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J Virol, August 1998, p. 6520-6526, Vol. 72, No. 8
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
In Vivo Pathogenesis of a Human Immunodeficiency
Virus Type 1 Reporter Virus
Beth D.
Jamieson1 and
Jerome A.
Zack1,2,*
Division of Hematology-Oncology, Department
of Medicine,1 and
Department of
Microbiology and Molecular Genetics,2 UCLA
School of Medicine and UCLA AIDS Institute, Los Angeles, California
90095-1678
Received 5 March 1998/Accepted 12 May 1998
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ABSTRACT |
Our understanding of human immunodeficiency virus type 1 (HIV-1)-induced pathogenesis is hampered by the inability to detect HIV-1 gene expression in infected viable cells. In this report, we
describe two HIV-1 reporter constructs that are replication competent
and cytopathic in vivo. These constructs contain DNA regions of two
different lengths that bear the cDNA for the murine heat-stable antigen
in the vpr region of a CXCR4-tropic virus. We used the
SCID-hu mouse model and these reporter viruses to perform detailed
kinetic studies of HIV-1 infection of human thymocytes in vivo. We
document that the CD4+/CD8+ thymocytes are the
first to express virus and that this subset demonstrates the most rapid
and extensive HIV-1-induced cell depletion. Following depletion of this
subset, subsequent virus expression occurs predominantly in
phenotypically CD4
cells, suggesting that CD4
down-regulation occurs in HIV-1-infected thymocytes in vivo. These
results demonstrate the utility of these HIV-1 reporter constructs to
monitor HIV pathogenesis in vitro and in vivo.
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INTRODUCTION |
The capability to detect human
immunodeficiency virus type 1 (HIV-1) gene expression in viable
infected cells in vivo would improve our ability to investigate HIV
pathogenesis. Current antibodies to HIV-1-encoded proteins on the cell
surface either bind with weak affinity or bind to gp120, which is then
shed from the cell surface. HIV-1 gene expression can be measured by
intracellular staining for the p24 viral Gag protein (7).
However, the cells must first be permeabilized; thus, viable cells
cannot be assessed. In an attempt to overcome these limitations, cDNAs
encoding various reporter proteins have been cloned into HIV-1.
Replication of these reporter constructs results in expression of the
encoded protein, which can then be detected in viable cells by
biochemical means or, in the case of cell surface reporter molecules,
by flow cytometry (12, 28). However, in all of these
previous constructs, nef, env, or both genes have
been functionally deleted, rendering these viruses either replication
attenuated in the case of nef-deleted viruses or replication
defective in the case of env-deleted viruses.
While nef is required for efficient in vivo replication and
cytopathicity of both HIV-1 (15) and simian immunodeficiency virus (9, 19), vpr is not (3, 10, 14).
Our laboratory has previously shown that deletion of vpr has
little if any effect on the in vivo replication and pathogenicity of
HIV-1NL4-3 in human thymic implants in SCID-hu mice
(3). To perform detailed studies of HIV infection in the
SCID-hu system, we made two HIV-1 reporter constructs by cloning the
cell surface molecule, murine heat-stable antigen (HSA)
(18), into the vpr gene region of HIV-1NL4-3 (1), a CXCR4-tropic strain. These
constructs differ only in the length of the inserted cDNA.
The SCID-hu mouse is a small animal model for HIV-1 pathogenesis
(2, 4, 22, 26, 30) and is constructed by surgical implantation of human fetal liver and thymus under the kidney capsule
of severe combined immunodeficient (SCID) mice (25, 27).
This results in development of a conjoint organ (Thy/Liv) capable of
supporting thymopoeisis for up to 1 year (27). We and others
have previously demonstrated HIV-1 replication and subsequent depletion
of human CD4+ thymocytes after infection of the Thy/Liv
implant (2, 4, 15-17, 22, 26, 30).
In this report, we have examined the potential for the reporter
constructs to replicate and induce human CD4+ cell loss in
vivo in the SCID-hu mouse. We found that these viruses were pathogenic
in vivo and induced expression of murine HSA on the surface of human
thymocytes. This allowed us to investigate the extent of viral gene
expression during various stages of infection and to monitor the spread
of virus through various thymocyte subsets as infection progressed.
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MATERIALS AND METHODS |
Construction of reporter viruses.
