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J Gen Virol 87 (2006), 2171-2180; DOI 10.1099/vir.0.81452-0

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© 2006 Society for General Microbiology

Human cytomegalovirus modulation of CCR5 expression on myeloid cells affects susceptibility to human immunodeficiency virus type 1 infection

Christine A. King, Joan Baillie and John H. Sinclair

Department of Medicine, Level 5, Box 157, University of Cambridge, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK

Correspondence
John H. Sinclair
js{at}mole.bio.cam.ac.uk


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
 
For some time there has been evidence suggesting an interaction between human cytomegalovirus (HCMV) and Human immunodeficiency virus (HIV) in the pathogenesis of AIDS. Here, the interaction of HCMV and HIV-1 was examined in monocyte/macrophage cells, two cell types known to be targets for both viruses in vivo. Infection experiments demonstrated that prior infection with HCMV impeded subsequent superinfection with HIV-1. In contrast, uninfected bystander cells within the population were still permissive for HIV-1 infection and were also found to express increased levels of Gag after HIV-1 superinfection. Analysis of CCR5, a co-receptor for HIV-1, on HCMV-infected and bystander cells showed a substantial loss of surface CCR5 expression on infected cells due to HCMV-induced reduction of total cellular CCR5. In contrast, uninfected bystander cells displayed increased surface CCR5 expression. Furthermore, the data suggested that soluble factor(s) secreted from HCMV-infected cells were responsible for the observed upregulation of CCR5 on uninfected bystander cells. Taken together, these results suggest that, whilst HCMV-infected monocytes/macrophages are refractory to infection with HIV-1, HCMV-uninfected bystander cells within a population are more susceptible to HIV-1 infection. On this basis, HCMV infection may contribute to the pathogenesis of HIV-1.


   INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
 
Circumstantial evidence has, for some time, implicated human cytomegalovirus (HCMV) infection as a co-factor for progression to AIDS in human immunodeficiency virus (HIV) infection (Curran et al., 1985Down; Nelson et al., 1988Down; Webster, 1991Down). There is a well-established interaction between HCMV and HIV using transfection assays in vitro (Duclos et al., 1989Down; Ho et al., 1990Down; Jault et al., 1994Down; Koval et al., 1991Down). Generally, it has been shown that infection of cell lines with HCMV upregulates expression from the HIV-1 long terminal repeat (LTR) in transfection/superinfection assays (Duclos et al., 1989Down; Ho et al., 1990Down). Such studies have emphasized the role of the HCMV immediate-early (IE) gene products in the activation of the HIV-1 LTR (Davis et al., 1987Down; Rando et al., 1990Down; Walker et al., 1992Down). However, many of these analyses have used cell lines that are permissive for HCMV but not normally permissive for HIV-1 infection. Some transfection/superinfection assays have also shown specific differences in the effects of HCMV on HIV-1 infection depending on the cell type used and the relative levels of HIV-1 Tat and HCMV IE gene products in the co-infected cells (Jault et al., 1994Down; Moreno et al., 1997Down) and have also suggested that activation of the HIV-1 LTR by HCMV depends on whether the LTR reporter construct used is integrated into host genomic DNA or not (Koval et al., 1995Down). However, such assays were carried out using HIV-1 pseudotypes in cell lines that are not normally permissive for HIV-1 infection (Koval et al., 1995Down).

Cells of the myeloid lineage are one cell type that can be co-infected with HCMV and HIV in vitro (Nelson et al., 1988Down) and good evidence now exists as to the importance of myeloid cells in the carriage of both latent HIV (Meltzer et al., 1990Down; Donaghy et al., 2003Down) and HCMV in vivo (Reeves et al., 2005Down). It has been shown that HCMV infection of peripheral blood monocyte-derived macrophages (MDMs) increases HIV-1 production (Lathey et al., 1994Down). However, it is not clear why HIV-1 production is increased in MDMs following co-infection with HCMV and particularly why this appears to conflict with reports of inhibition of HIV-1 production by HCMV in fibroblasts using pseudotyped HIV-1 (Koval et al., 1991Down). Also, it is known that only a small proportion of MDMs can generally be infected with HCMV; hence, it is unclear whether the increase in HIV-1 production occurs specifically in the HCMV-infected cells.

Consequently, we analysed the effect that HCMV infection has on subsequent HIV-1 infection in myeloid cells, which are accepted to be important cell types for the carriage of both viruses in vivo. In particular, we assessed whether co-infection of the same cell with HCMV and HIV-MN, a myelotropic strain of HIV-1, had any effect on HIV-1 production. Our data demonstrated that HCMV-infected primary MDMs and differentiated THP1 cells displayed reduced permissiveness for superinfection with HIV-MN. In contrast, uninfected bystander cells were permissive to HIV-MN infection, displaying increased levels of HIV-1 Gag. Analysis of HIV-1 co-receptor expression levels on HCMV-infected and uninfected bystander MDM and THP1 cells demonstrated decreased CCR5 expression on HCMV-infected cells reflecting a significant decrease in total CCR5 protein levels. In contrast, uninfected bystander cells displayed increased cell-surface expression of CCR5 that was, in part, mediated by soluble factor(s) produced from HCMV-infected cultures.


   METHODS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
 
Cell lines.
HFFs (primary human foreskin fibroblasts; ECACC) were maintained in Eagle's minimal essential medium (Gibco-BRL) supplemented with 10 % fetal calf serum (FCS; Gibco-BRL) at 37 °C, 5 % CO2. THP1 cells, a myelomonocytic cell line, were maintained in RPMI 1640 (Gibco-BRL) supplemented with 10 % FCS, 100 U penicillin ml–1 and 100 µg streptomycin (Life Technologies) ml–1 and passaged twice a week. THP1 cells were differentiated overnight in RPMI 1640 supplemented with 10 ng phorbol myristate acetate (PMA; Sigma) ml–1 to a macrophage-like phenotype that was fully permissive for HCMV infection, as described previously (Weinshenker et al., 1988Down; Turtinen & Seufzer, 1994Down).

