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  • 文章类型: Journal Article
    HIV在记忆CD4+T细胞中建立长期潜伏感染,并在巨噬细胞中建立持续的长期生产性感染,尤其是中枢神经系统(CNS)。为了更好地了解HIV如何在巨噬细胞中维持感染,我们在人类单核细胞源性巨噬细胞(MDMs)感染脑源性HIV-1株YU2后进行了RNAseq分析,并将其与急性CD4+T细胞感染进行了比较.MDM和CD4+T细胞中的HIV感染改变了许多基因转录本,但是这些不同的细胞类型之间几乎没有重叠。我们发现干扰素途径在MDM和CD4+T细胞中上调,但是有不同的基因特征。干扰素刺激的基因RSAD2/Viperin是MDM中HIV感染后最上调的基因之一,但不是在CD4+T细胞中。RSAD2/Viperin在感染各种HIV毒株后早期被诱导,随着时间的推移而持续,即使抗逆转录病毒治疗阻断了新一轮的感染,在已确定的MDM感染中仍然升高。免疫荧光显微镜显示RSAD2/Viperin在HIV感染的细胞中被诱导,以及一些未感染的邻近细胞。在MDM中建立感染后,RSAD2/Viperin的敲除减少了HIV转录本和病毒p24抗原的产生。这与多核巨细胞数量的减少有关,以及HIVDNA和染色质结构的变化,包括DNA拷贝数增加以及长末端重复序列(LTR)核小体和组蛋白修饰的丢失。在HIV感染MDMs期间RSAD2/Viperin敲低的RNAseq转录组学分析揭示了干扰素α/β和γ途径的激活以及RhoGTP酶途径的失活。一起来看,这些结果表明RSAD2/Viperin支持巨噬细胞的持续感染,可能通过涉及LTR染色质结构改变和干扰素反应的机制。
    目的:HIV巨噬细胞感染是HIV治愈的障碍和神经认知病理学的来源。我们发现HIV在巨噬细胞持续感染期间诱导RSAD2/Viperin。虽然RSAD2/Viperin是干扰素刺激的基因,具有已知的抗病毒活性,我们发现RSAD2/Viperin通过多种机制促进巨噬细胞中的HIV感染,包括干扰素信号。因此,RSAD2/Viperin可能是治疗HIV感染的巨噬细胞的治疗靶标。
    HIV establishes long-term latent infection in memory CD4+ T cells and also establishes sustained long-term productive infection in macrophages, especially in the central nervous system (CNS). To better understand how HIV sustains infection in macrophages, we performed RNAseq analysis after infection of human monocyte-derived macrophages (MDMs) with the brain-derived HIV-1 strain YU2 and compared this with acute infection of CD4+ T cells. HIV infection in MDM and CD4+ T cells altered many gene transcripts, but with few overlaps between these different cell types. We found interferon pathways upregulated in both MDM and CD4+ T cells, but with different gene signatures. The interferon-stimulated gene RSAD2/Viperin was among the most upregulated genes following HIV infection in MDMs, but not in CD4+ T cells. RSAD2/Viperin was induced early after infection with various HIV strains, was sustained over time, and remained elevated in established MDM infection even if new rounds of infection were blocked by antiretroviral treatment. Immunofluorescence microscopy revealed that RSAD2/Viperin was induced in HIV-infected cells, as well as in some uninfected neighboring cells. Knockdown of RSAD2/Viperin following the establishment of infection in MDMs reduced the production of HIV transcripts and viral p24 antigen. This correlated with the reduction in the number of multinucleated giant cells, and changes in the HIV DNA and chromatin structure, including an increased DNA copy number and loss of nucleosomes and histone modifications at the long terminal repeat (LTR). RNAseq transcriptomic analysis of RSAD2/Viperin knockdown during HIV infection of MDMs revealed the activation of interferon alpha/beta and gamma pathways and the inactivation of Rho GTPase pathways. Taken together, these results suggest that RSAD2/Viperin supports the sustained infection in macrophages, potentially through mechanisms involving the alteration of the LTR chromatin structure and the interferon response.
    OBJECTIVE: HIV infection of macrophages is a barrier to HIV cure and a source of neurocognitive pathology. We found that HIV induces RSAD2/Viperin during sustained infection of macrophages. While RSAD2/Viperin is an interferon-stimulated gene with known antiviral activity, we find RSAD2/Viperin promotes HIV infection in macrophages through multiple mechanisms, including interferon signaling. Therefore, RSAD2/Viperin may be a therapeutic target for the treatment of HIV-infected macrophages.
