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Viruses 2013, 5(7), 1633-1645; doi:10.3390/v5071633
Abstract: HIV is a chronic viral infection affecting an estimated 34 million people worldwide. Current therapies employ the use of a cocktail of antiretroviral medications to reduce the spread and effects of HIV, however complete eradication from an individual currently remains unattainable. Viral latency and regulation of gene expression is a key consideration when developing effective treatments. While our understanding of these processes remains incomplete new developments suggest that non-coding RNA (ncRNA) mediated regulation may provide an avenue to controlling both viral expression and latency. Here we discuss the importance of known regulatory mechanisms and suggest directions for further study, in particular the use ncRNAs in controlling HIV expression.
Upon entering a cell, HIV integrates into the genome of the host and essentially functions as an endogenous gene. The ability of HIV to remain dormant, in a relatively quiescent state in the infected cell remains the major barrier in providing an effective cure. Highly active antiretroviral therapy (HAART) is the current standard of care, and although viral load may be reduced to extremely low if not undetectable levels, it is unable to deplete viral reservoirs, and thus the HIV infection remains a lifelong infection. The HIV-1 provirus employs numerous mechanisms to regulate its patterns of gene expression that are vital to the maintenance of latency in cells and therefore its survival. Currently, most of the literature surrounding HIV gene regulation focuses on the role of the long terminal repeat (LTR), and the interactions between of Tat and TAR. This view may be incomplete as new insights suggest a role for long non-coding RNAs (lncRNAs) in the regulation of gene expression patterns in many organisms however their role in HIV is still yet to be elucidated. These ncRNAs have the potential to impact viral lifecycles and pathogenesis in cells and therefore a more holistic understanding of the mechanisms of HIV viral latency and reactivation are paramount if therapeutics are to be developed to eradicate HIV.
2. Regulation of HIV-1 Chromatin and Latency
2.1. The HIV LTR
HIV-1 gene expression is regulated primarily at a transcriptional level by a series of cis-acting elements and trans-regulatory components located within the LTR at both the 5' and 3' ends of the provirus. The HIV-1 5' LTR comprises of three distinct regions, U3, R and U5, each with different elements involved in transcriptional regulation. The U3 region contains three functional domains, which regulate HIV-1 positive sense transcription: a core promoter region, core enhancer region and a modulatory region (Reviewed in ). The promoter region contains numerous transcription factor‑binding sites, most notably, a TATA box and three Sp1 binding sites as well as an initiator element [2,3,4]. Following the promoter region is the core enhancer domain, which contains two NF-κB sites. Interaction between the Sp1 and NF-κB proteins is essential for positive regulation of HIV-1 transcription as the binding of NF-κB alone to the enhancer region is not sufficient for transcriptional activation  (Figure 1).
Many other cellular proteins have also been suggested to have sequence-specific interactions with the modulatory region, contributing to both positive and negative regulation of HIV-1 transcription (Reviewed in ). The R region, downstream of the U3 region, contains the transactivation response element (TAR); a viral stem-loop RNA structure which has been well documented to recruit and bind the Tat protein for efficient transcriptional elongation ([6,7], reviewed in ). CBP and p300 are coactivating proteins, which acetylate Tat, permitting its association with TAR RNA [9,10,11,12]. The Tat/TAR association synergistically enhances transcriptional efficiency of proviral RNA. The U5 region has also been shown to contain important motifs, which are involved in transactivation of the HIV-1 provirus [13,14]. The capacity of the HIV-1 LTR to mediate complex DNA-protein interactions, which positively and negatively regulate transcription, reveals its importance in the HIV viral lifecycle.
2.2. HIV Chromatin Regulation
Post-integration into the host genome, the provirus undergoes packaging into chromatin. Histones are highly conserved proteins, which form the foundation of chromatin structure. Histone proteins associate with DNA to form highly organised and compact structures. This structural unit is termed the nucleosome; and its tight arrangement will act as a barrier for DNA-binding factors such as transcription factors. Limited access to specific proviral sequences impacts the ability of the virus to express genes. Although histones have historically been thought of only as structural elements of the chromatin fibres, it has become evident that they are crucial players in the regulation of gene transcription and have the ability to alter the course of transcription regulation machinery through their histone code . Covalent chemical modifications of the N-terminus of histone tails form the basis of their regulatory capacity and the histone code. These epigenetic modifications such as acetylation, phosphorylation, methylation, ubiquitination and ribosylation are key markers on the protruding histone tails, which may alter chromatin structure and regulation of gene expression (Reviewed in ).
