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Journal of Virology, January 2002, p. 416-420, Vol. 76, No. 1
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.76.1.416-420.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Calcineurin-Dependent Mitochondrial Disturbances in Calcium-Induced Apoptosis of Human Immunodeficiency Virus gp160-Expressing CD4+ Cells
Masafumi Sasaki,1,2 Kozo Miyazaki,3 Yasuhiro Koga,4 Genki Kimura,1 Kikuo Nomoto,3 and Hiroki Yoshida3*
Department of Virology,1
Technical Support Laboratory,2
Department of Immunology, Medical Institute of Bioregulation, Kyushu University, Fukuoka 812-8582,3
Department of Infectious Diseases, Tokai University School of Medicine, Isehara, Kanagawa 259-1193, Japan4
Received 8 June 2001/
Accepted 24 September 2001

ABSTRACT
In CD4
+ UE160 cells with inducible expression of gp160, mechanisms
of apoptosis induced by human immunodeficiency virus (HIV) Env
protein were analyzed. Induction of gp160 caused intracellular
calcium increase followed by the release of cytochrome
c from
mitochondria, which was inhibited by calcineurin inhibitors.
Association of BAD with Bcl-xL was observed, and a portion of
BAD was dephosphorylated after induction of gp160. These data
suggested that calcineurin plays a role in the HIV Env-induced
apoptosis in a mitochondrion-dependent way.

