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Journal of Virology, September 2005, p. 11366-11381, Vol. 79, No. 17
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.17.11366-11381.2005
HIV and AIDS Malignancy Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland
Received 18 April 2005/ Accepted 4 June 2005
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Vpr's known activities include nuclear import of the HIV preintegration complex (12, 13, 27, 31), induction of host cell apoptosis (21, 28, 29, 37), and, in some instances, antiapoptotic activity (6, 7, 11). Vpr arrests the cell cycle at the G2 stage (17, 22, 42). This may help increase HIV gene expression (16). Vpr's transcriptional activities may also be mediated through effects of the p300 coactivator (9, 23). However, Vpr's many varied effects on the host suggest that there may be additional, previously unappreciated effects due to Vpr. In vitro studies indicated that cell cycle arrest enables HIV-1 to maximize viral replication and to suppress immune responses by preventing T-cell clonal expansion, facilitating viral persistence. Elucidation of the detailed mechanisms of G2/M cell cycle arrest induced by Vpr should enhance understanding of an important aspect of HIV biology.
Earlier studies demonstrated that Vpr induces G2 arrest by inhibiting activation of Cdc2, which is necessary for the G2-to-M transition (15, 17, 33, 41). In response to Vpr, the Cdc2-specific phosphatase, Cdc25C, is hyperphosphorylated in a pattern consistent with inactivation. Additional evidence suggests that p21 may also play a role (2). More recently, one mechanism responsible for Vpr-mediated cell cycle arrest involving activation of the ATR DNA repair pathway has been characterized in additional detail (34, 46). However, since the regulation of the cell cycle is complex, and since Vpr-mediated cell cycle arrest activity appears to be important for Vpr's actions to advance HIV replication and HIV pathogenesis, we undertook an expression profiling-based screen to identify cellular genes showing altered expression associated with wild-type (wt) Vpr expression and expression of Vpr mutated in key sites related to cell cycle arrest. We constructed a series of mammalian cell lines that express wild-type and mutant vpr genes under the control of a tetracycline-inducible promoter. Using flow cytometry, oligonucleotide microarray analysis, and phosphoprotein expression profiling, we found that wild-type Vpr overexpression was associated with the up- or down-regulation of several genes in the mitogen-activated protein kinase (MAPK) pathway, including MAP2K2 (mitogen-activated protein kinase kinase 2) (MEK2) and MKNK2 (MAP kinase-interacting serine/threonine kinase 2). Overexpression of MEK2 abolished cell cycle G2 arrest induced by Vpr. We further found that the phosphorylation of the MEK2 effector protein ERK is down-regulated in cells expressing wild-type-Vpr. MAPK proteins are a family of kinases, including MEK2, that phosphorylate specific substrates at serine and/or threonine residues in response to intrinsic or extrinsic stimuli. They regulate signaling cascades that relay signals mediating critical cellular responses, including proliferation or cell cycle arrest and survival or death. Our data suggest that Vpr affects two disparate cell signaling cascades to induce cell cycle arrest, the previously described pathway acting through ATR and the newly identified MEK2 pathway. These signaling cascades may play important roles in HIV-1 pathogenesis and may represent new antiretroviral therapeutic targets.
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PCR-mediated mutagenesis. To generate the substitution mutants designated F72A/R73A (23, 35) and R80A (9, 41), we introduced site-specific mutations into the pcDNA5/FRT/TO vector containing wild-type Vpr using the QuickChange site-directed mutagenesis kit (Stratagene, La Jolla, CA) following the manufacturer's protocol. The primers to introduce the F72A/R73A mutations were 5'-CCATGCCGCAATTGGGTGTCGACATAGCAGAATAGGCGTTACTCG-3' and 5'-CGAGTAACGCCTATTCTGCTATGTCGACACCCAATTGCGGCATGG-3'. The primers to introduce the R80A mutation were 5'-CGACATAGCGCAATAGGCGTTACTCGACAGAGGAGAGCAAGA-3' and 5'-TCTTGCTCTCCTCTGTCGAGTAACGCCTATTGCGCTATGTCG-3'. All the constructs were sequenced to verify the integrity of the additional mutations. The locations of the mutations are schematically shown in the context of the vpr gene in Fig. 1A.
