Aug 1, 2018

Joint Session #3

Session Chairs: Michelle West & Doug Lowy

Oral Talk #107
EBV-Induced Metabolic Dependency Factors in B-Cell Transformation
Liang-Wei Wang1,2, Ina Ersing1, Luis Nobre3, Hongying Shen4, Stephen Trudeau1, Camille Ashbaugh1, Steve Gygi5, Vamsi Mootha4, Michael Weekes3, Benjamin Gewurz1,2
1Division of Infectious Disease, Brigham & Women's Hospital, 2Program in Virology, Harvard Medical School, 3Cambridge Instiute for Medical Research, University of Cambridge, 4Department of Molecular Biology, Massachusetts General Hospital, 5Department of Cell Biology, Harvard Medical School
Epstein-Barr virus (EBV) transforms B-cells into continuously proliferating lymphoblastoid B-cell lines (LCL). Knowledge of how EBV remodels host metabolic pathways to support rapid B-cell outgrowth and to overcome metabolic redox stress remains incomplete. To gain insights into EBV-induced metabolic dependency factors, we constructed a proteomic map of B-cell transformation. Primary B-cells from 12 human donors were profiled by tandem-mass-tag mass spectrometry at rest and at 9 timepoints after EBV infection. This approach generated expression profiles of >6500 host and 17 viral proteins and highlighted EBV-induced pathways. Glycolysis, cholesterol and fatty acid biosynthesis pathways were highly upregulated cytosolic metabolic pathways, each if of which were critical for EBV- driven B-cell outgrowth. Likewise, EBV remodeled B-cell mitochondria, with the one-carbon (1C) metabolism pathway among the most highly EBV-induced. Mitochondrial 1C uses folate carriers to interconvert serine into glycine, formate and NADPH building blocks. EBNA2 and cMyc were critical for upregulation of key mitochondrial 1C enzymes including MTHFD2, which is highly expressed during embryogenesis but not in most adult tissues. Chemical and CRISPR genetic analysis underscored MTHFD2 and 1C pathway roles in EBV-driven B-cell growth and survival. MTHFD2 was important for intramitochondrial NADPH generation, and compartment-specific perturbation of mitochondrial NADPH levels diminished LCL growth and survival. Isotope tracing studies further supported EBV-induced 1C pathway roles in purine nucleotide synthesis and NADPH production. To fuel 1C metabolism, EBV upregulated import and de novo synthesis of serine, each of which were found to be important dependency factors. 1C-derived glycine also supported glutathione synthesis, which together with NADPH had redox defense roles. Our results highlight mitochondrial 1C as a key EBV-induced metabolic dependency factor and potential therapeutic target. 

Label with tandem-mass-tag (TMT) based MS3 mass spectrometry
CD23+ of time points 0, 2, 4, 7, 10, 14, 18,21, 28, 35
Day 7, LMP1 and LMP2 —> Burkitt like
Day 14 lymphoblastoid

Latency III antigen expression profiles
See notes for the rest of the talk (extremely fast!)


































































A Temporal Proteomic Map of Epstein-Barr Virus Lytic Replication in B Cells. 
Cell Reports 2017/05 pdf 4986

Oral Talk #108
Identifying Genome-Wide Targets of the Late Gene Transcription Complex in KSHV
Divya Nandakumar1, Britt Glaunsinger1,2
1University of California Berkeley, 2Howard Hughes Medical Institute
Herpesviruses compete with the tightly regulated cellular transcription by encoding transcription factors that divert the transcriptional machinery from the host to the viral genome. In β and γ-herpesviruses, a viral pre-initiation complex (vPIC) orchestrates the transcription of genes expressed late in infection by hijacking the host RNA polymerase. Identifying candidate genes regulated by the vPIC will be key to detecting promoter elements that are important for vPIC recognition and potentially offer insights on the mechanism of switch from early to late gene expression. In this study, we have used an integrative approach to identify targets of the vPIC using a combination of ChIP-Seq, RNA- Seq and reporter assays. Given that most viral proteins have multiple functions, a targeted approach using site specific mutants in the vPIC that exclusively inhibit transcription would provide more accurate information on vPIC targets. The core component of the vPIC is ORF24, a viral TATA Binding Protein (TBP) that displays putative structural mimicry to cellular TBP but unlike TBP binds directly to both RNA polymerase II and promoter DNA. We have used two specific mutants of ORF24 (a RNA polymerase II interaction mutant and a mutant of ORF24 that disrupts vPIC formation) to identify the functional gene targets of the vPIC. Additionally, we have integrated the differential expression information with genome-wide binding data of the vPIC, generated using an endogenously tagged component of the vPIC, to differentiate the direct and indirect targets of the complex during infection. Our results indicate that the spectrum of genes regulated by the vPIC extends beyond late genes and includes early genes that continue to be expressed at later stages of infection. The results also hint at a link between DNA replication and transcription and current studies are underway to validate the functional significance of the genome-wide analysis. 

Six proteins
  • ORF24
  • ORF31
  • ORF34
  • ORF18
  • ORF30
  • ORF66
* A hybrid viral host transcription complex essential for KSHV life cycle (Mol Cell 57, p3490)
* Integrative approach to identify gene targets of KSHV transcription
* ORF24 interacts with RNA Pol II through leucine 
* ORF24-Pol II interaction mutant does not produce infectious visions and is detective in alert gene transcription
* Distinct gene clusters that show differential dependence on late gene transcription complex
* ORF24 - dependent
* ChIP-seq of ORF34-HA shows binding of ORF34 across the viral genome
* These represent ORF24 dependent
* Overlap of RNA-seq and ChIP-seq data distinguishes the direct and index
* TATTTAA (direct target short motif)
* Tang et al J Viral 2004 p2609
* K8.1  RSNYS motif
* Expand mitigation us aknost exclusively in direct targets of ORF24 complex
* ORF59 is the only outlier of the 
* TATT motif may be important for recognition but downstream sequence  sequ is potentially important for transcription



























