Abstract
Almost exactly twenty years after the discovery of Epstein-Barr virus (EBV), the latent membrane protein 1 (LMP1) entered the EBV stage, and soon thereafter, it was recognized as the primary transforming gene product of the virus. LMP1 is expressed in most EBV-associated lymphoproliferative diseases and malignancies, and it critically contributes to pathogenesis and disease phenotypes. Thirty years of LMP1 research revealed its high potential as a deregulator of cellular signal transduction pathways leading to target cell proliferation and the simultaneous subversion of cell death programs. However, LMP1 has multiple roles beyond cell transformation and immortalization, ranging from cytokine and chemokine induction, immune modulation, the global alteration of gene and microRNA expression patterns to the regulation of tumor angiogenesis, cell–cell contact, cell migration, and invasive growth of tumor cells. By acting like a constitutively active receptor, LMP1 recruits cellular signaling molecules associated with tumor necrosis factor receptors such as tumor necrosis factor receptor-associated factor (TRAF) proteins and TRADD to mimic signals of the costimulatory CD40 receptor in the EBV-infected B lymphocyte. LMP1 activates NF-κB, mitogen-activated protein kinase (MAPK), phosphatidylinositol 3-kinase (PI3-K), IRF7, and STAT pathways. Here, we review LMP1’s molecular and biological functions, highlighting the interface between LMP1 and the cellular signal transduction network as an important factor of virus–host interaction and a potential therapeutic target.
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Keywords
- Latent membrane protein 1 (LMP1)
- Viral oncogene
- Cell transformation
- Signal transduction
- Virus–host cell interaction
1 LMP1 Expression
The first hint to latent membrane protein 1 (LMP1)’s existence arose in the year 1984 when sequencing of an mRNA transcribed in primary lymphocytes, which had been latently infected with B95.8 Epstein-Barr virus (EBV), suggested the existence of a so far unknown viral transmembrane protein. The protein translated from this mRNA was predicted to consist of a short cytoplasmic N-terminus of 24 amino acids, six transmembrane spanning domains of 162 amino acids, and a cytoplasmic C-terminus of 200 amino acids (Fennewald et al. 1984). The first available LMP1 antibodies allowed the determination of LMP1’s apparent molecular weight to approximately 63 kDa and confirmed its localization within the cell membrane (Hennessy et al. 1984; Mann et al. 1985; Modrow and Wolf 1986). Later, it was recognized that the largest fraction of LMP1 actually locates to intracellular membranes where it is biologically active as well (Lam and Sugden 2003). LMP1 is a phosphoprotein, although the functional relevance of LMP1 phosphorylation at serine and threonine residues remains unclear (Baichwal and Sugden 1987; Mann and Thorley-Lawson 1987; Moorthy and Thorley-Lawson 1993b). LMP1 expression is detectable as early as four days after infection of human B lymphocytes with EBV, the viral LMP1 promoter being induced by the transcription factor Epstein-Barr virus nuclear antigen 2 (EBNA2) (Allday et al. 1989; Fahraeus et al. 1990).
Once expressed, several positive and negative autoregulatory loops balance LMP1 protein levels. In cells with low amounts of LMP1, the unfolded protein response (UPR) pathway, which is triggered at the transmembrane domains of LMP1, induces activation transcription factor 4 (ATF4). ATF4 , in turn, promotes transcription of the LMP1 promoter (Lee and Sugden 2008b). Furthermore, cellular signal transduction pathways activated at the carboxy-terminal signaling domain of LMP1 such as interferon regulatory factor 7 (IRF7), NF-κB, and p38 mitogen-activated protein kinase (MAPK) contribute to the positive autoregulation of LMP1 expression (Ning et al. 2003, 2005; Demetriades and Mosialos 2009; Johansson et al. 2009, 2010). At high physiological levels, LMP1 causes cytostasis and autophagy, which limits cellular LMP1 amounts (Hammerschmidt et al. 1989; Lee and Sugden 2008a). Overexpression of LMP1 is deleterious for the cell. The LMP1 transmembrane domains alone have the potential to trigger apoptosis via the UPR pathway, which is suppressed at physiological LMP1 levels by signal transduction events initiated at LMP1’s signaling domain (Pratt et al. 2012). LMP1 overexpression also induces high cellular levels of the death receptor Fas, leading to Fas autoactivity and apoptosis (Le Clorennec et al. 2008). LMP1 remains expressed throughout viral latency type III, which is found in EBV-transformed B cell lines, so-called lymphoblastoid cell lines (LCLs) , post-transplant lymphoproliferative disease (PTLD) , X-linked proliferative disease, and infectious mononucleosis . EBV-associated Hodgkin’s disease, peripheral T cell lymphoma, and undifferentiated nasopharyngeal carcinoma (NPC) , which display viral type II latency, are characterized by the presence of LMP1 protein as well (Niedobitek 1999; Cohen 2000; Yoshizaki et al. 2013). During type II latency, where EBNA2 is absent, cytokine-induced activity of signal transducers and activators of transcription (STAT) is responsible for LMP1 expression (Chen et al. 2001, 2003; Kis et al. 2006, 2010, 2011). Also, transcription factors of the C/EBP family are involved in maintaining LMP1 expression in the absence of EBNA2 (Noda et al. 2011). Apart from pleiotropic effects on its target cell, which will be discussed in the forthcoming paragraphs, LMP1 contributes to the stabilization of viral latency by suppressing activation of the EBV-derived transcription factor BZLF1 , which controls EBV’s entry into the lytic cycle, and by inducing IRF7, which represses the Qp promoter of EBV in type III latency (Zhang and Pagano 2000; Adler et al. 2002; Prince et al. 2003).
