Cancer Therapy Vol 2, 85-98, 2004
Tumor
induction by simian and human polyomaviruses
Ilker Kudret Sariyer, Ilhan Akan, Luis Del Valle, Kamel
Khalili and Mahmut Safak*
Center for Neurovirology and Cancer Biology, Laboratory of
Molecular Neurovirology, Temple University, College of Science and Technology,
1900 North 12th Street, 015-96, Room 204A, Philadelphia, PA 19122
__________________________________________________________________________________
*Correspondence: Mahmut Safak, Laboratory of Molecular Neurovirology, Center for
Neurovirology and Cancer Biology, College of Science and Technology, Temple
University, 1900 N. 12th St., 015-96, Room 204A, Philadelphia, PA 19122. Phone:
(215) 204-6340. Fax: (215) 204-0679. E-mail: msafak@temple.edu
Key Words: Polyomaviruses, JCV, BKV, SV40, T
antigen
Abbreviations: BK virus, (BKV);
central nervous system, (CNS); CREB-binding
protein, (CBP); human
immunodeficiency virus, (HIV); insulin-like
growth factor receptor, (IGF-IR); JC virus, (JCV); Jun N-terminal kinase, (JNK);
KaposiÕs sarcoma, (KS);
myelin basic protein, (MBP);
nuclear localization signal, (NLS); polymerase a-primase, (Pola);
progressive multifocal encephalopathy,
(PML); proteolipid
protein, (PLP); simian virus 40, (SV40)
Summary
Human [(JC
virus, JCV) and BK virus, BKV)] and simian virus 40 (SV40) polyomaviruses
induce numerous of tumors in experimental animals. In addition, the detection
of viral genomes belonging to this group of viruses in a variety of human
tumors raises the possibility of the association of the viral oncogenic
proteins, large T and small t antigens, in the induction of such tumors. It has
been already demonstrated that large T antigen primarily targets two major
tumor suppressor proteins, p53 and retinablostoma gene product, Rb, but there
appears to be much more to uncover with respect to the molecular targets of
these two oncogenic proteins at the cellular level. It has been suggested that
in the absence of productive replication, the expression of the early genomes
of these viruses leads to the production of tumor antigens, deregulation of
cellular growth mechanisms due to the inactivation of tumors suppressors by
tumor antigens, and possibly the selection of transformed phenotype. Studying
the molecular targets of tumor antigens of polymoviruses may help us to trace
the molecular pathways induced by these viruses and perhaps such findings might
in turn enable us to treat tumor-related cases in an effective way.
The genome structure and
gene products of polyomaviruses have been under intense investigation in recent
years for several reasons. First, their small, circular genomes serve as
miniature model systems to study many aspects of DNA structure for more complex
eukaryotic genomes. Second, their oncogenic proteins can transform cells under
certain conditions in both tissue culture and experimental animals in a manner
resembling malignancies seen in humans. Particularly, recent findings regarding
the detection of the genomes of both human (JCV and BKV) and simian virus 40
(SV40) polyomaviruses in a variety of human tumors suggest that this group of
viruses may play a role in the induction of certain human tumors, although
controversy still remains as to whether these viruses indeed induce such
tumors. Such observations have led to investigators to further study the
mechanisms of tumor induction by these viruses. In this short review, we
focused our attention to recent developments with respect to
polyomavirus-induced tumors in experimental animals and the detection of viral
genomes in a variety of human malignancies.
JCV is a small human DNA virus with a double-stranded,
covalently linked circular genome, 5130 base pair in size. It is classified in
the Papovaviridae family within the polyomavirus genus (Frisque, Bream, and Cannella, 1984). JCV genome is composed of bidirectional
regulatory elements and coding regions (Figure
1). The regulatory region contains the origin of DNA replication and
promoter/enhancer elements for viral early and late genes. The coding regions
can be divided

Figure 1. Genomic organization of
JCV. JCV genome is composed of regulatory and coding regions. The regulatory
region contains the origin of DNA replication and promoter/enhancer elements.
The coding regions are divided into an early and late region. The early region
encodes regulatory proteins, small and large T antigen. The late coding region
encodes viral structural proteins (VP-1, VP-2 and VP-3) and a short regulatory
peptide, agnoprotein.
into early and late regions. The early
coding region primarily encodes two regulatory proteins, small and large T
antigen although recent findings indicate that this region also encodes three
additional small peptides called TÕs (Bollag et al, 2000). The late coding region encodes structural
capsid proteins (VP-1, VP-2 and VP-3) and a small regulatory agnoprotein.
Structural and antigenic studies demonstrated that JCV is related to other
polyomaviruses such as human BK virus, and a primate virus, simian virus 40 in
the genus. Serological data indicate that, unlike SV40, JCV and BKV share the
property of hemagglutination of human type O erythrocytes. It should also be
noted here that there is lack of convincing sera conversion data for wide
infectivity of SV40 in human population as seen for JCV and BKV.
