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Circulating Monocytes in HIV-1-Infected Viremic Subjects Exhibit an Antiapoptosis Gene Signature and Virus- and Host-Mediated Apoptosis Resistance

Malavika S. Giri, Michael Nebozyhn, Andrea Raymond, Bethsebah Gekonge, Aidan Hancock, Shenoa Creer, Calen Nicols, Malik Yousef, Andrea S. Foulkes, Karam Mounzer, Jane Shull, Guido Silvestri, Jay Kostman, Ronald G. Collman, Louise Showe and Luis J. Montaner
J Immunol April 1, 2009, 182 (7) 4459-4470; DOI: https://doi.org/10.4049/jimmunol.0801450
Malavika S. Giri
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Michael Nebozyhn
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Andrea Raymond
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Bethsebah Gekonge
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Aidan Hancock
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Shenoa Creer
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Calen Nicols
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Malik Yousef
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Andrea S. Foulkes
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Karam Mounzer
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Jane Shull
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Guido Silvestri
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Jay Kostman
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Ronald G. Collman
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Louise Showe
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Luis J. Montaner
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  • FIGURE 1.
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    FIGURE 1.

    Stable antiapoptosis gene modulation in HIV-1 monocytes ex vivo. a, Tree view of 38 apoptosis genes exhibiting stable differential expression between HIV-1 (P) and control (C) donors. Gene symbols are shown for the 38 genes. Genes down-regulated in P are in green and genes up-regulated in P are in red. C01–C12 are in blue, C01–C04 repeats are in green, P01–P13 are in red, and P01–P04 repeats are in black. Log values for viral load in HIV-1 individuals are indicated. For visual enhancement, expression levels of each gene were converted to z scores. b, Cluster dendrogram of P and C samples for the 38 apoptosis-related genes exhibiting stable expression.

  • FIGURE 2.
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    FIGURE 2.

    HIV-1+ monocytes exhibit resistance to apoptosis in contrast to HIV-1+ CD4 T cells ex vivo. HIV-1 CD4 T cells exhibit greater constitutive apoptosis (b) than do control (HIV-1−) CD4 T cells (a). HIV-1 CD4 T cells exhibit greater CdCl2-induced apoptosis (d) than do control (HIV-1−) CD4 T cells (c). Results represent the median ± SD for percentage of annexin V CD4 T cells in the unstimulated (e) and CdCl2-stimulated (f) conditions in eight control donors and six viremic donors. ∗, p ≤ 0.05.

  • FIGURE 3.
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    FIGURE 3.

    HIV-1+ monocytes exhibit resistance to apoptosis in contrast to HIV-1+ CD4 T cells ex vivo. In contrast to CD4 T cells, no difference was found in constitutive apoptosis between control (HIV-1−) (a) and HIV-1+ (b) monocytes, but a higher CdCl2-induced apoptosis was found in HIV-1− (c) than in HIV-1+ (d) monocytes. Results represent the median ± SD for percentage of caspase-3 monocytes for constitutive (e) and for CdCl2-stimulated (f) conditions in 10 control and 9 viremic HIV-1 donors. Following FasL stimulation, no difference was found in constitutive apoptosis between control (HIV-1−) (g) and HIV-1+ (h) monocytes, but a higher FasL-induced apoptosis was noted in HIV-1− (i) than in HIV-1+ (j) monocytes. Results represent the median ± SD for percentage of caspase-3 monocytes for constitutive (k) and for FasL-stimulated (l) conditions in seven control and six viremic HIV-1 donors. Independent confirmation of results further show no difference in constitutive apoptosis between control (HIV-1−) (m) and HIV-1+ (n) myeloid cells but a higher CdCl2-induced apoptosis in control (HIV-1−) (o) than in HIV-1+ (p) myeloid cells. Results represent the median ± SD for percentage of caspase-3 in constitutive (q) and in CdCl2-stimulated (r) conditions for 10 controls and 9 viremic HIV-1 donors. ∗, p ≤ 0.05.

