Originally published In Press as doi:10.1074/jbc.M110480200 on February 5, 2002
J. Biol. Chem., Vol. 277, Issue 16, 13745-13751, April 19, 2002
The Human Herpes Virus 8-encoded Viral FLICE Inhibitory Protein
Physically Associates with and Persistently Activates the I
B Kinase
Complex*
Li
Liu,
Michael T.
Eby,
Nisha
Rathore,
Suwan K.
Sinha,
Arvind
Kumar, and
Preet M.
Chaudhary
From the Hamon Center for Therapeutic Oncology Research and
Division of Hematology-Oncology, University of Texas Southwestern
Medical Center, Dallas, Texas 75390-8593
Received for publication, October 31, 2001, and in revised form, February 4, 2002
 |
ABSTRACT |
The human herpesvirus 8 (HHV8, also called
Kaposi's sarcoma-associated herpesvirus) has been linked to
Kaposi's sarcoma and primary effusion lymphoma (PEL) in
immunocompromised individuals. We demonstrate that PEL cell lines have
a constitutively active NF-
B pathway, which is associated with
persistent phosphorylation of I
B
. To elucidate the mechanism of
NF-
B activation in PEL cell lines, we have investigated the role of
viral FLICE inhibitory protein (vFLIP) in this process. We report that
stable expression of HHV8 vFLIP in a variety of cell lines is
associated with persistent NF-
B activation caused by constitutive
phosphorylation of I
B
. HHV8 vFLIP gets recruited to a ~700-kDa
I
B kinase (IKK) complex and physically associates with IKK
,
IKK
, NEMO/IKK
, and RIP. HHV8 vFLIP is incapable of activating
NF-
B in cells deficient in NEMO/IKK
, thereby suggesting an
essential role of an intact IKK complex in this process. Our results
suggest that HHV8 vFLIP might contribute to the persistent NF-
B
activation observed in PEL cells by associating with and stimulating
the activity of the cellular IKK complex.
 |
INTRODUCTION |
Nuclear factor
B
(NF-
B)1 is a heterodimeric
transcription factor that is primarily composed of 50- and 65-kDa
subunits of the Rel family and that is required for regulated
expression of several genes involved in inflammation and immune
response (1-3). NF-
B is present in the cytoplasm of cells in
association with a family of inhibitory proteins, called I
B (1, 4).
I
B proteins retain NF-
B in the cytoplasm by masking its nuclear localization signal. Stimulation by a number of cytokines, such as
TNF
and interleukin-1, results in the activation of a large molecular mass (600-900 kDa), I
B kinase complex that leads
to inducible phosphorylation of the I
B proteins at two N-terminal serine residues (5, 6). This complex consists of two catalytic subunits, IKK
(IKK1) and IKK
(IKK2), and a regulatory subunit, NEMO/IKK
(7-13). The phosphorylation of I
B proteins results in
their rapid ubiquitination and proteasome-mediated degradation, which
releases NF-
B from their inhibitory influence. Once released, NF-
B is free to migrate to the nucleus and activate transcription of
its target genes.
Some of the noteworthy genes activated by NF-
B include
those for cytokines and growth factors, chemokines, cell adhesion molecules, acute phase proteins, anti-apoptotic proteins, and transcription factors p53 and c-Myc (2). The NF-
B pathway has been
also shown to play a key role in the control of cell proliferation and
oncogenesis. Several members of the NF-
B family have been associated
with the development of tumors as a result of overexpression, gene
amplification, or gene rearrangement (14). Activation of the NF-
B
has been shown to be responsible for the transforming ability of human
T-cell leukemia virus type I Tax and Epstein-Barr virus latent membrane
protein 1 (15).
Caspase 8 (FLICE/MACH or Mch5) is one of the apical caspases of the
caspase cascade, which is activated by signaling via the death
receptors belonging to the TNF receptor family (16-18). Caspase 8 is
recruited to the multimerized death-inducing signaling complex of these
receptors via its N-terminal prodomain, which contains two homologous
copies of a death effector domain. Death effector domain-containing
prodomains are also found in two additional cellular proteins: caspase
10 (Mch4 and FLICE2) (18, 19), and MRIT (c-FLIP, Caspar, I-FLICE,
FLAME, CASH, and CLARP), a caspase 8 homolog that is devoid of protease
activity (20-26).
Several viruses also encode proteins containing two death effector
domains (27-29). These virally encoded death effector
domain-containing proteins (also called viral FLICE inhibitory proteins
or vFLIPs) include the orf-K13 from the human herpesvirus 8 (HHV8)/KS-associated herpesvirus, MC159L and MC160L from the
Molluscum contagiousum virus, and E8 from the equine
herpesvirus 2. Recently, similar vFLIPs have been found in other
Gammaherpesviridae of the genus Rhadinovirus,
including rhesus rhadinovirus, herpesvirus saimiri, and bovine
herpesvirus 4 (30-32).
We and others have previously demonstrated that overexpression of HHV8
vFLIP can protect against death receptor-induced apoptosis in
vitro and to promote tumor growth in vivo (33-35).
Furthermore, unlike MC159L and E8, HHV8 vFLIP was found to activate the
NF-
B pathway when overexpressed in 293T and NIH3T3 cells by
transient transfection (33). The present study was undertaken to better understand the mechanism of NF-
B activation by HHV8 vFLIP.
 |
EXPERIMENTAL PROCEDURES |
Plasmids--
pGEX-KG I
B
(1-54) and pGEX-KG I
B
(S32A/S36A) were generous gifts from Dr. Richard Gaynor.
Retrovirus constructs containing C-terminal FLAG epitope tag vFLIP or
MRIT/cFLIP were constructed in MSCVneo-based retroviral vectors, and
the amphotropic retroviruses were generated as described previously
(36).
Expression of Bacterially Produced GST-I
B Proteins--
The
wild-type and mutant I
B
pGEX-KG constructs were transformed into
Escherichia coli BL21 DE3. Cultures (400 ml) of E. coli were grown to an A600 nm of
0.6-0.8 and induced with 0.5 mM
isopropyl-D-thiogalactopyranoside for 3 h. The cells
were pelleted, resuspended in buffer A (20 mM HEPES, pH
7.9, 400 mM NaCl, 5 mM dithiothreitol (DTT), 50 mM manitol, 10 mM sodium ascorbate, 10%
glycerol, 0.1 mM EDTA, 0.1% Nonidet P-40, 1 mM
phenylmethylsulfonyl fluoride (PMSF)), mildly sonicated, and
centrifuged. The supernatant was incubated with 0.5 ml of
glutathione-agarose matrix (Sigma) for 1 h at 4 °C. The matrix
was then washed four times with buffer A and two times with buffer B
(50 mM Tris, pH 8.0, 120 mM NaCl, 0.5% Nonidet
P-40, 5 mM DTT, 1 mM PMSF). These GST fusion
proteins were eluted off the matrix by buffer B containing 10 mM glutathione, dialyzed with buffer containing 20 mM HEPES, pH 7.6, 100 mM KCl, 0.2 mM EDTA, 0.5 mM DTT, 10% glycerol, and 0.5 mM PMSF, aliquoted, and stored at
80 °C.