Seroepidomological data shows that overwhelming majority of the world's
population is infected by JCV (Frisque, 1992; Major et al, 1992; Berger and Concha,
1995) and the virus establishes a persistent infection in
the kidneys (latent infection) after a subclinical primary infection. Recent
reports indicate that peripheral blood B lymphocytes, hematopoietic progenitor
cells, and tonsillar stromal cells could also harbor JCV. These sites, therefore,
can be considered additional potential sites for JCV infection and latency (Atwood et al, 1992; Monaco et al, 1996, 1998a,b,
2001; Frisque, 1998).
JCV was first isolated from brain tissue of a PML
patient by Padgett et al, in 1971. The brain tissue was used as a source of
inoculum to infect primary cultures derived from human fetal brain and the
virus was successfully isolated from long-term cultures mainly consisting of
glial cells (Padgett, 1971). This was the first direct evidence
suggesting that a neurotropic viral agent was associated with the occurrence of
PML. Shortly after its isolation, the oncogenic potential of the virus was tested
both in tissue culture and experimental animals. Particularly, recent findings
regarding the detection of JCV genome in a variety of human tumors indicate
that JCV may be associated with the induction of human tumors.
JCV is a neurotropic virus that lytically infects oligodendrocytes in the central nerves system and causes a neurodegenerative disease of the white matter in the human brain, progressive multifocal encephalopathy (PML). The disease develops mostly in patients with underlying immunosuppressive conditions, including HodgkinÕs lymphoma, lymphoproliferative diseases, and AIDS (Major, 1992; Berger and Concha, 1995; Berger and Major, 1999). In a small number of cases, however, PML was also found to affect individuals with no underlying disease (Major, 1992; Berger and Concha, 1995). While PML was previously considered a rare complication of middle-aged and elderly patients with lymphoproliferative diseases, due to the AIDS epidemic in recent years, it is now a commonly encountered disease of the CNS in patients of different age groups. This suggests that human immunodeficiency virus (HIV) infection may directly or indirectly participate in this process. Recent estimates indicate that the incidence of PML in HIV-seropositive patients reached up to 5%, compared to that 0.8% before the AIDS epidemic (Aksamit et al, 1990; Aksamit, 1995; Berger and Concha, 1995; Berger et al, 2001).
A. Tumor
induction by JCV in experimental animals
Following its isolation, JCV has not only
been shown to cause a variety of tumors in experimental animals (Walker et al, 1973; Varakis et al, 1978; London et
al, 1978, 1983; Krynska et al, 1999) but also shown to have the ability to induce
neoplastic cell transformation in tissue culture. Since JCV induced tumors
arise in tissues of neural origin (Walker et al, 1973; Varakis et al, 1978), tissue-specific expression of JCV regulatory region
is thought to play a major role in this process. Inoculation of JCV into
several experimental animal models, including hamsters, nonhuman primates, and
transgenic mice, resulted in variety of tumors depending on the animal type,
age and site of inoculation. For instance, more than 80% of newborn Syrian
hamsters when inoculated intracerebrally and subcutaneously with the Mad-1 strain
of JCV developed glioblastomas, neuroblastomas and medullablastomas (Walker et al, 1973; Varakis et al, 1978). Even the presence of an entire biologically active
JCV genome was demonstrated when cells from these tumors were co-cultivated
with permissive glial cells (Walker et al, 1973). JCV was also inoculated intraoccularly into newborn
hamsters and resulted in abdominal neuroblastomas developing in several
locations of the body (Walker et al, 1973).
Unlike the other members of the polyomavirus family
(BKV and SV40), JCV is the only polyomavirus shown to induce tumors in nonhuman
primates, such as monkeys. When owl squirrel monkeys were inoculated with live
JCV subcutanously, intraperitoneally, and intracerebraly (London et al, 1978, 1983), the animals developed tumors at different time
intervals. One owl monkey developed a malignant cerebral tumor similar to an
astrocytoma seen in humans after 16 months of inoculation. Another one
developed a malignant neuroblastoma 25 months after inoculation. Further
analysis of the tumors for the expression of JCV large tumor antigen which is
the main viral regulatory protein involved in tumor induction revealed both the
presence of large T antigen and complex formation with tumor suppressor protein
p53 (Dyson, 1990).
Mechanistically, the tumorigenic potential of JCV T antigen
appears to be, at least in part, mediated by its interaction with tumor
suppresser genes including p53 and retinoblastoma gene products, pRb and p130.
