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Journal of Virology, November 2004, p. 11477-11486, Vol. 78, No. 21
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.21.11477-11486.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Impact on Genetic Networks in Human Macrophages by a CCR5 Strain of Human Immunodeficiency Virus Type 1
Carter R. Coberley,1
James J. Kohler,1,2
Joseph N. Brown,1
Joseph T. Oshier,1
Henry V. Baker,2,3
Michael P. Popp,2,4
John W. Sleasman,5 and
Maureen M. Goodenow1,2,6*
Departments of Pathology, Immunology, and Laboratory Medicine,1
Department of Pediatrics, Division of Immunology and Infectious Diseases,6
Department of Molecular Genetics and Microbiology, University of Florida College of Medicine,3
Interdisciplinary Center for Biotechnology Research,4
University of Florida Shands Cancer Center, Gainesville,2
All Children's Hospital, University of South Florida, St. Petersburg, Florida5
Received 2 March 2004/
Accepted 24 June 2004

ABSTRACT
Human immunodeficiency virus type 1 (HIV-1) impacts multiple
lineages of hematopoietic cells, including lymphocytes and macrophages,
either by direct infection or indirectly by perturbations of
cell networks, leading to generalized immune deficiency. We
designed a study to discover, in primary human macrophages,
sentinel genetic targets that are impacted during replication
over the course of 7 days by a CCR5-using virus. Expression
of mRNA and proteins in virus- or mock-treated macrophages from
multiple donors was evaluated. Hierarchical agglomerative cluster
analysis grouped into distinct temporal expression patterns
>900 known human genes that were induced or repressed at
least fourfold by virus. Expression of more than one-third of
the genes was induced rapidly by day 2 of infection, while other
genes were induced at intermediate (day 4) or late (day 7) time
points. More than 200 genes were expressed exclusively in either
virus- or mock-treated macrophage cultures, independent of the
donor, providing an unequivocal basis to distinguish an effect
by virus. HIV-1 altered levels of mRNA and/or protein for diverse
cellular programs in macrophages, including multiple genes that
can contribute to a transition in the cell cycle from G
1 to
G
2/M, in contrast to expression in mock-treated macrophages
of genes that maintain G
0/G
1. Virus treatment activated mediators
of cell cycling, including PP2A, which is impacted by Vpr, as
well as GADD45 and BRCA1, potentially novel targets for HIV-1.
The results identify interrelated programs conducive to optimal
HIV-1 replication and expression of genes that can contribute
to macrophage dysfunction.

INTRODUCTION
Human immunodeficiency virus type 1 (HIV-1) pathogenesis results
from perturbations in complex cellular networks leading to global
immune dysfunction and a spectrum of AIDS-defining illnesses.
HIV-1 infection of macrophages, which are long-lived cells,
can also lead to establishment of reservoirs for virus production
and spread to other cell types and compartments (
2,
3,
7,
25,
27,
30,
31,
40,
82). Viral infection of macrophages produces
a global impact on macrophage physiology, including alterations
in the cell cycle (
78,
80), chemotaxis (
1,
21), levels of tumor
necrosis factor alpha and other Th2-type cytokines (
16,
24,
56), phagocytosis (
9,
20,
45,
59), and antigen presentation
(
42,
51). In particular, HIV-1 or envelope gp120 activates multiple
signal transducer and activator of transcription (STAT) proteins
that modulate the expression of multiple receptors and/or cytokines
contributing to generalized immune dysfunction in hematopoietic
cells (
11,
43,
66).
Discerning interactive networks through analysis of single pathways has limitations. In contrast, global analysis of gene expression profiles provides a comprehensive approach to developing an integrated picture of the complex perturbations of cellular gene expression by virus treatment. Initial genomic approaches to the study of HIV-1 infection have examined interactions between prototypic T-cell-tropic CXCR4 strains of HIV-1 and proliferating T-cell lines or primary peripheral blood mononuclear cells (PBMC) (28, 61, 63, 76) or between gp120 and PBMC or monocyte-derived macrophages (MDM) (16). We designed a unique study using the Affymetrix GeneChip system in combination with high-throughput Western blot analysis to develop a genetic profile of virus treatment by a prototypic macrophage-tropic CCR5 virus, HIV-1JR-FL, over the course of 7 days in human macrophages from multiple donors. A primary objective of using a systems biology approach was to identify sentinel genetic events that would distinguish between virus and mock treatment of macrophages. Subsequent analysis focused on the expression of networks of genes involved in cell cycle regulation (33, 44, 64, 78, 80).

