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J Virol, July 1998, p. 5862-5869, Vol. 72, No. 7
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Retinoid-Induced Repression of Human
Immunodeficiency Virus Type 1 Core Promoter Activity Inhibits
Virus Replication
Joseph W.
Maciaszek,1
Salvatore J.
Coniglio,2
David A.
Talmage,3 and
Gregory
A.
Viglianti2,*
Program in Virology and Immunology,
University of Massachusetts Medical Center, Worcester, Massachusetts
016051;
Department of Microbiology,
Boston University School of Medicine, Boston, Massachusetts
021182; and
Institute of Human
Nutrition, Columbia University, New York, New York
100323
Received 16 January 1998/Accepted 15 April 1998
 |
ABSTRACT |
The rates of mother-to-child transmission of human immunodeficiency
virus type 1 (HIV-1), progression to AIDS following HIV-1 infection,
and AIDS-associated mortality are all inversely correlated with serum
vitamin A levels (R. D. Semba, W. T. Caiaffa, N. M. H. Graham, S. Cohn, and D. Vlahov, J. Infect. Dis. 171:1196-1202, 1995; R. D. Semba, N. M. H. Graham, W. T. Caiaffa,
J. B. Margolik, L. Clement, and D. Vlahov, Arch. Intern. Med.
153:2149-2154, 1993; R. D. Semba, P. G. Miotti, J. D. Chiphangwi, A. J. Saah, J. K. Canner, G. A. Dallabetta,
and D. R. Hoover, Lancet 343:1593-1596, 1994). Here we show that
physiological concentrations of vitamin A, as retinol or as its
metabolite, all-trans retinoic acid, repressed HIV-1Ba-L replication in monocyte-derived macrophages
(MDMs). Repression required retinoid treatment of peripheral monocytes during their in vitro differentiation into MDMs. Retinoids had no
repressive effect if they were added after virus infection. Retinol, as
well as all-trans retinoic acid and 9-cis
retinoic acid, also repressed HIV-1 long terminal repeat (LTR)-directed expression up to 200-fold in transfected THP-1 monocytes. Analysis of
HIV-1 LTR deletion mutants demonstrated that retinoids were able to
repress activation of HIV-1 expression by both NF-
B and Tat. A
cis-acting sequence required for retinoid-mediated
repression of HIV-1 transcription was localized between nucleotides
51 and +12 of the HIV-1 LTR within the core promoter. Protein-DNA
cross-linking experiments identified four proteins specific to
retinoid-treated cells that bound to the core promoter. We conclude
that retinoids render macrophages resistant to virus replication by
modulating the interaction of cellular transcription factors with the
viral core promoter.
 |
INTRODUCTION |
Vitamin A is involved in a wide
variety of normal processes, including immunity, differentiation,
growth, reproduction, and vision (19, 32). The main dietary
sources of vitamin A, retinol and the provitamin
-carotene, are
converted to a number of bioactive derivatives, including, among
others, all-trans retinoic acid (RA) and 9-cis RA
(9cRA). Cellular effects of these metabolites are mediated by nuclear
receptors, which are ligand-dependent transcription factors
(17-19, 37). Two families of retinoid receptors have been
identified. The RA receptors (RAR
, RAR
, and RAR
) bind to and
are activated by both RA and 9cRA. The retinoid X receptors (RXR
,
RXR
, and RXR
) bind only 9cRA. Recent experiments have shown that
RAR binds DNA as a heterodimer with RXR and activates transcription
following ligand binding (18). Ligand-associated RXRs are
thought to bind DNA either as homodimers or as heterodimers in
association with RARs and other members of the steroid-thyroid hormone
receptor family.
Several properties of human immunodeficiency virus type 1 (HIV-1)-induced disease are inversely correlated with a person's serum
vitamin A level. Semba et al. (35) found that the rates of
mother-to-child transmission of HIV-1 were increased over fourfold in
women who were vitamin A deficient and that vitamin A deficiency was
associated with a fourfold increase in risk of death in HIV-1-positive individuals (33, 34). Moreover, levels of dietary vitamin A
have been shown to influence progression to AIDS (39), and supplementation can decrease HIV-1-associated morbidity in children (7). The association between vitamin A and HIV-1 disease
progression cannot be attributed simply to overall malnutrition. In a
study correcting for other factors, including energy intake, Tang et al. (39) still found that vitamin A deficiency held an
elevated risk for AIDS mortality. Underscoring the complex nature of
the relationship between vitamin A status and disease, these authors also found that a vitamin A intake of >20,000 IU/day increased the
relative risk of AIDS mortality (39). This relationship between vitamin A status and disease is further complicated by the
observation that AIDS patients are compromised in their ability to
maintain vitamin A homeostasis (6, 12, 28).
The effect of vitamin A on HIV-1 disease could reflect either a direct
effect of retinoids on virus gene expression or a general effect on
immune function (32). Vitamin A has profound effects on
hematopoeisis and is required for differentiation of cells of the
myeloid lineage (24, 40, 42). Retinoids have also been shown
to regulate HIV-1 gene expression in myeloid cells. We and others have
shown that vitamin A directly modulates HIV-1 replication in myeloid
cells (20, 30, 41, 43, 44). Pretreatment of the promonocytic
cell line U937 with RA activated both HIV-1 and simian immunodeficiency
virus from rhesus macaques (SIVmac) long terminal repeat
(LTR)-directed transcription approximately threefold by itself and up
to 300-fold in synergy with phorbol 12-myristate 13-acetate (PMA)
(20). The cis-acting sequences required for this
synergistic activation were localized between nucleotides
50 and +1
of the SIVmac promoter and
83 and +80 of the HIV-1
promoter. Activation required greater than 4 days of RA pretreatment.
This lag, along with the demonstration that RA altered the pattern of
proteins bound to
50 through +1 of the SIVmac LTR,
indicated that RA was modulating the expression of cellular factors.
Poli et al. (30) have shown that RA treatment stimulated
HIV-1 replication in acutely infected U937 cells. Paradoxically, RA
