IntroductionThe hallmarks of AIDS are high levels of HIV-1 infection, depletion of CD4 ϩ T cells, and loss of immunity. The mechanism of HIV-1 immunopathogenesis is not clear because human patients are the only hosts that support high levels of HIV-1 replication and develop AIDS. Extensive studies have been performed in primate models with either low levels of HIV-1 replication (HIV-1 in chimps) or a different virus (simian immunodeficiency virus [SIV] or simian/human immunodeficiency virus [SHIV] in monkeys). 1-3 HIV-1 fails to infect murine cells due to blocks at multiple steps of the HIV life cycle. The mouse with a reconstituted human immune system would be an ideal small animal model for studying HIV-1 infection and pathogenesis. A number of human-mouse chimeric models have been developed, but with only limited success. The severe combined immunodeficient (SCID)-hu Thy/Liv mouse has an intact human thymus organ, thus allowing investigation of HIV-1 pathogenesis in a human lymphoid organ. [4][5][6] However, very low levels of human T cells are detected in the peripheral lymphoid organs or blood. The hu-peripheral blood lymphocyte (PBL)-SCID mouse supports transient and selective engraftment of xenoreactive human T cells. 7,8 Human CD34 ϩ cells transplanted into SCID or nonobese diabetic (NOD)/SCID mice lead to generation of mainly human myeloid and B cells in the mouse bone marrow, but inefficient generation of human T cells. 9,10 When CD34 ϩ human hematopoietic stem cells (HSCs)/hematopoietic stem progenitor cells (HSPCs) are injected directly into the liver of newborn Rag2-␥C double-knockout (DKO) mice, which lack T, B, and natural killer (NK) cells, the newborn liver environment of DKO mice supports efficient engraftment and development of a functional human immune system in central and peripheral lymphoid organs. 11,12 To demonstrate that the DKO-hu HSC mouse can support efficient HIV-1 infection with relevant immunopathogenesis, we show that CCR5 and CXCR4, the HIV-1 coreceptors, are both expressed on human T cells in central and peripheral lymphoid organs. DKO-hu HSC mice allow high plasma viremia with high levels of HIV-1 infection in lymphoid organs. Both CD4 ϩ CD45RO ϩ and CD4 ϩ CD45RO Ϫ T cells are productively infected in lymphoid organs. Human CD4 ϩ T cells are gradually depleted by HIV-1 in a dose-dependent manner. In addition, HIV-1 infection persists in infected DKO-hu HSC mice for at least 19 weeks, with recoverable infectious HIV-1 in lymphoid tissues.
Materials and methods
Construction of DKO-hu HSC mice with human CD34 ؉/؊ cells from cord blood or fetal liverHuman CD34 ϩ cells were isolated from cord blood (CB) or fetal liver (FL) tissues. FL CD34 ϩ (1 ϫ 10 6 ) or CB CD34 ϩ (1 ϫ 10 5 ) cells were injected intrahepatically into each newborn DKO mouse previously irradiated at 400 rad. 11 Human leukocytes (CD45 ϩ ) were analyzed for CD3, CD4, CD8, CD45RO, CD19, CCR5(2D7), and CXCR4(12G5) by fluorescenceactivated cell sorting (FACS). 13
HIV-1 infection and pathogenesis in DKO-hu HSC miceAt l...