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The Journal of Immunology, 2002, 168: 4121-4126.
Copyright © 2002 by The American Association of Immunologists

CXCR4 Function Requires Membrane Cholesterol: Implications for HIV Infection

Dzung H. Nguyen and Dennis Taub1

National Institute on Aging, National Institutes of Health, Gerontology Research Center, Baltimore, MD 21224


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HIV requires cholesterol and lipid rafts on target cell membranes for infection. To elucidate a possible mechanism, we determined that cholesterol extraction by hydroxypropyl-{beta}-cyclodextrin (BCD) inhibits stromal cell-derived factor 1{alpha} (SDF-1{alpha}) binding to CXCR4 on T cell lines and PBMCs. Intracellular calcium responses to SDF-1{alpha}, as well as receptor internalization, were impaired in treated T cells. Loss in ligand binding is likely due to conformational changes in CXCR4 and not increased sensitivity to internalization. SDF-1{alpha} binding and calcium responses were effectively restored by reloading cholesterol. Immunofluorescence microscopy revealed that SDF-1{alpha} binding occurred in lipid raft microdomains that contained GM1. CXCR4 surface expression, on the other hand, only partially colocalized with GM1. HIV-1IIIB infection assays confirmed the functional loss of CXCR4 in the cell lines tested, Sup-T1 and CEM-NKR-CCR5. These data suggest that cholesterol is essential for CXCR4 conformation and function and that lipid rafts may play a regulatory role in SDF-1{alpha} signaling.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemokine receptors are a family of seven transmembrane-spanning heterotrimeric G protein-coupled molecules that are known to play an important role in immune cell migration in response to a concentration gradient of chemokines released at sites of inflammation or trauma (1). Chemokines are also involved in T and B cell maturation, adhesion activation, differentiation, and leukocyte degranulation (1). Stromal cell-derived factor 1{alpha} (SDF-1{alpha},2 CXCL12) is a member of the CXC chemokine family that specifically binds to CXCR4 present on T cells, B cells, and macrophages, as well as a number of other immune and nonimmune cell subsets (2). HIV has adapted to using CXCR4 as a coreceptor for infection. Viral tropism is defined by usage of either CXCR4 (X4 viruses) and/or CCR5 (R5 viruses) (3). Chemokine receptors play a critical role in viral fusion with the host membrane. Following binding to CD4, conformational changes in the viral envelope surface protein (env) triggers binding to CXCR4 and induces fusion of the apposing membranes (4). SDF-1{alpha} has been shown to be able to block X4 tropic-HIV fusion (5, 6). Molecules that block CXCR4 interaction with env have also been demonstrated to be effective in preventing infection (7, 8).

Lipid rafts are membrane microdomains enriched in cholesterol, sphingolipids, GPI-anchored proteins, and acylated signaling molecules on the plasma membrane of immune and nonimmune cells (9). In T cells, lipid rafts are important sites of assembly for the TCR signaling complex (10). CD4 and CD8, as well as their cytoplasmic partner, Lck, have been demonstrated to be palmitoylated and present in lipid rafts (11, 12, 13). Recent evidence has established that CXCR4 localizes to lipid rafts, suggesting that these membrane domains are the preferred sites for HIV entry (14). Soluble HIV viral env protein, gp120, has been shown to form trimolecular complexes with CD4 and CXCR4 within lipid rafts, supporting the model that rafts serve as sites of HIV infection (14). Also, the depletion of cholesterol, which disrupts lipid rafts, has been shown to inhibit HIV infection and syncytium formation (15). Cholesterol depletion has also been demonstrated to inhibit T cell polarization and chemotaxis induced by SDF-1{alpha} (16). Cholesterol may be more important to CXCR4 and chemokine receptors than simply maintaining raft integrity. Previous studies with several other seven-transmembrane-spanning G protein-coupled receptors, including the oxytocin, cholecystokinin, galanin, and {gamma}-aminobutyric acid receptors, have shown that ligand binding is decreased with the removal of cholesterol by {beta}-cyclodextrin (BCD) (17, 18, 19). Modulation of lipids, especially cholesterol, in the cell membrane may be more likely to affect proteins that have large portions within the cell membrane, including chemokine receptors. We sought to determine whether modulation of cholesterol content in cell membranes by the removal of cholesterol might similarly affect the ability of CXCR4 to bind SDF-1{alpha}. Our data demonstrate that cholesterol is required for ligand binding to CXCR4 and subsequent events, including calcium stimulation and receptor internalization.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell lines and reagents

