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Journal of Virology, May 2009, p. 4354-4364, Vol. 83, No. 9
0022-538X/09/$08.00+0 doi:10.1128/JVI.02629-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Pittsburgh Retrovirus Laboratory, Department of Infectious Diseases and Microbiology, Graduate School of Public Health,1 Center for Biological Imaging, University of Pittsburgh, Pittsburgh, Pennsylvania 15261,2 Division of Biology, Columbus State Community College, Columbus, Ohio 432153
Received 19 December 2008/ Accepted 27 January 2009
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Previous efforts to elucidate the effector molecule(s) for this mechanism have been based on an assumption that the noncytotoxic anti-HIV activity of CD8+ T cells is exclusively mediated by one or more soluble lymphokine proteins termed CAF (10, 26, 52). However, to date, no CD8+ cell-secreted cytokine, chemokine, or inflammatory molecule has been shown to identify with the hallmarks defining the HIV-1 transcription-suppressing activity of CD8+ T cells (4, 25, 26). In contrast to soluble factors, the elucidation of a cell membrane-dependent mechanism remains a relatively unexplored avenue for unraveling the noncytotoxic anti-HIV effector function. Studies examining MHC compatibility and CD80/86 costimulatory function indicate that these molecules can augment the noncytotoxic antiviral effect of CD8+ T cells, but by themselves they do not direct the actual noncytotoxic action (1, 35). These studies do, however, suggest that a cell membrane-dependent mechanism could potentially regulate the noncytotoxic CD8+ T-cell antiviral activity. Such a possibility may consequently extend to the existence of a specific membrane-bound CD8+ T-cell molecule that directly represses transcription of the HIV-1 LTR promoter in infected cells.
While a membrane molecule might explain the cell contact dependence of noncytotoxic HIV-1 suppression activity in CD8+ T cells, its link to a secreted mediator eliciting the same antiviral activity remains evasive unless intracellular membrane trafficking is considered. In particular, if the putative membrane-bound anti-HIV activity is specifically localized to the lumenal space of endosomal membrane, it would facilitate not only cell surface presentation of the activity but also its inclusion into multivesicular bodies of late endosomes, leading to extracellular secretion of the factor and its inclusion into 30- to 100-nm membrane-enclosed vesicles termed exosomes (13, 40, 41). Exosomes are generated intracellularly within the multivesicular structure of late endosomes from a variety of cell types, including lymphocytes (37). They are consequently secreted into extracellular fluid upon fusion of late endosomes with the plasma membrane (9, 13, 33, 36, 37, 41, 44).
We therefore investigated the possibility of whether membrane and secreted exosomes from CD8+ T cells could mediate the same noncytotoxic antiretroviral suppression activity observed in CD8+ T cells. We report evidence for the existence of a membrane-bound anti-HIV factor and its extracellular secretion through endosome-derived exosomes. Secreted exosomes purified from a transformed CD8+ T-cell line potently suppressed replication of R5 and X4 HIV-1 isolates through a protein moiety and repressed transcription of the HIV-1 LTR promoter in both acute and chronic models of infection. Confocal microscopy indicated that interaction of exosomes with CD4+ cell targets was limited to the cell surface, with no evidence for their internalization. Our evidence indicates that an intracellular signaling mechanism is involved in exosome-mediated suppression of HIV-1 transcription.
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Purification of cell membranes. Frozen or fresh cell pellets (TG cells or primary CD8+ T cells from HIV-1-infected subjects) were thawed; resuspended into a solution of 10% (wt/vol) sucrose, 10 mM Tris-HCl, and 25 mM MgCl2 (STM buffer); and subjected to three additional freeze-thaw cycles using ethanol-dry ice for freezing and thawing in a 37°C water bath. The disrupted cell suspension was homogenized using a Dounce homogenizer, and the homogenate was clarified by centrifugation at 800 x g at 4°C to remove organelle matter and larger cellular debris. The organelle-depleted supernatant was extracted and subjected to centrifugation at 20,000 x g for 30 min to pellet the crude cell membrane fraction. The pellet was resuspended in STM buffer, overlaid on a 75% (wt/vol) sucrose density cushion, and recentrifuged at 90,000 x g at 4°C for 1.5 h. The band above the 75% sucrose interface was extracted, washed in STM buffer, repelleted by centrifugation, and resuspended in Hanks balanced salt solution (HBSS) or RPMI medium. Protein concentration was measured using the Bradford assay (Bio-Rad, Hercules, CA). In the case of membrane purification from primary CD8+ T cells from HIV-positive (HIV+) patients, we used the pellet from centrifugation at 20,000 x g(20,000 x g pellet) without further sucrose gradient refinement due to low sample yield and sample losses during the purification procedure.
