INTRODUCTION

Top Abstract Introduction Materials and Methods Results Discussion References

Human immunodeficiency virus type 1 (HIV-1) replication is continuous and occurs vigorously in infected individuals (4, 17, 28, 42). Primary acute HIV-1 infection is characterized by extremely high levels of plasma viremia, with values in excess of 10⁶ copies of viral RNA/ml of blood (7). Resolution of the acute phase of HIV-1 infection correlates well with the appearance of robust cytotoxic T-cell responses to the virus (18, 21, 24, 34) and is followed by a variable period of clinical latency. The viral titer rapidly decreases to a new steady state that varies among individuals (the plasma HIV-1 RNA levels are typically in the range of 10² to 10⁵ copies/ml) and is ultimately predictive of the subsequent rate of disease progression (23). Although the asymptomatic phase of infection is characterized by an absence of clinical symptoms, there is persistent replication of virus throughout the lymphoid system, especially in the germinal centers of peripheral lymph nodes (6, 25, 29). Remarkably, during this phase, the level of HIV-1 RNA in the plasma is reasonably stable in a given individual and reflects a quasi-steady state in which virus production equals virus clearance (4, 7).

Most of the plasma virus detected comes from recently infected CD4⁺ lymphocytes. Some studies have estimated that as many as one-third of peripheral and lymphoid CD4⁺ lymphocytes are HIV DNA positive, with a small proportion of them (0.1 to 1%) expressing viral RNA at any given time (3, 6, 25). These virus-infected T cells in vivo are turned over rapidly and have a short half-life (t_1/2  2 days) (1, 17, 28, 31, 32, 42). The rapid turnover of these infected CD4⁺ lymphoblasts is probably due to both virus-induced cytopathic effects and the host cytolytic effector mechanisms. Current in vitro assays for viral replication do not accurately represent this situation because they do not take into account the short half-life of infected cells in vivo. Therefore, in vitro culture systems used to analyze HIV-1 gene function do not have the same selective constraints as those present in vivo.

In this study, we have designed an in vitro assay system that mimics the short life span of infected T cells and the constant replenishment of uninfected target cells (the rapid-turnover assay). HIV-1-infected Jurkat T cells were killed every 3 days by the addition of a cytocidal agent and then cocultured with fresh uninfected Jurkat T cells. Sustained high level of viral replication was not achieved under rapid-turnover assay conditions following infection with HIV_Lai. However, continued propagation of the virus-infected cells led to the emergence of a new viral variant that could replicate under the selective conditions of rapid cell turnover. Spread of virus under the rapid-turnover conditions was correlated with a change in phenotype of the virus (increased numbers and sizes of syncytia). The virus was molecularly cloned, and the region responsible for the replication in the rapid-turnover assay was mapped by analysis of viral chimeras. The region of the virus that conferred this new phenotype mapped to a frameshift mutation in the vpu open reading frame (ORF) that was shown to be sufficient for survival and growth in the rapid-turnover assay. Moreover, the vpu mutation alone was responsible for converting the virus to one that spreads predominately by cell-to-cell fusion. Since viral replication in a system with rapid cell turnover kinetics depends on cell-to-cell transfer of virus, our data support the hypothesis that cell-to-cell spread of HIV is the predominant route of viral spread in vivo.

	MATERIALS AND METHODS

Top Abstract Introduction Materials and Methods Results Discussion References

Rapid-turnover assay. Plasmid pLai is an infectious molecular clone of the T-cell-tropic isolate, Lai (26). Jurkat T cells were infected with HIV_Lai, and infected cell cultures were exposed to mitomycin C (50 µg/ml) 3 days postinfection and every third day after the initial mitomycin C exposure (see Fig. 1A). For mitomycin C treatment, cells were washed twice with phosphate-buffered saline (PBS) and then resuspended for 2 h at room temperature in the dark in PBS containing mitomycin C (50 µg/ml). Following incubation, the cells were washed twice with RPMI medium containing 10% fetal bovine serum (RPMI-FBS) and resuspended in 1 ml of medium containing fresh Jurkat T cells (10⁶). After the next passage, dead cells were removed from the culture by Ficoll density gradient separation. This procedure was repeated every 3 days. Replication of virus was monitored by quantitation of p24 release into the supernatant.

