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Understanding The Role Of SAMHD1 in HIV1/2 Pathogenesis Maha Al-Mozaini, Ph.D. Immunocompromised Host Research King Faisal Specialist Hospital and Research Centre Riyadh Saudi Arabia Riyadh Saudi Arabia King Faisal Specialist Hospital and Research Centre Acquired Immune Deficiency Syndrome (AIDS) Human Immunodeficiency Virus (HIV) Two major challenges HIV vaccine development Cure of HIV-1 infection HIV in Saudi Arabia Antiretroviral resistance in HIV-infected Saudi children failing first-line highly active antiretroviral therapy. Al Hajjar SH1, Frayha H, Althawadi S. Human immunodeficiency virus type 2 in two Saudi families Reem S. Almaghrabi, Batool Ali, Sahar Al-Thawadi, Magid Abdel Halim, Abdulrahman A. Alrajhi . HIV-associated nephropathy in Saudi Arabia. Al-Sheikh H1, Al-Sunaid M, Alrajhi AA. Isolation of a rare Nocardia wallacei from an HIV-positive patient with pulmonary infection in Southern Saudi Arabia. Hamid ME1, Al Azraqi TA, Joseph MR, Al-Hakami AM. HIV Research One of the major barriers to HIV-1 vaccine development is a lack of understanding of the correlates of protective immunity against the virus. A growing interest of the HIV scientific community is in studying a minority of HIV-1-infected patients who control virus replication and remain asymptomatic without any therapeutic intervention; HIV-1 Long-term nonprogressors (LTNPs) or Elite Controllers (EC) HIV-2 Simian Immunodeficiency Virus (SIV) HIV Genome HIV-1 Gene Sequence LTR Vif Gag Pol Vpr Vpu Env Nef Vpx HIV-2/SIV Gene Sequence LTR LTR Vif Gag Pol LTR Vpr Vpu Env Nef Ayinde et al. Retrovirology 2010. Intracellular Transcription Factors APOBEC3 Tetherin TRIM SAMHD1 Sheehy et al., 2002, Neil et al., 2008, Sebastian & Luban, 2005 & Laguette et al, 2011 SAMHD1 Sterile Alpha Motif Domain And Histidine Aspartic Domain Containing Protein 1 Cellular Protein encoded by SAMHD1 gene Found in myeloid cells and resting CD4 T cells Phosphohydrolase Activity Convert nucleotide triphosphate (NTP) to nucleoside & triphosphate Deplete the pool of nucleotides available to a reverse transcriptase for viral cDNA synthesis Prevent viral replication RNase Activity Restrict the HIV-1 infection in Phosphorylation SAMHD1 Without decreasing cellular dNTP levels Lahouassa et al, 2012 & Ryoo et al, 2014 SAMHD1 St Gelais C & L Wu, 2011. Aims Evaluate the protein interaction of Vpx with SAMHD1 in transfected cell lines. Analyze the protein expression of SAMHD1 in different HIV infected cells. Profile the immune response in different HIV infected Patients and it relation to Vpx. HIV Patients Viral Load CD4 (copies/ml) (cells/mm3) HIV-1 214 200 HIV-2 <50 400 HIV Patients SAMHD1 and Vpx in Transfected Cells pcDNA 3.1 pcDNA 3.1 +VPX 72KD Anti-SAMHD-1 36KD Anti-GAPDH 14KD Anti-Vpx THP-1 cells THP-1 cells DAPI Anti-Vpx Anti-SAMHD-1 THP-1 cells DAPI Anti-Vpx Anti-SAMHD-1 pcDNA 3.1 Mock pcDNA 3.1 VPX SAMHD1 and Vpx in PBMCs Cells Neg HIV-1 HIV-2 (A) HIV-2 (B) Neg HIV-1 HIV-2 (A) HIV-2 (B) 180KD 180KD Anti-SAMHD-1 Anti-SAMHD-1 72KD 72KD 36KD Anti-GAPDH 36KD Anti-GAPDH 14KD Anti-Vpx 14KD Anti-Vpx HIV-2 PBMCs (Before Treatment) HIV-2 PBMCs (On Treatment) SAMHD1 and Vpx in MDDC Cells PBMCs MDDC Cells Monocyte Monocyte Derived Dendritic Cell (MDDC) Neg HIV-1 HIV-2 (A) HIV-2 (B) 72KD Anti-SAMHD-1 36KD Anti-GAPDH 14KD Anti-Vpx Transcription level of SAMHD1 Cytokine Analysis Conclusion 1. Establish a transfected cell line to confirm SAMHD1 and Vpx interaction. 2. Our results confirmed the true interaction of Vpx and SAMHD1 using cells from HIV-2 infected patient. 3. The finding of immune modulator SAMHD1 as a restriction factor in DC opens a new area of investigation in DC-target vaccination strategies. 4. Preliminary data of cytokines expression in Vpx cell lines was established. HIV-2 serves an important model of natural attenuated lentivirus infection Future prospective • Investigating the possible role of the mutated gene(s) in Aicardi–Goutieres syndrome in HIV infection. • Recent studies suggest that elite controllers maintain a steady level of HIV-1 replication without treatment because of overexpression of p21 & reduced CDK9. Finding a cure for HIV will require innovation, collaboration and significant funding COLLABORTERS Abdurahman Al-Rajhi Eric Rosenberg Abdullah Al-Hokail Mathias Lichterfeld Magid A Mohmed Michael Mansour Hail M Al-Abdely Fahad A Al-Rabiah Ali Omrani Xu Yu Bruce Walker Nathaniel Landau Uday Kishore Acknowledgment RC Administration •Dr. Sultan Al-Sedari Immunocompromised Host Research Department Of Infection & Immunity •Mohammed Al-Ahdal •Walaa Al-Arnous •Ibtehaj Al –sharif •Ahlam Bokh •Jorge Bautista •Qais Dirar •Hanan Sharawi •Mureen Del Cruz