Administration of vorinostat disrupts HIV-1 latency in patients on antiretroviral therapy.

Administration of vorinostat disrupts HIV-1 latency in patients on antiretroviral therapy.
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DOI:
10.1038/nature11286
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发表时间:
2012-07-25
期刊:
影响因子:
64.8
通讯作者:
Margolis, D. M.
Margolis, D. M.
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Archin, N. M.;Liberty, A. L.;Kashuba, A. D.;Choudhary, S. K.;Kuruc, J. D.;Crooks, A. M.;Parker, D. C.;Anderson, E. M.;Kearney, M. F.;Strain, M. C.;Richman, D. D.;Hudgens, M. G.;Bosch, R. J.;Coffin, J. M.;Eron, J. J.;Hazuda, D. J.;Margolis, D. M.

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Despite antiretroviral therapy, proviral latency of human immunodeficiency virus type 1 (HIV-1) remains a principal obstacle to curing the infection. Inducing the expression of latent genomes within resting CD4+ T cells is the primary strategy to clear this reservoir. While histone deacetylase (HDAC) inhibitors such as suberoylanilide hydroxamic acid (SAHA or vorinostat, VOR) can disrupt HIV-1 latency in vitro, the utility of this approach has never been directly proven in a translational clinical study of HIV-infected patients. Therefore we isolated the circulating resting CD4+ T cells of patients in whom viremia was fully suppressed by antiretroviral therapy (ART), and directly studied the effect of VOR in this latent reservoir. In each of eight patients studied, a single dose of VOR increased both biomarkers of cellular acetylation, and simultaneously induced an increase in HIV RNA expression in resting CD4+ cells (mean increase 4.8-fold). This is the first demonstration that a molecular mechanism known to enforce HIV latency can be therapeutically targeted in man, provides proof-of-concept for HDAC inhibitors as a new therapeutic class, and defines a precise approach to test novel strategies to directly attack and eradicate latent HIV infection.
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