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  • 文章类型: Journal Article
    1型单纯疱疹病毒(HSV-1)的周期性再激活触发导致角膜瘢痕形成(CS)的免疫反应,称为疱疹基质角膜炎(HSK)。尽管进行了大量研究,由于缺乏对角膜和三叉神经节(TG)中HSV-1感染的免疫细胞的全面分析,因此充分了解HSK并消除HSK仍然具有挑战性。我们在毒力McKrae病毒株中设计了表达绿色荧光蛋白(GFP)的重组HSV-1,该毒株不需要角膜划痕即可有效复制病毒(GFP-McKrae)。下一代测序(NGS)分析,以及体外和体内测定,结果表明GFP-McKrae病毒与WT-McKrae病毒相似。此外,用GFP-McKrae感染的角膜细胞使用图像质量细胞仪(IMC)进行定量分析。单细胞重建数据基于GFP-McKrae感染的小鼠中25种免疫细胞标记的表达生成角膜的细胞图。模拟对照小鼠的角膜显示存在T细胞和巨噬细胞,而来自GFP-McKrae感染小鼠的角膜在感染后3天和5天(PI)表现出增加的免疫细胞。值得注意的是,在第3天PI,增加的GFP表达观察到紧密位于DC的簇,巨噬细胞,和上皮细胞。到第5天PI,巨噬细胞和T细胞变得突出。最后,免疫染色方法在潜伏感染的TG中检测到HSV-1或GFP和gD蛋白。这项研究提出了一种有价值的策略,用于识别病毒发病机理中的细胞空间关联,并为未来的治疗应用提供了希望。重要意义这项研究的目的是建立定量方法来分析原发性和潜伏感染小鼠的HSV-1感染的完整角膜和三叉神经节中的免疫细胞标记。这使我们能够定义特定免疫细胞之间的空间和时间相互作用及其在病毒复制和潜伏期中的潜在作用。为了实现这一重要目标,我们利用GFP-McKrae病毒的实用性作为一种有价值的研究工具,同时也强调了其在发现在HSV-1复制和潜伏期中发挥关键作用的细胞类型方面的潜力.这些见解将为开发更有效地解决HSV-1感染的靶向治疗方法铺平道路。
    Periodic reactivation of herpes simplex virus type 1 (HSV-1) triggers immune responses that result in corneal scarring (CS), known as herpes stromal keratitis (HSK). Despite considerable research, fully understanding HSK and eliminating it remains challenging due to a lack of comprehensive analysis of HSV-1-infected immune cells in both corneas and trigeminal ganglia (TG). We engineered a recombinant HSV-1 expressing green fluorescent protein (GFP) in the virulent McKrae virus strain that does not require corneal scarification for efficient virus replication (GFP-McKrae). Next-generation sequencing (NGS) analysis, along with in vitro and in vivo assays, showed that GFP-McKrae virus was similar to WT-McKrae virus. Furthermore, corneal cells infected with GFP-McKrae were quantitatively analyzed using image mass cytometry (IMC). The single-cell reconstruction data generated cellular maps of corneas based on the expression of 25 immune cell markers in GFP-McKrae-infected mice. Corneas from mock control mice showed the presence of T cells and macrophages, whereas corneas from GFP-McKrae-infected mice on days 3 and 5 post-infection (PI) exhibited increased immune cells. Notably, on day 3 PI, increased GFP expression was observed in closely situated clusters of DCs, macrophages, and epithelial cells. By day 5 PI, macrophages and T cells became prominent. Finally, immunostaining methods detected HSV-1 or GFP and gD proteins in latently infected TG. This study presents a valuable strategy for identifying cellular spatial associations in viral pathogenesis and holds promise for future therapeutic applications.IMPORTANCEThe goal of this study was to establish quantitative approaches to analyze immune cell markers in HSV-1-infected intact corneas and trigeminal ganglia from primary and latently infected mice. This allowed us to define spatial and temporal interactions between specific immune cells and their potential roles in virus replication and latency. To accomplish this important goal, we took advantage of the utility of GFP-McKrae virus as a valuable research tool while also highlighting its potential to uncover previously unrecognized cell types that play pivotal roles in HSV-1 replication and latency. Such insights will pave the way for developing targeted therapeutic approaches to tackle HSV-1 infections more effectively.