Primary human MDMs.
Primary human MDMs were generated as described previously (Lathey & Spector, 1991Down). Briefly, peripheral blood mononuclear cells (PBMCs) were isolated by density-gradient centrifugation using Ficoll-Hypaque (Nycomed Pharma AS). Primary monocytes were obtained by adherence for 1.5 h at 37 °C, 5 % CO2. Following adherence, monocytes were cultured in Iscove's modified Dulbecco's media (Gibco-BRL) supplemented with 15 % horse serum (Sera-Lab), 15 % FCS, 2 mM L-glutamine (Gibco-BRL), 100 U penicillin ml–1, 100 µg streptomycin ml–1 and 5x10–5 M hydrocortisone sodium succinate (Sigma) for 5 days at 37 °C, 5 % CO2. After 5 days, cultures were stimulated with 10 ng PMA ml–1 overnight to induce differentiation to HCMV-permissive macrophages.

Viruses.
HCMV stocks were generated and infectious units assessed in HFFs. Green fluorescent protein (GFP)-tagged HCMV was a generous gift from Richard Greaves (Imperial College Faculty of Medicine, London, UK) and has been described previously (Murphy et al., 2002Down). Briefly, CR[IE1–GFP] is a recombinant Towne strain of HCMV expressing enhanced GFP fused to the C terminus of IE1 p72 protein. The laboratory-adapted strain AD169, the endothelial-cell-tropic clinical isolate TB40/E and the low-passage laboratory strain Toledo were used where stated and have been described previously (Sinclair et al., 2000Down; Sinzger et al., 2000Down). HCMV viral titres were determined by plaque assay on HFFs. The macrophage-tropic strain of HIV-1 (HIV-MN) (MRC AIDS directed programme) was propagated in H9 lymphoblastoid cells (CFAR/NIBSC).

Co-infection of HCMV and HIV-1.
Differentiated THP1 and MDM cells were inoculated with HCMV (m.o.i. of 5–10) or mock inoculated with medium alone and cultured in appropriate medium for 48 h. HCMV-infected cultures were subsequently co-infected with the macrophage-tropic HIV-MN strain for 72 h.

Flow cytometric analysis and immunofluorescence.
For FACS analysis, differentiated THP1 and MDM cells inoculated with HCMV (m.o.i. of 5–10) or mock inoculated were harvested at 48 h post-infection (p.i.). Analysis of CCR5 and major histocompatibility complex (MHC) class I surface expression on HCMV-infected or uninfected cells was evaluated on live cells with phycoerythrin (PE)-conjugated mouse anti-human CCR5 (clone 45531, subclass IgG2b, 1 : 10 dilution; R&D Systems) and fluorescein isothiocyanate (FITC)-conjugated mouse anti-MHC class I (clone G46-2.6, subclass IgG1, 1 : 10 dilution; Pharmingen) or isotype-matched IgG control antibodies. Cells were analysed using a FACSort flow cytometer (Becton Dickinson) and FCS Express software (DeNovo Software). For some experiments, cells were fixed in 1 % paraformaldehyde for 10 min and permeabilized with 0.1 % Triton X-100 for 4 min at room temperature prior to staining.

For immunofluorescence analysis, differentiated THP1 and MDM cells were inoculated with HCMV (m.o.i. of 5–10) or mock inoculated. At 48 h p.i., cultures were inoculated or mock inoculated with the macrophage-tropic HIV-MN. HCMV and/or HIV-1 infection was visualized by indirect immunofluorescence as described previously (Baillie et al., 2003Down) at 72 h after HIV-1-infection. HCMV infection was assessed by IE gene expression (if infected with AD169, Toledo or TB40/E) using an FITC-conjugated mouse anti-IE72/IE86 antibody (subclass IgG2a, 1 : 50 dilution; Chemicon). HIV-1 infection was analysed using a mouse monoclonal anti-HIV-1 p24 antibody (clone 3818.7.47, subclass IgG1, 2 µg ml–1; Abcam) and visualized with a goat anti-mouse tetramethylrhodamine B isothiocyanate (TRITC)-labelled secondary antibody (1 : 40 dilution; Sigma). All staining was carried out in parallel with appropriate mouse IgG isotype-matched control antibodies.

For some experiments, differentiated THP1 cells were inoculated with CR[IE1–GFP] or Toledo and cell-free supernatants were harvested at 48 h p.i. Supernatants were centrifuged to ensure removal of cell debris, UV inactivated and filtered through a 0.2 µm sterile filter. Differentiated and uninfected THP1 cells were then cultured in the presence of these supernatants (HCMV-conditioned media) for 48 h or in supernatants from mock-infected cells. Both HCMV-infected THP1 cells and THP1 cells incubated with cell-free supernatants were surface stained to detect CCR5 as described above.

Western blot analysis.
THP1 cells differentiated with PMA were inoculated with HCMV AD169 (m.o.i. of 5–10). At 48 h after HCMV infection, cultures were inoculated or mock inoculated with the macrophage-tropic HIV-MN. At 72 h p.i., cultures were washed in PBS and resuspended at a concentration of 1x105 cells in 20 µl SDS lysis buffer. Cells were sonicated for 2 min and resolved by 10 % SDS-PAGE. Proteins were then transferred to nitrocellulose membranes overnight. Membranes were blocked for 30 min with 5 % non-fat dried milk in PBS/0.1 % Tween 20. Western blot analysis was carried out using a mouse anti-Gag antibody (ADP313, 1 : 200 dilution) or a mouse anti-IE72/IE86 antibody detected with the appropriate horseradish peroxidase (HRP)-conjugated antibody (1 : 10 000 dilution; Santa Cruz Biotechnology). Analysis of CCR5 protein levels in HCMV-infected and bystander populations was carried out at 48 h p.i. Differentiated THP1 cells were infected with CR[IE1–GFP] and sorted using a Becton Dickinson FACSort into GFP-positive and -negative (bystander) populations. CCR5 protein levels were detected using a rabbit anti-CCR5 antibody (1 : 1000 dilution; AnaSpec). Confirmation of equal protein loading was carried out using a rabbit anti-glyceraldehyde-3-phosphate dehydrogenase (GAPDH) antibody conjugated to HRP (1 : 2000 dilution; Abcam). The chemiluminescence reaction was visualized by enhanced chemiluminescence (ECL) according to the manufacturer's instructions (Pharmacia).