Purification of exosomes. Exosomes were harvested from culture supernatants by adaptation of previously described methods involving serial centrifugation of the culture supernatant, followed by sucrose density gradient purification (18, 37). Culture fluid from TG cells or primary CD8+ T cells from HIV-1-infected subjects was harvested by centrifugation at 300 x g for 10 min to deplete cells. Cell-free culture supernatant was subjected to serial centrifugations of increasing centrifugal force to derive supernatants and pellets at 800 x g for 30 min, 6,000 x g for 30 min, 15,000 x g for 30 min, and 60,000 x g for 1 h, with all spins performed at 4°C. The 15,000 x g pellet was then resuspended in HBSS and subjected to a discontinuous sucrose density gradient centrifugation at 90,000 x g at 4°C through a 40% sucrose (1.14 g/ml) layer overlaid over a 60% sucrose (1.21 g/ml) cushion. After centrifugation, the membrane fractions banded over the 40% and 60% sucrose interfaces were removed, diluted in HBSS, and recentrifuged at 18,000 x g to purify the fractions. The membrane pellet was resuspended in HBSS and analyzed for the presence of exosomes. Exosome protein concentration was measured using a Bradford assay (Bio-Rad, Hercules, CA).
Quantitative acute HIV-1 replication suppression assay. A quantitative acute HIV-1 replication suppression assay was performed as described previously (8). Briefly, CD4+ T cells acutely infected with HIV-1 isolate 33015 were incubated in the presence or absence of CD8+ T cells, membrane, or exosomes for 5 days at 37°C in 5% CO2. On day 5, the extent of productive HIV-1 replication was assayed by measuring the concentration of extracellular p24 protein in culture supernatant using a standardized enzyme-linked immunosorbent assay (ELISA) kit (Perkin Elmer). Cell viability was determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay as previously described (34).
Electron microscopy. Formvar-coated copper grids (200 mesh) were floated on a drop of a highly concentrated exosome sample for approximately 30 s. The grids were removed, and excess sample solution was wicked away with filter paper and then placed on a drop of 0.45-µm-pore-size filtered 1% uranyl acetate in deionized double-distilled H2O for 30 to 60 s. Excess stain was wicked away before imaging. Exosomes isolated on anti-MHC class II antibody-coated immunomagnetic beads were fixed in 2.5% glutaraldehyde in phosphate-buffered saline (PBS) for 1 h and pelleted in a 1.5-ml microcentrifuge tube at 500 x g. The supernatant was removed, and pelleted beads were resuspended in 10 to 15 µl of 3% gelatin in PBS (gelatin heated to 36°C prior to resuspension). Spheroids were pelleted in this solution to concentrate them at the tip of the gelatin plug. The gelatin-bead plug was hardened at 4°C for 30 min, and then the entire plug was fixed in 2.5% glutaraldehyde in PBS for 15 min. Exosome pellets were washed three times in PBS and then postfixed in 1% OsO4 plus 1% K3Fe(CN)6 for 1 h. Following three additional PBS washes, the pellet was dehydrated through a graded series of 30 to 100% ethanol, followed by infiltration into a Polybed 812 epoxy resin (Polysciences, Warrington, PA) for 1 h. After several changes of 100% resin over 24 h, the pellet was embedded in a final change of resin and cured at 37°C overnight, followed by additional hardening at 65°C for two more days. Ultrathin (60 nm) sections were collected on 200-mesh copper grids and stained with 2% uranyl acetate in 50% methanol for 10 min, followed by 1% lead citrate for 7 min. All grids were imaged using a JEOL JEM 1210 transmission electron microscope ([TEM] Peabody, MA) at 80 kV, fitted with a bottom mount AMT 2k digital camera (Advanced Microscopy Techniques, Danvers, MA).
