAGGATTTCCTAACCATC and the anti-sense oligo 5'-GCGCATATAAGCTTCGTGGTGGCGCCGGACATGAAAGACTG for pKSHV-GPCR-EGFP and the anti-sense oligo 5'-GCGCATATAAGCTTCATGAAAGACTGCCTGAGGCTTTGGAA for pKSHV-GPCR{Delta}5-EGFP. The mutant construct pKSHV-GPCR-V142D-EGFP contains a point mutation leading to the replacement of Val142 by Asp. This construct was generated using the QuikChange Site-Directed Mutagenesis kit (Stratagene, La Jolla, CA) with the primer set 5'-TGTGTGCGTCAGTCTAGA(T/C)AGGTACCTCCTGGTGGC (sense) and 5'-GCCACCAGGAGGTACCT(A/G)TCTAGACTGACGCACACA (anti-sense). EGFP-tagged expression plasmids for CXCR2 and CCR2 were created by PCR from untagged templates using the primer pairs 5'-CGCGATATGTCGACCTCGAGGCCACCATGGAAGATTTTAACATGGAGAGTGAC (sense) and 5'-GCGCATATAAGCTTGAGAGTAGTGGAAGTGTGCCCTGAAGA (anti-sense) for pCXCR2-EGFP, and 5'-CGCGATATGTCGACCTCGAGGCCACCATGCTGTCCACATCTCGTTCTCGGTTT (sense) and 5'-GCGCATATAAGCTTTAAACCAGCCGAGACTTCCTGCTCCCC (anti-sense) for pCCR2-EGFP. All cDNAs generated for fusion to EGFP lacked a STOP codon, and were cloned between XhoI and HindIII sites, upstream of the EGFP open reading frame of pEGFP-N1. All DNA constructs were sequenced in both directions using an ABI 377 automated sequencer and the ABI Prism Dye Terminator cycle sequencing system (Applied Biosytems, Foster City, CA) following the manufacturer’s recommended procedure. Sequences were analyzed with Sequencher 3.1.1 software (Gene Codes, Ann Arbor, MI). To test whether EGFP fusion to truncated KSHV-GPCR constructs induced artifactual phenotypes, control experiments were conducted with truncated constructs lacking EGFP.

Cell culture and transfections

Human embryonic kidney (HEK) 293 cells, NIH 3T3 mouse embryonic fibroblasts, and COS-1 monkey kidney cells were grown in DMEM containing 10% FBS and transfected with 0.5 µg DNA/50,000 cells using Lipofectamine (Life Technologies, Gaithersburg, MD), according to the manufacturer’s protocol, except where noted. HEK 293 and NIH 3T3 cell lines were selected with 1 mg/ml G418. COS-1 cells were analyzed only after transient transfection; NIH 3T3 cells were analyzed only after stable transfection. The human monocytic cell line THP-1 as well as Jurkat T cells were cultured in RPMI 1640, supplemented with 10% FBS, 4.5 g/L glucose, 10 mM HEPES, and 1 mM sodium pyruvate. THP-1 and Jurkat cells were transiently transfected using Effectene transfection reagent (Qiagen, Valencia, CA) plus 0.6 µg DNA/106 cells, following the manufacturer’s guidelines.

Cell proliferation assay

Stably transfected NIH 3T3 cells were seeded at a density of 3000 cells/ml of top agar (0.35% melted soft agar (BD Biosciences, San Jose, CA) in DMEM supplemented with 10% FBS) at 40°C. Top agar (1.5 ml) was then added to each well of a six-well plate prepared with 1.5 ml of bottom agar (0.5% soft agar in DMEM plus 10% FBS). Plates were cultured at 37°C in 10% CO2 and 100% humidity, and ~0.2 ml fresh medium (DMEM plus 10% FBS) was layered over the top of each well every 3 days. After 2 wk of culture, colonies were counted and photographed using an inverse microscope at x40 magnification.

Luciferase assays

HEK 293 or COS-1 cells were seeded in 24-well plates at a density of 50,000 cells/well 1 day before transfection. Equal amounts of luciferase reporter plasmid pNF-{kappa}B-Luc or pAP1-Luc (PathDetect cis-Reporting System; Stratagene) plus positive control (pFC-MEKK) or receptor test plasmid DNA (total = 0.5 µg DNA/50,000 cells) were transfected as described above. THP-1 and Jurkat cells were transfected in 12-well plates at densities of 1 x 106 (THP-1) or 0.5 x 106 (Jurkat) cells/well with pNF-{kappa}B-Luc reporter plasmid plus receptor or control plasmid DNA (total = 0.6 µg DNA/106 cells). Forty-eight hours after transfection, cells were lysed and assayed for luciferase activity using reagents supplied in the Luciferase Assay System (Promega, Madison, WI). Reporter systems to measure specifically the bioactivities of both NF-{kappa}B and AP-1 have been validated previously (16, 17, 18, 19, 20).

