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[CANCER RESEARCH 33,1515 1526, June 1973] Evidence for RNA Tumor Viruses in Human Lymphomas Including Burkitt's Disease1 S. Spiegelman,2 D. Kufe, R. Hehlmann, and W. P. Peters Institute of Cancer Research and the Department New York, New York 10032 of Human Genetics and Development, Summary Human lymphomas (including Burkitt's disease) contain an RNA related in sequence to that of the Rauscher leu kemia virus. The viral-related RNA found in these lym phomas is a 70 S component encapsulated with RNA-instructed DNA polymerase in a particle possessing a den sity characteristic of the RNA tumor viruses. Further more, the DNA synthesized by the lymphoma particles hy bridizes specifically to the RNA of the Rauscher leukemia virus. The particles identified in 81% of human lymphomas and in 87% of Burkitt's tumors thus contain four features characteristic of a known oncogenic RNA agent. The relation of these RNA particles to the DNA-containing Epstein-Barr virus, an etiological candidate for Burkitt's lymphoma, remains to be established. Both or neither may be necessary, or one may be the true causa tive agent. Relevant to the ultimate resolution of these issues is the demonstration (reported herein) that the presence of Epstein-Barr virus information in nonneoplastic cells, such as in infectious mononucleosis, is not accompan ied by the appearance of RNA particles. We have used molecular hybridization to detect virusspecific RNA in tumors (2) and have found that corre sponding neoplasms of murine and human origin exhibit remarkable similarities. Thus, human breast carcinomas (3) contained RNA possessing sequence homology to RNA of MMTV.3 This type of RNA was unique to the malignant adeno- and medullary carcinomas, being undetectable in normal breast tissue and in such benign pathologies as fibrocystic disease and fibroadenoma. In keeping with the known unrelatedness of the murine leukemogenic and mammary tumor viruses, we found that breast cancer RNA did not hybridize to DNA comple mentary to the RNA of RLV. Finally, and more compelling was the demonstration that human leukemic cells (10) 1Presented at the American Cancer Society Conference on Herpesvirus and Cervical Cancer, December 8 to 10, 1972. Key Biscayne, Fla. This research was supported by the NIH, National Cancer Institute. Special Virus Cancer Program Contract 70-2049. and Research Grant CA-02332. 2Presented by. 3The abbreviations used are: MMTV, mouse mammary tumor virus: RLV, Rauscher leukemia virus; AMV, avian myeloblastosis virus; EBV, Epstein-Barr virus; pRNA, polysomal RNA: TNE buffer, 0.01 M Tris-HCl (pH 8.3), 0.15 M NaCl, 0.01 M EDTA; RSV, Rous sarcoma virus. College of Physicians and Surgeons of Columbia University, and human sarcomas (15) both contain RNA with homol ogy to RNA of RLV, not to that of MMTV. The pursuit of this intriguing concordance between the neoplasms of mice and humans was of obvious interest. From the viewpoint of etiology and cellular pathology, lymphomas in mice are linked to the leukemias and sar comas. In addition, some human lymphomas are accom panied by the clinical appearance of a peripheral leukemia. In any event, if human neoplasms parallel those observed in mice, one might expect that human lymphomas would, like the leukemias and sarcomas, contain RNA uniquely homologous to that of a mouse leukemia agent. Of par ticular interest is Burkitt's lymphoma, a disease as sociated with a DNA-containing herpes-like agent. Viral-related RNA in Hodgkin's Disease and Other Human Lymphomas We present evidence herein that human lymphomas, in cluding Hodgkin's disease, lymphosarcomas, and reticulum cell sarcomas, contain RNA exhibiting homology to the RNA of RLV, but not to the unrelated RNA's of either MMTV or AMV (11). As summarized in Chart 1, 69% of the RNA's derived from lymphomas yielded positive hy bridizations with RLV DNA, whereas none of the 48 con trol tissues was positive. Furthermore, the RNA de rived from Hodgkin's lymphoma showed no significant reactions with either AMV or MMTV DNA. RNA Related to That of a Murine Leukemia Virus in Burkitt's Tumors Discovery of RNA homologous to that of the murine leukemia virus in human lymphomas immediately raises the issue of Burkitt's disease, a malignant lymphoma found in children living in a geographical belt extending across Central Africa. There exists serological (12) and nucleic acid hybridization (23) evidence linking this dis ease to EBV, a herpes-like virus that contains DNA de tected in (6) and isolated from (7) Burkitt's lymphoma cells grown in culture. Since a causal relation between EBV and Burkitt's tumor has not been conclusively established, it is pertinent to inquire whether this lyphoma, like the others examined here, contains RLV-related RNA. A study of 21 African Burkitt's lymphomas clearly demonstrated that 76% contained RNA related to that of the RLV but not to that of MMTV or AMV. The pRNA JUNE 1973 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. 