treatment of chronically infected U937 cells repressed PMA, interleukin-6, or granulocyte-macrophage colony-stimulating factor activation of HIV-1 (30, 44). The opposite responses of
acutely versus chronically infected cells to RA might reflect the
differentiation state of these cells. HIV-1 infection induces U937
promonocytic cells to differentiate to a more mature monocyte-like
state (27, 29). If the response to RA proved to depend on
the differentiation state of the infected cell, then in vivo, vitamin A
should have therapeutic potential, since macrophages are the
predominant myeloid cell type infected by HIV-1. Consistent with this
prediction, RA inhibited HIV-1 replication in alveolar macrophages
(44), and in monocyte-derived macrophages (MDMs)
(30). In the latter case the RA effects were donor
dependent.
In an effort to resolve these discrepancies and establish the
anti-HIV-1 therapeutic potential of vitamin A, we have started to
delineate the molecular mechanisms responsible for retinoid-mediated effects on HIV-1 gene expression. We show that physiological
concentrations of either retinol, RA, or 9cRA repress HIV-1
LTR-directed expression in the THP-1 monocytic cell line. These
retinoids prevented transactivation of the HIV-1 LTR by both NF-
B
and the viral protein Tat, reducing LTR-directed expression up to
200-fold. The cis-acting sequences required for repression
are contained within the viral core promoter. Repression required
retinoid pretreatment of the cells and was associated with a change in
the pattern of cellular factors which bound to the core promoter.
 |
MATERIALS AND METHODS |
Monocyte isolation and culture.
Peripheral blood mononuclear
cells (PBMCs) were purified from healthy volunteers by Ficoll gradient
centrifugation. PBMCs were suspended in RPMI 1640 medium containing 25 mM HEPES (pH 7.4), 0.29 mg of L-glutamine/ml, 50 U of
penicillin/ml, 50 µg of streptomycin/ml, 20% fetal bovine serum
(FBS), and 10% pooled human AB serum. The serum stocks contained less
than 0.3 endotoxin units per ml. All other reagents were endotoxin
free. The cells were cultured overnight, after which nonadherent cells
were removed, and adherent cells were cultured for an additional 4 days
before virus infection. The cultures were infected with
HIV-1Ba-L (3,000 ng of p24/5 × 105 cells)
and maintained in medium without human serum. Virus replication was
quantified either by measuring extracellular reverse transcriptase activity (9) or by p24 antigen enzyme-linked immunosorbent assay (ELISA) (Coulter). When indicated, retinoids were added from
concentrated stocks (in ethanol) daily, beginning at the time of
isolation of adherent PBMCs and continuing throughout the experiment.
Cells not treated with retinoids received 0.01% ethanol to control for
solvent effects.
THP-1 monocytes were grown in RPMI 1640 containing 25 mM HEPES (pH
7.4), 0.29 mg of L-glutamine/ml, 50 U of penicillin/ml, 50 µg of streptomycin/ml, and 10% FBS. They were treated with retinoids
as described above.
Plasmids.
PCR was used to isolate different regions of the
HIV-1 LTR from HIV-1LAV-1. These fragments were inserted
upstream from the chloramphenicol acetyltransferase (CAT) gene and
simian virus 40 polyadenylation sequences and cloned into pSP72
(Promega). p(
139/+84)CAT includes the binding sites for the cellular
transcription factors NF-
B and Sp1 as well as the general
transcription factor, TFIID. It also encodes TAR, the binding site for
Tat. p(
86/+84)CAT includes the binding sites for Sp1 and TFIID and
encodes TAR. p(
51/+84)CAT includes the binding site for TFIID and
encodes TAR. p(
86/+12)CAT includes the binding sites for Sp1 and
TFIID but does not encode TAR.
pCMVCAT was constructed by inserting the CAT gene downstream from the
cytomegalovirus (CMV) immediate-early promoter in the
vector pCMV5
(
2). pCMVcTat contains a cDNA including both coding
exons of
HIV-1 Tat under the transcriptional control of the CMV
immediate-early
promoter (
36).
Transfections and CAT assays.
Mid-log-phase THP-1 monocytes
were washed, suspended in RPMI 1640 (room temperature), and transfected
by electroporation at settings of 300 V and 1,160 µF. Transfections
included 8 µg of either an LTR-CAT or CMV-CAT reporter per
107 cells. Some transfections also included 4 µg of
pCMVcTat. Those transfections not including pCMVcTat contained pCMV5
instead in order to maintain a constant amount of DNA in each
transfection. In some experiments, one-half of the transfected cells
were treated with 50 nM PMA. Retinoid treatments were continued in
those cultures that were initially pretreated with retinoids. Cellular
extracts were prepared from the transfected cells after 20 h and
assayed for CAT activity as previously described (20).
Flow cytometric analysis.
THP-1 monocytes were washed two
times with phosphate-buffered saline (PBS) and resuspended in RPMI 1640 containing 10% FBS (107 cells/ml). MDMs were detached from
tissue culture plates by incubating them in RPMI 1640 containing 5%
FBS and 10 mM EDTA. The detached MDMs were washed two times with PBS
and resuspended in RPMI 1640 containing 10% FBS (5 × 106 cells/ml.) The washed cells were stained by incubation
for 30 min at 4°C with either anti-CD11b (fluorescein isothiocyanate [FITC]), anti-CD11c (FITC), anti-CD14 (FITC), or anti-CD33
(phycoerythrin). The cells were washed two times with PBS and fixed in
1% paraformaldehyde. A minimum of 10,000 cells were analyzed for each
sample with a Becton Dickinson fluorescence-activated cell sorter. The
percentage of positive cells was calculated in comparison to isotype
control stained cells.
Electrophoretic mobility shift and protein-DNA cross-linking
assays.
Cellular extracts and radiolabeled probes were prepared as
described previously (20). Mobility shifts were performed
with 15 µg of cellular extract and 0.35 ng of probe (approximately 30,000 cpm).
Radiolabeled, bromodeoxyuridine-substituted probes were synthesized by
PCR with
Taq polymerase and the HIV-1
LAV-1 LTR
as a
template. The amplifications were performed in
Taq
buffer containing
250 µCi of [

