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Journal of Virology, April 2003, p. 4025-4032, Vol. 77, No. 7
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.7.4025-4032.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Albert Jordan,2 Angelique Biancotto,1 Franck Dequiedt,2 Françoise Gondois-Rey,1 Sophie Rondeau,1 Robert Vigne,1 Jiri Hejnar,3 Eric Verdin,2 and Ivan Hirsch1*
INSERM U372, Unité de Pathogénie des Infections à Lentivirus, Parc Scientifique et Technologique de Luminy, 13276 Marseille, France,1 Gladstone Institute of Virology and Immunology, San Francisco, California 94141,2 Institute of Molecular Genetics, Academy of Sciences of the Czech Republic, 166 37 Prague, Czech Republic3
Received 30 September 2002/ Accepted 3 January 2003
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), and IL-6 (9, 30, 46). Intermittent administration of IL-2 to HIV-infected individuals along with antiretroviral therapy significantly decreases the pool of infected resting CD4+ T cells, presumably due to the killing of reactivated latent HIV (10).
Here, we investigate whether the CpG methylation of the HIV-1 promoter can directly influence the expression of the HIV-1 genome and thereby contribute to the persistence and latency of HIV-1. A clear regulatory role of CpG methylation in enhancer/promoter sequences was demonstrated by using in vitro-methylated provirus reporters in both human T-cell lymphotropic virus type 1 (38, 39) and simple retroviruses (24-26). CpG methylation of the HIV-1 long terminal repeat (LTR) was first reported in stably transfected fibroblasts (5). At the functional level, CpG methylation of the HIV-1 promoter inhibits transcription of in vitro-methylated plasmids transfected into cells (3, 23, 40), and it was suggested as a mechanism to maintain HIV-1 latency in long-term infected U937 cells (44). Demethylation of the HIV-1 promoter occurred in the presence of a DNA methylation inhibitor, 5-azacytidine, concomitantly with activation of the latent provirus in ACH-2 cells (35). Two mechanisms have been proposed to explain how methylation attenuates expression of the HIV-1 genome. First, the methyl-CpG-binding protein 1 complex and methyl-CpG-binding protein 2 may bind to methylated Sp1 sites and inhibit the binding of Sp1 proteins (28, 41). Second, transcription factors NF-
B (4) and USF (16) loose their affinity for the methylated HIV-1 LTR cognate motifs. On the other hand, the site of HIV-1 integration in the human genome, but not of DNA methylation and histone acetylation, was proposed to determine the basal transcriptional activity and response to Tat transactivation in a study of Jurkat clonal cell lines (29).
To facilitate the investigation of HIV-1 persistence and latency, we developed an in vitro model of infection of HIV-1 in primary resting memory T cells (22). Viral latency (defined by the absence of nonspliced HIV-1 RNA and the absence of viral particles) was established in approximately 40% of infected resting T cells and could be reactivated by PHA treatment. We studied the CpG methylation of the HIV-1 promoter in this cell system and in Jurkat clonal cell lines, each containing a single integration of the HIV-1 vector expressing the green fluorescent protein (GFP) reporter gene at different levels under the control of the HIV-1 promoter (29). Previous studies of methylation of the HIV promoter were based on the resistance of the occasionally occurring restriction endonuclease target sequences containing methylated CpG dinucleotides in the promoter sequence. We sequenced genomic DNA (13, 36) that had been modified by bisulfite treatment and observed no correlation between the transcriptional activity of the HIV-1 promoter and the level of CpG methylation.
