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Journal of Virology, January 2007, p. 532-538, Vol. 81, No. 2
0022-538X/07/$08.00+0 doi:10.1128/JVI.01079-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Inhibition of Human Immunodeficiency Virus Envelope Glycoprotein- Mediated Single Cell Lysis by Low-Molecular-Weight Antagonists of Viral Entry
Navid Madani,1,2
Amy M. Hubicki,1
Ana Luisa Perdigoto,1
Martin Springer,4 and
Joseph Sodroski1,2,3*
Department of Cancer Immunology and AIDS, Dana-Farber Cancer Institute, Boston, Massachusetts 02115,1
Department of Pathology, Division of AIDS, Harvard Medical School, Boston, Massachusetts 02115,2
Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts 02115,3
Department of Biochemical Immunology, Merck & Co., Inc., Rahway, New Jersey 070654
Received 25 May 2006/
Accepted 17 August 2006

ABSTRACT
The coexpression of human immunodeficiency virus type 1 (HIV-1)
envelope glycoproteins and receptors leads to the lysis of single
cells by a process that is dependent upon membrane fusion. This
cell lysis was inhibited by low-molecular-weight compounds that
interfere with receptor binding or with receptor-induced conformational
transitions in the envelope glycoproteins. A peptide, T20, potently
inhibited cell-cell fusion but had no effect on single cell
lysis mediated by the HIV-1 envelope glycoproteins. Thus, critical
events in the lysis of single cells by the HIV-1 envelope glycoproteins
occur in intracellular compartments accessible only to small
inhibitory compounds.

INTRODUCTION
AIDS, which is caused by infection with human immunodeficiency
virus type 1 (HIV-1), is characterized by the depletion of CD4-positive
T lymphocytes (
4,
10,
17,
20,
21). HIV-1 enters cells of the
host immune system through the interaction of its envelope glycoproteins
with cell surface receptors, CD4 and one of two chemokine receptors,
CCR5 or CXCR4 (
1,
9,
12,
15,
16,
18,
33,
44). In HIV-1 infection
in humans and in the infection of monkeys with simian immunodeficiency
virus (SIV) or simian-human immunodeficiency virus (SHIV), the
CD4-positive T lymphocytes that are depleted express CD4 and
the coreceptor utilized by the infecting virus (
39,
46,
60).
In HIV-1-infected humans, virus-producing cells exhibit much
shorter half-lives than latently infected cells (
29,
61), suggesting
a role for a viral product in the destruction of host cells.
HIV-1 infection of tissue-cultured cells leads to cytopathic
effects, including syncytium formation and single cell lysis
(
11,
51,
58). Cytostatic or cytotoxic effects of the HIV-1 Tat,
Vif, Vpr, Nef, and protease in cultured cells have been reported
(
5,
8,
23,
32,
38,
48,
49,
52,
53). However, lysis of cultured
CD4-positive T cells infected by HIV-1 or depletion of these
cells in SIV-infected monkeys has been observed in the absence
of these viral proteins (
2,
7,
22,
25,
26,
29,
30,
36,
47).
The expression of the HIV-1 envelope glycoproteins in cells expressing the appropriate receptors results in cytopathic effects (7, 35, 36, 40, 57). The HIV-1 gp120 envelope glycoprotein initiates virus entry by binding CD4 and either CCR5 or CXCR4; receptor binding induces conformational changes in gp120 that activate the gp41 transmembrane envelope glycoprotein to mediate the fusion of the viral and target cell membranes (28, 34, 59). Expression of the HIV-1 envelope glycoproteins on the surface of infected cells can lead to cell-cell fusion, resulting in the formation of lethal syncytia (40, 57). HIV-1 envelope glycoproteins also interact with receptors in the same cell, during the transport of these proteins through the secretory pathway (31). Through such interactions, the HIV-1 envelope glycoproteins can mediate the lysis of single, receptor-expressing cells; single-cell lysis is dependent upon the process of membrane fusion (7, 35, 36). Here we take advantage of the availability of several classes of HIV-1 entry inhibitors to investigate the possibility of interrupting the cytopathic effects of HIV-1 envelope glycoprotein expression.

