Cellular microRNAs contribute to HIV-1 latency in resting primary CD4+ T lymphocytes

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                                                                      Cellular microRNAs contribute to HIV-1 latency
© 2007 Nature Publishing Group http://www.nature.com/naturemedicine

                                                                      in resting primary CD4+ T lymphocytes
                                                                      Jialing Huang1, Fengxiang Wang1, Elias Argyris1, Keyang Chen1, Zhihui Liang1,2, Heng Tian1, Wenlin Huang2,
                                                                      Kathleen Squires1, Gwen Verlinghieri1 & Hui Zhang1

                                                                      The latency of human immunodeficiency virus type 1 (HIV-1)                          studies have proposed that the mechanisms could include transcrip-
                                                                      in resting primary CD4+ T cells is the major barrier for the                        tional inefficiency and post-transcriptional suppression4,15,18–20. As
                                                                      eradication of the virus in patients on suppressive highly active                   the major function of cellular miRNA is to inhibit protein translation,
                                                                      antiretroviral therapy (HAART). Even with optimal HAART                             we hypothesized that one or more miRNAs could be involved in
                                                                      treatment, replication-competent HIV-1 still exists in resting                      HIV-1 latency.
                                                                      primary CD4+ T cells1–4. Multiple restriction factors that act                         We wished to determine whether miRNA(s) have a direct role in the
                                                                      upon various steps of the viral life cycle could contribute to                      repression of HIV-1 gene expression in resting CD4+ T cells isolated
                                                                      viral latency. Here we show that cellular microRNAs (miRNAs)                        from the peripheral blood mononuclear cells (PBMCs) of normal
                                                                      potently inhibit HIV-1 production in resting primary CD4+                           human donors (Supplementary Fig. 1 online). We created constructs
                                                                      T cells. We have found that the 3¢ ends of HIV-1 messenger                          for this purpose by inserting a 1.9- or 1.2-kilobase (kb) fragment of
                                                                      RNAs are targeted by a cluster of cellular miRNAs including                         the 3¢ end of HIV-1 RNA, which represents the 3¢ untranslated region
                                                                      miR-28, miR-125b, miR-150, miR-223 and miR-382, which                               (UTR) common to almost all HIV-1 mRNAs, into the 3¢ UTR of the
                                                                      are enriched in resting CD4+ T cells as compared to activated                       enhanced green fluorescent protein (EGFP) gene in the vector pEGFP-
                                                                      CD4+ T cells. Specific inhibitors of these miRNAs substantially                     C1 (Fig. 1a and Supplementary Table 1 online). The fragments were
                                                                      counteracted their effects on the target mRNAs, measured                            derived from various HIV-1 strains such as NL4-3, 89.6, JR-CSF, LAI.2
                                                                      either as HIV-1 protein translation in resting CD4+ T cells                         and YU2. GFP expression from pEGFP-C1 containing these 1.2- and
                                                                      transfected with HIV-1 infectious clones, or as HIV-1 virus                         1.9-kb fragments was lower than expression from the parent vector
                                                                      production from resting CD4+ T cells isolated from HIV-1–                           (pEGFP-C1), as measured by median fluorescent intensity (MFI)
                                                                      infected individuals on suppressive HAART. Our data indicate                        (Fig. 1b). This indicates that the element(s) responsible for the
                                                                      that cellular miRNAs are pivotal in HIV-1 latency and suggest                       possible miRNA-mediated inhibition are mainly positioned in this
                                                                      that manipulation of cellular miRNAs could be a novel                               1.2-kb region and are conserved among the various HIV-1 strains.
                                                                      approach for purging the HIV-1 reservoir.                                           Further, six smaller fragments (fragments A–F, Fig. 1a) dissected from
                                                                                                                                                          the 1.9-kb fragment of the 3¢ end of the HIV-1 NL4-3 genome
                                                                      The miRNAs are small, noncoding RNAs that control the expression                    (encoded on a plasmid named pNL4-3) were individually inserted
                                                                      of various target genes. They can be derived from host or viral RNA.                into the 3¢ UTR of the EGFP gene in pEGFP-C1, and the derived
                                                                      A defensive role for cellular miRNAs against viral infection has been               constructs were transfected into resting CD4+ T cells. Among these six
                                                                      demonstrated in plants, insects, vertebrates and mammals5–7, whereas                fragments, the GFP expression from fragments B, D and F was
                                                                      virus-derived miRNAs can participate in the regulation of host and/or               substantially decreased (Fig. 1c). Notably, GFP expression was inhib-
                                                                      viral gene expression8–10. It has been shown that a cellular miRNA is               ited in resting but not in activated CD4+ T cells (Supplementary
                                                                      able to enhance the replication of hepatitis C virus by an unknown                  Fig. 2 online). These results suggest that fragments B, D and F could
                                                                      mechanism11, and a recent report has indicated that cellular miR-                   harbor potential binding sites for miRNAs that are abundant in resting
                                                                      17-5p and miR-20a have a role in regulating histone acetyltransferase               CD4+ T cells and that could exert an inhibitory effect on the
                                                                      Tat cofactor expression and HIV-1 replication12. However, their role in             expression of viral proteins.
                                                                      controlling HIV-1 latency has not been well characterized. It is known                 To further examine the potential for miRNA inhibition of HIV-1
                                                                      that virus replication does not occur in resting primary CD4+ T cells               protein expression, we searched for putative miRNA-binding sites in
                                                                      of HIV-1–infected individuals receiving suppressive HAART, even                     the B, D and F fragments using the MicroInspector online program
                                                                      though proviral DNA and multiply spliced or unspliced viral RNA                     (Supplementary Table 2 online). On the basis of predictions from this
                                                                      can easily be found in these cells13–17. The underlying molecular                   program, we further dissected fragment B into 11 subfragments (B1 to
                                                                      mechanisms responsible for this latency are still unclear. Previous                 B11), fragment D into 9 subfragments (D1 to D9) and fragment F into

                                                                      1Center   for Human Virology, Division of Infectious Diseases, Department of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
                                                                      2Cancer    Center, Sun Yatsen University, Guangzhou, Guangdong, 510060, China. Correspondence should be addressed to H.Z. (hui.zhang@jefferson.edu).
                                                                      Received 9 July; accepted 9 August; published online 30 September 2007; doi:10.1038/nm1639

