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*Infectious Mononucleosis
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© The Rockefeller University Press, 0022-1007/1997/5/1605/ $5.00
The Journal of Experimental Medicine, Volume 185, Number 9, May 5, 1997 1605-1618

Articles

Immediate Early and Early Lytic Cycle Proteins Are Frequent Targets of the Epstein-Barr Virus–induced Cytotoxic T Cell Response

N.M. Steven*, N.E. Annels*, A. Kumar*, A.M. Leese*, M.G. Kurilla{ddagger}, and A.B. Rickinson*

From the * Cancer Research Campaign Institute for Cancer Studies, University of Birmingham, Birmingham, B15 2TT, U.K.; and the {ddagger} Department of Pathology, University of Virginia, Charlottesville, Virginia 22908

Epstein-Barr virus (EBV), a human {gamma}-herpesvirus, can establish both nonproductive (latent) and productive (lytic) infections. Although the CD8+ cytotoxic T lymphocyte (CTL) response to latently infected cells is well characterized, very little is known about T cell controls over lytic infection; this imbalance in our understanding belies the importance of virus-replicative lesions in several aspects of EBV disease pathogenesis. The present work shows that the primary CD8+ CTL response to EBV in infectious mononucleosis patients contains multiple lytic antigen-specific reactivities at levels at least as high as those seen against latent antigens; similar reactivities are also detectable in CTL memory. Clonal analysis revealed individual responses to the two immediate early proteins BZLF1 and BRLF1, and to three (BMLF1, BMRF1, and BALF2) of the six early proteins tested. In several cases, the peptide epitope and HLA-restricting determinant recognized by these CTLs has been defined, one unusual feature being the number of responses restricted through HLA-C alleles. The work strongly suggests that EBVreplicative lesions are subject to direct CTL control in vivo and that immediate early and early proteins are frequently the immunodominant targets. This contrasts with findings in {alpha}- and β-herpesvirus systems (herpes simplex, cytomegalovirus) where viral interference with the antigen-processing pathway during lytic infection renders immediate early and early proteins much less immunogenic. The unique capacity of {gamma}-herpesvirus to amplify the viral load in vivo through a latent growth-transforming infection may have rendered these agents less dependent upon viral replication as a means of successfully colonizing their hosts.

Address correspondence to A.B. Rickinson, CRC Institute for Cancer Studies, University of Birmingham, Birmingham, B15 2TT, U.K.

1Abbreviations used in this paper: EBNA, EB nuclear antigen; IM, infectious mononucleosis; LCL, lymphoblastoid cell line; TK, thymidine kinase; vacc, vaccinia.


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