# Promotion of HIV clearance by sensitization of HIV reservoirs to cell death

## TL;DR

This study explores how to eliminate HIV-infected cells by targeting resistant reservoirs through epigenetic repression and metabolic pathways.

## Contribution

The study identifies epigenetic repression and pro-survival pathways in HIV reservoirs that could be targeted to improve HIV clearance.

## Key findings

- Resistant HIV reservoirs show increased pro-survival autophagy and glycolysis.
- These reservoirs express epigenetic modifiers that repress HIV gene expression.
- Targeting epigenetic repression promotes cell death in HIV-infected cells.

## Abstract

HIV integrates its proviral DNA into the host genome to establish persistent infection. To promote HIV clearance, we have designed an approach for selective elimination of host cells harboring replication-competent HIV (SECH), through inhibition of autophagy and anti-apoptotic molecules during viral reactivation. SECH approach can clear HIV-infected cells in approximately 50% humanized mice. However, the mechanisms for the resistance of reservoirs to depletion in mice with failure in HIV clearance are unclear.

We have performed single cell transcriptome analyses of HIV-infected T cells that escaped the treatments, in order to identify cellular pathways that could be targeted to facilitate the deletion of refractory HIV reservoirs.

By single cell RNA sequencing analyses of T cell reservoirs resistant to SECH treatments, we found increases in pro-survival autophagy and glycolysis. Moreover, these resistant reservoirs expressed more epigenetic modifiers that repress HIV gene expression, while targeting such epigenetic repression promoted cell death in HIV-infected cells.

Our results indicate that T cell reservoirs refractory to depletion maintain a delicate balance between low levels of HIV gene expression and evasion of cell death. This study suggests that targeting epigenetic repression of HIV is critical for the depletion of the viral reservoirs.