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Journal of Virology, May 2004, p. 5184-5193, Vol. 78, No. 10
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.10.5184-5193.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Migration of Antigen-Specific T Cells Away from CXCR4-Binding Human Immunodeficiency Virus Type 1 gp120
Diana M. Brainard,1 William G. Tharp,1 Elva Granado,1 Nicholas Miller,1 Alicja K. Trocha,1 Xiang-Hui Ren,2 Brian Conrad,3 Ernest F. Terwilliger,2 Richard Wyatt,4 Bruce D. Walker,1 and Mark C. Poznansky1*
Partners
AIDS Research Center, Massachusetts General Hospital, Harvard Medical
School, Boston, Massachusetts 02114,1
Department of Mathematics,
University of Michigan, Ann Arbor, Michigan
48109,3
Division of
Experimental Medicine, Beth Israel Deaconess Medical Center, and
Harvard Institutes of
Medicine,2
Department of Cancer Immunology and AIDS, Dana-Farber Cancer
Institute, Harvard Medical School, Boston,
Massachusetts 021154
Received 14 October 2003/
Accepted 22 January 2004

ABSTRACT
Cell-mediated
immunity depends in part on appropriate migration
and localization of
cytotoxic T lymphocytes (CTL), a process
regulated by chemokines and
adhesion molecules. Many viruses,
including human immunodeficiency
virus type 1 (HIV-1), encode
chemotactically active proteins,
suggesting that dysregulation
of immune cell trafficking may be a
strategy for immune evasion.
HIV-1 gp120, a retroviral envelope
protein, has been shown to
act as a T-cell chemoattractant via binding
to the chemokine
receptor and HIV-1 coreceptor CXCR4. We have
previously shown
that T cells move away from the chemokine stromal
cell-derived
factor 1 (SDF-1) in a concentration-dependent and CXCR4
receptor-mediated
manner. Here, we demonstrate that CXCR4-binding HIV-1
X4 gp120
causes the movement of T cells, including HIV-specific CTL,
away
from high concentrations of the viral protein. This migratory
response
is CD4 independent and inhibited by anti-CXCR4 antibodies and
pertussis
toxin. Additionally, the expression of X4 gp120 by target
cells
reduces CTL efficacy in an in vitro system designed to account
for
the effect of cell migration on the ability of CTL to kill their
target
cells. Recombinant X4 gp120 also significantly reduced
antigen-specific
T-cell infiltration at a site of antigen challenge in
vivo.
The repellant activity of HIV-1 gp120 on immune cells in vitro
and
in vivo was shown to be dependent on the V2 and V3 loops of
HIV-1
gp120. These data suggest that the active movement of
T cells away from
CXCR4-binding HIV-1 gp120, which we previously
termed fugetaxis, may
provide a novel mechanism by which HIV-1
evades challenge by immune
effector cells in
vivo.

INTRODUCTION
An effective host immune response requires the active
movement
of leukocytes (
8,
39). After migrating to a
site of infection,
effector cells including cytotoxic T
lymphocytes (CTL) must
make contact with appropriate target
cells, recognize them,
and induce lysis. Chemokines, a superfamily of
8- to 10-kDa
proteins, are intimately involved in the orchestration of
this
complex process (
20,
39). Many intracellular
pathogens, including
the human immunodeficiency virus type 1 (HIV-1),
elaborate proteins
and chemokine receptor homologues that interfere
with cell movement
(
3,
4,
72). The HIV-1 proteins
Nef and Tat and the envelope
protein gp120 have been shown to influence
T-cell and dendritic
cell migration
(
2,
29,
62). The HIV-1 envelope
also binds the
chemokine receptors CXCR4 and CCR5 in order to gain
entry into
host CD4
+ T cells. The effects of gp120
binding to chemokine
receptors on CD4-negative cells such as CTL are
incompletely
understood
(
24).
Increasing
evidence points to the central role that CTL play in the control of
HIV-1 infection (13,
30,
34,
54). Most HIV-infected
persons, in the absence of treatment, control viral replication
transiently before progression to AIDS despite the presence of robust
CTL responses (1,
21,
49). The question of why
HIV-specific CTL are necessary but not sufficient to prevent disease
progression remains unanswered and is the focus of intense study.
