The awareness that HIV-1 entry requires both CD4 and coreceptor
has engendered models for the molecular interactions involved in
Env-mediated membrane fusion. In this study, we developed a cell fusion
system to examine the distinct steps in the activation pathway for
Env-mediated fusion. Our results provide direct demonstration of a
sequential two-step model for Env-receptor interactions in the HIV-1
entry mechanism, previously proposed by others (reviewed in references
3, 8, and 60). In the first step,
CD4 binds to the gp120 subunit of Env and induces a conformational
change(s) which then exposes, creates, or stabilizes the coreceptor
binding determinants on gp120. In the second step, the CD4-activated
gp120 binds to coreceptor. The gp120-coreceptor interaction presumably triggers newly revealed conformational changes in the gp41 subunit of
Env (11, 56), ultimately leading to membrane fusion and virus entry. According to this model, CD4 plays two distinct roles in
HIV infection: bringing Env in close apposition to coreceptor on the
target cell membrane, and inducing conformational changes in gp120 to
enable its binding to coreceptor. Our sCD4-activated system
distinguishes these two roles and illustrates that the second can still
occur in the absence of the first. The system also enables analysis of
the activating properties of sCD4 in the absence of the inhibitory
competitive effects seen with target cells expressing both
cell-associated CD4 and coreceptor (47).
Our findings represent an important extension of earlier binding
experiments using soluble gp120, in which CD4 was shown to significantly enhance the gp120-coreceptor binding interaction (6,
21, 28, 29, 33, 47, 53, 57). The functional demonstration of
sCD4-activated fusion is critical, particularly in view of several
reports indicating that coreceptor interaction findings obtained with
soluble gp120 do not necessarily predict results with the intact
cell-associated Env oligomer (5, 15, 34, 38). For example,
others have reported that soluble gp120 from T-cell line-adapted
strains can interact with CXCR4 in the absence of sCD4 (6, 36,
37). By contrast, we found that sCD4 was absolutely essential to
trigger fusion between effector cells expressing Env from the T-cell
line-adapted LAV strain and targets expressing CXCR4 (as well as other
Env-coreceptor interactions) (Fig. 1, 3, and 4); this is consistent
with the strict dependence on CD4 observed in other coreceptor studies
using standard infectivity and cell fusion systems (2, 12, 14, 16,
17, 23). Presumably, structural differences between the soluble
gp120 monomer and the cell-associated Env oligomer contribute to these
differing experimental results.
Our demonstrations of sCD4-activated fusion with both
laboratory-adapted and primary HIV-1 isolates extend earlier reports indicating that sCD4 can enhance or enable fusion or infectivity by
some HIV and SIV isolates (4, 13, 47-49); these include reports of sCD4-induced entry and infection of CD4-negative,
coreceptor-positive cells by both HIV-1 (48) and HIV-2
(45). Moreover, the potency with which 17b inhibited
sCD4-activated fusion by diverse Envs in our fusion system parallels
closely the demonstrated ability of sCD4 to enhance 17b neutralization
of a T-cell line-adapted strain infecting target cells expressing both
CD4 and CXCR4 (50). The present results are also consistent
with previous evidence that HIV and SIV strains capable of infecting
via coreceptor-dependent, CD4-independent mechanisms (6, 21, 22,
27, 30, 35, 36, 45, 47) contain gp120 variants that are
permissive for coreceptor binding in the absence of CD4.
