Comprehensive transcriptomic analyses identify the immunosuppressive effects of LLDT-8 in ART-treated SIV-infected rhesus macaques

Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved..

BACKGROUND: Chronic immune activation plays a significant role in the pathogenesis and disease progression of human immunodeficiency virus (HIV), and the existing interventions to address this issue are limited. In a phase II clinical trial, (5R)-5-hydroxytriptolide (LLDT-8) demonstrated promising potential in enhancing CD4+ T cell recovery. However, the therapeutical effects of LLDT-8 remained to be systemic explored.

METHODS: To assess the treatment effects of LLDT-8, we conducted flow cytometry and RNA-seq analyses on eight Chinese rhesus monkeys infected with simian immunodeficiency virus (SIV). Additionally, we performed comprehensive transcriptomic analyses, including cross-sectional and longitudinal differentially expressed gene (DEG) analysis, gene set enrichment analysis (GSEA), weighted gene co-expression network analysis (WGCNA), and deconvolution analysis using peripheral blood mononuclear cell (PBMC) samples from 14-time points. These findings were further validated with RNA-seq analysis on patients who received LLDT-8 treatment, along with in vitro cellular experiments using human PBMCs.

RESULTS: Flow cytometry analysis revealed that LLDT-8 treatment significantly reduced the percentage of HLA-DR+CD38+CD8+ T cells in SIV-infected rhesus monkeys (P < 0.001). The cross-sectional and longitudinal analysis identified 2531 and 1809 DEGs, respectively. GSEA analysis indicated that LLDT-8 treatment led to significant downregulation of proliferation-related pathways, such as E2F targets, G2M checkpoint, and mitotic spindle pathways. WGCNA analysis identified two modules and 202 hub genes associated with CD8 activation levels. Deconvolution analysis showed a significant decrease in the proportion of CD8+ T cells and activated CD4+ T cells during LLDT-8 treatment. Gene ontology results demonstrated that the common DEGs between LLDT-8-treated patients and rhesus monkeys were primarily enriched in cell activation and cell cycle progression. Furthermore, in vitro cellular experiments validated the consistent impact of LLDT-8 in inhibiting proliferation, activation (HLA-DR and CD38 expression), exhaustion (PD-1 expression), and IFN-γ production in human CD4+ and CD8+ T cells.

CONCLUSION: LLDT-8 exhibited notable efficacy in alleviating immune activation in both an in vivo animal model and in vitro human cell experiments. These findings suggest that LLDT-8 may hold potential as a drug for managing systemic immune activation associated with SIV/HIV infection, warranting further prospective clinical exploration.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:126

Enthalten in:

International immunopharmacology - 126(2024) vom: 05. Jan., Seite 111173

Sprache:

Englisch

Beteiligte Personen:

Liu, Xiaosheng [VerfasserIn]
Lv, Tingxia [VerfasserIn]
Li, Xiuxia [VerfasserIn]
Xue, Jing [VerfasserIn]
Lin, Ling [VerfasserIn]
Lu, Lianfeng [VerfasserIn]
Li, Xiaodi [VerfasserIn]
Yang, Yang [VerfasserIn]
Wu, Yuanni [VerfasserIn]
Wei, Qiang [VerfasserIn]
Cao, Wei [VerfasserIn]
Li, Taisheng [VerfasserIn]

Links:

Volltext

Themen:

(5R)-5-hydroxytriptolide
HLA-DR Antigens
Journal Article
LLDT-8
RNA-seq
Rhesus macaque
SIV
Transcriptomic analysis

Anmerkungen:

Date Completed 28.12.2023

Date Revised 07.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.intimp.2023.111173

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364756446