                                                                      NATURE MEDICINE          VOLUME 13      [   NUMBER 10   [   OCTOBER 2007                                                                                     1241
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                                                                      a                                                    vpr       vpu              RRE        nef                    b
                                                                                                                                                                                                                                                       Relative MFI
                                                                      LTR                          gag     pol       vif                       env                LTR
                                                                                                                                                                                                                   128
                                                                                                                           tat                                                                                                65.2%
                                                                                                                                                                                                                             MFI = 277 M1                     1
                                                                                                                                                                                                                                             Ctl
                                                                                                                            rev
                                                                                                                                                            1.9-kb (7261–9172)                                       0
                                                                                                                                                                                                                                                                                                                                Relative MFI
                                                                                                                                                                                                                      100 101 102 103 104
                                                                                                                                                            1.2-kb (7961–9172)
                                                                                                                                                                                                                   128                                                                         128         42.1%
                                                                                                                                                                                                                               23.8%

                                                                                                                                                                                        Total CD4+ T-cell counts
                                                                                                                                                     A (7261–7960)                                                            MFI = 48 M1                                                                 MFI = 165 M1
                                                                                                                                                                                                                                              NL4-3 1.2 kb   0.17                                                        89.6 1.2 kb   0.6
                                                                                                                                                          B (7961–8351)                                                                                                                          0
                                                                                                                                                                                                                     0
                                                                                                                                                             C (8291–8691)

                                                                                                                                                                                                                                                                    Total CD4+ T-cell counts
                                                                                                                                                                                                                     100 101 102 103 104                                                          100 101 102 103 104
© 2007 Nature Publishing Group http://www.nature.com/naturemedicine

                                                                                                                                                                 D (8631–8981)
                                                                                                                                                                                                                   128                                                                         128
                                                                                                                                                                                                                               18.2%                                                                        41%
                                                                                                                                                                       E (8921–9046)                                                                                                                      MFI = 172 M1
                                                                                                                                                                                                                              MFI = 64 M1     NL4-3 1.9 kb   0.23                                                        LAI.2 1.2 kb 0.62
                                                                      c                                                                                                 F (9047–9172)
                                                                                                                                                                                                                     0                                                                           0
                                                                                             1.6                                                                                                                                                                                                  100 101 102 103 104
                                                                                                                                                                                                                     100 101 102 103 104
                                                                                                                                                                                                                                                                                               128
                                                                          Relative GFP MFI

                                                                                                                                                                                                                   128                                                                                     49.5%
                                                                                             1.2                                                                                                                               25.2%
                                                                                                                                                                                                                              MFI = 102 M1                                                                MFI = 190 M1
                                                                                                                                                                                                                                              JR-CSF 1.2 kb 0.37                                                         YU2 1.2 kb    0.69
                                                                                             0.8                                                                                                                     0                                                                           0
                                                                                                                                                                                                                     100 101 102 103 104                                                         100 101 102 103 104
                                                                                             0.4                                                                                                                        EGFP intensity                                                              EGFP intensity

                                                                                              0
                                                                                                     Ctl   A     B               C         D          E      F

                                                                      Figure 1 MiRNA(s) inhibit HIV-1 expression by acting on the 3¢ end of the HIV-1 genome. (a) Schematic map of the HIV-1 genome. Numbers in parentheses
                                                                      denote nucleotide positions spanned by fragments of the HIV-1 genome 3¢ end that were inserted into the 3¢ UTR of the EGFP gene in the pEGFP-C1
                                                                      reporter vector. LTR, long terminal repeat; RRE, Rev response element. Numbers in parentheses denote nucleotide positions that each fragment contains.
                                                                      (b) Expression of GFP from pEGFP-C1 reporter constructs carrying the 1.9-kb fragment in the 3¢ end of HIV-1 NL4-3 or the 1.2-kb fragment in the 3¢ end of
                                                                      one of five different HIV-1 strains (NL4-3, 89.6, LAI.2, JR-CSF and YU2). Resting CD4+ T cells from normal human donors were transfected with pEGFP-C1
                                                                      reporter constructs; GFP expression was analyzed by flow cytometry 48 h later. The MFI of green fluorescing cells was measured. Percentages represent the
                                                                      rate of GFP-positive cells. (c) Expression of GFP by pEGFP-C1 reporter constructs carrying fragments from the dissection of the 3¢ end of pNL4-3. Fragments
                                                                      A–F dissected from the 1.9-kb 3¢ end of pNL4-3 were individually inserted into the 3¢ UTR of the EGFP gene in pEGFP-C, which was then transfected into
                                                                      resting CD4+ T cells. GFP expression was analyzed 48 h after nucleofection. Values represent means ± s.d. Relative GFP MFI is normalized to the MFI from
                                                                      negative control cells (Ctl) expressing pEGFP-C1 reporter with no insertion. Data in b and c represent at least three independent experiments.