Furthermore, virus-specific CTL responses documented in vitro do not
always correlate with effective effector responses in vivo for many
viruses that establish chronic infection in humans
(23,
40,
46,
66). HIV-1 employs
numerous mechanisms in order to evade the cell-mediated arm of the host
immune response. These mechanisms include infection and elimination of
HIV-specific CD4+-T-helper cells, viral mutational
escape from immunodominant CTL epitopes, and downregulation of class I
major histocompatibility complex molecules by Nef
(12,
31,
37,
38,
42).
Dysregulation
of virus-specific CTL colocalization with infected cells has been
described for HIV and simian immunodeficiency virus (SIV) infection. In
SIV infection, the total numbers and proliferative capacity of
virus-specific CTL are decreased in lymphoid tissue compared to blood
(35,
41). Additionally,
SIV-infected monkeys have demonstrated a significant accumulation of
virus-specific CTL in the liver without a concomitant focus
of viral replication
(55). In primary,
untreated HIV-1 infection, a significant number of HIV-specific CTL
rapidly disappear while viral load persists at high levels
(48). The remaining
HIV-specific CTL preferentially accumulate in the blood, whereas
HIV-infected cells predominantly localize to the lymph nodes
(47). The failure of
HIV-specific CTL to migrate to areas where HIV-1 proliferation is high
(such as the lymph nodes) may be due to an as-yet-undefined
mechanism.
The HIV-1 envelope protein gp120 initiates virus entry
into T cells through attachment to the CD4 molecule and subsequent
binding to a chemokine coreceptor, CXCR4 or CCR5, depending on viral
tropism (10,
54). HIV-1 gp120 has also
been shown to elicit T-cell chemotaxis in a CD4-independent,
concentration-dependent manner via binding CXCR4 or CCR5
(10,
30,
44). The role of gp120 in
the modulation of HIV-specific CTL migration and effector function
remains largely undefined. We hypothesize that high local levels of
HIV-1 gp120 disrupt normal CTL trafficking, thereby leading to the
dysregulation of immune effector cell localization. It was
previously demonstrated that the potent T-cell chemokine
stromal cell-derived factor 1 (SDF-1) can repel T cells in vitro and in
vivo through binding its cognate receptor, CXCR4, attracting resting T
cells at a concentration of 100 ng of SDF-1 per ml but causing T cells
to move away from SDF-1 at a peak concentration of 1 µg per ml
(52). Subsequent work
demonstrated that this novel mechanism, which we term fugetaxis, plays
a physiological role in thymic emigration
(51). Given that HIV-1
gp120 binds CXCR4 and can mediate T-cell chemotaxis, we examined
whether gp120 might also repel T cells and influence
HIV-specific CTL migration. We also investigated how the effects of
CXCR4-binding gp120 (X4 gp120) on CTL migration might alter killing
efficacy. We found that HIV-specific CTL move away from recombinant
HIV-1 gp120 in a receptor-mediated, concentration-dependent manner.
Furthermore, the expression of X4 gp120 by target cells reduces CTL
efficacy in vitro by dysregulating T-cell migration. We also show that
high-dose X4 gp120 inhibits antigen-specific
CD8+-T-cell infiltration into a site of antigen
challenge in vivo. These data suggest that X4 gp120 may employ a novel
mechanism of viral immune evasion that results in the dysregulation of
virus-specific CTL
localization.

MATERIALS AND METHODS
CTL clones from HIV-1-infected individuals.
HIV-1-specific
CTL clones were obtained by cloning stimulated
peripheral blood
mononuclear cells from HIV-1-infected individuals
at limiting dilution
and were characterized for specificity
and HLA restriction as
previously described (
71,
73). CTL clones
designated
DMD, ND-25, and ASB-C11 were all HLA B8-restricted CTL
clones
isolated from different donors, specific for the HIV-1
Nef epitope
FL8 (amino acids [aa] 90 to 97;
FLKEKGGL). The CTL major histocompatibility
complex
B60-restricted clone 161JD27 recognized a Gag epitope
IL10 (aa
92 to 101; IEIKDTKEAL). Amino
acids are numbered according to
the most recent clade B consensus
sequence. All cells were free
of mycoplasma as determined by testing
with a mycoplasma tissue
culture RNA detection kit (Jen-Probe, San
Diego, Calif.).
