Cevaal Paula M, Kan Stanislav, Fisher Bridget M, Moso Michael A, Tan Abigail, Liu Haiyin, Ali Abdalla, Tanaka Kiho, Shepherd Rory A, Kim Youry, Ong Jesslyn, Furtado Denzil L, Holz Marvin, Purcell Damian F J, Casan Joshua M L, Payne Thomas, Zhao Wei, Fareh Mohamed, McMahon James H, Deeks Steven G, Hoh Rebecca, Telwatte Sushama, Pouton Colin W, Johnston Angus P R, Caruso Frank, Symons Jori, Lewin Sharon R, Roche Michael
Department of Infectious Diseases, The University of Melbourne at The Peter Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia.
Victorian Infectious Diseases Service, The Royal Melbourne Hospital at the Peter Doherty Institute for Infection and Immunity, Melbourne, VIC, Australia.
Nat Commun. 2025 May 29;16(1):4979. doi: 10.1038/s41467-025-60001-2.
A major hurdle to curing HIV is the persistence of integrated proviruses in resting CD4 T cells that remain in a transcriptionally silent, latent state. One strategy to eradicate latent HIV is to activate viral transcription, followed by elimination of infected cells through virus-mediated cytotoxicity or immune-mediated clearance. We hypothesised that mRNA-lipid nanoparticle (LNP) technology would provide an opportunity to deliver mRNA encoding proteins able to reverse HIV latency in resting CD4 T cells. Here we develop an LNP formulation (LNP X) with unprecedented potency to deliver mRNA to hard-to-transfect resting CD4 T cells in the absence of cellular toxicity or activation. Encapsulating an mRNA encoding the HIV Tat protein, an activator of HIV transcription, LNP X enhances HIV transcription in ex vivo CD4 T cells from people living with HIV. LNP X further enables the delivery of clustered regularly interspaced short palindromic repeats (CRISPR) activation machinery to modulate both viral and host gene transcription. These findings offer potential for the development of a range of nucleic acid-based T cell therapeutics.
治愈艾滋病病毒的一个主要障碍是整合的原病毒在静息CD4 T细胞中持续存在,这些细胞处于转录沉默的潜伏状态。消除潜伏性艾滋病病毒的一种策略是激活病毒转录,然后通过病毒介导的细胞毒性或免疫介导的清除作用消除受感染的细胞。我们假设,信使核糖核酸-脂质纳米颗粒(mRNA-LNP)技术将提供一个机会,来递送编码能够逆转静息CD4 T细胞中艾滋病病毒潜伏状态的蛋白质的信使核糖核酸。在此,我们开发了一种LNP制剂(LNP X),其具有前所未有的效力,能够在无细胞毒性或激活的情况下将信使核糖核酸递送至难以转染的静息CD4 T细胞。LNP X封装了一种编码艾滋病病毒转录激活剂Tat蛋白的信使核糖核酸,可增强来自艾滋病病毒感染者的离体CD4 T细胞中的艾滋病病毒转录。LNP X还能够递送成簇规律间隔短回文重复序列(CRISPR)激活机制,以调节病毒和宿主基因转录。这些发现为一系列基于核酸的T细胞疗法的开发提供了潜力。
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