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Journal of Virology, April 2005, p. 4828-4837, Vol. 79, No. 8
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.8.4828-4837.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Laboratory of Persistent Viral Diseases, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, Montana,1 UNC Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina,2 Department of Biochemistry and Molecular Biology, Oregon Health Sciences University, Portland, Oregon3
Received 6 August 2004/ Accepted 5 December 2004
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Previously, sequences within the V1 and V2 regions of HIV envelope have been shown to influence various aspects of macrophage infection. For example, V2 can modulate the influence of V3 on macrophage tropism and also influences envelope interactions with soluble CD4 (25, 41). In addition, V1 and V2 changes may be required for the efficient production of virus in macrophages (40, 46). In our previous studies, differences in V1 and V2 envelope sequences were shown to be responsible for alterations in efficiency of HIV-1 spread in monocyte-derived macrophages (43). This effect was specific for macrophages in that the influence of V1 and V2 regions was not seen during infection of lymphocytes. Other V1 and V2 region differences were associated with variations in the extent of macrophage tropism and the ability to infect cells expressing low CD4 levels (33) and with the ability to induce apoptosis in neuronal and glial cells (19). In HIV-1 isolates adapted to growth in microglia, V1 and V2 region differences were associated with altered fusogenicity of microglia, although additional substitutions in nonenvelope regions were required for maximal replication in these cells (39). Additionally, studies of simian immunodeficiency virus-HIV-1 chimeric virus suggest that specific V2 region alterations are responsible for in vivo evolution of macrophage tropism from an exclusively T-cell-tropic simian immunodeficiency virus-HIV-1 chimeric virus in a rhesus monkey model (21, 22). In summary, while the V1/V2 region influences macrophage tropism, microglial tropism, and neurovirulence, the molecular mechanisms behind these effects have not been elucidated.
In the present study, use of new infectious recombinant and mutant HIV-1 molecular clones demonstrated that the main sequences responsible for efficient virus spread in macrophages were located in the V2 region. The mechanism of this effect on HIV-1 spread in macrophages appeared to involve an effect on virus entry into macrophages. In an effort to mimic the low levels of CD4 that are expressed on macrophages (15, 24, 29, 44), viral entry studies were also conducted with cell lines expressing different levels of the CD4 and CCR5 viral receptors (35). These experiments provided evidence that low CD4 levels were a significant barrier to entry of cells by HIV-1 clones with certain V1/V2 sequences. By acting as a selective factor on viruses during infection of macrophages in brain and other tissues of AIDS patients, this mechanism may influence various aspects of pathogenesis and disease progression.
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FIG. 1. Comparison of envelope amino acid sequences from the V2 regions of four chimeric infectious molecular HIV-1 clones. Recombinant clones were generated by the insertion of V1, V2, and V3 from the macrophage-tropic strain Ba-L in place of the original LAI envelope sequences of the infectious clone pNL4-3-10-17 derived from NL4-3. The names of each clone are indicated to the left of each sequence, followed by letters in parentheses that indicate whether the V1, V2, or V3 regions were derived from NL4-3 (N) or Ba-L (B), respectively. Amino acid residues are numbered starting from the first cysteine residue of the V2 hypervariable domain. Dashes indicate deleted residues. Relative locations of ClaI and StuI restriction endonuclease sites utilized in cloning reactions are indicated. Clone 20-36 (NNB) is identical to clone 21-85 (NBB) in the V2 amino acids upstream of the ClaI site, while these clones both differ from clone 49-5 (NNB) at V2 residue 6. Therefore, clones 20-36 and 21-85 were compared to eliminate a role for V2 residue 6 variations.