Oral Talk #109
High Risk α-HPV Oncogenes Induce and Disrupt Translesion
Synthesis
Sebastian O. Wendel1, Laura Brown2, Jazmine Snow1, Tyler Bastian3, Vaibhav Murthy1, Daniel Neill2, Monica Gamez1, Andrew Kahn1, Dalton Dacus1, Kevin Ault4, Ossama Tawfik5, Cen Wu3, Nicholas A. Wallace1
1Division of Biology, Kansas State University, 2Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, 3Department of Statistics, Kansas State University, 4Department of Obstetrics and Gynecology, University of Kansas Medical Center, 5MAWD Pathology Group
Translesion synthesis (TLS) is an essential DNA-damage tolerance pathway needed during replication. It prevents minor DNA lesions from causing replication fork collapse and descending into more deleterious double strand DNA breaks. Increased proliferation induces TLS to cope with the associated elevation in replication stress. Our bioinformatics analysis shows that increased TLS expression correlates with unfavorable outcomes of patient survival data for several cancer types. Cervical cancers, almost exclusively caused by high risk α-HPV, were the only exception that we found. Here, increased TLS expression is predictive of favorable outcomes. An in-depth bioinformatics analysis of RNAseq data from cervical cancers revealed a general upregulation of the TLS pathway, with the notable exception of POL-η, the lesion bypassing TLS polymerase. HPV E7 driven proliferation causes replication stress. In addition to increased mRNA, a subset of TLS- pathway proteins is stabilized in α-HPV oncogene expressing cervical cancer cell lines. Increases in TLS expression (protein abundance and RNAseq) correlate with disease progression. However, we show that TLS-functionality falls apart in the presence of E6. HPV E6 interferes with the induction of the TLS polymerase POL-η by degrading p53 and blocking its role as transcription factor for POL-η induction. HPV-positive cervical cancer cell lines fail to increase POL-η abundance or concentrate the polymerase in response to extrinsic DNA damage. This increases replication fork stall and collapse, indications of failed TLS. Consequently, we show that cervical cancer cell lines exhibit a significant sensitivity to chemical DNA-crosslinkers as well as UV radiation. We also provide evidence of a subpopulation (~20%) of cervical cancer patients that have increased expression of y-family polymerases. These women have a dramatically decreased survival. Our data makes the case that α-HPV oncogenes E6 and E7 both disrupt and induce the TLS pathway. Further, because TLS mitigates the damage from crosslinking agents, y-family polymerase expression could potentially be used as a diagnostic to identify cervical cancer patients that are unlikely to respond to the standard of care, Cisplatin. Resolving cervical cancer patient data by stage suggests a progression and correlation of RNAseq and immunohistochemistry data with increased cancer stage. 
  • Hyperproliferation of 
  • TLS abundance correlated with proliferation
  • TLS pathway
    • upregulation correlates with survival in cervial cancer
    • 5 datasets merged 
    • 188 subjects
    • 5 major TLS related enzymes (POLH, …) are either located at non-changed groups
    • POLH abundance in response to UV radiation 
    • POLH expression correlates with p53 expression 
    • Nonetheless, About 20% patients with TLS proteins go down associated with poor prognosis


















Oral Talk #110
High Risk HPV Oncogenes Impair the Fanconi Anemia DNA
Repair Pathway
Sujita Khanal1, Denise Galloway1
1Division of Human Biology, Fred Hutchinson Cancer Research Center
Persistent expression of high-risk HPV oncogenes is necessary for the development of anogenital and oropharyngeal cancers. Our study showed that E6/E7 expressing cells are hypersensitive to the DNA crosslinking agent cisplatin and have defects in repairing DNA inter strand cross-links (ICL), suggesting that HPV oncogenes impair the Fanconi anemia (FA) pathway. Monoubiquitination and foci formation of FancD2 are functional activators of the FA pathway. Consistent with previous studies, we found that E6/E7 increased FancD2 monoubiquitination and foci formation. However, using an I-SceI co-localization assay revealed that HPV E6 and E7 either expressing individually or together impair the co- localization of FancD2 with double-strand breaks (pH2AX). Recently, de-ubiquitination of FancD2 was recognized to be equally important as ubiquitination for effective ICL repair. We demonstrated that E6 caused delayed FancD2 de-ubiquitination, thereby impairing ICL repair. E6 cells also showed defects in repair proteins, Rad51 and Palb2, which are downstream of FancD2 in the FA pathway. Using genetic epistasis analyses, we showed that mislocalization defect of Rad51 in E6 cells is dependent on FancD2. Further, E6 reduced the expression and foci formation of Palb2. These findings uncover unique mechanisms by which HPV oncogenes (notably E6) impair the completion of the FA repair pathway, though they activate the initiation of the pathway. 


Oral Talk #111
Structure-Guided Identification of Interaction Hotspot for
Developing Inhibitors Interrupting KSHV Capsid Assembly
Danyang Gong1, Xinghong Dai1, Ting-Ting Wu1, Hong Z. Zhou1, Ren Sun1
1UCLA
Kaposi’s sarcoma-associated herpesvirus (KSHV) capsid, like those of the other eight human herpesviruses, is highly pressurized by its dsDNA genome. Indeed, capsid assembly and genome packaging of herpesviruses are prone to interruption and thus can be targeted for structure-guided antiviral development. However, with nearly 3,000 proteins and over 1,300 Å in diameter, herpesvirus capsids present a formidable challenge to atomic structure determination and functional mapping of molecular interactions. By employing cryo electron microscopy (cryoEM) with highly purified KSHV virions, we resolved a 4.2 Å resolution structure of the KSHV capsid, and its atomic model containing unique conformers of the major capsid protein (MCP), the smallest capsid protein (SCP), the triplex proteins Tri1 and Tri2. Guided by the atomic resolution structure of KSHV in addition to functional analysis results, we have identified interaction hotspots essential for KSHV capsid assembly and replication, especially a groove on the upper domain of MCP enabling its interaction with a long helix on the SCP. More importantly, this groove could be targeted by SCP helix-mimicking polypeptides for inhibiting KSHV replication, making it a promising druggable site for developing inhibitors. Furthermore, the in vitro and in vivo MCP-SCP interaction systems are established and applied to identify chemical inhibitors using high throughput chemical screening.