Cell lines and HIV-1IIIB were obtained through the AIDS Research and Reference Program, Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, from Dr. A. Trkola (CEM-NKR-CCR5, referred to in this article as CEM-R5), Dr. A. Weiss (Jurkat clone E6-1), Dr. J. Hoxie (Sup-T1), and Dr. R. Gallo (HIV-1IIIB). Cells were grown in RPMI 1640 (Mediatech; Cellgro, Herndon, VA) supplemented with 10% heat-inactivated FBS (BioSource International, Rockville, MD), 10 mM HEPES, and antibiotics (100 U/ml penicillin and 100 µg/ml streptomycin) (cRPMI). mAbs to CXCR4, clone 12G5, were purchased from BD PharMingen (San Diego, CA) and clones, 44708.111, 44716.111, and 44717.111 were purchased from R&D Systems (Minneapolis, MN). Rabbit anti-human CXCR4 polyclonal Ab, AHP442, was purchased from Serotec (Raleigh, NC). Mouse IgG2a control, mouse IgG1 control, anti-CD4 (clone RPA-T4), and anti-CD45 (clone HI30) were purchased from BD Biosciences (San Diego, CA). Goat anti-mouse IgG (H + L) labeled with Alexa Fluor 488 (GAM-AF488) and cholera toxin subunit B labeled with Alexa Fluor 594 were purchased from Molecular Probes (Eugene, OR). Alexa Fluor 488 has a laser absorption and emission spectrum profile similar to fluorescein, while Alexa Fluor 594 has a profile similar to that of Texas Red.

BCD treatment

BCD, Trappsol (Cyclodextrin Technologies Development, Gainesville, FL), was dissolved in PBS to the desired concentrations. Cholesterol-loaded BCD (chol-BCD) was prepared as previously described (15). Briefly, cholesterol (5-cholesten-3{beta}-ol; 3{beta}-hydroxy-5-cholestene; Sigma-Aldrich, St. Louis, MO) powder was added to 240 mM BCD solution at 1.16 mg/ml, vortexed for 6 h, and was subsequently syringe filter sterilized using a 0.22-µm filter unit. In cholesterol extraction studies, up to 8 x 106 suspension cells were washed with PBS and resuspended in 1 or 2 ml of 20 mM BCD in PBS or PBS alone as a control. The cells were then incubated for 1 h at 37°C before being washed with either PBS or RPMI 1640. In cholesterol-reloading studies, cells were incubated with chol-BCD in PBS at a concentration of 300 µM cholesterol for 30 min. To remove chol-BCD, cells were washed with at least 10 volumes of PBS and resuspended in PBS for further analysis.

Fluorokine ligand staining

Biotinylated SDF-1{alpha} (Fluorokine; R&D Systems) staining was performed according to R&D Systems’ protocols, with slight modifications. Briefly, control or treated cells were resuspended in PBS at 4 x 106/ml. Fifty microliters of cells was then mixed with 20 µl of 2.5 µg/ml biotinylated SDF-1{alpha} or 5 µg/ml biotinylated soybean trypsin inhibitor and then incubated at 4°C for 1 h. Fluorescein-conjugated avidin (10 µg/ml) was added (10–20 µl) to the cells and incubated for an additional 30 min at 4°C. After incubation, cells were washed with 1x RDF-1 buffer (R&D Systems) and then fixed with 2% paraformaldehyde in PBS before being analyzed on a FACScan (BD Biosciences).

Intracellular calcium mobilization

Measurement of calcium mobilization by chemokine stimulation was performed as previously described (20). Briefly, untreated or BCD-treated CEM-NKR-CCR5 (CEM-R5) cells (8 x 106/ml) were incubated in PBS with Ca2+ and Mg2+ containing 5 µM fura-2-acetoxymethyl ester (Molecular Probes) for 30 min at room temperature. The cells were subsequently washed and then resuspended at 1 x 106/ml in PBS. A total of 2 ml of the cell suspension was placed in a continuously stirred cuvette at room temperature in an LS50B spectrophotometer (PerkinElmer, Wellesley, MA). Fluorescence was monitored at {lambda}ex1 = 340 nm, {lambda}ex2 = 380 nm, and {lambda}em = 510 nm. The data are presented as the relative ratio of fluorescence excited at 340 and 380 nm. SDF-1{alpha} (PeproTech, Rocky Hill, NJ) was tested at a final concentration of 1 µg/ml.