2 Biological Functions
2.1 Transformation of Epithelial Cells and Fibroblasts
The first breakthrough toward LMP1’s biological functions was the discovery of its transforming potential in rodent fibroblasts, identifying LMP1 as a genuine herpesviral oncogene. Mouse and rat fibroblasts transfected with LMP1 show phenotypic changes typical for transformed cells such as anchorage- and serum-independent cell growth. Moreover, LMP1-transformed rat fibroblasts turned out to be tumorigenic in nude mice (Wang et al. 1985; Baichwal and Sugden 1988). Also, terminal differentiation of human epithelial cells is inhibited by LMP1, a mechanism by which LMP1 might contribute to multistep pathogenesis of EBV-associated undifferentiated NPC (Dawson et al. 1990). In nasopharyngeal epithelial cells and rodent fibroblasts, LMP1 upregulates basic helix-loop-helix (bHLH) transcription factors of the inhibitor of DNA-binding (Id) family such as Id-1, which mediates epithelial cell cycle progression by downregulation of the retinoblastoma protein (Rb)/p16INK4a pathway (Everly et al. 2004; Li et al. 2004). The tumor necrosis factor receptor-associated factor (TRAF)-binding domain located within the signaling domain is required for rat fibroblast transformation and upregulates cell cycle markers linked to G1/S-phase transition of the cell cycle (Mainou et al. 2005, 2007). Notably, fibroblast transformation by LMP1 is dependent on the PI3-K/AKT and c-Jun N-terminal kinase (JNK) pathways, but independent of NF-κB (Mainou et al. 2005; Kutz et al. 2008). Cell immortalization is fostered by LMP1 through telomerase activation via the p16INK4a/Rb, PI3-K/AKT, and JNK pathways (Ding et al. 2007; Yang et al. 2014). Moreover, LMP1 aids NPC cells to evade apoptosis, for instance induced by TNF-related apoptosis-inducing ligand (TRAIL), a factor with potential therapeutic relevance for cancer (Li et al. 2011).
2.2 B cell Transformation
EBV primarily infects and transforms human B lymphocytes (Young and Rickinson 2004). Virions lacking functional LMP1 loose the capability of efficiently transforming B cells, underscoring LMP1’s critical role as the primary oncogene of EBV (Kaye et al. 1993; Dirmeier et al. 2003). LMP1 is also oncogenic in the B cell compartment of transgenic mice. Expression of LMP1 from the immunoglobulin heavy chain promoter/enhancer results in the sporadic development of B cell lymphomas of follicular center cell phenotype (Kulwichit et al. 1998). The conditional activation of LMP1 from the pro/pre-B cell stage in mice causes a rapid and fatal lymphoproliferation with high efficiency, if T lymphocytes are depleted at the same time. This result highlights the transforming potential of LMP1 in vivo as well as its role in immune surveillance of EBV-positive B cells (Zhang et al. 2012).
Activation of naive B cells depends on the stimulation of their B cell receptor by antigen and the costimulatory receptor CD40 by T helper cells. Several in vitro and in vivo studies have demonstrated that LMP1 mimics signals that are physiologically induced by CD40 , a member of the TNF-R family (Zimber-Strobl et al. 1996; Hatzivassiliou et al. 1998; Kilger et al. 1998; Busch and Bishop 1999; Uchida et al. 1999; Stunz et al. 2004; Rastelli et al. 2008; Zhang et al. 2012). Accordingly, primary human B cells infected with LMP1-deficient EBV are only able to induce lymphomas in immunodeficient mice if they are supplied with CD40-mediated T cell help (Ma et al. 2015). Together with LMP2A, which generates B cell receptor-like signals, LMP1 drives B cell proliferation and survival, rendering the infected B cell independent of B cell receptor and CD40 stimulation (Mancao and Hammerschmidt 2007). In particular, activation of the NF-κB pathway by LMP1 contributes essential survival signals for the transformation of B cells in type III latency (Cahir-McFarland et al. 1999; Feuillard et al. 2000; Cahir-McFarland et al. 2004). LMP1 even possesses general antiapoptotic potential as it protects EBV-negative Burkitt’s lymphoma cells from programmed cell death by upregulation of antiapoptotic genes such as bcl-2, mcl-1, and bfl-1, or downregulation of proapoptotic genes such as bax (Henderson et al. 1991; D’Souza et al. 2004; Grimm et al. 2005) . Moreover, LMP1 disrupts expression or function of tumor suppressors such as DOK1 in EBV-infected primary B cells (Li et al. 2012; Siouda et al. 2014).
Simultaneous promotion of proliferation, cell cycle progression, and cell growth of B cells can be attributed to LMP1’s potential of inducing the expression of c-Myc and the epidermal growth factor receptor (EGF-R) and to upregulate cell cycle-regulating kinases such as Cdk2 and Cdc2 (Miller et al. 1995; Dirmeier et al. 2005; Shair et al. 2007; Kutz et al. 2008). Splenic B cells of LMP1 transgenic mice display increased levels of Cdk2 and phosphorylated Rb protein, a key substrate of Cdk2 and master regulator of G1- to S-phase transition of the cell cycle (Shair et al. 2007). Cdc2, which is essential for G2- to M-phase transition, is upregulated in LCLs by LMP1 via the JNK signaling pathway (Kutz et al. 2008). Notably, chemical inactivation of JNK by a small molecule inhibitor caused a proliferation defect in LCLs in vitro and strongly retarded tumor growth of EBV-transformed human B cells in a tumor xenograft model in mice (Kutz et al. 2008). Recent data point to an additional role of IRF7 in B cell transformation by EBV, because the knockdown of this transcription factor in LCLs causes a defect in cell growth (Xu et al. 2015).
2.3 Global Effects on Chromatin and Gene Expression
Accumulating evidence suggests that LMP1 also impacts the chromatin of its target cell. A first hint toward this direction came from studies, revealing that LMP1 upregulates expression of the DNA methyltransferase DNMT1 via the JNK pathway. LMP1-induced DNMT1 forms a transcriptional repression complex together with histone acetylase at the E-cadherin promoter (Tsai et al. 2006). LMP1 also induces recruitment of a DNMT1-containing repression complex to the promoter of the tumor suppressor DOK1, resulting in histone H3 trimethylation at lysine 27 (H3K27me3) and gene silencing (Siouda et al. 2014). Moreover, LMP1 stimulates phosphorylation of histone H3 at serine 10, which is an important factor in carcinogenesis of NPC (Li et al. 2013). It is tempting to speculate that additional regulatory links between LMP1 and the chromatin will emerge with more studies to be conducted.
