The early phase of the HIV lifecycle encompasses the steps from virus fusion to provirus integration and represents a critical therapeutic target. Small molecule inhibitors of HIV encoded reverse transcriptase and integrase are central components of many therapeutic treatment regimens and pre-exposure prophylaxis. Despite the therapeutic importance of these steps, the field still lacks consensus on several outstanding questions including how trafficking and uncoating are linked to reverse transcription, how and in what state the provirus transits through the nuclear pore, what host factors are involved in these processes, and what distinguishes between a virus that will establish successful infection and one that will fail. Due to the inefficient and relatively stochastic nature of early phase replication, only a small percentage (~15%) of particles that enter the cytoplasm after fusion will result in successful provirus integration. As a result, population-based assays that measure what most viruses do may or may not actually capture what successful viruses do. Nevertheless, technical limitations have historically mandated a reliance on population-based assays, immortalized cell line models, and indirect measurements of biological processes whose underlying assumptions don?t necessarily reflect the biological priors. Only recently have innovations in single-particle tracking, molecular imaging, gene editing, and structural determination allowed for researchers to overcome these limitations, but these specialized technologies have not yet been brought together to answer these critical questions in HIV biology. Here, we assemble a team of HIV researchers with complementary expertise in these powerful approaches to dissect and define the interactions, kinetics, and dynamics between fusion and integration that result in productive infection. We propose to leverage a newly optimized toolbox of molecular labeling methods, a technique collectively termed Infectious Virion Tracking (IVT), to image and track the behavior of individual viral components, ultimately separating individual virions that result in successful infection from those that enter the cell non-productively. Additional specialized technologies including primary cell CRISPR-Cas9 gene editing and cryogenic electron microscopy will be leveraged to interrogate the structure and function of individual components along the route to productive infection. Wielding this novel and innovative series of tools, approaches, and equipment, we aim to: 1) Define the infectious pathway of HIV from fusion to integration in optimized cell culture models and primary human target cells; 2) Determine the role of host permissivity factors and viral components in the processes of the early phase of the HIV life-cycle; and 3) Visualize and define the structure of the viral based machines associated with the HIV genome as it progresses through reverse transcription, traffics through the cytoplasm, enters the nucleus, and ultimately integrates in the host chromosomal DNA. As a collaborative team with complementary specialties that address critical limitations in the field, we are in a unique position to make significant contributions to our current understanding of the early phases of HIV replication.

Public Health Relevance

The early phase of the HIV lifecycle is a fertile area for antiretroviral drug development as demonstrated by the reverse transcriptase and integrase inhibitors that have changed the lives of millions. We have assembled a team of established and early-stage HIV researchers with multidisciplinary expertise to address critical gaps in our understanding of how early steps in the HIV lifecycle dictate productive infection. This increased understanding should facilitate the identification of new targets and antiretrovirals to improve the lives of people living with HIV/AIDS around the world.

National Institute of Health (NIH)
National Institute of Allergy and Infectious Diseases (NIAID)
Research Project (R01)
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Special Emphasis Panel (ZRG1)
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Novak, Leia Kaye
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Northwestern University at Chicago
Anatomy/Cell Biology
Schools of Medicine
United States
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