Investigation on the role of cell transcriptional factor Sp1 and HIV-1 TAT protein in PML onset or development

M Mischitelli1, D Fioriti, M Videtta

  • 1Department of Public Health Sciences, University of Rome La Sapienza, Italy.

Insights

Human immunodeficiency virus (HIV) coinfection synergizes with JC virus (JCV) replication in the central nervous system. HIV-positive individuals show NCCR enhancements, suggesting a role in JCV pathogenesis.

Area of Science:

  • Neurovirology
  • Molecular Virology
  • Immunology

Background:

  • Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease caused by JC virus (JCV).
  • PML is strongly associated with immunodepression, particularly in patients with acquired immunodeficiency syndrome (AIDS).
  • JCV's non-coding control region (NCCR) regulates viral replication and exhibits significant genetic variability, influencing disease pathogenesis.

Purpose of the Study:

  • To investigate the presence and variants of the JCV genome in cerebrospinal fluid (CSF) of HIV-positive and HIV-negative PML patients.
  • To analyze specific NCCR elements, including Sp1 binding sites (boxes B and D) and the up-TAR sequence (box C), in relation to HIV status.
  • To explore potential synergistic interactions between HIV-1 and JCV in the central nervous system (CNS).

Main Methods:

  • Polymerase chain reaction (PCR) was used to detect the JCV genome in CSF samples.
  • DNA sequencing was employed to analyze the NCCR structure of JCV variants.
  • Specific focus was placed on analyzing Sp1 binding sites and the up-TAR sequence within the NCCR.

Main Results:

  • In HIV-positive subjects with PML, all analyzed NCCR structures exhibited enhancements of the up-TAR element.
  • In contrast, HIV-negative subjects with PML consistently retained both Sp1 binding sites (boxes B and D).
  • These findings suggest distinct NCCR profiles correlating with HIV coinfection status.

Conclusions:

  • A synergistic interaction between HIV-1 and JCV in the CNS is supported by the observed NCCR alterations.
  • Sp1 binding sites may be crucial for JCV replication in the absence of HIV coinfection.
  • The up-TAR element's enhancement in HIV-positive individuals could contribute to increased JCV replication and PML development in this population.