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  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)可能会影响艾滋病毒携带者(PLWH)的疾病进展,包括那些有效的联合抗逆转录病毒治疗(cART)。这些个体经常经历以CD4+记忆T细胞和组织巨噬细胞中的前病毒潜伏期或低水平病毒复制为特征的慢性病症。促炎细胞因子,如TNF-α,IL-1β,IL-6和IFN-γ,可以在原代细胞和细胞系中重新激活原病毒表达。这些细胞因子通常在感染SARS-CoV-2的个体中升高,SARS-CoV-2是导致COVID-19的病毒。然而,尚不清楚SARS-CoV-2是否可以调节感染细胞中的HIV再激活。这里,我们报道了慢性HIV-1感染的髓样细胞系U1暴露于两种不同的SARS-CoV-2病毒分离株(祖先和BA.5)在24小时后逆转了其潜伏状态。我们还观察到SARS-CoV-2暴露于人类原代单核细胞衍生的巨噬细胞(MDM)最初导致其极化为M1表型,随着时间的推移,它向M2转移。这种效应与在M1极化初期释放的可溶性因子有关,这些因子在U1细胞中重新激活了HIV的产生。如用TLR激动剂瑞喹莫特刺激的MDM。我们的研究表明,SARS-CoV-2诱导的全身性炎症和与巨噬细胞的相互作用可能会影响PLWH中前病毒HIV-1在骨髓细胞中的潜伏期。
    Coronavirus disease 2019 (COVID-19) might impact disease progression in people living with HIV (PLWH), including those on effective combination antiretroviral therapy (cART). These individuals often experience chronic conditions characterized by proviral latency or low-level viral replication in CD4+ memory T cells and tissue macrophages. Pro-inflammatory cytokines, such as TNF-α, IL-1β, IL-6, and IFN-γ, can reactivate provirus expression in both primary cells and cell lines. These cytokines are often elevated in individuals infected with SARS-CoV-2, the virus causing COVID-19. However, it is still unknown whether SARS-CoV-2 can modulate HIV reactivation in infected cells. Here, we report that exposure of the chronically HIV-1-infected myeloid cell line U1 to two different SARS-CoV-2 viral isolates (ancestral and BA.5) reversed its latent state after 24 h. We also observed that SARS-CoV-2 exposure of human primary monocyte-derived macrophages (MDM) initially drove their polarization towards an M1 phenotype, which shifted towards M2 over time. This effect was associated with soluble factors released during the initial M1 polarization phase that reactivated HIV production in U1 cells, like MDM stimulated with the TLR agonist resiquimod. Our study suggests that SARS-CoV-2-induced systemic inflammation and interaction with macrophages could influence proviral HIV-1 latency in myeloid cells in PLWH.
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  • 文章类型: Journal Article
    背景技术无线局域网(WLAN)最近已经发展成具有极高吞吐量和超高可靠性的技术。由于WLAN主要用于由币形电池供电的物联网(IoT)和支持Wi-Fi的传感器应用,这些高效率,高性能技术通常会导致电池严重耗尽。介绍了基于触发帧的上行传输方法,旨在提高网络吞吐量,缺乏足够的安全措施,使攻击者能够操纵触发帧。接收此类帧的设备必须立即响应;但是,如果设备收到假触发帧,它无法进入睡眠模式,连续发送响应信号,从而增加功耗。这个问题在支持多链路操作(MLO)的下一代设备中尤为突出。能够跨多个链路同时发送和接收,使它们比传统的单链路设备更容易受到电池消耗攻击。为了解决这个问题,本文介绍了一种专门为多链路环境设计的基于安全触发帧的动态节能机制(STF-DPSM)。实验结果表明,即使在只有两个链路的多链路环境中,与一贯利用加密/解密和完整性检查的方法相比,STF-DPSM将能量效率平均提高约55.69%,并将延迟时间平均降低约44.7%。
    Wireless local area networks (WLANs) have recently evolved into technologies featuring extremely high throughput and ultra-high reliability. As WLANs are predominantly utilized in Internet of Things (IoT) and Wi-Fi-enabled sensor applications powered by coin cell batteries, these high-efficiency, high-performance technologies often cause significant battery depletion. The introduction of the trigger frame-based uplink transmission method, designed to enhance network throughput, lacks adequate security measures, enabling attackers to manipulate trigger frames. Devices receiving such frames must respond immediately; however, if a device receives a fake trigger frame, it fails to enter sleep mode, continuously sending response signals and thereby increasing power consumption. This problem is specifically acute in next-generation devices that support multi-link operation (MLO), capable of simultaneous transmission and reception across multiple links, rendering them more susceptible to battery draining attacks than conventional single-link devices. To address this, this paper introduces a Secure Triggering Frame-Based Dynamic Power Saving Mechanism (STF-DPSM) specifically designed for multi-link environments. Experimental results indicate that even in a multi-link environment with only two links, the STF-DPSM improves energy efficiency by an average of approximately 55.69% over conventional methods and reduces delay times by an average of approximately 44.7% compared with methods that consistently utilize encryption/decryption and integrity checks.