Confocal microscopy

HEK 293 and COS-1 cells were grown and transfected in two-well Lab-Tek Chamber Slides (Nalge Nunc, Naperville, IL). Transfections were performed as described above. Forty-eight hours after transfection, the cells were fixed using 3.7% formaldehyde in PBS, and mounted with Vectashield mounting medium (Vector Laboratories, Burlingame, CA). Images were collected on a Leica TCS-NT/SP confocal microscope (Leica Microsystems, Exton, PA) using a x63 oil immersion objective. Fluorescence of EGFP was excited using an argon laser at 488 nm. Images were processed using Leica TCS-NT/SP software (version 1.6.551).

Radioligand binding experiments

Cells (1 x 106 per data point) were incubated in triplicate with 0.2 nM 125I-labeled GRO-{alpha} (sp. act. 2200 Ci/mmol; NEN Life Science Products, Boston, MA) with or without unlabeled human IP-10 in binding buffer (HBSS, 1% BSA, 0.1% sodium azide) in a total volume of 100 µl. After incubation for 1 h at room temperature, cells were pelleted and washed once with binding buffer adjusted to 0.5 M NaCl. Cell-associated radioactivity was determined using a Cobra II Auto gamma counter (Packard, Downers Grove, IL).

Cytokine, chemokine, and growth factor assays

THP-1, Jurkat, or HEK 293 cells were seeded at densities of 1 x 106 (THP-1), 0.5 x 106 (Jurkat), or 1 x 105 (HEK 293) cells per well in 12-well plates, respectively, with 1 ml of the respective medium. Transfections were performed as described above. Forty-eight hours after transfection, supernatants were collected and assayed for the respective cytokine, chemokine, or growth factor using Quantikine Immunoassay systems (R&D Systems, Minneapolis, MN).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
KSHV-GPCR constitutively induces proinflammatory transcription factor activity and cytokine expression

To test whether KSHV-GPCR could induce tumorigenesis via proinflammatory gene expression, we created the KSHV-GPCR-encoding expression plasmid pcKSHV-GPCR and measured its ability to activate the immunoregulatory transcription factors NF-{kappa}B and AP-1, which are known to regulate this class of genes. First, we established that the plasmid encoded active receptor by confirming that NIH 3T3 cells stably transfected with the plasmid, but not with vector alone, formed large, multicellular foci when cultured in soft agar, as reported previously (Fig. 1GoA). Quantitatively, KSHV-GPCR-expressing cells formed 150–200 colonies with diameters >200 µm/4500 seeded cells after 3 wk of culture, whereas control cells did not proliferate under equal conditions.



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FIGURE 1. Cell transformation and transcription factor activation by KSHV-GPCR. A, Cell transformation activity of KSHV-GPCR in stably transfected NIH 3T3 cells. Mock (vector only)- and KSHV-GPCR-transfected cells were grown in soft agar as described in Materials and Methods. Photographs were taken after a 2-wk incubation (magnification, x40). B and C, KSHV-GPCR constitutively activates NF-{kappa}B and AP-1 transcription factors. NF-{kappa}B and AP-1 activity was measured by luciferase activity in cells transiently cotransfected with the indicated test constructs plus reporter plasmids encoding luciferase under the control of NF-{kappa}B or AP-1 consensus sequences. Reporter assay data are from one experiment representative of at least three independent experiments. D, Dependence of NF-{kappa}B activity in transiently transfected COS-1 cells on the amount of KSHV-GPCR DNA transfected. Total DNA amounts were kept constant by adjustments with pcDNA3 vector plasmid. Data are the fold increase observed relative to control transfection with the same amount of pcDNA3 plasmid, and represent means of two experiments ± SEM.

 
To check the effect of the receptor on transcription factor activity we used the monkey kidney epithelial cell line COS-1. This cell line has previously been shown to support reporter gene expression for a PKC-dependent promoter that included an AP-1 site (7), and is known to express NF-{kappa}B (21, 22). Moreover, it does not express CXCR2 and normally does not respond to known ligands for KSHV-GPCR. When pcKSHV-GPCR was transiently cotransfected with luciferase reporter genes for NF-{kappa}B and AP-1 into COS-1 cells, high luciferase activity was observed for both reporter plasmids in the absence of added chemokine (Fig. 1Go, B and C). The activity was specific, because there was little to no increase in luciferase activity when cells were cotransfected with reporter plasmids plus the parental vector pcDNA3, and was dependent on the amount of pcKSHV-GPCR plasmid DNA transfected, reaching saturation at ~3 µg DNA/100,000 cells (Fig. 1GoD). Transfection of higher amounts of pcKSHV-GPCR led to lower activity, possibly due to cell toxicity (data not shown). These results are consistent with activation of NF-{kappa}B and AP-1 in this system due to constitutive signaling by KSHV-GPCR.