Transient transfection assays.
To generate a CAT reporter construct based on the HIV-MN LTR, a PCR product encompassing the HIV-MN LTR was subcloned into pSVOCAT (Clontech). THP1 cells (1x107) in PBS were transfected by electroporation in pre-chilled 4 mm cuvettes (960 µF, 250 V) with 5 µg LTR–CAT reporter plasmid. Transfected cells were incubated on ice for 15 min and then transferred to warm medium. Cells were harvested at 48 h post-transfection and lysed by three cycles of freezing and thawing. CAT activity was determined using equivalent amounts of protein. Acetylated and non-acetylated CAT species were separated by thin-layer chromatography and spots were quantified using InstantImager (Packard).

Statistical analysis.
The statistical significance of changes in total CCR5 protein levels in response to HCMV was assessed by a non-parametric approach. These data were initially analysed with Friedman's test and followed by examination of specific groups using the Dunn's multiple comparisons test.


   RESULTS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
 
HCMV infection of differentiated THP1 cells results in increased HIV-1 infection
To determine the exact effects of HCMV infection on subsequent infection with HIV-1 in myeloid cells, we used a myelomonocytic cell line (THP1), which is fully permissive for infection with HCMV when differentiated with PMA (Weinshenker et al., 1988Down; Turtinen & Seufzer, 1994Down) and which is also permissive for infection with HIV-1 (Asin et al., 2001Down). Control differentiated THP1 cells or cells infected with HCMV Toledo for 48 h were superinfected with HIV-MN. Fig. 1Down shows that infection of differentiated THP1 cells with HIV-1 resulted in expression of Gag protein, as detected by indirect immunofluorescence (Fig. 1bDown). Interestingly, HCMV-infected cells expressing IE gene products were rarely found to express HIV-1 Gag (Fig. 1cDown). In contrast, HCMV-uninfected bystander cells showed good levels of Gag expression and the amount of Gag expression appeared to be higher than levels of Gag expression in HIV-MN-infected cells that had not been exposed previously to HCMV (compare Fig. 1b and dDown). Confirmation of increased Gag expression in cultures previously infected with HCMV was carried out by Western blot analysis (Fig. 1eDown). The failure of THP1 cells to express HIV-1 Gag whilst expressing IE gene products and the apparently increased Gag levels in HCMV-uninfected bystander cells suggested that HCMV infection not only repressed subsequent infection with HIV-1 but also stimulated HIV-1 superinfection of HCMV-uninfected bystander cells.


Figure 1
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Fig. 1. HCMV infection of monocytic cells increases Gag expression in uninfected bystander cells following HIV-1 superinfection. THP1 cells were seeded into eight-well chamber slides and differentiated with PMA as described in Methods. (a,b) THP1 cells were infected with HIV-MN, fixed and stained with an IgG isotype-matched control antibody (a) or withmouse anti-HIV-1 p24 antibody (b) and visualized with goat anti-mouse TRITC-labelled antibody. (c, d) THP1 cells were infected with HCMV Toledo for 48 h and then infected with HIV-MN. Cells were fixed and stained with an FITC-conjugated mouse anti-IE72/IE86 antibody (c) or mouse anti-HIV-1 p24 antibody (d) as described in Methods. A representative field of view from each condition is shown. Data are representative of three separate experiments. (e) Western blot analysis of THP1 cells infected or not with HCMV and/or HIV-MN. HCMV infection was detected with anti-IE72/IE86 antibody; Gag expression was detected with a mouse anti-Gag antibody. Protein bands were visualized by ECL as described in Methods. Data are representative of two separate experiments.

 
HCMV activates the HIV-1 LTR in monocytic cells
One explanation for the observation that prior HCMV infection decreases HIV-1 Gag expression in HCMV-infected cells could be that, in this system, HCMV represses transcription from the HIV-1 LTR. To date, the ability of HCMV to activate the HIV-1 LTR has only been shown for LTR constructs based on T-cell-tropic strains of HIV. Therefore, we demonstrated that HCMV was also able to activate the HIV-1 LTR from a myelotropic strain of HIV-1 in myeloid cells. PCR amplification of an LTR from the myelotropic MN strain of HIV-1 was carried out and cloned upstream of a CAT reporter gene. Fig. 2Down clearly shows that, as expected, HCMV superinfection of the monocytic THP1 cell line also resulted in LTR activation. These data suggested that the decrease in HIV-1 Gag expression in cultures previously infected with HCMV was not the result of inhibition of the HIV-1 LTR.


Figure 2
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Fig. 2. HCMV activates the HIV-MN LTR in monocytic cells. THP1 cells were transiently transfected with 5 µg LTR–CAT reporter construct in the presence of 10 µg pSV2TAT or empty pSV2 vector. Cells transfected with LTR–CAT and pSV2 were also superinfected with HCMV. At 48 h p.i., samples were analysed for CAT activity. Data are representative of three separate experiments.

 
HCMV infection of monocytic cells modulates CCR5 expression
HCMV infection is known to downregulate expression and transport of a number of cell-surface proteins including MHC class I, tumour necrosis factor receptor 1 (TNFRI) (Baillie et al., 2003Down) and epidermal growth factor receptor (EGFR) (Fairley et al., 2002Down). The finding that HCMV infection prevented superinfection with HIV-MN could be the result of a deregulation in HIV-1 receptors, thereby preventing HIV-1 from entering the HCMV-infected cell. To address this issue, we determined whether receptors/co-receptors for HIV-1 infection on monocytes were altered during HCMV infection. FACS analysis was carried out on HCMV Toledo-infected or uninfected differentiated THP1 cells at 48 h p.i., stained with anti-CCR5 (a known co-receptor for HIV-1 infection of monocytic cells) and/or anti-MHC class I (as an indicator of HCMV infection). THP1 cells showed a low but reproducible level of CCR5 staining (17±6.2 %, n=4; data are expressed as mean±SEM) (Fig. 3Down, compare a and c). Consistent with known observations, infection with HCMV resulted in a subpopulation of cells with reduced class I expression (population x) (Fig. 3Down, compare e and f). Staining of parallel cultures with an anti-IE protein antibody showed approximately 50 % infection with HCMV (data not shown). Intriguingly, cells with reduced class I also had reduced CCR5 cell-surface expression (Fig. 3hDown, compare populations x and y), whilst uninfected bystander cells (Fig. 3hDown, population y) in culture displayed increased levels of CCR5 expression. These data suggested that HCMV infection of monocytic cells results in downregulation of surface CCR5 expression on infected cells accompanied by an increase on uninfected bystander cells within the HCMV-infected cultures.


