key: cord-0981276-prrqfnva
authors: Madireddy, Advaitha; Purushothaman, Pravinkumar; Loosbroock, Christopher P.; Robertson, Erle S.; Schildkraut, Carl L.; Verma, Subhash C.
title: G-quadruplex-interacting compounds alter latent DNA replication and episomal persistence of KSHV
date: 2016-05-05
journal: Nucleic Acids Res
DOI: 10.1093/nar/gkw038
sha: ed52c50fb3ff01140790f21c6e9716a8cd3c9fa8
doc_id: 981276
cord_uid: prrqfnva

Kaposi's sarcoma associated herpesvirus (KSHV) establishes life-long latent infection by persisting as an extra-chromosomal episome in the infected cells and by maintaining its genome in dividing cells. KSHV achieves this by tethering its epigenome to the host chromosome by latency associated nuclear antigen (LANA), which binds in the terminal repeat (TR) region of the viral genome. Sequence analysis of the TR, a GC-rich DNA element, identified several potential Quadruplex G-Rich Sequences (QGRS). Since quadruplexes have the tendency to obstruct DNA replication, we used G-quadruplex stabilizing compounds to examine their effect on latent DNA replication and the persistence of viral episomes. Our results showed that these G-quadruplex stabilizing compounds led to the activation of dormant origins of DNA replication, with preferential bi-directional pausing of replications forks moving out of the TR region, implicating the role of the G-rich TR in the perturbation of episomal DNA replication. Over time, treatment with PhenDC3 showed a loss of viral episomes in the infected cells. Overall, these data show that G-quadruplex stabilizing compounds retard the progression of replication forks leading to a reduction in DNA replication and episomal maintenance. These results suggest a potential role for G-quadruplex stabilizers in the treatment of KSHV-associated diseases.

Kaposi's sarcoma associated herpesvirus (KSHV) is a human gamma herpesvirus that has been implicated in several lymphoproliferative diseases and is responsible for AIDS associated morbidities and mortalities (1) (2) (3) . KSHV establishes a life-long latent infection preferentially in Blymphocytes, where the genome is maintained as a multicopy, chromatinized episome tethered to the host chromosome through the interaction of the viral protein, Latency Associated Nuclear Antigen (LANA) (4) (5) (6) (7) . To stably maintain the latent infection in proliferating B cells, the KSHV genome needs to be replicated and faithfully segregated during each cellular division. The terminal repeat (TR) region of KSHV contains a primary origin of latent DNA replication of KSHV and is critical for the stable maintenance of the viral episome in proliferating cells (8) (9) (10) . Apart from LANA, the KSHV TR associates with several components of the cellular replication machinery, including origin recognition complexes (ORCs), mini chromosome maintenance proteins (MCMs), Topoisomerase II␤ (TOPOII␤) and proliferating cell nuclear antigen (PCNA) (11) (12) (13) (14) . Recruitment of TOPOII␤ by LANA is essential for the initiation of replication in the TRs and the maintenance of the KSHV episome (13) . Recent studies showed that TR-mediated DNA replication is coupled with DNA recombination and the depletion of cellular replication fork protection factors, such as Timeless and Tipin, reduce the genome copies of latently persisting KSHV (15) confirming an important role of replication fork progression in viral DNA replication.

Currently, there are not many effective methods available for the treatment of KSHV infection (16, 17) . At present, anti-herpesvirus therapies are mostly aimed to selectively inhibit the lytic DNA replication of the virus (16, 18) . Additionally, the available antiviral agents used in KSHV viral infections are those that are clinically approved for the gen-eral treatment of herpesvirus infections, such as ganciclovir (GCV), acyclovir (ACV), or structurally similar penciclovir (PCV) and brivudin (BVDU). These drugs are nucleoside analogs that require active lytic replication of virus to be effective. For this reason, although antiretroviral therapy reduces the symptoms of the KSHV during latency, they do not reduce copies of latently persisting KSHV genomes from the infected cells (19, 20) . Since KSHV, like other herpesviruses, establishes life-long latent infection by escaping the host's immune surveillance system, it is not yet possible to eliminate the virus from the infected individual (17, (21) (22) (23) . Hence, disrupting KSHV latency will be a crucial step in the elimination of the virus from the infected host cells (21) .

One of the most unique aspects of the KSHV genomic sequence is the TR region, which contains a high concentration of guanine residues. Regions of DNA or RNA that have a high guanine content, such as the eukaryotic telomeric DNA, have been shown to form secondary structures called G-quadruplexes (24) (25) (26) (27) . The formation of G-quadruplexes on nucleic acid sequences (DNA or RNA) begins by the association of four guanine residues to form a G-quartet. Each guanine residue interacts with the other through two hydrogen bonds and the presence of a central monovalent cation (Na+ or K+) increases the stability of the G-quartet. The G-quartets thus formed have a high propensity to stack resulting in the formation of stable G-quadruplex structures (28) (29) (30) . Formation of G-quadruplex structures may lead to the stalling of replication forks due to slippage of the polymerases (31) . Formation of G-quadruplex structures on the mRNA of Epstein-Barr virus (EBV) encoded nuclear antigen 1, EBNA1 has been shown to be important in the regulation of viral mRNA translation and thus altering immune evasion (32) .

Previous studies on the formation of G-quadruplex structures and compounds stabilizing G-quadruplex formation, such as HIV-1 integrase inhibitor, T30177, have shown that the formation and stabilization of G-quadruplex structures leads to anti-HIV-1 activity by the inactivation of HIV-1 reverse transcriptase (33, 34) , HIV-1 replication associated protein HIV-1-Nef (35) , HIV-1 long TR region and HIV-1 integrase (33, 36, 37) . Similar studies also showed that Gquadruplex stabilizing compounds such as G5T, TMPyP4, NMM, DODC and NG1 effectively inhibit 3C protease activity of Hepatitis A virus (38) , large T antigen helicase activity of SV40 virus (39) and helicase activity of SARS Coronavirus (40) . It has also been demonstrated that the use of G-quadruplex stabilizing compounds such as BRACO-19 inhibits EBNA1-dependent activation of viral DNA replication and effectively blocked the proliferation of EBV-positive cells (41) . Herpesvirus genome (HSV-1) has been shown to have clusters of G tract sequences capable of forming stable G-quadruplexes and their stabilization with G-quadruplex ligand, BRACO-19, reduced virion production (42) . Furthermore, these G-quadruplex structures have also been implicated in epigenetic regulation of chromatin structure, DNA replication/recombination, transcription and translation of human genes (43) .

In this study, we have used G-quadruplex stabilizing compounds, PhenDC3 and TMPyP4, to analyze their potential role in inhibiting KSHV latent DNA replication and genome persistence. Our data reveal that G-quadruplex stabilizing compounds significantly reduce the latently persisting KSHV genome copies in the infected cells. These compounds perturb viral DNA replication and this could possibly be utilized in the elimination of the viral episomal copies from the infected cells. Taken together, these studies directly support the potential use of G-quadruplex stabilizing compounds in treating KSHV infection.

The KSHV-positive cell line BCBL-1 was cultured in RPMI 1640 medium supplemented with 10% fetal bovine serum (FBS), 2 mM L-glutamine, 5 U/ml penicillin and 5 g/ml streptomycin. The plasmid pA3F-LANA, carrying a flag-tagged ORF73, has been previously described (11, 44) . Propidium iodide and other reagents used in this study were purchased from Sigma. G-quadruplex compound, TMPyP4, was purchased from Calbiochem. Gquadruplex compound, PhenDC3, was a generous gift from M-P Teulade-Fichou, Institut Curie, France.

