Abstract
The field of retroviral integration research has a long history that started with the provirus hypothesis and subsequent discoveries of the retroviral reverse transcriptase and integrase enzymes. Because both enzymes are essential for retroviral replication, they became valued targets in the effort to discover effective compounds to inhibit HIV-1 replication. In 2007, the first integrase strand transfer inhibitor was licensed for clinical use, and subsequently approved second-generation integrase inhibitors are now commonly co-formulated with reverse transcriptase inhibitors to treat people living with HIV. International meetings specifically focused on integrase and retroviral integration research first convened in 1995, and this paper is part of the Viruses Special Issue on the 7th International Conference on Retroviral Integration, which was held in Boulder Colorado in the summer of 2023. Herein, we overview key historical developments in the field, especially as they pertain to the development of the strand transfer inhibitor drug class. Starting from the mid-1990s, research advancements are presented through the lens of the international conferences. Our overview highlights the impact that regularly scheduled, subject-specific international meetings can have on community-building and, as a result, on field-specific collaborations and scientific advancements.
1. Introduction
Retroviral integration research, with a history spanning 60 years, is deeply rooted in the traditional biological disciplines of genetics, virology, biochemistry, structural biology, and cell biology. The first international conference on retroviral integrase (IN) was held in 1995, and the most recent meeting—The 7th International Conference on Retroviral Integration (a.k.a. Retrointegration2023)—occurred between 31 July and 4 August 2023, in Boulder, Colorado. This treatise forms part of the Viruses Special Issue on papers presented at the 7th International Conference. Herein, we highlight early major research accomplishments in the retroviral IN and integration fields that occurred prior to the initial 1995 meeting. Starting from circa 1995, we then connect field advancements with presentations made at these historical conferences. Although research presented at the 2023 Boulder meeting will be presented in the Editors’ overview of the Special Issue and is accordingly not described in detail herein, our paper builds upon Dr. Grandgenett’s historical perspective of the IN/integration fields that was given as the closing oral presentation at the recent meeting.
To follow the details, it is important to appreciate the key steps and players in the process of retroviral integration. To start, reverse transcription of retroviral genomic RNA yields linear double-stranded DNA containing a copy of the viral long terminal repeat (LTR) at each end. Each LTR is composed of U3RU5 sequences, so the upstream terminus of retroviral DNA is composed of U3 sequences and the downstream end is made of U5 sequences. Retroviral INs possess two catalytic activities central to the integration of viral DNA into host cell chromosomal DNA. In a reaction referred to as 3′ processing, IN hydrolyzes the U3 and U5 LTR ends adjacent to invariant CA-3′ dinucleotides, resulting in chemically reactive CAOH-3′ ends [1,2]. During the ensuing strand transfer reaction [3,4], IN uses the 3′-oxygen atoms to make a staggered, double-stranded cut in chromosomal target DNA, which joins the viral 3′ ends to the host DNA 5′ phosphates [5,6]. The resulting recombination intermediate, with unjoined viral 5′-ends, is repaired by cellular machinery to yield the integrated provirus flanked by a short target site duplication (TSD) of the staggered DNA cut sequence (Figure 1). Depending on the viral species, the size of retroviral IN-mediated TSDs vary from 4 bp to 6 bp.
Figure 1.
DNA cutting and joining steps of retroviral integration. Depicted is linear HIV-1 DNA (thin black lines) and chromosomal target DNA (thick green lines). Scissile phosphodiester bonds are shown as red vertical arrows (for 3′ processing) and small red circles (for DNA strand transfer). For simplicity, the IN enzyme was omitted from the drawing. See main text for additional details.
In their simplest forms, IN 3′ processing and DNA strand transfer reactions are staged using double-stranded oligonucleotides that model the terminal ~20–25 bp of viral U3 or U5 ends. Under these conditions, most strand transfer reaction products result from the integration of one LTR end into a second LTR end, the second molecule in this case playing the role of host chromosomal DNA. Integration during virus infection, by contrast, requires IN action on both U3 and U5 LTR ends, which is referred to as concerted integration activity. Modified reaction conditions that monitored the integration of two LTR ends, as well as the ability for these strand transfer events to generate the expected TSD, were required to study retroviral IN concerted integration activities [3,7,8,9,10] (Figure 2). Structural characterizations of retroviral intasomes in more recent years have elucidated the architectural details of how multimers of IN bind and synapse two ends of linear viral DNA together to catalyze 3′ processing and strand transfer of the DNA ends in concerted fashion (see ref. [11] for a recent review).
