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Journal of Virology, July 2003, p. 7174-7181, Vol. 77, No. 13
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.13.7174-7181.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Sustained Small Interfering RNA-Mediated Human Immunodeficiency Virus Type 1 Inhibition in Primary Macrophages
Erwei Song,1 Sang-Kyung Lee,1 Derek M. Dykxhoorn,2 Carl Novina,2 Dong Zhang,1 Keith Crawford,1 Jan Cerny,1 Phillip A. Sharp,2,3 Judy Lieberman,1 N Manjunath,1 and Premlata Shankar1*
Center
for Blood Research, Harvard Medical School, Boston, Massachusetts
02115,1
Center for Cancer
Research,2
Department of Biology and McGovern Institute for Brain
Research, Massachusetts Institute of
Technology, Cambridge, Massachusetts 021393
Received 21 January 2003/
Accepted 4 April 2003
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ABSTRACT
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Small
interfering RNAs (siRNAs) can induce potent gene silencing by
degradation of cognate mRNA. However, in dividing cells, the silencing
lasts only 3 to 7 days, presumably because of siRNA dilution with cell
division. Here, we investigated if sustained siRNA-mediated silencing
of human immunodeficiency virus type 1 (HIV-1) is possible in
terminally differentiated macrophages, which constitute an important
reservoir of HIV in vivo. CCR5, the major HIV-1 coreceptor in
macrophages, and the viral structural gene for p24 were targeted either
singly or in combination. When transfected 2 days prior to infection,
both CCR5 and p24 siRNAs effectively reduced HIV-1 infection for the
entire 15-day period of observation, and combined targeting of both
genes abolished infection. To investigate whether exogenously
introduced siRNA is maintained stably in macrophages, we tested the
kinetics of siRNA-mediated viral inhibition by initiating infections at
various times (2 to 15 days) after transfection with CCR5 and p24
siRNAs. HIV suppression mediated by viral p24 siRNA progressively
decreased and was lost by day 7 posttransfection. In contrast, viral
inhibition by cellular CCR5 knockdown was sustained even when
transfection preceded infection by 15 days, suggesting that the
continued presence of target RNA may be needed for persistence of
siRNA. The longer sustenance of CCR5 relative to p24 siRNA in
uninfected macrophages was also confirmed by detection of internalized
siRNA by modified Northern blot analysis. We also tested the potential
of p24 siRNA to stably silence HIV in the setting of an established
infection where the viral target gene is actively transcribed. Under
these circumstances, long-term suppression of HIV replication could be
achieved with p24 siRNA. Thus, siRNAs can induce potent and
long-lasting HIV inhibition in nondividing cells such as
macrophages.
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INTRODUCTION
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RNA interference (RNAi) is an evolutionarily conserved
posttranscriptional gene-silencing mechanism in which small interfering
21- to 23-mer double-stranded RNA (siRNA) mediates sequence-specific
degradation of mRNA (22,
30). The recent discovery
that exogenously delivered siRNA can trigger RNAi in mammalian cells
raises the possibility of harnessing RNAi technology as a therapeutic
tool against pathogenic viruses
(11). Several studies
have recently shown that siRNAs can suppress human immunodeficiency
virus type 1 (HIV-1) replication in cell lines and proliferating CD4 T
cells (6,
8,
13,
14,
17,
26,
28).
The advantage
of using siRNA as a potential antiviral tool is that it is effective at
concentrations that are several orders of magnitude lower than that
required for other RNA-based antiviral gene therapies, such as
antisense RNA or ribozymes
(4,
10). However, the
silencing effect of siRNAs in actively replicating cells peaks around
96 h but tapers off thereafter and is lost by 7 days
(26,
33,
34). Because most studies
have used actively dividing cell lines for siRNA studies, it is
generally presumed that the siRNA effect is transient because of its
dilution with cell division. However, whether siRNA can stably suppress
gene expression in nondividing cells has not been tested. Terminally
differentiated macrophages offer an ideal cell type with which to test
this possibility. Macrophages constitute a significant reservoir for
HIV-1 (23) and, being
relatively immune to the cytopathic effects of HIV-1, survive for long
periods after infection
(2).
Previous
studies of siRNA-directed protection against HIV-1 have generally
targeted viral genes to suppress HIV-1
(6,
8,
13,
14,
17,
26). In an earlier study,
we achieved viral suppression by targeting the cellular CD4 receptor
(26). However, CD4
targeting may not be a feasible therapeutic approach because of its
importance in immune function. On the other hand, CCR5, the major HIV-1
coreceptor for viral entry into macrophages, may be a potentially
useful cellular target
(16) since a 32-bp
homozygous deletion of the gene, which abolishes its function, has no
deleterious immunological consequences
(25) but provides
protection from HIV-1 infection
(19).
