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Abstract

Nasopharyngeal carcinoma (NPC) carcinogenesis and malignant transformation are intimately associated with Epstein-Barr virus (EBV) infection. A zinc-fingered transcription factor known as Krüppel-like factor 5 (KLF5) has been shown to be aberrantly expressed in a number of cancer types. However, little is known about the regulatory pathways and roles of KLF5 in EBV-positive NPC. Our study found that KLF5 expression was significantly lower in EBV-positive NPC than in EBV-negative NPC. Further investigation revealed that EBER1, which is encoded by EBV, down-regulates KLF5 via the extracellular signal-regulated kinase (ERK) signalling pathway. This down-regulation of KLF5 by EBER1 contributes to maintaining latent EBV infection in NPC. Furthermore, we uncovered the biological roles of KLF5 in NPC cells. Specifically, KLF5 may influence the cell cycle, prevent apoptosis, and encourage cell migration and proliferation – all of which have a generally pro-cancer impact. In conclusion, these findings offer novel strategies for EBV-positive NPC patients’ antitumour treatment.

Funding
This study was supported by the:
  • Clinical Medicine+X Project of the Affiliated Hospital of Qingdao University (Award QDFY+X202101023)
    • Principle Award Recipient: ShuzhenLiu
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/content/journal/jgv/10.1099/jgv.0.001988
2024-05-15
2025-05-21
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References

  1. Xu T, Tang J, Gu M, Liu L, Wei W et al. Recurrent nasopharyngeal carcinoma: a clinical dilemma and challenge. Curr Oncol 2013; 20:e406–e419 [View Article] [PubMed]
    [Google Scholar]
  2. Su ZY, Siak PY, Lwin YY, Cheah SC. Epidemiology of nasopharyngeal carcinoma: current insights and future outlook. Cancer Metastasis Rev 2024 [View Article] [PubMed]
    [Google Scholar]
  3. Stelow EB, Wenig BM. Update From The 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Nasopharynx. Head Neck Pathol 2017; 11:16–22 [View Article] [PubMed]
    [Google Scholar]
  4. Vasef MA, Ferlito A, Weiss LM. Nasopharyngeal carcinoma, with emphasis on its relationship to Epstein-Barr virus. Ann Otol Rhinol Laryngol 1997; 106:348–356 [View Article] [PubMed]
    [Google Scholar]
  5. Argirion I, Zarins KR, Ruterbusch JJ, Vatanasapt P, Sriplung H et al. Increasing incidence of Epstein-Barr virus-related nasopharyngeal carcinoma in the United States. Cancer 2020; 126:121–130 [View Article] [PubMed]
    [Google Scholar]
  6. Longnecker R, Neipel F. Introduction to the human gamma-herpesviruses. In Arvin A, Campadelli-Fiume G, Mocarski E, Moore PS, Roizman B et al. eds Human Herpesviruses: Biology, Therapy, and Immunoprophylaxis Cambridge: 2007 [View Article]
    [Google Scholar]
  7. Epstein MA, Achong BG, Barr YM. Virus particles in cultured lymphoblasts from Burkitt's lymphoma. Lancet 1964; 1:702–703 [View Article] [PubMed]
    [Google Scholar]
  8. Thompson MP, Kurzrock R. Epstein-Barr virus and cancer. Clin Cancer Res 2004; 10:803–821 [View Article] [PubMed]
    [Google Scholar]
  9. Kempkes B, Robertson ES. Epstein-Barr virus latency: current and future perspectives. Curr Opin Virol 2015; 14:138–144 [View Article] [PubMed]