Considering the diversity of biological processes and signal transduction pathways regulated by LMP1, it was not surprising to learn that LMP1 has an extensive impact on the gene expression pattern of its target cell. Several studies reported global analyses of LMP1-regulated gene expression in different cell types ranging from NPC cells to primary B cells infected with EBV. LMP1-regulated genes include for instance transcription factors, cytokines, chemokines, growth factors, receptors and signaling mediators, genes involved in apoptosis and survival regulation, metabolism, and structural proteins as well as genes involved in cell motility and immune modulation (Kwok Fung Lo et al. 2001; Cahir-McFarland et al. 2004; Dirmeier et al. 2005; Morris et al. 2008; Vockerodt et al. 2008; Faumont et al. 2009; Gewurz et al. 2011; Shair and Raab-Traub 2012; Xiao et al. 2014). In primary human germinal center B cells, LMP1 induces a transcriptional pattern characteristic for Hodgkin/Reed–Sternberg tumor cells including the downregulation of B cell receptor components (Vockerodt et al. 2008). LMP1 affects cell metabolism by deregulation of glycolytic genes such as hexokinase 2, which results in increased glycolysis (Xiao et al. 2014). Moreover, it has become evident recently that not only genes translated into proteins but also genes encoding small non-coding RNA species such as microRNAs or vault RNA are regulated by LMP1 (Motsch et al. 2007; Amort et al. 2015).
2.4 Functions Beyond Cell Transformation
Apart from affecting cell survival and proliferation pathways, LMP1 influences many other processes involved, for instance, in immune modulation or the dissemination of tumor cells in the body. Due to space limitations, only some examples can be given here. The first transmembrane domain of LMP1 harbors the immunosuppressive peptide LALLFWL, which strongly inhibits T cell proliferation and NK T cell cytotoxicity, likely upon LMP1 release from EBV-positive cells via exosomes (Dukers et al. 2000; Middeldorp and Pegtel 2008).
Mice expressing LMP1 as a transgene in the skin develop epidermal hyperplasia associated with inflammatory processes, which are mediated by LMP1-induced cytokine and chemokine expression (Wilson et al. 1990; Curran et al. 2001; Hannigan et al. 2011). Like many other tumors, also NPC is accompanied by heavy chronic inflammation that adds to the severity of the disease. Several studies have shown that upregulation of proinflammatory cytokines such as interleukin (IL)-1α/β, IL-6 , IL-8, chemokine (C-X-C) motif ligand 1 (CXCL-1), or granulocyte-macrophage colony-stimulating factor (GM-CSF) is related to EBV infection and LMP1 expression in undifferentiated NPC (Eliopoulos et al. 1999b; Huang et al. 1999; Li et al. 2007; Lai et al. 2010; Hannigan et al. 2011). Moreover, LMP1 activity is linked to tumor angiogenesis by upregulating angiogenic factors such as vascular endothelial growth factor (VEGF), fibroblast growth factor-2 (FGF-2), and IL-8 (Yoshizaki et al. 2001; Murono et al. 2001; Wakisaka et al. 2002).
LMP1 promotes cell motility, migration, and tumor metastasis by inducing anchorage-independent and invasive growth of human epithelial and nasopharyngeal cells (Tsao et al. 2002; Yoshizaki 2002; Chew et al. 2010). Cell motility and migration are fostered through activation of the MAPK extracellular-regulated kinase (ERK) and PI3-K/AKT pathways and of the Rho-GTPase Cdc42 (Dawson et al. 2008; Shair et al. 2008; Liu et al. 2012). LMP1 furthermore interacts with the SUMO-conjugating enzyme Ubc9 , which mediates LMP1-induced SUMOylation of cellular target proteins. Disruption of the LMP1::Ubc9 interaction affected cell migration (Bentz et al. 2011). In NPC tissues, LMP1 expression is directly correlated with ezrin phosphorylation, a linker between the cell membrane and the actin cytoskeleton that mediates cell migration. LMP1 increases ezrin phosphorylation and its activation through a protein kinase C (PKC)-dependent pathway, which is required for LMP1-induced cell motility and invasion of nasopharyngeal cells (Endo et al. 2009). Also, upregulation of alpha(v)integrins by LMP1 contributes to cell migration (Huang et al. 2000). Recent data further showed that LMP1 induces the TNFα-induced protein 2 (TNFAIP2), whose expression correlates with metastasis and poor survival of NPC patients, via the NF-κB pathway. TNFAIP2 associates with actin and promotes the formation of membrane protrusions (Chen et al. 2014).
Tumor cells must be able to degrade and invade the extracellular matrix to migrate through surrounding tissue and to penetrate lymphatic or blood vessels, a prerequisite for tumor metastasis. LMP1 upregulates a panel of factors that are associated with cell invasiveness such as matrix metalloproteinases (Lu et al. 2003; Yoshizaki et al. 1998; Kondo et al. 2005). Furthermore, LMP1 increases invasive properties of tumor cells by downregulation of E-cadherin, a Ca2+-dependent adhesion molecule at the cell surface responsible for cell–cell contact (Tsai et al. 2002). LMP1 also regulates invasive migration of lymphocytes by upregulating the tumor marker Fascin, a stabilizer of filamentous actin in filopodia of migrating cells, via the NF-κB pathway (Mohr et al. 2014).
2.5 The Role of LMP1 for EBV Infection
The germinal center model (GCM) of EBV infection explains EBV biology as well as the pathogenesis of lymphoma (Thorley-Lawson et al. 2013). According to this model, EBV exploits normal B cell biology to establish a lifelong latency in the body. After infection of naive B cells, EBV pushes the cells into proliferating lymphoblasts expressing LMP1, LMP2, and EBNA2, which then transit the germinal center as centroblasts and centrocytes to finally become long-lived resting memory B cells (Babcock et al. 2000). From the centroblast stage, EBV-infected cells express a restricted pattern of latent genes comprising LMP1, LMP2, and EBNA1, but not EBNA2 (Babcock et al. 2000). It has long been assumed that LMP1 (together with LMP2) allows the EBV-infected cells to pass the germinal center in the absence of antigen, T cell help and CD40 signaling . However, EBV-positive memory B cells apparently underwent antigen selection as their EBV-negative counterparts, suggesting that the impact of LMP1 (and LMP2) on the cells during their passage through the germinal center may be moderate (Souza et al. 2005). LMP1 likely supports the survival of EBV-infected cells in this competitive environment and favors their differentiation into memory B cells rather than plasma cells (Thorley-Lawson et al. 2013). So far, this model is largely based upon expression analyses of EBV genes in B cell subsets of infected individuals. Due to the lack of appropriate in vivo models for EBV infection, it has been nearly impossible to test this model experimentally. This may now change due to the availability of infection models in mice carrying a reconstituted human immune system (Chatterjee et al. 2014). Recent experiments in highly immunocompetent hNSG(thy) mice engrafted with human fetal CD34-positive cells and human thymus showed that EBV lacking LMP1 can still establish long-term viral latency in vivo, but is unable to induce lymphomas (Ma et al. 2015). However, long-term latency in this model may rather resemble latency III of LCLs than the latency program found in resting memory B cells of EBV-positive individuals, because the latently infected B cells in the spleens of these animals still expressed EBNA2. This finding is in line with in vitro data demonstrating that LMP1-deficient EBV supports the establishment of LCLs at a very low frequency if the cells are supplied with a favorable environment such as a fibroblast feeder layer (Dirmeier et al. 2003).
