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Title: HIV persistence in tissue macrophages of humanized myeloid-only mice during antiretroviral therapy

Abstract

Despite years of fully suppressive antiretroviral therapy (ART), HIV persists in its hosts and is never eradicated. One major barrier to eradication is that the virus infects multiple cell types that may individually contribute to HIV persistence. Tissue macrophages are critical contributors to HIV pathogenesis; however, their specific role in HIV persistence during long-term suppressive ART has not been established. Using humanized myeloid-only mice (MoM), we demonstrate that HIV infection of tissue macrophages is rapidly suppressed by ART, as reflected by a rapid drop in plasma viral load and a dramatic decrease in the levels of cell-associated viral RNA and DNA. No viral rebound was observed in the plasma of 67% of the ART-treated animals at 7 weeks after ART interruption, and no replication-competent virus was rescued from the tissue macrophages obtained from these animals. In contrast, in a subset of animals (~33%), a delayed viral rebound was observed that is consistent with the establishment of persistent infection in tissue macrophages. Furthermore, these observations represent the first direct evidence, to our knowledge, of HIV persistence in tissue macrophages in vivo.

Authors:
ORCiD logo [1];  [1];  [1]; ORCiD logo [2];  [3]; ORCiD logo [2];  [1];  [4];  [5];  [1]
  1. Univ. of North Carolina, School of Medicine, Chapel Hill, NC (United States)
  2. Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
  3. San Diego Healthcare System, San Diego, CA (United States)
  4. Univ. of North Carolina, Chapel Hill, NC (United States)
  5. San Diego Healthcare System, San Diego, CA (United States); Univ. of California, San Diego, CA (United States)
Publication Date:
Research Org.:
Los Alamos National Laboratory (LANL), Los Alamos, NM (United States)
Sponsoring Org.:
National Institutes of Health (NIH); USDOE
OSTI Identifier:
1414147
Report Number(s):
LA-UR-17-22196
Journal ID: ISSN 1078-8956; TRN: US1800670
Grant/Contract Number:  
AC52-06NA25396
Resource Type:
Accepted Manuscript
Journal Name:
Nature Medicine
Additional Journal Information:
Journal Volume: 23; Journal Issue: 5; Journal ID: ISSN 1078-8956
Publisher:
Nature Publishing Group
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; 59 BASIC BIOLOGICAL SCIENCES; Biological Science

Citation Formats

Honeycutt, Jenna B., Thayer, William O., Baker, Caroline E., Ribeiro, Ruy M., Lada, Steven M., Cao, Youfang, Cleary, Rachel A., Hudgens, Michael G., Richman, Douglas D., and Garcia, J. Victor. HIV persistence in tissue macrophages of humanized myeloid-only mice during antiretroviral therapy. United States: N. p., 2017. Web. doi:10.1038/nm.4319.
Honeycutt, Jenna B., Thayer, William O., Baker, Caroline E., Ribeiro, Ruy M., Lada, Steven M., Cao, Youfang, Cleary, Rachel A., Hudgens, Michael G., Richman, Douglas D., & Garcia, J. Victor. HIV persistence in tissue macrophages of humanized myeloid-only mice during antiretroviral therapy. United States. https://doi.org/10.1038/nm.4319
Honeycutt, Jenna B., Thayer, William O., Baker, Caroline E., Ribeiro, Ruy M., Lada, Steven M., Cao, Youfang, Cleary, Rachel A., Hudgens, Michael G., Richman, Douglas D., and Garcia, J. Victor. Mon . "HIV persistence in tissue macrophages of humanized myeloid-only mice during antiretroviral therapy". United States. https://doi.org/10.1038/nm.4319. https://www.osti.gov/servlets/purl/1414147.
@article{osti_1414147,
title = {HIV persistence in tissue macrophages of humanized myeloid-only mice during antiretroviral therapy},
author = {Honeycutt, Jenna B. and Thayer, William O. and Baker, Caroline E. and Ribeiro, Ruy M. and Lada, Steven M. and Cao, Youfang and Cleary, Rachel A. and Hudgens, Michael G. and Richman, Douglas D. and Garcia, J. Victor},
abstractNote = {Despite years of fully suppressive antiretroviral therapy (ART), HIV persists in its hosts and is never eradicated. One major barrier to eradication is that the virus infects multiple cell types that may individually contribute to HIV persistence. Tissue macrophages are critical contributors to HIV pathogenesis; however, their specific role in HIV persistence during long-term suppressive ART has not been established. Using humanized myeloid-only mice (MoM), we demonstrate that HIV infection of tissue macrophages is rapidly suppressed by ART, as reflected by a rapid drop in plasma viral load and a dramatic decrease in the levels of cell-associated viral RNA and DNA. No viral rebound was observed in the plasma of 67% of the ART-treated animals at 7 weeks after ART interruption, and no replication-competent virus was rescued from the tissue macrophages obtained from these animals. In contrast, in a subset of animals (~33%), a delayed viral rebound was observed that is consistent with the establishment of persistent infection in tissue macrophages. Furthermore, these observations represent the first direct evidence, to our knowledge, of HIV persistence in tissue macrophages in vivo.},
doi = {10.1038/nm.4319},
journal = {Nature Medicine},
number = 5,
volume = 23,
place = {United States},
year = {Mon Apr 17 00:00:00 EDT 2017},
month = {Mon Apr 17 00:00:00 EDT 2017}
}

