Departments of Microbiology,1 Medicine, College of PhysiciansSurgeons, Columbia University, New York, New York 10032,4 Wohl Virion Centre, Windeyer Institute, University College London, W1T 4JF London, United Kingdom,2 Department of Human Genetics and Molecular Biology Program, Memorial Sloan-Kettering Cancer Center, Cornell University, New York, New York 100213
Received 28 August 2002/ Accepted 5 December 2002
| ABSTRACT |
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| INTRODUCTION |
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Similarly, cellular factors have been identified that specifically inhibit retroviral replication. The n and b alleles of Fv1 encode retroviral Gag-like elements, each of which specifically decreases the efficiency of integration of murine retroviruses bearing either of two capsid (CA) susceptibility determinants (9, 11, 33). New host factors regulating retroviral replication may ultimately be identified by analysis of additional nonpermissive conditions. Interestingly, cells from mammals other than mice restrict reverse transcription of N-tropic murine leukemia virus (MLV), but not B-tropic MLV, even though Fv1 is absent from these species (57); the putative factor mediating restriction in these cells is now called Ref1 (57, 58). Additional factors are being sought based on the observation that HIV-1 is unable to efficiently complete reverse transcription after infection of nonhuman primate cells (21, 26, 27, 41, 54).
Host factors have also been identified which must be present during the assembly process to alter particle infectivity in the subsequent round of infection. Cyclophilin A enhances the infectivity of particles in this manner (14). In contrast, if expressed at the time of virus production, CEM15 inhibits postentry steps of HIV-1 replication (53); the significance of CEM15 is emphasized by the fact that all primate lentiviruses encode a factor, Vif, which counteracts its antiviral activity. A putative regulatory factor has also been suggested by the observation that the nuclear transport efficiency of MLV preintegration complexes is determined by the particular cell line used for virion production (52).
The understanding of cellular factors that regulate retroviral replication has also been advanced by study of the action of drugs that alter infectivity. Cyclosporine, a competitive inhibitor of the HIV-1 Gag-cyclophilin A interaction, helped establish the significance of cyclophilin A for HIV-1 replication (12, 22). The finding that proteasome inhibitors decrease virion assembly (48, 50) helped establish the importance of ubiquitin for virion release. Proteasome inhibitors also increase the infectivity of incoming viruses, suggesting that ubiquitin-dependent degradation plays an antiviral role during virus entry (51). The antiviral activity of particular chemokines has been exploited to clarify the importance of particular chemokine receptors for virion entry (19).
Recently, arsenic trioxide (As2O3) was reported to enhance HIV-1 infectivity (60). As2O3 is used to treat acute promyelocytic leukemia (APL), which bears an oncogenic PML-retinoic acid receptor alpha fusion protein resulting from chromosomal translocation (17, 34, 43, 66). PML protein is normally required for the formation of PML bodies, multiprotein nuclear structures of unknown function that are often disrupted by infection with DNA viruses (2, 3, 15, 31). The fact that As2O3 promotes the degradation of PML protein and alters the morphology of PML bodies (17, 34, 43, 66) suggested that the drug might promote HIV-1 infection by antagonizing an antiviral activity associated with PML. Consistent with this hypothesis, HIV-1 infection has been reported to alter PML protein localization (60), though others failed to confirm this (7).
We became interested in the reported effects of As2O3 on HIV-1 infectivity when we discovered in the two-hybrid system that HIV-1-encoded proteins interact with known components of PML bodies. Detailed analysis of the effect of As2O3 on HIV-1 and MLV replication demonstrated that As2O3 causes increased steady-state levels of newly synthesized retroviral cDNA. The drug has no additional effect on Fv1 restriction but significantly counteracts the reverse transcription block due to Ref1. Our data fail to demonstrate that the effects of As2O3 on HIV-1 are related to effects of the drug on PML protein. Rather, the effect of the drug on HIV-1 seems more likely to be related to other effects of the drug, such as its mitochondrial-uncoupling activity.
