1 1239 120 CURE AND LONG-TERM REMISSION STRATEGIES. THE MAJORITY OF VIRALLY SUPPRESSED INDIVIDUALS WILL EXPERIENCE RAPID VIRAL REBOUND UPON ANTIRETROVIRAL THERAPY (ART) INTERRUPTION, PROVIDING A STRONG RATIONALE FOR THE DEVELOPMENT OF CURE STRATEGIES. MOREOVER, DESPITE ART VIROLOGICAL CONTROL, HIV INFECTION IS STILL ASSOCIATED WITH CHRONIC IMMUNE ACTIVATION, INFLAMMATION, COMORBIDITIES, AND ACCELERATED AGING. THESE EFFECTS ARE BELIEVED TO BE DUE, IN PART, TO LOW-GRADE PERSISTENT TRANSCRIPTION AND TRICKLING PRODUCTION OF VIRAL PROTEINS FROM THE POOL OF LATENT PROVIRUSES CONSTITUTING THE VIRAL RESERVOIR. IN RECENT YEARS THERE HAS BEEN AN INCREASING INTEREST IN DEVELOPING WHAT HAS BEEN TERMED A FUNCTIONAL CURE FOR HIV. THIS APPROACH ENTAILS THE LONG-TERM, DURABLE CONTROL OF VIRAL EXPRESSION IN THE ABSENCE OF THERAPY, PREVENTING DISEASE PROGRESSION AND TRANSMISSION, DESPITE THE PRESENCE OF DETECTABLE INTEGRATED PROVIRUSES. ONE SUCH STRATEGY, THE BLOCK-AND-LOCK APPROACH FOR A FUNCTIONAL CURE, PROPOSES THE EPIGENETIC SILENCING OF PROVIRAL EXPRESSION, LOCKING THE VIRUS IN A PROFOUND LATENT STATE, FROM WHICH REACTIVATION IS VERY UNLIKELY. THE PROOF-OF-CONCEPT FOR THIS APPROACH WAS DEMONSTRATED WITH THE USE OF A SPECIFIC SMALL MOLECULE TARGETING HIV TRANSCRIPTION. HERE WE REVIEW THE PRINCIPLES BEHIND THE BLOCK-AND-LOCK APPROACH AND SOME OF THE ADDITIONAL STRATEGIES PROPOSED TO SILENCE HIV EXPRESSION. 2022 2 2115 31 EPIGENETIC HETEROGENEITY IN HIV-1 LATENCY ESTABLISHMENT. DESPITE PROLONGED ANTIRETROVIRAL THERAPY, HIV-1 PERSISTS AS TRANSCRIPTIONALLY INACTIVE PROVIRUSES. THE HIV-1 LATENCY REMAINS A PRINCIPAL OBSTACLE IN CURING AIDS. IT IS IMPORTANT TO UNDERSTAND MECHANISMS BY WHICH HIV-1 LATENCY IS ESTABLISHED TO MAKE THE LATENT RESERVOIR SMALLER. WE PRESENT A MOLECULAR CHARACTERIZATION OF DISTINCT POPULATIONS AT AN EARLY PHASE OF INFECTION. WE DEVELOPED AN ORIGINAL DUAL-COLOR REPORTER VIRUS TO MONITOR LTR KINETICS FROM ESTABLISHMENT TO MAINTENANCE STAGE. WE FOUND THAT THERE ARE TWO WAYS OF LATENCY ESTABLISHMENT I.E., BY IMMEDIATE SILENCING AND SLOW INACTIVATION FROM ACTIVE INFECTION. HISTONE COVALENT MODIFICATIONS, PARTICULARLY POLYCOMB REPRESSIVE COMPLEX 2 (PRC2)-MEDIATED H3K27 TRIMETHYLATION, APPEARED TO DOMINATE VIRAL TRANSCRIPTION AT THE EARLY PHASE. PRC2 ALSO CONTRIBUTES TO TIME-DEPENDENT LTR DORMANCY IN THE CHRONIC PHASE OF THE INFECTION. SIGNIFICANT DIFFERENCES IN SENSITIVITY AGAINST SEVERAL STIMULI WERE OBSERVED BETWEEN THESE TWO DISTINCT POPULATIONS. THESE RESULTS WILL EXPAND OUR UNDERSTANDING OF HETEROGENEOUS ESTABLISHMENT OF HIV-1 LATENCY POPULATIONS. 2015 3 6435 49 THE XPB SUBUNIT OF THE TFIIH COMPLEX PLAYS A CRITICAL ROLE IN HIV-1 TRANSCRIPTION AND XPB INHIBITION BY SPIRONOLACTONE PREVENTS HIV-1 REACTIVATION FROM LATENCY. HIV TRANSCRIPTION REQUIRES ASSEMBLY OF CELLULAR TRANSCRIPTION FACTORS AT THE HIV-1PROMOTER. THE TFIIH GENERAL TRANSCRIPTION FACTOR FACILITATES TRANSCRIPTION INITIATION BY OPENING THE DNA STRANDS AROUND THE TRANSCRIPTION START SITE AND PHOSPHORYLATING THE C-TERMINAL DOMAIN FOR RNA POLYMERASE II (RNAPII) FOR ACTIVATION. SPIRONOLACTONE (SP), AN FDA APPROVED ALDOSTERONE ANTAGONIST, TRIGGERS THE PROTEASOMAL DEGRADATION OF THE XPB SUBUNIT OF TFIIH, AND CONCURRENTLY SUPPRESSES ACUTE HIV INFECTION IN VITRO HERE WE INVESTIGATED SP AS A POSSIBLE BLOCK-AND-LOCK AGENT FOR A FUNCTIONAL CURE AIMED AT THE TRANSCRIPTIONAL SILENCING OF THE VIRAL RESERVOIR. THE LONG-TERM ACTIVITY OF SP WAS INVESTIGATED IN PRIMARY AND CELL LINE MODELS OF HIV-1 LATENCY AND REACTIVATION. WE SHOW THAT SP RAPIDLY INHIBITS HIV-1 TRANSCRIPTION BY REDUCING RNAPII RECRUITMENT TO THE HIV-1 GENOME. SHRNA KNOCKDOWN OF XPB CONFIRMED XPB DEGRADATION AS THE MECHANISM OF ACTION. UNFORTUNATELY, LONG-TERM PRE-TREATMENT WITH SP DOES NOT RESULT IN EPIGENETIC SUPPRESSION OF HIV UPON SP TREATMENT INTERRUPTION, SINCE VIRUS RAPIDLY REBOUNDS WHEN XPB REEMERGES; HOWEVER, SP ALONE WITHOUT ART MAINTAINS THE TRANSCRIPTIONAL SUPPRESSION. IMPORTANTLY, SP INHIBITS HIV REACTIVATION FROM LATENCY IN BOTH CELL LINE MODELS AND RESTING CD4(+)T CELLS ISOLATED FROM AVIREMIC INFECTED INDIVIDUALS UPON CELL STIMULATION WITH LATENCY REVERSING AGENTS. FURTHERMORE, LONG-TERM TREATMENT WITH CONCENTRATIONS OF SP THAT POTENTLY DEGRADE XPB DOES NOT LEAD TO GLOBAL DYSREGULATION OF CELLULAR MRNA EXPRESSION. OVERALL, THESE RESULTS SUGGEST THAT XPB PLAYS A KEY ROLE IN HIV TRANSCRIPTIONAL REGULATION AND XPB DEGRADATION BY SP STRENGTHENS THE POTENTIAL OF HIV TRANSCRIPTIONAL INHIBITORS IN