MATERIALS AND METHODS
Preparation of viral stocks and infection of MDM.
A stock of HIV-1
JR-FL (National Institutes of Health, AIDS Reference
and Reagent Program, Rockville, Md.) was prepared in PBMC from
a seronegative donor and calculated to have a titer of 10
4.5 50% tissue culture infective doses per ml (
73). Supernatants
for mock treatment of MDM cultures were prepared simultaneously
from uninfected PBMC from the same seronegative donor.
Monocytes from four HIV-1- and hepatitis C virus-seronegative donors were isolated using RosetteSep (a positive-depletion monocyte enrichment method; Stem Cell Technologies, Vancouver, Canada) according to the manufacturer's protocol, which produces cell populations that are >99% CD14+ monocytes with <1% B or T cells (CD3+). MDM from four donors provided a 90% chance of detecting a twofold difference between virus- and mock-treated cultures, based on analysis of variance using a randomized complete block design, a two-sided t test, and a standard deviation of 0.5. Cells were induced to adhere to plastic at a concentration of 2 x 106 per ml and were incubated in differentiation medium comprised of Dulbecco's modified Eagle's medium (Life Technologies, Gaithersburg, Md.) with 15% human AB serum (Sigma-Aldrich Corp., Saint Louis, Mo.) and a single treatment of 10 U of granulocyte-macrophage colony-stimulating factor (Invitrogen, Carlsbad, Calif.) per ml. After 7 days, >70% of cells expressed CD4 and >80% were positive for CCR5 as measured by flow cytometry (data not shown). After differentiation, CD14+, Fc
receptor+ macrophages were the only cell type detected; no CD3+ or CD19+ T or B lymphocytes, respectively, were detected (49, 73). MDM cultures were transferred to GM-CSF-free media and treated on day 0 with 2 ml of either HIV-1JR-FL (multiplicity of infection,
0.02) or mock supernatants for 24 h, washed, and cultured in GM-CSF-free media. Levels of supernatant p24 antigen on days 2, 4, and 7 were assessed using a specific enzyme-linked immunosorbent assay kit (Coulter, Hialeah, Fla.). Aliquots of cells were washed twice with phosphate-buffered saline and lysed in a nonionic detergent buffer (50 mM KCl, 10 mM Tris-Cl, pH 8.3, 2.5 mM MgCl2, 0.1 mg of gelatin/ml, 0.45% NP-40, and 0.45% Tween 20) containing proteinase K (100 µg per ml) (K buffer) for quantitation of infected cells by TaqMan real-time PCR assay using HIV-1 gag as the analytical parameter and human apoB as a genomic template control. The primers and probe used for quantitation of apoB were as follows: forward primer, 5'-TGAAGGTGGAGGACATTCCTCTA; reverse primer, 5'-CTGGAATTGCGATTTCTGGTAA; probe, VIC (Applied Biosystems)-CGAGAATCACCCTGCCAGACTTCCGT-6-carboxy-tetramethylrhodamine (TAMRA). Viral gag gene copies by TaqMan were quantified using forward primer (5'-ACATCAAGCAGCCATGCAAAT-3'), reverse primer (5'-ATCTGGCCTGGTGCAATAGG-3'), and probe (5'-6-carboxy-fluorescein (FAM)-CATCAATGAGGAAGCTGCAGAATGGGATAGA-TAMRA-3') (19). Amplification reactions consisted of TaqMan Universal PCR Master Mix (Applied Biosystems, Foster City, Calif.), 450 nM (each) forward and reverse primers, and 125 nM probe in a total volume of 50 µl. The PCR conditions were 50°C for 2 min and 95°C for 10 min, followed by 40 cycles of 95°C for 15 s and 60°C for 1 min. Thermal cycling and data acquisition were performed using a Prism 7700 Thermal Cycler (Applied Biosystems).
RNA isolation and hybridization.
Total RNA for each sample was extracted and prepared for hybridization according to protocols in the GeneChip Expression Analysis Technical Manual (Affymetrix). Briefly, cells from virus-treated or mock-treated cultures at days 0, 2, 4, and 7 were washed two times in MDM rinse medium and resuspended in RLT RNA lysis buffer (QIAGEN, Valencia, Calif.) for total RNA isolation (RNEasy RNA isolation kit; QIAGEN). RNA aliquots (8 µg) were reverse transcribed from a (dT)24 primer into double-stranded cDNA, which served as a template for in vitro transcription to produce biotin-labeled cRNA that was fragmented under conditions of high magnesium concentration (1 mM) and heat. The quality of the cRNA was first assessed using Test 3 Genechip arrays (Affymetrix) before hybridization to HG-U95A (version 2) arrays. The arrays were stained by a streptavidin-phycoerythrin conjugate (Molecular Probes, Eugene, Oreg.) using the Affymetrix GeneChip Fluidic Station and scanned by an Agilent argon-ion laser with 488-nm emission and 570-nm detection (GeneArray Scanner). High-resolution chip images were analyzed using Microarray Suite version 4 (Affymetrix). Intensity values from each probe cell were adjusted for background and multiplied by a scaling factor to facilitate comparisons across the arrays. Images were converted into both average difference values and numerical (n-fold) change data based on comparison of virus-treated and mock-treated samples.
