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1.
Mol Ther Nucleic Acids ; 32: 289-301, 2023 Jun 13.
Article de Anglais | MEDLINE | ID: mdl-37096163

RÉSUMÉ

Antisense oligonucleotides (ASOs) are short synthetic nucleic acids that recognize and bind to complementary RNA to modulate gene expression. It is well established that single-stranded, phosphorothioate-modified ASOs enter cells independent of carrier molecules, primarily via endocytic pathways, but that only a small portion of internalized ASO is released into the cytosol and/or nucleus, rendering the majority of ASO inaccessible to the targeted RNA. Identifying pathways that can increase the available ASO pool is valuable as a research tool and therapeutically. Here, we conducted a functional genomic screen for ASO activity by engineering GFP splice reporter cells and applying genome-wide CRISPR gene activation. The screen can identify factors that enhance ASO splice modulation activity. Characterization of hit genes uncovered GOLGA8, a largely uncharacterized protein, as a novel positive regulator enhancing ASO activity by ∼2-fold. Bulk ASO uptake is 2- to 5-fold higher in GOLGA8-overexpressing cells where GOLGA8 and ASOs are observed in the same intracellular compartments. We find GOLGA8 is highly localized to the trans-Golgi and readily detectable at the plasma membrane. Interestingly, overexpression of GOLGA8 increased activity for both splice modulation and RNase H1-dependent ASOs. Taken together, these results support a novel role for GOLGA8 in productive ASO uptake.

2.
Methods Mol Biol ; 2162: 49-60, 2021.
Article de Anglais | MEDLINE | ID: mdl-32926377

RÉSUMÉ

CRISPR-based gene editing in mammalian cells is a powerful research tool which has demonstrated efficient site-specific gene modifications and is showing promise as a therapeutic for patients with genetic diseases. Multiple different CRISPR systems have been identified, each with its own target DNA recognition sequence, expanding the editable mammalian genome. It is also now appreciated that chemically modified nucleic acids can substitute for unmodified nucleotides in guide RNAs, providing protection from exonuclease degradation and improving gene editing efficiency. CRISPR-Cpf1 unlike CRISPR-Cas9, has a substantially lower propensity for off-target genomic cleavage, making it a preferred gene editing system for many applications. Here we provide a detailed protocol for use of CRISPR-Cpf1 and chemically modified guide RNAs in cell lines, outlining the steps from designing guide RNAs to a target gene of interest, delivery and expression in cells, and analysis of gene editing events.


Sujet(s)
Systèmes CRISPR-Cas/génétique , Endonucleases/génétique , Édition de gène/méthodes , Génome/génétique , Protéines bactériennes/génétique , Séquence nucléotidique/génétique , Protéines associées aux CRISPR/génétique , Endodeoxyribonucleases/génétique , Humains , /génétique
3.
Nat Cell Biol ; 21(6): 743-754, 2019 06.
Article de Anglais | MEDLINE | ID: mdl-31160708

RÉSUMÉ

Chromatin assembled with the histone H3 variant CENP-A is the heritable epigenetic determinant of human centromere identity. Using genome-wide mapping and reference models for 23 human centromeres, CENP-A binding sites are identified within the megabase-long, repetitive α-satellite DNAs at each centromere. CENP-A is shown in early G1 to be assembled into nucleosomes within each centromere and onto 11,390 transcriptionally active sites on the chromosome arms. DNA replication is demonstrated to remove ectopically loaded, non-centromeric CENP-A. In contrast, tethering of centromeric CENP-A to the sites of DNA replication through the constitutive centromere associated network (CCAN) is shown to enable precise reloading of centromere-bound CENP-A onto the same DNA sequences as in its initial prereplication loading. Thus, DNA replication acts as an error correction mechanism for maintaining centromere identity through its removal of non-centromeric CENP-A coupled with CCAN-mediated retention and precise reloading of centromeric CENP-A.