955 MCP and SCP complex in each capsid
High pressure during DNA packaging 

Joint Session #2

Session Chairs: Jeffrey Cohen & Miranda Thomas

Oral Talk #102
Local Dysregulation of the Immune Response Impairs
Immunotherapy for HPV Associated Premalignancy
Ian H. Frazer1, Zewen K. Tuong1, Siok Min Teoh1, Paula Kuo1, Abate Assefa Bashaw1, Stephen R. Mattarollo1, Graham R. Leggatt1, Joseph Powell1
1University of Queensland UQDI
Background: Persistence of infection is a rare consequence of exposure to high risk HPV, leading to hyperplasia and eventual neoplasia of anogenital epithelia. Transplantable tumour models expressing HPV E7 protein are susceptible to immunotherapies that have not proven successful in eradicating HPV associated human disease.
Aim: To determine the consequences of expression of E7 protein on local cellular immunity and on expression of immunoregulatory genes.
Approach: Examine, using RNAseq and measures of cellular immunity, the consequences of expression of E7 as a transgene in hyperplastic murine epithelium.
Results: RNAseq demonstrates comparable HPV associated changes in gene expression in hyperplastic E7 transgenic human CIN3 tissue. HPV E7 associated overexpression of immunoregulatory genes, together with altered local cytokine and chemokine expression, and local antigen presenting cell function is seen in murine E7 transgenic skin. These changes are not seen in normoplastic E7 transgenic murine epithelium also expressing a mutated Rb gene, demonstrating that local immunoregulation is associated with hyperplasia rather than E7 expression. Single cell RNAseq reveals further dysregulation of expression of host protective immunoregulatory proteins in basal keratinocytes.

Conclusion: Effective immunotherapy for HPV E7 associated disease will likely require correction of the local immunoregulatory environment, in addition to E7 specific immunotherapy.

HPV VLP vaccines are not therapeutic! need something else for people who are infected
Immunotherapy for HPV infection and associated cancer

E6/E7 recombinant
E6 and E7 protein and adjuvant immunotherapy: can we eliminate existing HPV associated CIN?
Modeling epithelial cancer immunotherapy keratinocytes-immune Cell interaction
Donors K14 transgenic
Recipient (allo matched nontransgenic)
Antigen expressed billy in basal keratinoicuytes
Grafters expression som antigens eg OVA
HPV16E7 mediated skin hyperplasia looks like CIN
K14R7 sumo shares …

    A donor skin resident immunocyte inhibits rejection of E7 transgenic mice
    The cell inhibiting E7 graft rejection is an NKT cell!
      Local IFNG production by iNKT cells inhibits graft rejection
      Reconstitution with NKT cells but not IFNG-/0 NKT cells restores graft survival
Upregulation of multiple immune checkpoint molecules in K14E7 skin by IFNG
IFNG increases PD1, CTLA4, TIM3, LAG3, PDL1, PDL2. (J Immunol 184(3):1242-
 2010 Feb 1;184(3):1242-50. doi: 10.4049/jimmunol.0902191. Epub 2009 Dec 18.

Invariant NKT cells in hyperplastic skin induce a local immune suppressive environment by IFN-gamma production.

Abstract

NKT cells can promote or inhibit adaptive immune responses. Cutaneous immunity is tightly regulated by cooperation between innate and adaptive immune processes, but the role of NKT cells in regulating cutaneous immunity is largely unknown. In this study, we show, in a mouse model, that skin-infiltrating CD1d-restricted NKT cells in HPV16-E7 transgenic hyperplastic skin produce IFN-gamma, which can prevent rejection of HPV16-E7-expressing skin grafts. Suppression of graft rejection is associated with the accumulation of CD1d(hi)-expressing CD11c(+)F4/80(hi) myeloid cells in hyperplastic skin. Blockade of CD1d, removal of NKT cells, or local inhibition of IFN-gamma signaling is sufficient to restore immune-mediated graft rejection. Thus, inhibition of NKT cell recruitment or function may enable effective immunity against tumor and viral Ags expressed in epithelial cells.

 2016 Jul;9:314-323. doi: 10.1016/j.ebiom.2016.06.011. Epub 2016 Jun 7.

A Mouse Model of Hyperproliferative Human Epithelium Validated by Keratin Profiling Shows an Aberrant Cytoskeletal Response to Injury.

Author information

1
The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, QLD, Australia.
2
McArdle Laboratory for Cancer Research, University of Wisconsin, Madison, USA.
3
The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, QLD, Australia. Electronic address: i.frazer@uq.edu.au.

Abstract

A validated animal model would assist with research on the immunological consequences of the chronic expression of stress keratins KRT6, KRT16, and KRT17, as observed in human pre-malignant hyperproliferative epithelium. Here we examine keratin gene expression profile in skin from mice expressing the E7 oncoprotein of HPV16 (K14E7) demonstrating persistently hyperproliferative epithelium, in nontransgenic mouse skin, and in hyperproliferative actinic keratosis lesions from human skin. We demonstrate that K14E7 mouse skin overexpresses stress keratins in a similar manner to human actinic keratoses, that overexpression is a consequence of epithelial hyperproliferation induced by E7, and that overexpression further increases in response to injury. As stress keratins modify local immunity and epithelial cell function and differentiation, the K14E7 mouse model should permit study of how continued overexpression of stress keratins impacts on epithelial tumor development and on local innate and adaptive immunity. (PMID:27333029)
Epithelial hyperplasia rather than E7 is the driver of the lymphocytic infiltrate in E7 tg skin. (Front Immunol 2017 Paula Kuo)
 2017 May 4;8:524. doi: 10.3389/fimmu.2017.00524. eCollection 2017.

HPV16-E7-Specific Activated CD8 T Cells in E7 Transgenic Skin and Skin Grafts.

Abstract

Human papillomavirus (HPV) 16 E7 (E7) protein expression in skin promotes epithelial hyperproliferation and transformation to malignancy. Grafts of murine skin expressing E7 protein as a transgene in keratinocytes are not rejected from immunocompetent recipients, whereas grafts expressing ovalbumin (OVA), with or without coexpression of E7 protein, are promptly rejected, demonstrating that E7-associated non-antigen-specific local immunosuppression is not a major determinant of lack of rejection of E7 transgenic skin. To determine whether failure of rejection of E7 skin grafts is due to failure to attract E7-specific effector T cells, E7- and OVA-specific effector CD8+ T cells, activated in vitro, were transferred to animals bearing E7 transgenic skin grafts. Three days after T cell transfer, E7-specific T cells were present in significantly greater numbers than OVA-specific T cells in the grafted skin on animals bearing recently placed or healed E7 grafts, without graft rejection, and also in the ear skin of E7 transgenic animals, without obvious pathology. E7 and OVA-specific T cells were present in lesser numbers in healed E7 grafts than in recently placed grafts and in lesser numbers in recently placed E7 transgenic epidermal grafts without E7-associated hyperproliferation, derived from E7 transgenic mice with a mutated retinoblastoma gene. These data demonstrate that effector T cells are to some extent attracted to E7 transgenic skin specifically by E7 expression, but in large measure non-specifically by the epithelial proliferation associated with E7 expression, and by the local inflammation produced by grafting. Failure of E7 graft rejection was observed despite trafficking of E7-specific effector T cells to E7-expressing epithelium, a finding of consequence for immunotherapy of HPV 16 E7-associated human cancers. (PubMed: 28523003)

 2018 Jun;5:6-20. doi: 10.1016/j.pvr.2017.10.001. Epub 2017 Oct 19.

Murine HPV16 E7-expressing transgenic skin effectively emulates the cellular and molecular features of human high-grade squamous intraepithelial lesions.

