# Cell-lineage specific epigenomic determinants of HIV latency in humanized mouse brain and blood

> **NIH NIH R01** · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · 2024 · $729,302

## Abstract

Project Summary
Human immunodeficiency virus type 1 (HIV-1) infection affects more than 38 million people worldwide and
remains incurable due to the early establishment of reservoirs where the virus remains latent. HIV-1 enters the
brain within the first two weeks of infection, and neurologic symptoms have been observed with accompanying
central nervous system (CNS) biomarkers in acute HIV disease. The seven billion microglial cells in the CNS are
the primary cell type infected by HIV in the adult human brain, and in the central nervous system represents a
large potential reservoir site. Additionally, the brain is one of the organs with the highest burden of HIV-associated
disease. HIV-associated neurocognitive disorder (HAND) affects 20-50% of people with HIV (PWH), with the
milder forms of HAND predominating in the era of combined antiretroviral therapy (cART). Importantly, intact HIV
proviruses persist in the brain despite viral suppression with cART. Despite this, little is known about the unique
regulatory mechanisms governing HIV activation and latency in the brain. According to our recent cell studies in
human postmortem brain, inflammation-associated reprogramming of microglial transcriptomes and 3D
genomes (chromosomal conformations) is a key factor linked to viral infection and integration in brain cells during
advanced stages of infection associated with encephalitis. However, non-encephalitic infected human brain,
other than showing transcriptomic signatures indicative for disrupted interactions of microglia with the neuronal
synapse, provides little information about the epigenomic and other determinants governing viral activation and
latency in the brain. Here, as a first step towards understanding molecular mechanisms governing HIV latency
in the humanized mouse brain, we will explore an extremely innovative molecular toolbox differentiating, on the
single cell level, infected microglia and other myeloid cells actively expressing HIV, and separating them from
infected cells not expressing HIV (latent). We will use this toolbox for advanced experimental approaches to
quantitatively test molecular, epigenetic, and pharmacological interventions aimed at reducing the reservoir of
humanized HIV+ brain, spleen, and blood. We will employ a novel genetic approach called enhanced HIV-
induced lineage tracing (E-HILT) to reveal the frequency and kinetics of the establishment of latency in the CNS
at the single cell resolution. We will define, in cell culture, and in humanized mouse brain and spleen/blood at
single cell level resolution, the proportional representation of productively infected versus latently infected
microglia and lymphocytes and other peripheral myeloid cells subject to genetically or pharmacologically induced
disruption of chromatin-bound silencers, including the Human Silencing Hub (HUSH)/CTIP2-
KAP1/KMT1E/SETDB1 repressive histone methyltransferase complex and more, broadly, histone H3-lysine 9
methylation (H3K9me)-assoc...

## Key facts

- **NIH application ID:** 10893599
- **Project number:** 5R01MH134319-02
- **Recipient organization:** ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- **Principal Investigator:** Schahram Akbarian
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $729,302
- **Award type:** 5
- **Project period:** 2023-07-25 → 2028-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10893599

## Citation

> US National Institutes of Health, RePORTER application 10893599, Cell-lineage specific epigenomic determinants of HIV latency in humanized mouse brain and blood (5R01MH134319-02). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10893599. Licensed CC0.

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