Sujet(s)
Protéine A du centromère/génétique , Centromère/génétique , Chromosomes humains/génétique , Réplication de l'ADN/génétique , Chromatine/génétique , Protéines chromosomiques nonhistones/génétique , Phase G1/génétique , Cellules HeLa , Histone/génétique , Humains , Nucléosomes/génétique
4.
Nat Neurosci ; 22(2): 180-190, 2019 02.
Article de Anglais | MEDLINE | ID: mdl-30643298

RÉSUMÉ

Amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) are associated with loss of nuclear transactive response DNA-binding protein 43 (TDP-43). Here we identify that TDP-43 regulates expression of the neuronal growth-associated factor stathmin-2. Lowered TDP-43 levels, which reduce its binding to sites within the first intron of stathmin-2 pre-messenger RNA, uncover a cryptic polyadenylation site whose utilization produces a truncated, non-functional mRNA. Reduced stathmin-2 expression is found in neurons trans-differentiated from patient fibroblasts expressing an ALS-causing TDP-43 mutation, in motor cortex and spinal motor neurons from patients with sporadic ALS and familial ALS with GGGGCC repeat expansion in the C9orf72 gene, and in induced pluripotent stem cell (iPSC)-derived motor neurons depleted of TDP-43. Remarkably, while reduction in TDP-43 is shown to inhibit axonal regeneration of iPSC-derived motor neurons, rescue of stathmin-2 expression restores axonal regenerative capacity. Thus, premature polyadenylation-mediated reduction in stathmin-2 is a hallmark of ALS-FTD that functionally links reduced nuclear TDP-43 function to enhanced neuronal vulnerability.


Sujet(s)
Protéines de liaison à l'ADN/métabolisme , Protéines membranaires/métabolisme , Motoneurones/métabolisme , Dégénérescence nerveuse/métabolisme , Sclérose latérale amyotrophique/métabolisme , Sclérose latérale amyotrophique/anatomopathologie , Femelle , Humains , Cortex moteur/métabolisme , Cortex moteur/anatomopathologie , Motoneurones/anatomopathologie , Dégénérescence nerveuse/anatomopathologie , Polyadénylation , Moelle spinale/métabolisme , Moelle spinale/anatomopathologie , Stathmine
5.
Nat Commun ; 9(1): 4354, 2018 10 19.
Article de Anglais | MEDLINE | ID: mdl-30341343

RÉSUMÉ

The mitotic checkpoint ensures accurate chromosome segregation through assembly of the mitotic checkpoint complex (MCC), a soluble inhibitor of the anaphase-promoting complex/cyclosome (APC/C) produced by unattached kinetochores. MCC is also assembled during interphase by Mad1/Mad2 bound at nuclear pores, thereby preventing premature mitotic exit prior to kinetochore maturation and checkpoint activation. Using degron tagging to rapidly deplete the AAA+ ATPase TRIP13, we show that its catalytic activity is required to maintain a pool of open-state Mad2 for MCC assembly, thereby supporting mitotic checkpoint activation, but is also required for timely mitotic exit through catalytic disassembly of MCC. Strikingly, combining TRIP13 depletion with elimination of APC15-dependent Cdc20 ubiquitination/degradation results in a complete inability to exit mitosis, even when MCC assembly at unattached kinetochores is prevented. Thus, mitotic exit requires MCC produced either in interphase or mitosis to be disassembled by TRIP13-catalyzed removal of Mad2 or APC15-driven ubiquitination/degradation of its Cdc20 subunit.


Sujet(s)
ATPases associated with diverse cellular activities/physiologie , Complexe promoteur de l'anaphase/physiologie , Protéines du cycle cellulaire/physiologie , Kinétochores/physiologie , Points de contrôle de la phase M du cycle cellulaire , Mitose/physiologie , ATPases associated with diverse cellular activities/génétique , ATPases associated with diverse cellular activities/métabolisme , Complexe promoteur de l'anaphase/génétique , Complexe promoteur de l'anaphase/métabolisme , Protéines Cdc20/métabolisme , Protéines du cycle cellulaire/génétique , Protéines du cycle cellulaire/métabolisme , Interphase , Protéines Mad2/métabolisme
6.
Mol Ther ; 26(5): 1228-1240, 2018 05 02.
Article de Anglais | MEDLINE | ID: mdl-29650467

