Epstein-Barr virus-encoded small
RNA (EBER) is nonpolyadenylated,
noncoding RNA that forms stem-loop structure by intermolecular base-pairing, giving rise to
double-stranded RNA (dsRNA)-like molecules, and exists abundantly in EBV-infected cells. Here, we report that EBER induces signaling from the
Toll-like receptor 3 (TLR3), which is a sensor of viral
double-stranded RNA (dsRNA) and induces type I IFN and proinflammatory
cytokines. A substantial amount of EBER, which was sufficient to induce signaling from TLR3, was released from EBV-infected cells, and the majority of the released EBER existed as a complex with a cellular EBER-
binding protein La, suggesting that EBER was released from the cells by active secretion of La. Sera from patients with
infectious mononucleosis (IM), chronic active
EBV infection (CAEBV), and EBV-associated
hemophagocytic lymphohistiocytosis (EBV-HLH), whose general symptoms are caused by proinflammatory
cytokines contained EBER, and addition of
RNA purified from the sera into culture medium induced signaling from TLR3 in EBV-transformed lymphocytes and peripheral mononuclear cells. Furthermore, DCs treated with EBER showed mature phenotype and antigen presentation capacity. These findings suggest that EBER, which is released from EBV-infected cells, is responsible for immune activation by EBV, inducing type I IFN and proinflammatory
cytokines. EBER-induced activation of innate immunity would account for immunopathologic diseases caused by active
EBV infection.