Together, the

Together, the high throughput screening compounds results of the present study suggest that the quality of a humoral immune response triggered by vaccination in HIV and KT may depend upon the activation status of B cells and on their degree of immune senescence. Increased MA and DN may account for the abnormal increase of ALA titres observed after immunization in these populations. Further investigations are needed to confirm this hypothesis and

to investigate further the role of such antibodies, and whether high frequencies of MA and DN may also relate to increase autoimmunity after immunization in high-risk populations. We wish to thank all the personnel at the Bambino Gesù Children’s Hospital who helped in coordinating vaccination. We wish to thank Miss Jennifer Faudella for her administrative work. None. “
“Sjögren’s syndrome (SS) is a chronic autoimmune disease characterized by a progressive oral and ocular dryness that correlates poorly with the autoimmune damage of the glands. It has been proposed that a loss of homeostatic equilibrium in the glands is partly responsible for salivary dysfunction with acinar cells involved actively in the pathogenesis of SS. The non-obese

diabetic (NOD) mouse model of Sjögren’s syndrome develops secretory dysfunction and early loss of glandular homeostatic mechanisms, with mild infiltration of the glands. Based on the vasodilator, prosecretory and trophic effects of the vasoactive intestinal peptide (VIP) PLX4032 manufacturer on acini as well as its anti-inflammatory properties we hypothesized that the local Baf-A1 price expression of VIP/vasoactive intestinal peptide receptor (VPAC) system in salivary

glands could have a role in acinar cell apoptosis and macrophage function thus influencing gland homeostasis. Here we show a progressive decline of VIP expression in submandibular glands of NOD mice with no changes in VPAC receptor expression compared with normal mice. The deep loss of endogenous VIP was associated with a loss of acinar cells through apoptotic mechanisms that could be induced further by tumour necrosis factor (TNF)-α and reversed by VIP through a cyclic adenosine-5′-monophosphate (cAMP)/protein kinase A (PKA)-mediated pathway. The clearance of apoptotic acinar cells by macrophages was impaired for NOD macrophages but a shift from inflammatory to regulatory phenotype was induced in macrophages during phagocytosis of apoptotic acinar cells. These results support that the decline in endogenous VIP/VPAC local levels might influence the survival/apoptosis intracellular set point in NOD acinar cells and their clearance, thus contributing to gland homeostasis loss. Sjögren’s syndrome (SS) is a chronic autoimmune disease with a prevalence of 0·3–0·5% in adults that affects mainly women, in a 9 : 1 relationship [1–4]. The hallmark of SS is a progressive oral and ocular dryness that correlates poorly with the focal infiltration, within large areas of morphologically intact parenchyma, found in salivary gland biopsies.

In summary, our data identify Th2-cell differentiation patterns l

In summary, our data identify Th2-cell differentiation patterns linked to partial DC maturation stages with quantitative differences between pathogen-derived, TLR-dependent VSG antigens, and non-TLR-dependent TNF stimulation in vitro. No induction of FoxP3+ Treg cells could be observed by

any of our DCs in the absence of exogenous TGF-β in vitro. To assess how these DC maturation signatures prime T-cell responses in vivo, we injected differentially matured and OVA-loaded DCs together with OVA-specific TCR-transgenic OT-II T cells i.v. and determined proliferation and cytokine production learn more of injected T cells. DCs matured with TNF, mfVSG, or MiTat1.5 sVSG all induced proliferation of CFSE-labeled T cells (Fig. 4A). The most profound priming in T cells was detected upon injection of LPS-matured DCs as determined by flow cytometry (Fig. 4A) or calculated as the division index (Fig. 4B). Furthermore, one single injection of DCs conditioned with TNF, mfVSG, or MiTat1.5 sVSG increased intracellular IL-13 and IL-5 release by ex vivo restimulated OVA-TCR-specific T cells (Fig. 4C and D), in contrast to mice which received LPS-matured

DCs which showed only background levels of IL-13- or IL-5-producing OVA-TCR-specific T cells (Fig. 4C Venetoclax chemical structure and D). Similar to our in vitro findings (Supporting Information Fig. 4B), a low frequency of IFN-γ-releasing T cells was detectable after a single injection, irrespective of the DC maturation regimen. Clearly polarized Th1-cell responses resulted only after injection of LPS-matured