                                                                      4 subfragments (F1 to F4) (Supplementary Table 1). All of these                                                                              roles in the suppression of HIV-1 protein expression, we created
                                                                      subfragments, which consist of 40–76 nucleotides each, were inserted                                                                         mutant analogs of the binding sequences and inserted each binding
                                                                      individually into the 3¢ UTR region of the EGFP gene in pEGFP-C1,                                                                            sequence or its analog into the 3¢ UTR region of the EGFP gene in
                                                                      and their effects on GFP expression were further examined. Subfrag-                                                                          pEGFP-C1 (Fig. 2e). All of the binding sites—that is, those for
                                                                      ments B5, D3, D9 and F3 all harbored potential miRNA target                                                                                  miR-28, miR-125b, miR-150, miR-223 and miR-382—were sufficient
                                                                      sequences, as GFP expression from these fragments was decreased in                                                                           to mediate strong inhibition of GFP expression in resting CD4+
                                                                      resting primary CD4+ T cells (Fig. 2a–c). We again predicted putative                                                                        T cells. The derivative mutations substantially neutralized this inhibi-
                                                                      cellular miRNA-binding sites in these four subfragments by employing                                                                         tion, further supporting our hypothesis (Fig. 2f). Notably, these
                                                                      the MicroInspector online program (Supplementary Fig. 3a–d                                                                                   binding sites are relatively conserved in the 3¢ ends of various HIV-1
                                                                      online), and the putative binding sites were further verified by the                                                                         strains (Supplementary Fig. 4 online).
                                                                      rna22 and RNAHybrid online programs. Additionally, we compared                                                                                  To further verify the relatively abundant expression of these
                                                                      miRNA expression in resting CD4+ T cells with that in activated CD4+                                                                         miRNAs in resting CD4+ T cells, we measured miRNA abundance
                                                                      T cells by microarray analysis. Among the miRNAs that are expressed                                                                          by stem-loop RT-PCR23. The amount of miR-150 and miR-223
                                                                      in CD4+ T cells, 31 are at least two times more abundant in resting                                                                          expressed in resting CD4+ T cells was much greater than that in
                                                                      CD4+ T cells than in activated CD4+ T cells (Supplementary Table 3                                                                           activated CD4+ T cells, whereas the amount of miR-28, miR-125b, and
                                                                      online). We determined that subfragment B5 harbors putative                                                                                  miR-382 was also at least twice as much in resting CD4+ T cells as it
                                                                      miR-125b– and miR-150–binding sites, subfragments D3 and D9                                                                                  was in activated CD4+ T cells. As a control, we measured the
                                                                      harbor putative miR-223– and miR-382–binding sites, respectively,                                                                            expression of three miRNAs that were not enriched in resting CD4+
                                                                      and subfragment F3 harbors a putative miR-28–binding site (Fig. 2d                                                                           T cells in our microarray analysis (miR-124a, miR-146b and miR-155).
                                                                      and Supplementary Fig. 3a–d). All five of these miRNAs were                                                                                  As expected, miR-124a could not be detected in the CD4+ T cells,
                                                                      enriched in resting CD4+ T cells, as determined by microarray analysis                                                                       expression of miR-146b was almost equal in both activated and resting
                                                                      (Supplementary Table 3). It is notable that the ‘seed’ regions of two                                                                        CD4+ T cells, and the expression of miR-155 in activated cells was
                                                                      miRNAs (miR-28 and miR-150) do not perfectly match their target                                                                              higher than it was in the resting cells (Fig. 2g).
                                                                      sequences (Fig. 2d). Although perfect pairing at the seed region is                                                                             To further assess the inhibitory effects of miR-28, miR-125b,
                                                                      important for identifying miRNA-binding sites21, it has also been                                                                            miR-150, miR-223 and miR-382 on gene expression, we conducted
                                                                      demonstrated that perfect seed pairing is not essential for effective                                                                        experiments with specific, chemically synthesized antisense inhibitors
                                                                      translational inhibition22.                                                                                                                  of these miRNAs. Transfection of resting primary CD4+ T cells with
                                                                         To verify that the identified putative miRNA-binding sequences                                                                            the combination of all five inhibitors substantially counteracted the
                                                                      (those of miR-28, miR-125b, miR-150, miR-223 and miR-382) have                                                                               inhibitory effects of the cellular miRNAs on the GFP expression of

                                                                      1242                                                                                                                                               VOLUME 13             [   NUMBER 10            [             OCTOBER 2007                 NATURE MEDICINE
LETTERS

                                                                      a                                                                                                                     d                                                                                                e
                                                                       Relative GFP MFI

                                                                                          1.6
                                                                                          1.2                                                                                                NL4–3 (9097)              5′                                  3′                                          GFP                                                                                       (+) F5
                                                                                                                                                                                                                                                                                              miR-28
                                                                                          0.8                                                                                                miR–28                    3′                                      5′                                      GFP                                                                                       (–) mF5
                                                                                          0.4                                                                                                NL4–3 (8096)              5′                                                         3′                   GFP                                                                                       (+) B13
                                                                                                                                                                                                                                                                                            miR-125b
                                                                                           0                                                                                                                                                                                                           GFP                                                                                       (–) mB13
                                                                                                Ctl     B       B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11                                           miR–125b                  3′                                                         5′
                                                                                                                                                                                                                                                                                                       GFP                                                                                       (+) B12
                                                                      b                   1.6
                                                                                                                                                                                             NL4–3 (8957)              5′                                       3′                           miR-150
                                                                                                                                                                                                                                                                                                       GFP                                                                                       (–) mB12
                                                                       Relative GFP MFI

                                                                                                                                                                                             miR–382                   3′                                       5′
                                                                                          1.2                                                                                                                                                                                                          GFP                                                                                       (+) D10
                                                                                                                                                                                             NL4–3 (8113)              5′                                       3′                           miR-223
                                                                                                                                                                                                                                                                                                       GFP                                                                                       (–) mD10
                                                                                          0.8
© 2007 Nature Publishing Group http://www.nature.com/naturemedicine

                                                                                                                                                                                             miR–150                   3′                                           5′
                                                                                                                                                                                                                                                                                                       GFP                                                                                       (+) D11
                                                                                          0.4                                                                                                                                                                                                miR-382
                                                                                                                                                                                             NL4–3 (8720)              5′                                           3′                                 GFP                                                                                       (–) mD11
                                                                                           0                                                                                                 miR–223                   3′                                           5′
                                                                                                Ctl         D    D1   D3    D2   D4   D5        D6   D7    D8   D9
                                                                                                                                                                                                                                                                                                                                       No RT, resting CD4+ T cells
                                                                      c                                                                                              f                                                                                                                                 g                               No RT, activated CD4+ T cells
                                                                                                                                                                                                                                                                                                                                       Resting CD4+ T cells
                                                                                                                                                                                            1.6

                                                                                                                                                                         Relative GFP MFI
                                                                                                                                                                                                                                                                                                                                       Actived CD4+ T cells
                                                                       Relative GFP MFI

                                                                                          1.6                                                                                                                                                                                                                                18
                                                                                                                                                                                            1.2                                                                                                                              16
                                                                                          1.2

                                                                                                                                                                                                                                                                                                       Relative expression
                                                                                                                                                                                            0.8                                                                                                                              14
                                                                                          0.8                                                                                                                                                                                                                                12
                                                                                          0.4                                                                                               0.4                                                                                                                              10
                                                                                           0                                                                                                 0                                                                                                                                8
                                                                                                  Ctl             F        F1    F2            F3     F4

                                                                                                                                                                                                                                                  )

                                                                                                                                                                                                                                                                                       8)
                                                                                                                                                                                                                                b)

                                                                                                                                                                                                                                                                     )
                                                                                                                                                                                                             )

                                                                                                                                                                                                                                                          10

                                                                                                                                                                                                                                                                             12
                                                                                                                                                                                                   tl

