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LMP2A-The Other EBV Oncogene. 另一种EBV致癌基因lmp2a。
3区 医学 Q2 Medicine Pub Date : 2025-10-08 DOI: 10.1007/82_2025_330
Mariah Riel, Eric C Johannsen

LMP2A is the Rodney Dangerfield of viral oncogenes: It gets no respect. Initial impressions-that it was dispensable for EBV transformation of B lymphocytes and only enhanced transformation efficiency-still shape how this oncogene is viewed. This view needs to be reconsidered in light of a wealth of evidence supporting its role as a key oncogene in EBV-associated malignancies. LMP2A constitutively activates the PI3K/Akt/mTOR pathway, the most frequently mutated pathway in human cancer. In nasopharyngeal and gastric carcinomas, which account for most EBV-associated cancers, LMP2A is expressed much more frequently than LMP1 and is a dependency factor in both malignancies. Additionally, as a B cell receptor (BCR) mimic, LMP2A plays an essential role in EBV's persistence strategy of establishing life-long infection in memory-like B cells by mimicking germinal center reactions and maintaining EBV latency. Finally, recent studies suggest that LCLs are dependent on LMP2A signaling and ΔLMP2A-LCLs are phenotypically distinct from wildtype LCLs. As we seek to define EBV's role in autoimmunity, it will be important to understand the extent to which LMP2A contributes to these diseases as well. As a constitutive BCR mimic, LMP2A may drive aberrant B cell activation and survival, potentially promoting the breakdown of tolerance. We should be cautious not to underestimate its role in autoimmunity as was once done in cancer.

LMP2A是病毒致癌基因中的Rodney Dangerfield:它没有得到尊重。最初的印象——EBV对B淋巴细胞的转化是必不可少的,只是增强了转化效率——仍然影响着人们对这种致癌基因的看法。鉴于大量证据支持其在ebv相关恶性肿瘤中作为关键癌基因的作用,这一观点需要重新考虑。LMP2A组成性地激活PI3K/Akt/mTOR通路,这是人类癌症中最常见的突变通路。在鼻咽癌和胃癌中,LMP2A的表达比LMP1频繁得多,并且在这两种恶性肿瘤中都是依赖因子。此外,作为B细胞受体(BCR)模拟物,LMP2A通过模仿生发中心反应和维持EBV潜伏期,在EBV在记忆样B细胞中建立终身感染的持久性策略中发挥重要作用。最后,最近的研究表明lcl依赖于LMP2A信号传导,ΔLMP2A-LCLs在表型上与野生型lcl不同。当我们试图确定EBV在自身免疫中的作用时,理解LMP2A在多大程度上导致这些疾病也将是重要的。作为BCR模拟物,LMP2A可能驱动异常的B细胞激活和存活,潜在地促进耐受性的破坏。我们应该谨慎,不要低估它在自身免疫中的作用,就像曾经在癌症中所做的那样。
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引用次数: 0
EBV Noncoding RNAs. 非编码rna。
3区 医学 Q2 Medicine Pub Date : 2025-09-24 DOI: 10.1007/82_2025_329
Rebecca L Skalsky

EBV expresses multiple viral noncoding RNAs (ncRNAs) throughout infection with regulatory activities that influence critical stages of the viral life cycle, including the establishment of latent infection and reactivation from latency. Advances in RNA sequencing technologies continue to reveal novel and diverse types of ncRNAs produced by EBV. Among these are the EBV-encoded RNAs (EBERs), the BamHI A rightward transcripts (BARTs), circular RNAs (circRNAs), stable intronic (sis) RNAs, lytic-associated ncRNAs, and viral microRNAs (miRNAs). While exact functions for most EBV ncRNAs are not fully resolved, multiple studies reveal important roles for these molecules in mediating essential aspects of the viral life cycle such as modulation of viral gene expression, cell survival, and immune evasion. This chapter updates our current knowledge of the different types of ncRNAs encoded by EBV and how these molecules critically contribute to viral persistence and disease.