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Preparation of HIV-1-infected resting memory T cells derived from PBMC. Peripheral blood mononuclear cells (PBMC) from healthy donors were separated on Ficoll-Hypaque gradients. Aliquots of 2 x 108 PBMC depleted of monocytes by adherence to a plastic culture flask were activated with 2 µg of PHA-P (Difco, Franklin Lakes, N.J.)/ml in RPMI 1640 supplemented with 200 U of recombinant IL-2 (Chiron, Seresne, France)/ml, 15% fetal calf serum, and antibiotics for 3 days. After disintegration of cell clumps 3 days later, 2 x 107 peripheral blood lymphocytes per ml were treated for 1 h with the anti-CD8 antibody at the saturating concentration at 4°C. The cell suspension was incubated with magnetic beads coated with goat anti-mouse antibody (Miltenyi Biotech, Bergisch Gladbach, Germany), and the positively labeled cells were removed as recommended by the manufacturer. CD4+ T cells were then infected with HIV-1 NL4-3 (1) at a multiplicity of infection of 0.01 or 0.1 tissue culture infectious doses/cell 10 days after PHA activation. Alternatively, CD4+ T cells were transduced by an HIV-1-derived vector (HDV) (kindly provided by D. R. Littman, Skirball Institute of Biomolecular Medicine, New York, N.Y.), prepared, and used as described by Unutmaz et al. (46). HDV pseudotyped by vesicular stomatitis virus glycoprotein G typically had a titer of 2 x 106 HeLa tissue culture infectious doses/ml. Peripheral blood lymphocytes were cultured at a concentration of 106 cells/ml in the presence of IL-2 and fed and analyzed every 3 or 4 days until the expression of activation markers CD25 and HLA-DR had diminished to below 15 and 30% of maximum levels, respectively. Approximately 3 weeks after PHA activation, residual activated T cells were removed from the cell culture by incubation with monoclonal antibody against CD25, CD69, and HLA-DR and magnetic bead separation. Typically, 5 x 106 to 10 x 106 cells were recovered after immunodepletion. In some experiments, the resting T cells generated in vitro were reactivated by 2 µg of PHA/ml.
Flow cytometry analysis. Lymphocytes were identified by light scattering and expression of lymphocyte markers.
Bisulfite cytosine methylation analysis. The samples of total genomic DNA (700 ng) isolated with the QIAamp DNA blood mini kit (Qiagen, Inc.) and digested overnight with EcoRI in a volume of 20 µl were prepared for methylation analysis as described by Olek et al. (36). Briefly, the digested DNA, which had been boiled for 5 min, quickly chilled on ice, and incubated in 0.3 M NaOH at 50°C for 15 min, was mixed with 2.5 volumes of 2% low-melting-point agarose (SeaPlaque agarose; FMC). Ten-microliter volumes of agarose-DNA mixture were pipetted into 750 µl of chilled mineral oil to form agarose beads. Aliquots of 1 ml of 2.5 M sodium metabisulfite (Sigma) and 125 mM hydroquinone (Sigma) (pH 5.0) were then added to mineral oil containing up to 5 agarose beads. The reaction mixtures were kept on ice for 30 min and then incubated in the dark at 50°C for 3.5 h. The agarose beads were equilibrated 4 times (for 15 min each time) with 1 ml of Tris-EDTA (pH 8.0) and DNA desulfonated in 500 µl of 0.2 M NaOH (2 times, for 15 min each time) at room temperature. Finally, the beads were washed with 1 ml of Tris-EDTA (pH 8.0) (3 times, for 10 min each time) and kept at 4°C.