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Virus entry experiments. To measure the efficiency of virus entry following infection of macrophages or the various HeLa-derived cell lines, total cellular DNA, including reverse-transcribed viral DNA, was isolated and quantified by real-time PCR analysis. Briefly, before infection, virus stocks were treated with DNase (Gibco) at a concentration of 200 ng/ml in 10 mM MgCl2 for 30 min at 37°C just prior to use. For negative controls in the entry assay, aliquots of the DNase-treated virus stocks were heated to 56°C for 30 min prior to infection. HeLa (CD4+ and CCR5+) cells, maintained in a rapidly growing state, were plated at a density of 2.5 x 104 cells per well of a 48-well tissue culture plate in 0.8 ml of high glucose Dulbecco's modified Eagle medium (DMEM; Gibco) supplemented with 10% fetal calf serum. The following day, the medium was removed, and the cells were treated for 30 min at 37°C with 0.2 ml of DEAE-dextran at a concentration of 8 µg/ml in DMEM without serum. This solution was then removed, and the cells were infected for 2 to 3 h with 0.1 ml of two serial 10-fold dilutions of virus stock. At the end of this period, 0.8 ml of DMEM with 10% fetal calf serum was added. Eighteen hours later, cells were rinsed with phosphate-buffered saline (PBS). Total cellular DNA was prepared with the DNeasy Tissue kit (QIAGEN catalog number 69504). Briefly, each well received 0.2 ml of PBS, 20 µl of proteinase K solution, and 0.2 ml of lysis buffer (buffer AL). The tissue culture tray was sealed with Parafilm, wrapped with Saran Wrap, and floated in a water bath at 70°C for 30 min. Subsequent DNA purification was completed according to the manufacturer's instructions. The DNA was eluted from the column with a single elution volume of 0.1 ml. The eluted DNA was used directly for real-time PCR analysis. After isolation, total cell DNA was stored at 4°C until real-time PCR analysis was conducted.
In an effort to demonstrate that the real-time PCR signal measured from total cell DNA harvested at 18 h postinfection was an accurate reflection of only the quantity of virus that entered and not an indicator of initial entry plus additional rounds of infection, preliminary experiments were conducted at multiple time points surrounding the 18-h postinfection time point. These preliminary experiments were conducted in the presence and absence of the protease inhibitor, ritonavir, which limits infection to a single round, since newly generated virus is not infectious in the absence of protease activity. No difference was noted upon comparison of the real-time PCR data in the presence and absence of ritonavir; thus, the 18-h time point was sufficiently early enough in the life cycle of the virus that only levels of initial infection would be measured (data not shown).
For entry experiments in monocyte-derived macrophages, elutriated human monocytes (Advance Biotechnologies Incorporated, catalog number 07-210-001) were plated at a density of 5 x 105 cells per well of a 48-well tissue culture plate. The cells were maintained in 0.8 ml of macrophage medium (DMEM, 4 mM L-glutamine, 20% fetal calf serum, and 10% human AB+ serum [Advance Biotechnologies Incorporated, catalog number P2-201-100]). On day 8 after plating, the medium was removed, and the macrophages were treated for 30 min at 37°C with 0.2 ml of DEAE-dextran at a concentration of 8 µg/ml in DMEM without serum. This solution was then removed, and the macrophages were infected for 2 to 3 h with 0.1 ml of the same dilutions of virus stock as were used for the control JC37 HeLa (CD4+ and CCR5+) cells. At the end of this period, 0.8 ml of macrophage medium was added. Eighteen hours later, total cellular DNA was isolated and stored at 4°C until real-time PCR analysis was conducted.
Real-time PCR analysis.
Reaction mixtures were (each) 30 µl containing 10 µl of total cell DNA as eluted, 15 µl of 2x PCR master mix (Applied Biosystems, catalog number 4304437), 41F primer (5'-GGCTAACTAGGGAACCCACTGC-3') at 350 nM, 118R primer (5'-CAACAGACGGGCACACACTACT-3') at 350 nM, and U5 probe (6-carboxyfluorescein-AAGCCTCAATAAAGCTTGCCTTGAGTGCTC-6-carboxytetramethylrhodamine) at 180 nM. The probe and primers, specific to the HIV-1 U5 region, were designed with the Applied Biosystems software Primer Express. The 30-µl reaction mixtures were split between two wells in a 384-well plate to provide duplicate critical threshold measurements. Neither the presence of DNeasy column elution buffer nor the presence of uninfected cell DNA altered the critical threshold values (CT) obtained for a plasmid standard. PCR thermal cycling was carried out using the default settings for the AB 7900HT Sequence Detection system (10-min denaturation at 95°C, followed by 40 cycles, each consisting of 15 s of denaturation at 95°C and 1 min of annealing and extension at 60°C). Data shown in Fig. 3 and 4 were calculated by obtaining the CT value (cycle where the PCR amplification initiated the linear phase) for each sample.