In the
present study, we aimed to achieve sustained and synergistic
siRNA-mediated inhibition of HIV-1 replication in monocyte-derived
macrophages (MDMs) by silencing the genes for cellular CCR5 and viral
p24.
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MATERIALS AND
METHODS
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Preparation of human MDMs.
Human monocytes were isolated from
buffy coats prepared from healthy volunteer donors. Peripheral blood
mononuclear cells isolated by Ficoll-Hypaque (Pharmacia Corporation,
Peapack, N.J.) density gradient centrifugation were seeded at 2
x 106/ml in 24-well plates in RPMI 1640 medium
(BioWhittaker, Inc., Walkersville, Md.) supplemented with 10%
heat-inactivated human AB serum (Nabi, Boca Raton, Fla.), 50 U of
penicillin per ml, 50 µg of streptomycin per ml, and 2 mM
L-glutamine. After 5 days of culture, nonadherent cells were
removed by repeated gentle washing with warm medium. More than
95% of the adherent cells obtained with this technique were
CD14+ macrophages (data not
shown).
Preparation of siRNAs.
All siRNAs, including the Cy5-labeled
p24 siRNA, were synthesized at Dharmacon Research, Lafayette, Colo. The
sequences of the sense and antisense strands of siRNAs were as follows:
CCR5, 5'-P.CUCUGCUUCGGUGUCGAAAdTdT-3'
(sense) and
5'-P.UUUCGACACCGAAGCAGAGdTdT-3'
(antisense); p24,
5'-P.GAUUGUACUGAGAGACAGGCU-3'
(sense) and
5'-P.CCUGUCUCUCUCAGUACAAUCUU-3'
(antisense); green fluorescent protein (GFP),
5'-P.GGCUACGUCCAGGAGCGCACC-3' (sense) and
5'-P.UGCGCUCCUGGACGUAGCCUU-3'
(antisense).
RNAs were deprotected and annealed in
accordance with the manufacturer's
instructions.
Transfection of
siRNAs.
Adherent
macrophages were generated by seeding peripheral blood mononuclear
cells at 2 x 106/well in 24-well plates. Before
transfection, the cells were washed and resuspended in 900 µl
of RPMI 1640 medium. Cationic lipid complexes, prepared by incubating 1
µM siRNA duplexes with 3 µl of oligofectamine
(Gibco-Invitrogen, Rockville, Md.) in 100 µl of RPMI 1640
medium, were added to the wells. The cells were washed after overnight
incubation and resuspended in RPMI 1640 medium with serum for further
experiments.
Flow cytometry.
To test CCR5 expression and HIV-1
infection, adherent MDMs were trypsinized at the times indicated and
stained with biotin-conjugated CCR5 antibody (R&D Systems, Inc.,
Minneapolis, Minn.), followed by avidin-labeled
streptavidin-phycoerythrin (BD Pharmingen, San Diego,
Calif.). Where indicated, the cells were permeabilized with the Caltag
Laboratories (Burlingame, Calif.) Fix and Perm kit and stained with
fluorescein isothiocyanate (FITC)-labeled p24 monoclonal antibody
(Beckman Coulter, Brea, Calif.). Cells were analyzed by flow cytometry
on a FACScalibur instrument with CellQuest software (Becton Dickinson,
Franklin Lakes, N.J.).
HIV-1
infection.
MDMs were
infected with the R5 BAL strain of HIV-1 by using 50 ng of
p24gag antigen per well. At the times indicated,
HIV-1 replication in infected macrophages was evaluated by flow
cytometric analysis of p24 expression. Cell-free viral production was
measured by p24 antigen enzyme-linked immunosorbent assay (ELISA) of
supernatants with the Alliance HIV-1 p24 ELISA kit (Perkin-Elmer Life
Science Inc., Boston, Mass.).
In situ
hybridization.
Infected
macrophages cultured in slide chambers were evaluated for HIV-1 mRNA
expression by using the ViroTect HIV-1 Cell Detection System (Invirion
Inc., Frankfurt, Mich.). Cells were fixed, permeabilized, and
hybridized with an FITC-labeled gag-pol oligonucleotide probe cocktail
as described in the manufacturer's protocol. The cells were
stained with Texas red-X phalloidin (Molecular Probes Inc., Eugene,
Oreg.) and analyzed by epifluorescence microscopy. The fluorochromes
were independently recorded at excitation wavelengths of 494 and 591
nm.
Reverse transcription PCR
(RT-PCR).