Figure 3
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Fig. 3. HCMV-infected monocytic cells displaydecreased levels of surface CCR5, whilst uninfected bystander cells display increased CCR5 levels. THP1 cells were differentiated with PMA overnight as described in Methods and infected with HCMV Toledo or mock infected. At48 h p.i., cells were stained with IgG isotype-matched control antibody (a, b), mouse anti-CCR5 PE-conjugated antibody (c, d) or mouse anti-class I FITC-conjugated antibody (e, f), or were double stained to detect both class I and CCR5 (g, h). Note that the population of cells expressing class I were HCMV-negative (population y); the population expressing a low level of class I were HCMV-positive (population x). Cells were analysed using a Becton Dickinson FACSort. Dataare representative of five separate experiments.

 
The decrease in cell-surface expression of CCR5 on HCMV-infected cells was in good agreement with a reduction in Gag co-expression in HCMV-infected cells superinfected with HIV-1, whilst the increase in bystander cell CCR5 levels was consistent with an overall increase in Gag expression observed in HCMV-infected cultures after HIV-1 superinfection (Fig. 1Up).

Modulation of CCR5 surface expression by HCMV reflects changes in intracellular protein levels in infected cells but not uninfected bystander cells
Our findings suggested that HCMV infection resulted in a decrease in cell-surface CCR5 on infected cells and an increase on uninfected bystander cells. We next determined whether these changes were also reflected in total levels of CCR5. First, we analysed CCR5 protein levels on fixed and permeabilized differentiated THP1 cells infected with HCMV or uninfected cells by FACS analysis. THP1 cells were differentiated overnight with PMA and then infected with CR[IE1–GFP] (m.o.i. of 5–10) or mock infected. At 48 h p.i., cells were harvested, fixed, permeabilized and stained for CCR5 expression. FACS analysis demonstrated that changes in surface CCR5 levels on HCMV-infected cells were concomitant with changes in intracellular protein levels. HCMV infection of monocytic cells resulted in a significant (n=3, P<0.05) downregulation of CCR5 protein levels. In contrast, the increase in the level of CCR5 cell-surface expression on uninfected bystander cells in an HCMV-infected population, which we observed in Fig. 3Up, was not reflected by changes in levels of total CCR5 protein (Fig. 4Downa).


Figure 4
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Fig. 4. HCMV infection downregulates total levels of CCR5. (a) THP1 cells were differentiated with PMA overnight as described in Methods and infected with CR[IE1–GFP] or mock infected. At 48 h p.i., cells were fixed, permeabilized andstained with IgG isotype-matched control antibody or with mouse anti-CCR5 PE-conjugated antibody. CCR5 levels were analysed in uninfected cells, cells expressing IE genes (IE1–GFP) and uninfected bystander cells. Cells were analysed using a Becton Dickinson FACSort. Data are expressed as relative CCR5 expression±SEM (n=3). *, P<0.05. (b) THP1 cells were differentiated with PMA overnight as described in Methods and infected with HCMV CR[IE1–GFP]. At 48 h p.i., cells were harvested and sorted into IE1-positive and bystander populations using a Becton Dickinson FACSort and analysed by Western blotting. The data clearly showed decreased CCR5 levels in HCMV IE1-positive cells (lane 3) compared with uninfected THP1 cells (lane 1), with little change in levels of CCR5 in bystander cells (lane 2). Data are representative of two separate experiments.

 
We also confirmed this FACS analysis of total CCR5 protein in fixed and permeabilized cells by Western blot analysis. THP1 cells infected with CR[IE1–GFP] were sorted into IE1–GFP-positive and -negative populations at 48 h p.i. and analysed for CCR5 protein levels (Fig. 4bUp). This clearly showed that, in IE1-positive cells (Fig. 4bUp, lane 3), total steady-state levels of CCR5 were substantially reduced. Once again, uninfected bystander cells (Fig. 4bUp, lane 2) showed little change in overall levels of CCR5 compared with uninfected control cells (Fig. 4bUp, lane 1).

HCMV increases CCR5 expression on primary macrophages
Although the THP1 cell line is of myelomonocytic lineage and does differentiate with phorbol esters to macrophage-like cells, we wanted to confirm the change in CCR5 levels using primary macrophages. MDMs, generated by in vitro differentiation of PBMCs using long-term culture in the presence of hydrocortisone and PMA, were infected with HCMV TB40/E (Fig. 5Down). FACS analysis of control and HCMV-infected cultures for CCR5 and class I expression confirmed the HCMV-induced increase in CCR5 expression on uninfected bystander cells. MDMs were found to express good levels of CCR5 (Fig. 5aDown) and class I (Fig. 5bDown), which were reduced following infection with HCMV TB40/E (Fig. 5c and dDown). Furthermore, HCMV-infected MDMs expressing reduced class I displayed a total loss of CCR5 surface expression (Fig. 5eDown), whilst uninfected bystander cells, expressing normal levels of class I, displayed increased CCR5 expression (Fig. 5fDown) compared with uninfected controls (Fig. 5aDown).


Figure 5
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Fig. 5. HCMV infection modulates surface CCR5 expression on primary MDMs. Primary human MDMs were infected with HCMV TB40/E (m.o.i. of 5–10) or mock infected and stained at 48 h p.i. with IgG isotype-matched control antibody (grey histograms) or mouse anti-CCR5 PE-conjugated or mouse anti-class I FITC-conjugated antibody (black histograms). (a) Uninfected MDM CCR5 levels; (b) uninfected MDM class I levels; (c) HCMV TB40/E-infected MDM CCR5 levels; (d) HCMV TB40/E-infected MDM class I levels. Note that the population of cells expressing class I were HCMV-negative (population y); the population expressing a low level of class I were HCMV-positive (population x). (e) Infected population (population x) CCR5 levels; (f) bystander population (population y) CCR5 levels. Numbers represent the percentage of cells that were positive using Overton histogram subtraction. Cells were analysed using a Becton Dickinson FACSort. Data are representative of three separate experiments.