Flow cytometric analysis of exosomes. Flow cytometry analysis of exosomes was adapted from methods previously described (9). An aliquot containing 2.5 x 105 anti-MHC class II antibody-coated beads was incubated with exosomes at a concentration of 80 µg/ml in 250 µl of fluorescence-activated cell sorter (FACS) buffer (4% fetal calf serum-PBS). Bead-captured exosomes were washed twice with FACS buffer, followed by monoclonal antibody incubation at room temperature for 30 min. Monoclonal biotin-conjugated immunoglobulin G1 antibodies to MHC class II, CD9, CD63, and CD81 were purchased from R&D Systems (Minneapolis, MN). Monoclonal phycoerythrin-conjugated immunoglobulin G1 antibodies to CD3, CD8, and CD4 were purchased from BD Biosciences (San Jose, CA). Exosomes labeled with biotinylated antibody were washed twice, followed by incubation with streptavidin-phycoerythrin conjugate (Invitrogen, Carlsbad, CA) for 15 min. After labeling, samples were subjected to two additional washes in FACS buffer, followed by analysis of exosome-bound beads on a Beckman Coulter EPICS XL.MCL flow cytometer.
Biochemical treatment of exosomes. For all biochemical treatments, purified exosomes were first pelleted by centrifugation at 45,000 x g for 1 h. For sodium carbonate treatment, pellets were resuspended in 0.1 M Na2CO3 for 30 min at 4°C and neutralized with 1 M HEPES buffer, followed by pelleting and resuspension in cell culture medium. For protease treatments, exosome pellets were resuspended in 1 ml containing 5 µg/ml trypsin plus 5 µg/ml chymotrypsinogen A for 12 h, followed by pelleting and resuspension in RPMI medium. For organic solvent extraction, pellets were dissolved in a 2:1 mixture of chloroform/methanol and vortexed vigorously, after which the resolved phases (methanol, chloroform, and precipitated proteins) were extracted, evaporated, and resuspended in RPMI medium to assay for HIV-suppressive activity. For acetone delipidation, exosome pellets were dissolved in cold acetone (–20°C), vortexed vigorously, and incubated at –20°C for 1 h, and proteins were precipitated by 18,000 x g centrifugation. The supernatant was discarded, and precipitated proteins were air dried, dissolved in RPMI medium, and recentrifuged at 18,000 x g to remove insoluble particulates; soluble proteins were extracted with the RPMI medium supernatant.
Acute HIV transcription suppression assay. An assay for measurement of LTR promoter inhibition was adapted from previously described methods (5). TZM-bl cells were seeded at 25,000 cells per well in a 96-well plate and cultured at 37°C for 24 h. Cells were incubated with exosomes or medium only for up to 24 h at 37°C. After incubation, cells were washed twice with medium prior to LTR activation. For gene reporter expression induced by virus infection, TZM-bl cells were infected with HIV-1 isolate 33015 and supplemented with 8 µg/ml DEAE-dextran for 1 h, washed with medium, and incubated at 37°C for 24 h after infection. For Tat-transactivated LTR induction, TZM-bl cells were liposome-transfected with the Tat-expressing plasmid pSVtat using the Lipofectamine 2000 reagent according to the manufacturer's instructions (Invitrogen, Carlsbad, CA). For mitogen activation of the LTR promoter, TZM-bl cells were incubated with 100 ng/ml phorbol myristate acetate (PMA; Invitrogen, Carlsbad, CA) for 8 to 12 h. The extent of LTR-induced gene expression of β-galactosidase was measured using a β-GLO Assay (Promega, Madison, WI).
Quantification of mRNA by real-time RT-PCR. TZM-bl cells were plated at 75% confluence in 10% RPMI medium. TZM-bl cells were incubated with medium only or with medium supplemented by HIV-1-suppressing exosomes. After 16 h of incubation of cells with exosomes or medium only, LTR activation by viral infection with HIV-1 isolate 33015 was performed. Cellular RNA was isolated from these TZM-bl cells using RNABee (Tel-Test Inc., TX) according to the manufacturer's instructions. Two micrograms of RNA from each replicate was reverse transcribed into cDNA using TaqMan Reverse Transcription Reagents (Applied Biosystems, CA) and then subjected to real-time quantification for β-galactosidase mRNA using the following primers: Fwd, 5'-ATCAGGATATGTGGCGGATGA-3'; Rev, 5'-TGATTTGTGTAGTCGGTTTATGCA-3'. The probe used was 6FAM-CCGTGACGTCTCGT-MGBNFQ (where FAM is carboxyfluorescein and MGBNFQ is molecular groove binding nonfluorescent quencher). The endogenous normalization control used for the experiment was real-time reverse transcription-PCR (RT-PCR) for 18S rRNA. Specific primers and probe (VIC/MGB) for 18S rRNA real-time RT-PCR were obtained from Applied Biosystems. All PCRs were performed in a real-time PCR 7500 system. Gene expression quantification using TaqMan Gene Expression Assays was performed as the second step in a two-step RT-PCR. Assays were done in 30-µl singleplex reaction mixtures containing TaqMan Universal PCR Master Mix, 20x TaqMan Gene Expression Assay Mix, and cDNA according the manufacturer's instructions (Applied Biosystems, CA). Reaction conditions consisted of preincubation at 50°C for 2 min, 95°C for 10 min, and then cycling for 50 cycles of 95°C for 15 s and 60°C for 1 min.