-
32P]dCTP, 50 µM
bromodeoxyuridine, 50 µM dATP, 50 µM dGTP, and 5
µM dCTP. The
labeled probe (10
5 cpm; ~0.25 ng) was incubated with 10 µg of cellular extract under
standard gel shift conditions
(
20), and the reactions mixtures
were spotted onto plastic
wrap over an UV light transilluminator
(312 nm) at 4°C. The samples
were cross-linked for 3 min, and
then CaCl
2 and
MgCl
2 were added to 5 mM each. The samples were
digested
with DNase I (10 U; 37°C, 20 min). The resultant radiolabeled
proteins were resolved on sodium dodecyl sulfate (SDS)-containing
6%
polyacrylamide gels.
 |
RESULTS |
Retinoic acid represses HIV-1 expression in THP-1 monocytes.
We previously reported that all-trans retinoic acid and PMA
synergistically activated HIV-1 expression in the promonocytic cell line U937. In agreement with these results, Poli et al.
(30) reported that RA activated HIV-1 in acutely infected
U937 cells but repressed HIV-1 replication in chronically infected U937
cells. Because HIV-1 induces U937 cells to differentiate to a more
monocyte-like phenotype (27, 29) we reasoned that the
different effects of RA might be related to the differentiation state
of the cell. To test this, we transfected either untreated or
RA-pretreated THP-1 monocytes (10
7 M; 4 days) with a
biologically active provirus clone, pHIV-1NL4-3 (1). Untreated, transfected cells transiently produced
HIV-1, as determined by p24 antigen capture ELISA. After 3 days
cell-free supernatants contained over 300 pg of p24/ml. Treatment of
THP-1 cells with RA for 4 days prior to transfection repressed virus expression to the extent that no p24 was detected (Table
1).
Physiological concentrations of retinoids repress HIV-1 replication
in MDMs.
We next determined whether retinoids could repress HIV-1
replication in primary MDMs. MDMs were prepared from PBMCs by overnight adherence to plastic and were grown either with or without RA for four
additional days prior to infection with HIV-1Ba-L. At 3-day
intervals virus levels were quantified by assaying reverse transcriptase activity in the culture medium. In untreated cultures, reverse transcriptase was detected after 3 days, increased to peak
levels at 15 days, and thereafter decreased. The decrease was
associated with extensive cell death. RA pretreatment delayed the
appearance of virus typically until days 6 to 9 and repressed total
virus production at all time points (Fig.
1a). Moreover, there were no signs of
cell death in the RA-treated cultures. In additional experiments we
found that both RA and its precursor, retinol, showed antiviral
activity over a wide range of concentrations, including those expected
to correspond to plasma levels found in healthy individuals (Fig. 1b).
However, in all cases retinoids had antiviral effects only when cells
were pretreated. When added postinfection, retinoids failed to repress
virus replication and in some instances slightly augmented replication.