BCBL-1 cells were embedded into agarose plugs followed by lysing with Proteinase K and EDTA. The lysed plugs were digested with either BamHI or EcoRI and loaded onto a gel to resolve by pulse field gel electrophoresis (PFGE). Lambda PFGE marker (New England Biolabs, Ipswich, MA, USA) and lambda monocot were used for size determination. Resolved gel was stained with ethidium bromide (EtBr) and transferred onto nitrocellulose membrane followed by detection of TR region using 32 P labeled TR specific probes. Lambda DNA was also used as a probe for determining the sizes of the marker bands.

Circular Dichroic (CD) spectra were recorded on a JASCO J-1500 spectrometer (Jasco Inc. Easton, MD, USA), as previously described (42) . Briefly, oligonucleotides (Table 1) were diluted to a final concentration of 5 M in Sodium cacodylate buffer (10 mM, pH 7.4) without or with KCl (100 mM). Circularly polarized UV light was used to record CD spectra on a progressive scan from 320 to 200 nm in a quartz cell of 10 mm optical path length. An average of six progressive scans for each sample were recorded for each oligonucleotide.

Electrophoretic mobility shift assay (EMSA) was performed using single-stranded oligonucleotides of TR containing potential G-Quadruplex sequence as probe. Oligonucleotides were end-labeled with ␣-32 P using Terminal transferase (New England Biolabs) and purified on a GE Illustra ProbeQuant G-50 micro column (GE Healthcare, USA). These oligonucleotides were resuspended (2 M final concentration) in Sodium cacodylate 10 mM, pH 7.4 buffer, without or with KCl (100 mM). All samples were S-TR63  22  GGGGCGGGGGACGGGGGAGGGG  63  AS-TR62  26  GGGGCTCGGGGCTCGGGGCCCCGGGG  62  HSV-1 gp054d  22  GGGGCTGGGGCTGGGGCTGGGG  63  Control  22  GATCCGTCAGACCATGGAGTCA  0 resolved on a 12% non-denaturing polyacrylamide gel in 1X TBE buffer, with (100 mM) or without KCl for ∼4 h at 50 V. Gels were dried on a Gelair gel dryer (Bio-Rad Inc.) and auto-radiographed using a phosphorimager (GE Healthcare Life Sciences).

KSHV positive, BCBL-1 and negative, BJAB cells were washed with phosphate-buffered saline (PBS) before spreading onto coverslips. The cells were allowed to air-dry, fixed with 4% paraformaldehyde followed by permeabilization with 0.2% Triton X-100 in PBS for 10 min at room temperature. Cells were blocked with PBS containing 0.4% fish skin gelatin and 0.05% Triton X-100 for 1 h at room temperature. These cells were then incubated with specific primary antibodies for 1 h at room temperature, washed with PBS before incubating them with Alexa Fluor conjugated secondary antibodies (Molecular Probes) for 30 min at room temperature. The cells were washed three times with PBS 0.05% with Triton X-100 to remove non-specifically bound antibodies before staining with nuclear stain, TO-PRO3 (Molecular Probes). Images were captured using a confocal laser-scanning microscope (Carl Zeiss, Inc.).

Replication forks on individual molecules of KSHV were visualized by single molecule analysis of replicated DNA (SMARD) as described previously (45) (46) (47) The slides containing the DNA were hybridized overnight with biotinylated probes (represented as blue bars on the KSHV locus map). The following day, slides were rinsed in 2x SSC (1x SSC is 0.15 M NaCl plus 0.015 M sodium citrate) 1% SDS and washed in 40% formamide solution containing 2x SSC at 45 • C for 5 min and rinsed in 2x SSC-0.1% IGEPAL CA-630. Following several detergent rinses (4 times in 4x SSC-0.1% IGEPAL CA-630), the slides were blocked with 1% BSA for at least 20 min and treated with Avidin Alexa Fluor 350 (Life Technologies, Grand Island, NY, USA) for 20 min. The slides were rinsed with PBS containing 0.03% IGEPAL CA-630, treated with biotinylated anti-avidin D (Vector Laboratories, Burlingame, CA, USA) for 20 min and rinsed again. The slides were then treated with Avidin Alexa Fluor 350 for 20 min and rinsed again, as in the previous step. The slides were incubated with the IdU antibody, a mouse antibromodeoxyuridine (Becton Dickinson Immunocytometry Systems, San Jose, CA, USA), the antibody specific for CldU, a monoclonal rat anti-bromodeoxyuridine (anti-BrdU) (Accurate Chemical and Scientific Corporation, Westbury, NY, USA) and biotinylated anti-avidin D for 1 h. This was followed by incubation with Avidin Alexa Fluor 350 and secondary antibodies, Alexa Fluor 568 goat anti-mouse IgG (H+L) (Invitrogen Molecular Probes, Grand Island, NY, USA) and Alexa Fluor 488 goat anti-rat IgG (H+L) (Invitrogen Molecular Probes, Grand Island, NY, USA) for 1 h. The coverslips were mounted with ProLong gold anti-fade reagent (Invitrogen) after a final PBS/CA630 rinse. Fluorescence microscopy was carried out using the Zeiss microscope to monitor the IdU/CIdU nucleoside incorporation.

Propidium iodide (PI) staining followed by flow cytometry was used to analyze the cell cycle profile. Briefly, the PhenDC3 treated or control cells were harvested and washed at least once with cold PBS. Cells were then resuspended in 300-500 l PI/Triton X-100 staining solution (for 10 ml of 0.1% (v/v) Triton X-100 (Sigma, St. Louis, MO, USA) in PBS add 2 mg DNAse-free RNAse A (Sigma, St. Louis, MO, USA) and 0.4 ml of 500 g/ml PI (Sigma, St. Louis, MO, USA). The cells were incubated at 37 • C for 15 min followed by transferring them to ice. Data were acquired on a FACS Calibur flow cytometer equipped with CellQuest Pro software and analyzed using FlowJo software.

The CellTrace Carboxyfluorescein succinimidyl ester (CFSE) Cell Proliferation Kit (Life Technologies, Inc. Grand Island, NY, USA) was utilized for analyzing CFSE labeled cell proliferation according to manufacturer's instructions. Briefly, a working concentration of 0.5-25 M CellTrace CFSE stock solution was prepared in PBS. Approximately 1 × 10 7 actively growing BCBL-1 cells were gently resuspended in pre-warmed CellTrace CFSE/PBS working solution and incubated for 15 min at 37 • C. The cells were resuspended in fresh pre-warmed medium and incubated for another 30 min. Cells were washed with fresh pre-warmed medium at least 3 times and were maintained in in vitro cell cultures after treatment with either PhenDC3 or Dimethylsulfoxide (DMSO). Data were acquired on a FACSCalibur flow cytometer equipped with CellQuest Pro software and analyzed using FlowJo software.