Total RNA was
extracted from macrophage cultures at the times indicated with an
RNeasy Mini Kit (QIAGEN Inc., Valencia, Calif.), and cDNA was
synthesized with a TaqMan reverse transcription kit (Applied
Biosystems, Foster City, Calif.). Aliquots of cDNA were PCR amplified
for CCR5 with the primers
5'-ATGGATTATCAAGTGTCAAGTCC-3' and
5'-CCAGAATTGATACTGACTGTATGG-3' and
for
-actin with the primers
5'-TCTGTCAGGGTTGGAAAGTC-3' and
5'-AAATGCAAACCGCTTCCAAC-3'.
Amplified PCR products were visualized on 1.2%
agarose gels.
Modified Northern blot
assay.
Total cellular RNA
was extracted with Trizol reagent in accordance with the
manufacturer's protocol (Invitrogen Life Technologies, Carlsbad,
Calif.). After precipitation, the RNA pellets were washed in 70%
ethanol, air dried, resuspended in nuclease-free H2O, and
quantitated by UV absorption. Three micrograms of total RNA was loaded
onto a Tris-borate-EDTA-15% urea gel and
electrophoresed at 10 W. The gel was electrotransferred to Nytran Plus
(Schleicher & Schuell, Inc., Keene, N.H.) for 2.5 h, UV
cross-linked at 1,200 µF, and prehybridized for 30 min at
40°C in UltraHyb buffer (Ambion). One hundred picomoles of the
sense strand of CCR5 or p24 siRNA was end labeled with
[
-32P]ATP (150 µCi). The labeled
probe was purified on a G-25 MicroSpin Column (Amersham), heated to
65°C for 5 min, added to the prehybridization buffer, and
hybridized overnight. Blots were washed at room temperature (2
x 5 min in 2x SSC [1x SSC is 0.15 M NaCl
plus 0.015 M sodium citrate]-0.1% sodium dodecyl
sulfate and 3 x 10 min in 0.1x SSC-0.1%
sodium dodecyl sulfate) and analyzed on a phosphorimager (Molecular
Dynamics, Carlsbad,
Calif.).
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RESULTS
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Efficient
uptake of labeled siRNA in transfected MDMs.
To determine the efficiency of siRNA
delivery in MDMs, we transfected the cells with Cy5-labeled p24 siRNA.
After 24 h of transfection, 86% of the
CD14+ macrophages were Cy5+ by
flow cytometry (Fig.
1), a transfection efficiency comparable to that observed with HeLa cells
(
90%; data not shown). The siRNA was not taken up
efficiently by nonspecific phagocytosis because, in the absence of
oligofectamine, <6% of the MDMs were
Cy5+ (Fig.
1).

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FIG. 1. Efficient
delivery of duplex siRNA into macrophages. MDMs were mock transfected
or exposed to Cy5-labeled p24 siRNA in the presence or absence of
transfection reagent. After 24 h of culture, the cells were
removed by trypsinization, stained with anti-CD14-FITC, and
analyzed by flow cytometry. The percentage of Cy5+
cells is indicated in each
panel.
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The
CCR5 and p24 siRNAs inhibit HIV-1 replication in MDMs for prolonged
periods of time, and when used in combination, they completely abolish
infection.
To determine the
antiviral effects of siRNAs, MDMs were transfected with either CCR5 or
p24 siRNA at a range of concentrations (0.2 to 2 µM) and
challenged with the R5 BAL macrophagetropic virus strain 2 days later.
After further culture for 7 days, the reduction of cell-free viral
particle production was assessed by p24 ELISA. The p24 titers were
reduced relative to those of mock-transfected cultures in both CCR5 and
p24 siRNA-transfected MDMs, with a maximal sixfold inhibition at a 1
µM dose (Fig.
2a). No reduction in p24 levels was seen in MDMs transfected with 2
µM unrelated GFP siRNA (data not shown). To evaluate the
stability of viral suppression, MDMs were transfected with CCR5 or p24
siRNA at a 1 µM concentration singly or in combination and
similarly challenged with the R5 BAL virus. Periodic p24 ELISAs of
culture supernatants revealed a sustained four- to sixfold reduction of
p24 production in both CCR5 and p24 siRNA-transfected MDMs compared to
those of mock-transfected and GFP siRNA-transfected controls for the
total duration of the experiment (Fig.
2b). Similarly, flow
cytometric analysis of p24 expression also demonstrated a sevenfold
reduction in p24 expression for up to 15 days with either CCR5 or p24
siRNA compared to that of controls (Fig.
2c). Fluorescence in situ
hybridization analysis of the cultures on day 7 after infection
revealed a corresponding reduction in HIV-1 RNA in CCR5 or p24
siRNA-transfected MDMs (Fig.