Molecular cloning of rapid HIV-1 variants. On day 27 postinfection (passage 9) (see Fig. 1A), cell-free supernatant was used for infection of fresh Jurkat T cells, and the rapid-turnover assay was performed every third day (Fig. 1B), as described above. At 12 days postinfection, infected cells were collected and extrachromosomal DNA was isolated by Hirt extraction and used for cloning of the proviruses. Briefly, 200 ng of DNA was amplified by PCR using the Expand Long Template kit (Boehringer-Mannheim) and the primer set 5'-AAATCTCTAGCAGTGGCGCCCGAACAG-3' (sense) (+623 to +649) and 5'-GCACTCAAGGCAAGCTTTATTGAGGCT-3' (antisense) (+9632 to +9606). The template was denatured for 5 min at 95°C, and this was followed by three cycles of denaturation (95°C for 10 s), annealing (55°C for 30 s), and extension (68°C for 10 min) and then by an additional 22 cycles in which only the extension time was changed (to 8 min). The resulting 9-kb product was subcloned into pGEM-T (Promega) by using T/A overhangs. Full-length infectious proviral clones were generated by digestion of the pGEM-T proviral clones with BssHII and AatII (position 714 in the provirus to the polylinker in the vector backbone). The BssHII-AatII fragment was subcloned into pLai that had been digested with the same restriction enzymes. The resulting full-length proviral clone contained the amplified region of the mutant virus ligated to the 5' long terminal repeat (LTR) of Lai and was named pRap1 (to designate the rapid phenotype). To map the genetic component of the mutant virus that conferred the ability to grow within the parameters of the rapid-turnover assay, Lai/Rap1 chimeras were constructed. Initially, a 2,691-bp SalI-BamHI fragment (positions 5789 to 8480) of pRap1 was cloned into the corresponding sites of pLai to create plasmid pRap2. The reciprocal swap was also created by cloning the SalI-BamHI fragment (positions 5789 to 8480) of pLai into the similarly digested pRap1 to create pRap3. Also, a 584-bp BglII fragment (positions 7041 to 7628) carrying the env V3 of pRap1 was cloned into the similarly digested pLai to create plasmid pRap4. Finally, a 1,283-bp NdeI fragment (positions 5125 to 6408) of plasmid pRap1 was cloned into the corresponding sites of pLai to create plasmid pRap5. Nucleotide positions are numbered according to the HXB2R clone sequence (20). All viral constructs and the presence of mutations were confirmed by sequencing with an automated sequencer (ABI Prism).

Cells, transfection, and infection. Jurkat T cells were cultured in RPMI-FBS. Jurkat-LTR-luc cells, which contain a luciferase gene under the control of the HIV-1 LTR (14), were maintained in RPMI-FBS containing 0.2 mg of hygromycin per ml. 293-T cells were propagated in Dulbecco's modified Eagle's medium containing 10% FBS. Virus stocks were prepared by calcium phosphate transfections of 293-T cells with plasmid DNAs of individual molecular clones, as described previously (14). At 2 days posttransfection, virus-containing supernatants were clarified by centrifugation (1,000 × g for 10 min) to remove cell debris. The virus stocks were assayed for their infectivity by the MAGI assay (41). Routinely, 10⁶ Jurkat cells were infected at an equal multiplicity of infection (MOI) with different viruses. Following 2 h of adsorption, the cells were washed twice with PBS to remove residual input virus and then cultured at a density of 10⁶/ml of RPMI-FBS. Spreading infections were maintained by replacing 75% of the cells and medium every third day. Cell supernatants were harvested, and the infectivity of cultures was monitored by a p24^gag enzyme-linked immunosorbent assay ELISA (Coulter), as described previously (14).

Flow cytometry. To determine the number of cells expressing p24^gag in each of the infected cultures, cells were fixed in 1% paraformaldehyde, permeabilized in 0.5% Tween 20, and stained with a 1:50 dilution of murine anti-HIV-1 p24^gag-fluorescein isothiocyanate (FITC) monoclonal antibody (KC57-FITC; Coulter). Flow cytometry was performed on a CALIBUR instrument (Becton Dickinson) with CellQuest (Becton Dickinson) data acquisition and analysis software.