CT was calculated for each virus by subtracting the CT value for entry in JC37 cells from the CT value for entry of the same sample in macrophages, and the
CT values were normalized to entry by clone 81A by subtracting the 81A value from each to obtain a 
CT value. The percent entry for each clone was calculated by the following formula: percent entry relative to clone 81A = 100(2
CT). For the results shown in Fig. 5, data was calculated similarly, except
CT represented the CT value for entry in JC24 cells subtracted from the CT value for entry of the same virus stock in the indicated HeLa cell line. Calculations for the results shown in for Fig. 6 were similar, except
CT was calculated for each virus by subtracting the CT value for entry in JC37 cells from the CT value from entry of the same virus in the indicated HeLa cell line, and the percent entry was calculated with the above equation without 81A normalization.
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FIG. 3. Comparison of the relative abilities of chimeric HIV-1 clones to enter macrophages. The values shown are relative percent entry, normalized to clone 81A (BBB). Calculation of relative percent entry was described in Materials and Methods. Error bars represent the standard errors of the mean. The virus input represents FFU as determined by titers of the virus on JC37 HeLa (CD4+ and CCR5+) cells. The real-time PCR data for each point was collected in five independent experiments in which each data point was assayed in duplicate for two separate virus dilutions.
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FIG. 4. Macrophage entry by parental and mutant HIV-1 clones differing in V2 residues as shown. Boxed residues are from the Ba-L clone and unboxed residues are from the NL4-3 clone. Values shown are percent entry relative to the 81A clone (100%). The real-time PCR data for each point was collected in three independent experiments in which each data point was assayed in duplicate on two separate virus dilutions.
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FIG. 5. Comparison of the relative abilities of different virus clones to enter HeLa cells expressing high (JC37) or low (RC49 and RC30) levels of cell surface CD4. HeLa cell cultures were infected with recombinant virus clones. The virus clone names are indicated on the left. The bars correspond to the percent relative entry normalized to 81A (BBB) entry within the same cell line. Error bars represent the standard errors of the mean. The real-time PCR data for each point was collected in four independent experiments in which each data point was assayed in duplicate.
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FIG. 6. Virus entry into HeLa cells as a function of receptor and coreceptor concentrations. Three chimeric viruses (81A [BBB], 21-85 [NBB], and 20-36 [NNB]) were used to infect HeLa cultures expressing various levels of surface CD4 and CCR5. Solid bars indicate percent relative entry into RC lines (low CD4) while hatched bars indicate entry into JC lines (high CD4). Percent relative entry was calculated utilizing real-time PCR analysis of reverse-transcribed HIV DNA contained within the infected HeLa cells. Levels of entry are normalized to levels of entry for each clone in JC37. The numerical designation of each cloned cell line as well as the relative levels of CD4 and CCR5 expressed on the surface of each line are indicated to the left of the histograms. Error bars represent the standard errors of the mean. No entry was seen in HI-J and HI-R HeLa-CD4 lines, which did not express CCR5. The data for each point was collected in four independent experiments in which each data point was assayed in duplicate.
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Assay for p24. At 3- to 4-day intervals, one-half of the supernatant was removed from infected PBMC cultures and from infected macrophage cultures and frozen at 70°C. The cultures were then fed with growth medium, and incubation was continued at 37°C until the next time point. The supernatant was assayed for p24 protein with a p24 capture enzyme-linked immunosorbent assay developed in this laboratory. Briefly, the anti-p24 monoclonal antibody 183-H12-5C (ARRRP catalog number 3537) was diluted 1/800 in 0.05 M sodium carbonate buffer (pH 9.6) or in PBS (pH 7.2), and 0.1 ml was added to each well of Immulon 2 HB plates (Thermo Labsystems catalog number 3655). The plates were incubated overnight at 37°C and then washed once with PBS. Plates were blocked by incubation with 0.25 ml of PBS containing 5% FBS for 1 h at 37°C. Plates were washed twice with wash buffer (PBS containing 0.2% Tween 20). Culture supernatants were mixed with 1/10 volume of PBS containing 10% Triton X-100. Dilutions of supernatants and subsequent antibodies were made in PBS containing 5% FBS and 0.5% Triton X-100. An aliquot of 0.1 ml of the diluted culture supernatant was then added to each well, and the trays were incubated at 37°C overnight. The plates were washed four times with wash buffer, and 0.1 ml of a 1:1,000 dilution of human anti-HIV antibody (ARRRP catalog number 192), biotinylated by standard procedures, was added to each well. The plate was incubated for 1 h at 37°C and washed four times with wash buffer. An aliquot of 0.1 ml of horseradish peroxidase-conjugated streptavidin (Oncogene catalog number OR03L) at a 1/2,000 dilution was added to each well, and the trays were incubated for 30 min at 37°C. The plates were washed six times with wash buffer, 0.1 ml of peroxidase substrate (10 ml of 0.01 M sodium acetate [pH 5.0], 0.3 ml of 4 mg of tetramethylbenzidine [Calbiochem catalog number 613545]/ml in dimethyl sulfoxide, and 5 µl of 30% H2O2) was added, and the plates were incubated at room temperature until the optical density at 630 nm of the most concentrated standard (1,000 pg/ml) was 1.2. The reaction was stopped with 0.05 ml of 2 M H2SO4, and the optical density was read at 450 nm. Values were compared to a standard curve made with p24 (ARRRP catalog number 382) at concentrations from 25 to 1,000 pg/ml.