2d). More importantly,
cotransfection with both siRNAs was able to abolish HIV-1 infection
throughout the 15-day period of observation (Fig.
2b to d). Thus, siRNAs can
provide lasting protection against HIV-1 in
macrophages.
Differential persistence and
antiviral kinetics of CCR5 and p24 siRNA in MDMs.
Our results suggest that siRNA has the
potential to prevent HIV-1 infection. However, to realize this
potential, it is important that siRNAs persist in cells for long
periods of time before infection. To address this issue, we examined
the intracellular persistence of transfected CCR5 and p24 siRNA in
uninfected MDMs. Retention of exogenously introduced p24 and CCR5
siRNAs in uninfected MDMs was evaluated by modified Northern blot
analysis of RNA samples at different time points after transfection by
using
-32P-labeled sense strands of CCR5 or p24
siRNA as probes. To quantitate siRNAs, lanes were also loaded with
titrated concentrations of single-stranded antisense siRNA. Small RNA
species with the relative mobility of 20- to 23-bp oligonucleotides
were visualized at a 10-fmol level of sensitivity (Fig.
3a) The hybridization signals for CCR5 and p24 were similar in intensity on
day 1. However, by day 7, the p24 signal became weaker and was
completely lost by day 15, whereas the CCR5 signal remained robust
throughout. No signal was detected in mock-transfected samples used as
controls. These results suggested that p24 siRNA may be relatively
short-lived in the absence of infection, while CCR5 siRNA persists
under these conditions. Stability of CCR5 siRNA-mediated gene silencing
was also assessed by parallel flow cytometric analysis of endogenous
CCR5 expression over time. Compared to mock-transfected cells, CCR5
siRNA-transfected cells maintained a uniform 70 to 80% reduction
in the mean fluorescence intensity of CCR5 staining from 1 to 20 days
after transfection (Fig.
3b). Moreover, CCR5 mRNA
was undetectable by RT-PCR analysis on days 1, 4, 7, and 15 after CCR5
siRNA transfection (Fig.
3c).

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FIG. 3. CCR5,
but not p24, siRNA persists in uninfected MDMs. (a) Modified Northern
blot analysis showing levels of internalized CCR5 and p24 siRNAs in
MDMs on the indicated days after transfection. Before loading, samples
were normalized for total RNA content. The sense strand of each siRNA
was end labeled with -32P and used as a probe.
Lanes loaded with graded amounts of the antisense strand of siRNA and
mock-transfected samples served as positive and negative controls,
respectively. (b) CCR5 (top) and GFP (bottom) siRNA-transfected MDMs
were examined for CCR5 expression over time. Overlay histograms of
CCR5-stained mock-transfected (open solid line), control
immunoglobulin-stained (open dotted line), and siRNA-transfected
(filled) cells are shown. (c) RT-PCR for CCR5 and -actin mRNA
expression was performed with mock-transfected (lanes 2 to 5) and CCR5
siRNA-transfected (lanes 6 to 9) cells on days 1 (lanes 2 and 6), 4
(lanes 3 and 7), 7 (lanes 4 and 8), and 15 (lanes 5 and 9) after
transfection (M, molecular weight marker; lane 1, negative control).
CCR5 mRNA was not detected, even after an additional 25 cycles of PCR
amplification (data not
shown).
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To test if
these differences in intracellular persistence are also reflected in
their differential abilities to sustain HIV-1 suppression, we
transfected MDMs with CCR5 or p24 siRNA and initiated infections at
increasing intervals of time after transfection. Viral replication was
measured by flow cytometric analysis of p24 expression 10 days after
infection. Consistent with long-term suppression of CCR5 expression,
CCR5 siRNA provided protection whether the cells were infected 2 or 15
days after transfection (Fig.
4). On the other hand, p24 siRNA provided maximal protection when the cells
were infected within 5 days of transfection, but the protection level
gradually declined when the interval between transfection and infection
was extended further. Because the gene for CCR5 is an endogenously
expressed gene while that for p24 is expressed only after infection, we
interpret these results to suggest that to sustain silencing, siRNA may
need the presence of intracellular target
mRNA.

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FIG. 4. CCR5,
but not p24, siRNA confers sustained and uniform protection when MDMs
are infected at increasing intervals after transfection. MDMs were
transfected with GFP (top), p24 (middle), or CCR5 (bottom) siRNA and
infected with HIVBAL at the indicated times after
transfection. Cells were analyzed 10 days postinfection for p24
expression by flow cytometry. The percentage of p24+
cells is shown in each
panel.
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p24 siRNA can stably suppress HIV-1
replication in MDMs with an established infection.