Abstract

Currently available vaccines prevent HPV infection and development of HPV-associated malignancies, but do not cure existing HPV infections and dysplastic lesions. Persistence of infection(s) in immunocompetent patients may reflect induction of local immunosuppressive mechanisms by HPV, providing a target for therapeutic intervention. We have proposed that a mouse, expressing HPV16 E7 oncoprotein under a Keratin 14 promoter (K14E7 mice), and which develops epithelial hyperplasia, may assist with understanding local immune suppression mechanisms that support persistence of HPV oncogene-induced epithelial hyperplasia. K14E7 skin grafts recruit immune cells from immunocompetent hosts, but consistently fail to be rejected. Here, we review the literature on HPV-associated local immunoregulation, and compare the findings with published observations on the K14E7 transgenic murine model, including comparison of the transcriptome of human HPV-infected pre-malignancies with that of murine K14E7 transgenic skin. We argue from the similarity of i) the literature findings and ii) the transcriptome profiles that murine K14E7 transgenic skin recapitulates the cellular and secreted protein profiles of high-grade HPV-associated lesions in human subjects. We propose that the K14E7 mouse may be an appropriate model to further study the immunoregulatory effects of HPV E7 expression, and can facilitate development and testing of therapeutic vaccines. (PMID: 29807614)
Increased expression of chemokine ligand attract NKT and to E7 graft (2018 J Inves Dermatol. Kuo P)
 2018 Jun;138(6):1348-1359. doi: 10.1016/j.jid.2017.12.021. Epub 2017 Dec 23.

HPV16E7-Induced Hyperplasia Promotes CXCL9/10 Expression and Induces CXCR3+ T-Cell Migration to Skin.

Abstract

Chemokines regulate tissue immunity by recruiting specific subsets of immune cells. Mice expressing the E7 protein of human papilloma virus 16 as a transgene from a keratin 14 promoter (K14.E7) show increased epidermal and dermal lymphocytic infiltrates, epidermal hyperplasia, and suppressed local immunity. Here, we show that CXCL9 and CXCL10 are overexpressed in non-hematopoietic cells in skin of K14.E7 mice when compared with non-transgenic animals, and recruit CXCR3+ lymphocytes to the hyperplastic skin. Overexpression of CXCL9 and CXCL10 is not observed in E7 transgenic mice with mutated Rb gene whose protein product cannot interact with E7 (K14.E7xRbΔL/ΔL) and in consequence lack hyperplastic epithelium. CXCR3+ T cells are preferentially recruited by CXCL9 and CXCL10 in supernatants of K14.E7 but not K14.E7xRbΔL/ΔL skin cultures in vitro. CXCR3 signalling promotes infiltration of a subset of effector T lymphocytes that enables donor lymphocyte deficient, E7-expressing skin graft rejection. Taken together, this suggests that recruitment of CXCR3+ T cells can be an important factor in the rejection of precancerous skin epithelium providing they can overcome local immunosuppressive mechanisms driven by skin-resident lymphocytes. (PMID: 29277541)
Combination immunotherapy for TC-1 tumor HPV E6/E7 DNA immunization and anti-PDL1 J Immunotherapeutics.
Chandra J (unpublished)Turing K (unpublished)
Another reason for logical immunosuppression loss of UIL33 in E7 KC demonstrated by subtle cell RNAseq Kelvin Tuong : unpublished)
A further reason for failed immunotherapy
Endogenous antigen presentation by hyperproliferative keratinocytes is impaired (Paula Kuo, unpublished)
Conclusion: Hyperproliferative epithelial cells (induced by HPV16 E7), rather than E7 induced signaling patwhays Induced IFNG dependent local immune regulation, inhibiting effector T cell function

Oral Talk #103
A Novel Virus Counteraction Mechanism against APOBEC3-
Mediated Hypermutation and Restriction
Adam Cheng1, Jaime Yockteng-Melgar2, Lori Frappier2, Reuben Harris1
1University of Minnesota, 2University of Toronto
The APOBEC family of single-stranded DNA cytosine deaminases comprises a vital arm of human innate antiviral immunity. These enzymes are responsible for restricting the replication of a wide range of viruses and transposons. The best-studied mechanism is APOBEC3G-mediated restriction of HIV-1, which is counteracted by the viral accessory protein Vif by targeting APOBEC proteins for ubiquitination and proteasome-dependent degradation. Accordingly, most work to date has focused on APOBEC restriction of HIV-1 and related retroviruses and retrotransposons, which all have susceptible single-stranded cDNA replication intermediates. It is not clear whether large double-stranded DNA viruses may be subject to restriction by APOBEC enzymes and, if so, what counteraction mechanisms are employed to maintain viral genomic integrity during pathogenesis.
Here, we define the mechanism by which the large double-stranded DNA herpesvirus Epstein-Barr virus (EBV) counteracts APOBEC3B (A3B)-mediated mutagenesis using a two-pronged approach of direct enzymatic inhibition and subcellular relocalization. The large subunit of the EBV ribonucleotide reductase, BORF2, was discovered to interact with A3B in a proteomic screen. Immunoprecipitation experiments and binding assays using recombinant proteins confirm this interaction. Structure-guided mutagenesis experiments map the interaction to a conserved loop in the A3B catalytic domain. Biochemical studies demonstrate a direct stoichiometric inhibition of A3B DNA cytosine deaminase activity by BORF2. Immunofluorescence microscopy and live cell imaging reveal a BORF2-dependent relocalization of nuclear A3B to the endoplasmic reticulum. Interestingly, A3B/BORF2 aggregates are stabilized in the endoplasmic reticulum, which is in contrast to known degradation-dependent counteraction mechanisms. A targeted deletion of BORF2 from the EBV genome was achieved using CRISPR/Cas9. Upon reactivation from latency, EBVΔBORF2 viral genomes became sensitive to A3B-dependent restriction as evidenced by accumulation of hypermutated viral DNA, loss of viral genomic integrity, and impaired viral replication.
Taken together, our studies define a novel host-pathogen interaction between cellular A3B and the BORF2 protein of EBV. Future strategies to disrupt the A3B/BORF2 interaction in vivo may have merit for compromising the genetic integrity of EBV and help to treat patients with infectious mononucleosis and, coupled to a reactivation strategy, potentially also patients with EBV-driven tumors. 