To clone murine HSA (CD24)
into vpr of the NL4-3 strain of HIV-1, the plasmid pNL4-3
(1) and the plasmid pSL87c4-1 containing the murine HSA cDNA
(18) were used. To facilitate cloning, pNL4-3 was digested
with NdeI and EcoRI, and the 622-bp fragment
containing vpr sequences was then subcloned into Bluescript
KS (Stratagene, La Jolla, Calif.). An XbaI site was
introduced into the subcloned vpr by changing the nucleotide
at position 5625 from T to C, by using PCR-based site-directed
mutagenesis kits (Stratagene). This created the plasmid BS KS/r-Xba I.
To potentially optimize expression of the reporter gene, further
mutagenesis was performed to silence the start codon of vpr and two potential start codons in the 3' end of vif. The
nucleotides at positions 5559, 5605, and 5611 were mutated from A, A,
and G to G, C, and A, respectively, to construct BS KS/r-Xba I/3M.
To allow insertion of the reporter construct, BS KS/r-Xba I/3M was
partially digested with XbaI and EcoRI to remove
a 119-bp fragment of vpr. The plasmid pSL87c4-1 was fully
digested with XbaI and EcoRI, generating a 402-bp
fragment containing 231 bp of HSA cDNA and 171 bp of the plasmid
pSL87c4-1. This 402-bp fragment was ligated into the digested BS
KS/r-Xba I/3M, replacing the original vpr sequences (BS
KS/HSAS-Xba I/3M). The subcloned fragment containing HSA in
vpr was then liberated from BS KS/HSAS-Xba I/3M by digestion
with PflMI and EcoRI and inserted into a pNL4-3
backbone previously digested with the same enzymes. The resulting
construct (NL-v-HSAL) is 283 bp longer than pNL4-3 (Fig.
1).

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FIG. 1.
Schematic representation of reporter constructs. (A) A
diagram of the location of the inserted cDNA (not to scale) and the new
XbaI site introduced at nucleotide 5624 is shown. The three
nucleotide changes created to silence the start codon of vpr
and two potential start codons in the 3' end of vif are
indicated by X. (B and C) The relative sizes of the two HSA cDNAs used
to create NL-r-HSAL and NL-r-HSAS are represented. In panel C, the new
EcoRI site created at nucleotide 305 is indicated. nt,
nucleotide. SA, splice acceptor; SD, splice donor.
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To take full advantage of the small size of the HSA coding region, an
additional EcoRI site was created in pSL87c4-1 by changing the nucleotides at positions 307, 309, and 310 from C, C, and A to A,
T, and C, respectively. Digestion of the mutated pSL87c4-1 with
XbaI and EcoRI yielded a 267-bp fragment that
contained the HSA cDNA and only 36 extraneous bp of flanking sequences.
To insert this fragment into vpr, BS KS/r-Xba I/3M
(described above) was digested with PflMI and
EcoRI, and the 441-bp fragment containing the mutated HIV
sequences was then ligated into pNL4-3, which had been digested with
the same enzymes. This created the plasmid pNL4-3-Xba I/3M, which
contained a new XbaI site in the vpr gene. pNL4-3-Xba I/3M was then digested with XbaI and
EcoRI, and the 267-bp fragment containing the cDNA for HSA
was ligated in. The resulting construct, designated NL-r-HSAS (HSAS),
is only 148 bp longer than wild-type pNL4-3 (Fig. 1).
The control virus, pNL4-3-
vpr, was constructed by digestion of BS
KS/r-XbaI with PflMI and EcoRI to remove NL4-3
sequences, including vpr and the newly introduced
XbaI site (see above). This fragment was ligated into a
pNL4-3 backbone that had also been digested with PflMI and
EcoRI (pNL4-3-XbaI). pNL4-3-XbaI was then digested with
XbaI and EcoRI to remove 119 bp of vpr and was blunt end ligated, resulting in the plasmid pNL4-3-
vpr.
Preparation of virus stocks.
Stocks of all viruses were made
by electroporation of 30 µg of infectious proviral DNA (6)
into 107 mycoplasma-free CEM cells. Virus production was
quantitated by enzyme-linked immunosorbent assay for p24 Gag, and
expression of HSA on the cell surface was determined on day 8 by flow
cytometric analysis. Infectious units (IU) were determined by limiting
dilution on phytohemagglutinin (PHA)-stimulated human peripheral blood mononuclear cells (PBMC), by using twofold dilutions of virus plated in
duplicate. Human PBMC were derived from Red Cross leukopacks, following
centrifugation over Ficoll-Hypaque and depletion of macrophages by
adherence to plastic for 72 h.
