؉ T cells. Here, we used the CRISPRCas9 genome-editing tool to knock out the gene encoding the SEC subunit ELL2, AFF1, or AFF4 in Jurkat/2D10 cells, a well-characterized HIV-1 latency model. Depletion of these proteins drastically reduced spontaneous and drug-induced latency reversal by suppressing HIV-1 transcriptional elongation. Surprisingly, a low-abundance subset of SECs containing ELL2 and AFF1 was found to play a predominant role in cooperating with Tat to reverse latency. By increasing the cellular level/activity of these Tatfriendly SECs, we could potently activate latent HIV-1 without using any drugs. These results implicate the ELL2/AFF1-SECs as an important target in the future design of a combinatorial therapeutic approach to purge latent HIV-1.
HIV-1 latency, which is characterized by transcriptional silence of the integrated proviruses, is the principal impediment to eradication of viral infection. Although antiretroviral therapy (ART) has been used successfully to drive HIV-1 into this silent state, thereby decreasing the plasma viremia to undetectable levels, the proviruses can quickly resume transcription and active replication once ART is interrupted (1). To obtain a real cure for HIV/AIDS, one strategy nicknamed "shock and kill" has been proposed to eliminate the latent viral reservoirs by first activating the proviruses in infected cells. This is followed by the next phase, where spread of the activated viruses can be suppressed by ART and the virus-producing cells are eliminated simultaneously (2).A number of cytokines and small-molecule drugs that include histone deacetylase inhibitors (HDACi), protein kinase C (PKC) agonists, BET bromodomain inhibitors, and others have been tested for their latency-reversing potentials (3, 4). However, virtually all of them have been found to display low efficacy and/or unacceptable side effects, which have limited their clinical use (3). Thus, better and more-specific means to activate the latent proviruses are urgently needed, which can be achieved only through in-depth characterization of the molecular mechanism and factors that control viral latency.Without stimulation, RNA polymerase II (Pol II), which transcribes the integrated proviral DNA, has a strong tendency to pause and then terminate near the transcription start site, resulting in the production of only short transcripts (5). This abortive transcription presents a major hurdle to efficient escape of HIV-1 from latency (2). To overcome this hurdle, a multicomponent complex containing the virally encoded Tat protein and its specific host cofactors must form on the nascent 5= end of the HIV-1 transcript, which folds into a stem-loop structure called the TAR (transactivation response) RNA. This Tat/TAR-containing complex converts the paused Pol II into a highly processive form capable of generating the full-length HIV-1 transcripts (5). In 2010, a set of human transcription factor complexes, called the super elongation complexes (SECs), was identified as the specific Tat cofactor (6, 7). A typica...