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Journal of Virology, November 2000, p. 10690-10698, Vol. 74, No. 22
0022-538X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Importance of Membrane Fusion Mediated by Human
Immunodeficiency Virus Envelope Glycoproteins for Lysis of Primary
CD4-Positive T Cells
Jason A.
LaBonte,1
Trushar
Patel,1
Wolfgang
Hofmann,1 and
Joseph
Sodroski1,2,3,*
Department of Cancer Immunology and AIDS,
Dana-Farber Cancer Institute,1
Department of Pathology, Harvard Medical
School,2 and Department of Immunology
and Infectious Diseases, Harvard School of Public
Health,3 Boston, Massachusetts 02115
Received 9 June 2000/Accepted 19 August 2000
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ABSTRACT |
In established T-cell lines, the membrane-fusing capacity of the
human immunodeficiency virus type 1 (HIV-1) envelope glycoproteins mediates cytopathic effects, both syncytium formation and single-cell lysis. Furthermore, changes in the HIV-1 envelope glycoproteins are
responsible for the increased CD4+ T-cell-depleting ability
observed in infected monkeys upon in vivo passage of simian-human
immunodeficiency virus (SHIV) chimeras. In this study, a panel of SHIV
envelope glycoproteins and their mutant counterparts defective in
membrane-fusing capacity were expressed in primary human
CD4+ T cells. Compared with controls, all of the functional
HIV-1 envelope glycoproteins induced cell death in primary
CD4+ T-cell cultures, whereas the membrane fusion-defective
mutants did not. Death occurred almost exclusively in envelope
glycoprotein-expressing cells and not in bystander cells. Under
standard culture conditions, most dying cells underwent lysis as single
cells. When the cells were cultured at high density to promote
syncytium formation, the envelope glycoproteins of the passaged,
pathogenic SHIVs induced more syncytia than those of the respective
parental SHIV. These results demonstrate that the HIV-1 envelope
glycoproteins induce the death of primary CD4+ T
lymphocytes by membrane fusion-dependent processes.
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INTRODUCTION |
Human immunodeficiency virus type 1 (HIV-1) infection of humans is characterized by progressive loss of
CD4+ T lymphocytes, leading
to the development of AIDS (2, 10, 21, 23). The cause of CD4+ T-cell depletion is
unknown, although measurements of viral dynamics in HIV-1-infected
humans suggest the possible contribution of viral cytopathic effects
and immunological clearance to the death of infected cells (24,
51). Because most immunopathogenic mechanisms are dependent on
CD4+ T-cell function, T-cell loss in vivo must be driven by
nonimmunologic processes, most likely virus determined. Consistent with
this model, the degree of CD4+ T-cell decline is directly
related to the virus load and inversely related to the level of
antiviral immune responses (5, 12, 25-27, 32, 46).

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FIG. 1.
Defective HIV-1 vectors expressing HIV-1 envelope
glycoproteins. The psrHIVenvGFP plasmid expressing the HIV-1 envelope
glycoproteins is shown. The HXBc2, HXBc2P, 89.6, and 89.6P envelope
glycoproteins and the corresponding 522 F/Y mutant envelope
glycoproteins were individually encoded in this construct. The control
vector psrHIV envGFP, which contains a large env deletion,
is also shown. Both psrHIVenvGFP and psrHIV envGFP plasmids contain
intact HIV-1 packaging signals. LTR, long terminal repeat; IRES,
internal ribosome entry sequence. To generate recombinant HIV-1
vectors, one of the two plasmids described above was cotransfected into
293T cells along with the pCMV P1 envpA, pHCMV-G, and pCMV-Rev
plasmids. These three plasmids supply the HIV-1 gag and
pol gene products, the VSV G glycoprotein, and the HIV-1 Rev
protein, respectively, in trans. All three plasmids lack
HIV-1 packaging signals and express gene products under the control of
the cytomegalovirus immediate-early promoter (CMV).