EBV在整个感染过程中表达多种病毒非编码rna (ncrna),其调控活动影响病毒生命周期的关键阶段,包括潜伏感染的建立和潜伏期的再激活。RNA测序技术的进步继续揭示EBV产生的新型和不同类型的ncrna。其中包括ebv编码的rna (eber)、BamHI A右转录本(BARTs)、环状rna (circRNAs)、稳定内含子rna (sis)、裂解相关ncRNAs和病毒microRNAs (miRNAs)。虽然大多数EBV ncrna的确切功能尚未完全确定,但多项研究揭示了这些分子在介导病毒生命周期的重要方面(如病毒基因表达的调节、细胞存活和免疫逃避)中的重要作用。本章更新了我们目前对EBV编码的不同类型ncrna的知识,以及这些分子如何对病毒的持久性和疾病起关键作用。
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引用次数: 0
Conceptual Foundations of Cell Mortality. 细胞死亡的概念基础。
3区 医学 Q2 Medicine Pub Date : 2025-09-23 DOI: 10.1007/82_2025_328
Pierre M Durand, Grant Ramsey

The new era of microbial cell death stems from a flood of new information emanating from the mechanistic and evolutionary life sciences, philosophy, and even sociology. In the shifting landscape, longstanding cell death terminologies and concepts have rightfully been questioned. There is currently very little consensus on how these concepts should be defined. One result of this is that similar findings often prompt different explanations because of the diversity of meanings associated with the terms. In this chapter, we review terms and concepts in microbial cell death that are key to understanding cell mortality. We discuss concepts like cell death, mortality, and the distinction between endogenous and exogenous death. We examine the contentious problem of defining programmed cell death (PCD) and argue that an evolutionary concept of PCD is foundational and applies to all cells across the tree of life, including microbial taxa. Alternative conceptions that define PCD in mechanistic, developmental, and ecological terms are useful tools for dissecting the molecular mechanisms, environmental triggers, and functions of PCD, but they do not define what PCD fundamentally is. Finally, we emphasize the importance of being clear on such concepts in order to achieve an overarching cell mortality framework.

微生物细胞死亡的新时代源于来自机械和进化生命科学、哲学甚至社会学的大量新信息。在不断变化的环境中,长期存在的细胞死亡术语和概念受到了合理的质疑。对于如何定义这些概念,目前几乎没有达成共识。这样做的一个结果是,由于与术语相关的含义的多样性,类似的发现往往会引发不同的解释。在本章中,我们回顾了微生物细胞死亡中的术语和概念,这些术语和概念是理解细胞死亡的关键。我们讨论的概念,如细胞死亡,死亡率和内源性和外源性死亡之间的区别。我们研究了定义程序性细胞死亡(PCD)的有争议的问题,并认为PCD的进化概念是基础的,适用于生命之树上的所有细胞,包括微生物分类群。从机制、发育和生态角度定义PCD的其他概念是剖析PCD的分子机制、环境触发因素和功能的有用工具,但它们没有从根本上定义PCD是什么。最后,我们强调明确这些概念的重要性,以便实现总体细胞死亡率框架。
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引用次数: 0
The Epstein-Barr Virus in Classical Hodgkin Lymphoma: Pathogenesis, Immunobiology, and Therapeutic Implications. 经典霍奇金淋巴瘤中的eb病毒:发病机制、免疫生物学和治疗意义
3区 医学 Q2 Medicine Pub Date : 2025-09-05 DOI: 10.1007/82_2025_324
Maher K Gandhi, Paul Murray

Classical Hodgkin lymphoma (cHL) is a unique B cell malignancy characterised by the presence of Hodgkin/Reed-Sternberg (HRS) cells within an extensive inflammatory microenvironment. In approximately 40% of cases- particularly in the mixed cellularity subtype-HRS cells are infected with the Epstein-Barr virus (EBV). EBV-positive cHL displays a restricted pattern of viral gene expression (latency II), with functional contributions from EBNA1, LMP1, and LMP2A/B, as well as some non-coding RNAs. This review synthesises current knowledge on the role of EBV in the pathogenesis of cHL. It provides an overview of molecular and immunological distinctions between EBV-positive and EBV-negative cHL, highlighting differences in host genomic alterations, immune evasion strategies, and tumour microenvironment composition. EBV+ cHL demonstrates a relatively lower mutational burden but harnesses viral proteins to subvert immune surveillance, recruit regulatory immune subsets, and upregulate checkpoint ligands, such as PD-L1. We also discuss the prognostic significance of EBV in cHL, its epidemiological associations with HLA polymorphisms, and emerging EBV-directed immunotherapies- including virus-specific T cell transfer and engineered TCR approaches.