Flow cytometry

CEM-R5 cells (1 x 106) in PBS containing 2% FBS were added to 1–2 µg of mAbs and incubated for 30 min on ice. Cells were washed with PBS, resuspended in 100 µl of 20 µg/ml GAM-AF488, and incubated on ice for 30 min. Cells were then washed with PBS and fixed with 2% paraformaldehyde in PBS, followed by analysis on a FACScan. For the prefixing experiments, cells were washed with PBS after BCD treatment and then fixed with 2% paraformaldehyde in PBS for 30 min on ice. After incubation, the cells were then washed with PBS, resuspended in PBS containing 2% FBS, and then incubated an additional 30 min on ice before staining with mAbs. For internalization assays, BCD-treated CEM-R5 cells were incubated with or without 1 µg/ml SDF-1{alpha} at 37°C for 30 min, washed with PBS, and then fixed with 2% paraformaldehyde in PBS. Remaining surface expression of receptor was analyzed by flow cytometry using mIgG2a, anti-CD4 as a control, or anti-CXCR4 mAb, 12G5. Percent internalization was calculated as [(mean fluorescence intensity (MFI)c - MFIt)/MFIc ] x 100, where MFIc = mean fluorescence intensity of 12G5 binding to cells incubated with PBS only and MFIt = mean fluorescence intensity of cells after incubation with SDF-1{alpha}.

Immunomicroscopy

CEM-R5 cells (1 x 106) were washed in cold PBS, resuspended in 100 µl of PBS containing 2% FBS, and 20 µg/ml cholera toxin B Alexa Fluor 594 and then incubated on ice for 30 min. Cells were then washed with PBS and subsequently stained for CXCR4 with 2 µg of 12G5, followed by GAM-AF488. The cells were washed with PBS and then fixed with 1% paraformaldehyde in PBS. After staining, the cells were placed into cytospin funnels and spun onto glass slides using a cytospin centrifuge (Thermo Shandon, Pittsburgh, PA). Bound cells were layered with 30 µl of 50% glycerol in PBS and covered with a glass coverslip. Images were acquired by Spot Advanced software on a Zeiss Axiovert S100 microscope under x100 objective.

HIV infection

Sup-T1 and CEM-R5 cells were treated with BCD or untreated. Cells were washed with PBS, resuspended in cRPMI to a concentration of 4 x 106/ml, and then incubated with cRPMI-diluted HIV-1IIIB at 0.5 50% tissue culture-infective dose/cell for 90 min at 37°C. Cells were washed twice with PBS, resuspended in cRPMI, and cultured in triplicate wells of a 96-well tissue culture treated plate. HIV p24 was determined from supernatant collected on day 4 postinfection with a standard p24 ELISA kit (Zymed Laboratories, San Francisco, CA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
SDF-1{alpha} binding to T cells is significantly inhibited by cholesterol extraction with BCD

To directly examine the role of cholesterol in SDF-1{alpha} binding to CXCR4 on the surface of T cells, we treated fresh human PBMCs and three human T cell lines, Jurkat clone E6-1, Sup-T1, and CEM-NKR-CCR5 (CEM-R5) with BCD. Treatment of cell lines with 20 mM BCD in PBS removes ~75% of total cellular cholesterol within 1 h and is nontoxic to cells, as measured by the release of cytoplasmic lactate dehydrogenase and exclusion of trypan blue (data not shown). SDF-1{alpha} binding was found to be markedly reduced after BCD treatment of all the cells tested (Fig. 1GoA). The effects were greatest on Jurkat cells, demonstrating nearly 100% inhibition of SDF-1{alpha} binding. For subsequent studies, we used the CEM-R5 cells which possess a moderate amount of SDF-1{alpha} binding under normal conditions. A dose-dependent reduction in SDF-1{alpha} binding to CEM-R5 cells was observed using increasing BCD treatment concentrations, indicating specificity for cholesterol extraction (Fig. 1GoB).



