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Journal of Virology, May 2006, p. 4557-4569, Vol. 80, No. 9
0022-538X/06/$08.00+0 doi:10.1128/JVI.80.9.4557-4569.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
-Luminol (Galavit)
Na Liu,
Amy J. Reid,
William S. Lynn, and
Paul K. Y. Wong*
The University of Texas M. D. Anderson Cancer Center, Science Park-Research Division, Smithville, Texas 78957
Received 16 November 2005/ Accepted 6 February 2006
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-luminol (Galavit; GVT) suppresses oxidative stress and Nrf2 activation in cultured ts1-infected astrocytes. GVT treatment also inhibits the development of spongiform encephalopathy and gliosis in the central nervous system (CNS) in ts1-infected mice, preserves normal cytoarchitecture in the thymus, and delays paralysis, thymic atrophy, wasting, and death. GVT treatment of infected mice reduces ts1-induced oxidative stress, cell death, and pathogenesis in both the CNS and thymus of treated animals. These studies suggest that oxidative stress mediates ts1-induced neurodegeneration and T-cell loss. |
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Thymocytes isolated from mice infected with ts1 rapidly die by apoptosis (49, 67). However, only about 40% of astrocytes infected with ts1 in culture die, while the remaining astrocytes survive and continue to proliferate (28, 46, 50). In infected mice, likewise, some ts1-infected astrocytes die while others are activated and accumulate in astrogliotic foci in the spongiform lesions (56, 71). Since neurons are not infected, they apparently die as an indirect result of local glial infection (34, 56, 57).
Oxidative stress occurs in cells when the production of reactive oxygen species (ROS) exceeds intracellular antioxidant defenses (5). At low concentrations, ROS can stimulate cell proliferation (4, 27), but at higher concentrations, they damage cells by oxidizing proteins, DNA, and lipids (20, 32) or by initiating apoptotic pathways (12). Oxidative stress has been implicated in the neuropathogeneses of many diseases, such as HIV-associated dementia (17, 36, 38, 39, 60), Alzheimer's disease (8, 37, 51, 52), and ataxia telangiectasia (3, 6, 10, 21, 31).
Many viruses, including retroviruses, initiate oxidative stress in infected cells. Oxidative stress in cells is accompanied by accumulation of ROS, oxidant damage, and depletion of reduced thiols (9, 13, 44, 45, 47, 61). The source(s) of ROS in virus-infected cells is unclear. In humans, infection with HIV type 1 is associated with elevated serum levels of products of lipid peroxidation, including malondialdehyde (MDA) (16, 53). These patients also show decreased plasma levels of the reduced thiols glutathione (GSH) and cysteine, both of which participate in antioxidant defenses (7, 15, 16).
Infection of thymocytes and astrocytes with ts1 in vitro causes both intracellular accumulation of gPr80env (18, 50, 58, 66) and overproduction of ROS, with depletion of GSH and cysteine. We have shown previously that gPr80env accumulation in the endoplasmic reticulum (ER) of ts1-infected cells causes ER stress, with release of calcium (Ca2+) from ER stores (24, 29). This in turn results in mitochondrial stress, resulting from mitochondrial membrane permeabilization, uncoupling of the respiratory chain, and cytochrome c release, followed by mitochondrial stress (23, 25, 29, 43, 54).
In cells undergoing oxidative stress, the redox-sensitive transcription factor NF-E2-related factor 2 (Nrf2) is upregulated and translocated to the nucleus, thereby upregulating the expression of GSH synthesis-related genes (22, 26). We have reported that the Nrf2 antioxidative response pathway is activated in astrocyte cultures infected with ts1 (45) and that some cells in such cultures survive infection as a consequence of these defenses (46).
We have also shown that treatment of ts1-infected mice with the antioxidant N-acetylcysteine (NAC) delays the onset of hindlimb paralysis and delays thymic atrophy (35). Similar partial therapeutic results were observed in ts1-infected mice treated with the peroxisome proliferator phenylbutyric acid (PBA), which upregulates production of the H2O2 scavenger catalase (30).
We show here that a refined monosodium
-luminol (Galavit; GVT) suppresses ROS accumulation and oxidative stress in ts1-infected primary astrocyte cultures (PACs). In ts1-infected mice, GVT administration suppresses hindlimb paralysis, body wasting, thymic atrophy, and development of spongiform and astrogliotic encephalopathy in the CNS. GVT treatment also reduces lipid peroxidation in the CNS and thymus of infected animals.
