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Short Communication |


From the Department of Pathology*
and Laboratory
of Pathology,
AIDS Research Center, National
Institute of Infectious Diseases, and Department of
Pathology,
Institute of Medical Science,
University of Tokyo, Tokyo, Japan
| Abstract |
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| Introduction |
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The newly identified human herpesvirus-8 (HHV-8; also called KS-associated herpesvirus, KSHV) has been demonstrated in over 90% of KS lesions by polymerase chain reaction (PCR), regardless of the human immunodeficiency virus (HIV) infection status and the clinical type.3-7 HHV-8 has also been identified in primary effusion lymphoma (PEL; also called body-cavity-based lymphoma, BCBL),8,9 in PEL cell lines,10-16 and in patients with a subset of multicentric Castleman's disease.17
The HHV-8 genome was first detected in KS tissues, in both spindle-shaped cells and endothelial cells, by in situ PCR.18 In situ hybridization (ISH) has also been used to detect HHV-8 mRNA in KS tissues.7,19-25 HHV-8 was identified in the intranuclear inclusions of spindle-shaped cells and of mononuclear cells in KS tissues using a T1.1 riboprobe.21 HHV-8 ORF26 expression by macrophages in KS tissues has also been detected by ISH using an ORF26 riboprobe.25 In these studies, however, the positive cells were few in numbers because the probes recognize early lytic or lytic genes that are expressed in the infected cells. Concerning latent genes, mRNA of ORF72 (viral cyclin D) was first detected in KS spindle cells using a radioisotope-labeled probe; however, the resolution was not enough to demonstrate the clear localization.19 Recently, mRNAs of ORF72 and ORFK12 (T0.7, kaposin) were detected in many KS spindle-shaped cells using the catalyzed signal amplification system24 or riboprobes.20 The sensitivity of the HHV-8-specific probes is crucial for these studies.
In immunofluorescence assay (IFA), the sera of HHV-8-infected patients react with a nuclear antigen to produce a dot-like staining pattern in latently infected PEL cell lines; the nuclear antigen is known as latency-associated nuclear antigen (LANA).26,27 Western blotting of nuclear extracts of the BC-1 cell line show that 222- to 234-kd doublet bands of protein were labeled by KS patient sera, and the labeled protein has been designated as latent nuclear antigen (LNA).28 It has since been shown that an antibody that was affinity purified from KS patients' sera using a recombinant ORF73 protein binds to both LNA and LANA in IFA and Western blotting, which indicates that LNA and LANA are the same protein encoded by ORF73.29 It has been also indicated that the LNA was expressed in some KS tumor cells in the immunohistochemical examination using the affinity-purified patient's antibody.29 Despite intensive studies, little immunohistological evidence of the expression of latent proteins has been gathered so far. In the present study, a rabbit polyclonal antibody against HHV-8 ORF73 protein was developed, and the distribution of the protein in AIDS- or immunodeficiency-associated KS tissues was investigated.
| Materials and Methods |
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A DNA fragment corresponding to amino acids 35 to 291 of the ORF73 gene (GenBank accession number KSU75698) was amplified from the total DNA of TY-1 cells15 by PCR. The forward primer sequence was 5'-CTC gga tcc TTG GCG ATG ACC TAC ATC TA-3', and the reverse primer was 5'-CTC gaa ttc TGC AAT CTC CGC AAG GAG CAC-3' (the cloning sites are underlined and lowercase).30 The TY-1 cell line is HHV-8 positive and Epstein-Barr virus (EBV) negative. It was established from an AIDS patient with PEL.15 After purification by agarose gel electrophoresis, the PCR product was cloned into the BamHI and XhoI sites of the bacterial expression vector pGEX5X-2 (Pharmacia, Uppsala, Sweden). The expression vector produced 257 amino acids of ORF73 as a fusion protein with glutathione-S transferase (GST) in Escherichia coli (JM109, Toyobo, Toyama, Japan). The fusion protein (GST-ORF73) was affinity purified using glutathione-Sepharose as described previously.31 The purity and concentration of the eluted protein was assessed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and Bradford assay (Protein Assay, BioRad, New York, NY), respectively.
Production of an Anti-ORF73 Antibody (PA173N)
Purified GST-ORF73 in Freund's complete adjuvant (Difco Laboratories, Detroit, MI) was used to immunize New Zealand White rabbits to produce anti-ORF73 polyclonal antibodies. Immune sera were collected from the rabbits and partially purified twice by ammonium sulfate precipitation, and the precipitates were dissolved in PBS. The protein solution was passed through a GST-Sepharose column to remove the anti-GST antibodies before the desired antibody was affinity purified using GST-ORF73 coupled to activated CH-Sepharose (Pharmacia). The purified antibody, designated PA173N, was used in the following experiments.
