Targeting EBV Episome for Anti-Cancer Therapy: Emerging Strategies and Challenges

As a ubiquitous human pathogen, the Epstein–Barr virus (EBV) has established lifelong persistent infection in about 95% of the adult population. The EBV infection is associated with approximately 200,000 human cancer cases and 140,000 deaths per year. The presence of EBV in tumor cells provides a un...

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Main Authors: Febri Gunawan Sugiokto, Renfeng Li
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/17/1/110
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author Febri Gunawan Sugiokto
Renfeng Li
author_facet Febri Gunawan Sugiokto
Renfeng Li
author_sort Febri Gunawan Sugiokto
collection DOAJ
description As a ubiquitous human pathogen, the Epstein–Barr virus (EBV) has established lifelong persistent infection in about 95% of the adult population. The EBV infection is associated with approximately 200,000 human cancer cases and 140,000 deaths per year. The presence of EBV in tumor cells provides a unique advantage in targeting the viral genome (also known as episome), to develop anti-cancer therapeutics. In this review, we summarize current strategies targeting the viral episome in cancer cells. We also highlight emerging technologies, such as clustered regularly interspersed short palindromic repeat (CRISPR)-based gene editing or activation, which offer promising avenues for selective targeting of the EBV episome for anti-cancer therapy. We discuss the challenges, limitations, and future perspectives associated with these strategies, including potential off-target effects, anti-cancer efficacy and safety.
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spelling doaj-art-48aa660178ab4287bccbccc46d062ed12025-01-24T13:52:37ZengMDPI AGViruses1999-49152025-01-0117111010.3390/v17010110Targeting EBV Episome for Anti-Cancer Therapy: Emerging Strategies and ChallengesFebri Gunawan Sugiokto0Renfeng Li1Program in Microbiology and Immunology, University of Pittsburgh, Pittsburgh, PA 15219, USAProgram in Microbiology and Immunology, University of Pittsburgh, Pittsburgh, PA 15219, USAAs a ubiquitous human pathogen, the Epstein–Barr virus (EBV) has established lifelong persistent infection in about 95% of the adult population. The EBV infection is associated with approximately 200,000 human cancer cases and 140,000 deaths per year. The presence of EBV in tumor cells provides a unique advantage in targeting the viral genome (also known as episome), to develop anti-cancer therapeutics. In this review, we summarize current strategies targeting the viral episome in cancer cells. We also highlight emerging technologies, such as clustered regularly interspersed short palindromic repeat (CRISPR)-based gene editing or activation, which offer promising avenues for selective targeting of the EBV episome for anti-cancer therapy. We discuss the challenges, limitations, and future perspectives associated with these strategies, including potential off-target effects, anti-cancer efficacy and safety.https://www.mdpi.com/1999-4915/17/1/110Epstein–Barr viruscancerepisomereactivationanti-cancer therapyCRISPR
spellingShingle Febri Gunawan Sugiokto
Renfeng Li
Targeting EBV Episome for Anti-Cancer Therapy: Emerging Strategies and Challenges
Viruses
Epstein–Barr virus
cancer
episome
reactivation
anti-cancer therapy
CRISPR
title Targeting EBV Episome for Anti-Cancer Therapy: Emerging Strategies and Challenges
title_full Targeting EBV Episome for Anti-Cancer Therapy: Emerging Strategies and Challenges
title_fullStr Targeting EBV Episome for Anti-Cancer Therapy: Emerging Strategies and Challenges
title_full_unstemmed Targeting EBV Episome for Anti-Cancer Therapy: Emerging Strategies and Challenges
title_short Targeting EBV Episome for Anti-Cancer Therapy: Emerging Strategies and Challenges
title_sort targeting ebv episome for anti cancer therapy emerging strategies and challenges
topic Epstein–Barr virus
cancer
episome
reactivation
anti-cancer therapy
CRISPR
url https://www.mdpi.com/1999-4915/17/1/110
work_keys_str_mv AT febrigunawansugiokto targetingebvepisomeforanticancertherapyemergingstrategiesandchallenges
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