RÉSUMÉ

CRISPR-based gene editing is a powerful technology for engineering mammalian genomes. It holds the potential as a therapeutic, although much-needed in vivo delivery systems have yet to be established. Here, using the Cpf1-crRNA (CRISPR RNA) crystal structure as a guide, we synthesized a series of systematically truncated and chemically modified crRNAs, and identify positions that are amenable to modification while retaining gene-editing activity. Modified crRNAs were designed with the same modifications that provide protection against nucleases and enable wide distribution in vivo. We show crRNAs with chemically modified terminal nucleotides are exonuclease resistant while retaining gene-editing activity. Chemically modified or DNA-substituted nucleotides at select positions and up to 70% of the crRNA DNA specificity region are also well tolerated. In addition, gene-editing activity is maintained with phosphorothioate backbone substitutions in the crRNA DNA specificity region. Finally, we demonstrate that 42-mer synthetic crRNAs from the similar CRISPR-Cas9 system are taken up by cells, an attractive property for in vivo delivery. Our study is the first to show that chemically modified crRNAs of the CRISPR-Cpf1 system can functionally replace and mediate comparable gene editing to the natural crRNA, which holds the potential for enhancing both viral- and non-viral-mediated in vivo gene editing.


Sujet(s)
Clustered regularly interspaced short palindromic repeats , Endonucleases/métabolisme , Édition de gène , , Animaux , Séquence nucléotidique , Sites de fixation , Lignée cellulaire , Lignée cellulaire tumorale , Ciblage de gène , Variation génétique , Humains , Mammifères , Conformation moléculaire , Liaison aux protéines
8.
Cell Rep ; 17(9): 2394-2404, 2016 11 22.
Article de Anglais | MEDLINE | ID: mdl-27880912

RÉSUMÉ

Human centromeres are defined by chromatin containing the histone H3 variant CENP-A assembled onto repetitive alphoid DNA sequences. By inducing rapid, complete degradation of endogenous CENP-A, we now demonstrate that once the first steps of centromere assembly have been completed in G1/S, continued CENP-A binding is not required for maintaining kinetochore attachment to centromeres or for centromere function in the next mitosis. Degradation of CENP-A prior to kinetochore assembly is found to block deposition of CENP-C and CENP-N, but not CENP-T, thereby producing defective kinetochores and failure of chromosome segregation. Without the continuing presence of CENP-A, CENP-B binding to alphoid DNA sequences becomes essential to preserve anchoring of CENP-C and the kinetochore to each centromere. Thus, there is a reciprocal interdependency of CENP-A chromatin and the underlying repetitive centromere DNA sequences bound by CENP-B in the maintenance of human chromosome segregation.


Sujet(s)
Protéine A du centromère/métabolisme , Centromère/métabolisme , Kinétochores/métabolisme , Mitose , Lignée cellulaire tumorale , Protéines chromosomiques nonhistones/métabolisme , Ségrégation des chromosomes , Épigenèse génétique , Humains , Modèles biologiques
9.
EMBO J ; 35(16): 1810-21, 2016 08 15.
Article de Anglais | MEDLINE | ID: mdl-27402227

RÉSUMÉ

Membrane fusion is essential for eukaryotic life, requiring SNARE proteins to zipper up in an α-helical bundle to pull two membranes together. Here, we show that vesicle fusion can be suppressed by phosphorylation of core conserved residues inside the SNARE domain. We took a proteomics approach using a PKCB knockout mast cell model and found that the key mast cell secretory protein VAMP8 becomes phosphorylated by PKC at multiple residues in the SNARE domain. Our data suggest that VAMP8 phosphorylation reduces vesicle fusion in vitro and suppresses secretion in living cells, allowing vesicles to dock but preventing fusion with the plasma membrane. Markedly, we show that the phosphorylation motif is absent in all eukaryotic neuronal VAMPs, but present in all other VAMPs. Thus, phosphorylation of SNARE domains is a general mechanism to restrict how much cells secrete, opening the door for new therapeutic strategies for suppression of secretion.


Sujet(s)
Protéine kinase C/métabolisme , Maturation post-traductionnelle des protéines , Protéines R-SNARE/métabolisme , Vésicules de sécrétion/métabolisme , Animaux , Lignée cellulaire , Mastocytes/physiologie , Phosphorylation , Protéomique , Rats
10.
Proc Natl Acad Sci U S A ; 112(51): E7110-7, 2015 Dec 22.
Article de Anglais | MEDLINE | ID: mdl-26589814

RÉSUMÉ

Genome editing with the clustered, regularly interspaced, short palindromic repeats (CRISPR)-Cas9 nuclease system is a powerful technology for manipulating genomes, including introduction of gene disruptions or corrections. Here we develop a chemically modified, 29-nucleotide synthetic CRISPR RNA (scrRNA), which in combination with unmodified transactivating crRNA (tracrRNA) is shown to functionally replace the natural guide RNA in the CRISPR-Cas9 nuclease system and to mediate efficient genome editing in human cells. Incorporation of rational chemical modifications known to protect against nuclease digestion and stabilize RNA-RNA interactions in the tracrRNA hybridization region of CRISPR RNA (crRNA) yields a scrRNA with enhanced activity compared with the unmodified crRNA and comparable gene disruption activity to the previously published single guide RNA. Taken together, these findings provide a platform for therapeutic applications, especially for nervous system disease, using successive application of cell-permeable, synthetic CRISPR RNAs to activate and then silence Cas9 nuclease activity.