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FIG. 1. Construction and analysis of the Vpr-expressing cell lines. (A) Diagram of the primary structure of wild-type Vpr representing -helical domains I (a1-H), II (a2-H), and III (a3-H) and the leucine-rich domain. Mutation sites (F72A/R73A and R80A) are indicated by arrows. (B) Protein immunoblot analysis of Vpr protein expression regulated by doxycycline. Protein lysate was prepared from cells not treated with doxycycline (no Dox) and at 1, 2, 4, 6, 8, 12, 16, and 24 hours after doxycycline addition. Mouse anti-FLAG M2 monoclonal antibody was used to detect FLAG-tagged Vpr protein expression. As an internal control, mouse anti-human ß-actin (b-actin) monoclonal antibody was used. a.a., amino acids.
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Immunoblotting. Cells were lysed with triple-detergent buffer (50 mM Tris HCl, pH 8.0, 150 mM NaCl, 0.1% sodium dodecyl sulfate [SDS], 1% NP-40, 0.5% sodium deoxycholate) containing Complete Mini Protease Inhibitor Cocktail (Roche, Basel, Switzerland). The cell lysates were then centrifuged at 14,000x g for 15 min at 4°C to remove the cell debris. The supernatants were used for immunoblotting. The protein concentration in the lysate was determined using the BCA protein assay reagent kit (Pierce, Rockford, IL) with pooled bovine serum albumin as the standard. Immunoblotting was performed following denaturing of samples and gel separation by SDS-polyacrylamide gel electrophoresis using the enhanced-chemiluminescence detection system. Briefly, 50 µg of protein lysates was loaded on NuPAGE 4 to a 12% Bis-Tris Gel (Invitrogen) and electroblotted onto a polyvinylidene difluoride membrane (Invitrogen). The filters were blocked in blocking buffer containing 5% nonfat dry milk and 0.05% Tween 20 in Tris-buffered saline. After being blocked for 2 h at room temperature, the filters were incubated with mouse anti-FLAG monoclonal antibodies (Sigma) in incubation buffer containing 0.1% bovine serum albumin-0.05% Tween 20 in Tris-buffered saline for 90 min at room temperature with occasional shaking. After being washed, the filters were incubated with 1:10,000 horseradish peroxidase-conjugated secondary antibody (Amersham Pharmacia, Piscataway, NJ). After the final washing, immunoreactivity was visualized using the enhanced-chemiluminescence system (Amersham Pharmacia).
Cell cycle analysis. Vpr-mediated cell cycle arrest was evaluated by propidium iodide (PI) staining and flow cytometry analysis. Briefly, cells were trypsinized, washed once with standard growth medium, and fixed in 70% ethanol. After an additional wash with phosphate-buffered saline, the cells were resuspended in PI staining solution (20 µg/ml of propidium iodide [Sigma], 200 µg/ml of RNase A [Roche] in 1 ml of 0.1% Triton X-100-phosphate-buffered saline) and incubated at 37°C for 30 min. Flow cytometric analysis was performed in a FACScalibur instrument (Becton Dickinson, San Jose, CA). Cell cycle analysis was performed using CellQuest software (Becton Dickinson).
RNA preparation. Doxycycline-induced and uninduced Flp-In TREx 293/Vpr cells were collected 0, 1, 2, 4, 6, 8, 12, 16, and 24 h postinduction (p.i.). Doxycycline-induced and uninduced Flp-In TREx 293/Blank cells were also collected as a reference for the following experiments. Total RNA was isolated using an RNAeasy Midi kit (QIAGEN) according to the manufacturer's protocol.