  • FIGURE 4.
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    FIGURE 4.

    HIV-1 binding via CCR5 induces resistance in in vitro MDM cultures. Constitutive apoptosis in MDMs is shown in a and f. MDM binding by R5 tropic virus mediates MDM apoptosis resistance in vitro. CdCl2 induces cultured monocyte apoptosis (b) that is decreased upon preincubation with infectious HIV-1 BAL (c). Results represent the median ± SD for percentage of caspase-3 (d) and percentage of live (e) cells of three donors that were untreated (C), treated with CdCl2, and preincubated with HIV-1 BAL (HIV-1 BAL + CdCl2). CdCl2 induces cultured monocyte apoptosis (g) that is decreased upon preincubation with noninfectious AT2R5 (h). CCR5 binding inhibitor M657 reverses AT2R5-mediated protection (i). Results represent the median ± SD for percentage of live (j) cells in 5 donors that were untreated (C), treated with CdCl2, preincubated with M657 (Inh + CdCl2), preincubated with AT2R5 (AT2R5 + CdCl2), and preincubated with M657 and AT2R5 (AT2R5 + Inh + CdCl2). ∗, p ≤ 0.05.

  • FIGURE 5.
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    FIGURE 5.

    HIV-1 binding via CCR5 induces resistance in in vitro MDM cultures. MDM binding by CCR5 chemokines mediates MDM apoptosis resistance in vitro. Indicated is the median ± SD for percentage of caspase-3 cells in five donors that were untreated (C), treated with CdCl2, and preincubated with MIP-1α (MIP1α + CdCl2), MIP-1β (MIP1β + CdCl2), and RANTES (RANTES + CdCl2). ∗, p ≤ 0.05.

  • FIGURE 6.
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    FIGURE 6.

    Lower ex vivo surface CCR5 expression in HIV-1 monocytes versus control monocytes. Surface CCR5 expression was significantly lower in HIV-1 monocytes vs controls as indicated by lower CCR5 mean fluorescence intensity in HIV-1 monocytes (a) vs control monocytes (b) and lower percentage of CCR5+CD14+ monocytes in HIV-1 vs control groups (c). A total of six HIV-1 and six control donors were tested for CCR5 expression. ∗, p ≤ 0.05.

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    Table I.

    HIV-1 conor characteristics for differential expression studya

    Donor IDExperimentCD4 Count (Cells/Cubic mm)Viral Load RNA (Copies/ml)SexAge (Years)
    1Microarray35222,170F48
    1abRepeat microarray333100,550F49
    2Microarray45823,262M46
    2abRepeat microarray43518,196M46
    3Microarray30010,611M40
    3abRepeat microarray20144,650M41
    4Microarray35324,075M54
    4abRepeat microarray40836,561M55
    5Microarray33229,587F46
    6Microarray3063,283F55
    7Microarray50461,470M36
    8Microarray20156,643M35
    9Microarray11289,810F35
    10Microarray41674,296M38
    11Microarray89618,088F39
    12Microarray60422,150F20
    13Microarray16861,432M33
    14Protein assays5253,104F40
    15Protein assays26430,640F43
    16Protein assays70132,168F42
    17Protein assays29024,849M54
    18Protein assays26624,795F52
    19Protein assays29314,832F52
    20Protein assays20365,329F42
    • a Nos. 1–13 served as donors for microarray experiments; the four individuals resampled after 7 mo are indicated as 1a, 2a, 3a, and 4a. Nos. 14–20 served as donors for protein assays. Donors were asymptomatic and had a history of viremia with >10,000 copies of virus/ml of plasma and were not on therapy. Viral load and CD4 T cell count measured on the day of blood drawing are indicated.

    • b Second sample that was taken 7 mo after the initial samples.

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    Table II.