DCs (data not shown and Fig. 4C and D). Furthermore, injection of DC conditioned with TNF, mfVSG, or MiTat1.5 sVSG did not raise the frequency or total cellular amounts of FoxP3+ Treg cells among OVA-TCR-specific T cells in vivo similar to LPS-matured DCs (Supporting Information Fig. 5B and C) further strengthening the observation that partially mature DCs efficiently induce proliferation and priming of (CFSE labeled) OVA-TCR-specific T cells in vivo (Fig. 4A). Together, DCs conditioned by TNF- Astemizole or T. brucei-derived VSG antigens induce profound and comparable Th2-cell priming in vivo. Asthma induced by alum-guided immunization of mice with OVA is a widely used model for a Th2-cell mediated disease characterized by proinflammatory lung infiltrates of eosinophilic granulocytes and a subsequent Th2-cell dependent production of OVA-specific IgG1 and IgE 42. Mice subjected to repeated sensitization and antigen challenges showed a profound influx of total cells, in particular eosinophils in the bronchoalveolar lavage (BAL) as a major parameter for asthma (Fig. 5A). Three repetitive injections of OVA-loaded TNF, mfVSG, or MiTat1.5 sVSG-matured DCs did not change the total cellular influx in the lungs compared with noninjected animals.

However, the investigators also observed progressive

clon

However, the investigators also observed progressive

clonal expansion of myeloid cells with common insertional mutagenesis events, as well as progressive gene silencing. Most importantly, the gene therapy was associated with eventual emergence of myelodysplasia with chromosome 7 abnormalities consequent to EVI1 oncogene activation [38]. These findings raise concerns about leukemogenesis, such as that observed in the French gene therapy trials for severe combined immunodeficiency [39]. The clinical relevance of ROS was first demonstrated in phagocytes of patients with CGD that have defective microbicidal activity selleck chemicals resulting from deficient superoxide production because of mutations affecting NADPH oxidase components [40, 41]. In addition, Odell and Segal [42] have shown that phagocyte oxidase function Palbociclib datasheet also influences phagosomal pH, which may affect granule-mediated killing of pathogens and help explain the microbial spectrum of infections in CGD, when killing depends on non-oxidative mechanisms alone. For example, S. aureus, S. marcescens, N. asteroids and A. fumigatus require neutral pH for effective non-oxidative killing and are resistant at the acid pH found in the phagosomes of CGD neutrophils; whereas C. albicans may be an uncommon pathogen in CGD

because it is susceptible to non-oxidative killing at the acid pH found in the CGD neutrophil phagosome. Moreover, Reeves et al. [43] have shown that phagocyte production of ROS leads to microbial killing through

the activation of certain primary granule proteins inside the phagocytic vacuole. This paradigm for NADPH oxidase–mediated killing suggests that ROS also act as intracellular signalling molecules, leading to the activation of other non-oxidative pathways. One implication is that, in the absence of NADPH oxidase activity, phagocyte enzymes are present but hypofunctional. This model suggests that phagocytes are capable of a spectrum of microbicidal activity that can be regulated to varying degrees, rather than encompassing distinct oxidative and non-oxidative mechanisms [22]. Mutations in all of the five structural genes of the NADPH oxidase LY294002 have been found to cause CGD. Mutations in gp91phox account for about 65% of cases, mutations in p47phox about 25%, and the remainder is divided between p67phox and p22phox; there are no autosomal dominant cases of CGD [23, 44]. To date, no patients with CGD have been reported with defects in Rap1A, Rac1 or GDI components. A single patient with a defect in p40phox has been reported, with mild disease limited to granulomatous colitis [45]. The two reported cases of Rac2 deficiency demonstrated a very severe phenotype combining clinical and biochemical features of both CGD and leucocyte adhesion deficiency [46].