In ts1-infected mice, GVT treatment prevents cytopathic effects both in the CNS and in the thymus. Although ts1 replication continues in the thymus during treatment of infected mice, it is suppressed in the CNS if treatment is begun immediately after infection. However, when GVT treatment is delayed until 10 days p.i., allowing initial viral replication in the CNS, neuroprotection occurs without effects on the viral titer. We conclude that GVT suppresses virus replication and virus-induced cytopathology in the CNS by reducing oxidant stress, rather than by way of direct antiviral effects of the drug. Similarly, GVT protection of the thymus, which occurs while virus is replicating there, indicates that cytopathic effects of ts1 in this location are also caused by oxidative stress resulting from infection, rather than by the viral load per se.
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Virus. The ts1 virus, a mutant of MoMuLV, and the parent strain MoMuLV-TB, or wild-type (WT) virus, was propagated in TB cells and titered on 15F cells, as previously described (65).
Intracellular ROS assay. Intracellular ROS were measured with 5-(and-6)-chloromethyl-2',7'-dichlorodihydrofluorescein diacetate acetyl ester (CM-H2DCFDA) (Molecular Probes, Eugene, OR), as described previously (45). Briefly, half of each of the mock-infected and virus-infected PACs were treated with either NAC or GVT. As a positive control representing PACs under induced oxidative stress, some cultures of uninfected PACs were exposed to culture medium containing 88 µM H2O2. After this step, all the cell cultures were loaded with CM-H2DCFDA at a concentration of 10 µM and incubated at 37°C for 30 min. The dye-loaded cells were then harvested, and their forward and side scatter fluorescences were determined using a Coulter Epics Elite software program, version 4.02 (45).
Western blotting analysis. Western blotting analysis of cell and tissue proteins was performed as described previously (45, 46). The antibodies used in Western blotting analysis included anti-Nrf2 (Santa Cruz Biotechnology, Santa Cruz, CA), anti-glutathione peroxidase (GPx) (Chemicon International, Temecula, CA), and anti-xCT. xCT is one of two subunits of the cell membrane cystine-glutamate antiporter system Xc. Anti-xCT was prepared in our laboratory against the synthetic peptide SMGDQEPPGQEKVVLKKKIT (amino acids 26 to 45 of the mouse xCT antiporter).
The net intensities of protein bands of interest were determined by densitometric analysis of autoradiographs with a Kodak (Rochester, NY) Digital Science Image Station 440 CF and Kodak 1D Image Analysis software. Band intensities were then normalized to ß-actin intensities and compared for differences between experimental and control conditions. All Western blotting results were replicated in three independent experiments.
ts1 infection and GVT treatment of cultured astrocytes. PACs were isolated from the cerebral cortexes of 1- to 2-day-old mice and seeded into six-well plates. On the second day of culture, all cells were treated with 3 µg/ml Polybrene in DMEM-F-12 for 1 h and then treated either with virus diluent alone (control uninfected cells) or with ts1 supernatant (from infected TB cells) at a multiplicity of infection of 15 for 40 min at 34°C. At this multiplicity of infection, more than 99% of the cells are infected by virus from the original inoculum. The uninfected and infected cultures were then washed and divided into groups that received no treatment (vehicle alone), NAC treatment, or GVT treatment at different concentrations. At 48 h p.i., culture supernatants were aspirated and stored at 80°C for later measurement of their contents of ts1 virus (65). At the same time, the cells from these cultures were trypsinized, resuspended, and stained with trypan blue for 5 min, and living and dead cells were counted with a hemocytometer.
Mice, infection, and drug treatment. FVB/N mice were obtained from Taconic Farms (Germantown, NY). Breeding pairs were housed in sterilized microisolator cages and supplied with autoclaved feed and water ad libitum. The microisolators were kept in an environmentally controlled isolation room. For ts1 or WT infection, 4-day-old mice were inoculated intraperitoneally with 0.1 ml of vehicle (mock infection) or with 0.1 ml of a ts1 or WT virus suspension containing 2 x 107 infectious units (IU)/ml of ts1 or 2.4 x 107 IU/ml of the WT.
Before testing for a therapeutic effect of GVT in ts1-infected mice, we first tested GVT for its toxicity in uninfected FVB/N animals at either of the two treatment dosages used in this study (125 mg/kg of body weight/day or 250 mg/kg of body weight/day). Three groups of FVB/N mice were treated daily by intraperitoneal injection, beginning at 6 days after birth, with 0.9% normal saline (untreated controls), 125 mg/kg of body weight/day of GVT or 250 mg/kg of body weight/day of GVT for 30 days. Starting from the first day of injection, the body weights of all animals in each group were recorded and averaged at specified time points.