BLOCK-AND-LOCK HIV CURE APPROACHES.IMPORTANCE ANTIRETROVIRAL THERAPY (ART) EFFECTIVELY REDUCES AN INDIVIDUAL'S HIV LOADS TO BELOW THE DETECTION LIMIT, NEVERTHELESS RAPID VIRAL REBOUND IMMEDIATELY ENSUES UPON TREATMENT INTERRUPTION. FURTHERMORE, VIRALLY SUPPRESSED INDIVIDUALS EXPERIENCE CHRONIC IMMUNE ACTIVATION FROM ONGOING LOW-LEVEL VIRUS EXPRESSION. THUS, THE IMPORTANCE OF IDENTIFYING NOVEL THERAPEUTICS TO EXPLORE IN BLOCK-AND-LOCK HIV FUNCTIONAL CURE APPROACHES, AIMED AT THE TRANSCRIPTIONAL AND EPIGENETIC SILENCING OF THE VIRAL RESERVOIR TO BLOCK REACTIVATION FROM LATENCY. WE INVESTIGATED THE POTENTIAL OF REPURPOSING THE FDA-APPROVED SPIRONOLACTONE (SP), AS ONE SUCH DRUG. SP TREATMENT RAPIDLY DEGRADES A HOST TRANSCRIPTION FACTOR SUBUNIT, XPB, INHIBITING HIV TRANSCRIPTION AND BLOCKING REACTIVATION FROM LATENCY. LONG-TERM SP TREATMENT DOES NOT AFFECT CELLULAR VIABILITY, CELL CYCLE PROGRESSION OR GLOBAL CELLULAR TRANSCRIPTION. SP ALONE BLOCKS HIV TRANSCRIPTION IN THE ABSENCE OF ART BUT DOES NOT DELAY REBOUND UPON DRUG REMOVAL AS XPB RAPIDLY REEMERGES. THIS STUDY HIGHLIGHTS XPB AS A NOVEL DRUG TARGET IN BLOCK-AND-LOCK THERAPEUTIC APPROACHES. 2021 4 6448 29 THERAPEUTIC SHUTDOWN OF HBV TRANSCRIPTS PROMOTES REAPPEARANCE OF THE SMC5/6 COMPLEX AND SILENCING OF THE VIRAL GENOME IN VIVO. OBJECTIVE: THERAPEUTIC STRATEGIES SILENCING AND REDUCING THE HEPATITIS B VIRUS (HBV) RESERVOIR, THE COVALENTLY CLOSED CIRCULAR DNA (CCCDNA), HAVE THE POTENTIAL TO CURE CHRONIC HBV INFECTION. WE AIMED TO INVESTIGATE THE IMPACT OF SMALL INTERFERRING RNA (SIRNA) TARGETING ALL HBV TRANSCRIPTS OR PEGYLATED INTERFERON-ALPHA (PEG-IFNALPHA) ON THE VIRAL REGULATORY HBX PROTEIN AND THE STRUCTURAL MAINTENANCE OF CHROMOSOME 5/6 COMPLEX (SMC5/6), A HOST FACTOR SUPPRESSING CCCDNA TRANSCRIPTION. IN PARTICULAR, WE ASSESSED WHETHER INTERVENTIONS LOWERING HBV TRANSCRIPTS CAN ACHIEVE AND MAINTAIN SILENCING OF CCCDNA TRANSCRIPTION IN VIVO. DESIGN: HBV-INFECTED HUMAN LIVER CHIMERIC MICE WERE TREATED WITH SIRNA OR PEG-IFNALPHA. VIROLOGICAL AND HOST CHANGES WERE ANALYSED AT THE END OF TREATMENT AND DURING THE REBOUND PHASE BY QUALITATIVE PCR, ELISA, IMMUNOBLOTTING AND CHROMATIN IMMUNOPRECIPITATION. RNA IN SITU HYBRIDISATION WAS COMBINED WITH IMMUNOFLUORESCENCE TO DETECT SMC6 AND HBV RNAS AT SINGLE CELL LEVEL. THE ENTRY INHIBITOR MYRCLUDEX-B WAS USED DURING THE REBOUND PHASE TO AVOID NEW INFECTION EVENTS. RESULTS: BOTH SIRNA AND PEG-IFNALPHA STRONGLY REDUCED ALL HBV MARKERS, INCLUDING HBX LEVELS, THUS ENABLING THE REAPPEARANCE OF SMC5/6 IN HEPATOCYTES THAT ACHIEVED HBV-RNA NEGATIVISATION AND SMC5/6 ASSOCIATION WITH THE CCCDNA. ONLY IFN REDUCED CCCDNA LOADS AND ENHANCED IFN-STIMULATED GENES. HOWEVER, THE ANTIVIRAL EFFECTS DID NOT PERSIST OFF TREATMENT AND SMC5/6 WAS AGAIN DEGRADED. REMARKABLY, THE BLOCKADE OF VIRAL ENTRY THAT STARTED AT THE END OF TREATMENT HINDERED RENEWED DEGRADATION OF SMC5/6. CONCLUSION: THESE RESULTS REVEAL THAT THERAPEUTICS ABROGATING ALL HBV TRANSCRIPTS INCLUDING HBX PROMOTE EPIGENETIC SUPPRESSION OF THE HBV MINICHROMOSOME, WHEREAS STRATEGIES PROTECTING THE HUMAN HEPATOCYTES FROM REINFECTION ARE NEEDED TO MAINTAIN CCCDNA SILENCING. 2022 5 3779 36 INTERFERON ALPHA INDUCES MULTIPLE CELLULAR PROTEINS THAT COORDINATELY SUPPRESS HEPADNAVIRAL COVALENTLY CLOSED CIRCULAR DNA TRANSCRIPTION. COVALENTLY CLOSED CIRCULAR DNA (CCCDNA) OF HEPADNAVIRUSES EXISTS AS AN EPISOMAL MINICHROMOSOME IN THE NUCLEUS OF AN INFECTED HEPATOCYTE AND SERVES AS THE TEMPLATE FOR THE TRANSCRIPTION OF VIRAL MRNAS. IT HAD BEEN DEMONSTRATED BY OTHERS AND US THAT INTERFERON ALPHA (IFN-ALPHA) TREATMENT OF HEPATOCYTES INDUCED A PROLONGED SUPPRESSION OF HUMAN AND DUCK HEPATITIS B VIRUS CCCDNA TRANSCRIPTION, WHICH IS ASSOCIATED WITH THE REDUCTION OF CCCDNA-ASSOCIATED HISTONE MODIFICATIONS SPECIFYING ACTIVE TRANSCRIPTION (H3K9(AC) OR H3K27(AC)), BUT NOT THE HISTONE MODIFICATIONS MARKING CONSTITUTIVE (H3K9(ME3)) OR FACULTATIVE (H3K27(ME3)) HETEROCHROMATIN FORMATION. IN OUR EFFORTS TO IDENTIFY IFN-INDUCED CELLULAR PROTEINS THAT MEDIATE THE SUPPRESSION OF CCCDNA TRANSCRIPTION BY THE CYTOKINE, WE FOUND THAT DOWNREGULATING THE EXPRESSION OF SIGNAL TRANSDUCER AND ACTIVATOR OF TRANSCRIPTION 1 (STAT1), STRUCTURAL MAINTENANCE OF CHROMOSOMES FLEXIBLE HINGE DOMAIN CONTAINING 1 (SMCHD1), OR PROMYELOCYTIC LEUKEMIA (PML) PROTEIN INCREASED BASAL LEVEL OF CCCDNA TRANSCRIPTION ACTIVITY AND PARTIALLY ATTENUATED IFN-ALPHA SUPPRESSION OF CCCDNA TRANSCRIPTION. IN CONTRAST, ECTOPIC EXPRESSION OF STAT1, SMCHD1, OR