101. BK Polyomavirus Replication in Renal Tubular Epithelial Cells Is Inhibited by Sirolimus, but Activated by Tacrolimus Through a Pathway Involving FKBP-12.
- Author
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Hirsch HH, Yakhontova K, Lu M, and Manzetti J
- Subjects
- Blotting, Western, Cells, Cultured, Epithelial Cells metabolism, Fluorescent Antibody Technique, Humans, Immunosuppressive Agents therapeutic use, Infant, Kidney Tubules metabolism, Polyomavirus Infections drug therapy, Polyomavirus Infections metabolism, Polyomavirus Infections virology, RNA, Messenger genetics, RNA, Small Interfering genetics, Real-Time Polymerase Chain Reaction, Reverse Transcriptase Polymerase Chain Reaction, Tacrolimus Binding Protein 1A antagonists & inhibitors, Tacrolimus Binding Protein 1A genetics, Tumor Virus Infections drug therapy, Tumor Virus Infections metabolism, Tumor Virus Infections virology, BK Virus physiology, Epithelial Cells virology, Kidney Tubules virology, Sirolimus pharmacology, Tacrolimus pharmacology, Tacrolimus Binding Protein 1A metabolism, Virus Replication drug effects
- Abstract
BK polyomavirus (BKPyV) replication causes nephropathy and premature kidney transplant failure. Insufficient BKPyV-specific T cell control is regarded as a key mechanism, but direct effects of immunosuppressive drugs on BKPyV replication might play an additional role. We compared the effects of mammalian target of rapamycin (mTOR)- and calcineurin-inhibitors on BKPyV replication in primary human renal tubular epithelial cells. Sirolimus impaired BKPyV replication with a 90% inhibitory concentration of 4 ng/mL by interfering with mTOR-SP6-kinase activation. Sirolimus inhibition was rapid and effective up to 24 h postinfection during viral early gene expression, but not thereafter, during viral late gene expression. The mTORC-1 kinase inhibitor torin-1 showed a similar inhibition profile, supporting the notion that early steps of BKPyV replication depend on mTOR activity. Cyclosporine A also inhibited BKPyV replication, while tacrolimus activated BKPyV replication and reversed sirolimus inhibition. FK binding protein 12kda (FKBP-12) siRNA knockdown abrogated sirolimus inhibition and increased BKPyV replication similar to adding tacrolimus. Thus, sirolimus and tacrolimus exert opposite effects on BKPyV replication in renal tubular epithelial cells by a mechanism involving FKBP-12 as common target. Immunosuppressive drugs may therefore contribute directly to the risk of BKPyV replication and nephropathy besides suppressing T cell functions. The data provide rationales for clinical trials aiming at reducing the risk of BKPyV replication and disease in kidney transplantation., (© Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.)
- Published
- 2016
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