2014
DOI: 10.3851/imp2551
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Therapy for Latent HIV-1 Infection: The Role of Histone Deacetylase Inhibitors

Abstract: Persistence of human immunodeficiency virus type 1 (HIV-1) in latently infected CD4+ T cells prevents eradication in HIV-infected treated patients. Latency is characterized by a reversible silencing of transcription of integrated HIV-1. Several molecular mechanisms have been described which contribute to latency, including the establishment and maintenance of repressive chromatin on the HIV-1 promoter. Histone deacetylation is a landmark modification associated with transcriptional repression of the HIV-1 prom… Show more

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Cited by 45 publications
(20 citation statements)
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“…Paradoxically, these HDACs play opposing roles during latent and lytic viral infections (46). Because of their role in promoting the compact chromatin organization and repression of transcription, these HDACs promote latency of herpesviruses and HIV-1 and have been the target of HDAC inhibitors to reactivate these viruses for getting rid of the infection (47)(48)(49)(50). In contrast, during herpesvirus lytic infections, HDAC1 (and HDAC2) plays an antiviral role by repressing the viral gene transcription and inducing the type I IFN response (44,49,51).…”
Section: Discussionmentioning
confidence: 99%
“…Paradoxically, these HDACs play opposing roles during latent and lytic viral infections (46). Because of their role in promoting the compact chromatin organization and repression of transcription, these HDACs promote latency of herpesviruses and HIV-1 and have been the target of HDAC inhibitors to reactivate these viruses for getting rid of the infection (47)(48)(49)(50). In contrast, during herpesvirus lytic infections, HDAC1 (and HDAC2) plays an antiviral role by repressing the viral gene transcription and inducing the type I IFN response (44,49,51).…”
Section: Discussionmentioning
confidence: 99%
“…Histone deacetylase inhibitors (HDACi), like valproic acid or voninostat (SAHA), are well suited to the purpose, with the ability to increase histone acetylation of the integrated viral promoter and therefore trigger reactivation of the latent reservoir. This strategy was tried in patients but unfortunately was unsuccessful in eliminating all latent viruses, likely due to only partial activation of the latent reservoir (Archin et al , 2014; Manson McManamy et al , 2014; Rasmussen et al , 2013; Siliciano and Siliciano, 2014). …”
Section: Viral Latency As a Complex Barrier To An Hiv-1 Curementioning
confidence: 99%
“…CD4+ T-cells from individuals on suppressive ART harbor the virus in a latent or minimally active state (reviewed in Ruelas and Greene, 2013). Since viral latency is primarily considered to be regulated by histone architecture, drugs that relax chromatin are being explored for their ability to reactivate the virus from latency (reviewed in Manson McManamy et al 2014). Chromatin modifiers such as vorinostat can reactivate viral latency in in vitro models and there is some evidence for weak activation of the virus in vivo (Archin et al 2012).…”
Section: Obstacles To Elimination Of Myeloid Cell Reservoirsmentioning
confidence: 99%