RNA data analysis.
A custom relational database was designed using Microsoft (Redmond, Wash.) Access 2000 on the Windows 2000 platform. The database contained all raw data, as well as links between unique gene identifiers for mRNA and protein, functional categories, and summary of function. Functional categories of genes were based on the Gene Ontology Consortium public domain database (http://www.geneontology.org/). Cluster analysis was performed to gain an overview of temporal gene expression patterns within the data set. Prior to clustering, filters were applied so that a robust set of genes could be analyzed. Genes were first filtered to remove any transcripts that were considered absent under all conditions. A subsequent filter identified genes in infected cultures that displayed >4-fold change (induced or repressed) in hybridization intensities relative to levels in uninfected cultures. Average linkage hierarchical agglomerative clustering with uncentered correlation was performed on the median values obtained for each probe set for all donors at each time point using the software package Cluster (M. Eisen, Berkeley, Calif.). Major branches in the dendrogram were defined by correlation coefficients of >0.75 (mean, 0.85; range, 0.75 to 0.96)
To identify subsets of genes that were expressed exclusively in HIV-1 or mock-treated cultures of MDM, queries were performed within GeneSpring version 4.1 (Silicon Genetics, Redwood City, Calif.). Genes from each treated population were subjected to three high-stringency statistical filters, which required that a gene be present in all donors, vary by no more than 0.5 standard deviations from the mean expression in all donors, and be induced at least twofold relative to the globally normalized background intensity for the entire data set. The combined effect of the filters identified a set of genes that was robust to outlier, interassay, and donor variability. All genes expressed in virus-treated cultures were compared to all genes expressed in mock-treated cultures by using Venn diagrams. Unique genes that were expressed by each population were used to create lists and import them into the custom relational database.
Protein extraction and PowerBlot screening.
Monocytes (3 x 107 to 4 x 107) from each of four donors were plated in six-well plates (4 x 106 cells/well), differentiated for 7 days, and treated as previously described. Two of the four donors were assayed for both proteins and mRNA. After 48 h of virus treatment, the cells were lysed with boiling lysis buffer (10 mM Tris, pH 7.4, 1 mM sodium orthovanadate, 1% sodium dodecyl sulfate). Lysates were heated at 95°C for 30 s and passed 10 times through a 25-gauge needle to shear the DNA. Total protein yields were quantitated using the bicinchoninic acid protein assay (Pierce, Rockford, Ill.).
Immunoblot analysis of proteins was performed by BD Biosciences. Briefly, 5 mg of total protein per sample was loaded on a total of five gradient (4 to 15%) SDS-polyacrylamide gels and subsequently transferred to Immobilon-P membranes (Millipore). A total of 1,005 proteins were screened using different complex antibody cocktails. Digitally captured images of all blots from duplicate or triplicate runs of the two samples (HIVJR-FL and mock treated) were compared, and confidence values based on change and reproducibility were designated (semiquantitative). Only proteins with a confidence value of
3 were considered in the final analysis. Each protein was entered into our custom relational database and identified by locus link identification (ID) and Swiss Protein ID numbers, predicted and observed molecular weights, and functional categories. A query was designed in the database to link mRNA and protein data according to common locus link ID numbers.