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Cultures of PBMC and macrophages were infected with virus generated from the group of chimeric HIV-1 clones that contained V1 and V2 regions from NL4-3 at high and low inputs of virus per culture, and replication was measured by p24 capture enzyme-linked immunosorbent assay (Fig. 2). Each chimeric virus grew well in the PBMC cultures, reaching high p24 levels after 10 days. After the infection of macrophages with high virus input, BBB and NBB clones grew rapidly. In contrast, NNB clones grew slowly. NNB clones reached a plateau of p24 in supernatant which was 100-fold lower than that attained by the other clones (Fig. 2). Similar results were seen for the chimeric viruses after infection with the lower input. A minor delay in BBB replication at the lower input was observed in this single experiment; however, BBB and NBB clones both spread effectively to high levels by day 20 in this and three other independent experiments. Thus, the V2 region of Ba-L appeared to be required for high-level infection and spread in macrophage cultures. On the other hand, the V1 region exerted only very limited effects when combined with V2. These effects were specific for macrophages, as there was no difference seen in the infection of PBMC by these same viruses.
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FIG. 2. Influence of HIV-1 V1 and V2 envelope sequences on kinetics of p24 production following infection of PBMC (left) and macrophage (right) cultures with either high or low inputs of virus generated from clone 81A (BBB) (), 21-85 (NBB) ( ), 49-5 (NNB) ( ), CBB ( ), or CCB ( ). High-input experiments were done using a 1,000 to 2,500 PBMC TCID50 for infection, and low-input experiments were conducted using a 100 to 250 PBMC TCID50. The V2 region of Ba-L was required for high-level infection of macrophages but not PBMC. These data are from a single experiment that was representative of results obtained in four independent experiments.
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NNB clones produce infectious virus in macrophage cultures. Since the viral stocks used in the above experiments and our previous studies were made with PBMC or JC37 HeLa (CD4+ and CCR5+) cultures, one possible explanation for the lack of spread of NNB viruses in macrophage cultures might be a defect in virus output in macrophages, leading to lack of production of infectious virus after the initial infection. To test this possibility, supernatants from infected macrophages were tested for infectivity. In these experiments, NNB virus was detectable at low levels in the supernatants of the infected macrophage cultures (Table 1). Using supernatant fluids from macrophage cultures infected by BBB clones, higher levels of infectious virus were detectable. Thus, although NNB virus titers produced by macrophage cultures were lower than those of BBB viruses, this difference appeared to reflect the difference in the percent of macrophages infected by these clones, as there did not appear to be an overall inability of macrophages to release infectious NNB virus (Table 1).
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TABLE 1. Detection of infectivity in supernatant of HIV-1-infected macrophagesa
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To determine which amino acid residues in V2 might account for these differences in entry, a series of mutant V2 clones were generated and tested. A total of 6 residues out of the 40 in V2 differed in the NBB versus NNB clones used for this study (Fig. 4). In the viral entry studies, no single amino acid position appeared to completely control entry; however, three mutant clones (BN4, BN5, and BN1) entered cells similarly to the NBB parental clone (Fig. 4). The only common mutant residue in all three of these clones was glutamic acid (E) at position 22, but this change alone in mutant BN8 was not sufficient to give a high entry level. These data indicated that multiple residues in V2 are required to produce the observed changes in viral entry associated with the V2 region of the Ba-L clone.