To confirm the DNA sequence of the reporter constructs, virus stocks
were used to infect 106 PHA-stimulated PBMC. Three days
postinfection, DNA was extracted from the infected cells, and the
TD1-TD2 primer pair was used to amplify the proviral DNA in a
nonradioactive PCR under the conditions described below (see
"Quantitative PCR"). The TD1-TD2 primer pair is specific for
nucleotides 5416 to 5448 (GGACGTATAGTTAGTCCTAGGTGTGAATATCAA) and nucleotides 5785 to 5812 (GTCGACATAGCAGAATAGGCGTTACTCG)
of HIV-1NL4-3, respectively. These primers flank the
inserted HSA cDNA sequences. The PCR products were isolated by use of a
Microcon 100 column (Amicon Inc., Beverly, Mass.). Sequencing was
performed on an ABI373 automated DNA sequencer (Applied Biosystems
Instruments, Foster City, Calif.) by using the VF primer specific
for nucleotides 5471 through 5490 of HIV-1NL4-3
(CTCTACAGTACTTGGCACTA).
Construction and infection of SCID-hu mice.
C.B.-17 mice
homozygous for the SCID genetic defect (5) were bred at the
University of California at Los Angeles, housed in a biosafety level 3 animal facility, and maintained free of antibiotics as approved by the
UCLA Animal Research Committee. SCID-hu mice were constructed by
coimplantation of pieces of human fetal thymus and liver from a single
human fetal donor under the left kidney capsule of SCID mice (2,
15, 27).
Prior to infection, all virus stocks were diluted in RPMI medium with
1% fetal calf serum, and approximately 100 µl was directly injected
into the implant (2, 15). Mock infections were performed with supernatants from mock-electroporated CEM cells diluted in the
same manner as the virus stocks. Implants were infected with either 52 ng (approximately 210 IU) of NL-r-HSAL or with 20 ng (approximately 570 IU) of NL-r-HSAS. Infections were carried out on a staggered basis, and
biopsies were performed on the mice as a group in order to generate
both longitudinal and cross-sectional data (17) for the time
points indicated.
Sequential biopsy samples of approximately 25% of each implant were
obtained at the indicated times, while the animals were sedated.
Percent provirus expression shown in Table
1 was calculated (assuming one provirus
per cell) by use of the following formula: percent provirus
expression = [(% HSA+ cells/100) × 105]/[copies of HIV/105 cells].
Four-color flow cytometry.
Single-cell suspensions were
prepared from biopsy specimens and washed once in phosphate-buffered
saline. Cells (106) were then costained with monoclonal
antibodies to CD4, CD8, CD45 (Becton Dickinson, Mountain View, Calif.),
and murine HSA (Pharmingen, San Diego, Calif.). These antibodies were
directly conjugated to allophycocyanin, phycoerythrin, fluorescein
isothiocyanate, and biotin, respectively. Streptavidin red 613 (Becton
Dickinson) was used as a second-step reagent. Stained cells were fixed
in 2% paraformaldehyde. At all time points, mouse immunoglobulin G1
(IgG1; conjugated with allo phycocyanin, phycoerythrin, and fluorescein
isothiocyanate) and rat IgG2b(
) (conjugated with biotin) were used
as antibody isotype controls. Ten to 20 thousand events were acquired
on a FACStarplus flow cytometer (Becton-Dickinson), and the
data were analyzed by using the CELLQuest program (Becton-Dickinson).
Forward versus side scatter analysis of mock-infected implants was used
to gate on the live thymocyte population. Further gating was performed to include only CD45+ cells, thus excluding any murine
cells from the analysis.
Quantitative PCR.
Biopsy samples were washed once in
phosphate-buffered saline, and the DNA was extracted by using the
QIAamp blood kit (Qiagen, Chatsworth, Calif.). Total nucleic acids
obtained from this procedure were then subjected to quantitative PCR,
as previously described (2, 32, 33). All quantitative PCR
amplifications were performed with one of the primers containing a
32P-end-labeled nucleotide. Briefly, HIV DNA was detected
by using the M667-AA55 primer pair specific for the R/U5 region of the viral long terminal repeat. Twenty-five cycles of amplification were
used. Standard curves for HIV-1 DNA were generated by using four- or
fivefold dilutions of cloned NL-r-HSAS DNA linearized with
BamHI in carrier DNA from normal human PBMC. HSA sequences were quantitated by using the TD1-TD2 primer pair specific for nucleotides 5416 to 5448 of HIV-1NL4-3, which flank the
inserted HSA sequences (see "Preparation of virus stocks" above).