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  • 文章类型: Journal Article
    哺乳动物宿主中真菌感染的不良后果取决于宿主免疫系统与病原体毒力相关性状之间的复杂相互作用。当宿主反应太弱而无法有效消除病原体或过于激进时,就会出现主要的临床问题。导致宿主组织损伤而不是保护。本文将通过微生物发病机理的损伤反应框架(DRF)的镜头,重点介绍有关宿主免疫系统在热二态真菌Talaromycesmarneffei免疫发病机理中的双面作用的毒力归因和机制的最新知识模型。
    The adverse outcomes of fungal infection in mammalian hosts depend on the complex interactions between the host immune system and pathogen virulence-associated traits. The main clinical problems arise when the host response is either too weak to effectively eliminate the pathogen or overly aggressive, resulting in host tissue damage rather than protection. This article will highlight current knowledge regarding the virulence attributions and mechanisms involved in the dual-sided role of the host immune system in the immunopathogenesis of the thermally dimorphic fungus Talaromyces marneffei through the lens of the damage response framework (DRF) of microbial pathogenesis model.
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  • 文章类型: Journal Article
    尽管我们对单纯疱疹病毒1型(HSV-1)生物学的理解已大大提高,制定治疗策略以消除潜伏感染个体中的HSV-1仍然是一个公共卫生问题.目前用于治疗HSV-1并发症的抗病毒药物没有特异性,也不能解决潜伏感染。我们最近开发了一个基于CRISPR-Cas9的基因编辑平台,以特异性靶向HSV-1基因组。在这项研究中,我们进一步使用2DVero细胞培养和3D人类诱导多能干细胞来源的脑类器官(CO)模型来评估我们针对病毒ICP0或ICP27基因的编辑构建体的有效性.我们发现,在Vero细胞中用AAV2-CRISPR-Cas9载体靶向ICP0或ICP27基因可显著抑制HSV-1复制。此外,我们用HSV-1生产性感染COs,表征病毒复制动力学,建立了病毒潜伏期模型。最后,我们发现,靶向ICP0或ICP27的AAV2-CRISPR-Cas9载体显著降低HSV-1潜伏感染的COs中的病毒反弹.总之,我们的结果表明,CRISPR-Cas9基因编辑HSV-1是消除潜伏病毒库和治疗HSV-1相关并发症的有效治疗方法.
    Although our understanding of herpes simplex virus type 1 (HSV-1) biology has been considerably enhanced, developing therapeutic strategies to eliminate HSV-1 in latently infected individuals remains a public health concern. Current antiviral drugs used for the treatment of HSV-1 complications are not specific and do not address latent infection. We recently developed a CRISPR-Cas9-based gene editing platform to specifically target the HSV-1 genome. In this study, we further used 2D Vero cell culture and 3D human induced pluripotent stem cell-derived cerebral organoid (CO) models to assess the effectiveness of our editing constructs targeting viral ICP0 or ICP27 genes. We found that targeting the ICP0 or ICP27 genes with AAV2-CRISPR-Cas9 vectors in Vero cells drastically suppressed HSV-1 replication. In addition, we productively infected COs with HSV-1, characterized the viral replication kinetics, and established a viral latency model. Finally, we discovered that ICP0- or ICP27-targeting AAV2-CRISPR-Cas9 vector significantly reduced viral rebound in the COs that were latently infected with HSV-1. In summary, our results suggest that CRISPR-Cas9 gene editing of HSV-1 is an efficient therapeutic approach to eliminate the latent viral reservoir and treat HSV-1-associated complications.