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FIGURE 1. BCD treatment inhibits SDF-1{alpha} binding to T cells. A, Jurkat, Sup-T1, and CEM-R5 T cell lines and PBMCs were treated with BCD followed by detection of SDF-1{alpha} binding as described in Materials and Methods. MFI is expressed on the graph. B, CEM-R5 cells were treated with the indicated concentrations of BCD for 1 h at 37°C and then analyzed for biotin-SDF-1{alpha} binding. Results for percent MFI compared with the PBS control (negative control is set at zero) and percent positive (percentage of cells with fluorescence >98% of the IgG2a control) are expressed on the graph. C, CEM-R5 cells were treated for the indicated times with 20 mM BCD at 37°C before washing with PBS. Treated cells were then reloaded with chol-BCD for 10 or 30 min and the level of SDF-1{alpha} binding was determined. Results are expressed as percent positive.

 
To confirm that the effects observed with BCD treatment were specifically a cholesterol-lowering effect, cells were treated with BCD for various time periods and then reloaded with cholesterol using chol-BCD complexes. We verified that cellular cholesterol levels were restored to normal (or above normal) levels by measurement of total cholesterol with the Amplex Red Cholesterol Assay (data not shown). The results in Fig. 1GoC demonstrate a significant loss of SDF-1{alpha} binding after only 10 min of BCD treatment, indicating that cholesterol extraction and the effects on CXCR4 are rapid. Reloading cell membranes with cholesterol completely restored SDF-1{alpha} binding to these treated cell populations (Fig. 1GoC). These results confirm that reloading of cholesterol restores SDF-1{alpha} binding and that cell death does not account for any loss in ligand binding. Moreover, BCD itself does not exert any inhibitory activity as repletion of cholesterol into cell membranes also involves BCD as a vehicle for cholesterol.

BCD treatment inhibits SDF-1{alpha}-induced intracellular calcium response and receptor internalization

We next examined changes in CXCR4 signaling by measuring intracellular calcium mobilization in response to SDF-1{alpha} binding on BCD-treated CEM-R5 cells. A distinct rise in calcium mobilization with recombinant SDF-1{alpha} treatment was observed in control CEM-R5 cells (Fig. 2GoA). This rise was significantly inhibited after BCD (64% inhibition) treatment of these cells (Fig. 2GoA). Reloading of cholesterol onto BCD-treated cells restored the calcium response to normal (Fig. 2GoA). These results provide functional confirmation for the loss in surface binding of SDF-1{alpha}. The effects were cholesterol-specific, as restoration of cholesterol levels on BCD-treated T cell membranes restored the ability of SDF-1{alpha} to bind to and induce intracellular calcium mobilization with these T cells.



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FIGURE 2. BCD treatment inhibits chemokine-induced intracellular calcium mobilization and receptor internalization. A, Untreated, 20 mM BCD-treated, and BCD plus chol-BCD reloaded CEM-R5 cells, loaded with fura-2, were stimulated with SDF-1{alpha} at 60 s, as indicated by the arrow. Intracellular calcium mobilization was determined as described in Materials and Methods. B, CXCR4 internalization after SDF-1{alpha} stimulation was analyzed on BCD-treated or untreated CEM-R5 cells as described in Materials and Methods. {blacksquare}, Untreated cells; {square}, BCD-treated cells. The data represents two separate experiments with the error bars representing SD.

 
Typically, SDF-1{alpha} ligation of CXCR4 results in rapid receptor internalization. To further demonstrate that SDF-1{alpha} interactions with cell surface CXCR4 was inhibited on treated cells, we next examined chemokine-induced receptor internalization following BCD treatment. In CEM-R5 cells, 1 µg/ml recombinant SDF-1{alpha} at 37°C for 30 min induces nearly 70% receptor internalization, as analyzed by mAb, 12G5, surface binding (Fig. 2GoB). BCD-treated cells had a significant loss in SDF-1{alpha}-induced receptor internalization, detected by mAb binding at the cell surface, resulting in only 39% internalization. CD4 staining was analyzed as a nonspecific control for internalization. These results confirm the loss in SDF-1{alpha} binding and induction of calcium mobilization appears not to be due to receptor internalization but rather an alteration in the CXCR4 receptor at the plasma membrane.

