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Humanes Herpesvirus 8 (HHV-8) und Kaposi-Sarkom

Humanes herpesvirus 8 (HHV-8) and Kaposi sarcoma

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Zusammenfassung

Das mit dem Kaposi-Sarkom assoziierte Virus (KSHV) oder humane Herpesvirus 8 (HHV-8) ist ein γ-Herpes-Virus (Rhadinovirus) und kann in allen klinischen Fällen von Kaposi-Sarkom gefunden werden. HHV-8 kann durch Blut und Blutprodukte übertragen werden, bei Mutter-Kind-Übertragung auch durch Speichelaustausch. Auch eine sexuelle Übertragung ist möglich, wenn auch noch nicht schlüssig nachgewiesen. Die Behandlung des Kaposi-Sarkoms (KS) hat derzeit nur die Linderung der Symptome, nicht jedoch die komplette Tumorremission zum Ziel. Dazu muss, insbesondere bei mit Aids assoziiertem KS und posttransplantativem KS, eine hämatologische Aufhebung der Immunschwäche erfolgen. Hierbei kommen spezifische lokale oder systemische Therapien zum Einsatz. Therapiestrategien zur Behandlung der HHV-8-Infektion, um der Entwicklung eines KS vorzubeugen, sind in Erprobung

Abstract

The Kaposi sarcoma-associated herpes virus (KSHV) or human herpesvirus 8 (HHV-8) is a γ-herpesvirus (Rhadinovirus) present in all clinical cases of Kaposi sarcoma (KS). HHV-8 can be transmitted by blood and blood products, as well as in saliva during mother-child transfer. Sexual transmission is also possible although not conclusively proven. Actually the goal of treating KS is to reduce symptoms and, not to produce complete tumor remission. In patients with HIV- and posttransplant-associated KS; an improved immune status is essential. In addition, specific topical or systemic approaches are available. Therapeutic strategies to treat HHV-8 infection, in order to prevent the development of KS are currently investigated.

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Literatur

  1. Chang Y, Cesarman E, Pessin MS et al. (1994) Identification of herpesvirus-like DNA sequences in AIDS-associated Kaposi’s sarcoma. Science 266(5192): 1865–1869

    Article  PubMed  CAS  Google Scholar 

  2. Schulz TF (2006) The pleiotropic effects of Kaposi’s sarcoma herpesvirus. J Pathol 208(2): 187–198

    Article  PubMed  CAS  Google Scholar 

  3. Renne R, Lagunoff M, Zhong W, Ganem D (1996) The size and conformation of Kaposi’s sarcoma-associated herpesvirus (human herpesvirus 8) DNA in infected cells and virions. J Virol 70(11): 8151–8154

    PubMed  CAS  Google Scholar 

  4. Orenstein JM, Alkan S, Blauvelt A et al. (1997) Visualization of human herpesvirus type 8 in Kaposi’s sarcoma by light and transmission electron microscopy. Aids 11(5): F35–45

    Article  PubMed  CAS  Google Scholar 

  5. Moore PS, Gao SJ, Dominguez G et al. (1996) Primary characterization of a herpesvirus agent associated with Kaposi’s sarcomae. J Virol 70(1): 549–558

    PubMed  CAS  Google Scholar 

  6. Neipel F, Albrecht JC, Fleckenstein B (1997) Cell-homologous genes in the Kaposi’s sarcoma-associated rhadinovirus human herpesvirus 8: determinants of its pathogenicity? J Virol 71(6): 4187–4192

    PubMed  CAS  Google Scholar 

  7. Kajumbula H, Wallace RG, Zong JC et al. (2006) Ugandan Kaposi’s sarcoma-associated herpesvirus phylogeny: evidence for cross-ethnic transmission of viral subtypes. Intervirology 49(3): 133–143

    Article  PubMed  CAS  Google Scholar 

  8. Hayward GS (1999) Human herpesvirus 8 latent-state gene expression and apoptosis in Kaposi’s sarcoma lesions. J Natl Cancer Inst 91(20): 1705–1707

    Article  PubMed  CAS  Google Scholar 

  9. Nicholas J, Zong JC, Alcendor DJ et al. (1998) Novel organizational features, captured cellular genes, and strain variability within the genome of KSHV/HHV8. J Natl Cancer Inst Monogr 23: 79–88

    PubMed  CAS  Google Scholar 

  10. Blackbourn DJ, Lennette E, Klencke B et al. (2000) The restricted cellular host range of human herpesvirus 8. Aids 14(9): 1123–1133