To test if siRNAs can stably suppress
HIV-1 in previously infected MDMs and to further examine the hypothesis
that the siRNA effect may be long lasting if the target mRNA is
continually available, we tested the p24 and CCR5 siRNAs for the
ability to suppress viral replication in the setting of an established
infection. MDMs were transfected with CCR5 or p24 siRNA 16 days after
infection with HIVBAL, at which time >90% of
the MDMs were infected (data not shown). The suppression of viral
replication after transfection was monitored over time by evaluation of
intracellular p24 expression. As expected, CCR5 blockade did not
significantly reduce virus replication in this setup (Fig.
5a). In contrast, p24 siRNA was able to reduce viral replication in infected
cells by nearly 90% 3 days after transfection (Fig.
5b). More importantly, p24
siRNA transfected after infection was able to suppress viral
replication throughout the 15-day period of observation. Thus,
long-lasting viral suppression can be achieved with p24 siRNA in MDMs
with an established
infection.

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FIG. 5. p24,
but not CCR5, siRNA suppresses HIV-1 replication in an established
infection. (a) MDMs infected with HIVBAL for 16 days
(>90% of the MDMs were p24+; data not
shown) were transfected with CCR5 siRNA and examined for p24 expression
3 days later. The percentage of p24+ cells is shown
in each panel. (b) MDMs infected for 16 days were transfected with p24
or control siRNA and examined for p24 expression on various days
posttransfection.
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DISCUSSION
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Our results take
RNAi-based therapeutics a significant step forward by showing that a
single application of synthetic siRNA is able to achieve long-lasting
suppression of HIV-1 in a physiologic setting. We show that in primary
macrophages, siRNAs not only prevent infection but also suppress viral
replication after an infection is established.
Macrophages
represent a key target of HIV-1 in vivo. Although the absolute number
of infected macrophages is relatively low compared to that of CD4 T
cells, the unique dynamics of HIV-1 replication in these cells make
them a formidable viral reservoir
(2). Macrophages are
relatively immune to the cytopathic effects of HIV-1 and can survive
for long periods after infection. They replicate large amounts of virus
in sequestered cytoplasmic vacuoles, with a plateau of virus production
lasting as long as 60 days
(1). They are also the
primary targets of HIV-1 in the nervous system
(2). HIV-1-infected
macrophages are commonly found in the blood and tissues of seropositive
patients receiving highly active antiretroviral therapy
(32), suggesting that
virus production in macrophages may not be effectively controlled by
currently available antiviral therapy. Thus, it is significant that
this recalcitrant cell type is particularly amenable to sustained
siRNA-mediated viral inhibition.
Why is the siRNA effect
sustained in macrophages? Previous studies in which actively dividing
cells were used to demonstrate siRNA-mediated gene silencing have found
that the effect in mammalian cells is transient, lasting for only 4 to
7 days (7,
26,
33,
34). This has been
attributed to siRNA dilution with cell division. However, even in
nondividing macrophages, Northern blot analysis revealed that CCR5, but
not p24, siRNA was stably present for a prolonged period after
transfection. p24 siRNA persisted for only up to 7 days after
transfection in uninfected cells, suggesting that siRNA degradation may
contribute to loss of siRNA. Consistent with the lack of sustenance of
p24 siRNA in uninfected MDMs, the level of viral inhibition declined
significantly when the interval between transfection and infection was
prolonged beyond 7 days. While p24 siRNA appears to be rapidly degraded
in uninfected cells, it effectively suppressed viral replication for
prolonged periods in previously infected cells (Fig.
5b), where target mRNA is
continually synthesized. These results suggest that the presence or
absence of target mRNA may determine whether siRNA is sustained or
degraded. Moreover, CCR5 siRNA was able to suppress the expression of
the endogenous CCR5 gene, as well as prevent viral entry for long
periods, even when transfection preceded infection by 15 days (Fig.
4). Thus, continued
presence of target RNA may be required for intracellular sustenance of
siRNAs. These results are also consistent with the finding, in
Caenorhabditis elegans, that RNAi directed against GFP did not
result in detectable siRNA unless the gene for GFP was simultaneously
expressed in the target cells
(27). However, although
this finding would imply that the antisense strand of the siRNA would
be preferentially maintained in the cells, no bias toward longer
persistence or higher concentration of the antisense strand relative to
the sense strand of CCR5 siRNA was observed in modified Northern blot
analysis (data not shown).