Cytotoxicity assays.
HLA-matched
B-lymphoblastoid cell lines (BLCL) were pulsed with the appropriate
peptide, incubated with 51Cr, washed, and distributed in
either round- or flat-bottom 96-well plates at various cell
concentrations (70).
HIV-1-specific CTL were used as effectors in triplicate wells at
effector-to-target (E:T) ratios from 1:1 to 10:1. Cells were incubated
for 4 h at 37°C, at which point 30 µl of
supernatant was harvested. Twelve hours later,
counts were
measured on a Microplate reader (Packard Instrument Company, Downers
Grove, Ill.). The percentage of specific cytotoxicity was calculated as
follows: percent specific lysis = [(experimental release
spontaneous release)/(maximum release spontaneous
release)] x 100. The average spontaneous release of
51Cr from target cells was always <20% of
maximum release.
Mononuclear cell preparation and sorting of subpopulations of T cells.
Peripheral blood was obtained from
healthy adult donors according to a protocol approved by the
Institutional Review Board. Ficoll-Hypaque (Pharmacia Biotech Inc.,
Piscataway, N.J.) density gradient centrifugation was used to isolate
peripheral blood mononuclear cells. Cells were then stained with
saturating amounts of phycoerythrin-conjugated anti-CD4 or -CD8
monoclonal antibodies and fluorescein isothiocyanate-conjugated
anti-CD45RA or -CD45RO (Becton Dickinson, San Jose, Calif.). The
desired subpopulations of peripheral blood cells were sorted by using a
fluorescence-activated Vantage sorter (Becton Dickinson) and cultured
overnight in Iscove's modified medium containing 0.5% fetal
calf serum (Life Technologies, Carlsbad, Calif.) before their use in
transmigration assays. The purity of each T-cell subpopulation was
determined to be greater than 99% by
immunophenotyping.
Transmigration assays.
Transmigration
assays were performed in a transwell system with a polycarbonate
membrane of 6.5-mm diameter with a 5-µm pore size (Corning,
Corning, N.Y.) as described previously
(33,
52). Purified T-cell
subpopulations (5 x 104 cells) were added to the
upper chamber of each well in a total volume of 150 µl of
Iscove's modified medium. SDF-1
(PeproTech, Rocky Hill,
N.J.) or recombinant HIV-1 gp120 (Immunodiagnostics, Woburn, Mass., and
AIDS Research and Reference Reagent Program, National Institutes of
Health, or R. Wyatt, Dana-Farber Cancer Institute,
respectively) was used at concentrations ranging from 2
ng/ml to 2 µg/ml in the lower, upper, or both lower and upper
chambers of the transwell to generate a standard
"checkerboard" analysis matrix of positive, negative,
and absent gradients. Recombinant variable loop deletion mutants of
HIV-1IIIB gp120, including
V1,
V1/V2, and
V1/V2/V3, were also used in these assays. Transwells were
incubated for 3 h at 37°C, after which cells were
collected from the lower chamber and
counted.
Transduction of target cell lines.
Recombinant
adeno-associated virus (rAAV) vectors were used to deliver
HIV-1HXB2 env, or a control gene, red fluorescent
protein (RFP), into target cells. Mock transduction was
performed as an additional control. BLCL were washed in RPMI medium,
and 106 cells per well were aliquoted in minimal volume in
24-well tissue culture plates. Cells were incubated for 90 min with 50
µl of rAAV (multiplicity of infection of 2 to 4), after which
0.5 ml of RPMI medium with 20% fetal calf serum was added to
each well. Successful transduction was confirmed after 48 h
with indirect cytofluorometry for cell surface expression of envelope
glycoproteins in the case of env or fluorescent microscopy in
the case of RFP, and cells were used immediately as targets in
cytotoxicity assays. Secretion of HIV-1 gp120 was confirmed by
performing an enzyme-linked immunosorbent assay (Immunodiagnostics) on
culture supernatants from adeno-associated virus-transduced
cells.