The Vibrant MTT cell proliferation assay kit (Life Technologies, Inc. Grand Island, NY, USA) was used to analyze cell viability according to manufacturer's instruction. Briefly, BCBL-1 cells were grown in RPMI 1640 medium without phenol red and treated either with PhenDC3 or DMSO for indicated times. Approximately, 100 000 BCBL-1 cells were transferred to each well in a 96 well microplate. A total of 10 l of the 12 mM MTT (3-[4,5-dimethyl-2thiazolyl]-2,5-diphenyl tetrazolium bromide) stock solution was added to each well. One hundred microliters of medium alone or untreated BCBL-1 cells were used as negative and positive controls, respectively. Cells were incubated at 37 • C for 4 h followed by addition of 100 l of the SDS-HCl solution. The microplate was then incubated at 37 • C for another 4 h and the absorbance at 570 nm was measured.

BCBL-1 treated with either PhenDC3 or DMSO were collected by centrifugation (∼2 × 10 6 cells per sample) and washed twice with PBS before extracting the total DNA using a modified Hirt's lysis method (48) . The PCR primers used for the KSHV genome quantification were selected from the ORF73 gene, as previously described (49, 50) . Twofold serial dilutions of the pA3F-LANA plasmid were used as template in qPCR reactions to produce a standard curve for the quantifications. Primers for the human housekeeping genes ␤-actin and GAPDH were included for normalizing the Ct values. The extracted total DNA was resuspended in 50 l sterile water, and a 5 l aliquot of the DNA was used for the qPCR amplification of the KSHV-ORF73-specific sequence on an ABI StepOnePlus TM Real-Time PCR machine (Applied Biosystems, Grand Island, NY, USA). The viral DNA copy numbers were calculated with reference to the standard curve.

Latently persisting KSHV genome from BCBL-1 cells treated with PhenDC3 or DMSO was resolved by Gardella gel analysis as described previously (51) . Briefly, equal number (2 million) of BCBL-1 cells from DMSO or PhenDC3 treated cells were harvested and washed with 1X PBS at least two times and were resuspended in loading buffer containing 15% Ficoll (Sigma-Aldrich, St. Louis, MO, USA), 0.01% bromophenol blue and 1U RNAse A and then loaded onto 0.7% agarose gel containing lysis block. The sample was overlaid with lysis buffer containing 1% SDS, and 1 mg/ml Proteinase K (Life Technologies, Inc. Grand Island, NY, USA). The gels were run at 25 V for 3 h and then at 160 V for 24 h. Similar numbers (2.0 million) of DMSO or PhenDC3 treated BCBL-1 cells were embedded into agarose plugs, were lysed, digested with PmeI and resolved on an agarose gel. The gels were then transferred onto nylon membrane and analyzed by Southern hybridization. Probes specific for the KSHV TR region and alpha satellite DNA were synthesized with a NEBlot Phototope kit and detected with a phosphorimager according to the manufacturer's instructions (Molecular Dynamics Inc. Pittsburgh, PA, USA). Band densities of KSHV genome (linear and episomal) and alpha satellite were quantified using image quant software (GE Healthcare, Pittsburgh, PA, USA). The densities of linear and episomal bands of KSHV were combined for determining the relative genome copies after PhenDC3 treatment.

Transient DNA replication was performed by transfecting TR containing plasmid into HEK293L (52) cells followed by treating them with PhenDC3for 96 h. Briefly, 20 g of TR plasmid (p8TR) was transfected with 15 g of LANA expressing plasmid into HEK293L cells. These transfected cells were treated with 20 M PhenDC3 or DMSO for 96 h. The DNA was extracted using modified Hirt's procedure described previously (13) . A fraction (10%) of extracted DNA was digested with EcoRI to linearize the TR containing plasmid and rest (90%) was digested with EcoRI Nucleic Acids Research, 2016, Vol. 44, No. 8 3679 and DpnI to determine the replicated copies of the transfected plasmid. The digested DNA was loaded onto 0.8% agarose gel and resolved for 8 h at 100 V followed by Southern transfer and hybridization with 32 P labeled TR specific probes. The blot was scanned using phosphoImager (GE Healthcare, Pittsburgh, PA, USA) and the band densities were determined using Image Quant software (GE Healthcare, Pittsburgh, PA, USA). Relative quantities of the DpnI resistant bands (replicated DNA) were determined using EcoRI digested bands as reference, which was 10% of total extracted DNA.

Statistical analyses were performed using Prism 6 software and the P-values were calculated using two-tailed t-tests.

The TR region of the KSHV has multiple reiterated copies of an 801 bp GC-rich sequence. Analyzing the TR sequence for its ability to form G-quadruplex structures using Quadruplex forming G-Rich Sequences (QGRS, http: //bioinformatics.ramapo.edu/QGRS/analyze.php analyzer) revealed that each copy of the TR, which together constitute the TR region, has 12 potential G-quadruplex forming sites in the top strand (Strand 1) ( Figure 1A , sequence highlighted in yellow). Since the G-quadruplexes are formed on a single strand of nucleic acids, we also analyzed the bottom strand of the TR (strand 2), which revealed 16 potential G-quadruplex forming sites. Lists of QGRS sites and their G-scores on the top and bottom strands of the TR are presented in Supplementary Tables S1 and S2. The size of the linear KSHV genome is ∼165 kb with the TR region being a significant part of the genome; we wanted to determine the size of the TR region for an estimation of the total number of G-quadruplexes. To this end, we determined the size of the TR region by digesting the genome with restriction enzymes BamHI or EcoRI, which flank the TR region. The sizes of the bands hybridizing with TR probe, which detects the TR region, were ∼30 kb and 32 kb with BamHI and EcoRI, respectively ( Figure 1B and C). Based on the nucleotide sequence and the locations of these restriction enzymes sites, 30 kb band with EcoRI and 32 kb band with BamHI will be obtained if there were 32 copies of the TRs thus confirming the TR copies to be ∼32. Each of the 32 TR copies has 12 (top strand) and 16 (bottom strand) potential G-quadruplex forming sites, leading to 384 and 512 potential G-quadruplex forming sites in the top and bottom strand, respectively. In comparison, only 759 and 908 potential G-quadruplex forming sites were found in the top and bottom strand of the rest of the genome (∼140 kb), which is more than 5 times larger than the TR region (801 bp of 32 copies = 25.6 kb), thus making the TR a possible target for therapeutic intervention. A closer look at the G-score (propensity of a sequence to fold into 4 tetrad stacked to form a stable G-quadruplex) revealed one site in the top ( Figure 1A , marked red) and one in the bottom strand ( Figure 1A , marked green) of the TR with a very high G score. Analysis of the G score of the rest of sites of the viral genome showed only few sites with comparable G scores ( Figure 1A , PmeI digested schematic) to the TR. G-quadruplex sites in the top strand (marked in red) are in the coding region of vIRF-2 (G score 59), between kaposin (DR6) and oriLyt-R (G score 62) and between oriLyt-L and K5 9 (G score 63). The G-quadruplex sites in the bottom strand (marked in green) are in between v-IRF2 and v-IRF3 (G score 57) and in the oriLyt-L region (G score 60) (Figure 1A , PmeI schematic). The G-quadruplexes in the rest of the genome may have other implications but the cumulative effect of the G-quadruplex sites of the TR region is likely to be important in regulating replication and transcriptional activities.

Previous studies on compounds stabilizing G-quadruplex structures on other viruses indicated that G-quadruplex stabilizing compounds have an inhibitory role on virus replication (33, 36, 37) . In this study, we have analyzed the effect of two such G-quadruplex stabilizing compounds, PhenDC3 and TMPyP4 ( Figure 1D ), on KSHV replication.