Metabolic labeling. For pulse-chase experiments, Jurkat cells were infected with either HIV_Lai or Rap5 virus. On day 3 postinfection, the cultures were washed once with PBS and incubated for 60 min at 37°C under 5% CO₂ in methionine-deficient RPMI 1640 medium (Sigma). The cells were pulse-labeled with [³⁵S]methionine-[³⁵S]cysteine mix (New England Nuclear) for 60 min at 37°C under 5% CO₂ and washed once in PBS, and equal portions were added to 500 µl of RPMI-FBS for each time point of the chase period and incubated at 37°C. At the indicated time points, cells were harvested and lysed in 500 µl of CHAPS buffer, containing 50 mM Tris-hydrochloride (pH 8.0), 5 mM EDTA, 100 mM NaCl, 0.5% (wt/vol) 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfate) (CHAPS), 0.2% (wt/vol) deoxycholate, and the protease inhibitors leupeptin, aprotinin, and phenylmethylsulfonyl fluoride (35). Cell debris was removed by centrifugation (12,000 × g, for 10 min at 4°C). For studies of virus particle release, cell supernatants were cleared of cell debris by centrifugation (1,000 × g, for 5 min). Virus particles were pelleted from the cell supernatants in a refrigerated microcentrifuge (14,000 × g for 100 min at 4°C) and then lysed in buffer containing 300 mM NaCl, 50 mM Tris-hydrochloride (pH 7.4), and 0.1% (vol/vol) Triton X-100 (35).

Electron microscopy. Jurkat cells were infected at an MOI of 0.03 and fixed at 3 days postinfection. For fixation, the cells were washed three times with cold PBS and then fixed overnight in 4% paraformaldehyde-0.1% glutaraldehyde in 200 mM HEPES-KOH (pH 7.4) at 4°C. The cells were then washed and resuspended in 2% osmium tetroxide solution for 2 h on ice. The samples were dehydrated, embedded in Epon 812 resin, and sectioned.

Biotinylation and immunoprecipitation. Sulfosuccinimidyl-6-biotinamidohexanoate (Sulfo-NHS-LC-biotin) (Pierce) was dissolved in dimethyl sulfoxide at 10 mg/ml. On day 3 postinfection, infected Jurkat cell cultures were washed three times with ice-cold PBS prior to biotinylation of cell surface proteins. Sulfo-NHS-LC-biotin was added to the cells in a volume of 1 ml PBS at a final concentration of 400 µg/ml for 60 min at room temperature. After biotinylation, the cells were washed three times with ice-cold PBS and then lysed in 500 µl of CHAPS lysis buffer (described above). Cell lysates containing equal numbers of p24^gag+ cells were centrifuged at 12,000 × g for 10 min at 4°C to remove cell debris and then precleared by incubation at 4°C for 1 h with protein A-Sepharose beads (Pharmacia LKB Biotechnology) adsorbed with normal mouse serum. Viral envelope glycoproteins and a cell surface-associated receptor protein (Fas) were immunoprecipitated with a mouse anti-HIV-1 gp120 monoclonal antibody (2G12) and a mouse anti-Fas receptor monoclonal antibody (Santa Cruz) preadsorbed to protein A-Sepharose for 1 h at 4°C. The immunoprecipitated proteins were solubilized by boiling in sample buffer, separated on SDS-8% polyacrylamide gels, transferred to polyvinylidene difluoride membranes (Immobilon-P; Millipore), probed with horseradish peroxidase-conjugated streptavidin, and detected by enhanced chemiluminescence (ECL; Amersham Life Sciences).