Thirty cycles of amplification were used. To quantitate HIV genomes and copies of HSA cDNA per human cell, replicate samples were analyzed for
human DNA with primers specific for nucleotides 14 to 33 and 123 to 104 of the human
-globin gene (23, 32), by using 21 cycles of
amplification. Standard curves for human
-globin were generated from
3- and 10-fold dilutions of PBMC DNA. Values were obtained by
interpolation from the standard curve, by using an Ambis radioanalytic
imager.
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RESULTS |
Construction of reporter constructs.
NL4-3 is a CXCR4-tropic
molecular clone of HIV-1 (1) that has been well
characterized in the SCID-hu mouse model (2, 15-17). It is
also one of the fastest replicating viral strains in this model,
causing rapid and severe depletion of CD4-bearing thymocytes
(16) due to high levels of CXCR4 in this organ
(21). For these reasons, NL4-3 was chosen as the HIV-1
backbone for the reporter constructs. Murine HSA was selected as the
reporter gene because of the small size of the cDNA (231 nucleotides), the commercial availability of antibodies, and the lack of
cross-reactivity of those antibodies with human HSA. HSA has been used
successfully in previous HIV reporter constructs (12).
vpr was selected as the site for insertion of the reporter
gene (Fig. 1) because, unlike nef deletion mutants of NL4-3,
which are attenuated for replication and cytopathicity in the SCID-hu
mouse model (15), a vpr deletion mutant
replicates and depletes CD4-bearing cells with kinetics similar to that
of wild-type virus (3). To facilitate cloning into
vpr, an XbaI site was introduced at nucleotide
5624, four nucleotides 3' from the end of vif (Fig. 1) (see
Materials and Methods). The existing EcoRI site at
nucleotide 5743 was used as the second restriction site.
Two reporter constructs were made. NL-r-HSAL was constructed to contain
a 402-bp fragment which includes the 231 bp of HSA cDNA and 171 bp of
extraneous plasmid sequences (Fig. 1). NL-r-HSAL is 283 bp longer than
wild-type NL4-3. To determine whether the length of the insert affected
replication and cytopathicity, a smaller insert was created. To this
end, an additional EcoRI site was introduced at nucleotide
305, two nucleotides 3' of the HSA stop codon, allowing removal of an
additional 135 bp of flanking sequences. When ligated into
vpr, this reporter construct is 148 bp longer than NL4-3,
contains only 36 extraneous bp, and is referred to as NL-r-HSAS (Fig.
1). To eliminate the potential of alternate translation initiation
sites and thus maximize the expression of the reporter gene, the
vpr start codon and two potential start codons in the 3' end
of vif were mutated in both constructs (Fig. 1). However,
constructs without these mutations have not yet been tested to
determine whether these alterations enhance reporter gene expression.
In vitro replication of the reporter constructs.
To
investigate the kinetics of in vitro replication and HSA expression of
NL-r-HSAS and NL-r-HSAL, PHA-stimulated PBMC were infected with 170 ng
of p24 Gag of either virus. To determine if deletion of vpr
or insertion of HSA cDNA affected replication of the constructs, PBMC
were similarly infected with wild-type NL4-3 or NL-
vpr. As
previously reported (3, 11), deletion of vpr did
not affect replication kinetics in mitogen-stimulated PBMC (Fig.
2). However, insertion of HSA slowed
replication. NL-r-HSAL demonstrated the greatest delay in replication
kinetics, whereas NL-r-HSAS replication was somewhat attenuated
compared to that of wild-type NL4-3, although not as much as that of
NL-r-HSAL. Expression of the reporter gene was observed by flow
cytometry in both NL-r-HSAS- and NL-r-HSAL-infected cultures as early
as 3 days postinfection (Fig. 2). Similar data were obtained when input
virus was adjusted for infectious units (data not shown). These results
demonstrate that although the replication of both reporter constructs
is somewhat attenuated, both constructs are replication competent in
vitro. The results also suggest that the size of the insert may be an
important determinant in replication kinetics.

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FIG. 2.