The remodeling and modification of chromatin architecture has since been suggested to be an important factor in the transcriptional regulation of HIV-1 [17,18]. Upon HIV-1 integration into the host genome, the deposition of two nucleosomes, nuc-1 and nuc-0 occurs at two defined regions of the proviral LTR . The deposition of nuc-1 plays an integral role in the suppression of HIV-1 gene expression, ultimately implicating chromatin modification as a key aspect of viral gene repression and latency .
Histone deacetylases (HDACs) have been associated with HIV-1 transcriptional silencing and viral latency. Cellular transcription factors, such as YY1, LSF and more recently c-Myc, Sp1 and AP-4, have been shown to be involved in the recruitment of HDAC1 to the viral LTR, repressing the HIV-1 promoter and maintaining viral latency [21,22,23]. These changes result in an impaired ability of RNA polymerase II to localise to the HIV-1 promoter and initiate transcription . Following HDAC1 recruitment to the LTR, nucleosome deacetylation and subsequent transcriptional silencing of proviral transcriptional expression have been observed .
Another epigenetic modification, DNA methylation, has also been identified as a contributing mechanism for viral latency. HIV DNA may become methylated within the viral LTR, which has been associated with transcriptional silencing and the inhibition of the methylation has been shown to result in the reactivation of previously latent HIV [26,27,28]. DNA methylation however, does not seem to be the main silencing mechanism as the effect appears to be reversible and partially methylated promoters may still be reactivated .
Likewise, other epigenetic modifications to nucleosomes may play a role in transcriptional activation of HIV-1. It has been shown that the acetylation of histones is correlated with transcriptional activation of the HIV-1 promoter . Acetylation primarily occurs at the lysine residues of the histone tails, which reduces the positive charge of the tails, lowering their affinity for DNA and ultimately causing partial or full disassociation with the DNA . Histone acetyltransferases (HATs) have an opposite action to HDACs and have been known to interact with and be recruited to the viral promoter by the viral protein Tat [9,30,31]. Acetylation of the H3 and H4 histones has been shown to play a strikingly significant role in the onset of viral mRNA transcription in HIV-1 infected cells. In conditions under which the HIV-1 viral promoter is transcriptionally inactive, its activation by Tat correlates with acetylation of H3 and H4 on nuc-0 prior to the onset of viral mRNA production . Furthermore, HAT activity at the promoter sites of genes has been shown to enhance gene transcription although alone it is not able to induce expression of viral expression (Reviewed in [33,34]).
Essentially, the ability of HIV-1 to alter chromatin structure and epigenetic modifications through cellular and viral transcriptional regulation mechanisms ultimately determines the path of transcriptional activation or viral latency in HIV.
3. NcRNAs and Their Role in Genetic Regulation
It has long been accepted that the genome is regulated by a series of aforementioned epigenetic modifications known as the histone code and HIV also appears to be under this mode of gene regulation. The mystery about the concise choreography and execution of the histone code continues to be enigmatic as we delve further into the nuances of the genome. Previous estimates suggested that up to ninety eight per cent of the genome was ‘junk’, however recent observations suggest that this is not the case. It turns out that these so-called ‘junk regions’ of the genome are active and may in fact be assiduous writers of the histone code controlling transcriptional and epigenetic states, among other things. The association of these ncRNAs with chromatin remodeling complexes shapes the future of their bound genes.
3.1. LncRNAs, Xist and PTENpg1
In humans, lncRNAs have been found to play a substantial role in chromatin remodeling and gene silencing in both normal cellular function as well as the development of diseases. The most eloquent example of this is the inactivation of the entire X chromosome during cell development. In mammalian females, one copy of the X chromosome is transcriptionally silent for the life of the cell. This is to ensure that the correct ‘dosage’ of expression of the chromosome is achieved with respect to males, who only possess one copy . The silencing of the entire chromosome is mediated by a sophisticated long intergenic noncoding RNA (lincRNA) known as Xist, which is a multiexonic, spliced RNA that possesses its own 5' cap and polyA tail [35,36,37,38]. PRC2 is a large complex with histone methyltransferase activity and is required for the extensive formation of the transcriptionally silent heterochromatin by trimethylation of histone H3 on lysine 27 (Reviewed in [39,40]). The PRC2 complex has been shown to bind RepA; and in turn is bound with Xist to target PRC2 histone methyltransferase activity on the future silent X chromosome . This is the most well recognized example of how a lncRNA can facilitate extensive and essential changes to chromatin and dramatically alter gene expression.