PML SIGNIFICANTLY REDUCED CCCDNA TRANSCRIPTION ACTIVITY. SMCHD1 IS A NONCANONICAL SMC FAMILY PROTEIN AND IMPLICATED IN EPIGENETIC SILENCING OF GENE EXPRESSION. PML IS A COMPONENT OF NUCLEAR DOMAIN 10 (ND10) AND IS INVOLVED IN SUPPRESSING THE REPLICATION OF MANY DNA VIRUSES. MECHANISTIC ANALYSES DEMONSTRATED THAT STAT1, SMCHD1, AND PML WERE RECRUITED TO CCCDNA MINICHROMOSOMES AND PHENOCOPIED THE IFN-ALPHA-INDUCED POSTTRANSLATIONAL MODIFICATIONS OF CCCDNA-ASSOCIATED HISTONES. WE THUS CONCLUDE THAT STAT1, SMCHD1, AND PML MAY PARTLY MEDIATE THE SUPPRESSIVE EFFECT OF IFN-ALPHA ON HEPADNAVIRAL CCCDNA TRANSCRIPTION.IMPORTANCE PEGYLATED IFN-ALPHA IS THE ONLY THERAPEUTIC REGIMEN THAT CAN INDUCE A FUNCTIONAL CURE OF CHRONIC HEPATITIS B IN A SMALL, BUT SIGNIFICANT, FRACTION OF TREATED PATIENTS. UNDERSTANDING THE MECHANISMS UNDERLYING THE ANTIVIRAL FUNCTIONS OF IFN-ALPHA IN HEPADNAVIRAL INFECTION MAY REVEAL MOLECULAR TARGETS FOR DEVELOPMENT OF NOVEL ANTIVIRAL AGENTS TO IMPROVE THE THERAPEUTIC EFFICACY OF IFN-ALPHA. BY A LOSS-OF-FUNCTION GENETIC SCREENING OF INDIVIDUAL IFN-STIMULATED GENES (ISGS) ON HEPADNAVIRAL MRNAS TRANSCRIBED FROM CCCDNA, WE FOUND THAT DOWNREGULATING THE EXPRESSION OF STAT1, SMCHD1, OR PML SIGNIFICANTLY INCREASED THE LEVEL OF VIRAL RNAS WITHOUT ALTERING THE LEVEL OF CCCDNA. MECHANISTIC ANALYSES INDICATED THAT THOSE CELLULAR PROTEINS ARE RECRUITED TO CCCDNA MINICHROMOSOMES AND INDUCE THE POSTTRANSLATIONAL MODIFICATIONS OF CCCDNA-ASSOCIATED HISTONES SIMILAR TO THOSE INDUCED BY IFN-ALPHA TREATMENT. WE HAVE THUS IDENTIFIED THREE IFN-ALPHA-INDUCED CELLULAR PROTEINS THAT SUPPRESS CCCDNA TRANSCRIPTION AND MAY PARTLY MEDIATE IFN-ALPHA SILENCING OF HEPADNAVIRAL CCCDNA TRANSCRIPTION. 2020 6 6209 33 THE INTERFERON-STIMULATED GENE TRIM22: A DOUBLE-EDGED SWORD IN HIV-1 INFECTION. INFECTION OF TARGET CELLS BY THE HUMAN IMMUNODEFICIENCY VIRUS TYPE-1 (HIV-1) IS HAMPERED BY CONSTITUTIVELY EXPRESSED HOST CELL PROTEINS PREVENTING OR CURTAILING VIRUS REPLICATION AND THEREFORE DEFINED AS "RESTRICTION FACTORS". AMONG THEM, MEMBERS OF THE TRIPARTITE MOTIF (TRIM) FAMILY HAVE EMERGED AS IMPORTANT PLAYERS ENDOWED WITH BOTH ANTIVIRAL EFFECTS AND MODULATORY CAPACITY OF THE INNATE IMMUNE RESPONSE. TRIM5ALPHA AND TRIM19 (I.E. PROMYELOCYTIC LEUKEMIA, PML) ARE AMONG THE BEST-CHARACTERIZED FAMILY MEMBERS; HOWEVER, IN THIS REVIEW WE WILL FOCUS ON THE POTENTIAL ROLE OF ANOTHER FAMILY MEMBER, I.E. TRIM22, A FACTOR STRONGLY INDUCED BY INTERFERON STIMULATION, IN HIV INFECTION IN VIVO AND IN VITRO IN THE CONTEXT OF ITS BROADER ANTIVIRAL EFFECTS. WE WILL ALSO FOCUS ON THE POTENTIAL ROLE OF TRIM22 IN HIV-1-INFECTED INDIVIDUALS SPECULATING ON ITS DUAL ROLE IN CONTROLLING VIRUS REPLICATION AND MORE COMPLEX ROLE IN CHRONIC INFECTION. AT THE MOLECULAR LEVELS, WE WILL REVIEW THE EVIDENCE IN FAVOR OF A RELEVANT ROLE OF TRIM22 AS EPIGENETIC INHIBITOR OF HIV-1 TRANSCRIPTION ACTING BY PREVENTING THE BINDING OF THE HOST CELL TRANSCRIPTION FACTOR SP1 TO THE VIRAL PROMOTER. THESE EVIDENCES SUGGEST THAT TRIM22 SHOULD BE CONSIDERED A POTENTIAL NEW PLAYER IN EITHER THE ESTABLISHMENT OR MAINTENANCE OF HIV-1 RESERVOIRS OF LATENTLY INFECTED CELLS UNAFFECTED BY COMBINATION ANTIRETROVIRAL THERAPY. 2018 7 2143 34 EPIGENETIC LANDSCAPE OF HIV-1 INFECTION IN PRIMARY HUMAN MACROPHAGE. HUMAN IMMUNODEFICIENCY VIRUS (HIV)-INFECTED MACROPHAGES ARE LONG-LIVED CELLS THAT SUSTAIN PERSISTENT VIRUS EXPRESSION, WHICH IS BOTH A BARRIER TO VIRAL ERADICATION AND CONTRIBUTOR TO NEUROLOGICAL COMPLICATIONS IN PATIENTS DESPITE ANTIRETROVIRAL THERAPY (ART). TO BETTER UNDERSTAND THE REGULATION OF HIV-1 IN MACROPHAGES, WE COMPARED HIV-INFECTED PRIMARY HUMAN MONOCYTE-DERIVED MACROPHAGES (MDM) TO ACUTELY INFECTED PRIMARY CD4 T CELLS AND JURKAT CELLS LATENTLY INFECTED WITH HIV (JLAT 8.4). HIV GENOMES IN MDM WERE ACTIVELY TRANSCRIBED DESPITE ENRICHMENT WITH HETEROCHROMATIN-ASSOCIATED H3K9ME3 ACROSS THE COMPLETE HIV GENOME IN COMBINATION WITH ELEVATED ACTIVATION MARKS OF H3K9AC AND H3K27AC AT THE LONG TERMINAL REPEAT (LTR). MACROPHAGE PATTERNS CONTRASTED WITH JLAT CELLS, WHICH SHOWED CONVENTIONAL BIVALENT H3K4ME3/H3K27ME3, AND ACUTELY INFECTED CD4 T CELLS, WHICH SHOWED AN INTERMEDIATE EPIGENOTYPE. 