Hydrogen Sulfide Rescues Microglia From HIV Tat-Driven Ferroptosis: Implications for HIV-Associated Neuroinflammation

Aitizaz Ul Ahsan1, Frida L Martínez-Cuevas1, Elias Horanieh1

  • 1Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Abstract

Insights

Hydrogen sulfide (H2S) protects microglia from HIV Tat-induced ferroptosis, a cell death pathway implicated in NeuroHIV. This study shows H2S mitigates oxidative stress and inflammation, offering a potential therapeutic target.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Biochemistry

Background:

  • HIV-associated neurocognitive disorders (HAND) involve neuroinflammation and glial dysfunction.
  • Ferroptosis, a form of iron-dependent cell death, contributes to HAND pathogenesis.
  • Oxidative stress induced by HIV transactivator of transcription (Tat) protein is a key factor in NeuroHIV.

Purpose of the Study:

  • To investigate the protective role of hydrogen sulfide (H2S) against HIV Tat-induced ferroptosis in microglial cells.
  • To determine if H2S can mitigate oxidative stress, lipid peroxidation, and inflammation in the context of NeuroHIV.

Main Methods:

  • BV2 microglial cells were treated with an H2S donor (NaHS) followed by exposure to HIV Tat protein.
  • Ferroptosis markers (Fe2+ accumulation, lipid peroxidation, ROS, LDH release) were measured.
  • Protein and cytokine expression related to ferroptosis and inflammation were analyzed.

Main Results:

  • H2S treatment significantly reduced Tat-induced ferroptosis markers, including Fe2+ accumulation, ROS generation, and lipid peroxidation.
  • H2S suppressed pro-ferroptotic proteins (ACSL4, 4-HNE) and restored anti-ferroptotic proteins (SLC7A11, GPX4).
  • H2S attenuated the release of pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) induced by HIV Tat.

Conclusions:

  • Hydrogen sulfide (H2S) effectively protects microglia from HIV Tat-induced ferroptosis.
  • H2S signaling restores cellular homeostasis and reduces neuroinflammation in a model of NeuroHIV.
  • H2S represents a promising therapeutic target for managing NeuroHIV-associated neuroinflammation.

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