Another mechanism that can extend the
effectiveness of siRNA is its amplification. In lower species, such as
C. elegans, it is well documented that siRNAs can
prime target mRNA to generate new siRNAs by using an RNA-dependent RNA
polymerase (15). Whether
siRNA amplification occurs in mammalian cells is unclear, and no direct
evidence of RNA-dependent RNA polymerase activity exists
(7
29a). Moreover, the silencing
effect of siRNA rapidly fades in dividing mammalian cell lines, even in
the presence of target mRNAs
(10,
30,
33). These issues
underscore the need to elucidate the fundamental mechanisms of RNAi in
mammalian cells. Nondividing MDMs may provide an ideal cell type for
such mechanistic studies because of the absence of complicating
dilutional effects.
Only one of the two siRNA sequences that we
used in our initial screening was effective at silencing CCR5
expression in primary macrophages (data not shown). Similar results
have been reported in a recent study by Qin et al., who used two
sequences distinct from the ones that we used and found that only one
of them was highly effective at ablating CCR5 expression in primary CD4
T cells (29).
Surprisingly, the siRNA that we found to be completely ineffective at
silencing CCR5 expression in MDMs is identical in sequence to the one
used by Martinez et al. for silencing CCR5 expression in the
U87-CD4-CCR5 cell line in a recent study
(20). However, in
agreement with their data, we also observed a significant decrease in
CCR5 expression in the U87-CD4-CCR5 cell line transfected with the same
siRNA (data not shown). This brings up the intriguing possibility of
cell type-specific differences in effectiveness of siRNAs and
underscores the importance of testing their effectiveness in primary
CD4 T cells and macrophages, which are the physiologically relevant
targets of HIV-1.
Given the high mutation rate of HIV-1, it may
be desirable to target highly conserved regions of the viral genome and
to use combinations of siRNAs. In this regard, host cellular gene
targets that can interrupt the HIV-1 life cycle may offer particularly
attractive targets because endogenous genes are not under immune
pressure to generate escape mutations. CCR5 is a feasible target since
homozygous mutations of the gene are well tolerated and reduce
susceptibility to infection
(19,
25). Combinations of
siRNAs targeting two different steps in the viral life cycle had a
strong synergistic antiviral effect. Combined treatment with the CCR5
and p24 siRNAs completely eliminated HIV-1 replication in macrophages,
probably by interrupting two steps in the viral life cycle, with CCR5
siRNA blocking viral entry and p24 siRNA destroying the virus that
slipped through other coreceptors, or by passive uptake
(24). Thus, it may be
possible to develop optimal RNAi-based therapeutic strategies that
target multiple aspects of the virus life cycle akin to drug cocktails
used in highly active antiretroviral therapy.
Efficient in vivo
delivery of siRNAs into CD4 T cells and macrophages remains the major
bottleneck in gene therapeutic approaches to HIV-1. Viral vectors
capable of generating siRNA under the control of an RNA polymerase III
promoter have been used effectively in cell lines
(3,
5,
32a). Qin et al. have demonstrated
the feasibility of using a lentivirus-based vector to introduce siRNAs
against the HIV-1 coreceptor CCR5 into primary cells
(29). However, the use of
these vector systems in vivo is fraught with potential dangers of
retroviral recombination and malignant transformation due to random
insertion within the host genome. Two out of nine children receiving
retroviral gene therapy for X-linked severe combined immunodeficiency
developed a leukemia-like disease in a recent clinical trial
(12). In this regard,
synthetic siRNA administration may be preferable if it can provide
reasonably long-lasting protection, as appears to be the case for
macrophages. However, efficient in vivo delivery methods need to be
developed. In fact, several groups, including ours, have successfully
administered duplex siRNAs systemically to mice
(4,
18,
21,
31). Given the rapid
strides being made in the field, the use of siRNA as an antiviral
therapeutic approach in humans appears to be
promising.
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ACKNOWLEDGMENTS
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The first two authors
contributed equally to this work.
We thank Z. Xu and V.
François-Borgarçon for technical assistance. The R5 BAL
strain of HIV-1 was provided by S. Gartner, M. Popovic, and R. Gallo
and was obtained through the AIDS Research and Reference Reagent
Program, Division of AIDS, National Institute of Allergy and Infectious
Diseases, National Institutes of Health.
This work was supported
by National Institutes of Health grants AI49792, AI45306 (P.S.),
AI46566 (N.M.), and AI42519 (J.L.), R37-GM34277 (P.A.S.), and
F32-AI10523 (C.N.), NCI grant PO1-42063 (P.A.S.), and amfAR fellowship
grant 70589-32RF
(S.-K.L.).
 |
FOOTNOTES
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* Corresponding
author. Mailing address: Center for Blood Research, 800 Huntington
Ave., Boston, MA 02115. Phone: (617) 278-3476. Fax: (617) 278-3493.
E-mail:
shankar{at}cbr.med.harvard.edu. 