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Several HIV-1 proteins have been reported to exert cytotoxic or
cytostatic effects in tissue culture. The Tat regulatory protein has
been reported to be toxic when added exogenously to cells (3, 36,
40) but has also been shown to be protective against apoptosis
when expressed endogenously (40). Vpr arrests the cell cycle
of infected cells at the G2/M phase, which can lead to
caspase activation and apoptosis (49). The regulatory
protein Nef has been suggested to induce apoptosis through a
serine/threonine kinase-dependent signaling pathway (42).
Studies of HIV-1 deletion mutants, however, have demonstrated that the
expression of these regulatory proteins is either not necessary or
insufficient for the major cytopathic effects of virus infection
(14, 45, 47). Rather, the HIV-1 envelope glycoproteins
apparently mediate most of the acute cytotoxic consequences
accompanying virus production in the infected cell. The envelope
glycoproteins support virus entry into host cells by binding the
receptors, CD4 and chemokine receptors, and promoting the fusion of the
viral and target cell membranes (1, 9, 13, 16-19, 22, 31,
39). Analogous membrane fusion events have been shown to
contribute to HIV-1 cytopathic effects in immortalized cell lines
(6, 35, 38). HIV-1 envelope glycoproteins expressed on the
surfaces of infected cells can bind receptors on adjacent, uninfected
cells, resulting in the fusion of cells and the formation of
multinucleated syncytia (37, 48). Syncytia exhibit limited
longevity and undergo apoptosis (34, 35, 50). In the context
of a single infected cell, intracellular HIV-1 envelope
glycoprotein-receptor interactions can trigger membrane fusion events
that result in cell lysis (6). Modulation of the
membrane-fusing capacity of the HIV-1 envelope glycoproteins has been
shown to alter the cytopathic properties of the virus in
tissue-cultured cells (33).
In vivo studies of the HIV-1 envelope glycoproteins have been conducted
using simian-human immunodeficiency virus (SHIV)-infected rhesus
macaques. SHIVs contain the HIV-1 tat, rev,
vpu, and env genes cloned into the simian
immunodeficiency virus provirus and thus express HIV-1 envelope
glycoproteins. Two HIV-1 envelope glycoproteins that have been studied
in this context are derived from the HXBc2 virus, a T-cell-tropic
strain that uses the CXCR4 coreceptor (22, 41), and the 89.6 virus, a dual-tropic strain that can use either CCR5 or CXCR4 as a
coreceptor (11, 18). SHIV chimeras containing these HIV-1
envelope glycoproteins do not cause severe CD4+ T-cell
depletion or other known pathological consequences in infected
macaques. However, after serial in vivo passage, pathogenic variants of
both SHIV-HXBc2 and SHIV-89.6 emerged (28, 44). The passaged
viruses, SHIV-HXBc2P and SHIV-89.6P, respectively, cause profound and
rapid CD4+ T-cell depletion and, eventually, an AIDS-like
disease in rhesus monkeys. The SHIV-89.6P determinants of
CD4+ T-cell-depleting ability have been mapped to the
exterior domains of the gp120 and gp41 envelope glycoproteins
(29). Changes in these regions specified three properties:
increased membrane fusogenicity, enhanced affinity of chemokine
receptor binding, and increased resistance to neutralizing antibodies
(20, 29). Envelope glycoprotein changes were also shown to
be sufficient for the rapid CD4+ T-cell depletion induced
by SHIV-HXBc2P (8). In this case, unlike that of SHIV-89.6P,
large increases in virus replicative ability in vivo resulted from
animal passage and likely contribute to increased pathogenicity.
To date, the cytopathic properties of the HIV-1 envelope glycoproteins
have been studied almost exclusively in established cell lines. Here we
study the consequences of HIV-1 envelope glycoprotein expression in
primary human CD4+ T lymphocytes. The envelope
glycoproteins from the parental and pathogenic SHIV variants were
studied, as well as mutant derivatives of these envelope glycoproteins
that are defective in membrane-fusing capacity.
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MATERIALS AND METHODS |
Cell lines and primary cell cultures.