To verify that KSHV-GPCR was actually expressed in COS-1 cells, we fluorescently labeled the receptor with EGFP by creating the hybrid construct pKSHV-GPCR-EGFP, in which EGFP coding sequence is placed in frame at the 3' end of the KSHV-GPCR open reading frame. COS-1 cells transiently transfected with this plasmid exhibited fluorescence in a plasma membrane distribution identical with the pattern observed with the most closely related mammalian receptor, CXCR2, which was tested as an EGFP fusion protein constructed the same way. In contrast, cells transiently transfected with the control EGFP-encoding plasmid pEGFP-N exhibited cytoplasmic distribution of the protein. A subcellular distribution identical with COS-1 cells was observed for these three proteins when the corresponding plasmids were transiently transfected into HEK 293 cells (Fig. 2GoA).



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FIGURE 2. Functional expression of EGFP-tagged KSHV-GPCR. A, Confocal microscopic images of HEK 293 cells expressing KSHV-GPCR-EGFP and CXCR2-EGFP fusion proteins vs control EGFP. Magnification, x100. B, Cell transformation activity of KSHV-GPCR-EGFP fusion protein. Distribution of NIH 3T3 cells stably transfected with KSHV-GPCR-EGFP or control EGFP plasmid vector DNA was assessed by light microscopy 2 wk after seeding. Magnification, x40. C and D, Constitutive KSHV-GPCR activity in COS-1 cells is not affected by C-terminal fusion to EGFP (data from one of at least three experiments). E, Receptor specificity. Basal NF-{kappa}B activity is shown for HEK 293 cells transiently transfected with EGFP alone or the indicated EGFP-tagged chemokine receptors. Data represent means of three experiments ± SEM.

 
Like the wild-type receptor construct, pKSHV-GPCR-EGFP could induce focus formation in stably transfected NIH 3T3 cells grown in soft agar (Fig. 2GoB), with similar quantities of large foci as observed with cells expressing the untagged receptor. Also, EGFP-fused KSHV-GPCR induced high luciferase activity in COS-1 cells cotransfected with either the NF-{kappa}B or AP-1 reporter plasmids (Fig. 2Go, C and D). Because an increase in reporter activity was observed with both KSHV-GPCR and KSHV-GPCR-EGFP constructs, these findings suggest that EGFP fusion at the C terminus does not affect KSHV-GPCR function. The specificity of the activity for KSHV-GPCR was further demonstrated in studies of COS-1 and HEK 293 cells transiently cotransfected with the NF-{kappa}B reporter plasmid plus plasmids encoding CCR2 or CXCR2 similarly modified by EGFP fusion at the C terminus, which were transfected with equal efficiency as pKSHV-GPCR-EGFP but did not induce reporter activity (Fig. 2GoE). Addition of the CXC chemokine GRO-{alpha}, a known agonist of KSHV-GPCR (23, 24), increased the NF-{kappa}B reporter gene activity in COS-1 cells transiently transfected with pcKSHV-GPCR above constitutively induced levels in a dose-dependent manner (Fig. 3Go).



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FIGURE 3. Modulation of constitutive KSHV-GPCR NF-{kappa}B-inducing activity by GRO-{alpha}. Transiently transfected COS-1 cells were stimulated for 24 h with the indicated concentrations of GRO-{alpha} 24 h after transfection. Data represent means of two experiments ± SEM.

 
A similar pattern of activity was observed for pcKSHV-GPCR in the human monocytic cell line THP-1. We tested this cell line as a model for two reasons. First, it is a human cell type and, therefore, allows measurement of human cytokines. Second, circulating PBMCs in AIDS patients have been shown to harbor KSHV (25), and there is evidence that spindle cells, which harbor KSHV in KS tumors, are heterogenous in origin and include a subpopulation that may arise from the macrophage lineage (26). Because spindle cells are also thought to arise from the endothelial cell lineage, we also attempted to analyze KSHV-GPCR function in HUVECs; however, this proved not to be possible due to very low transfection efficiency.

THP-1 cells transiently cotransfected with pcKSHV-GPCR and NF-{kappa}B reporter plasmid exhibited increased luciferase activity compared with cells cotransfected with reporter plasmid plus control vector pcDNA3 (Fig. 4GoA). As another immunocompetent cell type, Jurkat T cells showed enhanced NF-{kappa}B activity when transiently transfected with pKSHV-GPCR-EGFP (Fig. 4GoB). Transfection efficiencies were similar under all conditions tested as assessed by activation of transfected cells with LPS, which is known to activate NF-{kappa}B.