RESULTS
CCR5-tropic viral replication and spread in MDM cultures.
To relate gene expression to viral replication kinetics, the
supernatant p24 antigen production and number of
gag DNA copies
were measured in MDM cultures over the course of 7 days (Fig.
1). In general, peak levels of supernatant p24 antigen (100
ng/ml) developed between days 4 and 7 following HIV
JR-FL infection
(Fig.
1A). Production of supernatant p24 levels paralleled virus
spread based on cell-associated virus DNA copies (Fig.
1B).
By 2 days posttreatment,

0.2% of MDM harbored virus, based on
one
gag copy per cell, while at day 7,

10% of macrophages were
infected (Fig.
1B). Maximal infection of 10% of MDM by HIV-1
JR-FL was consistent with other data from our laboratory and indicated
that nearly 90% of macrophages in virus-treated cultures remained
uninfected. An impact of virus treatment on genetic networks
in MDM, including both infected and uninfected cells, was compared
to gene expression by uninfected cells in mock-treated MDM cultures.
A 7-day time course was analyzed to provide an overview of genetic
networks during the course of spreading virus infection.
Temporal expression of genes in HIV-1-treated MDM cultures.
Approximately 900 genes with defined functions were induced
or suppressed by >4-fold between HIV-treated and mock-treated
cultures from any donor at any time point. Based on hierarchical
agglomerative cluster analysis of expression patterns over time,
the genes fell into nine clusters (Fig.
2A, A through I). Median
induction or repression for the entire data set was

4-fold.
Approximately 800 of the 900 functionally annotated genes fell
into six major clusters (B, C, D, E, H, and I). Patterns of
expression over time for clusters of genes were represented
as waveforms that displayed the median change for the population
of genes within each cluster (Fig.
2B). More than 50% of the
genes (465 of 808) were induced as early as 2 days following
HIV-1 treatment and were included in clusters C, H, and I (Fig.
2B). About 28% of the genes (231 of 808; clusters B and E) were
induced at the intermediate day 4 time point, while 14% of the
genes (112 of 808; cluster D) were induced late, by day 7 following
treatment (Fig.
2B). Although the genes were classified by temporal
patterns of induction of expression, distinct patterns of gene
repression over time were also apparent.
Genes expressed exclusively in virus-treated or mock-treated MDM cultures.
Temporal analysis required that genes be expressed in both virus- and mock-treated MDM cultures and excluded genes that were expressed only under one or the other condition. To determine if genes might be expressed exclusively in virus- or mock-treated MDM, a series of statistical filters was applied to the data set and the results were summarized using Venn diagrams (Fig. 3A). Analysis identified 372 genes that were expressed exclusively in virus-treated macrophage cultures at all time points, 321 genes that were expressed exclusively in mock-treated cultures, and 127 genes that were expressed by MDM independent of treatment.
A second set of queries examined mutually exclusive gene expression
on different days of treatment (Fig.
3B). A dramatic difference
in the number of genes expressed exclusively by HIV- or mock-treated
cultures was apparent as early as day 2 (Fig.
3B). The number
of genes expressed exclusively in virus-treated cultures gradually
decreased from 260 to 130 over 7 days (Fig.
3B). Simultaneously,
the number of genes that were expressed exclusively in mock-treated
cultures increased from <50 to 190 (Fig.
3B).
Functional categories of genes modulated by HIV-1.
More than 800 genes that were summarized by temporal expression (Fig. 2) were subsequently classified into 21 functional categories as defined by the Gene Ontology Consortium. About 17% of the genes (142 of 808) were classified in the energy or protein metabolism category (Table 1). More than 30% (258 of 808) were grouped into categories with related functions, such as apoptosis, cell proliferation, cytoskeletal and cell motility, signal transduction, or transcription, while 11% of the genes (89 of 808) were classified into the hematopoietic, immune response, or inflammation category.
