RT Journal Article SR Electronic T1 Alternative Promoters Drive Human Cytomegalovirus Reactivation from Latency JF bioRxiv FD Cold Spring Harbor Laboratory SP 484436 DO 10.1101/484436 A1 Donna Collins-McMillen A1 Mike Rak A1 Jason Buehler A1 Suzu Igarashi-Hayes A1 Jeremy Kamil A1 Nat Moorman A1 Felicia Goodrum YR 2018 UL http://biorxiv.org/content/early/2018/12/01/484436.abstract AB Reactivation from latency requires reinitiation of viral gene expression and culminates in the production of infectious progeny. The major immediate early promoter (MIEP) of human cytomegalovirus (HCMV) drives the expression of crucial lytic cycle transactivators but is silenced during latency in hematopoietic progenitor cells (HPCs). Because the MIEP is poorly active in HPCs, it is unclear how viral transactivators are expressed during reactivation. We demonstrate that transcripts originating from alternative promoters within the canonical major immediate early locus are abundantly expressed upon reactivation, whereas MIEP-derived transcripts remain undetectable. Further, we show that these promoters are necessary for efficient reactivation in primary CD34+ HPCs. Our findings change the paradigm for HCMV reactivation by demonstrating that promoter switching governs reactivation from viral latency in a context-specific manner.