5'-METHYLCYTOSINE (5MC) WAS ENRICHED ACROSS THE HIV GENOME IN LATENTLY INFECTED JLAT CELLS, WHILE 5'-HYDROXYMETHYLCYTOSINE (5HMC) WAS ENRICHED IN CD4 CELLS AND MDMS. HIV INFECTION INDUCED MULTINUCLEATION OF MDMS ALONG WITH DNA DAMAGE-ASSOCIATED P53 PHOSPHORYLATION, AS WELL AS LOSS OF TET2 AND THE NUCLEAR REDISTRIBUTION OF 5-HYDOXYMETHYLATION. TAKEN TOGETHER, OUR FINDINGS SUGGEST THAT HIV INDUCES A UNIQUE MACROPHAGE NUCLEAR AND TRANSCRIPTIONAL PROFILE, AND VIRAL GENOMES ARE MAINTAINED IN A NONCANONICAL BIVALENT EPIGENETIC STATE. IMPORTANCE MACROPHAGES SERVE AS A RESERVOIR FOR LONG-TERM PERSISTENCE AND CHRONIC PRODUCTION OF HIV. WE FOUND AN ATYPICAL EPIGENETIC CONTROL OF HIV IN MACROPHAGES MARKED BY HETEROCHROMATIC H3K9ME3 DESPITE ACTIVE VIRAL TRANSCRIPTION. HIV INFECTION INDUCED CHANGES IN MACROPHAGE NUCLEAR MORPHOLOGY AND EPIGENETIC REGULATORY FACTORS. THESE FINDINGS MAY IDENTIFY NEW MECHANISMS TO CONTROL CHRONIC HIV EXPRESSION IN INFECTED MACROPHAGES. 2022 8 1262 24 CUTTING EDGE: PROLONGED EXPOSURE TO HIV REINFORCES A POISED EPIGENETIC PROGRAM FOR PD-1 EXPRESSION IN VIRUS-SPECIFIC CD8 T CELLS. AG-SPECIFIC CD8 T CELLS PLAY A CRITICAL ROLE IN CONTROLLING HIV INFECTION BUT EVENTUALLY LOSE ANTIVIRAL FUNCTIONS IN PART BECAUSE OF EXPRESSION AND SIGNALING THROUGH THE INHIBITORY PROGRAMMED DEATH-1 (PD-1) RECEPTOR. TO BETTER UNDERSTAND THE IMPACT OF PROLONGED TCR LIGATION ON REGULATION OF PD-1 EXPRESSION IN HIV-SPECIFIC CD8 T CELLS, WE INVESTIGATED THE CAPACITY OF VIRUS-SPECIFIC CD8 T CELLS TO MODIFY THE PD-1 EPIGENETIC PROGRAM AFTER REDUCTION IN VIRAL LOAD. WE OBSERVED THAT THE TRANSCRIPTIONAL REGULATORY REGION WAS UNMETHYLATED IN THE PD-1(HI) HIV-SPECIFIC CD8 T CELLS, WHEREAS IT REMAINED METHYLATED IN DONOR-MATCHED NAIVE CELLS AT ACUTE AND CHRONIC STAGES OF INFECTION. SURPRISINGLY, THE PD-1 PROMOTER REMAINED UNMETHYLATED IN HIV-SPECIFIC CD8 T CELLS FROM SUBJECTS WITH A VIRAL LOAD CONTROLLED BY ANTIVIRAL THERAPY FOR >2 Y OR FROM ELITE CONTROLLERS. TOGETHER, THESE DATA DEMONSTRATE THAT THE EPIGENETIC PROGRAM AT THE PD-1 LOCUS BECOMES FIXED AFTER PROLONGED EXPOSURE TO HIV VIRUS. 2013 9 6077 30 THE EFFECT OF CD4 RECEPTOR DOWNREGULATION AND ITS DOWNSTREAM SIGNALING MOLECULES ON HIV-1 LATENCY. HIV-1 CAN ESTABLISH A LATENT INFECTION IN MEMORY CD4+T CELLS TO EVADE THE HOST IMMUNE RESPONSE. CD4 MOLECULES CAN ACT NOT ONLY AS THE HIV-1 RECEPTOR FOR ENTRY BUT ALSO AS THE TRIGGER IN AN INTRACELLULAR SIGNALING CASCADE FOR T-CELL ACTIVATION AND PROLIFERATION VIA PROTEIN TYROSINE KINASES. NOVEL CHRONIC HIV-1-INFECTED A3.01-DERIVED (NCHA) CELLS WERE USED TO EXAMINE THE INVOLVEMENT OF CD4 DOWNSTREAM SIGNALING IN HIV-1 LATENCY. CD4 RECEPTORS IN NCHA CELLS WERE DRAMATICALLY DOWNREGULATED ON ITS SURFACE BUT WERE SLIGHTLY DECREASED IN WHOLE-CELL LYSATES. THE EXPRESSION LEVELS OF CD4 DOWNSTREAM SIGNALING MOLECULES, INCLUDING P56(LCK), ZAP-70, LAT, AND C-JUN, WERE SHARPLY DECREASED IN NCHA CELLS. THE LOWERED HISTONE MODIFICATIONS OF H3K4ME3 AND H3K9AC CORRELATED WITH THE DOWNREGULATION OF P56(LCK), ZAP-70, AND LAT IN NCHA CELLS. AP-1 BINDING ACTIVITY WAS ALSO REDUCED IN NCHA CELLS. LAT AND C-JUN SUPPRESSED IN NCHA CELLS WERE HIGHLY INDUCED AFTER PMA TREATMENT. IN EPIGENETIC ANALYSIS, OTHER SIGNAL TRANSDUCTION MOLECULES WHICH ARE ASSOCIATED WITH ACTIVE AND/OR LATENT HIV-1 INFECTION SHOWED NORMAL STATES IN HIV-1 LATENTLY INFECTED CELLS COMPARED TO A3.01 CELLS. IN CONCLUSION, WE DEMONSTRATED THAT THE HIV-1 LATENT STATE IS SUSTAINED BY THE REDUCTION OF DOWNSTREAM SIGNALING MOLECULES VIA THE DOWNREGULATION OF CD4 AND THE ATTENUATED ACTIVITY OF TRANSCRIPTION FACTOR AS AP-1. THE HIV-1 LATENCY MODEL VIA T-CELL DEACTIVATION MAY PROVIDE SOME CLUES FOR THE DEVELOPMENT OF THE NEW ANTIRESERVOIR THERAPY. 2011 10 4443 31 MOLECULAR INSIGHTS INTO SPINDLIN1-HBX INTERPLAY AND ITS IMPACT ON HBV TRANSCRIPTION FROM CCCDNA MINICHROMOSOME. MOLECULAR INTERPLAY BETWEEN HOST EPIGENETIC FACTORS AND VIRAL PROTEINS CONSTITUTES AN INTRIGUING MECHANISM FOR SUSTAINING HEPATITIS B VIRUS (HBV) LIFE CYCLE AND ITS CHRONIC INFECTION. HBV ENCODES A REGULATORY PROTEIN, HBX, WHICH ACTIVATES TRANSCRIPTION AND REPLICATION OF HBV GENOME ORGANIZED AS COVALENTLY CLOSED CIRCULAR (CCC) DNA MINICHROMOSOME. HERE WE ILLUSTRATE HOW HBX ACCOMPLISHES ITS TASK BY HIJACKING SPINDLIN1, AN EPIGENETIC READER COMPRISING THREE CONSECUTIVE TUDOR DOMAINS. OUR BIOCHEMICAL AND STRUCTURAL STUDIES HAVE REVEALED THAT THE HIGHLY CONSERVED N-TERMINAL 2-21 SEGMENT OF HBX (HBX(2-21)) ASSOCIATES INTIMATELY WITH TUDOR 3 OF SPINDLIN1, ENHANCING HISTONE H3 "K4ME3-K9ME3" READOUT BY TUDORS 2 AND 1. FUNCTIONALLY, SPINDLIN1-HBX ENGAGEMENT PROMOTES GENE EXPRESSION FROM THE CHROMATINIZED CCCDNA, ACCOMPANIED BY AN EPIGENETIC SWITCH FROM AN H3K9ME3-ENRICHED REPRESSIVE STATE TO AN H3K4ME3-MARKED ACTIVE STATE, AS WELL AS A CONFORMATIONAL SWITCH OF HBX THAT MAY OCCUR IN COORDINATION WITH OTHER HBX-BINDING FACTORS, SUCH AS DDB1. DESPITE A PROPOSED TRANSREPRESSION ACTIVITY OF HBX(2-21), OUR STUDY REVEALS A KEY ROLE OF SPINDLIN1 IN DEREPRESSING THIS CONSERVED MOTIF, THEREBY PROMOTING HBV TRANSCRIPTION FROM ITS CHROMATINIZED GENOME. 