3 Structure–Function Relationship
3.1 Amino-terminus and Transmembrane Domain
The LMP1 molecule consists of a short cytoplasmic amino-terminus (amino acids 1–24), six transmembrane domains (amino acids 25–186), and a carboxy-terminal signaling domain (amino acids 187–386), which is located in the cytoplasm (Fig. 1). There are no crystal or NMR structures of the LMP1 protein available, which is partly due to its unfavorable chemical properties as a hydrophobic transmembrane protein with a signaling domain that seems to be highly unstructured, at least in the absence of a binding partner. LMP1 functions like a constitutively active receptor that is independent of ligand binding. The transmembrane domain of LMP1 has the intrinsic property to form homo-oligomers in the membrane, which replaces cross-linking by a ligand and leads to the initiation of signal transduction events at the signaling domain of the molecule (Gires et al. 1997). Intermolecular interactions between transmembrane domains (TM) 3–6 and an FWLY motif in TM1 mediate oligomerization and are thus required for LMP1 signaling (Yasui et al. 2004; Soni et al. 2006). LMP1 is distributed between lipid rafts and non-raft regions of the membrane (Ardila-Osorio et al. 1999; Higuchi et al. 2001). Also, lipid raft localization of LMP1 is mediated by the FWLY motif (Coffin et al. 2003; Yasui et al. 2004). In addition, a leucine heptad motif located within TM1 contributes to the efficient homing of LMP1 to lipid rafts (Lee and Sugden 2007). Lipid rafts are membrane subdomains enriched in sphingolipids and cholesterol that are actively involved in signal transduction processes. LMP1 specifically recruits cellular signaling molecules such as TRAF2 and 3, the TNF receptor-associated death domain protein (TRADD) , or PI3-K into lipid rafts, suggesting a role for these membrane domains in LMP1 signaling (Ardila-Osorio et al. 1999; Brown et al. 2001; Schneider et al. 2008; Meckes et al. 2013).
The amino-terminus is responsible for correct insertion and orientation of LMP1 within the membrane, mediates association of LMP1 with the cytoskeleton, and is involved in the regulation of LMP1 degradation and turnover (Wang et al. 1988b; Martin and Sugden 1991; Izumi et al. 1994; Aviel et al. 2000; Coffin et al. 2001). Ubiquitination and proteasome-dependent degradation of LMP1 is further dependent on the TRAF-binding site within the carboxy-terminus of LMP1 (Rothenberger et al. 2003; Hau et al. 2011). Mutation of the amino-terminus showed that this domain does not contribute critical signals for B cell transformation (Izumi et al. 1994; Dirmeier et al. 2003).
3.2 Carboxy-terminal Signaling Domain
Extensive mutational analysis revealed the central importance of the carboxy-terminal domain and the two functional subdomains it harbors, for cell transformation and the initiation of signal transduction. The so-called transformation effector sites (TES) 1 (amino acids 187–231) and 2 (amino acids 351–386) have been defined by their essential functions in initial B cell transformation or long-term outgrowth of EBV-infected B cells, respectively (Kaye et al. 1995, 1999; Dirmeier et al. 2003). Transformation of rat fibroblasts depends on these effector sites as well (Moorthy and Thorley-Lawson 1993a; Mainou et al. 2005). Soon, it has been recognized that TES1 and 2 coincide with two regions named C-terminal activating regions (CTAR) 1 and 2 , respectively, that are responsible for interaction of LMP1 with cellular signaling molecules of the TRAF family and TRADD, and the activation of NF-κB and JNK/AP1 signaling (Fig. 2) (Huen et al. 1995; Mitchell and Sugden 1995; Mosialos et al. 1995; Devergne et al. 1996; Brodeur et al. 1997; Izumi et al. 1997; Izumi and Kieff 1997; Kieser et al. 1997; Eliopoulos and Young 1998).
The TRAF interaction motif P204xQxT is critical for CTAR1 domain function and was shown to directly bind TRAF1, 2, and 3, whereas the molecular basis of TRAF5 interaction with CTAR1 remains unclear (Devergne et al. 1996; Brodeur et al. 1997; Sandberg et al. 1997; Miller et al. 1998). The crystal structure of TRAF2 in complex with the CTAR1-derived peptide P204QQATDD revealed a conserved binding mode of TRAF2 to LMP1 and its cellular counterpart, CD40 (Ye et al. 1999).
CTAR2 activity depends on the presence of a minor TRAF-binding motif P379VQLSYY in order to induce signaling, although direct binding of TRAF proteins to this site has never been demonstrated (Floettmann and Rowe 1997; Kieser et al. 1999; Schneider et al. 2008). Instead, it was the death domain protein TRADD that was first described to interact directly with CTAR2, the motif Y384Y of CTAR2 being essential for TRADD recruitment (Izumi and Kieff 1997). This interaction, however, is unique and differs from cellular TRADD-interacting receptors, as it (i) does not require the death domain of TRADD and (ii) dictates an LMP1-specific, transferable, and non-apoptotic type of TRADD signaling (Kieser et al. 1999; Kieser 2008; Schneider et al. 2008). LMP1 is thus another impressive example of a viral protein that reprograms and thereby exploits cellular proteins and functions for its own purposes, in this case the subversion of cellular pathways regulating cell survival. In contrast to CTAR1, CTAR2 relies on TRAF6 as the essential signaling mediator (Schultheiss et al. 2001; Luftig et al. 2003; Wan et al. 2004; Schneider et al. 2008). However, despite its central role in LMP1 signaling, it has been unclear by which mechanism LMP1 is recruiting TRAF6. Our own unpublished data now suggest that TRAF6 in fact binds to the P379VQLSYY motif of CTAR2 directly. Other factors such as BS69 or TRADD might then further stabilize the complex at CTAR2 (Wan et al. 2006; Schneider et al. 2008).