Upon binding, T antigen appears to interfere with the cell cycle progression
properties of these proteins. Coimmunoprecipitation assays using cellular
extracts from JCV-transformed glial cells show T antigen complex formation with
pRb, p53 and p107 (Monier, 1986). A report by Rencic et al, (1996) also suggests a role for T antigen in the induction
of oligoastrocytomas in an immunocompetent patient. JC virus large T antigen
has also been shown to interact with cellular and viral proteins including
YB-1, Pura, JCV agnoprotein, and insulin receptor substrate 1
(IRS-1) (Gallia, 1998; Safak et al, 1999, 2002; Lassak et al,
2002). IRS-1 is the major signaling molecule for the type I insulin-like
growth factor receptor (IGF-IR) (Baserga, 1999). In addition, recent reports also indicate a possible
communication between JCV T antigen and the Wnt signaling pathway in induction
of tumor formation because T antigen expressing cells express higher levels of b-catenin and its partner LEF-1 (Gan et al, 2001).
Our group also described the formation of different
tumors in tissues that derived from neural origin in transgenic mice models (Franks et al, 1996; Krynska et al, 1999; Gordon et
al, 2000). JCV early coding region, driven by its own promoter, was utilized to
create these transgenic animal models. Histological and histochemical analysis
of the tumor masses demonstrated the expression of JCV large T antigen in
tumors versus control tissues. In contrast to previous observations by Small et
al (Small et al, 1986a,b), transgenic animals created with the early region of
JCV archetype strain (Krynska et al, 1999) did not show any sign of hypomyelination in the
central nervous system which was a feature observed in transgenic mouse models.
On the contrary, cerebellar tumors that resemble human medullablastomas
appeared in the transgenic animals (Krynska et al, 1999). In another line of transgenic mouse, half of the
animals developed large, solid masses within the base of the skull by one year
of age. Histological evaluation of the tumors by location and by histochemical
studies demonstrated that these tumors arose from the pituitary gland (Gordon et al, 2000). Figure 2
exemplifies a variety of tumors induced by JCV in an experimental animal model
system.
In addition to the evaluation of tumorogenic activity
of JCV in mice, transgenic mice were also used to study the process of the
acute demyelination occurring in PML-affected brain tissue. Some of the
offsprings of a transgenic mouse created with the regulatory and coding
sequences of JCV T-Ag (Small et al, 1986a; Small et al, 1986b) exhibited mild to severe tremor phenotypes with hypo
and dysmyelination occurring in the central nervous system (CNS). In addition,
dysmyelination was further characterized in transgenic animals by Trapp et al, (Trapp et al, 1988) by examining the expression of the JCV and
myelin-specific genes. Initial examination of brain tissue from transgenic mice
revealed relatively low expression levels of proteolipid protein (PLP), myelin
basic protein

Figure 2. JCV transgenic animal
models. Transgenic mice containing
the full sequence of the JCV genome (archetype), develop primitive
neuroectodermal tumors in the brain, characterized by numerous packed cells
with an elongated nuclei and scanted cytoplasm (Panel A, Hematoxilin
& Eosin). Immunohistochemistry against the early gene product T-antigen,
demonstrates the nuclear localization of the protein (Panel B), and in the
same group of cells there is intense immunoreactivity for p53 (Panel C). Transgenic animals containing only
the early sequence of JCV, develop a variety of neural-origin tumors, including
adrenal neuroblastomas, characterized by rounded homogeneous cells with a
perinuclear halo of cytoplasm (Panel
D, Hematoxilin & Eosin), which
also express nuclear T-antigen when tested by immunohistochemistry (Panel E). In the same cellular compartment there is strong
immunoreactivity for p53 (Panel F).
Another tumor developed by a line of JCV early transgenic mice is pituitary
adenomas, characterized by numerous pleomorphic cells of different sizes and
abundant eosinophilic cytoplasm (Panel G,
Hematoxilin & Eosin). The neoplastic cells demonstrate intense nuclear
positivity for T-antigen (Panel H),
as well as p53 (Panel I). All panels
original magnification x1000.
(MBP) and myelin associated glycoprotein which
collectively make up the axonal myelin sheet although the mRNA message levels
for those proteins appeared to be normal. The mechanism by which T antigen
plays a critical role in the reduction of these respective protein levels in
the brains of transgenic mice remains unknown, however, it is suggested that T
antigen may alter the expression levels of both proteolipid and myelin basic
protein at the protein levels or may inhibit the maturation process of
oligodentrocytes thereby altering the level of myelin around the axons.