Similar analysis of mutually exclusive expression profiles (Fig.
3) identified genes from multiple functional categories (data
not shown). In particular, HIV-1 treatment altered the expression
of genes in a subset of functional categories related to immune
function, cell cycle proliferation, and cell stress. In contrast,
macrophages in mock-treated cultures expressed few, if any,
genes in these categories. Patterns of mutually exclusive expression
of genes provided a signature for virus treatment.
HIV impacts similar genes in lymphocytes and macrophages.
To determine if similar target genes were altered by HIV-1 treatment in different cell types, we compared our data from primary macrophages with those of other studies that analyzed an impact of HIV-1 on gene expression in transformed monocytic or lymphoid cell lines (Table 2) (8, 9, 13, 18, 26, 28, 29, 31, 33, 40, 42, 47, 52, 54, 61, 63, 64, 65, 67, 79, 81, 82, 83). Twenty genes, including 4 exact matches and 16 that were similar based on function or alternate isoforms of the same gene product, were induced following virus treatment (Table 2). In addition, treatment with HIV-1 repressed 38 genes, including 11 that were exact matches and 27 that were similar by function (Table 2). For example, both CD4 mRNA levels and CD4 cell surface expression were down regulated by virus treatment in cell lines and MDM (13, 73). In addition, HIV-1 induced expression of ERF, BCL2, and IFRD2 genes involved in regulation of the cell cycle in both monocytic and lymphocytic cells, as well as macrophages (Table 2). Therefore, we focused our subsequent analysis to determine the extent to which cell cycle mediators might be impacted by virus in macrophages.
HIV-1 impact on genes involved in regulation of the cell cycle in MDM cultures.
Database queries were performed to focus analysis on genes in
the cell cycle category that were preferentially impacted by
HIV-1 in MDM. Twelve genes involved in regulating cell cycle
transitions were expressed exclusively in mock-treated MDM cultures
(Table
3). Seventeen other genes that are implicated in transitions
through cell cycle checkpoints were expressed uniquely in HIV-treated
cultures (Table
3). When ratios for expression of cell cycle
genes in HIV- and mock-treated MDM cultures were evaluated,
temporal patterns were apparent. Sixteen genes involved in cell
cycling were induced in virus-treated cultures by day 2 (early)
and subsequently were repressed or returned to near-baseline
values (Table
3). Ten genes were induced exclusively by day
4 (intermediate time point), while four genes were induced by
day 7 (late).
Qualitative identification of genes involved in cell cycle regulation checkpoints.
A number of genes involved in regulating G
1/S or G
2/M checkpoints
in the cell cycle were detected exclusively in mock-treated
MDM cultures (Fig.
4). For example, CDC2, CDKN1B, and GAS1 genes
are implicated in G
1/S transition, while CDC2 and PCTAIRE1 (a
gene homologous to the CDC2 gene), CDC2-like kinase (CLK2),
and cyclin B2 (CCNB2) genes are required for G
2/M transition.
In contrast, none of these genes was expressed in virus-treated
cultures. Expression by only four genes that are involved in
the maintenance of G
1 (G
1/S transitioning) was detected uniquely
in virus-treated cultures. Most of the genes uniquely expressed
following virus treatment, including protein phosphatase 2A
(PP2A), breast cancer 1 (BRCA1), and growth arrest and DNA-damage-inducible
(GADD45) genes, were involved in arresting cell cycling at the
G
2/M checkpoint (Fig.
4).
Altered protein expression in macrophages treated with a CCR-5-tropic virus.
To determine the effect(s) on protein expression in MDM of treatment
with a CCR5 strain of HIV-1, >1,000 proteins from virus-
or mock-treated cultures were assayed and ranked based on changes.
High-throughput Western blot screening with monoclonal antibodies
evaluated levels rather than posttranslational modifications,
including phosphorylation, that can be critical determinants
of function for some proteins. Overall, 300 proteins had detectable
differences of

