Isolation of a cellular factor that can reactivate latent HIV-1 without T cell activation

HC Yang, L Shen, RF Siliciano… - Proceedings of the …, 2009 - National Acad Sciences
HC Yang, L Shen, RF Siliciano, JL Pomerantz
Proceedings of the National Academy of Sciences, 2009National Acad Sciences
HIV-1 latency in resting CD4+ T cells represents a major barrier to virus eradication in
patients on highly active antiretroviral therapy (HAART). Eliminating the latent HIV-1
reservoir may require the reactivation of viral gene expression in latently infected cells. Most
approaches for reactivating latent HIV-1 require nonspecific T cell activation, which has
potential toxicity. To identify factors for reactivating latent HIV-1 without inducing global T cell
activation, we performed a previously undescribed unbiased screen for genes that could …
HIV-1 latency in resting CD4+ T cells represents a major barrier to virus eradication in patients on highly active antiretroviral therapy (HAART). Eliminating the latent HIV-1 reservoir may require the reactivation of viral gene expression in latently infected cells. Most approaches for reactivating latent HIV-1 require nonspecific T cell activation, which has potential toxicity. To identify factors for reactivating latent HIV-1 without inducing global T cell activation, we performed a previously undescribed unbiased screen for genes that could activate transcription from the HIV-1 LTR in an NF-κB-independent manner, and isolated an alternatively spliced form of the transcription factor Ets-1, ΔVII-Ets-1. ΔVII-Ets-1 activated HIV-1 transcription through 2 conserved regions in the LTR, and reactivated latent HIV-1 in cells from patients on HAART without causing significant T cell activation. Our results highlight the therapeutic potential of cellular factors for the reactivation of latent HIV-1 and provide an efficient approach for their identification.
National Acad Sciences