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FIGURE 4. Constitutive NF-{kappa}B activity in transfected monocytic THP-1 cells (A) and Jurkat T cells (B). Cells were cotransfected with vector or KSHV-GPCR DNA and NF-{kappa}B reporter plasmid in 12-well plates (THP-1, 1 x 106 cells/well; Jurkat, 0.5 x 106 cells/well) as described. Forty-eight hours after transfection, cells were lysed, and lysates were assayed for luciferase activity. Data represent means of three experiments ± SEM.

 
To determine whether this activity may be sufficient to support increased expression of relevant endogenous genes, we first measured release of the major proinflammatory cytokines IL-1{beta}, IL-6, and TNF-{alpha}, all of which contain NF-{kappa}B binding sites in their promoters (27). IL-1{beta} and IL-6 were not detectable in supernatants of control plasmid-transfected THP-1 cells but were both induced in cells transiently transfected with pcKSHV-GPCR (Fig. 5GoA). TNF was detectable at low levels in supernatants of control cells; however, the amount was markedly increased in pcKSHV-GPCR-transfected cells (Fig. 5GoA).



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FIGURE 5. KSHV-GPCR induces cytokine and growth factor release. A, Induction of cytokine release from THP-1 cells by KSHV-GPCR. THP-1 cells were transfected in 12-well plates at a density of 1 x 106 cells/well. Supernatants were collected 48 h after transfection and assayed for the respective cytokines as described in Materials and Methods (p < 0.0005). B, Release of growth factor and chemokine proteins in transfected HEK 293 cells. Cells were transfected in 12-well plates at a density of 100,000 cells/well. Two days after transfection, supernatants were assayed for bFGF, IL-8, or MCP-1 by ELISA (*, p < 0.0002; **, p = 0.06). C, Production of IL-2 and IL-4 by transfected Jurkat cells. Cells were transfected in 12-well plates at a density of 0.5 x 106 cells/well. Two days after transfection, supernatants were assayed for the respective IL (**, p < 0.02). All ELISA data shown here are means of three to six experiments ± SEM.

 
We also attempted to measure induction of the prototypical inflammatory CXC and CC chemokines IL-8 and monocyte chemoattractant protein-1 (MCP-1) in THP-1 cells; however, unlike the situation with IL-1{beta}, TNF-{alpha}, and IL-6, baseline production of these chemokines was very high and did not increase significantly in cells transiently transfected with pcKSHV-GPCR (data not shown). Also, the transfection efficiency in THP-1 cells was relatively low, so that any effect may have been masked; therefore, we switched to HEK 293 cells, which normally allow high transfection efficiency and at baseline produce levels of IL-8 and MCP-1 that are at the threshold of detection. Moreover, HEK 293 cells have been reported to express cytokines, chemokines, and growth factors upon stimulation with inflammatory cytokines (28). As shown in Fig. 5GoB, transient transfection of pKSHV-GPCR-EGFP in HEK 293 cells induced a 15- and 13-fold increase in MCP-1 and IL-8 production, respectively. HEK 293 cells transiently transfected with pKSHV-GPCR-EGFP also secreted higher levels of the angiogenic growth factor bFGF into the supernatant than cells transfected with the control vector pCXCR2-EGFP (Fig. 5GoB).

To test for the induction of T cell cytokines, supernatants of transiently transfected Jurkat cells were assayed for IL-2 and IL-4, both of which were released at elevated levels from cells transfected with pKSHV-GPCR-EGFP compared with EGFP alone (Fig. 5GoC). Together these results support the conclusion that constitutive signaling by KSHV-GPCR can activate immunoregulatory transcription factors, and induce production of proinflammatory cytokines, chemokines, and growth factors.

The C terminus of KSHV-GPCR is critical for its constitutive activity

Studies of human chemokine receptors have identified several domains important for cell signaling, including the third intracellular loop, the C-terminal cytoplasmic domain, and the DRY motif (aspartic acid-arginine-tyrosine) located in the second intracellular loop (29, 30, 31). The DRY motif is highly conserved among not just chemokine receptors but also other GPCRs (32). However, in KSHV-GPCR aa 142, which corresponds to the position of aspartic acid in this motif, is valine, a major structural difference. To test whether this difference can account for the ability of the receptor to constitutively activate transcription factors and induce cytokine production, we created pKSHV-GPCR-V142D-EGFP, which has valine at position 142 changed to aspartic acid by site-directed mutagenesis (Fig. 6GoA). We also tested the role of the C terminus in constitutive signaling by creating a series of C-terminal truncation mutants, removing 5, 8, 12, and 24 aa from the cytoplasmic tail. The truncated receptors were then fused to EGFP. These mutants are named pKSHV-GPCR{Delta}#-EGFP, where # indicates the number of amino acids removed (Fig. 6GoA). Because the longest of these mutants, pKSHV-GPCR{Delta}5-EGFP, exhibited loss of function, experiments with the shorter mutants will not be described here.