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REFERENCES
|
|---|
- Aquaro,
S., P. Bagnarelli, T. Guenci, A. De Luca, M. Clementi, E. Balestra, R.
Calio, and C. F. Perno. 2002. Long-term
survival and virus production in human primary macrophages infected by
human immunodeficiency virus. J. Med. Virol.
68:479-488.[CrossRef][Medline]
- Aquaro,
S., R. Calio, J. Balzarini, M. C. Bellocchi, E. Garaci, and
C. F. Perno. 2002. Macrophages and HIV
infection: therapeutical approaches toward this strategic virus
reservoir. Antiviral Res.
55:209-225.[CrossRef][Medline]
- Barton,
G. M., and R. Medzhitov. 2002. Retroviral
delivery of small interfering RNA into primary cells. Proc. Natl. Acad.
Sci. USA
99:14943-14945.[Abstract/Free Full Text]
- Bertrand,
J., M. Pottier, A. Vekris, P. Opolon, A. Maksimenko, and C. Malvy.2002
. Comparison of antisense oligonucleotides and siRNAs
in cell culture and in vivo. Biochem. Biophys. Res.
Commun.
296:1000-1004.[CrossRef][Medline]
- Brummelkamp,
T. R., R. Bernards, and R. Agami. 2002. Stable
suppression of tumorigenicity by virus-mediated RNA interference.Cancer Cell
2:243-247.[CrossRef][Medline]
- Capodici,
J., K. Kariko, and D. Weissman. 2002. Inhibition of
HIV-1 infection by small interfering RNA-mediated RNA interference.J. Immunol.
169:5196-5201.[Abstract/Free Full Text]
- Chiu,
Y. L., and T. M. Rana. 2002. RNAi
in human cells: basic structural and functional features of small
interfering RNA. Mol. Cell
10:549-561.[CrossRef][Medline]
- Coburn,
G. A., and B. R. Cullen. 2002.
Potent and specific inhibition of human immunodeficiency virus type 1
replication by RNA interference. J. Virol.
76:9225-9231.[Abstract/Free Full Text]
- Devroe,
E., and P. A. Silver. 2002.Retrovirus-delivered siRNA. BMC Biotechnol.
2:15-19.
- Elbashir,
S. M., J. Harborth, W. Lendeckel, A. Yalcin, K. Weber, and T.
Tuschl. 2001. Duplexes of 21-nucleotide RNAs mediate
RNA interference in cultured mammalian cells. Nature
411:494-498.[CrossRef][Medline]
- Elbashir,
S. M., W. Lendeckel, and T. Tuschl. 2001.
RNA interference is mediated by 21- and 22-nucleotide RNAs.Genes Dev.
15:188-200.[Abstract/Free Full Text]
- Hacein-Bey-Abina,
S., A. Fischer, and M. Cavazzana-Calvo. 2002. Gene
therapy of X-linked severe combined immunodeficiency. Int.
J. Hematol.
76:295-298.[Medline]
- Hu,
W., C. Myers, J. Kilzer, S. Pfaff, and F. Bushman.2002
. Inhibition of retroviral pathogenesis by RNA
interference. Curr. Biol.
12:1301-1311.[CrossRef][Medline]
- Jacque,
J. M., K. Triques, and M. Stevenson. 2002.
Modulation of HIV-1 replication by RNA interference.Nature
418:435-438.[CrossRef][Medline]
- Ketting,
R. F., S. E. Fischer, E. Bernstein, T. Sijen,
G. J. Hannon, and R. H. Plasterk.2001
. Dicer functions in RNA interference and in
synthesis of small RNA involved in developmental timing in C. elegans.Genes Dev.
15:2654-2659.[Abstract/Free Full Text]
- Kitabwalla,
M., and R. M. Ruprecht. 2002. RNA
interferencea new weapon against HIV and beyond.N. Engl. J. Med.
347:1364-1367.[Free Full Text]
- Lee,
N. S., T. Dohjima, G. Bauer, H. Li, M. J. Li, A.
Ehsani, P. Salvaterra, and J. Rossi. 2002. Expression
of small interfering RNAs targeted against HIV-1 rev transcripts in
human cells. Nat. Biotechnol.
20:500-505.[Medline]
- Lewis,
D. L., J. E. Hagstrom, A. G. Loomis,
J. A. Wolff, and H. Herweijer. 2002.
Efficient delivery of siRNA for inhibition of gene expression in
postnatal mice. Nat. Genet.
32:107-108.[CrossRef][Medline]
- Liu, R., W. A. Paxton,
S. Choe, D. Ceradini, S. R. Martin, R. Horuk, M. E.
MacDonald, H. Stuhlmann, R. A. Koup, and N. R.