293T cells were grown
in Dulbecco modified Eagle medium-10% fetal calf serum (FCS) with
antibiotics. Primary human CD4+ T cells were isolated from
fresh blood using the RosetteSep negative selection system (StemCell
Technologies, Vancouver, British Columbia, Canada). Whole human
peripheral blood mononuclear cells (PBMC) were isolated from fresh
blood by Ficoll-Paque (Amersham Pharmacia, Uppsala, Sweden) density
centrifugation. All isolated primary cells were cultured
(106 cells/ml) in RPMI-10% FCS with antibiotics.
Activation of primary cells was achieved through an initial 3-day
stimulation with 1 µg of purified phytohemagglutinin (Murex Biotech,
Dartford, England)/ml and subsequent culturing with 10 U of recombinant
human interleukin-2 (Collaborative Biomedical Products, Bedford,
Mass.)/ml.
Viral vectors.
Replication-defective HIV-1 vectors that were
capable of expressing HIV-1 envelope glycoproteins and green
fluorescent protein (GFP) were constructed. The psrHIVenvGFP vector was
modified from previously described vector v653rtatpC (43)
through insertion of an internal ribosome entry sequence
(NcoI-NcoI) and the enhanced GFP gene (Clontech)
(NcoI-XhoI) in place of nef. The
psrHIVenvGFP vector, in addition to the envelope glycoproteins and GFP,
expresses the HIV-1 Tat, Rev, and Vif proteins and a C-terminally
truncated, functionally defective Vpr protein derived from the HXBc2
strain. The KpnI-BamHI fragments of the coding
sequences for the HXBc2, HXBc2-P, 89.6, and 89.6P envelope
glycoproteins were cloned into the corresponding sites of this vector.
Phenylalanine 522 in each of these envelope glycoproteins was changed
to tyrosine using PCR site-directed mutagenesis to create the
corresponding F/Y mutants. The psrHIV
envGFP construct was made by
deletion of the env sequences while leaving the
Rev-responsive element (HXBc2 nucleotide positions 6094 to 7655)
intact. Recombinant viruses were produced by cotransfection of
293T cells with psrHIVenvGFP, pCMV
P1
envpA (43),
pHCMV-G (52), and a Rev-expressing plasmid in a 10:10:2:1
ratio. At 12 h following transfection, the cells were washed and
cultured in RPMI-10% FCS with antibiotics. Conditioned medium
containing recombinant viruses was harvested and filtered (0.45-µm
pore size) 24 h later.
Titration of recombinant virus.
Recombinant virus was
titered on either Jurkat cells or activated primary human
CD4+ T cells, depending on which target cells were to be
used in the experiment. Cells were cultured at a density of 5 × 105 cells/ml in 24-well plates. Recombinant virus was added
in serial dilutions while maintaining a constant volume of culture
medium in each well. Forty-eight hours after transduction, the cells were collected, fixed in 3.7% formaldehyde, and analyzed by
fluorescence-activated cell sorting (Becton Dickinson FACScan).
Immunofluorescence.
293T cells were cultured on chamber
slides (Lab-Tek, Naperville, Ill.) with either psrHIV
envGFP
recombinant virus or recombinant virus expressing the HXBc2P envelope
glycoproteins. The slides were washed in phosphate-buffered saline
(PBS) and fixed in 3.7% formaldehyde for 20 min at room temperature.
The cells were then permeabilized in PBS-0.1% Triton X-100 for 15 min. Slides were then placed in blocking solution (5% bovine serum
albumin, 0.2% Tween 20, and 0.2% Triton X-100 in PBS) for 1 h.
Cells were stained with a 1:100 dilution of F105 anti-gp120 antibody in
1:5 blocking solution for 1 h at room temperature and then washed
in buffer (0.2% Triton X-100 and 0.2% Tween 20 in PBS) three times
for 10 min each. Rhodamine-conjugated goat anti-human antibody was
added to the slides in a 1:200 dilution in 1:5 blocking solution for 1 h at room temperature. Cells were washed again, and slides were visualized on a Nikon TE300 inverted microscope.