MATERIALS AND METHODS
Compounds.
Compound A and BMS-806 were synthesized as previously described
(
19,
27,
41,
56). TAK-779 was generously provided by Takeda
Pharmaceuticals. The T20 peptide was synthesized by American
Peptide (Sunnyvale, CA). Compounds were dissolved in dimethyl
sulfoxide at a final concentration of 10 mM and stored at 20°C.
Just before use, the compounds were diluted in serum-free Dulbecco
modified Eagle medium to create working stocks.
Cell lines.
293T human embryonic kidney and Cf2Th canine thymocytes (American Type Culture Collection) were grown at 37°C and 5% CO2 in Dulbecco modified Eagle medium (Invitrogen) containing 10% fetal bovine serum (Sigma) and 100 µg of penicillin-streptomycin (Mediatech, Inc.)/ml. Cf2Th cells stably expressing human CD4 and CCR5 or CXCR4 (36) were grown in medium supplemented with 0.4 mg of G418 (Invitrogen)/ml and 0.15 mg of hygromycin B (Roche Diagnostics)/ml. Cf2Th-CCR5 cells were grown in medium supplemented with 0.4 mg/ml of G418 (Invitrogen).
Recombinant luciferase viruses.
293T human embryonic kidney cells were cotransfected with plasmids expressing the pCMV
P1
env HIV-1 Gag-Pol packaging construct (50), the R5 ADA or ADA
V1/V2 envelope glycoproteins (or the X4 HXBc2 envelope glycoproteins), and the firefly luciferase-expressing vector at a DNA ratio of 1:1:3 µg using Effectene transfection reagent (QIAGEN). Cotransfection of these plasmids produced single-round, replication-defective viruses. The virus-containing supernatants were harvested 24 to 30 h after transfection, filtered (0.45-µm pore size), divided into aliquots, and frozen at 80°C until further use. The reverse transcriptase activities of all viruses were measured as described previously (54).
Infection by single-round luciferase viruses.
Cf2Th-CD4-CCR5/CXCR4 target cells were seeded at a density of 6 x 103 cells/well in 96-well luminometer-compatible tissue culture plates (Dynex) 24 h before infection. On the day of infection, compound A (0 to 300 nM) was added to cells to a final volume of 30 µl, followed by incubation at 37°C for 1 h. Recombinant viruses (10,000 reverse transcriptase units) to a final volume of 50 µl were then added to the target cells containing compound A, followed by incubation for 48 h at 37°C; the medium was then removed from each well, and the cells were lysed by the addition of 30 µl of passive lysis buffer (Promega) and three freeze-thaw cycles. An EG&G Berthold microplate luminometer LB 96V was used to measure the luciferase activity of each well after the addition of 100 µl of luciferin buffer (15 mM MgSO4, 15 mM KPO4 [pH 7.8], 1 mM ATP, and 1 mM dithiothreitol) and 50 µl of 1 mM D-luciferin potassium salt (BD Pharmingen).
Syncytium inhibition assay.
Approximately 3 x 106 293T cells were seeded in an 80-mm tissue culture flask 24 h before transfection. The cells were transfected by using Polyfect transfection reagent (QIAGEN) with 2 µg of the pSVIIIenv plasmid encoding the HIV-1 envelope glycoprotein of interest and 0.2 µg of a Tat-expressing plasmid. At 24 h after transfection, the cells were lifted by using 5 mM EDTA and counted. Approximately 104 cells were incubated with 4 x 104 Cf2Th/CCR5 cells that had been seeded in 96-well plates 24 h earlier. To examine the effects of BMS-806 or T20 on the production of syncytia, transfected 293T cells were incubated with various concentrations of BMS-806 or T20 at 37°C for 15 min before their addition to Cf2Th-CCR5 cells. Syncytia were counted 24 h after the initiation of the coculture by visual inspection with a Nikon TE300 inverted microscope.
Transduction of cells and viability assay.
Recombinant HIV-1 viruses were produced in 293T cells by transfection with psrHIVenvGFP, pCMV
P1
envpA (50), pHCMV-G (64), and a Rev-expressing plasmid in a 10:10:2:1 ratio by using the calcium phosphate technique (35). At 48 h after transfection, virus-containing medium was harvested and filtered (0.45-µm pore size). Approximately 10,000 reverse transcriptase units of virus were incubated with 5 x 104 Cf2Th-CCR5 cells for 8 to 12 h as described previously (35). The cells were washed and returned to complete medium. At 72 h after transduction, plates were centrifuged at 3,000 rpm for 5 min, the medium was removed, and the cells were detached with trypsin. Approximately 85 to 90% of the cells were pelleted at 3,000 rpm (equivalent to 9,600 x g) for 5 to 10 min. Cell pellets were fixed in 3.7% formaldehyde and analyzed for green fluorescent protein (GFP) expression by flow cytometry. The remaining cells were plated in new six-well culture plates, propagated, and analyzed for GFP expression every 2 to 3 days until the completion of the experiment.
Radiolabelling of HIV-1 envelope glycoproteins.
293T cells were seeded at 3.5 x 106 cells in a T75 tissue culture flask 1 day before transfection. Cells were cotransfected with 9 µg of pSVIIIEnv(YU2) and 1 µg of pLTR-Tat by using the Polyfect transfection reagent (Qiagen). One day after transfection, the cells were labeled for 48 h with [35S]Express protein labeling mix (30 µCi/ml) (Perkin-Elmer). The supernatants were harvested 48 h later, cleared by centrifugation at 2,000 rpm for 5 min, and stored at 4°C. The amount of labeled gp120 was quantitated by immunoprecipitation with AIDS patient sera and protein A-Sepharose beads (Amersham Bio-Sciences), followed by SDS-PAGE gels and autoradiography.
Env-CCR5 binding assay.
Cf2Th cells expressing high levels of CCR5 were lifted, using 5 mM EDTA pH 7.5. The cells were washed with serum-free DMEM, added to microcentrifuge tubes (2 to 3 x 106 cells/tube), and incubated with 500 µl of labeled YU2 gp120 with soluble CD4 (sCD4) in the presence and absence of 2D7 anti-CCR5 antibody (BD Pharmingen), compound A, and BMS-806 at 37°C for 1.5 h with gentle agitation. The supernatants were removed following incubation, and the cells were washed two times with cold DMEM before lysis in 0.5 ml of IP buffer containing 0.5 M NaCl, 10 mM Tris, pH 7.5, and 0.5% [vol/vol] NP-40 and a cocktail of protease inhibitors. The cells were incubated in IP buffer for 30 min at 4°C with gentle agitation. The lysates were cleared by centrifugation at 14,000 rpm for 30 min at 4°C and immunoprecipitated with AIDS patient sera and protein A-Sepharose beads and visualized by autoradiography of a 3 to 8% SDS-polyacrylamide gel.

