What's in a cure: designing a broad-spectrum HIV gene therapy DOI

Rachel Berman,

Will Dampier, Michael R. Nonnemacher

et al.

Current Opinion in HIV and AIDS, Journal Year: 2024, Volume and Issue: 19(3), P. 150 - 156

Published: March 1, 2024

Purpose of review The leading gene editing strategy for a human immunodeficiency virus type 1 (HIV-1) cure involves the delivery SaCas9 and two guide RNAs (gRNAs) in an adeno-associated viral (AAV) vector. As dual-component system, CRISPR is targeted to genetic locus through choice Cas effector gRNA protospacer design pair. research has expanded recent years, these components have been investigated utilization strategies, which will be discussed this article. Recent findings Type II SpCas9 effectors across therapeutics date. Additionally, extensive potential multiplex gRNAs target them effectively highly genetically diverse HIV-1 provirus. More recently, V family Cas12 opens new opportunity use smaller protein packaging into AAV vector with multiplexed gRNAs. Summary In understanding individual CRISPR/Cas therapeutic HIV-1, it important know that currently used strategies can improved upon. Future areas include alternative effectors, designs, and/or modalities.

Language: Английский

Complex decay dynamics of HIV virions, intact and defective proviruses, and 2LTR circles following initiation of antiretroviral therapy DOI Creative Commons
Jennifer A. White, Francesco R. Simonetti, Subul Beg

et al.

Proceedings of the National Academy of Sciences, Journal Year: 2022, Volume and Issue: 119(6)

Published: Feb. 2, 2022

Significance In persons living with HIV-1 who start antiretroviral therapy, virus in the blood decreases rapidly to below detection limit. The decrease occurs two phases: a rapid initial first weeks, followed by second, slower phase occurring over next few months. These decay processes are important because infected cells that remain may become part of stable latent reservoir prevents cure. levels presumably reflects loss cells, but relationship between free and has been unclear. Here, we have analyzed this question using an assay distinguishes intact defective forms viral genome.

Language: Английский

Citations

71

The cell biology of HIV-1 latency and rebound DOI Creative Commons
Uri Mbonye, Jonathan Karn

Retrovirology, Journal Year: 2024, Volume and Issue: 21(1)

Published: April 5, 2024

Abstract Transcriptionally latent forms of replication-competent proviruses, present primarily in a small subset memory CD4 + T cells, pose the primary barrier to cure for HIV-1 infection because they are source viral rebound that almost inevitably follows interruption antiretroviral therapy. Over last 30 years, many factors essential initiating transcription have been identified studies performed using transformed cell lines, such as Jurkat T-cell model. However, highlighted this review, several poorly understood mechanisms still need be elucidated, including molecular basis promoter-proximal pausing transcribing complex and detailed mechanism delivery P-TEFb from 7SK snRNP. Furthermore, central paradox remains unsolved: how initial rounds achieved absence Tat? A critical limitation models is do not recapitulate transitions between active effector cells quiescent cells. Therefore, investigation latency reversal LRA efficacy proper physiological context requires utilization models. Recent mechanistic latently infected recovered donors ex vivo cellular demonstrated blocks restrictive epigenetic features at proviral promoter, cytoplasmic sequestration key initiation NFAT NF-κB, vanishingly low expression elongation factor P-TEFb. One foremost schemes eliminate residual reservoir deliberately reactivate proviruses enable clearance persisting cells—the “Shock Kill” strategy. For become efficient, effective, non-toxic latency-reversing agents (LRAs) must discovered. Since multiple restrictions limit reactivation understanding signaling stimulating biogenesis, activation, reversing prerequisite development more effective LRAs.

Language: Английский

Citations

20

In Vivo Dynamics of the Latent Reservoir for HIV-1: New Insights and Implications for Cure DOI Open Access
Janet D. Siliciano, Robert F. Siliciano

Annual Review of Pathology Mechanisms of Disease, Journal Year: 2021, Volume and Issue: 17(1), P. 271 - 294

Published: Nov. 5, 2021

Although antiretroviral therapy (ART) can reduce viremia to below the limit of detection and allow persons living with HIV-1 (PLWH) lead relatively normal lives, rebounds when treatment is interrupted. Rebound reflects viral persistence in a stable latent reservoir resting CD4+ T cells. This now recognized as major barrier cure focus intense international research efforts. Strategies infection include interventions eliminate this reservoir, prevent rebound from or enhance immune responses such that replication effectively controlled. Here we consider recent developments understanding composition how it be measured clinical studies. We also discuss exciting new insights into vivo dynamics reasons for its remarkable stability. Finally discoveries on complex processes govern rebound.

