NSC95397 is a Novel HIV-1 Latency Reversing Agent

Randilea Nichols Doyle1, Vivian Yang1,2, Yetunde I Kayode3

  • 1Department of Microbiology, Immunology, and Molecular Genetics, University of California, Los Angeles, California, USA.

Insights

Researchers discovered NSC95397, a novel latency reversing agent (LRA), that reactivates HIV-1. This compound synergizes with existing LRAs and may target new pathways to help cure HIV-1.

Area of Science:

  • Virology
  • Immunology
  • Drug Discovery

Background:

  • The latent viral reservoir is a primary obstacle to curing HIV-1.
  • The "kick and kill" strategy aims to reactivate latent virus and eliminate infected cells.
  • Existing latency reversing agents (LRAs) have limitations, necessitating new therapeutic compounds.

Purpose of the Study:

  • To identify and characterize novel compounds that can reverse HIV-1 latency.
  • To evaluate the synergistic potential of new LRAs with existing treatments.
  • To elucidate the molecular mechanisms underlying the action of novel LRAs.

Main Methods:

  • High-throughput screening of approximately 4250 compounds to identify potential LRAs.
  • Validation of NSC95397's ability to reactivate latent viral transcription and protein expression across various models.
  • Co-treatment assays with NSC95397 and known LRAs under normoxic and hypoxic conditions.
  • Analysis of chromatin accessibility and bulk RNA sequencing to assess global transcriptional changes.
  • Pathway analysis to identify cellular processes modulated by NSC95397.

Main Results:

  • NSC95397 was identified as a potent LRA from a large compound screen.
  • NSC95397 effectively reactivated latent viral transcription and protein expression in diverse cellular models.
  • Significant synergy was observed when NSC95397 was combined with existing LRAs, even under hypoxic conditions.
  • NSC95397 did not globally increase chromatin accessibility or cellular transcription.
  • Downregulation of metabolism, cell growth, and DNA repair pathways was observed, suggesting novel mechanisms of action.

Conclusions:

  • NSC95397 is a novel LRA with the potential to reactivate latent HIV-1.
  • NSC95397 demonstrates significant synergy with known LRAs, offering a promising combination therapy approach.
  • The compound may act through previously unrecognized pathways involving metabolic and cellular growth regulation to modulate HIV-1 latency.

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