INTRODUCTION

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Enveloped viruses must fuse with cellular membranes to enter into target cells and to deliver their genetic material. This process takes place either at the cell surface or within intracellular vesicles. Viruses requiring low pH for membrane fusion, such as influenza virus, vesicular stomatitis virus (VSV) and Semliki Forest virus, necessitate endocytosis to encounter an acidic environment (for recent reviews, see references 13 and 27). Low pH triggers a series of conformational changes leading to the exposure of a fusion peptide of the viral envelope glycoprotein. By contrast, pH-independent viruses, including most retroviruses, are believed to undergo fusion at the cell surface. Exposure of the highly hydrophobic fusion peptide is secondary to viral envelope glycoproteins binding to a cell surface receptor(s). However, distinctions between entry of pH-dependent and pH-independent viruses may be more subtle than initially thought. Fusion of pH-independent viruses usually occurs at both neutral and acidic pHs, raising the possibility that pH-independent productive infection follows uptake into acidic vesicles (27). Moreover, as studies of virus entry have been mostly performed with established cell lines, such information may not be relevant to the study of virus entry in vivo. Entry may also vary according to the cell line used, as reported for the ecotropic Moloney murine leukemia retrovirus (21). Endocytic pathways leading to viral entry have been characterized by electronic microscopy and immunofluorescence studies or by the use of inhibitors or dominant-negative constructs. For example, pharmaceutical agents removing cholesterol from the plasma membrane indicated that simian virus 40 may enter cells through caveolae (39). On the other hand, a dominant-negative dynamin mutant inhibited infection of Semliki Forest virus, Sindbis virus, and human rhinovirus 14, confirming morphological evidence that receptor-mediated endocytosis through clathrin-coated pits or vesicles is involved in the entry of these viruses (12).

There is controversy about the pathways and mechanisms of the early stages of human immunodeficiency virus type 1 (HIV-1) infection. Seminal studies indicated that HIV-1 infection is pH-independent and does not require endocytosis of the CD4 receptor (25, 29, 51). These conclusions were supported by images showing HIV particles fusing at the cell surface and syncytia formation between Env-expressing and target cells at neutral pH. However, HIV-1 entry through clathrin-coated vesicles and fusion with endosomal membranes were also observed, suggesting that incoming virions gain access to the cytoplasm from endosomes (7, 19, 42). The relevance of these pathways for HIV-1 productive infection is unknown. We previously showed that vesicular uptake is quantitatively the main route of HIV-1 virion internalization but is essentially a dead end with respect to productive infection (26). Furthermore, a recent reported indicated that HIV_SF2, but not HIV_NL43, infect cells via an endocytic route, following gp41 activation by acidic pH (16). Interestingly, a similar entry pathway depending on a low pH step acting downstream of receptor binding has been demonstrated with another retrovirus, avian leukosis virus (36). However, most, if not all, of the studies regarding HIV-1 entry suffers from the use of continuous cell lines, often HeLa or 293 derivatives, which are not the natural targets of infection. This may not only be responsible for the discrepant results reported in the litterature, but again raises concerns about the in vivo relevance of the observations.

HIV-1 entry routes are poorly documented in lymphocytes, macrophages and dendritic cells, the natural targets of infection. In particular, cells of the macrophage lineage have evolved a variety of strategies for the uptake of exogenous materials and solutes (for reviews, see references 23, 46, and 56) which might be effective for viruses as well. Four morphologically distinct internalization pathways have been identified in mammalian cells. Clathrin-mediated endocytosis is the best-characterized pathway (48). In this pathway, transmembrane receptors bound with their ligand are clustered into clathrin-coated pits. When pits reach a size threshold, pinching results in the formation of vesicles (<150 nm). Vesicles fuse with early endosomes, where receptors are sorted for either recycling or addressing to lysosomes. Non-clathrin-mediated endocytosis includes caveolae, which are small vesicles (50 to 80 nm) enriched with caveolin, cholesterol, and sphingolipids. Caveolae participate in the internalization of macromolecules, glycosyl-phosphatidylinositol-linked proteins, toxins, and in the entry of viruses (i.e., simian virus 40) and bacteria. Macropinocytosis is a cell-type-specific receptor-independent endocytic pathway associated with actin-dependent plasma membrane ruffling (23, 53, 56). It is activated by growth factors or phorbol esters in certain cell types such as macrophages and epithelial cells and operates constitutively in dendritic cells (45). Macropinosomes are large vesicles (0.2 to 3 µm), trapping large amounts of macromolecules and fluids. They play an important immunological role in professional antigen-presenting cells by taking up extracellular antigens for presentation by major histocompatibility complex class I (MHC-I) and MHC-II molecules (23, 56). Of note, macropinocytosis, but not other endocytic pathways, is inhibited by amiloride analogs (38, 45, 55). Phagocytosis consists in the uptake of large particles (>500 nm), microorganisms, cell debris, and apoptotic cells (1). Phagocytosis is initiated by the interaction of cell surface receptors (such as mannose Fc or complement receptors) with ligands on the particles, leading to internalization through an actin-dependent mechanism (1).