1, ezrin, radixin and moesin) with three subdomains (F1, F2, F3),

1, ezrin, radixin and moesin) with three subdomains (F1, F2, F3), which binds integrin cytoplasmic tails (Fig. 1) and a large C-terminal rod domain that binds actin.66,67 The F3 subdomain contains a phosphotyrosine-binding

(PTB) domain that binds the integrin β subunit tail at the membrane-proximal NXXY site.67 Talin is enriched at the leading edge of chemokine-stimulated lymphocytes and in the immunological synapse together with LFA-1, vinculin https://www.selleckchem.com/products/AZD2281(Olaparib).html and F-actin.68 Hence, talin acts as a bridge to link the extracellular matrix and the actin skeletal network. Kindlin is another essential player that binds differently to the integrin β subunit tail at the membrane-distal NXXY site and activates integrin (Fig. 1). Kindlin is named after the Kindler syndrome which is a kind of skin blistering disease caused by a kindlin-1 gene mutation.69 The kindlin family has three members, including kindlin-1 (Unc-112-related protein 1, URP1), kindlin-2 (Mig2) and

kindlin-3 (URP-2), which all have a conserved FERM domain composed of four subdomains. Among them, kindlin-3 is expressed exclusively in cells of haematopoietic origin. The FERM subdomain 2 in kindlin-3 is featured by a pleckstrin homology domain that is involved in membrane binding,70 and subdomain 3 in kindlin-3, which binds the Selleckchem U0126 distal motif of integrin β1, β2 and β3 tails.71–73 Mutations in kindlin-3 result in defective

Phosphoprotein phosphatase integrin activation in leucocytes and platelets and lead to leucocyte adhesion deficiency III.74 Kindlins are not sufficient to induce integrins to a high-affinity state, but they can promote the binding of talins to integrin tails. Talin is also not sufficient to increase integrin affinity without the aid of kindlin. Other actin-associated proteins have also been identified to interact with integrins. Paxillin is a cytoskeletal phosphotyrosine-containing protein and binds directly to the cytoplamic domain of integrin α4.75 The interaction is regulated in a protein kinase A-dependent manner. Phosphorylation of the α4 cytoplasmic domain at serine988 leads to release of paxillin from integrin.76 It mediates initial capture and rolling interactions during leucocyte migration on vascular cell adhesion molecule 1-expressing and mucosal addressin cell adhesion molecule-1-expressing vascular endothelium.77 Integrins play many essential roles in leucocytes and many key players in both ‘inside-out’ and ‘outside-in’ pathways have been well characterized since the middle 1980s. However, challenging questions remain. One major question is how different integrins coordinate with other surface receptors in different cell types to regulate cellular functions when responding to various agonists including antigens, chemokines, selectins and others.

The possible link between the hygiene hypothesis and the epigenet

The possible link between the hygiene hypothesis and the epigenetic imprinting 8 represents an exciting future area of research in mast cell biology. Howard Katz (Boston, MA) described one example of a negative signaling receptor on mast cells – the leukocyte Ig-like DAPT research buy receptor, subfamily B, member 4 or LILR-B4 – which is critically involved in preventing over-stimulation of various immune cells. The powerful inhibitory potential of LILR-B4 is underscored by two findings: first, animals knocked out for this receptor have enhanced inflammatory diseases and,

second, the co-ligation of LILR-B4 with cross-linked FcεRI efficiently prevents the degranulation of mast cells. LILR-B4 also controls the activity of other innate immune receptors such as the LPS receptor on neutrophils and is rapidly upregulated following exposure to LPS 9. Moreover, the dose

of LPS used during an initial sensitization of animals with Ag in the airways drastically affects the Th profile and the nature of the inflammatory response induced by subsequent airway challenge with Ag, an effect that is also counterregulated by LILR-B4 through its actions on DC 10. The observation that Caspase inhibitor innate immune stimuli targeting TLR can mediate long-lasting changes in the response pattern of innate immune cells, with subsequent effects on adaptive immune responses, subject to counterregulatory Phospholipase D1 effects from the immune system, has potentially wide reaching implications for vaccine design. This concept applies not only to a variety of pre-clinical vaccine adjuvants which signal through TLR, but also to a human papillomavirus vaccine/adjuvant combination containing the LPS subunit monophosphoryl lipid A which was recently approved by the United States Food and Drug Administration. Francesca Levi-Schaffer (Jerusalem, Israel) described recent findings from her laboratory

regarding the presence and function of the death receptors TRAIL and Fas on mast cells, as well as a series of activating and inhibitory receptors usually present on NK and T cells. She found that mast cells from human lung and cord blood mononuclear cells (CBMC) as well as the transformed human mast cell line HMC-1 all have functional TRAIL receptors. Moreover, human lung mast cells and HMC-1 also express Fas, whereas murine mast cells express only Fas 11. Despite major inter-species differences in death receptor expression and function on mast cells, Dr. Levi-Schaffer and colleagues found that human CBMC, lung mast cells, HMC-1 cells and mouse (BMMC, lung and peritoneal cavity) mast cells express a fully functional CD300a inhibitory receptor. They showed that a bispecific anti-CD300a/anti-cKit antibody inhibits CBMC differentiation, survival and activation.