经典霍奇金淋巴瘤(cHL)是一种独特的B细胞恶性肿瘤,其特征是在广泛的炎症微环境中存在霍奇金/里德-斯特恩伯格(HRS)细胞。在大约40%的病例中,特别是混合细胞亚型,hrs细胞感染了eb病毒(EBV)。ebv阳性cHL表现出病毒基因表达受限的模式(潜伏期II), EBNA1、LMP1和LMP2A/B以及一些非编码rna的功能贡献。本文综述了EBV在cHL发病机制中的作用。它概述了ebv阳性和ebv阴性cHL之间的分子和免疫学差异,突出了宿主基因组改变、免疫逃避策略和肿瘤微环境组成的差异。EBV+ cHL表现出相对较低的突变负担,但利用病毒蛋白破坏免疫监视,招募调节性免疫亚群,并上调检查点配体,如PD-L1。我们还讨论了EBV在cHL中的预后意义,其与HLA多态性的流行病学关联,以及新兴的EBV定向免疫疗法,包括病毒特异性T细胞转移和工程化TCR方法。
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引用次数: 0
EBV Infection and Its Immune Control in Humanized Mice. 人源化小鼠EBV感染及其免疫控制。
3区 医学 Q2 Medicine Pub Date : 2025-08-27 DOI: 10.1007/82_2025_285
Christian Münz

Epstein Barr virus (EBV) was discovered 60 years ago as the first candidate human tumor virus. Since then, we have realized that this human γ-herpesvirus establishes persistent infection in the majority of adult humans but fortunately causes EBV associated diseases only in a few individuals. This is an incredible success story of the human immune system, which controls EBV infection and its transforming capacity for decades after initial virus encounter. A better understanding of this immune control would not only benefit patients with EBV associated malignancies but could also provide clues on how to establish such a potent, mostly cell-mediated immune control against other pathogens and tumors. However, the functional relevance of EBV specific immune responses can only be addressed in vivo and mice with reconstituted human immune system components (humanized mice) constitute a small animal model that can be infected with EBV, recapitulates some aspects of virus associated tumorigenesis, and mounts mostly cell-mediated immune responses against EBV. This chapter will summarize the insights into EBV immunobiology that have already been gained in humanized mouse models and provide an outlook into promising future avenues to further characterize EBV infection, immune control, and associated pathologies in vivo.

爱泼斯坦·巴尔病毒(EBV)是60年前发现的第一个候选人类肿瘤病毒。从那时起,我们已经意识到这种人类γ-疱疹病毒在大多数成年人中建立持续感染,但幸运的是,仅在少数个体中引起EBV相关疾病。这是人类免疫系统的一个令人难以置信的成功故事,它在初次遇到病毒后的几十年里控制着EBV感染及其转化能力。更好地了解这种免疫控制不仅有利于EBV相关恶性肿瘤的患者,而且还可以为如何建立这种有效的、主要由细胞介导的针对其他病原体和肿瘤的免疫控制提供线索。然而,EBV特异性免疫反应的功能相关性只能在体内进行研究,具有重组人类免疫系统成分的小鼠(人源化小鼠)构成了一个可以感染EBV的小动物模型,概括了病毒相关肿瘤发生的某些方面,并且主要是针对EBV的细胞介导的免疫反应。本章将总结在人源化小鼠模型中已经获得的对EBV免疫生物学的见解,并展望未来有希望的途径,以进一步表征EBV感染,免疫控制和体内相关病理。
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引用次数: 0
Primary Immunodeficiencies and EBV-Associated Diseases. 原发性免疫缺陷和ebv相关疾病。
3区 医学 Q2 Medicine Pub Date : 2025-08-13 DOI: 10.1007/82_2025_316
Benjamin Fournier, Sylvain Latour