| MATERIALS AND METHODS |
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R8.2,
R8.9, and pMD-G, gifts from Didier Trono, encode HIV-1 structural proteins and the vesicular stomatitis virus (VSV) G protein and have been extensively described (67, 68). pCIG3 N and B, constructs expressing MLV N- and B-tropic structural proteins, have been described (11). pCNCG is an MLV-derived vector expressing EGFP from the CMVie promoter (44). pHXB2Env, a construct expressing HXB2 gp160 (46), was provided by Nathaniel Landau. Cells and tissue culture. Wild-type and PML-/- 129/Sv mouse embryonic fibroblasts (MEFs) were produced as previously described (61). 293T, HeLa, TE671, NIH 3T3, and BALB/c 3T3 cells and MEFs were maintained in Dulbecco's modified Eagle's medium supplemented with antibiotics and either 10 (293T, HeLa, BALB/c 3T3, and TE671 cells) or 20% (MEFs) fetal calf serum or 10% calf serum (NIH 3T3 cells). Jurkat T cells were maintained in RPMI supplemented with antibiotics and 10% fetal calf serum.
Virus production and determination of titers of viral stocks.
To produce HIV-1 virions, 293T cells were transfected as previously described (13) with 10 µg of pNL4-3 or pNL-GFP. In some cases, as indicated, cells were cotransfected with 5 µg of pMD-G. To produce HIV-1 vectors, 293T cells were cotransfected with (i) 10 µg of pFUGW or TRIP-GFP, (ii) 10 µg of
R8.9 or
R8.2, or (iii) 5 µg of pMDG or 10 µg of pHXBEnv. HIV-1 virion- or vector-containing supernatant was collected 2 days posttransfection, clarified by low-speed centrifugation, filtered (0.45-µm-pore-size Pall Acrodisc), and stored at -80°C. Virion quantities were normalized prior to infection using the NEN HIV-1 Capsid (CAp24) enzyme-linked immunosorbent assay kit. To determine titers, 2 x 105 Jurkat T cells were incubated in serial dilutions of virus stocks (0.5-ml final volume). Two days postinfection, the percentage of cells expressing either GFP or p24 was determined by flow cytometry, as described below. The titers of VSV G-pseudotyped virions in HeLa cells were similar to those determined using Jurkat T cells.
For MLV-derived vectors, 293T cells were transfected using the Fugene 6 procedure (Roche) with 1.5 µg of pCNCG, 1 µg of pCIG3 N or B, and 1 µg of pMDG. Titers for MLV vectors were determined on Mus dunni tail fibroblasts (MDTF) as described previously (49, 57).
Infections. For viruses bearing HIV-1 Env, single-cycle infections in Jurkat T cells and in MEFs were performed at a multiplicity of infection (MOI) of 0.01; for viruses bearing VSV G, the MOI was 0.05 to 0.2. For Southern analysis of viral cDNA synthesis, an MOI of 2.0 was used. For spreading infections, MOIs of 0.005 or 0.0005 were used, and HIV-1 proliferation was monitored by measuring the accumulation of reverse transcriptase (RT) activity in cell supernatants as described previously (18).
Drugs. 0.1 M As2O3 (Sigma) was prepared in 1 N NaOH, diluted to 10-3 M in PBS, and adjusted to pH 7.0 using HCl. As2O3 was diluted further with PBS, and the solutions were kept at 4°C for up to 3 months without loss of activity. Dextran sulfate (5 mg/ml; Sigma) was prepared in H2O and stored frozen. Dextran sulfate was used at 100 to 200 µg/ml, a concentration that completely prevented HIV-1 Env-mediated entry with <5% decrease in target cell viability (data not shown). Zidovudine (Sigma) was added to the cells 2 h prior to infection (100 µM final concentration). Lamivudine (3TC) was extracted from an Epivir pill (GlaxoWellcome) with 3 ml of dimethyl sulfoxide and kept at -80°C. A 1:200 dilution of this stock solution was used to inhibit HIV-1 replication. The solution caused no toxicity to host cells, and the concentration was 250-fold greater than the 50% inhibitory concentration for HIV-1 in a multinuclear activated galactosidase indicator (MAGI) assay (data not shown). cis-Platinum(II)diammine dichloride (cisplatin), camptothecin, and carbonyl cyanide m-chlorophenylhydrazone (m-Cl-CCP) were from Sigma and were prepared in dimethyl sulfoxide. The anti-Fas antibody (clone CH-11; Medical Biological Laboratories) was diluted in phosphate-buffered saline (PBS).