Entry of NNB clones is influenced by target cell surface CD4 concentration.
While PBMC have been shown to express
105 CD4 molecules per cell (28), macrophages express CD4 at relatively low or undetectable levels (15, 20, 24, 29, 44). To examine whether low cell surface concentrations of CD4 on macrophages could be responsible for the distinct entry phenotypes of the clones described above, we utilized two panels of HeLa cell lines that expressed differing levels of CD4 (35). The JC series expressed
4 x 105 CD4 molecules per cell, which is similar to PBMC, while the RC series expressed
104 CD4 molecules per cell, which is similar to levels previously estimated on differentiated macrophages (20, 24). In addition to the two distinct levels of cell surface CD4, multiple JC and RC subclones expressed various, defined levels of CCR5 (35).
When cells with high CD4 levels were tested (JC37), viral entry was similar for BBB, NBB, and NNB clones; thus, the differences in the V1 and V2 regions had no effect (Fig. 5). In contrast, when CD4 levels were 10- to 40-fold lower (cell lines RC49 and RC30), the pattern of entry was similar to that observed in macrophages, as BBB and NBB viruses entered at a high level, whereas NNB viruses entered poorly (Fig. 5). These results were similar whether CCR5 cell surface expression was high (RC49) or low (RC30). Since differentiated macrophages have low CD4 levels, these results suggested that the reduced macrophage entry by HIV-1 clones containing V2 sequences from NL4-3 was associated with the relatively low levels of CD4 expressed on these cells.
HIV-1 entry and spread is modulated by cell surface receptor-coreceptor concentrations and V1/V2 loop sequences. To study the role of various CCR5 concentrations in the context of both high and low CD4 expression, several additional HeLa cell lines were analyzed for viral entry by the three types of HIV-1 clones, BBB, NBB, and NNB. These results together with those shown in Fig. 5 are presented as a function of CCR5 concentration in Fig. 6. In the JC series of cell lines where CD4 expression was high, all three types of viruses were capable of efficient entry over a wide range of CCR5 expression levels. Only in JC10 cells, which expressed the lowest CCR5 levels, was a significant decrease in entry observed (Fig. 6). No entry was seen in the original CCR5-negative cell clone (HI-J), confirming that CCR5 expression was required for entry by these viruses. The slight decrease in entry using JC48 and JC24 cells appeared to be due to the loss of some of these cells from the monolayer during extensive fusion at the time of infection. In contrast to the results with JC lines, CCR5 expression level was critical in the RC lines, which expressed a 40-fold-lower CD4 level, and entry was reduced concurrently with CCR5 expression. Again, no entry was seen when CCR5 was not present (clone HI-R). In the RC cell lines, BBB virus entered at a level slightly better than NBB, and NBB in turn entered better than NNB (Fig. 6). Together these data suggest that limiting quantities of cell surface CD4 or CCR5 had dramatic effects on the entry phase of viral infection by certain HIV-1 clones, depending mostly on their V2 envelope sequences; however, V1 also played a detectable role in combination with V2, as indicated in small differences observed between BBB and NBB clones in these experiments.
Influence of CD4 and CCR5 concentrations on viral fusogenicity and spread. In our previous studies, we noted that BBB clones, which spread extensively in macrophages, also induced a high level of cell fusion during infection, in contrast to NNB clones which spread poorly and failed to fuse macrophages (43). Therefore, we were also interested in studying the effects that cell surface receptor concentrations and viral V1 and V2 sequences might have on fusogenicity and spread of virus in the JC and RC HeLa cell lines. Following infection of these lines, virus was allowed to enter and spread throughout the cultures for a period of 3 days, at which time the cultures were fixed and stained for viral p24 antigen.
When CD4 concentrations were high (JC cell lines) and CCR5 levels were constant, BBB, NBB, and NNB viral clones were similar in levels of both entry and fusion, but the extent of cell fusion induced by these viruses was greatly influenced by CCR5 concentrations (Fig. 7). On JC10 cells, which have the lowest CCR5 levels, virus antigen-positive foci were found in small clusters of two to five cells with minimal fusion, whereas on JC37, antigen-positive foci were multinucleated giant cells with 10 to 20 nuclei each; on JC24 cells, with the highest CCR5 levels, viral foci were even larger than those seen with JC37 cells (Fig. 7).