Immunization and challenge of mice.
C57BL/6 and OT-1 mice
(Jackson Laboratories, Bar Harbor, Maine) were immunized subcutaneously
against chicken ovalbumin (OVA; Sigma) and subsequently challenged with
a second intraperitoneal (IP) injection of OVA as previously described
(52). Twenty-four hours
after IP OVA challenge, experimental mice received a second IP
injection containing low-dose (20 ng/ml) or high-dose (200 ng/ml)
HIV-1IIIB gp120. Recombinant HIV-1IIIB gp120
containing deletions of the V1/V2 and V1/V2/V3 loops were also tested
at high and low doses. Control mice were exposed to IP injections of
N-saline or boiled gp120. Mice were euthanized 3 and 24 h
after the second IP injection, and peritoneal lavage with 5 ml of
phosphate-buffered saline was performed. The total number of viable
nucleated cells per milliliter of peritoneal fluid was determined with
a hemocytometer and by trypan blue exclusion. Peritoneal fluid obtained
in this way contained less than 0.1% red blood cells. Flow
cytometry was performed on peritoneal fluid cells by using
fluorochrome-conjugated antibodies against mouse T cells
(phycoerythrin-anti-CD3, biotin-anti-CD8, and
allophycocyanin-anti-CD4; Caltag Laboratories). Second-step
staining of biotin-conjugated antibodies used streptavidin-peridinin
chlorophyll protein (Becton Dickinson). The proportion of T cells of
each subpopulation was determined as a percentage of the total
nucleated cell fraction in the peritoneal
fluid.
Statistical analysis.
All experiments were performed at
least in triplicate, with the data shown representative of all results.
The data were analyzed for statistical significance by using the
Wilcoxon signed rank exact test or a two-tailed Student's paired
t
test.

RESULTS
HIV-1 gp120 repels CD8+ T cells in vitro.
SDF-1, the natural ligand of CXCR4,
serves as a bidirectional
cue for T cells, attracting at one
concentration and repelling
at a higher concentration via a
CXCR4-dependent and pertussis
toxin-sensitive mechanism
(
52). We postulated that
we would
observe a similar finding for X4 gp120. Mature resting
CD8
+ CD45RO
+ T cells isolated
from the peripheral blood of healthy
volunteers were used in
transmigration assays to quantitate
their migratory responses to
positive, negative, and absent
gradients of recombinant
HIV-1
IIIB gp120. Standard checkerboard
analyses of human
T-cell migration demonstrated that gp120 could
serve as a bidirectional
cue for subpopulations of human resting
peripheral blood
CD8
+ T cells (Fig.
1). At a concentration of
20 ng/ml, HIV-1
IIIB gp120 elicited
maximal chemotaxis (13.6%
± 1.5%), or movement
towards the recombinant protein.
In contrast, higher concentrations of
HIV-1
IIIB gp120 (200 ng/ml)
caused maximal migration
(16.1% ± 1.2%) of T cells away
from
the HIV-1 protein, or fugetaxis. Minimal random movement
of T cells, or
chemokinesis, was seen in response to HIV-1
IIIB gp120
presented in the absence of a gradient. Transmigration
experiments were
repeated with three different sources of recombinant
X4 gp120, and
similar T-cell migratory responses from mature
T-cell subpopulations
were observed (data not shown). We therefore
concluded that X4 gp120
served as a bidirectional cue for T
cells in vitro and that movement
towards or away from the HIV-1
protein was concentration
dependent.
In order to determine whether X4 gp120 might also
serve as a
bidirectional cue for HIV antigen-specific CTL migration, we
examined
the effect of the recombinant HIV gp120 on the migration of
CTL
clones. Once again, chemotaxis occurred at a peak concentration
of
20 ng/ml, and maximal migration away from X4 gp120, or fugetaxis,
occurred
at the higher concentration of 200 ng/ml (Fig.
2). We conclude
from these results that both primary
CD8
+ CD45RO
+ cells and
HIV-specific
CD8
+ CTL demonstrate
concentration-dependent movement toward
and away from the HIV-1 protein
X4 gp120 in vitro.