Whether HIV-1 uses one or more of these routes for entry into macrophages has not yet been determined. Macrophages play a crucial role in HIV-1 infection. They propagate viral infection, support virus replication in nonlymphoid organs such as lung or brain, and probably represent a viral reservoir established shortly after infection that may persist during highly active antiretroviral therapy (28, 30, 41). Macrophages express CD4 and the coreceptors CCR5 and CXCR4. They can be efficiently infected with R5-tropic strains, whereas the literature is inconsistent about whether CXCR4 can be used for X4-tropic strains. In this study, we examined the mode of HIV-1 entry in primary macrophages by using a comprehensive approach associating morphological, biochemical, and viral replication analyses. We show that HIV-1 internalization in macrophages is a nonspecific process which does not require envelope-receptor interactions. However, after internalization by macropinocytosis, envelope-mediated fusion of HIV-1 virions with the vesicular membrane can occur, leading to pH-independent productive infection of macrophages.

	MATERIALS AND METHODS

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Preparation of macrophages. Buffy-coat peripheral blood mononuclear cells (PBMCs) from healthy donnors were isolated by Ficoll centrifugation. PBMCs were resuspended at 10⁶ cells per ml in RPMI 1640 medium (Gibco-BRL, Paisley, Scotland) containing 1% human AB-positive serum and plated. After 1 h of adhesion at 37°C, nonadherent cells were removed by two washes in Ca²⁺- and Mg²⁺-free phosphate-buffered saline (PBS). To allow differentiation of macrophages, monocytes were cultured for 7 days before use in RPMI 1640 medium supplemented with 10% human AB-positive serum, 2 mM glutamine, and antibiotics. Cells were >95% CD14⁺.

Cells, viruses, and reagents. P4C5 cells are HeLa CD4⁺ CCR5⁺ cells in which transactivation by Tat induces expression of the Escherichia coli lacZ gene from the HIV long terminal repeat (LTR) (3). HIV_NLAD8, HIVenv (from the NL43 strain), and HIV(VSV) pseudotypes were obtained by transfecting pNLAD8 (15), pNL43env (5), pNL43env, and a VSV-G expression vector in HeLa cells (26). The R5-tropic HIV_NLAD8 strain, a kind gift of E. Freed, carries a portion of the env gene from the R5-tropic clone AD8 on a HIV_NL4-3 backbone (15). Viral stocks were analyzed for their HIV-1 p24 content by enzyme-linked immunosorbent assay (Dupont de Nemours) and frozen. The infectivity of viral supernatants was determined with P4C5 cells (26). Dimethyl amiloride (DMA), bafilomycin A1, and zidovudine (AZT) were from Sigma. Infections throughout the study were performed in the absence of any reagent such as polybrene or DEAE-dextran.

Electronic microscopy analysis. Macrophages were exposed to HIV_NLAD8 (500 ng of p24 for ~10⁶ cells) for 30 to 45 min at 37°C, washed, fixed in PBS-3% glutaraldehyde for 1 h, and postfixed in PBS-1% osmium tetroxide for 2 h. After being rinsed in PBS, cells were transferred to 0.2 M cacodylate buffer for 30 min. Cells were washed in 30% methanol for 10 min, stained in 2% uranyl acetate-30% methanol for 1 h, and washed in 30% methanol. Cells were then dehydrated in an ethanol series to propylene oxyde and embedded in Epon 812. When stated, cells were fixed in 0.1 M cacodylate buffer containing 0.075% ruthenium red for 1 h at 4°C and processed as described previously (37). Cells were examined with a JEOL 1200EX2 microscope.