                                                                                                                                                                                                                      2

                                                                                                                                                                                                                                         3

                                                                                                                                                                                                                                                                                              F5
                                                                                                                                                                                                                                               23
                                                                                                                                                                                                                                                                                                                              6

                                                                                                                                                                                                                                                                    82
                                                                                                                                                                                                           50
                                                                                                                                                                                                  C

                                                                                                                                                                                                                 B1

                                                                                                                                                                                                                                     B1

                                                                                                                                                                                                                                                                                   -2
                                                                                                                                                                                                                            25

                                                                                                                                                                                                                                                      D

                                                                                                                                                                                                                                                                         D

                                                                                                                                                                                                                                                                                             m
                                                                                                                                                                                                                                              -2

                                                                                                                                                                                                                                                                -3
                                                                                                                                                                                                        -1

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                                                                                                                                                                                                                           -1

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                                                                                                                                                                                                                                                                                                                              4

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                                                                                                                                                                                                                                                                                                                              2

                                                                                                                                                                                                                                     10

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                                                                                                                                                                                                                  3
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                                                                                                                                                                                                                                                                                                                              0

                                                                                                                                                                                                                                                                                                                                    4a

                                                                                                                                                                                                                                                                                                                                               6b

                                                                                                                                                                                                                                                                                                                                                          5

                                                                                                                                                                                                                                                                                                                                                                    0

                                                                                                                                                                                                                                                                                                                                                                              3

                                                                                                                                                                                                                                                                                                                                                                                      28

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                                                                                                                                                                                                                                                                                                                                                                         22

                                                                                                                                                                                                                                                                                                                                                                                            38
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                                                                                                                                                                                                                                                                                                                                           14

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                                                                      Figure 2 Identification of the binding sites of cellular miRNAs at the 3¢ end of HIV-1 genomic RNA. (a–c) Expression of GFP by pEGFP-C1 reporter
                                                                      constructs carrying subfragments from the dissection of fragments B (a), D (b) and F (c). Fragments B, D and F were further dissected into 11, 9 or 4
                                                                      subfragments, respectively, and cloned into pEGFP-C1. The generated constructs were transfected into resting CD4+ T cells and GFP expression was
                                                                      analyzed 48 h after nucleofection. Relative GFP MFI is normalized to the MFI from negative control cells (Ctl) expressing pEGFP-C1 reporter with no
                                                                      insertion. Values represent means ± s.d. (d) Secondary structure of microRNAs binding to the 3¢ end fragments of HIV-1NL4-3 RNA. Nucleotide position
                                                                      numbers are shown in parentheses. (e) Various microRNA target sequences (+) and the corresponding mutated sequences (–), which were created in the
                                                                      miRNA-binding sequences (underlined) corresponding to the 5¢ portion of the miRNA known as the seed. (f) Expression of GFP from pEGFP-C1 carrying
                                                                      the original or mutated miRNA target sequences. The predicted miRNA target sequences and their mutants were inserted into the 3¢ UTR of the EGFP
                                                                      gene in pEGFP-C1. The resulting constructs were transfected into resting CD4+ T cells and GFP expression levels were measured 48 h after transfection.
                                                                      (g) Differential expression of miR-28, miR-125b, miR-150, miR-223 and miR-382, in primary resting and activated CD4+ T cells, as detected by stem-loop
                                                                      RT-PCR. The miRNAs were isolated from resting and activated CD4+ T cells separately and miRNA expression was measured by stem-loop RT-PCR. As
                                                                      controls, miR-124a, miR-146b and miR-155 were also detected. U6 RNA was used as an endogenous control. No RT, no reverse transcription. Data
                                                                      represent at least three independent experiments. Values are means ± s.d.

                                                                      pEGFP-C1-NL43-1.2 (Fig. 3a). Flow cytometric analysis confirmed                                                                                                inhibitors were infectious (Fig. 3c). FACS data indicate that these
                                                                      that these miRNA inhibitors did not affect the resting status of CD4                                                                                           miRNA inhibitors do not affect cellular proliferation status (Supple-
                                                                      T cells (data not shown). To examine the effects of these specific                                                                                             mentary Fig. 5). Moreover, transfection with the combined five
                                                                      miRNA inhibitors upon HIV-1 latency in resting CD4 T cells, we                                                                                                 miRNA inhibitors could rescue the viral production of several
                                                                      mimicked in vivo HIV-1 latency by transfecting pNL4-3, an HIV-1                                                                                                different HIV-1 strains (Fig. 3d). Notably, transfection of these five
                                                                      infectious clone, into the resting CD4+ T cells. FACS analysis indicated                                                                                       miRNA inhibitors into resting CD4+ T cells did not substantially alter
                                                                      that these transfected cells remain in a resting state (Supplementary                                                                                          the amounts of spliced and unspliced HIV-1 mRNA (Fig. 3e), but it
                                                                      Fig. 5 online). Although a small number of viral particles could be                                                                                            did increase the expression of various HIV-1 proteins (Fig. 3f),
                                                                      produced from these cells (Supplementary Fig. 6 online), and small                                                                                             suggesting a translational regulatory pattern for these miRNAs.
                                                                      amounts of viral RNA and protein could also be detected in the cells                                                                                              Furthermore, we analyzed the possible synergistic effect of Rev on
                                                                      (Supplementary Figs. 7 and 8 online), the amounts of cell-associated                                                                                           HIV-1 expression in primary resting CD4+ T cells treated with the
                                                                      viral RNA and protein, as well as of viral particles, were substantially                                                                                       miRNA inhibitors by transfecting the cells with a Rev-expressing
                                                                      increased when the cells were activated with phytohemagglutinin                                                                                                vector (pcRev). Rev expression not only increased HIV-1 protein
                                                                      (PHA) (Supplementary Figs. 6–8). These data indicate that this                                                                                                 expression by itself, a result compatible with previous reports24, but
                                                                      relatively simple method can effectively mimic HIV-1 latency.                                                                                                  also synergized with the miRNA inhibitors to promote HIV-1 pro-
                                                                         Our data further indicate that neutralization of the inhibitory                                                                                             duction in resting CD4+ T cells (Fig. 3b,f). Our results also imply that
                                                                      effects of these five miRNAs by their corresponding 2¢-O-methyl-                                                                                               Rev itself is regulated by miRNA (Fig. 3f).
                                                                      oligoribonucleotide antisense inhibitors results in increased HIV-1                                                                                               Finally, we examined the effect of these combined miRNA inhibi-
                                                                      production from pNL4-3–transfected cells. Although individual inhi-                                                                                            tors upon HIV-1 latency in resting CD4+ T cells directly isolated
                                                                      bitors only modestly affected viral production (Supplementary Fig. 9                                                                                           from HIV-1–infected individuals receiving suppressive HAART.
                                                                      online), the combination of the five inhibitors resulted in a substantial                                                                                      Post-integration HIV-1 latency in these cells was confirmed by
                                                                      increase in HIV-1 production (11.3 times higher than the control) in                                                                                           detection of integrated HIV-1 provirus in the chromosomal
                                                                      resting CD4+ T cells, but not in activated CD4+ T cells (Fig. 3b and                                                                                           DNA via Alu-PCR (see Methods; Fig. 4a, top). Stimulation of
                                                                      Supplementary Fig. 10 online). Additionally, the viral particles in the                                                                                        the cells with PHA induced the production of a large number
                                                                      supernatants of resting CD4+ T cells treated with the five miRNA                                                                                               of viral particles (Fig. 4a, bottom), and serial passaging experiments

