Nuevas estrategias terapéuticas frente a la infección por el VIH-1
Author
Martínez Bonet, MartaEntity
UAM. Departamento de Biología MolecularDate
2014-07-15Subjects
VIH (Virus) - Tratamiento - Tesis doctorales; Biología y Biomedicina / BiologíaNote
Tesis doctoral inédita leída en la Universidad Autónoma de Madrid, Facultad de Ciencias, Departamento de Biología Molecular. Fecha de lectura: 15-07-2014Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
Abstract
The present work is composed of two main goals: “Identification and functional analysis
of the HIV-1 Nef PGPG motif, responsible for the interaction with the SH2 domain
of Lck, as a new potential therapeutic target” and “Study of the in vitro and ex vivo
effects of bryostatin-1 in combination with the antiretrovirals maraviroc or Atripla® on
viral reactivation and the inhibition of novel infection issues”.
SECTION 1: HIV-1 Nef affects pivotal processes in the infected host cell including
T cell receptor signalling. Most of these effects involve the physical association with
and alteration of subcellular localization of the host cell kinase Lck. Retargeting of Lck
depends on a PxxP motif in Nef that binds to SH3 domains. Moreover, the SH2 domain
of Lck was reported to contribute to interactions with Nef, however the identity of the
HIV-1 Nef motif responsible for this interaction has remained unknown. To search
for the elusive SH2 binding site we performed a functional alanine scanning analysis
along a discrete but highly conserved region at the core of HIV-1 Nef. We identified
a PGPG motif encompassing residues 121-137 of HIV-1NL4.3 Nef to be required for
the interaction with Lck-SH2. The PGPG motif was critical for Lck dependent Nef
functions, including CD4 downregulation, optimal infectivity of viruses produced in T
cells as well as intracellular recruitment of Lck. Unexpectedly, we found that the PGPG
motif also participated in the binding to the Lck-SH3 domain, indicative of the synergy
between PxxP-SH3 and PGPG-SH2 interaction. In accordance, the PGPG motif also
participated on Nef dependent inhibition of host cell actin dynamics and MHC-I
downregulation, which are PxxP dependent activities of Nef that do not involve Lck.
In conclusion, the PGPG motif can mediate interactions of Nef with SH2 domains
and supports the activity of the Nef PxxP motif. Thus, we propose the conserved
PGPG motif in HIV-1 Nef as a potential pharmacological target for interference with
Nef function in HIV-1 infection.
SECTION 2: Despite antiretroviral therapy successfully controls HIV-1 viremia in
most AIDS patients, virus latency establishment early upon infection impedes HIV-1
eradication in HIV-1+ patients. Bryostatin-1 (BRYO) inhibits in vitro HIV-1 infection
of CD4 T lymphocytes (as it downregulates CD4 and CXCR4, viral receptor and
coreceptor, respectively) and, at the same time, reactivates virus from latency through
PKC/NF-kB pathway activation. Prior to design clinical studies with BRYO to
assess its real impact on the size of the HIV-1 latent reservoirs, the potential in vitro
effect of BRYO in combination with the antiretrovirals (AR) maraviroc (MVC) and
Atripla® (ATP) has been determined. Jurkat-LTRGFP-R5 cell line and two latent and
reactivatable HIV-1-infected lymphocytic or monocytic clonal cell lines (J89GFP and
THP89GFP respectively) were used as latency models. BRYO reactivated latent HIV-1,
reaching levels up to 80% in THP89GFP cells, even in combination with MVC or ATP.
Moreover, when AR pre-treated reporter TZM-bl cells were co-cultured with BRYO
treated THP89GFP, new infections of reactivated HIV-189.6 were inhibited 50% or 80%
for MVC or ATP pre-treated cells, respectively. Remarkably, when AR were combined
with BRYO, the combinations maintained the antiviral effect of the drugs with the
maximum rate of inhibition by its own. In addition, BRYO-mediated downregulation
of surface CD4 and CXCR4 in PBMC was not affected when it was used along with
other AR and no hiperactivation or high proliferation effects were observed in these
cells. Significantly, we found that BRYO strongly stimulated the viral promoter (LTR)
transcription by activating the transcription factor NF-κB in human primary astrocytes
and in the astrocytoma cell line U87, suggesting that the reactivation effect of BRYO
could be especially important in a cellular reservoir such as astrocytes. Moreover,
BRYO was also tested ex vivo for HIV-1 induction in CD4 T cells isolated from infected
individuals receiving HAART and was found to exhibit potent induction activity.
This work is the first to demonstrate that AR combination with BRYO do not interfere
with BRYO activity (in terms of reactivation of latently infected cells and partial
inhibition of infection) neither with AR antiviral activity.
Thus, we propose BRYO as a viral latency reactivator compound appropriate to be
combined with actual antiretroviral treatments in order to purge the viral reservoirs.
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