JAC Advance Access published online on March 13, 2003
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkg175
© 2003 by The British Society for Antimicrobial Chemotherapy
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Original article
1 Division of Nephrology,
Box 1243, Mount Sinai School of Medicine, One Gustave L. Levy Place,
New York,
NY 10029
* Corresponding author. E-mail: peter.nelson{at}mssm.edu.
Received 2 October 2002
; revised 20 December 2002
; accepted 25 January 2003
Cumulative evidence suggests that human immunodeficiency
virus-associated nephropathy (HIVAN), the third leading cause of
end-stage renal disease in African-Americans, may respond to therapeutic
strategies that interrupt HIV-1 expression in infected renal epithelium.
We recently demonstrated that suppression of HIV-1 transcription
in infected glomerular visceral epithelial cells by flavopiridol,
a small-molecule inhibitor of the cyclin-dependent kinases required
for HIV-1 promoter activity, reversed HIV-induced proliferation
and dedifferentiation in vitro. To address whether
flavopiridol could ameliorate HIV-induced renal disease, we utilized
a well-established HIV-1 NL4-3 transgenic mouse model of HIVAN.
HIV-1 proviral transgene expression in whole kidney was markedly
suppressed by a 20 day treatment with flavopiridol. Following treatment,
histopathological, serological and urinary indices of nephrosis
were normalized in flavopiridol-treated but not in vehicle-treated
transgenics. Microarray analysis showed that 82% of the
dysregulated genes in HIVAN kidney were normalized to control levels
by flavopiridol, whereas continued dysregulation of most of the
remaining 18% was attributable to an effect from flavopiridol
alone. These results demonstrate for the first time that targeting
the cyclin-dependent kinases that support HIV-1 expression can ameliorate
HIV-induced disease in an animal model.
Keywords: kidney, renal, therapy, AIDS, model
Amelioration of nephropathy in mice expressing
HIV-1 genes by the cyclin-dependent kinase inhibitor flavopiridol
2 Department of
Pathology, Columbia University College of Physicians & Surgeons,
New York,
NY 10032
3 Aventis Pharmaceuticals,
Inc., Bridgewater, NJ 08807
4 Division
of Infectious Diseases,
Mount Sinai School of Medicine, New York, NY 10029, USA
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