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The Journal of Immunology, 2001, 166: 3377-3383.
Copyright © 2001 by The American Association of Immunologists

Soluble CD16 Inhibits CR3 (CD11b/CD18)-Mediated Infection of Monocytes/Macrophages by Opsonized Primary R5 HIV-11

Hicham Bouhlal*, Jérôme Galon{dagger}, Michel D. Kazatchkine*, Wolf-Herman Fridman{dagger}, Catherine Sautès-Fridman{dagger} and Nicole Haeffner Cavaillon2,*

* Institut National de la Santé et de la Recherche Médicale Unité 430, Hôpital Broussais; and {dagger} Institut National de la Santé et de la Recherche Médicale Unité 255, Institut Curie, Paris, France


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We demonstrate that soluble CD16 (sCD16; soluble Fc{gamma}RIII), a natural ligand of CR3, inhibits the infection of monocytes by primary R5 HIV-1 strain opsonized with serum of seronegative individuals. Inhibition of monocyte infection by sCD16 was similar to that observed with anti-CR3 mAbs, indicating that opsonized HIV may use a CR3-dependent pathway for entry in monocytic cells. Cultured human monocytes express both CR3 (CD11b/CD18) and CCR5 receptors. RANTES, the natural ligand of CCR5, inhibited infection of monocytes with unopsonized HIV particles and partially that of monocytes infected with HIV particles opsonized with complement-derived fragments. Although HIV-infected monocytes from homozygous CCR5 {Delta} 32/{Delta} 32 (CCR5-/-) individuals produce low levels of p24, cells infected with opsonized particles produced higher levels of p24 than cells infected with unopsonized particles. Our results thus suggest that CR3 may represent an alternative coreceptor to CCR5 of opsonized primary R5 virus entry into monocytes/macrophages. We also observed that the concentration of sCD16 is greatly decreased in sera of HIV-infected patients with low lymphocyte CD4+ counts. Taken together, our findings suggest that sCD16, present in plasma, may play an important role in controlling HIV-1 spread.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Monocytes/macrophages represent a reservoir for HIV virus in infected individuals, because infection of these cells with HIV is not associated with cell death (1, 2). Most macrophage-tropic strains of HIV-1, also referred to as R5 strains, use the cell surface CD4 molecule as major receptor and CCR5 as entry coreceptor (3, 4, 5). Other surface molecules such as complement receptors (CR1, CR3) and FcR type III (Fc{gamma}RIII, CD16) have been reported to be involved in the entry of HIV-1 into T-tropic strains (6, 7, 8, 9, 10). In addition, triggering of CR3 in latently infected monocytes has been shown to enhance viral replication by intracellular signaling involving nuclear translocation of NF-{kappa}B (11). CR3 is expressed on phagocytic cells, and its expression is significantly up-regulated on peripheral blood leukocytes of HIV-infected individuals at advanced stages of HIV disease (12). CR3 may function as an adhesion molecule and as a membrane receptor recognizing several natural ligands, including the iC3b fragment of C3, ICAM-1, fibronectin, and the soluble form of CD16 (sCD16,3 soluble Fc{gamma}RIII) (13, 14, 15). sCD16 in plasma originates from neutrophils following cleavage of the extracellular region of membrane receptors by metalloproteinases. CD16 plays a regulatory role in a number of inflammatory processes (16, 17, 18).

In the present study, we show that opsonization of HIV-1 R5 strain YU-2 enhances infection of and viral production by monocytes/macrophages. The enhancing effect involves the participation of CR3 (CD11b/CD18) receptors because it is blocked by anti-CR3 mAbs. One of the natural CR3 ligands, sCD16, binds to the lectin-like domain of CR3 and suppressed up to 75% of infection of monocytes with opsonized primary R5 virus strain in vitro. Infection with opsonized virus (OV) is also dependent on CCR5 as anti-CCR5 Abs partially inhibited viral replication. Furthermore, monocytes from individuals lacking a functional CCR5 molecule, which are infected at very low levels, produce higher amounts of p24 when viral particles are opsonized. Infection of CCR5-/- monocytes by OV was inhibited by sCD16 to a higher degree than by RANTES. The concentration of sCD16 was severely depressed in sera of HIV-infected patients with low CD4+ cell counts.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
sCD16 preparations