BCD treatment alters mAb binding to CXCR4

The loss in SDF-1{alpha} binding to cholesterol-deficient cells may be attributable to changes in conformation of the receptor. We analyzed the binding of a multidomain recognizing mAb, 12G5, as well as three other anti-CXCR4 mAbs capable of neutralizing SDF-1{alpha}-mediated chemotaxis, to determine whether mAb-binding epitopes of CXCR4 were altered on BCD-treated cells. We found that 12G5 binding was significantly decreased by BCD (58.8% reduction in MFI, see Table IGo). Binding of control mAbs, anti-CD4 and anti-CD45, were not affected by BCD treatment. The binding of three other anti-CXCR4 mAbs, 44708, 44716, and 44717 also decreased following BCD treatment (Table IIGo). To show that CXCR4 remained at the surface after BCD treatment, we fixed the cells with paraformaldehyde immediately after BCD treatment and then analyzed mAb binding. The binding of 12G5, 44708, and 44716 actually increased on BCD-fixed cells and not on control-fixed cells (Table IIGo). On the other hand, the recovery of 44717 binding after fixation did not reach 100% of the control cells. These findings clearly indicate that the 12G5 binding epitope can be recovered and enhanced by fixation on BCD-treated cells, suggesting once again that a conformational alteration may have occurred. The results also suggest that epitopes recognized by distinct CXCR4 mAbs are differentially affected by BCD treatment. To demonstrate that the effects on 12G5 binding are cholesterol specific, we reloaded cholesterol onto BCD-treated cells and analyzed mAb binding. Binding of 12G5 was restored to >100% by reloading cholesterol onto BCD-treated cells (Fig. 3GoA). As a control, mAb binding to CD45 was not dependent on cholesterol levels.


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Table I. Effects of BCD on mAb binding

 

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Table II. Effects of fixation on anti-CXCR4 mAb binding to BCD-treated cells

 


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FIGURE 3. Reloading cholesterol restores mAb 12G5 binding to BCD-treated cells and polyclonal Ab binding is unaltered by BCD treatment. A, CEM-R5 cells treated with 20 mM BCD were then reloaded with 300 µM cholesterol and subsequently analyzed for binding of control IgG2a, anti-CD45, and anti-CXCR4 mAb 12G5. Results are expressed as the MFI of the total population. B, Binding of rabbit anti-human CXCR4 polyclonal Ab, AHP442, and mAb 12G5 was compared between untreated and BCD-treated CEM-R5 cells by flow cytometry. The gray line represents the population histogram for the negative control mouse IgG1, the filled histogram represents the SDF-1{alpha} binding to untreated cells, and the heavy black line represents the histogram for 20 mM BCD-treated cells.

 
To further evaluate whether BCD extraction of cholesterol influences CXCR4 conformation or internalization, we compared BCD effects on 12G5 binding vs the binding of an amino terminus-specific polyclonal Ab, AHP442. Using flow cytometry, we found (Fig. 3GoB) that AHP442 staining using FITC-goat anti-rabbit conjugate was significantly lower than 12G5 (detected by goat anti-mouse AF488). Interestingly, the binding of AHP442 to CEM-R5 cells was minimally affected by 10 mM BCD treatment (MFI from 8.28 to 8.12), whereas the 12G5 values dropped significantly (MFI from 161 to 112) (Fig. 3GoB). The minimal change in AHP442 binding suggests that the recognized linear epitope is not significantly affected by BCD and that the receptor remains on the surface after BCD treatment.

SDF-1{alpha} binds to lipid raft regions but CXCR4 only partially colocalizes with lipid rafts

Cholesterol is enriched in and essential to the formation of lipid rafts. We speculated that SDF-1{alpha} may preferentially bind to CXCR4 within lipid rafts since cholesterol appears to be essential for overall SDF-1{alpha} binding. We examined fluorescently labeled SDF-1{alpha} membrane binding to CEM-R5 and Sup-T1 cells labeled with cholera toxin B subunit (CT-B)-Alexa Fluor 594 conjugate to detect GM1 enriched in lipid rafts. We found that ~25% of CEM-R5 cells exhibited a capped or polarized phenotype for GM1. In these cells, the majority of SDF-1{alpha} binding clearly colocalized with CT-B staining (Fig. 4GoA). Sup-T1 cells also exhibited colocalization of SDF-1{alpha} and GM1, although most cells did not display a capped phenotype (Fig. 4GoA). In contrast, although staining with anti-CXCR4 (12G5) revealed that receptor colocalization with GM1 also occurs in rafts but only on capped CEM-R5 cells (Fig. 4GoB), CXCR4 and GM1 do not colocalize and appear as distinct patches on noncapped cells (Fig. 4GoC). These findings strongly suggest that SDF-1{alpha} preferentially binds to raft-associated CXCR4. Although it is possible that low levels of SDF-1{alpha} binding occur outside of GM1-stained areas that are not detected by microscopy.