1515 Spiele/man, Kufe, Hehlmann, and Peters Tumor Tissue buffer. The cytoplasmic pellet is then treated with NP-40 to disrupt possible virus particles and is used in a standard endogenous reverse-transcriptase reaction to generate DNA-3H after 15 min of synthesis at 37°.The reaction product was freed of protein by treatment with sodium dodecyl sulfate and phenol and was subjected to sedimen tation analysis in a 10 to 30% glycerol gradient with suit able markers for determination of the apparent size dis tribution of the DNA synthesized. In a reaction mediated by a B- or C-type virus, DNA-3H will sediment in a 70 S region of the gradient representing the 70 S RN A/DN A-3H early reaction product. Features such as sensitivity to RNase and the require ment for all 4 deoxyribonucleoside triphosphates can also be used to demonstrate that the appearance of the 70 S RNA:DNA-3H complex is in fact the result of a reversetranscriptase reaction. However, due to the possibility of nontemplated, end-addition reactions, the most definitive proof finally demands that the DNA-3H synthesized be hybridizable to an RNA derived from a known oncogenic virus. The successful use of the simultaneous detection technique to detect RNA viruses in mouse and human Normal Human Tissues 15-14-8-7-toe 6-1g s-t/i ~C3O 4 1o 3-2-1 -t•••^j^&ItfBBxx¿¿§AAA A¿iA2^AOff)00^65eCPDV O. CO ^ .— 2'S OH Chart I. Results of hybridization reactions with RLV DNA-3H and pRNA from human lymphomas and normal human cells. The normal tissues tested are: normal white blood cells (X); PHA-stimulated lym phocytes (B): human lymphocyte cell line NC-37 (®);lymph nodes, spleens, and other adult tissues [including liver (A), intestine (O), and striated muscle (D)]; and fetal tissues [including liver (A), lung (V). limbs (O), and placenta (D)]. The reactions were then subjected to Cs2SO4 equilibrium density centrifugation as described by Axel el al. (2). The amount of RLV DNA-3H hybridized to cell RNA is expressed as de scribed by Hehlmann el al. (11). i, S.D. extracted from a variety of 51 normal human tissues, in cluding African biopsies and an EBV-containing lymphoblastoid cell line (NC-37), did not show significant an nealing to the RLV DNA. These results have been de scribed in detail (16) and are summarized in Chart 2. An Analysis of the Significance Human Neoplasia of Viral-related Tumor Tissue with Rauscher DNA Normal Human Tissues •¿10-8-M•x 14}, 706-Q.0 Cx 5-fO4-3-2-1 RNA in The existence of viral-related RNA in human neoplasms does not of course establish a viral etiology for this disease. One must perform experiments designed to answer the following questions, (a) How large is the RNA being de tected? (b) How much homology does it in fact have to the RLV RNA? (c) Is the viral-related RNA associated with a reverse transcriptase (RNA-instructed DNA polymerase), and is it located in structures characteristic of incomplete or complete virus particles? The requisite techniques re solving these issues were developed (10, 20-22) and were applied to extracts of human tumors and normal tissues in a search for evidence of oncogenic RNA viruses. The enrichment of possible virus particles is accomplished by disruption of the cells in the presence of EDTA, to destroy the ribosomal structures. After removal of nuclei and mitochondria, the cellular supernatant is centrifuged at 98,000 x g through 20% glycerol in the TNE 1516 Hybndizotions -1.iI-i«fT-An""•xx^AAAa"?"2fOD-A-03coDV c5 « E ^( ; DO -i e e lili $ = § £ 13 "O < cn in p w o ir Chart 2. Results of hybridization reactions with RLV DNA-3H and pRNA from Burkitt's tumors and from normal human cells. The pRNA's of normal tissues were derived from normal white blood cells (X); PHA-stimulated lymphocytes (gj); human lymphocyte cell line NC-37 (®). spleens; and other adult tissues [including liver (A), intestine (O), and striated muscle (D)]; fetal tissues [including liver (A), lung (VK limbs (O). placenta (D)]; and African control tissues [tonsillitis (A) and benign mandibular cyst (D)]. The reactions were then subjected to Cs »SO 4equilibrium density centrifugation. as described by Kufe et al. (16). CANCER RESEARCH VOL. 33 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. RNA Tumor Viruses and Human Lymphomas milk (21, 22) led to the demonstration of complexes of 70 S RNA and reverse transcriptase in peripheral white blood cells of 95% of leukemic patients (4) and in 79% of human breast cancers examined (1). In both of these can cers, high-molecular-weight RNA was found to be en capsulated with reverse transcriptase in a particle posses sing the density characteristic of the RNA tumor viruses. The Simultaneous Detection of 70 S RNA and Reverse Transcriptase in Human Lymphomas Chart 3A shows a representative outcome of a 70 S RNA: DNA complex synthesized by the pellet fraction from an involved spleen of a patient with Hodgkin's dis ease. In certain samples, additional 80r peaks have been B 60RNAase 40 70 S RNÄ 52 S RNÄ !2 10 Fraction Number 15 30 Fraction Number 100 80 60r ijO|- 60 70SRNA 40 70 S RNA O 20 X f I 2 10 Fraction 15 20 Number 23 Fraction Number Chart 3. Detection of 70 S RNA DNA-3H in human lymphoma tissue. A and B, Hodgkin's disease (RP and 263, respectively), C, normal spleen (24414), D, uninvolved spleen from Hodgkin's disease patient (JG). Five g of tissue were finely minced and disrupted with a Silverson homogenizer at 4°in TNE buffer. This suspension was centrifuged at 4000 x g for IO min at 2°.The resulting supernatant fluid was then layered on a 13-ml column of 20% glycerol in TNE buffer and spun at 98.000 x g for I hr at 4°in a Spinco SW-27 rotor. The resulting pellet was resuspended in 0.5 ml 0.01 MTris-HCI (pH 8.3), brought to 0.19 Nonidet P-40 (Shell Chemical Co.. New York. N. Y.). and incubated at 0°for 15 min. DNA was synthe sized in a reverse-transcriptase reaction mixture (final volume, I ml) containing: 50 Amólesof Tris-HCI (pH 8.3): 20 Amóles0.09% NaCl solu tion; 6 AmólesMgCI2; 100 jumóleseach of dATP, dGTP, and dCTP; and 50 /¿moles dTTP-3H (50 