The cDNA encoding the NA2 form of the human Fc{gamma}RIII-B (CD16) ecto-domain (194 aa long) was expressed in the baby hamster kidney (BHK) cell line (18). The JBIXA2 cell line, secreting sCD16, was grown on hollow fibers in a perfusion cell culture system (Acusyst Jr.; Endotronics, Minneapolis, MN). sCD16 was purified by S-Sepharose chromatography (Fast Flow; Pharmacia, Uppsala, Sweden), followed by affinity chromatography on rabbit IgG-Sepharose and by gel exclusion chromatography on a Superdex 200 column (Pharmacia) (19). These purification steps gave pure rsCD16 of apparent m.w. 47,000–56,000, as indicated by silver staining following SDS-PAGE and Coomassie blue staining (18, 19). Purification was performed under endotoxin-free conditions, and sCD16 contained less than 0.1 pg/ml of endotoxin, as determined by the Limulus assay (Sigma, St. Louis, MO).

Assay of sCD16 in serum

Blood samples were obtained by venipuncture from 100 HIV-infected individuals and 33 seronegative controls. sCD16 level was measured by an indirect sandwich ELISA. As a capture Ab, we used 3G8, a mouse IgG1{kappa}1 mAb directed against Fc{gamma}RIII A and B (20) (kindly provided by Dr. D. Segal, National Institutes of Health), and as secondary Ab, rabbit polyclonal anti-Fc{gamma}RIII-B Abs. A total of 50 µl of purified mAb 3G8 (5 µg/ml) in PBS was incubated for 2 h at room temperature in each well of ELISA microtiter plates (Nunc Immunoplate Maxisorb; Nunc, Roskilde, Denmark). Nonspecific binding was blocked by incubating the plates with 200 µl/well of PBS containing 1% (w/v) BSA (A-7030; Sigma) and 0.01 M sodium azide. After incubation with each serum for 2 h at room temperature, microtiter plates were extensively washed with PBS containing 0.05% Tween-20. Purified rabbit polyclonal anti-Fc{gamma}RIII-B Abs (10 µg/ml in PBS-1%, BSA-0.01 M sodium azide) were added to each well for 2 h at room temperature. Plates were washed, and 50 µl of 1/1000 diluted alkaline phosphatase-labeled goat anti-rabbit (Clinisciences, Paris, France) was added and incubated for 2 h at room temperature. OD at 405 nm were recorded with a Titertek Multiscan ELISA reader (Labsystems, Les Ulis, France). sCD16 concentrations were determined using purified rsCD16 (100 µg/ml) as standard.

Isolation of cells

Monocytes were isolated from peripheral blood of HIV-1-seronegative individuals. After step-density gradient centrifugation, the PBMC (107/ml) were cultured in RPMI/10% heat-inactivated AB normal human serum (NHS), in plastic tissue culture plates for 1 h at 37°C. After washing, mononuclear adherent cells were cultured in RPMI/10% heat-inactivated FCS, penicillin-streptomycin (50 µg/ml), and 2 mM glutamine for 3–4 days.

Flow cytometric analysis

To determine surface expression of CD4, CCR5, CR3, CD16, and CD14 molecules by monocytes, cells were recovered by adding cold PBS/0.02% EDTA for 10 min, and scraping with a rubber policeman. Cells were washed with PBS/0.01% sodium azide and then incubated with mAbs anti-CD16 FITC, anti-CD4 FITC (Becton Dickinson, Le Pont de Claix, France), anti-CCR5 PE (PharMingen, Le Pont de Claix, France), anti-CD11b PE, anti-CD18 PE, or anti-CD14 PE cyanin S (Immunotech, Beckman Coulter, Villepente, France), or labeled isotype mAb control, for 30 min at 4°C. Following a washing step, cells were fixed with paraformaldehyde (1%) and analyzed using a FACSCalibur flow cytometer and the CellQuest software (Becton Dickinson).