Assay for cell viability. After cells were exposed to drugs for 2 days, cell viability was measured using an XTT assay (63). Adherent cells were washed in PBS and put in 1 mg of XTT (Sigma)/ml-0.01 mM phenazine methosulfate (Sigma) in phenol red-free medium. Cells in suspension were maintained in phenol red-free RPMI for at least 1 week before 2x XTT-phenazine methosulfate was added. XTT assay mixtures were incubated for 15 min at 37°C; 200 µl of supernatant was transferred to a 96-well plate, which was read at 450 nm with a reference wavelength of 690 nm.
Flow cytometry. For analysis of GFP expression, cells were fixed for 30 min in 2% formaldehyde- PBS, washed twice with PBS, and resuspended in PBS at 106 cells/ml. For analysis of p24 expression, 106 cells were fixed and washed as described above and permeabilized in 300 µl of 1x PermWash solution (Pharmingen) for 30 min at room temperature. The cells were pelleted and incubated in 50 µl of 1x PermWash containing a 1:100 dilution of RD1-labeled anti-HIV-1 CA (p24) monoclonal antibody (KC57-RD1; Coulter), for 1 h at 4°C in the dark. The cells were then washed three times in 1x PermWash and resuspended in 0.5 ml of PBS. For the coanalysis of CAp24 expression and annexin V binding, 106 cells were washed once in ice-cold PBS, resuspended in 100 µl of annexin V binding buffer (Pharmingen) containing 5 µl of annexin V-fluorescein isothiocyanate (Pharmingen). After 15 min of incubation at room temperature, the cells were washed twice in the annexin V binding buffer and then fixed and processed for CAp24 staining as detailed above. Flow cytometric analysis was done on a FACScalibur using CellQuest software (Becton Dickinson). Intact cells were identified based on light scatter profiles, and only those cells were included in the analysis. GFP and fluorescein isothiocyanate fluorescences were recorded on the FL1 channel; RD1 fluorescence was recorded on the FL2 channel. For double-fluorescence recordings, compensation was done using the relevant controls. Ten thousand cells per sample were processed (except where indicated), and cells positive for either marker were gated and counted as a percentage of total intact cells. False-positive results were insignificant, as shown by controls corresponding to uninfected cells. As2O3 did not cause false-positive fluorescent cells at the concentrations used.
Immunofluorescence microscopy. HeLa cells (104) plated on Permanox eight-chamber slides (LabTek) were infected with VSV G-pseudotyped HIV-1 virus or vector at an MOI of 40. The cells were washed with PBS, fixed for 30 min in freshly prepared 2% paraformaldehyde, washed three times in PBS, and then permeabilized in 1x PermWash solution. Hybridizations and subsequent washing were all performed in 1x PermWash containing 10% normal goat serum (Vector). PML and Daxx were detected using the antibodies PG-M3 and M-112 (Santa Cruz), respectively, at a 1:200 dilution. Bound primary antibodies were revealed using Alexa-594-conjugated goat anti-rabbit or anti-mouse immunoglobulin G antibodies (Molecular Probes) at a 1:500 dilution. DNA was stained with DAPI (4',6'-diamidine-2-phenylindole) (1 µM; Molecular Probes) added along with the secondary antibodies. The slides were mounted in Vectashield (Vector), and photographs were immediately taken using a Nikon E800 microscope equipped with a 100x objective and coupled to a DAGE 330 camera.