In vitro replication kinetics of reporter constructs in
PHA-stimulated PBMC. (Upper panel) Viral replication was quantitated by
enzyme-linked immunosorbent assay for p24 Gag antigen at the indicated
days postinfection. (Lower panel) Cells were stained for expression of
HSA on the indicated days postinfection and analyzed by flow cytometry.
Gates were set based on isotype control staining of live cells.
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Thymocyte subset distribution of the reporter constructs.
To
determine whether the reporter gene is expressed in vivo and, if so,
which thymocytes express HIV-encoded proteins, implants were infected
with either NL-r-HSAS or NL-r-HSAL. Standard infections in our
laboratory with wild-type NL4-3 are performed with 100 IU of virus
(2, 17). In an attempt to overcome the attenuated replication of the reporter constructs, higher concentrations of virus
were used in vivo (approximately two- and sixfold higher IU for
NL-r-HSAL and NL-r-HSAS, respectively). We were unable to perform
infections with higher than a twofold concentration of NL-r-HSAL, since
higher-titer stocks were not available. Although we performed in vivo
studies with both reporter viruses, since NL-r-HSAL was more attenuated
in vitro, all subsequent data shown are derived from implants infected
with NL-r-HSAS.
Single-cell suspensions obtained from biopsy samples were costained for
the human surface markers CD4, CD8, and CD45, as well as for murine
HSA. As shown in Fig. 3A,
HSA+ murine cells can be detected in Thy/Liv implants
although usually not to the high levels observed in this implant. To
ensure that murine cells were not included in the analysis and only
human thymocytes were studied, gates were set on CD45+
cells in all tables and figures, with the exception of Fig. 3A. The
phenotype of thymocytes expressing HSA was determined by gating on the
CD45+/HSA+ population and analyzing these cells
for CD4 and CD8 surface markers (Fig. 3C). Reporter gene expression and
CD4+ cell loss were observed in implants infected with
either construct, although somewhat delayed kinetics were found for
NL-r-HSAL-infected implants relative to implants infected with
NL-r-HSAS (Table 1, Fig. 3, and data not shown). With both constructs,
the earliest thymocytes to express the reporter gene were the immature
CD4high/CD8high cells. Minor CD4+
cell loss was observed in several implants concurrent with the earliest
detection of HSA expression (Table 1). Reporter gene expression was
observed shortly thereafter in the CD4
/CD8low
thymocytes (Fig. 3). Together, the
CD4high/CD8high and
CD4
/CD8low subsets represented the majority
of the HSA+ population during both the early and
intermediate stages of infection. Later in the course of infection,
reporter gene expression shifted into both the
CD4low/CD8
and
CD4
/CD8
subsets, and when depletion of
CD4-bearing cells was severe, the CD4
/CD8
subset often comprised the major subpopulation of HSA+
cells. The CD4
/CD8+ subset, however, also
continued to express the reporter construct, often to high percentages
(Fig. 3 and data not shown). The emergence of these virally infected
subsets over time was slightly more pronounced in implants infected
with NL-r-HSAL (data not shown). It is interesting to note that
expression of HSA in implant 15 occurred almost exclusively in the
CD4
/CD8
subset at 37 days postinfection,
despite the obvious presence of CD4+ thymocyte subsets
(Fig. 3). It is also interesting to note that with the exception of the
CD4high/CD8high population, HSA expression was
rarely observed in CD4high cells. This may reflect
down-regulation of the CD4 molecule. This phenotype cannot be explained
by lower overall surface molecule expression due to cell death, since
the majority of these HSA+ cells were CD45high,
suggesting that specific mechanisms of down-regulation are
operative. While further studies are needed to better understand these
observations, it is clear that a large percentage of virus-expressing
cells during HIV-1 infection of the Thy/Liv implant are phenotypically CD4
cells.

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FIG. 3.
Subset distribution of HSA-expressing thymocytes.
Thymocytes obtained from biopsy samples of implant 15 at the indicated
times postinfection were costained for human CD4, CD8, and CD45, as
well as murine HSA. APC, allophycocyanin; Red 613, streptavidin red
613; PE, phycoerythrin; FITC, fluorescein isothiocyanate. (A) Gating
was performed on total live thymocytes. The percentage of each
indicated subset is based on relative distribution in total live
thymocytes. (B) Gates were set on live CD45+ (human) cells,
and the CD4 and CD8 distribution of these CD45+ cells is
shown. The percentage of each indicated subset is based on relative
distribution in CD45+ thymocytes. (C) Gates were further
narrowed to include only the CD45+/HSA+ subset.
