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The Journal of Immunology, 1999, 162: 2427-2431.
Copyright © 1999 by The American Association of Immunologists

Extracellular HIV-1 Tat Protein Up-Regulates the Expression of Surface CXC-Chemokine Receptor 4 in Resting CD4+ T Cells1

Paola Secchiero2,3,*,{dagger}, Davide Zella2,*, Silvano Capitani{dagger}, Robert C. Gallo* and Giorgio Zauli{ddagger}

* Institute of Human Virology, University of Maryland Biotechnology Institute, Baltimore, MD 21201; {dagger} Human Anatomy Section, Department of Morphology and Embryology, University of Ferrara, Ferrara, Italy; and {ddagger} Institute of Normal Morphology, Chieti, Italy


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Here we report that synthetic HIV-1 Tat protein, immobilized on a solid substrate, up-regulates the surface expression of the CXC-chemokine receptor 4 (CXCR4), but not of the CC-chemokine receptor 5 in purified populations of primary resting CD4+ T cells. The Tat-mediated increase of CXCR4 occurred in a well-defined range of concentrations (1–10 nM of immobilized Tat) and time period (4–8 h postincubation). Moreover, the increase of CXCR4 was accompanied by an increased entry of the HXB2 T cell line-tropic (X4-tropic), but not of the BaL macrophage-tropic strain of HIV-1. The ability of Tat to up-regulate CXCR4 expression was abrogated by the protein synthesis inhibitor cycloheximide, clearly indicating the requirement of de novo synthesis. As Tat protein is actively released by HIV-1 infected cells, our data indicate a potentially important role for extracellular Tat in rendering bystander CD4+ T cells more susceptible to infection with X4-tropic HIV-1 isolates.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It has been unequivocally established that the 86–101 amino acid Tat protein of HIV-1, which is essential for an efficient viral replication 1 , can be actively secreted by HIV-1-infected cells 2, 3 . Extracellular Tat displays pleiotropic activities on the survival and function of bystander uninfected cells as well as on the HIV-1 replication (reviewed in Refs. 4 and 5). A complex issue is how extracellular Tat elicits its biological effects. In fact, Tat protein is taken up by intact cells 6 and quite rapidly reaches the nucleus, where it transactivates a variety of cellular genes (reviewed in 4). In addition, Tat interacts with a variety of surface receptors, including integrin receptors and members of the vascular endothelial growth factor family 7, 8, 9, 10 , and activates various intracellular signal transduction pathways 11, 12, 13, 14, 15, 16, 17 . The contribution of extracellular Tat to the progression of viral infection is underlined by the ability of neutralizing anti-Tat Ab to reduce the viral load in vitro and possibly also in vivo 3, 18, 19, 20, 21 .

The aim of this study was to investigate the mechanisms by which extracellular Tat protein may favor viral infection. As CXC-chemokine receptor 4 (CXCR4)4 and CC-chemokine receptor 5 (CCR5) serve as primary coreceptors mediating the entry of the HXB2 T cell line-tropic (X4-tropic) and BaL macrophage-tropic (M-tropic) strains of HIV-1, respectively 22 , we have analyzed the expression of both CXCR4 and CCR5 in primary resting CD4+ T cells following exposure to extracellular Tat.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells

PBMC were isolated by Ficoll-Hypaque density-gradient centrifugation (Pharmacia, Uppsala, Sweden) of heparinized leukocyte units obtained from healthy adult donors, who gave their informed consent to this research according to the Helsinki declaration of 1975. Resting CD4+ T cells were isolated by stringent immunomagnetic negative selection with Dynabeads M450 (Dynal, Oslo, Norway). For this purpose, we used a mixture of mAbs against CD19 and CD20 present on B cells; CD16, CD56, and CD57 on NK cells; CD14 on monocytes; and CD8 (all mAb were from Coulter-Immunotech, Miami, FL). The final cultures of CD4+ T cells thus obtained were always >85% pure, as determined by two-color flow cytometry analysis using a phycoerythrin (PE)-conjugated anti-CD4 mAb (Becton Dickinson, San Jose, CA) in combination with a PC5-conjugated anti-CD3 mAb (Coulter-Immunotech). After purification, cells were resuspended in AIM-V serum-free medium (Life Technologies, Grand Island, NY) at 1.8 x 106 cells/ml and seeded in 48-well flat-bottom plates (0.6 ml/well).

