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TLR4-Mediated Inflammation Promotes KSHV-Induced Cellular Transformation and Tumorigenesis by Activating the STAT3
Marion Gruffaz1, Karthik Vasan1, Brandon Tan1
1Department of Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, California.
Abstract:
Toll-like receptors (TLR) are conserved immune sensors mediating antimicrobial and antitumoral responses, but recent evidence implicates them in promoting carcinogenesis in certain cancers. Kaposi sarcoma is caused by infection of Kaposi sarcoma-associated herpesvirus (KSHV) and is characterized by uncontrolled neoangiogenesis and inflammation. Here, we show that TLR4 is upregulated in KSHV-infected spindle tumor cells in human Kaposi sarcoma lesions. In a model of KSHV-induced cellular transformation, KSHV upregulated expression of TLR4, its adaptor MyD88, and coreceptors CD14 and MD2. KSHV induction of TLR4 was mediated by multiple viral miRNAs. Importantly, the TLR4 pathway was activated constitutively in KSHV-transformed cells, resulting in chronic induction of IL6, IL1β, and IL18. Accordingly, IL6 mediated constitutive activation of the STAT3 pathway, an essential event for uncontrolled cellular proliferation and transformation. TLR4 stimulation with lipopolysaccharides or live bacteria enhanced tumorigenesis while TLR4 antagonist CLI095 inhibited it. These results highlight an essential role of the TLR4 pathway and chronic inflammation in KSHV-induced tumorigenesis, which helps explain why HIV-infected patients, who frequently suffer from opportunistic bacterial infections and metabolic complications, frequently develop Kaposi sarcoma. Cancer Res; 77(24); 7094-108. ©2017 AACR.
Insights
Toll-like receptor 4 (TLR4) promotes Kaposi sarcoma by driving chronic inflammation and cell proliferation. Inhibiting TLR4 signaling reduces tumor growth, offering a potential therapeutic target for this cancer.
Area of Science:
- Immunology
- Oncology
- Virology
Background:
- Toll-like receptors (TLRs) are immune sensors involved in antimicrobial and antitumor responses.
- Some TLRs, however, are implicated in promoting carcinogenesis.
- Kaposi sarcoma, a cancer caused by KSHV, involves neoangiogenesis and inflammation.
Purpose of the Study:
- To investigate the role of Toll-like receptor 4 (TLR4) in Kaposi sarcoma development.
- To elucidate the mechanisms by which KSHV-induced TLR4 signaling contributes to tumorigenesis.
Main Methods:
- Analysis of TLR4 expression in human Kaposi sarcoma lesions.
- KSHV-induced cellular transformation model to study TLR4 pathway activation.
- Assessment of cytokine induction (IL6, IL1β, IL18) and STAT3 pathway activation.
- Evaluation of TLR4 stimulation and antagonism effects on tumorigenesis.
Main Results:
- TLR4 was upregulated in KSHV-infected tumor cells.
- KSHV induced TLR4 expression via viral microRNAs, leading to constitutive pathway activation.
- Chronic inflammation (IL6, IL1β, IL18) and STAT3 activation were observed.
- TLR4 stimulation enhanced tumorigenesis, while antagonism inhibited it.
Conclusions:
- The TLR4 pathway plays a critical role in KSHV-induced tumorigenesis through chronic inflammation.
- This pathway contributes to uncontrolled cell proliferation and transformation.
- Findings help explain Kaposi sarcoma prevalence in HIV-infected individuals with opportunistic infections.
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