Tumor inducing pathogens - Tumorviruses Flashcards

1
Q

Tumor risk factors

A

Viral infections:
* Caused by tumorviruses
* (= oncoviruses, cancer viruses)
* 11.9 % being caused by viral infections (WHO)
* The majority of human and animal viruses do not cause cancer
-> Long-standing coevolution between virus and host

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2
Q

First discoveries of tumor viruses

A

First discoveries of tumor viruses:
1908: chicken leukemia virus, Ellerman & Bang
1911: Rous sarcoma virus, Peyton Rous (Nobel prize 55 years later)

chicken with sarcoma in breast muscle -> remove sarcoma and break up into small chunks of tissue -> grind up sarcoma with sand -> collect filtrate that has passed through fine pore filter -> inject filtrate into young chicken -> observe sarcoma in injected chicken

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3
Q

Viral structure

A
  • Viral genome: DNA (single or double strand) or RNA (+/- strand or double strand)
  • Capsid: protein coat, which surrounds and protects the viral genome
  • Envelope (optional): lipid “envelope” derived from host cell membrane
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4
Q

Routes of body entry

A
  • food and water
  • skin lesions
  • arthropod
  • dog biting
  • urogenital
  • sexual contact
  • alimentary
  • respiratory
  • Sufficient virus must be available to initiate infection
  • Cells at the site of infection must be accessible, susceptible, and permissive for the virus
  • Local host anti-viral defense systems must be absent or initially ineffective
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5
Q

Cellular entry

A

Viruses have evolved strategies to overcome cellular barriers:
a. Receptor-mediated endocytosis followed by pH-dependent/ independent fusion from endocytic compartments
b. pH-independent fusion at the plasma membrane, coupled with receptor-mediated signaling and coordinated disassembly of the actin cortex

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6
Q

Infection strategies of viruses

A
  1. strategy: once established in the host, a virus can cause acute infection
    -> constantly infect cells of the same host (mumps)
    -> capacity to rapidly infect a new host (rabies)
    -> survive in the environment
    -> HIGH COPY NUMBER
  2. strategy: starting as acute infections which then progress to latent or persistent forms
    -> maintain viral genome without cytopathic effect
    -> without being detected by the host immune system
    -> maintain a strategy for transmission
    -> LOW COPY NUMBER/GENOME IS EPISOMAL OR INTEGRATED
  • Acute infection (e.g. influenza virus)
  • persistent infection (e.g. lymphocytic choriomeningitis virus)
  • latent, reactivating infection (e.g. herpes simplex virus)
  • slow virus infection (e.g. human immunodeficiency virus)
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7
Q

Baltimore classification of viruses

A
  • a virus classification system developed by David Baltimore that groups viruses into families, depending on their type of genome

Class I: dsDNA
Class II: ssDNA -> dsDNA
Class III: dsRNA
Class IV: (+)ssRNA -> (-)ssRNA
Class V: (-)ssRNA
Class VI: ssRNA-RT -> DNA/RNA -> dsDNA
Class VII: dsDNA-RT

  • Viruses in the group 1, 2, 6 and 7 highly depend on replication machinery of the host for their reproduction (e.g. DNA repair enzymes, polymerases, kinases, ligases)
  • Most viruses from group 3, 4, 5 provide own replication machinery
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8
Q

DNA vs RNA virus replication

A
  • Depending on the genome type, the virus requires the replication machinery of the host
  • The localization of viral replication depends on the molecule type of the genome

DNA viruses: require host DNA polymerases -> Replication in the nucleus
Exception: Pox viruses require own replication system -> replication in the cytoplasm

RNA viruses: require own DNA polymerases -> Replication in the cytoplasm
Exception: Orthomyxo, Borna viruses use splicing mechanisms in the nucleus
Retro viruses: host genome integration

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9
Q

Viral genome integration

A

DNA tumor viruses:
- not necessary for viral replication cycle
- Hypothesized: Strategy to hide from host immune system
- Is often described for tumor viruses -> chronic infections

RNA tumor viruses (retroviruses):
- viral genome integration into host genome is part of viral life cycle

  • The initial integration event likely takes place in regions where the viral and host DNA
    are in close proximity
  • Genomic signature of HPV integration events have identified only a handful of recurrent loci in the host genome:
  • Common fragile sites
  • Transcriptionally active regions
  • Regions of micro-homology (10 bp) between viral and human genomic sequences
  • AT-rich regions which have the potential to form stem-loop structures that promote the formation of stalled replication forks during replication stress
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10
Q