Cell Culture and Protein Extraction--
Human non-small cell
lung cancer cell line H460 (a kind gift of Dr. John Minna) was cultured
in RPMI 1640 medium supplemented with 10% fetal bovine serum and
penicillin/streptomycin. Murine pre-B-cell line 70Z/3 and its
NEMO-deficient mutant 1.3E2 (a kind gift of Dr. Carol Sibley) were
cultured in RPMI 1640 medium supplemented with 7% fetal bovine serum
and 50 µM
-mercaptoethanol. Retrovirus-infected H460
cells were maintained in medium with 1000 µg/ml of G418, whereas
clones of 70Z/3 and 1.3E2 cells were selected in 300 µg/ml of G418 (Invitrogen).
To obtain cytoplasmic proteins, the cells were washed with cold
phosphate-buffered saline (pH 7.2), resuspended in buffer C (10 mM HEPES, pH 7.6, 0.1 mM EDTA, 10 mM KCl, 1 mM DTT, 50 mM NaF, 50 mM
-glycophosphate, 5% glycerol, 1× protease inhibitor mixture (Roche Molecular Biochemicals)), and incubated on ice for 15 min. At the end of incubation, 1:20 volume of 10% Nonidet P-40 was
added. The cells were vortexed for 30 s and then subjected to
centrifugation for 30 s. The supernatants were collected as cytoplasmic extracts. The protein concentrations of the cytoplasmic extracts were determined by using Bio-Rad protein assay reagent.
Nuclei from parental and virus-infected H460, 70Z/3, or 1.3E2 were
resuspended in buffer containing 20 mM HEPES, pH 7.6, 50 mM KCl, 300 mM NaCl, 0.1 mM EDTA, 1 mM DTT, 0.1 mM PMSF, 10% glycerol, 1×
protease inhibitor mixture and extracted at 4 °C on a rocker for 30 min, followed by Eppendorf centrifugation at 14,000 rpm for 10 min. The
supernatants were collected as nuclear extracts.
To prepare whole cell extracts, the cells were washed with cold
phosphate-buffered saline twice and lysed in lysis buffer containing 20 mM Tris-HCl, pH 8.0, 500 mM NaCl, 0.25% Triton
X-100, 1 mM EDTA, 10 mM
-glycophosphate, 10 mM NaF, 1 mM DTT, 1× protease inhibitor
mixture (Roche Molecular Biochemicals) at 4 °C for 30 min. After
incubation, the mixture was pippetted five or six times to disperse the
cells followed by centrifugation at 14,000 rpm at 4 °C for 10 min.
The supernatants were collected as whole cell extracts, and protein
concentration was determined as described above.
Electrophoretic Mobility Shift Assay--
10 µg of each
nuclear extract sample was incubated with 0.1 pmol of
32P-labeled double-stranded
B binding oligonucleotide
(5'-GCTGGGGACTTTC-3') or SP1 binding oligonucleotide (5'-ATTCGATCGGGGCG
GGGCGAGC-3') in buffer containing 1 µg of poly(dI-dC), 1 µg of
bovine serum albumin, 10 mM HEPES, pH 7.6, 0.5 mM DTT, 0.1 mM EDTA, 60 mM KCl, 0.2 mM PMSF, 5 mM MgCl2, and 12%
glycerol at room temperature for 30 min. The samples were analyzed by
5% native PAGE followed by autoradiography. For competition and
antibody-mediated supershift experiments,
B-specific or -nonspecific
oligonucleotides or specified antibodies were added to reaction for 15 min at room temperature before the addition of radio isotope-labeled
B probe.
Immunoprecipitation of vFLIP or MRIT/cFLIP--
Immobilized
monoclonal antibody against FLAG (M2, Sigma) or mouse IgG-Sepharose
beads as control was added to cellular extracts (4 mg) prepared from
virus-infected H460 cells and incubated at 4 °C for 1 h. In the
case of immunoprecipitation with
-NEMO antibody, 10 µl of soluble
antibody were added to cellular extracts for 30 min on ice. Protein
G-Sepharose Cl-4B were then added to the mix, and incubation was
performed at 4 °C for 1 h. The beads were washed three times
with buffer containing 40 mM HEPES, pH 7.9, 500 mM NaCl, 0.2 mM EDTA, 1 mM DTT, 10 mM NaF, 10 mM
-glycophosphate, and 0.1%
Nonidet P-40. In vitro kinase assay or Western blotting experiments were then performed.
In Vitro Kinase Assay--
Beads from the immunoprecipitation
experiments were used to incubate with soluble GST-I
B
proteins
(10 µg/reaction) in buffer containing 20 mM HEPES, pH
7.6, 100 mM KCl, 10% glycerol, 0.2 mM EDTA,
0.5 mM dithiothreitol, 0.5 mM
phenylmethylsulfonyl fluoride, 8 µM MgCl2,
3.3 µg/µl bovine serum albumin, 4 µM ATP, 10 µCi of [
-32P]ATP, 5 mM NaF, 5 mM
-glycophosphate, and protease inhibitor mixture (Roche Molecular
Biochemicals) at 37 °C for 30 min. 30 µl of reaction solution was
added to each sample. 10 µl of 4× SDS-PAGE sample buffer was added
at the end of reaction, and the mixture was heated at 95 °C for 5 min and pelleted by centrifugation. The supernatants were then resolved
on SDS-12% polyacrylamide gels followed by autoradiography. For
in-solution kinase assay, protein samples (10 µl each of fractions
from Superdex 200 column) were incubated with soluble GST-I
B
protein in the same reaction conditions mentioned above.
Western Blot Analysis--
100-200 µg of whole cell extracts,
cytoplasmic extracts, or proteins immunoprecipitated on agarose beads
were heated in the presence of SDS-PAGE sample buffer and loaded on
12% SDS-PAGE gel followed by transferring to nitrocellulose membranes.