B. Detection of JCV in human tumors
In recent years, a widespread detection of JCV genome
in variety of human tumors raised the possibility that JCV may induce tumors in
humans. In fact, Richardson, who first described PML in 1961 (Richardson, 1961), reported the incidental detection of an
oligodendroglioma in a patient with concomitant occurrences of chronic lymphatic
leukemia and PML. Following this report, concomitant occurrences of PML with
different human tumors was described in several more cases. Sima et al,
reported the association of PML with multiple astrocytomas in 1983 (Sima, 1983). Similarly, Casteigne et al, (1974) described a case
where a patient with long history of immunodeficiency syndrome, in addition to
PML, showed numerous foci of anaplastic astrocytes. Microscopic analysis of the
demyelinating lesions demonstrated the presence of viral particles in both
oligodendrocytes and astrocytes within PML foci, but not in the neoplastic
astrocytes (Casteigne, 1974). A more recent report by Shintaku and colleagues
showed dysplastic ganglian-like cells in a patient with PML (Shintaku et al, 2000). A large number of dysplastic or dysmorphic
ganglian-like cells were found in the cerebral cortex that showed properties of
neurons. Expression of JCV large T antigen was demonstrated in the infected
neurons, however, the late gene products were not.
In addition to the cases described above, JCV genome
has also been detected in human brain tumors in the absence of PML lesions.
Boldorini et al, reported the detection of JCV DNA in the brain tumors of an
immunocompetent patient with a pleomorphic xantoastrocytoma (Boldorini et al, 1998). An earlier study by Rencic et al, demonstrated the
presence of JCV viral DNA and expression of large T antigen in tumor tissue
from an immunocompetent HIV-negative patient with oligoastrocytoma (Rencic et al, 1996). These two cases presented the experimental evidence
for a possible association of JCV in brain tumors of immunocompetent non-PML
patients. Such findings further prompted the attempts to establish the
association of JCV with different types of brain tumors in humans. In fact, Del
Valle et al, (Del Valle et al., 2002; Del Valle et al., 2001) recently analyzed multiple brain tumors for the
detection of JCV genome and showed that 62.5% of oligoastrocytomas, 83.3% of
ependymomas, 80% of pilocytic astrocytomas, 57.1% of oligodendrogliomas, 76.9%
of astrocytomas and 66% of anaplastic oligodendrogliomas contained JCV early
gene sequence. Figure 3 illustrates
the detection of JCV early oncogenic protein, large T antigen, and cellular
tumor suppressor protein, p53, in a variety of human tumors JCV genomic DNA has
also been shown to be present in tumor tissue which is not neural origin.
Recent reports indicate that the JCV genome was detected in.

Figure 3. Detection of JCV proteins in human brain tumors. Expression of JCV early protein has been
found in a wide variety of brain neoplasms, including low grade glial tumors,
such as oligodendrogliomas (Panel A,
Hematoxilin & Eosin), characterized by homogeneous cells with a clear halo
surrounding their nuclei. Immunohistochemistry from T-antigen is positive in
the nuclei of the majority of the neoplastic cells (Panel B), where the cell cycle regulator protein p53 is also found
(Panel C). High-grade glial tumors
such as glioblastoma multiforme (Panel D)
characterized by extensive areas of necrosis and pleomorphic, atypical cells
expressing T-antigen in their nuclei (Panel
E). p53 is also present in the nuclei of the neoplastic cells (Panel F). Tumors of neural origin, such
as medulloblastomas, characterized by numerous sheaths of homogeneous cells, with
scanted cytoplasm (Panel G,
Hematoxilin & Eosin), demonstrate nuclear expression of the early JCV
protein, T-antigen (Panel H), and
also nuclear immunoreactivity for p53 (Panel
I). All panels original magnification x1000.
Another human polyomavirus which is
classified within the Papovaviridae family is BK virus. This virus was first
isolated in 1971 from the urine of a renal allograft recipient who developed
ureteric stenosis (Gardner, 1971). Like JCV and SV40, the BKV early and late
genomes code for six viral proteins, two from the early genome and four from
the late genome. Early proteins are nonstructural regulatory proteins (small t
and large T antigens), of which large T antigen is involved in regulation of
the viral DNA replication and late gene expression. The function of small t
antigen in this regard is not known. The viral late genome, in addition to
encoding the structural proteins VP-1, VP2 and VP3, also encodes a small
regulatory peptide, agnoprotein, whose function largely remains unclear in the
viral lytic cycle. Recent evidence from JCV virus agnoprotein work, however,
suggests that it plays a role in viral DNA replication, transcription (Safak et al, 2001, 2002), and cell cycle regulation (Darbinyan et al, 2002).
Like JCV, BKV has also a worldwide
distribution in the human population. Primary infection by BKV takes place
during early childhood and is subclinical although a mild respiratory illness
or urinary track disease may occur (Goudsmit et al, 1982; Padgett et al, 1983). Little is known about the route of BKV
transmission although induction of upper respiratory disease by BKV and
detection of latent BKV DNA in tonsils suggests a possible oral or respiratory
route of transmission (Goudsmit et al, 1982). During primary infection, viremia occurs
and the virus spreads to a number of organs in the infected individuals
including kidneys, bladder, prostate, uterine cervix, lips and tongue (Monini et al, 1995) where it remains in a latent state.