To determine whether these QGRS sites of the TR can form a stable G-quadruplex, we performed CD spectroscopy on the oligonucleotide of TR with high G score (S-TR63 and AS-TR62). CD is a highly sensitive assay to determine the conformational states of quadruplex structures formed in nucleic acids (both DNA and RNA) (53) . Oligonucleotides with a tract of guanine residues form parallel quadruplexes with all guanosine glycosidic angles making a characteristic very large positive band at 260 nm determined by CD spectra (53) . Both the oligonucleotides of TR (S-TR63 and AS-TR62) formed characteristic peaks of parallel conformation of G-quadruplexes (Figure 2A) . A previously characterized oligonucleotide of HSV-1, gp054d, also showed a similar pattern confirming the G-quadruplex conformation in the TR oligonucleotides (42) . A negative control where the G-tract was abolished (G score 0) by scrambling the sequence did not show the characteristic peak. Interestingly, addition of a physiological concentration of K+, which increases the stability of the quadruplxes, increased the peaks of AS-TR62 and HSV-1 gp054d, but not much for S-TR63 ( Figure 2B ). This confirmed that these QGRS oligonucleotidess of TR displays G-quadruplex conformation even in the absence of K+ but the stability could be enhanced with physiological concentrations of K+.

The ability of both the oligonucleotides of KSHV TR, S-TR63 and AS-TR62 to fold into a G-quadruplex was further assessed by a gel mobility shift assay in the presence of a physiological concentration of K+. Both the oligonucleotides of TR, S-TR63 and AS-TR62 ( Figure 2C lane 3 and 4, green asterisk) ran markedly faster than their 22-bp long control oligonucleotide ( Figure 2C , lane 1, red asterisk) due to their folding into G-quadruplex as compared to unfolded linear control oligonucleotide. Although AS-TR62 is slightly longer (26 bp) compared to S-TR62 (22 bp), they both ran with almost similar mobility confirming their ability to fold into a G-quadruplex. Another control, a short oligonucleotide (11 bp) was used to deter- G-quadruplexes with a G-score of higher than 57 (empirical cutoff). The G-quadruplex sites, above the empirical cut off G-score, are shown on the genome schematic. The sites on the top strand (strand 1) are shown with red arrows and of the bottom strand are shown with green arrows (G-scores next to the G-quadruplex sites). Genes and other important sites (lytic replication origins, oriLyt) around these G-quadruplexes are marked to denote their potential relevance. There are 12 Quadruplex forming G-Rich Sequences (QGRS) sites in the top strand and 15 QGRS sites, including the ones below the cutoff G-score, in the bottom strand of a single copy of 801 bp TR sequence and these sites are highlighted in yellow. The QGRS sites with G-score above the cutoff in the top strand (S-TR63) and bottom strands (AS-TR62) of TR are boxed with red and green, respectively. Guanine residues of the G-quadruplex sites are in bold letters. The TR region, which consists of ∼32 copies of the TR unit have 384 (32 copies of TR x 12 sites/TR = 384 sites) in the top and 512 (32 copies of TR x 16 sites/TR = 512 sites) QGRS sites in the bottom strand of the TR region (see Supplementary Table S1 and S2 for details). (B) Restriction digestion map of the KSHV genome around the TR region with BamHI and EcoRI. Schematic representation showing the locations of BamHI and EcoRI sites on the KSHV genome with 32 copies of the TRs. Digestion of the BCBL-1 genome with BamHI yields a 30 kb segment, and EcoRI yields a 32 kb segment. (C) KSHV genome embedded in an agarose plug digested with BamHI and EcoRI followed by hybridization with 32 P labeled TR probe to detect the TR region. Hybridization signals with TR probe showed an approximate size of 30 kb with BamHI and 32 kb with EcoRI, respectively, estimated 32 copies of the TRs in TR region. (D) Chemical structure of G-quadruplex compounds, PhenDC3 (structure diagram from Dr Anh Tuan Phan, Nanyang Technological University, Singapore) and TMPyP4. mine the mobilities of these QGRS oligonucleotides ( Figure  2C lane 1) . As a positive control of G-quadruplex formation, a previously characterized QGRS oligonucleotide of HSV-1, gp054d (42) , was analyzed alongside the TR QGRS oligonucleotides ( Figure 2C lane 5) . The similar mobilities observed between the positive control oligonucleotide and the TR oligonucleotides confirmed that these TR oligonucleotides fold into G-quadruplexes. Interestingly, these QGRS oligonucleotides also showed a slower migration, ascribed to intermolecular dimeric G-quadruplex forms ( Figure 2C , blue line).

The specificities of G-quadruplex formation of TR QGRS oligonucleotides were determined by adding excess molar ratios of two complementary oligonucleotides to bind with their target sequence in order to block the folding into G-quadruplexes. As expected, addition of AS-1 and AS-2 with S-TR63 QGRS oligonucleotide disrupted the folding of S-TR63 oligonucleotide into a G-quadruplex determined by the slower mobilities observed in the absence of the complementary oligonucleotides ( Figure 2D to the S-TR63 oligonucleotide), did not disrupt the Gquadruplex formation ( Figure 2D , lane 5, green asterisk). Lane 1 and 2 had the control oligonucleotides for comparing the mobilities. Similarly, the AS-TR62 QGRS oligonucleotide was also analyzed for G-quadruplex formation in the presence of excess molar ratios of the two complementary oligonucleotides (S-1 and S-2). Mobility of AS-TR62 oligonucleotide was altered by specific complementary oligonucleotides due to their binding to the target sequence ( Figure 2E, lane 4) , however, non-complementary oligonucleotides (nc oligonucleotide 1, 2) were unable to alter the G-quadruplex formation and thereby the mobility ( Figure 2E , compare lane 3 and 5, green asterisks). These mobility shift assays confirmed that QGRS of TR folds into a stable G-quadruplex.

Next, we wanted to determine whether the TR of KSHV forms G-quadruplexes in the infected BCBL-1 cells. We answered this by localizing the G-quadruplexes sites using specific antibody (BG-4) to G-quadruplexes and determining the location of TR by localizing latent protein, LANA, which binds in the TR region. LANA and TR have been shown to be at the same nuclear compartment in the KSHV infected cells (7, 54) . Analysis of the LANA localizing dots and the G-quadruplex sites in the nuclei of the KSHV infected cells showed very high correlation of their localization within the nuclear compartments ( Figure 2F ). Quantification of co-localized signal showed that close to 50% of these foci in the same nuclear compartments. The non-colocalizing G-quadruplex sites were on the cellular genome as non-KSHV infected cells, BJAB showed G-quadruplex sites but not LANA spots as expected.

Before treating latently infected cells with G-quadruplex stabilizing compounds, we first examined the replication profile of a KSHV infected cell line, BCBL-1, to establish a baseline as control. These cells were labeled with IdU for 4 h followed by labeling with CldU for an additional 4 h to capture the position and progression of replications forks (Supplemental Figure S2A) . A schematic of the KSHV genome linearized with PmeI is shown in Figure 3A . Consistent with our previous results (47) , the current data showed that in the untreated BCBL-1 cells, replication initiates at multiple sites along the KSHV genome and that replication proceeds bi-directionally ( Figure 3B ). Detection of the replication initiation sites on the dually labeled molecules (IdU and CldU, red and green, respectively) showed replication initiation sites throughout the genome indicated by black arrows ( Figure 3C ). However, further quantification of the distribution of origins by the percentage of IdU incorporation indicated that, in the untreated BCBL-1 cells, there is a slight preference in TR region for replication initiation in the TR region ( Figure 3D , demarcated by blue dotted lines).