Figure 2.
Design of a representative concerted integration activity assay. Shown to the left are a viral DNA oligonucleotide synthesized with a recessed CAOH-3′ end and supercoiled target DNA. Supercoiled DNA in particular helps to distinguish products of concerted integration from single viral DNA end integration products, which are referred to as half-site integration. Deproteinized reaction products analyzed by agarose gel electrophoresis, schematized to the right, reveal the positions of unreacted viral and target DNA substrates in the absence of added IN (lane 1). Plasmid DNA isolation techniques invariably nick a fraction of supercoiled molecules, which migrate more slowly through the gel than does the compacted supercoiled population. INs that preferentially catalyze half-site integration, such as HIV-1, yield a predominance of single LTR-tagged circles, which comigrate under these conditions with nicked plasmid circles (lane 2) [12]. Other INs, such as those derived from Moloney murine leukemia virus (Mo-MLV) [3], avian myeloblastosis virus (AMV) [7], prototype foamy virus (PFV) [13], or mouse mammary tumor virus [14], possess robust concerted integration activities, which, after deproteination, yield reaction products that comigrate with linearized plasmid DNA (lane 3). HIV-1 IN concerted integration activity is enhanced through the use of comparatively long viral DNA substrates [9] or the IN-binding host factor lens epithelium-derived growth factor (LEDGF)/p75 [10].
An important consequence of basic scientific research is the ability to inform the development of medicines for the betterment of society, and the field of HIV-1 IN research has witnessed superlative translational successes. DNA oligonucleotides that mimicked the products of IN 3′ processing activity importantly supported strand transfer activity in vitro [3,4,12] (Figure 2). Despite some initial speedbumps whereby suboptimal assay designs led to identification of off-target compounds or clinically nonviable leads [15,16], pre-binding HIV-1 IN to such pre-cleaved strand transfer reaction substrates led to the identification of diketoacid (DKA)-based compounds that preferentially inhibited IN strand transfer activity [17,18]. With the eventual development and rollout of raltegravir (RAL) in 2007, IN strand transfer inhibitors (INSTIs) made an immediate clinical impact, and the second-generation inhibitors dolutegravir (DTG) and bictegravir (BIC) impart much higher barriers to the generation of drug resistance than do the predecessor compounds RAL and elvitegravir (EVG) (reviewed in ref. [11]). Most commonly co-formulated with nucleoside reverse transcriptase (RT) inhibitors (NRTIs), second-generation INSTIs are now recommended for drug-naïve patients as well as for people living with HIV (PLWH) who have not previously failed an INSTI-containing regimen [19]. Recently, an injectable long-acting INSTI (cabotegravir; CAB) has been shown to significantly reduce the risk of HIV-1 acquisition [20] (Table 1).
Table 1.
FDA-approved INSTIs and formulations.
2. Early Studies
Early advancements in retroviral research leveraged animal viruses that were discovered via their abilities to cause disease in susceptible hosts. The virus family Retroviridae includes two subfamilies, Orthoretrovirinae and Spumavirinae. Orthoretroviruses that served key roles in the early days of retroviral integration research include cancer-causing α-retroviruses of birds, such as AMV, and leukemogenic γ-retroviruses of mice, such as Mo-MLV. Although it is non-pathogenic in animal hosts, the Simiispumavirus PFV would later rise to prominence due to its value as a structural biology model for IN-viral DNA complexes (a.k.a. intasomes) [11,21].