Monitoring HIV-1 cDNA synthesis. Jurkat T cells (107) were infected in 5 ml of medium with VSV G-pseudotyped HIV-1NL4-3 at an MOI of 2. The cells were washed with PBS at 24 h, and total cellular DNA was extracted using the Nucleobond Midikit (Clontech). Four micrograms of DNA was digested with a mixture of XhoI, MscI, and DpnI (DpnI restricts only DNA synthesized in Escherichia coli and thus serves to reduce contamination with transfected plasmid DNA). The products were resolved on a 0.7% agarose gel, transferred to a nylon membrane (Amersham Hybond N+), and probed with 32P-labeled DNA probes (Amersham Rediprime kit). Viral DNA was detected with a probe spanning the 5' MscI site in HIV-1NL4-3 (nucleotides 1818 to 3498 in the provirus). As a control for even loading, the same membrane was rehybridized with a probe specific for mitochondrial DNA that was generated using the following oligonucleotides: 5'-CCACTCCACCTTACTACCAGCA-3' and 5'-GTAATGCTAGGGTGAGTGGTAGG-3'.
Monitoring MLV cDNA synthesis. Human TE671 cells (2 x 105) were infected with 7.5 x 103 infectious units (titers were determined on nonrestrictive Mus dunni tail fibroblasts [MDTF]) of MLV-based GFP-transducing vectors. Total DNA was extracted at 6 h (Dneasy; Qiagen), and Taqman PCR was performed on 100 ng of DNA as previously described (59) using a primer-probe combination specific to GFP (29).
| RESULTS |
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In vivo, among other cell types, HIV-1 infects CD4+ T cells. The effect of As2O3 on wild-type HIV-1NL4-3 propagation in Jurkat T cells was therefore examined. Jurkat T cells were infected with HIV-1NL4-3 in the presence of As2O3 concentrations from 10-5 to 10-8 M. A concentration of 10-5 M As2O3 resulted in virtually total cell death, and therefore, viral replication could not be assessed. In the presence of 10-6 M As2O3, viral replication initiated at an MOI of 0.5% reached its plateau by about day 6, at which time RT activity was still undetectable in the absence of the drug (Fig. 1A). After infection at an MOI of 0.05%, 10-6 M As2O3 was associated with a >10-fold increase in RT activity on day 9 compared to no drug (Fig. 1B). A concentration of 10-7 M As2O3 had a small but detectable positive effect on HIV-1 propagation at both MOIs.
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In the absence of drug, the percentage of p24-expressing cells in the culture peaked on day 3 and then decreased by
2-fold per day for the next 4 days (Fig. 1C and data not shown). Presumably, the loss of p24-expressing cells over time was due to toxicity or cell cycle arrest mediated by viral products or to silencing of viral expression. When 2 µM As2O3 was added at the time of infection, the frequency of cells expressing p24 increased by
2-fold (Fig. 2A, day 2), indicating that a step early in the infection process was enhanced by As2O3. No boost to infectivity was observed if As2O3 was washed out 2 h postinfection, and the effect of the drug was still evident, though at reduced magnitude, if it was added as much as 24 h postinfection (data not shown). Similarly, pretreating cells with As2O3 prior to infection did not provide additional enhancement of replication (data not shown).
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The effect of As2O3 is independent of HIV-1 env and most accessory genes. To determine which viral factors are required for stimulation of HIV-1 replication by As2O3, Jurkat T cells were infected with VSV G-pseudotyped HIV-1NL-GFP virions in the presence of increasing As2O3 concentrations. HIV-1NL-GFP bears inactivating mutations in nef and env and a GFP gene insertion in place of nef (24). VSV G pseudotyping modifies the mechanism of HIV-1 entry (4, 16) and permits assessment of the importance of HIV-1 envelope-mediated entry for the As2O3 effect. Since Nef is an early Rev-independent HIV-1 product, GFP expression from the HIV-1NL-GFP provirus is representative of early HIV-1 gene expression. p24 expression, in contrast, serves as a reporter for Rev-dependent gene expression.
Expression of CAp24 and GFP after infection was monitored using two-color flow cytometry. One day postinfection, three populations were evident by flow cytometry: uninfected cells, cells expressing GFP but not CAp24, and cells expressing both GFP and CAp24 (Fig. 2A). As2O3 strongly enhanced infection by the virus, indicating that the effect of the drug on HIV-1 replication was independent of HIV-1 env. Moreover, As2O3 increased the number of GFP- and CAp24-expressing cells to the same extent but had no effect on the intensity of fluorescence of either of the markers; these findings demonstrate that As2O3 does not alter the ratio of early to late gene expression and provide further evidence that the drug acts at a pretranscriptional level.
