Pan-caspase inhibitors induce secretion of HIV-1 latency reversal agent lymphotoxin-alpha from cytokine-primed NK cells

Abstract The persistence of HIV-1 latency reservoirs in CD4+ T cells is a significant obstacle for curing HIV-1. Shock-and-kill strategies, which aim to reactivate latent HIV-1 followed by cytotoxic clearance, have shown limited success in vivo due to insufficient efficacy of latency reversal agents...

Full description

Saved in:
Bibliographic Details
Main Authors: Zamaneh Hajikhezri, Ioannis Zygouras, Anders Sönnerborg, Robert van Domselaar
Format: Article
Language:English
Published: Nature Publishing Group 2025-02-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-025-02330-1
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823863281210621952
author Zamaneh Hajikhezri
Ioannis Zygouras
Anders Sönnerborg
Robert van Domselaar
author_facet Zamaneh Hajikhezri
Ioannis Zygouras
Anders Sönnerborg
Robert van Domselaar
author_sort Zamaneh Hajikhezri
collection DOAJ
description Abstract The persistence of HIV-1 latency reservoirs in CD4+ T cells is a significant obstacle for curing HIV-1. Shock-and-kill strategies, which aim to reactivate latent HIV-1 followed by cytotoxic clearance, have shown limited success in vivo due to insufficient efficacy of latency reversal agents (LRAs) and off-target effects. Natural killer (NK) cells, with their ability to mediate cytotoxicity independent of antigen specificity, offer a promising avenue for enhancing the shock-and-kill approach. Previously, we observed that pan-caspase inhibitors induce NK cells to secrete an LRA in vitro. Here, we aimed to identify this LRA using a targeted proteomic approach. We identified lymphotoxin-α (LTα) as the key LRA secreted by NK cells following pan-caspase inhibitor treatment. LTα was shown to significantly induce HIV-1 LTR promoter activity, a hallmark of viral reactivation. Neutralization of LTα effectively abolished the observed LRA activity, confirming its central role. Moreover, cytokine-primed but not resting human primary NK cells exhibited LRA activity that could be neutralized with LTα neutralizing antibodies. Finally, pan-caspase inhibitor treatment did not decrease the ability of the cytokine-primed NK cells to kill target cells. These findings demonstrate that cytokine-primed NK cells, through LTα secretion, can effectively reactivate latent HIV-1 following pan-caspase inhibitor treatment, without compromising NK cell cytotoxicity. This highlights a potential enhancement strategy utilizing NK cells for shock-and-kill approaches in HIV-1 cure research.
format Article
id doaj-art-7f3f8db30cf1493e8164f5b6695268d1
institution Kabale University
issn 2058-7716
language English
publishDate 2025-02-01
publisher Nature Publishing Group
record_format Article
series Cell Death Discovery
spelling doaj-art-7f3f8db30cf1493e8164f5b6695268d12025-02-09T12:12:26ZengNature Publishing GroupCell Death Discovery2058-77162025-02-011111910.1038/s41420-025-02330-1Pan-caspase inhibitors induce secretion of HIV-1 latency reversal agent lymphotoxin-alpha from cytokine-primed NK cellsZamaneh Hajikhezri0Ioannis Zygouras1Anders Sönnerborg2Robert van Domselaar3Division of Infectious Diseases, ANA Futura Laboratory, Department of Medicine Huddinge, Karolinska InstitutetDivision of Infectious Diseases, ANA Futura Laboratory, Department of Medicine Huddinge, Karolinska InstitutetDivision of Infectious Diseases, ANA Futura Laboratory, Department of Medicine Huddinge, Karolinska InstitutetDivision of Infectious Diseases, ANA Futura Laboratory, Department of Medicine Huddinge, Karolinska InstitutetAbstract The persistence of HIV-1 latency reservoirs in CD4+ T cells is a significant obstacle for curing HIV-1. Shock-and-kill strategies, which aim to reactivate latent HIV-1 followed by cytotoxic clearance, have shown limited success in vivo due to insufficient efficacy of latency reversal agents (LRAs) and off-target effects. Natural killer (NK) cells, with their ability to mediate cytotoxicity independent of antigen specificity, offer a promising avenue for enhancing the shock-and-kill approach. Previously, we observed that pan-caspase inhibitors induce NK cells to secrete an LRA in vitro. Here, we aimed to identify this LRA using a targeted proteomic approach. We identified lymphotoxin-α (LTα) as the key LRA secreted by NK cells following pan-caspase inhibitor treatment. LTα was shown to significantly induce HIV-1 LTR promoter activity, a hallmark of viral reactivation. Neutralization of LTα effectively abolished the observed LRA activity, confirming its central role. Moreover, cytokine-primed but not resting human primary NK cells exhibited LRA activity that could be neutralized with LTα neutralizing antibodies. Finally, pan-caspase inhibitor treatment did not decrease the ability of the cytokine-primed NK cells to kill target cells. These findings demonstrate that cytokine-primed NK cells, through LTα secretion, can effectively reactivate latent HIV-1 following pan-caspase inhibitor treatment, without compromising NK cell cytotoxicity. This highlights a potential enhancement strategy utilizing NK cells for shock-and-kill approaches in HIV-1 cure research.https://doi.org/10.1038/s41420-025-02330-1
spellingShingle Zamaneh Hajikhezri
Ioannis Zygouras
Anders Sönnerborg
Robert van Domselaar
Pan-caspase inhibitors induce secretion of HIV-1 latency reversal agent lymphotoxin-alpha from cytokine-primed NK cells
Cell Death Discovery
title Pan-caspase inhibitors induce secretion of HIV-1 latency reversal agent lymphotoxin-alpha from cytokine-primed NK cells
title_full Pan-caspase inhibitors induce secretion of HIV-1 latency reversal agent lymphotoxin-alpha from cytokine-primed NK cells
title_fullStr Pan-caspase inhibitors induce secretion of HIV-1 latency reversal agent lymphotoxin-alpha from cytokine-primed NK cells
title_full_unstemmed Pan-caspase inhibitors induce secretion of HIV-1 latency reversal agent lymphotoxin-alpha from cytokine-primed NK cells
title_short Pan-caspase inhibitors induce secretion of HIV-1 latency reversal agent lymphotoxin-alpha from cytokine-primed NK cells
title_sort pan caspase inhibitors induce secretion of hiv 1 latency reversal agent lymphotoxin alpha from cytokine primed nk cells
url https://doi.org/10.1038/s41420-025-02330-1
work_keys_str_mv AT zamanehhajikhezri pancaspaseinhibitorsinducesecretionofhiv1latencyreversalagentlymphotoxinalphafromcytokineprimednkcells
AT ioanniszygouras pancaspaseinhibitorsinducesecretionofhiv1latencyreversalagentlymphotoxinalphafromcytokineprimednkcells
AT anderssonnerborg pancaspaseinhibitorsinducesecretionofhiv1latencyreversalagentlymphotoxinalphafromcytokineprimednkcells
AT robertvandomselaar pancaspaseinhibitorsinducesecretionofhiv1latencyreversalagentlymphotoxinalphafromcytokineprimednkcells