APOBEC3 restricts a number of viruses including ….  but not DNA viruses
A3B is an essential DDR activator 

EBV BORF2 specifically pulls down A3B loop 7
BORF2 aborages A3B demitasse activity
BORF2 relicalizes endogenous A3B

Transferred BORF2 is sufficient for A3B relicalization
A3B in EBVdeltaBORF2 goes to DNA replication sites
3D-PCR differentiated mutated vs WT sequences
EBV delta BORF2 is sensitive to A3B deamination
A3B-mediated mutation burden in lytic EBVdletaBORF2



Oral Talk #104
APOBEC3A is a Novel Restriction Factor Antagonizing Efficient
HAdV Replication
Julia Mai1, Christina Weiss1, Lilian Göttig1, Samuel Hofmann1, Daniela Stadler1, Ulrike Protzer1, Sabrina Schreiner1
1 Technische Universität München, Helmholtz Zentrum München
Apobec cytidine deaminases promote innate immune defense against many DNA-based parasites, such as exogenous viruses and endogenous transposable elements. Although the majority of information about Apobec-mediated viral inhibition pertains to retroviruses, Apobec has also been reported to restrict DNA viruses, such as HBV and HPV.
Human Adenoviruses (HAdV) are non-enveloped viruses and contain a linear, double- stranded DNA genome surrounded by an icosahedral capsid with type specific antigens. Our analyses of the Apobec family members show that Apobec3A (A3A), a DNA damage activating protein resulted in reduced adenoviral gene expression and decreased virus progeny production. A3A further blocks the efficient establishment of adenoviral replication centers marked by the HAdV E2A/DBP protein. Our data further indicate that A3A is not targeted by the viral E1B-55K/E4orf6 E3 ubiquitin ligase complex, and thus, not sequestered into the host proteasomal degradation pathway. However, A3A functions were modulated during HAdV infection by virus-mediated changes in A3A posttranslational modifications. Here, we provide findings provide evidence that A3A represents a novel host restriction factor that counteracts HAdV productive infection. Consequently, a better understanding of A3A-mediated regulation and processes to antagonize HAdV infection in human cells provide new perspectives for the development of antiviral agents and therapeutic strategies. 

HAdenovirs (HAdV) efficiently suppresses host DDR
A3A is not targeted by the HAdV E3 unique tin ligase


Oral Talk #105
The Enzymatic Activities of the Viral dUTPase and Viral Uracil-
DNA Glycosylase Stabilize the Gammaherpesvirus Genome
and Promote Pathogenesis in the Host
Qiwen Dong1, Kyle R Smith1, Darby G Oldenburg2, Maxwell G Shapiro1, William R Schutt1, Joshua Plummer3, Yunxiang Mu3, Thomas MacCarthy1, Douglas W White2, Kevin M McBride3, Laurie T Krug1
1Stony Brook University, 2Gundersen Health System, 3MD Anderson Cancer Center
Misincorporation of uracil or spontaneous cytidine deamination are common mutagenic insults to DNA. Herpesviruses encode a viral uracil DNA glycosylase (vUNG) and a viral dUTPase (vDUT), each with enzymatic and non-enzymatic functions. However, the coordinated roles of these activities in gammaherpesvirus pathogenesis and genomic stability have not been defined. In addition, the potential compensation by the host UNG has not been examined in vivo. The genetic tractability of the murine gammaherpesvirus 68 (MHV68) pathogen system enabled us to delineate the contribution of host and viral factors that prevent uracilated DNA. Recombinant MHV68 lacking vUNG (ORF46.stop) was not further impaired for acute replication in the lungs of UNG-/- mice compared to WT mice, indicating the vUNG provides non-overlapping functions from host UNG. Next, we investigated the separate and combinatorial consequences of mutating the catalytic residues of the vUNG (ORF46.CM) and vDUT (ORF54.CM). ORF46.CM was not impaired for replication, while ORF54.CM had a slight transient defect in lung replication. However, disabling both the vUNG and the vDUT enzymatic activities led to a significant defect in acute expansion in the lungs, followed by impaired establishment of latency in the splenic reservoir. Upon serial passage of the double ORF46.CM/ORF54.CM mutant in either fibroblasts or the lungs of mice, we noted rapid loss of the non-essential YFP reporter gene from the viral genome, consistent with an increase in homologous recombination. Taken together, our data indicate that the vUNG and vDUT coordinate to promote viral genomic stability and enable viral expansion prior to colonization of latent reservoirs. We are currently examining potential additional mutations and genomic rearrangements in the double mutant virus by whole-genome sequencing of plaque-purified viruses derived from infected lungs. We propose that the vUNG and vDUT are required to prevent mutagenic insults due to uracil incorporation that are detrimental to herpesvirus fitness. 

Consequences of uracil in DNA

  • Gammaherpesviral UNG
  • ORF46.CM is expressed but not enzymatically active, no growth defect in cell culture
  • No latency defect in spleen
  • No additional defect in UNG-/- mice
  • Compensation of single enzymatic bUNG mutant by viral dUTPase

ORF54 (dUTPas) KO mice

  • Diminish latency in spleen

ORF46 and ORF54 KO showed decreased ??

