The mechanisms underlying the pathogenicity of CCR5-restricted (R5) human immunodeficiency virus type-1 (HIV-1) strains are incompletely understood. Acquisition or enhancement of macrophage (M)-tropism by R5 viruses contributes to R5 HIV-1 pathogenesis. In this study, we show that M-tropic R5 viruses isolated from individuals with acquired immunodeficiency syndrome (late R5 viruses) require lower levels of CD4/CCR5 expression for entry, have decreased sensitivity to inhibition by the entry inhibitors TAK-779 and T-20, and have increased sensitivity to neutralization by the Env MAb IgG1b12 compared with non-M-tropic R5 viruses isolated from asymptomatic, immunocompetent individuals (early R5 viruses). Augmenting CCR5 expression levels on monocyte-derived macrophages via retroviral transduction led to a complete or marginal restoration of M-tropism by early R5 viruses, depending on the viral strain. Thus, reduced CD4/CCR5 dependence is a phenotype of R5 HIV-1 associated with M-tropism and late stage infection, which may affect the efficacy of HIV-1 entry inhibitors.
Langerhans cells (LC) are thought to be the only mononuclear phagocyte population in the epidermis where they detect pathogens. Here, we show that CD11c + dendritic cells (DCs) are also present. These cells are transcriptionally similar to dermal cDC2 but are more efficient antigen-presenting cells. Compared to LCs, epidermal CD11c + DCs are enriched in anogenital tissues where they preferentially interact with HIV, express the higher levels of HIV entry receptor CCR5, support the higher levels of HIV uptake and replication and are more efficient at transmitting the virus to CD4 T cells. Importantly, these findings are observed using both a lab-adapted and transmitted/founder strain of HIV. We also describe a CD33 low cell population, which is transcriptionally similar to LCs but does not appear to function as antigen-presenting cells or acts as HIV target cells. Our findings reveal that epidermal DCs in anogenital tissues potentially play a key role in sexual transmission of HIV.
The lineage relationships and fate of human dendritic cells (DCs) have significance for a number of diseases including HIV where both blood and tissue DCs may be infected. We used gene expression profiling of human monocyte and DC subpopulations sorted directly from blood and skin to define the lineage relationships. We also compared these with monocyte-derived DCs (MDDCs) and MUTZ3 Langerhans cells (LCs) to investigate their relevance as model skin DCs. Hierarchical clustering analysis showed that myeloid DCs clustered according to anatomical origin rather than putative lineage. Plasmacytoid DCs formed the most discrete cluster, but ex vivo myeloid cells formed separate clusters of cells both in blood and in skin. Separate and specific DC populations could be determined within skin, and the proportion of CD14+ dermal DCs (DDCs) was reduced and CD1a+ DDCs increased during culture, suggesting conversion to CD1a+-expressing cells in situ. This is consistent with origin of the CD1a+ DDCs from a local precursor rather than directly from circulating blood DCs or monocyte precursors. Consistent with their use as model skin DCs, the in vitro–derived MDDC and MUTZ3 LC populations grouped within the skin DC cluster. MDDCs clustered most closely to CD14+ DDCs; furthermore, common unique patterns of C-type lectin receptor expression were identified between these two cell types. MUTZ3 LCs, however, did not cluster closely with ex vivo–derived LCs. We identified differential expression of novel genes in monocyte and DC subsets including genes related to DC surface receptors (including C-type lectin receptors, TLRs, and galectins).
Dendritic cells (DCs Dendritic cells (DCs) and macrophages are key target cells for HIV-1, and are both found in all the tissues of the anogenital tract that make up the portals of virus entry (1, 2). Langerhans cells (LCs) represent the first line of contact between HIV-1 and the immune system in tissues containing a stratified squamous epithelium and can efficiently transfer the virus to T cells (3). They have recently been shown to take up HIV-1 within 15 to 60 min of exposure in vagina (4) or foreskin (5). Similarly, lamina propria DCs have recently been shown to transport HIV across the colonic mucosa (6, 7). Similarly, rectal and anal macrophages are also susceptible to HIV-1 infection (8). These cells also represent the first opportunity for the virus to interfere with innate recognition, and we have previously shown that human DCs and macrophages both fail to produce type I IFNs in response to HIV-1 (9, 10).A key function of the innate immune system is the secretion of IFNs in response to viral infection. These antiviral cytokines consist of three families: type I (IFN-␣, -, -ε, -, and -), type II (IFN-␥), and type III (IFN-1 to 3). Type I and III IFNs are secreted by a variety of cell types at the sites of pathogen entry, whereas type II IFNs are secreted by T cells and NK cells. IFNs bind receptors on surrounding cells, inducing hundreds of IFN-stimulated genes (ISGs), which establishes an antiviral state. Thus, most successful viruses have evolved strategies to evade the induction of these cytokines (11,12). IFN-inducing signaling pathways are triggered when pathogens are detected by one of a variety of pattern recognition receptors (PRRs), consisting of Toll-like receptors (TLRs) on the cell surface and in endosomes and RNA-binding RIGI-like receptors (RLRs) or one of a growing number of DNA sensors, both in the cytosol (13,14). Binding of these receptors to pathogen associated molecular patterns (PAMPs) triggers the association of one of various adaptor proteins, which then induce the formation of a signaling complex consisting of TNF receptorassociated factor 3 (TRAF3), TANK-binding kinase 1 (TBK1), and IFN regulatory factor 3 (IRF3). TRAF3 then mediates K63-linked polyubiquitination both of itself and of TBK1, which triggers TBK1 autophosphorylation (15). TBK1 phosphorylates IRF3, which then dimerizes, dissociates from the signaling complex, and
Epidermal Langerhans cells (eLCs) uniquely express the C-type lectin receptor langerin in addition to the HIV entry receptors CD4 and CCR5. They are among the first target cells to encounter HIV in the anogenital stratified squamous mucosa during sexual transmission. Previous reports on the mechanism of HIV transfer to T cells and the role of langerin have been contradictory. In this study, we examined HIV replication and langerin-mediated viral transfer by authentic immature eLCs and model Mutz-3 LCs. eLCs were productively infected with HIV, whereas Mutz-3 LCs were not susceptible because of a lack of CCR5 expression. Two successive phases of HIV viral transfer to T cells via cave/vesicular trafficking and de novo replication were observed with eLCs as previously described in monocyte-derived or blood dendritic cells, but only first phase transfer was observed with Mutz-3 LCs. Langerin was expressed as trimers after cross-linking on the cell surface of Mutz-3 LCs and in this form preferentially bound HIV envelope protein gp140 and whole HIV particles via the carbohydrate recognition domain (CRD). Both phases of HIV transfer from eLCs to T cells were inhibited when eLCs were pretreated with a mAb to langerin CRD or when HIV was pretreated with a soluble langerin trimeric extracellular domain or by a CRD homolog. However, the langerin homolog did not inhibit direct HIV infection of T cells. These two novel soluble langerin inhibitors could be developed to prevent HIV uptake, infection, and subsequent transfer to T cells during early stages of infection.
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