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  • 文章类型: Journal Article
    抑郁症的临床试验缺乏客观措施。言语延迟是通过面部有效性和经验支持来衡量精神运动减慢的客观指标。“转动延迟”是扬声器之间的响应时间。在双相I型抑郁症的临床试验中,对转弯潜伏期作为富集工具的实用性进行了回顾性分析。在随机的1,352个蒙哥马利-奥斯贝格抑郁量表(MADRS)记录中,从274名参与者中获得了语音数据,安慰剂对照,SEP-4199(200mg或400mg)的6周临床试验。在中度至重度抑郁症患者和抑郁症缓解的患者之间比较随机分组后的转折潜伏期。确定了截止值,并将其应用于将延迟预随机化以将个体分为两组:语音延迟慢(SL-慢)和语音延迟正常(SL-正常)。在第6周,SL-Slow(N=172)显示安慰剂组和治疗组之间的MADRS评分的显著分离。SL-正常(N=102)显示更大的MADRS改善,并且安慰剂和治疗组之间没有显著的分离。对于治疗组,排除SL-正常增加了52%和100%的主要结果效应大小。转轮潜伏期是可从标准临床评估获得的客观量度,并且可以更准确地评估症状的严重程度并筛选出安慰剂响应者。
    Clinical trials in depression lack objective measures. Speech latencies are an objective measure of psychomotor slowing with face validity and empirical support. \'Turn latency\' is the response time between speakers. Retrospective analysis was carried-out on the utility of turn latencies as an enrichment tool in a clinical trial of bipolar I depression. Speech data was obtained from 274 participants during 1,352 Montgomery-Åsberg Depression Rating Scale (MADRS) recordings in a randomized, placebo controlled, 6-week clinical trial of SEP-4199 (200 mg or 400 mg). Post-randomization turn latencies were compared between patients with moderate to severe depression and patients whose depression had remitted. A cutoff was determined and applied to turn latencies pre-randomization to classify individuals into two groups: Speech Latencies Slow (SL-Slow) and Speech Latencies Normal (SL-Normal). At week 6, SL-Slow (N = 172) showed significant separation in MADRS scores between placebo and treatment arms. SL-Normal (N = 102) showed larger MADRS improvements and no significant separation between placebo and treatment arms. Excluding SL-Normal increased primary outcome effect size by 52 % and 100 % for the treatment arms. Turn latencies are an objective measure available from standard clinical assessments and may assess the severity of symptoms more accurately and screen out placebo responders.
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  • 文章类型: Journal Article
    我们试图在精神病学访谈期间从言语分析中得出精神运动减慢的客观量度,以避免专用神经生理测试的潜在负担。语音延迟,这反映了说话者之间的响应时间,显示了文学的希望。语音数据来自274名被诊断为双相I型抑郁症的受试者,双盲,为期6周的2期临床试验。检查了6个时间点的结构化蒙哥马利-奥斯贝格抑郁量表(MADRS)访谈的录音(k=1,352)。我们评估了语音延迟,和其他方面的演讲,为了时间稳定性,收敛有效性,对临床变化的敏感性/响应性,以及在七个社会语言不同国家的概括。语音延迟与人口统计特征的关联最小,并解释了近三分之一的抑郁症差异(明确定义)。随着抑郁症状的改善,言语潜伏期显着减少,解释了近20%的抑郁症缓解差异。在横截面和纵向上,区分并发抑郁症患者和无并发抑郁症患者的分类都很高(AUC>0.85)。结果在各国之间复制。其他语音功能提供了适度的增量贡献。可以从精神病学访谈中得出具有面部有效性的神经生理学语音参数,而无需增加患者额外测试的负担。
    We sought to derive an objective measure of psychomotor slowing from speech analytics during a psychiatric interview to avoid potential burden of dedicated neurophysiological testing. Speech latency, which reflects response time between speakers, shows promise from the literature. Speech data was obtained from 274 subjects with a diagnosis of bipolar I depression enrolled in a randomized, doubleblind, 6-week phase 2 clinical trial. Audio recordings of structured Montgomery-Åsberg Depression Rating Scale (MADRS) interviews at 6 time points were examined (k = 1,352). We evaluated speech latencies, and other aspects of speech, for temporal stability, convergent validity, sensitivity/responsivity to clinical change, and generalization across seven socio-linguistically diverse countries. Speech latency was minimally associated with demographic features, and explained nearly a third of the variance in depression (categorically defined). Speech latency significantly decreased as depression symptoms improved over time, explaining nearly 20 % of variance in depression remission. Classification for differentiating people with versus without concurrent depression was high (AUCs > 0.85) both cross-sectionally and longitudinally. Results replicated across countries. Other speech features offered modest incremental contribution. Neurophysiological speech parameters with face validity can be derived from psychiatric interviews without the added patient burden of additional testing.
