Epstein-Barr virus-driven metabolic alterations contribute to the viral lytic reactivation and tumor progression in nasopharyngeal carcinoma

J Med Virol. 2024 May;96(5):e29634. doi: 10.1002/jmv.29634.

Abstract

Metabolic reprogramming induced by Epstein-Barr virus (EBV) often mirrors metabolic changes observed in cancer cells. Accumulating evidence suggests that lytic reactivation is crucial in EBV-associated oncogenesis. The aim of this study was to explore the role of metabolite changes in EBV-associated malignancies and viral life cycle control. We first revealed that EBV (LMP1) accelerates the secretion of the oncometabolite D-2HG, and serum D-2HG level is a potential diagnostic biomarker for NPC. EBV (LMP1)-driven metabolite changes disrupts the homeostasis of global DNA methylation and demethylation, which have a significantly inhibitory effect on active DNA demethylation and 5hmC content. We found that loss of 5hmC indicates a poor prognosis for NPC patients, and that 5hmC modification is a restriction factor of EBV reactivation. We confirmed a novel EBV reactivation inhibitor, α-KG, which inhibits the expression of EBV lytic genes with CpG-containing ZREs and the latent-lytic switch by enhancing 5hmC modification. Our results demonstrate a novel mechanism of which metabolite abnormality driven by EBV controls the viral lytic reactivation through epigenetic modification. This study presents a potential strategy for blocking EBV reactivation, and provides potential targets for the diagnosis and therapy of NPC.

Keywords: 5‐hydroxymethylcytosine; DNA demethylation; D‐2‐hydroxyglutarate; Epstein‐Barr virus; viral lytic reactivation; α‐ketoglutarate.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • DNA Methylation*
  • Disease Progression
  • Epigenesis, Genetic
  • Epstein-Barr Virus Infections* / complications
  • Epstein-Barr Virus Infections* / virology
  • Herpesvirus 4, Human* / genetics
  • Herpesvirus 4, Human* / physiology
  • Humans
  • Nasopharyngeal Carcinoma* / metabolism
  • Nasopharyngeal Carcinoma* / pathology
  • Nasopharyngeal Carcinoma* / virology
  • Nasopharyngeal Neoplasms* / metabolism
  • Nasopharyngeal Neoplasms* / pathology
  • Nasopharyngeal Neoplasms* / virology
  • Viral Matrix Proteins / genetics
  • Viral Matrix Proteins / metabolism
  • Virus Activation*

Substances

  • Viral Matrix Proteins
  • EBV-associated membrane antigen, Epstein-Barr virus