RESULTS
We previously established an experimental system to study single-cell
lysis, using the minimal requirements for this process, i.e.,
expression of CD4-independent, CCR5-using (R5) HIV-1 envelope
glycoproteins in cells expressing the CCR5 chemokine receptor
(
35,
36). Cf2Th canine thymocytes expressing the human CCR5
protein were transduced with single-round HIV-1 vectors expressing
HIV-1 envelope glycoproteins and enhanced GFP. The effect of
expression of the CD4-independent, CCR5-dependent ADA

V1/V2
envelope glycoproteins in Cf2Th cells expressing CCR5 is shown
in Fig.
1A. The Cf2Th-CCR5 cells were infected with recombinant
viruses coexpressing the HIV-1 envelope glycoproteins and GFP.
The viability of the transduced cells is reflected in the percentage
of GFP-positive cells in the culture (
36). At 72 h after transduction,
the percentage of GFP-positive cells ranged from 50 to 80% in
all of the transduced Cf2Th cells. By day 10 after transduction,
the expression of the ADA

V1/V2 envelope glycoproteins resulted
in a significant decrease in the percentage of GFP-positive
cells in the culture compared to cells transduced with the
env-deleted
(

Env) control vector (Fig.
1A). Syncytia were rare in these
cultures, suggesting that most of the decrease in GFP-positive,
ADA

V1/V2-expressing cells results from single cell lysis, as
previously observed (
35,
36). The loss of GFP-positive cells
was decreased or eliminated when the cells were transduced with
vectors expressing the ADA