These membranes were incubated with antibodies against specified
proteins in Tris-buffered-saline with Tween 20 followed by incubation
with secondary antibody and development with enhanced chemiluminescence (Pierce). The primary antibodies used in these experiments were
-I
B
(Santa Cruz Biotechnology, SC-371, 1:5000), p-I
B
(New England Biolabs, 9241S, 1:1000),
-FLAG (Santa Cruz
Biotechnology, SC-807, 1:5000),
-NEMO (Santa Cruz Biotechnology,
SC-8330, 1:4000),
-RIP (Transduction Laboratories, R41220, 1:1000),
-IKK
(Santa Cruz Biotechnology, SC-7182, 1:4000), and
-IKK
(Santa Cruz Biotechnology, SC-7607, 1:5000).
Protein Fractionation--
S100 extracts were prepared from H460
cells infected with retroviruses encoding HHV8 vFLIP or MRIT/cFLIP as
described previously (37). These extracts were fractionated on a
Superdex 200 column (Amersham Biosciences) and eluted with buffer
containing 20 mM HEPES, pH 7.6, 100 mM KCl, 0.2 mM EDTA, 0.5 mM DTT, 10% glycerol, and 0.5 mM PMSF.
 |
RESULTS |
Constitutive Activation of NF-
B in HHV8-infected PEL Cell Lines
Is Due to Persistent Activation of the IKK Complex--
NF-
B is
normally sequestered in the cytoplasm of cells because of its
association with a family of inhibitory proteins, called I
B (1, 4).
However, NF-
B is persistently present in the nuclei of human T-cell
leukemia virus type I- and Epstein-Barr virus-transformed cells and has
been shown to contribute to the transforming ability of these viruses
(15). We were interested in checking whether infection by HHV8 virus
might also lead to persistent NF-
B activation. To test this
hypothesis we used electrophoretic mobility shift assay (EMSA) to
examine the DNA binding activity of nuclear NF-
B in three
HHV8-infected PEL cell lines, BC-1, BC-3, and BCBL, respectively. We
also used two non-HHV8-infected lymphoid cell lines, CEM and Jurkat,
respectively, as controls for the above experiment. Consistent with a
recent report (38), persistent NF-
B activation was seen in all three
HHV8-infected PEL cell lines, with the BC-1 cell line showing the
highest and BCBL cell line showing the least NF-
B activation. In
contrast, NF-
B binding activity was absent in the nuclear extracts
of CEM and Jurkat cell lines (Fig.
1A).

View larger version (41K):
[in this window]
[in a new window]
|
Fig. 1.
PEL cell lines have constitutive
NF- B activation. A, EMSA
demonstrating constitutive NF- B DNA binding activity in the PEL cell
lines. The position of the NF- B complex is marked with an
arrow. Nuclear extracts from the following cell lines were
used. Lane 1, Jurkat; lane 2, CEM; lane
3, BC-1; lane 4, BC-3; lane 5, BCBL.
B, EMSAs demonstrating the nature and specificity of NF- B
complex in BC-1 cell line. The following nuclear extracts were used.
Lane 1, BC-1 + cold nonspecific competitor oligonucleotide;
lane 2, BC-1 + cold B competitor oligonucleotide;
lane 3, BC-1 + p65 antiserum; lane 4, BC-1 + p50
antiserum; lane 5, BC-1 + c-Rel antiserum. The position of
the NF- B complex is marked with arrow, whereas an
asterisk marks the position of a nonspecific band. The
arrowheads mark the position of the supershifted complexes.
C, status of phosphorylated and total I B in PEL cell
lines. Cellular extracts containing equal amount of protein were
resolved by SDS-PAGE, and phosphorylation of I B was analyzed by
Western blot using phospho-I B antibody (top panel).
The blot was stripped and reprobed with an antibodies directed against
I B to demonstrate degradation of I B . Western blotting with
antibodies against IKK , IKK , and actin is used to demonstrate
equal loading of proteins in different lanes. Treatment of Jurkat cells
with TNF (10 ng/ml) was carried out for 15 min and served as a
positive control.
|
|
We next sought to analyze the nature and composition of the observed
complex in the BC-1 cell line. As shown in Fig. 1B, the observed complex in the BC-1 cell line could be effectively competed with an excess cold probe containing
B binding sites but was unaffected by competition with a nonspecific DNA duplex. Finally, a
supershift assay utilizing subunit-specific antibodies demonstrated that the observed complex contained the p65 and p50 subunits of NF-
B
(Fig. 1B).
To determine the mechanism of persistent NF-
B activation in PEL cell
lines, we examined the phosphorylation status of I
B
protein by
Western blot analysis. Consistent with the EMSA results, phosphorylation of I
B
was totally absent in CEM and Jurkat cells (Fig. 1C). In contrast, phosphorylation of I
B
was
readily detected in all three PEL cell lines and was present in the
following order of magnitude: BC-1 > BC-3 > BCBL (Fig.
1C). Of interest, persistent phosphorylation of I
B
observed in BC-1 and BC-3 cell lines was significantly stronger than
the TNF-induced I
B
-phosphorylation observed in Jurkat cells.
Reprobing of the above blot with an I
B
antibody revealed a
decrease in the level of total I
B
protein in the PEL cell lines
(Fig. 1C). The above results suggest that the constitutive
NF-
B activation in the PEL cell lines is probably due to persistent
phosphorylation and subsequent degradation of the I
B
protein.
Retroviral-mediated Expression of HHV8 vFLIP Leads to Persistent
NF-
B Activation--
We have previously demonstrated that transient
transfection-based overexpression of HHV8 vFLIP can lead to NF-
B
activation (33). We were interested in determining whether the
constitutive NF-
B activation observed in PEL cell lines might be
mediated by HHV8 vFLIP. To test this hypothesis, we began by checking
whether stable expression of HHV8 vFLIP can lead to constitutive
NF-
B activation. For this purpose, we used retroviral-mediated gene transfer to generate mass culture of H460 cells with stable expression of FLAG epitope-tagged HHV8 vFLIP or MRIT/cFLIP. As shown in Fig. 2A, stable expression of HHV8
vFLIP in H460 cells lead to strong NF-
B binding activity as measured
by gel shift assay. In contrast, cells expressing an empty vector or
MRIT/cFLIP demonstrated low level basal NF-
B binding activity. The
specificity of the NF-
B complex seen in the vFLIP-expressing cells
was confirmed by competition with a cold NF-
B probe or a nonspecific
probe (Fig. 2A). A supershift assay utilizing subunit
specific antibodies demonstrated that the complex was a heterodimer of
p65 and p50 subunits of NF-
B (Fig. 2A). Essentially
similar results were obtained upon stable expression of HHV8 vFLIP in
293T and TF-1 cells (Fig. 2B and data not shown). Finally,
expression of vFLIP in 293T and H460 cells was associated with an
increase in NF-
B transcriptional activity as measured by a
luciferase-based reporter assay (Fig. 2C and data not
shown).

