Abstract

CRISPR editing of retroviral proviruses has been limited to HIV-1. We propose human T-cell leukemia virus type 1 (HTLV-1) as an excellent model to advance CRISPR/Cas9 genome editing technologies against actively expressing and latent retroviral proviruses. HTLV-1 is a tumorigenic human retrovirus responsible for the development of both leukemia/lymphoma (ATL) and a neurological disease (HAM/TSP). The virus immortalizes and persists in CD4+ T lymphocytes that survive for the lifetime of the host. The most important drivers of HTLV-1-mediated transformation and proliferation are the tax and hbz viral genes. Tax, transcribed from the plus-sense or genome strand, is essential for de novo infection and cellular immortalization. Hbz, transcribed from the minus-strand, supports proliferation and survival of infected cells in both its protein and mRNA forms. Abrogating the function or expression of tax and/or hbz by genome editing and mutagenic double-strand break repair may disable HTLV-1-infected cell growth/survival and prevent immune modulatory effects and ultimately HTLV-1-associated disease. In addition, the HTLV-1 viral genome is highly conserved with remarkable sequence homogeneity, both within the same host and even among different HTLV isolates. This offers more focused guide RNA targeting. In addition, there are several well-established animal models for studying HTLV-1 infection in vivo as well as cell immortalization in vitro. Therefore, studies with HTLV-1 may provide a better basis to assess and advance in vivo genome editing against retroviral infections.

Highlights

  • Human T-cell leukemia virus type 1 (HTLV-1) is an oncogenic human retrovirus that transforms CD4+ T-cells and causes a variety of diseases including adult T-cell leukemia/lymphoma (ATL) and a neurodegenerative disease called HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/ TSP) (Uchiyama et al, 1977; Poiesz et al, 1980; Yoshida et al, 1982; Gessain et al, 1985; Osame et al, 1986)

  • HTLV-1 encodes several accessory genes important in the viral life cycle, the two viral proteins which are essential to the pathophysiology of ATL and HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) are Tax and Hbz

  • Clustered regularly interspersed short palindromic repeat (CRISPR) editing of retroviral proviruses has been largely limited to HIV-1 (Ebina et al, 2013; Rihn et al, 2013; Hu et al, 2014; Liao et al, 2015; Rihn et al, 2015; Zhu et al, 2015; Kaminski et al, 2016; Yoder and Bundschuh, 2016; Yin et al, 2017; Lebbink et al, 2017; Ophinni et al, 2018; Yin et al, 2018; Wang et al, 2018; Darcis et al, 2019; Yoder, 2019)

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Summary

Introduction

Human T-cell leukemia virus type 1 (HTLV-1) is an oncogenic human retrovirus that transforms CD4+ T-cells and causes a variety of diseases including adult T-cell leukemia/lymphoma (ATL) and a neurodegenerative disease called HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/ TSP) (Uchiyama et al, 1977; Poiesz et al, 1980; Yoshida et al, 1982; Gessain et al, 1985; Osame et al, 1986). HTLV-1 encodes several accessory genes important in the viral life cycle, the two viral proteins which are essential to the pathophysiology of ATL and HAM/TSP are Tax and Hbz. Tax is required for de novo infection and cellular immortalization (Bex and Gaynor, 1998; Grassmann et al, 2005), while Hbz Gene Editing to Disable HTLV-1 supports the proliferation and survival of the infected cell (Arnold et al, 2006; Arnold et al, 2008).

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