Active movement towards and away from X4 gp120 is mediated by binding and signaling through CXCR4.
Specific components of
the G
i protein-coupled receptor signaling
pathway
for SDF-1 can be blocked by a number of different chemical
inhibitors
(
51,
52,
59,
68). We examined the
inhibitor profile
for movement of resting T-cell subpopulations towards
and away
from recombinant X4 gp120 in transmigration assays.
CD8
+- CD45RO
+-T-cell
migration
towards and away from HIV-1 gp120 was significantly
inhibited by the
G
i protein inhibitor pertussis toxin (
P
= 0.0013)
and CXCR4-binding antibody 12G5 (
P =
0.008), suggesting that
T cells migrate both towards and away from
HIV-1 X4 gp120 in
a manner similar to that of SDF-1 (Fig.
3).
Structural alterations in HIV-1 gp120 affect its ability to induce T-cell migration.
The precise binding site of gp120 to
CXCR4 is not yet mapped.
However, it has been demonstrated that the V3
loop plays a significant
role in this interaction
(
53,
67). Guided by previous
studies
of the receptor-ligand interaction between HIV-1 gp120 and
CXCR4
(
9), we used
specific deletion mutations of HIV-1
IIIB gp120
in order to
investigate which structural components might play
a role in the
observed migratory response of CD8
+ T cells. The
migratory
responses of resting T-cell subpopulations in response to
mutants
of HIV-1
IIIB gp120 containing V1/V2 or V1/V2/V3 loop
deletions
at concentrations of 20 or 200 ng/ml were assessed (Fig.
4).
We found that the deletion of the V1 and V2 loops of
HIV-1
IIIB gp120 led to the exclusive movement of T cells
toward gp120
(15% ± 1.1%) and a complete loss of
the signal to move
away from gp120. The deletion of the V1, V2, and V3
loops led
to an inhibition of movement of resting T cells both towards
and
away from gp120. These results suggest that the V3 loop of X4
gp120
may play a significant role in signaling CD8
+-T-cell
migration.
A modified chromium release assay demonstrates that CTL killing efficacy depends on the distance an effector cell must migrate to reach a target cell.
In order to test the hypothesis that
migration plays a direct
role in CTL efficacy, the
51Cr
release assay (
57) was
modified
in two ways. First, the cytotoxicity of HIV-specific CTL was
quantitated
by the standard technique in a round-bottom 96-well plate
and
compared to results of assays performed in a flat-bottom 96-well
plate
(Fig.
5A). A demonstration of significantly decreased lysis
(
P =
0.027) when effectors and targets were incubated in the
flat-bottom
wells (as opposed to being pelleted together in
the round-bottom wells)
supports the view that cell movement
plays a role in determining CTL
efficacy. Video microscopy demonstrated
that effector cells incubated
with targets in a flat-bottom
well moved from one target cell to
another, inducing lysis,
whereas cells incubated in the round-bottom
well did not exhibit
discernible migration during the incubation period
(data not
shown). Secondly, we further modified the assay to delineate
between
the percent specific lysis due to the E:T ratio and the percent
specific
lysis attributable to the total number of cells placed in the
flat-bottom
well. In this modified flat
51Cr release assay,
the total number
of cells per well was kept constant at each E:T ratio
compared
to the standard assay, where both the E:T ratio and total
number
of cells per well decreased. As expected, at the E:T ratio of
10:1,
conditions were identical for the standard and modified
flat-bottom
assays (110,000 cells/well), and no differences in the
percent
specific lysis were seen. At the E:T ratios of 5:1 and 1:1,
however,
CTL killing efficacy differed significantly (
P
= 0.031) between
the two conditions (Fig.
5B). These data suggest
that the total
number of cells per well is an important variable when
the
51Cr
release assay is performed in a flat-bottom
well.
