In the ERC starting grant INTEGHER, we successfully addressed the aims as proposed in the project and already published 16 manuscripts in high impact journals including Nature, Nature Biotechnology, MBE and PNAS. Additional manuscripts are currently in preparation. Beyond that, the data obtained in the INTEGHER laid the foundation for current and future projects and grants.
In the first aim, we developed a tool that allows visualization of herpesvirus genomes in living cells. Our experiments revealed that the replication centers, which form in the nucleus, are very dynamic and appear rapidly after infection. In addition, we could detect the integrated virus genome in the quiescent phase of infection (latency), where one or more individual viral genomes were detected. We also investigated the silencing of the HHV-6 genome during integration and could show that the virus genome is completely silenced within a matter of days. Furthermore, we demonstrated that the virus genome is silenced on an epigenetic level and highly compacted, preventing the expression of viral genes.
In the second aim, we assessed which viral and cellular factors facilitate HHV-6 integration. We could show that telomere sequences in the HHV-6 genome facilitate the integration into human telomeres. This study provided the first molecular evidence on the HHV-6 integration mechanism and was published in PLoS Pathogens. In addition, we addressed the role of viral and cellular proteins in the integration process. We could prove that the putative viral integrase U94 is dispensable for HHV-6 integration. Furthermore, we could demonstrate that the U70 protein of HHV-6 enhances recombination via the single strand annealing (SSA) pathway. However, this protein is also not essential for integration. On the cellular side, we could reveal that telomerase activity, and the host proteins PML and TRF-2 are required for efficient integration of the virus into host telomeres. Moreover, our work revealed that the ND10 complex suppresses HHV-6 replication and reactivation.
In the third aim, we established a tool to eliminate the integrated HHV-6 genome from cells using the CRISPR/Cas9 system. Prior to excision, we characterized the HHV-6 integration sites to obtain insights into the target region. We developed a novel whole-genome optical nanopore mapping approach that provided a high-resolution map of the integration site for multiple iciHHV-6 patients. Using this knowledge, we optimized our CRISPR/Cas9 approach to increase the efficiency of HHV-6 genome excision. By increasing the number of target sites for the excision, we could drastically increase the excision efficiency and eliminate the virus in most cells (Aimola, et al. in preparation). We also successfully used this approach on iciHHV-6 patient cells, providing a therapeutic approach for the excision of virus genomes in the clinics.