S. Tsai et al., MYCOPLASMAS AND ONCOGENESIS - PERSISTENT INFECTION AND MULTISTAGE MALIGNANT TRANSFORMATION, Proceedings of the National Academy of Sciences of the United Statesof America, 92(22), 1995, pp. 10197-10201
Oncogenic potential of human mycoplasmas was studied using cultured mo
use embryo cells, C3H/10T1/2 (C3H). Mycoplasma fermentans and Mycoplas
ma penetrans, mycoplasmas found in unusually high frequencies among pa
tients with AIDS, were examined. Instead of acute transformation, a mu
ltistage process in promotion and progression of malignant cell transf
ormation with long latency was noted; after 6 passages (1 wk per passa
ge) of persistent infection with M. fermentans, C3H cells exhibited ph
enotypic changes with malignant characteristics that became progressiv
ely more prominent with further prolonged infection, Up to at least th
e 11th passage, all malignant changes were reversible if mycoplasmas w
ere eradicated by antibiotic treatment, Further persistent infection w
ith the mycoplasmas until 18 passages resulted in an irreversible form
of transformation that included the ability to form tumors in animals
and high soft agar cloning efficiency, Whereas chromosomal loss and t
ranslocational changes in C3H cells infected by either mycoplasma duri
ng the reversible stage were not prominent, the onset of the irreversi
ble phase of transformation coincided with such karyotypic alteration,
Genetic instability-i.e., prominent chromosomal alteration of permane
ntly transformed cells-was most likely caused by mutation of a gene(s)
responsible for fidelity of DNA replication or repair, Once induced,
chromosomal alterations continued to accumulate both in cultured cells
and in animals without the continued presence of the transforming mic
robes, Mycoplasma-mediated multistage oncogenesis exhibited here share
s many characteristics found in the development of human cancer.