Kaposi's sarcoma-associated herpesvirus (KSHV) is a newly identified gammah
erpesvirus associated with all clinical forms of Kaposi's sarcoma (KS), bod
y-cavity-based, primary effusion lymphomas (PELs), and a subset of Castlema
n's disease (CD). Sequence analysis of the KSHV genome demonstrates an exte
nsive array of genes with homology to cellular genes involved in cell cycle
regulation, cell proliferation, apoptosis, and immune modulation. Function
al studies indicate that these genes may modify the host cell environment,
contributing to the pathogenesis of KSHV-associated disorders. Several KSHV
genes have been found to cause dysregulated cell proliferation or to inter
fere with established tumor suppressor pathways. The epidemiologic associat
ion of KSHV with malignancies and the coding features of its genome suggest
that it is a new DNA tumor virus.