Non-coding RNAs are not only vital for normal development but can also play a role in the development of human diseases such as cancer, Alzheimer’s disease and α-thalassemia [42,43]. The tumor suppressor gene, PTEN, is post-transcriptionally regulated by a lncRNA termed PTEN pseudogene 1 (PTENpg1) . PTENpg1 in turn is modulated by a PTENpg1 encoded asRNA, which exists as one of two isoforms, α and β . The α isoform has been shown to epigenetically silence PTEN transcription while the β isoform interacts with the sense pseudogene to alter the stability and localization of the transcript . The sophistication of directive regulation by lncRNAs allows them to exert substantial control over gene expression and that the equilibrium by which they exist is fundamental for normal cellular functioning.
3.2. MicroRNAs (miRNAs) and Small Interfering RNAs (siRNAs); The Role of Dicer and Drosha
LncRNAs are not the only ncRNAs that have a regulatory effect on the genome. MiRNAs and siRNAs are the workhorses of RNA-directed RNA‑processing. The action they exert on processing machinery is termed RNA interference (RNAi). miRNAs are small sequences of about 20–24 nucleotides which regulate gene expression by binding specific cellular mRNA transcripts and directing them to degradation (Reviewed in ). The nuclear enzyme, Drosha, and the cytoplasmic enzyme, Dicer are responsible for the maturation of miRNAs in a multistep process (Reviewed in ). After the maturation of the miRNA, other components of the RNA induced silencing complex (RISC) are recruited, most of these being nucleases, and degrade target RNA (Reviewed in ). The suggested method of targeting particular transcripts comes from the miRNA sequence homology with the mRNA that is to targeted and ultimately degraded . MiRNAs have been found in many species of plants, animals and even in a number of viruses, including the Epstein-Barr Virus (EBV) [50,51,52,53,54,55,56,57,58]. Since viral genomes are extremely compact, utilization of both the positive and negative sense strands seems to be the ideal way to capitalize on their limited regulatory and coding capacity space.
3.3. Mechanisms of RNA-Directed Epigenetic Modification
It is thought that the main mechanism for ncRNA directed epigenetic modifications occurs both in cis and in trans through specific RNA:DNA and likely RNA:RNA interactions (in the case of trans).
Cis-acting RNAs are localised to their point of transcription and act directly on surrounding genes on the same chromosome. Acting in cis, it is likely that ncRNAs are transcribed with a histone‑modifying protein-binding site, such as the histone methyltransferase PRC2. The PRC2 protein is recruited to the lncRNA while the RNA is still tethered to its transcription site by RNA polymerase II. Transcription factors such as YY1 are then recruited which clamp the hanging protein:ncRNA complex to the chromatin (Reviewed in ). The chromatin-modifying protein is then free to induce epigenetic changes such as histone methylation. It has been shown that up to 20% of lincRNAs associate with the histone methyltransferase PRC2 .
Trans-acting RNAs differ to this as they are not tethered to their site of synthesis but rather are able to move freely and act on genes that are on different chromosomes, some distance away . The ncRNAs are able to recruit histone-modifying proteins and act as a scaffold by which these proteins can associate and form complexes . The mechanism by which trans-acting ncRNAs target certain genetic regions to be epigenetically altered is debatable. While there are examples of targeting through sequence homology, whereby the ncRNA forms a DNA:RNA hybrid with the complementary target gene, this may not always be the case. The lncRNA HOTAIR has been shown to interact with up to 850 genome wide target  suggesting it is not sequence-specific but that the RNA itself has a structural role in the scaffold. Another potential hypothesis is that the lncRNA interacts with an RNA intermediate at the gene target site. These promoter associated RNAs, named such as they are derived from the promoter of the target gene, have been shown to be mechanistically relevant in antisense RNA (asRNA) directed transcriptional gene silencing  and thus have been included as a potential mechanism for lncRNA-directed epigenetic modification. The precise mechanism or combination of mechanisms for trans-regulation of epigenetic modification is still yet to be elucidated and may be multifactorial. For a more detailed review on the mechanism of ncRNA-directed epigenetic silencing see Beisel and Paro, 2011 .
4. HIV and Non-Coding RNAs
It is important to recognize the multiplicity of complex regulatory mechanisms surrounding HIV-1 transcriptional and translational control in order for us to decipher the puzzle of HIV viral latency and reactivation. In addition to chromatin remodeling complexes and the direction of the LTR, other regulatory means are present to control HIV-1 viral expression.