To study the effect of G-quadruplex stabilizing compounds on KSHV replication, BCBL-1 cells were treated with two different G-quadruplex stabilizing compounds, TMPyP4 and PhenDC3 ( Figure 1D ). In cells treated with either 10 M TMPyP4 or 10 M PhenDC3 for 16h, the replication profiles of the treated cells ( Figure 3E and H) appeared very much similar to the untreated cells. Episomal replication was carried out by 3 to 5 and 5 to 3 travelling replication forks and replication initiation occurred at multiple sites throughout the KSHV genome. BCBL-1 cells treated with 10 M TMPyP4 ( Figure 3E These oligonucleotides were subjected to spectral analysis from 320 nm to 220 nm and these values were plotted with molar ellipticity on the Y-axis. Both the oligonucleotides of TR showed characteristic peaks at 260 nm for a parallel quadruplex (blue and red lines). A previously characterized HSV-1 Gquadruplex forming oligonucleotide gp054d (42) was used as a positive control (green line), which showed a similar peak at 260 nm, as the TR specific oligonucleotides, confirming the G-quadruplex conformation in these oligonucleotides. Scrambled sequence of S-TR63 oligonucleotide, which was not predicted to form G-quadruplex was used as a negative control in this assay (purple line). (B) Addition of a physiological concentration of K+, which increases the stability of the G-quadruplex structure showed an increased peak for the QGRS sequence of TR confirming their stabilization. Control oligonucleotide did not form a characteristic peak at 260 nm confirming the lack of G-quadruplex formation. (C) Electrophoretic mobility shift assay (EMSA) of the KHSV TR oligonucleotides (S-TR63 and AS-TR62) in the presence of K+. The above-mentioned 32 , which binds to the KSHV TR and G-quadruplex structures using specific antibodies showed significant co-localization. Analysis of multiple cell nuclei and the quantification of the co-localized signals showed that ∼50% of the signals were in the same nuclear compartment confirming G4 sites on KSHV TR. The remainder of the G-quadruplex localization was most likely on the cellular genome, which was also seen confirmed by the detection of BG4 staining in KSHV negative, BJAB cells. Nuclei were stained with TO-PRO3 and the cell morphology was visualized in the DIC channel. M PhenDC3 ( Figure 3H ) showed replication initiation throughout the KSHV genome with initiation sites indicated by the schematics of PmeI linearized replicated viral genomes ( Figure 3F and I). The locations of replication initiations are marked by black arrows, which are present at multiple sites throughout the viral genome ( Figure 3F and I). Interestingly, 10 M TMPyP4 treatment did not show any preferential usage of TR origins compared to the untreated cells (Figure 3 ; compare panel D with G, areas demarcated by blue lines). Importantly, treatment with 10 M PhenDC3 showed initiation throughout the genome but had a slight preference for the TR region for replication initiation ( Figure 3H ; area demarcated by blue lines).

Since 10 M PhenDC3 appeared to be too low to elicit a change in replication dynamics in latently infected BCBL-1 cells, the KSHV replication program was analyzed in cells treated with 20 M PhenDC3. Surprisingly, replication profiles determined by SMARD show that replication proceeds bi-directionally and that the patterns of replication initiation were almost similar between the untreated ( Figure 4A ) and the 20 M PhenDC3 treated cells ( Figure 4D Figure S1 ). Surprisingly, the global replication inhibition observed in the presence of 20 M PhenDC3 did not significantly alter the replication profile of the KSHV episomes.

Considering that treatment with G-quadruplex stabilizing compounds has been shown to alter the replication profile in G-rich regions of the genome such as telomeres (55) , it was perplexing to observe similar replication profiles in the G-quadruplex stabilizer treated and untreated cells. This made us consider the possibility that the effect of the Gquadruplex stabilizer was subtle and hence less noticeable and so we decided to quantify the different aspects of the replication program, such as percentage of replication forks and origins activated per viral genome during replication. Since the entire length (165 kb) of the KSHV genome is analyzed as a single segment by SMARD, this enabled us to collectively visualize all the components of the replication process, at the same time.

We first determined whether there was a change in the percentage of replication forks required to replicate the 165 kb KSHV genome upon treatment with the G-quadruplex stabilizers. In untreated BCBL-1 cells, nearly 90% of the KSHV replicated their genome with two replication forks, only ∼10% activating more than two forks ( Figure 5A ; blue bar). In the cells treated with either 10 M PhenDC3 ( Figure 5A ; black bar) or 10 M TMPyP4 ( Figure 5A ; green bar), only 80-85% of the cells replicated their DNA using two forks. Treatment with higher concentrations of PhenDC3 (20 M) increased the percentage of molecules with more than 2 forks ( Figure 5A; red bar) . The average number of replication forks activated per KSHV genome, in cells treated with 20 M PhenDC3, was significantly higher than in all other cases ( Figure 5B ). These results show that the 165 kb KSHV genome that usually relies on only two replication forks to completely replicate its DNA activates more replication forks in the presence of the G4 stabilizers.

Under conditions of replicative stress, cells activate dormant origins (56) to aid in replication completion. Only two replications forks (single origin) were necessary to replicate nearly 90% of each KSHV genome ( Figure 5A ). To determine whether the G-quadruplex stabilizing drugs subject the BCBL-1 cells to replicative stress, which can be measured by increased dormant origin firing, we calculated the percent increase in initiation events for each the untreated and G-quadruplex stabilizing drug treated cells.. In the untreated BCBL-1 cells, only 15% of KSHV activated more than origin ( Figure 5B ; blue bar). Consistent with our fork quantification ( Figure 5A ), the number of origins activated was directly proportional to the concentration of the drug, with cells treated with the higher concentration of the G4 stabilizer activating more origins per KSHV genome. Treatment with both 10 M and 20 M PhenDC3 elicited a significant increase in the observed replication initiation events ( Figure 5C ; black and red bars). The 20 M PhenDC3 treatment had the most profound influence on dormant origin activation, with a near 30% increase in observed initiation events ( Figure 5C ; red bar). Treatment with 10 M TMPyP4 ( Figure 5C ; green bar) did cause an increase in the dormant origin firing, however, the data were not significantly different as compared to the untreated cells. These results clearly indicate that the stress response generated in the presence of the G4 stabilizers leads to the activation of dormant origins that are other wise inactive in the untreated BCBL-1 cells. Analysis of these molecules for initiation of replication with different concentrations of G-quadruplex stabilizers showed an exponential increase in the percentage of replication initiation events ( Figure 5C ).