Ci/mmole). Actinomycin D (50 /jg/ml) was added to inhibit DNA-instructed DNA synthesis. After incubation at 37°for 15 min, the reaction was adjusted to 0.2 M NaCl and 1% sodium dodecyl sulfate. An equal volume of a phenol:cresol (7:1) mixture containing 8-hydroxyquinoline (0.2 g/100 ml of mixture) was added, and the final mixture was shaken for 5 min at 25°.The aqueous phase was then layered over a linear glycerol gradient (10 to 30% in TNE buffer) and centrifuged at 40,000 rpm for 180 min at 2°.Fractions were collected from below and assayed for trichloroacetic acid-precipitable radioactivity. As shown in Chart Iß,one aliquot of the product was run directly on the glycerol gradient, while the other aliquot was incubated in the presence of RNase A (50 Mg/ml) and RNase T, (50 jug/ml) for 15 min at 37°prior to sedimentation analysis. JUNE 1973 1517 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. Spiegelman, Kufe, Hehlmann, and Peters observed at positions 52 S and 35 S. As shown in Chart 35, peaks are detected at both the 70 S and 52 S positions. It is further demonstrated that these complexes are due to an RNA-dependent reaction, as prior treatment with RNase eliminates both of the peaks. When equivalent quantities of either a normal or an uninvolved spleen from a patient with Hodgkins' disease are analyzed by the same technique, no incorporation of TTP-3H is detected in a rapidly sedimenting structure (Chart 3, C and D). Table 1 summarizes the findings with 36 human lymphomas, which include 28 Hodgkin's disease specimens, 6 lymphosarcomas, and 2 reticulum cell sarcomas (D. Kufe, R. Hehl- Table 1 Tests for viral-specific RNA in human lymphomas S"Hodgkins 70 RXN" Sensitivity'+ disease133109344123660149159112947492206197112622295622142424812516161165913109L 1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.16.17.18.19.20.21.22.23.24.25.26.27.28.1.2.3.4.5.6.I.2.1.2.3.4.5.Tumor249234 ++ NT"+ ++ ++ NT+ node)263274218223241270245252227269218SZ253259229248281283293286284AK2282442972242622542440526829 (lymph NT-14.4 4_+ NT+ 4—4 4+ NT_+ +4 4+ NT+ NT+ NT+ NT4 +__4 4+ NT_+ NT4 vmphosarcoma29542158118524128Reticulum ++ 4+ NT+ NT—+ NT+ sarcoma83112av. cell 80.6%7 positive of 36 = 19.4%MiLvVfWi173Acpm negative of 36 = 4+ +av. cpmHypersplenism1741756X199av. = 302 cpmav. of negatives = 16 ofcpm4 positives = 371 44 4+ 4—= 89 cpmRNase " Acid-precipitable radioactivity found in the 70 S region of the glycerol gradients, as described in the legend to Chart 3. 6 RXN, the positivity or negativity of a reaction (designated as positive if the cpm exceed 30). 'Degradation by RNase A and T, of acid-precipitable radioavtivity in the 70 S region of the glycerol gradients, as described in the legend to Chart 3. " NT, not tested. 1518 CANCER RESEARCH VOL. 33 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. RNA Tumor Viruses and Human Lymphomas Table 1—Continued Diagnosis Specimen cpm 70 S° RXN" spleens\.2.3.4.5.6.7.8.9.10.11.12.13.14.GlioblaslomaMalignant Control melanomaCancer pancreasMultiple of myelomaCancer lungAnemiaMyocardial of infarctionArteriosclerotic diseaseHodgkins heart spleen)Myocardial disease (noninvolved infarctionMeningiomaMyocardial infarctionCarcinoma breastHodgkins of disease (noninvolved spleen)2440924408244072440424406244122441324414JG2443524417244322441525014451522194611292 = 14 cpm_-----------—- mann, W. Peters, A. Fjelde, and S. Spiegelman. Particles Encapsulating RNA-instructed DNA Polymerase and High Molecular Weight Virus-related RNA in Human Lymphomas, in preparation). Included also are 14 uninvolved spleens, with the diagnosis at the time of autopsy, and 5 cases of hypersplenism. The number of cpm in the 70 S region of the glycerol gradient, as determined by external size markers, was taken as a measure of the pres ence and extent of the reaction. The average cpm in the 70 S region for the control series was 14 whereas, in con trast, the malignant tissues yielded an average of 302. In view of the low value of the controls, we have arbitrarily designated as positive any reaction that yielded more than 30 cpm in the 70 S region. With these criteria, all of the control samples were negative and 80.6% of the malignant tissues were positive. Fifteen of the positive tumors were tested for RNase sensitivity of the 70 S DNA complex, and in each of them the complex was degraded. Note that 3 cases of hypersplenism yielded positive responses, which were sensitive to RNase. The significance of this fact and its possible relation to premalignant conditions requires further investigation. The demonstration of a 70 S RNA: DNA complex that is sensitive to RNase argues for the presence of a RNAdependent reaction. However, due to the possibility of nontemplated end-addition reactions, a more definitive proof demands that the DNA-3H synthesized be hybridizable to the relevant "oncogenic" RNA template. One approach to the question is to compare the an nealing of the DNA-3H with pRNA isolated from tumors and normal tissues. If the synthesized DNA-3H is specific, then only lymphomas should contain the complementary template and possess hybridizable RNA. Another approach is to hybridize the DNA-3H with 70 S RNA prepared from RLV or RD-114 virus. Positive outcomes would be expected from the earlier demonstra tions that human lymphoma pRNA hybridizes to syn thetic DNA complementary to RLV RNA (11) and to RD-114 RNA. Furthermore, on the basis of these DNA: RNA hybridization studies, the DNA-3H prepared from lymphoma tissue extracts should possess greater homology with RD-114 RNA than