Sujet(s)
Clustered regularly interspaced short palindromic repeats , Génome humain , Édition des ARN , Séquence nucléotidique , Gènes de synthèse , Génie génétique , Cellules HEK293 , Humains , Modèles génétiques , Données de séquences moléculaires , Conformation d'acide nucléique , ARN/composition chimique , ARN/génétique , ARN/métabolisme , /génétique , /métabolisme
11.
Dev Cell ; 33(3): 314-27, 2015 May 04.
Article de Anglais | MEDLINE | ID: mdl-25942623

RÉSUMÉ

Human centromeres are specified by a stably inherited epigenetic mark that maintains centromere position and function through a two-step mechanism relying on self-templating centromeric chromatin assembled with the histone H3 variant CENP-A, followed by CENP-A-dependent nucleation of kinetochore assembly. Nevertheless, natural human centromeres are positioned within specific megabase chromosomal regions containing α-satellite DNA repeats, which contain binding sites for the DNA sequence-specific binding protein CENP-B. We now demonstrate that CENP-B directly binds both CENP-A's amino-terminal tail and CENP-C, a key nucleator of kinetochore assembly. DNA sequence-dependent binding of CENP-B within α-satellite repeats is required to stabilize optimal centromeric levels of CENP-C. Chromosomes bearing centromeres without bound CENP-B, including the human Y chromosome, are shown to mis-segregate in cells at rates several-fold higher than chromosomes with CENP-B-containing centromeres. These data demonstrate a DNA sequence-specific enhancement by CENP-B of the fidelity of epigenetically defined human centromere function.


Sujet(s)
Autoantigènes/métabolisme , Protéine B du centromère/métabolisme , Centromère/métabolisme , Protéines chromosomiques nonhistones/métabolisme , ADN satellite/métabolisme , Animaux , Sites de fixation/génétique , Protéine A du centromère , Protéine B du centromère/génétique , Chromatine/métabolisme , Histone/métabolisme , Humains
12.
Mol Ther ; 21(4): 786-95, 2013 Apr.
Article de Anglais | MEDLINE | ID: mdl-23358186

RÉSUMÉ

Restriction factors constitute a newly appreciated line of innate immune defense, blocking viral replication inside of infected cells. In contrast to these antiviral proteins, some cellular proteins, such as the CD4, CCR5, and CXCR4 cell surface receptors, facilitate HIV replication. We have used zinc finger nucleases (ZFNs) to insert a cocktail of anti-HIV restriction factors into the CCR5 locus in a T-cell reporter line, knocking out the CCR5 gene in the process. Mirroring the logic of highly active antiretroviral therapy, this strategy provides multiple parallel blocks to infection, dramatically limiting pathways for viral escape, without relying on random integration of transgenes into the genome. Because of the combination of blocks that this strategy creates, our modified T-cell lines are robustly resistant to both CCR5-tropic (R5-tropic) and CXCR4-tropic (X4-tropic) HIV-1. While zinc finger nuclease-mediated CCR5 disruption alone, which mimics the strategy being used in clinical trials, confers 16-fold protection against R5-tropic HIV, it has no effect against X4-tropic virus. Rhesus TRIM5α, chimeric human-rhesus TRIM5α, APOBEC3G D128K, or Rev M10 alone targeted to CCR5 confers significantly improved resistance to infection by both variants compared with CCR5 disruption alone. The combination of three factors targeted to CCR5 blocks infection at multiple stages, providing virtually complete protection against infection by R5-tropic and X4-tropic HIV.