Immunofluorescence microscopy and confocal analysis. Macrophages were cultured on glass coverslips in 24-well plates and exposed to the indicated viruses (150 ng of p24) for 30 min at 37°C. Cells were then fixed and stained with anti-Gag monoclonal antibodies (MAbs) (a kind gift of F. Traincart) as described previously (26). Cells were analyzed with a Leica TCS4D confocal microscope. Representative medial sections were mounted by using Adobe Photoshop software.

Entry assay. An entry assay was performed using a cell fractionation protocol modified from that described in reference 26. Subconfluent cultures of macrophages (~2 × 10⁶ cells in 25-cm² flasks) were exposed to the indicated HIV-1 preparations (450 ng of p24/ml) in culture medium containing 20 mM HEPES for 2 h at 37°C. Cells were then washed three times in ice-cold PBS and removed from the plastic culture flask with a scraper. To remove virus adsorbed at the cell surface, cells were then treated for 2 min with 1 mg of pronase (Boerhinger Mannheim)/ml in ice-cold RPMI and 20 mM HEPES. Cells were washed three times in RPMI supplemented with 10% fetal calf serum to eliminate pronase. Cells were then treated with an ice-cold digitonine buffer (10 mM TRIS [pH 7.5], 10 mM NaCl, 0.15 mM spermine, 0.5 mM spermidine, 1 mM EDTA, and 100 µg/ml digitonine [RBI-Sigma]) for 10 min at 4°C to selectively permeabilize plasma membranes. Cells were then centrifuged (Heraeus Biofuge) at 3,000 rpm for 4 min at 4°C. Supernatants and pellets, corresponding to cytosolic and vesicular fractions, respectively, were adjusted to 0.5% Triton X-100. Samples were then briefly centrifuged (Heraeus Biofuge) at 10,000 rpm to remove debris before measurement of p24 concentrations. When stated, cells were preincubated with bafilomycin A1 (1 h) or DMA (3 h) before viral exposure. Inhibitors were maintained during viral exposure. A similar fractionation protocol was used for P4C5 cells, except that cells were treated with 7 mg of pronase/ml for 10 min.

Single-cycle viral replication assays. Subconfluent cultures of macrophages (in 12-well plates) were exposed to the indicated HIV-1 preparations (50 ng of p24 per well) for 4 h at 37°C. When indicated, target cells were incubated with inhibitors before viral exposure (15 min and 1 h of preincubation for bafilomycin A1 and dimethyl amiloride, respectively). Inhibitors were maintained during viral exposure. Cells were then washed to remove extracellular virions. Twenty hours later, AZT (5 µM) was added to the culture medium to prevent secondary replication cycles and maintained throughout the study. Viral replication was assessed by measuring p24 production in cell supernatants. In P4C5 cells, single-cycle assays were performed as described previously (26).

	RESULTS

Top Abstract Introduction Materials and Methods Results Discussion References

Ultrastructural analysis of HIV-1 internalization in macrophages. Monocyte-derived macrophages were prepared from PBMCs of healthy donors. Cells expressed CD14 (a marker of the macrophage lineage) and the HIV receptors CD4, CCR5, and CXCR4 and displayed high phagocytic activity (not shown). As expected, R5-tropic HIV_NLAD8 and HIV_YU-2 strains efficiently replicated in these cells, whereas the X4-tropic laboratory-adapted HIV_NL43 strain was unable to grow (not shown). With the aim of following the early steps of viral entry, macrophages were pulsed at 37°C with HIV_NLAD8, fixed, and processed for electron microscopy. The virus inoculum contained 500 ng of Gag p24 for ~10⁶ cells, and the exposure period was 30 to 45 min. We were unable to detect cells harboring virus particles in smaller amounts of inoculum or at shorter incubation periods (not shown). The proportion of cells harboring virus particles was low (<2%). At low magnification, virus particles appeared both in intracellular vesicles and at the cell surface (Fig. 1A). Higher magnification showed virions tightly bound to the plasma membrane (Fig. 1B), whereas others were engulfed in large intracellular vesicles (200 to >500 nm in diameter) (Fig. 1B) or in smaller coated-pits (~100 nm diameter) (Fig. 1C and D). Virus particles seemed more frequently located in large vesicles than attached at the plasma membrane or captured into small coated-pits (Fig. 1 to 3 and data not shown). Virus particles could be identified as HIV-1 virions, with respect to their typical morphology and by staining with anti-Gag antibodies (not shown). They were not detected in cells that had not been exposed to virus (not shown).