Impaired replication and destabilized viral genome

  • Coordinated activities protects viral genome from hist repair
  • Enzymatic independent functions for vUNG
  • Nucleotide metabolism is a critical factor in pathogenesis
  • Misincorporation uracils is deleterious to replication vUNG has biochemical and functional properties distinct from host (McBride)



Oral Talk #106
Epstein-Barr Virus Deubiquitinase BPLF1 Targets the RIG-I
Signalosome to Inhibit the IFN Response
Soham Gupta1, Päivi Ylä-Anttila1, Maria Grazia Masucci1
1Karolinska Institutet
As part of the host innate antiviral response, viral nucleic acids are recognized by pattern- recognition receptors (PRRs) and cytosolic retinoic acid-inducible gene-I (RIG-I)-like helicases (RLHs), which activates signaling pathways resulting in the production of type I IFN and pro-inflammatory cytokines. The activation RIG-I promotes the formation of the RIG-I signalosome where the 14-3-3 molecule scaffolds the interaction of RIG-I with the TRIM25 ubiquitin ligase, leading to RIG-I ubiquitination and translocation of the complex to the mitochondrial anti-viral signaling proteins (MAVS) for downstream signaling. Using a co-immunoprecipitation and mass-spectrometry approach we found that the BPLF1 N- terminal cysteine protease binds to all members of the 14-3-3-family of molecular scaffolds. BPLF1 and 14-3-3 form a tri-molecular complex with TRIM25, which results in activation and autoubiquitination of the ligase. In the presence of catalytically active BPLF1 polyubiquitin chains are trimmed to mono and di-ubiquitin species. RIG-I is still recruited to the complex but, in the presence of the viral enzyme its ubiquitination is considerably reduced, which effectively inhibits downstream signaling including phosphorylation and nuclear translocation of the interferon regulatory factor 3 (IRF3) and transcriptional upregulation of type I IFN. These findings illustrate a new strategy used by the virus to bypass cellular and immune control mechanisms. The large tegument proteins of herpesviruses are expressed during virus replication and are packaged into virus particles for delivery to newly infected cells Thus, their enzymatic activity may play a double role in the virus life cycle by extending the time of unchecked productive infection, and by participating in the cellular reprogramming that allows the establishment of latent infections.

PLoS Pathogens 2018
BPLF1, the largest tegument protein of EBV

72 BPLF1 interacting proteins identified, highest hit
YWHA contains 14-3-3 proteins
Highly conserved ubiquitous proteins
Seven members: b, epsilon, gamma..

E3 ligase: TRIM25
BPLF1  promotes auto-ubiquitination of TRIM25
BPLF2 inhibits RIG-1 ubiquitination
BPLF1 BM does not promote autoubiquitination of TRIM25

Joint Session #1

Session Chairs: Erle Robertson & Elizabeth White

Oral Talk #97
Point-of-Care Detection of KSHV and EBV to Diagnose Kaposi
Sarcoma and Endemic Burkitt Lymphoma
Ethel Cesarman1, Andrea Gardner1, Ryan Snodgrass2, Julio Alvarez1, Varun Kopparthy2, David Erickson2
1Weill Cornell Medical College, 2Cornell University
Diagnosis of cancer in Subequatorial Africa (SSA) is hampered by difficulty accessing pathology support and ancillary testing such as immunohistochemistry. This leads to patients presenting with advanced disease that results in a poor clinical outcome for patients with Kaposi sarcoma (KS) and endemic Burkitt lymphoma (eBL), two common cancers in this region. We developed a low-cost portable device, called TINY (Tiny Isothermal Nucleic acid Amplification sYstem). This lightweight device performs loop- mediated isothermal amplification (LAMP) that runs on a variety of power sources, including solar. We proposed the molecular detection of KSHV in KS biopsies could be provide diagnostic information and be faster than standard pathology. We tested this hypothesis using qPCR and TINY. Biopsies were taken and DNA extraction was performed, followed by conventional quantitative PCR (qPCR) amplification and assessment by TINY. qPCR had a sensitivity of 93% and specificity of 915 (N=347) and TINY had a specificity and sensitivity of 91% (N=128). Testing conducted in SAA provided results within 3 hours, and the longest time went to DNA extraction from skin biopsies. A second disease that could be diagnosed by molecular viral detection is eBL, regularly associated with EBV infection in SSA. In contrast to KS, diagnosis of eBL can be achieved by using cytological specimens obtained by fine needle aspiration (FNA) tumor biopsies, and presence of EBV can distinguish these from other conditions such non-malignant lymphadenopathies. Therefore, we have developed a process-free assay that seamlessly integrates into TINY. The limit of detection was determined to be 90 copies per reaction with sensitivity of 99% at a threshold cutoff time of 30 minutes. To overcome the need for DNA extraction, a solution that allows extraction-free amplification was developed and tested with cell-based samples that mimic material obtained by FNA. This cells-to-LAMP solution produces amplification threshold values on the same order as DNA purified with a commercial kit. In combination with our established TINY system, a direct cells-to-LAMP system has been developed to rapidly detect EBV in lymphomas from FNA at the point-of- care. 

Portable TINY kit to obtain liquid biopsy from potential KS patients
TINY: tiny isothermal nucleic acid quantification system
Inexpensive : 
LAMP: isothermal nucleic acid amplification (loop mediated isothermal amplification

TINY connects to a laptop for control if unit, real time amplification monitoring and reporting of results

Portable sample processing
Biopsy to process less than 2.5h

EBERs to LAMP in TINY kit for endemic BL children

Detection of EBV in fine needle aspirated (FNA) biopsies from mouse xenografts of BL cell line

Conclusion
An extraction - free cell to LAMP DNA detection method has been validated in the lab and in TINY

Oral Talk #98
The Chemokine CXCL14 Suppresses HPV-positive Head and
Neck Cancer through the Antigen-Specific CD8+ T Cell
Response
Joseph A. Westrich1, Daniel W. Vermeer2, Alexa Silva1, Louis Cicchini1, John H. Lee2, William C. Spanos2, Dohun Pyeon1,3
1University of Colorado School of Medicine, 2Sanford Research, 3Michigan State University