The effect of As2O3 on the titer of HIV-1 vectors in Jurkat T cells was tested next. GFP was transduced with particles produced using either a
R8.2 (which bears intact open reading frames for all HIV-1 accessory genes) or
R8.9 (which has inactivating mutations in vif, vpr, vpu, and nef) helper construct. As2O3 increased the percentage of cells expressing GFP independently of the accessory genes deleted in
R8.9, showing that they are not relevant to the effect of the drug (Fig. 2B). Identical results were obtained using particles bearing HIV-1 Env instead of VSV G (data not shown). The magnitude of increase in the titers of the vectors due to As2O3 was consistently smaller than that observed with complete HIV-1NL4-3 or with HIV-1NL-GFP. This difference did not result from the use of VSV G, as similar results were obtained with a vector bearing HIV-1 Env. Identical results were also obtained when GFP was expressed using the human ubiquitin promoter (Fig. 2B) or the CMVie promoter (data not shown).
As2O3 stimulates virus replication after virion membrane fusion. The finding that As2O3 stimulates an early step of infection raised the possibility that the drug acts directly on virions prior to entry. To test this, VSV G-pseudotyped HIV-1NL-GFP virions were incubated in 2 µM As2O3 for up to 24 h prior to infection of Jurkat T cells. No increase in infectivity was observed (Fig. 2C). In contrast, incubation of target cells in 2 µM As2O3 immediately after infection resulted in a roughly threefold increase in the frequency of GFP-expressing cells. This result demonstrated that As2O3 does not act on cell-free virions.
As2O3 stimulates viral cDNA synthesis.
To characterize further which early step of HIV-1 replication was enhanced by As2O3, Jurkat T cells were infected with VSV-G pseudotyped HIV-1NL4-3 at an MOI of 2. Total cellular DNA was subjected to Southern blot analysis designed to reveal HIV-1 linear, 1-long terminal repeat (LTR), and 2-LTR DNA species, as well as total HIV-1 DNA, which includes newly generated provirus (Fig. 3A). DNA was harvested at 24 h based on previous optimization for monitoring the various DNA species by this method (64), and the profile obtained (Fig. 3B) closely resembled that which was previously reported (64). The 2-LTR form was barely visible and was not included in the analysis. As2O3 treatment increased steady-state levels of all HIV-1 DNA species
2-fold (Fig. 3C). Since circular viral DNA forms result from processing by nuclear enzymes, it can be concluded that As2O3 did not modify the kinetics of nuclear transport of the viral DNA.
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0.01 in the absence of drug. As2O3 treatment resulted in increased transduction efficiencies in both cell lines (up to 2.2-fold), with the exception of BALB/c 3T3 infection by the B-tropic vector (Fig. 4B). The magnitude of stimulation by As2O3 was comparable to that observed with HIV-1 vectors (Fig. 2B), suggesting that As2O3 enhances the same postentry replication step for both HIV-1 and MLV.
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1 log10 unit) but had only a small effect on B-tropic MLV (Fig. 5A). Keeping the MOI fixed and varying the drug concentration, a maximum increase in N-tropic MLV transduction efficiency of
13-fold was observed using 2 µM As2O3 (Fig. 5B). The effect of the drug on transduction by the B-tropic vector was similar to that observed with HIV-1 vectors. Therefore, As2O3 specifically rescued Ref1-mediated restriction to MLV in TE671 cells.
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8-fold, with minimal effect on B-tropic virus (Fig. 5C). Similarly, the drug had no effect on the synthesis of B-tropic MLV cDNA but increased the synthesis of N-tropic MLV cDNA fourfold (Fig. 5D). PML protein does not regulate HIV-1 infectivity. As2O3 promotes degradation of PML protein and alters the morphology of nuclear PML bodies (34, 43). It has been reported that HIV-1 infection of HeLa cells disrupts PML bodies, that PML body components colocalize with incoming viral DNA, and that PML protein overexpression counteracts the positive effect of As2O3 on viral replication (60). These observations suggest that PML protein exhibits anti-HIV-1 activity and that As2O3 promotes viral infectivity by counteracting PML protein. Going against this model, another group failed to detect alteration of PML bodies after HIV-1 infection, or colocalization between PML protein and unintegrated HIV-1 DNA, using either HeLa cells or HOS osteosarcoma cells (7).