View larger version (151K): [in this window] [in a new window]   FIG. 1.   Electron microscopy analysis of HIV-1 entry in macrophages. Macrophages were exposed to the R5-tropic HIVNLAD8 for 30 to 45 min and processed for electron microscopy. (A) Low magnification of an HIV-1-infected macrophage. (B) Detail of panel A, showing HIV-1 virions bound at the cell surface and within large intracellular vesicles. (C and D) HIV-1 particles in coated pits. Data are representative of three independent experiments.

View larger version (115K): [in this window] [in a new window]   FIG. 2.   HIV-1 entry analyzed by ruthenium red staining and electron microscopy. Macrophages were exposed to the R5-tropic HIVNLAD8 for 30 to 45 min and processed for electron microscopy with ruthenium red included in the fixative to stain the surface membranes. (A) Extracellular HIV-1 virion bound at the plasma membrane is densely stained by ruthenium red. (B) HIV-1 virions in large intracelular vacuoles are protected from ruthenium red staining. Data are representative of two independent experiments. Bar = 0.2 µm.

View larger version (156K): [in this window] [in a new window]   FIG. 3.   Fate of HIV-1 virions internalized in intracellular vesicles. Macrophages were exposed to the R5-tropic HIVNLAD8 for 30 to 45 min and processed for electron microscopy. (A and B) Intact or degraded HIV-1 virions present in the lumen or bound to the membrane of intracellular vesicles. (C) Fusion between viral and vesicular membranes. Data are representative of three independent experiments. Bar = 0.2 µm.

Cytosolic p24 is associated with productive infection of macrophages. We examined the uptake of viral material by macrophages by immunofluorescence analysis. Macrophages were exposed either to HIV_NLAD8 or to an HIV(VSV) pseudotype, which mediates infection through a pH-dependent endocytic pathway (2, 26). Noninfectious HIV-1 particles that lacked a viral envelope (HIVenv) were used to assess nonspecific viral uptake. Macrophages were incubated for 30 min at 37°C with equal amounts of p24 for each viral preparation and analyzed by confocal fluorescence microscopy using anti-Gag MAbs. Multiple intracellular dots were observed with the three viral strains (Fig 4A). However, intracellular dots were less abundant with HIVenv than with HIV_NLAD8 or HIV(VSV). These data strongly suggest that virus material was internalized into macrophages irrespective of adequate envelope-receptor interactions. It is thus presumable that most of the internalized viral material does not participate in the infectious process.

View larger version (85K): [in this window] [in a new window]   FIG. 4.   HIV-1 entry analyzed by immunofluorescence and by cellular fractionation. (A) Confocal microscopy analysis of intracellular p24 after macrophage exposure to HIV-1. Macrophages were exposed to the indicated strains for 30 min at 37°C, washed, fixed, and labeled with anti-Gag MAbs. (Top) Immunofluorescence analysis. (Bottom) Phase contrast of the same fields. Noninfected (NI) macrophages were similarly stained as a negative control. (B) p24 levels in subcellular extracts of macrophages exposed to HIV-1. Macrophages were exposed to the R5-tropic HIVNLAD8 strain (left) or to HIV(VSV) pseudotype (right). Noninfectious HIV-1 particles devoid of envelope protein (HIVenv) were used as a control. Viral input corresponded to 450 ng of p24 for 2 h at 37°C. After viral exposure, cells were treated by pronase to eliminate virus adsorbed at the cell, and p24 contents were measured in the cytosolic and vesicular (pellet) fractions. Total intracellular p24 levels (in picograms) are indicated over the bars. The percentages of cytosolic and vesicular p24 are shown inside the bars. Data are the means of triplicate measurements (the standard deviation [SD] was below 10%) and are representative of at least three experiments.