While several proinflammatory chemokines are upregulated during -associated cancer progression, expression of human papillomavirus (HPV) the homeostatic chemokine CXCL14 is epigenetically downregulated by the HPV oncoprotein E7. We have previously shown that restoration of CXCL14 expression in HPV-positive head and neck cancer (HNC) cells dramatically suppresses tumor growth in immunocompetent syngeneic mice, but not in immunodeficient mice. CXCL14 expression induces natural killer (NK) and T cell chemotaxis in vitro and increases NK and T cell populations in the tumor draining lymph node in vivo. To determine the mechanism of CXCL14-mediated tumor suppression, we tested tumor growth in NK or CD8+ T cell deficient mice transplanted with CXCL14-expressing HNC cells. The results show that all CD8+ T cell deficient mice transplanted with CXCL14-expressing HNC cells grow tumor and have significantly reduced survival. In contrast, NK cell deficiency facilitated tumor growth, but did not significantly reduce survival with ~20% of mice still not growing tumor. To determine if the antigen-specificity of CD8+ T cells is important for
CXCL14-mediated tumor suppression, we tested tumor growth in . All OT-1 mice transplanted with CXCL14-expressing HNC cells died from tumor burden, while the majority of wildtype mice transplanted with CXCL14- expressing HNC cells survived without any sign of tumor growth. These results suggest that antigen-specific CD8+ T cell responses are required for CXCL14-mediated tumor suppression. Interestingly, CXCL14 expression reversed the inhibition of MHC-I expression by HPV, almost completely restoring MHC-I expression on HPV-positive HNC cells. Additionally, CXCL14-mediated tumor suppression disappeared in mice transplanted with CXCL14 expressing HNC cells with MHC-I knockdown. We further show that CXCL14 expression induces IFN􏰀 and TNF􏰁 production and significantly enhances tumor cell killing activity of CD8+ T cells in vitro. These results suggest that the increase of MHC-I expression by CXCL14 is critical for CXCL14-mediated tumor suppression through the CD8+ T cell response. Overall, our findings imply that the HPV oncoprotein E7 induces immune suppression in the tumor microenvironment by downregulating CXCL14 expression in HPV-infected cells. 

  • Cxcl14 increases MHC-I expression on HPV+HNSCC cells
  • B2M KO abrogates Cxcl14-mediated tumor suppression
  • HPVE7 represses Cxcl14 expression to create the immunosuppressive micro environment (HPV E7 also represses MHC I) 
  • CXCL 14 mediated tumor suppression is reliant on antigen-specific CD8 T cells
  • MHC I expression is resorted on HPV-positive HNSCC cells by Cxcl14 expression
  • Question
    • Cxcl14, low, HPV negative HNSCC will be the next one to investigate
    • (查查 NP460EBV, 550EBV)
    • Rooney asks PDL1, L2  change or not


Oral Talk #99
Development of a Humanized Mouse Model to Dissect the Role
of T-cells in Epstein-Barr Virus Type 2 Latency and
Lymphomagenesis
Carrie B. Coleman1, Julie Lang1, Nicholas A. Smith1, Zenggang Pan2, Bradley Haverkos3, Roberta Pelanda1, Rosemary Rochford1
1Department of Immunology and Microbiology, University of Colorado, Anschutz Medical Campus, 2Department of Pathology, University of Colorado, Anschutz Medical Campus, 3Department of Hematology and Oncology, University of Colorado, Anschutz Medical Campus
Epstein-Barr virus (EBV) has been classified into two major strains, EBV Type-1 (EBV-1) and EBV Type-2 (EBV-2) based on genetic variances and differences in transforming capacity. EBV-1 readily transforms B-cells in culture while EBV-2 is poorly transforming. The differing ability to immortalize B-cells in vitro suggest that in vivo these virus strains likely use alternative approaches to establish latency. Indeed, we recently reported that EBV-2 has a unique cell tropism for T-cells, not only infecting T-cells in culture, but also infecting T-cells of healthy Kenyan infants, strongly suggesting EBV-2 infection of T-cells is a natural part of the EBV-2 life-cycle. However, limitations of human studies hamper further investigation into how EBV-2 utilizes T-cells to establish latency and/or persist. Thus, we developed an EBV-2 humanized mouse model, utilized BALB/c-Rag2null IL2rγnull SIRPα (BRGS) mice engrafted with CD34+ hematopoietic stem cells. Infection of humanized BRGS mice with EBV-2 led to infection of both T-cells and B-cells, unlike infection with EBV-1, in which virus was only detected in B-cells. Gene expression analysis demonstrated that EBV-2 established a latency III infection with evidence of ongoing viral reactivation in both B- and T-cells. Importantly, EBV-2 infected mice developed tumors resembling diffuse large B-cell lymphoma (DLBCL). These B-cell lymphomas had morphological features comparable to EBV-1 induced DLBCL and developed at similar rates with equivalent frequency as well as a latency III gene expression profile. Thus, despite the impaired ability of EBV-2 to immortalize B-cells in vitro, EBV-2 efficiently induces lymphoma development in BRGS mice. This new in vivo model can now be utilized to better understand the methods used by EBV-2 to persist and induce lymphomagenesis with specific emphasis on deciphering how EBV-2 infection of T-cells contribute to these processes. 
McGeoch and Gatherer 2007 Virology
EBV type 2 also infects T cells

Coleman et al 2017, JID T cell fractions 12 months J Infect Dis. 2017 Sep 15;216(6):670-677. Epstein-Barr Virus Type 2 Infects T Cells in Healthy Kenyan Children.  Coleman CB1, Daud II2, Ogolla SO1,3, Ritchie JA4, Smith NA1, Sumba PO3, Dent AE5, Rochford R1. 

METHODS: Purified T-cell fractions isolated from children positive for EBV-1 or EBV-2 and their mothers were examined for the presence of EBV and for EBV type.
RESULTS: We detected EBV-2 in all T-cell samples obtained from EBV-2-infected children at 12 months of age, with some children retaining EBV-2-positive T cells through 24 months of age, suggesting that EBV-2 persists in T cells. We were unable to detect EBV-2 in T-cell samples from mothers but could detect EBV-2 in samples of their breast milk and saliva.
CONCLUSIONS: These data suggest that EBV-2 uses T cells as an additional latency reservoir but that, over time, the frequency of infected T cells may drop below detectable levels. Alternatively, EBV-2 may establish a prolonged transient infection in the T-cell compartment. Collectively, these novel findings demonstrate that EBV-2 infects T cells in vivo and suggest EBV-2 may use the T-cell compartment to establish latency.  PMID: 28934430

BACKGROUND: The 2 strains of Epstein-Barr virus (EBV), EBV type 1 (EBV-1) and EBV-2, differ in latency genes, suggesting that they use distinct mechanisms to establish latency. We previously reported that EBV-2 infects T cells in vitro. In this study, we tested the possibility that EBV-2 infects T cells in vivo.