View larger version (22K):
[in this window]
[in a new window]
|
Fig. 2.
Expression of HHV8 vFLIP leads to persistent
NF- B activation. A,
electrophoretic mobility shift assays. Upper panel, nuclear
extracts were prepared from parental H460 cells (lane 1) or
those expressing empty vector (lane 2), vFLIP (lane
3), or MRIT/cFLIP (lane 4), and the assay was carried
out as described under "Experimental Procedures." The position of
the NF- B complex is marked by an arrow. The specificity
of the complex is demonstrated by competition with excess cold
nonspecific probe (lane 5), wild-type NF- B probe
(lane 6), or mutant NF- B probe (lane 7).
Supershift assay was performed using antiserum against p65 (lane
8), p50 (lane 9), or c-Rel (lane 10)
subunits of NF- B or a control antiserum (lane 11).
Lower panel, expression of vFLIP does not affect the SP1
binding activity. B, retroviral-mediated expression of vFLIP
leads to persistent NF- B activation in 293T cells as measured by
EMSA. C, increased NF- B transcriptional activity in 293T
cells with stable expression of vFLIP as measured by a luciferase-based
reporter assay. 293T cells were transfected with an NF- B/luciferase
reporter construct (75 ng/well) and a Rous sarcoma virus
promoter-driven LacZ ( -galactosidase) reporter construct (75 ng/well), and the experiment was performed as described previously
(65). The values shown are the averages of one representative
experiment of two in which each transfection was performed in
duplicate. D, Western blot analysis demonstrating increased
phosphorylation (top panel) and decrease in the total
I B protein (bottom panel) in H460 cells expressing
vFLIP.
|
|
Next, we examined the status of total and phosphorylated I
B
in
H460 cells expressing empty vector, HHV8 vFLIP, or MRIT/cFLIP. Consistent with previous results with the PEL cell lines, expression of
HHV8 vFLIP was associated with a decrease in the steady-state level of
total I
B
and an increase in its phosphorylated form (Fig.
2D). Taken together, the above results suggest that HHV8 vFLIP leads to persistent NF-
B activation by constitutive
phosphorylation of I
B
.
HHV8 vFLIP Complex Possesses IKK Activity--
To test the
possibility that HHV8 vFLIP leads to persistent I
B
phosphorylation by interacting with and activating the IKK complex,
FLAG-tagged HHV8 vFLIP was immunoprecipitated from the cytosolic
extracts of H460-vFLIP cells using FLAG antibody beads and assayed for
the I
B
kinase activity in an in vitro kinase reaction
using GST-I
B
and [
-32P]ATP. Parallel experiments
utilizing a nonspecific antibody or an antibody against NEMO/IKK
served as negative and positive controls. As shown in Fig.
3A, immunoprecipitate of vFLIP
with the FLAG antibody was able to phosphorylate GST-I
B
, whereas an immunoprecipitate using a control antibody failed to do so. Similarly, immunoprecipitates of MRIT/cFLIP- or empty vector-expressing cells failed to phosphorylate GST-I
B
(Fig. 3A,
top and bottom panels). The vFLIP-associated IKK
activity was specific for Ser-32 and Ser-36 of I
B
, because it
failed to phosphorylate a GST-I
B
mutant substrate in which both
the above residues were mutated to alanine (Fig. 3A,
middle panel). Collectively, these results suggest that HHV8
vFLIP associates with a cytosolic complex that possesses IKK
activity.

View larger version (70K):
[in this window]
[in a new window]
|
Fig. 3.
HHV8 vFLIP has associated IKK activity.
A, cellular extracts from H460 cells expressing empty
vector, FLAG-vFLIP, or FLAG-MRIT/cFLIP were immunoprecipitated
(IP) using a control antibody (Con), FLAG
(M2) antibody, or NEMO antibody and subjected to immune
complex kinase assay using wild-type (wt) or mutant
(mt) GST-I B (1-54) fusion proteins as substrates. The
presence of vFLIP-associated IKK activity is demonstrated by the
in vitro phosphorylation of wild-type but not mutant
GST-I B in the lanes containing FLAG immunoprecipitate. In
addition, immune complex kinase assay with the NEMO antibody
demonstrates an increase in the total IKK activity in the
vFLIP-expressing cells. B, Coomassie blue-stained
gel demonstrating that equal amounts of wild-type and mutant
GST-I B (1-54) substrate were used in each of the in
vitro kinase reactions.
|
|
Components of HHV8 vFLIP-associated IKK Complex--
To determine
the components of the HHV8 vFLIP-associated IKK activity,
coimmunoprecipitation experiments were carried out. FLAG-tagged vFLIP
and MRIT/cFLIP were immunoprecipitated using a FLAG monoclonal or a
control mouse antibody, and the nature of the coimmunoprecipitated
proteins was determined by Western analysis. As shown in Fig.
4A, IKK
, IKK
, and
NEMO/IKK
readily coimmunoprecipitated with vFLIP but were not
detected in the immunoprecipitate of MRIT/cFLIP. In contrast, RIP was
detected in the immunoprecipitates of both vFLIP and MRIT/cFLIP.

View larger version (57K):
[in this window]
[in a new window]
|
Fig. 4.
HHV8 vFLIP physically associates with the
components of IKK complex. Cellular extracts from H460 cells
expressing empty vector, FLAG-vFLIP, or FLAG-MRIT/cFLIP were
immunoprecipitated using a control antibody (C) or FLAG
monoclonal antibody (F) and the presence of different
proteins in the immunoprecipitates detected by Western blot analysis.
A, Western blot with a rabbit polyclonal antibody against
the FLAG tag confirms the expression of vFLIP and MRIT in the
immunoprecipitates. B, IKK , IKK , and NEMO/IKK
coimmunoprecipitate with vFLIP but fail to coimmunoprecipitate with
MRIT/cFLIP, whereas RIP coimmunoprecipitates with both vFLIP and
MRIT/cFLIP. IB, immunoblot.
|
|
HHV8 vFLIP Physically Interacts with an ~700-kDa IKK Signalsome
Complex--
Previous studies have demonstrated that cytokine-induced
IKK activity is present in a multiprotein signalsome complex of ~700 kDa (5, 6). To determine whether HHV8 vFLIP stimulates IKK activation
by interacting with this large molecular mass complex, we compared the
chromatographic distribution of vFLIP in extracts prepared from
H460-vFLIP cells. A parallel experiment with cellular extracts prepared
from H460-MRIT/cFLIP cells served as a negative control. Following
Superdex-200 fractionation of the above extracts, the column fractions
were immunoprecipitated with FLAG (M2) monoclonal antibody. The
immunoprecipitate was subsequently used for Western analysis with a
rabbit polyclonal antibody against the FLAG tag to detect the presence
of FLAG-tagged vFLIP or MRIT/cFLIP as well as in an in vitro
kinase assay using GST-I
B
as a substrate. As shown in Fig.