Oligonucleotide microarray analysis. Human long oligonucleotide microarrays were obtained from the National Cancer Institute Microarray Facility, Advanced Technology Center (Gaithersburg, MD). The microarrays (Hs Operon V2) contained 22,434 oligonucleotide (60- to 70-mer) spots on a glass slide. Twenty-five micrograms of total RNAs isolated from doxycycline-induced Flp-In TREx 293 stably transfected blank- and FLAG-tagged Vpr cells were reverse transcribed using an oligo(dT) primer and aminoallyl-deoxynucleoside triphosphate (Amersham Pharmacia). Unincorporated deoxynucleoside triphosphates were removed with a QIAquick PCR purification kit (QIAGEN). Purified cDNA was processed for coupling reactions with Cy3 or Cy5 ester dye, respectively. Uncoupled fluor dye was removed with a QIAquick PCR purification kit (QIAGEN). Purified fluor probes were mixed with 20 µg of Cot-1 DNA (Roche), 20 µg of poly(dA)20-60 (Amersham Pharmacia), and 4 µg of Saccharomyces cerevisiae tRNA (Sigma) and then applied to the microarray for hybridization at 42°C for 12 to 16 h. Following hybridization, the slides were washed in 2x SSC (1x SSC is 0.15 M NaCl plus 0.015 M sodium citrate)-0.1% SDS briefly, followed by washes in 1x SSC-0.2x SSC for 2 min. The slides were scanned using an Axon 4000A scanner. The scanned images were analyzed first using GenePix 5.0 software (Axon instruments), and spots of poor quality as determined by visual inspection were also removed before further data analysis using Micro Array Database databases (Center for Information Technology, National Institutes of Health, Bethesda, MD). For each time point, there were at least three biological replicates. The spot-filtering criteria were as follows. A median target signal-over-background ratio was required to be at least 1.5, a spot diameter was required to be at least 90 µm, each gene was required to have values in at least 66% of the arrays, and each array was required to have values for at least 66% of the gene spots. Detailed methods of statistical analysis were described previously (24). Briefly, comparison of the expression profiles of Vpr-positive and Vpr-negative cells, or wild-type- and mutant-expressing cells, at a given time point was performed with univariate parametric and multivariate permutation tests based on the one-sample random-variance statistic in BRB-ArrayTools (http://linus.nci.nih.gov/BRB-ArrayTools). Statistical significance was based on a P value of <0.001 for a parametric one-sample random-variance t test. For evaluation of differential expression, a multivariate permutation test based on the one-sample random-variance t statistic was used in which the proportion of false discoveries was limited to 0.10 with 90% confidence. Beyond the statistical analysis, we chose to arbitrarily consider twofold changes in the expression of a cellular gene a threshold level for a plausible biological effect, and here we report the results mainly on that basis. The microarray data sets included in this study have been deposited in the National Center for Biotechnology Information's Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo/) with accession number GSE2296. Hierarchical clustering analyses of the resulting data sets were done with the Micro Array Database system, as well as Cluster and TreeView software programs provided by the Eisen Laboratory (http://rana.lbl.gov/EisenSoftware.htm).
Transient transfection of MAP2K2 and determination of MAPK activity. MAP2K2 cDNA was obtained from I.M.A.G.E consortium clone ID 2961198, digested by XhoI and EcoRI, and directionally subcloned into pcDNA3.1(+). To introduce constitutively active mutations (Ser222Glu and Ser226Asp) (26, 32, 43), we performed PCR-based site-directed mutagenesis using the primers 5'-GCCATTTCGTCTATGAGCTGGCCG-3' and 5'-CAACGACTTCGTGGGCACGC-3', as described previously (19). The mutant was sequenced to verify the integrity of the additional mutations. The wild-type and constitutively active forms of MAP2K2 (MEK2) were transiently transfected into Flp-In TREx 293/Vpr cells using Superfect (QIAGEN). Plasmid encoding enhanced green fluorescent protein (GFP) (pEGFP-N1; Clontech, Palo Alto, CA) was cotransfected with MAP2K2-encoding plasmids at a molar ratio of 1:10. Vpr expression was induced using 1 µg/ml of doxycycline. For immunoblotting, samples were collected at 0, 0.5, and 1 h p.i, and lysed with PhosphoSafe Protein Extraction Buffer (Novagen, Darmstadt, Germany) containing Complete Mini Protease Inhibitor Cocktail (Roche). The activation of ERK1/2 and MEK1/2 was determined by immunoblotting with antibodies specific for phosphorylated, activated forms of these kinases (Cell Signaling, Beverly, MA). To detect endogenous ERK1/2 and endogenous or exogenous MEK2, antibodies specific for these kinases (Cell Signaling, Beverly, MA) were also used for the immunoblotting.
Samples were also collected at 24 h p.i. for cell cycle analysis. The cells were fixed in 1% paraformaldehyde to preserve GFP fluorescence and stained with the PI staining solution. GFP-positive cells were gated so as to examine only the transfected fraction of the cells.