To test GVT for its ability to ameliorate ts1 disease, animals from the control, ts1-infected, and WT virus-infected groups of mice were divided again into two groups each at 2 days p.i., with one group receiving 0.9% normal saline and the other receiving freshly prepared GVT (250 mg/kg of body weight/day; kindly provided by Bach Pharma, Inc., North Andover, MA) delivered intraperitoneally for 5 continuous days per week, followed by 2 resting days, for 50 days. A second experiment was set up in which the GVT dose was half of the original dose (125 mg/kg of body weight/day), and treatment lasted for 100 days. Finally, a third set of animals was infected with ts1, with some animals treated with vehicle only and others treated with GVT (250 mg/kg of body weight/day), with both treatments beginning at 10 days p.i. rather than immediately after infection. Some of this third set of animals were sacrificed at 30 days p.i. for ts1 titer determinations, while others were followed for the construction of survival curves (treatment stopped at 50 days p.i.).
Mice from all groups were checked daily for clinical signs of disease and sacrificed when moribund and paralyzed. Parallel experiments were done for tissue virus titer assays, thymus weight, and immunohistochemistry studies. The brainstems, spinal cords, and thymi were removed at 10, 20, 30, and 80 days p.i., snap-frozen in liquid nitrogen, and stored at 80°C until they were used. Alternatively, tissues were snap-frozen in liquid nitrogen in optimal cutting temperature (OCT) embedding medium (Sakura Finetek, Inc., Torrance, CA) for frozen-section immunohistochemistry or were incubated in 10% formalin for histological analysis. All animal procedures were performed according to protocols approved by The University of Texas M. D. Anderson Cancer Center Institutional Animal Care and Use Committee.
Virus detection and quantitation in tissues. Frozen brainstem, spinal cord, and thymus tissues were weighed and then homogenized (40 strokes) (Kontes Glass Co., Vineland, NJ) in 2 ml ice-cold basal DMEM (11). Cell debris was removed by filtration through a 0.45-µm syringe filter (Pall Corporation, Ann Arbor, MI). The titers (IU/ml) of ts1 in these lysates were determined using a modified 15F assay (65), in which ts1 in each tissue was measured using the following formula: [volume of sample (2 ml) x virus titer in the sample]/weight of tissue (g). The titer of virus was taken as the average titer from three to six mice.
Histopathology and immunohistochemistry. Formalin-fixed, paraffin-embedded tissues from control uninfected, ts1-infected untreated, and ts1-infected GVT-treated mice were cut into 5-µm-thick sections, attached to slides, deparaffinized, rehydrated, and stained with hematoxylin and eosin (HE) for histopathological analysis. For GFAP immunostaining of paraffin sections, endogenous peroxidase activity was blocked by incubation of the slides in 3% H2O2 for 10 min. After antigen retrieval (heating in a microwave oven), the slides were incubated for 30 min in 10% goat serum in phosphate-buffered saline, followed by washing and incubation for 30 min (at room temperature) in rabbit anti-mouse GFAP primary antibody (DAKO, Santa Barbara, CA). After incubation, the sections were washed with phosphate-buffered saline and then incubated in horseradish peroxidase-conjugated anti-rabbit immunoglobulin G (IgG) (DAKO) for 30 min at room temperature.
For gp70 and MDA staining, serial 5-µm-thick frozen sections were cut from OCT-embedded blocks, placed on microscope slides, and kept at 80°C. One of every five sections was stained with HE. The other frozen sections were thawed at room temperature for 30 min, fixed in ice-cold acetone for 5 min, washed, and incubated overnight at 4°C with goat anti-gp70 (Microbiology Associates, Burlingame, CA) and with rabbit anti-MDA antibody (Alpha Diagnostics, San Antonio, TX). Anti-gp70 and anti-MDA antibody binding was detected by incubation of the slides in fluorescein isothiocyanate-conjugated donkey anti-goat IgG F(ab')2 (Jackson Laboratories, West Grove, PA) mixed with Texas Red-conjugated anti-rabbit IgG (Jackson Laboratories, West Grove, PA). After incubation in the secondary reagents and washing, the sections were mounted in Vectastain mounting medium (Vector Laboratories, Burlingame, CA) for viewing under an Olympus BX40 fluorescence microscope. Control sections were incubated in the presence of affinity-purified goat and rabbit IgG, followed by secondary antibodies, or in secondary antibodies alone without primary reagents. No specific binding was observed on these control sections (data not shown).