Adherence of viral proteins to microtiter plates

Full-length synthetic Tat was from Technogen (Caserta, Italy), and recombinant p24 protein and anti-Tat rabbit polyclonal IgG were from Intracell (Cambridge, MA). Viral proteins were resuspended in PBS containing 0.1% BSA (Sigma, St. Louis, MO) and stored in aliquots at -70°C before use. Flat-bottom (48-well) polystyrene plates (Costar, Cambridge, MA) were coated overnight at 4°C with either viral proteins or BSA at the concentrations indicated in the text. Plates were then rinsed with AIM-V serum-free medium to remove nonadherent proteins, and medium was immediately added to the plates after the final wash. The amount of Tat coated to each well was estimated by ELISA by using anti-Tat polyclonal IgG (Intracell), followed by horseradish peroxidase-conjugated goat anti-rabbit IgG (Dako, Copenhagen, Denmark), as previously described 19 . Tat-coated plates were examined before and after 24 h of culture with CD4+ T cells.

In some cases, anti-Tat IgG were added to the wells (5 µg/well) after the final wash and left in the culture medium for all the time of the experiment. In other cases, 200 µg/ml of cycloheximide (Sigma) were added to the culture medium.

Flow cytometric analysis of cell surface molecules

Surface expression of CXCR4, CCR5, CD29, CD49, and CD69 was evaluated by direct staining with the PE-conjugated anti-CXCR4, anti-CCR5, anti-CD29, anti-CD49 (all from PharMingen, San Diego, CA), and PC5-conjugated anti-CD69 (Coulter-Immunotech) mAbs. Briefly, aliquots of 3 x 105 cells were stained with 5 µl of each mAb in 200 µl of PBS containing 2% FCS at 4°C for 30 min. Nonspecific fluorescence was assessed by using isotype-matched controls. After staining procedures, samples were analyzed using a FACSCalibur flow cytometer (Becton Dickinson). Data collected from 10,000 cells are presented as either histograms or mean fluorescence intensity (MFI) values.

In three experiments, cell-associated immunofluorescence was calculated by using the Quantum 27 fluorescence quantitation kit (Flow Cytometry Standards, San Juan, PR) following manufacturer’s instructions. This system allows for the direct quantitation of the fluorescence intensity of a test sample in terms of number of molecules of equivalent soluble fluorochrome (MESF) by comparison with a set of calibrated fluorescent standards consisting of four populations of microbeads, having different levels of fluorescence intensity (expressed as units of MESF) and matching the emission and excitation spectra of specimens labeled with the same fluorochrome, and one reference blank population.

HIV infection assay

At 4 h postseeding, cells were infected with HIV-1 (HXB2 and BaL strains; Advanced Biotechnologies, Columbia, MD; multiplicity of infection of 0.01) for 3 h and then washed three times with PBS. Of note, viral stocks were treated before use with RNase-free DNase I (Boehringer Mannheim, Indianapolis, IN) to remove contaminating DNA. Fourteen hours postinfection, CD4+ T cells were collected and lysed in proteinase K-lysis buffer and allowed to incubate at 56°C for 60 min, then at 98°C for 20 min. Serial dilutions of cell lysates were subjected to HIV-1 DNA PCR by using the following primers designed based on previously published sequences 23 : 5'-primer, 5'-TCTCTCTGGTTAGACCAGATCTG; 3'-primer, 5'-ACTGCTAGAGATTTTCCACACTG. These primers, which amplify a 180-bp fragment in the long terminal repeat (LTR) R/U5 region, were designed to detect early steps in reverse transcription 23 . Samples were subjected to 40 cycles of amplification (95°C for 1 min, 50°C for 1 min, and 72°C for 1 min). Negative controls were represented by samples containing buffer only or uninfected cells. The PCR products were separated on a 2% agarose gel, transferred to a nylon membrane, and hybridized with a 32P-labeled oligonucleotide probe (5'-CTCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGTGTGTGC) against an internal sequence of the HIV PCR product and analyzed after exposure to x-ray film. To normalize for the quantity of DNA in each sample, ß-globin PCR was conducted using ß-globin primers (Stratagene, La Jolla, CA). ß-Globin PCR products were visualized under UV light after staining of agarose gels with ethidium bromide. Each sample was amplified in duplicate or triplicate.

