Key Points• EBV LMP2A alters B-cell gene expression; E47 and PU.1 are repressed by LMP2A, resulting in downregulation of MHC class II expression.Oncogenic Epstein-Barr virus (EBV) uses various approaches to escape host immune responses and persist in B cells. Such persistent infections may provide the opportunity for this virus to initiate tumor formation. Using EBV-immortalized lymphoblastoid cell lines (LCLs) as a model, we found that the expression of major histocompatibility complex (MHC) class II and CD74 in B cells is repressed after EBV infection. Class II transactivator (CIITA) is the master regulator of MHC class II-related genes. As expected, CIITA was downregulated in LCLs. We showed that downregulation of CIITA is caused by EBV latent membrane protein 2A (LMP2A) and driven by the CIITA-PIII promoter. Furthermore, we demonstrated that LMP2A-mediated E47 and PU.1 reduction resulted in CIITA suppression. Mechanistically, the LMP2A immunoreceptor tyrosine-based activation motif was critical for the repression of E47 and PU.1 promoter activity via Syk, Src, and the phosphatidylinositol 3-kinase/Akt pathway. Elimination of LMP2A in LCLs using a shLMP2A approach showed that the expression levels of E47, PU.1, CIITA, MHC class II, and CD74 are reversed. These data indicated that the LMP2A may reduce MHC class II expression through interference with the E47/PU.1-CIITA pathway. Finally, we demonstrated that MHC class II may be detected in tonsils and EBV-negative Hodgkin disease but not in EBV-associated posttransplant lymphoproliferative disease and Hodgkin disease. (Blood. 2015;125(14):2228-2238)
IntroductionDuring infection, viruses face the various challenges of the host immune response and have evolved a number of immune evasion strategies to enable successful infection of the host cells. Epstein-Barr virus (EBV) is a ubiquitous, human g-herpesvirus that persistently infects more than 90% of the human population.1 EBV has evolved several mechanisms to escape immune surveillance: EBV limits the expression of its proteins and persists in immune B cells. EBV uses various strategies to attenuate the first line of innate immunity; for example, latent membrane protein 1 (LMP1) negatively regulates the expression of the important sensor Toll-like receptor 9, 2 B-cell receptor F1 (BCRF1)-encoded viral interleukin-10 inhibits interferon production, 3 and the tegument protein BPLF1 blocks Toll-like receptor signaling. 4 In counteracting the adaptive immune response, EBV interferes with the major histocompatibility complex (MHC) class I and II antigen presentations, which are the key factors for adaptive immunity. MHC antigens are critical in the cellular immune response, which is important for viral clearance. Several studies have addressed the question how EBV downregulates MHC class I antigen expression. EBNA1 has a glycinealanine repeat motif that protects it from degradation and also inhibits its own synthesis. 5,6 The EBV lytic protein BNLF2a interferes with both the peptide and adenosine triphosphate binding ...