Chronic HIV-1 transcription suppression assay. 8E5 cells were cultured in the presence or absence of TG exosomes over a time course of 25 days. Cell concentration was adjusted every 5 days to maintain continuous log-phase growth with replenishment of medium alone or medium supplemented with exosomes. At each measurement time point during culture, cells were counted, and aliquots containing 103 cells from three independent experiments were pelleted and stored at –70°C. Frozen cell pellets were assayed for intracellular HIV-1 RNA copy number using a Nuclisens HIV-1 RNA quantification assay (BioMérieux, Durham, NC).
Confocal microscopy of exosome-cell interaction. TZM-bl or HeLa Tat cells were labeled, according to the manufacturer's instructions, with PKH-67 (Sigma, Dekalb, MO), a lipophilic dye that binds cell membrane lipids by its long aliphatic tail. Cells were plated on 35-mm uncoated dishes (type P35G-0-10C; Mattek Corp., Ashland, MA) at 75% confluence in 10% RPMI medium. Freshly harvested exosomes were quantified for protein concentration by Bradford's assay (Bio-Rad Laboratories). Exosomes were then resuspended in HBSS to a total volume of 1 ml. A 1:250 dilution of the Cy5 dye (GE LifeSciences, Buckinghamshire, United Kingdom) was made, and 10 µl of the diluted dye was added to 30 µg of exosome protein. The incubation of dye with exosomes was performed at 4°C in the dark for 1 h. Following incubation, the exosomes were washed three times with HBSS and resuspended to a concentration of 1 to 1.5 µg/µl. Thirty micrograms of labeled exosomes was added to each dish of labeled cells, and incubation was carried out for 10 min or for 12 h at 37°C in the dark. Fixation was done at the required time points by 2% paraformaldehyde. Dishes containing fixed cells and exosomes were viewed under an Olympus Fluroview 1000 instrument. Images were analyzed using MetaMorph software.
CAT assay. U3A and U3AR cells were grown to 90% confluence. Cells in designated wells were exposed to medium only or medium supplemented with exosomes. At 12 to 16 h after incubation, cells were trypsinized, replated, and then transfected with HIV LTR-chloramphenicol acetyltransferase (CAT) (38). Transfections were performed using Lipofectamine Plus (Invitrogen, Carlsbad CA), according to the manufacturer's instructions. At 36 h posttransfection, cells were treated with 20 ng/ml PMA for 8 h. Cells were lysed, and the amount of CAT protein was measured using a CAT ELISA (Roche Applied Science, Indianapolis, IN) according to the manufacturer's instructions.
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FIG. 1. Noncytolytic suppression of HIV-1 by secreted membrane fractions from a CD8+ T-cell line. Suppression of HIV-1 replication in an acute infectious assay was quantified for the HVS-transformed CD8+ T-cell line, TG (A), and membrane prepared from TG cells (B). (C) TG cells (filled squares) and TG membrane (open squares) suppressed HIV-1 replication with the same time kinetics. (D) HIV-1 suppression activity was assayed for secreted membrane pellets harvested first at 15,000 x g RCF followed by pellets depleted at 60,000 x g by serial centrifugation of cell-free culture supernatant (filled bars). (E) Harvested pellets were treated with 0.1 M sodium carbonate, pH 11.5, to deplete peripheral proteins from the vesicles, followed by neutralization, pelleting, resuspension in medium at original volume, and assaying for HIV-1 suppression activity (open bars). (F) The 15,000 x g vesicle pellet was fractionated by sucrose density gradient. Vesicle fractions corresponding to 1.0 to 1.14 g/ml and 1.14 to 1.21 g/ml were isolated, purified, and assayed for HIV-1 suppression activity. Results are given as means ± standard deviations (n = 3).