with RLV RNA and, if it is specific, the DNA-3H should not hybridize to the 70 S RNA's of the unrelated AMV or RSV. In order to avoid the loss that accompanies the isola tion of the DNA synthesized from its 70 S complex in a glycerol gradient, the total DNA product of an endoge nous reaction was deproteinized and subjected to Sephadex G-50 column chromatography, and the appropriate fractions were alcohol precipitated. The resulting nucleic acid pellet was then extensively alkali digested to destroy RNA, and the DNA-3H was recovered. The isolation of cellular pRNA has been described previously (2). Chart 4A shows a Cs2SO4 equilibrium gradient profile of an annealing reaction between human DNA-3H product synthesized from a lymphoma spleen (Table 1, Tumor 228) and pRNA isolated from the same tumor. It is evident that approximately 7.5% of the DNA-3H is shifted from the DNA to the RNA region of the gradient. Upon an nealing Tumor 228 DNA-3H to an equivalent amount of pRNA isolated from a normal spleen, we noted no signifi cant amount of hybridization (Chart 4B), and only 0.5% of the DNA-3H was detectable in the RNA region of the gradient. Chart 5A shows a Cs2SO4 equilibrium gradient profile of an annealing reaction between DNA-3H from Hodgkin's disease spleen (Tumor 211) and the RLV 70 S RNA. It is clear that approximately 10% of the DNA-3H has shifted to the RNA region of the gradient. Upon an nealing an equivalent amount of AMV 70 S RNA to the same DNA-3H, we observed no significant shift to the RNA or hybrid region (Chart 5B). In view of the finding that RD-114 DNA-3H hybridizes to pRNA from human lymphomas to a greater degree than does RLV DNA3H, it was interesting to determine whether DNA-3H synthe sized from a lymphoma spleen would hybridize to RD-114 RNA. Chart 5C shows a profile of an annealing reaction between DNA-3H from a lymphoma spleen (Tumor 228) and RD-114 RNA. Approximately 36% of the DNA-3H has shifted to the RNA and hybrid region of the gradient, over 3 times that observed in similar reactions with RLV RNA, whereas no significant shift is observed when an nealing to an equivalent amount of RSV RNA (Chart 5D). The results obtained from annealing reactions of DN A-3H JUNE 1973 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. 1519 Spiegelman, Kufe, Hehlmann, and Peters 20OO r -.1.8 20 Fraction Chart (Tumor 4. Cs2SO« density profiles 228) (A), and to normal reactions 24432) pRNA 30 Fraction Number Number of annealing spleen (Tumor 25 of human lymphoma (B). A standard (Tumor RNA-instructed 228 DNA-3H to human DNA polymerase lymphoma reaction spleen pRNA was performed as de scribed in the legend to Chart 3. except that the glycerol gradient sedimentation step was omitted. The aqueous phase was instead subjected to Sephadex G-50 column chromatography, and the DNA-3H was isolated and precipitated with 2 volumes of ethanol. The precipitate was digested in 0.4 M NaOH for 24 hr at 43°and neutralized. The DNA-3H product was then annealed to 300 pg of pRNA isolated from the lymphoma spleen and the normal spleen. The hybridization reac tion (50 /¿I)was performed, in the presence of 50% formamide and 0.4 M NaCl. After annealing for 24 hr at 37°,the reaction mixture was subjected to Cs2SO4 density analysis. synthesized in human lymphomas with cellular and viral RNA's are summarized in Table 2. The Simultaneous Detection of 70 S Reverse Transcriptase in Burkitt's Tumors RNA and The data described thus far indicate that human lym phomas contain (a) particles that encapsulate reverse Chart 7, A, B, and C shows representative 70 S RNA: transcriptase and (b) a 70 S RNA related to that of RLV DNA complexes synthesized by the pellet fractions of and RD-114. In order to determine whether this particle biopsy specimens of Burkitt's tumors (17). In certain possessed the density characteristic of an RNA tumor samples, additional peaks have been observed at po virus, we prepared the pellet fraction from human lym sitions of 35 S. It is further demonstrated (Chart 1C) that phomas and subjected it to sucrose equilibrium centrifuga- these complexes contain a 70 S RNA molecule, since prior tion on a linear gradient of 20 to 60% sucrose. The gradient treatment with RNase eliminates the peak. When equiv was then divided into 10 equal fractions that were diluted alent quantities of peripheral white cells of a patient with to 15% sucrose and again spun at 100,000 x g for 1hr. infectious mononucleosis were analyzed by the same tech We then carried out simultaneous detection tests on the nique, we detected no incorporation of TTP-3H into a pellet from each fraction to determine the distribution in rapidly sedimenting structure (Chart ID). Table 3 summarizes the findings with 11 Burkitt's tu the density gradient of 70 S RNA-instructed DNA-synthesizing activity. Chart 6 shows that the particles mors and indicates the site of involvement, whether the possessing the reverse transcriptase and its 70 S RNA tumor was primary or secondary, and the modality of template localize at a density of 1.23 g/ml, the density chemotherapy. The 70 S region of the glycerol gradient characteristic of cores of the oncogenic viruses. Six lym was located with the aid of external size markers, and the phomas were studied in this manner (R. Hehlmann, D. number of cpm included in it was taken as a measure of the presence and extent of the reaction. The Burkitt's tu Kufe, and S. Spiegelman. The Density of RNA-containing Particles in Human Lymphomas, in preparation), and mors as a group yielded an average of 304 