February 25, 2004
"Identification of this HIV-blocking factor opens new avenues for intervening in the early stage of HIV infection, before the virus can gain a toehold," says NIAID Director Anthony S. Fauci, M.D. "The discovery also gives us critical insights about viral uncoating, a little understood step in the viral lifecycle. Basic discoveries like this provide the scientific springboard to future improvements in therapies for HIV disease."
"Over the years," notes Dr. Sodroski, "we've learned quite a bit about how HIV enters cells. More recently, we've developed a picture of the late stages of the viral lifecycle, as it leaves the cell. However, the steps between virus entry and conversion of the viral RNA into DNA have been a black box." A key preparatory step is the removal, or uncoating, of the protective shell surrounding HIV's genetic material. This coat, called the capsid, must be removed before HIV can insert its genetic material into the host cell's DNA and begin to make copies of itself. (See below for a simplified diagram of HIV, including the capsid.)
The discovery could also shorten the path to an AIDS vaccine by making improved animal models of HIV disease possible. Because monkeys are not susceptible to the human version of AIDS, results of vaccine trials conducted on them are not directly applicable to humans. Now with a better understanding of why HIV cannot successfully infect monkey cells, scientists have a defined target to manipulate and could use that information to develop animal models that more closely mimic HIV disease.
Matthew Stremlau, Ph.D., a member of Dr. Sodroski's team and lead author on the new paper, searched the rhesus monkey genome and isolated a stretch of DNA that encodes the TRIM5-alpha protein. In a series of experiments using lab-grown cells that either possessed or lacked TRIM5-alpha, the scientists determined that TRIM5-alpha is both necessary and sufficient to block HIV replication. Although the precise mechanism of TRIM5-alpha's activity is not fully determined, says Dr. Sodroski, it may be that the protein chops up HIV's capsid and thwarts the orderly uncoating the virus must undergo before proceeding to replicate.
"This is a very exciting finding," says NIAID's Nabila Wassef, Ph.D., a program officer in NIAID's Division of AIDS. "TRIM5-alpha strikes at the heart of HIV, preventing it from becoming an established infection. As we know, HIV disease can be treated, but not cured. In part this is due to the ability of HIV to take up permanent residence in the body. If we could find a way to disable the virus before it has a chance to replicate, this problem of latent infection would be eliminated."
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