    Article  PubMed  CAS  Google Scholar 

  11. Renne R, Blackbourn D, Whitby D et al. (1998) Limited transmission of Kaposi’s sarcoma-associated herpesvirus in cultured cells. J Virol 72(6): 5182–5188

    PubMed  CAS  Google Scholar 

  12. Hong YK, Foreman K, Shin JW et al. (2004) Lymphatic reprogramming of blood vascular endothelium by Kaposi sarcoma-associated herpesvirus. Nat Genet 36(7): 683–685

    Article  PubMed  CAS  Google Scholar 

  13. Wang HW, Trotter MW, Lagos D et al. (2004) Kaposi sarcoma herpesvirus-induced cellular reprogramming contributes to the lymphatic endothelial gene expression in Kaposi sarcoma. Nat Genet 36(7): 687–693

    Article  PubMed  CAS  Google Scholar 

  14. Blasig C, Zietz C, Haar B et al. (1997) Monocytes in Kaposi’s sarcoma lesions are productively infected by human herpesvirus 8. J Virol 71(10): 7963–7968

    PubMed  CAS  Google Scholar 

  15. Boshoff C, Schulz TF, Kennedy MM et al. (1995) Kaposi’s sarcoma-associated herpesvirus infects endothelial and spindle cells. Nat Med 1(12): 1274–1278

    Article  PubMed  CAS  Google Scholar 

  16. Widmer IC, Erb P, Grob H et al. (2006) Human herpesvirus 8 oral shedding in HIV-infected men with and without Kaposi sarcoma. J Acquir Immune Defic Syndr 42(4): 420–425

    Article  PubMed  Google Scholar 

  17. Barozzi P, Bosco R, Vallerini D et al. (2006) KSHV/HHV-8 infection of tubular epithelial cells in transplantation kidney. Transplantation 82(6): 851–852

    Article  PubMed  Google Scholar 

  18. Akula SM, Naranatt PP, Walia NS et al. (2003) Kaposi’s sarcoma-associated herpesvirus (human herpesvirus 8) infection of human fibroblast cells occurs through endocytosis. J Virol 77(14): 7978–7990

    Article  PubMed  CAS  Google Scholar 

  19. Lu C, Gordon GM, Chandran B et al. (2002) Human herpesvirus 8 reactivation and human immunodeficiency virus type 1 gp120. Arch Pathol Lab Med 126(8): 941–946

    PubMed  Google Scholar 

  20. Wang FZ, Akula SM, Pramod NP et al. (2001) Human herpesvirus 8 envelope glycoprotein K8.1A interaction with the target cells involves heparan sulfate. J Virol 75(16): 7517–7527

    Article  PubMed  CAS  Google Scholar 

  21. Kaleeba JA, Berger EA (2006) Kaposi’s sarcoma-associated herpesvirus fusion-entry receptor: cystine transporter xCT. Science 311(5769): 1921–1924

    Article  PubMed  CAS  Google Scholar 

  22. Veettil MV, Sharma-Walia N, Sadagopan S et al. (2006) RhoA-GTPase facilitates entry of Kaposi’s sarcoma-associated herpesvirus into adherent target cells in a Src-dependent manner. J Virol 80(23): 11432–11446

    Article  PubMed  CAS  Google Scholar 

  23. Foreman KE, Friborg J Jr et al. (1997) Propagation of a human herpesvirus from AIDS-associated Kaposi’s sarcoma. N Engl J Med 336(3): 163–171

    Article  PubMed  CAS  Google Scholar 

  24. Lebbe C, de Cremoux P, Rybojad M et al. (1995) Kaposi’s sarcoma and new herpesvirus. Lancet 345(8958): 1180

    Article  PubMed  CAS  Google Scholar 

  25. Vieira J, O’Hearn P, Kimball L et al. (2001) Activation of Kaposi’s sarcoma-associated herpesvirus (human herpesvirus 8) lytic replication by human cytomegalovirus. J Virol 75(3): 1378–1386

    Article  PubMed  CAS  Google Scholar 

  26. Grundhoff A, Ganem D (2004) Inefficient establishment of KSHV latency suggests an additional role for continued lytic replication in Kaposi sarcoma pathogenesis. J Clin Invest 113(1): 124–136

    Article  PubMed  CAS  Google Scholar 

  27. Adams PD (2001) Regulation of the retinoblastoma tumor suppressor protein by cyclin/cdks. Biochim Biophys Acta 1471(3): M123–133

    PubMed  CAS  Google Scholar 

  28. Verschuren EW, Jones N, Evan GI (2004) The cell cycle and how it is steered by Kaposi’s sarcoma-associated herpesvirus cyclin. J Gen Virol 85(Pt 6): 1347–1361