The region between CTAR1 and CTAR2 is dispensable for cell transformation (Izumi et al. 1999). The functional relevance of CTAR3 (amino acids 275–330) comprising two box 1 and one box 2 Janus kinase 3 (JAK3) interaction and activation motifs, respectively, for JAK /STAT activation by LMP1 remains controversial (Gires et al. 1999; Higuchi et al. 2002). However, LMP1 can induce STAT3 via autocrine loops involving cytokines such as IL-6 (Chen et al. 2003). STAT1 activation has been linked to LMP1-dependent IFNγ secretion in PTLD-derived B cells (Vaysberg et al. 2009). Recent studies demonstrated that CTAR3 in fact exists and that it regulates Ubc9-mediated SUMO modification of cellular proteins including the transcription factor IRF7 (Bentz et al. 2011, 2012).
Most experimental data on molecular biology and the biological functions of LMP1 have been generated using the “prototype” LMP1 derived from the B95.8 strain of EBV (Hudson et al. 1985). In addition to B95.8-LMP1, a large number of LMP1 sequence variants have been isolated predominantly from NPC samples or healthy carriers of different geographical regions of the world (Hu et al. 1991; Miller et al. 1994; Sandvej et al. 1997; Hatton et al. 2014; Lorenzetti et al. 2012; Renzette et al. 2014). Due to space limitations, a detailed description of such LMP1 variants cannot be given here. Some of these variants, for instance the CAO-LMP1 variant derived from a Chinese NPC, exhibit altered signaling properties as compared to B95.8-LMP1 (Hu et al. 1991; Blake et al. 2001; Fielding et al. 2001; Stevenson et al. 2005; Mainou and Raab-Traub 2006).
4 Signal Transduction by LMP1
4.1 NF-κB Pathway
The first cellular signaling pathway identified as an LMP1 target was NF-κB (Fig. 2) (Laherty et al. 1992). The transcription factor NF-κB is a key regulator of lymphocyte development, immunity, inflammation, and cancer. The NF-κB family comprises five proteins, p65 (RelA), c-Rel, RelB, p50 (and its precursor p105), and p52 (and its precursor p100), which are kept inactive in the cytoplasm either by complex formation with inhibitory proteins of the inhibitor of NF-κB (IκB) family or as precursors (Vallabhapurapu and Karin 2009). Two major NF-κB pathways have been described, the canonical and the non-canonical pathway (Fig. 2). The canonical pathway involves phosphorylation of IκB proteins by IκB kinase 2 (IKK2) and the subsequent degradation of IκB, which liberates NF-κB dimers usually including p65. The non-canonical pathway depends on IKK1 and leads to the processing of p100 to p52 and the subsequent translocation of p52::RelB dimers to the nucleus (Vallabhapurapu and Karin 2009). Early studies revealed that both CTAR1 and CTAR2 contribute to the activation of NF-κB (Huen et al. 1995; Mitchell and Sugden 1995). However, CTAR1 induces multiple forms of NF-κB dimers, whereas CTAR2 activates complexes containing p65 (Paine et al. 1995). Later, it became evident that CTAR1 primarily activates the non-canonical NF-κB pathway including p100 to p52 processing and p50::p52 and p52::p65 dimers as well as atypical p50::p50::Bcl3 complexes, while CTAR2 is responsible for canonical NF-κB activation (Atkinson et al. 2003; Eliopoulos et al. 2003a; Saito et al. 2003; Thornburg et al. 2003; Luftig et al. 2004; Thornburg and Raab-Traub 2007). The canonical NF-κB pathway is essential for most CTAR2-dependent gene regulation (Gewurz et al. 2011). However, the recent global ChIP-seq analysis of the NF-κB-binding landscape in LCLs revealed a pattern of NF-κB complexes, which does not fully reflect the paradigm of canonical and non-canonical NF-κB pathways (Zhao et al. 2014). This result may indicate that our current view of LMP1-induced NF-κB activity still requires further refinement.
In the uninduced state, TRAF2 and TRAF3 are key inhibitors of the non-canonical NF-κB pathway leading to permanent degradation of NF-κB-inducing kinase (NIK) . Upon activation, TRAF3 is cleared from the cytosol in a TRAF2 and cIAP1/2-dependent mechanism, which leads to NIK stabilization and NIK-mediated activation of IKK1 (Vallabhapurapu and Karin 2009). Overexpression of either TRAF was shown to reduce CTAR1-dependent NF-κB activation as well as processing of p100, and dominant-negative TRAF2 inhibited CTAR1 signaling, indicating that both TRAF2 and TRAF3 are involved in the regulation of non-canonical NF-κB by LMP1 (Devergne et al. 1996; Kaye et al. 1996; Song and Kang 2010). Accordingly, the siRNA-mediated knockdown of TRAF2 caused a marked reduction of total NF-κB activity and the concomitant induction of apoptosis in LCLs (Guasparri et al. 2008). However, and in contrast to CD40 signaling , TRAF3 is eliminated by LMP1 through a mechanism independent of the proteasome (Brown et al. 2001). Also, a non-essential role for TRAF6 in CTAR1 signaling has been suggested but still requires further validation (Schultheiss et al. 2001; Arcipowski et al. 2011).
