Evidence map›Paper›PMID 41512555›Full record

ArticleBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie2026

Targeting of Kaposi's sarcoma-associated herpesvirus by immunotoxins directed against the viral G protein-coupled receptor, ORF74.

Dagmar Fæster Kildedal, Anna Katarzyna Drzazga, Anjali Sharma, Christian Berg, Astrid Norup Winther, Laura Krogh-Hansen, Martin Gustavsson, Birthe B Kragelund, Jon Våbenø, Michael Lagunoff and 4 more

Abstract read
In one paragraph

Article in Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Dagmar Fæster KildedalMolecular Pharmacology, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; Synklino A/S, Copenhagen, Denmark.
Anna Katarzyna DrzazgaMolecular Pharmacology, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; Institute of Molecular and Industrial Biotechnology, Faculty of Biotechnology and Food Sciences, Lodz University of Technology, Lodz, Poland.
Anjali SharmaDepartment of Microbiology, University of Washington, Seattle, WA, USA.
Christian BergMolecular Pharmacology, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Astrid Norup WintherMolecular Pharmacology, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Laura Krogh-HansenMolecular Pharmacology, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Martin GustavssonMolecular Pharmacology, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Birthe B KragelundStructural Biology and NMR Laboratory, Department of Biology, University of Copenhagen, Copenhagen, Denmark.
Jon VåbenøHelgeland Hospital Trust, Sandnessjøen, Norway.
Michael LagunoffDepartment of Microbiology, University of Washington, Seattle, WA, USA.
Naotaka TsutsumiAdvanced Research Initiative, Institute of Integrated Research, Institute of Science Tokyo, Tokyo, Japan.
Thomas N KledalSynklino A/S, Copenhagen, Denmark.
Mads G JeppesenSynklino A/S, Copenhagen, Denmark.
Mette M RosenkildeMolecular Pharmacology, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark. Electronic address: rosenkilde@sund.ku.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeKaposi's sarcoma-associated herpesvirus (KSHV) is a common virus with severe outcome and no effective antiviral treatment. KSHV encodes the constitutive active chemokine receptor ORF74 with broad-spectrum CXC-chemokine binding. Here, we leverage ORF74's mimic of endogenous receptors to design chemokine-based immunotoxins for selective killing of KSHV-infected cells. EXPERIMENTAL APPROACH: Four CXC-chemokines with high affinity to ORF74 were fused to domain II, IB, and III of Pseudomonas exotoxin A to generate fusion toxin proteins (FTPs). FTP-induced cell killing was tested in cells expressing ORF74 or one of four chemokine receptors (CXCR1-4). Internalization of all receptors was probed using SNAP-tagged receptors. Second-generation FTPs were designed from receptor structures and molecular modelling to increase selectivity for ORF74 over CXCR1-4. Finally, antiviral activity of FTPs was tested using genetically engineered KSHV. KEY

resultsFTPs, based on the agonists (CXCL1, and -8) and inverse agonists (CXCL10 and -12) of ORF74 potently killed ORF74-expressing cells. The inverse agonist based FTPs leveraged constitutive internalization for efficient toxin delivery via ORF74, whereas agonists increased internalization further. CXCL10-FTP had the strongest cell-killing and, as the only FTP, selectivity for ORF74 over its endogenous receptor, CXCR3. Second-generation FTPs improved this selectivity from 25-fold to 126-fold by the mutation (R8D) in CXCL10-FTP, designed to lose ionic interaction within CXCR3's main binding pocket. Both inverse agonist-based FTPs effectively prevented KSHV-reactivation. CONCLUSION AND IMPLICATIONS: Our findings highlight the versatility of FTPs in precise delivery of toxin payloads and provide a foundation for potential applications in antiviral and anticancer therapies targeting KSHV-associated diseases.

Indexed as

Antiviral AgentsHerpesvirus 8, HumanImmunotoxinsReceptors, ChemokineViral ProteinsBacterial ToxinsChemokines, CXCExotoxinsHumansPseudomonas aeruginosa Exotoxin ARecombinant Fusion ProteinsAntiviral AgentsBacterial ToxinsChemokines, CXCExotoxinsImmunotoxinsORF74 protein, Human herpesvirus 8Pseudomonas aeruginosa Exotoxin AReceptors, ChemokineRecombinant Fusion ProteinsViral ProteinsCancerChemokine receptorsImmunotoxinsKaposi Sarcoma-associated Herpesvirus (KSHV)ORF74

Identifiers

PMID41512555
PMCPMC12867767

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.