    Article  PubMed  CAS  Google Scholar 

  29. Verma SC, Lan K, Robertson E (2007) Structure and function of latency-associated nuclear antigen. Curr Top Microbiol Immunol 312: 101–136

    PubMed  CAS  Google Scholar 

  30. Widmer I, Wernli M, Bachmann F et al. (2002) Differential expression of viral Bcl-2 encoded by Kaposi’s sarcoma-associated herpesvirus and human Bcl-2 in primary effusion lymphoma cells and Kaposi’s sarcoma lesions. J Virol 76(5): 2551–2556

    Article  PubMed  CAS  Google Scholar 

  31. Djerbi M, Screpanti V, Catrina AI et al. (1999) The inhibitor of death receptor signaling, FLICE-inhibitory protein defines a new class of tumor progression factors. J Exp Med 190(7): 1025–1032

    Article  PubMed  CAS  Google Scholar 

  32. Sturzl M, Hohenadl C, Zietz C et al. (1999) Expression of K13/v-FLIP gene of human herpesvirus 8 and apoptosis in Kaposi’s sarcoma spindle cells. J Natl Cancer Inst 91(20): 1725–1733

    Article  PubMed  CAS  Google Scholar 

  33. Moore PS, Chang Y (2003) Kaposi’s sarcoma-associated herpesvirus immunoevasion and tumorigenesis: two sides of the same coin? Annu Rev Microbiol 57: 609–639

    Article  PubMed  CAS  Google Scholar 

  34. Stine JT, Wood C, Hill M et al. (2000) KSHV-encoded CC chemokine vMIP-III is a CCR4 agonist, stimulates angiogenesis, and selectively chemoattracts TH2 cells. Blood 95(4): 1151–1157

    PubMed  CAS  Google Scholar 

  35. Arvanitakis L, Geras-Raaka E, Varma A (1997) Human herpesvirus KSHV encodes a constitutively active G-protein-coupled receptor linked to cell proliferation. Nature 385(6614): 347–350

    Article  PubMed  CAS  Google Scholar 

  36. Cesarman E, Nador RG, Bai F et al. (1996) Kaposi’s sarcoma-associated herpesvirus contains G protein-coupled receptor and cyclin D homologs which are expressed in Kaposi’s sarcoma and malignant lymphoma. J Virol 70(11): 8218–8223

    PubMed  CAS  Google Scholar 

  37. Couty JP, Gershengorn MC (2004) Insights into the viral G protein-coupled receptor encoded by human herpesvirus type 8 (HHV-8). Biol Cell 96(5): 349–354

    Article  PubMed  CAS  Google Scholar 

  38. Guo HG, Sadowska M, Reid W et al. (2003) Kaposi’s sarcoma-like tumors in a human herpesvirus 8 ORF74 transgenic mouse. J Virol 77(4): 2631–2639

    Article  PubMed  CAS  Google Scholar 

  39. Coscoy L (2007) Immune evasion by Kaposi’s sarcoma-associated herpesvirus. Nat Rev Immunol 7(5): 391–401

    Article  PubMed  CAS  Google Scholar 

  40. Coscoy L, Ganem D (2000) Kaposi’s sarcoma-associated herpesvirus encodes two proteins that block cell surface display of MHC class I chains by enhancing their endocytosis. Proc Natl Acad Sci USA 97(14): 8051–8056

    Article  PubMed  CAS  Google Scholar 

  41. Coscoy L, Ganem D (2001) A viral protein that selectively downregulates ICAM-1 and B7–2 and modulates T cell costimulation. J Clin Invest 107(12): 1599–1606

    PubMed  CAS  Google Scholar 

  42. Mutlu AD, Cavallin LE, Vincent L et al. (2007) In vivo-restricted and reversible malignancy induced by human herpesvirus-8 KSHV: a cell and animal model of virally induced Kaposi’s sarcoma. Cancer Cell 11(3): 245–258

    Article  PubMed  CAS  Google Scholar 

  43. Sodhi A, Chaisuparat R, Hu J et al. (2006) The TSC2/mTOR pathway drives endothelial cell transformation induced by the Kaposi’s sarcoma-associated herpesvirus G protein-coupled receptor. Cancer Cell 10(2): 133–143

    Article  PubMed  CAS  Google Scholar 

  44. Matsushima AY, Strauchen JA, Lee G et al. (1999) Posttransplantation plasmacytic proliferations related to Kaposi’s sarcoma-associated herpesvirus. Am J Surg Pathol 23(11): 1393–1400