More than 500 primary immunodeficiencies (PIDs) or inborn errors of immunity (IEIs) have been reported. In general, IEIs are caused by monogenic germinal variants resulting in immunodeficiency and immune dysregulation symptoms. These "in natura" experiments have highlighted selective factors and pathways required for the immune control of a given pathogen, including Epstein-Barr virus (EBV). Several IEIs predominantly predispose to develop severe EBV infections and associated diseases including infectious mononucleosis (IM), hemophagocytic lymphohistiocytosis (HLH) and nonmalignant or malignant B cell lymphoproliferative disorders (B-LPD). Identification of these IEIs revealed critical components/molecules of the immune response to EBV. Notably, these elements differ depending on the type of the EBV viral disease. On one hand, defects in factors involved in the cytotoxic responses of lymphocytes preferentially underlie HLH, whereas, on the other hand, factors implicated in the expansion of EBV-specific T cells are mostly responsible for B-LPD when impaired. IEIs also inform on mechanisms underlying rare EBV viral diseases such as EBV+ smooth muscle tumors (EBV+SMT) and the "atypical" T/NK cell lymphoproliferative disorders (NK/T-LPD) including chronic active EBV infections (CAEBV). Finally, IEIs not predisposing to EBV provide information on immune components not necessary or redundant for EBV immunity. All these aspects are discussed in this chapter.

已有500多例原发性免疫缺陷(pid)或先天性免疫缺陷(IEIs)的报道。一般来说,iei是由单基因生发变异引起的,导致免疫缺陷和免疫失调症状。这些“自然”实验强调了免疫控制特定病原体所需的选择性因素和途径,包括eb病毒(EBV)。一些iei主要倾向于发展严重的EBV感染和相关疾病,包括感染性单核细胞增多症(IM)、噬血细胞淋巴组织细胞增多症(HLH)和非恶性或恶性B细胞淋巴增生性疾病(B- lpd)。这些iei的鉴定揭示了EBV免疫反应的关键成分/分子。值得注意的是,这些因素取决于EBV病毒疾病的类型。一方面,参与淋巴细胞细胞毒性反应的因子缺陷优先成为HLH的基础,而另一方面,当eb病毒特异性T细胞扩增的因子受损时,B-LPD的主要原因是B-LPD。iei还揭示了EBV+平滑肌肿瘤(EBV+SMT)和包括慢性活动性EBV感染(CAEBV)在内的“非典型”T/NK细胞淋巴增殖性疾病(NK/T- lpd)等罕见EBV病毒疾病的机制。最后,iei不易患EBV,提供了对EBV免疫不必要或多余的免疫成分的信息。本章将讨论所有这些方面。
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引用次数: 0
Infectious Mononucleosis. 传染性单核细胞增多症。
3区 医学 Q2 Medicine Pub Date : 2025-08-09 DOI: 10.1007/82_2025_286
Henry H Balfour, Madeline R Meirhaeghe

Infectious mononucleosis is a clinical entity characterized by a sore throat, cervical lymph node enlargement, fatigue, and fever most often seen in adolescents and young adults. Infectious mononucleosis is most often caused by a primary Epstein-Barr virus (EBV) infection. EBV is a γ-herpesvirus that infects at least 90% of the population worldwide. The virus is spread by intimate oral contact among teenagers and young adults. How preadolescents acquire the virus is not known. A typical clinical presentation with a positive heterophile antibody test is usually sufficient to make the diagnosis, but heterophile antibodies are not specific and do not develop in some patients, especially preadolescent children. EBV-specific antibody profiles are the best choice for confirming and staging EBV infection. Besides causing acute illness during primary infection, there can also be long-term consequences from acquiring this virus, such as certain cancers and autoimmune diseases, as well as complications of primary immunodeficiency in persons with certain genetic mutations. Future challenges are to develop prophylactic and therapeutic vaccines and effective specific treatment strategies.

