Papillomaviruses (HPV)- pathogenesis Flashcards Preview

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Flashcards in Papillomaviruses (HPV)- pathogenesis Deck (27):

HPV can cause a variety of diseases. Which can result from cutaneous infection and which can result from mucosal infection?

Cutaneous (skin)= warts/verucas (common) to 'treeman' (rare- this man also had immunodeficiency)

Mucosal (e.g genital)= genital warts (common) to cervical and oral cancer


Transfection of HPV 16 and 18 genomes into primary keratinocytes permits immortalisation and transformation so to allow for the mapping of transforming factors from the virus. (HPV 6 and 11 do not allow this). What 3 proteins has this assay identified as oncogenic?

E5, E6 and E7


Can both E6 and E7 induce tumours alone?

E7 can (in cell cultures and mice) but E6 cannot. E6 however significantly enhances E7 oncogenesis. (synergy)


What is the main function of E6 and E7?

To keep undifferentiated and differentiated cells in the suprabasal region of the skin in the cell cycle. This is achieved through interaction with a growing number of cellular protein targets. There is no enzymatic activity, just rewiring function of proteins


The oncogenes target certain pathways in the cell. E7 targets RB (retinoblastoma pathway). This is a family of proteins which includes pRB, p107 and p 130. What are these called and what do they do?

'Pocket' proteins. They are repressors of the cell cycle.


How does E7 bind to proteins found in the RB family?

Through a highly conserved LXCXE motif found in all E7s across HPV types. This deregulates the activity of these pocket proteins


What do the pocket proteins in the RB family actually regulate?

The RB pocket proteins control the G1-S phase transition by regulating the activity of the E2F family of transcription factors


Where is the LXCXE motif found in the E7 protein?

In the amino terminus (near the end). This motif is also found in many other cancer causing viruses; an example of convergent evolution


Apart from the LXCXE motif found in the E7 protein in HPV, what does the other half of the protein do?

Remember it is a very simple protein and has very few recognised motifs

Metal binding and dimerisation part which may enable the formation of complexes with multiple proteins


Cell cycles are tightly regulated to prevent cancers developing. RB proteins are checkpoints in this process and interact with transcription factors known as E2F. How does this act as a break on cell cycle progression?

Converts this into a transcriptional repressor complex so basically this repressors genes necessary for the cell cycle to progress so acts as a break on cell cycle


How does E7 then stop pRB from interacting with E2F complex and therefore stop pRB from stopping the cell cycle progress?

Interacts with it and couples it to the degradation machinery of the cell (ubiquitin mediated proteolysis). This removes the pRB from the cell and so E2F switches to a transcriptional activator by binding to promoters of genes necessary for cell progression


The cell has mechanisms to tell whether pRB is being lost and compensates for this how?

By increasing levels of p53 which is also a tumour suppressor gene


What is on the terminus of an E6 protein? What are there many of on an E6 protein?

PDZ domain. There are many cysteine residues on an E6 protein


When do levels of p53 increase in a cell?

When a cell is stressed/insulted. E.g when levels of pRB are decreasing, levels and stability of p53 increase


When levels of p53 are high, what does this induce in the cell?

production of pro-apoptotic factors (cell death) and p21 transcription which stops cell cycle


In normal, uninfected cells how are p53 levels kept low?

hDM2 tag p53 with ubiquitin to degrade it


In an infected cell, how does E6 keep levels of p53 low?

E6 forms a complex with p53 and E6AP which tags the p53 with ubiquitin and induces degradation of it


In mutant viruses where E6 could not target p53, the virus was still able to transform cells, suggesting there was another pathway which was involved. Which one?

PDZ proteins


PDZ proteins are involved in many roles including signalling enzymes and the cytoskeleton. What do they all share? What was the first PDZ protein shown to be a target for high-risk E6?

80-90 amino-acid motifs. The first PDZ protein shown to be targetted by E6 was Dlg, a tumour suppressor gene


What did experiments with PDZ protein (in E6) mutants show?

Reduced growth rate, loss of viral episomes and frequent integration of viral genome into host chromosome. Transgenic mice did not show development of hyperplasia and tumours


E6 and E7 can bind to many pathways. Give two examples of what each regulate (extra).

E7: apoptisis, proliferation, cell cycle progression, genomic instability

E6: apoptosis, p53, cytoskeleton


Where is E5 found and what is it likely to be?

Has many transmembrane domains and is found a bit in the ER and Golgi (possibly nuclear envelope). It is an ion channel or viropore. Structure= hexamer


What is E5 thought to be involved with?

Downregulation of MHC-1 which effectively 'hides' the infected cell from the immune system (cytotoxic/killler T-cells use these to identify infected cells). Also helps proliferation of the virus by switching on EGFR (epidermal growth factor); EGFR drives production of Cyclin B, this as seen earlier drives cell cycle


HPV acts as an STD and is common. Do all cases lead to cervical cancer? What does this imply?

No! Very few lead to cancer. This suggests there is another factor contributing to developing cancer


What happens to the viral genome as you progress from CIN 1 (first stage-mild displasia) through to CIN 3 (invasive carcinoma)?

Over expression of oncogenes and integration of the virus plasmid into the host chromosome. So basically there is something about the integration of HPV genome into the host chromosome which is linked to the development of cancer


Why is integration of the viral genome into the genome actually bad news for the virus?

Linearalised genome (from its previous plasmid form) means it gets spliced and cut and so can no longer produce the virus!


Why may integration of the viral genome actually be good for it?

E2 is lost and this acts as a repressor on oncogenes E6 and E7 so then it can transform the cells. This coupled with external or genetic factors can cause cancer