 
Soluble factor(s) produced during HCMV infection of monocytic cells induce increased CCR5 and Gag expression on uninfected bystander cells
To assess whether soluble factor(s) released by the HCMV-infected cells within the cell population could be responsible for the induction of CCR5 expression on uninfected bystander cells, differentiated THP1 cells were mock inoculated or inoculated with HCMV CR[IE1–GFP] and cell-free supernatants were harvested at 48 h p.i. Differentiated THP1 cells were then cultured in the presence of these supernatants for 48 h and surface stained to detect CCR5. FACS analysis clearly demonstrated that supernatant harvested at 48 h after HCMV infection induced a similar increase in CCR5 levels on differentiated THP1 cells (Fig. 6cDown) to that seen on bystander cells during HCMV infection (Fig. 6eDown), whilst supernatants from mock-infected cells did not modulate CCR5 expression (Fig. 6cDown) compared with uninfected controls (Fig. 6aDown).


Figure 6
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Fig. 6. Soluble factor(s) induce CCR5 expression on bystander cells during HCMV infection. Differentiated THP1 cells were untreated (a), treated with cell-free supernatants obtained from mock-infected cultures (b) or with supernatants from HCMV CR[IE1–GFP]-infected cultures (c), or infected with HCMV CR[IE1–GFP] (d) for 48 h; resultsare also shown for the IE1-negative bystander population (e) and IE1-positive population (f). Cells were surface stained using amouse anti-CCR5 PE-conjugated antibody (black histograms) or IgG isotype-matched control antibody (grey histograms). Numbers represent the percentage of cells that were positive using Overton histogram subtraction. Cells were analysed using a Becton Dickinson FACSort. Data are representative of three separate experiments.

 
We also determined whether this increase in CCR5 expression mediated by soluble factor(s) released into HCMV-infected supernatants had any effect on their ability to be superinfected with HIV-1. Interestingly, immunofluorescence microscopy indicated increased intensity of Gag expression after HIV-1 superinfection of THP1 cells treated with HCMV-conditioned supernatants (Fig. 7aDown). Differentiated THP-1 cells were pre-treated with control media or with HCMV-conditioned media or infected with HCMV Toledo and superinfected with HIV-MN 48 h later. At 72 h p.i., cells were stained for Gag expression. Increased Gag staining was observed in cells pre-treated with supernatants from HCMV-infected cells [Fig. 7aDown, panel (v)] compared with medium controls [Fig. 7aDown, panels (i) and (ii)]. We confirmed these immunofluorescence assays quantitatively by FACS analysis (Fig. 7bDown). Consistent with the immunofluorescence analysis, HIV infection of control differentiated THP1 cells led to readily detectable levels of Gag expression (Fig. 7bDown, 29 % of cells, histogram 2), which was increased by pre-treatment of cells with HCMV-conditioned medium (Fig. 7bDown, 56 % of cells, histogram 3) and also increased by HCMV infection (Fig. 7bDown, 52 % of cells, histogram 4). We also quantified the level of HCMV infection in these samples by IE1 detection, which showed no IE expression in untreated cells or in cells treated with HCMV-conditioned medium and 12 % infection with HCMV in HCMV-infected cells. Similarly, cells that were not inoculated with HIV-MN showed no Gag staining (data not shown). These data suggest that soluble factor(s) produced during HCMV infection of monocytic cells mediate the increase in surface levels of CCR5 on bystander cells, which results in these cells showing higher levels of Gag expression on co-infection with HIV-MN.


Figure 7
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Fig. 7. Increased Gag expression in HCMV bystander cells after HIV-1 infection. (a) Indirect immunofluorescence detecting HIV-1 Gag using a mouse anti-HIV-1 p24 antibody visualized with goat anti-mouse TRITC-labelled antibody as detailed in Methods. (i, ii) Differentiated THP1 cells were pre-treated withcontrol (con) medium for 48 h and infected with HIV-MN. (iii, iv) Differentiated THP1 cells were infected with HCMV Toledo for 48 h and then superinfected with HIV-MN. (v, vi) Differentiated THP1 cells were cultured in the presence of HCMV-conditioned medium (HCMV medium) for 48 h and infected with HIV-MN. A representative field of view from each condition is shown. Data are representative of three separate experiments. (b) Histograms 2, 3 and 4 show the results of FACS analysis of Gag expression after HIV-MN infection of untreated differentiated THP1 cells (29 % Gag expression), cells pre-treated with HCMV-conditioned medium (56 % Gag expression) and cells pre-infected with HCMV (52 % Gag expression), respectively. Histogram 1 represents cells stained with an IgG1 isotype-matched control. Data are representative of two separate experiments.

 

   DISCUSSION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
 
In order to investigate further the well-documented interplay between HIV-1 and HCMV, we analysed the effect of HCMV infection of myeloid cells on their subsequent infection with HIV-1. Our data demonstrated that infection of myeloid cells with HCMV increased the levels of HIV-1 Gag expression after superinfection with HIV-1. This increase was found to be restricted to the HCMV-uninfected bystander cell population. In contrast, cells expressing the IE gene products IE72/IE86 showed little or no HIV-1 gene expression. Furthermore, the lack of Gag expression in these cells was not due to transcriptional repression of the HIV-MN LTR by HCMV. FACS analysis of CCR5 co-receptor levels on live cells indicated that HCMV-infected cells had reduced levels of surface CCR5, whilst uninfected bystander cells in the culture had increased levels of surface CCR5 compared with uninfected controls.

Our observation that HCMV infection of macrophages downregulated levels of surface CCR5 is consistent with previous work by Lecointe et al. (2002)Down who showed that primary MDMs infected with HCMV AD169 exhibited downregulation of plasma membrane expression of CCR5 with no change in surface CD4 expression. Similarly, HCMV infection of dendritic cells (Varani et al., 2005Down), astrocytes and microglia (Lecointe et al., 2002Down) also results in a decrease in surface CCR5 levels. The role of CCR5 in virus infections is unclear. Downregulation of CCR5 on the cell surface has been demonstrated to protect cells from HIV envelope-mediated apoptosis (Algeciras-Schimnich et al., 2002Down), whilst CCR5–CCL5 interactions have been shown to protect macrophages from respiratory syncytial virus- and influenza virus-induced cell death (Tyner et al., 2005Down). Modulation of CCR5 by multiple HCMV strains and in cell lines and primary cells is intriguing and suggests that CCR5 might have an as yet unknown biological significance during HCMV infection.