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FIG. 2. Effects of induced wild-type and mutant Vpr expression on the cell cycle. (A) Kinetic analyses of G2/M cell cycle arrest after doxycycline treatment. Vpr-induced G2/M cell cycle arrest was measured by flow cytometry after DNA was stained with propidium iodide. The extent of G2/M arrest was evaluated by the G2/G1 ratio. The results represent the mean of at least three experiments. The standard deviations of the values are shown as error bars. (B) Representative data for Vpr-induced G2/M cell cycle arrest measured by flow cytometry at 24 h after doxycycline addition. The y axis represents the cell count, and the x axis represents the DNA content. The experiments were conducted at least three times.
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Large-scale expression profiling of cellular genes following overexpression of wild-type and mutant Vpr. To study whether certain host cell genes showed alterations in expression following induced expression of Vpr, we conducted a large-scale host cell gene expression profiling study using microarray technologies. To determine whether the differential expression of certain genes was associated with Vpr-induced cell cycle arrest, we compared the gene expression pattern of cells expressing wild-type Vpr with the pattern of cells expressing Vpr mutant F72A/R73A or R80A Vpr. Using long oligonucleotide microarrays containing 22,000 elements in each array, we identified 565 genes that showed statistically significant differential regulation by wt Vpr (P < 0.001) (see Table S1 in the supplemental material). Among them, 113 genes were differentially regulated by twofold or more, a change we arbitrarily considered likely to be a biologically significant effect (Fig. 3 and Table 1 ). When we compared the expression profiles of the cell lines expressing wt and F72A/R73A Vpr, we found that 494 genes showed statistically significant differential regulation by either wt or F72A/R73A Vpr (P < 0.001). Among them, 121 genes were differentially regulated by twofold or more (Fig. 4A). The differential expression of 47 of the 121 genes was a wild-type-specific event (26 were up-regulated, and 21 were down-regulated) (Fig. 4B and C and Table 2). When we compared the expression profiles of the cell lines expressing wt and R80A Vpr, we found that 479 genes showed statistically significant differential regulation by either wt or R80A Vpr (P < 0.001). Among them, 66 genes were differentially regulated by twofold or more (Fig. 4D and Table 2). The differential expression of 42 of the 66 genes was a wild-type-specific event (27 were up-regulated, and 15 were down-regulated) (Fig. 4E and F and Table 2). Among the genes with wild-type-specific differential expression, 31 genes were commonly differentially expressed in comparison to both mutants (F72A/R73A and R80A) (Table 2). Some genes were differentially expressed only with respect to one mutant: 16 were differentially expressed with respect to the F72A/R73A mutant Vpr, and 11 genes were differentially expressed only with respect to the R80A mutant Vpr (Table 2). Interestingly, wild-type Vpr specifically altered the expression of several host cell genes involved in the control of cell growth and cell division (Tables 1 and 2). We noted that among these genes, wild-type (but not mutant) Vpr specifically down-regulated expression of genes involved in the MEK2-ERK pathway, notably including MAP2K2 (MEK2) and MKNK2, before the induction of cell cycle arrest (<6 h p.i) (Table 3 and Fig. 5). The observation that the expression of genes in the MEK2-ERK pathway was down-regulated by wild-type Vpr, coupled with the known activity of the MEK2-ERK pathway in controlling the cell cycle, suggested that this pathway might be important in mediating Vpr-dependent cell cycle arrest and suggested a possible additional mechanism responsible for the cell cycle arrest function of Vpr. Wild-type Vpr was also specifically associated with the up-regulation of Myc and HSPA1A (Table 1), which were up-regulated after the induction of cell cycle arrest (>8 h p.i.) (Table 3 and Fig. 5). Interestingly, we noted that the gene for cyclin-dependent kinase inhibitor 1A (CDKN1A; p21) (2), a possible cell cycle effector, was among the genes that we found to be statistically significantly differentially expressed in Vpr-expressing cells, and this gene was also observed to be up-regulated in HIV-infected macrophages (39) (see Table S1 in the supplemental material). However, we found that the up-regulation in our system was quantitatively small and was not a wild-type-specific alteration.
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FIG. 3. Hierarchical clustering of differentially expressed cellular genes altered by the inducible expression of wild-type Vpr protein. The figure shows the hierarchical clustering of the cellular genes that showed statistically significant differences in expression (P < 0.001) and twofold changes in the expression of a cellular gene at least at one time point. Genes shown in red showed up-regulation, and those in green were down-regulated, while those that did not show any change with respect to a normalized matched control are shown in black (see color scale). The gray areas indicate missing data.