In such a simplified system with only two elements, i e short sy

In such a simplified system with only two elements, i.e. short synthetic peptide and CpG, there are limited means by which the B cells

could be impacting the CD8+ T-cell responses. Previous studies have demonstrated that B-cell presentation of antigen directly to CD8+ T cells could lead to aberrant T-cell responses or deletion of antigen-specific T cells altogether 24, 25, 28. It has been shown that direct antigen presentation to CD4+ helper T cells by antigen-specific B cells is important to optimal antibody responses 31. However, their role in priming CD8+ T cells is unclear. Thus, while B cells are considered professional HTS assay APC because of their expression of MHC class II and other T-cell costimulatory machinery, they may be unable to properly prime cytotoxic CD8+ T cells. R428 datasheet In our experiments, reconstitution of B cell-deficient mice with only 3×106 B cells largely restored the phenotype of WT mice. The ability of this relatively low number of cells suggests that direct antigen presentation of peptide to T cells by B cells may not be the mechanism of B-cell regulation, though this possibility cannot be ruled out entirely. Despite significantly enhanced survival of CD8+ T cells in the absence of B cells, the T cells were unable to provide protection against live P. yoelii parasite challenge (data not shown). Studies are currently underway to determine if there are defects in T-cell effector

function in the absence of B cells or if there are limitations of this immunization protocol in generating large enough numbers of T cells required

for protection in this assay. B cells could regulate CD8+ T-cell responses to peptide by responding to CpG in a manner that is detrimental click here to effector T-cell survival 32. Indeed, B cells have been shown to proliferate 33–36 and upregulate costimulatory molecules 35, 36 in response to LPS or CpG, but they also potently produce IL-10 and TGF-β 26, 37–40. Thus, while CpG pre-treatment could induce factors that promote T-cell survival such as production of IFN-α 41, 42 and increased numbers of DC in the LN 33, it may also induce suppressive factors from B cells that drive T-cell death. There is likely a delicate balance of these factors that allows for the survival of a small number of T cells in normal mice that receive CpG and peptide. Differential kinetics of the production of enhancing and detrimental soluble factors could help to explain the positive effects of delaying antigen delivery after CpG pre-treatment. It has been proposed that B-cell responses to innate stimuli, such as CpG, contribute to immune suppression through promotion of regulatory T-cell activity 43. However, depletion of CD4+ cells did not alleviate the suppression of the CD8+ T-cell response to CpG and peptide in intact mice, suggesting that regulatory T cells were not playing a direct role (data not shown).

[102] Several recent studies have also demonstrated that delivery

[102] Several recent studies have also demonstrated that delivery of vascular endothelial cell growth factor (VEGF) significantly delayed disease onset and prolonged the survival of ALS animal models.[103-105] VEGF is one growth factors that can be used in combination with transplanted stem cells to improve therapeutic efficiency of cellular transplantation.

VEGF is an angiogenetic growth factor acting as a potent mitogen and survival factor specific to endothelial cells, and is also known for its neurotrophic and neuroprotective X-396 price effect against brain injury. Recently we have demonstrated that in a transgenic SOD1/G93A mouse model of ALS[106] intrathecal transplantation of human NSCs over-expressing VEGF induced functional improvement, delayed disease onset for 7 days and extended the survival of animals for

15 days.[107] Immunohistochemical investigation of SOD1/G93A mouse spinal cord demonstrated that the transplanted human NSCs migrated into the spinal cord anterior horn and differentiated into motor neurons. More recently, we have generated motor neurons from human NSCs and transplanted these cells into the spinal cord of SOD1G93A ALS mouse.[108] Motor neurons were generated by treatment of human NSCs encoding Olig2 basic helix loop helix (bHLH) transcription factor gene (F3.Olig2) with sonic hedgehog (Shh) protein. F3.Olig2-Shh human NSCs expressed motor neuron-specific markers Hb-9, INCB024360 nmr Isl-1 and choline acetyl transferase (ChAT) but did not express cell type-specific markers for oligodendrocytes such as O4, galactocerebroside PJ34 HCl or CNPase. Control F3.Olig2 NSCs grown in the absence of Shh did not express any of the motor neuron-specific cell type markers. Intrathecal transplantation of motor neuron-committed F3.Olig2-Shh human NSCs into L5 of the spinal cord significantly delayed disease onset (28 days) and prolonged the survival (20 days) of SOD1 G93A ALS mice. Grafted NSCs were found within