Reactivation of the virus from latent state is mostly associated with the
immunocompromised state of individuals. Reactivated virus was detected in the
urine of renal and bone marrow transplant recipients undergoing
immunosuppressive therapy (Gardner et al, 1984) as well as in the urine of pregnant women (Coleman et al, 1977). Upon reactivation, BKV may cause
interstitial nephritis and ureteral obstruction in patients receiving renal
transplants, and in some cases, it can cause viral-infection-induced transplant
dysfunction and graft rejection (Howell et al, 1999). In addition, an association between
hemorrhagic cystitis and BKV was shown in bone marrow transplant recipients (Azzi et al, 1994).
A.
BKV genome is oncogenic in animal models
Like JCV, the oncogenic
potential of BKV has been tested in experimental animals including young and
newborn mice, rats, and hamsters by inoculation of live virus. (Chenciner et al, 1980; Corallini et
al, 1982; Corallini et al, 1978; Corallini et al, 1977). The type of
tumors induced by BKV was strictly dependent on the route of inoculation. It
was observed that BKV is weakly oncogenic when inoculated subcutaneously (Nase et al, 1975; Shah et al, 1975) but induced tumors in high proportions when inoculated
intracerebrally or intravenously (Uchida et al, 1976, 1979; Corallini
et al, 1977, 1978, 1982). Tumors induced by BKV
belong to a variety of histotypes including ependymoma, neuroblastoma, pineal
gland tumors, fibrosarcoma, osteosarcoma and tumors of pancreatic islets (Nase et al, 1975; Dougherty, 1976;
Uchida et al, 1976, 1979; van der Noordaa, 1976; Corallini et al, 1977, 1978,
1982; Greenlee et al, 1977; Watanabe et al, 1979; Noss and Stauch, 1981, 1984;
Watanabe and Yoshiike, 1982). Rats inoculated with
BKV developed fibrosarcoma, liposarcoma, osteosarcoma, nephroblastoma, and
glioma. Mice, however, developed
only choroids plexus papilloma in a similar setting (Noss et al, 1981; Noss and Stauch,
1984).
Transgenic mice were also
used to test the oncogenicity of BKV large T antigen (T-Ag). Transgenic mice
with BKV T-Ag developed renal tumors, hepatocellular carcinoma, and
lymphoproliferative disease (Small et al, 1986a; Dalrymple and
Beemon, 1990). In such studies, there
appears to be differences among the strains of BKV in terms of oncogenicity.
For example, GardnerÕs BKV strain seems to be more potent to induce tumors in
transgenic mice than other isolates such as MM, BKV-IR or RF (Dougherty, 1976; Caputo et al,
1983).
The mechanism by which
BKV causes tumors in experimental animals and cell transformation in tissue
culture remains elusive. It was shown that like JCV and SV40 T-Ag, BKV T-Ag
interacts with several key cell cycle regulatory proteins, including tumor
suppressor proteins p53 and the family members of retinoblastoma proteins,
pRb105 and Rb130. BKV T-Ag perhaps inactivates the function of these proteins
and thereby contributes to the cell transformation (Dyson, 1990; Harris et al, 1996;
Shivakumar and Das, 1996; Eggers et al, 1999). It was recently shown that the complex formation of SV40
T-Ag with mouse p53 completely blocks the transactivation function of p53
protein (Sheppard et al, 1999). Due to the high homology between BKV T-Ag and SV40 T-Ag, a
similar mechanism may hold for the BKV T-Ag as well.
It is proposed that BKV
T-Ag may also transform cells through a Òhit and runÓ mechanism. In a study by
Brunner et al, (1989) it was observed that although transfection of BKV DNA into
human cells resulted in a transformed phenotype, viral DNA was absent in most
of the clones. This suggested that transformed cells no longer require the
expression of T-Ag after a certain stages in the transformation process.
BKV T-Ag was also shown to induce a number of structural chromosomal alterations characterized by breaks, gabs, dicentric and ring chromosomes, deletions, duplications and translocations (Tognon et al, 1996). While the molecular mechanism of this clastogenic effect of BKV on host DNA is unknown, it is thought to reside in its ability to bind to topoisomerase I or in its helicase activity in which it may induce chromosome damage when unwinding the strands of cellular DNA. Moreover, since BKV binds to tumor suppressor protein p53 and inactivates its function, this may lead to survival of DNA-damaged cells and increase their probability to transform and acquire immortality. As a result, the clastogenic and mutagenic activities of BKV may disturb the crucial function of the genes that are important for the maintenance of genomic stability such as oncogenes, tumor suppressor genes and DNA repair genes.
B.
