McLaurin Kristen A, Li Hailong, Khalili Kamel, Mactutus Charles F, Booze Rosemarie M
Cognitive and Neural Science Program, Department of Psychology, Barnwell College, University of South Carolina, 1512 Pendleton Street, Columbia, SC, 29208, USA.
Department of Pharmaceutical Sciences, College of Pharmacy, University of Kentucky, 789 S Limestone Street, Lexington, KY, 40508, USA.
J Neurovirol. 2024 Feb;30(1):71-85. doi: 10.1007/s13365-024-01193-z. Epub 2024 Feb 14.
Mixed glia are infiltrated with HIV-1 virus early in the course of infection leading to the development of a persistent viral reservoir in the central nervous system. Modification of the HIV-1 genome using gene editing techniques, including CRISPR/Cas9, has shown great promise towards eliminating HIV-1 viral reservoirs; whether these techniques are capable of removing HIV-1 viral proteins from mixed glia, however, has not been systematically evaluated. Herein, the efficacy of adeno-associated virus 9 (AAV9)-CRISPR/Cas9 gene editing for eliminating HIV-1 messenger RNA (mRNA) from cortical mixed glia was evaluated in vitro and in vivo. In vitro, a within-subjects experimental design was utilized to treat mixed glia isolated from neonatal HIV-1 transgenic (Tg) rats with varying doses (0, 0.9, 1.8, 2.7, 3.6, 4.5, or 5.4 µL corresponding to a physical titer of 0, 4.23 × 10, 8.46 × 10, 1.269 × 10, 1.692 × 10, 2.115 × 10, and 2.538 × 10 gc/µL) of CRISPR/Cas9 for 72 h. Dose-dependent decreases in the number of HIV-1 mRNA, quantified using an innovative in situ hybridization technique, were observed in a subset (i.e., n = 5 out of 8) of primary mixed glia. In vivo, HIV-1 Tg rats were retro-orbitally inoculated with CRISPR/Cas9 for two weeks, whereby treatment resulted in profound excision (i.e., approximately 53.2%) of HIV-1 mRNA from the medial prefrontal cortex. Given incomplete excision of the HIV-1 viral genome, the clinical relevance of HIV-1 mRNA knockdown for eliminating neurocognitive impairments was evaluated via examination of temporal processing, a putative neurobehavioral mechanism underlying HIV-1-associated neurocognitive disorders (HAND). Indeed, treatment with CRISPR/Cas9 protractedly, albeit not permanently, restored the developmental trajectory of temporal processing. Proof-of-concept studies, therefore, support the susceptibility of mixed glia to gene editing and the potential of CRISPR/Cas9 to serve as a novel therapeutic strategy for HAND, even in the absence of full viral eradication.
在感染过程早期,HIV-1病毒就会侵入混合性神经胶质细胞,导致在中枢神经系统中形成持续的病毒储存库。使用包括CRISPR/Cas9在内的基因编辑技术对HIV-1基因组进行改造,已显示出在消除HIV-1病毒储存库方面具有巨大潜力;然而,这些技术是否能够从混合性神经胶质细胞中去除HIV-1病毒蛋白,尚未得到系统评估。在此,对腺相关病毒9(AAV9)-CRISPR/Cas9基因编辑在体外和体内从皮质混合性神经胶质细胞中消除HIV-1信使核糖核酸(mRNA)的效果进行了评估。在体外,采用受试者内实验设计,用不同剂量(0、0.9、1.8、2.7、3.6、4.5或5.4微升,分别对应物理滴度0、4.23×10、8.46×10、1.269×10、1.692×10、2.115×10和2.538×10基因组拷贝数/微升)的CRISPR/Cas9处理从新生HIV-1转基因(Tg)大鼠分离的混合性神经胶质细胞72小时。使用创新的原位杂交技术定量分析,在一部分(即8个中的5个)原代混合性神经胶质细胞中观察到HIV-1 mRNA数量呈剂量依赖性减少。在体内,对HIV-1 Tg大鼠经眶后接种CRISPR/Cas9两周,结果治疗导致内侧前额叶皮质中HIV-1 mRNA大量切除(即约53.2%)。鉴于HIV-1病毒基因组切除不完全,通过检查时间处理能力来评估HIV-1 mRNA敲低对消除神经认知障碍的临床相关性,时间处理能力是HIV-1相关神经认知障碍(HAND)潜在的神经行为机制。事实上,用CRISPR/Cas9治疗虽然不能永久但能长期恢复时间处理能力的发育轨迹。因此,概念验证研究支持混合性神经胶质细胞对基因编辑敏感,以及CRISPR/Cas9有潜力作为HAND的一种新型治疗策略,即使在未完全根除病毒的情况下。