Department of Microbiology and Cell Biology, Indian Institute of Science, Bangalore, India.
Centre for Infectious Disease Research (CIDR), Indian Institute of Science, Bangalore, India.
Elife. 2021 Nov 18;10:e68487. doi: 10.7554/eLife.68487.
A fundamental challenge in human immunodeficiency virus (HIV) eradication is to understand how the virus establishes latency, maintains stable cellular reservoirs, and promotes rebound upon interruption of antiretroviral therapy (ART). Here, we discovered an unexpected role of the ubiquitous gasotransmitter hydrogen sulfide (HS) in HIV latency and reactivation. We show that reactivation of HIV is associated with downregulation of the key HS producing enzyme cystathionine-γ-lyase (CTH) and reduction in endogenous HS. Genetic silencing of CTH disrupts redox homeostasis, impairs mitochondrial function, and remodels the transcriptome of latent cells to trigger HIV reactivation. Chemical complementation of CTH activity using a slow-releasing HS donor, GYY4137, suppressed HIV reactivation and diminished virus replication. Mechanistically, GYY4137 blocked HIV reactivation by inducing the Keap1-Nrf2 pathway, inhibiting NF-κB, and recruiting the epigenetic silencer, YY1, to the HIV promoter. In latently infected CD4 T cells from ART-suppressed human subjects, GYY4137 in combination with ART prevented viral rebound and improved mitochondrial bioenergetics. Moreover, prolonged exposure to GYY4137 exhibited no adverse influence on proviral content or CD4 T cell subsets, indicating that diminished viral rebound is due to a loss of transcription rather than a selective loss of infected cells. In summary, this work provides mechanistic insight into HS-mediated suppression of viral rebound and suggests exploration of HS donors to maintain HIV in a latent form.
在人类免疫缺陷病毒 (HIV) 根除中,一个基本的挑战是了解病毒如何建立潜伏状态、维持稳定的细胞储库,以及在中断抗逆转录病毒治疗 (ART) 时促进病毒反弹。在这里,我们发现了无处不在的气体递质硫化氢 (HS) 在 HIV 潜伏和激活中的一个意外作用。我们表明,HIV 的激活与关键的 HS 产生酶半胱氨酸-γ-裂解酶 (CTH) 的下调和内源性 HS 的减少有关。CTH 的基因沉默会破坏氧化还原平衡,损害线粒体功能,并重塑潜伏细胞的转录组以触发 HIV 激活。使用缓慢释放的 HS 供体 GYY4137 进行 CTH 活性的化学补充,抑制了 HIV 的激活并减少了病毒复制。从机制上讲,GYY4137 通过诱导 Keap1-Nrf2 途径、抑制 NF-κB 和招募表观遗传沉默因子 YY1 到 HIV 启动子来阻断 HIV 的激活。在接受 ART 抑制的人类受试者的潜伏感染 CD4 T 细胞中,GYY4137 与 ART 联合使用可防止病毒反弹并改善线粒体生物能。此外,长时间暴露于 GYY4137 对前病毒含量或 CD4 T 细胞亚群没有不良影响,这表明病毒反弹的减少是由于转录的丧失而不是感染细胞的选择性丧失。总之,这项工作为 HS 介导的抑制病毒反弹提供了机制上的见解,并提示探索 HS 供体以维持 HIV 的潜伏形式。