Bisulfite-treated DNA in melted agarose was amplified by PCR in a 50-µl reaction mixture containing 50 mM Tris-HCl (pH 9.2), 1.75 mM MgCl2, 350 µM concentrations of each deoxynucleoside triphosphate, and 45 pmol each of MB (5'-TGGTAGAATTATATATTAGGGTTAGGGATT-3', nucleotides [nt] 81 to 110, sense) and ME (5'-ATATTTATCTACAACCTTCTAATATCTCTA-3', nt 941 to 970, antisense) primers complementary to the HIV-1 LTR and Gag-coding region (Fig. 1), with 1 U of Taq polymerase. The amplification products were subjected to a second round of PCR with nested primers MC (5'-AGAGTAAGTAGAAGAGGTTAAATAAGGAGA-3', nt 161 to 190, sense) and MD (5'-AACCAAAATTAACTACAAATCATTCTAACT-3', nt 908 to 937, antisense). In some experiments, the primer MD was replaced by the primer MF (5'-AAATCTAAAAAATCTCTAATTACCAAAATC-3', nt 577 to 606, antisense) or the primer MR (5'-ACTCCCAAACTCAAATCTAATCTAACCAAA-3', nt 461 to 490, antisense). The sense primers contained T and the antisense primers contained A instead of C in positions complementary to nonmethylable C (i.e., C out of CpG dinucleotides). PCR was performed with about 50 ng of genomic DNA (out of 140 ng of DNA per 1 agarose bead) for 40 cycles at 95°C for 45 s, 58°C for 30 s, and 72°C for 30 s. Amplification products were cloned in the pGEM-Easy vector system (Promega, Madison, Wis.) and sequenced.
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FIG. 1. CpG methylation pattern of the LTR region in LTR-GFP clonal cell lines expressing different levels of GFP. (A) Transcription elements in the HIV-1 LTR. NRE, negative regulatory element; nuc-0 and nuc-1, nucleosomes. Black boxes, HS, DNase I-hypersensitive sites. (B) Positions and orientations of PCR primers (MB, MC, MD, ME, MF, and MR) used to amplify bisulfite-treated HIV-1 DNA. The arrow at the U3-R junction denotes the start site of transcription (nucleotide +1). Positions of CpG dinucleotides within the HIV-1 LTR, the adjacent leader region, and the coding region of Gag are shown by open circles. Positions are noted with respect to nucleotide +1. NCS, noncoding sequence. Positions of restriction endonucleases sensitive to CpG methylation are shown by vertical arrows. (C) Positions of CpG dinucleotides within the HIV-1 LTR are shown by open circles and noted with respect to nucleotide +1. Open circles, nonmethylated CpG residues; closed circles, methylated CpG residues, grey scale indicates the percentage of CpG methylation. The MFIs of clonal cell lines A, C, E, and F are shown. Low basal activity is indicated by an MFI of <0.15, and a high basal activity is indicated by an MFI of >100.
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Methylation level of the HIV-1 promoter in latently infected cell clones is low and shows no change after reactivation of the transcriptional activity with PMA. We next examined the methylation profile of the HIV-1 LTR in a Jurkat clonal cell line latently infected with the LTR-Tat-IRES-GFP HIV-1-derived vector (29). Both the Tat and GFP open reading frames were transcribed by the HIV promoter into a single transcript in this clone. We expected that the HIV-1 LTR would be hypermethylated in these latently infected cells. However, the bisulfite analysis showed that the methylation level of CpG dinucleotides in the latent HIV-1 promoter was low and was not significantly changed after reactivation by 10 nM PMA, which increased GFP expression more than 70-fold (Fig. 2). Low methylation profiles were observed in both the U3 and U5 regions, in the noncoding sequence, and in the 5' terminus of the Gag-coding sequence. Thus, the transcriptional activity of the HIV-1 promoter in this latently infected cell clone does not correlate with LTR methylation.
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FIG. 2. CpG methylation pattern of the LTR region in a Jurkat clonal cell line latently infected with an LTR-Tat-IRES-GFP HIV-1-derived vector before and after reactivation of HIV-1 with 10 nM PMA. (A) Positions of CpG in the HIV-1 LTR. The arrow at the U3-R junction denotes the start site of transcription (nucleotide +1). (B) Bisulfite sequencing of HIV-1 promoters from top to bottom. (a) Nonstimulated, latently infected cells; (b) 10 nM PMA-stimulated cells, GFP-negative cell sorting; (c) 10 nM PMA-stimulated cells, GFP-positive cell sorting. Open circles, nonmethylated CpG residues; closed circles, methylated CpG residues. The total percentages of methylated CpG (mCpG) for nonstimulated and PMA-stimulated cells (GFP negative and GFP positive) are indicated in panel B.
