Differentiation into an Effector Memory Phenotype Potentiates HIV-1 Latency Reversal in CD4<sup>+</sup>T Cells

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<jats:p>By performing phenotypic analysis of latency reversal in CD4<jats:sup>+</jats:sup>T cells from virally suppressed individuals, we identify the T<jats:sub>EM</jats:sub>subset as the largest contributor to the inducible HIV reservoir. Differential responses of memory CD4<jats:sup>+</jats:sup>T cell subsets to latency-reversing agents (LRAs) demonstrate that HIV gene expression is associated with heightened expression of transcriptional pathways associated with differentiation, acquisition of effector function, and cell cycle entry.<jats:italic>In vitro</jats:italic>modeling of the latent HIV reservoir in memory CD4<jats:sup>+</jats:sup>T cell subsets identify LRAs that reverse latency with ranges of efficiency and specificity. We found that therapeutic induction of latency reversal is associated with upregulation of identical sets of T<jats:sub>EM</jats:sub>-associated genes and cell surface markers shown to be associated with latency reversal in our<jats:italic>ex vivo</jats:italic>and<jats:italic>in vitro</jats:italic>models. Together, these data support the idea that the effector memory phenotype supports HIV latency reversal in CD4<jats:sup>+</jats:sup>T cells.</jats:p>

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