Language: Английский

Citations

62

HIV-induced membraneless organelles orchestrate post-nuclear entry steps DOI Creative Commons
Viviana Scoca, Renaud Morin, Maxence Collard

et al.

Journal of Molecular Cell Biology, Journal Year: 2022, Volume and Issue: 14(11)

Published: Oct. 31, 2022

ABSTRACT HIV integration occurs in chromatin sites that favor the release of high levels viral progeny; alternatively, virus is also able to discreetly coexist with host. The infection perturbs cellular environment inducing remodelling nuclear landscape. Indeed, HIV-1 triggers clustering host factor CPSF6, but underlying mechanism poorly understood. Our data indicate usurps a recently discovered biological phenomenon, called liquid–liquid phase separation, hijack cell. We observed CPSF6 clusters as part HIV-induced membraneless organelles (HIV-1 MLOs) macrophages, one main target cell types. describe MLOs follow phase-separation rules and represent functional biomolecular condensates. highlight hubs reverse transcription, while double-stranded DNA, once formed, rapidly migrates outside these structures. Transcription-competent proviruses localize near LEDGF-abundant regions, known be active sites. Therefore, orchestrate events prior step create favorable for replication. This study uncovers single host–viral complexes their landscape, which markedly restructured by HIV-1.

Language: Английский

Citations

31

Mcl-1 Protein and Viral Infections: A Narrative Review DOI Open Access
Zbigniew Wyżewski, Justyna Stępkowska,

Aleksandra Maria Kobylińska

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(2), P. 1138 - 1138

Published: Jan. 17, 2024

MCL-1 is the prosurvival member of Bcl-2 family. It prevents induction mitochondria-dependent apoptosis. The molecular mechanisms dictating host cell viability gain importance in context viral infections. premature apoptosis infected cells could interrupt pathogen replication cycle. On other hand, death following effective assembly progeny particles may facilitate virus dissemination. Thus, various viruses can interfere with regulation network to their advantage. Research has shown that infections affect intracellular amount modify apoptotic potential cells, fitting it “schedule” A growing body evidence suggests virus-dependent deregulation level contribute several virus-driven diseases. In this work, we have described role caused by viruses. We also presented a list promising antiviral agents targeting protein. discussed results indicate targeted interventions addressing anti-apoptotic MCL1 as new therapeutic strategy for cancers well investigation cellular and involved engaging better understanding survival balance.

Language: Английский

Citations

5

HIV Latency in Myeloid Cells: Challenges for a Cure DOI Creative Commons
Alisha Chitrakar, Marta Sanz, Sanjay B. Maggirwar

et al.

Pathogens, Journal Year: 2022, Volume and Issue: 11(6), P. 611 - 611

Published: May 24, 2022

The use of antiretroviral therapy (ART) for Human Immunodeficiency Virus (HIV) treatment has been highly successful in controlling plasma viremia to undetectable levels. However, a complete cure HIV is hindered by the presence replication-competent HIV, integrated host genome, that can persist long term resting state called viral latency. Resting memory CD4+ T cells are considered biggest reservoir persistent infection and often studied exclusively as main target an cure. other cell types, such circulating monocytes tissue-resident macrophages, harbor integrated, HIV. To develop focus needed not only on compartment, but also these myeloid reservoirs infection. In this review, we summarize their importance when designing strategies challenges associated identification specific targeting “shock kill” approach.

Language: Английский

Citations

19

Oral Cannabidiol Treatment Is Associated with an Anti-Inflammatory Gene Expression Signature in Myeloid Cells of People Living with HIV DOI
Simone Marini, Amanda K. Huber, Melanie N. Cash

et al.