Sujet(s)
Infections à VIH/immunologie , Lymphocytes T/virologie , Antigènes CD4/métabolisme , Lignée cellulaire , Humains , Récepteurs CCR5/métabolisme , Récepteurs CXCR4/métabolisme , Lymphocytes T/métabolisme
13.
Proc Natl Acad Sci U S A ; 110(6): E448-57, 2013 Feb 05.
Article de Anglais | MEDLINE | ID: mdl-23341616

RÉSUMÉ

HIV-1 reverse transcriptase discriminates poorly between dUTP and dTTP, and accordingly, viral DNA products become heavily uracilated when viruses infect host cells that contain high ratios of dUTP:dTTP. Uracilation of invading retroviral DNA is thought to be an innate immunity barrier to retroviral infection, but the mechanistic features of this immune pathway and the cellular fate of uracilated retroviral DNA products is not known. Here we developed a model system in which the cellular dUTP:dTTP ratio can be pharmacologically increased to favor dUTP incorporation, allowing dissection of this innate immunity pathway. When the virus-infected cells contained elevated dUTP levels, reverse transcription was found to proceed unperturbed, but integration and viral protein expression were largely blocked. Furthermore, successfully integrated proviruses lacked detectable uracil, suggesting that only nonuracilated viral DNA products were integration competent. Integration of the uracilated proviruses was restored using an isogenic cell line that had no detectable human uracil DNA glycosylase (hUNG2) activity, establishing that hUNG2 is a host restriction factor in cells that contain high dUTP. Biochemical studies in primary cells established that this immune pathway is not operative in CD4+ T cells, because these cells have high dUTPase activity (low dUTP), and only modest levels of hUNG activity. Although monocyte-derived macrophages have high dUTP levels, these cells have low hUNG activity, which may diminish the effectiveness of this restriction pathway. These findings establish the essential elements of this pathway and reconcile diverse observations in the literature.


Sujet(s)
DNA Glycosylases/métabolisme , ADN viral/métabolisme , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/physiologie , Intégration virale/physiologie , Agents antiVIH/pharmacologie , Séquence nucléotidique , Lymphocytes T CD4+/effets des médicaments et des substances chimiques , Lymphocytes T CD4+/immunologie , Lymphocytes T CD4+/métabolisme , Lymphocytes T CD4+/virologie , DNA Glycosylases/antagonistes et inhibiteurs , DNA Glycosylases/génétique , ADN viral/composition chimique , ADN viral/génétique , Nucléotides désoxyuridyliques/métabolisme , Antienzymes/pharmacologie , Techniques de knock-down de gènes , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/génétique , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/pathogénicité , Cellules HT29 , Interactions hôte-pathogène/génétique , Interactions hôte-pathogène/immunologie , Interactions hôte-pathogène/physiologie , Humains , Immunité innée , Macrophages/effets des médicaments et des substances chimiques , Macrophages/immunologie , Macrophages/métabolisme , Macrophages/virologie , Modèles biologiques , Mutation , Quinazolines/pharmacologie , Transcription inverse , Thiophènes/pharmacologie , Thymidine/métabolisme , Thymidine/pharmacologie , Thymidylate synthase/antagonistes et inhibiteurs , Virion
15.
J Virol ; 85(9): 4618-22, 2011 May.
Article de Anglais | MEDLINE | ID: mdl-21325417

RÉSUMÉ

Acyclovir, a nucleoside analog, is thought to be specific for the human herpesviruses because it requires a virally encoded enzyme to phosphorylate it to acyclovir monophosphate. Recently, acyclovir triphosphate was shown to be a direct inhibitor of human immunodeficiency virus type 1 (HIV-1) reverse transcriptase. Here, we showed that acyclovir is an inhibitor of HIV-1 replication in CD4(+) T cells from cord blood that have undetectable levels of the eight human herpesviruses. Additionally, acyclovir phosphates were detected by reverse-phase-high performance liquid chromatography (RP-HPLC) and quantified in a primer extension assay from cord blood. The data support acyclovir as an inhibitor of HIV-1 replication in herpesvirus-negative cells.