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FIGURE 4. Fluorescently labeled SDF-1{alpha} binds to CXCR4 colocalized with lipid raft marker GM1. A, CEM-R5 and Sup-T1 cells were stained with CT-B-AF594 and incubated with biotin-SDF-1{alpha} followed by avidin-fluorescein (FITC). B and C, CEM-R5 cells were stained with CT-B-AF594 and 12G5, followed by detection with goat anti-mouse-AF488. Cells were fixed in 1% paraformaldehyde after staining. AF488 fluorescence is shown in green and AF594 fluorescence is shown in red. Colocalization is indicated by a yellow and/or orange color in the overlay panels, A, and in panels B and C. Arrows specify patches of colocalization.

 
HIV-1 infection is inhibited by BCD treatment of T cells

It has been previously demonstrated that BCD treatment of target cells inhibits HIV-1 infection (14, 15). We next wished to establish that BCD treatment would similarly inhibit HIV-1 infection in our cell lines, correlating the SDF-1{alpha} binding results. BCD treatment inhibited infection by R4-tropic HIV-1IIIB in both Sup-T1 cells (84.7% inhibition) and CEM-R5 cells (47.2% inhibition) (Fig. 5Go). These data correspond with the loss in ligand binding (80% inhibition with Sup-T1, 62% inhibition with CEM-R5 cells, Fig. 1GoA), calcium mobilization, and internalization of CXCR4 seen with BCD treatment of T cells.



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FIGURE 5. BCD treatment inhibits HIV-1IIIB infection. Untreated or BCD-treated CEM-R5 and Sup-T1 cells were infected with HIV-1IIIB as described in Materials and Methods. After 4 days of culture, HIV p24 in the supernatant was quantitated by ELISA. Error bars represent the SE of the triplicate wells.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Altogether, these data show that cholesterol depletion can inhibit SDF-1{alpha} binding to its receptor, CXCR4, on the surface of T cells. It is clear that the cholesterol molecule is important for proper function of CXCR4 in binding to SDF-1{alpha}. Reloading cholesterol onto cells treated with BCD can rapidly restore SDF-1{alpha} binding. Paraformaldehyde fixation restores anti-CXCR4 mAb binding to BCD-treated cells as well, most likely due to the reformation of epitopes by cross-linking. We have determined that the loss of SDF-1{alpha} binding is not due to internalization of the receptor, but is likely due to a loss in conformation since fixation following BCD treatment of cells restores and improves mAb binding. This is further supported by the evidence that binding of a polyclonal Ab to the amino terminus of CXCR4 did not change upon BCD treatment. We have also established that conformational changes in another chemokine receptor, CCR5, occur with cholesterol depletion.3 Those findings with macrophage-inflammatory protein 1{beta} binding parallel these SDF-1{alpha} results.

Mañes et al. (14) proposed that lipid rafts serve as the sites for assembly of gp120 with CD4 and CXCR4. They demonstrated that CD4 binding to soluble gp120 is independent of cholesterol and lipid rafts in cell membranes. We propose that CD4-bound viruses are unable to interact with CXCR4 due to its conformational changes in the absence of normal cholesterol, thus inhibiting infection (Fig. 6Go). Changes in receptor conformation could also explain the loss in cell polarity and chemotaxis with BCD-treated cells upon stimulation with SDF-1{alpha} (16). Thus, not only do lipid rafts serve as platforms for HIV infection, they provide cholesterol-enriched sites necessary for appropriate receptor conformation to support chemokine binding. Our attempts to directly measure the effects of BCD treatment on soluble CD4-gp120 complex binding to Sup-T1 and CEM-R5 cells were unsuccessful due to the very low levels of binding detected with our methods. Nonetheless, we believe that lipid rafts are the cell surface sites where CD4 localizes and CXCR4 is most functional. Therefore, disruption of rafts would have a 2-fold effect on HIV infection by dispersing CD4 from functional CXCR4 and also changing the binding properties of CXCR4.