    Article  PubMed  CAS  Google Scholar 

  45. Du MQ, Diss TC, Liu H et al. (2002) KSHV- and EBV-associated germinotropic lymphoproliferative disorder. Blood 100(9): 3415–3418

    Article  PubMed  CAS  Google Scholar 

  46. Luppi M, Barozzi P, Schulz TF et al. (2000) Bone marrow failure associated with human herpesvirus 8 infection after transplantation. N Engl J Med 343(19): 1378–1385

    Article  PubMed  CAS  Google Scholar 

  47. Corchero JL, Mar EC, Spira TJ et al. (2001) Comparison of serologic assays for detection of antibodies against human herpesvirus 8. Clin Diagn Lab Immunol 8(5): 913–921

    Article  PubMed  CAS  Google Scholar 

  48. Sarmati L (2001) Serological testing for human herpesvirus 8. Herpes 8(3): 76–79

    PubMed  CAS  Google Scholar 

  49. Schatz O, Monini P, Bugarini R et al. (2001) Kaposi’s sarcoma-associated herpesvirus serology in Europe and Uganda: multicentre study with multiple and novel assays. J Med Virol 65(1): 123–132

    Article  PubMed  CAS  Google Scholar 

  50. Laney AS, Peters JS, Manzi SM et al. (2006) Use of a multiantigen detection algorithm for diagnosis of Kaposi’s sarcoma-associated herpesvirus infection. J Clin Microbiol 44(10): 3734–3741

    Article  PubMed  CAS  Google Scholar 

  51. Pellet C, Chevret S, Blum L et al. (2001) Virologic and immunologic parameters that predict clinical response of AIDS-associated Kaposi’s sarcoma to highly active antiretroviral therapy. J Invest Dermatol 117(4): 858–863

    Article  PubMed  CAS  Google Scholar 

  52. Pellet C, Chevret S, Frances C et al. (2002) Prognostic value of quantitative Kaposi sarcoma--associated herpesvirus load in posttransplantation Kaposi sarcoma. J Infect Dis 186(1): 110–113

    Article  PubMed  Google Scholar 

  53. Pellet C, Kerob D, Dupuy A et al. (2006) Kaposi’s sarcoma-associated herpesvirus viremia is associated with the progression of classic and endemic Kaposi’s sarcoma. J Invest Dermatol 126(3): 621–627

    Article  PubMed  CAS  Google Scholar 

  54. Dupin N, Fisher C, Kellam P et al. (1999) Distribution of human herpesvirus-8 latently infected cells in Kaposi’s sarcoma, multicentric Castleman’s disease, and primary effusion lymphoma. Proc Natl Acad Sci USA 96(8): 4546–4551

    Article  PubMed  CAS  Google Scholar 

  55. Dukers NH, Rezza G (2003) Human herpesvirus 8 epidemiology: what we do and do not know. Aids 17(12): 1717–1730

    Article  PubMed  Google Scholar 

  56. Plancoulaine S, Gessain A (2005) Epidemiological aspects of human herpesvirus 8 infection and of Kaposi’s sarcoma. Med Mal Infect 35(5): 314–321

    Article  PubMed  CAS  Google Scholar 

  57. Hladik W, Dollard SC, Mermin J et al. (2006) Transmission of human herpesvirus 8 by blood transfusion. N Engl J Med 355(13): 1331–1338

    Article  PubMed  CAS  Google Scholar 

  58. Moore PS, Chang Y, Jaffe HW (2007) Transmission of human herpesvirus 8 by blood transfusion. N Engl J Med 356(1): 88; author reply 89

    PubMed  CAS  Google Scholar 

  59. Barozzi P, Luppi M, Facchetti F et al. (2003) Post-transplant Kaposi sarcoma originates from the seeding of donor-derived progenitors. Nat Med 9(5): 554–561

    Article  PubMed  CAS  Google Scholar 

  60. Luppi M, Barozzi P, Rasini V et al. (2002) Severe pancytopenia and hemophagocytosis after HHV-8 primary infection in a renal transplant patient successfully treated with foscarnet. Transplantation 74(1): 131–132

    Article  PubMed  Google Scholar 

  61. Regamey N, Tamm M, Binet I et al. (1999) Transplantation-associated Kaposi’s sarcoma: herpesvirus 8 transmission through renal allografts. Transplant Proc 31(1–2): 922–923

    Google Scholar 

  62. Plancoulaine S, Abel L, van Beveren M et al. (2000) Human herpesvirus 8 transmission from mother to child and between siblings in an endemic population. Lancet 356(9235): 1062–1065