                                                                      NATURE MEDICINE                                  VOLUME 13           [    NUMBER 10        [   OCTOBER 2007                                                                                                                                                                                                                          1243
LETTERS

                                                                        a                                                                                                              b                                              *                                  c                            35,000                  Anti-miRs + AZT
                                                                                                                                                                                                                                                                                                                              Anti-miRs
                                                                                                                                                                                                                                                                                                      30,000
                                                                                                                                     *                                                                                                                                                                                        PHA

                                                                                                                                                                                                                                                                         HIV-1 p24 antigen (pg /ml)
                                                                                                                                                                                     20,000,000                                                                                                       25,000

                                                                                                                                                             Virion-associated RNA
                                                                                                                4
                                                                                            Relative GFP MFI

                                                                                                                                                                                     16,000,000                                                                                                       20,000

                                                                                                                                                                   (copies/ml)
                                                                                                                3
                                                                                                                                                                                     12,000,000                                                                                                       15,000
                                                                                                                2
                                                                                                                                                                                      8,000,000                                                                                                       10,000
                                                                                                                1
                                                                                                                                                                                      4,000,000
                                                                                                                                                                                                                                                                                                       5,000
                                                                                                                0
© 2007 Nature Publishing Group http://www.nature.com/naturemedicine

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                                                                                                                                                                                                                                                                                                        f
                                                                                                                              Anti-miR neg ctl
                                                                                                                              Combined anti-miRs                                                                                          Anti-miR neg ctl                                                      Anti-miR neg ctl        –       +    –      –   –
                                                                                                               16,000,000                                                                                                                 Combined anti-miRs                                             Combined anti-miRs             –       –    +      –   +
                                                                                                                                                                                                                             8
                                                                                                                                                                                                                                                                                                                             pcRev      –       –    –      +   +
                                                                        Virion-associated RNA

                                                                                                                                                                                                                             7
                                                                                                                                                                                                       Relative expression

                                                                                                               12,000,000                                                                                                                                                                                                      Rev
                                                                                                                                                                                                                             6
                                                                              (copies/ml)

                                                                                                                                                                                                                             5
                                                                                                                8,000,000                                                                                                                                                                                                   Gag-p55
                                                                                                                                                                                                                             4
                                                                                                                                                                                                                             3                                                                                               Gp160
                                                                                                                4,000,000                                                                                                    2
                                                                                                                                                                                                                                                                                                                                Vif
                                                                                                                                                                                                                             1
                                                                                                                       0                                                                                                     0                                                                                              GAPDH
                                                                                                                            pNL4-3   89.6   JR-CSF   LAI.2                    YU2                                                     tat and rev                  gag

                                                                      Figure 3 Combined miRNA inhibitors can facilitate HIV-1 protein expression and viral production in resting primary CD4+ T cells. (a) Effects of various
                                                                      miRNA inhibitors on GFP expression from pEGFP-C1-NL4-3-1.2 in resting CD4+ T cells. Resting CD4+ T cells were transfected with pEGFP-C1 carrying
                                                                      the 1.2-kb fragment of the 3¢ end of pNL4-3 and various miRNA inhibitors. GFP expression was analyzed by FACS 48 h later. The difference between the
                                                                      treatments with anti-miR negative control and combined anti-miRs is statistically significant (P o 0.001, ANOVA). (b) Effects of miRNA inhibitors on
                                                                      HIV-1NL4-3 production in resting CD4+ T cells. Resting CD4+ T cells were transfected with pNL4-3 plasmid, combined miRNA inhibitors or pcRev, or
                                                                      stimulated with PHA, as indicated. After 48 h, HIV-1 virions in the supernatants were collected by ultracentrifugation and viral RNAs were isolated and
                                                                      amplified by real-time RT-PCR. The cutoff for virion-associated RNA is 100 copies per ml. The difference in viral production between the treatments with
                                                                      anti-miR negative control (5.9 ± 0.6  105, mean ± s.d.) and the combined anti-miRs (66.4 ± 11.1  105, mean + s.d.) is statistically significant
                                                                      (P o 0.0001, ANOVA). (c) Viral infectivity of HIV-1 generated by CD4+ resting T cells. The viral particles (0.2 ng HIV-1 p24 antigen equivalent) in the
                                                                      supernatants of resting CD4+ T cells treated with combined miRNA inhibitors or PHA were collected 48 h after transfection and used to infect activated
                                                                      PBMCs. Subsequent virus production was measured by HIV-1 p24 ELISA at various time points. As a control for viral infectivity, zidovudine (AZT, 10 mM)
                                                                      was added into the culture. (d) The effects of miRNA inhibitors on virus production of various HIV-1 strains. Resting CD4+ T cells were transfected with
                                                                      various HIV-1 infectious clones and combined miRNA inhibitors, as indicated. Forty-eight hours after transfection, HIV-1 virions in the supernatants were
                                                                      collected by ultracentrifugation and viral RNAs were isolated and amplified by real-time RT-PCR. (e) Real-time RT-PCR detection of HIV-1 mRNA in resting
                                                                      CD4+ T cells. Resting CD4+ T cells were transfected with combined miRNA inhibitors and pNL4-3. Forty-eight hours after transfection, total RNA was
                                                                      isolated and tat/rev and gag mRNAs were detected by real-time RT-PCR. b-actin mRNA was also measured as an internal reference. (f) Effects of miRNA
                                                                      inhibitors on the expression of Rev, Gag-p55, Vif and Gp160 proteins in resting CD4+ T cells. Resting CD4+ T cells were transfected with pNL4-3, combined
                                                                      miRNA inhibitors, or pcRev, as indicated. After 48 h, cell lysates were collected and subjected to western blotting with antibodies to gp160, p24, Vif or Rev.
                                                                      Anti-miR neg ctl represents negative control 2 for miRIDIAN microRNA inhibitor. Values represent means ± s.d. Data represent the average of four to six
                                                                      independent experiments.