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TABLE 1. Cellular genes differentially expressed with wild-type Vpr overexpression
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FIG. 4. Differential expression of cellular genes following induction of wild-type and mutant Vpr expression. Comparison of differentially expressed cellular genes altered after Vpr expression between cells expressing (A) wild-type Vpr and F72A/R73A Vpr and (D) wild-type Vpr and R80A Vpr. Black bars on the right side of panels A and D indicate the clusters, which showed wild-type-specific differential regulation of gene expression. These clusters are highlighted in larger images with gene symbols. (B) Up- and (C) down-regulated in a comparison with F72A/R73A Vpr-expressing cells. (E) Down- and (F) up-regulated in a comparison with R80A Vpr-expressing cells. The genes shown in this figure passed two filtering criteria: (i) statistical significance (P < 0.001) and (ii) twofold changes in the expression of a cellular gene at least at one time point.
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TABLE 2. Cellular genes differentially expressed specifically in association with wild-type Vpr overexpression (genes not affected by overexpression of mutant Vprs)
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TABLE 3. Temporal relationship of cell cycle arrest and changes in cellular gene expression associated with Vpr overexpression
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FIG. 5. Differentially regulated genes related to the MAPK pathway. Assignment of these genes was performed with the Cancer Genome Anatomy Project pathway databases (http://cgap.nci.nih.gov/). Pathway information was provided by the Kyoto Encyclopedia of Genes and Genomes (http://www.genome.jp/kegg/).
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FIG. 6. Analysis of ERK2 phosphorylation status following induced expression of Vpr and abrogation of the effect by MEK2. Flp-In TREx 293 cells stably transfected with wild-type Vpr were transiently transfected with either a blank vector as a control plasmid (A), wild-type MEK2 (MEK2 WT) (B), or constitutively active mutant MEK2 (MEK2 CA) (C) and treated with 1 µg/ml doxycycline for the times indicated. The cells were lysed and analyzed for ERK phosphorylation using an anti-phospho-p44 (ERK1)/phospho-p42 (ERK2) phosphospecific antibody. Endogenous ERK1/2 expression levels were detected by immunoblotting using anti-ERK1/2 antibody. The higher band of the doublet detected by anti-ERK1/2 antibody is p44 (ERK1), and the lower band is p42 (ERK2). The signal due to phospho-ERK protein was quantitated using Image J software (http://rsb.info.nih.gov/ij/) and normalized to the signal due to endogenous ERK protein (p-ERK/ERK ratio). The relative changes in the p-ERK/ERK ratio (y axis) at each time point (+Vpr) were calculated by comparing the p-ERK/ERK ratio at each time point to the p-ERK/ERK ratio without doxycycline treatment (no Vpr). Endogenous or exogenous MEK2 expression levels were detected by immunoblotting using anti-MEK2 antibody. The phosphorylated forms of MEK1/2 were detected by immunoblotting using anti-phospho-MEK1/2 antibodies. * indicates the band for the phosphorylated form of MEK1/2, while ** indicates a cross-reacting band (1). We repeated the experiments at least three times. Representative data are shown.
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FIG. 7. Inhibition of Vpr-induced G2/M arrest by wild-type MEK2 and a constitutively active MEK2 mutant. Flp-In TREx 293 cells stably transfected with wild-type Vpr were transiently transfected with either a blank vector as a control plasmid, a wild-type MEK2 construct (MEK2 WT), or a constitutively active mutant of MEK2 (MEK2 CA). Twenty-four hours after transfection, the cells were treated with 1 µg/ml doxycycline for 24 h to induce Vpr (Vpr +) or left untreated (Vpr -). The results represent the mean of four experiments. The standard deviations of the values are shown as error bars. Differences between groups were examined for statistical significance using the unpaired t test. *, P < 0.02; **, P < 0.005.
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While the ATR mechanism can clearly result in cell cycle arrest by Vpr, the Vpr cell cycle arrest function is apparently an important enough activity that HIV has evolved two distinct mechanisms, both mediated by Vpr, to arrest the cell cycle: the previously described ATR-mediated pathway and the new pathway that we now describe, acting through the down-regulation of MEK2. Why might HIV Vpr target the cell cycle through two distinct mechanisms? The mechanisms of radiation-induced cell cycle arrest may offer some insight.