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journal, December 2017

  • Merino, Kristen M.; Allers, Carolina; Didier, Elizabeth S.
  • Frontiers in Immunology, Vol. 8
  • DOI: 10.3389/fimmu.2017.01693

Myeloid Cell Interaction with HIV: A Complex Relationship
journal, November 2017


Tunneling Nanotubes: Intimate Communication between Myeloid Cells
journal, January 2018

  • Dupont, Maeva; Souriant, Shanti; Lugo-Villarino, Geanncarlo
  • Frontiers in Immunology, Vol. 9
  • DOI: 10.3389/fimmu.2018.00043

The HIV Reservoir in Monocytes and Macrophages
journal, June 2019

  • Wong, Michelle E.; Jaworowski, Anthony; Hearps, Anna C.
  • Frontiers in Immunology, Vol. 10
  • DOI: 10.3389/fimmu.2019.01435

Illuminating the Role of Vpr in HIV Infection of Myeloid Cells
journal, July 2019


The Effects of Opioids on HIV Neuropathogenesis
journal, October 2019

  • Murphy, Aniella; Barbaro, John; Martínez-Aguado, Pablo
  • Frontiers in Immunology, Vol. 10
  • DOI: 10.3389/fimmu.2019.02445

The Role of Macrophages in HIV-1 Persistence and Pathogenesis
journal, December 2019


New Frontiers in Measuring and Characterizing the HIV Reservoir
journal, December 2019

  • Falcinelli, Shane D.; Ceriani, Cristina; Margolis, David M.
  • Frontiers in Microbiology, Vol. 10
  • DOI: 10.3389/fmicb.2019.02878

Recent Updates on Mouse Models for Human Immunodeficiency, Influenza, and Dengue Viral Infections
journal, March 2019

  • Krishnakumar, Vinodhini; Durairajan, Siva; Alagarasu, Kalichamy
  • Viruses, Vol. 11, Issue 3
  • DOI: 10.3390/v11030252

Distinct chromatin functional states correlate with HIV latency reactivation in infected primary CD4+ T cells
journal, May 2018

  • Battivelli, Emilie; Dahabieh, Matthew S.; Abdel-Mohsen, Mohamed
  • eLife, Vol. 7
  • DOI: 10.7554/elife.34655

Landscape review of current HIV ‘kick and kill’ cure research - some kicking, not enough killing
text, January 2017

  • Thorlund, Kristian; Horwitz, Marc S.; Fife, Brian T.
  • BioMed Central
  • DOI: 10.14288/1.0355234

Precision mouse models with expanded tropism for human pathogens
text, January 2019

  • A., Dayton, Paul; Chandrav, De,; Allison, Boone,
  • The University of North Carolina at Chapel Hill University Libraries
  • DOI: 10.17615/e4bv-1405

Tuberculosis-associated IFN-I induces Siglec-1 on tunneling nanotubes and favors HIV-1 spread in macrophages
journal, March 2020


New Frontiers in Measuring and Characterizing the HIV Reservoir
text, January 2019

  • D. M., Margolis,; S. D., Falcinelli,; C., Ceriani,
  • Frontiers Media S.A.
  • DOI: 10.17615/gjbv-7w87

T cells establish and maintain CNS viral infection in HIV-infected humanized mice
text, January 2018

  • Michael, Swanson,; O., Thayer, William; Patricia, Sheridan,
  • The University of North Carolina at Chapel Hill University Libraries
  • DOI: 10.17615/z2jg-9286

When do models of NeuroAIDS faithfully imitate “the real thing”?
journal, December 2017

  • Gelman, Benjamin B.; Endsley, Janice; Kolson, Dennis
  • Journal of NeuroVirology, Vol. 24, Issue 2
  • DOI: 10.1007/s13365-017-0601-5

Sequential LASER ART and CRISPR Treatments Eliminate HIV-1 in a Subset of Infected Humanized Mice
journal, July 2019


Precision mouse models with expanded tropism for human pathogens
journal, August 2019


Novel gRNA design pipeline to develop broad-spectrum CRISPR/Cas9 gRNAs for safe targeting of the HIV-1 quasispecies in patients
journal, November 2019


Bone degradation machinery of osteoclasts: An HIV-1 target that contributes to bone loss
journal, February 2018

  • Raynaud-Messina, Brigitte; Bracq, Lucie; Dupont, Maeva
  • Proceedings of the National Academy of Sciences, Vol. 115, Issue 11
  • DOI: 10.1073/pnas.1713370115

SAMHD1 Phosphorylation Coordinates the Anti-HIV-1 Response by Diverse Interferons and Tyrosine Kinase Inhibition
journal, May 2018