Binding of opsonized and unopsonized gp120 (O-gp120, U-gp120) to cells

Biotinylated O-gp120-IIIB (2 µg/ml; Intracel, Issaquah, WA) was obtained by incubating the recombinant gp120 in the presence of NHS containing CaCl2 (0.6 mM), MgCl2 (0.9 mM) for 30 min at 37°C. O-gp120 and U-gp120 were incubated for 30 min on ice with cells in PBS/0.01% sodium azide/0.2% BSA. In inhibition experiments, cells were preincubated with sCD16 (2 µg/ml) for 30 min at 37°C before adding U-gp120 and O-gp120 (final volume 100 µl). After washing, cells were incubated with streptavidin-conjugated PE (Becton Dickinson) for 30 min on ice and fixed with paraformaldehyde (1%). Binding of O-gp120 and U-gp120 to cells was assessed by flow cytometry (FACSCalibur) and the CellQuest software (Becton Dickinson).

Virus strain

The primary monotropic CCR5-dependent HIV-1 YU-2 strain was used throughout the study. A virus stock was propagated by transfecting 293 T cells with a plasmid encoding the molecular clone of the YU-2 strain (21). Briefly, 10 µg of DNA was introduced into 293 T human embryonic kidney cell line by transfection using the calcium phosphate precipitation method (22). Cell culture supernatants were collected 72 h after transfection and filtered through a 0.2-µm filter. Viral titer was determined using a p24 Ag capture ELISA (HIV-1 core profile ELISA; DuPont de Nemours, Les Ulis, France, or Coulter, Immunotech Company S. A., De Lattre Tassaigny, Marseille, France), and kept at -80°C.

Viral particle opsonization

NHS used as a complement source was a pool obtained from healthy individuals that were seronegative for HIV-1 and HIV-2. Opsonization of HIV-1 YU-2 was achieved by incubating viral particles in NHS containing CaCl2 (0.6 mM), MgCl2 (0.9 mM), and human seronegative serum (OV). Control unopsonized particles were obtained in the presence of human EDTA-chelated plasma before infection (unopsonized virus (UV)). Optimal opsonization was achieved by using a 1/1 dilution in NHS containing CaCl2 and MgCl2.

Infection of monocytes with complement-opsonized or unopsonized HIV-1

Monocytes of healthy individuals cultured for 3–4 days (105/well) were then infected with 2 ng/ml of p24 of HIV-1 YU-2, for 3 h at 37°C. After washing, cells were cultured in RPMI containing antibiotics and 10% heat-inactivated FCS. For inhibition experiments, cells were preincubated for 30 min with anti-CR3 (MO-1/7E4) Abs (10 µg/ml; Immunotech, Beckman Coulter, Villepente, France), sCD16 (0.1–2 µg/ml), denatured sCD16 (den-sCD16; 2 µg/ml), RANTES (500 ng/ml), or stromal-derived factor 1 (2.5 µg/ml) (R&D Systems Europe, Oxon, U.K.) (23). Culture supernatants were harvested every 3 days, and viral replication was quantified by determining the concentration of p24 Ag. Results are expressed as p24 Ag concentrations in pooled supernatants from duplicate culture wells obtained after 3, 6, 9, and 12 days of infection. The HIV-1 DNA was extracted 48 h following infection (Roche Standard Extraction protocol) from cells infected with UV and OV, and quantified by PCR using the HIV-1 MONITOR test (Roche, Meylan, France). In another set of experiments, we compared infection of monocytes from CCR5-/- individuals, cultured under the same conditions, with infection of monocytes from CCR5+/+ subjects.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Enhancing effect of NHS on infection of monocytes with the R5-tropic HIV-1 primary strain YU-2

Peripheral blood monocytes cultured for 3–4 days were incubated with suboptimal amounts of HIV-1 YU-2 (2 ng/ml) that had been opsonized with fresh serum obtained from HIV-seronegative donors as a source of complement. UV was obtained by incubating the particles in EDTA-chelated serum. The kinetics of infection were monitored by measuring the release of p24 Ag in culture supernatants. The productive infection of cells with HIV-1 YU-2 primary strain occurred at higher rates in cultures grown in the presence of complement-opsonized viral particles (OV) as compared with UV. The OV/UV ratio of the p24 production ranged between 2 and 6 (Fig. 1GoA). Using quantitative PCR, we observed that the number of viral DNA copies was 5-fold higher in cells infected with OV than in cells infected with UV (Fig. 1GoB).



