
The greatest obstacle to a cure for HIV is the provirus that integrates into the genome of the infected cell and persists despite antiretroviral therapy. A "shock and kill" approach has been proposed as a strategy for an HIV cure whereby drugs and compounds referred to as latency-reversing agents (LRAs) are used to "shock" the silent provirus into active replication to permit "killing" by virus-induced pathology or immune recognition. The LRA most utilized to date in clinical trials has been the histone deacetylase (HDAC) inhibitor-vorinostat. Potentially, pathological off-target effects of vorinostat may result from the activation of human endogenous retroviruses (HERVs), which share common ancestry with exogenous retroviruses including HIV. To explore the effects of HDAC inhibition on HERV transcription, an unbiased pharmacogenomics approach (total RNA-Seq) was used to evaluate HERV expression following the exposure of primary CD4+ T cells to a high dose of vorinostat. Over 2,000 individual HERV elements were found to be significantly modulated by vorinostat, whereby elements belonging to the ERVL family (e.g., LTR16C and LTR33) were predominantly downregulated, in contrast to LTR12 elements of the HERV-9 family, which exhibited the greatest signal, with the upregulation of 140 distinct elements. The modulation of three different LTR12 elements by vorinostat was confirmed by droplet digital PCR along a dose-response curve. The monitoring of LTR12 expression during clinical trials with vorinostat may be indicated to assess the impact of this HERV on the human genome and host immunity.
Gene Expression Regulation (mesh), CD4-Positive T-Lymphocytes, Immunity (mesh), human endogenous retroviruses, HIV Infections, 3105 Genetics (for-2020), Clinical Research (rcdc), total RNA-Seq, Proviruses, Vorinostat (mesh), 32 Biomedical and Clinical Sciences (for-2020), Antirheumatic Agents (mesh), 3101 Biochemistry and cell biology (for-2020), Cells, Cultured, Humans (mesh), Vorinostat, Cultured, 3 Good Health and Well Being (sdg), CD4-Positive T-Lymphocytes (mesh), long terminal repeat, Virus Latency, Infection (hrcs-hc), Infectious Diseases, Medical Microbiology, 5.1 Pharmaceuticals, Antirheumatic Agents, HIV/AIDS, Proviruses (mesh), Infection, Cultured (mesh), Virus Activation (mesh), Cells, Immunology, 610, 1107 Immunology (for), HIV Infections (mesh), Terminal Repeat Sequences (mesh), Clinical Research, 5.1 Pharmaceuticals (hrcs-rac), Genetics, Humans, 3207 Medical Microbiology (for-2020), primary CD4+ T cells, 3204 Immunology (for-2020), histone deacetylase inhibitor, HIV/AIDS (rcdc), HIV-1 (mesh), Biomedical and Clinical Sciences, Genetics (rcdc), Histone Deacetylase Inhibitors (mesh), Human Genome, Endogenous Retroviruses, 1108 Medical Microbiology (for), Immunity, Terminal Repeat Sequences, RC581-607, Human Genome (rcdc), Virus Latency (mesh), primary CD4(+) T cells, Histone Deacetylase Inhibitors, Good Health and Well Being, Endogenous Retroviruses (mesh), Gene Expression Regulation, Infectious Diseases (rcdc), Biochemistry and cell biology, HIV-1, Sexually Transmitted Infections, Virus Activation, Immunologic diseases. Allergy, Sexually Transmitted Infections (rcdc)
Gene Expression Regulation (mesh), CD4-Positive T-Lymphocytes, Immunity (mesh), human endogenous retroviruses, HIV Infections, 3105 Genetics (for-2020), Clinical Research (rcdc), total RNA-Seq, Proviruses, Vorinostat (mesh), 32 Biomedical and Clinical Sciences (for-2020), Antirheumatic Agents (mesh), 3101 Biochemistry and cell biology (for-2020), Cells, Cultured, Humans (mesh), Vorinostat, Cultured, 3 Good Health and Well Being (sdg), CD4-Positive T-Lymphocytes (mesh), long terminal repeat, Virus Latency, Infection (hrcs-hc), Infectious Diseases, Medical Microbiology, 5.1 Pharmaceuticals, Antirheumatic Agents, HIV/AIDS, Proviruses (mesh), Infection, Cultured (mesh), Virus Activation (mesh), Cells, Immunology, 610, 1107 Immunology (for), HIV Infections (mesh), Terminal Repeat Sequences (mesh), Clinical Research, 5.1 Pharmaceuticals (hrcs-rac), Genetics, Humans, 3207 Medical Microbiology (for-2020), primary CD4+ T cells, 3204 Immunology (for-2020), histone deacetylase inhibitor, HIV/AIDS (rcdc), HIV-1 (mesh), Biomedical and Clinical Sciences, Genetics (rcdc), Histone Deacetylase Inhibitors (mesh), Human Genome, Endogenous Retroviruses, 1108 Medical Microbiology (for), Immunity, Terminal Repeat Sequences, RC581-607, Human Genome (rcdc), Virus Latency (mesh), primary CD4(+) T cells, Histone Deacetylase Inhibitors, Good Health and Well Being, Endogenous Retroviruses (mesh), Gene Expression Regulation, Infectious Diseases (rcdc), Biochemistry and cell biology, HIV-1, Sexually Transmitted Infections, Virus Activation, Immunologic diseases. Allergy, Sexually Transmitted Infections (rcdc)
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