Gladstone/UCSF Center for Cell Circuitry, Gladstone Institutes, San Francisco, CA 94158, USA; Gladstone Institute of Virology, Gladstone Institutes, San Francisco, CA 94158, USA.
Gladstone/UCSF Center for Cell Circuitry, Gladstone Institutes, San Francisco, CA 94158, USA; Gladstone Institute of Virology, Gladstone Institutes, San Francisco, CA 94158, USA.
Cell. 2022 Jun 9;185(12):2086-2102.e22. doi: 10.1016/j.cell.2022.04.022. Epub 2022 May 12.
Across biological scales, gene-regulatory networks employ autorepression (negative feedback) to maintain homeostasis and minimize failure from aberrant expression. Here, we present a proof of concept that disrupting transcriptional negative feedback dysregulates viral gene expression to therapeutically inhibit replication and confers a high evolutionary barrier to resistance. We find that nucleic-acid decoys mimicking cis-regulatory sites act as "feedback disruptors," break homeostasis, and increase viral transcription factors to cytotoxic levels (termed "open-loop lethality"). Feedback disruptors against herpesviruses reduced viral replication >2-logs without activating innate immunity, showed sub-nM IC, synergized with standard-of-care antivirals, and inhibited virus replication in mice. In contrast to approved antivirals where resistance rapidly emerged, no feedback-disruptor escape mutants evolved in long-term cultures. For SARS-CoV-2, disruption of a putative feedback circuit also generated open-loop lethality, reducing viral titers by >1-log. These results demonstrate that generating open-loop lethality, via negative-feedback disruption, may yield a class of antimicrobials with a high genetic barrier to resistance.
在生物尺度上,基因调控网络利用自身抑制(负反馈)来维持内稳态,并最大程度地减少异常表达导致的故障。在这里,我们提出了一个概念验证,即破坏转录负反馈会扰乱病毒基因表达,从而具有治疗抑制复制的效果,并赋予对耐药性的高进化障碍。我们发现,模拟顺式调控位点的核酸诱饵可以充当“反馈破坏者”,打破内稳态,并将病毒转录因子增加到细胞毒性水平(称为“开环致死性”)。针对疱疹病毒的反馈破坏剂在不激活先天免疫的情况下将病毒复制减少了>2 个对数,IC 值低至纳摩尔级,与标准抗病毒药物协同作用,并在小鼠中抑制病毒复制。与迅速出现耐药性的批准抗病毒药物相比,在长期培养中没有进化出反馈破坏剂逃逸突变体。对于 SARS-CoV-2,对假定的反馈回路的破坏也产生了开环致死性,使病毒滴度降低了>1 个对数。这些结果表明,通过负反馈破坏产生开环致死性可能会产生一类具有高遗传耐药性的抗菌药物。