Sorafenib enforces HIV-1 latency by selectively inhibiting PKC-driven STAT1/3 serine 727 phosphorylation
Peipei Wang1, Zhuoyue Meng2,3, Jiasheng Zhou4
1Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Abstract:
Eliminating the latent HIV-1 reservoir remains a major barrier to achieving a functional cure. The "block-and-lock" strategy aims to enforce durable transcriptional silencing of proviruses, thereby preventing viral rebound upon interruption of antiretroviral therapy. However, the molecular mechanisms governing stable latency remain incompletely understood. Here, we identify protein kinase C (PKC)-dependent phosphorylation of STAT1 and STAT3 at serine 727 as a previously unrecognized regulatory checkpoint controlling HIV-1 transcriptional reactivation. Pharmacological inhibition of this axis using sorafenib, a clinically approved multi-kinase inhibitor, robustly suppresses HIV-1 reactivation across multiple latency models and promotes the establishment of latency in primary CD4+ T cells. Mechanistically, sorafenib attenuates phorbol 12-myristate 13-acetate (PMA)-induced activation of the JAK-STAT and PI3K-Akt signaling pathways, and selectively blocks PKC-mediated phosphorylation of STAT1/3 at serine 727 without affecting canonical tyrosine phosphorylation (Y701/Y705). This selective inhibition disrupts transcriptional activation at the HIV-1 long terminal repeat (LTR), thereby preventing viral reactivation. Importantly, sorafenib does not induce detectable cytotoxicity or alter activation and exhaustion markers in primary CD4+ T cells, supporting a favorable safety profile in vitro. Collectively, our findings define a critical role for STAT1/3 Ser727 in the regulation of HIV-1 latency and establish sorafenib as a promising latency-promoting agent for future applications in the development of a functional cure for HIV-1.
Insights
Scientists found a new way to keep HIV-1 latent by targeting protein kinase C (PKC) and STAT1/3 phosphorylation. This discovery using sorafenib may help develop a functional cure for HIV-1.
Area of Science:
- Virology
- Immunology
- Molecular Biology
Background:
- The latent HIV-1 reservoir is a significant obstacle to a functional cure.
- The "block-and-lock" strategy aims for sustained proviral silencing to prevent viral rebound.
- Understanding the molecular basis of stable HIV-1 latency is crucial.
Purpose of the Study:
- To identify novel regulatory mechanisms controlling HIV-1 transcriptional reactivation.
- To investigate the role of protein kinase C (PKC)-dependent STAT1/3 phosphorylation in HIV-1 latency.
- To evaluate sorafenib as a potential agent for promoting HIV-1 latency.
Main Methods:
- Investigated PKC-dependent phosphorylation of STAT1 and STAT3 at serine 727.
- Utilized sorafenib, a multi-kinase inhibitor, to target the identified regulatory axis.
- Assessed HIV-1 reactivation in various latency models and primary CD4+ T cells.
- Analyzed JAK-STAT and PI3K-Akt signaling pathway activation.
- Evaluated sorafenib's cytotoxicity and effects on immune cell markers.
Main Results:
- Identified STAT1/3 serine 727 phosphorylation as a key regulator of HIV-1 reactivation.
- Sorafenib effectively suppressed HIV-1 reactivation and promoted latency establishment in vitro.
- Sorafenib selectively inhibited PKC-mediated STAT1/3 phosphorylation without affecting tyrosine phosphorylation.
- Disruption of STAT1/3 phosphorylation blocked transcriptional activation at the HIV-1 LTR.
- Sorafenib demonstrated no significant cytotoxicity or adverse effects on CD4+ T cell activation/exhaustion markers.
Conclusions:
- STAT1/3 serine 727 phosphorylation is a critical checkpoint in regulating HIV-1 latency.
- Sorafenib is a promising agent for promoting HIV-1 latency and advancing functional cure strategies.
- Targeting this pathway offers a novel approach to controlling the latent HIV-1 reservoir.
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