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FIG. 1.
Retinol and RA repress HIV-1 replication in MDMs. MDMs
were grown either with or without retinoids for 5 days and then
infected with HIV-1Ba-L, a macrophage-tropic virus isolate.
After infection, retinoid treatments were continued in those cultures
that were pretreated and begun in other cultures that were previously
untreated (post-infection). Some cultures were left untreated and
served as controls. (a) Virus production in untreated and RA-pretreated
(10 9 M) MDMs was measured as cell-free reverse
transcriptase activity. Each time point represents the average (± standard deviation) of three independent infections. (b) Levels of
virus production 15 days after infection. Each sample represents the
average (± standard deviation) of three independent infections. untr.,
untreated.
|
|
Retinoids repress HIV-1 LTR-directed expression in THP-1
monocytes.
To determine if the antiviral activity of retinoids
resulted from repressed transcription from the HIV-1 LTR, we examined the transient expression of HIV-1 LTR-CAT reporter plasmids in transfected THP-1 cells. When THP-1 cells were pretreated with RA for 4 days prior to transfection, Tat-activated expression was repressed more
than 200-fold (Fig. 2a). Repression of
LTR-directed expression was also seen when cells were pretreated for 4 days with either retinol or 9cRA (Fig. 2b).

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FIG. 2.
Retinol and its metabolic derivatives RA and 9cRA
repress HIV-1 LTR-directed expression in THP-1 monocytes. (a) Untreated
or RA-treated (10 7 M; 4 days) THP-1 monocytes were
transfected with p( 139/+84)CAT, a plasmid containing a portion of the
HIV-1 LTR (nucleotides 139 through +84) directing the expression of
CAT. Some transfections also contained pCMVcTat (Tat), a plasmid
expressing Tat. Levels of CAT activity were measured 16 to 18 h
after transfection. The data are the averages (± standard deviations)
of four independent transfections. Fold repression was calculated as
the ratio of CAT activities measured from untreated cells to those in
retinoid-treated cells. +, treated; , untreated. (b) Untreated ( )
or retinoid-treated (retinol [ROL], 10 6 M, 4 days; RA
[AT], 10 7 M, 4 days; 9cRA [9c], 10 7 M,
4 days) THP-1 cells were cotransfected with p( 139/+84)CAT and
pCMVcTat. Levels of CAT activity were measured 16 to 18 h after
transfection. The data are the averages (± standard deviations) of
three independent transfections. trt, treatment.
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|
RA repressed expression from both a CAT reporter containing the entire
U3 region and extending to nucleotide +84 of the HIV-1
LTR (data not
shown) and a reporter [p(