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FIG. 7. Immunohistochemical detection of HIV-1-infected foci in HeLa cultures. HeLa cell cultures were infected with a chimeric virus and on day 3 postinfection were fixed and stained for p24 by an indirect immunoperoxidase technique. The HeLa cell line utilized in each focus assay along with approximations of the relative concentrations of CD4 and CCR5 expressed on the surface of each line are indicated to the left of each row of micrographs. The chimeric virus clone used for infection is indicated above each column of micrographs. No foci were seen in HI-J and HI-R HeLa-CD4 lines which did not express CCR5 (data not shown).
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While all HIV-1 clones tested were able to enter HeLa-CD4 and CCR5 cells expressing high levels of CD4, our experiments conducted in HeLa cells expressing lower cell surface CD4 concentrations provide a possible explanation for how viruses containing NL4-3 V1 and V2 hypervariable regions distinguish macrophages from PBMC. These HeLa cells were not efficiently entered by viruses containing NL4-3 V1 and V2 hypervariable regions (NNB) (Fig. 5 and 6). Since macrophages have been shown to express low levels of cell surface CD4 concentrations (15, 24, 29, 44), a similar effect is likely to occur in macrophages. Therefore, we propose that NNB viruses distinguish macrophages from PBMC based upon cell surface CD4 concentrations. While cells that express CD4 above a threshold level (JC lines and PBMC) can be efficiently entered by viruses with NL4-3 V1 and V2 regions, cells that express CD4 below this threshold (RC lines and macrophage) are not. Our data using clones expressing V1 and V2 sequences from JR-CSF (Fig. 2) suggest that this effect might be a general phenomenon. This conclusion is supported by numerous previous reports describing HIV clones or isolates with differing abilities to infect cells expressing low CD4 levels. In some cases, this ability has correlated with the distinction between macrophage-tropic and non-macrophage-tropic viruses (4, 33), but in other cases this ability has been associated with an enhanced ability to cause apoptosis in neuronal cultures (19) or increased replication capacity in microglia (39). The results in the latter study differ from our data in that the main effect of viral envelope appeared to map to the V1 region, rather than to V2. In contrast, one previous study demonstrated that the reduced macrophage entry observed for a group of R5 primary isolates was not moderated by increased expression of CD4 (18), so CD4 level may not be the only macrophage attribute capable of influencing efficiency of HIV infection.
In an effort to map more precisely V2 residues responsible for the effects observed on virus entry and spread in macrophage cultures, we generated additional infectious recombinant HIV-1 clones that contained NL4-3-Ba-L chimeric V2 sequences. All viruses that efficiently entered macrophages had a negatively charged glutamic acid residue from the Ba-L clone at V2 position 22 instead of a positively charged lysine residue from the NL4-3 clone (Fig. 4). However, clone BN8, which had only this substitution had a low entry level, and one clone (BN2), lacking glutamic acid at position 22, had intermediate levels of entry. These results indicate that this single amino acid substitution is neither necessary nor sufficient for a high entry level, and other structural features must also be important. For example, V2 contains three N-linked glycosylation sites that modulate the interaction of HIV-1 envelope with CD4 and CCR5 to specifically influence macrophage infection but not PBMC infection (30). In our clones, the glycosylation site at residue 32 in the V2 of Ba-L was relocated to residue 30 in the V2 of NL4-3. Perhaps these differences in glycosylation sites in the V2 region also influence viral entry level. Since no single amino acid residue or distinct region of V2 appeared to completely control entry, it is likely that overall V2 conformation is an important factor in the effects observed.
While the HeLa cell entry data suggested a definitive role for CD4 concentration in modulation of macrophage entry, the precise mechanism of V1 and V2 involvement is not known. Since no V1 or V2 residues have been shown to directly interact with CD4, it is unlikely that a direct V1/V2-CD4 interaction could account for the observed CD4-dependent effects of V1/V2. On the other hand, two distinct mechanistic possibilities could explain how CD4 concentrations could differentially modulate entry of viruses containing different V1/V2 loops. The conformation of envelopes containing certain V1 and V2 residues and/or glycosylation patterns could indirectly influence CD4 binding by other regions of envelope. Alternatively, when target cell surface CD4 is limiting, envelope conformational changes that are necessary for productive interactions with CCR5 might be more efficiently attained when certain V1 and V2 sequences and/or glycosylation patterns are present. In either case, viruses containing Ba-L V2 sequences might require fewer CD4 interactions for entry than do NL4-3 V2 viruses.