Immunofluorescent Assay (IFA) Using PA173N and Sera from KS Patients
To detect the LANA protein of HHV-8, IFA of cell smears was carried out as described previously.26-28 Sera from AIDS-KS patients and PA173N were mixed and diluted to 1:200 in PBS/1% bovine serum albumin (BSA) and used as the primary antibodies. TY-1 cells smeared on spotted slides and fixed in acetone were incubated with the primary antibodies for 60 minutes at 37°C and then washed extensively in PBS. The secondary antibodies, fluorescein isothiocyanate (FITC)-conjugated goat anti-human IgG (Tago Immunologicals, Camarillo, CA) and Texas-red-conjugated goat anti-rabbit IgG (Cappel, Organon Teknika Co., Durham, NC), were applied at a dilution of 1:50 in PBS for 30 minutes. The slides were then washed extensively in PBS and mounted with buffered glycerin. Imaging was performed using a confocal microscope equipped with an argon-krypton laser (LSM-MicroSystem, Zeiss, Germany). Texas red was excited at 568 nm, and FITC was excited at 488 nm. The emission patterns of the two fluorescent labels were collected separately, and the data were overlaid by a computer to create two-color images.
Western Blot Assay
Western blotting was carried out using PA173N and sera from AIDS-KS patients. The cell lines examined for GST and GST-ORF73 expression were BCBL-1 (HHV-8 positive and EBV negative, kindly provided by Dr. Brian Herndier),16 TY-1 (HHV-8 positive, EBV negative)15 , Raji (HHV-8 negative, EBV positive), and Molt-4 (HHV-8 negative, EBV negative). To assess the specificity of PA173N, excess GST-ORF73 (100 µg/ml) was added to the dilution buffer.
Immunohistochemistry
To investigate the expression of ORF73 protein in tissues, 26 KS biopsy specimens from 25 cutaneous lesions and one lymph node, together with 30 specimens from non-KS tissues, were fixed in 10% buffered formalin and embedded in paraffin. Twenty-one of the cutaneous KS specimens were in the nodular stage and four were in the patchy stage. Sections (4 µm) were deparaffinized by sequential immersion in xylene and ethanol and rehydrated in distilled water. They were then irradiated for 15 minutes in a microwave oven for antigen retrieval. Endogenous peroxidase activity was blocked by immersing the sections in methanol/0.6% H2O2 for 30 minutes at room temperature. Affinity-purified PA173N antibody, diluted 1:3000 in PBS/5% BSA, was then applied, and the sections were incubated overnight at 4°C. After washing in PBS twice, the second and third reactions and the amplification procedure were performed using kits according to the manufacturer's instructions (catalyzed signal amplification system kit, DAKO, Copenhagen, Denmark). The signal was visualized using 0.2 mg/ml diaminobenzidine and 0.015% H2O2 in 0.05 mol/L Tris-HCl, pH 7.6. Double immunostaining was performed as described previously.32 Mouse monoclonal antibodies against CD34 (DAKO), factor-VIII-related antigen (DAKO), vimentin (DAKO), and CD68 (KP-1, DAKO) were each used as the first primary antibody followed by PA173N. To detect one of the lytic proteins of HHV-8, a rabbit polyclonal antibody against an HHV-8-encoded ORF59 protein was used.33,34
| Results |
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IFA of the HHV-8-infected cell line TY-1 using PA173N (the
anti-ORF73 antibody) produced a dot-like pattern of nuclear staining
(Figure 1a)
. This staining pattern
overlapped the staining pattern produced by sera from patients with KS
(Figure 1, b and c)
. Close observation showed that the staining pattern
of the KS sera was broader than that of PA173N because patient sera
recognized other HHV-8 antigens in addition to LANA. These data suggest
that PA173N recognizes LANA.
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PA173N reacted with GST-ORF73 and with several proteins, ranging
from 120 to 222 and 234 kd, that were present in the lysates of both
BCBL-1 and TY-1 cells (Figure 2a)
.
PA173N did not recognize GST or any proteins from the HHV-8-negative
cell lines Raji and Molt-4 (Figure 2a)
. Preincubation with excess
GST-ORF73 blocked these positive reactions completely (Figure 2b)
. By
contrast, AIDS-KS sera reacted with many protein bands from 120 to 222
and 234 kd. These findings indicate that PA173N identified LNAs that
are present in BCBL-1 and TY-1 cells and that these proteins are
specific to HHV-8-infected cells.