We assessed the integrity of PML bodies following HIV-1 infection of HeLa cells at a high MOI, conditions similar to those under which HIV-1 was reported to induce PML protein relocalization (60). As2O3 increased HIV-1 infectivity to the same extent in HeLa cells as it did in Jurkat T cells (data not shown). HeLa cells were infected at an MOI of 40 with a GFP-expressing HIV-1 vector similar to the one used in the experiment shown in Fig. 2B. Virtually all cells were efficiently infected, as shown by intense intracellular p24 staining 2 h following exposure and by GFP expression in most cells at 30 h postinfection (data not shown). By immunofluorescence, it could be seen that PML protein localized to discrete nuclear structures (PML bodies). This pattern was not altered 2.5 h following infection (Fig. 6A) or at any time tested, from 30 min to 30 h (data not shown). Occasionally, PML protein was detected outside the nucleus, but this sporadic finding was independent of HIV-1 infection.
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To further test the importance of PML protein as an anti-HIV-1 replication factor, or as a cellular target of As2O3 relevant for HIV-1 replication, wild-type and PML-/- MEFs were infected with a GFP-transducing HIV-1 vector in the presence of increasing As2O3 concentrations. PML protein and PML bodies are undetectable in the PML-/- MEFs used here (61, 65). In the absence of the drug, the efficiencies of infection using wild-type or PML-/- target cells were identical (Fig. 6C), suggesting that PML protein does not regulate early steps of HIV-1 replication. In addition, As2O3 treatment caused increases in GFP transduction in the two cell types that were of equal magnitude, suggesting that the effect of As2O3 on HIV-1 replication is PML protein independent (Fig. 6C).
As2O3 stimulates HIV-1 replication at toxic concentrations. In addition to disrupting PML bodies, As2O3 generates proapoptotic signals, including a decrease in the potential across the internal mitochondrial membrane and release into the cytoplasm of factors such as diablo and cytochrome c (56). The uncoupling effect is elicited using purified mitochondria, suggesting that mitochondria are direct targets of As2O3 (36). Late apoptotic events, such as DNA fragmentation, are also associated with As2O3 action and probably derive from the initial action of the drug on mitochondria (17, 56).
Since As2O3 inhibits tumor cell proliferation generally (32, 37, 47), the effect of As2O3 on the viability of Jurkat T cells, at doses relevant to the effect on HIV-1 replication, was addressed. Jurkat T cells were treated with As2O3, and the relative number of live cells remaining was estimated by XTT assay. The values obtained in this assay reflect the number of viable cells in the culture, as demonstrated using a standard dilution (Fig. 7A). As2O3 reduced Jurkat cell viability in a concentration-dependent fashion, with a TD50 of
2 x 10-6 M (Fig. 7B). Optimal stimulation of HIV-1 replication in Jurkat T cells was observed at concentrations higher than 1 µM As2O3, concentrations which result in significant decreases in Jurkat cell viability (Fig. 7B).
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As expected, As2O3 enhanced HIV-1 infection of Jurkat T cells, as reflected by an almost threefold increase in the total number of p24-expressing cells (compare the top quadrants of the two bottom graphs in Fig. 7C). The p24-annexin V double-staining procedure permitted determination of the percentage of cells undergoing cell death among both HIV-1-infected and uninfected populations (Fig. 7D). As2O3 caused an increase in annexin V binding of two- to threefold. Among HIV-1-infected cells, the frequency of annexin V binding cells was increased fourfold in the absence of As2O3. Cells from the same well that did not express p24 displayed basal levels of annexin V binding, indicating that HIV-1 infection directly induced cell death, in accord with what has been published by others using annexin V and terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling assays (25). Infection in the presence of As2O3 resulted in increased annexin V binding for both infected and uninfected cells compared to infection in the absence of drug. This shows that cell deaths induced by the drug and by infection were cumulative and that HIV-1 infection did not protect cells from As2O3-induced cell death, nor did As2O3 protect cells against HIV-1-induced toxicity.