传染性单核细胞增多症是一种临床症状,其特征是喉咙痛、颈部淋巴结肿大、疲劳和发烧,最常见于青少年和年轻人。传染性单核细胞增多症通常是由原发性eb病毒感染引起的。EBV是一种γ-疱疹病毒,感染了全世界至少90%的人口。这种病毒在青少年和年轻人之间通过亲密的口腔接触传播。尚不清楚青春期前儿童是如何感染这种病毒的。典型的临床表现与阳性的异性恋抗体测试通常足以作出诊断,但异性恋抗体是不特异性的,不发展在一些患者,特别是青春期前的儿童。EBV特异性抗体谱是确认和分期EBV感染的最佳选择。除了在初次感染期间引起急性疾病外,获得这种病毒还可能产生长期后果,例如某些癌症和自身免疫性疾病,以及具有某些基因突变的人的原发性免疫缺陷并发症。未来的挑战是开发预防性和治疗性疫苗以及有效的具体治疗战略。
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引用次数: 0
Antibiotic-Induced Bacterial Cell Death: A "Radical" Way of Dying? 抗生素诱导的细菌细胞死亡:一种“激进”的死亡方式?
3区 医学 Q2 Medicine Pub Date : 2025-08-09 DOI: 10.1007/82_2024_284
Parsa Alba Farhang, Katherine L Cotten, Jamie C Smith, Kimberly M Davis

The rising prevalence of antibiotic resistance is rendering certain antibiotics ineffective in treating bacterial infections of public health importance. Deepening our understanding of how these drugs induce bacterial cell death, and whether antibiotics trigger a cell death program compared to direct killing, could help generate novel antibiotics or modify existing therapeutic approaches to improve clinical outcomes. Among the most widely used bactericidal antibiotics (beta-lactams, aminoglycosides, and fluoroquinolones), the primary drug-target interactions, and how they induce cell death, are well characterized. Additionally, there has been a recent debate as to whether a generalized bacterial cell death mechanism exists, shared among bactericidal antibiotics. The hypothesized mechanism, referred to as the common reactive oxygen species (ROS) pathway in this chapter, argues that certain bactericidal antibiotics have off-target effects that increase ROS generation in an iron- and oxygen-dependent manner. Moreover, this spike in ROS is thought to also contribute to induced bacterial cell death. Here we will discuss the target-specific mechanisms of distinct classes of bactericidal antibiotics, how these promote bacterial cell death, and the data that both support and refute the existence of a common cell death pathway.

抗生素耐药性的日益流行使某些抗生素在治疗具有公共卫生重要性的细菌感染方面无效。加深我们对这些药物如何诱导细菌细胞死亡的理解,以及与直接杀伤相比,抗生素是否触发细胞死亡程序,可能有助于产生新的抗生素或修改现有的治疗方法,以改善临床结果。在最广泛使用的杀菌抗生素(β -内酰胺类、氨基糖苷类和氟喹诺酮类)中,主要的药物-靶标相互作用以及它们如何诱导细胞死亡已经得到了很好的表征。此外,最近有一个关于是否存在普遍的细菌细胞死亡机制的争论,在杀菌抗生素中共享。假设的机制,在本章中被称为共同活性氧(ROS)途径,认为某些杀菌抗生素具有脱靶效应,以铁和氧依赖的方式增加ROS的产生。此外,活性氧的激增被认为也有助于诱导细菌细胞死亡。在这里,我们将讨论不同种类的杀菌抗生素的靶向特异性机制,它们如何促进细菌细胞死亡,以及支持和反驳共同细胞死亡途径存在的数据。
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引用次数: 0
The Latent Membrane Protein 1 (LMP1): Biological Functions and Molecular Mechanisms. 潜伏膜蛋白1 (LMP1):生物学功能和分子机制。
3区 医学 Q2 Medicine Pub Date : 2025-08-08 DOI: 10.1007/82_2025_321
Arnd Kieser

