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Paradigms of HCMV latency and reactivation. (A) Silencing of the MIEP is required for HCMV latency, and it has long been thought that reactivation depends on de-repression of the MIEP for re-expression of IE genes. (B) Our recent work sheds new light on the control of MIE gene re-expression in THP-1 cell line and CD34+ primary cell models of latency and reactivation. Specifically, it defines alternative promoters within intron A of the MIE locus that give rise to full length IE1 and IE2 proteins. The intronic promoters must also be silenced for latency, similar to the MIEP. An additional post-transcriptional/translational regulation is likely involved, as low levels of iP2-derived transcripts are present during latency. Strikingly, reactivation stimuli in both models induce re-expression of IE1 and IE2 predominantly from the intronic promoters and to a much lesser extent, if at all, from the MIEP. The activation of the intronic promoters is regulated, at least in part, by the host transcription factor, FOXO3a, associated with hematopoietic differentiation. Other viral and cellular factors likely contribute to regulation of the MIE intronic promoters.
8,583 views
19 citations
Simply model for the differentiation of primary HCMV-infected monocytes. We have loosely grouped the process of differentiation into 3 phases. Phase (1) Viral glycoproteins interact with cellular receptors during cell entry, which activates a variety of signaling cascade that in turn promote the early stages of differentiation (<72 h after infection). Phase (2) The activated signaling is sustained and continues to induce monocyte differentiation into a unique M1/M2 macrophage (72 h ~ 2 weeks after infection). Phase (3) Differentiated macrophages show chronic activation and long-term survival (months to years) and show expression of a full cascade of viral genes and production of infectious virions (> 2 weeks after infection).
Review
31 July 2020

Viral dissemination is a key mechanism responsible for persistence and disease following human cytomegalovirus (HCMV) infection. Monocytes play a pivotal role in viral dissemination to organ tissue during primary infection and following reactivation from latency. For example, during primary infection, infected monocytes migrate into tissues and differentiate into macrophages, which then become a source of viral replication. In addition, because differentiated macrophages can survive for months to years, they provide a potential persistent infection source in various organ systems. We broadly note that there are three phases to infection and differentiation of HCMV-infected monocytes: (1) Virus enters and traffics to the nucleus through a virus receptor ligand engagement event that activates a unique signalsome that initiates the monocyte-to-macrophage differentiation process. (2) Following initial infection, HCMV undergoes a “quiescence-like state” in monocytes lasting for several weeks and promotes monocyte differentiation into macrophages. While, the initial event is triggered by the receptor-ligand engagement, the long-term cellular activation is maintained by chronic viral-mediated signaling events. (3) Once HCMV infected monocytes differentiate into macrophages, the expression of immediate early viral (IE) genes is detectable, followed by viral replication and long term infectious viral particles release. Herein, we review the detailed mechanisms of each phase during infection and differentiation into macrophages and discuss the biological significance of the differentiation of monocytes in the pathogenesis of HCMV.

9,788 views
33 citations

Calcium signaling and the AMP-activated protein kinase (AMPK) signaling networks broadly regulate numerous aspects of cell biology. Human Cytomegalovirus (HCMV) infection has been found to actively manipulate the calcium-AMPK signaling axis to support infection. Many HCMV genes have been linked to modulating calcium signaling, and HCMV infection has been found to be reliant on calcium signaling and AMPK activation. Here, we focus on the cell biology of calcium and AMPK signaling and what is currently known about how HCMV modulates these pathways to support HCMV infection and potentially contribute to oncomodulation.

9,394 views
20 citations
Original Research
15 June 2020
Whole-Genome Approach to Assessing Human Cytomegalovirus Dynamics in Transplant Patients Undergoing Antiviral Therapy
Nicolás M. Suárez
14 more and 
Andrew J. Davison
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Human cytomegalovirus (HCMV) is the most frequent cause of opportunistic viral infection following transplantation. Viral factors of potential clinical importance include the selection of mutants resistant to antiviral drugs and the occurrence of infections involving multiple HCMV strains. These factors are typically addressed by analyzing relevant HCMV genes by PCR and Sanger sequencing, which involves independent assays of limited sensitivity. To assess the dynamics of viral populations with high sensitivity, we applied high-throughput sequencing coupled with HCMV-adapted target enrichment to samples collected longitudinally from 11 transplant recipients (solid organ, n = 9, and allogeneic hematopoietic stem cell, n = 2). Only the latter presented multiple-strain infections. Four cases presented resistance mutations (n = 6), two (A594V and L595S) at high (100%) and four (V715M, V781I, A809V, and T838A) at low (<25%) frequency. One allogeneic hematopoietic stem cell transplant recipient presented up to four resistance mutations, each at low frequency. The use of high-throughput sequencing to monitor mutations and strain composition in people at risk of HCMV disease is of potential value in helping clinicians implement the most appropriate therapy.

3,958 views
20 citations
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