cpm in the 70 S the 70 S RNA reverse-transcriptase activity was localized region, compared with an average of 11 cpm for nonBurkitt control material listed in Table 4. On the basis of at either the 1.16 or 1.19 g/ml density region (charac teristic of the complete virus particle), or at the "core" the low average for negatives, we have arbitrarily desig nated any reaction yielding more than 30 cpm in the 70 S density region of 1.23 to 1.26 g/ml. 1520 CANCER RESEARCH VOL. 33 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. RNA Tumor Viruses and Human Lymphomas 5 10 15 Fraction 20 25 30 5 Number 10 15 Fraction 20 25 SO Number 300 DNA 240 240 120 5 IO 15 Fraction Chart 5. Annealing obtained and hybridized reaction of lymphoma as described 20 25 30 RNA. in the legends to Charts 2 and 3. Lymphoma DNA-3H pRNA1. Tumor +4.241 +5. 224 tested."RD-114 NT, not RNA.CRSV RNA.Normalspleen JUNE 1973 20 25 Number equilibrium was gradient centrifugation. With these criteria, 2 of the Burkitt's tumors listed in Table 3 were negative, yielding an average of 14 cpm, and 9 were positive, with an average of 364 cpm in the 70 S region. Six of the positive tumors were tested for RNase sensitivity of the 70 S RNA: DNA complex, and in every instance the complex was destroyed. Four more Burkitt's tumors were examined (Table 6) and pRNA_NT—_._-RLV RNA++NTNTNTNT+ RNA__NTNTNTNTc +2. 234 NT"3. 211 +6.229 +7.286 +0 228 15 reactions were analyzed by CsjSOt region as positive. Hybridization of lymphoma DNA-3H product to tumor pR NA and normal spleen pRNA, to RL V and AMV RNA, or lo RD-I 14 and RSV Fraction DNA-3H to I jig of 70 S RNA from (A) RLV, (B) AMV, (C) RD-I 14, and (D) RSV. The DNA-'H in the legend to Chart 4. The annealing Table 2 As described IO Number "AMV found to be positive. Thus, 87% of the Burkitt samples included in this survey gave clear positive responses. Table 4 lists a set of 6 non-Burkitt samples examined by the simultaneous detection test. These were chosen as controls for examination, since they are particularly rele vant to the relation of EBV to the RNA particles detected in the Burkitt's tumors. The 1st is derived from the peripheral white blood cells of a patient with infectious mononucleosis, a self-limiting nonneoplastic condition in which prospective studies (13, 19) have strongly impli- 1521 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. Spiegelman, Kufe, Hehlmann, and Peters -x^^-XM2 S o40 ÃŽ3330 <"20 S?IO0 4XE o Its behavior in glycerol gradients and its response to RNase demonstrate the RNase-sensitive synthesis of an RNA DNA-3H complex, with a sedimentation coefficient 21/1.27r~1.25°=l.23->-1.201.17 1 1.14 1.0712345678-,60---«.X1.01950 [ cated the EBV. The 2nd is a cell line derived from the lymphocytes of an infectious mononucleosis patient. This line and the remaining 4 lymphoblastoid lines listed are known to contain the EBV genome, on the basis of the presence of virus-associated antigens (14). All of these lines were negative for the 70 S RNA-directed DNA polymerase. It is clear that the existence of EBV information is not mandatorily linked to the detectable presence of the RNA particles found in Burkitt's tumors. , II Chart 6. Localization of 70 S RNA reverse-transcriptase complexes isolated from Hodgkin's spleen on a sucrose density gradient. The amounts of DNA-3H (cpm) sedimenting in the 70 S region of each glycerol gra Fractions dient are plotted in the form of a histogram. 28S I8S lOO ÃŽOOrA 50 200 100 50 70S 70S l Froction Fraction Number Number 200r C 8Or D 100 60 50 40 20 —¿ »•^•«^f^» IO Froction 15 20 Number «»f »«•¿ «^ 15 25 Fraction 20 25 30 Number Chart 7. A, B, and C, detection of 70 S RNA:DNA-3H in Burkitt's lymphoma tissue: D, peripheral white blood cells from a patient with acute mononucleosis. The procedure is as described in the legend to Chart 3. In C, one aliquot of the product was run directly on the glycerol gradient, while the other aliquot was incubated in the presence of RNase A (50 jig/ml) and RNase T, (50 Mg/ml) for 15 min at 37°prior to sedimentation analysis. 1522 CANCER RESEARCH VOL. 33 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. RNA Tumor Viruses and Human Lymphomas Table 3 Simultaneous detection of 70 S RNA and reverse transcriptase in Burkitt's lymphomas Preparation of tumor pellet fractions and assay for synthesis of 70 S RNA: DNA-3H complex is as described in the legend to Chart 3. The sum of the cpm in the 70 S position monitored by external size markers is recorded and is designated as positive if the cpm exceeds 30. RNase sensitivity de picts abolition by RNase A and T, of acid-precipitable radioactivity in the 70 S region of the glycerol gradients, as described in the legend to Chart 3. The clinical data, including modality of chemotherapy at the time of biopsy, are self explanatory. RNase70 or RXN1239 S Sensitivity Name1.2.3.4.5.6.7.8.9.10.11.AnNaluLuIrKeAmAlPaPwNaAge55757441912SexFFMFMMFFFMFSiteOvaryOvaryOrbitOvaryAscitesMesenteryOrbitOvaryRight secondaryInitialInitialRelapseRelapseInitialInitialRelapseInitialInitialInitialInitialTreatmentNoneNoneCTX,° +196 +786 VCRCTXNoneNoneCTXNoneVCR, MTX, +243 +100 +111652 +224 +430 +48 ORTNoneNonecpm mandibleCervical lymphnodeOvaryPrimary + + + + + + NT NT NT av. = 304 cpm av. of positives = 369 cpm av. of negatives = 14 cpm 9 positive of 11 = 2 negative of 11 = 18% "The tested. abbreviations used are: CTX, + cyclophosphamide; MTX, methotrexate; VCR, vincristine: ORT, orthomerphalan; NT, not Table 4 Simultaneous detection of 70 S RNA and reverse transcriptase in peripheral white blood cells from a patient (SL) with infectious mononucleosis and in lymphoblasloid cell lines The lymphoblastoid cell lines have been shown to contain the EBV genome on the basis of ex pression of early antigen, viral capsid antigen, or membrane antigen ( 14). Preparation of cellular pellet fractions and assay for synthesis of 70 S RNA:DNA-3H complex are as described in the legend to Chart 3. The sum of the cpm in the 70 S position, determined by external size markers, is recorded and is designated as positive if the cpm exceeds 30. 