Western blot analysis. Jurkat cells (10⁶) were infected with virus (Lai or Rap5) at an MOI of 0.03, as described above. On day 3 postinfection, the cells were washed with PBS and an aliquot of cells was used for fluorescence-activated cell sorter (FACS) analysis to determine the number of p24^gag+ cells in culture, as described above. The rest of the cells were lysed in 200 µl of CHAPS lysis buffer. The lysates were centrifuged at 12,000 × g for 10 min to remove cell debris and boiled for 5 min in the presence of sample buffer (2% SDS, 1% 2-mercaptomethanol, 1% glycerol, 65 mM Tris-hydrochloride [pH 6.8]). Lysates from equal numbers of p24^gag+ cells were loaded on SDS-8% polyacrylamide gels. Following electrophoresis, the proteins were transferred to polyvinylidene difluoride membranes. The membranes were blocked for 60 min at room temperature with PBS containing 0.5% Tween 20 and 5% nonfat milk powder (Carnation) and incubated with a 1:1,000 dilution of a mouse anti-HIV-1 p55^gag monoclonal antibody (76C) overnight at 4°C. The membranes were washed for 30 min in wash buffer (PBS containing 0.2% Tween 20) and then incubated with a 1:5,000 dilution of a horseradish peroxidase-conjugated anti-mouse monoclonal antibody (Jackson) for 60 min at room temperature. The membranes were washed three times for 30 min, and the bound antibody was detected with the ECL detection system.

Cell-to-cell fusion assay. Jurkat cells that were mock infected, or infected with Lai or Rap5, were used as the source of viral envelope glycoproteins. To initiate cell-to-cell fusion, 1× 10⁵ infected Jurkat cells (Lai or Rap5 infected) were cocultured with 2.5 × 10⁵ Jurkat LTR-luc cells in 96-well plates. To inhibit subsequent rounds of viral replication, zidovudine (50 µM) was added to the cultures. After coincubation for the indicated times, the cells were washed and lysed in reporter lysis buffer and assayed for luciferase activity as specified by the manufacturer (Promega).

	RESULTS

Top Abstract Introduction Materials and Methods Results Discussion References

Generation of a rapid mutant in the short-half-life assay. We set out to establish a model system which would allow us to ascertain the functions of accessory genes in cells subject to rapid turnover that would be akin to kinetic conditions in vivo, where infected cells have a short half-life (t_1/2  2 to 3 days) (4, 30-32). We did this by treating infected cells with mitomycin C, washing them, and then adding fresh uninfected cells (Fig. 1A). Treatment of Jurkat T cells with mitomycin C resulted in >95% cell death within 24 h (data not shown). However, no cells died for the first 8 h after treatment (data not shown), which should allow enough time for the mitomycin C-treated cells to transmit virus to the uninfected cells. This procedure was repeated every 3 days (Fig. 1A). Under these conditions, the life span of an infected cell is unlikely to exceed 3 days.

View larger version (20K): [in this window] [in a new window]   FIG. 1.   Establishment of a rapid-turnover assay system. (A) HIV-1Lai-infected Jurkat cells, 3 days postinfection, were treated with mitomycin C (50 µg/ml) for 120 min in the dark at room temperature and then cocultured with 106 uninfected Jurkat cells. Treatment with mitomycin C and coculture with uninfected cells were repeated every third day for several passages. (B) Jurkat cells were infected with HIVLai at an MOI of 1 or 0.5, and viral replication was monitored by measuring the amount of p24gag released into the supernatant at periodic intervals. The periodicity and number of exposures to mitomycin C are indicated below the graph. Note that by passage 3 (day 9 postinfection), Lai replication is suppressed to negligible levels. Infections were allowed to proceed until the appearance of a new actively replicating isolate. Viral supernatants from passage 9 (day 27 of culture), designated Rap Mut 1.0 or Rap Mut 0.5, were collected and used for characterization of the mutant and subsequent infections. (C) Jurkat cells were infected with viral supernatants from day 27 cultures from panel B (Rap Mut 1, Rap Mut 0.5), or with HIVLai (used as a control). The infected cultures were subjected to rapid-turnover assay conditions, as described above. Viral replication was monitored by measuring the p24gag content of the cell-free supernatants by ELISA.

