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Journal of Virology, March 2002, p. 3059-3064, Vol. 76, No. 6
0022-538X/02/$04.00+0 DOI: 10.1128/JVI.76.6.3059-3064.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
CCR5 and CXCR4 Usage by Non-Clade B Human Immunodeficiency Virus Type 1 Primary Isolates
Daniah A. D. Thompson, Emmanuel G. Cormier, and Tatjana Dragic*
Albert Einstein College of Medicine, Department of Microbiology and Immunology, Bronx, New York 10461
Received 29 August 2001/
Accepted 30 November 2001

ABSTRACT
CCR5 and CXCR4 usage has been studied extensively with a variety
of clade B human immunodeficiency virus type 1 (HIV-1) isolates.
The determinants of CCR5 coreceptor function are remarkably
consistent, with a region critical for fusion and entry located
in the CCR5 amino-terminal domain (Nt). In particular, negatively
charged amino acids and sulfated tyrosines in the Nt are essential
for gp120 binding to CCR5. The same types of residues are important
for CXCR4-mediated viral fusion and entry, but they are dispersed
throughout the extracellular domains of CXCR4, and their usage
is isolate dependent. Here, we report on the determinants of
CCR5 and CXCR4 coreceptor function for a panel of non-clade
B isolates that are responsible for the majority of new HIV-1
infections worldwide. Consistent with clade B isolates, CXCR4
usage remains isolate dependent and is determined by the overall
content of negatively charged and tyrosine residues. Residues
in the Nt of CCR5 that are important for fusion and entry of
clade B isolates are also important for the entry of all non-clade
B HIV-1 isolates that we tested. Surprisingly, we found that
in contrast to clade B isolates, a cluster of residues in the
second extracellular loop of CCR5 significantly affects fusion
and entry of all non-clade B isolates tested. This points to
a different mechanism of CCR5 usage by these viruses and may
have important implications for the development of HIV-1 inhibitors
that target CCR5 coreceptor function.