Once ionizing radiation exposure occurs, G2/M checkpoint cascades are activated through the activation of ATR for the repair of damaged DNA (Fig. 8). In addition to this activation, ionizing radiation also activates MEK1 and MEK2 to control the extent of G2/M checkpoint activity and to promote survival in response to the stress (1). However, cells expressing dominant-negative MEK2 showed a decreased ability to recover from G2/M checkpoint arrest once activated (1). Accumulating evidence, including our findings, suggest that the activation of ATR-mediated G2/M checkpoint arrest by Vpr acts as an initiator, while the down-regulation of the MEK2-ERK pathway by Vpr augments or maintains the G2/M cell cycle arrest induced by ATR activation.
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FIG. 8. Schematic representation of the putative signaling cascades mediating G2/M cell cycle arrest induced by Vpr protein. Previously described pathways, including those described by Zimmerman et al. (*) (46), who reported the involvement of the ATR-Chk1-mediated checkpoint pathway; Goh et al. (**) (16), who reported the direct inhibition of Cdc25C by Vpr; and Ussar and Voss (***) (38), who reported that the MEK2 knockdown results in centrosome amplification and multipolar spindle formation through reduced phosphorylation of RSK, are indicated. In our model, blockade of MEK2 activity also leads to cell cycle arrest at the G2/M checkpoint by decreasing ERK phosphorylation and abolishing the ability of the cells to recover from the G2/M checkpoint arrest.
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How might Vpr act through the down-regulation of MEK2 to arrest the cell cycle? One plausible mechanism might involve the centrosome. Ussar and Voss (38) reported that the MEK2 knockdown by short hairpin RNA resulted in deregulated centrosome duplication, followed by multipolar spindle formation. Their work showed that the MEK2 knockdown-mediated decrease in ERK phosphorylation decreases, in turn, the phosphorylation of RSK, which is required for the mitotic exit, providing a possible explanation for MEK2 down-regulation leading to the accumulation of the cells at G2/M (Fig. 8).
Some of the changes in cellular gene expression that accompany overexpression of Vpr may reflect a viral strategy aimed at optimizing the host cell for viral replication, but other changes may instead reflect a cellular response aimed at blunting the effects of Vpr. For example, the finding that Hsp70 is overexpressed following HIV infection (40) and with overexpression of Vpr (20), findings that we confirmed in our study, may represent such an attempt by the cell to subvert the pathogenesis strategies of the virus.
Although the de novo expression of Vpr occurs at late stages of the HIV replication cycle, large amounts of Vpr are efficiently packaged into progeny viral particles (3). Virion-associated Vpr acts as an immediate-early protein after virus entry and helps establish G2/M arrest and increases viral gene expression (18, 30). Since we examined the effects of Vpr within 24 h after induction of Vpr expression, our findings should reflect the immediate host cell response. Our results suggest that inhibition of the MEK2-ERK pathway may be elicited by virion-associated Vpr in vivo soon after virus entry.
Although p21, which was up-regulated in HIV-1-infected macrophages (39), was also up-regulated in our expression data, this up-regulation was not wild type specific. The previous report also showed that p21 was predominantly up-regulated beginning 7 days after infection, perhaps to enhance the next cycle of viral replication. Since our expression data reflect an immediate host cell response to Vpr overexpression, this discrepancy may be due to differences in the experimental model and our focus on the effects of a single HIV protein. During active viral replication, there may be several different confounding effects that make it difficult to appreciate the isolated effects of a single viral protein on the host cell.
While the focus of this report is the host cell cycle effects of Vpr, the data set developed in the course of this study is a rich one, and we expect that careful examination of the data may reveal other implications of Vpr's effects on host cell gene expression. Our findings also lend some additional support to the hypothesis that viruses have evolved ways of changing the host cell milieu to facilitate viral replication and that a careful study of those changes can illuminate important viral replication and pathogenesis strategies that can be investigated at a mechanistic level and that may suggest additional avenues for the development of novel antiretroviral therapeutics.
This work was supported in part by the National Institutes of Health Intramural AIDS Targeted Antiviral Program.
Supplemental material for this article may be found at http://jvi.asm.org/. ![]()
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