Genotype of the rapid mutant. To determine the molecular changes in the rapid mutant virus that were necessary for its survival in the rapid-turnover assay, we molecularly cloned the provirus from cells that were infected with Rap Mut 1.0 (viral supernatant containing the biologic clone, as described above) and had been subjected to four passages in the rapid-turnover assay. Extrachromosomal DNA was isolated from the infected culture by Hirt extraction and used as template for cloning the mutant provirus by long-range PCR. The resulting plasmid clone, pRap1, was a full-length viral clone containing the amplified region of the mutant virus (carrying all structural and accessory genes) ligated to the 5'-LTR of pLai (Fig. 2A).

View larger version (30K): [in this window] [in a new window]   FIG. 2.   Characterization of mutations necessary for survival of the selected virus in the rapid-turnover assay. (A) Full-length HIVs with the indicated genomic composition were derived as described in Materials and Methods. Restriction sites used for cloning are indicated on each recombinant plasmid. Solid regions indicate sequences derived from the rapid mutant, while open boxes indicate sequences derived from Lai. The phenotypes of each of the chimeras in the rapid-turnover assay are indicated. Jurkat cells (106) were infected with the viral chimeras at an MOI of 0.03. (B to E) Cultures were subjected to the rapid-turnover assay protocol (C and E), as described in Materials and Methods, or infections were allowed to progress in the absence of mitomycin C (B and D). Cell-free culture supernatants were assayed for p24gag content by ELISA. Data shown are representative of two independent experiments. (F) The nucleotide and amino acid sequences of the wild-type (wt) and mutant vpu ORFs are shown and numbered according to the HXB2R clone sequence. The insertion of the A nucleotide in the mutant vpu ORF is indicated by a dash, and the termination codon indicated by an asterisk.

Enhanced fusogenicity observed in Rap5-infected cells. Infection of Jurkat cells with the uncloned rapid virus mutant stock (Rap Mut 1.0) resulted in enlarged syncytia compared to infections with HIV_Lai (Fig. 3A). Similar results were also observed in infections with the Rap5 virus (Fig. 3A). Moreover, there were more of these syncytia in cultures infected with the Rap5 virus than in cultures infected with the parental isolate, HIV-1_Lai. The large number of enlarged syncytia observed in the Rap5-infected cultures suggested to us the possibility that the rapid mutant virus was more capable of spreading by cell-to-cell fusion. To quantitate the fusion capability of each virus, fusion assays were performed in which cells were infected with either Lai or Rap5 virus. After 3 days of infection, equal numbers of p24^gag+ cells from HIV_Lai- or Rap5-infected cultures were coincubated with uninfected Jurkat-LTR-luc cells (14) for various periods. Cocultures were carried out in the presence of the reverse transcriptase inhibitor zidovudine (50 µM), to prevent multiple rounds of infection. Cell-to-cell fusion between infected cells and the Jurkat-LTR-luc cells was quantified by measuring the luciferase activity of the lysed extracts. Indeed, the Rap5-infected cells initiated cell-to-cell fusion with a threefold-greater efficiency than the Lai-infected cells did (Fig. 3B). To confirm whether the enhanced fusion was also functional in the setting of the rapid-turnover assay, infected cultures were treated with mitomycin C (50 µg/ml) prior to coculture with Jurkat-LTR-luc cells. There was a similar threefold increase in the ability of the cells infected with the Rap5 virus to fuse with uninfected targets (Fig. 3C).

View larger version (46K): [in this window] [in a new window]   FIG. 3.   The cell-to-cell transfer of the Rap5 virus is greatly enhanced in a fusion assay. (A) Jurkat cells (106) were mock infected or infected with HIVLai, Rap Mut 1.0 (biologic clone), or Rap5 (molecular clone). Cultures were photographed on day 3 of infection. Representative phase micrographs of the cells infected with the indicated viruses are shown. The presence of syncytial cells in each of the infected cultures is indicated by white arrows. (B and C) At 3 days after infection with HIV-1Lai or Rap5 virus, 105 p24gag+ cells from each infected culture (as determined by FACS analysis) were mixed with Jurkat-LTR-luc cells (2.5 × 105) which contain a Tat-responsive LTR-luciferase reporter gene construct, in 96-well plates in triplicate. Fusion assays were performed in the presence of AZT (50 µM) to inhibit subsequent rounds of infection (B), or infected cells were exposed to mitomycin C (50 µg/ml) prior to coculture with Jurkat-LTR-luc cells (C). Fusion was quantified by measurement of the luciferase activity in the cell extracts after 24 and 48 h. The fold increase in luciferase activity (fusion) mediated by the Rap5 infection compared to the HIVLai infection is noted, and the standard deviations are indicated by error bars. Data shown are from one representative experiment performed in triplicate, which has been repeated multiple times.