pH-independent HIV-1 entry in macrophages. As ultrastructural analysis indicated that a significant part of incoming HIV-1 virions is present in large vesicles, we examined whether infection requires vesicular acidification. Macrophages were treated with bafilomycin A1, an inhibitor of vacuolar proton-ATPases that impairs vesicle acidification, blocks infection by pH-dependent viruses, and inhibits endosomal and lysosomal degradation systems (2, 4, 26). The effect of bafilomycin A1 on HIV(VSV) and HIV_NLAD8 infection was first examined in a single-cycle replication assay. In this assay, in order to avoid secondary replication cycles, macrophages were treated with the reverse transcriptase inhibitor AZT at 20 h after virus exposure. Viral production was monitored by measuring p24 production in cell supernatants over a 12- to 15 day-culture period. In the absence of bafilomycin A1, a peak of 15 to 25 ng of p24/ml was measured at day 6 postinfection (Fig. 5A). Of note, p24 was not detected after exposure of macrophages to HIVenv virions or when cells were treated with AZT before infection by HIV_NLAD8 and HIV(VSV) (not shown). Thus, p24 production in supernatants was not due to nonspecific regurgitation of the viral inoculum. Bafilomycin A1 (at 0.5 µM) fully abrogated p24 production after exposure to HIV(VSV) pseudotypes (Fig. 5A). A subcellular fractionation assay was also performed 2 h after exposure to HIV(VSV). A dramatic decrease in the amount of cytosolic p24 (a fivefold reduction) was observed with bafilomycin A1, whereas levels of vesicular p24 were unchanged in comparison with untreated cells (Fig. 5B). These results indicated that the drug inhibited the release of HIV(VSV) virions from intracellular vesicles, in agreement with previous reports documenting the pH-dependency of HIV(VSV) pseudotypes (2, 26).

View larger version (22K): [in this window] [in a new window]   FIG. 5.   Effect of bafilomycin A1 on HIV replication and entry into macrophages. (A) Single-cycle replication assay. Macrophages were preincubated with or without bafilomycin A1 (0.5 µM) and exposed to either HIV(VSV) (left) or HIVNLAD8 (right ). The virus inoculum corresponded to 50 ng of p24 for 4 h at 37°C. Macrophages were washed to eliminate drug and virus; 20 h after viral exposure, AZT was added to the culture medium to prevent secondary replication cycles. Virus replication was assessed by measuring p24 production in the cell supernatants. Data are means ± SD of triplicate measurements and are representative of at least three independent experiments. (B) Intracellular p24 levels in cytosolic and vesicular fractions. Macrophages were preincubated with or without bafilomycin A1 (0.5 µM) and exposed to HIV(VSV) (left ) or HIVNLAD8 (right ). Viral input corresponded to 450 ng of p24 for 2 h at 37°C. p24 contents in subcellular fractions were then measured. Values represent relative p24 levels in treated cells, with 100% corresponding to untreated cells. Data are means ± SD of at least three independent experiments.

HIV-1 entry in macrophages mediated by macropinocytosis. Macrophages actively form large vesicles, or macropinosomes, containing fluid taken up from the surrounding medium. Macropinosomes are formed at the cell margin by membrane ruffles (53). These pinosomes move centripetally and shrink as they approach the nucleus. Membrane ruffling and macropinocytosis can be inhibited by amiloride and more potent analogs, such as DMA. Amiloride analogs are Na⁺/H⁺ channel inhibitors which selectively block macropinocytosis without affecting receptor-mediated endocytosis (14, 38, 45, 55). As the size and aspect of vacuoles containing HIV-1 virions (Fig. 1 to 3) were reminiscent of those of macropinosomes (44, 45, 53), we examined whether HIV-1 uses this pathway as an entry route in macrophages. To this aim, we tested the inhibitory effects of DMA on both viral replication and entry. We first verified that DMA (at 100 µM) did not affect cell viability (not shown) (14, 38, 45, 55). Single-cycle assays showed that DMA significantly inhibited HIV_NLAD8 replication in macrophages (Fig. 6A). Inhibition was associated with a decrease of internalized p24 in the viral entry assay (Fig. 6B). Both vesicular and cytosolic p24 contents were reduced (Fig. 6B). These results indicated that DMA impaired uptake of virus particles into vesicles and also significantly decreased access of viral material to the cytoplasm. They are consistent with previous reports indicating that DMA inhibits the formation of ruffles and macropinosomes, as well as the uptake of fluid phase markers (11, 14, 45, 53).