1.5-fold in expression in virus-treated MDM from
each donor, including

50 proteins that can have a functional
role in regulation of the cell cycle or cell proliferation.
A subset of proteins is presented in Fig.
5. For example, ubiquitination
protein (UbcH6 and UbcH7) levels were reduced, while the levels
of retinoblastoma binding protein 4 (RBBP) and interferon-induced
protein kinases (p38 MAPK and ERK) and a related signal transducer
and activator of transcription factor, STAT 5A, were induced.
Cell cycle control was modified following virus treatment of
macrophages through increased levels of MCC (a negative regulator
of cell cycling) (
15,
69), in combination with repression of
PP2A catalytic alpha subunit, the nuclear Dbf2-related (Ndr)
family of protein serine-threonine kinases (negative regulators
of CDK1 required for completion of the cell cycle) (
70), and
BM28 (a protein associated with cell division) (
72).
The overall effects of HIV-1 in MDM on specific networks of
cellular mRNA and proteins that promote transition from G
1 to
G
2 from our data are integrated in Fig.
6. Global effects include
G
2 arrest and suppression of mitosis through two pathways. One
pathway, as expected, involved the PP2A complex, presumably
through a Vpr-dependent mechanism (
22,
23,
33). Both induction
of the PP2A regulatory subunit and repression of the catalytic
subunit can promote the enzymatic activity of Wee1 and inhibit
the phosphatase CDC25 (
41), resulting in hyperphosphorylation
of CDC2 that leads to G
2/M arrest (
46,
53). Inactivation of
CDC25 prevents dephosphorylation of CDC2, thus inhibiting mitosis
(
32,
41). Induction of mRNA and protein levels of tyrosine 3-monooxygenase/tryptophan
5-monooxygenase-activation protein, epsilon polypeptide (YWHAE),
which blocks CDC25, also promotes G
2 arrest (Fig.
6). The alternate
pathway involves the nonphosphorylated form of the CDC2/CCNB2
complex. HIV-1 induces BRCA1 and subsequently GADD45 mRNA levels,
which results in the inactivation of CDC2 and G
2/M arrest (
38,
77). BRCA1 is a downstream target of Rad3-related protein (ATR)
phosphorylation, and HIV-1 Vpr activates ATR (
5,
60,
84). In
addition, HIV-1 induces a CDK inhibitor, p21
Cip1/Waf1 protein,
which blocks the CDK-activating kinase (CAK) phosphorylation
of the cyclin D/CDC2 complex (
10,
71), promoting G
2 arrest.
Activation of ERKs by phosphorylation can induce p21
Cip1/Waf1 (
6,
58), and activation of MEK/ERK is reported to occur in T-cell
lines following infection with HIV-1 (
57).

DISCUSSION
The overall impact of HIV-1 on gene expression patterns in MDM
is global and complex. Perturbations by virus clearly distinguished
between HIV-1 and mock-treated cultures even though <0.2%
of MDM treated with virus were infected by day 2 and only 10%
were infected by day 7. The limited frequency of infected macrophages
ex vivo resembles restricted HIV-1 infection of lymphoid tissue
macrophages or alveolar macrophages in vivo (
12,
50,
62). The
number of infected MDM was estimated based on the premise of
one viral DNA copy per cell, although cells in vivo can be infected
by more than one virus (
39). Even if estimates of infected MDM
in our study exceed the actual numbers of cells that harbor
virus, interpretation of the data would remain the same. Even
though low levels of supernatant p24 antigen or cell-associated
viral DNA were detected 2 days following HIV-1 treatment, expression
of >400 genes at the mRNA or protein level changed relative
to mock treatment. In addition, mutually exclusive expression
at day 2 of