Human tumors harbor BKV genome
Detection of BKV DNA in a
variety of human tumors and tumor cell lines during the late 1970Õs prompted
researchers to further investigate the possible association of BKV with the
induction of a variety of human tumors (Fiori and Di Mayorca, 1976). Since BKV exhibits a specific oncogenic tropism for the
ependymal tissue, endocrine pancreas, and osteosarcomas in rodents (Corallini et al, 1977, 1978, 1982;
Uchida et al, 1979; Chenciner et al, 1980), investigators primarily focused on the characterization of
such tumors in humans for the detection of BKV genome. Southern blot
hybridization studies showed that 4 out of 9 (44%) human tumors of the
pancreatic islets and 19 out of 74 (26%) of human brain tumors contained BKV
DNA in a free, episomal state (Corallini et al, 1987). BKV was even rescued from some of the tumors by
transfection of human embryonic fibroblasts with tumor DNA.
The
detection of BKV DNA was also reported by Dorries et al, in 46% of brain tumors
of the most common histotypes (Dorries et al, 1987). In this particular study, BKV DNA was found to be
integrated into the chromosomal DNA. Human tumors associated with
immunocompromised conditions were also analyzed by Southern blotting and it was
shown that BKV DNA was associated with KaposiÕs sarcoma with low frequencies
(20%) (Barbanti-Brodano et al, 1987).
Recently, tumor cell lines, normal and neoplastic human tissues were investigated for the detection of BKV by PCR methods utilizing specific primers for the early region of BKV DNA. The nucleotide sequence analysis of PCR products from these studies revealed the presence of BKV specific sequences in several brain tumor samples: one osteocarcinoma, two glioblastoma cell lines, one normal brain tissue and one normal bone tissue specimen (De Mattei et al, 1995). Even the expression of the early region of the BKV was demonstrated by Northern blotting of RT-PCR studies in some of the samples in those studies. The presence of BKV DNA was also investigated in several different tumors including urinary track tumors, in carcinomas of the uterine cervix, vulva, lips and tongue (Monini et al, 1995, 1996). However, data obtained from such studies were inconclusive because the percentage of positive samples in these neoplastic tissues of the urinary and genital tracks and of the oral cavity were similar to that detected in the corresponding normal tissues (Monini et al, 1996). BKV DNA was shown to be present in KaposiÕs sarcoma (KS) cases in high percentages suggesting that BKV may be an important co-factor in KS (Peterman et al, 1993).
SV40 is the most extensively studied polyomavirus. Its
small genome size was exploited as a model system to study transcription and
replication for more complex eukaryotic systems. Characteristic cytopathic
vacuolization effects caused by SV40 in African green monkey cells led to the
recognition and isolation of the virus in 1960 by Sweet and Hilleman, (1960). Apparently SV40 was introduced into the human
population through widespread use of contaminated poliovaccines. Contamination
occurred during the vaccine preparation process because the early poliovaccines
were prepared in primary cultures of kidney cells derived from rhesus monkeys,
which are often naturally infected with SV40. As described above, SV40 genome
is very similar to the other polyomaviruses, BKV and JCV, in structure
containing regulatory and coding regions. Coding regions encode regulatory
(small t and large T antigens, agnoprotein) and structural capsid proteins (VP-1,
VP-2 and VP-3). The regulatory region of SV40, like JCV and BKV, contains the
origin of DNA replication and promoter/enhancer elements which are targets for
transcription factors. SV40Õs genome shows significant sequence homology to BKV
and JCV at the coding regions, however, more divergent sequences lie within its
regulatory region.
A. Cell transformation and tumor induction
by SV40
Following its discovery,
SV40 was tested for its ability to induce tumors in experimental animals and to
transform a variety of cell types from different species in tissue culture.
Particularly, studies with Syrian hamsters showed the ability of SV40 to induce
a variety of tumors in experimental animals (Eddy et al, 1962; Girardi et al,
1962; Butel et al, 1972). Such observations
raised a question whether SV40 is involved in human carcinogenesis because SV40
was shown to establish infections in humans (Melnick and Stinebaugh, 1962). Injection of SV40 DNA into hamsters resulted in a variety
of tumors depending on the site of injection. For example, injection of
SV40-infected rhesus monkey kidney cells into newborn hamsters induced sarcomas
at the site of inoculation (Eddy et al, 1962). Intravenous injection of SV40 into weanling hamsters
resulted in lymphocytic leukemia, soft tissue sarcoma, osteosarcoma and
lymphoma (Diamandopoulos, 1972). Intracranial injection of SV40 into both newborn hamsters
and Mastomys produced ependymomas (Rabson et al, 1962). Mesontheliomas were induced upon injection of SV40 into
the intrapleural region of weanling hamsters (Cicala et al, 1993).