                                                                      further indicated that these viruses were replication competent (data                                                                                                      demonstrate that cellular miRNAs contribute to post-integration
                                                                      not shown). These data suggest that the cells harboring proviral HIV-1                                                                                                     latency in HIV-1–infected individuals receiving suppressive HAART.
                                                                      DNA are indeed latently infected. After transfection with the com-                                                                                                            Our results show that differentially expressed cellular miRNAs
                                                                      bined miRNA inhibitors, these resting CD4+ T cells generated at least                                                                                                      inhibit HIV-1 expression in primary resting CD4+ T cells through
                                                                      ten times more HIV-1 particles than did the cells treated with a                                                                                                           their interactions with the 3¢ end of HIV-1 RNA, thereby contributing
                                                                      negative control inhibitor (Fig. 4b). Next, we used a coculture assay to                                                                                                   to viral latency. It is known that every spliced or unspliced HIV-1
                                                                      determine whether the viruses produced after treatment with com-                                                                                                           mRNA, with the exception of Nef-encoding mRNA, contains the
                                                                      bined miRNA inhibitors were replication competent. Resting CD4+ T                                                                                                          1.2-kb fragment we used (or a portion of it) in its 3¢ UTR25.
                                                                      cells that were transfected with combined miRNA inhibitors and                                                                                                             Thus, these cellular miRNAs, which bind the 1.2-kb fragment of
                                                                      g-irradiated to avoid activation of the cells by alloantigens or cytokines                                                                                                 the HIV-1 RNA 3¢ end, can inhibit the translation of almost all
                                                                      during the coculture. The cells were then cocultured with PHA-                                                                                                             HIV-1–encoded proteins—including Tat and Rev, which are key in
                                                                      stimulated uninfected CD4+ T cells, which were able to capture the                                                                                                         the transcription and translocation of viral RNA. The resultant
                                                                      viruses budding from the resting CD4+ T cells during the first hours                                                                                                       inefficient synthesis of Tat and Rev proteins could further enforce
                                                                      after coculture. These replication-competent viruses, which were                                                                                                           the viral latency. We have identified the specific binding sites of
                                                                      captured by activated cells, were able to spread the infection, and                                                                                                        cellular miRNAs in HIV-1 RNA, and their corresponding inhibitors
                                                                      virus production reached very high levels (Fig. 4c–e). All of these data                                                                                                   can effectively counteract the miRNAs’ inhibitory effects on HIV-1

                                                                      1244                                                                                                                                                                               VOLUME 13       [                   NUMBER 10                  [   OCTOBER 2007            NATURE MEDICINE
LETTERS

                                                                         a                                                                         HIV-1 copy numbers                                                                                               b                       100,000

                                                                                                                                                                                  1

                                                                                                                                                                                         2

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                                                                                                                                                                                                                                                                        Virion-associated RNA
                                                                                                                                                                                                                                    Alu
                                                                                                                                                                                                                                                                                                      10,000

                                                                                                                                                                                                                                                                              (copies/ml)
                                                                                                                                                                                                                                    Actin-b
                                                                                                                                                                                                                                                                                                                                                                                                        Subject 1
                                                                                                                                          40,000                                                                                                                                                                                                                                                        Subject 2
                                                                                                                                                                                                                                                                                                                                                                                                        Subject 3
                                                                                                              HIV-1 p24 antigen (pg/ml)

                                                                                                                                          35,000                                                                                                                                                                     1,000
                                                                                                                                          30,000                                                                                    Subject 1, no stimulation
                                                                                                                                                                                                                                    Subject 1, with stimulation
                                                                                                                                          25,000
                                                                                                                                                                                                                                    Subject 2, with stimulation
                                                                                                                                          20,000                                                                                    Subject 2, no stimulation
                                                                                                                                                                                                                                                                                                                                 0

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© 2007 Nature Publishing Group http://www.nature.com/naturemedicine

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                                                                                                                                                      0     3      7       10     14                                   17

                                                                                                                                                                                                                                                                                                                                                               ev
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                                                                                                                                                           Time (d) after stimulation

                                                                                                                                                                                                                                                                                                                                                           pc
                                                                         c                               50,000                                                                 d                                 105,000                                                  e                                                140,000
                                                                             HIV-1 p24 antigen (pg/ml)

                                                                                                                                                                                      HIV-1 p24 antigen (pg/ml)

                                                                                                                                                                                                                                                                                                HIV-1 p24 antigen (pg/ml)
                                                                                                                                                                                                                   90,000                                                                                                   120,000                                                                No transfection +
                                                                                                         40,000                                                                                                                                                                                                                                                                                    irradiation
                                                                                                                                                                                                                   75,000                                                                                                   100,000                                                                Anti-miR neg ctl +
                                                                                                                                                                                                                                                                                                                                                                                                   irradiation
                                                                                                         30,000                                                                                                    60,000                                                                                                       80,000                                                             Combined anti-miRs +
                                                                                                                                                                                                                                                                                                                                                                                                   irradiation
                                                                                                         20,000                                                                                                    45,000                                                                                                       60,000                                                             PHA stimulation +
                                                                                                                                                                                                                                                                                                                                                                                                   irradiation
                                                                                                                                                                                                                   30,000                                                                                                       40,000
                                                                                                         10,000                                                                                                                                                                                                                                                                                    PHA stimulation only
                                                                                                                                                                                                                   15,000                                                                                                       20,000
                                                                                                             0                                                                                                          0                                                                                                              0
                                                                                                                                          0   4   9 13 18 23 28                                                                 0    4   9 13 18 23 28                                                                                         0     4   9 13 18 23 28
                                                                                                                                              Time (d) in coculture                                                                  Time (d) in coculture                                                                                           Time (d) in coculture
                                                                                                           No transfection +                                                                                          No transfection +
                                                                                                           irradiation                                     PHA stimulation +                                          irradiation                      PHA stimulation +
                                                                                                           Anti-miR neg ctl +                              irradiation                                                Anti-miR neg ctl +               irradiation
                                                                                                           irradiation                                                                                                irradiation                      PHA stimulation only
                                                                                                                                                           PHA stimulation only
                                                                                                           Combined anti-miRs +                                                                                       Combined anti-miRs +
                                                                                                           irradiation                                                                                                irradiation