250 genes distinguished virus- from mock-treated
MDM. The number of genes in macrophages altered by treatment
with a CCR5 strain of HIV-1 in our analyses was similar to the
number of genes in primary peripheral blood mononuclear cells
or MDM that were altered by CCR5 gp120 treatment (
16) but greater
than the number of genes in lymphocytic or monocytic cell lines
identified by treatment with CXCR4 strains of HIV-1 (
28,
61,
63). Differences between primary cells and cell lines could
reflect methodologies for measuring changes in mRNA or the types
of viruses, as well as the possibility that transformed cell
lines could have elevated basal levels of expression by genes
that are altered in primary cells by HIV-1.
The number of genes expressed exclusively in mock-treated MDM increased over time, suggesting that macrophages in culture are dynamic rather than static. Increases in the number of genes expressed in the absence of virus could reflect actual changes induced by culture conditions or apparent changes reflecting down regulation of genes over time in virus-treated macrophages. Loss of cell viability is an unlikely explanation, because macrophage viability is >90% for 14 to 21 days following differentiation and infection (73) in contrast to rapid depletion of CD4 T lymphocytes (74). Either way, the net effect would be an increase in the number of genes expressed exclusively in mock-treated MDM over time. Clear differences between HIV-treated and mock-treated cells occur on day 2, which corresponds to the completion of first-round replication. The results agree with our earlier data showing that signal cascades are initiated by early virus-cell interactions (43). Expression of mutually exclusive genes over the course of the study provided sentinel biomarkers that characterized the effects of virus treatment on macrophage populations and distinguished unequivocally between mock- and virus-treated macrophages.
Using a systems biological approach, we identified substantial changes in mRNA and protein levels within the HIV-1-treated cultures that might occur exclusively in the small subset of macrophages that were infected directly, in the uninfected bystander cells, or in both types of cells. The possibility of residual CD4+ T lymphocytes in the MDM cultures was ruled out by flow cytometry and an inability of MDM cultures to support entry or replication by non-macrophage-tropic viruses (75). A difference between direct and bystander effects of virus in macrophage cultures at early time points would be difficult to evaluate, because so few macrophages were infected and strategies to separate infected from uninfected macrophages could alter mRNA or protein profiles. Nonetheless, the fact that a distinct subset of genes was detected in mock-treated MDM cultures suggested that uninfected cells not exposed to virus differed from uninfected cells in virus-treated MDM. Bystander effects could be mediated by cytokine expression from infected cells that would influence neighboring uninfected cells in an exocrine fashion. Alternatively, soluble viral components, such as gp120, could mediate changes in signal transduction cascades that impact downstream gene expression in the absence of infection (14, 17, 36, 43, 65).
A number of genes that were reported in other studies as induced or repressed at the mRNA or protein level in monocytic or lymphocytic cell lines infected by CXCR4 strains of HIV-1 were also detected in our biological systems approach involving primary macrophages treated by a CCR5 strain of HIV-1 (8, 13, 28, 29, 47, 61, 78, 79, 81, 86). Similarities among genes that were induced or repressed during treatment of primary human macrophages or cell lines by CCR5 or CXCR4 strains of virus, respectively, suggest that elements of virus-host cell interactions are highly conserved regardless of the viral envelope, the coreceptor preference, or even the cell type infected, which could have implications for developing novel therapeutics.
Normal macrophage differentiation involves G1 arrest (83), which would explain preferential expression of genes mediating the maintenance of G1 phase in mock-treated MDM in our studies. Even though differentiated cells are typically defined as nondividing or nonproliferating, differentiated cells can maintain a capacity to shift in their cell-cycling state following adequate stimulation (48). Our data are consistent with studies that indicate alteration of the cell cycle stage in macrophages by HIV-1 infection and suggest that the intracellular environment of cells no longer in G1, rather than cell division itself, plays a role in virus replication in nondividing cells, such as macrophages (33, 64, 80). G2/M arrest in lymphocytes is critical for optimal gene expression by long terminal repeats (4, 85), while transition from G1 to G2 in MDM correlates with enhanced HIV-1 replication (35, 68). An ability by HIV-1 to mediate transition from G1 to G2 could contribute to the fitness of viruses in MDM (34), although G2-dependent enhancement of long-terminal-repeat-mediated gene expression in macrophages is unclear. The theme of virus-induced cell cycle arrest, specifically in G2/M, is not unique to HIV-1. For example, reovirus and herpes simplex virus also mediate G2/M arrest via the CDC2-cyclin B pathway (23, 37, 55). A virus-dependent transition from G1/S to G2/M in macrophages could impact MDM physiology and function and contribute to immune dysfunction. The potential for more extensive involvement with the cell cycle by HIV-1, beyond the known role of Vpr, warrants further examination.
Patterns of induced or repressed genes identified within virus-treated MDM cultures have dynamic implications for a cascade of downstream effects that can alter cellular physiology. Our studies focused on global differential gene expression induced in association with the viral replication cycle, similar to the global effects associated with gp120-macrophage interactions (16, 78). In contrast to approaches that analyze single genes or pathways, global analysis provides an overall view of networks and interactions between known and novel genes and can provide insight into macrophage physiology and immune deficiency.

ACKNOWLEDGMENTS
We are grateful to Maria Elena Bottazzi and Keith Peden for
critical comments and insights into the data. We gratefully
acknowledge the joint UF Shands Cancer Center/Interdisciplinary
Center for Biotechnology Research Microarray Core Facility and
the University of Florida Genetics Institute Microarray Core
Facility for help in preparing samples, performing experiments,
and analysis of data. The following reagent was obtained through
the AIDS Research and Reference Reagent Program, Division of
AIDS, NIAID, NIH: HIV-1
JR-FL (catalog no. 394) from Irvin Chen.
Research was supported in part by PHS R01 awards HD32259, AI28571, HL58005, AI47723, T32 AR07603, and T32 CA09126; the Children's Miracle Network; and a University of Florida Presidential Fellowship.

FOOTNOTES
* Corresponding author. Mailing address: Department of Pathology, Immunology, and Laboratory Medicine, Box 100275, University of Florida College of Medicine, 1600 S.W. Archer Rd., Gainesville, FL 32610. Phone: (352) 392-3429. Fax: (352) 392-0481. E-mail:
goodenow{at}ufl.edu.


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Journal of Virology, November 2004, p. 11477-11486, Vol. 78, No. 21
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.21.11477-11486.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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