HCMV-infected cells express low levels of CCR5 – either HCMV only infects low-CCR5-expressing cells or it represses CCR5 expression. To address the possibility that HCMV preferentially infected cells with low levels of CCR5 expression, we aseptically sorted live differentiated THP1 cells based on high or low CCR5 expression by FACS. Cultures of low and high CCR5-expressing THP1 cells were then infected with HCMV CR[IE1–GFP] and the number of IE1-expressing cells was assessed at 48 h p.i. Both populations of THP1 cells were permissive to HCMV (data not shown). In addition, analysis of total (surface and intracellular) CCR5 protein in permeabilized cells by FACS analysis demonstrated that HCMV infection resulted in a significant decrease in CCR5 protein in infected cells. CCR5 has been shown to exist in two forms, a 42 kDa form suggested to be present in the cytoplasm of cells and a 62 kDa form that resides mainly on the cell surface (Suzuki et al., 2002Down). Western blot analysis of CCR5 in IE1-expressing versus bystander cells clearly demonstrated that the 42 kDa form is decreased in IE1-positive cells compared with uninfected controls. Interestingly, increases in cell-surface expression of CCR5 on uninfected bystander cells was not reflected by changes in the total amount of CCR5 protein. The mechanism by which total CCR5 versus cell-surface expression is differentially affected by HCMV depending on whether the cell is itself infected or is an uninfected bystander is at present unclear. We were unable to detect the 62 kDa form of CCR5, consistent with the observed low levels of CCR5 present on the surface of THP1 cells and the indication that the 62 kDa form is more readily detectable under non-reducing conditions (Suzuki et al., 2002Down). The promoter region of CCR5 contains multiple binding sites for a variety of transcription factors including YY1 (Moriuchi & Moriuchi, 2003Down; Lei et al., 2005Down), Oct-1, Oct-2 (Moriuchi & Moriuchi, 2001Down), T-cell factor 1{alpha} and GATA1 (Moriuchi et al., 1997Down). The observed reduction in CCR5 protein levels following HCMV infection could be the result of upregulation of negative-regulating transcription factors, a decrease in the stability of CCR5 mRNA or an increase in protein degradation. Current studies in our laboratory are under way to investigate the mechanism(s) of HCMV-induced CCR5 downregulation. In contrast to HCMV-infected cells, uninfected bystander cells displayed increased levels of surface expression but had unchanged total levels of CCR5. To extend the relevance of our findings, we confirmed the HCMV-induced changes in CCR5 expression using HCMV-infected primary MDMs. MDMs exhibit similar changes in CCR5 expression on infected and uninfected cells.

We tested whether soluble factor(s) released by the HCMV-infected cells within the population could be responsible for the induction of CCR5 expression on uninfected bystander cells. Differentiated THP1 cells exhibited increased Gag expression after HIV-1 superinfection if HCMV-conditioned medium was used in place of virus. This suggests that a factor or factors produced during HCMV infection of monocytic cells is, at least in part, responsible for the observed increase in bystander CCR5 expression. Furthermore, indirect immunofluorescence experiments and quantitative FACS analysis demonstrated that the upregulation in CCR5 surface expression on bystander cells by conditioned medium also resulted in an increase in HIV-1 Gag expression after HIV-1 superinfection. The exact nature of the soluble factor(s) responsible is currently under investigation, but several soluble mediators have been shown to influence HIV-1 CCR5 co-receptor expression. For instance, both mRNA and protein expression of CCR5 were increased in monocytes/macrophages in response to interleukin 2 (IL-2) (Weissman et al., 2000Down) and IL-10 (Percherancier et al., 2001Down) and are augmented by gamma interferon (Hariharan et al., 1999Down) and tumour necrosis factor alpha (TNF-{alpha}) (Croitoru-Lamoury et al., 2003Down). Furthermore, HCMV encodes a biologically active viral IL-10 homologue (Spencer et al., 2002Down) that has been demonstrated to bind the IL-10 receptor (Kotenko et al., 2000Down). Similarly, TNF-{alpha} produced by HCMV-infected PBMCs obtained from HCMV-infected donors has been shown to induce HIV-1 replication (Peterson et al., 1992Down).

Our observations suggest that HCMV infection results in the release of soluble factor(s) that are able to mediate increased CCR5 surface expression on uninfected bystander cells. However, the HCMV-infected cells themselves are refractory to such stimuli. From preliminary experiments, we favour the hypothesis that HCMV infection inhibits expression of CCR5 in the infected cell, thereby protecting or ‘isolating’ the infected cell from any external signals, ensuring an optimal environment for virus replication and dissemination. Downregulation of CCR5 also appears to protect the cells from subsequent HIV-1 infection, as determined by Gag expression. We note that this occurs even in the presence of viral US28 expression, which has been shown to act as a co-receptor for HIV-1 in transfected U373 cells (Pleskoff et al., 1997Down).

Modulation of cell-surface receptors by HCMV is not uncommon and our laboratory has previously shown downregulation of surface TNFRI and EGFR by HCMV (Fairley et al., 2002Down; Baillie et al., 2003Down). It is clear that HCMV specifically targets multiple host surface receptors and such modulation most likely confers a survival advantage.

Taken together, our data suggest that prior infection with HCMV and subsequent reactivation during the immunocompromised state of HIV-positive patients may contribute to the pathogenesis of AIDS by modulating CCR5 co-receptor levels on neighbouring cells and thus promoting HIV dissemination and replication. We speculate that CCR5 modulation by HCMV in vitro in both monocytic cells and primary MDMs leads to a direct increase in HIV-MN gene expression following superinfection. Due to conflicting studies, it remains unclear how HCMV influences HIV-1 infection in vivo. Much of the work to date was carried out using pseudotyped HIV-1 and cell lines that cannot normally be infected with HIV-1. The present study employed primary HCMV and HIV target cells, as well as a fully permissive cell line, coupled with naturally infectious virus strains, to investigate the interplay between these two important viral pathogens.


