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Contents - College of Medical and Dental Sciences - University of ...

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The 11 th International Workshop on KSHV & Related Agents, Birmingham, UK<br />

Immunology I Abstract 12<br />

KSHV EVADES INNATE IMMUNITY BY SUPPRESSION OF TLR4 EXPRESSION<br />

Dimitris Lagos 1 , Richard James Vart 1 , Fiona Gratrix 1 , Samantha Jane Westrop 2 , Ping-Pui<br />

Wong 1 , Nesrina Imami 2 , Mark Bower 3 , Frances Gotch 2 <strong>and</strong> Chris Bosh<strong>of</strong>f 1<br />

1<br />

Cancer Research UK Viral Oncology Group, UCL Cancer Institute, Paul O’Gorman<br />

Building, Huntley Street, <strong>University</strong> <strong>College</strong> London, WC1E 6BT, London, U.K.<br />

2<br />

Department <strong>of</strong> Immunology, Chelsea <strong>and</strong> Westminster Hospital, Imperial <strong>College</strong><br />

London, London, U.K.<br />

3<br />

Imperial <strong>College</strong> School <strong>of</strong> Medicine, Chelsea <strong>and</strong> Westminster Hospital, Imperial <strong>College</strong><br />

London, London, UK.<br />

Abstract<br />

Toll-like receptors (TLRs) play a critical role in innate immune responses against invading<br />

pathogens. However, the role <strong>and</strong> regulation <strong>of</strong> TLRs during KSHV infection remain poorly<br />

understood. We demonstrate that TLR4 mediates innate response against KSHV <strong>and</strong> that<br />

KSHV targets TLR4 expression as a mechanism <strong>of</strong> immune evasion. In vitro, mouse<br />

macrophages or human lymphatic endothelial cells lacking TLR4 are more susceptible to<br />

KSHV infection, whereas activation <strong>of</strong> TLR4-mediated signalling with bacterial<br />

lipopolysaccharide protects cells from KSHV infection. In vivo, HIV-1-infected individuals<br />

who carry a non-functional TLR4 allele appear more likely to have multicentric<br />

Castleman’s disease, a lymphoproliferation associated with enhanced KSHV replication.<br />

Furthermore, we show that KSHV has evolved mechanisms to evade the TLR4-mediated<br />

response. The KSHV-encoded vIRF1 <strong>and</strong> vGPCR co-operate to suppress TLR4 expression<br />

in human lymphatic endothelial cells. Notably, ERK activation by vGPCR or by viral<br />

attachment to the cell membrane results in rapid TLR4 down-regulation. Our findings<br />

reveal the first example <strong>of</strong> viral immune evasion through suppression <strong>of</strong> TLR4 expression<br />

<strong>and</strong> suggest the potential use <strong>of</strong> TLR4 agonists for treatment <strong>of</strong> KSHV-related neoplasms.<br />

Presenting author Email: d.lagos@ucl.ac.uk<br />

33

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