- Yucha, Robert W;
- Hobbs, Kristen S;
- Hanhauser, Emily;
- Hogan, Louise E;
- Nieves, Wildaliz;
- Ozen, Mehmet O;
- Inci, Fatih;
- York, Vanessa;
- Gibson, Erica A;
- Thanh, Cassandra;
- Shafiee, Hadi;
- Assal, Rami El;
- Kiselinova, Maja;
- Robles, Yvonne P;
- Bae, Helen;
- Leadabrand, Kaitlyn S;
- Wang, ShuQi;
- Deeks, Steven G;
- Kuritzkes, Daniel R;
- Demirci, Utkan;
- Henrich, Timothy J
Reactivation of latent viral reservoirs is on the forefront of HIV-1 eradication research. However, it is unknown if latency reversing agents (LRAs) increase the level of viral transcription from cells producing HIV RNA or harboring transcriptionally-inactive (latent) infection. We therefore developed a microfluidic single-cell-in-droplet (scd)PCR assay to directly measure the number of CD4+ T cells that produce unspliced (us)RNA and multiply spliced (ms)RNA following ex vivo latency reversal with either an histone deacetylase inhibitor (romidepsin) or T cell receptor (TCR) stimulation. Detection of HIV-1 transcriptional activity can also be performed on hundreds of thousands of CD4+ T-cells in a single experiment. The scdPCR method was then applied to CD4+ T cells obtained from HIV-1-infected individuals on antiretroviral therapy. Overall, our results suggest that effects of LRAs on HIV-1 reactivation may be heterogeneous-increasing transcription from active cells in some cases and increasing the number of transcriptionally active cells in others. Genomic DNA and human mRNA isolated from HIV-1 reactivated cells could also be detected and quantified from individual cells. As a result, our assay has the potential to provide needed insight into various reservoir eradication strategies.