[3H]thymidine incorporation into DNA. Thymocytes were isolated by a routine method (48, 67, 68). Single-cell suspensions of thymocytes were incubated in 96-well plastic tissue culture plates at 37°C in the presence of 0.5 µCi of [3H]thymidine (Amersham Pharmacia Biotech, Piscataway, NJ) per well. After 4 h, the cells were harvested, and [3H]thymidine incorporation into DNA was measured with a scintillation counter (Packard, Meriden, CT). The results were expressed as mean counts per minute ± standard deviation in triplicate cultures.
Statistical analysis. Quantitative differences between groups were compared for statistical significance by analysis of variance or Student's t test. Survival data were handled using Kaplan-Meier analysis. P values of <0.05 were considered statistically significant.
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-luminol (monosodium 5-amino-2-3-dihydro-1-4-phthalazine dione), is shown in Fig. 1A. This drug has anti-inflammatory effects in humans. Although the acute and chronic toxicities of GVT have been studied extensively by Russian scientists, the compound was not available in the United States until recently (40).
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FIG. 1. Chemical structure of GVT and lack of GVT toxicity in mice at therapeutic doses. (A) GVT structure. (B) For studies of the effect of GVT on the growth of FVB/N mice, 6-day-old FVB/N mouse pups were divided into three groups, and the different groups were given intaperitoneal injections of normal saline, GVT in normal saline (250 mg/kg of body weight/day), or GVT in normal saline (125 mg/kg of body weight/day), with injections given 5 days per week. At each time point, six mice from each group were weighed. The graph shows the mean body weight ± standard deviation for each group at each time point. All animals were also observed daily for behavioral and clinical manifestations of drug toxicity.
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GVT treatment reduces ROS accumulation in ts1-infected astrocytes. We have shown previously that in vitro ts1 infection of PACs, or C1 astrocytic cells, causes intracellular ROS accumulation, followed by cell death, in approximately 40% of the astrocyte population (45). To determine whether ts1-induced ROS accumulation and cell death could be countered by the antioxidant NAC or GVT, we compared intracellular ROS levels in control uninfected, ts1-infected untreated, and ts1-infected NAC-treated or ts1-infected GVT-treated cells by flow cytometry, using the H2O2 indicator dye CM-H2DCFDA (45). As a positive control for oxidatively stressed PACs, one group of uninfected PACs was exposed to 88 µM H2O2 before all cells were loaded with 10 µM CM-H2DCFDA.
The fluorescence-activated cell sorter (FACS) fluorescence intensity diagrams in Fig. 2A show that, as expected, intracellular H2O2 was increased in H2O2-treated PACs relative to H2O2 in untreated PACs. Figure 2B shows that for PACs infected with ts1, intracellular H2O2 was also increased over control levels in some (
40%) of the cells, producing a bimodal curve with low-H2O2 cells under the left peak and high-H2O2 cells under the right peak. ts1-induced increases in H2O2 were reduced both by NAC (Fig. 2C) and by GVT (Fig. 2D).
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FIG. 2. Intracellular H2O2 levels in ts1-infected untreated and ts1-infected GVT-treated primary astrocyte cultures. Uninfected or infected PACs were untreated, treated with 10 µM GVT, or treated with 5 mM NAC. After being cultured for 48 h, one group of uninfected PACs was pulsed with culture medium containing 88 µM H2O2 to serve as a positive control for cells containing elevated H2O2. Cells from all of the cultures were then loaded with 10 µM CM-H2DCFDA for 30 min, followed by flow cytometric measurement of their H2O2 contents. (A) FACS histogram of ROS levels in untreated uninfected PACs (black line) versus H2O2-treated PACs (blue line). (B) FACS histogram of uninfected PACs (black line) versus ts1-infected PACs (red line and red fill). (C) FACS histogram of ts1-infected PACs treated with NAC (green line) versus ts1-infected PACs left untreated (red line and red fill). (D) FACS histogram of ts1-infected PACs treated with GVT (green line) versus ts1-infected PACs left untreated (red line and red fill).
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FIG. 3. GVT treatment suppresses Nrf2 nuclear translocation in ts1-infected PACs. Uninfected or infected PACs were either left untreated or treated with 100 µM GVT for 48 h, at which time their nuclear proteins were extracted and immunoblotted with antibody to Nrf2. The results are representative of three independent experiments. Band intensities were then normalized to ß-actin intensities and compared for differences between experimental and control conditions.