Nearly two decades after the discovery of Epstein-Barr virus (EBV), the latent membrane protein 1 (LMP1) was identified and recognized as the primary transforming gene product of the virus. LMP1 is expressed in most EBV-associated lymphoproliferative diseases and malignancies, where it plays a central role in pathogenesis. Over 40 years of research have established LMP1 as a potent driver of cellular transformation and survival, deregulating key signaling pathways, cellular metabolism, and transcription while simultaneously subverting programmed cell death mechanisms. Beyond its role in transformation and immortalization, LMP1 exerts multifaceted biological activities supporting tumorigenesis, including immune modulation, regulation of the tumor microenvironment, and promotion of migration and invasive tumor growth. Functioning as a constitutively active receptor that mimics co-stimulatory CD40 receptor signals in B-lymphocytes, LMP1 recruits cellular signaling molecules associated with tumor necrosis factor receptors (TNFRs), such as TNFR-associated factors (TRAFs) and the TNFR-associated death domain protein (TRADD). It triggers phosphorylation, ubiquitination, and SUMOylation events in the target cell to activate NF-κB, mitogen-activated protein kinase (MAPK), phosphatidylinositol 3-kinase (PI3K), interferon regulatory factor (IRF), and STAT pathways. This review provides an updated and comprehensive overview of the biological and molecular functions of LMP1, highlighting its role as a critical interface in virus-host interactions and its potential as a therapeutic target.

在eb病毒(Epstein-Barr virus, EBV)被发现近20年后,潜伏膜蛋白1 (latent membrane protein 1, LMP1)被确认为该病毒的主要转化基因产物。LMP1在大多数ebv相关的淋巴增生性疾病和恶性肿瘤中表达,在这些疾病的发病机制中起核心作用。超过40年的研究已经确定LMP1是细胞转化和存活的一个强有力的驱动因素,它解除了关键信号通路、细胞代谢和转录的调节,同时颠覆了程序性细胞死亡机制。除了在转化和永生化中的作用外,LMP1还具有支持肿瘤发生的多方面生物活性,包括免疫调节、肿瘤微环境调节、促进肿瘤迁移和侵袭性生长。LMP1作为一种组成型活性受体,在b淋巴细胞中模拟共刺激CD40受体信号,募集与肿瘤坏死因子受体(tnfr)相关的细胞信号分子,如tnfr相关因子(TRAFs)和tnfr相关死亡结构域蛋白(TRADD)。它在靶细胞中触发磷酸化、泛素化和sumo化事件,激活NF-κB、丝裂原活化蛋白激酶(MAPK)、磷脂酰肌醇3-激酶(PI3K)、干扰素调节因子(IRF)和STAT通路。本文综述了LMP1的生物学和分子功能的最新和全面的概述,强调了它作为病毒-宿主相互作用的关键界面的作用及其作为治疗靶点的潜力。
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引用次数: 0
Immune Evasion by Epstein-Barr Virus. eb病毒的免疫逃避。
3区 医学 Q2 Medicine Pub Date : 2025-07-25 DOI: 10.1007/82_2025_311
Jianmin Zuo, Dong-Yan Jin

Epstein-Barr virus (EBV) infects more than 90% of adults worldwide. Following the initial infection, the host immune system launches an antiviral response involving both innate and adaptive immune functions. EBV establishes a persistent, lifelong infection, and to achieve this, it must carefully regulate the host immune response. By striking a balance between viral replication and immune defense, the pathogenic effects of EBV are minimized while its presence is maintained. This chapter explores some of the immune-modulating strategies employed by EBV, particularly its interference with various arms of innate and adaptive immunity, including the MHC-I and MHC-II antigen presentation pathways.

爱泼斯坦-巴尔病毒(EBV)感染了全球90%以上的成年人。在初始感染后,宿主免疫系统启动涉及先天和适应性免疫功能的抗病毒反应。EBV建立了持久的、终身的感染,为了实现这一点,它必须仔细调节宿主的免疫反应。通过在病毒复制和免疫防御之间取得平衡,EBV的致病作用最小化,同时保持其存在。本章探讨了EBV采用的一些免疫调节策略,特别是它对先天免疫和适应性免疫各分支的干扰,包括MHC-I和MHC-II抗原递呈途径。
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引用次数: 0
期刊
Current topics in microbiology and immunology
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