                                                                      Figure 4 Effect of miRNA inhibitors upon HIV-1 production from resting CD4+ T cells isolated from HIV-1–infected patients on suppressive HAART.
                                                                      (a) Post-integration latency evaluated in three HIV-1–infected individuals receiving repressive HAART. The post-integration HIV-1 latency in these cells
                                                                      (2  106) was confirmed by detection of integrated of HIV-1 proviruses in the chromosomal DNA using Alu-PCR (top). Virus production was induced by
                                                                      PHA treatment (bottom). The viral production in the supernatant was measured by HIV-1 p24 ELISA. (b) Resting CD4+ T cells isolated from HIV-1–infected
                                                                      patients on suppressive HAART were transfected with combined miRNA inhibitors, control miRNA inhibitor or pcRev, or treated with PHA. After 72 h ,
                                                                      HIV-1 virions in the supernatants were collected by ultracentrifugation and viral RNAs were isolated and amplified by real-time RT-PCR. The cutoff for
                                                                      virion-associated RNA is 100 copies per ml. Anti-miR neg ctl represents negative control 2 for miRIDIAN microRNA inhibitor. (c–e) Resting CD4+ T cells
                                                                      isolated from three HIV-1–infected patients (c, patient 1; d, patient 2; e, patient 3) were transfected with combined miRNA inhibitors or control miRNA
                                                                      inhibitors, or treated with PHA. Seventy-two hours later, the cells were first exposed to 20 Gy X-ray irradiation for 5 min and then cocultured with
                                                                      PHA-stimulated uninfected CD4+ T cells. As visualized with Trypan blue, the irradiated cells gradually died within 24 h. At several time points during the
                                                                      coculture, viral titers in the supernatant were measured by HIV-1 p24 ELISA. Values are means ± s.d. Data represent four to six independent experiments.

                                                                      production. Therefore, it is likely that these cellular miRNAs, rather                                                                                                                and fragments A–F, Fig. 1a) were amplified by PCR and directionally
                                                                      than virus-derived ones, play a major role in the inhibition of HIV-1                                                                                                                 cloned into the 3¢ UTR region of the EGFP gene in the pEGFP-C1 vector
                                                                      production in resting primary CD4+ T cells. However, as cellular                                                                                                                      (BD Biosciences). Other subfragments, predicted miRNA-targeting sites,
                                                                      activation was always better than combined miRNA inhibitors at                                                                                                                        and their mutated analogs were directly synthesized as sense and antisense
                                                                                                                                                                                                                                                            oligonucleotides. These sense and antisense oligonucleotides were annealed
                                                                      stimulating virus production (Fig. 3b and Fig. 4b), other mechanisms,
                                                                                                                                                                                                                                                            with each other and directly inserted into the 3¢ UTR of the EGFP gene in
                                                                      such as transcriptional inefficiency, could also be important in main-
                                                                                                                                                                                                                                                            pEGFP-C1. Detailed information about the oligonucleotides is provided in
                                                                      taining HIV-1 latency15,18–20.                                                                                                                                                        Supplementary Table 1.
                                                                         Latent infection is one of the most important characteristics
                                                                      required for all strains of HIV-1 to survive in vivo. Our work                                                                                                                        Isolation and culture of primary CD4+ T cells. The blood bank of Thomas
                                                                      demonstrates that HIV-1 can recruit resting-cell–enriched cellular                                                                                                                    Jefferson University Hospital recruited HIV-1–seronegative blood donors,
                                                                      miRNAs to control the translation of viral RNA into protein, the                                                                                                                      whereas the clinical section of the Division of Infectious Diseases of Thomas
                                                                      last step in the generation of various viral antigens. Thus, a combined                                                                                                               Jefferson University Hospital recruited HIV-1–infected individuals who had
                                                                      miRNA inhibitor panel could be used to activate latent HIV-1 for                                                                                                                      received HAART for at least 3 months, had a CD4 count Z400 cells/mm3 and
                                                                      therapeutic purposes.                                                                                                                                                                 had blood plasma HIV-1 RNA levels lower than 50 copies/ml. All of the
                                                                                                                                                                                                                                                            recruited HIV-1–infected individuals gave their informed consent, and the
                                                                                                                                                                                                                                                            study was approved by the Institutional Review Board of Thomas Jefferson
                                                                      METHODS                                                                                                                                                                               University. The PBMCs were isolated from the whole blood by Histopaque
                                                                      Plasmid construction. We obtained the various infectious HIV-1 clones                                                                                                                 (Sigma) sedimentation. Resting primary CD4+ T lymphocytes were then
                                                                      (pNL4-3, pYK-JRCSF, pYU2, p89.6, pLAI.2) through the AIDS Research                                                                                                                    isolated from PBMCs with CD4+ T Cell Isolation Kit II (Miltenyi), and
                                                                      and Reference Reagent Program, Division of AIDS, National Institute of                                                                                                                CD25+ and HLA-DR+ cells were depleted by direct immunomagnetic conjuga-
                                                                      Allergy and Infectious Diseases, US National Institutes of Health. The                                                                                                                tion. The negative fraction consisted of CD4+, HLA-DR– and CD25– resting
                                                                      sequences in the 3¢ end of pNL4-3 (1.9-kb fragment, 1.2-kb fragment,                                                                                                                  CD4+ T cells, as described previously26,27. The primary CD4+ T cells were

                                                                      NATURE MEDICINE                                                          VOLUME 13           [   NUMBER 10                                  [   OCTOBER 2007                                                                                                                                                                                    1245
LETTERS

                                                                      activated by stimulation with PHA (5 mg/ml) for 48 h, then maintained with      of AIDS, National Institute of Allergy and Infectious Diseases, US National
                                                                      interleukin-2 (25 U/ml; Sigma).                                                 Institutes of Health.