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HIV-1 expression in infected primary resting memory T cells. After the methylation profiles of the HIV-1 LTR in clonal Jurkat cell lines were analyzed, CpG methylation in primary resting memory T cells infected in vitro was investigated (22). Previously, it was shown that the virus production is reduced to about 5% in this cell system and that approximately half of the cell population is latently infected (22).
To obtain resting memory CD4+ T cells containing the HIV-1 provirus, PHA-activated PBMC were challenged with T-cell-tropic HIV-1 NL4-3 clone (Fig. 3A), and residual CD25+, CD69+, and HLA-DR+ cells were immunodepleted after a 3-week cultivation period. A high proportion (27%) of purified resting memory T cells expressed intracellular p24gag after depletion of residually activated cells, although they expressed only a residual amount of CD25.
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FIG. 3. Expression of the HIV-1 genome and CpG methylation pattern in the LTR region in primary resting memory T cells infected in vitro. (A and B) PHA-activated PBMC infected with HIV-1 10 days after activation (d10). (C and D) The same culture that developed the resting memory phenotype 20 days later (d30). The depletion of CD25- and HLA-DR-positive cells was performed 30 days after PBMC activation. (E) Reactivation of HIV-1 production in resting memory T cells after their reactivation with PHA and TNF- . (A, C, and E) The immunofluorescence of the p24gag- and CD25-labeled cells was determined in activated (A), resting (C), and reactivated (E) cells. Numbers at the corner of each quadrant are percentages of positive cells. The CpG methylation patterns of the LTR region in primary PHA-activated (B) and resting memory T (D) cells are shown. Open circles, nonmethylated CpG residues; closed circles, methylated CpG residues. (F) Quantitation of the transcriptional activity of the HIV-1 promoter in activated (CD25+) and resting (CD25-) T cells. (F, upper panel) Quantitative competitive RT-PCR with primers that recognize HIV-1 unspliced RNA, with indicated amounts of competitor RNA (14, 15). (F, lower panel) The bars show the relative quantity of HIV-1 transcripts normalized for the ß-actin mRNA in the same sample (HIV-1 mRNAnorm) and standardized to the relative quantity of HIV-1 proviruses normalized for the ß-globin DNA (HIV-1 DNAnorm). The overall ratio of HIV-1 mRNAnorm to HIV-1 DNAnorm in activated and resting T cells (29 in the example shown) indicates reduction of the transcriptional activity in resting memory T cells compared to activated cells.
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The population of resting memory T cells was reactivated for 3 days by PHA and TNF-
in the presence of 10 µM azidothymidine (AZT) to determine the proportion of latently infected cells (Fig. 3E). AZT limits the secondary cycles of HIV-1 infection and permits analysis of the cell population infected before reactivation. In this population (Fig. 3C and E), 4% of an original 27% of p24+ CD25- resting T cells (15% of the total), and 18% of an original 69% of p24- CD25- resting T cells (26% of the total) remained in the resting state after reactivation. This suggests that PHA and TNF-
reactivated similar proportions of both p24+ (85%) and p24- (74%) resting memory T cells. The cell viability was reduced by about 50% at 3 days after PHA and TNF-
reactivation (22). Whereas 28.5% of resting memory T cells expressed HIV-1 (Fig. 3C), virus production was detected in 70% of reactivated cells (Fig. 3E). Equal proportions of reactivated T cells within the p24+ and p24- subsets (Fig. 3C and E) and the high cytotoxicity of HIV-1 for reactivated T cells (22) suggest that the increased number of virus-producing cells following reactivation is not due to the outgrowth of cells that were already p24 positive but due to their recruitment from the pool of p24- CD25- cells. A twofold increase in the number of p24+ T cells was observed also after nonmitogenic stimulation of resting memory T cells by 10 nM PMA (data not shown). Taken together, these results suggest that about half of the population of infected resting memory T cells harbored latent HIV-1 proviruses.