V1/V2 F522Y and F522Y/L523S envelope
glycoproteins, respectively (Fig.
1A). These envelope glycoprotein
variants have alterations in the gp41 fusion peptide that, respectively,
diminish or eliminate membrane-fusing capacity. These mutant
envelope glycoproteins bind CD4 and the CCR5 receptors equivalently
to the ADA

V1/V2 envelope glycoprotein without the gp41 changes
(data not shown). The syncytium-forming ability of the two gp41
mutants, which are expressed at levels comparable to that of
the ADA

V1/V2 envelope glycoproteins, is illustrated in Fig.
1B. These results suggest that the loss of single cells coexpressing
the ADA

V1/V2 envelope glycoproteins and GFP is dependent on
membrane fusion.
The effects of inhibitors of the HIV-1 entry process on the
cytopathic consequences of HIV-1 envelope glycoprotein expression
were examined. The inhibitors were chosen to block different
steps in envelope glycoprotein function. Two small molecules,
compound A (molecular weight 608.78 [Merck]) and TAK-779 (molecular
weight 531.13 [Takeda]), bind CCR5 and block HIV-1 infection
(
19,
27). The specificity of compound A for the CCR5 coreceptor
is illustrated in Fig.
2A. BMS-806 (molecular weight 406.4 [Bristol-Myers
Squibb]) was originally proposed to block gp120-CD4 interaction
(
41) but has since been shown to block functionally important
conformational changes in the HIV-1 envelope glycoproteins induced
by receptor binding (
29a,
56). T20 (molecular weight 4,492 [Trimeris/Roche])
is a peptide that mimics a gp41 region and, in a dominant-negative
fashion, inhibits membrane fusion (
32a,
62,
63). Compound A,
TAK-779, and T20 potently inhibited syncytium formation mediated
by the CD4-independent ADA

V1/V2 envelope glycoproteins (Fig.
2B and C and data not shown). BMS-806 did not inhibit syncytium
formation mediated by the ADA

V1/V2 envelope glycoproteins (Fig.
2D). This was expected, because previous studies demonstrated
that BMS-806 cannot inhibit the function of some HIV-1 envelope
glycoproteins with deletions of the V1/V2 variable loops (
43,
56). BMS-806 inhibited syncytium formation mediated by another
CD4-independent envelope glycoprotein, ADA N197S (Fig.
2D).
The ADA N197S gp120 envelope glycoprotein has intact V1/V2 variable
loops and achieves CD4 independence by removal of the N-linked
glycan at asparagine 197 (
33a). BMS-806 has been previously
shown to inhibit the entry of HIV-1 with the ADA N197S envelope
glycoproteins (
43). Thus, all of the molecules tested can inhibit
the function of appropriate HIV-1 envelope glycoproteins.
To examine the effects of these inhibitors on envelope glycoprotein-induced
cell lysis, Cf2Th-CCR5 cells were incubated in the presence
of the inhibitors with recombinant viruses coexpressing the
ADA

V1/V2 envelope glycoprotein variants and GFP, and cultures
were subsequently maintained in the presence of inhibitors until
assayed for GFP expression. Both compound A and TAK-779 caused
a significant reduction in cell lysis by the ADA

V1/V2 envelope
glycoproteins (Fig.
2E and F). In addition, the moderate degree
of cell lysis caused by the ADA

V1/V2 F522Y variant was completely
eliminated by incubation with 1 µM compound A (Fig.
2G).
Thus, low-molecular-weight compounds that block gp120-CCR5 interaction
can prevent the lysis of single cells induced by the HIV-1 envelope
glycoproteins.
BMS-806 did not inhibit cell lysis induced by the ADA
V1/V2 envelope glycoproteins (Fig. 3A). This was expected because, as shown above and in previous studies (43, 56), BMS-806 cannot inhibit the function of some V1/V2 loop-deleted HIV-1 envelope glycoproteins. BMS-806 can inhibit entry (43, 56) and syncytium formation (see above) mediated by another CD4-independent ADA envelope glycoprotein variant, ADA N197S. BMS-806 completely blocked single cell lysis induced by the expression of the ADA N197S envelope glycoproteins in Cf2Th-CCR5 cells (Fig. 3B). Thus, a low-molecular-weight compound that blocks receptor-induced conformational changes in the HIV-1 envelope glycoproteins (43, 56) can interrupt the lysis of cells in this system.
The T20 peptide did not affect the lysis of single cells associated
with expression of the ADA