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FIGURE 6. A C-terminal domain of KSHV-GPCR is critical for NF-{kappa}B activation. A, Amino acid sequences at mutated sites for fusion proteins KSHV-GPCR-EGFP (WT), KSHV-GPCR{Delta}5-EGFP ({Delta}5), and KSHV-GPCR-V142D-EGFP (V142D). The numbers above the aligned sequences enumerate the indicated position in wild-type KSHV-GPCR. B, Confocal microscopic images of HEK 293 cells expressing wild-type KSHV-GPCR-EGFP, KSHV-GPCR{Delta}5-EGFP, and KSHV-GPCR-V142D-EGFP (magnification, x100). C, Binding of iodinated GRO-{alpha} to KSHV-GPCR variants. Experiments were performed with HEK 293 cells stably expressing KSHV-GPCR-EGFP, KSHV-GPCR{Delta}5-EGFP, KSHV-GPCR-V142D-EGFP, or CXCR2-EGFP. Total binding is graphed in the presence and absence of 100 nM IP-10. Shown are data from one representative experiment performed in triplicate. D and E, Activation of NF-{kappa}B and AP-1 by KSHV-GPCR mutants. HEK 293 cells were transfected with equal amounts of receptor constructs and reporter plasmid and assayed 2 days after transfection (means of two to three experiments ± SEM).

 
Like wild-type receptor, both pKSHV-GPCR{Delta}5-EGFP and pKSHV-GPCR-V142D-EGFP were expressed preferentially on the plasma membrane and at similar levels (Fig. 6GoB). The ligand binding function of these mutants was intact, indicating that EGFP fusion did not prevent exposure of the receptor to the extracellular environment. Thus, HEK 293 cells stably transfected with pKSHV-GPCR-EGFP, pKSHV-GPCR{Delta}5-EGFP, or pKSHV-GPCR-V142D-EGFP all exhibited high levels of total 125I-GRO-{alpha} binding compared with untransfected HEK 293 cells. Total binding was similar for all three plasmids (Fig. 6GoC). Binding of IP-10, another KSHV-GPCR ligand, to the mutants was intact as revealed by competition for the 125I-GRO-{alpha}-labeled site. As a control, HEK 293 cells stably transfected with the CXCR2-encoding plasmid pCXCR2-EGFP could bind 125I-GRO-{alpha} but, as expected, binding was unaffected by the presence of IP-10.

In functional assays, HEK 293 cells transiently transfected with pKSHV-GPCR-EGFP or pKSHV-GPCR-V142D-EGFP had equivalent levels of NF-{kappa}B and AP-1 reporter gene activity, whereas cells transfected with pKSHV-GPCR{Delta}5-EGFP exhibited only background activity (Fig. 6Go, D and E). Loss of signaling by pKSHV-GPCR{Delta}5-EGFP was further manifested by the lack of surface-independent growth in soft agar of stably transfected NIH 3T3 cells (Fig. 7GoA), and by marked reduction of IL-8 (Fig. 7GoC) and MCP-1 (Fig. 7GoD) chemokine production from transiently transfected HEK 293 cells relative to control cells transiently transfected with pKSHV-GPCR-EGFP. It is important to note that IL-8 and MCP-1 induction, unlike NF-{kappa}B activation, was not totally abolished by the truncation. Moreover, VEGF production was only ~20% lower in cells expressing the truncated mutant compared with cells expressing full-length receptor (Fig. 7GoB), suggesting that signaling pathways independent of NF-{kappa}B are involved in activation of these genes. In addition, the effects of the KSHV-GPCR agonist GRO-{alpha} and the inverse agonist IP-10 on cytokine release were analyzed. GRO-{alpha} induced small but consistent increases in protein release (p <= 0.06), whereas addition of IP-10 resulted in reduced protein amounts in cell supernatants (p <= 0.005) (Fig. 7Go, B–D).