Based on the above findings, we used probability theory to
mathematically
model the spatial relationship between target and
effector cells
in a flat-bottom well and calculate the distance a CTL
has to
migrate to reach a target cell for a given number of cells per
well
(
60,
61). The model assumes a
random distribution of both effector
and target cells on the surface of
the flat-bottom well and
that the statistics governing the position of
one cell type
are not influenced by the other. Under these assumptions,
the
expected distance (
D) between a CTL and a target cell
equals
a universal, dimensionless constant (

) divided
by the square
root of the density of the target cells in the flat
bottom well
(
t) and it is a theorem in probability
theory that

= (equation
1). The
density of target cells equals the number of targets
placed in the well
(
n) divided by the area of the well. Our
well is a circle,
hence equation
2. Experimentally, we found
a highly significant
positive correlation between observed CTL
lysis and calculated distance
required to reach their targets
at all E:T ratios tested (Fig.
5C). These data support
the concept
of a relationship between CTL efficacy and their ability to
actively
migrate to target cells and also provide a model system in
which
to examine the impact of molecules which affect cell migration
on
CTL
efficacy.
 | (1) |
 | (2) |
Expression of X4 gp120 by target cells reduces CTL killing.
Using our modified 51Cr
release assay described above, we investigated the effect of the
expression of X4 gp120 by the target cell on CTL efficacy. Autologous
BLCL were transduced with a rAAV vector encoding HIV-1HXBc2
env. The control rAAV vector expressed RFP. Transduced cells
were used as targets in the modified 51Cr release assay
48 h after infection with viral constructs. Mock transduced
BLCL provided an additional control. Surface expression and secretion
of gp120 by target cells were confirmed by indirect immunofluorescence
and supernatant gp120 enzyme-linked immunosorbent assay, respectively.
The target cells transduced with env demonstrated a
significantly lower percentage of specific lysis by two Nef-specific
clones than the targets transduced with RFP (P = 0.008
for DMD, P = 0.0002 for ND-25) or to the
mock-transduced cells (P = 0.02 for DMD, P
= 0.0004 for ND-25) (Fig.
6). HIV-1 gp120 has been previously reported to mediate
CD4+- and CD8+-T-cell apoptosis
through its interaction with the CXCR4 receptor
(69). We performed mock
51Cr release assays without radioisotope labeling, and after
4 h, we labeled effector and target cells with allophycocyanin-anti-CD8
(Caltag) and 7-amino-actinomycin D (Sigma). Levels of apoptosis were
similar between CTL incubated with target cells expressing gp120 and
the controls (data not shown). These data support the view that the
reduction in CTL efficacy seen when target cells expressed X4 gp120 was
not due to increased CTL death. In this way, we demonstrated that X4
gp120 expression by target cells reduced lysis by
CTL.
Movement of T cells away from HIV-1 X4 gp120 in vivo.
The
chemokine receptor for SDF-1 and X4 gp120, CXCR4, is structurally
and
functionally highly conserved between humans and mice, sharing
91%
amino acid sequence homology
(
25). As in humans, X4
gp120 elicits
chemotaxis in murine T cells expressing CXCR4 in a
CD4-independent
manner
(
9a). We confirmed that
migratory responses of resting
murine CD8
+ T cells
to both human SDF-1 and recombinant X4 gp120
closely resemble those of
human resting CD8
+ T cells within
transmigration
assays (data not shown). It was previously demonstrated
that a
concentration of SDF-1 of 1 µg/ml can inhibit established
immune
responses in a mouse model
(
52). Using a similar
protocol, we
examined whether X4 gp120 might do the same. C57BL/6 mice
immunized
against OVA were challenged 3 days later with an IP injection
of
OVA (time zero). Twenty-four hours later, experimental mice
received
a second IP injection containing high-dose (200 ng/ml)
or low-dose (20
ng/ml) X4 gp120. Recombinant loop-deleted forms
of X4 gp120 were also
tested at high and low doses. Control
mice were exposed to IP
injections of N-saline or boiled recombinant
X4 gp120. High-dose X4
gp120 led to a significant reversal in
T-cell infiltration into the IP
cavity in response to antigen
to which the mouse had been sensitized
(Fig.