TEXT
Coreceptors mediate human immunodeficiency virus type 1 (HIV-1)
fusion and entry into CD4
+ cells (
4,
18). A number of CC and
CXC chemokine receptors, belonging to the seven transmembrane
G protein-coupled receptor family, have been shown to act as
HIV-1 coreceptors in vitro (
39,
41). However, CCR5 and CXCR4
are the major HIV-1 coreceptors in vivo (
40,
41). CCR5 is the
principal coreceptor for HIV-1 R5 variants that are sexually
transmitted and persist within the majority of infected individuals
(
2,
15,
25,
30,
31; P. Garred, J. Eugen-Olsen, A. K. Iversen,
T. L. Benfield, A. Svejgaard, B. Hofmann, et al., Letter, Lancet
349:1884, 1997). The appearance of R5X4 and X4 variants that
use both CCR5 and CXCR4 or just CXCR4, respectively, signals
accelerated CD4
+ T-cell loss and disease progression (
12,
34).
The phenotypic switch from R5 to X4 viruses occurs in about
40% of infected individuals and only after several years of
infection (
16,
29).
Coreceptor usage and switching have been analyzed most extensively for clade B isolates, which predominate in North America and Western Europe (1, 3). The biological and molecular properties of non-clade B viruses, which now cause the vast majority of new HIV-1 infections worldwide, remain largely unknown. Coreceptor specificity of non-clade B HIV-1 isolates is only beginning to be characterized (5, 6, 10, 35-38). Available data suggest that clade C isolates, which predominate in sub-Saharan Africa and Asia, are by and large R5, even when derived from patients with advanced AIDS (5, 6, 10, 35). Not enough isolates from the other HIV-1 clades have been analyzed to draw firm conclusions about coreceptor usage patterns.
The determinants of CCR5 and CXCR4 function have been analyzed extensively for clade B isolates (18). Negatively charged and tyrosine residues dispersed throughout the extracellular domains of CXCR4 are important for viral fusion and entry, but each HIV-1 X4 isolate seems to be dependent on a slightly different subset of amino acids (18). In contrast to X4 isolates, all R5 isolates characterized to date interact with the same cluster of negatively charged and sulfotyrosine residues in the CCR5 amino-terminal domain (Nt) (18). We have shown recently that the CCR5 Nt specifically associates with residues in the C4/V3 stem region of gp120 (13, 14). Our data furthermore suggest that the V3 crown binds to another, hitherto-unidentified region of CCR5. All of these studies were performed with clade B isolates, and very little is known about how the envelope glycoproteins of non-clade B viruses interact with CXCR4 and CCR5.
Here, we studied CCR5 and CXCR4 usage by nine non-clade B, primary, full-length molecular clones previously described by Gao et al. (21-23). We subcloned the envelope glycoprotein genes of these viruses into the SV7D expression vector and used them to pseudotype luciferase-expressing (NLluc+env-) virions as previously described (19, 24, 32). We were able to generate infectious pseudotyped virions with 9 of the 12 envelope glycoprotein genes. The coreceptor specificity of these envelope glycoproteins was determined by infecting either U87-CD4-CCR5 or U87-CD4-CXCR4 cells with 100 to 200 ng of the p24 of various viral pseudotypes per ml. Luciferase activity (in relative light units [RLU]) in cell lysates was determined 48 h postinfection. Six of the nine isolates exclusively used CCR5, whereas the other three exclusively used CXCR4 (Table 1). No dually tropic isolates were observed. More extensive studies of coreceptor usage by non-clade B isolates will have to be performed in order to determine whether the absence of dual tropism is a significant characteristic of these viruses.
Alanine substitutions were introduced into CCR5 and CXCR4 by
PCR-based site-directed mutagenesis, as described previously
(
19,
24,
27,
32). We tested the ability of the coreceptor mutants
to mediate entry of the different non-clade B HIV-1 isolates
into U87MG-CD4 cells, a human neuronal cell line that does not
express CCR5 or CXCR4 (
19,
24,
27,
32). Briefly, cells were
transfected by lipofection with wild-type or mutant coreceptor
genes and then infected with 100 to 200 ng of the p24 of various
pseudotyped NLluc+env- viruses per ml as described previously
(
19,
24,
27,
32). Luciferase activity (in RLU) was measured
in cell lysates 48 h postinfection. All coreceptor molecules
used in this study had a nine-residue hemagglutinin tag as a
carboxy-terminal extension to allow detection by dot blotting
with an anti-hemagglutinin monoclonal antibody (BAbCO, Richmond,
Calif.). Expression levels of mutant and wild-type coreceptor
proteins were determined in each experiment as described previously
(
19,
24,
27,
32). Integrated density values (IDV) were used
to standardize luciferase activities (RLU) with the formula
[(mutant RLU ÷ wild-type RLU) ÷ (mutant IDV ÷
wild-type IDV)]
x 100%. Expression levels of all mutants were
between 10 and 120% of wild-type coreceptor expression as described
previously (
19,
24,
27,
32).
Alanine mutants of tyrosines and negatively charged residues in the Nt and extracellular loop 2 (ECL2) of CXCR4 were evaluated for their ability to mediate the entry of three non-clade B X4 isolates: 84ZR085.1 (clade D), 90CF402 (clade E), and 92RW009.6 (clade A/C). No single alanine mutant significantly altered the entry of any of the isolates (Fig. 1). Double and triple mutations decreased entry by 0 to 80%, depending on the combination of mutations and isolate (Fig. 1). Combinations of six to eight alanine substitutions of negatively charged and tyrosine residues in the Nt and/or ECL2 of CXCR4 were required to decrease viral entry by an order of magnitude or more (Fig. 1). Our results suggest that CXCR4 usage by non-clade B X4 isolates depends on the overall content of tyrosines and negatively charged residues in the Nt and ECL2 rather than on a specific amino acid sequence. A similar pattern of CXCR4 usage has been reported for clade B X4 isolates (8, 9, 11, 27).
Alanine substitutions in all four extracellular domains of CCR5
were assessed for their ability to mediate the entry of six