A variety of cell types
have been used to characterize the transforming properties of SV40 including
humans, hamsters, mice, rats, guinea pigs and cattle (Butel, 1972, 2000; Butel and
Lednicky, 1999). It turned out that not
every cell is permissive to infection of SV40. Monkey cells are considered to
be permissive to SV40 infection. Mouse cells are nonpermissive, and human cells
are considered to be ÒsemipermissiveÓ to SV40 infection. It was observed that
in nonpermissive cells, the viral genome is often found to be integrated into
the host genome and the integration is not directed to any specific site (Grodzicker and Hopkins, 1980). The cellular transformation and immortalization are the
consequence of nonlytic infection of the host cells. Viral oncogenic proteins
are generally expressed continuously during that period perhaps to maintain the
cells in the transformed state. The exact mechanism of cell transformation and
immortalization is unknown. However, it appears that viral onco-protein, T-Ag,
targets primarily tumor suppressor and key cell cycle regulator proteins, such
as p53 and pRb, which inactivates their function and results in deregulation of
cell cycle progression.
SV40 T-Ag is a multifunctional
oncoprotein that possesses several defined functional domains and has been
shown to play a critical role in cell transformation and tumor induction (Butel and Lednicky, 1999). Figure 4
schematically illustrates different functional domains of SV40 large T antigen.
The amino terminus of the T-Ag contains two distinct domains important in cell
transformation. The far amino terminus of T-Ag includes the J domain involved
in proper folding of protein complexes. This region shares 82 amino acid
residues with small t antigen. The second region of the amino terminus of T-Ag
mediates the binding to pRb and the pRb family members p107 and p130 (Fanning, 1992; Fanning and
Knippers, 1992). Although the function
of p107 and p130 in cell cycle regulation remains unclear, the mechanism of
action of tumor suppressor protein pRb at the G1 checkpoint has been well
demonstrated. It forms an inactive complex with a transcription factor E2F and
arrests cells at the G1 phase of cell cycle. When specific cyclin dependent
kinases phosphorylate Rb, it releases transcription factor E2F which in turn
transactivates S phase specific gene promoters and causes the cell to progress
into S phase. When bound to Rb, T-Ag inactivates the regulatory function of pRb
which allows unscheduled S-phase entry thereby establishing favorable
conditions for cellular transformation (Butel, 2000). T-Ag also targets another tumor suppressor protein, p53,
which plays a critical role in cell cycle progression at the G1 checkpoint and
induces apoptosis when overexpressed in cultured cells (Shaw et al, 1992; Amundson et al,
1998). A possible mechanism by
which p53 regulates the genomic stability is through the induction of apoptosis
in DNA damaged cells before potentially oncogenic events deregulate cell cycle
progression. p53 is found mutated or lost in up to 50% of all human cancers
which emphasizes the importance of its functional loss in carcinogenesis (Hollstein et al, 1996; Levine, 1997). SV40 T-Ag possesses two p53 binding sites near its
carboxy-terminal end. By binding to p53 at these sites, T-Ag inhibits
p53-mediated activities including arresting cells that have mild DNA damage in
G1 or G2/M phases of the cell cycle for DNA repair and eliminating the cells
that has extensive DNA damage by apoptosis. Under these circumstances, the
cells with damaged DNA go through the cells cycle stages without DNA repair
which results in accumulation of cellular mutation and increased genomic
instability that can lead to cancer.
T-Ag, in addition to
targeting cellular tumor suppressor proteins, also targets nuclear acetylases
including CREB-binding protein (CBP), P/CAF and p300. These regulatory proteins
function as cofactors and play important roles in transcription and
posttranslational modification of cellular tumor suppressor proteins. T-Ag
interacts with these proteins through multiple regions (Eckner et al, 1996; Srinivasan et
al, 1997) and inactivates their
important cellular functions. This is also thought to contribute to
deregulation of cell cycle progression.
Small t antigen of SV40, which is produced by
alternative splicing of early transcripts, was shown to form complexes with the
regulatory subunit of PP2A. This association appears to inhibit the function PP2A
(Pallas et al, 1990;
Yang et al, 1991)
which inturn leads to more phosphorylated and increased kinase activity of
several cellular kinases including MAP kinase and its kinase ERK, Jun
N-terminal kinase (JNK) and a key ion transporter, the Na/H antiporter (Sontag et al, 1993;
Frost et al, 1994).

Figure 4. Schematic representation of functional domains of SV40 large
T-antigen. Approximate minimal
regions of T-antigen that retain binding activity to polymerase a-primase (Pola),
tumor suppressor proteins Rb and p53, human heat shock protein 70 (hsc70) and
coactivators p300 and CBP are illustrated. DNA binding domain, ATPase activity
domain, nuclear localization signal (NLS) domain, helicase domain, host range
domain, Zn finger domain, and J domain are also depicted.
It is also believed that small t antigen antagonizes
T-Ag-induced cellular apoptosis and thereby contributes to more efficient
transformation of rat embryo fibroblasts (Kolzau et al, 1999). Transgenic animals created with a small t antigen
deletion mutant of SV40 genome consistently developed tumors in highly mitotic
tissues relative to wild-type virus (Carbone et al, 1989; Choi et al, 1988) indicating that small t antigen contributes to large
T-Ag-mediated transformation of resting cells.