Immunoprecipitation.
293T cells were transduced with
equivalent amounts of titered virus, washed at 5 h after
transduction, and incubated in [35S]methionine and
[35S]cysteine in labeling media depleted of cysteine and
methionine. At 24 h after transduction, the cells were pelleted
and the supernatant was discarded. Cell pellets were resuspended in
NP-40 lysis buffer (0.5% NP-40, 0.5 M NaCl, 10 mM Tris, pH 7.5) and
were centrifuged to pellet cellular debris. Cellular lysates were
precipitated in the presence of unlabeled cell lysate with anti-gp120
antibody F105 or anti-HIV patient sera and protein A-Sepharose beads at 4°C overnight. Immunoprecipitation was followed by three washes with
wash buffer (0.5% NP-40, 5 M NaCl in PBS), one wash with PBS, and
resuspension in Tris-HCl loading buffer containing 5%
-mercaptoethanol. Samples were then boiled for 5 min, analyzed on a
sodium dodecyl sulfate-7.5% polyacrylamide gel, and exposed to film.
Transduction of cells and viability assay.
Either Jurkat
cells or activated primary human CD4+ T cells were cultured
in duplicate in 24-well plates at a density of 2.5 × 105 cells in 500 µl of medium. A sufficient titer of
recombinant viruses was added to each well to achieve infection of 5%
of the cells. The medium was changed at 5 h to remove excess input
virus. At 5 h after transduction and at 24-h intervals thereafter,
the cells in duplicate wells were centrifuged for 2 min at 1,500 rpm, washed, and stained in 100 µl of PBS with 250 ng of propidium iodide
(Molecular Probes, Eugene, Oreg.) for 15 min at room temperature. Cells
were then washed in PBS and fixed in 4% formaldehyde.
Fluorescence-activated cell sorter analysis was performed immediately
to quantify GFP expression and propidium iodide positivity.
Transduction of cells and syncytium assay.
Activated primary
human CD4+ T cells were cultured in 96-well plates at a
density of 4 × 105 cells in 200 µl of RPMI-10%
FCS with interleukin-2 and antibiotics. All transductions were done in
separate, duplicate wells with sufficient amounts of titered virus to
achieve a 10% frequency of infection. Syncytia were counted by visual
inspection using a Nikon TE300 inverted microscope at 42, 56, 66, and
78 h after transduction of the cultures.
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RESULTS |
Construction of an HIV-1 vector expressing envelope glycoproteins
and GFP.
Although previous studies have examined the consequences
of HIV-1 envelope glycoprotein expression in immortalized cell lines, similar studies of primary human T lymphocytes have been hampered by
the relative resistance of these cells to transfection. We utilized a
defective HIV-1 vector to express the HIV-1 envelope glycoproteins from
nonpathogenic and pathogenic SHIV variants in primary CD4+
T cells enriched from human PBMC (Fig. 1). To examine the role of
membrane fusion in any observed phenotypes, fusion-defective envelope
glycoproteins (designated F/Y) containing an alteration of
phenylalanine 522 were also expressed in these vectors (4). Phenylalanine 522 is located in the "fusion peptide" at the N terminus of gp41, and changes in this residue attenuate membrane-fusing ability without affecting receptor binding (4). Expression of the envelope glycoproteins in the HIV-1 vectors is under the control
of the viral long terminal repeats and Tat and Rev proteins and
therefore should achieve levels comparable to those in HIV-1-infected cells. The potential contribution of HIV-1 regulatory proteins expressed by the vectors (Tat, Rev, Vif, and a truncated, defective Vpr
protein) to the observed phenotypes was controlled for by including a
vector with env deleted in the study. As an aid in titering
the recombinant viruses and in identifying transduced cells, a gene for
GFP, which was expressed from an internal ribosome entry sequence, was
included in the vectors. All recombinant viruses were pseudotyped with
the vesicular stomatitis virus (VSV) G glycoprotein to equalize entry
into target cells despite differences in the efficiency with which the
HIV-1 envelope glycoproteins encoded by the vectors might mediate virus
entry. Because the sequences encoding the VSV G glycoprotein are not
packaged into the recombinant virions, the VSV G glycoprotein is not
expressed in the target cells.