                                                                      Synthesis of short interfering RNAs and microRNA inhibitors. We selected        Note: Supplementary information is available on the Nature Medicine website.
                                                                      the miRNA gene sequences from the Sanger Center miRNA Registry at
                                                                      http://microrna.sanger.ac.uk/sequences/. The short interfering RNAs (siRNAs)    ACKNOWLEDGMENTS
                                                                                                                                                      We thank K. Zhang for his technical help, J. DeSimone and D. Horn for their
                                                                      and miRNA inhibitors were chemically synthesized by Dharmacon. Synthetic
                                                                                                                                                      assistance in enrolling patients and Y. Wang for conducting X-ray irradiation.
                                                                      miRNA miRIDIAN antisense inhibitors (2¢-O-methyl-oligoribonucleotides)
                                                                                                                                                      This work was supported by grants from the US National Institutes of Health
                                                                      for human miR-28, miR-125b, miR-150, miR-223 or miR-382 were used               (AI058798 and AI052732) to H.Z. and the National Basic Research Program of
                                                                      in our experiments individually or in combination. The miRIDIAN                 China (grant 2004CB518801) to W.H.
                                                                      microRNA inhibitor negative control 2 (anti-miR neg ctl) is based on
© 2007 Nature Publishing Group http://www.nature.com/naturemedicine

                                                                      C. elegans miR-239b (mature sequence: UGUACUACACAAAAGUACUG)                     AUTHOR CONTRUBUTIONS
                                                                      and has been confirmed to have minimal sequence identity with miRNAs            J.H. carried out most experiments. F.W., E.A., H.T., Z.L. and W.H. participated in
                                                                      in humans, mice and rats.                                                       some of the experiments such as purification of the cells, generation of some
                                                                                                                                                      plasmid constructs, and DNA or RNA sequencing. K.C. performed some
                                                                      Prediction of microRNA-binding sites. We predicted miRNA targets using          immunoblotting. K.S. and G.V. placed HIV-1–infected individuals on HAART and
                                                                      the MicroInspector algorithm at http://mirna.imbb.forth.gr/microinspector/.     H.Z. directed and supervised the experiments and interpretation of data. The
                                                                                                                                                      manuscript was prepared by J.H. and H.Z.
                                                                      The cutoff values for hybridization temperature and free energy were set to
                                                                      37 1C and –20 kcal/mol, respectively. Identified miRNA–target gene pairs        COMPETING INTERESTS STATEMENT
                                                                      were confirmed by RNAHybrid at http://bibiserv.techfak.uni-bielefeld.de/        The authors declare competing financial interests: details accompany the full-text
                                                                      rnahybrid/submission.html and the rna22 miRNA target predictor at http://       HTML version of the paper at www.nature.com/naturemedicine/.
                                                                      cbcsrv.watson.ibm.com/rna22.html.
                                                                                                                                                      Published online at http://www.nature.com/naturemedicine
                                                                      MicroRNA array analysis. A total of 20 mg RNA from resting CD4+ T cells or      Reprints and permissions information is available online at http://npg.nature.com/
                                                                      activated CD4+ T cells was isolated with TRIzol reagent (Invitrogen). RNA       reprintsandpermissions
                                                                      processing, microarray fabrication, array hybridization and data acquisition
                                                                      were performed at LC Sciences.
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                                                                      Transfection. We transfected 5 mg HIV-1 plasmids, pEGFP-C1 plasmid or               antiretroviral therapy. Science 278, 1295–1300 (1997).
                                                                      pEGFP-C1–derived plasmids with or without 100 pmol siRNAs or 100 pmol           2. Wong, J.K. et al. Recovery of replication-competent HIV despite prolonged suppression
                                                                      miRNA inhibitors into resting or activated primary CD4+ T cells using an            of plasma viremia. Science 278, 1291–1295 (1997).
                                                                                                                                                      3. Siliciano, J.D. et al. Long-term follow-up studies confirm the stability of
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                                                                                                                                                          (2003).
                                                                      Real-time reverse transcription PCR detection. We designed the primers          4. Persaud, D., Zhou, Y., Siliciano, J.M. & Siliciano, R.F. Latency in human
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                                                                                                                                                          (2003).
                                                                      provided by the Sanger Center miRNA Registry (http://www.sanger.                5. Kasschau, K.D. et al. P1/HC-Pro, a viral suppressor of RNA silencing, interferes
                                                                      ac.uk/Software/Rfam/mirna/index.shtml) (Supplementary Table 4 online).              with Arabidopsis development and miRNA function. Dev. Cell 4, 205–217
                                                                      Procedures described previously were followed, with minor modifications23.          (2003).
                                                                      The miRNAs were isolated from resting or activated CD4+ T cells with the        6. Dunoyer, P., Lecellier, C.H., Parizotto, E.A., Himber, C. & Voinnet, O. Probing the
                                                                                                                                                          microRNA and small interfering RNA pathways with virus-encoded suppressors of RNA
                                                                      mirVana miRNA Isolation Kit (Ambion). For detection of HIV-1 gene                   silencing. Plant Cell 16, 1235–1250 (2004).
                                                                      expression or virion-associated RNA, the total cellular RNA or virion-          7. Lecellier, C.H. et al. A cellular microRNA mediates antiviral defense in human cells.
                                                                      associated RNA was isolated with TRIzol (Invitrogen). Supplementary                 Science 308, 557–560 (2005).
                                                                      Table 4c lists all primers for HIV-1 gene detection. Reverse transcription      8. Pfeffer, S. et al. Identification of virus-encoded microRNAs. Science 304, 734–736
                                                                                                                                                          (2004).
                                                                      reactions were performed with the iScript complementary DNA synthesis           9. Gupta, A., Gartner, J.J., Sethupathy, P., Hatzigeorgiou, A.G. & Fraser, N.W. Anti-
                                                                      kit (Bio-Rad). Real-time RT-PCR was performed on an Applied Biosystems              apoptotic function of a microRNA encoded by the HSV-1 latency-associated transcript.
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© 2007 Nature Publishing Group http://www.nature.com/naturemedicine

                                                                      NATURE MEDICINE            VOLUME 13        [   NUMBER 10      [   OCTOBER 2007                                                                                                      1247
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