Retroviral integration research can be traced to Howard Temin’s brainchild that the α-retrovirus Rous sarcoma virus (RSV) must replicate through a proviral DNA intermediate [22]. Because RSV particles were known to harbor RNA (and not DNA), this suggestion at the time was practically heretical and Temin, needless to say, received significant pushback from colleagues. However, within a relatively short timeframe, both he and David Baltimore provided key evidence as to how retroviruses could replicate through a DNA intermediate: RSV virions [23], as well as Rauscher murine leukemia virus [24] particles, harbored RNA-dependent DNA polymerase activity, and the presumptive enzyme was dubbed “reverse transcriptase” by a Nature editor. Building off this central tenet that retroviral particles harbor within them enzymes needed to complete essential early replication steps, one of us (Grandgenett) formulated the following two-part hypothesis that led to the discovery of retroviral IN: (1) the protein must be present in purified core particles along with RT and viral RNA and (2) it must bind DNA and should possess DNA endonuclease activity for integration of the viral DNA into the host DNA genome. These properties were associated with a 32 kDa protein purified from isolated AMV cores using RNA-affinity chromatography during the purification process [25]. The purified protein was capable of nicking supercoiled DNA in the presence of Mg2+, and it bound DNA in a nitrocellulose DNA-binding filter assay. The protein was proteolytically derived from one of the β subunits (96 kDa) of the precursor RT ββ homodimer, which results in the active αβ heterodimeric form of RT found in α-retroviruses [26]. NH2- and COOH-terminal amino acid sequence analyses of the purified dimeric IN and RT αβ subunits helped to establish that partially phosphorylated IN was derived from the carboxyl terminus of the β subunit [27,28,29,30,31]. The NH2-terminus of HIV-1 IN (32 kDa) was subsequently characterized in 1986 [32], thus allowing the cloning and expression of the recombinant protein by many laboratories.
Genetic analysis of different retrovirus species revealed that a function provided by the 3′ end of their pol genes was required for integration of viral DNA. A single missense mutation or short deletion of Mo-MLV [33,34] and a short internal deletion of spleen necrosis virus (SNV) [35] established that these regions supplied a trans-acting factor required for integration. Viral DNA synthesis was not obviously affected by these pol gene changes. Two missense mutations near the NH2-terminus of α-retrovirus IN also failed to affect viral DNA synthesis, or for that matter integration, affecting only proteolytic processing of the β RT subunit [28,36]. Genetic approaches also helped to determine the extent of LTR sequences required for integration [37,38] and to determine that IN was responsible for 3′ processing of Mo-MLV DNA ends during virus infection [39]. Subsequent work that mainly focused on HIV-1 revealed that numerous IN mutations caused pleiotropic replication defects due to disruption of viral core formation and, as a consequence, led to DNA synthesis defects during the subsequent round of virus infection [40,41]. Such mutations have been labelled “class II” to distinguish them from class I IN mutations that primarily impact the integration step of the viral lifecycle [42]. Some mutations in Mo-MLV IN also yield reverse transcription defects [43]. A comprehensive analysis is required to ascertain the universality of class I versus class II IN mutant phenotypes across divergent retroviral species.
One key unknown in the early 1980s was the structure of the precursor form of retroviral DNA for integration. In addition to linear viral DNA, reverse transcription yields several circular forms, including 1- and 2-LTR containing circles. At the time, knowledge of DNA recombination mechanisms was largely confined to bacterial systems. DNA transposition, which resulted in the movement of a DNA transposon from one location to any number of new locations, yielded a short TSD flanking the newly transposed element. Integration of bacteriophage lambda, which by contrast occurred at a specific site in the bacterial chromosome, proceeded via a circular phage DNA precursor and did not generate any additional DNA sequences. The sequencing of proviral-host junctions by several labs in 1980 revealed short repeat sequences flanking the integrated viruses, indicative of transpositional recombination [44,45,46,47]. By introducing the LTR-LTR circle junction into an interior region of SNV, a now-infamous 1984 paper from Panganiban and Temin claimed that integration could occur via the 2-LTR circle junction [48]. This model, which borrowed from bacteriophage lambda integration, seemed valid because retroviral circle junctions harbor twofold symmetrical sequences, as did the bacteriophage attachment site, and subsequent biochemical efforts with purified IN proteins accordingly focused on circular LTR substrate DNAs [49]. Uncertainty remained until the publication of a breakthrough paper from Patrick Brown and colleagues in 1987. These investigators showed that extracts of cells infected with Mo-MLV possessed the ability to integrate the viral DNA made during the cell infection into an exogenously added target DNA in vitro. Careful analysis of the integration activities of cytoplasmic versus nuclear extracts proved that linear viral DNA was active for integration, casting doubt on the 2-LTR circle model [50]. Integration activity, moreover, tracked with a virus-derived high molecular weight complex termed the “pre-integration complex” or PIC for short [51,52]. One drawback of the 1987 study was that it scored integration via a genetic assay that required complementation of a suppressor bacterial strain following phage-mediated transduction of the in vitro integration product. Soon after, Fujiwara and Mizuuchi greatly simplified the assay by using Southern blotting to detect the products of integration. They additionally probed the structure of the unjoined viral DNA 5′ ends in the integration intermediate, which were 2 base extensions as compared to the 4-base extensions predicted for integration via the 2-LTR circle junction [5]. These breakthrough studies refocused biochemical efforts on linear LTR substrate DNAs, which in relatively short order defined bona fide IN 3′ processing and DNA strand transfer reaction conditions [1,2,3,4].