    [Google Scholar]
  10. Wu CC, Fang CY, Huang SY, Chiu SH, Lee CH et al. Perspective: contribution of Epstein-Barr Virus (EBV) reactivation to the carcinogenicity of nasopharyngeal cancer cells. Cancers 2018; 10:120 [View Article] [PubMed]
    [Google Scholar]
  11. Murata T, Sugimoto A, Inagaki T, Yanagi Y, Watanabe T et al. Molecular basis of Epstein-Barr virus latency establishment and lytic reactivation. Viruses 2021; 13:2344 [View Article] [PubMed]
    [Google Scholar]
  12. Hui KF, Ho DN, Tsang CM, Middeldorp JM, Tsao GSW et al. Activation of lytic cycle of Epstein-Barr virus by suberoylanilide hydroxamic acid leads to apoptosis and tumor growth suppression of nasopharyngeal carcinoma. Int J Cancer 2012; 131:1930–1940 [View Article] [PubMed]
    [Google Scholar]
  13. Shareena G, Kumar D. Epigenetics of Epstein Barr virus - a review. Biochim Biophys Acta Mol Basis Dis 2023; 1869:166838 [View Article] [PubMed]
    [Google Scholar]
  14. Pathmanathan R, Prasad U, Sadler R, Flynn K, Raab-Traub N. Clonal proliferations of cells infected with Epstein-Barr virus in preinvasive lesions related to nasopharyngeal carcinoma. N Engl J Med 1995; 333:693–698 [View Article] [PubMed]
    [Google Scholar]
  15. Takada K. Role of EBER and BARF1 in nasopharyngeal carcinoma (NPC) tumorigenesis. Semin Cancer Biol 2012; 22:162–165 [View Article] [PubMed]
    [Google Scholar]
  16. Glickman JN, Howe JG, Steitz JA. Structural analyses of EBER1 and EBER2 ribonucleoprotein particles present in Epstein-Barr virus-infected cells. J Virol 1988; 62:902–911 [View Article] [PubMed]
    [Google Scholar]
  17. Hoffman BA, Wang Y, Feldman ER, Tibbetts SA. Epstein-Barr virus EBER1 and murine gammaherpesvirus TMER4 share conserved in vivo function to promote B cell egress and dissemination. Proc Natl Acad Sci U S A 2019; 116:25392–25394 [View Article] [PubMed]
    [Google Scholar]
  18. Wang Y, Ungerleider N, Hoffman BA, Kara M, Farrell PJ et al. A polymorphism in the Epstein-Barr virus EBER2 noncoding RNA drives in vivo expansion of latently infected B cells. mBio 2022; 13:e0083622 [View Article] [PubMed]
    [Google Scholar]
  19. Vuyisich M, Spanggord RJ, Beal PA. The binding site of the RNA-dependent protein kinase (PKR) on EBER1 RNA from Epstein-Barr virus. EMBO Rep 2002; 3:622–627 [View Article] [PubMed]
    [Google Scholar]
  20. Iwakiri D, Sheen TS, Chen JY, Huang DP, Takada K. Epstein-Barr virus-encoded small RNA induces insulin-like growth factor 1 and supports growth of nasopharyngeal carcinoma-derived cell lines. Oncogene 2005; 24:1767–1773 [View Article] [PubMed]
    [Google Scholar]
  21. Samanta M, Iwakiri D, Kanda T, Imaizumi T, Takada K. EB virus-encoded RNAs are recognized by RIG-I and activate signaling to induce type I IFN. EMBO J 2006; 25:4207–4214 [View Article] [PubMed]
    [Google Scholar]
  22. Samanta M, Iwakiri D, Takada K. Epstein-Barr virus-encoded small RNA induces IL-10 through RIG-I-mediated IRF-3 signaling. Oncogene 2008; 27:4150–4160 [View Article] [PubMed]
    [Google Scholar]
  23. McConnell BB, Yang VW. Mammalian Krüppel-like factors in health and diseases. Physiol Rev 2010; 90:1337–1381 [View Article] [PubMed]
    [Google Scholar]
