Control of viral infections by epigenetic-targeted therapy

Clin Epigenetics. 2019 Mar 27;11(1):55. doi: 10.1186/s13148-019-0654-9.

Abstract

Epigenetics is defined as the science that studies the modifications of gene expression that are not owed to mutations or changes in the genetic sequence. Recently, strong evidences are pinpointing toward a solid interplay between such epigenetic alterations and the outcome of human cytomegalovirus (HCMV) infection. Guided by the previous possibly promising experimental trials of human immunodeficiency virus (HIV) epigenetic reprogramming, the latter is paving the road toward two major approaches to control viral gene expression or latency. Reactivating HCMV from the latent phase ("shock and kill" paradigm) or alternatively repressing the virus lytic and reactivation phases ("block and lock" paradigm) by epigenetic-targeted therapy represent encouraging options to overcome latency and viral shedding or otherwise replication and infectivity, which could lead eventually to control the infection and its complications. Not limited to HIV and HCMV, this concept is similarly studied in the context of hepatitis B and C virus, herpes simplex virus, and Epstein-Barr virus. Therefore, epigenetic manipulations stand as a pioneering research area in modern biology and could constitute a curative methodology by potentially consenting the development of broad-spectrum antivirals to control viral infections in vivo.

Keywords: Cancer; Epigenetics; HCMV; HIV; Treatment; Virus.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antiviral Agents / pharmacology*
  • Antiviral Agents / therapeutic use
  • Epigenesis, Genetic / drug effects*
  • Gene Expression Regulation, Viral / drug effects
  • Humans
  • Molecular Targeted Therapy
  • Viral Proteins / drug effects
  • Viral Proteins / genetics*
  • Virus Activation / drug effects
  • Virus Diseases / drug therapy*
  • Virus Diseases / genetics
  • Virus Latency / drug effects

Substances

  • Antiviral Agents
  • Viral Proteins