Primary peripheral blood monocytes are responsible for the hematogenous dissemination of human cytomegalovirus (HCMV) following a primary infection. To facilitate viral spread, we have previously shown HCMV to extend the short 48-h life span of monocytes. Mechanistically, HCMV upregulated two specific cellular antiapoptotic proteins, myeloid leukemia sequence 1 (Mcl-1) and heat shock protein 27 (HSP27), to block the two proteolytic cleavages necessary for the formation of fully active caspase 3 and the subsequent initiation of apoptosis. We now show that HCMV more robustly upregulated Mcl-1 than normal myeloid growth factors and that Mcl-1 was the only myeloid survival factor to rapidly induce HSP27 prior to the 48-h cell fate checkpoint. We determined that HCMV glycoproteins gB and gH signal through the cellular epidermal growth factor receptor (EGFR) and ␣v3 integrin, respectively, during viral entry in order to drive the increase of Mcl-1 and HSP27 in an Akt-dependent manner. Although Akt is known to regulate protein stability and transcription, we found that gB-and gH-initiated signaling preferentially and cooperatively stimulated the synthesis of Mcl-1 and HSP27 through mTOR-mediated translation. Overall, these data suggest that the unique signaling network generated during the viral entry process stimulates the upregulation of select antiapoptotic proteins allowing for the differentiation of short-lived monocytes into long-lived macrophages, a key step in the viral dissemination strategy. H uman cytomegalovirus (HCMV), a betaherpesvirus, is highly prevalent throughout the United States, with 50 to 80% of the population being seropositive (1). HCMV infection is generally asymptomatic in immunocompetent individuals although infection has been linked to chronic inflammatory diseases, such as atherosclerosis and acute infection mononucleosis (2, 3). In contrast, HCMV infection causes significant morbidity and mortality in immunocompromised individuals, including AIDS patients, neonates, and transplant recipients (4-6). In these patients, HCMV diseases are diverse with respect to the organ site, including eyes (retinitis), brain (encephalopathy), central nervous system (polyradiculopathy), lungs (pneumonitis), and gastrointestinal tract (gastroenteritis), which can lead to systemic organ failure (7,8). The systemic pathogenesis established by HCMV is dependent on the spread of the virus from the initial point of infection to peripheral organs.
IMPORTANCE
Human cytomegalovirus (HCMV) infection is endemic within the human population. Although primary infection is generally asymptomatic in immunocompetent individualsMonocytes are believed to be the primary cell type responsible for the systemic dissemination of HCMV during both symptomatic and asymptomatic infections (9-11). However, monocytes have a limited life span of 48 h following release from the bone marrow, after which these cells either undergo apoptosis or differentiate into long-lived macrophages in the presence of a differentiation stimulus (1...