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To test this hypothesis, we randomly divided uninfected and ts1-infected FVB/N newborns into two groups, one of which received intraperitoneally injected 0.9% normal saline, with the other receiving the same volume of GVT solution (250 mg/kg of body weight/day), each for 5 days/week. In this experiment, treatment was stopped at 50 days p.i. By that time, 83% of the mice in the untreated infected group had died (Fig. 4A), and all the surviving mice in this untreated group were paralyzed. Remarkably, none of the GVT-treated infected mice showed wasting or paralysis at this point. However, reemergent virus infection, evidenced by tremor and paralysis, was observed in the treated mice beginning at 80 days p.i. (30 days after the treatment was stopped), and all of the GVT-treated animals had died by 145 days p.i. (Fig. 4A), after developing wasting and paralysis.
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FIG. 4. GVT treatment promotes survival in ts1-infected mice. (A) Twenty-four mice were infected with ts1 4 days after birth and then were divided into two groups. Twelve received intraperitoneal injections of GVT, at 250 mg/kg of body weight/day, and the other 12 received the same volume of 0.9% normal saline (infected controls) using the same route. Treatment was continued for 5 days/week and stopped at 50 days p.i. (arrow). At that time, 83% of the mice in the untreated infected control group had died, but all of the GVT-treated mice were alive. ***, P < 0.001. (B) Thirty-six mice were infected with ts1 4 days after birth and then were divided into two groups. Eighteen mice received intraperitoneal injections of GVT, at 125 mg/kg of body weight/day, and the other 18 received 0.9% normal saline (infected controls) by the same route for 5 days per week. In this experiment, treatment was continued until 100 days p.i. (arrow). As shown, all of the mice in the infected untreated control group had died by 55 days p.i., like the infected untreated control mice in panel A. At that time, all of the GVT-treated mice were alive and healthy. When GVT treatment was stopped at 100 days p.i., however, 78% of the animals in this group had died. ***, P < 0.001.
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GVT delays body wasting and thymic atrophy in ts1-infected mice. In ts1-infected mice not treated with GVT, tremor is usually evident by 21 days p.i., and the animals develop hindlimb paralysis and show obvious body wasting by 30 to 50 days p.i. (64). By this time, their thymi are atrophied, and their peripheral CD4+ T-cell numbers are significantly reduced relative to those of healthy mice (49, 55, 62). To determine whether GVT prevents body wasting and thymic atrophy in ts1-infected mice, we compared the average body weights and thymic weights of control uninfected mice, infected untreated mice, and infected mice treated with GVT. Figure 5A shows that while the untreated infected mice in this experiment began to lose weight after 20 days p.i., the GVT-treated mice grew normally, with body weights comparable to those of uninfected mice at all time points. Similarly, Fig. 5B shows that thymic weights increased normally in ts1-infected GVT-treated mice, while thymi of untreated infected mice lost weight and became smaller than thymi from control uninfected or GVT-treated mice after 20 days p.i.
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FIG. 5. GVT treatment protects against ts1-induced wasting and thymic atrophy. (A) Control uninfected, ts1-infected untreated, and ts1-infected GVT-treated mice (using the 250-mg/kg/day, 5-day/week regimen) were weighed at 10, 20, and 30 days p.i.. Shown are average body weights, ± standard deviations, for three to six animals from the three different groups at each time point. (B) In a parallel experiment, control uninfected, ts1-infected untreated, and ts1-infected GVT-treated mice were sacrificed at 10, 20, and 30 days p.i., at which times thymi from three to six mice were removed and weighed. ***, P < 0.001. , control; , ts1; , ts1 plus GVT.
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To determine whether and how GVT might slow the CNS and thymic histopathology that characterizes ts1-induced disease, we prepared paraffin-embedded brainstem and thymus tissues from control uninfected, ts1-infected untreated, and ts1-infected GVT-treated mice sacrificed at 30 days p.i. These sections were then stained either with HE (for general histopathological examination of the brainstem or thymus) or with anti-GFAP (to detect astrogliosis in the brainstem sections). Figure 6A and B show microscopic fields from control uninfected, infected untreated, and infected GVT-treated brainstem sections, from left to right, respectively, and stained with HE (Fig. 6A) or immunostained for GFAP (Fig. 6B). Viewed alongside the sections from control uninfected mice in the left panels of Fig. 6A and B, the sections from ts1-infected untreated mice (middle panels of Fig. 6A and B) contained multiple spongiform lesions and showed pronounced localized astrogliosis in association with these lesions. By contrast, neither spongiform lesions nor astrogliosis were evident in brainstem sections from ts1-infected GVT-treated mice (Fig. 6A and B, right panels).