Sujet(s)
Aciclovir/pharmacologie , Antiviraux/pharmacologie , Lymphocytes T CD4+/virologie , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/effets des médicaments et des substances chimiques , Herpesviridae/isolement et purification , Réplication virale/effets des médicaments et des substances chimiques , Aciclovir/métabolisme , Adulte , Antiviraux/métabolisme , Lymphocytes T CD4+/composition chimique , Chromatographie en phase liquide à haute performance , Herpesviridae/enzymologie , Humains
16.
AIDS Res Hum Retroviruses ; 27(7): 759-61, 2011 Jul.
Article de Anglais | MEDLINE | ID: mdl-21105850

RÉSUMÉ

The cells responsible for the second phase decay of HIV-1 viremia following the initiation of antiretroviral therapy have yet to be identified. A dynamic model that considers where drugs act in the virus life cycle places constraints on candidate cell types. In this regard, the rapid drop in viremia in patients starting regimens containing the integrase inhibitor raltegravir is of particular interest. We show here that the time delay between reverse transcription and integration is short in differentiated macrophages, making these cells poor candidates for the second phase compartment under the assumptions of standard models of viral dynamics.


Sujet(s)
Agents antiVIH/pharmacologie , Infections à VIH/virologie , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/effets des médicaments et des substances chimiques , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/pathogénicité , Macrophages/virologie , Latence virale/effets des médicaments et des substances chimiques , Infections à VIH/traitement médicamenteux , Humains
17.
J Biol Chem ; 285(52): 40956-64, 2010 Dec 24.
Article de Anglais | MEDLINE | ID: mdl-20929867

RÉSUMÉ

Nucleic acid cytidine deaminases of the activation-induced deaminase (AID)/APOBEC family are critical players in active and innate immune responses, playing roles as target-directed, purposeful mutators. AID specifically deaminates the host immunoglobulin (Ig) locus to evolve antibody specificity, whereas its close relative, APOBEC3G (A3G), lethally mutates the genomes of retroviral pathogens such as HIV. Understanding the basis for the target-specific action of these enzymes is essential, as mistargeting poses significant risks, potentially promoting oncogenesis (AID) or fostering drug resistance (A3G). AID prefers to deaminate cytosine in WRC (W = A/T, R = A/G) motifs, whereas A3G favors deamination of CCC motifs. This specificity is largely dictated by a single, divergent protein loop in the enzyme family that recognizes the DNA sequence. Through grafting of this substrate-recognition loop, we have created enzyme variants of A3G and AID with altered local targeting to directly evaluate the role of sequence specificity on immune function. We find that grafted loops placed in the A3G scaffold all produced efficient restriction of HIV but that foreign loops in the AID scaffold compromised hypermutation and class switch recombination. Local targeting, therefore, appears alterable for innate defense against retroviruses by A3G but important for adaptive antibody maturation catalyzed by AID. Notably, AID targeting within the Ig locus is proportionally correlated to its in vitro ability to target WRC sequences rather than non-WRC sequences. Although other mechanisms may also contribute, our results suggest that local sequence targeting by AID/APOBEC3 enzymes represents an elegant example of co-evolution of enzyme specificity with its target DNA sequence.


Sujet(s)
Anticorps antiviraux/métabolisme , Cytidine deaminase/métabolisme , Infections à VIH/enzymologie , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/métabolisme , APOBEC-3G Deaminase , Motifs d'acides aminés , Animaux , Anticorps antiviraux/génétique , Lymphocytes B/métabolisme , Cytidine deaminase/génétique , Évolution moléculaire , Cellules HEK293 , Infections à VIH/génétique , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/génétique , Humains , Immunité innée , Souris , Souris knockout , Structure secondaire des protéines
18.
J Infect Dis ; 202(5): 734-8, 2010 Sep 01.
Article de Anglais | MEDLINE | ID: mdl-20649426

RÉSUMÉ

We evaluated whether acyclovir suppression during human immunodeficiency virus type 1 (HIV-1) acquisition reduces HIV-1 set point, increases CD4 cell counts, and selects reverse-transcriptase mutations among 76 HIV-1 seroconverters identified in a placebo-controlled trial of twice-daily acyclovir (400 mg) for the prevention of HIV acquisition in herpes simplex virus type 2 (HSV-2)-seropositive persons (HIV Prevention Trials Network study 039). We found no significant difference in plasma HIV-1 RNA levels (P =.30) or CD4 cell counts (P =.85) between the acyclovir and placebo recipients. V75I and other mutations in HIV-1 reverse transcriptase reported from in vitro acyclovir studies were not observed. In conclusion, acyclovir suppression during HIV-1 seroconversion and the subsequent 6 months does not affect HIV-1 set point.