2023 11 64 45 A HIGH-THROUGHPUT SCREENING ASSAY FOR SILENCING ESTABLISHED HIV-1 MACROPHAGE INFECTION IDENTIFIES NUCLEOSIDE ANALOGS THAT PERTURB H3K9ME3 ON PROVIRAL GENOMES. HIV-INFECTED MACROPHAGES ARE LONG-LIVED CELLS THAT REPRESENT A BARRIER TO FUNCTIONAL CURE. ADDITIONALLY, LOW-LEVEL VIRAL EXPRESSION BY CENTRAL NERVOUS SYSTEM (CNS) MACROPHAGES CONTRIBUTES TO NEUROCOGNITIVE DEFICITS THAT DEVELOP DESPITE ANTIRETROVIRAL THERAPY (ART). WE RECENTLY IDENTIFIED H3K9ME3 AS AN ATYPICAL EPIGENETIC MARK ASSOCIATED WITH CHRONIC HIV INFECTION IN MACROPHAGES. THUS, STRATEGIES ARE NEEDED TO SUPPRESS HIV-1 EXPRESSION IN MACROPHAGES, BUT THE UNIQUE MYELOID ENVIRONMENT AND THE RESPONSIBLE MACROPHAGE/CNS-TROPIC STRAINS REQUIRE CELL/STRAIN-SPECIFIC APPROACHES. HERE, WE GENERATED AN HIV-1 REPORTER VIRUS FROM A CNS-DERIVED STRAIN WITH INTACT AUXILIARY GENES EXPRESSING DESTABILIZED LUCIFERASE. WE EMPLOYED THIS REPORTER VIRUS IN POLYCLONAL INFECTION OF PRIMARY HUMAN MONOCYTE-DERIVED MACROPHAGES (MDM) FOR A HIGH-THROUGHPUT SCREEN (HTS) TO IDENTIFY COMPOUNDS THAT SUPPRESS VIRUS EXPRESSION FROM ESTABLISHED MACROPHAGE INFECTION. SCREENING ~6,000 KNOWN DRUGS AND COMPOUNDS YIELDED 214 HITS. A SECONDARY SCREEN WITH 10-DOSE TITRATION IDENTIFIED 24 MEETING CRITERIA FOR HIV-SELECTIVE ACTIVITY. USING THREE REPLICATION-COMPETENT CNS-DERIVED MACROPHAGE-TROPIC HIV-1 ISOLATES AND VIRAL GENE EXPRESSION READOUT IN MDM, WE CONFIRMED THE EFFECT OF THREE PURINE ANALOGS, NELARABINE, FLUDARABINE, AND ENTECAVIR, SHOWING THE SUPPRESSION OF HIV-1 EXPRESSION FROM ESTABLISHED MACROPHAGE INFECTION. NELARABINE INHIBITED THE FORMATION OF H3K9ME3 ON HIV GENOMES IN MACROPHAGES. THUS, THIS NOVEL HTS ASSAY CAN IDENTIFY SUPPRESSORS OF HIV-1 TRANSCRIPTION IN ESTABLISHED MACROPHAGE INFECTION, SUCH AS NUCLEOSIDE ANALOGS AND HDAC INHIBITORS, WHICH MAY BE LINKED TO H3K9ME3 MODIFICATION. THIS SCREEN MAY BE USEFUL TO IDENTIFY NEW METABOLIC AND EPIGENETIC AGENTS THAT AMELIORATE HIV-DRIVEN NEUROINFLAMMATION IN PEOPLE ON ART OR PREVENT VIRAL RECRUDESCENCE FROM MACROPHAGE RESERVOIRS IN STRATEGIES TO ACHIEVE ART-FREE REMISSION. IMPORTANCE MACROPHAGES INFECTED BY HIV-1 ARE A LONG-LIVED RESERVOIR AND A BARRIER IN CURRENT EFFORTS TO ACHIEVE HIV CURE AND ALSO CONTRIBUTE TO NEUROCOGNITIVE COMPLICATIONS IN PEOPLE DESPITE ANTIRETROVIRAL THERAPY (ART). SILENCING HIV EXPRESSION IN THESE CELLS WOULD BE OF GREAT VALUE, BUT THE REGULATION OF HIV-1 IN MACROPHAGES DIFFERS FROM T CELLS. WE DEVELOPED A NOVEL HIGH-THROUGHPUT SCREEN FOR COMPOUNDS THAT CAN SILENCE ESTABLISHED INFECTION OF PRIMARY MACROPHAGES, AND IDENTIFIED AGENTS THAT DOWNREGULATE VIRUS EXPRESSION AND ALTER PROVIRUS EPIGENETIC PROFILES. THE SIGNIFICANCE OF THIS ASSAY IS THE POTENTIAL TO IDENTIFY NEW DRUGS THAT ACT IN THE UNIQUE MACROPHAGE ENVIRONMENT ON RELEVANT VIRAL STRAINS, WHICH MAY CONTRIBUTE TO ADJUNCTIVE TREATMENT FOR HIV-ASSOCIATED NEUROCOGNITIVE DISORDERS AND/OR PREVENT VIRAL REBOUND IN EFFORTS TO ACHIEVE ART-FREE REMISSION OR CURE. 2023 12 6706 29 VIRAL GENE PRODUCTS ACTIVELY PROMOTE LATENT INFECTION BY EPIGENETIC SILENCING MECHANISMS. MANY VIRUSES UNDERGO AN ACUTE INFECTION IN THE HOST ORGANISM AND THEN ARE CLEARED BY THE ENSUING HOST IMMUNE RESPONSE, BUT OTHER VIRUSES ESTABLISH A PERSISTENT INFECTION INVOLVING A LATENT INFECTION OR A CHRONIC INFECTION. LATENT INFECTION BY THE HERPESVIRUSES OR HUMAN IMMUNODEFICIENCY VIRUS INVOLVES EPIGENETIC SILENCING OF THE DNA GENOME OR PROVIRAL GENOME, RESPECTIVELY. LATENT INFECTION WAS PREVIOUSLY THOUGHT TO BE A DEFAULT PATHWAY RESULTING FROM INFECTION OF A NONPERMISSIVE CELL, BUT RECENT STUDIES HAVE SHOWN THAT VIRAL GENE PRODUCTS CAN PROMOTE EPIGENETIC SILENCING AND LATENT INFECTION. THIS REVIEW WILL SUMMARIZE THE VIRAL GENE PRODUCTS THAT HAVE BEEN SHOWN TO PROMOTE EPIGENETIC SILENCING OF THE GENOMES AND THEIR POTENTIAL FOR THERAPEUTICS TO TARGET THESE VIRAL GENE PRODUCTS AND DISRUPT OR LOCK IN LATENT INFECTION. 