5, A and B,
the majority of vFLIP was found migrating between 600 and 700 kDa,
which also correlated with the fraction containing the IKK activity. In
contrast, MRIT/cFLIP was found migrating between 443 and 200 kDa (Fig.
5A).

View larger version (42K):
[in this window]
[in a new window]
|
Fig. 5.
Chromatographic distribution of
vFLIP and MRIT/cFLIP isolated from H460 cell extracts.
A, cytosolic extracts from H460 cells expressing
FLAG-vFLIP (top panel) or FLAG-MRIT/cFLIP (bottom
panel) were fractionated by Superdex-200 gel filtration
chromatography, and the elution fractions were immunoprecipitated
with a FLAG monoclonal antibody (M2). The immunoprecipitated
proteins were resolved on a SDS-polyacrylamide gel and analyzed by
Western blot using a rabbit polyclonal antibody against the FLAG tag.
Lane C, control antibody; lane F, FLAG antibody.
B, kinase assay was performed on the indicated column
fractions of vFLIP-expressing cells using GST-I B (1-54) as a
substrate. Molecular mass markers for the column are shown at the
top of the figure. In, input.
|
|
We also examined the distribution of NEMO/IKK
in the cell extracts
prepared from vFLIP- and MRIT/cFLIP-expressing cells. Although the
majority of NEMO/IKK
was found migrating between 600 and 700 kDa, a
smaller peak migrating near 450 kDa was detected in both cell lines
(Fig. 6, A and B).
As compared with MRIT-expressing cells, a relatively larger amount of
NEMO/IKK
in vFLIP-expressing cells was found in the ~700-kDa
fraction. Because this fraction has been previously shown to contain
the IKK activity (5, 6), these results suggest that expression of vFLIP
leads to incorporation of NEMO/IKK
into a constitutively active high
molecular mass IKK complex. Finally, we examined the elution profile of
IKK
and IKK
in the cell extracts prepared from vFLIP-expressing
cells using Western blot analysis. As shown in Fig. 6C, both
of the above kinases were found to coelute with vFLIP in the column
fractions 8-10, thereby demonstrating that vFLIP coelutes with both
the catalytic and regulatory subunits of the IKK complex.

View larger version (64K):
[in this window]
[in a new window]
|
Fig. 6.
Chromatographic distribution of
the IKKs in vFLIP- and MRIT/cFLIP-expressing H460 cellular
extracts. Column fractions obtained following Superdex-200 gel
filtration were fractionated on a SDS-polyacrylamide gel and analyzed
by Western blot using a NEMO/IKK antibody (A and
B) or antibodies against IKK and IKK
(C).
|
|
Because the majority of vFLIP and the IKKs were detected in the same
elution fractions, we next examined whether they are physically
associated with each other. For this purpose, FLAG-tagged vFLIP or
MRIT/cFLIP present in the various column fractions obtained following
Superdex-200 fractionation were immunoprecipitated using the M2 FLAG
antibody, and the presence of any associated NEMO/IKK
was detected
using Western blot analysis. As shown in Fig.
7A, NEMO/IKK
was found to
coimmunoprecipitate with vFLIP in the column fractions 8-10,
suggesting that the two proteins not only comigrate but are the
components of the same IKK signalsome complex. Similarly, both IKK
and IKK
were found to coimmunoprecipitate with vFLIP (see below).
Consistent with previous results, no NEMO/IKK
was found to
coimmunoprecipitate with MRIT/cFLIP (Fig. 7B).

View larger version (50K):
[in this window]
[in a new window]
|
Fig. 7.
HHV8 vFLIP physically interacts with
components of the ~700-kDa IKK signalsome complex. A
and B, column fractions containing extracts prepared from
vFLIP- and MRIT/cFLIP-expressing H460 cells were immunoprecipitated
using FLAG antibody and resolved on a SDS-polyacrylamide gel, and the
presence of NEMO/IKK in the immunoprecipitates was detected by
Western blot analysis. Lane C, control antibody; lane
F, FLAG antibody. C, column fractions containing
extracts prepared from vFLIP-expressing H460 cells were
immunoprecipitated using FLAG antibody beads. The supernatant
(S) and the pellet (P) fractions were resolved by
a SDS-polyacrylamide gel followed by Western blot analysis using
antibodies directed against NEMO/IKK , IKK , and IKK ,
respectively. IN, input.
|
|
We next examined the proportion of the IKKs that associate with vFLIP
in various column fractions. For this purpose, various column fractions
were immunoprecipitated with M2 FLAG antibody beads, and the
amount of IKKs found to coimmunoprecipitate with the beads and the
unbound fraction remaining in the supernatant was examined by Western
blot analysis. As shown in Fig. 7C, significant proportions
of IKK
, IKK
, and NEMO/IKK
were found to coimmunoprecipitate with vFLIP in the column fractions 8-10. A densitometry analysis revealed that 27 and 38% of IKK
, 36 and 42% of IKK
, and 34 and 51% of NEMO/IKK
were associated with vFLIP in the column fractions 8 and 9, respectively.
NEMO/IKK
Is Essential for HHV8 vFLIP-induced
NF-
B--
We were next interested in demonstrating that the IKK
complex not only associates with HHV8 vFLIP but is also essential for its ability to activate NF-
B. For this purpose we took advantage of
the murine pre-B-cell lines 70Z/3 and 1.3E2, respectively. The 1.3E2
cell line is a NEMO-deficient mutant of 70Z/3 cells and has been
previously shown to be incapable of activating NF-
B in response to
multiple stimuli (39). We used retroviral-mediated gene transfer to
generate stable clones of the above cell lines expressing empty vector
or FLAG-tagged vFLIP or MRIT/cFLIP. As shown in Fig.
8A, expression of vFLIP in
70Z/3 cells led to constitutive activation of NF-
B as measured by
EMSA, whereas no NF-
B activation was seen in control vector- or
MRIT-expressing cells. More importantly, expression of vFLIP failed to
activate NF-
B in the 1.3E2 cells, thereby indicating the essential
role of NEMO/IKK
and the IKK complex in vFLIP-mediated NF-
B
activation. Control experiments confirmed the expression of equivalent
amounts of vFLIP in both 70Z/3-vFLIP and 1.3E2-vFLIP cell (Fig.