    Primer sequences for apoptosis-related genes validated by real-time PCRa

    Gene SymbolForward Primer 5′–3′Reverse Primer 5′–3′
    MT-1GCAA CTG CTC CTG TGC CAGC TGC ACT TCT CCG A
    MT-1HCCT CTT CTC TTC TCG CTT GGGCA AAT GAG TCG GAG TTG TAG
    PAI2GCT TCC AGA TGA AAT TGC CGAGCT TCA GTG CCC TCC TCA TTC
    CCL2ATC AAT GCC CCA GTC ACCAGT CTT CGG AGT TTG GG
    IER3CCA GCA TCT CAA CTC CGT CTG TCAC CCT AAA GGC GAC TTC AAG A
    IL6CAA TCT GGA TTC AAT GAG GAG ACCTC TGG CTT GTT CCT CAC TAC TC
    MBD4CAC ATC TCT CCA GTC TGCCGA CGT AAA GCC TTT AAG AA
    HIVEP1GCA CAC ATT CCA GGT CTC CATGA GTT CAG GCT TGG GCT T
    p21TTA GCA GCG GAA CAA GGA GTCAG TAC AGG GTG TGG TCC CT
    SIVAACA TGG CAA AAC CCT GTC TCTCT TCT CGA AGA CCT CCT GC
    CD153CTC CTG GAG ACA CAG CCGGT GCT TGT ATC TAT GTA CT
    PPBPGGT TGT CTT TAT ACA CAT GCA GATG AGC CTC AGA CTT GAT AC
    SELL5′CTC ATC ATG GGT TGG ATT AGCTG CAA GTG ACA TCT CTT T
    BIGM103AGT GTG GTA TCT CTA CAG GCAA GGC TTG TCG AGT G
    CCL20CTG CTT TGA TGT CAG TGC TGCTCA CCC AAG TCT GTT TTG G
    LPLCCG AGA GTG AGA ACA TCC CAT TCACCT TTC TGC AAA TGA GAC ACT TTC TC
    • a Gene symbols and forward and reverse primer sequences for differentially expressed genes that were validated by real-time PCR are indicated.

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    Table III.

    Real-time PCR confirmation of differentially expressed apoptosis genesa

    Accession No.Gene SymbolGene Namep Value for Comparison of HIV-1-Infected Individuals vs Controls (Quantitative PCR)Ratio of Signal between HIV-1-Infected Individuals and Controls
    N98591IL6IL-60.0004166.40
    W92812PPBPProplatelet basic protein (chemokine (C-X-C motif)  ligand 7)0.00103.58
    AA425102CCL2Chemokine (C-C motif) ligand 20.000112.85
    NM_002984CCL4Chemokine (C-C motif) ligand 40.00505.99
    AA457705IER3Immediate early response 30.00713.06
    H77597MT1HMetallothionein 1H0.00028.58
    H53340MT1GMetallothionein 1G0.00085.09
    T49159PAI2Serine (or cysteine) proteinase inhibitor, clade B  (OVA), member 20.00436.88
    W02699CD153CD30L0.00040.38
    AA167728SIVACD27-binding (Siva) protein0.01800.48
    AI952615p21CDKN1A/Waf1/Cip1/Sdi10.02201.54
    • a Differentially expressed apoptosis genes validated by real-time PCR are shown. The accessions, gene symbols, gene names, p values, and fold ratios for apoptosis genes differentially expressed between HIV-1 and control monocytes (all but CCL4 and p21 were also identified as significant by microarray analysis) were confirmed for significance by real-time PCR analysis and are indicated.

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    Table IV.