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  • 文章类型: Journal Article
    HIV储库比以前认为的更具活力,大约70%的潜伏储库源自抗逆转录病毒疗法(ART)开始后1年内的病毒传播。在HIV潜伏期的离体模型系统中,据报道,早期接触I类组蛋白去乙酰化酶(HDAC)抑制剂可能会阻止这些最近感染的细胞进入稳定的病毒潜伏期状态.这一发现提高了在ART启动时共同施用HDAC抑制剂可能阻止许多HIV储库的建立的可能性。这里,我们测试了HDAC抑制剂辛二酰苯胺异羟肟酸(SAHA)和帕比司他在ART启动时对HIV感染的人源化小鼠病毒库形成的影响.如前所述,SAHA和帕比司他在人源化小鼠中耐受良好。出乎意料的是,SAHA的共同给药导致CD4+细胞携带HIVDNA的频率增加,但没有改变HIV感染者中与细胞相关的HIVRNA的频率,ART处理的人源化小鼠。共同施用帕比司他不会改变细胞相关的HIVDNA或RNA的水平。我们的体内发现表明,在ART治疗的同时开始的HDAC抑制剂的共同给药并不能阻止最近感染的细胞进入潜伏期。IMPORTANCECurrent抗逆转录病毒疗法(ART)不能根除具有复制能力的HIV库的细胞。退出ART不可避免地导致病毒血症的快速反弹。艾滋病病毒库比以前认为的更有活力。早期暴露于I类组蛋白脱乙酰酶(HDAC)抑制剂抑制这些最近感染的细胞在潜伏期的离体模型中进入稳定的病毒潜伏期状态,增加了在ART启动时共同施用HDAC抑制剂可能会减少许多HIV储库的可能性。这里,我们测试了在ART启动期间HDAC抑制剂辛二酰苯胺异羟肟酸或帕比司他对HIV感染的人源化小鼠病毒库形成的影响.我们的体内研究表明,与体外观察相比,在ART启动的同时共同施用HDAC抑制剂并不能防止最近感染的细胞进入潜伏期。
    The HIV reservoir is more dynamic than previously thought with around 70% of the latent reservoir originating from viruses circulating within 1 year of the initiation of antiretroviral therapy (ART). In an ex vivo model system of HIV latency, it was reported that early exposure to class I histone deacetylase (HDAC) inhibitors might prevent these more recently infected cells from entering a state of stable viral latency. This finding raises the possibility that co-administration of HDAC inhibitors at the time of ART initiation may prevent the establishment of much of the HIV reservoir. Here, we tested the effects of the HDAC inhibitors suberoylanilide hydroxamic acid (SAHA) and panobinostat co-administered at the time of ART initiation on the formation of the viral reservoir in HIV-infected humanized mice. As previously shown, SAHA and panobinostat were well tolerated in humanized mice. Unexpectedly, co-administration of SAHA resulted in an increase in the frequency of CD4+ cells carrying HIV DNA but did not alter the frequency of cell-associated HIV RNA in HIV-infected, ART-treated humanized mice. Co-administration of panobinostat did not alter levels of cell-associated HIV DNA or RNA. Our in vivo findings indicate that co-administration of HDAC inhibitors initiated at the same time of ART treatment does not prevent recently infected cells from entering latency.IMPORTANCECurrent antiretroviral therapy (ART) does not eradicate cells harboring replication-competent HIV reservoir. Withdrawal of ART inevitably results in a rapid viremia rebound. The HIV reservoir is more dynamic than previously thought. Early exposure to class I histone deacetylase (HDAC) inhibitors inhibit these more recently infected cells from entering a state of stable viral latency in an ex vivo model of latency, raising the possibility that co-administration of HDAC inhibitors at the time of ART initiation may reduce much of the HIV reservoir. Here, we tested the effects of the HDAC inhibitors suberoylanilide hydroxamic acid or panobinostat during ART initiation on the formation of the viral reservoir in HIV-infected humanized mice. Our in vivo study indicates that in contrast to in vitro observations, the co-administration of HDAC inhibitors at the same time of ART initiation does not prevent recently infected cells from entering latency.