The current model of HIV entry involves two sequential conformational changes in gp120 prior to activating the actual fusion machinery in gp41 (for reviews, see references 5 and 34). The first conformational shift occurs as a consequence of the interaction of CD4 with envelope and results in the creation, stabilization, or exposure of a coreceptor (i.e., CCR5) binding site on gp120. Once the envelope binds to the coreceptor, the resulting conformational change induces activation of the fusion domains in gp41 that ultimately mediate fusion and/or entry. One role of V1/V2 in certain HIV isolates may be to limit the exposure of certain envelope regions involved in coreceptor binding until sufficient CD4-envelope interactions have occurred as a way of hiding the coreceptor binding site from antibody binding (4, 7, 26, 32, 38, 42, 47, 48). In this model, part of the envelope coreceptor binding site is occluded by a V1/V2 arm that is displaced upon CD4-envelope interaction exposing the coreceptor binding site.
In agreement with the above hypothesis, our entry and fusion spread data (Fig. 6 and 7) suggest that certain V2 region sequences (e.g., NL4-3) can impede HIV-1 entry into cells expressing limited surface CD4 concentrations. When the NL4-3 V2 loop was present (NNB viruses) and CD4 concentrations were low, entry and fusion spread were severely diminished. However, if CD4 expression was increased, this block was removed, entry was rescued, and fusogenicity became a direct function of CCR5 concentration. On the other hand, if the Ba-L V2 loop was present (BBB and NBB viruses), both entry and fusogenicity were still dependent on CCR5 concentrations, but no difference was seen in the two CD4 concentrations tested. Thus, the entry block imparted by NL4-3 V2 sequences could be removed either by increasing target cell surface CD4 concentrations or by substitution of nonblocking V2 sequences (e.g., Ba-L). While our work does not describe the precise molecular interactions involved in HIV entry, these studies are in agreement with the hypothesis of Sodroski and colleagues suggesting that certain V1 and V2 loops (e.g., NL4-3 V1/V2) might act to block CCR5 access to its envelope binding site until CD4 binds (32, 42, 48). It is possible that certain V1/V2 sequences (e.g., Ba-L V1/V2) could impart increased structural flexibility to the V1/V2 loop, resulting in a decrease in the energy barrier required for the conformational rearrangements necessary for exposure of the CCR5 binding site. Hence, in the case of Ba-L V1/V2 viruses, fewer CD4-envelope interactions would be necessary for entry compared with the more structurally constrained V1/V2 of NL4-3 viruses.
Since macrophages and microglia have been shown to express limited cell surface CD4, the above findings may have implications for cell tropism and selection of viruses in tissues such as lung and brain, where macrophages or microglia are numerous. In such tissues, one would predict selection of HIV clones with the V1 and V2 sequences associated with efficient and rapid spread in macrophages. In fact, this result was observed in our previous study of HIV-1 envelope sequences isolated directly from the brains of infected individuals (36). Similar findings have been reported by other groups (19, 33). Possibly these envelope sequences not only facilitate increased replicative capacity for microglia but also mediate additional pathogenic potential for brain tissue, leading to the syndrome of HIV-associated dementia or other central nervous system manifestations of HIV infection (19, 33). Furthermore, the selective pressures present under conditions of limiting CD4 might eventually favor CD4-independent viruses, as has been suggested in both studies conducted with HIV and simian immunodeficiency virus (6, 37).
At early times in the course of infection, macrophage-tropic viruses are usually present. In one study, macrophage-tropic viruses isolated immediately after seroconversion had a slow-replication phenotype, whereas at later time points more rapidly replicating macrophage-tropic viruses were isolated (13). While the authors demonstrated that both early and late isolates could infect macrophages, the efficiency of entry was not directly assayed. Possibly the slow-replicating strains found shortly after transmission are similar to the NNB viruses studied here. However, it remains unclear what advantage these slow-spreading clones might have in the complex set of events that occur during transmission to a new host. In any case, these viruses would be likely to be important targets for future vaccine development.
R.S. was supported by NIH grant R01-AI44667 and the UNC Center for AIDS Research (P30-AI50410).
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