70S111268719RXN_-___ mononucleosisInfectious 1.2.3.4.5.6.CellsSL833-LF265L33-I-I6-I9303-LNC-37DonorInfectious mononucleosisNormalNormalNormalNormalcpm av. cpm = 11 of 70 S in extracts of Burkitt's tumors. However, due to the possibility of nontemplated end-addition reactions, more definitive evidence again demands that the DNA-3H synthesized be hybridizable to its presumed RNA tem plate. One approach to the resolution of such issues is to com pare the annealing of the DNA-3H with cytoplasmic pRNA isolated from Burkitt's tumors and normal tissue. If the DNA-3H synthesized by the Burkitt's particles is tumor specific, then Burkitt's tumors should (and normal tissue should not) possess hybridizable RNA. Another pathway depends on our previous (16) findings that Burkitt's tu mors contain RNA homologous to that of the RLV. Con sequently, if the DNA-3H synthesized by the Burkitt's tu mor particles is instructed by an RNA related to that of the RLV, hybridization should occur with the RLV RNA and not with the unrelated AMV RNA. JUNE 1973 We prepared DNA-3H product complexed to 70 S RNA by performing an endogenous RNA-instructed DNA polymerase reaction with the pellet fraction from a Burkitt's tumor. Following velocity centrifugation of the reaction product, the DNA-3H:RNA complex sedimenting in the 70 S region of the glycerol gradient was isolated by being pooled, precipitated with alcohol, and then analyzed on a Cs2SO4 gradient (Chart 8/4). Some DNA is released during the manipulation, but most of the product bands in the RNA density region, which indicates that most of the DNA molecules remain complexed to large RNA molecules. Following alkali digestion to re move the RNA, the resulting purified DNA-3H was annealed to 70 S RNA's prepared from RLV and AMV. The outcomes of the annealing reactions were analyzed in Cs2SO4 gradient (Chart 8). It is clear from Chart 85 that the Burkitt's DNA-3H is unable to hybridize to 1523 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. Spiegelman, Kufe, Hehlmann, and Peters , 50 Ë IO Fraction Number 100 IO Fraction 15 20 25 30 35 Number 25 Fraction 30 Number Chart 8. Characterization of 70 S RNA: DNA-3H complex from abstracts of Burkitt's tumors. A simultaneous detection assay was performed on the pellet fraction from a Burkitt's tumor (An) and analyzed by glycerol velocity centrifugation as described in the legend to Chart 3. Aliquots of the glycerol gradient fractions were assayed for trichloroacetic acid-precipitable counts, and the 70 S RNA: DNA-3H complex was pooled and precipitated with 2 volumes of ethanol in the presence of yeast-carrier RNA (10 ng/ml final concentration). After centrifugation at 10,000 x g for 30 min at -20°, the precipitate was resuspended in TNE buffer and divided into 3 aliquots. Aliquot I (A), was added directly to 11 ml of half-saturated cesium sulfate (Gallard-Schlesinger Chemical Mfg. Corp., Carle Place, N. Y.) in 0.003 M EDTA (p = 1.52 g/ml) and centrifuged in a Spinco 50 Ti rotor at 44,000 rpm for 60 hr at 15°.Aliquots 2 and 3 were digested in 0.4 MNaOH at 43°for 24 hr, neutralized with HC1 in the presence of 0.01 MTris-HCl, pH 7.4, and brought to 50% formamide (Eastman Organic Chemicals. Rochester, N. Y.). After heat denaturation for 10min at 80°.Aliquot 2 was hybridized to 0.1 j£g AMV RNA (A), and Aliquot 3 was hybridized to O.I /¿gRLV RNA (C) in the presence of 50% formamide and 0.4 M NaCI for 18 hr at 37°. The annealing reactions were then analyzed by Cs2SO4 density analysis. Table 5 Hybridization of Burkin's tumor DNA-3H produci lo 300 fig of Burkill's tumor pRNA, to 300 ng of normal Ivmph node pRNA, to O.I ng ofRLV RNA, and to O.I ng of AMV RNA The hybridization reaction (50 ¿¡1) was performed in the presence of 50% formamide and 0.4 M NaCI. Annealing conditions and Cs2SO4 gradient analysis are described in the legend to Chart 4. tumorpRNAAn BurkittDNA-3H1. node RLV RNA-pRNA RNA+NT An2. Na3. Ny's ++NT"NTLymph ; Na +NT +AMV " NT, not tested. AMV RNA but does complex to RLV RNA (Chart 8C). Table 5 summarizes the results of annealing reactions with DNA-3H's synthesized by particles from 3 different Burkitt's tumors. In all cases, specific hybridizations occur only with RLV RNA or Burkitt's tumor RNA. This outcome is logically consistent with our earlier demon 1524 stration (16) that Burkitt's tumor RNA hybridizes to DNA complementary to RLV RNA but not to DNA comple mentary to AMV RNA. The data thus far described indicate that Burkitt's tu mors contain both particles that encapsulate reverse transcriptase and a 70 S RNA related in sequence to that of the RLV. It was of interest to see whether the par ticles possessed the density characteristic of an RNA tumor virus. To this end, a pellet fraction was prepared from a Burkitt's tumor and subjected to equilibrium centrifuga tion in a linear gradient of 15 to 55% sucrose. The gradient was then divided into 10 equal fractions that were diluted to 15% sucrose and again spun at 100,000 x g for l h r. Simultaneous detection tests were then carried out on the pellet from each fraction to determine the distribution in the density gradient of 70 S RNA-instructed DNA syn thesizing activity. Chart 9 shows that the particles pos sessing 70 S RNA-instructed DNA polymerase localize within a density of 1.16 to 1.19, the density range charac teristic of the oncogenic RNA viruses. As summarized in Table 6, 3 Burkitt's tumors and 1 African histiocytic lym- CANCER RESEARCH VOL. 33 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. RNA Tumor Viruses and Human Lvmphomas 1.25. 