139/+84)CAT] containing
LTR nucleotides

139 through +84 (Fig.
2a). The

139-to-+84 construct
includes the
HIV-1 core enhancer and promoter as well as the Tat-responsive
TAR
element. In the case of cotransfection of p(

139/+84)CAT with
pCMVcTat, RA treatment resulted in an average CAT activity 13-fold
below that seen in untreated THP-1 cells transfected with
p(

139/+84)CAT
alone. The HIV-1 LTR is constitutively active in THP-1
cells because
of high endogenous levels of active nuclear NF-

B
(
10). RA,
therefore, repressed both cellular
(NF-

B-dependent) and viral
(Tat-dependent) transactivation of the
HIV-1 LTR.
RA pretreatment of THP-1 monocytes for 24 to 48 h repressed HIV-1
LTR-directed expression 20- to 80-fold (Fig.
3a). In contrast,
with these pretreatment
times CMV immediate-early-promoter-directed
expression was slightly
activated (Fig.
3b). Shorter pretreatment
times had no significant
effect on LTR-directed expression (data
not shown). In some
experiments, RA treatment for greater than
24 h repressed the CMV
immediate-early promoter by at most fivefold
(data not shown). These
results indicate that RA pretreatment
did not generally reduce
expression of transfected promoters or
reduce the transfection
efficiency of THP-1 cells.

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FIG. 3.
Time course of RA-mediated repression. (a) THP-1
monocytic cells were treated for the indicated times with
10 7 M RA. Both treated and untreated cells were then
cotransfected with p( 139/+84)CAT and pCMVcTat. Levels of CAT activity
were measured 16 to 18 h after transfection. The data obtained
from two independent experiments are shown. (b) THP-1 monocytes were
treated as described above and then transfected with pCMVCAT containing
the CMV immediate-early promoter directing CAT expression. Levels of
CAT activity were measured 16 to 18 h after transfection. The data
obtained from two independent experiments are shown.
|
|
As expected, based on the repression of HIV-1 replication in MDMs (Fig.
1b), retinoids repressed LTR-driven CAT expression
over a wide range of
concentrations, including concentrations
normally found in human plasma
(Fig.
4).

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FIG. 4.
Concentration dependence of retinoid-mediated
repression. THP-1 monocytic cells were treated for 4 days with the
indicated concentration of either RA (solid symbols) or retinol (open
symbols) and then cotransfected with p( 139/+84)CAT and pCMVcTat.
Levels of CAT activity were measured 16 to 18 h after
transfection. The data obtained from two independent experiments are
shown. Circles, experiment 1; squares, experiment 2.
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Repression of HIV-1 gene expression is not obligatorily coupled
with cellular differentiation.
Retinoids have been shown to
modulate the differentiation of myeloid cells (24, 40, 42).
Thus, the repressive effects of retinoids on HIV-1 gene expression
might be due to changes in cellular differentiation that could be
induced by other agents. We therefore examined whether PMA, which
induces macrophage differentiation of THP-1 monocytes, would also
repress HIV-1 gene expression. Both untreated and RA-treated (4 days;
10
7 M) THP-1 monocytes were cotransfected with
p(
139/+84)CAT and pCMVcTat. After transfection, one-half of the cells
were treated for 24 h with 50 nM PMA. RA treatment repressed HIV-1
LTR-directed CAT activity 90-fold (Fig.
5). In contrast, PMA, which induced these
cells to become adherent (data not shown), repressed HIV-1 LTR-CAT
activity 1.7-fold (Fig. 5). Combined treatment with RA and PMA
repressed HIV-1 LTR expression to the same extent as RA treatment
alone. These results indicate that repression is not a general property
of differentiation but rather is associated with retinoid-specific
changes in the cell. Because RA increased the expression of some
macrophage markers on THP-1 monocytes, including CD11b and CD14, but
decreased the expression of others, including CD11c and CD33 (Table
2), it is possible that repression was
associated with a distinct retinoid-differentiated macrophage phenotype.

