Expression of type I interferon-associated genes at antiretroviral therapy interruption predicts HIV virological rebound.
Adaptor Proteins, Signal Transducing
/ genetics
Anti-HIV Agents
/ therapeutic use
Apoptosis Regulatory Proteins
/ genetics
CD4-Positive T-Lymphocytes
/ metabolism
Cytokines
/ genetics
Female
HIV Infections
/ drug therapy
HIV-1
/ drug effects
Humans
Male
Transcription Factors
/ genetics
Tripartite Motif Proteins
/ genetics
Ubiquitin Thiolesterase
/ genetics
Ubiquitin-Protein Ligases
/ genetics
Ubiquitins
/ genetics
Withholding Treatment
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
10 01 2022
10 01 2022
Historique:
received:
15
07
2021
accepted:
08
12
2021
entrez:
11
1
2022
pubmed:
12
1
2022
medline:
3
3
2022
Statut:
epublish
Résumé
Although certain individuals with HIV infection can stop antiretroviral therapy (ART) without viral load rebound, the mechanisms under-pinning 'post-treatment control' remain unclear. Using RNA-Seq we explored CD4 T cell gene expression to identify evidence of a mechanism that might underpin virological rebound and lead to discovery of associated biomarkers. Fourteen female participants who received 12 months of ART starting from primary HIV infection were sampled at the time of stopping therapy. Two analysis methods (Differential Gene Expression with Gene Set Enrichment Analysis, and Weighted Gene Co-expression Network Analysis) were employed to interrogate CD4+ T cell gene expression data and study pathways enriched in post-treatment controllers versus early rebounders. Using independent analysis tools, expression of genes associated with type I interferon responses were associated with a delayed time to viral rebound following treatment interruption (TI). Expression of four genes identified by Cox-Lasso (ISG15, XAF1, TRIM25 and USP18) was converted to a Risk Score, which associated with rebound (p < 0.01). These data link transcriptomic signatures associated with innate immunity with control following stopping ART. The results from this small sample need to be confirmed in larger trials, but could help define strategies for new therapies and identify new biomarkers for remission.
Identifiants
pubmed: 35013427
doi: 10.1038/s41598-021-04212-9
pii: 10.1038/s41598-021-04212-9
pmc: PMC8748440
doi:
Substances chimiques
Adaptor Proteins, Signal Transducing
0
Anti-HIV Agents
0
Apoptosis Regulatory Proteins
0
Cytokines
0
Transcription Factors
0
Tripartite Motif Proteins
0
Ubiquitins
0
XAF1 protein, human
0
ISG15 protein, human
60267-61-0
TRIM25 protein, human
EC 2.3.2.27
Ubiquitin-Protein Ligases
EC 2.3.2.27
USP18 protein, human
EC 3.4.19.12
Ubiquitin Thiolesterase
EC 3.4.19.12
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
462Subventions
Organisme : NIAID NIH HHS
ID : R01 AI133673
Pays : United States
Organisme : Medical Research Council
ID : MR/L006588/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/P011233/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/L00528X/1
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 069598/Z/02/Z
Pays : United Kingdom
Informations de copyright
© 2022. The Author(s).
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