View larger version (23K): [in this window] [in a new window]   FIG. 6.   Effect of DMA on HIV replication and entry. (A and B) Effect of DMA in macrophages. Cells were preincubated with or without DMA (100 µM) and exposed to HIVNLAD8. (A) Single-cycle replication assay. Experimental conditions were similar to those described in the legend to Fig. 5A. Data are means ± SD of triplicate measurements and are representative of three independent experiments. (B) Entry assay. Experimental conditions were similar to those described in the legend to Fig. 5B. Values represent relative p24 levels in treated cells, with 100% corresponding to untreated cells. Data are means ± SD of at least three independent experiments. (C and D) Effect of DMA in P4C5 cells. P4C5 cells are HeLa CD4+ CCR5+ cells carrying an integrated HIV LTR-lacZ cassette. (C) Single-cycle replication assay. Cells were preincubated with or without DMA (100 µM) and exposed to the indicated doses of HIVNLAD8 for 2 h at 37°C. Infection was assessed by measuring -galactosidase activity in cell extracts 24 h later. Data are means ± SD of triplicates and are representative of two independent experiments. OD, optical density. (D) Entry assay in P4C5 cells. Cells were treated and processed as for macrophages. Data are means ± SD of three independent experiments.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

The literature is inconsistent about the mechanism of HIV-1 entry into target cells. Previous studies have mostly been performed using permanent cell lines, and there was controversy about whether virions fuse at the plasma membrane or are internalized via receptor-mediated endocytosis (7, 19, 25, 29, 42, 51). Here, we have studied the entry of a R5-tropic HIV-1 strain in primary macrophages, in a system relevant to the pathophysiology of the infection. Electronic microscopy analysis at an early time point after viral exposure showed HIV-1 virions at multiple cellular locations: at the plasma membrane, inside clathrin-coated pits, and in spacious intracellular vacuoles which were reminiscent of macropinosomes. Immunofluorescence analysis indicated that macrophages internalize noninfectious HIVenv particles as well as virions coated with HIV-1 or VSV-G envelope glycoproteins. Thus, there is little selectivity with regard to HIV-1 uptake by macrophages. However, with HIVenv, incoming p24 was primarily located in intracellular vesicules and was virtually absent from the cytosol, indicating that in the absence of envelope, incoming virions were not delivered to the cytoplasm and thus were unable to perform subsequent steps of the viral cycle. When adequate envelope-receptor interactions took place and fusion occurred, overall p24 uptake was higher, and 50% of the internalized material was detected in the cytosolic fraction. It is noticeable that during the course of an effective infectious process, the majority of internalized virions ends up being degraded (26), as visualized here by electron microscopy images of virions undergoing destruction inside intracellular vesicles. However, we provide several lines of evidence strongly suggesting that a fraction of the virions that are internalized into intracellular vesicles escapes destruction and leads to productive infection in macrophages.

Images of virus particles undergoing fusion with vesicular membranes were observed by electronic microscopy. This morphological evidence was supported by subcellular fractionation and viral replication assays. Since the size and aspect of the spacious vacuoles containing virus particles were reminiscent of macropinosomes, we examined the activity of DMA, a selective inhibitor of macropinocytosis (14, 38, 45, 55). DMA significantly impaired the uptake of virions as well as the delivery of p24 proteins in the cytoplasm (twofold reduction of cytosolic p24) but was inefficient in P4C5 epithelial cells, which display low levels of macropinocytosis (40, 53, 55). DMA similarly inhibited entry of virions coated with HIV-1 and with VSV-G envelope (not shown). This was not unexpected, since macropinocytosis does not involve specific envelope-receptor interactions (53). Interestingly, the effect of DMA activity on viral entry was associated with a direct inhibitory effect on viral replication. Altogether, these results strongly suggest that incoming HIV-1 virions can be internalized via macropinocytosis in macrophages. A large part of macropinocytosed virions is degraded, likely because macropinocytosis intersects the endosome/lysosome pathway in these cells (44, 53). However, after internalization by macropinocytosis, envelope-mediated fusion of HIV-1 virions with the vesicular membrane can occur, leading to productive infection of macrophages. Entry by macropinocytosis does not necessarily mean that a pH-dependent step is required for fusion. For instance, pH-independent entry via endosomal vesicles has been reported for poliovirus (43). Accordingly, we show here that HIV-1 productive entry in macrophages was insensitive to inhibitors of vesicular acidification such as bafilomycin A1. In contrast, entry and replication of HIV(VSV) pseudotypes, which require a low pH to fuse in endosomes, was inhibited by bafilomycin A1. Our study shows that viral entry is DMA sensitive and bafilomycin A1 resistant in primary macrophages and DMA and bafilomycin A1 resistant in an HeLa-derived cell line, indicating that HIV-1 entry routes vary according to the cell type.

