Proposition de sujet de thèse à l’appui d’une demande de contrat doctoral 2016-2017
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Nom, prénom du directeur de l'unité de recherche : CLAVEL François
Numéro de l'unité de recherche (et établissement de rattachement) : Inserm U941, Hôpital Saint-Louis
Nom, prénom du responsable de l'équipe d'accueil (EAD) : MAMMANO Fabrizio
Nom, prénom du directeur de thèse : MAMMANO Fabrizio
Titre du sujet de thèse proposé :
Reactivating and characterizing replication-competent HIV genomes from the T-cell reservoir
Citer 5 mots clés : HIV-1, latency, reservoirs, antiretroviral treatment, persistance
Candidat pressenti : OUI NON
Contenu scientifique du programme de la thèse (en anglais)
One of the main obstacles to HIV cure is the persistence of a large reservoir of integrated HIV
genomes in memory CD4 T-cells. This reservoir is established early in the course of the infection in vivo,
appears to be insensitive to the action of antiretroviral drugs, and is thought to be the principal source of
the resurgence of HIV replication after interruption of antiretroviral treatment (ART). HIV integration is
favored in loci of the host genome that are transcriptionally active, a pattern that facilitates optimal
expression of HIV following stimulation of T-cells. In quiescent T-cells, however, HIV transcription
remains generally silent.
In vivo, most T-cell clones are bound to experience some level of antigen-driven stimulation and
homeostatic cell division, potentially leading to expression of HIV antigens. Since T-cells in which the
expression of HIV antigens is more easily triggered are more likely to be eliminated (by immune
responses or intrinsic viral toxicity), it is reasonable to assume that the duration of suppressive ART
could lead to the selection of proviruses that are in a state of deeper latency and transcriptional
silencing.
We propose that the HIV T-cell reservoir must be viewed not only in terms of its size and nature,
but also in terms of the depth and intensity of HIV transcriptional silencing. For some latent HIV
genomes, transcription could be easy to stimulate through the regular transcriptional activation
pathways, such as TCR stimulation. In others, transcription could be intrinsically hindered, and require
more potent exogenous stimulation to be relieved.
We will test these hypotheses, by comparing the requirements for different stimulations ex vivo
for induction and virus outgrowth. We will explore these properties in CD4+ lymphocytes from the
peripheral blood of patients with different treatment duration, to elucidate potential associations. Our
study aims at disclosing and quantifying the depth of latency, a neglected dimension of the HIV T-cell
reservoir.
Indiquez les cinq meilleures publications récentes de l’équipe :
- HIV cell-to-cell transmission requires the production of infectious virus particles, and does not proceed through
Env-mediated fusion pores. Journal of Virology, 2012 (PMID: 22258237). Monel B., Beaumont E., Vendrame D.,
Schwartz O., Brand D., and Mammano F.
- Impact of the HIV integrase genetic context on the phenotypic expression and in vivo emergence of raltegravir
resistance mutations. J. of Antimicrobial Chemotherapy, 2014 (PMID: 25336162). Nguyen T.T.N., Rato S. Molina
J.M., Clavel F., Delaugerre C., Mammano F.
- Quantifying the Antiviral Effect of IFN on HIV-1 Replication in Cell Culture. Scientific Reports (Nature Pub. Group)
2015 (PMID: 26119462). Ikeda H., Godinho-Santos A., Rato S., Vanwalscappel B., Clavel F., Aihara K., Iwami S.,
Mammano F.
- Cell-to-cell infection by HIV contributes over half of virus infection. Elife. 2015 (PMID: 26441404). Iwami S.,
Takeuchi J.S., Nakaoka S., Mammano F., Clavel F., Inaba H., Kobayashi T., Misawa N., Aihara K., Koyanagi Y,
and Sato K.
- Kinetics of the establishment of HIV-1 viral interference and comprehensive analysis of the contribution of viral