Statistical analysis

The results were expressed as means ± SD of three or more experiments performed in duplicate. Statistical analysis was performed using the two-tailed Student’s t test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Immobilized extracellular Tat rapidly and selectively up-regulates the surface expression of CXCR4 in primary resting CD4+ T cells

To investigate the role of Tat protein on the expression of surface CXCR4 and CCR5, we have chosen a previously established model system that allows us to assess the response of resting CD4+ T cells to truly extracellular Tat protein by using protein immobilized on plastic 5 . The doses of Tat reported in all experiments are those added overnight to the plates to coat the wells and do not represent the amount of protein bound to each well. The HIV-1 protein p24 and/or BSA were used as controls.

The purity of freshly isolated CD4+ T cell populations ranged from 85 to 98% in different experiments, reaching 95% in the representative experiment illustrated in Fig. 1Go, A–D. CD4+ T cells constantly expressed detectable, albeit variable, levels of surface CXCR4 that were rapidly enhanced following incubation at 37°C in serum-free medium (Fig. 1GoB). Culture of CD4+ T cells in Tat-coated plates resulted in a clearly detectable increase in CXCR4 expression with respect to the spontaneous CXCR4 induction within 2–8 h, with maximal (p < 0.01) effect being observed after 4 h (Figs. 1Go, B–C). On the other hand, when T cells were seeded in p24-coated or BSA-coated plates, no effect on the spontaneous induction of CXCR4 expression was observed.



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FIGURE 1. Effect of extracellular Tat on the surface expression of CXCR4, CCR5, and CD69 in primary resting CD4+ T cells. A, Degree of purification of the primary resting CD4+ T cells evaluated by two-color immunofluorescence analysis performed using PC5-conjugated anti-CD3 plus PE-conjugated anti-CD4 mAbs. Percentages of cells in the respective quadrants are indicated. Negative control constituted by cells stained with PC5-conjugated and PE-conjugated irrelevant isotype matched mAbs (Control Ig) is shown. B and D, Primary CD4+ T cells were cultured in wells coated with 10 nM of Tat or BSA and analyzed for the surface expression of CXCR4, CCR5, and CD69 at the times (T = h) indicated. Dotted and dashed lines represent staining with irrelevant isotype matched mAb of BSA- and Tat-treated cells, respectively. Thin line represents BSA-treated cells. Shadowed area shows Tat-treated cells stained with anti-CXCR4 mAb, anti-CCR5 mAb, or anti-CD69 mAb. The horizontal axis indicates surface CXCR4, CCR5, and CD69 expression detected by PE (for CXCR4 and CCR5) or PC5 (for CD69) fluorescence intensity. The vertical axis indicates relative cell number. Results from a single donor representative of seven separate experiments is shown in A, B and D, while C reports the means ± SD of seven independent experiments, in which surface CXCR4 expression was calculated as MFI values. For each time point, CXCR4 expression in the Tat-treated samples is expressed as percentage of the control (BSA- or p24-treated) samples.

 
Since similar results were obtained in experiments performed with CD4+ T cell populations showing a variable degree of purification, this renders unlikely the possibility that a small population of contaminating cells (such as monocytes, NK cells, CD8+ T or B cells, each never exceeding 4%) may account for the modulation of the CXCR4 expression induced by Tat.