   ACKNOWLEDGEMENTS
 
We are grateful to R. Greaves for kindly providing HCMV CR[IE1–GFP]. This work was supported by the Medical Research Council.


   REFERENCES
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
 
Algeciras-Schimnich, A., Vlahakis, S. R., Villasis-Keever, A., Gomez, T., Heppelmann, C. J., Bou, G. & Paya, C. V. (2002). CCR5 mediates Fas- and caspase-8 dependent apoptosis of both uninfected and HIV infected primary human CD4 T cells. AIDS 16, 1467–1478.[CrossRef][Medline]

Asin, S., Bren, G. D., Carmona, E. M., Solan, N. J. & Paya, C. V. (2001). NF-{kappa}B cis-acting motifs of the human immunodeficiency virus (HIV) long terminal repeat regulate HIV transcription in human macrophages. J Virol 75, 11408–11416.[Abstract/Free Full Text]

Baillie, J., Sahlender, D. A. & Sinclair, J. H. (2003). Human cytomegalovirus infection inhibits tumor necrosis factor alpha (TNF-{alpha}) signaling by targeting the 55-kilodalton TNF-{alpha} receptor. J Virol 77, 7007–7016.[Abstract/Free Full Text]

Croitoru-Lamoury, J., Guillemin, G. J., Boussin, F. D. & 7 other authors (2003). Expression of chemokines and their receptors in human and simian astrocytes: evidence for a central role of TNF{alpha} and IFN{gamma} in CXCR4 and CCR5 modulation. Glia 41, 354–370.[CrossRef][Medline]

Curran, J. W., Morgan, W. M., Hardy, A. M., Jaffe, H. W., Darrow, W. W. & Dowdle, W. R. (1985). The epidemiology of AIDS: current status and future prospects. Science 229, 1352–1357.[Abstract/Free Full Text]

Davis, M. G., Kenney, S. C., Kamine, J., Pagano, J. S. & Huang, E.-S. (1987). Immediate-early gene region of human cytomegalovirus trans-activates the promoter of human immunodeficiency virus. Proc Natl Acad Sci U S A 84, 8642–8646.[Abstract/Free Full Text]

Donaghy, H., Gazzard, B., Gotch, F. & Patterson, S. (2003). Dysfunction and infection of freshly isolated blood myeloid and plasmacytoid dendritic cells in patients infected with HIV-1. Blood 101, 4505–4511.[Abstract/Free Full Text]

Duclos, H., Elfassi, E., Michelson, S., Arenzana-Seisdedos, F., Hazan, U., Munier, A. & Virelizier, J. L. (1989). Cytomegalovirus infection and trans-activation of HIV-1 and HIV-2 LTRs in human astrocytoma cells. AIDS Res Hum Retroviruses 5, 217–224.[Medline]

Fairley, J. A., Baillie, J., Bain, M. & Sinclair, J. H. (2002). Human cytomegalovirus infection inhibits epidermal growth factor (EGF) signalling by targeting EGF receptors. J Gen Virol 83, 2803–2810.[Abstract/Free Full Text]

Hariharan, D., Douglas, S. D., Lee, B., Lai, J.-P., Campbell, D. E. & Ho, W.-Z. (1999). Interferon-{gamma} upregulates CCR5 expression in cord and adult blood mononuclear phagocytes. Blood 93, 1137–1144.[Abstract/Free Full Text]

Ho, W.-Z., Harouse, J. M., Rando, R. F., Gonczol, E., Srinivasan, A. & Plotkin, S. A. (1990). Reciprocal enhancement of gene expression and viral replication between human cytomegalovirus and human immunodeficiency virus type 1. J Gen Virol 71, 97–103.[Abstract/Free Full Text]

Jault, F. M., Spector, S. A. & Spector, D. H. (1994). The effects of cytomegalovirus on human immunodeficiency virus replication in brain-derived cells correlate with permissiveness of the cells for each virus. J Virol 68, 959–973.[Abstract/Free Full Text]

Kotenko, S. V., Saccani, S., Izotova, L. S., Mirochnitchenko, O. V. & Pestka, S. (2000). Human cytomegalovirus harbors its own unique IL-10 homolog (cmvIL-10). Proc Natl Acad Sci U S A 97, 1695–1700.[Abstract/Free Full Text]

Koval, V., Clark, C., Vaishnav, M., Spector, S. A. & Spector, D. H. (1991). Human cytomegalovirus inhibits human immunodeficiency virus replication in cells productively infected by both viruses. J Virol 65, 6969–6978.[Abstract/Free Full Text]

Koval, V., Jault, F. M., Pal, P. G., Moreno, T. N., Aiken, C., Trono, D., Spector, S. A. & Spector, D. H. (1995). Differential effects of human cytomegalovirus on integrated and unintegrated human immunodeficiency virus sequences. J Virol 69, 1645–1651.[Abstract]

Lathey, J. L. & Spector, S. A. (1991). Unrestricted replication of human cytomegalovirus in hydrocortisone-treated macrophages. J Virol 65, 6371–6375.[Abstract/Free Full Text]

Lathey, J. L., Spector, D. H. & Spector, S. A. (1994). Human cytomegalovirus-mediated enhancement of human immunodeficiency virus type-1 production in monocyte-derived macrophages. Virology 199, 98–104.[CrossRef][Medline]

Lecointe, D., Dugas, N., Leclerc, P., Hery, C., Delfraissy, J.-F. & Tardieu, M. (2002). Human cytomegalovirus infection reduces surface CCR5 expression in human microglial cells, astrocytes and monocyte-derived macrophages. Microbes Infect 4, 1401–1408.[CrossRef][Medline]

Lei, J.-Q., Wu, C.-L., Wang, X.-L. & Wang, H.-H. (2005). p38 MAPK-dependent and YY1-mediated chemokine receptors CCR5 and CXCR4 up-regulation in U937 cell line infected by Mycobacterium tuberculosis or Actinobacillus actinomycetemcomitans. Biochem Biophys Res Commun 329, 610–615.[CrossRef][Medline]