120 1.15-^ LIO : ~|2 4 o (O ,X11 A 1Ev\i—s,Nk\ IIi11///I» E Q. \1\\ni ^^' A —¿ y i a su E x I Fraction Number Chart 9. Sucrose gradient localization of 70 S RNA and RNA-instructed DNA polymerase activity in extracts of Burkitt's tumors. A pellet fraction was prepared from Burkitt's tumor (Ny), as in the legend to Chart 3. The pellet was resuspended in TNE buffer and layered on linear gradient of 15 to 55% sucrose in TNE and spun in a Spinco SW-27 rotor at 4°for 210 min. The gradient was dripped from below through a recording Gilford spectrophotometer at A2<0. and 10 equal fractions were collected. Each fraction was diluted with TNE to a sucrose con centration of less than 15% and then was spun at 100,000 x g. The pel let obtained from each of the 10 fractions was then subjected to the simul taneous detection assay (as described in the legend to Chart 3), and the amount of 70 S RNA:DNA-3H synthesized from the 10 different den sity regions was determined by glycerol velocity centrifugation. phoma were analyzed in a similar manner, and all of them gave the same results. Discussion As in our previous studies with human leukemia (4) and breast cancer (1), the experiments described herein Sucrose gradient localization The amount of 70 S RNA:DNA-3H were performed to elucidate the possible etiological sig nificance of our earlier (11) detection in human lymphomas, including Burkitt's tumors (16), of RNA uniquely homolo gous to that of the RLV. The data obtained show that at least a portion of the RNA we found exists in the form of a 70 S RNA associated with an RNA-instructed DNA polymerase in a particle with a density between 1.16 and 1.19 g/ml. The particles thus identified in the cells from both of these cancers have at least 3 of the biochemical and physical features diagnostic of the RNA tumor viruses. Of further interest was the demonstration that the DNA-3H synthesized by the lymphoma or the Burkitt's tumor reverse transcriptase on its own endogenous tem plate hybridizes specifically to lymphoma pRNA, RLV RNA, or RD-114 RNA. The lack of response to AMV RNA and RSV RNA argues against the possibility that complexing is due to polyadenylate stretches found in RNA tumor viruses (5, 8, 18). The successful specific hybridization to RLV RNA or RD-114 RNA by the DNA-3H synthesized by the tumor enzyme and its RNA template are consonant with the reasoning of the earlier ex periments (9, 11) in which DNA synthesized from RLV RNA or RD-114 RNA were used as probes to find viral-related information in human lymphomas and in Burkitt's disease. Twenty-nine of the 36 lymphomas examined gave evi dence of the presence of the 70 S RNA:reverse-transcriptase complexes, whereas none of the 14 uninvolved spleens yielded positive responses. It should be empha sized that negative outcomes with the neoplastic or control samples cannot be accepted as evidence for the absence of the relevant reaction. In fact, 3 cases of hypersplenism with no overt evidence of cancer yielded positive 70 S re actions. On the basis of our studies thus far, it appears that certain nonmalignant states may show evidence of a positive reaction leading to the formation of a 70 S RNA: DNA complex. It is relevant to recall that we reported (21) the presence of 70 S RNA and reverse transcriptase in the milk of normal cancer-free women. Of the 15 Burkitt's tumors examined, 13 (or 87%) gave unambiguous evidence of the presence of 70 S RNA : RNAinstructed DNA polymerase complexes. Of particular inter est are the negative results with the 6 types of cells reported of 70 S RNA Table 6 and RNA-instructed Burkitt's tumors synthesized by an endogenous DNA polymerase RNA-instructed activity in extracts of DNA polymerase was determined by glycerol velocity centrifugation for each of 10 sucrose density fractions, as described in the legend to Chart 3. The density fraction or fractions yielding the maximum number of cpm in the 70 S region are listed. The reaction is designated as posi tive if the cpm in the 70 S region exceeds 30. The clinical data, including modality of chemotherapy at the time of biopsy, are self explanatory. Name1. Na2. II3. Ny4. Oy"Age1110128SexFFFMSiteRetroperitonealOvaryOvarySpleenPrimaryorsecondaryResistantInitialInitialInitialTreatmentCTX"NoneNoneNonecpm70S13216016347633Densityregi ' CTX. cyclophosphamide. 