y changes that may have occurred during the process were not significant to affect the phenotype in a way that it will interfere with detecting KSHV-dependent tumorigenesis. In fact, we found that rKSHV.219 restored tumorigenicity of the mECKnull cells but tumor growth from the mECKnull.rK was too SB366791 variable to yield a useful, more reliable animal model. Prominin-1/CD133 is a marker of EPCs, putative KS spindle-cell precursors, and has been shown by Liu et al to be upregulated upon KSHV infection of lymphatic endothelial cells. Our results displaying variable tumor formation from the mECKnull.rK cells suggested the possibility of the existence of a limited number of true oncogenic cells. Therefore, we chose to enrich for the EPC marker CD133/Prominin-1. Interestingly, these expanded CD133-enriched cells, resulted in mECKnull.rK133 cells that exhibited a seven-fold enrichment even after 30 days in culture. Most importantly, the mECKnull.rK133 cells were reproducibly and predictably capable of forming KS-like tumors. It has been shown that KSHV infection of blood vascular endothelial cells induces lymphatic vascular endothelial reprogramming, leading many to suggest that KSHV-induced reprogramming contributes to the heterogeneity of markers on KS spindle cells. In our model, KS-associated angiogenic endothelial heterogeneity was noticed as mECKnull.rK133 tumors were found to express markers implicated in KS pathogenesis such as the vascular marker, VEGF-R2, and podoplanin, a lymphatic endothelial marker. These endothelial-lineage spindle-like cells harbored the viral DNA as an episome and expressed LANA in a classic punctate nuclear pattern. Importantly, the virus expressed transcripts that spanned the entire replicative cycle and viral genome, likely underpinning the production of herpesviral like particles. Considering the extensive testing of mEC for numerous murine viruses, the HVLPs are strongly suggestive of KSHV virions. We found that both intracellular and extracellular HVLPs strongly resemble KSHV at varying stages of maturation, including empty capsids, virus-like particles inside intracellular vesicles, some budding from cellular membranes and more mature particles with glycoprotein spikes. EM visualization of rKSHV-like virions prompted us to wonder if rKSHV.219 could be detected in distant nontumor tissues of the murine host. Various methods to detect presence of virus were used including: viral DNA quantification, RNA detection, and cellular LANA and GFP protein expression. Using these methods, we found evidence of the virus in whole blood, bone marrow, spleen and lymph nodes. Whether these cells represent migration of rKSHV.219-infected cells from the primary tumor, or de novo infection in vivo, remains to be determined. Collectively, these data suggest that mECKnull.rK133 tumors recapitulate important viral and host aspects of KS pathobiology. Although KSHV has the potential to express numerous viral PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/19649022 proteins that could be targeted for therapeutic purposes and productive replication is generally considered cytopathic, the primarily latent nature of KSHV leaves few viral targets of therapy. Therefore, an emerging antiviral strategy involves Productively-Infected KSHV Tumorigenesis Models combining drugs that induce lytic replication with compounds that target viral lytic proteins and/or enhance the lethality of lytic replication. This is exemplified by our recent study showing strong antitumor response with SAHA and Btz, wher
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