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FIGURE 7. A C-terminal domain of KSHV-GPCR is essential for cell transformation and for full induction of VEGF, IL-8, and MCP-1. A, Growth of NIH 3T3 cells stably expressing KSHV-GPCR-EGFP and KSHV-GPCR{Delta}5-EGFP in soft agar. Cells were photographed after 2 wk of culture (magnification, x40). B, Release of VEGF by NIH 3T3 cells stably expressing KSHV-GPCR-EGFP and KSHV-GPCR{Delta}5-EGFP. Cells were seeded at a density of 50,000 cells/ml and stimulated with the indicated chemokines (100 nM) after 24 h. Supernatants were collected and assayed by ELISA 2 days after seeding. C and D, Chemokine release of HEK 293 cells transiently transfected with KSHV-GPCR variants. Exogenous chemokines were added at 100 nM concentrations 24 h after transfection. ELISAs specific for MCP-1 and IL-8 were performed with cell supernatants 2 days after transfection. Data represent means of three experiments ± SEM. Values of p for GRO-{alpha}, IP-10, and truncation effects on protein release are indicated.

 
Thus, the final five C-terminal amino acids of KSHV-GPCR constitute a critical domain of this receptor for constitutive activation of transcription factors, cell transformation, and release of proinflammatory cytokines, chemokines, and growth factors. Moreover, protein release can be partially regulated by KSHV-GPCR agonists and inverse agonists.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The main finding of this study is that KSHV-GPCR, the constitutively active chemokine receptor of human herpesvirus 8, can, in transfected cells, activate the proinflammatory transcription factors NF-{kappa}B and AP-1, and induce expression of endogenous NF-{kappa}B- and AP-1-dependent cytokines (IL-1{beta}, TNF-{alpha}, IL-6), chemokines (IL-8 and MCP-1), and growth factors (bFGF), all of which are known to be expressed in KS. Moreover, it induces release of the T lymphokines IL-2 and IL-4. Our results in human cell lines significantly extend previous reports that KSHV-GPCR could induce VEGF production in mouse NIH 3T3 cells (8) and activate a reporter gene regulated by a PKC-responsive promoter containing an AP-1-binding motif in the monkey kidney cell line COS-1 (7). Together the data provide strong evidence that this receptor is capable of broad but selective induction of this important class of signaling molecules.

Our findings suggest a specific molecular mechanism for KS tumorigenesis in which KSHV-infected cells expressing KSHV-GPCR produce cytokines and growth factors that act in an autocrine and/or paracrine manner to recruit leukocytes, and stimulate spindle cell proliferation and angiogenesis. This is consistent with the widely held view that KS is an infectious disease caused by KSHV in which hyperplastic rather than autonomous cell growth results from paracrine and autocrine action of locally produced cytokines and growth factors (1, 2). It is also consistent with the fact that KS-like lesions develop in KSHV-GPCR-transgenic mice, implicating this receptor as a key viral determinant of KS (14). Finally, it is consistent with the paucity of receptor-positive cells in these mouse tumors and in primary human KS tissue (5, 14).

In addition to the cytokine-inducing activity we describe, KSHV-GPCR is also oncogenic when expressed in NIH 3T3 cells; however, the biologic significance of this is questionable given the weak evidence for clonality in KS and the rarity of positive cells in tumors from KSHV-GPCR-transgenic mice. Moreover, KSHV-GPCR is expressed during the lytic phase of infection of KSHV-infected PEL cell lines in vitro, and is coexpressed with early lytic transcripts in spindle cells in vivo (5).

In addition to direct induction of cytokines and growth factors by KSHV-GPCR, indirect induction may also occur because many of the cytokines shown to be directly induced have profound autocrine and paracrine effects on proinflammatory gene expression. For example, bFGF may be induced both directly by KSHV-GPCR, as we have shown, and indirectly by induction of AP-1 binding to the bFGF promoter in response to IL-1{beta} or TNF-{alpha} (33, 34), which are themselves induced directly by KSHV-GPCR.

KSHV-GPCR did not induce expression of all cytokines that we tested. In particular, we found no evidence for induction of the TH1 cytokines IFN-{gamma} and IL-12 or the TH2 cytokine IL-10 in KSHV-GPCR-expressing THP-1 and Jurkat cells (data not shown). Although KS tumors are infiltrated by diverse types of inflammatory cells including plasma cells, T lymphocytes, and monocytes/macrophages (35), to date there are no reports identifying TH1- or TH2-polarized T cells.

Conversely, we did not test all proinflammatory molecules known to be expressed on KS cells. For example, the adhesion molecule ICAM-1 is also induced by NF-{kappa}B (36), expressed on KS cells (37), and could also be regulated by KSHV-GPCR. Comprehensive profiling of gene expression in KSHV-GPCR-transfected cell lines may provide important new clues into the mechanism of KS pathogenesis.