Although dominant-negative TRAF2 had mild negative effects on CTAR2-induced NF-κB as well (Kaye et al. 1996), it is nowadays widely accepted that CTAR2 signaling does not depend on TRAF2 or its close relative TRAF5. Ligation of a CD40-LMP1 chimera in TRAF2-deficient mouse B cells still resulted in the degradation of IκBα (Xie and Bishop 2004). The double knockout of TRAF2 and TRAF5 in mouse embryonic fibroblasts did not impair CTAR2-induced IKK2 activation or translocation of canonical p65 NF-κB into the nucleus, excluding the possibility that TRAF2 deficiency was rescued by TRAF5 (Luftig et al. 2003; Wu et al. 2006). Instead of TRAF2, activation of canonical NF-κB by LMP1 requires TRAF6 and its function as an E3 ubiquitin ligase (Schultheiss et al. 2001). CTAR2-dependent NF-κB activation is blocked upon expression of dominant-negative TRAF6 lacking its RING domain, and the deficiency of TRAF6 significantly reduces p65 translocation and NF-κB-dependent gene transcription induced by CTAR2 (Schultheiss et al. 2001; Luftig et al. 2003; Schneider et al. 2008; Boehm et al. 2010). TRADD was one of the first factors found to be involved in CTAR2-induced NF-κB signaling, albeit its interaction with LMP1 does not require the TRADD death domain (Izumi and Kieff 1997; Kieser et al. 1999; Schneider et al. 2008). Accordingly, a TRADD deletion mutant lacking the TRADD death domain, which is required for downstream signaling, acted as a dominant-negative allele in NF-κB signaling by LMP1 (Kieser et al. 1999). The genetic knockout of TRADD in human B cells delivered the definitive proof for an important role of TRADD in canonical NF-κB signaling by LMP1, because LMP1 was unable to activate IKK2 in the absence of TRADD in these cells (Schneider et al. 2008). However, the precise molecular function of TRADD in CTAR2 signaling is still not understood. TRADD might aid to stabilize the holocomplex at CTAR2, probably in a cell type-dependent manner depending on the abundance of other factors involved in CTAR2 signaling. In human B cells, TRADD seems to be required for the recruitment of IKK2 into the LMP1 complex (Schneider et al. 2008).
Further downstream in the cascade, TRAF6 recruits the germinal center kinase family member TRAF2- and Nck-interacting kinase (TNIK) to LMP1, which mediates canonical NF-κB and JNK signaling by the viral oncoprotein (Fig. 2) (Shkoda et al. 2012). TNIK is involved in the assembly of the TRAF6/TAB/TAK1/IKK2 complex and the bifurcation of the NF-κB and JNK pathways. The amino-terminal kinase domain of TNIK is required for NF-κB but not JNK signaling, whereas its carboxy-terminal germinal center kinase homology domain mediates JNK but not NF-κB activation (Shkoda et al. 2012). Interestingly, CTAR2 alone is able to induce an association between TNIK and TRAF2 as well, an interaction whose relevance for CTAR2 function is unclear (Shkoda et al. 2012). The TAK1 protein, but not its kinase activity, seems to be important for canonical NF-κB induction by LMP1, because the knockdown of TAK1, but not the chemical inhibition of its kinase activity, interfered with IKK2 activation by CTAR2 (Uemura et al. 2006; Wu et al. 2006). The IKK complex consisting of IKK1, IKK2, and the regulatory subunit NEMO (IKKγ) is the central mediator of the NF-κB pathway (Vallabhapurapu and Karin 2009). This is also true for LMP1 signaling, although the mode of NEMO utilization seems to differ from cellular receptors such as TNF-R1 or CD40 (Boehm et al. 2010). NEMO lacking its Zn-finger domain or part of the coiled coil region is capable of mediating NF-κB activation upon LMP1 expression, but not upon CD40 or TNF-R1 ligation in Jurkat T cells. However, the complete lack of NEMO blocks LMP1-induced canonical NF-κB in different cell types, underscoring its critical role in LMP1 signaling (Boehm et al. 2010). Likewise, inhibition or lack of IKK2 abolishes LMP1-induced NF-κB activity, confirming the essential role of this IKK isoform in LMP1 signaling (Luftig et al. 2003; Boehm et al. 2010). However, recent knockdown experiments suggested that IKK1 and IKK2 have partially redundant roles in this pathway (Gewurz et al. 2012).
Interleukin 1 receptor-associated kinase 1 (IRAK1 ), a coplayer of TRAF6 in Toll-like/IL-1 receptor signaling, is also involved in canonical NF-κB activation by LMP1, albeit its kinase activity seems to be dispensable for this pathway (Luftig et al. 2003; Song et al. 2006). IRAK1 deficiency does not interfere with IKK2 activation or p65 translocation induced by LMP1 but rather with p65 phosphorylation at serine 536, suggesting that IRAK1 plays a different role in LMP1 signaling compared to cellular receptors (Song et al. 2006). IRAK1 function in this pathway requires its association with Ca2+/Calmodulin-dependent kinase II (CaMKII), which phosphorylates p65 (Kim et al. 2014).
4.2 MAPK Pathways—JNK, ERK , and P38 MAPK
It was in the year 1997 when JNK/AP1 was identified as the second major pathway activated by LMP1 in epithelial cells and LCLs (Kieser et al. 1997). AP1 is a dimeric transcription factor composed of members of the Jun and Fos proto-oncoprotein families. AP1 was found induced by LMP1 through the JNK signaling cascade, involving JNK1-mediated phosphorylation and activation of c-Jun (Kieser et al. 1997). JNK belongs, together with ERK and p38 MAPK , to the MAPK family of kinases. JNK1 activation critically relies on CTAR2 and its P379VQLSYY motif (Fig. 2) (Kieser et al. 1997, 1999; Eliopoulos and Young 1998). It has long been unclear which signaling mediators at CTAR2 are involved in JNK activation. The use of dominant-negative TRAF2 alleles yielded conflicting results regarding a potential role of TRAF2 in this pathway (Eliopoulos et al. 1999a; Kieser et al. 1999). Several years later, experiments in TRAF2-deficient fibroblasts and B cells finally excluded a critical function of TRAF2 in JNK activation by LMP1, because the pathway was fully functional in cells lacking TRAF2 (Wan et al. 2004; Xie et al. 2004). JNK signaling is also intact in mouse embryonic fibroblasts devoid of both TRAF2 and TRAF5 (own unpublished data). A potential function of TRADD in JNK signaling by LMP1 had been subject of discussion for quite some time. Although overexpression of TRADD enhanced JNK signaling by LMP1, dominant-negative TRADD did not block the pathway in HEK293 cells (Eliopoulos et al. 1999a; Kieser et al. 1999). The issue was clarified when neither the knockdown of TRADD in HeLa cells nor the genetic knockout of TRADD in human B cells impaired JNK signaling by LMP1, demonstrating that TRADD is not critical for this pathway (Wan et al. 2004; Schneider et al. 2008). As with canonical NF-κB signaling, it turned out that TRAF6 is in fact the essential mediator of CTAR2-induced JNK activity (Wan et al. 2004). The pathway further involves TAB1, TAK1, and TNIK, the latter orchestrating the bifurcation of canonical NF-κB and JNK (Wan et al. 2004; Uemura et al. 2006; Shkoda et al. 2012).
