Reactivation of HIV-1 from Latency by an Ingenol Derivative from Euphorbia Kansui

Sci Rep. 2017 Aug 25;7(1):9451. doi: 10.1038/s41598-017-07157-0.

Abstract

Cells harboring latent HIV-1 pose a major obstacle to eradication of the virus. The 'shock and kill' strategy has been broadly explored to purge the latent reservoir; however, none of the current latency-reversing agents (LRAs) can safely and effectively activate the latent virus in patients. In this study, we report an ingenol derivative called EK-16A, isolated from the traditional Chinese medicinal herb Euphorbia kansui, which displays great potential in reactivating latent HIV-1. A comparison of the doses used to measure the potency indicated EK-16A to be 200-fold more potent than prostratin in reactivating HIV-1 from latently infected cell lines. EK-16A also outperformed prostratin in ex vivo studies on cells from HIV-1-infected individuals, while maintaining minimal cytotoxicity effects on cell viability and T cell activation. Furthermore, EK-16A exhibited synergy with other LRAs in reactivating latent HIV-1. Mechanistic studies indicated EK-16A to be a PKCγ activator, which promoted both HIV-1 transcription initiation by NF-κB and elongation by P-TEFb signal pathways. Further investigations aimed to add this compound to the therapeutic arsenal for HIV-1 eradication are in the pipeline.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-HIV Agents / therapeutic use*
  • Cell Death
  • Cell Survival
  • Cells, Cultured
  • Diterpenes / chemistry
  • Diterpenes / therapeutic use*
  • Drug Synergism
  • Drug Therapy, Combination
  • Euphorbia / virology
  • HIV Infections / virology*
  • HIV-1 / physiology*
  • Humans
  • NF-kappa B / metabolism
  • Phorbol Esters / therapeutic use
  • Positive Transcriptional Elongation Factor B / metabolism
  • Protein Kinase C / metabolism
  • Signal Transduction
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / virology
  • Transcriptional Activation
  • Virus Activation / drug effects*
  • Virus Latency / drug effects*

Substances

  • Anti-HIV Agents
  • Diterpenes
  • NF-kappa B
  • Phorbol Esters
  • prostratin
  • protein kinase C gamma
  • Positive Transcriptional Elongation Factor B
  • Protein Kinase C
  • ingenol