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Exosomes are typically isolated from cell-conditioned culture supernatant by isolation of membrane vesicles pelleted at a relative centrifugal force (RCF) greater than 10,000 x g (14, 41). We therefore harvested extracellular membrane fractions by serial ultracentrifugation of cell-free culture supernatants from the antiviral CD8+ T-cell line and assayed their HIV-1 suppression activity. We observed peak anti-HIV activity in vesicle fractions pelleted from TG cell culture supernatant at 15,000 x g (15,000 x g fraction) with residual HIV-1 suppression activity pelleting in the 60,000 x g fraction (Fig. 1D). We treated the HIV-1-suppressing 15,000 x g extracellular membrane fractions with 0.1 M sodium carbonate, a high-alkali (pH 11.5) treatment that dissociates peripheral membrane proteins and disrupts the circular integrity of vesicles into linear bilayer sheets (15, 50). Sodium carbonate treatment did not deplete the antiviral activity from the extracellular vesicle fractions (Fig. 1E), indicating a relatively strong membrane association of the activity.
Since potent HIV-1 suppression activity in the 15,000 x g fraction was consistent with the presence of exosomes, we subjected this sample to further fractionation using a two-layer discontinuous sucrose-density gradient with ultracentrifugation at 100,000 x g. After fractionation of the sample, two distinct membrane fractions representing sucrose densities of 1.0 to 1.14 g/ml and 1.14 to 1.21 g/ml were extracted, purified by recentrifugation in HBSS, standardized to equivalent protein concentrations, and assayed for HIV-1-suppressive activity. Peak HIV-1 suppression was consistently observed in the 1.14- to 1.21-g/ml sucrose density membrane fractions (Fig. 1F), a sucrose density previously reported for exosomes from other cell types (13, 40, 41, 43).
Characterization of the HIV-1-suppressing extracellular membrane fraction as exosomes. Transmission electron microscopy of the sucrose gradient-purified 15,000 x g HIV-1-suppressing membrane fraction demonstrated the presence of 30- to 100-nm vesicles morphologically identified as exosomes (Fig. 2A). To confirm the endosomal origin of these purified vesicles and their identity as exosomes, we employed a previously described immunomagnetic exosome bead capture technique (9) to probe the antigenic content of the HIV-1-suppressing nanovesicles. Previous characterizations of exosomes from other cell types describe a specific enrichment of MHC class II molecules and proteins of the tetraspanin family such as CD9, CD63, and CD81 (14, 40). A specific lysosomal targeting signal contained in CD63 (39) further delineates the intracellular origin of exosomes and their secretion via the endocytic pathway (13, 14, 18, 33, 40, 41, 49). The bead capture technique utilizes paramagnetic polystyrene beads coated with antibodies specific for MHC class II molecules. Saturation of the 4.5-µm-diameter bead surface with MHC class II-positive vesicles allows for direct probing of vesicle antigenic content by flow cytometry. We incubated purified HIV-1-suppressing nanovesicles with the anti-MHC class II-coated paramagnetic beads. After incubation, the beads were prepared for TEM analysis and flow cytometry analysis to confirm their capture and probe their antigenic content. TEM of cryothin sections of the immunomagnetic beads after incubation with the HIV-1-suppressing exosome vesicles demonstrated saturation of bead surfaces with the exosome-sized particles (Fig. 2B). Aliquots of the vesicle-coated beads were subsequently analyzed by flow cytometry using monoclonal antibodies specific for particular exosome- and T-cell-specific markers. We readily detected the specific presence of exosome markers MHC class II, CD9, CD63, and CD81 on the HIV-1-suppressing nanovesicles (Fig. 2C), confirming their identity as exosomes. Interestingly, the antiviral exosomes contained the CD3 T-cell marker but did not display the CD8 molecule. We therefore probed the cell surface expression of these same antigens in the TG CD8+ T-cell line. In contrast to expression in exosomes, cell surface expression of both CD3 and CD8 was detected (Fig. 2D), indicating a distinct membrane origin of the antiviral nanovesicles. From cell surface and exosome flow cytometry data, we calculated CD63 expression relative to tetraspanins CD9 (Fig. 2E) and CD81 (Fig. 2F). CD63 content appeared elevated on exosomes in comparison to the cell surface, a result consistent with exosome biogenesis from internal endocytic membrane compartments (14).
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FIG. 2. Characterization of the sucrose density gradient-purified HIV-1-suppressing secreted vesicle fraction. (A) TEM of the 1.14- to 1.21-g/ml sucrose gradient-purified 15,000 x g vesicle fraction (bar, 100 nm). (B) Cryothin section of an immunomagnetic bead after incubation with the HIV-1-suppressing nanovesicle fraction. The box depicts an expanded view; arrows point to vesicles with exosome morphology; the dashed line delineates the bead surface (bar, 100 nm). Flow cytometry analysis was performed on exosome-saturated beads (C) and TG cells (D) (y axis, percentage of maximum; x axis, log-scale relative fluorescence). Unshaded areas represent the antibody isotype; shaded areas indicate specific fluorescence by the antibody labeled above each graph. (E) CD63 levels expressed as a percentage of CD9 on exosome and cell surfaces. (F) CD63 levels expressed as a percentage of CD81 on exosome and cell surfaces.