8D) and the lack of NEMO expression in 1.3E2 cells (Fig.
8C).

View larger version (31K):
[in this window]
[in a new window]
|
Fig. 8.
NEMO/IKK is
essential for vFLIP-induced NF- B
activation. A, EMSA demonstrating increased NF- B DNA
binding activity in nuclear extracts prepared from vFLIP-expressing
70Z/3 cells but not in the corresponding 1.3E2 cells or those
expressing empty vector or MRIT. The specificity of the NF- B complex
present in the vFLIP-expressing 70Z/3 cells is demonstrated by
competition with excess cold B or nonspecific (NS)
probes. B, control EMSA demonstrating equivalent SP1 DNA
binding activity in the nuclear extracts prepared from 70Z/3 and 1.3E2
cells. C, Western blot analysis confirming the lack of NEMO
expression in 1.3E2 cells. D, control experiment
demonstrating equivalent expression of vFLIP in 70Z/3 and 1.3E2 clones.
Cellular lysates (L) from the indicated cells were
immunoprecipitated using control mouse IgG beads (C) or FLAG
beads (F), and the presence of vFLIP was detected using a
rabbit polyclonal antibody against the FLAG tag.
|
|
 |
DISCUSSION |
KS is the most common malignancy found in the patients with HIV
infection. The isolation of a novel gamma herpesvirus, designated HHV8,
as a potential etiological agent for KS was a major step in
understanding the pathogenesis of KS (40). HHV8 genomes have also been
consistently found in patients with PEL, also known as body
cavity-associated lymphoma, a rare form of B-cell lymphoma characterized by malignant pleural, pericardial, or peritoneal effusion
in the absence of a tumor mass (41). In addition to KS and PEL, HHV8
genome has been detected in multicentric Castleman's disease,
angioimmunoblastic lymphadenopathy, and some cases of reactive
lymphadenopathies (42-44).
Despite the increasing evidence linking the presence of KS-associated
herpesvirus/HHV8 with KS and lymphoproliferative disorders, the
mechanism by which this virus leads to a transformed phenotype is still
unknown. In the present study, we have demonstrated that I
B
is
persistently phosphorylated in the PEL cell lines and is associated
with constitutive NF-
B activation in these cells. Because
constitutive NF-
B activation has been previously implicated in
cellular transformation seen in association with infection by
Epstein-Barr virus and human T-cell leukemia virus type I (15), it may
play a causative role in the pathogenesis of KS and HHV8-associated lymphoproliferative disorders as well.
We have discovered that stable expression HHV8 vFLIP in both
hematopoietic and nonhematopoietic cell lines can lead to constitutive NF-
B activation. We would like to point out that although we have
used a retroviral vector to express vFLIP, it did not result in the
expression of abnormally high levels of this protein. On the contrary,
vFLIP protein was undetectable in the cellular lysates using a highly
sensitive Western blot analysis and could be detected only after
severalfold concentration of the protein by immunoprecipitation. Furthermore, PEL cell lines are known to harbor multiple copies (50-100) of HHV8 genome (41, 45). Therefore, taken together, it is
highly unlikely that the NF-
B activation observed in the present
study is due to expression of abnormally high and supraphysiological levels of vFLIP protein. In addition to vFLIP, two other HHV8-encoded proteins have been shown to lead to NF-
B activation, i.e.
K1 and viral G-protein-coupled receptor (vGPCR), respectively
(46-50). However, among these proteins, only vFLIP is expressed in
latently infected KS spindle and PEL cells (51-54), making it a prime
candidate for the constitutive NF-
B activation observed in the PEL
cell lines.
Our study suggests that persistent NF-
B activation seen in the PEL
cell lines is due to constitutive phosphorylation of I
B
, a
feature also seen in vFLIP-expressing cells. Inducible phosphorylation of I
B
at Ser-32 and Ser-37 followed by its destruction by the ubiquitin-proteasome-dependent pathway is a known mechanism
for NF-
B activation by cytokines, such as TNF and interleukin-1. This signal-dependent phosphorylation of I
B
has been
shown to be mediated by the activation of a ~700-kDa signalsome
complex comprising IKK
, IKK
, and IKK
/NEMO (7-13). Our results
suggest that HHV8 vFLIP leads to constitutive NF-
B activation by
associating with this high molecular mass complex. In this regard, HHV8
vFLIP may resemble human T-cell leukemia virus type I Tax protein,
which has been also shown to lead to NF-
B activation by associating with and persistently activating the IKK complex (55-60).
The mechanism by which interaction of HHV8 vFLIP with the IKK complex
results in persistent increase in IKK activity remains to be
determined. It is conceivable that HHV8 vFLIP recruits an upstream
kinase to the IKK complex. For example, we have demonstrated that in
addition to the various IKKs, HHV8 vFLIP also interacts with RIP, a
protein kinase known to be crucial for TNF
-mediated NF-
B
activation. RIP in turn may recruit and activate NF-
B-inducing kinase or mitogene-activated protein kinase kinase kinase, which are
known to activate the IKK complex (61-64). Studies to address the role
of RIP, NF-
B-inducing kinase, and mitogene-activated protein kinase
kinase kinase in vFLIP-induced NF-
B activation are currently in progress.
 |
ACKNOWLEDGEMENTS |
We thank Dr. Richard Gaynor's laboratory for
assistance with the gel filtration experiment, Dr. John Minna and Carol
Sibley for cell lines, and the National Cell Culture Center
(Minneapolis, MN) for large scale culture of H460 cells expressing
vFLIP and MRIT/cFLIP.
 |
FOOTNOTES |
*
This work was supported in part by a grant from the Leukemia
Research Foundation, National Institutes of Health Grants CA85177-01 and AI47230-01), and a grant from the Howard Hughes Medical Institute.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
To whom correspondence should be addressed: Hamon Center for
Therapeutic Oncology Research, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-8593. Tel.: 214-648-1837; Fax: 214-648-4940; E-mail: preet.chaudhary@utsouthwestern.edu.
Published, JBC Papers in Press, February 5, 2002, DOI 10.1074/jbc.M110480200
 |
ABBREVIATIONS |
The abbreviations used are:
NF-
B, nuclear
factor
B;
DTT, dithiothreitol;
EMSA, electrophoretic mobility shift
assay;
FLIP, FLICE inhibitory protein(s);
GST, glutathione
S-transferase;
HHV8, human herpesvirus 8;
KS, Kaposi's
sarcoma;
MRIT, Mach-related inducer of toxicity;
NEMO, NF-
B
essential modulator;
PMSF, phenylmethylsufonyl fluoride;
PEL, primary
effusion lymphoma;
I
B, inhibitor of NF-
B;
IKK, I
B kinase;
RIP, receptor-interacting protein;
vFLIP, viral FLICE inhibitory protein;
TNF, tumor necrosis factor;
HIV, human immunodeficiency
virus.
 |
REFERENCES |
| 1.
|
Baeuerle, P. A.,
and Baltimore, D.
