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Aphios Corporation Presents "Combination Therapy for Treating HIV Latency" at HIV DART 2008 in Puerto RicoHIV DART Presentation

December 10 , 2008

Background
HIV infects several cell types during the course of infection and progression to acquired immune deficiency syndrome (AIDS). The persistence of latent HIV-infected cellular reservoirs represents the major hurdle to virus eradication with highly active anti-retroviral therapy (HAART). Reactivation of the latent reservoirs could allow effective targeting and possible eradication of the virus. Experiments with relatively specific PKCs inhibitors suggest that bryostatin-1, a potent PKC modulator, re-activates HIV-1 latency thorough the PKC pathway. We thus investigated biochemical targets downstream of PKC.

Methods
Bryostatin 1 was extracted and purified from Bugula neritina utilizing a supercritical fluid with a polar co-solvent followed by downstream chromatographic purification and crystallization. Jurkat-LAT-GFP cells were stimulated with increasing concentrations of bryostatin-1 and the phosphorylation and degradation of the NF-?B inhibitor I?Ba. The phosphorylation (activation) of the MAPKs, ERK and JNK, were investigated by Western blot using specific mAbs. The percentage of GFP+ cells was analyzed by flow cytometry in an EPIC XL flow cytometer (Beckman-Coulter Inc. CA, USA). Jurkat LAT-GFP cells were pretreated with inhibitors for 30 min at the indicated dose and then stimulated with bryostatin-1 (10 nM) for 6h.

Results
Bryostatin-1 induced phosphorylation and degradation of I?Ba, and also the activation of the MAPKs, ERK1+2 and JNK1+2 in a concentration dependent manner. Bryostatin-1 at the concentration of 10 nM does not induce I?Ba phosphorylation and degradation and JNK activation but fully reactivates HIV-1 latency. Therefore, therapeutic activity of bryostatin-1 for HIV-1 latency can be achieved at concentrations that do not activate signal transduction pathways (i.e. NF-?B and AP-1) that may result in negative side effects.
In addition to its HIV-1-latency antagonizing activity, bryostatin-1 also down-regulates, at 10 nM concentration, the expression of the human HIV-1 receptors CD4 and CXCR4 and prevents de novo HIV-1 infection as measured by virus-induced cytotoxicity assays (EC50 of 26 nM).
Bryostatin-1 also synergizes with Histone Deacetylases (HDAC) inhibitors (valproic acid and TSA) to antagonise HIV-1 latency. HDAC inhibitors alone do not significantly reactivate HIV-1 latency but reduces the concentration of bryostatin-1 (at least one order of magnitude). Bryostatin-1 at 1 nM concentration can induce HIV-1 reactivation in the presence of therapeutically relevant concentrations of valproic acid. Thus, the therapeutic activity of bryostatin-1 can be drastically improved in humans by utilizing a HDAC inhibitor in combination therapy.

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