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FIG. 3. Exosome-mediated noncytotoxic suppression of HIV-1 replication. (A) Suppression of HIV-1 replication by cell membranes and exosomes harvested from cultured primary CD8+ T cells from two therapy-naïve HIV-1-infected patients. Filled bars represent data from patient 1 and open bars represent data from patient 2. (B) MTT assays were performed to quantify relative cell viability of HIV-1-infected CD4+ T cells cultured in medium only and in medium supplemented with HIV-1-suppressing exosomes. (C) Exosome-mediated suppression of CCR5-tropic HIV-1 isolates 33015, IN/93/999, and ME1 and CXCR4-tropic HIV-1 isolates 33074, IIIB, and ME46. Results are given as means ± standard deviations (n = 3).
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Exosomes mediate HIV-1 suppression through a protein moiety. We investigated the biophysical nature of the antiviral activity of the HIV-1-suppressing exosomes. To confirm that a protein factor was involved in mediating the antiviral action, exosomes were subjected to a 6-h protease treatment with a combination of trypsin and chymotrypsinogen A. Untreated and protease-treated exosomes were pelleted by centrifugation, washed, resuspended in cell culture medium, and assayed for HIV-1-suppressive activity. We observed that protease treatment inactivated the antiviral action of exosomes (Fig. 4A), suggesting that the antiviral factor was a protein moiety possessing a membrane orientation consistent with extracellular surface presentation of its antiviral domain. We next examined whether the putative protein factor's tight membrane association regulated its antiviral action by depleting the lipid content of the exosomes. The lipid and protein fractions of the vesicles were separated by treatment with 2:1 chloroform-methanol as previously described (49). The antiviral activity was specifically observed in the precipitated protein fraction (63% ± 5%), with no significant activity found in the chloroform-extracted lipid fraction (12% ± 13%) (Fig. 4B). To further confirm the nonrequirement of lipid, we performed an alternative experiment using cold acetone to remove exosome lipid from the protein fraction. Exosomes were dissolved in cold acetone, followed by precipitation of the protein content by ultracentrifugation. The protein pellet was vacuum dried and resuspended in medium, followed by recentrifugation to remove insoluble particulates. The antiviral activity was again recovered in the delipidated protein fraction (Fig. 4C). The results of the exosome delipidation experiments were consistent with the membrane-bound protein moiety exerting its antiviral activity independently of its apparent lipid tethering.
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FIG. 4. Biochemical analysis of HIV-1-suppressing exosomes. (A) Protease inactivation of exosome-mediated antiviral activity. The asterisk indicates a statistically significant difference at a P value of <0.05 (Student's t test). (B) Chloroform-methanol treatment of HIV-1-suppressing exosomes followed by separation and purification of precipitated exosome protein and lipid fractions. The asterisk indicates a statistically significant difference at a P value of <0.01 (Student's t test). (C) Cold acetone delipidation of exosomes with recovery of antiviral activity in the lipid-free protein fraction. Results are given as means ± standard deviations (n = 3).
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FIG. 5. Suppression of HIV-1 at the level of transcription in acute and chronic models of infection. (A) Time-dependent suppression of LTR gene reporter expression by exosomes in TZM-bl cells. (B) Exosome-mediated suppression of LTR gene reporter expression after inducing the LTR with either an HIV-1 isolate, transfection with a plasmid expressing viral Tat protein, or mitogen stimulation with PMA. (C) Real-time RT-PCR measurement of LTR-activated β-galactosidase mRNA in TZM-bl cells in the absence or presence of exosomes. Values for β-galactosidase mRNA measurements was normalized by coquantification of 18S rRNA. (D) Intracellular HIV-1 RNA measurements in chronically infected 8E5 cells cultured in the presence (filled circles) or absence (open circles) of HIV-1-suppressive exosomes. Results are given as means ± standard deviations (n = 3).
