Detecting Sources of Immune Activation and Viral Rebound in HIV Infection.

Détails

ID Serval
serval:BIB_A725FF5AA40B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Detecting Sources of Immune Activation and Viral Rebound in HIV Infection.
Périodique
Journal of virology
Auteur⸱e⸱s
Wietgrefe S.W., Duan L., Anderson J., Marqués G., Sanders M., Cummins N.W., Badley A.D., Dobrowolski C., Karn J., Pagliuzza A., Chomont N., Sannier G., Dubé M., Kaufmann D.E., Zuck P., Wu G., Howell B.J., Reilly C., Herschhorn A., Schacker T.W., Haase A.T.
ISSN
1098-5514 (Electronic)
ISSN-L
0022-538X
Statut éditorial
Publié
Date de publication
10/08/2022
Peer-reviewed
Oui
Volume
96
Numéro
15
Pages
e0088522
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Anti-retroviral therapy (ART) generally suppresses HIV replication to undetectable levels in peripheral blood, but immune activation associated with increased morbidity and mortality is sustained during ART, and infection rebounds when treatment is interrupted. To identify drivers of immune activation and potential sources of viral rebound, we modified RNAscope in situ hybridization to visualize HIV-producing cells as a standard against which to compare the following assays of potential sources of immune activation and virus rebound following treatment interruption: (i) envelope detection by induced transcription-based sequencing (EDITS) assay; (ii) HIV-Flow; (iii) Flow-FISH assays that can scan tissues and cell suspensions to detect rare cells expressing env mRNA, gag mRNA/Gag protein and p24; and (iv) an ultrasensitive immunoassay that detects p24 in cell/tissue lysates at subfemtomolar levels. We show that the sensitivities of these assays are sufficient to detect one rare HIV-producing/env mRNA <sup>+</sup> /p24 <sup>+</sup> cell in one million uninfected cells. These high-throughput technologies provide contemporary tools to detect and characterize rare cells producing virus and viral antigens as potential sources of immune activation and viral rebound. IMPORTANCE Anti-retroviral therapy (ART) has greatly improved the quality and length of life for people living with HIV, but immune activation does not normalize during ART, and persistent immune activation has been linked to increased morbidity and mortality. We report a comparison of assays of two potential sources of immune activation during ART: rare cells producing HIV and the virus' major viral protein, p24, benchmarked on a cell model of active and latent infections and a method to visualize HIV-producing cells. We show that assays of HIV envelope mRNA (EDITS assay), gag mRNA, and p24 (Flow-FISH, HIV-Flow. and ultrasensitive p24 immunoassay) detect HIV-producing cells and p24 at sensitivities of one infected cell in a million uninfected cells, thereby providing validated tools to explore sources of immune activation during ART in the lymphoid and other tissue reservoirs.
Mots-clé
Anti-HIV Agents/administration & dosage, Anti-HIV Agents/therapeutic use, Antigens, Viral/analysis, Antigens, Viral/genetics, Antigens, Viral/metabolism, CD4-Positive T-Lymphocytes, HIV Core Protein p24/genetics, HIV Infections/immunology, HIV Infections/virology, HIV-1/genetics, HIV-1/growth & development, HIV-1/immunology, Humans, Immunoassay, In Situ Hybridization, Fluorescence, RNA, Messenger/analysis, RNA, Viral/analysis, Reproducibility of Results, Sensitivity and Specificity, Viral Tropism, Virus Activation, env Gene Products, Human Immunodeficiency Virus/genetics, HIV, immune activation, viral rebound
Pubmed
Web of science
Création de la notice
09/05/2023 12:59
Dernière modification de la notice
29/11/2024 13:42
Données d'usage