EBV-2 Hu-mouse model
BRG5 mice-BALB/.. with signal regulatory protein a gene from NOD
I pin binding its ligand CD47, SIROa imitated don't eat me
EBV 2 (LCL10 from Kenya child BL) vs EBV 1 (B958)
EBV type 2 establishes a latency III infection in T and B cells in huMice
Is EBV 2 pathogenic in huMice? Yes
Frequency, rate of tumor development, spleen, LN, kidney and or liver (9-12 month fro type 2)
EBV type 1 and 2 tumors are EBER+ with latency III gene expression program
EBV type 1 and 2 Timor’s showed morphology of diffuse llarge B-cell lymphoma with plasma last phenotype (DLBCL) latency III in both B and T cells

Cd20 downregulated when B cells differ intake tinto plasmablast
EBV 1 and 2 tumors showed remarkable similarities in in immunophenotype
Receptors for infecting T cells: — paper will be coming out soon!

Ming-Han: NPC EBV is type 1

Oral Talk #100
Repair of E6/E7 induced Breaks in Viral Genomes Leads to
Amplification
Kavi Mehta1, Laimonis Laimins1
1Northwestern University
High-risk human papillomaviruses (HPV) activate the ataxia telangiectasia mutated- dependent (ATM) DNA damage response as well as the ataxia telangiectasia mutated- dependent DNA related (ATR) pathway in the absence of external DNA damaging agents for differentiation-dependent genome amplification. Through the use of comet assays and pulsed-gel electrophoresis our studies show that these pathways are activated in response to DNA breaks induced by the viral proteins E6 and E7 alone and independent of viral replication. The majority of these virally induced DNA breaks are present in cellular DNAs and only minimally in HPV episomes. Treatment of HPV positive cells with inhibitors of both ATM and ATR leads to the fragmentation of viral episomes indicating that DNA breaks are introduced into HPV genomes but are rapidly repaired. This preferential repair occurs as a result of the preferential recruitment of homologous recombination repair enzymes, such as RAD51 and BRCA1, to viral genomes at the expense of cellular DNAs. When HPV positive cells are treated with hydroxyurea, this recruitment of RAD51 and BRCA1 to viral genomes is greatly enhanced with little recruitment to damaged cellular DNAs. Despite substantial damage to cellular DNAs, the ability of viral genomes to amplify is maintained. Overall our studies demonstrate that human papillomaviruses induce breaks into cellular and viral DNAs and that the preferential repair of these lesions in viral episomes leads to genome amplification. 

ATM and ATR DNA repair pathways

How does HPV activate DDR? Does HPV induce breaks into DNA?
V Didenko 2002 (T4 DNA algae’s assay on tissue slide)
Neutral Comet assay detects DNBs
HPV induces dsDNA breaks
E6 and E7 alone induce DNA breaks by Comet assay)
DNA breakage detection FISH on comet assay (pretty!)
Breaks are induced in HPV DNAs bit are rapidly repaired
Comet-EdU (label for newly replicating DNA also show minimal breaks in viral DNAs
DNA damage factors such as RAD51 and BRCA1 bind preferentially to HPVC genomes
Comet with 5mm hydrxyurea (Tail lengths increase upon HU)
RAD51 is preferentially recruited to the HPV genome during stress) SMC-1 RAD51
HPV amplifies normally in the presence of ydroxyurea (inducing a great number of DNA breaks)



Oral Talk #101 10:45 AM
EBV gH/gL Nanoparticle Vaccines Elicit Antibodies that
Potently Inhibit EBV Glycoprotein-Mediated B Cell and
Epithelial Cell Membrane Fusion and Neutralize Virus Infection
Wei Bu1, Gordon Joyce2, Hanh Nguyen1, Yusuke Tsujimura3, Ulrich Baxa4, Yasuhiro Yasutomi3, Gary Nabel2, Masaru Kanekiyo2, Jeffrey Cohen1
1Laboratory of Infectious Diseases, NIH, 2Vaccine Research Center, NIH, 3Laboratory of Immunoregulation and Vaccine Research, National Institutes of Biomedical Innovation, Health, and Nutrition, 4Cancer Research Technology Program, LEIDOS Biomedical Research
Epstein-Barr virus (EBV) infects both B cells and oropharyngeal epithelial cells and is associated with two distinct types of malignancies – B cell lymphoma and epithelial cell cancers. An effective prophylactic vaccine should be able to elicit neutralizing antibodies to prevent EBV infection of both B cells and epithelial cells. Since glycoproteins gH/gL are part of the viral fusion machinery and required for EBV to fuse with host cell membranes, we reasoned that antibodies specifically targeting these viral glycoproteins should block virus infection in both B cells and epithelial cells. We determined that gH/gL-specific antibodies in human plasma are the predominant antibodies that neutralize EBV infection of epithelial cells, and these antibodies, along with those to gp42, also contribute to B cell neutralization. We developed self-assembling nanoparticles that display gH/gL or gH/gL/gp42 and studied their immunogenicity in animals. Mice and nonhuman primates immunized with gH/gL or gH/gL/gp42 nanoparticles developed high levels of neutralizing antibodies that potently neutralize B cell and epithelial cell infection and exceeded titers observed in naturally infected humans. In addition to neutralizing activity, immune serum from nonhuman primates potently inhibited EBV glycoprotein-mediated fusion of epithelial cells and B cells. Sera from animals immunized twice with gH/gL nanoparticles inhibited epithelial cell fusion by 80%, while sera from animals immunized with gH/gL/gp42 nanoparticles inhibited B cell fusion by > 90%. Thus, by targeting the EBV fusion machinery with gH/gL and gH/gL/gp42 nanoparticles, both neutralizing and fusion-inhibitory antibody responses could be generated in mice as well as in nonhuman primates. Eliciting these immune response is likely to be a robust strategy that can be applied to develop vaccines to other herpesviruses.
EBV vaccine should induce antibodies to neutralise infection of both B cells and epithelial cells
EBV vaccine should include gH/gL +- gp42 each are compinets of the EBV fusion machinery
EBV gH/gL+- gp42-ferritin nanoparticles
ferritin 24-mer for repetitive array of antigen (transfect HEK293 with gH-ferritin + gL
B cell neutralizeing antibody titers remain hight titers 》 100 days after lat vaccination in mice and in Cynomologus Monkeys
Epithelial cell neutralizing antibody titers remain higher 》 100 days after last vaccination in Cynomologys Monkeys
gH/gL/gp42-ferritin induces higher EBV B cell and epithelial cell neutralizing antibodies in monkeys htan serum from EBV + humans
Epithelial and B cell fusion assays
sera from immunised monkeys inhibit B cell and epithelial cell fusion