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KSHV: pathways to tumorigenesis and persistent infection.
[primary effusion lymphoma]
Kaposi
's
sarcoma
-associated
herpesvirus
(
KSHV
;
also
known
as
human
herpesvirus
8
)
is
the
etiologic
agent
of
Kaposi
's
sarcoma
,
primary
effusion
lymphoma
,
and
multicentric
Castleman
's
disease
.
These
cancers
often
occur
in
the
context
of
immunosuppression
,
which
has
made
KSHV-associated
malignancies
an
increasing
global
health
concern
with
the
persistence
of
the
AIDS
epidemic
.
KSHV
has
also
been
linked
to
several
acute
inflammatory
diseases
.
KSHV
exists
between
a
lytic
and
latent
lifecycle
,
which
allows
the
virus
to
transition
between
active
replication
and
quiescent
infection
.
KSHV
encodes
a
number
of
proteins
and
small
RNAs
that
are
thought
to
inadvertently
transform
host
cells
while
performing
their
functions
of
helping
the
virus
persist
in
the
infected
host
.
KSHV
also
has
an
arsenal
of
components
that
aid
the
virus
in
evading
the
host
immune
response
,
which
help
the
virus
establish
a
successful
lifelong
infection
.
In
this
comprehensive
chapter
,
we
will
discuss
the
diseases
associated
with
KSHV
infection
,
the
biology
of
latent
and
lytic
infection
,
and
individual
proteins
and
microRNAs
that
are
known
to
contribute
to
host
cell
transformation
and
immune
evasion
.
Diseases
Validation
Diseases presenting
"the biology of latent and lytic infection"
symptom
primary effusion lymphoma
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