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FIG. 6. Effects of GVT on CNS histopathology and thymic cytoarchitecture in ts1-infected mice. (A) Paraffin sections of brainstem tissues of normal control (left), ts1-infected untreated (middle), and ts1-infected GVT-treated (right) mice were cut from brainstems taken from mice sacrificed at 30 days p.i. and stained with HE. Note the typical ts1-induced spongiform degeneration (circles) in the brainstem section from the ts1-infected untreated mouse (middle). (B) Paraffin sections of brainstem tissues of normal control (left), ts1-infected untreated (middle), and ts1-infected GVT-treated (right) mice were prepared at 30 days p.i., as described above, and immunostained for the astrocyte marker GFAP. Note that many GFAP-positive astrocytes (brown staining of astrocyte processes) are present in the brainstem section from the ts1-infected untreated mouse (middle). (C) The thymus of the ts1-infected mouse (middle) also shows dramatic thinning and atrophy and has lost its corticomedullary organization. Magnification, (A) x200; (B) x400; (C) x40.
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GVT treatment increases levels of DNA synthesis in thymocytes from ts1-infected mice. Thymocytes from ts1-infected mice typically show depression of DNA synthesis (measured as [3H]thymidine uptake) if they are isolated at 30 days p.i. (49). At that time, peripheral lymphocytes from ts1-infected mice also show depressed DNA synthesis relative to lymphocytes from uninfected animals (68). The depression of DNA synthesis seen in ts1-infected thymocytes thus reflects not only the generalized immunosuppression that follows ts1 infection (49), but also the death or functional inhibition of T-cell progenitors in infected mice.
To determine whether GVT treatment can restore normal levels of DNA synthesis and prevent the death of thymocytes of infected mice, we isolated thymocytes from uninfected control mice, uninfected GVT-treated mice, ts1-infected untreated mice, and ts1-infected GVT-treated mice at 30 days p.i. and measured their levels of DNA synthesis by pulsing them with [3H]thymidine. The data in Fig. 7 show that while thymocytes from ts1-infected mice, as expected, had depressed DNA synthesis relative to thymocytes from uninfected mice, thymocytes taken from infected, GVT-treated mice showed normal levels of DNA synthesis. Interestingly, thymocytes from uninfected GVT-treated mice showed markedly increased DNA synthesis relative to thymocytes from untreated uninfected mice (Fig. 7). These results suggest that GVT is mitogenic for normal thymocytes from uninfected animals and that it restores normal levels of DNA synthesis in thymocytes from infected GVT-treated mice. In light of the extensive cell death occurring in thymi from untreated ts1-infected mice (Fig. 6C), we conclude that the normal DNA synthesis levels in thymocytes isolated from GVT-treated animals reflect protection of the cells by the drug.
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FIG. 7. GVT treatment increases DNA synthesis in thymocytes from ts1-infected mice. Thymocytes freshly isolated from uninfected, uninfected GVT-treated, ts1-infected untreated, and ts1-infected GVT-treated mice at 30 days p.i. were cultured in 96-well plates at 37°C for 4 h in the presence of 0.5 µCi of [3H]thymidine. After 4 h, the cells were harvested and [3H]thymidine incorporation into DNA was measured with a scintillation counter. The results are expressed as mean counts per minute plus standard deviation in triplicate cultures.
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Accumulation of gPr80env also occurs in ts1-infected thymocytes (18, 66). Given that GVT treatment decreases Nrf2 levels in ts1-infected astrocytes in vitro (Fig. 3), we asked whether GVT might also affect ts1-associated levels of Nrf2, GPx, or xCT in thymocytes from ts1-infected mice. The Western blotting data in Fig. 8 show that thymocytes from ts1-infected untreated mice show upregulated antioxidant defenses, as indicated by increased levels of Nrf2, GPx, and xCT relative to levels from uninfected mice at 30 days p.i. By contrast, none of these markers of oxidative stress is elevated in thymocytes from ts1-infected mice treated with GVT. Rather, the levels of Nrf2 and of its target gene products in these cells are similar to those of thymocytes from uninfected controls (Fig. 8).
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FIG. 8. GVT treatment suppresses elevation of Nrf2, GPx, and xCT in thymocytes from ts1-infected mice. Thymocytes were isolated from uninfected control, ts1-infected untreated, and ts1-infected GVT-treated mice at 30 days p.i., and lysates were prepared for immunoblotting using antibodies to Nrf2, GPx, and xCT. All blots were stripped and reimmunoblotted with anti-ß-actin antibody as a protein-loading control. The results shown are representative of three independent experiments.