The effect of Tat on CXCR4 was selective in that CCR5, which was normally expressed at very low levels in freshly purified resting CD4+ T cells, was not affected by immobilized Tat nor by immobilized p24 (Fig. 1GoB). Of note, the early activation marker CD69, whose expression was transiently up-regulated when freshly isolated CD4+ T cells were seeded in culture, also did not show significant variations in Tat-treated cells with respect to those treated with BSA (Fig. 1GoB).

When the phenotypic analysis was conducted for longer time periods (up to 72 h), no significant differences in the expression of CXCR4, CCR5, and CD69 could be observed between Tat- and BSA-treated cells (Fig. 1GoD). Taken together, these data indicate that the Tat-mediated up-regulation of CXCR4 in resting CD4+ T cells is transient but specific. In this respect, other surface Ags (CD4, and the integrin markers CD29 and CD49) were also unaffected by Tat treatment at any time point considered (data not shown).

In selected experiments, an accurate analysis of the relative number of anti-CXCR4 mAb binding sites per cell was performed using quantitative fluorescein microbeads standards (Fig. 2Go). With this approach, a >2-fold (p < 0.01) increase in MESF corresponding to CXCR4 was observed in cells seeded for 4 h on Tat-coated plates (14,100 ± 2,230) with respect to cells seeded on BSA-coated plates (5700 ± 950).



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FIGURE 2. Quantitative evaluation of the CXCR4 expression on CD4+ T cells after 4 h of culture in Tat- or BSA-coated plates. The figure illustrates a representative of three separate experiments in which CXCR4 expression was calculated by comparison with PE-labeled standard microbeads. The dotted lines represent five microbead populations, one of which is an unlabeled blank (Bl), and the remaining four are PE-labeled microbeads with specific fluorescence intensities that are calibrated and expressed in MESF units (peak 1: 3, 383 MESF; peak 2: 13, 986 MESF; peak 3: 44, 428 MESF; peak 4: 206, 881 MESF). Dashed lines represent staining with irrelevant isotype matched mAb of BSA- and Tat-treated cells. Thin line and shadowed area show staining with anti-CXCR4 mAb of BSA- and Tat-treated cells, respectively.

 
Immobilized extracellular Tat up-regulates the surface expression of CXCR4 in a well-defined range of concentrations

To evaluate the dose-dependence of Tat-mediated CXCR4 up-regulation, plates were next coated with synthetic Tat at a concentration range comprised between 0.01 and 100 nM (Fig. 3Go). After 4 h of incubation, immobilized Tat up-regulated the surface expression of CXCR4 in a bell-shaped fashion. Plates coated with 1–10 nM Tat showed a statistically significant (p < 0.01) increase of CXCR4 levels with respect to plates coated with 0.01, 0.1, and 100 nM Tat or with 10 nM p24 or 0.1% BSA. The specificity of the effect was demonstrated by the ability of anti-Tat polyclonal IgG to abrogate (p < 0.01) the Tat-mediated up-regulation of surface CXCR4. Of note, when soluble Tat was used, a greater variability in CXCR4 modulation was noticed with respect to the experiments performed with immobilized Tat. In general, the concentrations of soluble Tat required to observe up-regulation of the surface CXCR4 after 4 h of culture were one log higher (100 nM) than those required to obtain similar effects with immobilized Tat. To further ascertain whether the Tat-mediated up-regulation of CXCR4 was truly due to extracellular Tat, the amount of protein immobilized on plastic was evaluated before and after seeding CD4+ T cells on Tat-coated plates for 24 h by ELISA. In three separate experiments, the enzyme immune adsorbance OD values were similar before (0.93 ± 0.23) and after (0.85 ± 0.15) performing the cell cultures. Taken together, these data indicate that internalization of extracellular Tat by CD4+ T cells is not required to up-regulate CXCR4.



