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Updated: Aug 12, 2025

Deacetylation Assays to Unravel the Interplay between Sirtuins SIRT2 and Specific Protein-substrates
Published on: February 27, 2016
Sirtuin-2, NAD-Dependent Deacetylase, Is a New Potential Therapeutic Target for HIV-1 Infection and HIV-Related
Clara Duran-Castells1,2, Anuska Llano1, Ai Kawana-Tachikawa3
1IrsiCaixa AIDS Research Institute, Hospital Germans Trias i Pujol, Badalona, Spain.
Sirtuin-2 (SIRT2) is a novel biomarker for uncontrolled HIV infection, linked to neurological damage. Targeting SIRT2 with inhibitors reduced HIV replication and reactivation in vitro, offering a potential therapeutic strategy for HIV and associated neurocognitive disorders.
Area of Science:
- Virology
- Neuroscience
- Immunology
Background:
- Combined antiretroviral treatment (cART) has improved HIV management, but neurological comorbidities persist.
- Identifying plasma biomarkers for HIV-related neurological dysfunction is crucial for early detection and treatment.
- Sirtuin-2 (SIRT2), an NAD+-dependent deacetylase, is implicated in cellular processes relevant to HIV infection and neurological health.
Purpose of the Study:
- To identify plasma-based biomarkers associated with HIV replication and neurological damage in people living with HIV (PLWH).
- To investigate the role of sirtuin-2 (SIRT2) as a potential biomarker and therapeutic target in HIV infection.
- To evaluate the impact of cART initiation timing on SIRT2 levels and neurological health.
Main Methods:
- Customized antibody array used to analyze plasma factors in 40 untreated PLWH with varying viral loads.
- Longitudinal analysis of SIRT2 plasma levels in individuals with immediate versus delayed cART initiation.
- In vitro studies using small-molecule SIRT2 inhibitors on J-LAT A2 and primary glial cells to assess HIV replication and reactivation.
Main Results:
- Elevated plasma SIRT2 levels strongly correlated with higher viral loads, proviral DNA, and markers of neurological damage (SNCA, BDNF, MAPT, NFL).
- SIRT2 plasma levels differed between immediate and delayed cART initiation groups after one year and inversely correlated with brain orbitofrontal cortex involution.
- SIRT2 inhibition in vitro reduced HIV replication and virus reactivation from latency.
Conclusions:
- SIRT2 is identified as a novel biomarker for uncontrolled HIV infection and is associated with neurological dysfunction.
- Targeting SIRT2 presents a potential therapeutic strategy for managing HIV infection and its neurological complications.
- SIRT2 levels may serve as an indicator for the impact of cART timing on neurological health in PLWH.
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