(1996)
Cell
87,
13-20[CrossRef][Medline]
[Order article via Infotrieve]
|
| 2.
|
Baeuerle, P. A.,
and Baichwal, V. R.
(1997)
Adv. Immunol.
65,
111-137[Medline]
[Order article via Infotrieve]
|
| 3.
|
Baichwal, V. R.,
and Baeuerle, P. A.
(1997)
Curr. Biol.
7,
R94-R96[CrossRef][Medline]
[Order article via Infotrieve]
|
| 4.
|
Baldwin, A. S., Jr.
(1996)
Annu. Rev. Immunol.
14,
649-683[CrossRef][Medline]
[Order article via Infotrieve]
|
| 5.
|
Mercurio, F.,
Young, D. B.,
and Manning, A. M.
(2000)
Methods Mol. Biol.
99,
109-125[Medline]
[Order article via Infotrieve]
|
| 6.
|
Karin, M.,
and Delhase, M.
(2000)
Semin. Immunol.
12,
85-98[CrossRef][Medline]
[Order article via Infotrieve]
|
| 7.
|
Regnier, C. H.,
Song, H. Y.,
Gao, X.,
Goeddel, D. V.,
Cao, Z.,
and Rothe, M.
(1997)
Cell
90,
373-383[CrossRef][Medline]
[Order article via Infotrieve]
|
| 8.
|
Woronicz, J. D.,
Gao, X.,
Cao, Z.,
Rothe, M.,
and Goeddel, D. V.
(1997)
Science
278,
866-869[Abstract/Free Full Text]
|
| 9.
|
DiDonato, J. A.,
Hayakawa, M.,
Rothwarf, D. M.,
Zandi, E.,
and Karin, M.
(1997)
Nature
388,
548-554[CrossRef][Medline]
[Order article via Infotrieve]
|
| 10.
|
Mercurio, F.,
Zhu, H.,
Murray, B. W.,
Shevchenko, A.,
Bennett, B. L., Li, J.,
Young, D. B.,
Barbosa, M.,
Mann, M.,
Manning, A.,
and Rao, A.
(1997)
Science
278,
860-866[Abstract/Free Full Text]
|
| 11.
|
Zandi, E.,
Rothwarf, D. M.,
Delhase, M.,
Hayakawa, M.,
and Karin, M.
(1997)
Cell
91,
243-252[CrossRef][Medline]
[Order article via Infotrieve]
|
| 12.
|
Yamaoka, S.,
Courtois, G.,
Bessia, C.,
Whiteside, S. T.,
Weil, R.,
Agou, F.,
Kirk, H. E.,
Kay, R. J.,
and Israel, A.
(1998)
Cell
93,
1231-1240[CrossRef][Medline]
[Order article via Infotrieve]
|
| 13.
|
Rothwarf, D. M.,
Zandi, E.,
Natoli, G.,
and Karin, M.
(1998)
Nature
395,
297-300[CrossRef][Medline]
[Order article via Infotrieve]
|
| 14.
|
Luque, I.,
and Gelinas, C.
(1997)
Semin. Cancer Biol.
8,
103-111[CrossRef][Medline]
[Order article via Infotrieve]
|
| 15.
|
Mosialos, G.
(1997)
Semin. Cancer Biol.
8,
121-129[CrossRef][Medline]
[Order article via Infotrieve]
|
| 16.
|
Boldin, M. P.,
Goncharov, T. M.,
Goltsev, Y. V.,
and Wallach, D.
(1996)
Cell
85,
803-815[CrossRef][Medline]
[Order article via Infotrieve]
|
| 17.
|
Muzio, M.,
Chinnaiyan, A. M.,
Kischkel, F. C.,
O'Rourke, K.,
Shevchenko, A., Ni, J.,
Scaffidi, C.,
Bretz, J. D.,
Zhang, M.,
Gentz, R.,
Mann, M.,
Krammer, P. H.,
Peter, M. E.,
and Dixit, V. M.
(1996)
Cell
85,
817-827[CrossRef][Medline]
[Order article via Infotrieve]
|
| 18.
|
Fernandes-Alnemri, T.,
Armstrong, R. C.,
Krebs, J.,
Srinivasula, S. M.,
Wang, L.,
Bullrich, F.,
Fritz, L. C.,
Trapani, J. A.,
Tomaselli, K. J.,
Litwack, G.,
and Alnemri, E. S.
(1996)
Proc. Natl. Acad. Sci. U. S. A.
93,
7464-7469[Abstract/Free Full Text]
|
| 19.
|
Vincenz, C.,
and Dixit, V. M.
(1997)
J. Biol. Chem.
272,
6578-6583[Abstract/Free Full Text]
|
| 20.
|
Han, D. K.,
Chaudhary, P. M.,
Wright, M. E.,
Friedman, C.,
Trask, B. J.,
Riedel, R. T.,
Baskin, D. G.,
Schwartz, S. M.,
and Hood, L.
(1997)
Proc. Natl. Acad. Sci. U. S. A.
94,
11333-11338[Abstract/Free Full Text]
|
| 21.
|
Shu, H. B.,
Halpin, D. R.,
and Goeddel, D. V.
(1997)
Immunity
6,
751-763[CrossRef][Medline]
[Order article via Infotrieve]
|
| 22.
|
Srinivasula, S. M.,
Ahmad, M.,
Ottilie, S.,
Bullrich, F.,
Banks, S.,
Wang, Y.,
Fernandes-Alnemri, T.,
Croce, C. M.,
Litwack, G.,
Tomaselli, K. J.,
Armstrong, R. C.,
and Alnemri, E. S.
(1997)
J. Biol. Chem.
272,
18542-18545[Abstract/Free Full Text]
|
| 23.
|
Hu, S.,
Vincenz, C., Ni, J.,
Gentz, R.,
and Dixit, V. M.
(1997)
J. Biol. Chem.
272,
17255-17257[Abstract/Free Full Text]
|
| 24.
|
Inohara, N.,
Koseki, T., Hu, Y.,
Chen, S.,
and Nunez, G.
(1997)
Proc. Natl. Acad. Sci. U. S. A.
