The heparan sulfate proteoglycan agrin and adhesion molecules are key players in the formation of neuronal and immune synapses that evolved for efficient communication at the sites of cell-cell contact. Transcytosis of infectious virus across epithelial cells upon contact between HIV-1-infected cells and the mucosal pole of the epithelial cells is one mechanism for HIV-1 entry at mucosal sites. In contrast, transcytosis of cell-free HIV-1 is not efficient. A synapse between HIV-1-infected cells and the mucosal epithelial surface that resembles neuronal and immune synapses is visualized by electron microscopy. We have termed this the "viral synapse." Similarities of the viral synapse also extend to the functional level. HIV-1-infected cell-induced transcytosis depends on RGD-dependent integrins and efficient cell-free virus transcytosis is inducible upon RGD-dependent integrin cross-linking. Agrin appears differentially expressed at the apical epithelial surface and acts as an HIV-1 attachment receptor. Envelope glycoprotein subunit gp41 binds specifically to agrin, reinforcing the interaction of gp41 to its epithelial receptor galactosyl ceramide.
INTRODUCTIONFor efficient transmission of information between adjacent cells, neuronal cells have evolved the synapse, the elaborate structure at the site of cell-cell contact in which pre-and postsynaptic membranes are tightly apposed (Bezakova and Ruegg, 2003). Immunological synapses, which have been described more recently Khan et al., 2001), share some of the molecules and processes involved in the formation and functions of the neurological synapse.Adhesion molecules play a critical role in the initial stages of synapse formation: they contribute to the recognition events between pre-and postsynaptic cells, resulting in turn, in tight apposition or locking of the pre-and postsynaptic surfaces. The adhesive clamp provides stability and aligns the presynaptic "active zones" and postsynaptic elements in relation to one another .Additionally, aggregation of pre-and postsynaptic surface molecules together with reorganization of membrane components at the synaptic zone is essential for synapse formation and for ensuring the rapid exchange of information between neurons. One such aggregating factor is agrin, a heparan sulfate proteoglycan of ϳ300 -400 kDa with two major conserved sites of glycanation (reviewed in Bezakova and Ruegg, 2003) that is active, glycosylated at the neuronal synapse, but only deglycosylated at the immunological synapse Khan et al., 2001;Yang et al., 2001). Different isoforms of agrin arise from alternative mRNA splicing. These include a transmembrane form and an isoform bound to the basement membrane (Hilgenberg et al., 1999;Neumann et al., 2001;Hoover et al., 2003). Agrin contains one heparin-and one integrin-binding site. Integrins, including the beta-1 integrin, have been shown to modulate agrin activities (Martin and Sanes, 1997;Burkin et al., 1998;Martin, 2002). In immune cells, agrin aggregating activity, in synergy with integrins, has been...