The rapid mutant retains virus particles on the cell surface. We wished to determine how the vpu frameshift mutation could lead to more efficient fusion and cell-to-cell transfer of virus. Since Vpu has been reported to affect particle release (11, 36, 38, 39), we first determined if this phenotype of virus-mediated enhanced cell-to-cell fusion was due to retention of viral particles on the plasma membrane of the producer cells. Jurkat cells were infected with either HIV_Lai or Rap5 virus, and the number of productively infected cells present in each culture was determined on day 3 postinfection by FACS analysis with an FITC-conjugated p24^gag+ antibody. Cell cultures containing equal numbers of p24^gag+ cells were pulse-labeled with [³⁵S]methionine-[³⁵S]cysteine for 1 h and chased for up to 8 h. At each time point, aliquots of cells and virions released into the supernatants were harvested, lysed, and processed for immunoprecipitation with a monoclonal antibody directed against the Gag protein (Fig. 4A and B). The release of virus particles into cell supernatants can be monitored by the accumulation of the p24^gag protein in the cell-free viral supernatants. In cells infected with the parental isolate, HIV_Lai, there was an accumulation of Gag proteins in the cell-free virus supernatants over time (Fig. 4A). In contrast, infection with the Rap5 isolate resulted in an accumulation of the p24^gag protein in the cell-associated fraction (Fig. 4B), especially at the later times. The relative amounts of p24^gag and p55^gag released from the cells producing HIV_Lai or Rap5 viruses were measured by image analysis with a PhosphorImager, and virus released into the supernatant was calculated as the percentage of Gag proteins present in the viral pellet relative to the sum of Gag proteins detected intra- and extracellularly. The results show that virus particle release from the Rap5-infected cells was three- to fourfold lower than that from the HIV_Lai-infected cells (Fig. 4C).

View larger version (79K): [in this window] [in a new window]   FIG. 4.   Inhibition of virus particle release in Rap5-infected Jurkat cells. (A and B) Jurkat cells (106) were infected with either Lai (A) or Rap5 (B) at an MOI of 0.03. At 72 h postinfection, the number of productively infected cells present in each infected culture was determined by FACS analysis (as described in Materials and Methods). Cultures containing equal numbers of p24gag+ cells (106) were labeled for 60 min with [35S]methionine-[35S]cysteine mix and chased for up to 8 h. Viral Gag proteins from the cell lysates or pelleted virions from cell-free viral supernatants were immunoprecipitated with a monoclonal antibody against the HIV-1 Gag polyprotein. The positions of p55gag and p24gag are indicated on the left of each panel, and the positions of the molecular mass markers in kilodaltons are indicated on the right. (C) Gag-specific proteins (p55gag and p24gag) were quantified by PhosphorImage analysis. The relative amounts of Gag proteins in the virus pellets (denoted as % Gag released) were calculated as the percentage of total p55gag and p24gag proteins for each time point and were plotted as a function of time. (D and E) Jurkat cells infected with Lai (D) or Rap5 (E) were processed for electron microscopy 72 h postinfection. Mature, electron-dense viral capsids left attached to the cell membrane in the Rap5-infected cell are indicated by black arrows.

Effect of the vpu frameshift mutation on Env expression. It has been previously reported that a point mutation in the translation initiation codon of vpu (which abolishes Vpu expression) has a positive effect on env expression (35). Since the enhanced cell-to-cell spread of Rap5 virus could be due to the presence of increased levels of Env glycoproteins on the cell surface, we decided to investigate the effects of the vpu frameshift mutation on Env expression in infected cells. To quantitate the relative levels of Env proteins, steady-state labeling of Jurkat cells infected with either HIV_Lai or Rap5 virus was performed (Fig. 5A).