Oncogenic potential of viral genome integration

A

direct -> introduction of new “transforming gene” into the cell -> induction of non-genotoxic mechanisms (loss of normal growth regulation processes, affection of DNA repair mechanisms, genetic instability) -> mutagenic instability

indirect -> alteration of expression of pre-existing gene -> induction of non-genotoxic mechanisms (loss of normal growth regulation processes, affection of DNA repair mechanisms, genetic instability) -> mutagenic phenotype

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11
Q

Cervical cancer

A

Nobelprice 2008:
* discovery of human papilloma viruses causing cervical cancer
* DNA from cervical carcinomas (lanes 2, 4, 5, 7, 9), dysplasia (lane 6), cervix carcinoma in situ (lane 1, 5) and vulva carcinoma (lane 3), cleaved by BamHI restriction digestion
* DNA hybridization at low stringency conditions to screen for novel HPV types

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12
Q

HPV risk groups

A

HPVs can be roughly divided into two groups
-> Low risk (HPV types: 6, 11, 42, 43, 44) -> genital warts or benign lesions, not cervical cancer
-> High risk (HPV types: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) -> all types isolated in cervical cancer

  • U.S.: among adults ages 18-59 in 2013-2014, about 45% of men and 40% of women had HPV infection
  • U.S.: high-risk genital HPV infection affected about 25% of men and 20% of women
    -> Not all infected people develop cancer
  • HPV high risk types were identified in 95-98 % of cervical cancers
    -> Members of the high risk group are associated with cervical cancer

Proportion of cervical cancers caused: 16 > 18 > 33 > 45 > 31 > 58 > 52 > 35 > 59 >56 >51 > 39 > 73 > 68 > 82

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13
Q

Organization of the HPV genome

A

E: early expressed genes
L: late expressed genes
LCR: long control region
L1: major capsid protein
L2: minor capsid protein
E5: genome amplification, cellular proliferation
E4: genome amplification, interaction with cytoskeleton/keratin
E2: Transcriptional control, tethering of viral episome, viral DNA replication
E1: DNA helicase, viral DNA replication
E6/E7: Oncoproteins

  • Necessary cellular DNA polymerases and replication factors are only produced in mitotically active cells
  • Expressions of the viral E6 and E7 oncogenes promote cellular proliferation and abrogates cell cycle checkpoints
    -> enables replicative potential for the virus
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14
Q

Viral gene expression in cervix carcinogenesis

A
  • High risk HPV viruses infect basal layer cells
  • Depending on the differentiation state of the cell, the virus induce the expression of different viral genes
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15
Q

HPV genome integration is frequent in cancer

A
  • HPV integration occurs in >80% of HPV-positive cervical cancers
  • 76% of HPV16-positive samples have integrated HPV, whereas integration is evident in all HPV18-positive samples
  • Disadvantage for the virus: integration is a dead end for the virus, as it is no longer able to form a small, circular genome that can be packaged and transmitted to a new host
  • Advantage: Persistence in the host without recognition by the host immune system
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16
Q

E6/E7 change cell proliferation control systems

A
  • Ubiquitin-protein ligase E6AP binds to the E6 and targets the tumor suppressor p53 for ubiquitination and proteasome-mediated degradation
  • E7 binds to Retinoblastoma protein, which then releases E2F transcription factors and drive the cell cycle to enable virus genome replication
17
Q

Prevention of cervical cancer

A
  • Cervix cancer is highly correlated with chronic HPV infections
  • High risk HPV subtypes 16 and 18 have been identified in approx. 75 % of all cervical
    cancers in Germany

Prevalence of HPV16 and HPV18 by cytology in Germany: Cervical cancer > High-grade lesions > Low-grade lesions -> normal cytology

  • Cervical screening programs or widespread good quality cytology can reduce cervical cancer incidence and mortality
    -> Pap test
    -> HPV DNA testing
18
Q

HPV vaccine

A
  • Vaccination against HPV infection using genotype-specific HPV L1 virus-like-particles (VLPs)

Plasmid or virus encoding HPV L1 -> gene transfer and expression in years or insect cells -> L1 protein -> self-assembly of VLPs -> purification -> induction of neutralizing L1 antibody and CTL / Vaccination with HPV L1 VLPs -> high risk HPV

  • VLPs that are very potent at inducing neutralizing antibodies but are not infectious because they lack any viral nucleic acid