ResearchIn-Press PreviewAIDS/HIVCell biologyInfectious disease
Open Access |
10.1172/jci.insight.198415
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by Ceriani, C. in: PubMed | Google Scholar
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by Khetan, P. in: PubMed | Google Scholar
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by Abeyta-Lopez, A. in: PubMed | Google Scholar
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by Lemu, K. in: PubMed | Google Scholar
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by Meher, P. in: PubMed | Google Scholar
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by Allard, B. in: PubMed | Google Scholar
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by James, K. in: PubMed | Google Scholar
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by
Turner, A.
in:
PubMed
|
Google Scholar
|
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by
Margolis, D.
in:
PubMed
|
Google Scholar
|
1UNC HIV Cure Center, The University of North Carolina at Chapel Hill, Chapel Hill, United States of America
Find articles by Archin, N. in: PubMed | Google Scholar
Published July 10, 2026 - More info
The estrogen receptor is hypothesized to directly influence HIV-transcription and latency but is also critical for immune signaling. However, the mechanisms of action of the estrogen receptor (ER) in immune cells in the context of HIV are limited, and relevant to HIV cure strategies, the influence of latency reversal agents (LRAs) on the ER pathway are unknown. We evaluated a) the impact of estrogen (E2) on the nuclear translocation of estrogen receptor α (ERα) in CD4+ T cells, b) the ability of Fulvestrant, a selective estrogen receptor degrader (SERD), and ARV-471, a novel, potent, PROteolysis TArgeting Chimera (PROTAC) selective ERα degrader to modulate ER and c) the impact of different classes of LRAs on ER signaling. In contrast to what has been demonstrated in oncology, E2 does not induce ERα nuclear translocation in CD4+ T cells. Similarly, neither Fulvestrant nor ARV-471 induced degradation of ERα in CD4+ T cells. LRAs significantly downregulated ERα gene and protein expression in both PBMCs and CD4+ T cells. Collectively, our results suggest that estrogen influences on HIV transcription are not likely a consequence of canonical nuclear ERα mechanisms. The consequences of LRA downregulation of ER, a protein important for immune signaling, warrants further investigation.