Review Article

Epstein-Barr Virus as a Promising Immunotherapeutic Target for Nasopharyngeal Carcinoma Treatment

Table 1

Pathogenic proteins contributing to EBV-associated NPC.

EBV targetProtumourigenic functionReferences

Latent proteins

LMP1Promoting interferon regulatory factor-7 (IRF-7) mediated angiogenesis and cell growth[21]
Inducing cancer stem-like cells in NPC[22]
Inducing tumour-promoting inflammation through NF-kB pathway[23]
Promoting expression of antiapoptotic proteins and inactivating proapoptotic proteins[23]
Stimulating cell growth by upregulating growth factor receptors (e.g., c-Met)[24]

LMP2AInducing cancer stem-like properties by activating Hedgehog signalling pathway[22]
Promoting cancer cell migration and invasion that leads to metastasis[25, 26]
Inducing epithelial-mesenchymal transition (EMT) and enhancing side-population cells[7]
Activating PI3 K-AKT pathway to inhibit cellular differentiation and promote cancer cell survival[27]
Counteracting inhibitory and proapoptotic effects of TGF-B1 through PI3 K-AKT pathway[28]
Modulating mTOR pathway for cell survival and proliferation[29]

EBNA1Maintaining stable number of EBV genomes in infected cells[5]
Inducing genomic instability[30]
Reducing p53 levels and promoting cell survival[31]
Suppressing TGF-B1 signalling and promoting oncogenesis[32]
Inducing cellular DNA damage[33]

Lytic proteins

ZtaInduction of IL-8[34]
BGLF5/DNaseInducing genomic instability[35]
BALF3Inducing genomic instability[36]
BARFIncreasing cell proliferation rate[37]