    21 Stable apoptosis genes in vivo are previously reported in HIV-1-exposed/infected M/Ma

    Accession No.Gene SymbolGene NameReference to Previous HIV-1 Report(s)
    N63940ACHEAcetylcholinesterase (YT blood group)(38 )
    AA683578ADAAdenosine deaminase(38 )
    AA455941APEHN-acylaminoacyl-peptide hydrolase(38 )
    AA425102CCL2Chemokine (C-C motif) ligand 2(18 37 38 39 77 )
    AA101971ETS1V-ets erythroblastosis virus E26 oncogene homolog 1 (avian)(38 )
    AA410375GMPRGuanosine monophosphate reductase(38 )
    H50114GRIN2CGlutamate receptor, ionotropic, N-methyl-d-aspartate 2C(38 )
    T80846HAAO3-Hydroxyanthranilate-3,4-dioxygenase(38 )
    AA457705IER3Immediate early response 3(39 )
    AI870374LDOC1Leucine zipper, down-regulated in cancer 1(38 )
    R83837LYNV-yes-1 Yamaguchi sarcoma viral-related oncogene homolog(24 39 )
    H86558MADMAX dimerization protein 1(38 )
    NM_012219MRASMuscle RAS oncogene homolog(38 )
    AA872383MT1EMetallothionein 1E (functional)(38 )
    N55459MT1FMetallothionein 1F (functional)(38 )
    H77597MT1HMetallothionein 1H(38 )
    AA446246NRASNeuroblastoma RAS viral (v-ras) oncogene homolog(39 )
    AI952615p21CDKN1A/Waf1/Cip1/Sdi1(39 )
    AA258001RELBV-rel reticuloendotheliosis viral oncogene homolog B, nuclear  factor of κ light polypeptide gene enhancer in B cells 3 (avian)(38 )
    AI473336WISP1WNT1 inducible signaling pathway protein 1(37 )
    AA425900UNG2Uracil-DNA glycosylase 2(41 42 )
    • a Indicated are the accession numbers, gene symbols, and gene names for 21 genes from the stable apoptosis signature that we identify in in vivo HIV-1 monocytes that have also been previously reported as modulated in in vitro macrophages by HIV-1. The references for previous studies that have reported HIV-1-associated modulation of these genes are additionally provided.

Additional Files

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  • Data Supplement

    Files in this Data Supplement:

    • Supplementary Figure Legend (PDF, 7.02 Kb)
    • Supplementary Figure 1 (PDF, 85.3 Kb) - Multi-Dimentional Scaling Plots showing composite gene clusters for circulating monocytes exhibit from HIV-infected and control subjects.
    • Supplementary Table I (PDF, 104 Kb) - 376 constitutively modulated genes in circulating monocytes from HIV-infected subjects as compared to uninfected controls.
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The Journal of Immunology: 182 (7)
The Journal of Immunology
Vol. 182, Issue 7
1 Apr 2009
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Circulating Monocytes in HIV-1-Infected Viremic Subjects Exhibit an Antiapoptosis Gene Signature and Virus- and Host-Mediated Apoptosis Resistance
Malavika S. Giri, Michael Nebozyhn, Andrea Raymond, Bethsebah Gekonge, Aidan Hancock, Shenoa Creer, Calen Nicols, Malik Yousef, Andrea S. Foulkes, Karam Mounzer, Jane Shull, Guido Silvestri, Jay Kostman, Ronald G. Collman, Louise Showe, Luis J. Montaner
The Journal of Immunology April 1, 2009, 182 (7) 4459-4470; DOI: 10.4049/jimmunol.0801450

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Circulating Monocytes in HIV-1-Infected Viremic Subjects Exhibit an Antiapoptosis Gene Signature and Virus- and Host-Mediated Apoptosis Resistance
Malavika S. Giri, Michael Nebozyhn, Andrea Raymond, Bethsebah Gekonge, Aidan Hancock, Shenoa Creer, Calen Nicols, Malik Yousef, Andrea S. Foulkes, Karam Mounzer, Jane Shull, Guido Silvestri, Jay Kostman, Ronald G. Collman, Louise Showe, Luis J. Montaner
The Journal of Immunology April 1, 2009, 182 (7) 4459-4470; DOI: 10.4049/jimmunol.0801450
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