B. Human tumors and SV40
The detection of SV40 in a metastatic
melanoma patient by Soriano et al, (1974) in 1974 was the first observation that links the
association of SV40 with human cancers. The virus was isolated from a lung
metastasis and viral T-Ag and capsid proteins were detected in lung, liver and
muscle metastasis but not in normal tissue. Since then, numerous reports have
been published regarding a possible link between SV40 and human tumors. SV40
genome and the expression of T-Ag were detected by PCR, DNA hybridization, DNA
sequencing and immunofluorescence techniques in a variety of human tumors and
nontumor tissues including mesotheliomas (Carbone et al, 1994; Griffiths, Nicholson, and Weiss,
1998; Rizzo et al, 1998, 1999; Testa et al, 1998; Shivapurkar et al, 2000), brain tumors (Weiss et al, 1975; Krieg et al, 1981; Bergsagel et
al, 1992; Lednicky et al, 1995; Martini et al, 1996), and other human tumors and nontumor tissues
including osteosarcomas, AIDS-related lymphomas, peripheral blood cells, kidney
tissue from pediatric renal transplant patients and non-HodgkinÕs lymphomas (Carbone et al, 1996; Lednicky and Butel, 1997; Butel
et al, 1999; Rizzo et al, 1999; David et al, 2001).
A large number of reports have described the
association of SV40 with malignant mesothelioma and yet asbestos, an
environmental carcinogen is believed to be the predominant cause of
mesotheliomas. Development of malignant mesotheliomas (up to 20%) in patients
with no known asbestos exposure raised a controversial case of whether asbestos
can be considered as the only causative agent of fatal mesotheliomas or there
are other factors or co-factor, such as SV40, that play a role in the
development of such tumors. Many studies have repeatedly linked the association
of SV40 with mesothelioma. A recent multi-laboratory study by Testa et al,
confirmed the presence of SV40 sequences in frozen mesothelioma samples by PCR,
DNA hybridization and/or DNA sequencing (Testa et al, 1998). The complex formation between T-Ag with p53 and T-Ag
(Carbone et al, 1997) with retinoblastoma family members, including pRb,
p107 and p130, was also demonstrated by co-immunoprecipitation assays (De Luca et al, 1997). Some studies suggested that a relatively higher
susceptibility of mesothelial cells to SV40 infection maybe a part of the
determining factor in development of mesotheliomas. Bochetta et al, (2000) compared the rate of transformation of SV40-infected
mesothelial cells with that of human fibroblasts in a tissue culture system and
the results were striking (Ozer et al, 1996). Mesothelial cells were found to be 1000 times more
susceptible to transformation upon SV40 infection than human fibroblast cells.
This may partially offer an explanation for the relationship between SV40 and
human mesotheliomas.
There are also now a number of studies describing the
association of SV40 with human brain tumors. Experimental animal studies showed
that SV40 is oncogenic in neural tissues when injected, for example, into the
newborn hamsters (Eddy et al, 1962; Girardi et al, 1962) and SV40 was shown to be capable of transforming
primary human astrocytes in culture (Shein, 1967). SV40 genome and its gene products were detected by
PCR or Western blotting in a variety of brain tumors including glioblastomas,
gliomas, gliosarcomas, medullablastomas, meningiomas, pituitary adenomas and
oligodendromas (Weiss et al, 1975; Krieg et al, 1981; Bergsagel et
al, 1992; Lednicky et al, 1995; Martini et al, 1996). Even a complex formation of T-Ag with p53 and T-Ag
with pRb was demonstrated by co-immunoprecipitation assays (Zhen et al, 1999) suggesting that T-Ag targets common pathways in
different tumors.
V. Concluding remarks
We have briefly reviewed recent developments regarding
the tumor inducing aspects of polyomaviruses JCV, BKV and SV40. We have learned
much about the molecular mechanisms underlying the cell transformation process
induced by the oncogenic protein of each virus, large T antigen. However, many
questions still remain unanswered as to how large T antigen can perturb the
normal cell cycle progression and eventually cause cell transformation and
immortalization. Further research is required to understand the molecular
mechanism(s) of cell transformation, and polyomaviruses offer an excellent
model system to study many aspects of this process. This in turn may help us to
understand the foundation of human cancers.
We would like to
thank past and present members of the Center for Neurovirology and Cancer
Biology for their insightful discussion and sharing of ideas. We particularly
appreciate Jessica OtteÕs operational efforts in our laboratory. She is the
technical manager of the Center for Neurovirology and Cancer Biology. This work
was supported by National Institutes of Health grants to M. S. and K. K.
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Dr. Mahmut Safak