7A). Compared to
control animals, the mice that received 200 ng of X4 gp120
per
ml were found to have significantly reduced T-cell infiltration
into
the peritoneal cavity in response to antigen challenge (
P
=
0.04; Student's
t test) 27 h after
initial IP OVA injection
(3 h after the second injection). At
48 h, the difference had
lessened, but decreased
CD3
+ cells were still seen in the mice
receiving X4
gp120 versus controls (
P = 0.05). Recombinant loop
mutants
of X4 gp120 had no detectable effect on the infiltration of
immune
effector cells into the IP cavity. The chemotactic concentration
of
gp120 (20 ng/ml) did not augment T-cell infiltration into the
peritoneal
cavity beyond the robust reaction seen with antigen
stimulation
alone (data not shown). These data were similar to those
generated
with a low chemotactic concentration (100 ng/ml) of SDF-1,
which
did not augment T-cell infiltration into the peritoneal cavity
beyond
the levels induced by ovalbumin alone
(
52).
Antigen-specific
CD8
+-T-cell migration was examined in the context
of
OT-1 mice engineered to express an OVA-specific T-cell receptor.
We
determined the number of CD3
+
CD8
+ T cells migrating into
the IP cavity in
response to challenge with OVA as described
above. Recombinant X4 gp120
led to a significant reduction of
CD3
+-
CD8
+-T-cell infiltration into the peritoneal cavity
compared
to control N-saline administration (
P =
0.038) or administration
of heat-inactivated HIV-1 gp120 (
P
= 0.047) or HIV-1 gp120 with
the V1, V2 and V3 loops deleted
(
P = 0.044) at 48 h following
the IP
injection of OVA (Fig.
7B).

DISCUSSION
In
order for CTL to successfully control HIV-1 infection, they
must home
efficiently to infected tissue sites, migrate within
the infected
tissue to the virus-infected cells, and then mediate
contact-dependent
target cell lysis (
15,
16,
50,
74). Our present
investigations
demonstrate that X4 gp120 elicits bidirectional T-cell
movement
in a CD4-independent, concentration-dependent manner,
attracting
CD8
+ lymphocytes and HIV-specific CTL
maximally at a concentration
of 20 ng/ml and repelling the same cells
at a higher concentration
of 200 ng/ml. This bidirectional response
induced through the
binding of HIV-1 gp120 to CXCR4 is similar to that
seen with
the receptor's natural ligand, the potent T-cell
chemokine SDF-1.
We have previously demonstrated that human T
lymphocytes migrate
away from SDF-1 at high concentrations such as
those found in
the bone marrow and thymus where mature T cells are
notably
absent (
51,
52). We have termed the
active movement of T cells
away from a chemokinetic agent fugetaxis.
Here, we provide the
first description of a viral gene product causing
T-cell fugetaxis.
The fact that viruses other than HIV-1 encode
chemokine homologues
(
43)
suggests that this may be a conserved mechanism of host
immune evasion.
Interestingly, although SDF-1 is maximally active
as a T-cell repellant
in the 100-nM range, gp120 demonstrates
maximal activity in the 10-nM
range, possibly due to a higher
binding affinity for CXCR4. T-cell
migratory responses to X4
gp120 and SDF-1 are inhibited by anti-CXCR4
antibodies and pertussis
toxin. Further investigation may reveal
distinct downstream
signaling pathways for chemotaxis and fugetaxis,
thereby providing
targets for biochemical manipulation of the immune
response
to HIV-1 gp120.
Our data indicate that directional cell
movement depends on the interaction of the V2 and V3 loops of the gp120
molecule with the CXCR4 receptor. The experiments in which selected
loop deletions of gp120 were assessed for their ability to elicit
T-cell chemotaxis or fugetaxis showed that, compared to wild-type
HIV-1HXBC2 gp120, V1/V2 deletion mutants inhibited the
fugetactic effect of the molecule but had a minimal effect on
chemotaxis. When all three variable loops were deleted, no directional
movement was seen. Others have previously noted that the V3 loop as
well as the V2 loop of HIV-1 gp120 determines coreceptor usage and
subsequent signal transduction events
(9,
26,
28,
36) for both X4 and R5
viruses. In early infection, the majority of circulating virus in
HIV-infected individuals is CCR5 binding (R5), or M-tropic
(58,
75), and the emergence of
X4 viruses is generally associated with a rapid decline in
CD4+ cells and an increased likelihood of developing
AIDS (17,
19,
56). The natural ligands
for CCR5, macrophage inflammatory protein (MIP)-1
,
MIP-1ß, and RANTES, are potent
chemoattractants for monocytes and activated T cells, including
CD8+ effector cells
(63,
64). CCR5 has been
reported to be significantly upregulated on HIV-specific CTL compared
to other virus-specific CD8+ cells
(19). Elucidation of the
effects of both X4 and R5 gp120 on immune cell migration may shed light
on the accelerated disease progression seen with X4 viruses.