To verify the utility of GFP expression as a marker for envelope
glycoprotein expression by the vectors, adherent 293T cells
grown in
slide chambers were infected with either the
psrHIV
HXBc2PGFP
or the psrHIV

envGFP vector
preparation. Because the intracellular
expression of the HIV-1
envelope glycoproteins is typically more
abundant than that on the
cell surface, the transduced cells were
permeabilized and stained with
the F105 antibody, which efficiently
recognizes all the variants of
HIV-1 envelope glycoproteins used
in this study. In cultures transduced
with the psrHIV
HXBc2PGFP
vector, every GFP-positive cell
exhibited significant staining
with the F105 antibody (Fig.
2A to
C). The pattern of F105 staining
was
consistent with the known abundance of the HIV-1 envelope
glycoproteins
in the endoplasmic reticulum of an expressing cell.
In cultures
transduced with the control psrHIV

envGFP vector,
although many
GFP-positive cells were evident, these did not stain
with the F105
antibody (Fig.
2D). Thus, GFP expression allows
a simple and
nondisruptive determination of which cells in the
culture are
expressing HIV-1 envelope glycoproteins.

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FIG. 2.
Utility of GFP fluorescence as a marker for cells
expressing HIV-1 envelope glycoproteins. 293T cells were transduced
with either the psrHIVHXBc2PGFP (panels A to C) or the
psrHIV envGFP (D) vector and then fixed and permeabilized 48 h
later. (A) A single transduced cell (×85 magnification) demonstrating
cytoplasmic GFP fluorescence. (B) The cell shown in A was labeled with
the F105 anti-gp120 antibody and rhodamine-conjugated goat anti-human
antibody. (C) The 293T cells transduced with the
psrHIVHXBc2PGFP vector are shown (×50 magnification),
demonstrating that every GFP-expressing cell also stains with the F105
antibody and rhodamine-conjugated secondary antibody. (D) The 293T
cells transduced with the psrHIV envGFP vector are shown at ×50
magnification. Note that the GFP-positive cells do not stain with a
combination of the F105 antibody and the rhodamine-conjugated secondary
antibody.
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To determine if the different HIV-1 envelope glycoproteins were
expressed at similar levels by the vectors, equivalent amounts
of
titered virus were used to transduce 293T cells. At 24 h after
infection, the cells were radiolabeled and the cell lysates were
precipitated by either the F105 anti-gp120 antibody or a mixture
of
sera from HIV-1-infected individuals. The expression levels
of all of
the HXBc2 envelope glycoprotein derivatives were similar,
as were those
of the 89.6 envelope glycoprotein variants (Fig.
3).

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FIG. 3.
Levels of HIV-1 envelope glycoprotein expression in
transduced cells. 293T cells were transduced with titered recombinant
HIV-1 vectors expressing the HIV-1 envelope glycoproteins, labeled, and
lysed. The cell lysates were precipitated with either the F105
anti-gp120 monoclonal antibody or with a mixture of sera from
HIV-1-infected individuals. The bands corresponding to the gp160
envelope glycoprotein precursor and mature gp120 envelope
glycoprotein are indicated.
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Effects of HIV-1 envelope glycoprotein expression in Jurkat T
lymphocytes.