Enhancement of infectivity is not caused by apoptosis. To investigate further a possible connection between apoptosis and efficiency of HIV-1 infection, we tested the effects of various apoptotis-inducing agents on the infection of Jurkat T cells by VSV G-pseudotyped HIV-1NL-GFP. Camptothecin triggers both cell cycle arrest (at S phase) and apoptosis by degradation of topoisomerase I (42). Cisplatin, a DNA-damaging agent, arrests cells at the S and G2 phases and kills them through apoptotic pathways (45). m-Cl-CCP was studied because, like As2O3, it is known to strongly induce mitochondrial depolarization (5, 56). Conversely, apoptosis induced by activation of the Fas (CD95) pathway appears to be independent of mitochondria, as reflected by the fact that it is not counteracted by overexpression of Bcl-2 (28).
Cells were infected with HIV-1NL-GFP in the presence of a range of concentrations of As2O3, anti-Fas antibody, camptothecin, cisplatin, or m-Cl-CCP. Cellular viability and HIV-1 infection were monitored (Fig. 7E). Only As2O3 strongly enhanced infection, showing that enhancement of HIV-1 infection was drug specific. Interestingly, the mitochondrial-uncoupling agent, m-Cl-CCP, had a small but significant effect at the highest concentration tested; assessment of higher concentrations was precluded by drug toxicity.
| DISCUSSION |
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As2O3 increased the percentage of cells infected by either replication-competent viruses or replication-deficient vectors, indicating that an early phase of replication was enhanced by the drug. The drug had similar effects on viruses bearing either HIV-1 Env or VSV G, molecules which target different entry pathways, and had no effect on cell-free virions, indicating that it acted on a postentry step. Indeed, the drug increased the steady-state levels of HIV-1 cDNA that accumulated acutely after infection (Fig. 3). Despite the use of an effective RT inhibitor to clearly demonstrate that the signal in our assay was due to de novo cDNA synthesis, steady-state levels of viral cDNA reflect the rates of both synthesis and degradation. As2O3 might simply increase the efficiency of cDNA synthesis itself, or perhaps As2O3 inhibits cellular nucleases that degrade the viral cDNA, especially considering that unintegrated retroviral cDNA is unstable in infected cells (20, 55). Alternatively, As2O3 might increase the efficiency of a step prior to reverse transcription, such as virion uncoating.
Viral determinants of responsiveness to As2O3. The effect of As2O3 on HIV-1 transduction was independent of Env or of the viral accessory genes vif, vpr, vpu, and nef (Fig. 2). This is consistent with the fact that As2O3 increased the infectivity of MLV, a virus which bears none of these genes. The magnitudes of stimulation were similar with vectors derived from HIV-1 and MLVtwo very dissimilar retrovirusessuggesting that the same stimulatory effect would be observed with all retroviruses.
The magnitude of the As2O3 effect on transduction by complete HIV-1 was consistently larger than the effect on HIV-1-derived vectors, even when all viral protein products were identical. This raises the possibility that genome size or structure influences the magnitude of the effect of the drug, and it is consistent with the effect of As2O3 on viral cDNA levels. If As2O3 stimulates viral cDNA synthesis, the effect of the drug might be less noticeable if a given genome is reverse transcribed more efficiently. Alternatively, a more efficiently synthesized genome would be less subject to the degradation machinery, which preferentially targets incompletely synthesized genomes (20).
As2O3 counteracts Ref1 antiviral activity. As2O3 significantly rescued Ref1 restriction to N-tropic MLV replication in human TE671 cells but not the Fv1 restriction to the same virus in murine 3T3 cells (Fig. 4 and 5). This result is consistent with the fact that these two restriction mechanisms are distinct; indeed, Fv1 has been cloned and has no homologue in human cells (9). The Fv1 block occurs for the most part after viral cDNA synthesis, while with Ref1, the products of reverse transcription are decreased (57). Accordingly, we found that rescue by As2O3 of N-tropic MLV infectivity in TE671 cells was accompanied by an increase in the levels of viral cDNA (Fig. 5). Thus, rescue of Ref1 restriction by As2O3 altered the same step in the virus life cycle, reverse transcription, that was stimulated by As2O3 for retroviruses more generally (Fig. 5).