The
question of whether the migratory effects on CTL elicited by X4 gp120
have in vivo relevance remains unanswered. Our data demonstrate that
the immune cell infiltration in response to an antigen challenge in
immunized, healthy mice can be inhibited by local injection of
high-dose X4 gp120. This effect was not reproducible with
heat-inactivated gp120 or with gp120 containing mutations in the V1 and
V2 or V1, V2, and V3 loops. A disruption in the ability of CTL to
migrate or remain at sites of high-antigen burden clearly handicaps the
immune response. Interestingly, the genetic transfer of virally encoded
chemokine antagonists MC148 (molluscum contagiosum) and vMIP-II (human
herpesvirus 8) into murine cardiac allografts has been shown to reduce
CTL infiltration of the allograft and prolong graft survival
(18).
Although
several studies report a failure of HIV-specific CTL to colocalize with
HIV-infected cells (35,
41,
47,
48,
55), others have
demonstrated equivalent or higher levels of ex vivo functionally active
CTL in mucosal and lymphoid tissue compared to peripheral blood
(5,
32). Except in the rare
cases of long-term nonprogressors who immunologically control HIV-1 and
demonstrate increased levels of perforin expression and proliferative
capacity of their HIV-specific CTL
(40), additional analyses
of markers of in vivo functional activity, such as in situ granzyme B
expression and apoptosis, have revealed low levels of actual cytolysis
at the interface between virus-specific CTL and HIV-infected cells
(6,
14). Our data support the
hypothesis that HIV-1 gp120 suppresses the ability of T cells to
effectively migrate or remain at sites of high viral replication by
eliciting fugetaxis at high concentrations. Current technology does not
allow the measurement of the precise concentration of HIV-1 gp120 seen
by a given CTL in its in vivo microenvironment. Existing data support
the possibility that concentrations of gp120 reach levels high enough
to induce fugetaxis in vivo. Free envelope protein concentrations in
the serum of HIV-infected individuals have been measured from levels of
250 pg/ml to 2 ng/ml (22,
45). These levels are
considered to be underestimations of the true level of free gp120 in
the serum, however, because of blocking antibodies and serum proteins.
Local concentrations of gp120 in lymph nodes are likely to be
considerably higher than those found in serum because of vigorous HIV-1
replication and binding to matrix proteins
(7,
11,
27,
65).
In summary, we
have shown that high concentrations of the HIV-1 protein X4 gp120 cause
T cells and, in particular, antigen-specific CTL to actively migrate
away from the chemokinetic stimulus in vitro and in vivo and that the
expression of gp120 on target cells reduces CTL efficacy. This novel
mechanism of immune evasion may be more broadly applicable to other
retroviruses, poxviruses, papillomaviruses, and herpesviruses, all of
which have been shown to encode viral proteins which influence cell
migration. Furthermore, selective manipulation of chemotactic and
fugetactic signals may allow the augmentation of the host immune
response, thereby providing a novel immunotherapeutic strategy and
potentially enhancing vaccine efficacy in the context of HIV-1
infection.

ACKNOWLEDGMENTS
This work was supported in
part by Public Health Service grants
R01 AI49757 (M.C.P.) and T32
AI07387 (D.M.B.) and the American
Foundation for AIDS Research
(M.C.P.).

FOOTNOTES
* Corresponding
author. Mailing address: Partners AIDS Research Center, 149
13th St., 5th Floor, Charlestown, MA 02139. Phone: (617) 724-6375. Fax:
(501) 646-1163. E-mail:
mpoznansky{at}partners.org.


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Journal of Virology, May 2004, p. 5184-5193, Vol. 78, No. 10
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.10.5184-5193.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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