In direct comparisons, we found that fusion activity in the
sCD4-activated system is typically lower than that in the standard system; the relative activities were variable between different experiments, ranging from ~10 to ~100% (data not shown). Reduced activity in the sCD4 system is not surprising, since the function of
cell-associated CD4 in bringing Env in close proximity to coreceptor on
the target cell is not enabled. Additional experimental efforts are
required to delineate the complex experimental variables that might
contribute to the relative efficiencies of the two systems (cell type,
Env type, levels of relevant molecules, cell density, etc.). A related
issue that is well suited for the sCD4-activated system is the
functional stability of Env after interaction with CD4. In the
experiment shown in Fig. 4, fusion activity of an R5 Env after
pretreatment with sCD4 was somewhat less than that observed when sCD4
was added at the time of cell mixing. In preliminary extensions of this
finding, we have found that Envs from primary R5 strains retain
considerable fusion activity after prolonged (1 to 2 h)
preincubation with sCD4, whereas Envs from T-cell line-adapted X4
strains are much more prone to loss of activity (data not shown). The
former results are consistent with a recent report demonstrating the
long-lived activity of sCD4-activated SIV Env for interaction with CCR5
(47). We are seeking to unravel various factors that may
contribute to Env inactivation after interaction with sCD4 (stripping
of gp120, instability of gp41, etc.) (39). Another focus of
future efforts will be to determine whether sCD4 remains associated
with Env following the wash step, or whether Env is capable of
maintaining the activated conformation following sCD4 dissociation
during washing. Interesting in this regard is the report that Env
interaction with CD4 and coreceptor can occur in a trans
fashion, with CD4 on one cell activating Env for functional interaction
with coreceptor on a different cell (48); perhaps these
findings reflect the ability of Env to maintain the CD4-activated conformation after dissociation.
The sCD4-activated system also reflects on recent studies demonstrating
that CXCR4 (54) and, to a greater extent, CCR5
(61) form constitutive cell surface associations with CD4 in
the absence of gp120. It has been proposed that the native CD4-CCR5
interaction may be important for HIV entry and infection and may
represent a new target for anti-HIV drug development (61).
The data presented herein indicate that Env-mediated fusion can occur
when CD4 is not anchored to the cell surface in normal fashion. This
may argue against an obligate role for the constitutive CD4-CCR5
complex in Env function. A reasonable alternative is that the CD4-CCR5 surface interaction is not absolutely essential for Env-mediated fusion
but facilitates this process perhaps by increasing the local
concentrations of both critical receptors. However, it is also possible
that the soluble form of CD4 can engage in the necessary interactions
with CCR5 reported for cell-associated CD4; relevant in this regard is
the conclusion the CD4-CCR5 interaction occurs via determinants within
the first two domains of CD4 (61), coupled with our finding
that the truncated 2D sCD4 construct is fully competent to activate Env
(Fig. 2).
The broad Env-blocking activities of 17b and 48d revealed by the
sCD4-activated fusion system also have important implications for the
design of HIV vaccines based on humoral immunity. Perhaps approaches
can be devised to elicit antibodies that mimic sCD4 in inducing the
epitopes detected by 17b and 48d; combining such approaches with
strategies to generate antibodies against these epitopes might prove
efficacious in inducing protective humoral immunity. Indeed, human MAbs
that enhance exposure of the 17b epitope have been described (41,
59). We are presently examining whether such MAbs can substitute
for sCD4 in promoting fusion with target cells bearing coreceptor but
not CD4 and whether they can mimic sCD4 in enhancing the
fusion-blocking activities of 17b and/or 48d. This concept is also
interesting in view of the recent success at generating broadly
cross-reactive antibody activity by using complexes of effector cells
expressing Env and target cells expressing CD4 plus coreceptor,
captured at various stages in the fusion process (32).
Perhaps some (all?) of the observed neutralizing activity derives from
synergistic effects of multiple antibodies on Env function. These
concepts add to the growing optimism that the rapidly expanding
knowledge of the Env-CD4-coreceptor interaction may ultimately lead to
novel practical strategies for intervention in the AIDS pandemic.
K. Salzwedel and E. D. Smith contributed equally to this work.
We thank the following individuals for supplying essential reagents: J. Robinson for purified MAbs 17b and 48d and the corresponding hybridomas, P. L. Earl for purified MAb D47 and the corresponding hybridoma, L. S. Wyatt and B. Moss for the vaccinia virus
recombinant expressing the 89.6 Env (MVA/HIV 89.6 env), and S. Johnson
for sCD4 proteins.
K. Salzwedel was supported in part by a National Research
Council-National Institutes of Health research associateship. This study was funded in part by the NIH Intramural AIDS Targeted Antiviral Program.
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