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Figure 9A shows that the ts1 titers in the brainstems of ts1-infected untreated and ts1-infected GVT-treated mice were substantial and similar at 10 days p.i. but that this situation had changed markedly by 30 days p.i., at which time CNS tissues from GVT-treated mice contained much smaller amounts of virus (
50-fold less than ts1-infected untreated control CNS tissues). Figure 9C shows that GVT treatment also reduced WT titers in the CNS, but to a lesser extent than for ts1 titers (compare Fig. 9A to C). Notably, the virus titers from the thymi of the treated versus untreated ts1-infected animals were also high at 10 days p.i. and remained so for both groups of mice at all time points (Fig. 9B). Figure 9D shows that WT titers in the thymi from the treated versus untreated WT-infected mice remained high, with or without GVT treatment, at all time points, as in ts1-infected untreated and ts1-infected GVT-treated mice (compare Fig. 9B to D).
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FIG. 9. Early GVT treatment (starting at 2 days p.i.) suppresses ts1 replication in the CNS, but not in the thymus. ts1 virus titers were determined at 10, 20, and 30 days p.i. for brainstem (A) and thymus (B) from ts1-infected untreated versus ts1-infected GVT-treated mice. WT virus titers were determined at 10, 20, and 30 days p.i. for brainstem (C) and thymus (D) tissues. The data points represent average viral titers for tissues from three to six mice, ± standard deviation, at each time point. **, P < 0.01. ***, P < 0.001.
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FIG. 10. Late GVT treatment (starting at 10 days p.i.) promotes survival in ts1-infected mice without reducing the virus titer in the CNS. Twenty-seven mice were infected with ts1 4 days after birth and then divided into two groups. Fifteen mice received intraperitoneal injections of GVT at 250 mg/kg of body weight/day for 5 days a week, starting at 10 days p.i. The remaining 12 received the same volume of 0.9% normal saline (infected untreated controls) using the same route and on the same schedule. At 30 days p.i., three mice from each group were sacrificed for brainstem ts1 titer determinations. Treatment was continued for the remaining mice for 5 days/week until 50 days p.i., at which time all of the mice in the untreated infected control group had died. At that time, 8 of the 12 GVT-treated mice were alive and asymptomatic (A). Survival curves for untreated infected versus infected mice treated with GVT starting at 10 days p.i. (B) Average brainstem virus titers, plus standard deviations, from three mice taken from the ts1-infected untreated group versus three mice taken from the infected GVT-treated group, whose survival curves appear in panel A.
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FIG. 11. ts1 replication resumes when GVT treatment is terminated. Brainstems were isolated from ts1-infected GVT-treated mice (early treatment protocol), and ts1 titers were determined at 10, 20, and 30 days p.i. GVT treatment was then terminated for the remaining mice in the infected treated group at 50 days p.i., and ts1 titers in their brainstem tissues were determined at 80 days p.i. Each point in the graph represents the average virus titer, ± standard deviation, for three to six mice.
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The data in Fig. 12 show groups of three photomicrographs (top, middle, and bottom rows), with each set of three showing the same field photographed under the bandpass filters for fluorescein isothiocyanate (left), for Texas Red (middle), and for both (detection of immunoreactive gp70 and MDA; right). The top horizontal row (control uninfected mouse brainstem) in Fig. 12A shows that neither gp70 nor MDA is present in CNS tissues from uninfected animals. The middle horizontal row of photomicrographs in Fig. 12A (ts1-infected untreated mouse) show that both gp70-reactive cells (left and right) and MDA adducts (middle and right) are abundant in spongiform lesions in the brainstems of ts1-infected untreated mice. The photomicrographs in the bottom horizontal row of Fig. 12A (ts1-infected GVT-treated mouse) show that while widely scattered, brightly stained, gp70-positive cells are present, these cells are few and far between, and spongiform lesions are absent. Also absent is any significant amount of immunodetectable MDA (middle and right), denoting suppression of brainstem lipid peroxidation (and oxidative stress) by GVT treatment given under these conditions.
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FIG. 12. Early GVT treatment protects the brainstem and the thymus from oxidative stress after ts1 infection, although it does not affect ts1 replication in the thymus. Brainstems and thymi from uninfected control mice, ts1-infected untreated mice, and ts1-infected GVT-treated mice were isolated and snap-frozen at 30 days p.i. Sections cut from these brainstems were then immunostained with fluorescently labeled antibody against gp70 (green) and MDA (red) to detect infection (gp70) and MDA-conjugated proteins (MDA), which are products of membrane lipid peroxidation in tissues undergoing oxidative stress. (A) Brainstem sections. (B) Thymus sections. Infected cells (green staining) and MDA adducts (red staining). In the left and right panels of the bottom row in panel A, which show a brainstem section from a GVT-treated ts1-infected mouse, widely scattered, brightly stained gp70-positive (infected) cells are present (arrows), although spongiform lesions are absent. In the middle row in panel B, which shows a thymus section from an untreated ts1-infected mouse, the dotted lines bracket the cortex of one thymic lobule. In the middle and right panels of this row, an arrow identifies a group of cells in the cortex showing heavy red MDA staining, indicative of lipid peroxidation. This group of cells is magnified in the inset in the right panel of this row, where the cells are shown to be infected, as well (green gp70 staining). Magnification, (A) x400; (B) x400.