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FIGURE 1. Effect of serum as source of C3 fragments on monocyte infection with a macrophage-tropic primary HIV-1 YU-2 CCR5-dependent strain. A, Cells were infected with UV ({circ}) and OV (•), in the absence of virus ({square}). The concentration of p24 Ag in pooled supernatants from triplicate culture wells was assessed by ELISA and expressed as mean ± SD of four separate experiments (n = 4; *, p = 0.0001). B, Number of viral DNA copies in UV or OV infection cultures was determined 48 h postinfection by quantitative PCR using HIV-1 MONITOR test. Number of HIV-1 DNA copies/ml was calculated from (total HIV OD/total internal quantitation standard (pSDL) OD units) x 30 x 20, in which 30 represents the number of copies of pSDL added and 20 is the dilution factor.

 
sCD16 inhibits the productive infection of monocytes with opsonized HIV-1 YU-2

We first analyzed the expression of CR3 (CD11b/CD18), CCR5, CD4, and CD16 surface molecules on fresh isolated monocytes or monocytes that had been cultured for 3–4 days in vitro. The expression of CR3, CCR5, and CD4 increased on monocytes after 3–4 days of culture (day 0 vs 3–4: CD11b, 79 vs 96%; CD18, 89 vs 97%; CCR5, 26 vs 69%; CD4, 7 vs 19%) (Fig. 2Go). The culture conditions did not alter the expression of the monocyte-specific marker, CD14 (86 vs 81%), nor the expression of the macrophage-specific marker, CD16 (0.4 vs 2%).



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FIGURE 2. Surface expression of monocytes (D 3–4) compared with freshly isolated monocytes following adherence to plastic in 10% NHS for 1 h in 37°C (D 0). Cells (105) were incubated with anti-CD16 FITC, anti-CD4 FITC, anti-CCR5 PE, anti-CD11b PE, anti-CD18 PE, and anti-CD14 PECy5 (open histograms), and labeled isotype-matched mAb control (solid histograms) for 30 min at 4°C. A total of 5000 cells were collected, and results representative of a triplicate analysis are shown.

 
In a second set of experiments, we studied the mechanism of entry of opsonized HIV-1 YU-2 by incubating the cells, before infection, with sCD16 or with blocking anti-CR3 mAbs. The addition of sCD16 at a saturating concentration of 2 µg/ml dose dependently abolished up to 75% of infection with OV (Fig. 3Go) (15). In contrast, heat-den-sCD16 had no inhibitory effect (Fig. 3Go). sCD16 also had no effect on monocyte infection when viral particles were incubated in EDTA-chelated serum, thus excluding binding of sCD16 to putative polyreactive Abs potentially present in seronegative serum. Preincubation of cells with sCD16 before infection did not alter expression of CD4, CCR5, and CR3 (data not shown). The extent of inhibition by sCD16 was similar to that obtained using saturating amounts of anti-CR3 mAbs (MO-1/7E4) that recognize the iC3b binding site on CR3. Isotype-matched Abs had no inhibitory effect under similar experimental conditions (Fig. 4Go).



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FIGURE 3. Effect of sCD16 and heat-den-sCD16 on infection of monocytes by complement OV. A, Kinetics of p24 Ag production by human monocytes infected with UV ({circ}) and with OV (•) in the presence of sCD16 ({blacktriangleup}; *, p < 0.0001) and den-sCD16 ({triangleup}) at 2 µg/ml added to cells before and during infection. Viral production was assessed by ELISA and expressed as mean ± SD (n = 3). B, The inhibitory effect of sCD16 on infection of monocytes by OV was dose dependent; cells were incubated with different concentrations of sCD16 (0.1–2 µg/ml) and with 2 µg/ml of den-sCD16 before and during infection. Results are expressed as mean percentage inhibition of infection ± SD of three independent experiments (n = 3).

 


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FIGURE 4. Effect of Abs directed against CR3 on infection of monocytes with OV ({blacksquare}). Cells were incubated with anti-CD11b (MO-1) and anti-CD18 (7E4) ({circ}) mAbs and isotype control (10 µg/ml; •) before infection. Infection with UV ({square}) is shown as control. Results were expressed as mean ± SD (n = 3; *, p = 0.0001).

 
To address further the mechanism of viral entry, we examined the inhibition by sCD16 of the binding of biotinylated O-gp120 and U-gp120 to monocytes. O-gp120 binding to cells was greater than that of U-gp120. sCD16 inhibited the binding of O-gp120 to cells and slightly inhibited that of U-gp120 (Fig. 5Go).