The simplicity of the in vitro 3′ processing and DNA strand transfer reactions led to a flurry of biochemical studies in the early 1990s. Although these studies are too numerous to comment on in much detail, highlights included elucidation of LTR bases required for IN activity [53,54,55] and discovery of a reversal of strand transfer activity called “disintegration” [56] that had less stringent requirements than strand transfer and would thus become important for characterizing mutant IN enzymes [57]. Parallel work defined IN as a 3-domain protein composed of the N-terminal domain (NTD), catalytic core domain (CCD), and C-terminal domain (CTD) [57,58,59,60] and characterized the roles of conserved amino acid residues (Figure 3). The NTD harbors HHCC amino acids that are conserved across retroviral and retrotransposon INs and that leverage zinc binding to fold into a helix-turn-helix [57,61]. The CCD harbors the IN active site, which is composed of electronegative Asp and Glu residues [59,62,63] and is conserved as a DDE triad among the mobilizing enzymes of an expanded superfamily [64]. The DDE carboxylate side chains coordinate the positions of two Mg2+ ions that enhance the nucleophilicity of attacking oxygen atoms (water for 3′ processing; 3′-oxygens of viral DNA for strand transfer) and destabilize associated scissile phosphodiester bonds [65].
Figure 3.
Domain organization of two representative retroviral IN proteins. Conserved amino acid residues highlighted in the main text are shown in single-letter code. The additional lysine (K) in the CCD, which plays a key role in sequence-specific viral DNA binding, is conserved among retroviral INs and some bacterial transposase proteins but is not seen in retrotransposon INs [66]. Numbers refer to amino acid positions of domain boundaries, as well as to interdomain linker and C-terminal tail lengths. NED, N-terminal extension domain present in a subset of retroviral INs (γ-retroviruses, ε-retroviruses, and spumaretroviruses).
4. Conclusions and Perspectives
The International Conferences on Retroviral IN/Integration that have taken place since 1995 afford intimate opportunities for like-minded scientists to meet and discuss research results and interests. Outside of these dedicated meetings, integration scientists would generally attend broader-based meetings such as the annual Cold Spring Harbor Meeting on Retroviruses or the annual Conference on Retroviruses and Opportunistic Infections (CROI). Although both are excellent conferences, the larger sizes of these meetings and broader subject matters naturally dilute the integration-tropic experience of the dedicated international meetings that we have described herein. Although 6 years transpired between the first and second IN meetings and then 7 years passed between the second and third conferences, an ad hoc committee that convened at the 2014 Asilomar conference recommended having the meetings every three years, a frequency that was met for the 4th, 5th, and 6th conferences. Due to the omnipresent COVID-19 monkey-wrench, 6 years once again transpired between the 6th and 7th meetings. The community has recommitted to the once-every-three-years frequency, and the 8th International Conference on Retroviral Integration is tentatively scheduled for the summer of 2026.
The combined seven meetings have thus far seesawed between US and European locations, which importantly engages the international community and gives the opportunity to attend at least every other time, given costs and time constraints that can impact international travel. To date, locations have been chosen to match the expertise of the local scientific organizer(s). This model has so far restricted our ability to convene conferences at expanded international locations, e.g., in Asia, South America, or the Middle East. The ad hoc committee that helps to plan the conferences, which includes one of us (Engelman), welcomes feedback from international scientists who may be interested in hosting a future international conference on retroviral integration.
Author Contributions
Writing—original draft preparation, D.P.G.; writing—review and editing, D.P.G. and A.N.E. All authors have read and agreed to the published version of the manuscript.
Funding
This research was funded by US National Institutes of Health grants R01AI052014 and R37AI039394 (to A.N.E.). D.P.G. currently serves as Emeritus Professor of Molecular Microbiology and Immunology, School of Medicine, Saint Louis University.
Institutional Review Board Statement
Not applicable.
Informed Consent Statement
Not applicable.
Data Availability Statement
Not applicable.
Acknowledgments
We are grateful to the numerous governmental agencies, academic institutions, and pharmaceutical companies that over the years have graciously offered their financial support to help underwrite the cost of running the International Conferences on Retroviral Integration.
Conflicts of Interest
The authors declare no conflicts of interest.
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