Interleukin-6 (IL-6) promotes growth and tumorigenicity of Epstein-Bar
r virus (EBV)-immortalized B cells, and is abnormally elevated in the
serum of solid organ transplant recipients who develop EBV-positive po
sttransplant lymphoproliferative disease (PTLD), but not in control tr
ansplant recipients. Endothelial cells derived from PTLD lesions were
found to secrete spontaneously high levels of IL-6 in vitro for up to
4 mo. We examined possible mechanisms for sustained IL-6 production by
endothelial cells. Here, we show that EBV can infect endothelial cell
s in vitro. After 3-4 wk incubation with lethally irradiated EBV-posit
ive, but not EBV-negative cell lines, a proportion of human umbilical
cord-derived endothelial cells (HUVECs) expressed in situ the EBV-enco
ded small RNAs (EBER). Southern blot analysis after polymerase chain r
eaction showed EBV DNA in HUVEC that had been incubated with lethally
irradiated EBV-positive cells, but not in the controls. Exposure of HU
VECs to lethally irradiated EBV-positive but not EBV-negative cell lin
es induced IL-6 production that was sustained for up to 120 d of cultu
re. These studies identify endothelial cells as targets for EBV infect
ion and raise the possibility that this infection may be important in
the life cycle and pathology of EBV.