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FIGURE 5. Inhibition by sCD16 of recombinant gp120-IIIB binding to monocytes. Cells were preincubated (right panel) or not (left panel) with sCD16 (2 µg/ml, black line) before addition of 2 µg of U-gp120 and serum O-gp120. Results representative of four independent experiments are presented.

 
We compared the inhibitory effect of sCD16 with those of the natural ligand of CCR5, RANTES. Cells were incubated with RANTES (500 ng/ml), sCD16 (2 µg/ml), and then infected with UV and OV HIV-1 YU-2 particles or with SDF-1 (2.5 µg/ml) as control. The addition of sCD16 to cultures of monocytes infected with UV-YU-2 did not inhibit viral replication, whereas that of RANTES prevented infection (Fig. 6GoA). SDF-1 had no effect. In contrast, incubation of monocytes with sCD16 before infection suppressed viral replication in monocytes infected with OV particles, whereas RANTES had little effect on infection (Fig. 6GoB). Cells were also incubated with mAb anti-CCR5 2D7 Abs. Anti-CCR5 Abs inhibited infection of monocytes with both OV and UV particles, the inhibition being greater with anti-CCR5 Abs as compared with RANTES (Fig. 7Go). To investigate the exact involvement of CCR5 in monocyte infection with OV particles, we compared p24 production by monocytes from CCR5-/- individuals with cells from CCR5+/+ subjects. Monocytes lacking CCR5 surface molecule expressed comparable levels of CR3 as compared with monocytes CCR5+/+, whereas expression of CCR5 on monocytes from CCR5-/- individuals was barely or not detectable (data not shown). Cells were then infected with UV and OV HIV-1 YU-2 particles. Despite the low p24 production, production of p24 was higher when cells were infected with OV particles as compared with UV YU-2-infected cells (Fig. 8Go). When cells were incubated with sCD16 and RANTES before infection, sCD16 inhibited p24 production by up to 60%, and 15% inhibition was reached in the presence of RANTES at peak p24 production (day 9) (Fig. 8Go). To investigate whether CD4 participates in OV entry, CCR5-positive monocytes were incubated with soluble CD4 (sCD4; 10 µg/ml) before infection. Monocyte infection with OV particles was 60–70% inhibited by sCD4, demonstrating the involvement of CD4 in OV entry (data not shown).



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FIGURE 6. Effect of RANTES and sCD16 on infection of monocytes. A, Cells were infected with UV ({square}) (results representative of three independent experiments). B, Cells were infected with OV {blacksquare} (results were expressed as mean ± SD of three independent experiments) after incubation with RANTES (•) (500 ng/ml; *, p = 0.05), SDF-1 ({circ}) (2.5 µg/ml) as chemokine control and with sCD16 ({blacktriangleup}) (2 µg/ml; *, p = 0.0001).

 


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FIGURE 7. Differential inhibitory effect of mAb anti-CCR5 2D7 and RANTES on monocyte infection. Cells were preincubated with 2D7 mAb anti-CCR5, isotypic matched control (10 µg/ml), and RANTES (500 ng/ml) before infection with UV and OV. Results are expressed as a percentage of inhibition of infection and represented as mean ± SD of three independent experiments (n = 3; *, p = 0.01).

 


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FIGURE 8. Effect of RANTES and sCD16 on infection of monocytes from CCR5-/- individuals with UV ({square}) and OV ({blacksquare}). Cells were incubated with RANTES (•; 500 ng/ml) and with sCD16 ({blacktriangleup}; 2 µg/ml). Results representative of two independent experiments are shown. Inhibition of monocyte infection with OV (%) in the presence of sCD16 during infection is shown in the small panel.

 
Decreased serum levels of sCD16 in HIV-infected patients

We measured sCD16 levels in the serum of 100 HIV-infected individuals at various stages of HIV disease. Of these, 19 had CD4 counts >500 x 106/L (group A), 22 had CD4 counts between 200 and 500 x 106/L (group B), and 59 had low CD4 counts <200 x 106/L (group C). The sera of 33 HIV-seronegative donors were used as controls. The mean sCD16 level in HIV-infected patients was significantly lower than that of controls (mean ± SEM = 1440 ± 110 ng/ml and 2670 ± 260 ng/ml, respectively; p (mean HIV vs controls) = 0.0001). We also observed that the decrease in sCD16 levels correlated with disease progression. In patients with CD4 counts above 200 x 106/L, the mean values of sCD16 were 1750 ± 340 (group A) and 1590 ± 140 ng/ml (group B), which are significantly lower than those of controls (2670 ± 260 ng/ml). In patients with CD4 counts <200 x 106/L (group C), mean plasma sCD16 dropped to 770 ± 130 ng/ml, with a significance of p = 0.0001 as compared with controls (Fig. 9Go).