Although our results suggest that KSHV-GPCR induces cytokine and growth factor production in part by activating NF-{kappa}B and AP-1, how the receptor activates these transcription factors is unknown. To date G proteins activated by KSHV-GPCR have not been identified; however, the receptor has been shown to activate the mitogen-activated protein kinase pathway, which is known to be upstream of NF-{kappa}B activation (8, 38). Additional work will be needed to establish the exact signaling pathway from KSHV-GPCR to transcription factor activation. In vivo the constitutive activity of this receptor is likely to be modulated by endogenous chemokine ligands acting as agonists or inverse agonists. In this regard we found, consistent with previous reports of KSHV-GPCR pharmacology, that GRO-{alpha} acted as an agonist and IP-10 as an inverse agonist at the receptor in cytokine induction assays.

We have also demonstrated that the structural basis of KSHV-GPCR cytokine induction and transforming activity includes determinants localized to the final five amino acids of the C terminus but not to the anomalous valine at aa 142. Both of these results are surprising for the following reasons. First, receptor activity was insensitive to replacement of the anomalous valine at position 142 by aspartic acid, the amino acid found at this position in other chemokine receptors. Yet the reciprocal substitution D->V has been reported to cause constitutive activation of CXCR2, the presumed cellular ancestor of KSHV-GPCR and normally a ligand-regulated receptor (39). This implies that the context of aa 142 is critical for determining its functionality. Second, although the C-terminal domain has been shown in studies of other chemokine receptors, including CXCR2, to contain signaling determinants, they typically map to the juxtamembranous part of this domain and require much larger truncations to demonstrate than was needed for KSHV-GPCR. The final five amino acids of the cytoplasmic tail of KSHV-GPCR, SGATT, include one serine and two threonines, which are candidate phosphorylation sites. Such sites are characteristic of the cytoplasmic domains of human chemokine receptors and other GPCRs (29, 30), and are important for receptor desensitization processes controlled by specific GPCR kinases (GRKs). Constitutive accumulation of inositol trisphosphate in response to KSHV-GPCR signaling has been shown to be inhibited by some of the GRK family, most effectively by GRK 5 and 6, but phosphorylation of the receptor by these enzymes has not been documented (40). Because the final five amino acid domain is a determinant of constitutive signaling, it will be important in future studies to test the effect of GRK overexpression and inverse agonist action on phosphorylation of this domain.

It is important to note that the C-terminal truncated mutant KSHV-GPCR{Delta}5-EGFP was not completely inactive because it was able to induce chemokine and growth factor production, albeit at lower levels. VEGF production in particular was only weakly affected by this truncation. This suggests that other domains can activate NF-{kappa}B-independent signaling pathways and that chemokine and VEGF induction is not totally dependent on NF-{kappa}B in these systems.

Rosenkilde et al. have identified two other determinants of constitutive signaling in KSHV-GPCR at positions 91 and 94 in the second transmembrane domain. Nevertheless, these mutants were still able to respond to agonists (41). Other receptor domains were identified that selectively regulated responsiveness to agonists or ligand binding without affecting constitutive signaling (41, 42).

In conclusion, our study has established that KSHV-GPCR is capable of inducing activation of immunoregulatory transcription factors and production of proinflammatory cytokines and chemokines as well as angiogenic growth factors. This activity suggests a molecular mechanism linking the infectious and growth factor theories of KS pathogenesis.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Philip M. Murphy, Building 10, Room 11N113, National Institutes of Health, Bethesda, MD 20892. E-mail address: pmm{at}nih.gov Back

2 Abbreviations used in this paper: KS, Kaposi’s sarcoma; KSHV, KS-associated herpesvirus; bFGF, basic fibroblast growth factor; GPCR, G protein-coupled receptor; GRO-{alpha}, growth-related oncogene-{alpha}; IP-10, IFN-{gamma}-induced protein-10; VEGF, vascular endothelial growth factor; MCP-1, monocyte chemoattractant protein-1; HVS, Herpesvirus saimiri; PEL, primary effusion lymphoma; CXCR2, CXC chemokine receptor 2; EGFP, enhanced green fluorescent protein; HEK, human embryonic kidney; GRK, GPCR kinase. Back