  24. Luo Y, Chen C. The roles and regulation of the KLF5 transcription factor in cancers. Cancer Sci 2021; 112:2097–2117 [View Article] [PubMed]
    [Google Scholar]
  25. Xia H, Wang C, Chen W, Zhang H, Chaudhury L et al. Kruppel-like factor 5 transcription factor promotes microsomal prostaglandin E2 synthase 1 gene transcription in breast cancer. J Biol Chem 2013; 288:26731–26740 [View Article] [PubMed]
    [Google Scholar]
  26. McConnell BB, Kim SS, Bialkowska AB, Yu K, Sitaraman SV et al. Krüppel-like factor 5 protects against dextran sulfate sodium-induced colonic injury in mice by promoting epithelial repair. Gastroenterology 2011; 140:540–549 [View Article] [PubMed]
    [Google Scholar]
  27. Chen C, Benjamin MS, Sun X, Otto KB, Guo P et al. KLF5 promotes cell proliferation and tumorigenesis through gene regulation and the TSU-Pr1 human bladder cancer cell line. Int J Cancer 2006; 118:1346–1355 [View Article] [PubMed]
    [Google Scholar]
  28. Ma D, Chang LY, Zhao S, Zhao JJ, Xiong YJ et al. KLF5 promotes cervical cancer proliferation, migration and invasion in a manner partly dependent on TNFRSF11a expression. Sci Rep 2017; 7:15683 [View Article] [PubMed]
    [Google Scholar]
  29. Marrero-Rodríguez D, Taniguchi-Ponciano K, Jimenez-Vega F, Romero-Morelos P, Mendoza-Rodríguez M et al. Krüppel-like factor 5 as potential molecular marker in cervical cancer and the KLF family profile expression. Tumour Biol 2014; 35:11399–11407 [View Article] [PubMed]
    [Google Scholar]
  30. An T, Dong T, Zhou H, Chen Y, Zhang J et al. The transcription factor Krüppel-like factor 5 promotes cell growth and metastasis via activating PI3K/AKT/Snail signaling in hepatocellular carcinoma. Biochem Biophys Res Commun 2019; 508:159–168 [View Article] [PubMed]
    [Google Scholar]
  31. Yang T, Chen M, Yang X, Zhang X, Zhang Z et al. Down-regulation of KLF5 in cancer-associated fibroblasts inhibit gastric cancer cells progression by CCL5/CCR5 axis. Cancer Biol Ther 2017; 18:806–815 [View Article] [PubMed]
    [Google Scholar]
  32. Zhou T, Chen S, Mao X. miR-145-5p affects the differentiation of gastric cancer by targeting KLF5 directly. J Cell Physiol 2019; 234:7634–7644 [View Article] [PubMed]
    [Google Scholar]
  33. Li Q, Dong Z, Zhou F, Cai X, Gao Y et al. Krüppel-like factor 5 promotes lung tumorigenesis through upregulation of Sox4. Cell Physiol Biochem 2014; 33:1–10 [View Article] [PubMed]
    [Google Scholar]
  34. Meyer SE, Hasenstein JR, Baktula A, Velu CS, Xu Y et al. Kruppel-like factor 5 is not required for K-RasG12D lung tumorigenesis, but represses ABCG2 expression and is associated with better disease-specific survival. Am J Pathol 2010; 177:1503–1513 [View Article] [PubMed]
    [Google Scholar]
  35. Yagi N, Manabe I, Tottori T, Ishihara A, Ogata F et al. A nanoparticle system specifically designed to deliver short interfering RNA inhibits tumor growth in vivo. Cancer Res 2009; 69:6531–6538 [View Article] [PubMed]
    [Google Scholar]
  36. Guan C, Zhang L, Wang S, Long L, Zhou H et al. Upregulation of MicroRNA-21 promotes tumorigenesis of prostate cancer cells by targeting KLF5. Cancer Biol Ther 2019; 20:1149–1161 [View Article] [PubMed]
    [Google Scholar]