The profiles in panel C illustrate CD4 and CD8 distribution of these
CD45+/HSA+ cells and demonstrate the subsets of
human thymocytes expressing HIV genes. Percentages of
CD45+/HSA+ cells are shown in each quadrant.
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Kinetics of CD4+ cell depletion.
We have
previously reported that infection of Thy/Liv implants with 100 IU of
HIV-1NL4-3 induces CD4+ cell depletion,
beginning approximately 19 days postinfection and resulting in almost
complete loss of all CD4+ cells by 30 days postinfection
(2, 16, 17). NL-r-HSAL also elicits CD4+ cell
loss but with delayed kinetics relative to NL-r-HSAS (data not shown).
To examine the extent and kinetics of CD4+ cell loss
induced by NL-r-HSAS, CD45+ (human) thymocytes were
analyzed by flow cytometry to determine thymocyte subset distribution.
Mock-infected implants maintained normal levels of CD4+
thymocytes throughout the course of the experiment (Table 1, Fig.
4, and data not shown). In contrast,
depletion of CD4+/CD8+ cells was observed in
two of three NL-r-HSAS-infected implants at 21 days postinfection
(Table 1). An almost total loss of the immature
CD4+/CD8+ cells was first observed in one
implant (no. 32) at 29 days postinfection, and by 37 days
postinfection, severe depletion of this cell subset was observed in all
implants tested. As previously reported for HIV-1NL4-3,
this decline in CD4+ cells occurred simultaneously with a
drop in proviral burden (Fig. 5). This is
most likely due to the loss of potential CD4+ target cells
(2, 16, 17).

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FIG. 4.
NL-r-HSAS-induced depletion of CD4-bearing cells. Biopsy
specimens of mock-infected (open circles) and NL-r-HSAS-infected (solid
circles) implants were collected at the indicated times postinfection
and assayed by flow cytometry for percent
CD4+/CD8+ (upper panel) and total CD4-bearing
cells (lower panel). Percent CD4+ thymocytes includes both
immature CD4+/CD8+ and mature
CD4+/CD8 cells. Each point represents a
single implant. The crosses and stars represent multiple biopsy samples
from implants 28 and 33, respectively.
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FIG. 5.
In vivo replication and expression of NL-r-HSAS. The
percentages of HSA+ cells (A) and the copies of NL-r-HSAS
proviral DNA (B) at the indicated times postinfection are shown. Each
point represents an individual implant. Percentages of HSA+
cells and CD4+/CD8+ thymocytes were determined
by flow cytometry. Copy numbers of NL-r-HSAS DNA per 105
cells were determined by quantitative PCR.
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Although depletion of the CD4+/CD8+ subset
began at 21 days postinfection, several implants either did not deplete
further by the time of the second biopsy (implants 16, 34, and 33) or
showed a slight increase in this subset (implants 19 and 39). One
implant (no. 28) showed a dramatic drop in
CD4+/CD8+ cells by 27 days postinfection, but
this subset had increased again at the time of biopsy 7 days later.
Subsequently, this implant lost an average of approximately 7%
CD4+/CD8+ cells per day between days 34 and 41 postinfection (Table 1 and Fig. 4). Implant 39 showed a similar
pattern, where a transient increase in
CD4+/CD8+ cells was followed by a loss of
approximately 10% CD4+/CD8+ cells per day
between 28 and 35 days postinfection (Table 1). This transient increase
in CD4+/CD8+ cells is consistent with our
earlier reports that the SCID-hu mouse is a dynamic system, and
depletion of CD4+ cells therefore represents a balance
between HIV-induced depletion and the regeneration of new thymocytes.
To this end, we have previously reported a resurgence of thymopoiesis
in an HIV-1NL4-3-infected implant in which CD4+
cells had been severely depleted and proviral burden had decreased (15) and in HIV-1NL4-3-infected implants treated
with antiretroviral drugs to halt virus replication (31).