2017 13 3622 34 IN VIVO ANTAGONISTIC ROLE OF THE HUMAN T-CELL LEUKEMIA VIRUS TYPE 1 REGULATORY PROTEINS TAX AND HBZ. ADULT T CELL LEUKEMIA (ATL) IS AN AGGRESSIVE MALIGNANCY SECONDARY TO CHRONIC INFECTION BY THE HUMAN T-CELL LEUKEMIA VIRUS TYPE 1 (HTLV-1) INFECTION. TWO VIRAL PROTEINS, TAX AND HBZ, PLAY CENTRAL ROLES IN ATL LEUKEMOGENESIS. TAX EXPRESSION TRANSFORMS T CELLS IN VITRO AND INDUCES ATL-LIKE DISEASE IN MICE. TAX ALSO INDUCES A ROUGH EYE PHENOTYPE AND INCREASES HEMOCYTE COUNT IN DROSOPHILA MELANOGASTER, INDICATIVE OF TRANSFORMATION. AMONG MULTIPLE FUNCTIONS, TAX MODULATES THE EXPRESSION OF THE ENHANCER OF ZESTE HOMOLOG 2 (EZH2), A METHYLTRANSFERASE OF THE POLYCOMB REPRESSIVE COMPLEX 2 (PRC2), LEADING TO H3K27ME3-DEPENDENT REPROGRAMMING OF AROUND HALF OF CELLULAR GENES. HBZ IS A NEGATIVE REGULATOR OF TAX-MEDIATED VIRAL TRANSCRIPTION. HBZ EFFECTS ON EPIGENETIC SIGNATURES ARE UNDEREXPLORED. HERE, WE ESTABLISHED AN HBZ TRANSGENIC FLY MODEL, AND DEMONSTRATED THAT, UNLIKE TAX, WHICH INDUCES NF-KAPPAB ACTIVATION AND ENHANCED PRC2 ACTIVITY CREATING AN ACTIVATION LOOP, HBZ NEITHER INDUCES TRANSFORMATION NOR NF-KAPPAB ACTIVATION IN VIVO. HOWEVER, OVEREXPRESSION OF TAX OR HBZ INCREASES THE PRC2 ACTIVITY AND BOTH PROTEINS DIRECTLY INTERACT WITH PRC2 COMPLEX CORE COMPONENTS. IMPORTANTLY, OVEREXPRESSION OF HBZ IN TAX TRANSGENIC FLIES PREVENTS TAX-INDUCED NF-KAPPAB OR PRC2 ACTIVATION AND TOTALLY RESCUES TAX-INDUCED TRANSFORMATION AND SENESCENCE. OUR RESULTS ESTABLISH THE IN VIVO ANTAGONISTIC EFFECT OF HBZ ON TAX-INDUCED TRANSFORMATION AND CELLULAR EFFECTS. THIS STUDY HELPS UNDERSTANDING LONG-TERM HTLV-1 PERSISTENCE AND CELLULAR TRANSFORMATION AND OPENS PERSPECTIVES FOR NEW THERAPEUTIC STRATEGIES TARGETING THE EPIGENETIC MACHINERY IN ATL. 2021 14 1806 34 EFFECT OF TRANSCRIPTION INHIBITION AND GENERATION OF SUPPRESSIVE VIRAL NON-CODING RNAS. BACKGROUND: HIV-1 PATIENTS RECEIVING COMBINATION ANTIRETROVIRAL THERAPY (CART) SURVIVE INFECTION BUT REQUIRE LIFE-LONG ADHERENCE AT HIGH EXPENSE. IN CHRONIC CART-TREATED PATIENTS WITH UNDETECTABLE VIRAL TITERS, CELL-ASSOCIATED VIRAL RNA IS STILL DETECTABLE, POINTING TO LOW-LEVEL VIRAL TRANSCRIPTIONAL LEAKINESS. TO DATE, THERE ARE NO FDA-APPROVED DRUGS AGAINST HIV-1 TRANSCRIPTION. WE HAVE PREVIOUSLY SHOWN THAT F07#13, A THIRD GENERATION TAT PEPTIDE MIMETIC WITH COMPETITIVE ACTIVITY AGAINST CDK9/T1-TAT BINDING SITES, INHIBITS HIV-1 TRANSCRIPTION IN VITRO AND IN VIVO. RESULTS: HERE, WE DEMONSTRATE THAT INCREASING CONCENTRATIONS OF F07#13 (0.01, 0.1, 1 MICROM) CAUSE A DECREASE IN TAT LEVELS IN A DOSE-DEPENDENT MANNER BY INHIBITING THE CDK9/T1-TAT COMPLEX FORMATION AND SUBSEQUENT UBIQUITIN-MEDIATED TAT SEQUESTRATION AND DEGRADATION. OUR DATA INDICATE THAT COMPLEXES I AND IV CONTAIN DISTINCT PATTERNS OF UBIQUITINATED TAT AND THAT TRANSCRIPTIONAL INHIBITION INDUCED BY F07#13 CAUSES AN OVERALL REDUCTION IN TAT LEVELS. THIS REDUCTION MAY BE TRIGGERED BY F07#13 BUT ULTIMATELY IS MEDIATED BY TAR-GAG VIRAL RNAS THAT BIND SUPPRESSIVE TRANSCRIPTION FACTORS (SIMILAR TO 7SK, NRON, HOTAIR, AND XIST LNCRNAS) TO ENHANCE TRANSCRIPTIONAL GENE SILENCING AND LATENCY. THESE RNAS COMPLEX WITH PRC2, SIN3A, AND CUL4B, RESULTING IN EPIGENETIC MODIFICATIONS. FINALLY, WE OBSERVED AN F07#13-MEDIATED DECREASE OF VIRAL BURDEN BY TARGETING THE R REGION OF THE LONG TERMINAL REPEAT (HIV-1 PROMOTER REGION, LTR), PROMOTING BOTH PAUSED POLYMERASES AND INCREASED EFFICIENCY OF CRISPR/CAS9 EDITING IN INFECTED CELLS. THIS IMPLIES THAT GENE EDITING MAY BE BEST PERFORMED UNDER A REPRESSED TRANSCRIPTIONAL STATE. CONCLUSIONS: COLLECTIVELY, OUR RESULTS INDICATE THAT F07#13, WHICH CAN TERMINATE RNA POLYMERASE II AT DISTINCT SITES, CAN GENERATE SCAFFOLD RNAS, WHICH MAY ASSEMBLE INTO SPECIFIC SETS OF "RNA MACHINES" THAT CONTRIBUTE TO GENE REGULATION. IT REMAINS TO BE SEEN WHETHER THESE EFFECTS CAN ALSO BE SEEN IN VARIOUS CLADES THAT HAVE VARYING PROMOTER STRENGTH, MUTANT LTRS, AND IN PATIENT SAMPLES. 2019 15 2837 29 FORKHEAD O TRANSCRIPTION FACTOR 4 RESTRICTS HBV COVALENTLY CLOSED CIRCULAR DNA TRANSCRIPTION AND HBV REPLICATION THROUGH GENETIC DOWNREGULATION OF HEPATOCYTE NUCLEAR FACTOR 4 ALPHA AND EPIGENETIC SUPPRESSION OF COVALENTLY CLOSED CIRCULAR DNA VIA INTERACTING WITH PROMYELOCYTIC LEUKEMIA PROTEIN. NUCLEAR LOCATED HEPATITIS B VIRUS (HBV) COVALENTLY CLOSED CIRCULAR DNA (CCCDNA) REMAINS THE KEY OBSTACLE TO CURE CHRONIC HEPATITIS B (CHB). IN OUR PREVIOUS INVESTIGATION, IT WAS FOUND THAT FOXO4 COULD INHIBIT HBV CORE PROMOTER ACTIVITY THROUGH DOWNREGULATING THE EXPRESSION OF HNF4ALPHA. HOWEVER, THE EXACT MECHANISMS WHEREBY FOXO4 INHIBITS HBV REPLICATION, ESPECIALLY ITS EFFECT ON CCCDNA, REMAIN UNCLEAR. HERE, OUR DATA FURTHER REVEALED THAT FOXO4 COULD EFFECTIVELY INHIBIT CCCDNA MEDIATED TRANSCRIPTION AND HBV REPLICATION