Low CpG methylation of HIV-1 LTR in HIV-1-infected resting memory T cells. We next determined the CpG methylation in activated and resting T cells (Fig. 3B and D). Only very low levels and no distinct patterns of CpG methylation were observed in all populations, including resting memory T cells. A stable methylation profile of the HIV LTR despite the 29-fold reduction of HIV expression during the return of activated HIV-infected cells to the quiescent phase shows that the transcriptional suppression does not correlate with proviral DNA methylation. Furthermore, because the proportions of cells harboring latent and residually replicating proviruses in the population of resting memory T cells were equal, about half of the tested methylation-free sequences originated from latently infected cells. This suggests that the HIV-1 LTR is also hypomethylated in latently infected primary resting memory T cells.
Hypomethylation of HIV-1 LTR in primary resting memory T cells transduced by HDV. To measure the CpG methylation in resting T lymphocytes without confounding the effects of repeated infection cycles and the death of infected cells, we challenged PBMC with HDV (46) 3 days after PHA activation and determined the methylation profiles of the HIV-1 LTR 48 days later, after the return of T cells into the quiescent phase and the depletion of residual CD25+ and HLA-DR+ T cells (22) (Fig. 4). HDV is a replication incompetent and noncytopathic vector with deletions of the vif, vpr, vpu, env, and nef genes and pseudotyped with the vesicular stomatitis virus glycoprotein G. Expression of HDV can be monitored by the fluorescence of the GFP inserted in the open reading frame of the nef gene. HDV can challenge primary T lymphocytes but is unable to form infectious progeny. We found that the percentage of GFP-positive cells decreased by about 30% during the return of activated T cells to the quiescent state while the MFI of CD25 and HLA-DR diminished by more than 95% during the same period (22) (Fig. 4A). Reactivation of the HDV-challenged resting memory T cells for 2 days with PHA resulted in about a twofold increase of the percentage of GFP-positive cells (data not shown). This suggests that about 50% of transduced resting memory T cells harbored latent HDV proviruses. No CpG methylation was observed in the promoter region of HDV in resting memory T cells (Fig. 4B).
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FIG. 4. Expression of the HDV, cell-surface activation markers, and CpG methylation pattern in the LTR region in primary resting memory T cells challenged in vitro. (A) The PHA-activated PBMC were transduced with HDV, and after the CD8+-T-cell depletion, the percentage of GFP+ cells ( ) and the MFI for CD25 ( ) and HLA-DR ( ) were monitored for up to 50 days after activation. The time schedule of cell culture and HDV challenge are indicated by arrows. (B) CpG methylation pattern of the LTR region in resting CD4+ T cells at day 50 after PHA activation. Positions and orientations of PCR primers MC and MR used to amplify bisulfite-treated HDV DNA are shown by arrows. The arrow at the U3-R junction denotes the start site of transcription (nucleotide +1). Open circles, nonmethylated CpG residues in 8 tested promoter sequences.
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In addition to highly homogeneous Jurkat clonal cell lines transduced by an HIV-1 LTR-driven retroviral vector, we studied the methylation profile of the HIV-1 promoter in a more-complex but biologically more-relevant system of primary resting memory T lymphocytes that contain about 50% of the HIV-1 provirus in a latent state. To this end, it was shown previously that the titers of provirus-expressing primary resting memory T cells determined by RT-PCR and coculture with C8166 indicator cells represent about 50% of the titers of provirus-harboring cells determined by PCR (22). Consistently with this observation, the population of HIV-1-expressing cells more than doubled after reactivation of resting T cells by PHA and TNF-
in the presence of 10 µM AZT. The hypomethylation of HIV-1 LTRs in the population of primary resting memory T cells suggests that the latent state of HIV-1 or HDV in this culture does not correlate with the CpG methylation.