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FIGURE 9. sCD16 levels in sera of seronegative healthy donors and of HIV-seropositive patients at different stages of HIV disease. Control (Ctl, {circ}) n = 33, patients with CD4+ cell counts >500 x 106/L, group A (n = 19; {blacktriangleup}); patients with CD4+ cell counts between 200 and 500 x 106/L, group B (n = 59; {square}); and patients with TCD4 <200 x 106/L, group C (n = 22; •). sCD16 concentrations were measured by ELISA. Comparisons between patient groups and with the control group were performed using the Mann-Whitney statistical test; m (mean) and p values are indicated.

 
No relationship was found between sCD16 levels and patients’ neutrophil counts (r = 0.33).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CCR5, a specific receptor for RANTES, macrophage-inflammatory protein-1{alpha}, and macrophage-inflammatory protein-1{beta}, is the main coreceptor for primary R5 HIV-1 strains involved in viral entry (24). Infection of target cells is enhanced by opsonization of HIV with C3 fragments (7, 25, 26, 27), and viral entry via complement receptors represents an alternative pathway for cellular infection (10). CR3 (CD11b/CD18) plays a central role in phagocytosis, cytotoxicity, and adhesion processes (28). Natural ligands of CR3 include C3 fragments, sCD16, and several other molecules interacting with the iC3b binding site or the lectin binding site specific to microbial polysaccharides (10, 28, 29). We have previously reported that the binding of sCD16 to CR3 depends on a lectin binding site of CR3 (15).

In the present study, we investigated the role of sCD16 in viral replication in cultures of normal human peripheral blood monocytes infected with a complement-opsonized primary R5 HIV-1 strain (OV-YU2). Opsonization of HIV-1 using seronegative human serum as a source of complement results in C3b/iC3b deposition on viral particles (25, 26). Monocytes were infected in 3- to 4-day cultured monocytes that express the CR3, CD4, and CCR5 receptors on their membrane surface. In this study, we demonstrate that sCD16 prevents opsonized HIV-1 YU2 replication in cultured monocytes. This finding extends the biological functions of sCD16 present in NHS, and indicates that CR3 is involved in entry of primary R5 HIV-1 strains into cells of the monocytic lineage in the presence of complement. sCD16 inhibited viral replication in a dose-dependent manner at concentrations similar to those present in serum of healthy individuals (30). Inhibition of viral replication by sCD16 was specific and dependent upon the tertiary structure of the molecule, as shown by the lack of inhibitory effect when using a heat-denatured form of sCD16. The infection of monocytes was abolished by sCD16 in a fashion similar to that of anti-CR3 mAbs directed against the iC3b binding site. The results obtained with Abs directed against CR3 extend previous observations using the laboratory-adapted X4 HIV-IIIB strain (7, 31). Because the addition of sCD16 before infection blocked viral replication, we suggest that sCD16 inhibits infection of monocytes with OV by masking both the lectin and iC3b binding sites of CR3. This hypothesis is corroborated by the finding that anti-CR3 mAbs inhibit the binding of biotinylated sCD16 to monocytes (15). In addition to blocking CR3 accessibility to OV, sCD16 may induce internalization of CR3. However, sCD16 did not modify CR3 expression on cultured monocytes (data not shown). As we used human serum from HIV-seronegative individuals for opsonization of viral particles, the enhancing effect of serum on viral replication could also be due, at least in part, to cross-reacting facilitating Abs. However, the latter possibility was ruled out because no immunoreactivity between the serum used as source of complement and the YU-2 viral strain was found by dot-blot analysis (data not shown). Moreover, monocytes exhibited a low expression (2%) of Fc{gamma}RIII receptor (CD16) on their surface. Taken together, the results suggest that sCD16 may function as a natural inhibitor of opsonized HIV-1 entry in CR3-expressing target cells.