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The expression of ORF73 protein in KS tissues was examined by
staining tissue sections with PA173N. Specific positive reactions
were noted in the nuclei of KS cells (Figure 3c)
. High-power views showed that
PA173N produced a dot-like nuclear staining pattern on over 90% of
the spindle-shaped cells (Figure 3d)
. A positive signal was not
observed in non-tumor endothelial cells, fibroblasts, or macrophages or
in lymphocytes infiltrating in the KS lesions. On the other hand, ORF59
protein, which is a lytic protein encoded by HHV-8, was expressed by
only a small proportion of the KS tumor cells (Figure 3b)
. Furthermore,
the ORF59-positive cells did not react with PA173N (data not shown).
The PA173N nuclear staining pattern was similar in all 24 KS tissue
specimens from AIDS-KS patients and in the two specimens from KS
patients without HIV infection, whereas PA173N did not label the
normal tissues of various organs (skin, gastrointestinal tract, liver,
lung, kidney, and spleen) or non-KS lesions (angiosarcoma, hemangioma,
scar tissue, and granulation tissue; data not shown). The
KS3302333
or
KS33015335
DNA products were amplified
successfully by PCR from the total DNA of each immunohistochemically
positive case (data not shown). The lymph node specimen showed ORF73
antigen exclusively in the nuclei of the KS tumor cells (Figure 3, e and f)
. Double staining of the KS sections showed that a small number
of the ORF73-positive cells also expressed CD34 and vimentin. However,
most of the KS cells did not express any of the cell-specific markers
tested: CD34, vimentin, CD68, and factor-VIII-related antigen (data not
shown). These data indicate that ORF73 protein is specifically
expressed by most KS spindle-shaped cells, which suggests that the
majority of KS spindle-shaped cells are infected with HHV-8 in the
latent phase.
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| Discussion |
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We have confirmed that PA173N binds specifically to ORF73 protein: 1) PA173N IFA staining completely overlapped the LANA distribution pattern in TY-1 cells, 2) similar results were obtained when Western blotting was performed using PA173N and the serum of a patient with AIDS-KS, and 3) PA173N labeled only KS tumor cells, not other cell types.
In our Western blot analysis PA173N recognized not only the 222- or 234-kd proteins of LNA but also several proteins ranging from 120 to 220 kd in size, which were also recognized by sera from patients with AIDS-KS. Two groups20,37 reported the presence of mRNA splice variants that are produced using a common promoter by a cluster of latently expressed genes encoding ORF K13, ORF72, and ORF73. ISH has shown that these RNAs are present in at least 70% of the spindle-shaped cells in KS tumors.20 Although the sizes of these mRNAs were reported as 1.7, 5.4, and 5.7 kb, no splicing site was detected in ORF73. Therefore, we think that the small sizes of bands from 120 to 222 kd were generated by degradation of LNA, which differ in size from the reported ones (222 and 234 kd).
The results of our immunohistochemical examination indicate that ORF73 protein is specifically expressed in KS spindle-shaped cells and not in non-tumor endothelial cells or macrophages in KS lesions. Some previous studies have demonstrated that macrophages in KS lesions were infected with HHV-8,25 but we could not obtain any evidence for the infection to macrophages in the present study. Generally, immunohistochemical localization is superior to and far cleaner than ISH studies. Thus, the present study clearly confirmed that HHV-8 infected spindle tumor cells and was not detected in non-tumor endothelial cells or the majority of macrophages infiltrating KS lesions. It is known that some KS tumor cells are positive for CD34, CD68, factor-VIII-related antigen, vimentin, and smooth muscle actin. However, these antigens are not specific to KS and cannot be used as markers of this disease.2 Our immunohistochemical data suggest that the ORF73 protein can be used as a diagnostic marker for KS and that the antibody PA173N is a useful tool for detecting HHV-8-infected cells in the latent phase.
The findings of the present study indicate that HHV-8 infects most KS cells. Based on the findings for other oncogenic viruses, ie, EBV, human papillomavirus, human T-cell leukemia/lymphoma virus type 1, hepatitis B virus, and hepatitis C virus, we believe that the association of KS with HHV-8 infection has been confirmed by this immunohistochemical study of KS tumor cells.
| Acknowledgements |
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| Footnotes |
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Supported by a Grant-in-Aid for Scientific Research from the Ministry of Health and Welfare.
Accepted for publication March 31, 1999.
| References |
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