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FIG. 5.
RA-mediated repression and THP-1 differentiation are not
synonymous. Untreated or RA-treated (10 7 M; 4 days) THP-1
monocytes were cotransfected with p( 139/+84)CAT and pCMVcTat.
One-half of the transfected cells were also treated with 50 nM PMA.
Levels of CAT activity were measured 24 h after transfection. The
data are the averages (± standard deviations) of four independent
experiments. +, treated; , untreated.
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|
Retinoid repression requires sequences contained within the HIV-1
core promoter.
As a first step in identifying monocyte/macrophage
factors responsible for retinoid-mediated repression of HIV-1 gene
expression, we constructed LTR-CAT reporter constructs containing
various portions of the HIV-1 LTR. These included p(
86/+84)CAT
(including Sp1 binding sites and the Tat-responsive element, TAR),
p(
51/+84)CAT (Tat responsive but lacking Sp1 binding sites), and
p(
86/+12)CAT (including Sp1 binding sites but lacking TAR). RA
repressed Tat-induced expression from both p(
86/+84)CAT and
p(
51/+84)CAT and basal expression from p(
86/+12)CAT (Fig.
6). RA repression of p(
51/+84)CAT and
p(
86/+12)CAT indicates that the RA-sensitive element(s) lies between
nucleotides
51 and +12 and that RA repressed activation by both
upstream cellular (NF-
B and Sp1) and downstream viral (Tat)
activators.

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FIG. 6.
RA represses HIV-1 expression from the core promoter.
Untreated ( ; shaded bars) or RA-treated (10 7 M; 4 days)
(+; solid bars) THP-1 cells were transfected with HIV-1 LTR-CAT
reporter plasmids containing different portions of the HIV-1 promoter.
p( 86/+84)CAT includes the binding sites for Sp1 and TFIID and encodes
TAR, the binding site for Tat. p( 51/+84)CAT includes the binding site
for TFIID and encodes TAR. p( 86/+12)CAT includes the binding sites
for Sp1 and TFIID but does not encode TAR. All transfections also
contained pCMVcTat. Levels of CAT activity were measured 16 to 18 h after transfection. The data are the averages (± standard
deviations) of at least three to four independent transfections.
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Retinoid treatment is associated with a change in cellular factors
which bind to the HIV-1 core promoter.
Based on the above results,
we predicted that RA modulated the binding of cellular factors to
sequences between
51 and +12 of the LTR. To test this prediction, we
compared protein-DNA complexes formed between THP-1 and RA-treated
THP-1 extracts with end-labeled DNA fragments corresponding to either
51 to +84 or
51 to +12 of the HIV-1 LTR (Fig.
7a and b). With THP-1 extracts, a
specific complex, B2, was detected following nondenaturing
polyacrylamide gel electrophoresis. When we used RA-differentiated
THP-1 cell extracts, an additional complex, B2RA, was seen, which
migrated more slowly and replaced the B2 complex seen with untreated
extracts. Slower-migrating B2RA complexes were also seen with extracts
prepared from either retinol (10
6 M; 4 days)- or 9cRA
(10
7 M; 4 days)-differentiated THP-1 cells (Fig. 7c).
Therefore, the three retinoids we tested which repress HIV-1
LTR-directed expression induce similar changes in the binding of
cellular factors to the LTR.