We further demonstrated that infection of monocytes with OV was partially inhibited by RANTES, the natural ligand of CCR5. Inhibition with anti-CCR5 Abs reached 70%, indicating that CCR5 contribute to the entry of opsonized viral particles. CCR5 involvement is also corroborated by the fact that monocytes from CCR5-/- individuals do not produce high levels of p24 when infected with OV. We also observed that sCD4 inhibited infection of CCR5+/+ monocytes with OV by up to 60–70%, which may suggest that binding of C3b/iC3b-coated virus to CR3 and virus entry still require the conformational changes induced by CD4 to allow viral penetration.

Monocytes from CCR5-/- individuals infected with OV produced higher levels of p24 than those infected with UV (5-fold increase), and the enhancing effect of opsonization was inhibited by sCD16 (60%). Our results demonstrated that infection with UV is CCR5 dependent, as infection is totally inhibited with anti-CCR5, and are in agreement with previous studies (32).

To investigate the in vivo relevance of the inhibitory effect observed with sCD16 in vitro, we determined sCD16 levels in sera of HIV-infected patients. We found that sCD16 levels were greatly decreased in sera of patients as compared with healthy HIV-seronegative controls (p = 0.0001), confirming previous observations (33). The decrease in serum sCD16 levels was a surrogate marker for the progression of HIV disease. A significant difference was found when analyzing the data according to the clinical stages of HIV disease. In patients with CD4 counts below 200 x 106/L, indicating a late stage of HIV disease, the mean values of serum sCD16 were significantly lower than those of groups with CD4 counts above 200 x 106/L (groups A and B) (p = 0.008 and p = 0.001, respectively). A decrease in sCD16 concentrations was also reported in myeloma patients and among healthy blood donors (34). Although we have not yet determined the mechanisms responsible for decreased levels of sCD16 in patients with advanced HIV disease, several possibilities may be suggested. Low serum levels of sCD16 may be due to a decrease in the number of CD16-positive cells and/or a lower expression of CD16 per cell. sCD16 found in human serum is produced mostly by neutrophils (17), and patients with AIDS are often neutropenic (35). However, our patients with low sCD16 levels had neutrophil counts within the normal range. A reduction in membrane CD16 expression, as reported on neutrophils of HIV-1-infected individuals, could also explain such a decrease (36).

The findings that serum levels of sCD16 are decreased in HIV-infected patients and correlate with the severity of HIV disease may suggest a protective role of sCD16 in vivo. Thus, it is conceivable that rsCD16, already proposed as a therapeutic agent for acute immune thrombocytopenic purpura (37) and multiple myeloma (33), may be introduced in the group of immunomodulatory drugs for HIV disease, through its ability to restrict the dissemination of HIV infection of CR3-expressing target cells.


    Acknowledgments
 
We gratefully acknowledge R. Spagnoli and N. Mazières (Laboratoire de Biotechnologie, Roussel-Uclaf, Noisy, France) for rsCD16 production, and A. Galinha (Institut National de la Santé et de la Recherche Médicale (INSERM) U255) for sCD16 purification. We thank also D. Blanc, C. Quillent (Center Intégré de Recherche Biocliniques sur le SIDA CIRBS, Hôpital St. Joseph, Paris, France) for the gift of a plasmid encoding the molecular clone of the YU-2 strain. We thank D. Marsh, S. Kaveri, H. Hocini, and P. Ancuta (Unité d’Immunopathologie Humaine, INSERM U430, Hôpital Broussais, Paris, France) for critical reading of the manuscript.


    Footnotes
 
1 This work was supported by the Institut National de la Santé et de la Recherche Médicale, Institut Curie, SIDACTION, and the Agence Nationale de la Recherche sur le SIDA. Back

2 Address correspondence and reprint requests to Dr. N. Haeffner Cavaillon, Unité d’Immunopathologie Humaine, Institute National de la Santé et de la Recherche Médicale Unité 430, Pavillon Leriche, Hôpital Broussais, 96 rue Didot, 75674-Paris Cedex 14, France. Back

3 Abbreviations used in this paper: sCD16, soluble CD16; den-sCD16, denatured sCD16; NHS, normal human serum; O-gp120, opsonized gp120; OV, opsonized virus; sCD4, soluble CD4; SDF-1, ??; U-gp120, unopsonized gp120; UV, unopsonized virus. Back

Received for publication December 20, 1999. Accepted for publication December 11, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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