4.1. HIV and asRNAs
Gene expression of retroviruses usually occurs by the transcription of a single transcript, which may be differentiated through splicing events. Transcription is initiated from the 5' end in the LTR, where there are many of the necessary binding sites for transcription factors and regulators of gene expression (Figure 1). With the discovery of new antisense transcripts generated in the HTLV-1 retrovirus [65,66,67], the long-held belief that retroviruses transcribe their genome in a single direction has become redundant and naturally it has been speculated that a similar antisense transcript may exist in other retroviruses such as HIV-1. The possible existence of an antisense protein (ASP) was first proposed by Miller using computational models and analysis of highly conserved regions of HIV-1 proviral DNA . Since then, an asRNA coding for a putative ASP have been characterized , however the existence of an actual ASP protein has not yet been determined . Furthermore, it was shown that the regulation this asRNA exerts over the proviral genome may not be due to the ASP, but rather the asRNA itself . Therefore although the existence of the ASP is debatable, there is a growing evidence suggesting a role for the HIV expressed asRNA in controlling HIV-1 expression [72,73,74]. Supporting this notion a recent study by Kobayashi-Ishihara et al. has demonstrated that asRNAs may have a regulatory role in HIV-1 viral replication, in particular, regulation of positive sense transcription . These data suggest that the aforementioned asRNA may actually be reclassified as a lncRNA due to its functions in gene regulation, however further studies will be required to elucidate the true function of this HIV expressed asRNA in regulating HIV.
Chromatin remodeling has already been described as an important mechanism for the regulation of viral latency in HIV. Chromatin remodeling in humans is facilitated, at least in part, by lncRNAs that have the ability to form RNA-protein complexes with histone modifying proteins and direct them to the target region (Reviewed in [76,77,78]). Although no lncRNAs have yet been discovered in HIV, their presence in a wide variety of organisms and their role in chromatin remodeling and gene expression would suggest that this is an area of potential interest when considering a possible driving mechanism in HIV latency.
4.2. HIV and miRNAs
In addition to the long asRNAs being utilized by viruses, miRNAs have also been found to be produced by viruses such as EBV and HSV-1. These miRNAs appear to be involved in the post‑transcription regulation of viral mRNA transcripts and also modulating host cell gene expression, essentially with the virus hijacking host miRNA pathways for its own benefit and survival (, and reviewed in ). MiRNAs are generated from imperfect stem-loop precursors by the enzymes Drosha and Dicer. HIV-1 contains two of these such structures, TAR and RRE  so it seems reasonable to extrapolate that it may be able to act in the same way as other viruses, using host machinery to process its own miRNAs. A study by Benasser et al. hypothesized, using computational analysis that HIV was also capable of generating up to ten viable viral miRNAs (vmiRNAs) . Further studies have demonstrated that the HIV TAR element is bound by and processed by host-derived Dicer to yield a vmiRNA [82,83,84]. This vmiRNA, processed from the HIV-1 TAR element, was found to inhibit LTR‑driven gene expression, potentially through sequence homology to the TAR element and transcriptional gene silencing . It has also been suggested that HIV may produce vmiRNAs as a part of its pathogenic mechanism. Findings indicate that the HIV-1 proviral genome may have the capacity to produce inhibitory vmiRNAs that interfere with host immunity . These vmiRNAs have been found to theoretically have the ability to block translation of factors such as CD28, CD4 and some interleukins . Supporting this model, HIV-1 has also been shown through deep sequencing analysis, to produce viral small interfering RNAs (vsiRNAs) to further modulate both cellular and viral gene expression [86,87].
5. Final Remarks and Future Work
HIV-1 is a complex retrovirus with many regulatory mechanisms in place to control latency, reactivation and gene expression. Although these mechanisms are not yet fully understood, there has been a trend toward widening the scope of the search. Chromatin remodeling complexes and the mechanisms in which they are directed is under particularly intense study due to the increasing amounts of data implicating them as important factors in gene expression. Among the masses of data, lncRNAs seem to be particularly well represented as regulators of chromatin complexes. Further investigation into this area may see the emergence of previously unknown ncRNAs, be they miRNAs, or lncRNAs, in the epigenetic regulation of viral expression and host-virus interactions.
The project was supported by NIAID R56 AI096861-01, and PO1 AI099783-01 to KVM.
Conflict of Interest
The authors declare no conflict of interest.
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