Drug Modulators of B Cell Signaling Pathways and Epstein-Barr Virus Lytic Activation

John G Kosowicz1, Jaeyeun Lee1, Brandon Peiffer2

  • 1Department of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.

Journal of Virology
|June 2, 2017
PubMed

Insights

B cell receptor (BCR) signaling activates Epstein-Barr virus (EBV) lytic replication. Drugs targeting BCR signaling, like ibrutinib, inhibit this activation in cell lines and patient B cells.

Area of Science:

  • Virology
  • Immunology
  • Pharmacology

Background:

  • Epstein-Barr virus (EBV) establishes lifelong latency in B cells.
  • B cell receptor (BCR) signaling is crucial for B cell function and can reactivate EBV.
  • Understanding EBV reactivation pathways is key for managing EBV-associated diseases.

Purpose of the Study:

  • To investigate the role of BCR signaling in EBV lytic induction.
  • To evaluate the efficacy of BCR inhibitors and immunosuppressive drugs on EBV reactivation.
  • To determine if BCR-mediated EBV activation occurs in primary patient B cells.

Main Methods:

  • Utilized cell lines and primary peripheral blood mononuclear cells (PBBMCS).
  • Administered drugs targeting BCR signaling (ibrutinib, idelalisib, dasatinib) and immunosuppressants (cyclosporine, tacrolimus, rapamycin).
  • Assessed EBV lytic induction and BCR signaling pathways.

Main Results:

  • BCR inhibitors (ibrutinib, idelalisib, dasatinib) effectively blocked BCR-mediated EBV lytic induction.
  • Cyclosporine and tacrolimus inhibited BCR-mediated EBV reactivation, but rapamycin did not.
  • mTORC2 signaling was found to contribute to BCR-mediated EBV lytic induction.
  • BCR signaling activated EBV lytic induction in primary patient B cells, inhibited by ibrutinib and idelalisib.

Conclusions:

  • BCR signaling is a critical pathway for EBV lytic induction.
  • Clinically relevant BCR inhibitors can block EBV reactivation.
  • Targeting BCR signaling offers a potential therapeutic strategy for EBV-associated conditions.