Previous studies, in which the HIV-1 LTR methylated in vitro was introduced into target cells by transfection, proposed that the HIV-1 promoter was inactivated by CpG methylation (3, 23, 40). Scarce methylation sites detected in the present study in two clonal cell lines infected with the retroviral vector did not result in gene silencing. Thus, two methylated CpGs present 240 and 30 nt upstream of the transcription start were not sufficient to abolish the high basal expression of the HIV-1 promoter in clone F. Similarly, the persistence of 5-methylcytosine (nt -240) after reactivation of a latently infected cell clone indicates that methylation at this position is not responsible for HIV-1 latency.
Several mechanisms can explain the hypomethylation of the HIV-1 promoter. By analogy with other viruses which establish latency, the time elapsed from the infection of activated primary T cells to the development of the resting memory T-cell phenotype might be insufficient for the methylation of the HIV-1 promoter. The integrated viral genome of Moloney murine leukemia virus in undifferentiated teratocarcinoma cells is methylated within 15 days after infection (34), and methylation of the Wp latent promoter in B-cell cultures infected with Epstein-Barr virus occurs between 7 and 21 days after infection (45). Therefore, the 20 days from HIV-1 integration to development of the resting memory cell phenotype (Fig. 3) should be just sufficient for promoter methylation. However, this argument does not apply to hypomethylation in clonal cell lines kept in culture for many cell cycles and for primary T cells challenged by HDV. Hypomethylation of the HIV-1 LTR in latently infected cells or in cells expressing HIV-1 at low basal levels suggests that HIV-1 developed a mechanism to avoid methylation de novo or to increase the demethylation rate. HIV-1 infection upregulates DNA methyltransferases and results in de novo methylation of some cellular gene promoters, such as gamma interferon and p16INK4A, and subsequent downregulation of respective protein products (17, 31-33). Thus, a negative methylation control may play an important role in virus replication strategy. Extremely low frequencies of CpG dinucleotides found in HIV-1 LTR (43) and the chromatin structure around the HIV-1 promoter could be involved in such a mechanism.
Methylation of foreign DNA has been recognized as a potential cellular defense mechanism to inactivate transcription of foreign sequences, transposons, and retroviruses (48). Methylation of viral DNA may be an essential part of the retroviral life cycle in vivo and may explain the persistence of virus-infected cells despite the immune surveillance (6). Methylation of proviral DNA, which retains the ability to be reactivated, allows the virus to survive by escaping the immune surveillance. A stringent control of viral latency by methylation could be fundamentally important for the development and maintenance of cell transformation as shown for human T-cell lymphotropic virus type 1 (38, 39) and simple retroviruses (24-26).
Recent investigations of clonal cell lines transduced by the HIV-1 LTR-GFP construct demonstrated that the chromatin environment, not CpG methylation, influences the basal HIV-1 gene expression and latency (29). We hypothesize that the absence of the CpG methylation mechanism causes this control mechanism of basal HIV-1 gene expression to be leaky at many integration sites. Indeed, the basal transcriptional activity in as much as 20% of HIV-1 LTR-GFP clonal cell lines cultured for many generations was moderate to high (29). Similarly, besides latently infected cells, the high proportion of resting memory T cells infected in vitro produced a residual quantity of the virus (22).
In conclusion, imperfect control of HIV-1 latency in the absence of CpG methylation could explain the persistent residual replication of HIV-1 in infected individuals (2, 21, 42, 51, 52). The imperfect control of latency could be a part of HIV-1 replication strategy permitted by ample mechanisms by which HIV-1 evades immune mechanisms and can escape the immunologic surveillance even when it residually replicates.
Present address: Department of Dermatology, University of Geneva, HUG, 1211 Geneva, Switzerland. ![]()
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) promoter and subsequent downregulation of IFN-
production. Mol. Cell. Biol. 18:5166-5177.
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