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FIGURE 3. Dose-response for Tat-induced up-regulation of CXCR4 expression in primary resting CD4+ T cells cultured for 4 h in wells coated with 0.1% BSA, 10 nM of p24, or with the indicated concentration of Tat. For neutralization experiments, Tat-treated samples were cultured with anti-Tat IgG, as described in Materials and Methods. Data are expressed as means ± SD of the MFI calculated from three independent experiments. CXCR4 expression in BSA-treated cells was set as 100%.

 
Tat-mediated CXCR4 up-regulation requires de novo protein synthesis

To determine whether the Tat-induced up-regulation of CXCR4 surface expression was due to de novo protein synthesis or merely relocation of preexisting receptor to the cell surface, we performed the experiments in presence of cycloheximide, a pharmacological inhibitor of protein synthesis. When primary CD4+ T cells were seeded in culture for 4 h in the presence of 200 µg/ml of cycloheximide, a significant (p < 0.01) inhibition of surface CXCR4 was observed (Fig. 4Go), indicating that neosynthesis of CXCR4 takes place as soon as freshly isolated CD4 cells are seeded in culture. Of note, the Tat-mediated up-regulation of CXCR4 was also almost completely abolished by the addition of cycloheximide (Fig. 4Go).



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FIGURE 4. Effect of cycloeximide (CEX) on CXCR4 expression in primary resting CD4+ T cells. Cells were cultured for 4 h in the presence or absence of 200 µg/ml cycloeximide in wells coated with either 0.1% BSA or 10 nM Tat. Data are expressed as means ± SD of the MFI calculated from three independent experiments. CXCR4 expression in the BSA-treated cells was set as 100%.

 
Tat-mediated CXCR4 up-regulation correlates with enhanced infectivity of the HXB2 X4-tropic strain

To define the role of CXCR4 up-regulation in CD4+ T cell infection by HIV-1, we used an X4-tropic strain of HIV-1. Primary CD4+ T cells cultured for 4 h in BSA- or Tat-coated plates were infected with HXB2 (multiplicity of injection (MOI) = 0.01) for 3 h. After an additional 14 h of culture in fresh medium, samples were analyzed by PCR for the presence and amount of viral DNA as a measurement of viral entry. Semiquantitative PCR of strong-stop DNA (with LTR R/U5 primers), an early product of reverse transcription, revealed a significant higher level of proviral DNA in cells seeded on Tat-coated plates with respect to those seeded on control (BSA-coated) plates (Fig. 5Go). In contrast, infection with 0.01 MOI of the M-tropic strain BaL was undetectable in both the BSA- and Tat-treated cultures (data not shown). These results indicate that the Tat-induced up-regulation of CXCR4 affects the susceptibility of CD4+ T cells to infection by X4 HIV-1 strains.



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FIGURE 5. Effect of extracellular Tat on infection of CD4+ T cells by X4-dependent HIV-1 HXB2. Primary CD4+ T cells were cultured in BSA- or Tat-coated plates for 4 h and then infected with HIV-1 for 3 h. At the time of addition of the viral inoculum, surface CXCR4 was analyzed by flow-cytometry (left panel). Dotted and dashed lines represent staining with irrelevant isotype-matched mAb of BSA- and Tat-treated cells, respectively. Thin line and shadowed area show staining with anti-CXCR4 mAb of BSA- and Tat-treated cells, respectively. Right panel, Entry of HIV-1 in BSA- or Tat-treated CD4+ T cells, evaluated by PCR-based limiting dilution analysis. Serially diluted (5-fold) aliquots (lanes 1–4) were amplified with primers for the LTR R/U5 region as described in Materials and Methods and analyzed for signal after Southern blot hybridization. A ß-globin amplification was used to confirm comparability of the samples (the ethidium bromide-stained agarose gel of PCR products is shown). The data are representative of three separate experiments. Bl, Blank.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, we have established that extracellular Tat selectively up-regulates the levels of surface CXCR4 in resting CD4+ T cells. This receptor belongs to a family of G-protein-coupled receptors that are involved in regulation of numerous biological processes and is selective for a single chemokine, the potent lymphocyte chemoattractant stromal cell-derived factor-1 (SDF-1) 24 . Moreover, CXCR4 plays a prominent role as a coreceptor for the highly cytopathic T cell line-adapted isolates of HIV-1 22 . On the other hand, we did not observe any Tat-mediated effect on the surface expression of CCR5, the major coreceptor for M-tropic strains of HIV-1, in resting CD4+ T cells.

