A metabolic dependency of EBV can be targeted to hinder B cell transformation

Author:

Müller-Durovic Bojana1ORCID,Jäger Jessica1ORCID,Engelmann Christine2,Schuhmachers Patrick2ORCID,Altermatt Sabine1,Schlup Yannick1,Duthaler Urs3ORCID,Makowiec Celia1ORCID,Unterstab Gunhild1ORCID,Roffeis Sarah1ORCID,Xhafa Erta1ORCID,Assmann Nadine14ORCID,Trulsson Fredrik1ORCID,Steiner Rebekah1ORCID,Edwards-Hicks Joy5ORCID,West James5,Turner Lorinda5,Develioglu Leyla1ORCID,Ivanek Robert6ORCID,Azzi Tarik78ORCID,Dehio Philippe1ORCID,Berger Christoph7ORCID, ,Kuzmin Dmitry910ORCID,Saboz Sophie1ORCID,Mautner Josef11ORCID,Löliger Jordan1,Geigges Marco1ORCID,Palianina Darya12ORCID,Khanna Nina12ORCID,Dirnhofer Stefan13ORCID,Münz Christian2ORCID,Bantug Glenn R.1ORCID,Hess Christoph15ORCID,Berger Christoph,Hess Christoph,Koller Michael,Rossi Simona,Stampf Susanne,Müller Nicolas J.

Affiliation:

1. Immunobiology Laboratory, Department of Biomedicine, University of Basel and University Hospital of Basel, Basel, Switzerland.

2. Viral Immunobiology, Institute of Experimental Immunology, University of Zürich, Zürich, Switzerland.

3. Clinical Pharmacology Laboratory, Department of Biomedicine, University of Basel and University Hospital of Basel, Basel, Switzerland.

4. Axolabs GmbH, Kulmbach, Germany.

5. Cambridge Institute of Therapeutic Immunology and Infectious Disease (CITIID), Department of Medicine, University of Cambridge, Cambridge, UK.

6. Bioinformatics Facility, Department of Biomedicine, University Basel and University Hospital of Basel, Basel, Switzerland.

7. Experimental Infectious Diseases and Cancer Research, University Children’s Hospital of Zürich, Zürich, Switzerland.

8. Children’s Research Center, University Children’s Hospital of Zürich, Zürich, Switzerland.

9. Hornet Therapeutics Ltd, London, UK.

10. Department of Medical Oncology, Yale School of Medicine, New Haven, CT, USA.

11. Department of Gene Vectors, Helmholtz Centre Munich, Munich, Germany.

12. Laboratory of Infection Biology, Department of Biomedicine, University Basel and University Hospital of Basel, Basel, Switzerland.

13. Pathology, Institute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.

Abstract

After infection of B cells, Epstein-Barr virus (EBV) engages host pathways that mediate cell proliferation and transformation, contributing to the propensity of the virus to drive immune dysregulation and lymphomagenesis. We found that the EBV protein EBNA2 initiates nicotinamide adenine dinucleotide (NAD) de novo biosynthesis by driving expression of the metabolic enzyme indoleamine 2,3-dioxygenase 1 (IDO1) in infected B cells. Virus-enforced NAD production sustained mitochondrial complex I activity, to match adenosine triphosphate (ATP) production with bioenergetic requirements of proliferation and transformation. In transplant patients, IDO1 expression in EBV-infected B cells, and a serum signature of increased IDO1 activity, preceded development of lymphoma. In humanized mice infected with EBV, IDO1 inhibition reduced both viremia and lymphomagenesis. Virus-orchestrated NAD biosynthesis is therefore a druggable metabolic vulnerability of EBV-driven B cell transformation, opening therapeutic possibilities for EBV-related diseases.

Publisher

American Association for the Advancement of Science (AAAS)

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