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FIG. 7.
Retinoid treatment of THP-1 monocytes alters the pattern
of factors which bind to the HIV-1 promoter. (a and b) Cellular
extracts were prepared from both untreated THP-1 monocytes ( ) and
cells that were treated for 4 days with 10 7 M RA (+).
Extracts were incubated with radioactive DNA probes corresponding to
either nucleotides 51 through +84 (a) or 51 through +12 (b) of the
HIV-1 promoter. Protein-DNA complexes were resolved on a nondenaturing
polyacrylamide gel. Extracts from untreated cells formed a complex, B2,
with the 51-through-+84 probe. A complex with a slower
electrophoretic mobility, B2RA, was formed with extracts from
RA-treated cells. Both complexes were specifically competed for by a
100-fold molar excess of unlabeled self DNA (comp) but not by a
fragment containing the CMV immediate-early promoter (data not shown).
Similar complexes were formed when the 51-through-+12 probe was used.
(c) Cellular extracts were prepared from either untreated THP-1
monocytes ( ) or cells treated for 4 days with either
10 7 M RA, 10 7 M 9cRA (9c), or
10 6 M retinol (Rol). Electrophoretic mobility shift
assays were performed with a radioactive DNA probe corresponding to
nucleotides 51 through +84 of the HIV-1 LTR. (d) Cellular extracts
from either untreated ( ) or RA-treated (10 7 M; 4 days)
(+) cells were incubated with radioactive,
bromodeoxyuridine-substituted DNA probes corresponding to either
nucleotides 51 through +84 or 51 through +12 of the HIV-1 promoter.
Bound proteins were cross-linked to DNA by UV light and then separated
on either 10% (left) or 6% (right) SDS polyacrylamide gels.
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|
B2RA could represent either a novel DNA-protein complex formed instead
of B2 or an additional RA-induced component that increased
the apparent
size of B2. To confirm that RA-induced differentiation
altered the
protein composition of B2, resulting in the formation
of B2RA, we
covalently cross-linked "body labeled" DNA to proteins
in both
types of extracts (Fig.
7d). Cellular extracts from both
RA-treated and
untreated THP-1 cells were incubated with a radiolabeled,
bromodeoxyuridine-substituted DNA probe and then cross-linked
under
UV light. Following DNase I digestion and SDS-polyacrylamide
gel
electrophoresis, bound proteins that were specific either
to
untreated or RA-differentiated cells were identified. We found
that a
protein migrating at a relative molecular weight of 124,000
(
Mr, 124K) was down-regulated by RA and replaced
with proteins
of
Mr 180K, 210K, and 230K.
RA-differentiated cells also contained
a protein(s) that migrated as a
broad band ranging in size from
approximately
Mr
73K to 90K. The specific association of these
proteins with the B2 and
B2RA complexes was confirmed by excising
the complexes from a
first-dimension nondenaturing gel and resolving
their associated
proteins in a second-dimension SDS-containing
gel (data not shown).
Therefore, RA treatment of THP-1 cells altered
the pattern of cellular
factors that bound to the