V1/V2 envelope glycoproteins in Cf2Th-CCR5
cells (Fig.
4A). The concentrations of T20 used in these experiments
were identical to those that effectively inhibit viral entry
and syncytium formation (
3,
66) (Fig.
2C). The lysis of single
cells that resulted from expression of the ADA

V1/V2 envelope
glycoproteins in Cf2Th-CCR5 cells was not affected by incubation
with the 2D7 antibody, which recognizes CCR5 (Fig.
4B). A control
experiment showed that a comparable concentration of the 2D7
antibody decreased the soluble CD4-induced binding of CCR5 by
the YU2 envelope glycoproteins (Fig.
4C).

DISCUSSION
During the course of HIV-1 infection, R5 isolates predominate,
particularly during the early years but often throughout the
course of infection (
13,
55). Although originally thought to
be less cytopathic than X4 or R5X4 viruses, R5 HIV-1 have been
shown to be very capable of killing target cells bearing CD4
and CCR5, both in tissue culture (
65) and in lymph node explants
(
24,
25,
45). Likewise, in vivo, CD4
+ CCR5
+ cells are rapidly
depleted in monkeys or humans infected by R5 primate immunodeficiency
viruses (
4,
10,
14,
17,
21,
37). The present study and previous
studies (
35,
36) underscore the ability of R5 HIV-1 envelope
glycoproteins to lyse target cells expressing appropriate receptors.
Membrane fusion, and not just receptor binding, is essential
for the induction by the HIV-1 envelope glycoproteins of the
death of primary as well as immortalized cells (
35). CD4 is
not essential for syncytium formation or single cell lysis if
the HIV-1 envelope glycoprotein expressed is capable of mediating
CD4-independent membrane fusion.
Low-molecular-weight compounds, but not the relatively large peptide T20 or an anti-CCR5 antibody, effectively blocked single cell lysis mediated by the HIV-1 envelope glycoproteins; in virus entry or syncytium formation assays, these envelope glycoproteins were shown to be susceptible to inhibition by all of these agents. Low-molecular-weight compounds, by virtue of their ability to permeate the cell interior (42), may be able to access the envelope glycoproteins and/or receptors involved in single-cell lysis, whereas the nonpermeable peptide T20 and the anti-CCR5 antibody cannot. This implies that key events in envelope glycoprotein-mediated single cell lysis occur in intracellular compartments, a scenario supported by two observations: (i) intracellular complexes of the HIV-1 envelope glycoproteins and receptors are abundant in infected cells (31) and (ii) large molecules, such as antibodies, are ineffective at blocking single-cell lysis in the context of an HIV-1-infected culture (6). Thus, small molecule inhibitors of HIV-1 entry, in addition to their therapeutic potential, represent tools for the investigation of viral immunopathogenesis.

ACKNOWLEDGMENTS
We thank Kim Lowe at the Dana-Farber Cancer Institute flow cytometry
core facility for excellent technical support and Yvette McLaughlin
and Elizabeth Carpelan for manuscript preparation.
This study was supported by grants from the National Institutes of Health (AI24755, AI41851, and GM56550) and by the International AIDS Vaccine Initiative, the Bristol-Myers Squibb Foundation, the William A. Haseltine Foundation for the Arts and Sciences, and the late William F. McCarty-Cooper. N.M. was supported by an NRSA postdoctoral fellowship (F32 NS43260 M) from the National Institutes of Health.

FOOTNOTES
* Corresponding author. Mailing address: Dana-Farber Cancer Institute, 44 Binney St., JFB 824, Boston, MA 02115. Phone: (617) 632-3371. Fax: (671) 632-4338. E-mail:
joseph_sodroski{at}dfci.harvard.edu.

Published ahead of print on 30 August 2006. 

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Journal of Virology, January 2007, p. 532-538, Vol. 81, No. 2
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