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In vivo disruption of latent HSV by designer endonuclease therapy
Martine Aubert, … , Daniel Stone, Keith R. Jerome
Martine Aubert, … , Daniel Stone, Keith R. Jerome
Published September 8, 2016
Citation Information: JCI Insight. 2016;1(14):e88468. https://doi.org/10.1172/jci.insight.88468.
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Research Article Infectious disease

In vivo disruption of latent HSV by designer endonuclease therapy

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Abstract

A large portion of the global population carries latent herpes simplex virus (HSV), which can periodically reactivate, resulting in asymptomatic shedding or formation of ulcerative lesions. Current anti-HSV drugs do not eliminate latent virus from sensory neurons where HSV resides, and therefore do not eliminate the risk of transmission or recurrent disease. Here, we report the ability of HSV-specific endonucleases to induce mutations of essential HSV genes both in cultured neurons and in latently infected mice. In neurons, viral genomes are susceptible to endonuclease-mediated mutagenesis, regardless of the time of treatment after HSV infection, suggesting that both HSV lytic and latent forms can be targeted. Mutagenesis frequency after endonuclease exposure can be increased nearly 2-fold by treatment with a histone deacetylase (HDAC) inhibitor. Using a mouse model of latent HSV infection, we demonstrate that a targeted endonuclease can be delivered to viral latency sites via an adeno-associated virus (AAV) vector, where it is able to induce mutation of latent HSV genomes. These data provide the first proof-of-principle to our knowledge for the use of a targeted endonuclease as an antiviral agent to treat an established latent viral infection in vivo.

Authors

Martine Aubert, Emily A. Madden, Michelle Loprieno, Harshana S. DeSilva Feelixge, Laurence Stensland, Meei-Li Huang, Alexander L. Greninger, Pavitra Roychoudhury, Nixon Niyonzima, Thuy Nguyen, Amalia Magaret, Roman Galleto, Daniel Stone, Keith R. Jerome

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Figure 3

HE-directed mutagenesis of latent HSV in vivo.

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HE-directed mutagenesis of latent HSV in vivo.
(A) Experimental timeline...
(A) Experimental timeline. Mice were infected with 2 × 105 PFU HSV-1(F) in the right eye following corneal scarification and, 32–37 days later, were injected in the right whiskerpad with 1 × 1012 vector genomes of ssAAV1-smCBA-HSV1m5-Trex2-mCherry or ssAAV1-smCBA-NV1-Trex2-mCherry. Analysis was performed at 30 days after AAV exposure. (B) Schematic representation of the ssAAV constructs used here and Figure 6. (C) Levels of AAV genomes were quantified by ddPCR in right (ipsilateral) TGs from infected mice. Mean ±SD are indicated. (D) Mutagenic event detection by T7E1 assay. The HSV regions containing the target site were PCR amplified from total genomic DNA obtained from the right TG. Products were subjected to T7E1 digestion and separated on a 3% agarose gel. mw, molecular weight size ladder; red asterisks indicate cleavage products. (E) Clonal sequencing of PCR amplicons from TG of treated animals. (F) Levels of latent HSV genomes were quantified by ddPCR in right (ipsilateral) TGs from infected mice. Mean ±SD are indicated.

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