It seems as if LMP1 is able to eventually make use of different panels of TRAF molecules to establish its signaling network, likely depending on the investigated cell type. Usually, JNK activation by LMP1 is exclusively triggered at CTAR2. In some cell lines, however, CTAR1 contributes to JNK activity as well. JNK1 activation in Rat-1 cells was equally mapped to CTAR1 and CTAR2 (Kutz et al. 2008). Likewise, CTAR1 alone can induce JNK in BJAB cells, which is due to the very strong expression of TRAF1 in these cells. Accordingly, JNK1 activation by CTAR1 was possible after overexpression of TRAF1 in HEK293 cells (Eliopoulos et al. 2003b). Also, TRAF3 can eventually have a role in JNK signaling, as was demonstrated in TRAF3-deficient mouse B lymphoblastic leukemia cells (Xie et al. 2004). Likely, LMP1 constitutes a versatile viral oncoprotein that is variable in establishing its signaling network dependent on the cellular context it comes across.
LMP1 induces the ERK pathway (Fig. 3) (Liu et al. 2003). ERK activity in epithelial cells is mainly initiated at CTAR1 via the canonical Raf-MEK-ERK pathway independent of Ras (Dawson et al. 2008). The mechanism of ERK activation at CTAR1 is still unresolved. An involvement of TRAF2 and TRAF3 in ERK activation has been proposed, because expression of dominant-negative TRAF2 and TRAF3 reduced ERK phosphorylation induced by LMP1 (Mainou et al. 2007). At the same time, mutation of P204xQxT to A204xAxA abolished ERK activation (Mainou et al. 2007). However, mutation of this motif to A204xAxT, which is incapable of binding TRAF2 (Devergne et al. 1998), was not sufficient to reduce pathway activation, indicating that the mechanism of ERK activation might involve other molecules besides of TRAFs. Another component of the pathway is the isoform δ of protein kinase C (PKCδ). Inhibition of this kinase by the PKCδ inhibitor Rottlerin abolished ERK activation after LMP1-CTAR1 expression in C33A cells (Kung et al. 2011). In HEK293 cells, also CTAR2 can activate ERK (Gewurz et al. 2011). Particularly, the latter result suggests that also the ERK pathway may be regulated by different mechanisms in different cell types.
The p38 MAPK pathway is induced by LMP1 as well, mediating upregulation of IL-6 , IL-8, and IL-10 (Fig. 3) (Eliopoulos et al. 1999b; Vockerodt et al. 2001). Both CTAR1 and CTAR2 are involved in the pathway, although the contribution of CTAR2 to p38 MAPK activation is more prevalent (Schultheiss et al. 2001). TRAF6 is the key component of this pathway as was demonstrated by defective LMP1 signaling to p38 MAPK in TRAF6-deficient MEFs (Schultheiss et al. 2001). Also, the lack of IRAK1 causes a defect in p38 MAPK signaling by LMP1 (Song et al. 2006). Other kinases involved in p38 MAPK signaling by LMP1 include MKK6, TAK1, and PKR (Schultheiss et al. 2001; Wan et al. 2004; Lin et al. 2010).
4.3 PI3-K/AKT Pathway
The PI3-K/AKT pathway is induced by a wide range of cellular receptors and is an important mitogenic stimulus in many cell types. Activation of the PI3-K/AKT pathway was first linked to LMP1 in the year 2003, when Dawson and colleagues immunoprecipitated the p85α regulatory subunit of PI3-K together with LMP1 from HeLa cells (Fig. 3) (Dawson et al. 2003). Although it is still unclear whether this interaction is direct, expression of LMP1-CTAR1 caused (i) an enrichment of the PI3-K substrate phosphatidylinositol-3,4,5-trisphosphate (PIP3) in the plasma membrane and (ii) the phosphorylation and activation of AKT kinase, also known as protein kinase B, at serine 473 (Dawson et al. 2003). Dominant-negative p85 or the PI3-K inhibitor LY294002 blocked LMP1-induced stress fiber formation and actin remodeling as well as transformation of rat fibroblasts (Dawson et al. 2003; Mainou et al. 2005). It is accepted that CTAR1 and the TRAF-binding site P204xQxT are involved in activation of the PI3-K/AKT pathway (Dawson et al. 2003; Mainou et al. 2007; Lambert and Martinez 2007). However, CTAR2 alone was as efficient as CTAR1 in inducing AKT phosphorylation in C666-1 cells, indicating the existence of a CTAR2-dependent PI3-K/AKT pathway (Shair et al. 2008). The precise mechanism of PI3-K/AKT activation by LMP1 has not been fully elucidated but may involve the Src family tyrosine kinases Fyn and Syk (Hatton et al. 2012).
4.4 IRF7 Pathway
The transcription factor IRF7 is a critical regulator of type I interferon and thus adaptive and innate immune responses as well as of EBV latency (Zhang and Pagano 2001). LMP1 induces IRF7 expression and facilitates its ubiquitination, phosphorylation, and nuclear translocation (Zhang and Pagano 2000; Ning et al. 2003; Huye et al. 2007). CTAR2 is involved in recruiting IRF7 to LMP1, which is a function of LMP1 that is independent of the TRADD and TRAF6 interaction site Y384Y (Song et al. 2008). CTAR2 then mediates IRF7 ubiquitination in a receptor-interacting protein 1 (RIP1)- and TRAF6-dependent mechanism (Huye et al. 2007; Ning et al. 2008; Song et al. 2008). TRAF6 is involved in IRF7 activation by acting as E3 ubiquitin ligase, which mediates linkage of ubiquitin chains at the carboxy-terminal lysines 444, 446, and 452 of IRF7 (Ning et al. 2008). Two major mechanisms have been identified, aiding the negative regulation of IRF7 activity. First, LMP1 induces expression of A20 , which acts as a deubiquitinase for IRF7 and thus negatively regulates its activity as a transcription factor (Ning and Pagano 2010). Furthermore, SUMOylation of IRF7 at lysine 452 was shown to decrease DNA-binding and transcriptional activity of IRF7. Interestingly, this mechanism is dependent on CTAR3 and its interaction with the SUMO-conjugating enzyme Ubc9 (Bentz et al. 2011, 2012).