94,
10717-10722[Abstract/Free Full Text]
|
| 25.
|
Goltsev, Y. V.,
Kovalenko, A. V.,
Arnold, E.,
Varfolomeev, E. E.,
Brodianskii, V. M.,
and Wallach, D.
(1997)
J. Biol. Chem.
272,
19641-19644[Abstract/Free Full Text]
|
| 26.
|
Irmler, M.,
Thome, M.,
Hahne, M.,
Schneider, P.,
Hofmann, K.,
Steiner, V.,
Bodmer, J. L.,
Schroter, M.,
Burns, K.,
Mattmann, C.,
Rimoldi, D.,
French, L. E.,
and Tschopp, J.
(1997)
Nature
388,
190-195[CrossRef][Medline]
[Order article via Infotrieve]
|
| 27.
|
Thome, M.,
Schneider, P.,
Hofmann, K.,
Fickenscher, H.,
Meinl, E.,
Neipel, F.,
Mattmann, C.,
Burns, K.,
Bodmer, J. L.,
Schroter, M.,
Scaffidi, C.,
Krammer, P. H.,
Peter, M. E.,
and Tschopp, J.
(1997)
Nature
386,
517-521[CrossRef][Medline]
[Order article via Infotrieve]
|
| 28.
|
Bertin, J.,
Armstrong, R. C.,
Ottilie, S.,
Martin, D. A.,
Wang, Y.,
Banks, S.,
Wang, G. H.,
Senkevich, T. G.,
Alnemri, E. S.,
Moss, B.,
Lenardo, M. J.,
Tomaselli, K. J.,
and Cohen, J. I.
(1997)
Proc. Natl. Acad. Sci. U. S. A.
94,
1172-1176[Abstract/Free Full Text]
|
| 29.
|
Hu, S.,
Vincenz, C.,
Buller, M.,
and Dixit, V. M.
(1997)
J. Biol. Chem.
272,
9621-9624[Abstract/Free Full Text]
|
| 30.
|
Searles, R. P.,
Bergquam, E. P.,
Axthelm, M. K.,
and Wong, S. W.
(1999)
J. Virol.
73,
3040-3053[Abstract/Free Full Text]
|
| 31.
|
Wang, G. H.,
Bertin, J.,
Wang, Y.,
Martin, D. A.,
Wang, J.,
Tomaselli, K. J.,
Armstrong, R. C.,
and Cohen, J. I.
(1997)
J. Virol.
71,
8928-8932[Abstract]
|
| 32.
|
Alexander, L.,
Denekamp, L.,
Knapp, A.,
Auerbach, M. R.,
Damania, B.,
and Desrosiers, R. C.
(2000)
J. Virol.
74,
3388-3398[Abstract/Free Full Text]
|
| 33.
|
Chaudhary, P. M.,
Jasmin, A.,
Eby, M. T.,
and Hood, L.
(1999)
Oncogene
18,
5738-5746[CrossRef][Medline]
[Order article via Infotrieve]
|
| 34.
|
Belanger, C.,
Gravel, A.,
Tomoiu, A.,
Janelle, M. E.,
Gosselin, J.,
Tremblay, M. J.,
and Flamand, L.
(2001)
J. Hum. Virol.
4,
62-73[Medline]
[Order article via Infotrieve]
|
| 35.
|
Djerbi, M.,
Screpanti, V.,
Catrina, A. I.,
Bogen, B.,
Biberfeld, P.,
and Grandien, A.
(1999)
J. Exp. Med.
190,
1025-1032[Abstract/Free Full Text]
|
| 36.
|
Hawley, R. G.,
Lieu, F. H.,
Fong, A. Z.,
and Hawley, T. S.
(1994)
Gene Ther.
1,
136-138[Medline]
[Order article via Infotrieve]
|
| 37.
|
Dignam, J. D.,
Lebovitz, R. M.,
and Roeder, R. G.
(1983)
Nucleic Acids Res.
11,
1475-1489[Abstract/Free Full Text]
|
| 38.
|
Keller, S. A.,
Schattner, E. J.,
and Cesarman, E.
(2000)
Blood
96,
2537-2542[Abstract/Free Full Text]
|
| 39.
|
Courtois, G.,
Whiteside, S. T.,
Sibley, C. H.,
and Israel, A.
(1997)
Mol. Cell. Biol.
17,
1441-1449[Abstract]
|
| 40.
|
Chang, Y.,
Cesarman, E.,
Pessin, M. S.,
Lee, F.,
Culpepper, J.,
Knowles, D. M.,
and Moore, P. S.
(1994)
Science
266,
1865-1869[Abstract/Free Full Text]
|
| 41.
|
Cesarman, E.,
Chang, Y.,
Moore, P. S.,
Said, J. W.,
and Knowles, D. M.
(1995)
N. Engl. J. Med.
332,
1186-1191[Abstract/Free Full Text]
|
| 42.
|
Soulier, J.,
Grollet, L.,
Oksenhendler, E.,
Cacoub, P.,
Cazals-Hatem, D.,
Babinet, P.,
d'Agay, M. F.,
Clauvel, J. P.,
Raphael, M.,
Degos, L.,
and Sigaux, F.
(1995)
Blood
86,
1276-1280[Abstract/Free Full Text]
|
| 43.
|
Gessain, A.,
Sudaka, A.,
Briere, J.,
Fouchard, N.,
Nicola, M. A.,
Rio, B.,
Arborio, M.,
Troussard, X.,
Audouin, J.,
Diebold, J.,
et al..
(1996)
Blood
87,
414-416[Free Full Text]
|
| 44.
|
Luppi, M.,
Barozzi, P.,
Maiorana, A.,
Artusi, T.,
Trovato, R.,
Marasca, R.,
Savarino, M.,
Ceccherini-Nelli, L.,
and Torelli, G.
(1996)
Blood
87,
3903-3909[Abstract/Free Full Text]
|
| 45.
|
Cesarman, E.,
Moore, P. S.,
Rao, P. H.,
Inghirami, G.,
Knowles, D. M.,
and Chang, Y.
(1995)
Blood
86,
2708-2714[Abstract/Free Full Text]
|
| 46.
|
Samaniego, F.,
Pati, S.,
Karp, J.,
Prakash, O.,
and Bose, D.
(2001)
J. Natl. Cancer Inst. Monogr.
28,
15-23
|
| 47.
|
Shepard, L. W.,
Yang, M.,
Xie, P.,
Browning, D. D.,
Voyno-Yasenetskaya, T.,
Kozasa, T.,
and Ye, R. D.
(2001)
J. Biol. Chem.
276,
45979-45987[Abstract/Free Full Text]
|
| 48.
|
Couty, J. P.,
Ger |