The specificity of the Tat-mediated CXCR4 up-regulation was underlined by the fact that Tat was unable to up-regulate other surface markers, such as CD69, CD4, CD29, and CD49. In particular, the inability of Tat to up-regulate CD69, which represents an early activation Ag, clearly indicates that the Tat-mediated CXCR4 up-regulation cannot be considered the consequence of a generic CD4+ T cell activation. In this respect, we have previously demonstrated that immobilized Tat was unable to induce the proliferation of resting CD4+ T cells by itself and required the presence of a second stimulus 5 .

In agreement with Jourdan et al. 25 , we observed that freshly isolated CD4+ T cells expressed low levels of cell surface CXCR4 that were rapidly enhanced following incubation of the cells in medium alone, even in absence of serum. Extracellular Tat induced a further increase in CXCR4 expression, with maximal effect observed after 4 h of incubation. The efficient inhibitory effect of cycloheximide on the surface expression of CXCR4 induced by extracellular Tat suggests that the Tat-mediated CXCR4 up-regulation is not due to merely relocation of preexisting receptor to the cell surface, but requires de novo protein synthesis of CXCR4.

A number of studies have shown that CXCR4 expression can be rapidly up-regulated or down-regulated depending upon the conditions used to stimulate resting T cells 25, 26, 27, 28 . While down-regulation of surface CXCR4 appears to be the consequence of rapid endocytosis of cell surface receptor molecules 29 , the mechanisms responsible for CXCR4 up-regulation are less clear. Nevertheless, the Tat-mediated up-regulation of CXCR4 surface expression was not accompanied by modifications of surface CCR5. Consistent with our data, other authors have previously shown that CXCR4 and CCR5 are differentially regulated on T lymphocytes 27, 28 . CXCR4 and CCR5 are the predominant chemokine receptors used as coreceptors in HIV-1 entry, and as such, their expression is important for determining viral tropism. In the course of HIV-1 infection, M-tropic viral strains predominate during the early phase of infection, while dual-tropic and T cell line-tropic viral strains appear late during disease progression to AIDS.

Since CXCR4 was already expressed by resting CD4+ T cells, a crucial issue was to evaluate whether the Tat-mediated increase of surface CXCR4 could impact HIV-1 infectivity. We were able to demonstrate that immobilized Tat was associated to an increased entry of X4-tropic but not of an M-tropic strain of HIV-1 into primary resting CD4+ T cells. Thus, extracellular Tat may contribute to determine the shift from macrophage- to dual- and T cell line-tropic virus strains, rendering a larger population of lymphocytes more susceptible to HIV-1 late in the course of infection.


    Footnotes
 
1 This work was supported by "AIDS project" of the Italian Ministry of Health and Ministero dell’Universita e dell Ricerca Scientifica e Technologica (MURST), 40 and 60%, respectively. Back

2 These authors contributed equally to this study. Back

3 Address correspondence and reprint requests to Dr. Paola Secchiero, Institute of Human Virology, University of Maryland Biotechnology Institute, 725 West Lombard Street, Baltimore, MD 21201-1192. E-mail address: Back

4 Abbreviations used in this paper: CXCR4, CXC chemokine receptor 4; CCR5, CC-chemokine receptor 5; X4-tropic, HXB2 T cell line-tropic; M-tropic, BaL macrophage-tropic; PE, phycoerythrin; MFI, mean fluorescence intensity; MESF, molecules of equivalent soluble fluorochrome; LTR, long terminal repeat. Back

Received for publication October 23, 1998. Accepted for publication November 6, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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