The observed transient increase of immature thymocytes may therefore
reflect the attenuated phenotype of the NL-r-HSAS construct, which
allows for ongoing thymopoiesis to temporarily increase thymocyte
numbers. However, once thymocyte depletion resumed, depletion of
CD4+/CD8+ thymocytes occurred rapidly, with a
kinetics similar to that observed for the loss of CD4+
cells in wild-type HIV-1NL4-3-infected implants
(17). Unlike HIV-1NL4-3 (17),
infection of Thy/Liv implants with NL-r-HSAS did not result in rapid
depletion of CD4+/CD8
cells. However, as
demonstrated by implant 28 (Table 1 and Fig. 4), depletion of this
subset is likely to occur with sufficient time.
Kinetics of in vivo replication and reporter gene expression.
Infections and biopsies were performed to provide both cross-sectional
and longitudinal data, allowing a detailed kinetic study of the
relationship between HIV-1 replication and gene expression. Thymocytes
obtained by biopsy were subjected to quantitative PCR to assess
proviral burden and by flow cytometry to assess reporter gene
expression. As shown in Table 1 and Fig. 5B at 21 days postinfection, all NL-r-HSAS-infected implants tested (three of three) contained significant levels of proviral DNA. Expression of the reporter gene was
clearly above background levels in two of three implants (Table 1 and
Fig. 5A). Both viral DNA burden and HSA gene expression continued to
increase until approximately day 27, demonstrating in vivo replication
of this reporter virus (Table 1 and Fig. 5). Between 27 and 37 days
postinfection, proviral burden remained relatively constant, with a
median proviral load of 38,300 copies of HIV-1 DNA per 105
cells. This proviral burden is similar to that previously observed in
Thy/Liv implants infected with wild-type HIV-1NL4-3,
although the peak of viral replication occurs somewhat later with
NL-r-HSAS (16, 17). Between days 27 and 37, a median of 4%
of all CD45+ cells expressed the reporter gene, although up
to 8.6% expression was observed in an individual implant (implant 15, day 30). As previously reported for wild-type HIV-1NL4-3,
proviral load then began to decrease (2, 16, 17), and a
median of 9,000 copies of HIV-1 DNA per 105 cells was
observed between 38 and 45 days postinfection (Table 1 and Fig. 5).
However, the levels of HSA expression did not drop after day 37, with a
median of 6% of cells expressing HSA.
Relative expression of provirus.
To determine relative amounts
of the proviral DNA expressed at each time point, the percent provirus
expression was calculated by assuming one copy of proviral DNA per cell
(Table 1). Provirus expression was high early in infection (days 20 through 24), with as many as 60% (a median of 39%) of infected cells
expressing the reporter gene. By day 27, when proviral DNA was at the
highest levels, relative proviral expression dropped and stayed low
through day 37, with a median of 10% proviral expression. Late in
infection (days 38 through 45), provirus expression rose again to a
median of 58%, reflecting the drop in proviral DNA and the maintenance of high HSA expression. It is not clear whether the increase in the
levels of proviral expression represents waves of virus replication or
accumulation of cells more resistant to virally induced cell death.
Taken together, these data clearly demonstrate that NL-r-HSAS
replicates in vivo, is cytopathic for CD4+ cells, and
efficiently expresses the reporter gene, making this a useful virus for
investigating the pathogenic process in an in vivo model.
Retention of HSA DNA.
The long time frame and complicated
selection pressures operating in vivo could easily select for viruses
that delete reporter sequences. To ensure that deletion of HSA
sequences was not occurring in vivo, copies of HSA DNA were quantitated
by DNA PCR in 19 biopsy samples from six Thy/Liv implants, at time
points ranging from 23 to 41 days postinfection. Following PCR
amplification using the TD1-TD2 primer pair, no evidence of deletion
was observed, in that PCR products smaller than the predicted size of
543 bp were not detected. In addition, the copy number of
HSA-containing sequences was not less than the number of viral long
terminal repeat sequences quantitatively amplified from the same sample (data not shown). These data are consistent with the high levels of
proviral expression observed up to 37 days postinfection and demonstrate that no detectable selection of HSA-deleted virions occurred in vivo.
 |
DISCUSSION |
This is the first report of HIV-1 reporter constructs that are
pathogenic in vivo. Both NL-r-HSAL and NL-r-HSAS contain full-length nef, giving these constructs an in vivo replication
advantage over other reporter viruses which are nef deleted
(12, 28). However, the in vitro replication kinetics of
NL-r-HSAL, when compared to NL-r-HSAS, suggest that in addition to the
site of gene insertion, the length of the insert may also contribute to an attenuated phenotype.
The greatest CD4+ cell depletion due to these viruses was
observed in the immature CD4+/CD8+ subset.