grey matter and anterior horn of the spinal cord. These results suggest that this treatment modality using genetically modified human NSCs might be of value in the treatment of ALS patients without significant adverse effects. A summary of preclinical studies of stem cell transplantation in ALS animal models is shown in Table 3. BBB-improvement Limb strength GDNF Gene transfer BBB-improvement No survival ext. BBB-improvement Extended survival VEGF Gene transfer Rotarod, limb placement Extended survival Olig2 Gene transfer Shh treatment Rotarod, limb placement Extended survival Alzheimer’s disease is characterized by degeneration and loss of neurons and synapses throughout the brain, particularly in the basal forebrain, amygdala, hippocampus and cortical area.

Considering the role of DDX3 in host RNA metabolism, it is more l

Considering the role of DDX3 in host RNA metabolism, it is more likely that DDX3 acts as a scaffold for RIG-I (even under the presence of low copy numbers of RIG-I) and intensifies IPS-1 signaling similar to LGP2 11, 17. RNA molecules usually form a complex with various proteins,

such as 5′-end capping enzymes or translation initiation factors. Viral RNA also tends to couple with host proteins to replicate and translate RNA. DDX3 capturing RNA may function either in the molecular complex of RIG-I/MDA5/IPS-1 or in the complex of the translation machinery. Recently, DDX3 was reported to up-regulate IFN-β induction by interacting with IKKε in the kinase complex 18. IKKε is an NF-κB-inducible gene, whereas the DDX3-IPS-1 complex is constitutively present prior to infection. DDX3 may

bind IKKε after IKKε is generated secondary to NF-κB activation 15. Another report suggested that DDX3 interacts www.selleckchem.com/products/SB-203580.html with TBK1 to synergistically stimulate the IFN-β promoter 16. The report Akt assay further suggested that DDX3 is recruited to the IFN promoter and acts like a transcription factor 16. These reports also show that not C-terminal but N-terminal region of DDX3 is required for enhancing the IKKε- or TBK1-mediated IFN promoter activation. We showed that unlike these previous reports, the C-terminal region of DDX3 is important for the IPS-1 activation. These observations indicate that DDX3 is involved in RIG-I signaling at multiple steps. The involvement

of DDX3 at several steps is not surprising, because DDX3 plays several roles in RNA metabolisms, such as RNA translocation or mRNA translation. In cytoplasm, there are large amounts of DDX3 and only trace amounts of RIG-I in resting cells. Therefore, when the virus initially infects human cells, the viral RNA would encounter DDX3 before RIG-I capture the viral RNA. We demonstrated that the initial IPS-1 complex for RNA-sensing involves DDX3 in addition to trace RIG-I to cope with the early phase of infection. This IPS-1 complex activates downstream signal Endonuclease by involving a minute amount of viral RNA. What happens in actual viral infection is to first induce IFN-β and then RIG-I (Fig. 4B), suggesting that the initial IFN-β mRNA arises independent of the virus-induced RIG-I. Once IFN-β and RIG-I mRNA are up-regulated by viral RNA, the IPS-1 complex turns constitutionally different: the complex contains high amounts of RIG-I, which may directly capture viral RNA without DDX3. Our results indicate that the early IPS-1 complex formed in the early stages of virus-infected cells induce minute IFN-β with a mode different from the conventional IPS-1 pathway that RIG-I solely capture viral RNA and activates IPS-1. By retracting DDX3 from the complex by siRNA, only a minimal IFN-β response emerges merely with preexisting RIG-I and IPS-1, suggesting DDX3 to be a critical signal enhancer in the early IPS-1 complex.

Using specific

inhibitors of activation pathways we next

Using specific

inhibitors of activation pathways we next explored whether the same signalling pathways observed in Caco-2 or THP1 cells are active in intestinal tissues. Small molecule library in vitro To this end, intestinal biopsies from the duodenum of CD patients and controls were stimulated with TNF-α + IFN-γ in the presence of sulphasalazine or Ly294002 (Fig. 7b). The inhibitors tested blocked the TG2 induction in both active CD and control samples. Therefore, induction of TG2 expression by TNF-α +  IFN-γ was also observed in intestinal tissue, corroborating the results obtained in vitro using both Caco-2 and THP-1 cell lines. TG2 is a cross-linking enzyme involved in several cellular processes under normal physiological conditions such as cell adhesion, migration, cell cycle, apoptosis and differentiation.