TEXT
Human immunodeficiency virus (HIV) infection leads to AIDS,
characterized by loss of CD4
+ T cells in the immune system (
3),
and the loss of CD4
+ T cell has been postulated as the main
reason of the immunodeficiency in AIDS. Viral genes
env,
nef,
tat, and
vpr have been shown to have cytopathogenic properties
(
13). Although it is presumable that the apoptotic cell death
in vivo in AIDS patients is a complexity of various mechanisms,
in an attempt to clarify the mechanism of Env-induced apoptosis,
we established an experimental system in which induced expression
of gp160 of HIV type 1 in CD4
+ cells led to apoptosis (
5,
6,
8). We have reported that this apoptosis was preceded by the
elevation of intracellular calcium concentration (
4,
14).
An HIV gp160-expressing transfectant cell line, UE160, derived from CD4+ U937-2, was established previously (5). As we have reported (8), UE160 showed apoptotic cell death after induction of gp160 with 15 µM CdCl2, while treatment of U937-2, a parental cell line, with the same concentration of CdCl2 did not induce cell death. The same treatment also induced a dissipation of the mitochondrial transmembrane potential, 
m (7), in a population of UE160 cells (data not shown), indicating mitochondrial disturbances in the cells. We thus examined the redistribution of cytochrome c after induction of gp160 in UE160 cells by fractionation of intracellular proteins into mitochondrial and S-100 fractions. Before CdCl2 treatment, most of cytochrome c was detected in the mitochondrial fraction of UE160 cells (Fig. 1A). However, translocation of cytochrome c from mitochondria to S-100 was evident in UE160 cells treated with CdCl2 for 24 h. In our previous studies, the increase of intracellular calcium concentration after induction of gp160 protein was responsible for apoptotic cell death (4, 14). Treatment of cells with BAPTA-am, a cell-permeating calcium chelator, inhibited the release of cytochrome c in CdCl2-treated UE160 cells (Fig. 1B), indicating the involvement of calcium in the cytochrome c release.
We then explored the possibility that calcium-activated calcineurin
might be responsible for this redistribution of cytochrome
c,
since a recent line of evidence shows that calcium-dependent
activation of calcineurin, a calcium-dependent serine-threonine
phosphatase, induced apoptosis in some types of cells (
18).
Sustained increases in intracellular calcium lead to activation
of calcineurin, which in turn dephosphorylates BAD, a proapoptotic
member of the Bcl-2 family, thereby associating with and disturbing
Bcl-xL. As shown in Fig.
1C, addition of either cyclosporine
or FK506, specific calcineurin inhibitors, clearly inhibited
the release of cytochrome
c from mitochondria to S-100. Immunofluorescence
staining of cytochrome
c (Fig.
1D) also revealed the release
of cytochrome
c in CdCl
2-treated cells, which was clearly inhibited
by BAPTA-
am or calcineurin inhibitors. Addition of z-VAD-
fmk,
a broad-spectrum caspase inhibitor, showed only a partial inhibitory
effect on the release of cytochrome
c, indicating the release
is primarily caspase independent. Thus, in UE160 cells, activation
of calcineurin by the gp160-induced increase of intracellular
calcium concentration brought about the release of cytochrome
c from mitochondria.
We also examined the association of BAD with Bcl-xL in UE160 cells or in parental U937-2 cells. In CdCl2-treated UE160 cells, association of BAD with Bcl-xL was confirmed by coprecipitation of BAD with Bcl-xL (Fig. 2A). In UE160 cells before CdCl2 treatment, however, no coprecipitation of BAD with Bcl-xL was detected. In the parental U937-2 cells either with or without CdCl2 treatment, no association of BAD with Bcl-xL was observed. We also examined the phosphorylation status of BAD after induction of gp160, and as expected, 18 h after induction of gp160, a portion of BAD was dephosphorylated both at Ser112 and at Ser136 compared with BAD before induction of gp160 (Fig. 2B). Addition of BAPTA-am or calcineurin inhibitors suppressed the dephosphorylation of BAD at the two residues, whereas z-VAD-fmk showed no effect. Taken together, it was indicated that, in response to the induction of gp160, a portion of BAD that was dephosphorylated presumably by activated calcineurin associated with Bcl-xL.
Electron microscopic examination of Cd-treated UE160 cells revealed
characteristics typical of apoptosis, both at 24 and 48 h after
CdCl
2 treatment (
8). In these apoptotic cells, we also noticed
that approximately 20% of mitochondria appeared swollen and
even showed rupture of outer membranes at as early as 6 h after
Cd treatment (Fig.
3B). Both in BAPTA-
am- and in FK506-treated
UE160 cells after induction of gp160, mitochondrial membrane
rupture was inhibited (Fig.
3C), demonstrating that the calcium-mediated
pathway was responsible for these ultrastructural changes. However,
treatment of the cells with z-VAD-
fmk also inhibited these mitochondrial
changes (Fig.
3D), indicating that the morphological changes
in mitochondria was not a primary event but occurred downstream
of caspases, unlike the situation in which mitochondrial swelling
was the primary event of apoptosis in response to growth factor
deprivation (
17).
Others and we have reported that binding of gp160 via its C
terminal transmembrane domain to calmodulin is pivotal in Env-induced
apoptosis (
4,
12,
15,
16). Moreover, Pan et al. reported that
calmodulin antagonist inhibited apoptosis of CD4
+ cells in AIDS
patients (
11), indicating that calcium- and calmodulin-regulated
apoptotic pathways play roles in vivo. Therefore, the mechanism
for HIV-induced cytotoxicity may involve, in part, disturbances
of calmodulin-regulated cellular functions and the resultant
failure of the maintenance of calcium homeostasis. Mitochondrial
perturbations are also observed in HIV type 1-infected patients
(
1,
2,
9,
10), suggesting that mitochondrial pathways of apoptosis
may be activated in vivo. Although our system is meant to experimentally
illustrate the mechanisms of Env-induced apoptosis and its relevance
in vivo has yet to be proved, our observations could provide
a possible link between Env-induced calcium alterations and
mitochondrion-dependent apoptotic pathways for the apoptosis
of HIV-infected cells. Thus, we submit that disturbances of
calcium metabolism induced by the expression of gp160 in CD4
+ cells activates mitochondrial pathways of apoptosis and may
be critically involved in the pathogenesis of AIDS.

ACKNOWLEDGMENTS
This work was supported in part by a Grant-in-Aid for Scientific
Research from the Japanese Ministry of Education, Culture, Sports,
Science, and Technology (H.Y.).
We thank J. C. Reed and D. R. Green for comments and K. Imaizumi and T. Lin for helpful discussions.

FOOTNOTES
* Corresponding author. Mailing address: Department of Immunology, Medical Institute of Bioregulation, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. Phone: 81-92-642-6823. Fax: 81-92-642-6825. E-mail:
hyoshida{at}bioreg.kyushu-u.ac.jp.


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Journal of Virology, January 2002, p. 416-420, Vol. 76, No. 1
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.76.1.416-420.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.