There are multiple possibilities for virions to interact with target cells. Entry via macropinocytosis does not require any binding at the cell surface, since in this process the extracellular fluid is engulfed by cellular ruffles (53). Initial virus-cell interactions may also involve semi- or nonspecific binding of Env with cell surface heparan sulfate proteoglycans (31, 47) or of virion and cellular adhesion factors such as intercellular adhesion molecule 1 and leukocyte function-associated antigen 1 (17). Binding of glycan moieties of Env with cell surface lectins, such as DC-SIGN in dendritic cells, also promotes virus internalization (18). More specific virus-cell interactions also occur. After or during initial binding of virions to target cells, Env gp120 interacts with CD4. This initiates a conformational change which facilitates its binding to a coreceptor molecule, mainly CCR5 or CXCR4. Further conformational modifications of gp120/gp41 complexes will then lead to fusion of viral and cellular membranes (10, 33). Therefore, the multiplicity of virion locations observed by electronic microscopy early after viral exposure likely reflects these various possible virion-cell interactions. Besides macropinocytosis, other internalization pathways, such as phagocytosis, may also be involved in HIV-1 uptake by macrophages. Phagocytosis can be mediated by interaction of HIV-1 with receptors for mannosylated proteins. On the other hand, HIV-1 is opsonized in vivo with antibodies and with complement fragments (32, 52). In vitro, infection is enhanced by sera from certain HIV-infected patients. Infection enhancement by antibody or complement is likely mediated by HIV-1 interaction with Fc or complement receptors and entry by phagocytosis (6, 30, 32, 52).

Evidence for HIV-1 fusion within intracellular vesicles is supported by numerous reports indicating that macrophages are particularly refractory to entry inhibitors. The -chemokines RANTES, macrophage inflammatory protein 1 (MIP-1) and MIP-1, as well as sCD4 and the anti-CCR5 MAb PRO140 are 5- to 100-fold less potent in macrophages than in lymphocytes (30, 50, 54, 57). Levels of CD4 and chemokine receptors or proteoglycans, which vary according to differentiation and activation states of macrophages, are probably involved in these impotencies. However, the composition of the milieu outside the cell is different from that of the lumens of endosomes or macropinosomes (11, 53). Local conditions of pH and concentrations of solutes, proteins, and enzymes will likely interfere with the efficacy of inhibitors in macrophages. Moreover, CCR5 is expressed in multiple conformational states (24), which could vary upon its cellular location and influence both viral fusion and inhibitor potency. Additionally, to be active, inhibitors will have to reach intracellular sites of viral fusion. That HIV-1 productively infects macrophages after macropinocytosis or other internalization pathways should therefore be taken in account when designing new inhibitors aimed at blocking viral entry or fusion (10, 33).

Our results provide an explanation for the puzzling observations that replication of SIVmac239 as well as of some X4-tropic HIV-1 strains is blocked in macrophages after entry (9, 34, 35, 49). These strains synthesize normal or subnormal amounts of proviral DNA, without pursuing the viral cycle (9, 34, 35, 49). It has been proposed that Env-receptor interactions are required for postentry steps such as nuclear translocation of preintegration complexes (9, 49). One can also hypothesize that virions endocytosed in macrophages encounter an environment allowing reverse transcription to proceed, at least partially. The viral cycle will then be aborted without adequate envelope-receptor interactions and viral fusion.

In dendritic cells, macropinocytosis is highly active and should play an important role for HIV-1 entry as well. Macropinocytosis is a key mechanism of antigen capture (23, 45). We recently reported that epitopes derived from incoming HIV-1 virions are presented by MHC-I in dendritic cells and macrophages, leading to cytotoxic T-lymphocyte activation in the absence of viral replication (8). Therefore, HIV-1 macropinocytosis has potentially important immunological implications, by providing an entry route leading to the exogenous presentation of HIV-1 antigens in dendritic cells and macrophages.

In infected individuals, HIV-1 particles have been observed within vacuoles of macrophages (41), suggesting that the entry pathway described here is relevant to the in vivo situation. Deciphering the mechanisms of HIV-1 entry in macrophages and dendritic cells may more clearly define the physiopathology of the disease and strategies for therapeutic intervention aimed at blocking viral entry.