Fingolimod inhibits multiple stages of the HIV-1 life cycle

PLoS Pathog. 2020 Aug 13;16(8):e1008679. doi: 10.1371/journal.ppat.1008679. eCollection 2020 Aug.

Abstract

Antiretroviral drugs that target various stages of the Human Immunodeficiency Virus (HIV) life cycle have been effective in curbing the AIDS epidemic. However, drug resistance, off-target effects of antiretroviral therapy (ART), and varying efficacy in prevention underscore the need to develop novel and alternative therapeutics. In this study, we investigated whether targeting the signaling molecule Sphingosine-1-phosphate (S1P) would inhibit HIV-1 infection and generation of the latent reservoir in primary CD4 T cells. We show that FTY720 (Fingolimod), an FDA-approved functional antagonist of S1P receptors, blocks cell-free and cell-to-cell transmission of HIV and consequently reduces detectable latent virus. Mechanistically, FTY720 impacts the HIV-1 life cycle at two levels. Firstly, FTY720 reduces the surface density of CD4, thereby inhibiting viral binding and fusion. Secondly, FTY720 decreases the phosphorylation of the innate HIV restriction factor SAMHD1 which is associated with reduced levels of total and integrated HIV, while reducing the expression of Cyclin D3. In conclusion, targeting the S1P pathway with FTY720 could be a novel strategy to inhibit HIV replication and reduce the seeding of the latent reservoir.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Fingolimod Hydrochloride / pharmacology*
  • HIV Infections / drug therapy*
  • HIV Infections / immunology
  • HIV Infections / virology
  • HIV-1 / drug effects
  • HIV-1 / growth & development*
  • HIV-1 / immunology
  • Humans
  • Lysophospholipids / metabolism
  • Phosphorylation
  • SAM Domain and HD Domain-Containing Protein 1 / antagonists & inhibitors*
  • SAM Domain and HD Domain-Containing Protein 1 / metabolism
  • Signal Transduction
  • Sphingosine / analogs & derivatives
  • Sphingosine / metabolism
  • Sphingosine 1 Phosphate Receptor Modulators / pharmacology*
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology*
  • Virus Latency
  • Virus Replication*

Substances

  • Lysophospholipids
  • Sphingosine 1 Phosphate Receptor Modulators
  • sphingosine 1-phosphate
  • SAM Domain and HD Domain-Containing Protein 1
  • SAMHD1 protein, human
  • Fingolimod Hydrochloride
  • Sphingosine