To examine the consequences of HIV-1 envelope
glycoprotein expression in an established human CD4+
T-lymphocyte line, Jurkat cells were incubated with the HIV-1 vectors,
washed after 5 h, and stained at successive time points with
propidium iodide to determine cell viability. GFP+ cells,
which express the HIV-1 envelope glycoproteins, were examined separately from GFP
cells. Cells expressing the HXBc2 and
HXBc2P envelope glycoproteins exhibited significant decreases in
viability compared with the psrHIV
envGFP- transduced control
cells (Fig. 4A). Cells expressing the
membrane fusion-defective envelope glycoproteins (HXBc2 F/Y and
HXBc2P F/Y) did not differ in viability from the
psrHIV
envGFP-expressing control cells or from uninfected
cells. Expression of the 89.6 and 89.6P envelope glycoproteins resulted
in significant losses of viability in the Jurkat cultures, with the
89.6P envelope glycoproteins exhibiting more toxicity than the 89.6 envelope glycoproteins (Fig. 4B). The viability of the cultures
expressing the 89.6 F/Y and 89.6P F/Y envelope glycoproteins did not
differ from that of the control cultures. Flow cytometric analysis of
the Jurkat cells expressing the HXBc2, HXBc2P, 89.6, and 89.6P envelope
glycoproteins indicated that the vast majority of the propidium
iodide-positive cells were single cells and not syncytia (data not
shown).

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FIG. 4.
Cell viability in Jurkat lymphocytes expressing HIV-1
envelope glycoproteins. Jurkat lymphocytes were incubated with a
sufficient amount of recombinant viruses expressing the indicated
envelope glycoproteins to result in a 5% transduction efficiency.
Control Jurkat lymphocytes (uninfected) that were mock infected were
included. At the indicated times, the independent duplicate cultures
were stained with propidium iodide. Flow cytometry was used to quantify
cell viability in both the GFP-positive (A and B) and GFP-negative (C
and D) populations.
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The viability of the GFP

Jurkat cells was generally
greater than that of the GFP
+ cells (Fig.
4C and D). In the
cultures expressing the HIV-1 envelope
glycoproteins competent for
membrane fusion, the viability of
the GFP

cells was
slightly decreased compared with that in cultures expressing
the
membrane fusion-defective envelope glycoproteins or control
cultures.
These results suggest that the death of bystander cells
in the HIV-1
envelope glycoprotein-expressing Jurkat cultures
is infrequent compared
with the death of envelope glycoprotein-expressing
cells and that such
death is dependent on the membrane-fusing
activity of the envelope
glycoproteins. Thus, consistent with
our previous study, almost all of
the cytopathic effects associated
with the expression of the HIV-1
envelope glycoproteins in Jurkat
cells depend on the ability of the
viral envelope glycoproteins
to mediate the fusion of
membranes.
Effects of HIV-1 envelope glycoprotein expression in primary human
CD4+ T cells.
To examine the consequences of HIV-1
envelope glycoprotein expression in primary human T lymphocytes,
CD4+ T cells were purified from human peripheral blood. A
negative selection was used to avoid any artifactual effects of
CD4-directed antibodies and achieved greater than 95% pure populations
of CD4+ T lymphocytes (Fig.
5). The CD4+ T cells were
activated, infected by the recombinant viruses expressing the various
envelope glycoproteins, washed, and monitored for viability by
propidium iodide staining at successive time points. Both
GFP+ and GFP
subsets of the culture were
studied.

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FIG. 5.
CD4 expression in cells used in the study. The OKT4
anti-CD4 monoclonal antibody was used to stain the surface of Jurkat T
lymphocytes, whole human PBMC isolated by standard Ficoll-Paque density
centrifugation, and a PBMC preparation enriched for CD4+ T
cells. The staining of 293T cells, which were used as a negative
control, is shown in gray.
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The expression of membrane fusion-competent HIV-1 envelope
glycoproteins resulted in significant loss of viability in the
GFP
+ primary human CD4
+ T lymphocytes (Fig.
6A
and B and
7). As was
observed for the
envelope glycoprotein-expressing Jurkat cultures, most
of the
propidium iodide-positive cells were single cells and not
syncytia
(data not shown). Primary CD4
+ T cells expressing
the membrane fusion-defective F/Y envelope
glycoproteins did not
reproducibly differ in viability from control
cells transduced
with the psrHIV

envGFP vector.

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FIG. 6.
Viability of primary CD4+ T cells expressing
HIV-1 envelope glycoproteins. Primary human CD4+ T
lymphocytes were isolated from the peripheral blood and activated.