Under conditions of replicative stress, replisome pausing has been associated with dormant origins activation (57, 58) , as a means of rescuing replication. Since replication forks have been shown to pause at secondary structures (59-61), we asked whether stabilizing the G-quadruplex with PhenDC3 would perturb replication by stalling the replication machinery. Replication pausing can be visualized as clusters of replication forks accumulating at specific regions of the genome and can be quantified by dividing the genome into 10 kb intervals and calculating the number of forks present in each 10 kb interval, along the length of the genome, in both the 3 to 5 and 5 to 3 directions. In untreated cells, while some replication pausing was observed in the TR region, cells treated with 10 M PhenDC3 showed a moderate increase in pausing in both directions, as com-pared to the untreated cells ( Figure 5D ). However, treatment with 10 M TMPyP4 led to replication pausing in and around the TR region, with a notable bi-directional pausing of forks moving out of the TR region ( Figure 5D ). When the dosage was increased to 20 M PhenDC3, more than 25% of the replication forks paused in both the 3 to 5 and 5 to 3 directions ( Figure 5E ). Interestingly, replication forks seem to stall at or near the outer boundary of the repeats, progressing out of the TR region. These results collectively show that treatment with G-quadruplex stabilizers leads to replication fork stalling at the terminal repeats of KSHV, perhaps leading to the generation of a stress response that causes the cell to activate dormant replication origins.

Since SMARD analysis showed bi-directional stalling of replication forks in PhenDC3 treated cells, we wanted to determine whether the G-quadruplex stabilizing compounds could be used as an inhibitor of KSHV latent DNA replication. To this end, we treated the latently infected BCBL-1 cells with G-quadruplex stabilizing compound, PhenDC3 and measured the latent DNA replication as well as the persistence of the viral genome. BCBL-1 cells were treated with two different concentrations of G-quadruplex stabilizing compounds (10 M and 20 M PhenDC3), used in SMARD assays. In order to determine the persistence of latent genome copies, we had to treat the BCBL-1 cells with the G-quadruplex stabilizing compounds through multiple cell divisions. To determine the effect of PhenDC3 on the cell cycle progression, we performed a cell cycle analysis on BCBL-1 cells treated with PhenDC3, by PI staining. Interestingly, our data showed that BCBL-1 cells treated with PhenDC3 indeed accumulated cells in late S and G2 phase of the cell cycle in a dose dependent manner ( Figure 6A ), confirming that these compounds blocked the cell cycle progression. To further confirm whether PhenDC3 treatment reduces the overall cell growth, we performed a cell proliferation assay using the CFSE cell proliferation Kit (see Methods). Consistent with the cell cycle data, CFSE analysis showed that BCBL-1 cells treated with PhenDC3 had a slower cell proliferation rate ( Figure 6C ) as compared to the DMSO treated cells ( Figure 6B ). Encouraged by these findings, that PhenDC3 can induce replication pausing and reduce cell growth, we decided to analyze the effect of PhenDC3 on the maintenance of KSHV genome in latently infected cells. The persistence of KSHV episomes in BCBL-1 cells was measured after treatment with 20 M PhenDC3 or DMSO over a period of 4 days at 24-h intervals. At the end of 4 days, ∼2 million cells were collected from each condition to analyze the genome copies by qRT PCR using oligonucleotides specific for KSHV ORF73 along with ORF73 standards. Oligonucleotides specific for GAPDH served as the internal house keeping control to normalize fold change of KSHV genome copies. Our data show that BCBL-1 cells treated with 20 M PhenDC3 had ∼60% fewer (relative KSHV genome copies to ∼0.4) KSHV genomes compared to the DMSO treated cells after 4 days of treatment ( Figure 6D ). KSHV genome copies remained unaltered in DMSO treated cells as expected ( Figure 6D , KSHV genome panel). Analysis of the relative copies of GAPDH from day 0 showed a slight reduction in GAPDH suggesting a slight decrease in cell number with 20 M PhenDC3 treatment ( Figure 6D, GAPDH panel) . Interestingly, our MTT assay (see Methods), to check the cell viability of BCBL-1 cells treated with 20 M PhenDC3 showed less reduction in cell growth as compared to the control (Figure 6E) , indicating a specific reduction in KSHV genome copies with limited cytotoxic effect on overall cellular proliferation.

The transient treatment of latently infected BCBL-1 cells with the G-quadruplex stabilizing compound PhenDC3 caused a dramatic reduction in KSHV episome copy number but it was unclear whether the continuous administration of the drug was vital for maintaining the reduced viral copies. To address this, we asked whether the withdrawal of drug from the PhenDC3 treated cells, which now had reduced viral episomes, would reestablish viral genome copies. The BCBL-1 cells treated with 20 M PhenDC3 for 1-4 days were cultured in drug-free (PhenDC3-free) medium for 10 days and the KSHV genome copies were monitored at day 2, day 5 and day 10 during their growth in drug-free medium. The data show that cells treated with 20 M PhenDC3 for 1 or 2 days regained the viral genome copies similar to untreated cells after a 10-day recovery, in drug free medium ( Figure 7A , blue and red lines). However, the cells treated for 3 and 4 days with 20 M PhenDC3 were unable to completely regain their viral genome copies (relative copies were 0.7 as compared to 1 in untreated cells), suggesting the elimination of viral episomes from these cells ( Figure 7A , green and purple lines). A MTT cell proliferation assay carried out on the cells recovered for 5 and 10 days showed improved cellular proliferation ( Figure  7B ). These data suggest that PhenDC3 specifically reduces KSHV genome copies with minimal effect on overall cell growth and proliferation.

To further confirm the effect of G-quadruplex stabilizer, PhenDC3, on KSHV DNA replication, we performed a transient replication assay with a TR containing plasmid. HEK293L cells transfected with the TR plasmid and LANA were treated with 20 M of PhenDC3 or DMSO for 96 h, followed by the extraction of episomal DNA. DpnI resistance, which distinguishes replicated DNA from the nonreplicated DNA (DpnI sensitive) showed replication of TR containing plasmids ( Figure 8A; lane 3) . However, the intensity of DpnI resistant band in PhenDC3-treated samples was significantly reduced ( Figure 8A; lane 4) . Relative quantities of the replicated DNA, determined by the band intensities in the input lanes, showed 2.4% replicated DNA in PhenDC3 treated cells as compared to the 6.4% in DMSO treated cells ( Figure 8A ; compare lanes 4 with 3).

We further determined the effects of PhenDC3 on the persistence of KSHV genome by performing a Gardella gel electrophoresis assay, to detect the episomal copies (51) . For this assay, the latently infected BCBL-1 cells were treated with 20 M PhenDC3 or DMSO for 96 h and analyzed by Gardella gel electrophoresis, which determines the presence of episomally maintained viral copies in the infected cells. Approximately 2 million treated cells were loaded into each well and the DNA was resolved by electrophoresis for 24 h after lysis. KSHV genomes were detected by using a KSHV TR specific probe. The data show that cells treated with 20 M PhenDC3 had reduced copies of both the circular and linear forms of the KSHV genome, as compared to DMSO treated cells ( Figure 8B ). The positions of the circular episomes (upper band) and the linear (lower band) forms of the KSHV genome are clearly demarcated. Similar amounts of PhenDC3 treated and untreated cells were also subjected to alpha satellite DNA detection, to ensure that equal numbers of cells were taken for the Gardella assay ( Figure 8C ). Relative densities of the linear and episomal KSHV genomes at day 0 and day 4 with PhenDC3 treatment showed reduction as compared to the DMSO treated cells ( Figure 8D ). These data confirmed that 20 M PhenDC3 was able to reduce the persistence of the viral genome, making G-quadruplex stabilizer treatment a possible strategy for reducing the latent copies of the viral episomes.