These thymocytes express the highest levels of the coreceptor, CXCR4,
in the thymus (21) and are the first subset to express virus
both in vivo (Fig. 3) and in thymocytes cultured in vitro (21). Thus, it is likely that high levels of both primary
and coreceptor molecules likely contribute to the efficient infection of this subset. The mature CD4+/CD8
thymocyte
subset expresses lower levels of CXCR4 (21), does not
express high levels of virus during any stage of the infection in vivo,
and is not depleted as rapidly in vivo as the immature thymocytes.
While lower CXCR4 expression in CD4+/CD8
cells may contribute to these differences, it is not likely to be the
sole factor. vpr is important for the infection of
nondividing cells (8, 13). The absence of vpr in
NL-r-HSAS may inhibit productive infection of the mature
CD4+ cells, reflecting their quiescent status.
Alternatively, differences in transcription factors or other cell
functions between these two thymocyte subsets may contribute to this
phenomenon. However, it is clear that some
CD4+/CD8
thymocytes can be infected, and the
data strongly suggest that the number of
CD4+/CD8
cells that express virus is
underrepresented due to CD4 down-regulation. Aside from the
CD4high/CD8high subset, HSA was rarely detected
in CD4high cells. CD4low and CD4
thymocyte subsets emerge as infection progresses, giving a "falling rain" appearance in the CD4 versus CD8 profiles of infected implants (Fig. 3B). These subsets are not observed in mock-infected implants and
are the same subsets which express virus (Fig. 3C), strongly supporting
the theory of CD4 down-regulation. The pronounced emergence of these
subsets with NL-r-HSAS infection may reflect the slightly more
attenuated killing of infected mature cells by this virus than by
HIV-1NL4-3. Taken together, these data suggest that
infection of CD4+ mature cells does occur but that CD4
down-regulation occurs in vivo and masks the true phenotype of infected
cells.
Virus expression in CD4
thymocytes is also consistent
with infection of an immature CD4+ population, followed by
subsequent differentiation into a CD4
mature thymocyte.
To this end, we have recently shown that
CD4+/CD8+ thymocytes infected in vitro with a
nef-deleted reporter construct can differentiate into
CD4
/CD8+ cells and express HIV
(20). As we have previously suggested (20),
export of virally infected CD8+ cells from the thymus could
account for the presence of virally infected CD8+ cells in
the periphery of HIV-infected individuals (24, 29).
In this study, we also examined the relationship between proviral
burden and viral gene expression. The observed median of 6%
HSA+ cells is consistent with our previous determination
that approximately 10% of thymocytes in SCID-hu thymic implants harbor
productive wild-type provirus (17). While our previous data
were obtained by coculturing infected thymocytes with PHA-stimulated
PBMC for 7 days, the 6% level of HSA+ expression in the
SCID-hu mouse represents only a snapshot of viral replication and is
therefore likely to underrepresent the number of productively infected
cells.
Understanding the pathogenic mechanisms of HIV-1 in a lymphoid organ is
critical to the development of vaccines and therapeutic strategies.
With these pathogenic HIV reporter constructs, we will be better able
to dissect the mechanism(s) of HIV-1-induced cell death, to examine the
viral and cellular factors involved in cellular tropism, and to explore
the relationship between viral replication and gene expression. These
viruses may also be valuable tools to help evaluate the efficacy of
antiviral therapeutic strategies.
 |
ACKNOWLEDGMENTS |
We thank R. Keith Humphries for the pSL87c4-1 plasmid containing
murine HSA and Amelia Kacena, Ruth Cortado, Junli Zha, and Greg Bristol
for excellent technical assistance.
This work was supported by the Universitywide AIDS Research Program
(R96-LA-139) (B.D.J.) and by NIH grants AI36059 and AI DK36554
(J.A.Z.). J.A.Z. is an Elizabeth Glaser Scientist supported by the
Pediatric AIDS Foundation.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Departments of
Medicine and Microbiology and Molecular Genetics, UCLA School of
Medicine and UCLA AIDS Institute, 11-934 Factor Bldg., Box 951678, Los Angeles, CA 90095-1678. Phone: (310) 794-7765. Fax: (310) 825-6192. E-mail: jzack{at}ucla.edu.
 |
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J Virol, August 1998, p. 6520-6526, Vol. 72, No. 8
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Copyright © 1998, American Society for Microbiology. All rights reserved.
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