WITHOUT AFFECTING CCCDNA LEVEL. MECHANISTIC STUDY SHOWED THAT FOXO4 COULD CAUSE EPIGENETIC SUPPRESSION OF CCCDNA. ALTHOUGH FOXO4-MEDIATED DOWNREGULATION OF HNF4ALPHA CONTRIBUTED TO INHIBITING HBV CORE PROMOTER ACTIVITY, IT HAD LITTLE EFFECT ON CCCDNA EPIGENETIC REGULATION. FURTHER, IT WAS FOUND THAT FOXO4 COULD COLOCALIZE WITHIN PROMYELOCYTIC LEUKEMIA PROTEIN (PML) NUCLEAR BODIES AND INTERACT WITH PML. OF NOTE, PML WAS REVEALED TO BE CRITICAL FOR FOXO4-MEDIATED INHIBITION OF CCCDNA EPIGENETIC MODIFICATION AND OF THE FOLLOWING CCCDNA TRANSCRIPTION AND HBV REPLICATION. FURTHERMORE, FOXO4 WAS FOUND TO BE DOWNREGULATED IN HBV-INFECTED HEPATOCYTES AND HUMAN LIVER TISSUES, AND IT WAS NEGATIVELY CORRELATED WITH CCCDNA TRANSCRIPTIONAL ACTIVITY IN CHB PATIENTS. TOGETHER, THESE FINDINGS HIGHLIGHT THE ROLE OF FOXO4 IN SUPPRESSING CCCDNA TRANSCRIPTION AND HBV REPLICATION VIA GENETIC DOWNREGULATION OF HNF4ALPHA AND EPIGENETIC SUPPRESSION OF CCCDNA THROUGH INTERACTING WITH PML. TARGETING FOXO4 MAY PRESENT AS A NEW THERAPEUTIC STRATEGY AGAINST CHRONIC HBV INFECTION. IMPORTANCE HBV CCCDNA IS A DETERMINING FACTOR FOR VIRAL PERSISTENCE AND THE MAIN OBSTACLE FOR A CURE OF CHRONIC HEPATITIS B. STRATEGIES THAT TARGET CCCDNA DIRECTLY ARE THEREFORE OF GREAT IMPORTANCE IN CONTROLLING PERSISTENT HBV INFECTION. IN PRESENT INVESTIGATION, WE FOUND THAT FOXO4 COULD EFFICIENTLY SUPPRESS CCCDNA TRANSCRIPTION AND HBV REPLICATION WITHOUT AFFECTING THE LEVEL OF CCCDNA ITSELF. FURTHER, OUR DATA REVEALED THAT FOXO4 MIGHT INHIBIT CCCDNA FUNCTION VIA A TWO-PART MECHANISM: ONE IS TO EPIGENETICALLY SUPPRESS CCCDNA TRANSCRIPTION VIA INTERACTING WITH PML, AND THE OTHER IS TO INHIBIT HBV CORE PROMOTER ACTIVITY VIA THE GENETIC DOWNREGULATION OF HNF4ALPHA. OF NOTE, HBV MIGHT DAMPEN THE EXPRESSION OF FOXO4 FOR ITS OWN PERSISTENT INFECTION. WE PROPOSE THAT MANIPULATION OF FOXO4 MAY PRESENT AS A POTENTIAL THERAPEUTIC STRATEGY AGAINST CHRONIC HBV INFECTION. 2022 16 2242 31 EPIGENETIC MODULATION OF CD8(+) T CELL FUNCTION IN LENTIVIRUS INFECTIONS: A REVIEW. CD8(+) T CELLS ARE CRITICAL FOR CONTROLLING VIREMIA DURING HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION. THESE CELLS PRODUCE CYTOLYTIC FACTORS AND ANTIVIRAL CYTOKINES THAT ELIMINATE VIRALLY- INFECTED CELLS. DURING THE CHRONIC PHASE OF HIV INFECTION, CD8(+) T CELLS PROGRESSIVELY LOSE THEIR PROLIFERATIVE CAPACITY AND ANTIVIRAL FUNCTIONS. THESE DYSFUNCTIONAL CELLS ARE UNABLE TO CLEAR THE PRODUCTIVELY INFECTED AND REACTIVATED CELLS, REPRESENTING A ROADBLOCK IN HIV CURE. THEREFORE, MECHANISMS TO UNDERSTAND CD8(+) T CELL DYSFUNCTION AND STRATEGIES TO BOOST CD8(+) T CELL FUNCTION NEED TO BE INVESTIGATED. USING THE FELINE IMMUNODEFICIENCY VIRUS (FIV) MODEL FOR LENTIVIRAL PERSISTENCE, WE HAVE DEMONSTRATED THAT CD8(+) T CELLS EXHIBIT EPIGENETIC CHANGES SUCH AS DNA DEMETHYLATION DURING THE COURSE OF INFECTION AS COMPARED TO UNINFECTED CATS. WE HAVE ALSO DEMONSTRATED THAT LENTIVIRUS-ACTIVATED CD4(+)CD25(+) T REGULATORY CELLS INDUCE FORKHEAD BOX P3 (FOXP3) EXPRESSION IN VIRUS-SPECIFIC CD8(+) T CELL TARGETS, WHICH BINDS THE INTERLEUKIN (IL)-2, TUMOR NECROSIS FACTOR (TNF)-Α, AND INTERFERON (IFN)-Γ PROMOTERS IN THESE CD8(+) T CELLS. FINALLY, WE HAVE REPORTED THAT EPIGENETIC MODULATION REDUCES FOXP3 BINDING TO THESE PROMOTER REGIONS. THIS REVIEW COMPARES AND CONTRASTS OUR CURRENT UNDERSTANDING OF CD8(+) T CELL EPIGENETICS AND MECHANISMS OF LYMPHOCYTE SUPPRESSION DURING THE COURSE OF LENTIVIRAL INFECTION FOR TWO ANIMAL MODELS, FIV AND SIMIAN IMMUNODEFICIENCY VIRUS (SIV). 2018 17 5335 31 QUANTIFICATION AND EPIGENETIC EVALUATION OF THE RESIDUAL POOL OF HEPATITIS B COVALENTLY CLOSED CIRCULAR DNA IN LONG-TERM NUCLEOSIDE ANALOGUE-TREATED PATIENTS. HEPATITIS B VIRUS (HBV) COVALENTLY CLOSED CIRCULAR (CCC)DNA IS THE KEY GENOMIC FORM RESPONSIBLE FOR VIRAL PERSISTENCE AND VIROLOGICAL RELAPSE AFTER TREATMENT WITHDRAWAL. THE ASSESSMENT OF RESIDUAL INTRAHEPATIC CCCDNA LEVELS AND ACTIVITY AFTER LONG-TERM NUCLEOS(T)IDE ANALOGUES THERAPY STILL REPRESENTS A TECHNICAL CHALLENGE. QUANTITATIVE (Q)PCR, ROLLING CIRCLE AMPLIFICATION (RCA) AND DROPLET DIGITAL (DD)PCR ASSAYS WERE USED TO QUANTIFY RESIDUAL INTRAHEPATIC CCCDNA IN LIVER BIOPSIES FROM 56 CHRONICALLY HBV INFECTED PATIENTS AFTER 3 TO 5 YEARS OF TELBIVUDINE TREATMENT. ACTIVITY OF RESIDUAL CCCDNA WAS EVALUATED BY QUANTIFYING 3.5 KB HBV RNA (PREC/PGRNA) AND BY ASSESSING CCCDNA-ASSOCIATED HISTONE TAILS POST-TRANSCRIPTIONAL MODIFICATIONS (PTMS) BY MICRO-CHROMATIN IMMUNOPRECIPITATION. LONG-TERM