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GVT protection of ts1-infected mice is not associated with suppressed viral replication in the thymus. Similarly, GVT protection of infected mice is not associated with suppressed viral replication in the CNS if the drug is administered at 10 days p.i. It is noteworthy, however, that ts1 titers in the CNS are reduced, relative to those of untreated mice, if GVT is administered at earlier times after infection. This difference is likely to be due to the relatively quiescent state of CNS glial cells versus proliferative thymocytes in situ, since virus replication in cultured PACs (which are dividing cells) is only slightly reduced in the presence of GVT (data not shown) and not at all reduced in the CNS of mice receiving GVT beginning at 10 days p.i., by contrast to the reduction of ts1 titer in the CNS tissues of mice subjected to early-onset GVT treatment.
Although we cannot eliminate the possibility of a direct antiviral effect of GVT treatment in the CNS, the results reported here suggest that this is unlikely. The strongest argument against a direct antiviral effect comes from the events that follow termination of GVT treatment at the 250-mg/kg of body weight/day dose. When this treatment is stopped at 50 days p.i., all infected treated mice eventually become paralyzed and die, in association with rising CNS viral titers. These observations imply that GVT treatment does not eliminate the virus from the CNS but rather suppresses its replication there when GVT administration is begun immediately after infection. In addition, GVT increases [3H]thymidine uptake and promotes DNA synthesis in thymocytes of ts1-infected mice, while allowing uninterrupted viral replication without cytopathic effects. If GVT were directly antiviral, it should not promote the survival and proliferation of cells productively infected with ts1. Another argument is that GVT reduces the CNS viral titer more effectively in ts1-infected mice than it does for WT virus-infected mice, indicating that GVT does not exert effects against the virus per se but on the different conditions generated and required by the two different viruses for replication (e.g., differing extents of ROS production in viral infection, as discussed above). Finally, as noted above, GVT reduces the viral titer in the CNS if administered early after infection, but not if treatment is started a few days later. Because the drug is neuroprotective in both contexts, we suggest that GVT's antioxidant effects are responsible for its ability to prevent paralysis following ts1 infection.
The data presented here identify conditions (GVT treatment) under which the presence of a replication-competent cytopathic retrovirus causes neither acute neuropathological changes nor thymocyte death. Since GVT is an antioxidant, but not a direct antiviral agent, we propose that ts1-associated neuroimmunodegenerative disease is caused by oxidative stress resulting from virus infection, rather than from the viral load per se (33). Figure 13 is a schematic diagram that illustrates our hypothesized mechanisms for ts1 pathology and GVT's neuroimmunoprotection. The figure highlights the differential responses of the ts1 titer to GVT treatment in the CNS and thymus, while showing that ts1 pathology in both the CNS and thymus can be reversed by the antioxidant action of the drug.
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FIG. 13. Possible mechanisms for CNS and thymus protection by GVT. Productive infection by retroviruses generally requires that the target cells be activated. In the CNS, potential ts1 target cells (glial cells, including astrocytes) are quiescent, while ts1 target cells in the thymus (including thymocytes) are naturally proliferating cells. After ts1 inoculation, virus-induced oxidative stress events activate glial cells in the untreated CNS, allowing the virus to spread. If GVT is administered immediately after inoculation, its presence in the CNS may inhibit early cell activation events necessary for ts1 to replicate there. Even if virus infection is already established in the CNS, drug administration at a later time is still neuroprotective, although large amounts of replicating virus are present. Similarly, GVT protects the thymus from ts1-induced oxidative stress, thereby preserving the thymic cytoarchitecture and thymocyte cell division, without reducing ts1 replication. We propose that GVT protects the CNS and thymus against oxidative damage after ts1 infection and that this action of the drug is responsible for its neuroprotective and immunoprotective effects in ts1-induced neuroimmunodegeneration.
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This work was supported by NIH grants NS43984 and MH71583 (to Paul K.Y. Wong), NIEHS Center Grant ES07784, and Core Grant CA16672 and by funds from The Longevity Foundation in Austin, Texas.
Present address: Department of Molecular Pharmacology and Biological Chemistry, Northwestern University Feinberg School of Medicine, Chicago, IL 60611. ![]()
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