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Since the TZM-bl LTR gene reporter assay essentially mimicked an acute infection model, we sought to determine if the CD8+ T-cell-secreted exosomes were capable of suppressing HIV-1 transcription in a chronic model of infection. Toward this aim, we utilized the chronically infected 8E5 cell line as target cells to measure HIV-1 transcriptional repression. The CEM-derived 8E5 cells contain a single full-length integrated copy of a mutant CXCR4-tropic HIV-1LAV genome with a null mutation in its reverse transcriptase. The resulting virions from this T-cell line are thus rendered noninfectious. Since no cell-to-cell transmission of virus occurs, any suppression of HIV-1 in the 8E5 cell line will be specifically directed at a postintegration step in the virus life cycle. We cultured 8E5 cells in the absence or presence of the purified antiviral exosomes over a 25-day time period. The level of HIV-1 RNA copies per 1,000 cells was measured every 5 days, and cells were replenished with medium alone or medium supplemented with exosomes at each time point, along with cell concentration adjustments to maintain consistent log-phase growth of the 8E5 cells. Although a transient spike in HIV-1 RNA at day 5 was observed for 8E5 cells cultured in the presence of the exosomes (Fig. 5D), beyond 5 days of culture, we observed a precipitous and consistent decline in intracellular HIV-1 transcripts in 8E5 cells cultured in the presence of exosomes compared to medium controls (Fig. 5D, days 5 to 25). A 100-fold decrease in HIV-1 transcripts was observed at day 25 for 8E5 cells cultured in the presence of exosomes while 8E5 cells cultured in medium alone maintained consistently high HIV-1 mRNA copy numbers throughout the time interval. Combined with HIV-1 promoter suppression in the acute LTR gene reporter model, potent exosome-mediated suppression of HIV-1 RNA production in chronically infected 8E5 cells demonstrated that the purified CD8+ cell-secreted exosomes specifically suppress HIV-1 replication by inducing a transcriptional block on the LTR promoter.
Interaction of exosomes with the cell surface. The presence of an HIV-1 suppression factor on the extracellular surface of the exosomes as well as a time-dependent induction for LTR promoter repression suggested the involvement of an exosome-triggered signaling mechanism. We therefore sought to determine whether the exosomes directly interacted with the surface of target cells in their induction of HIV-1 suppression. We performed confocal microscopy using TZM-bl cells labeled with the lipophilic dye PKH67 to stain internal and external cell membranes. Exosomes were labeled with Cy5, a dye that covalently binds to the primary amine group of proteins. The Cy5-labeled exosomes were incubated with PKH67-labeled cells at 37°C in the dark for various times, and three-dimensional confocal microscopy was performed following fixation. After only 10 min of coincubation, exosomes were found to concentrate at the cell surface, limiting their localization only to the periphery of TZM-bl cells (Fig. 6A). After 12 h of coincubation, a time by which near-maximal HIV-suppressive activity was detected (Fig. 5A), the Cy5-labeled exosomes were still limited to the periphery of TZM-bl cells (Fig. 6B). No evidence for internalization of exosome membrane was found at 12 h, indicating the involvement of exosomes only at cell surfaces during their induction of HIV-1 LTR promoter repression.
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FIG. 6. Confocal imaging of exosome-cell interaction. Exosomes were labeled with Cy5 (red), and cell membranes of TZM-bl cells were labeled with PKH-7 (green). (A) Exosome interaction with the cell periphery at 10 min of coincubation. (B) Exosome interaction with the cell periphery after 12 h of coincubation. Images shown are the focal plane at a 5- to 7-um depth inside stationary cells.
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FIG. 7. STAT1-dependence of HIV-1 LTR promoter suppression by TG exosomes. U3A (STAT1 deficient) and U3AR (STAT1 rescued) cell lines were each treated either with medium only or medium supplemented with TG exosomes for 12 h prior to transfection with a wild-type LTR-CAT gene reporter plasmid. After an 8-h LTR induction by PMA, cells were harvested, and intracellular CAT protein expression was measured by ELISA. The asterisk indicates a statistically significant difference at a P value of <0.01 (Student's t test). The percent suppression of LTR gene reporter expression was determined by the level of exosome-treated CAT expression versus medium-only controls in triplicate experiments. Results are given as means ± standard deviations (n = 3).
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Our results demonstrate that, unlike β-chemokines, the antiviral activity of exosomes was not mediated at the level of entry but through induction of an unknown signal that represses the lentiviral LTR promoter. Our biochemical characterization of the suppressive activity in exosomes indicated that HIV-1 suppression is mediated by a protein moiety present at the extracellular surface of exosomes. Whether the exosome-localized factor is a single molecule or a set of multiple molecules triggering intracellular transcriptional repression of HIV-1 remains to be determined. What we did observe from our confocal analysis was that exosomes did not internalize and remained at the target cell periphery even after 12 h of exposure. The lack of internalization of exosomes and the orientation of the antiviral activity to the extracellular face of the nanovesicles suggest that HIV-1 transcriptional repression is triggered by one or more ligand-receptor interactions that occur upon membrane contact of exosomes with the target cell surface.