View larger version (37K): [in this window] [in a new window]   FIG. 5.   Effect of the vpu frameshift mutation on Env expression. (A) Jurkat cells (106) were infected with Lai or Rap at an MOI of 0.03. At 72 h postinfection, the cells were harvested and metabolically labeled with [35S]methionine-[35S]cysteine for 4 h. Viral proteins were immunoprecipitated with monoclonal antibodies against HIV-1 Env glycoproteins and HIV-1 Gag polyprotein. The amounts of gp160, gp120, gp41, p55gag, and p24gag were measured by PhosphorImage analysis, and the ratios of Env and Gag proteins relative to the Lai sample (lane 2) are indicated at the bottom of the fluorograph. (B) Jurkat cells (106) infected with Lai or Rap at an MOI of 0.03 were processed for cell surface biotinylation 72 h postinfection. Cultures (107 cells) were normalized for equal number of p24gag+ cells prior to biotinylation. Biotinylated extracts were immunoprecipitated with monoclonal antibodies against HIV-1 Env glycoproteins and cellular Fas receptor, electrophoresed on an SDS-10% polyacrylamide gel, blotted, and developed by ECL after incubation with streptavidin-horseradish peroxidase. (C) Western blot of extracts derived from Jurkat cells infected and processed as described for panel B. Solubilized proteins were separated by SDS-polyacrylamide gel electrophoresis and immunoblotted with a monoclonal antibody against HIV-1 Gag polyprotein. Loading of samples was normalized according to the protein content of the extract. The positions of gp160, gp120, gp41, p55gag, p24gag, and Fas receptor are indicated on the right, and the positions of the molecular mass markers in kilodaltons are indicated on the left.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

In this study, we describe a novel in vitro culture system that attempts to model the in vivo steady state of HIV-1 infection. This culture system utilizes the cell type (CD4⁺ T lymphocytes) that makes the most significant contribution to virus levels in vivo. Most in vitro culture systems do not take into account the short half-life of infected cells (31, 32), which in vivo is a consequence of host cytolytic effector mechanisms as well as of virus-induced lysis. Viral replication under such conditions could be significantly different from normal in vitro passage conditions where cells are under no selection pressure. To mirror the stresses that the host immune system places on infected cells in vivo, where infected CD4⁺ T lymphocytes have a shorter life than their uninfected counterparts, we set up a virus replication system where infected cells were killed every 3 days by addition of a cytotoxic agent, mitomycin C. To perpetuate the viral infection, fresh, uninfected cells were added every 3 days. Under such selective pressure, a new viral variant was isolated that was able to survive the rapid-turnover assay, while the parental isolate, HIV-1_Lai, was unable to replicate under such culture conditions. The greater efficiency of cell-to-cell transfer mediated by the rapid mutant virus (Rap5) is a critical parameter for maintenance and active replication of virus in cells subject to a rapid turnover. We have also performed additional rapid-turnover experiments where the viral generation time has been limited to 2 days (infected cells were exposed to mitomycin C every 2 days), which is more reflective of the in vivo virus generation time (4, 28). The Rap5 virus was again able to survive and replicate under such culture conditions (data not shown).

The molecular change required for this new phenotype was a frameshift mutation in the vpu ORF that abolished Vpu expression. Vpu is an integral membrane phosphoprotein (81 amino acids) that has two known functions during the viral life cycle: enhancement of virus particle release from the infected cell surface (19, 36, 39), and down-regulation of CD4 antigen expression on the cell surface by targeting the nascent CD4 protein to ubiquitin-mediated proteolysis by the proteosomes (8, 22). The frameshift mutation in the vpu ORF affected both of its putative functions; that is, virus particle release was severely impaired in infected cells (Fig. 4) and CD4 antigen expression on the infected cell surface was twofold higher than in cells infected with the parental isolate, HIV_Lai (data not shown). The mechanism by which Vpu promotes virus particle release is still not clear.