  37. Liu W, Zhang Q, Zhang Y, Sun L, Xiao H et al. Epstein-Barr virus regulates endothelin-1 expression through the ERK/FOXO1 pathway in EBV-associated gastric cancer. Microbiol Spectr 2023; 11:e0089822 [View Article] [PubMed]
    [Google Scholar]
  38. Lee GH, Cheon J, Kim D, Jun HS. Lysophosphatidic acid promotes epithelial-mesenchymal transition in kidney epithelial cells via the LPAR1/MAPK-AKT/KLF5 signaling pathway in diabetic nephropathy. Int J Mol Sci 2022; 23:10497 [View Article] [PubMed]
    [Google Scholar]
  39. Gao L, Yang X, Li Y, Wang Z, Wang S et al. Curcumol inhibits KLF5-dependent angiogenesis by blocking the ROS/ERK signaling in liver sinusoidal endothelial cells. Life Sci 2021; 264:118696 [View Article] [PubMed]
    [Google Scholar]
  40. Liu Y, Wen JK, Dong LH, Zheng B, Han M. Krüppel-like factor (KLF) 5 mediates cyclin D1 expression and cell proliferation via interaction with c-Jun in Ang II-induced VSMCs. Acta Pharmacol Sin 2010; 31:10–18 [View Article] [PubMed]
    [Google Scholar]
  41. Le QT, Zhang Q, Cao H, Cheng A-J, Pinsky BA et al. An international collaboration to harmonize the quantitative plasma Epstein-Barr virus DNA assay for future biomarker-guided trials in nasopharyngeal carcinoma. Clin Cancer Res 2013; 19:2208–2215 [View Article] [PubMed]
    [Google Scholar]
  42. Taverna F, Alfieri S, Romanò R, Campanini G, Marceglia S et al. Comparing BamHI-W and CE-marked assays to detect circulating Epstein-Barr Virus (EBV) DNA of nasopharyngeal cancer patients in a non-endemic area. Oral Oncol 2022; 135:106229 [View Article] [PubMed]
    [Google Scholar]
  43. Yarza R, Bover M, Agulló-Ortuño MT, Iglesias-Docampo LC. Current approach and novel perspectives in nasopharyngeal carcinoma: the role of targeting proteasome dysregulation as a molecular landmark in nasopharyngeal cancer. J Exp Clin Cancer Res 2021; 40:202 [View Article] [PubMed]
    [Google Scholar]
  44. Zhao L, Liao X, Hong G, Zhuang Y, Fu K et al. Mismatch repair status and high expression of PD-L1 in nasopharyngeal carcinoma. Cancer Manag Res 2019; 11:1631–1640 [View Article] [PubMed]
    [Google Scholar]
  45. Reddy SP, Raslan WF, Gooneratne S, Kathuria S, Marks JE. Prognostic significance of keratinization in nasopharyngeal carcinoma. Am J Otolaryngol 1995; 16:103–108 [View Article] [PubMed]
    [Google Scholar]
  46. Vazquez A, Khan MN, Govindaraj S, Baredes S, Eloy JA. Nasopharyngeal squamous cell carcinoma: a comparative analysis of keratinizing and nonkeratinizing subtypes. Int Forum Allergy Rhinol 2014; 4:675–683 [View Article] [PubMed]
    [Google Scholar]
  47. Liu D, Shi D, Xu L, Sun L, Liu S et al. LMP2A inhibits the expression of KLF5 through the mTORC1 pathway in EBV-associated gastric carcinoma. Virus Res 2022; 315:198792 [View Article] [PubMed]
    [Google Scholar]
  48. Khan G, Coates PJ, Kangro HO, Slavin G. Epstein Barr virus (EBV) encoded small RNAs: targets for detection by in situ hybridisation with oligonucleotide probes. J Clin Pathol 1992; 45:616–620 [View Article] [PubMed]
    [Google Scholar]
  49. Ruiz de Sabando A, Wang C, He Y, García-Barros M, Kim J et al. ML264, a novel small-molecule compound that potently inhibits growth of colorectal cancer. Mol Cancer Ther 2016; 15:72–83 [View Article] [PubMed]
    [Google Scholar]
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