Department of Medicine and UNC HIV Cure Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Antimicrob Agents Chemother. 2024 Jul 9;68(7):e0020124. doi: 10.1128/aac.00201-24. Epub 2024 Jun 3.
Limited cellular levels of the HIV transcriptional activator Tat are one contributor to proviral latency that might be targeted in HIV cure strategies. We recently demonstrated that lipid nanoparticles containing HIV mRNA induce HIV expression in primary CD4 T cells. Here, we sought to further characterize mRNA in the context of several benchmark latency reversal agents (LRAs), including inhibitor of apoptosis protein antagonists (IAPi), bromodomain and extra-Terminal motif inhibitors (BETi), and histone deacetylase inhibitors (HDACi). mRNA reversed latency across several different cell line models of HIV latency, an effect dependent on the TAR hairpin loop. Synergistic enhancement of mRNA activity was observed with IAPi, HDACi, and BETi, albeit to variable degrees. In primary CD4 T cells from durably suppressed people with HIV, mRNA profoundly increased the frequencies of elongated, multiply-spliced, and polyadenylated HIV transcripts, while having a lesser impact on TAR transcript frequencies. mRNAs alone resulted in variable HIV p24 protein induction across donors. However, mRNA in combination with IAPi, BETi, or HDACi markedly enhanced HIV RNA and protein expression without overt cytotoxicity or cellular activation. Notably, combination regimens approached or in some cases exceeded the latency reversal activity of maximal mitogenic T cell stimulation. Higher levels of mRNA-driven HIV p24 induction were observed in donors with larger mitogen-inducible HIV reservoirs, and expression increased with prolonged exposure time. Combination LRA strategies employing both small molecule inhibitors and Tat delivered to CD4 T cells are a promising approach to effectively target the HIV reservoir.
HIV 转录激活剂 Tat 的细胞内水平有限是导致前病毒潜伏的一个因素,这可能成为 HIV 治愈策略的靶点。我们最近证明,含有 HIV mRNA 的脂质纳米颗粒可诱导原代 CD4 T 细胞中的 HIV 表达。在这里,我们试图进一步研究在几种基准潜伏逆转剂 (LRA) 中,包括凋亡蛋白抑制剂 (IAPi)、溴结构域和末端结构域抑制剂 (BETi) 和组蛋白去乙酰化酶抑制剂 (HDACi) 的情况下,mRNA 的特征。mRNA 逆转了几种不同的 HIV 潜伏细胞系模型中的潜伏,这种作用依赖于 TAR 发夹环。IAPi、HDACi 和 BETi 协同增强了 mRNA 的活性,但程度不同。在来自长期抑制 HIV 的人的原代 CD4 T 细胞中,mRNA 显著增加了伸长、多次剪接和多聚腺苷酸化的 HIV 转录本的频率,而对 TAR 转录本频率的影响较小。单独的 mRNA 在不同供体之间导致 HIV p24 蛋白的诱导程度不同。然而,mRNA 与 IAPi、BETi 或 HDACi 联合使用显著增强了 HIV RNA 和蛋白表达,而没有明显的细胞毒性或细胞活化。值得注意的是,联合方案接近或在某些情况下超过了最大有丝分裂刺激 T 细胞刺激的潜伏逆转活性。在具有较大有丝分裂诱导性 HIV 储库的供体中观察到更高水平的由 mRNA 驱动的 HIV p24 诱导,并且随着暴露时间的延长表达增加。使用小分子抑制剂和递送到 CD4 T 细胞的 Tat 的组合 LRA 策略是一种有前途的方法,可以有效地靶向 HIV 储库。
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