Sujet(s)
Aciclovir , Antiviraux , Infections à VIH/traitement médicamenteux , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/effets des médicaments et des substances chimiques , Herpès génital/traitement médicamenteux , Herpèsvirus humain de type 2/effets des médicaments et des substances chimiques , Aciclovir/administration et posologie , Aciclovir/pharmacologie , Aciclovir/usage thérapeutique , Adulte , Anticorps antiviraux/sang , Antiviraux/administration et posologie , Antiviraux/pharmacologie , Antiviraux/usage thérapeutique , Numération des lymphocytes CD4 , Femelle , Infections à VIH/complications , Infections à VIH/virologie , Transcriptase inverse du VIH/génétique , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/génétique , Herpès génital/complications , Herpès génital/épidémiologie , Herpès génital/virologie , Herpèsvirus humain de type 2/immunologie , Humains , Mâle , ARN viral/sang , Résultat thérapeutique , Charge virale , Jeune adulte
19.
AIDS ; 24(2): 319-23, 2010 Jan 16.
Article de Anglais | MEDLINE | ID: mdl-20009920

RÉSUMÉ

Trials of acyclovir for herpes simplex virus 2 infection in herpes simplex virus 2/HIV-1 coinfected patients not on antiretroviral therapy demonstrated a decrease in herpes simplex virus 2 and HIV-1 replication. Recent studies indicated that acyclovir has direct anti-HIV-1 activity and can select for the HIV-1 V75I reverse transcriptase variant in vitro. We show that the V75I variant has decreased sensitivity to some nucleoside analogs but an increased sensitivity to zidovudine, results that may guide selection of highly active antiretroviral therapy regimens in patients harboring this variant.


Sujet(s)
Aciclovir/pharmacologie , Antiviraux/pharmacologie , Transcriptase inverse du VIH/génétique , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/effets des médicaments et des substances chimiques , Herpès génital/génétique , Herpèsvirus humain de type 2/génétique , Agents antiVIH/usage thérapeutique , Résistance virale aux médicaments/génétique , Guanine/analogues et dérivés , Guanine/pharmacologie , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/génétique , Herpès génital/traitement médicamenteux , Humains , Mutation , Charge virale/effets des médicaments et des substances chimiques , Réplication virale/effets des médicaments et des substances chimiques , Zidovudine/pharmacologie
20.
Curr Opin Infect Dis ; 22(6): 574-82, 2009 Dec.
Article de Anglais | MEDLINE | ID: mdl-19841584

RÉSUMÉ

PURPOSE OF REVIEW: With highly active antiretroviral therapy, HIV-1 infection has become a manageable lifelong disease. Developing optimal treatment regimens requires understanding how to best measure anti-HIV activity in vitro and how drug dose-response curves generated in vitro correlate with in-vivo efficacy. RECENT FINDINGS: Several recent studies have indicated that conventional multiround infectivity assays are inferior to single cycle assays at both low and high levels of inhibition. Multiround infectivity assays can fail to detect subtle but clinically significant anti-HIV activity. The discoveries of the anti-HIV activity of the hepatitis B drug entecavir and the herpes simplex drug acyclovir were facilitated by single-round infectivity assays. Recent studies using a single-round infectivity assay have shown that a previously neglected parameter, the dose-response curve slope, is an extremely important determinant of antiviral activity. Some antiretroviral drugs have steep slopes that result in extraordinary levels of antiviral activity. The instantaneous inhibitory potential, the log reduction in infectivity in a single-round assay at clinical drug concentrations, has been proposed as a novel index for comparing antiviral activity. SUMMARY: Among in-vitro measures of antiviral activity, single-round infection assays have the advantage of measuring instantaneous inhibition by a drug. Re-evaluating the antiviral activity of approved HIV-1 drugs has shown that the slope parameter is an important factor in drug activity. Determining the instantaneous inhibitory potential by using a single-round infectivity assay may provide important insights that can predict the in-vivo efficacy of anti-HIV-1 drugs.


Sujet(s)
Antiviraux , Infections à VIH/traitement médicamenteux , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/effets des médicaments et des substances chimiques , Réplication virale/effets des médicaments et des substances chimiques , Aciclovir/pharmacologie , Aciclovir/usage thérapeutique , Thérapie antirétrovirale hautement active , Antiviraux/pharmacologie , Antiviraux/usage thérapeutique , Relation dose-effet des médicaments , Guanine/analogues et dérivés , Guanine/pharmacologie , Guanine/usage thérapeutique , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/physiologie , Humains
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