The literature contains evidence for cellular factors other than Fv1 and Ref1 that restrict early postentry steps in the retrovirus life cycle. For instance, cells from most Old World monkeys restrict the efficiency of entry of HIV-1, while cells from most New World monkeys restrict entry of simian immunodeficiency virus strain MAC (27). We tested the effects of As2O3 on three simian cell lines, OMK, FRhK4, and CV-1, each of which restricts HIV-1 postentry steps (8, 21, 27). As2O3, at concentrations ranging from 1 to 20 µM, had no effect on the efficiency of HIV-1 infection in any of these cell lines (data not shown). However, no toxic effects of the drug were evident in these cells, even at concentrations as high as 10 µM. This suggests either that cellular uptake of the drug was inefficient in these cells or that the putative cellular target of As2O3 is not present.
PML protein does not regulate retroviral infection. Incubation of cell-free virions in As2O3 did not increase subsequent infectivity (Fig. 2), suggesting that As2O3 does not act directly on retroviral components. Though the drug might interact directly with viral components after virions fuse with target cells, it seems more likely that stimulation of retroviral replication by As2O3 is mediated via cellular factors. It was recently hypothesized that PML protein exhibits antiviral activity which is inhibited by As2O3 (60). Though PML protein overexpression blocked the effect of As2O3, PML protein antiviral activity, in the absence of As2O3, was not demonstrated. Moreover, it was suggested that PML protein overexpression blocked the As2O3 effect by preventing As2O3-induced PML protein degradation or trapping it in the nucleus, but others report that As2O3 induces degradation of PML protein to undetectable levels, even when PML protein is overexpressed (34, 66). Here, we found that the effects of As2O3 on HIV-1 replication were identical in PML-null and wild-type PML cells (Fig. 6), demonstrating that PML protein is not necessary for the action of the drug. Perhaps more importantly, the levels of infection of wild-type and PML-null cells were identical, indicating that, with or without As2O3, PML protein does not influence early steps of HIV-1 replication. Consistent with this idea, in our hands, infection with HIV-1 or vectors did not alter the morphology or localization of PML bodies (Fig. 6).
What is the mechanism by which As2O3 stimulates retroviral replication? As2O3 stimulates HIV-1 replication in Jurkat T cells (as well as in HeLa and myelomonocytic U937 cells [data not shown]) at concentrations which disrupt cellular viability (Fig. 7). In agreement with others (37), we found that micromolar As2O3 induced cell death, as seen by annexin V binding (Fig. 7). Any connection between viral stimulatory effects and cellular toxicity might be trivial. For example, infected cells might become resistant to the toxic effects of As2O3 or As2O3 might render cells insensitive to the toxic effects of HIV-1. These possibilities seem unlikely, since As2O3 induced similar levels of cell death in productively infected Jurkat T cells and in uninfected cells in the same culture (Fig. 7) and HIV-1-infected cells disappeared from the cell population at the same rate (or even slightly faster) in the presence of As2O3 (Fig. 1).
In addition, we find that other apoptosis-inducing drugs have little or no effect on the early steps of HIV-1 replication, indicating that apoptosis as a general mechanism is not relevant to the observed effect of As2O3 on HIV-1. Consistent with this idea, the general caspase inhibitor Z-VAD-FMK did not suppress the effect of As2O3 on HIV-1 (data not shown), indicating that late apoptotic events were not required. It is possible, though, that an earlier apoptotic event induced by As2O3, such as the suppression of the transmembrane potential of mitochondria (36), is relevant to the activation of HIV-1. In support of this hypothesis is the fact that another mitochondrial-uncoupling agent, m-Cl-CCP, also stimulated HIV-1 infection (though to a lesser extent than As2O3).
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This work was supported by a scholarship from the Elizabeth Glaser Pediatric AIDS Foundation (to L.B.), by Research Career Development Fellowship no. 064257 from the Wellcome Trust (to G.T.), and by the Columbia-Rockefeller Center for AIDS Research (P30 AI42848).
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