51-through-+12
region of the HIV-1 core
promoter.
 |
DISCUSSION |
Freshly isolated PBMCs are refractory to HIV-1 infection but
become permissive after in vitro differentiation into macrophages. Addition of physiological concentrations of retinoids, either retinol
or retinoic acid, during differentiation results in MDMs that are
nonpermissive for HIV-1 replication. However, retinoid treatment after
this critical period has no effect on virus replication. Therefore, the
presence of retinoids during differentiation induces or maintains
expression of cellular factors that inhibit the replication of HIV-1.
The inability of retinoids to block virus replication after this
critical period argues against a direct effect of retinoids on HIV-1
gene expression.
This indirect effect of retinoids does not result from altered
differentiation of either primary monocytes/macrophages or THP-1 cells
per se. RA had no effect on differentiation marker expression on
primary macrophages and activated some but repressed other
differentiation markers on THP-1 cells (Table 2). Moreover, treating
THP-1 cells with PMA, a potent inducer of macrophage differentiation,
reduced HIV-1 gene expression only modestly (less than twofold,
compared to 100- to 300-fold reduction by RA). Although both RA and PMA
can induce THP-1 differentiation, the inductions do not result in
equivalent macrophage phenotypes. For example, whereas PMA strongly
induces THP-1 adherence, RA does so only weakly (data not shown)
(22). Moreover, PMA induces interleukin-1
mRNA expression
while RA does not (23). In contrast, RA induces lyn mRNA expression while PMA does not (22). It
is therefore likely that RA affects macrophage differentiation in
subtle ways not revealed by changes in traditional cell surface
markers. Although RA is unable to induce complete differentiation of
THP-1 cells, RA treatment does increase a number of properties
typically associated with macrophages. In vitro, RA treatment of
promonocytic cells favors granulocyte differentiation at the expense of
macrophage differentiation (40, 42). However, RA does
enhance monocyte/macrophage formation induced by other agents,
including PMA and vitamin D3 (24, 31, 38),
raising the possibility that macrophages that differentiate and/or
mature in the presence of retinoids have properties distinct from those
of macrophages that differentiate in the absence of vitamin A. One
consequence of these proposed effects of retinoids would be inhibition
of HIV-1 gene expression and replication.
These conclusions are supported by the results of experiments utilizing
the THP-1 monocytic cell line. Transient expression from the HIV-1 LTR
is repressed in retinoid-pretreated THP-1 cells. High basal
(Tat-independent) HIV-1 expression in THP-1 cells results from
constitutively active NF-
B (10). In the presence of
retinoids, this high basal expression was reduced to levels below those
seen in untreated THP-1 cells transfected with mutant LTRs lacking NF-
B sites [p(
86/+84)CAT)] (data not shown). In addition to reducing basal expression, retinoids also prevented transactivation of
the LTR by the viral protein Tat. Therefore, retinoids repress both
NF-
B- and Tat-activated expression from the HIV-1 LTR, an effect
relatively specific for the viral LTR, since similar repression of
either the CMV immediate-early promoter or an NF-
B-collagen promoter was not seen in control experiments (data not shown).
Three properties of retinoid-mediated repression of HIV-1 implicate the
general transcription machinery as a primary target. First, the
cis-acting sequences required for repression are located within the region of the LTR that includes the binding sites for components of the general transcription machinery. Retinoid-mediated repression mapped to sequences between
51 and +12. This region does
not contain a sequence that is similar to the consensus for known
retinoic acid response elements (PuGGTCA), nor do RARs and RXRs bind to
this region in vitro (data not shown). Therefore, it is unlikely that
repression results from the binding of ligand-bound retinoid receptors
to the HIV-1 promoter. Second, retinoids block activation by
multiple independent factors, including Sp1, NF-
B, and Tat. Finally,
retinoids virtually shut down HIV-1 expression. The magnitude of this
repression (>200-fold) is consistent with retinoids interfering with
the general transcription machinery.
Our data are most consistent with two models of repression. In one
model, retinoids induce the expression of a negative factor that binds
the HIV-1 core promoter. The binding of such a factor to the HIV-1 LTR
should be detectable in biochemical assays. Consistent with this
mechanism, we found that retinoid treatment altered the mobility of
protein-DNA complexes and led to the presence of four new proteins that
formed covalent protein-DNA structures following UV cross-linking. The
identities and functions of these proteins remain to be determined.
Several candidate proteins that bind to the HIV-1 core promoter and
repress transcription have been described, but in most cases the
magnitude of the repression of Tat activation by these factors was
small or ineffective (8, 13, 21, 26, 45). One exception to
this is the factor AP-4. By binding to E boxes that flank the HIV-1
TATA element, AP-4 can prevent TATA element binding protein from
binding DNA (25). However, since no similar E boxes are
present in the SIVmac LTR, which is repressed by retinoids
in an analogous fashion (20a), it is unlikely that AP-4 is
responsible for the phenomena we describe here.
Alternatively, the retinoid-induced repressor could interfere with
functional interactions between TFIID and transactivators, such as
NF-
B and Tat, without directly binding to the core promoter. These
interactions are likely to be mediated by gene-specific TBP-associated
factors (TAFs) and coactivator proteins. Evidence is accumulating that
different promoters are bound by particular combinations of TBP and
TAFs. In the case of HIV-1, switching the normal TATA element for one
resembling that of the simian virus 40 early promoter inhibits Tat
transactivation without affecting basal transcription levels
(4). Therefore, RA might modulate the pattern of
gene-specific TAFs or coactivator proteins that couple the HIV-1 core
promoter to transactivators, such as Tat. Alterations in the functions
of these factors could result from their altered expression, physical
competition between them and the RARs, or interference with their
functions by altered posttranslational modifications. There is
precedence for retinoids modulating the expression of coactivator
proteins which interact directly with both gene-specific activators and
components of the basal transcription machinery, such as TFIID.
Retinoic acid stimulates the expression of a protein in embryonal
carcinoma cells which can complement the activity of the adenovirus
coactivator, E1a (16). This protein, E1a-LA, is required for
RA-regulated transcription from the RAR
2 promoter and functionally
interacts with both RAR and TFIID (3, 14). In addition,
retinoic acid-mediated repression of AP-1 activity is thought to result
in part from competition between RARs and AP-1 for the limiting
coactivator CBP (11). Retinoids might also exert their
effects through changes in the expression of extracellular
signal-responsive protein kinases, including members of the protein
kinase C family (5, 15). It is conceivable that the
retinoid-mediated repression reported here involves altered phosphorylation of coactivators. Further experiments are needed to
distinguish between these models.
 |
ACKNOWLEDGMENTS |
This work was supported by grants to D.A.T. from the American
Cancer Society and the American Institute for Cancer Research and by
grants to G.A.V. from the NIAID (AI31355) and NHLBI (HL57882).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Microbiology, Boston University School of Medicine, 715 Albany St.,
Boston, MA 02118. Phone: (617) 638-7790. Fax: (617) 638-4286. E-mail: gviglian{at}bu.edu.
 |
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J Virol, July 1998, p. 5862-5869, Vol. 72, No. 7
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Copyright © 1998, American Society for Microbiology. All rights reserved.
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