KSHV belongs to the gamma herpes virus family and is associated with various neoplastic and lymphoproliferative disorders. Upon entering the host, KSHV's ingenious cellular strategy of tethering itself to the host genome to facil- itate its replication alongside the host replication, helps it establish lifelong latency. One of the biggest challenges involved in treating KSHV infection is the need for an effective strategy that can eliminate KSHV latency as opposed to just targeting the active (lytic) virus.

The KSHV genome consists of multiple copies of a unique region called the TR. An important aspect about the KSHV TR is that although latent replication can initiate at multiple sites on the KSHV genome, a single copy of the TR can initiate replication in the presence of LANA (8, 47, 62) . Additionally, KSHV TR has been shown to recruit several components of the cellular replication machinery, including TOPOII (13, 18) . Recruitment of TOPOII to the KSHV TR is important for KSHV latent DNA replication and the maintenance of KSHV episome (13) .

Each unit of the TR is rich in GC content, which may have some evolutionary advantage for the replication and propagation of the virus. However, the tracts of guanine residues in high GC content DNA have the tendency to form secondary structures including G-quadruplexes. The G-quadruplexes have been shown in vitro to stall the progression of transcription and DNA replication machineries and an important example of this is the retardation of the replication of telomeric sequences (63) . In further support for this idea, sequence analysis of the TR region revealed about 896 potential QGRS in both the strands of TR sequence. Although all these sites could fold into Gquadruplex structures, we chose only a few sites, with a high G-score, for biophysical and biochemical analysis to determine their conformation. Not surprisingly, both the oligonucleotides of TR with QGRS assembled into a Gquadruplex conformation demonstrated by the CD spectrometry and gel mobility shift assays. Importantly, deleting the G tract of the TR's QGRS oligonucleotide abolished the G-quadruplex conformation confirming that the TR sequence can persist in G-quadruplex form and intervention to stabilize these structures can modulate activities dependent on TR. Stabilization of the G-quadruplex conformations in other parts of the viral genome may also occur, however, the number of such sites in the rest of the genome are limited, therefore the overall affect may not be as profound. However, this does not rule out their role in other functions of viral life cycle. In this study, we comprehensively analyzed the effect of G-quadruplex stabilizing compounds on the latent replication of KSHV and determined the usefulness of G-quadruplex-stabilizing compounds as inhibitors of KSHV latent replication.

Use of two G-quadruplex stabilizers, PhenDC3 and TMPyP4, which have been shown to stabilize G-quadruplex regions of DNA, showed that BCBL-1 cells treated with the G-quadruplex-stabilizing compound PhenDC3 negatively regulates KSHV replication leading to a reduction in the episomally maintained KSHV genome copies. The absence of a striking difference in the replication profiles of Gquadruplex stabilizer treated and untreated BCBL-1 cells, although perplexing at first, led us to believe in a more subtle effect of the drug. This was ascertained by quantitating the individual parameters of replication such as replication initiation and replication fork pausing.

When origin licensing takes place, the number of origins licensed is much higher than those that are actually utilized during replication. These excess origins, called dormant/latent origins, do not fire during unperturbed replication (56) . Upon replicative stress, the slowing down of the replication forks and/or impediments to the replication fork machinery result in the activation of these additional dormant origins in order to efficiently complete replication before the cell transitions to G2/M phase. Our data show that treatment with the G-quadruplex stabilizing compound PhenDC3 elicits a stress response and activates higher numbers of replication forks per KSHV genome in a dose dependent manner. A higher concentration of Transfected cells were treated with 20 M PhenDC3 or DMSO for 96 h followed by extraction of DNA for DpnI sensitivity assay. Ten percent of the extracted DNA was digested with EcoRI and the remaining 90% with EcoRI and DpnI and resolved on 0.8% agarose gel. DNA was transferred onto a nylon membrane for hybridization with a TR specific probe. The intensities of DpnI resistant bands were determined by Image quant software (GE Healthcare) and the amounts of replicated DNA were estimated relative to the respective inputs. (B) BCBL-1 cells treated with either 20 M PhenDC3 or DMSO for 96 h were harvested and used for the Gardella gel electrophoresis assay followed by Southern blot and detection with TR probe. (C) Detection of alpha satellite DNA in PmeI digested DMSO treated cells (lanes 1-2) and PhenDC3 treated cells (lanes 3-4). (D) Relative quantitation of the densities of episomal and linear KSHV genome. Day 0 density is considered as 1. Density of the KSHV genome at Day 4 was relative to the copies at day 0.

PhenDC3 appears to exacerbate the replication stress on the KSHV genome leading to an increase in the number of replication forks along the entire genome. In agreement with our fork quantification ( Figure 5A and B) , the extent of replicative stress experienced by the KSHV episomes in response to PhenDC3 is further demonstrated by the acti-vation of dormant replication origins in a dosage dependent manner ( Figure 5C ).

During normal DNA replication, G-quadruplex structures form in ssDNA on the lagging strand and in some circumstances, also on the leading strand (64) . Previous studies have shown that the replication machinery pauses at secondary structures (59) (60) (61) , and this could compromise repli-cation by resulting in fork collapse. We observed that treatment with PhenDC3 and TMPyP4, led to bi-directional replication fork pausing at the TR ( Figure 5D and E). Importantly, since PhenDC3 has been shown to specifically bind to the G-quadruplex DNA (65), we propose that the binding of these G-quadruplex stabilizing compounds, potentially stabilizes the G quadruplex structures, thereby leading to the obstruction of the movement of replication forks in the TR. Interestingly, the pausing appears to occur at or near the outer boundary of the TR region, progressing outward of the TR region. These data strongly suggest that treatment with PhenDC3 leads to the perturbation of KSHV replication by stalling the bi-directional progress of the replication machinery, across the TR. The replication pausing and initiation data obtained from BCBL-1 cells treated with TMPyP4 was not statistically significant (Figure 5B and C) . This could possibly be attributed to the recent reports that suggest that TMPyP4 is non-selective toward G-quadruplex structures (66) .

Further, we show that stalling of replication forks is accompanied by a reduction in episomally maintained viral genome copies in PhenDC3 treated KSHV infected cells. More importantly, the KSHV genome copy number remained low even upon withdrawal of the PhenDC3 compound and the continued growth of the cells in drug-free medium. Our data conclusively demonstrates that treatment with PhenDC3 appears to have reduced the viral genome copies without the need for the continuous administration of drug. Although the treatment with PhenDC3 resulted in some accumulation of cells in late S and G2 phase of the cell cycle, there was minimal cytotoxic effect suggesting that these G-quadruplex stabilizers have possibly exhibited a transient S-phase arrest or cell cycle slow down. This suggests the potential importance of G-quadruplex stabilizing compounds as pharmacological inhibitors of KSHV latent DNA replication and maintenance.

Our analysis of replication fork pausing and reduction in viral genome copies were further substantiated by the results from a transient DNA replication assay and Gardella gel electrophoresis assay to determine whether that reduction in viral genome copies is due to inhibition of viral DNA replication. We found that BCBL-1 cells treated with 20 M PhenDC3 indeed show a significant reduction in transient replication of TR containing plasmids. These data further substantiated and strengthened our findings that, PhenDC3 could cause pausing or stalling of the bi-directional progress of the replication machinery at or near the outer boundary of the terminal repeats. These data also suggest that treatment with PhenDC3 leads to a reduction in the replication of KSHV genome. In complete agreement with these findings, our Gardella gel electrophoresis assay further demonstrated a significant reduction in both circular and linear DNA copies of the KSHV genome compared to DMSO treated, control cells. Taken together, our data suggest that PhenDC3 stabilizes the G-quadruplexes that could potentially form in the GC-rich TRs region, thereby blocking the progression of replication forks. This likely leads to the reduction in viral genome replication, which ultimately affects the maintenance of the KSHV episomes in the infected cells. Previous studies have determined the roles of G-quadruplex stabilizing compounds on viral gene expression (31) , but this is the first report to our knowledge that G-quadruplex stabilizing compounds stalled the progression of replication forks of the viral episomes inhibiting KSHV latency, thus identifying a potential target for therapeutically blocking KSHV-associated malignancies.