TELBIVUDINE TREATMENT RESULTED IN SERUM HBV DNA SUPPRESSION, WITH MOST OF THE PATIENTS REACHING UNDETECTABLE LEVELS. DESPITE 38 OUT OF 56 PATIENTS HAD UNDETECTABLE CCCDNA WHEN ASSESSED BY QPCR, RCA AND DDPCR ASSAYS DETECTED CCCDNA IN ALL-BUT-ONE NEGATIVE SAMPLES. LOW PREC/PGRNA LEVEL IN TELBIVUDINE-TREATED SAMPLES WAS ASSOCIATED WITH ENRICHMENT FOR CCCDNA HISTONE PTMS RELATED TO REPRESSED TRANSCRIPTION. NO DIFFERENCE IN CCCDNA LEVELS WAS FOUND ACCORDING TO SERUM VIRAL MARKERS EVOLUTION. THIS PANEL OF CCCDNA EVALUATION TECHNIQUES SHOULD PROVIDE AN ADDED VALUE FOR THE NEW PROOF-OF-CONCEPT CLINICAL TRIALS AIMING AT A FUNCTIONAL CURE OF CHRONIC HEPATITIS B. 2020 18 2109 31 EPIGENETIC FEATURES OF HIV-INDUCED T-CELL EXHAUSTION PERSIST DESPITE EARLY ANTIRETROVIRAL THERAPY. T CELL DYSFUNCTION OCCURS EARLY FOLLOWING HIV INFECTION, IMPACTING THE EMERGENCE OF NON-AIDS MORBIDITIES AND LIMITING CURATIVE EFFORTS. ART INITIATED DURING PRIMARY HIV INFECTION (PHI) CAN REVERSE THIS DYSFUNCTION, BUT THE EXTENT OF RECOVERY IS UNKNOWN. WE STUDIED 66 HIV-INFECTED INDIVIDUALS TREATED FROM EARLY PHI WITH UP TO THREE YEARS OF ART. COMPARED WITH HIV-UNINFECTED CONTROLS, CD4 AND CD8 T CELLS FROM EARLY HIV INFECTION WERE CHARACTERISED BY T CELL ACTIVATION AND INCREASED EXPRESSION OF THE IMMUNE CHECKPOINT RECEPTORS (ICRS) PD1, TIM-3 AND TIGIT. THREE YEARS OF ART LEAD TO PARTIAL - BUT NOT COMPLETE - NORMALISATION OF ICR EXPRESSION, THE DYNAMICS OF WHICH VARIED FOR INDIVIDUAL ICRS. FOR HIV-SPECIFIC CELLS, EPIGENETIC PROFILING OF TETRAMER-SORTED CD8 T CELLS REVEALED THAT EPIGENETIC FEATURES OF EXHAUSTION TYPICALLY SEEN IN CHRONIC HIV INFECTION WERE ALREADY PRESENT EARLY IN PHI, AND THAT ART INITIATION DURING PHI RESULTED IN ONLY A PARTIAL SHIFT OF THE EPIGENOME TO ONE WITH MORE FAVOURABLE MEMORY CHARACTERISTICS. THESE FINDINGS SUGGEST THAT ALTHOUGH ART INITIATION DURING PHI RESULTS IN SIGNIFICANT IMMUNE RECONSTITUTION, THERE MAY BE ONLY PARTIAL RESOLUTION OF HIV-RELATED PHENOTYPIC AND EPIGENETIC CHANGES. 2021 19 559 24 BACH2 ENFORCES THE TRANSCRIPTIONAL AND EPIGENETIC PROGRAMS OF STEM-LIKE CD8(+) T CELLS. DURING CHRONIC INFECTION AND CANCER, A SELF-RENEWING CD8(+) T CELL SUBSET MAINTAINS LONG-TERM IMMUNITY AND IS CRITICAL TO THE EFFECTIVENESS OF IMMUNOTHERAPY. THESE STEM-LIKE CD8(+) T CELLS DIVERGE FROM OTHER CD8(+) SUBSETS EARLY AFTER CHRONIC VIRAL INFECTION. HOWEVER, PATHWAYS GUARDING STEM-LIKE CD8(+) T CELLS AGAINST TERMINAL EXHAUSTION REMAIN UNCLEAR. HERE, WE SHOW THAT THE GENE ENCODING TRANSCRIPTIONAL REPRESSOR BACH2 IS TRANSCRIPTIONALLY AND EPIGENETICALLY ACTIVE IN STEM-LIKE CD8(+) T CELLS BUT NOT TERMINALLY EXHAUSTED CELLS EARLY AFTER INFECTION. BACH2 OVEREXPRESSION ENFORCED STEM-LIKE CELL FATE, WHEREAS BACH2 DEFICIENCY IMPAIRED STEM-LIKE CD8(+) T CELL DIFFERENTIATION. SINGLE-CELL TRANSCRIPTOMIC AND EPIGENOMIC APPROACHES REVEALED THAT BACH2 ESTABLISHED THE TRANSCRIPTIONAL AND EPIGENETIC PROGRAMS OF STEM-LIKE CD8(+) T CELLS. IN ADDITION, BACH2 SUPPRESSED THE MOLECULAR PROGRAM DRIVING TERMINAL EXHAUSTION THROUGH TRANSCRIPTIONAL REPRESSION AND EPIGENETIC SILENCING. THUS, OUR STUDY REVEALS A NEW PATHWAY THAT ENFORCES COMMITMENT TO STEM-LIKE CD8(+) LINEAGE AND PREVENTS AN ALTERNATIVE TERMINALLY EXHAUSTED CELL FATE. 2021 20 3379 27 HIV LATENCY AND THE NONCODING RNA THERAPEUTIC LANDSCAPE. THE HUMAN IMMUNODEFICIENCY VIRUS (HIV) BELONGS TO THE SUBFAMILY OF LENTIVIRUSES THAT ARE CHARACTERIZED BY LONG INCUBATION PERIODS AND CHRONIC, PERSISTENT INFECTION. THE VIRUS INTEGRATES INTO THE GENOME OF INFECTED CD4+ CELLS AND, IN A SUBPOPULATION OF CELLS, ADOPTS A TRANSCRIPTIONALLY SILENT STATE, A PROCESS REFERRED TO A VIRAL LATENCY. THIS PROPERTY MAKES IT EXCEEDINGLY DIFFICULT TO THERAPEUTICALLY TARGET THE VIRUS AND ERADICATE INFECTION. IF LEFT UNTREATED, THE INEXORABLE DEMISE OF THE INFECTED INDIVIDUAL'S IMMUNE SYSTEM ENSUES, A CAUSAL RESULT OF ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS). LATENTLY INFECTED CELLS PROVIDE A RESERVOIR THAT MAINTAINS VIRAL INFECTION INDEFINITELY. IN THIS CHAPTER WE EXPLORE THE ROLE OF NONCODING RNAS IN HIV INFECTION AND IN THE ESTABLISHMENT AND MAINTENANCE OF VIRAL LATENCY. BOTH SHORT AND LONG NONCODING RNAS ARE ENDOGENOUS MODULATORS OF EPIGENETIC REGULATION IN HUMAN CELLS AND PLAY AN ACTIVE ROLE IN GENE EXPRESSION. LASTLY, WE EXPLORE THERAPEUTIC MODALITIES BASED ON EXPRESSED RNAS THAT ARE CAPABLE OF COUNTERING INFECTION, TRANSCRIPTIONALLY REGULATING THE VIRUS, AND SUPPRESSING OR ACTIVATING THE LATENT STATE. 2015