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FIGURE 6. Model for inhibition of CXCR4 function by cholesterol modification: implications for HIV infection. A, In the presence of normal amounts of cholesterol in the cell membrane, SDF-1{alpha} binds CXCR4, resulting in calcium mobilization and receptor internalization. Cholesterol extraction by BCD changes receptor conformation, resulting in the inhibition of SDF-1{alpha} binding and signaling. B, HIV env binds to CD4 and then CXCR4, resulting in fusion of the viral membrane with the target cell membrane. Changes in CXCR4 conformation by BCD treatment inhibits interactions with CD4-bound env, thus inhibiting fusion.

 
The use of BCD as a topical microbicide to prevent sexual transmission of HIV is currently under investigation by Hildreth and colleagues. There may be dual sites of action for cholesterol extraction in preventing HIV infection. One site is the viral particle membrane, which is susceptible to neutralization by cholesterol extraction alone (J. Hildreth, personal communication). The second site would be on immune cells in the immediate vicinity whose chemokine receptors would be inactivated by BCD treatment. BCD treatment may also reduce inflammation at the site of virus contact by inhibiting the response of immune cells to chemokine modulators. Our data provide additional support for the use of BCD in formulations as an effective means to prevent sexual transmission of HIV.

One could propose that the integrity of lipid rafts, not the presence of cholesterol alone, may be essential for chemokine receptor function. Our results in no way demonstrate a direct or specific interaction of cholesterol molecules with CXCR4 within the cell membrane. For example, the packing of sphingolipids, gangliosides, or even GPI-anchored proteins into highly ordered domains may be providing the appropriate environment for SDF-1{alpha} binding and signaling. Additionally, the fact that G proteins required for chemokine receptor signaling are localized to lipid rafts on the cytoplasmic surface, predicts that raft disruption would also inhibit signaling (21). Our demonstration that SDF-1{alpha} binding preferentially occurs in lipid rafts, despite the presence of CXCR4 outside of GM-stained areas on the T cell surface, supports this model. Another possibility may be that SDF-1{alpha} binding causes aggregation of receptor molecules to lipid rafts similar to that mediated by gp120 (14).

Cholesterol appears to play a critical role in the function of many GPCRs. The function of many multiple membrane-spanning proteins, including the chemokine receptor family, is likely to be affected by modulation of membrane lipids, especially cholesterol. We have established that cholesterol directly participates in CXCR4 function by preserving the functional conformation of the receptor. It seems possible that the inability of SDF-1{alpha} to bind to non-raft-associated CXCR4 may play a regulatory role in maintaining receptor activity and the migratory potential of the cell. We believe that circulating T cells possess predominantly non-raft-associated CXCR4 with low affinity for chemokine ligands within the circulation. Upon a specific activating signal or through selectin-integrin interactions with the endothelial cell surface, these receptors are recruited to rafts within the membrane, thus yielding a high-affinity, SDF-1{alpha} responsive cell population. Studies are currently underway to directly examine this question. We hope that these studies may lead to further understanding of the dynamic interactions between lipids and receptor function and regulation in immune cells.


    Acknowledgments
 
We thank Christa Morris, Dr. Robert Wersto, and Francis J. Chrest of the National Institute on Aging flow cytometry facility for their assistance. We also thank James E. K. Hildreth and Deborah Nguyen for their comments and critical discussion.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Dennis Taub, 5600 Nathan Shock Drive, Baltimore, MD 21224. E-mail address: taubd{at}grc.nia.nih.gov Back

2 Abbreviations used in this paper: SDF-1{alpha}, stromal cell-derived factor 1{alpha}; GPCR, G protein-coupled receptor; BCD, hydroxypropyl-{beta}-cyclodextrin; MFI, mean fluorescence intensity; CT-B, cholera toxin B subunit; chol-BCD, cholesterol-loaded BCD. Back

3 D. H. Nguyen and D. Taub. Cholesterol is essential for MIP-1{beta} binding and conformational integrity of CC chemokine receptor 5. Submitted for publication. Back

Received for publication November 7, 2001. Accepted for publication February 13, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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