Landau. 1996. Homozygous defect in HIV-1 coreceptor
accounts for resistance of some multiply-exposed individuals to HIV-1
infection. Cell
86:367-377.[CrossRef][Medline]
- Martinez,
M. A., A. Gutierrez, M. Armand-Ugon, J. Blanco, M. Parera, J.
Gomez, B. Clotet, and J. A. Este. 2002.
Suppression of chemokine receptor expression by RNA interference allows
for inhibition of HIV-1 replication. AIDS
16:2385-2390.[CrossRef][Medline]
- McCaffrey,
A. P., L. Meuse, T. T. Pham, D. S.
Conklin, G. J. Hannon, and M. A. Kay.2002
. RNA interference in adult mice.Nature
418:38-39.[CrossRef][Medline]
- McManus,
M. T., and P. A. Sharp. 2002. Gene
silencing in mammals by small interfering RNAs. Nat. Rev.
Genet.
3:737-747.[CrossRef][Medline]
- Meltzer,
M. S., D. R. Skillman, P. J. Gomatos,
D. C. Kalter, and H. E. Gendelman.1990
. Role of mononuclear phagocytes in the pathogenesis
of human immunodeficiency virus infection. Annu. Rev.
Immunol.
8:169-194.[Medline]
- Moore,
J. P., and M. Stevenson. 2000. New targets
for inhibitors of HIV-1 replication. Nat. Rev. Mol. Cell.
Biol.
1:40-49.[CrossRef][Medline]
- Nansen,
A., J. P. Christensen, S. O. Andreasen, C.
Bartholdy, J. E. Christensen, and A. R.
Thomsen. 2002. The role of CC chemokine receptor 5 in
antiviral immunity. Blood
99:1237-1245.[Abstract/Free Full Text]
- Novina,
C. D., M. F. Murray, D. M. Dykxhoorn,
P. J. Beresford, J. Riess, S. K. Lee, R.
G. Collman, J. Lieberman, P. Shankar, and P. A. Sharp.2002
. siRNA-directed inhibition of HIV-1 infection.Nat. Med.
8:681-686.[CrossRef][Medline]
- Plasterk,
R. H. 2002. RNA silencing: the genome's
immune system. Science
296:1263-1265.[Abstract/Free Full Text]
- Pomerantz,
R. J. 2002. RNA interference meets HIV-1:
will silence be golden? Nat. Med.
8:659-660.[CrossRef][Medline]
- Qin,
X. F., D. S. An, I. S. Chen, and D.
Baltimore. 2003. Inhibiting HIV-1 infection in human T
cells by lentiviral-mediated delivery of small interfering RNA against
CCR5. Proc. Natl. Acad. Sci. USA
100:183-188.[Abstract/Free Full Text]
- Schwarz,
D. S., G. Hutvagner, B. Haley, and P. D. Zamore. 2002.
Evidence that siRNAs function as guides, not primers, in the
Drosophila and human RNAi pathways. Mol. Cell
10:537-548.[CrossRef][Medline]
- Sharp,
P. A. 2001. RNA
interference2001. Genes Dev.
15:485-490.[Free Full Text]
- Song,
E., S. K. Lee, J. Wang, N. Ince, N. Ouyang, J. Min,
J. Chen, P. Shankar, and J. Lieberman. 2003.
RNA interference targeting Fas protects mice from fulminant hepatitis.Nat. Med.
9:347-351.[CrossRef][Medline]
- Sonza,
S., H. P. Mutimer, R. Oelrichs, D. Jardine, K. Harvey, A.
Dunne, D. F. Purcell, C. Birch, and S. M.
Crowe. 2001. Monocytes harbour replication-competent,
non-latent HIV-1 in patients on highly active antiretroviral therapy.AIDS
15:17-22.[CrossRef][Medline]
- Stewart,
S. A., D. M. Dykxhoorn, D. Palliser, H. Mizuno, E. Y. Yu, D. S. An, D.
M. Sabatini, I. S. Chen, W. C. Hahn, P. A. Sharp, R. A. Weinberg, and
C. D. Novina. 2003.
Lentivirus-delivered stable gene silencing by RNAi in primary
cells. RNA
9:493-501.[Abstract/Free Full Text]
- Tuschl,
T. 2002. Expanding small RNA interference. Nat.
Biotechnol.
20:446-448.[CrossRef][Medline]
- Ullu,
E., A. Djikeng, H. Shi, and C. Tschudi. 2002. RNA
interference: advances and questions. Philos. Trans. R. Soc.
Lond. B Biol. Sci
357:65-70.[CrossRef][Medline]
Journal of Virology, July 2003, p. 7174-7181, Vol. 77, No. 13
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.13.7174-7181.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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