Clonal CD4+ T cells in the HIV-1 latent reservoir display a distinct gene profile upon reactivation

LB Cohn, IT da Silva, R Valieris, AS Huang… - Nature medicine, 2018 - nature.com
LB Cohn, IT da Silva, R Valieris, AS Huang, JCC Lorenzi, YZ Cohen, JA Pai, AL Butler…
Nature medicine, 2018nature.com
Despite suppressive combination antiretroviral therapy (ART), latent HIV-1 proviruses persist
in patients. This latent reservoir is established within 48–72 h after infection, has a long half-
life,, enables viral rebound when ART is interrupted, and is the major barrier to a cure for HIV-
1. Latent cells are exceedingly rare in blood (∼ 1 per 1× 106 CD4+ T cells) and are typically
enumerated by indirect means, such as viral outgrowth assays,. We report a new strategy to
purify and characterize single reactivated latent cells from HIV-1-infected individuals on …
Abstract
Despite suppressive combination antiretroviral therapy (ART), latent HIV-1 proviruses persist in patients. This latent reservoir is established within 48–72 h after infection, has a long half-life,, enables viral rebound when ART is interrupted, and is the major barrier to a cure for HIV-1. Latent cells are exceedingly rare in blood (∼1 per 1 × 106 CD4+ T cells) and are typically enumerated by indirect means, such as viral outgrowth assays,. We report a new strategy to purify and characterize single reactivated latent cells from HIV-1-infected individuals on suppressive ART. Surface expression of viral envelope protein was used to enrich reactivated latent T cells producing HIV RNA, and single-cell analysis was performed to identify intact virus. Reactivated latent cells produce full-length viruses that are identical to those found in viral outgrowth cultures and represent clones of in vivo expanded T cells, as determined by their T cell receptor sequence. Gene-expression analysis revealed that these cells share a transcriptional profile that includes expression of genes implicated in silencing the virus. We conclude that reactivated latent T cells isolated from blood can share a gene-expression program that allows for cell division without activation of the cell death pathways that are normally triggered by HIV-1 replication.
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