TG2 also plays important roles in inflammatory diseases and, as it can either promote or inhibit cell Y-27632 supplier death, also has a role in cancer [5–7]. TG2 is up-regulated strongly in villus atrophy, the hallmark histological lesion in CD, and plays a critical role in CD pathogenic mechanisms due to the generation of neoepitopes by selective deamidation of glutamines in gluten peptides. This reaction produces peptides with higher-affinity binding to the known HLA class II susceptibility molecules and promotes a stronger activation and expansion of gliadin-specific IFN-γ-producing CD4+ T cells [8–10]. In addition, the continuous activation of TG2 may lead to chronic inflammation by cross-linking and the loss of function of peroxisome proliferator-activated receptor-γ (PPARγ), a central mediator of intestinal homeostasis [18]. Other proinflammatory effects have been described

for TG2, including the production of IL-6, a proinflammatory cytokine and also a potent signal for driving T helper type 17 (Th17) differentiation [19]. This suggests that TG2 may trigger other inflammatory mediators and favour Th17 expansion, which together may constitute an additional oxyclozanide potent inducer for chronic inflammation and autoimmunity. Therefore, modulation of TG2 expression may be a specific tool for the therapeutic management of different inflammatory disorders. In the current study, we demonstrated that the proinflammatory cytokines TNF-α, IFN-γ, IL-1, IL-15 and IL-6 induced TG2 expression to different extents, with IFN-γ being the most potent inducers of TG2 expression, followed by TNF-α. These two cytokines up-regulated TG2 mRNA expression synergistically, with maximal induction observed at 16 h post-treatment (Figs 1, 2 and Supporting Information, Fig. S3).

For example, antiretroviral drugs as either preexposure prophylax

For example, antiretroviral drugs as either preexposure prophylaxis or treatment SB203580 purchase of established infection have been examined

in mice with reconstituted human immune system components, and preexposure prophylaxis with these reagents has been shown to block rectal transmission [26, 32-34]. In addition, experimental therapies against HIV infection using either antiviral siRNA delivery to T cells, siRNA-mediated silencing of the CCR5 coreceptor and of viral proteins, or cyclin-dependent kinase blockade to inhibit viral replication have been successfully employed in these mouse models [35-37]. Thus mice with reconstituted human immune system components recapitulate HIV infection and can be used as a preclinical model for therapies against this viral infection. Besides HIV, infection with the human tumor virus EBV has been studied in this in vivo model of the human immune system [6, 38-40]. For these studies the viral strain B95–8 selleck chemical was used almost exclusively, which was originally isolated from a patient with symptomatic primary EBV infection, called infectious mononucleosis [41]. i.p. infection with increasing infectious doses of EBV leads to

asymptomatic persistent infection, lymphoproliferative disease, or even hemophagocytic lymphohistiocytosis [40, 42]. During persistent infection, B cells primarily harbor the virus and strong evidence exists for both latent EBV infection as well as a low level of lytic EBV replication [38]. These persistently infected B cells can be purified from EBV-carrying animals and cultured in vitro as immortalized lymphoblastoid cell lines. They express all eight latent EBV antigens in so-called latency type III. However, it is much less clear if other Mannose-binding protein-associated serine protease EBV latencies also develop in mice with reconstituted human immune system components, such as latency 0, which is found without

any EBV protein expression in memory B cells of healthy virus carriers; latency I, which is found in Burkitt’s lymphoma and homeostatic proliferating memory B cells in humans; and latency II, which is present in Hodgkin’s lymphoma and germinal center B cells in healthy EBV carriers [43]. Immunohistochemical studies provide some evidence to support the development of latencies 0, I, and II in reconstituted mice [44, 45]. However, false-negative immunohistochemistry for EBV gene products might erroneously suggest the presence of latency types other than latency III. Interestingly, EBV-encoded miRNAs are required to establish systemic persistent infection [46]. Furthermore, a latent nuclear antigen of the virus, called Epstein-Barr nuclear antigen 3B (EBNA3B), suppresses tumor formation in vivo [47].