In vivo evolution of HIV-1 co-receptor usage and sensitivity to chemokine-mediated suppression (original) (raw)
- Article
- Published: 01 November 1997
- Eleonora Tresoldi1,
- Åsa Björndal3,
- Robert Fredriksson3,
- Claudia Colognesi1,
- Hong Kui Deng4,
- Mauro S. Malnati2,
- Anna Plebani5,
- Antonio G. Siccardi1,
- Dan R. Littman4,
- Eva Maria Fenyö3 &
- …
- Paolo Lusso2
Nature Medicine volume 3, pages 1259–1265 (1997)Cite this article
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Abstract
Following the identification of the C-C chemokines RANTES, MIP-1α and MIP-1β as major human immunodeficiency virus (HIV)-suppressive factors produced by CD8+ T cells1, several chemokine receptors were found to serve as membrane co-receptors for primate immunodeficiency lentiretroviruses2–8. The two most widely used co-receptors thus far recognized, CCR5 and CXCR4, are expressed by both activated T lymphocytes and mononuclear phagocytes. CCR5, a specific RANTES, MIP-1α and MIP-1β receptor, is used preferentially by non-MT2-tropic HIV-1 and HIV-2 strains3–7,9,10 and by simian immunodeficiency virus (SIV)11, whereas CXCR4, a receptor for the C-X-C chemokine SDF-1 (ref. 12, 13), is used by MT2-tropic HIV-1 and HIV-2, but not by SIV (ref. 2-7, 9-11, 14). Other receptors with a more restricted cellular distribution, such as CCR2b, CCR3 and STRL33, can also function as co-receptors for selected viral isolates4,6,8. The third variable region (V3) of the gp120 envelope glycoprotein of HIV-1 has been fingered as a critical determinant of the co-receptor choice4,15. Here, we document a consistent pattern of evolution of viral co-receptor usage and sensitivity to chemokine-mediated suppression in a longitudinal follow-up of children with progressive HIV-1 infection. Viral isolates obtained during the asymptomatic stages generally used only CCR5 as a co-receptor and were inhibited by RANTES, MIP-1α and MIP-1β, but not by SDF-1. By contrast, the majority of the isolates derived after the progression of the disease were resistant to C-C chemokines, having acquired the ability to use CXCR4 and, in some cases, CCR3, while gradually losing CCR5 usage. Surprisingly, most of these isolates were also insensitive to SDF-1, even when used in combination with RANTES. An early acquisition of CXCR4 usage predicted a poor prognosis. In children who progressed to AIDS without a shift to CXCR4 usage, all the sequential isolates were CCR5-dependent but showed a reduced sensitivity to C-C chemokines. Discrete changes in the V3 domain of gp120 were associated with the loss of sensitivity to C-C chemokines and the shift in co-receptor usage. These results suggest an adaptive evolution of HIV-1 in vivo, leading to escape from the control of the antiviral C-C chemokines.
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Authors and Affiliations
- Unit of Immunobiology of HIV, DIBIT, San Raffaele Scientific Institute, Via Olgettina 58, 20132, Milan, Italy
Gabriella Scarlatti, Eleonora Tresoldi, Claudia Colognesi & Antonio G. Siccardi - Unit of Human Virology, DIBIT, San Raffaele Scientific Institute, Via Olgettina 58, 20132, Milan, Italy
Mauro S. Malnati & Paolo Lusso - Microbiology and Tumor Biology Center, Karolinska Institute, Doktorsringen 13, 17177, Stockholm, Sweden
Åsa Björndal, Robert Fredriksson & Eva Maria Fenyö - Howard Hughes Medical Institute, Skirball Institute for BioMolecular Medicine, New York University, 540 First Avenue, New York, New York, 10016, USA
Hong Kui Deng & Dan R. Littman - First Clinic of Pediatrics, University of Milan, Via Commenda 9, 20128, Milan, Italy
Anna Plebani
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Scarlatti, G., Tresoldi, E., Björndal, Å. et al. In vivo evolution of HIV-1 co-receptor usage and sensitivity to chemokine-mediated suppression.Nat Med 3, 1259–1265 (1997). https://doi.org/10.1038/nm1197-1259
- Received: 17 June 1997
- Accepted: 03 September 1997
- Issue Date: 01 November 1997
- DOI: https://doi.org/10.1038/nm1197-1259