The HIV-1 pandemic is a significant challenge to the field of medicine. Despite advancements in antiretroviral (ART) development, 38 million people worldwide still live with this disease without a cure. A significant barrier to the eradication of HIV-1 lies in the persistently latent pool that establishes early in the infection. The "shock and kill " strategy relies on the discovery of a latency-reversing agent (LRA) that can robustly reactivate the latent pool and not limit immune clearance. We have found that a benzodiazepine (BDZ), that is commonly prescribed for panic and anxiety disorder, to be an ideal candidate for latency reversal. The BDZ Alprazolam functions as an inhibitor of the transcription factor RUNX1, which negatively regulates HIV-1 transcription. In addition to the displacement of RUNX1 from the HIV-1 5'LTR, Alprazolam potentiates the activation of STAT5 and its recruitment to the viral promoter. The activation of STAT5 in cytotoxic T cells may enable immune activation which is independent of the IL-2 receptor. These findings have significance for the potential use of Alprazolam in a curative strategy and to addressing the neuroinflammation associated with neuroHIV-1.
Alprazolam Prompts HIV-1 Transcriptional Reactivation and Enhances CTL Response Through RUNX1 Inhibition and STAT5 Activation
Creators
Angel Lin - Department of Biological Sciences, University of the Sciences, United States
Weam Othman Elbezanti - University of Pennsylvania
Alexis Schirling - Department of Biological Sciences, University of the Sciences, United States
Adel Ahmed - Drexel Univ, Dept Biochem & Mol Biol, Coll Med, Philadelphia, PA 19104 USA
Rachel Van Duyne - Drexel University
Simon Cocklin - Drexel University
Zachary Klase - Drexel University
Publication Details
Frontiers in neurology, v 12, pp 663793-663793
Publisher
Frontiers Media S.A.
Number of pages
15
Grant note
DP2 DA044550-01 / NIDA/NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA)
Drexel University College of Medicine internal funds
R01 AI150491 / NIAID/NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID)
Resource Type
Journal article
Language
English
Academic Unit
Biochemistry and Molecular Biology; Pharmacology and Physiology
Web of Science ID
WOS:000687981800001
Scopus ID
2-s2.0-85112624414
Other Identifier
991019169909104721
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