Supplementary Data are available at NAR Online.

Identification of herpesvirus-like DNA sequences in AIDS-associated Kaposi's sarcoma

Molecular virology of Kaposi's sarcoma-associated herpesvirus

Molecular biology and pathogenesis of Kaposi sarcoma-associated herpesvirus

Kaposi's sarcoma-associated herpesvirus immunoevasion and tumorigenesis: two sides of the same coin?

Structure and function of latency-associated nuclear antigen

The nucleosomal surface as a docking station for Kaposi's sarcoma herpesvirus LANA

Efficient persistence of extrachromosomal KSHV DNA mediated by latency-associated nuclear antigen

The minimal replicator element of the Kaposi's sarcoma-associated herpesvirus terminal repeat supports replication in a semiconservative and cell-cycle-dependent manner

Analysis of viral cis elements conferring Kaposi's sarcoma-associated herpesvirus episome partitioning and maintenance

Definition of sequence requirements for latency-associated nuclear antigen 1 binding to Kaposi's sarcoma-associated herpesvirus DNA

Latency-associated nuclear antigen (LANA) of Kaposi's sarcoma-associated herpesvirus interacts with origin recognition complexes at the LANA binding sequence within the terminal repeats

ORC, MCM, and histone hyperacetylation at the Kaposi's sarcoma-associated herpesvirus latent replication origin

Kaposi's sarcoma-associated herpesvirus-encoded LANA recruits topoisomerase iibeta for latent DNA replication of the terminal repeats

KSHV LANA-the master regulator of KSHV latency

Timeless-dependent DNA replication-coupled recombination promotes Kaposi's Sarcoma-associated herpesvirus episome maintenance and terminal repeat stability

How I treat HHV8/KSHV-related diseases in posttransplant patients

KSHV: forgotten but not gone

Potent antiviral activity of topoisomerase I and II inhibitors against Kaposi's sarcoma-associated herpesvirus

Oral ganciclovir for patients with cytomegalovirus retinitis treated with a ganciclovir implant

Effect of antiviral drugs used to treat cytomegalovirus end-organ disease on subsequent course of previously diagnosed Kaposi's sarcoma in patients with

Viral latent proteins as targets for Kaposi's sarcoma and Kaposi's sarcoma-associated herpesvirus (KSHV/HHV-8) induced lymphoma

Non-HIV Kaposi's sarcoma: a review and therapeutic perspectives

Infection and disease: cause and cure

Telomeric DNA oligonucleotides form novel intramolecular structures containing guanine-guanine base pairs

Formation of parallel four-stranded complexes by guanine-rich motifs in DNA and its implications for meiosis

Monovalent cation-induced structure of telomeric DNA: the G-quartet model

Telomeric DNA dimerizes by formation of guanine tetrads between hairpin loops

Structure, location and interactions of G-quadruplexes

Four-stranded nucleic acids: structure, function and targeting of G-quadruplexes

Quadruplex DNA: sequence, topology and structure

G-quadruplexes in viruses: function and potential therapeutic applications

G-quadruplexes regulate Epstein-Barr virus-encoded nuclear antigen 1 mRNA translation

HIV-1 integrase inhibitor T30177 forms a stacked dimeric G-quadruplex structure containing bulges

Novel bimodular DNA aptamers with guanosine quadruplexes inhibit phylogenetically diverse HIV-1 reverse transcriptases

Formation of a unique cluster of G-quadruplex structures in the HIV-1 Nef coding region: implications for antiviral activity

A dynamic G-quadruplex region regulates the HIV-1 long terminal repeat promoter

Anti-HIV-1 activity of the G-quadruplex ligand BRACO-19

Functional binding of hexanucleotides to 3C protease of hepatitis A virus

Simian virus 40 large T-antigen G-quadruplex DNA helicase inhibition by G-quadruplex DNA-interactive agents

The SARS-unique domain (SUD) of SARS coronavirus contains two macrodomains that bind G-quadruplexes

Role for G-quadruplex RNA binding by Epstein-Barr virus nuclear antigen 1 in DNA replication and metaphase chromosome attachment

The Herpes Simplex Virus-1 genome contains multiple clusters of repeated G-quadruplex: implications for the antiviral activity of a G-quadruplex ligand

DNA and RNA quadruplex-binding proteins

Latency-associated nuclear antigen of Kaposi's sarcoma-associated herpesvirus recruits uracil DNA glycosylase 2 at the terminal repeats and is important for latent persistence of the virus

Plasticity of DNA replication initiation in Epstein-Barr virus episomes

Visualization of DNA replication on individual Epstein-Barr virus episomes

Single molecule analysis of replicated DNA reveals the usage of multiple KSHV genome regions for latent replication

Selective extraction of polyoma DNA from infected mouse cell cultures

Concurrent expression of latent and a limited number of lytic genes with immune modulation and antiapoptotic function by Kaposi's sarcoma-associated herpesvirus early during infection of primary endothelial and fibroblast cells and subsequent decline of lytic gene expression

Quantitative analysis of human herpesvirus 8 viral load using a real-time PCR assay

Detection of circular and linear herpesvirus DNA molecules in mammalian cells by gel electrophoresis

Kaposi's sarcoma-associated herpesvirus latency-associated nuclear antigen inhibits major histocompatibility complex class ii expression by disrupting enhanceosome assembly through binding with the regulatory factor X complex

Circular dichroism and guanine quadruplexes

The latency-associated nuclear antigen tethers the Kaposi's sarcoma-associated herpesvirus genome to host chromosomes in body cavity-based lymphoma cells

BLM helicase facilitates telomere replication during leading strand synthesis of telomeres

Excess Mcm2-7 license dormant origins of replication that can be used under conditions of replicative stress

A model for DNA replication showing how dormant origins safeguard against replication fork failure

The contribution of dormant origins to genome stability: from cell biology to human genetics

Replication fork stalling at natural impediments. Microbiol

Pausing of simian virus 40 DNA replication fork movement in vivo by (dG-dA)n.(dT-dC)n tracts

Trinucleotide repeats affect DNA replication in vivo

Characterization of the minimal replicator of Kaposi's sarcoma-associated herpesvirus latent origin

DNA polymerase delta stalls on telomeric lagging strand templates independently from G-quadruplex formation

G-quadruplex-induced instability during leading-strand replication

Genetic instability triggered by G-quadruplex interacting Phen-DC compounds in Saccharomyces cerevisiae

Thermodynamic fingerprints of ligand binding to human telomeric G-quadruplexes

We thank M-P Teulade-Fichou for providing the Gquadruplex-stabilizing compound, PhenDC3. We thank Dr. Jason Shearer, University of Nevada, Reno for his help with the CD spectroscopy.