Cannabis and Cannabinoid Research, Journal Year: 2024, Volume and Issue: 9(4), P. 1028 - 1037

Published: Jan. 22, 2024

Introduction: HIV-related comorbidities appear to be related chronic inflammation, a condition characterizing people living with HIV (PLWH). Prior work indicates that cannabidiol (CBD) might reduce inflammation; however, the genetics underpinning of this effect are not well investigated. Our main objective is detect gene expression alterations in human peripheral blood mononuclear cells (PBMCs) from PLWH after at least 1 month CBD treatment. Materials and Methods: We analyzed ∼41,000 PBMCs three baseline treatment (27–60 days) through single-cell RNA sequencing. Results: obtained coherent signature, characterized by an anti-inflammatory activity, differentially expressed genes myeloid cells. Conclusions: study shows how associated Clinical Trial Registration: NCT05209867.

Language: Английский

Citations

4

Host Restriction Factors Modulating HIV Latency and Replication in Macrophages DOI Open Access
Isabel Pagani,

Pietro Demela,

Silvia Ghezzi

et al.

International Journal of Molecular Sciences, Journal Year: 2022, Volume and Issue: 23(6), P. 3021 - 3021

Published: March 11, 2022

In addition to CD4+ T lymphocytes, myeloid cells and, particularly, differentiated macrophages are targets of human immunodeficiency virus type-1 (HIV-1) infection via the interaction gp120Env with CD4 and CCR5 or CXCR4. Both support replication, although substantial differences. contrast activated HIV-1 replication in occurs nondividing it is characterized by virtual absence cytopathicity both vitro vivo. These general features should be considered evaluating role cell-associated restriction factors aiming at preventing curtailing cells, particularly context designing strategies tackle viral reservoir infected individuals receiving combination antiretroviral therapy. this regard, we will here also discuss a model reversible latency primary host determining reactivation these cells.

Language: Английский

Citations

17

Latency Reversing Agents and the Road to a HIV Cure DOI Creative Commons

Louis Tioka,

Rafael Ceña-Díez, Anders Sönnerborg

et al.

Pathogens, Journal Year: 2025, Volume and Issue: 14(3), P. 232 - 232

Published: Feb. 27, 2025

HIV-1 infection cannot be cured due to the presence of latently infected cells. These cells do not produce virus, but they can resume virus production at any time in absence antiretroviral therapy. Therefore, people living with HIV (PLWH) need take lifelong Strategies have been coined eradicate viral reservoir by reactivating and subsequently killing them. Various latency reversing agents (LRAs) that reactivate vitro ex vivo identified. The most potent LRAs also strongly activate T therefore applied vivo. Many general cell activation identified tested clinical trials. Although some could reduce size trials, so far, failed reservoir. More recently, immune modulators PLWH, first results seem indicate these may possibly improve immunological control after therapy interruption. Potentially, combinations size, future, enable PLWH live without developing HIV-related disease

Language: Английский

Citations

0

Bid Protein: A Participant in the Apoptotic Network with Roles in Viral Infections DOI Open Access
Zbigniew Wyżewski, Karolina P. Gregorczyk-Zboroch, Matylda Barbara Mielcarska

et al.

International Journal of Molecular Sciences, Journal Year: 2025, Volume and Issue: 26(6), P. 2385 - 2385

Published: March 7, 2025

The BH3-interacting domain death agonist (Bid), a proapoptotic signaling molecule of the B-cell lymphoma 2 (Bcl-2) family, is key regulator mitochondrial outer membrane (MOM) permeability. Uniquely positioned at intersection extrinsic and intrinsic apoptosis pathways, Bid links receptor to mitochondria-dependent cascade can also be activated by endoplasmic reticulum (ER) stress. In its active forms, cleaved (cBid) truncated (tBid), it disrupts MOM integrity via Bax/Bak-dependent independent mechanisms. Apoptosis plays dual role in viral infections, either promoting or counteracting propagation. Consequently, viruses modulate favor their replication. deregulation activity contributes oncogenic transformation, inflammation, immunosuppression, neurotoxicity, pathogen propagation during various infections. this work, we explore Bid’s structure, function, activation processes, targeting. We describe induction involvement infections with multiple viruses. Additionally, discuss therapeutic potential antiviral strategies. Understanding pathways offers valuable insights into host–virus interactions pathogenesis This knowledge may facilitate development novel approaches combat virus-associated diseases effectively.

Language: Английский

Citations

0