  • Szaniawski, Matthew A.; Spivak, Adam M.; Cox, James E.
  • mBio, Vol. 9, Issue 3
  • DOI: 10.1128/mbio.00819-18

TREM-1 Protects HIV-1-Infected Macrophages from Apoptosis through Maintenance of Mitochondrial Function
journal, November 2019

  • Campbell, Grant R.; To, Rachel K.; Spector, Stephen A.
  • mBio, Vol. 10, Issue 6
  • DOI: 10.1128/mbio.02638-19

Baricitinib reverses HIV-associated neurocognitive disorders in a SCID mouse model and reservoir seeding in vitro
journal, September 2019

  • Gavegnano, Christina; Haile, Woldeab B.; Hurwitz, Selwyn
  • Journal of Neuroinflammation, Vol. 16, Issue 1
  • DOI: 10.1186/s12974-019-1565-6

Reduced antiretroviral drug efficacy and concentration in HIV-infected microglia contributes to viral persistence in brain
journal, October 2017


Beyond the replication-competent HIV reservoir: transcription and translation-competent reservoirs
journal, February 2018


What do we measure when we measure cell-associated HIV RNA
journal, January 2018


Host mRNA decay proteins influence HIV-1 replication and viral gene expression in primary monocyte-derived macrophages
journal, February 2019


Human Interleukin-34 facilitates microglia-like cell differentiation and persistent HIV-1 infection in humanized mice
journal, March 2019

  • Mathews, Saumi; Branch Woods, Amanda; Katano, Ikumi
  • Molecular Neurodegeneration, Vol. 14, Issue 1
  • DOI: 10.1186/s13024-019-0311-y

Landscape review of current HIV ‘kick and kill’ cure research - some kicking, not enough killing
text, January 2017

  • Thorlund, Kristian; Horwitz, Marc S.; Fife, Brian T.
  • BioMed Central
  • DOI: 10.14288/1.0355234

Tobacco and Antiretrovirals Modulate Transporter, Metabolic Enzyme, and Antioxidant Enzyme Expression and Function in Polarized Macrophages
journal, March 2019


Role of Monocyte/Macrophages during HIV/SIV Infection in Adult and Pediatric Acquired Immune Deficiency Syndrome
journal, December 2017

  • Merino, Kristen M.; Allers, Carolina; Didier, Elizabeth S.
  • Frontiers in Immunology, Vol. 8
  • DOI: 10.3389/fimmu.2017.01693

Myeloid Cell Interaction with HIV: A Complex Relationship
journal, November 2017


Ets-2 Acts As a Transcriptional Repressor of the Human Immunodeficiency Virus Type 1 through Binding to a Repressor–Activator Target Sequence of 5′-LTR
journal, January 2018

  • Panagoulias, Ioannis; Karagiannis, Fotios; Aggeletopoulou, Ioanna
  • Frontiers in Immunology, Vol. 8
  • DOI: 10.3389/fimmu.2017.01924

Tunneling Nanotubes: Intimate Communication between Myeloid Cells
journal, January 2018

  • Dupont, Maeva; Souriant, Shanti; Lugo-Villarino, Geanncarlo
  • Frontiers in Immunology, Vol. 9
  • DOI: 10.3389/fimmu.2018.00043

Human Immune System Mice for the Study of Human Immunodeficiency Virus-Type 1 Infection of the Central Nervous System
journal, April 2018


The HIV Reservoir in Monocytes and Macrophages
journal, June 2019

  • Wong, Michelle E.; Jaworowski, Anthony; Hearps, Anna C.
  • Frontiers in Immunology, Vol. 10
  • DOI: 10.3389/fimmu.2019.01435

Blocking Formation of the Stable HIV Reservoir: A New Perspective for HIV-1 Cure
journal, August 2019


The Effects of Opioids on HIV Neuropathogenesis
journal, October 2019

  • Murphy, Aniella; Barbaro, John; Martínez-Aguado, Pablo
  • Frontiers in Immunology, Vol. 10
  • DOI: 10.3389/fimmu.2019.02445

The Role of Macrophages in HIV-1 Persistence and Pathogenesis
journal, December 2019


Current Status of Latency Reversing Agents Facing the Heterogeneity of HIV-1 Cellular and Tissue Reservoirs
journal, January 2020


Recent Updates on Mouse Models for Human Immunodeficiency, Influenza, and Dengue Viral Infections
journal, March 2019

  • Krishnakumar, Vinodhini; Durairajan, Siva; Alagarasu, Kalichamy
  • Viruses, Vol. 11, Issue 3
  • DOI: 10.3390/v11030252

Effects of Amprenavir on HIV-1 Maturation, Production and Infectivity Following Drug Withdrawal in Chronically-Infected Monocytes/Macrophages
journal, September 2017

  • Borrajo, Ana; Ranazzi, Alessandro; Pollicita, Michela
  • Viruses, Vol. 9, Issue 10
  • DOI: 10.3390/v9100277

Coloring hidden viruses
journal, May 2018