That a signaling mechanism may be occurring is consistent with our observation that exosome-mediated transcriptional repression of the LTR is dependent on STAT1, a component of the interferon-mediated signaling pathway (5). Our time course experiment of LTR repression in TZM-bl cells indicated that at least a 12- to 16-h exposure to exosomes was required in for maximum LTR transcriptional suppression to be reached, a result in agreement with previous analysis of CAF-mediated HIV-1 LTR transcription (5). This delayed induction of LTR promoter repression, which was also observed in chronically infected 8E5 cells, suggests a possible involvement of secondary gene expression in the intracellular suppression of HIV-1 transcription, something that is known to occur through the STAT1-mediated interferon pathway (5). Interestingly, interferons have been shown not to be responsible for the elusive CAF activity (26). It is not clear what the putative target cell receptors that facilitate transcriptional repression of HIV-1 are. A hint that the putative receptor(s) may be somewhat ubiquitously expressed can be gleaned from our observation that HIV-1 LTR promoter repression occurred in cell lines as divergent as fibrosarcoma, HeLa, and T cells. Further study may reveal what the exact involvement of STAT1 is and the resulting signal cascade that facilitates intracellular repression of the HIV-1 promoter.
Our evidence of an exosome-bound antiviral factor expressed by CD8+ T cells opens a new avenue in the search for candidate molecules comprising the elusive CAF, one beyond the realm of cytokines and chemokines. Our findings that secreted CD8+ T-cell exosomes can suppress HIV-1 suggest the existence of a more elaborate membrane-mediated mechanism underlying the noncytotoxic antiviral activity than previous lymphokine secretion models have envisioned (10, 26, 52). This includes the possibility that exosomes could be facilitating the colocalization of multiple membrane factors that work in tandem to trigger a specific intracellular pathway suppressing HIV-1 transcription. Exosome biogenesis is an elaborate and active process involving complex membrane and cytoskeletal reorganization in the lumenal membranes of late endosomes (41). Previous characterizations of exosomes from a number of mammalian cell types have demonstrated a consistent pattern of proteins that are specifically included in the membrane and cargo of the nanovesicles (14, 40, 41, 43, 49). Our immunophenotyping of the CD8+ T-cell line TG-secreted antiviral exosomes is consistent with these previous exosome characterizations, showing a high enrichment of MHC class II molecules and tetraspanin proteins (14). Consequently, the localization of an LTR-suppressive factor to exosomes suggests a potential regulation of this antiviral activity by the same tetraspanin scaffolds mediating MHC class II trafficking and function.
Our findings, consequently, raise the question of how intracellular membrane trafficking inside CD8+ T cells might determine the cellular presentation of noncytotoxic HIV-1 suppression activity. Cellular microdomains consisting of tetraspanin scaffolds (19, 28, 48, 51), something exosome membranes are highly enriched for (13, 40, 41), have been shown to be critical mediators of intracellular trafficking and lateral membrane protein translocation in immune cells (28, 39, 48, 51). Our finding of reduced appearance of lysosomal marker CD63 at the CD8+ cell surface compared to exosomes (Fig. 2E and F) is in line with the molecule's known function in shuttling internal endosomal membrane components to lysosomes (39). This raises the question of whether our observed membrane-bound HIV-1-suppressing activity might also traffic to lysosomes within CD8+ T cells. With broad lipid and protein degradation occurring in these compartments, potential lysosomal targeting of the putative antiviral factor might result in its removal from a membrane anchor producing a soluble isoform eliciting the same HIV-1 suppression activity. Indeed, our biophysical analysis did demonstrate that the antiviral action of the putative membrane factor was elicited independently of its lipid tethering. A more thorough characterization of exosome versus cell surface membrane factors, in conjunction with further confocal imaging studies, may provide valuable clues to understanding the cell contact dependence previously observed for the CD8+ T-cell effector function. An exhaustive proteomic delineation of exosome proteins will likely prove challenging as exosomes possess biochemical complexities on par with general cell membrane compartments (41). Nonetheless, further efforts toward identifying the membrane factor(s) responsible for the antiretroviral activity will allow for a much needed mechanistic understanding of this effector function of CD8+ T cells.
Published ahead of print on 4 February 2009. ![]()
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