The enhanced ability of the virus to mediate cell-to-cell transfer is probably responsible for the selection of this mutant in the rapid-turnover assay. Interestingly, in a recently published study, Hamm et al. report the isolation of an HIV-1 variant that was selected by in vitro passage of the virus in a CEM T-lymphoblastoid cell line (CEM/RevM10*) constitutively expressing a transdominant mutant of the Rev protein, RevM10 (16). This variant also had an insertion mutation in the vpu ORF that led to the introduction of a premature stop codon and truncation of the protein. Similar to our study, loss of Vpu expression probably allowed the virus variant to replicate in the CEM/RevM10* cells by mediating enhanced cell-to-cell transfer of virus.

The significance of the rapid-turnover culture system is best understood in the context of a simple steady-state model for virus infection (4). In the in vivo viral steady state, each infected cell produces enough virus particles in its lifetime to infect, on average, one other cell. Furthermore, the total number of cells is maintained at a constant level by replenishment of the dying cells by lymphopoietic mechanisms (Fig. 6A). Finally, although the time from infection to death is variable, it has been suggested that HIV-1-producing CD4⁺ T cells might die within 2 to 3 days of being infected (12, 27, 28). Since a persistent level of viral replication is predominantly observed in the lymph nodes (6, 15, 25), it can be assumed that the presence of large numbers and the proximity of virus-producing lymphocytes in the lymph nodes would promote intimate contacts between cells and favor cell-to-cell transmission of virus. In fact, it has been previously reported that cell-to-cell spread of virus was favored over infections with cell-free virus inocula (5, 33). In the in vivo setting, transmission of virus to T cells is most efficient in the context of antigen-presenting cells, such as dendritic cells (9). The presence of adhesion molecules such as DC-SIGN on the dendritic cell surface that capture HIV-1 virus particles and transmit virus allow the infection of replication-permissive T cells at a high efficiency (9, 10). This is probably why there have been isolated descriptions of primary isolates with vpu mutations that abolish Vpu expression and affect its particle release function (20). Hence, we would like to suggest that the vpu frameshift mutation conferred the ability on the virus to spread in vitro by cell-to-cell fusion, an infectious setting similar to the situation during in vivo virus transmission (2, 6, 13, 15, 25).

View larger version (35K): [in this window] [in a new window]   FIG. 6.   Modeling the steady state of HIV-1 infection in the rapid-turnover assay. For in vivo infection, kinetic modeling studies have established the average generation time of HIV-1 (defined as the time from release of a virion until it infects another CD4+ T cell and causes the release of a new generation of virus particles) as 2 to 3 days. The in vivo steady state makes the assumption that only one of these released virions would successfully infect another cell and produce the next generation of virus particles; that is, one productively infected cell leads to the productive infection of one other cell. It should be noted that in vivo, lymphocytes are much more likely to be infected by cell-associated HIV (chronically infected antigen-presenting cell such as macrophages or dendritic cells in the germinal centers) than by HIV in extracellular fluid. The number of CD4+ T cells is held constant by the production of new cells by the lymphopoietic mechanisms in face of cytotoxic T-lymphocyte (CTL)-mediated and virus-induced lysis of infected cells, such that infection, cell death, and cell replacement are in balance. In the in vitro rapid-turnover assay system, infection of Jurkat cells (activated CD4+ T cells) by Rap5 virus and the subsequent death of the infected cells either by virus-induced lysis or by addition of the cytotoxic agent mitomycin C are balanced by the addition of a constant number of uninfected Jurkat cells every third day. Steady state is achieved due to the unique ability of the Rap5 virus to mediate enhanced efficiency of cell-to-cell transfer. This unique phenotype allows the virus to survive the rapid-turnover assay in vitro and maintain high levels of viral replication over multiple generations.

New insights into virus population dynamics in vivo have been provided through a combination of experimental techniques and mathematical models (4, 27, 28). However, it has been hard to determine the roles of virus accessory genes in viral replication and disease progression due to the lack of a suitable in vitro replication system to provide a testable environment for novel therapeutics. Since the disease caused by HIV is a consequence of the accumulation of damage over the entire course of infection, any retardation of the process would be of significant help. In conclusion, we have developed an in vitro rapid-turnover assay system that mimics the turnover kinetics of infected T cells in vivo. This replication system will allow us to determine putative roles of viral accessory genes in the setting of an infected cell that is subjected to rapid turnover.