5 Future Perspectives
Despite thirty years of research and more than 2000 papers on the molecular and biological functions of LMP1, many important questions still remain unanswered. The molecular signaling mechanisms at the effector sites CTAR1 and CTAR2 have not been fully elucidated. Particularly, the composition and precise architecture of the signaling complex at CTAR2 including the intermolecular interactions between the components of this complex is still unresolved. The situation is getting more complex by the fact that LMP1 molecules reside within large clusters and several LMP1 molecules might be involved in forming functional CTAR1 or CTAR2 complexes of higher order. This could mean that not all components of the CTAR2 complex must necessarily interact with the same LMP1 molecule to form an active signaling complex. Also, molecular interactions between CTAR1 and CTAR2 have been suggested, although both domains can function independently from each other (Floettmann et al. 1998). The elucidation of an LMP1 crystal structure, possibly in complex with LMP1-binding partner(s), will certainly be very important to answer these questions.
Other urgent questions concern the functions of LMP1 during EBV infection and the establishment of latency in vivo. Usually and due to the lack of appropriate in vivo infection models for EBV, the analysis of LMP1’s functions has largely been restricted to its role in cell transformation in cell culture. It is likely that some LMP1-induced pathways have so far unrecognized functions in the establishment of latent infection in vivo and in immune modulation. The role of LMP1 during early infection of B cells is also unclear. LMP1 expression starts four days post-infection with EBV. Surprisingly, LCL expression levels are reached only three weeks after infection, and LMP1-induced NF-κB seems to be dispensable during that time (Price et al. 2012).
LMP1 is present in exosomes that are secreted from EBV-positive B cell and NPC lines (Dukers et al. 2000; Meckes et al. 2010). The functions of secreted LMP1 in immune modulation, cell–cell communication, tumor microenvironment, and potential other processes will also be interesting topics of future research.
Another enigma are the biological and molecular functions of a truncated variant of LMP1, the so-called lytic LMP1, which is highly expressed during the lytic cycle from the ED-L1A promoter located within the first intron of the LMP1 gene (Hudson et al. 1985; Modrow and Wolf 1986; Baichwal and Sugden 1987; Erickson and Martin 1997). Due to the lack of the first four transmembrane domains, lytic LMP1 is incapable of oligomerization and, thus, likely unable to signal (Mitchell and Sugden 1995; Gires et al. 1997). Lytic LMP1 rather inhibits the activity of full-length LMP1 (Erickson and Martin 2000). In contrast to full-length LMP1, the lytic variant has no transforming capacity in fibroblasts and is not essential for B cell transformation by EBV (Wang et al. 1988a; Dirmeier et al. 2003).
Due to its proven critical importance for cell transformation and pathogenesis, LMP1 constitutes an excellent therapeutic target for intervention strategies against EBV-associated malignancies. By inhibiting LCL tumor growth with a small molecule JNK inhibitor, we have already delivered proof of principle that targeting of LMP1’s signaling network is a feasible strategy (Kutz et al. 2008). However, to be more specific for LMP1, future approaches shall rather target the LMP1 molecule itself or exploit the unique interface between LMP1 and its critical cellular signaling molecules such as CTAR1::TRAF2 or CTAR2::TRAF6 as targets for small molecule inhibitors. For instance, DNAzymes targeting LMP1 expression have antitumor effects and sensitize NPC cells for radiotherapy (Cao et al. 2014). Our own laboratory is involved in the screening for inhibitors of CTAR1::TRAF2 interaction, which shall block this interaction and uncouple LMP1 from critical parts of its transforming signaling network.
Abbreviations
- AP1:
-
Activator protein 1
- CTAR:
-
C-terminal activating region
- cIAP:
-
Cellular inhibitor of apoptosis
- EBV:
-
Epstein-Barr virus
- ERK:
-
Extracellular signal-regulated kinase
- GCM:
-
Germinal center model
- Id:
-
Inhibitor of DNA binding
- IFNγ:
-
Interferon-γ
- IL:
-
Interleukin
- IRF7:
-
Interferon regulatory factor 7
- IκB:
-
Inhibitor of NF-κB
- IKK:
-
IκB kinase
- IRAK1:
-
Interleukin 1 receptor-associated kinase 1
- JAK3:
-
Janus kinase 3
- JNK:
-
c-Jun N-terminal kinase
- LMP1:
-
Latent membrane protein 1
- LCL:
-
Lymphoblastoid cell line
- MAPK:
-
Mitogen-activated protein kinase
- MEF:
-
Mouse embryonic fibroblast
- NF-κB:
-
Nuclear factor of kappa light polypeptide gene enhancer in B cells
- NIK:
-
NF-κB-inducing kinase
- NPC:
-
Nasopharyngeal carcinoma
- UPR:
-
Unfolded protein response
- PI3-K:
-
Phosphatidylinositol 3-kinase
- PKCδ:
-
Protein kinase C δ
- PTLD:
-
Post-transplant lymphoproliferative disease
- Rb:
-
Retinoblastoma protein
- RIP1:
-
Receptor-interacting protein 1
- RING:
-
Really interesting new gene, protein domain with E3 ubiquitin ligase activity
- STAT:
-
Signal transducers and activators of transcription
- SUMO:
-
Small ubiquitin-like modifier
- TAK1:
-
Transforming growth factor β-activated kinase 1
- TAB:
-
TAK1-binding protein
- TES:
-
Transformation effector site
- TNF-R:
-
Tumor necrosis factor receptor
- TNIK:
-
TRAF2- and Nck-interacting kinase
- TM:
-
Transmembrane domain
- TRAF:
-
Tumor necrosis factor receptor-associated factor
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Kieser, A., Sterz, K.R. (2015). The Latent Membrane Protein 1 (LMP1). In: Münz, C. (eds) Epstein Barr Virus Volume 2. Current Topics in Microbiology and Immunology, vol 391. Springer, Cham. https://doi.org/10.1007/978-3-319-22834-1_4
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