Received for publication November 1, 2000. Accepted for publication April 25, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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Expression Pattern of Chemokine Receptor 6 (CCR6) and CCR7 in Squamous Cell Carcinoma of the Head and Neck Identifies a Novel Metastatic Phenotype
Cancer Res., March 1, 2004; 64(5): 1861 - 1866.
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D. Dadke, B. H. Fryer, E. A. Golemis, and J. Field
Activation of p21-Activated Kinase 1-Nuclear Factor {kappa}B Signaling by Kaposi's Sarcoma-Associated Herpes Virus G Protein-Coupled Receptor during Cellular Transformation
Cancer Res., December 15, 2003; 63(24): 8837 - 8847.
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J. Cell Sci.Home page
N. Field, W. Low, M. Daniels, S. Howell, L. Daviet, C. Boshoff, and M. Collins
KSHV vFLIP binds to IKK-{gamma} to activate IKK
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J. Leukoc. Biol.Home page
J. Melchjorsen, L. N. Sorensen, and S. R. Paludan
Expression and function of chemokines during viral infections: from molecular mechanisms to in vivo function
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Microbiol. Mol. Biol. Rev.Home page
L. A. Dourmishev, A. L. Dourmishev, D. Palmeri, R. A. Schwartz, and D. M. Lukac
Molecular Genetics of Kaposi's Sarcoma-Associated Herpesvirus (Human Herpesvirus 8) Epidemiology and Pathogenesis
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J. Biol. Chem.Home page
M. Waldhoer, P. Casarosa, M. M. Rosenkilde, M. J. Smit, R. Leurs, J. L. Whistler, and T. W. Schwartz
The Carboxyl Terminus of Human Cytomegalovirus-encoded 7 Transmembrane Receptor US28 Camouflages Agonism by Mediating Constitutive Endocytosis
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J. Virol.Home page
S. Pati, J. S. Foulke Jr., O. Barabitskaya, J. Kim, B. C. Nair, D. Hone, J. Smart, R. A. Feldman, and M. Reitz
Human Herpesvirus 8-Encoded vGPCR Activates Nuclear Factor of Activated T Cells and Collaborates with Human Immunodeficiency Virus Type 1 Tat
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R. D. Estep, M. K. Axthelm, and S. W. Wong
A G Protein-Coupled Receptor Encoded by Rhesus Rhadinovirus Is Similar to ORF74 of Kaposi's Sarcoma-Associated Herpesvirus
J. Virol., February 1, 2003; 77(3): 1738 - 1746.
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M. Cannon, N. J. Philpott, and E. Cesarman
The Kaposi's Sarcoma-Associated Herpesvirus G Protein-Coupled Receptor Has Broad Signaling Effects in Primary Effusion Lymphoma Cells
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Cancer Res.Home page
A. G. Polson, D. Wang, J. DeRisi, and D. Ganem
Modulation of Host Gene Expression by the Constitutively Active G Protein-coupled Receptor of Kaposi's Sarcoma-associated Herpesvirus
Cancer Res., August 1, 2002; 62(15): 4525 - 4530.
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O. Prakash, Z.-Y. Tang, X. Peng, R. Coleman, J. Gill, G. Farr, and F. Samaniego
Tumorigenesis and Aberrant Signaling in Transgenic Mice Expressing the Human Herpesvirus-8 K1 Gene
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J. Biol. Chem.Home page
J. Ahamed and H. Ali
Distinct Roles of Receptor Phosphorylation, G Protein Usage, and Mitogen-activated Protein Kinase Activation on Platelet Activating Factor-induced Leukotriene C4 Generation and Chemokine Production
J. Biol. Chem., June 14, 2002; 277(25): 22685 - 22691.
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L. Liu, M. T. Eby, N. Rathore, S. K. Sinha, A. Kumar, and P. M. Chaudhary
The Human Herpes Virus 8-encoded Viral FLICE Inhibitory Protein Physically Associates with and Persistently Activates the Ikappa B Kinase Complex
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M. J. Smit, D. Verzijl, P. Casarosa, M. Navis, H. Timmerman, and R. Leurs
Kaposi's Sarcoma-Associated Herpesvirus-Encoded G Protein-Coupled Receptor ORF74 Constitutively Activates p44/p42 MAPK and Akt via Gi and Phospholipase C-Dependent Signaling Pathways
J. Virol., February 15, 2002; 76(4): 1744 - 1752.
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Y. K. Gruijthuijsen, P. Casarosa, S. J. F. Kaptein, J. L. V. Broers, R. Leurs, C. A. Bruggeman, M. J. Smit, and C. Vink
The Rat Cytomegalovirus R33-Encoded G Protein-Coupled Receptor Signals in a Constitutive Fashion
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R. D. Ye
Regulation of nuclear factor {kappa}B activation by G-protein-coupled receptors
J. Leukoc. Biol., December 1, 2001; 70(6): 839 - 848.
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L. W. Shepard, M. Yang, P. Xie, D. D. Browning, T. Voyno-Yasenetskaya, T. Kozasa, and R. D. Ye
Constitutive Activation of NF-kappa B and Secretion of Interleukin-8 Induced by the G Protein-coupled Receptor of Kaposi's Sarcoma-associated Herpesvirus Involve Galpha 13 and RhoA
J. Biol. Chem., November 30, 2001; 276(49): 45979 - 45987.
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