1 Histiocytic lymphoma. JUNE 1973 1525 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. Spiegelman, Kufe, Hehlmann, and Peters logical and Biological Studies on a Virus in Cultured Lymphoblasts in Table 4. Numbers 2 to 6 are known to contain EBV in from Burkitt's Lymphoma. J. Exptl. Med., 121: 761-770, 1965. formation, on the basis of hybridization or the possession of 8. Gillespie, D.. Marshall, S., and Gallo, R. C. RNA of RNA Tumour early, virus coat, or membrane antigens associated with EBV Viruses Contains Poly A. Nature, 236: 221 231, 1972. (14). The 1st 2 control cells listed were derived from pa 9. Gulati, S. C., Axel. R., and Spiegelman, S. Detection of RNA-in tients with infectious mononucleosis, a nonneoplastic structed DNA Polymerase and High Molecular Weight RNA in disease implicated with the EBV (R. Hehlmann, D. Malignant Tissue. Proc. Nati. Acad. Sei. U. S., 69: 2020 2024, 1972. Kufe, and S. Spiegelman. The Density of RNA-con- 10. Hehlmann, R., Kufe, D., and Spiegelman. S. RNA in Human taining Particles in Human Lymphomas, in preparation). Leukemic Cells Related to the RNA of a Mouse Leukemia Virus. Proc. Nati. Acad. Sei. U. S., 69: 435-439, 1972. If a more extensive study confirms this pattern in infec tious mononucleosis, evidence would be provided iden 11. Hehlmann. R., Kufe, D., and Spiegelman, S. Viral-related RNA in Hodgkins' Disease and Other Human Lymphomas. Proc. Nati. tifying the RNA particles as unique components of neoAcad. Sei. U. S., 69: 1727 1731, 1972. plastic tissues. In any case, it is evident from the results shown in Table 4 that EBV information can be present in 12. Henle, G., Henle, W., Clifford. P., Diehl, V.. Kafuko, G., Kirya, B., cells that lack the type of RNA particles found in Burkitt's Klein, G. Morrow, R., Munube, G., Pike. P.. Tukel, P., and Ziegler, J. Antibodies to Epstein-Barr Virus in Burkitt's Lymphoma and tumors, leukemic cells, and breast cancer. Control Groups. J. Nati. Cancer Inst., 43: 1147 1157, 1969. The presence in human lymphomas (11), including 13. Henle, G„Henle. W., and Diehl, V. Relation of Burkitt's TumorBurkitt's tumors (16), of RNA related to that of the RLV suggested the involvement of a viral agent in these diseases. The data presented here further strengthen this implica tion by showing that cells from both of these diseases con tain a viral-related 70 S RNA associated with a reverse transcriptase, 2 uniquely identifying characteristics of the RNA tumor viruses. Thus for leukemia (4), breast cancer (1) and, now, for human lymphomas including Burkitt's disease, the evidence for involvement of an RNA tumor virus in human neoplasia is becoming more com pelling. References 1. Axel, R., Gulati, S. C., and Spiegelman, S. Particles Containing RNA-instructed DNA Polymerase and Virus-related RNA in Human Breast Cancers. Proc. Nati. Acad. Sei. U. S., 69: 31333137, 1972. 2. Axel, R., Schlom, J., and Spiegelman, S. Evidence for Translation of Viral-specific RNA in Cells of a Mouse Mammary Carcinoma. Proc. Nati. Acad. Sci. U. S. 69: 535 538, 1972. 3. Axel, R., Schlom, J., and Spiegelman, S. Presence in Human Breast Cancer of RNA Homologous to Mouse Mammary Tumour Virus RNA. Nature, 235: 32-36, 1972. 4. Baxt, W., Hehlmann, R., and Spiegelman, S. Human Leukaemic Cells Contain Reverse Transcriptase Associated with a High Molecu lar Weight Viral-related RNA. Nature New Biol., 240: 72-75, 1972. 5. Darnell. J. E., Philipson, L., Wall, R.. and Adesnik, M. Polyadenylic Acid Sequences: Role in Conversion of Nuclear RNA into Mes senger RNA. Science, 174: 507 510, 1971. 6. Epstein, M. A., Achong, B. G., and Barr. Y. M. Virus Particles in Cultured Lymphoblasts from Burkitl's Lymphoma. Lancet, /: 702-703, 1964. 7. Epstein. M. A.. Henle, G.. Achong. B. G., and Barr, Y. Morpho 1526 associated Herpes-type Virus to Infectious Mononucleosis. Proc. Nati. Acad. Sci. U. S., 59: 94 101, 1967. 14. Klein, G., Dombos, L., and Gothoskar, B. Sensitivity of EpsteinBarr Virus (EBV) Producer and Non-producer Human Lymphoblastoid Cell Lines to Superinfection with EB Virus. Int. J. Can cer, 10: 44-57, 1972. 15. Kufe, D., Hehlmann, R., and Spiegelman, S. Human Sarcomas Con tain RNA Related to the RNA of a Mouse Leukemia Virus. Science, 175: 182 185, 1972. 16. Kufe, D., Hehlmann, R., and Spiegelman. S. RNA Related to that of a Murine Leukemia Virus in Burkitt's Tumors and Nasopharyngeal Carcinomas. Proc. Nati. Acad. Sei. U. S., 70: 5-9, 1973. 17. Kufe, D., Magrath, I. T.. Ziegler, J. H., and Spiegelman, S. Bur kitt's Tumors Contain Particles Encapsulating RNA-instructed DNA Polymerase and High Molecular Weight Virus-related RNA. Proc. Nati. Acad. Sci. U. S., 70: 737 741, 1973. 18. Lai, M. M. C., and Duesberg, P. Adenylic Acid-rich Sequence in RNAs of Rous Sarcoma Virus and Rauscher Mouse Leukaemia Vi rus. Nature, 235: 383-386, 1972. 19. Niederman, J. C., Evans, A. S., Subrahmanyan, L., and McCollum, R. W. Prevalence. Incidence and Persistence of EB Virus Antibody in Young Adults. New Engl. J. Med., 282: 361-365, 1970. 20. Schlom, J., and Spiegelman. S. Simultaneous Detection of the Reverse Transcriptase and High Molecular Weight RNA Unique to Oncogenic RNA Viruses. Science, 174: 840 843, 1971. 21. Schlom. }., Spiegelman, S., and Moore, D. H. Reverse Transcriptase and High Molecular Weight RNA in Particles from Mouse and Human Milk. J. Nati. Cancer Inst., 48: 1197-1203, 1972. 22. Scholm, J., Spiegelman, S., and Moore, D. H. Detection of High Molecular Weight RNA in Particles from Human Milk. Science, 175: 542-544, 1972. 23. Zur Hausen. H., Schulte-Holthausen, H.. Klein, G., Henle W., Henle, G., Clifford, P., and Santesson, L. EBV DNA in Biopsies of Burkitt Tumours and Anaplastic Carcinomas of the Nasopharynx. Nature, 228: 1056 1058, 1970. CANCER RESEARCH VOL. 33 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1973 American Association for Cancer Research. Evidence for RNA Tumor Viruses in Human Lymphomas Including Burkitt's Disease S. Spiegelman, D. Kufe, R. Hehlmann, et al. Cancer Res 1973;33:1515-1526. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/33/6/1515 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. 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