These cells were transduced with titered recombinant viruses, washed,
and assayed at successive time points for cell viability using
propidium iodide. Flow cytometry was used to quantify viability in
GFP-positive (A and B) and GFP-negative (C and D) populations.
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FIG. 7.
Propidium iodide (PI) staining of primary
CD4+ T cells expressing HIV-1 envelope glycoproteins.
Primary CD4+ T cells were transduced with recombinant
viruses as described in the legend to Fig. 6. At 168 h after
transduction, the cultures were stained with propidium iodide. Flow
cytometry was used to quantify propidium iodide staining of the
GFP-positive cells. The gates for propidium iodide and GFP were chosen
based on the staining of untransduced cells.
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None of the HIV-1 envelope glycoproteins affected the viability of the
GFP

primary CD4
+ T cells (Fig.
6C and D).
Thus, expression of HIV-1 envelope glycoproteins
in primary T-cell
cultures did not result in the death of bystander
cells.
Syncytium formation in primary human CD4+ T
cells.
The envelope glycoproteins of some pathogenic SHIV variants
have been reported to exhibit enhanced syncytium-forming ability, compared with the glycoproteins from the nonpathogenic parental SHIVs
(29). To examine the syncytium-forming ability of the HIV-1
envelope glycoproteins used in this study, primary human CD4+ T cells were transduced with the panel of recombinant
HIV-1 vectors and then cultured at high density to favor cell-cell
interactions. The HXBc2P and 89.6P envelope glycoproteins derived from
pathogenic SHIV induced more syncytia than the HXBc2 and 89.6 envelope
glycoproteins, respectively (Fig. 8). No
difference in the sizes of the syncytia induced by any of these
membrane fusion-competent envelope glycoproteins was seen (data not
shown). No syncytia were observed in the primary CD4+
T-cell cultures transduced with the psrHIV
envGFP vector or with vectors expressing the membrane fusion-defective envelope
glycoproteins.

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FIG. 8.
Syncytium formation in primary human CD4+ T
cells. At various times after the transduction of primary
CD4+ T cells with recombinant viruses, syncytia were
visually scored. Syncytium formation was monitored in cultures
expressing the HXBc2 envelope glycoproteins and derivatives (A) or the
89.6 envelope glycoproteins and derivatives (B).
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DISCUSSION |
Understanding the role of the HIV-1 envelope glycoproteins in
causing the death of primary human CD4+ T lymphocytes has
been hampered by the difficulty of transfecting these cells. In this
study, we utilized defective HIV-1 vectors to express HIV-1 envelope
glycoproteins in primary human CD4+ T cells. Because the
envelope glycoproteins are expressed by the vectors in a context
similar to that in the authentic provirus, the levels of glycoprotein
expression achieved are expected to resemble those in HIV-1-infected
cells. The use of GFP as a marker for the vector-transduced cells
allowed an estimation of cell death in cells expressing the HIV-1
envelope glycoproteins and in bystander cells.
Primary human CD4+ T lymphocytes expressing functional
HIV-1 envelope glycoproteins underwent single-cell lysis when cultured under standard conditions and became incorporated into multinucleated syncytia when cultured at high density. The ability of HIV-1 envelope glycoproteins to mediate membrane fusion was essential for the induction of both cytopathic processes in primary human
CD4+ T lymphocytes. Thus, at least in this context, binding
of the gp120 envelope glycoprotein to CD4 and/or the chemokine
receptors is insufficient to lyse T cells. The importance of membrane
fusion to the destruction of single primary CD4+ T cells
implies that membrane damage contributes to the process of cell
killing. Membrane fusion events mediated by the HIV-1 envelope
glycoproteins have been suggested to be important for the induction of
cytopathic effects in immortalized cell lines (6, 33, 37,
48). Our results demonstrate that important similarities between
envelope glycoprotein-host cell interactions in immortalized lines and
primary CD4+ T lymphocytes exist.