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  • 文章类型: Journal Article
    背景:最初的石棉暴露与石棉相关疾病之间的时间可能跨越数十年。石棉监测计划旨在检测以前接触过石棉的8,565名电力行业工人的早期石棉相关疾病。
    目的:石棉暴露模式如何影响癌症死亡率和直至死亡的潜伏期?
    方法:进行了死亡随访,其中8,476名参与者(99%)的生命状态可用,89.9%的死亡参与者可用死亡证明。计算石棉相关癌症的标准化死亡率(SMR)。间皮瘤和肺癌的SMR按暴露时间分层,累积石棉暴露和吸烟。第一次接触时年龄的影响,使用多元线性回归分析检查了石棉暴露和吸烟对潜伏期至死亡的影响.
    结果:间皮瘤(n=104)的死亡风险随石棉累积暴露而增加,但不随暴露时间增加;在进行短期极高暴露(蒸汽涡轮修订)的参与者中观察到最高死亡率(SMR:23.20;95%CI:17.62-29.99)。肺癌死亡率(n=215)没有增加(SMR:1.03;95%CI:0.89-1.17)。间皮瘤的中位潜伏期为46(15-63)年,肺癌的中位潜伏期为44(15-70)年,死亡发生在64岁至82岁之间。直到死亡的潜伏期不受第一次接触时年龄的影响,累积暴露量,或吸烟。
    结论:累积剂量似乎比暴露时间更适合评估间皮瘤死亡风险。此外,应考虑在短时间内暴露高累积剂量。因为只有肺癌死亡率,不是发病率,被记录在这项研究中,与石棉暴露相关的肺癌风险无法评估,肺癌死亡率低于预期,可能是由于筛查效果和治疗方法的改进.石棉相关癌症死亡的关键时间窗口是在生命的第七个和第九个十年之间。未来的研究应进一步探讨潜伏期的概念,特别是因为在整个文献中都报道了大范围。
    BACKGROUND: The time between initial asbestos exposure and asbestos-related disease can span several decades. The Asbestos Surveillance Program aims to detect early asbestos-related diseases in a cohort of 8,565 power industry workers formerly exposed to asbestos.
    OBJECTIVE: How does asbestos exposure patterns affect cancer mortality and the duration of latency until death?
    METHODS: A mortality follow-up was conducted with available vital status for 8,476 participants (99 %) and available death certificates for 89.9 % of deceased participants. Standardised mortality ratios (SMR) were calculated for asbestos-related cancers. The SMR of mesothelioma and lung cancer were stratified by exposure duration, cumulative asbestos exposure and smoking. The effect of age at first exposure, cumulative asbestos exposure and smoking on the duration of latency until death was examined using multiple linear regression analysis.
    RESULTS: The mortality risk of mesothelioma (n = 104) increased with cumulative asbestos exposure but not with exposure duration; the highest mortality (SMR: 23.20; 95 % CI: 17.62-29.99) was observed in participants who performed activities with short extremely high exposures (steam turbine revisions). Lung cancer mortality (n = 215) was not increased (SMR: 1.03; 95 % CI: 0.89-1.17). Median latency until death was 46 (15-63) years for mesothelioma and 44 (15-70) years for lung cancer and deaths occurred between age 64 and 82 years. Latency until death was not influenced by age at first exposure, cumulative exposure, or smoking.
    CONCLUSIONS: Cumulative dose seems to be more appropriate than exposure duration for estimating the risk of mesothelioma death. Additionally, exposure with high cumulative doses in short time should be considered. Since only lung cancer mortality, not incidence, was recorded in this study, lung cancer risk associated with asbestos exposure could not be assessed and the lung cancer mortality was lower than expected probably due to screening effects and improved treatments. The critical time window of death from asbestos-related cancer is between the seventh and ninth decade of life. Future studies should further explore the concept of latency, especially since large ranges are reported throughout the literature.
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