    Article  PubMed  CAS  Google Scholar 

  63. Kouri V, Marini A, Nambiar S et al. (2007) Nearly identical strains of human herpesvirus 8 in couples discordant for Kaposi’s sarcoma. Aids 21(6): 765–768

    Article  PubMed  Google Scholar 

  64. Engels EA, Pfeiffer RM, Goedert JJ et al. (2006) Trends in cancer risk among people with AIDS in the United States 1980–2002. Aids 20(12): 1645–1654

    Article  PubMed  Google Scholar 

  65. Grabar S, Le Moing V, Goujard C et al. (2005) Response to highly active antiretroviral therapy at 6 months and long-term disease progression in HIV-1 infection. J Acquir Immune Defic Syndr 39(3): 284–292

    Article  PubMed  Google Scholar 

  66. Bower M, Nelson M, Young AM et al. (2005) Immune reconstitution inflammatory syndrome associated with Kaposi’s sarcoma. J Clin Oncol 23(22): 5224–5228

    Article  PubMed  CAS  Google Scholar 

  67. Frances C, Lebbe C (2005) Kaposi’s disease in an organ transplant recipient: should one anticipate, stabilise or try to cure the disease? Ann Dermatol Venereol 132(11 Pt 1): 829–831

    Article  PubMed  CAS  Google Scholar 

  68. Di Lorenzo G, Konstantinopoulos PA, Pantanowitz L et al. (2007) Management of AIDS-related Kaposi’s sarcoma. Lancet Oncol 8(2): 167–176

    Article  CAS  Google Scholar 

  69. Krown SE, Lee JY, Lin L et al. (2006) Interferon-alpha2b with protease inhibitor-based antiretroviral therapy in patients with AIDS-associated Kaposi sarcoma: an AIDS malignancy consortium phase I trial. J Acquir Immune Defic Syndr 41(2): 149–153

    Article  PubMed  CAS  Google Scholar 

  70. Kedes DH, Ganem D (1997) Sensitivity of Kaposi’s sarcoma-associated herpesvirus replication to antiviral drugs. Implications for potential therapy. J Clin Invest 99(9): 2082–2086

    PubMed  CAS  Google Scholar 

  71. Klass CM, Offermann MK (2005) Targeting human herpesvirus-8 for treatment of Kaposi’s sarcoma and primary effusion lymphoma. Curr Opin Oncol 17(5): 447–455

    Article  PubMed  CAS  Google Scholar 

  72. Martin DF, Dunn JP, Davis JL et al. (1999) Use of the ganciclovir implant for the treatment of cytomegalovirus retinitis in the era of potent antiretroviral therapy: recommendations of the International AIDS Society-USA panel. Am J Ophthalmol 127(3): 329–339

    Article  PubMed  CAS  Google Scholar 

  73. Crum-Cianflone NF, Wallace MR, Looney D (2006) Successful secondary prophylaxis for primary effusion lymphoma with human herpesvirus 8 therapy. Aids 20(11): 1567–1569

    Article  PubMed  Google Scholar 

  74. Curreli F, Friedman-Kien AE, Flore O (2005) Glycyrrhizic acid alters Kaposi sarcoma-associated herpesvirus latency, triggering p53-mediated apoptosis in transformed B lymphocytes. J Clin Invest 115(3): 642–652

    Article  PubMed  CAS  Google Scholar 

  75. Lebbe C, Euvrard S, Barrou B et al. (2006) Sirolimus conversion for patients with posttransplant Kaposi’s sarcoma. Am J Transplant 6(9): 2164–2168

    Article  PubMed  CAS  Google Scholar 

  76. Stallone G, Schena A, Infante B et al. (2005) Sirolimus for Kaposi’s sarcoma in renal-transplant recipients. N Engl J Med 352(13): 1317–1323

    Article  PubMed  CAS  Google Scholar 

  77. Guihot A, Dupin N, Marcelin AG et al. (2006) Low T cell responses to human herpesvirus 8 in patients with AIDS-related and classic Kaposi sarcoma. J Infect Dis 194(8): 1078–1088

    Article  PubMed  CAS  Google Scholar 

  78. Lambert M, Gannage M, Karras A et al. (2006) Differences in the frequency and function of HHV8-specific CD8 T cells between asymptomatic HHV8 infection and Kaposi sarcoma. Blood 108(12): 3871–3880

    Article  PubMed  CAS  Google Scholar 

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Lebbé, C. Humanes Herpesvirus 8 (HHV-8) und Kaposi-Sarkom. Hautarzt 59, 18–25 (2008). https://doi.org/10.1007/s00105-007-1445-3

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