Intron-containing RNA from the HIV-1 provirus activates type I interferon and inflammatory cytokines

SM McCauley, K Kim, A Nowosielska… - Nature …, 2018 - nature.com
SM McCauley, K Kim, A Nowosielska, A Dauphin, L Yurkovetskiy, WE Diehl, J Luban
Nature communications, 2018nature.com
HIV-1-infected people who take drugs that suppress viremia to undetectable levels are
protected from developing AIDS. Nonetheless, HIV-1 establishes proviruses in long-lived
CD4+ memory T cells, and perhaps other cell types, that preclude elimination of the virus
even after years of continuous antiviral therapy. Here we show that the HIV-1 provirus
activates innate immune signaling in isolated dendritic cells, macrophages, and CD4+ T
cells. Immune activation requires transcription from the HIV-1 provirus and expression of …
Abstract
HIV-1-infected people who take drugs that suppress viremia to undetectable levels are protected from developing AIDS. Nonetheless, HIV-1 establishes proviruses in long-lived CD4+ memory T cells, and perhaps other cell types, that preclude elimination of the virus even after years of continuous antiviral therapy. Here we show that the HIV-1 provirus activates innate immune signaling in isolated dendritic cells, macrophages, and CD4+ T cells. Immune activation requires transcription from the HIV-1 provirus and expression of CRM1-dependent, Rev-dependent, RRE-containing, unspliced HIV-1 RNA. If rev is provided in trans, all HIV-1 coding sequences are dispensable for activation except those cis-acting sequences required for replication or splicing. Our results indicate that the complex, post-transcriptional regulation intrinsic to HIV-1 RNA is detected by the innate immune system as a danger signal, and that drugs which disrupt HIV-1 transcription or HIV-1 RNA metabolism would add qualitative benefit to current antiviral drug regimens.
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