A screen to predict gene knockouts that will improve HIV reactivation from the combination of AZD5582 & I-BET151.

(A) Basal J-Lat conditions (left panel) followed by screen scenarios (middle to right panels). Screen overview: J-Lat cells containing an internal provirus are transduced with the HIV-CRISPR vector to generate a library of knockout cells for the human epigenetic library. Knockout cells are selected by puromycin and then either treated with LRAs or untreated. The HIV-CRISPR vector is packageable and will accumulate in the supernatant if the internal HIV provirus is reactivated. Sequencing the supernatant and cells allows for measurement of how enriched a guide is. (A, from left to right) Basal conditions show a gene product can block reactivation of HIV at the transcriptional level. Knockout alone shows that upon introducing the HIV-CRISPR some gene knockouts will result in latency reversal in the absence of LRA treatment. LRA combo alone shows the effect of LRA stimulation alone and how this will result in non-targeting guides (black) accumulating in the supernatant. Knockout + LRA combo shows that some gene knockouts will improve reactivation with LRA treatment and result in more virus accumulation. B-C are the results of the screens in J-Lat 5A8 (B) and J-Lat 10.6 (C). Each are graphed as a comparison of the LRA combo AZD5582 & I-BET151 (Y-axis) treated screens to the untreated (DMSO) screens (X axis) as the -Log2 MAGeCK gene scores for each gene target. Purple and blue genes are genes in common between J-Lat 10.6 and 5A8 that are predicted to improve AZD5582 & I-BET151 treatment specifically and purple is the top gene hit in common. NTC = nontargeting control guide.

Validation of INTS12 knockout in HIV latency reversal both on its own and in the presence of AZD5582 & I-BET151.

J-Lat 5A8 (A) and J-Lat 10.6 (B) cells were knocked out for INTS12 or control locus, AAVS1. With a calculated INTS12 knockout score of 76% (for the one guide used) and 69% (for one of three guides used), respectively. Cells were then treated with 10 nM AZD5582 and or 0.1 µM I-BET151 for 24 hours (or an equivalent volume of DMSO), and HIV reverse transcriptase activity was measured from the supernatant (reported in mU/mL). (C) Complementation of cells knocked out for INTS12 or AAVS1 were transduced with a vector containing INTS12 before LRA treatments. These cells had an INTS12 knockout score of 55% for one of three guides used. Untreated = DMSO, AZD = AZD5582, IBET = I-BET151. For statistical analysis, all conditions are compared to the AAVS1 control. 2-way ANOVA, (A-B) uncorrected Fisher’s LSD (C), Šídák’s multiple comparisons test, p-value = <0.05 = *, = <0.01 = **, = <0.001 = ***, = <0.0001 = ****.

INTS12KO reactivates HIV alone and in combination with AZD5582 & I-BET151 at the level of steady-state viral transcripts.

(A) Total RNA-seq reads mapping to the HIV provirus were averaged for biological triplicates normalized to copies per million reads (CPM). One way ANOVA, Šídák’s multiple comparisons tests, p-value = <0.05 = *, = <0.01 = * *, = <0.001 = ***, = <0.0001 = ****. (B) Pileup graphs corresponding to each of the conditions represent averaged reads from biological triplicates that have been normalized to CPM, and the peaks correspond in location to the integrated provirus with viral genes labeled below. The scale of the pileups is in the top left of each row. Note that PMAi has a different scale than the other samples. The 3’ LTR is masked so that reads will only map to the 5’ LTR. AZD = AZD5582, IBET = I-BET151, PMAi = PMA & Ionomycin. All chromosome locations and quantified regions can be found in supplemental file S4. Cells used in this figure have an INTS12 knockout score of 75%.

Specificity of INTS12KO for reactivation of HIV on its own and in combination with AZD5582 & I-BET151.

Differentially expressed genes are graphed by Log2 (Fold Change) on the y axis, denoting how upregulated (red) or downregulated (blue), a gene is, and the average counts per million (CPM) on the x axis, denoting the expression of each gene. The big red dot denotes the average of all reads mapping to the HIV provirus. The red number at the top of each graph corresponds to the number of significantly upregulated genes in a comparison and the blue number in the bottom corresponds to number of significantly downregulated genes in a comparison. Grey genes are not statistically significant and not up or downregulated. (A), left panel shows the effect of AZD5582 & I-BET151 treatment alone compared to the DMSO control. (A), middle panel shows the effect of the INTS12 KO on gene expression compared to the AAVS1 KO control. (A), right panel shows the effect of both AZD5582 & I-BET151 treatment of INTS12 KO cells compared to the control DMSO treated AAVS1 KO cells. (B) Is graphed using a different scale than A and shows the effect of PMAi treatment compared to the DMSO control. Cells used in this figure have an INTS12 knockout score of 75%.

INTS12 binds the HIV promoter and KO increases occupancy of RNAPII through the provirus.

CUT&Tag using antibodies to INTS12 (A) or total RNAPII (RPB3) (B) were used to generate pileup graphs that show where each are binding chromatin. The location of where reads are mapping is denoted below, and the scale are the numbers on the left of each row. Each row represents three to five technical replicates averaged together. (A, left panel) shows a zoom in of the HIV LTR and where INTS12 is binding. (A, right panel) quantifies total reads of INTS12 in the area denoted by the grey dashed lines in the left panel. (B, left panel) shows where RPB3 is binding across the HIV provirus and downstream. (B, right panel) quantifies total reads of RPB3 in the regions denoted by the grey dashed lines in the left panel, regions 1-3. All chromosome locations and quantified regions can be found in supplemental file S4. Two-tailed independent samples t-test p-value = <0.05 = *, = <0.01 = **, = <0.001 = ***, = <0.0001 = ****. Cells used in this figure have an INTS12 knockout score of 80%.

INTS12 knockout in an ex vivo primary cell system shows reactivation from knockout alone and in combination with AZD5582 & I-BET151.

Number of gag copies/ug of RNA were measured from the cell (A-B) or the supernatant (C) for different donors, marked by different symbols, above. (A)INTS12KO (12KO) was compared to a non-targeting control (NTC). (B) AZD5582 & I-BET151 treated INTS12 KO (AB + 12KO) was compared to AZD5582 & I-BET151 treatment (AB). Unpaired t-test, p-value = <0.05 = *, = <0.01 = **, = <0.001 = ***, = <0.0001 = ****. The green coloration denotes samples that are in common between A-C. (C) gag in the supernatant was measured for three different donors. Two-way ANOVA p-value = <0.05 = *, = <0.01 = **, = <0.001 = ***, = <0.0001 = ****.

HIV-CRISPR screen with a library that includes Integrator complex members.

Screen #2 was performed in J-Lat 10.6 cells of a library of NF-kB-related factors where all Integrator complex members were added. The y axis is the -log (MAGeCK gene score) which denotes how enriched a gene is. INTS12 has been shown to bind INTS1 (Fianu et al., 2021), so INTS12 was included in the core group coloration. The average NTCs are marked by a dotted line.