non-clade B R5 isolates: 92NG083.2 (clade G), 92UG037.1 (clade
A), 92UG114.1 (clade D), 98TZ017.2 (clade C), 98IN012.14 (clade
C) and 94IN476.104 (clade C). The entry of all six isolates
was strongly dependent on residues Y10, D11, Y14, Y15, and E18
(Fig.
2). In addition, alanine substitutions of Nt residues
D2, Y3, Q4, S17, K22, and K26 significantly compromised viral
entry. However, considerable variability was observed in the
degree of dependence on these residues, since entry was decreased
anywhere from 2- to 30-fold, depending on the combination of
mutation and isolate (Fig.
2). Surprisingly, entry of all six
non-clade B isolates was also significantly reduced by alanine
substitutions of residues in the extracellular loops of CCR5.
The entry of isolates 92NG083.2 (clade G) and 92UG037.1 (clade
A) was reduced approximately 10-fold by alanine substitutions
of residues H88 and W94 in ECL1 (Fig.
2). Most striking, however,
was the dependence of non-clade B HIV-1 entry on a cluster of
residues in the CCR5 ECL2. Entry of all six test isolates was
suppressed 5- to 100-fold by alanine substitutions of Y176 and
K191/N192 (Fig.
2). Furthermore, entry of the test isolates
depended significantly on residues S169, Q170, K171/E172, and
T177. However, considerable variability was observed in the
degree of dependence on these residues since entry was decreased
anywhere from 0- to 30-fold, depending on the combination of
mutation and isolate (Fig.
2). As expected, alanine substitutions
of all four cysteine residues in the extracellular domains of
CCR5 strongly suppressed the entry of all six test isolates.
Here we report on the usage of CCR5 and CXCR4 by nine non-clade
B isolates. Even though the number of test isolates per clade
was small, we believe that the differences and similarities
in the pattern of CCR5 usage by clade B and non-clade B HIV-1
isolates are significant. Further testing of larger numbers
of non-clade B isolates will be performed in order to confirm
our present findings. A previously described cluster of sulfotyrosines
and negatively charged residues in the CCR5 Nt is requisite
for the fusion and entry of all test isolates, regardless of
clade. A number of other Nt residues, including D2, Y3, Q4,
S17, K22, and K26, variably affect the entry of non-clade B
R5 test isolates. The usage of yet other CCR5 Nt residues, including
S6, S7, I9, N13, Q21, and K22, by clade B isolates has been
reported (
7,
20,
32). Entry of two test isolates, a subtype
A and a subtype G, furthermore depends on two residues in ECL1.
Most importantly, a cluster of charged and polar residues in
ECL2 plays a key role in the entry of all six non-clade B test
isolates. Reliance on all ECL2 residues, other than Y176 and
K191/N192, is isolate dependent.
These observations are in contrast to what was reported previously for clade B isolates. Indeed, in those studies, single alanine substitutions in the extracellular loops of CCR5 did not significantly affect the entry of any clade B R5 or R5X4 isolate (19, 24, 32). This may indicate that the affinity of clade B gp120s is much higher for extracellular loop residues than the affinity of non-clade B gp120s. Thus, the effect of single mutations is negligible, and multiple mutations might have to be introduced in the extracellular loops in order for a decrease in fusion and entry to be observed. Others have reported, however, that residues in the CCR5 extracellular loops influence fusion and entry of clade B isolates, including Q93 in ECL1 (28), Y184, S185, and R197 in ECL2 (17, 33), D276 and Q280 in ECL3 (17, 20). It should be noted that residues Y184 and S185, like residues R197 and D276, had to be replaced together in order to compromise viral fusion and entry (17, 33).
We recently demonstrated that the CCR5 Nt binds to conserved residues in C4 and the V3 stem of a clade B R5 gp120 (13, 14). These regions are strongly conserved between clade B and non-clade B R5 isolates (Fig. 3) and might therefore have similar functions. Our data further suggested that residues in the extracellular loops of CCR5 bind to the V3 crown (13, 14). This gp120 region is somewhat less conserved between clade B and non-clade B R5 isolates (Fig. 3). We propose that CCR5 extracellular loop residues that we identified here as being important for viral entry constitute the binding site for the V3 crowns of non-clade B gp120s. These or other extracellular loop residues could also constitute the binding site for the V3 crowns of clade B gp120s. Variability in the V3 loop crown may account for the variability in the usage of these residues (26). X4 isolates exhibit more variability than R5 isolates throughout the V3 loop (Fig. 3) (26), which may explain the entirely isolate-dependent usage of CXCR4 extracellular residues.
The isolate- and clade-associated variability in the usage of
CCR5 extracellular loop residues may portend isolate- and clade-dependent
differences in the efficiency of CCR5 inhibitors. Compounds
such as TAK-779 do not inhibit gp120/CCR5 Nt interactions yet
inhibit gp120 binding to cell surface CCR5, perhaps by inhibiting
gp120 interactions with extracellular loop residues. Significant,
isolate-dependent variability is observed for inhibition of
HIV-1 entry by TAK-779 (A. Trkola, personal communication).
Our work further highlights the need to test the ability of
all novel CCR5 inhibitors to block the entry of a large panel
of clade B and non-clade B isolates.

ACKNOWLEDGMENTS
We thank Feng Gao and John Moore for their generous gift of
the HIV-1 non-clade B molecular clones.
This work was supported by grant AI43847 to T.D.

FOOTNOTES
* Corresponding author. Mailing address: Albert Einstein College of Medicine, Department of Microbiology and Immunology, 1300 Morris Park Ave., Bronx, NY 10461. Phone: (718) 430-3282. Fax (718) 430-8711. E-mail:
tdragic{at}aecom.yu.edu.


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Journal of Virology, March 2002, p. 3059-3064, Vol. 76, No. 6
0022-538X/02/$04.00+0 DOI: 10.1128/JVI.76.6.3059-3064.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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