Defining the Effects of PKC Modulator HIV Latency-Reversing Agents on Natural Killer Cells

Melanie Dimapasoc1,2, Jose A Moran3, Steve W Cole4

  • 1Molecular Biology Institute, University of California Los Angeles, Los Angeles, California.

PubMed
Abstract

Insights

Protein kinase C (PKC) modulators boost HIV latency reversal by increasing HIV expression in T cells, not by enhancing natural killer (NK) cell functions. This research clarifies the "kick and kill" strategy for HIV cure.

Area of Science:

  • Immunology
  • Virology
  • Molecular Biology

Background:

  • Latency reversing agents (LRAs), including protein kinase C (PKC) modulators, show promise in reducing HIV reservoirs.
  • Combining LRAs with natural killer (NK) cells enhances HIV reservoir reduction in preclinical models.
  • The precise mechanism by which PKC modulators and NK cells synergize remains unclear.

Purpose of the Study:

  • To investigate whether PKC modulators enhance NK cell effector functions.
  • To determine the impact of PKC modulators on NK cell activation, cytotoxicity, and cytokine production.
  • To assess if secreted factors from PKC-modulated NK cells can reverse HIV latency.

Main Methods:

  • Primary human NK cells were treated with PKC modulators (bryostatin-1, prostratin, SUW133).
  • NK cell activation markers, transcriptomic profiles (RNA sequencing), cytotoxicity, and cytokine production were analyzed.
  • Jurkat-Latency (J-Lat) cells were used to assess the latency-reversing potential of secreted factors.

Main Results:

  • PKC modulators increased NK cell activation markers and altered transcriptomic profiles, with NFκB pathway enrichment.
  • Cytotoxicity was reduced by bryostatin-1 and SUW133, but not prostratin.
  • Cytokines produced by PKC-stimulated NK cells did not induce HIV latency reversal in J-Lat cells.

Conclusions:

  • PKC modulators primarily enhance the
  • kick
  • (upregulating HIV expression) rather than the
  • kill
  • (NK cell effector function) component of HIV cure strategies.
  • The observed synergy in preclinical models is likely due to enhanced viral reactivation in infected cells, not direct augmentation of NK cell activity.
  • PKC modulators' role in combination HIV therapy warrants further investigation focusing on their impact on viral reservoirs.