Under standard culture conditions, death occurred almost exclusively in
the primary T cells expressing the HIV-1 envelope glycoproteins and not
in bystander cells. Apparently, expression of the viral envelope
glycoproteins at levels comparable to those expected for HIV-1-infected
cells did not induce the death of surrounding cells, apart from those
incorporated into syncytia. It is possible that bystander cell lysis
can be mediated by the HIV-1 envelope glycoproteins in contexts (e.g.,
within virions or in the presence of cross-linking antibodies)
different than those studied in this work. The contribution of
bystander cell death to CD4+ T-cell depletion in vivo is
uncertain. In HIV-1-infected individuals, the half-life of infected T
cells that are not actively producing HIV-1 is as long as that expected
of normal T cells (51), suggesting that most bystander cells
are not specifically targeted for destruction. However, because of the
relatively large size of the uninfected T-cell pool, loss of a small
fraction of these cells, which could significantly contribute to
cumulative CD4+ T-cell depletion, is not ruled out by the
available data. Indeed, it has been suggested that loss of some
uninfected CD4+ T lymphocytes may occur in monkeys that
exhibit rapid and profound depletion of T cells during acute SHIV
infection (29). However, a full understanding of the
contribution of bystander cell loss in this model system awaits further studies.
Changes within the HIV-1 envelope glycoproteins have been shown to be
important for the increased pathogenicity of SHIVs that have been
passaged in monkeys (8, 29). Even when the levels of virus
replication are taken into account, the envelope glycoprotein ectodomains of one of these passaged viruses, SHIV-89.6P, specify an
increased ability to cause CD4+ T-cell depletion in vivo
(29). Relative to the envelope glycoproteins of the nonpathogenic parental SHIVs, the SHIV-89.6P and
SHIV-HXBc2P envelope glycoproteins more efficiently induced the
formation of syncytia in primary CD4+ T lymphocytes. This
increase in membrane fusogenicity was less manifest in the induction of
cell death in suspensions of primary CD4+ T cells or Jurkat
lymphocytes cultured at low density. In this setting, single-cell lysis
rather than cell-cell fusion predominates as a form of cytopathic
effect. Previous studies have suggested that more successful envelope
glycoprotein-receptor interactions are required for the formation of a
syncytium than for the lysis of a single cell (6, 7, 15,
33). Under the more-stringent conditions required for syncytium
formation, differences in the fusogenic capacities of the nonpathogenic
and pathogenic SHIV envelope glycoproteins may be more apparent. The
relative contribution of syncytium formation and single-cell lysis to
in vivo CD4+ T-lymphocyte destruction is unknown. As is the
case for HIV-1-infected humans, syncytia have not been commonly
observed in the lymph nodes of SHIV-infected monkeys (29).
Syncytia formed in vivo may consist of few cells and therefore may be
difficult to identify or may be too short-lived to accumulate.
Alternatively, most CD4+ T-lymphocyte death in vivo may
involve the lysis of single cells. Further work will be required to
determine the precise roles that membrane fusion events mediated by the
HIV-1 envelope glycoproteins play in the loss of CD4+ T
lymphocytes in the infected host.
 |
ACKNOWLEDGMENTS |
We acknowledge Marshall Posner for supplying the F105 monoclonal
antibody. We thank Maris Handley at the Dana-Farber Cancer Institute
flow cytometry core facility for excellent technical support and Yvette
McLaughlin and Sheri Farnum for manuscript preparation. Thanks to
Michelle LaBonte for helpful discussions and assistance.
This work was supported by grants from the National Institutes of
Health (AI24755 and AI33832) and by Center for AIDS Research grant
AI28691. Additional support was provided by the G. Harold and Leila Y. Mathers Foundation, the late William F. McCarty-Cooper, the Friends 10, and Douglas and Judith Krupp.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Cancer Immunology and AIDS, Dana-Farber Cancer Institute, 44 Binney
St., JFB 824, Boston, MA 02115. Phone: (617) 632-3371. Fax: (617)
632-4338. E-mail: joseph_sodroski{at}dfci.harvard.edu.
 |
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