Meltzer, M. S., Nakamura, M., Hansen, B. D., Turpin, J. A., Kalter, D. C. & Gendelman, H. E. (1990). Macrophages as susceptible targets for HIV infection, persistent viral reservoirs in tissue, and key immunoregulatory cells that control levels of virus replication and extent of disease. AIDS Res Hum Retroviruses 6, 967–971.[Medline]

Moreno, T. N., Fortunato, E. A., Hsia, K., Spector, S. A. & Spector, D. H. (1997). A model system for human cytomegalovirus-mediated modulation of human immunodeficiency virus type 1 long terminal repeat activity in brain cells. J Virol 71, 3693–3701.[Abstract]

Moriuchi, M. & Moriuchi, H. (2001). Octamer transcription factors up-regulate the expression of CCR5, a coreceptor for HIV-1 entry. J Biol Chem 276, 8639–8642.[Abstract/Free Full Text]

Moriuchi, M. & Moriuchi, H. (2003). YY1 transcription factor down-regulates expression of CCR5, a major coreceptor for HIV-1. J Biol Chem 278, 13003–13007.[Abstract/Free Full Text]

Moriuchi, H., Moriuchi, M. & Fauci, A. S. (1997). Cloning and analysis of the promoter region of CCR5, a coreceptor for HIV-1 entry. J Immunol 159, 5441–5449.[Abstract]

Murphy, J. C., Fischle, W., Verdin, E. & Sinclair, J. H. (2002). Control of cytomegalovirus lytic gene expression by histone acetylation. EMBO J 21, 1112–1120.[CrossRef][Medline]

Nelson, J. A., Reynolds-Kohler, C., Oldstone, M. B. & Wiley, C. A. (1988). HIV and HCMV coinfect brain cells in patients with AIDS. Virology 165, 286–290.[CrossRef][Medline]

Percherancier, Y., Planchenault, T., Valenzuela-Fernandez, A., Virelizier, J.-L., Arenzana-Seisdedos, F. & Bachelerie, F. (2001). Palmitoylation-dependent control of degradation, life span, and membrane expression of the CCR5 receptor. J Biol Chem 276, 31936–31944.[Abstract/Free Full Text]

Peterson, P. K., Gekker, G., Chao, C. C., Hu, S., Edelman, C., Balfour, H. H., Jr & Verhoef, J. (1992). Human cytomegalovirus-stimulated peripheral blood mononuclear cells induce HIV-1 replication via a tumor necrosis factor-{alpha}-mediated mechanism. J Clin Invest 89, 574–580.[Medline]

Pleskoff, O., Tréboute, C., Brelot, A., Heveker, N., Seman, M. & Alizon, M. (1997). Identification of a chemokine receptor encoded by human cytomegalovirus as a cofactor for HIV-1 entry. Science 276, 1874–1878.[Abstract/Free Full Text]

Rando, R. F., Srinivasan, A., Feingold, J., Gonczol, E. & Plotkin, S. (1990). Characterization of multiple molecular interactions between human cytomegalovirus (HCMV) and human immunodeficiency virus type 1 (HIV-1). Virology 176, 87–97.[CrossRef][Medline]

Reeves, M. B., MacAry, P. A., Lehner, P. J., Sissons, J. G. P. & Sinclair, J. H. (2005). Latency, chromatin remodeling, and reactivation of human cytomegalovirus in the dendritic cells of healthy carriers. Proc Natl Acad Sci U S A 102, 4140–4145.[Abstract/Free Full Text]

Sinclair, J., Baillie, J., Bryant, L. & Caswell, R. (2000). Human cytomegalovirus mediates cell cycle progression through G1 into early S phase in terminally differentiated cells. J Gen Virol 81, 1553–1565.[Abstract/Free Full Text]

Sinzger, C., Kahl, M., Laib, K., Klingel, K., Rieger, P., Plachter, B. & Jahn, G. (2000). Tropism of human cytomegalovirus for endothelial cells is determined by a post-entry step dependent on efficient translocation to the nucleus. J Gen Virol 81, 3021–3035.[Abstract/Free Full Text]

Spencer, J. V., Lockridge, K. M., Barry, P. A., Lin, G., Tsang, M., Penfold, M. E. T. & Schall, T. J. (2002). Potent immunosuppressive activities of cytomegalovirus-encoded interleukin-10. J Virol 76, 1285–1292.[Abstract/Free Full Text]

Suzuki, S., Miyagi, T., Chuang, L. F., Yau, P. M., Doi, R. H. & Chuang, R. Y. (2002). Chemokine receptor CCR5: polymorphism at protein level. Biochem Biophys Res Commun 296, 477–483.[CrossRef][Medline]

Turtinen, L. W. & Seufzer, B. J. (1994). Selective permissiveness of TPA differentiated THP-1 myelomonocytic cells for human cytomegalovirus strains AD169 and Towne. Microb Pathog 16, 373–378.[CrossRef][Medline]

Tyner, J. W., Uchida, O., Kajiwara, N. & 8 other authors (2005). CCL5–CCR5 interaction provides antiapoptotic signals for macrophage survival during viral infection. Nat Med 11, 1180–1187.[CrossRef][Medline]

Varani, S., Frascaroli, G., Homman-Loudiyi, M., Feld, S., Landini, M. P. & Söderberg-Nauclér, C. (2005). Human cytomegalovirus inhibits the migration of immature dendritic cells by down-regulating cell-surface CCR1 and CCR5. J Leukoc Biol 77, 219–228.[Abstract/Free Full Text]

Walker, S., Hagemeier, C., Sissons, J. G. P. & Sinclair, J. H. (1992). A 10-base-pair element of the human immunodeficiency virus type 1 long terminal repeat (LTR) is an absolute requirement for transactivation by the human cytomegalovirus 72-kilodalton IE1 protein but can be compensated for by other LTR regions in transactivation by the 80-kilodalton IE2 protein. J Virol 66, 1543–1550.[Abstract/Free Full Text]

Webster, A. (1991). Cytomegalovirus as a possible cofactor in HIV disease progression. J Acquir Immune Defic Syndr 4 (Suppl. 1), S47–S52.[Medline]

Weinshenker, B. G., Wilton, S. & Rice, G. P. (1988). Phorbol ester-induced differentiation permits productive human cytomegalovirus infection in a monocytic cell line. J Immunol 140, 1625–1631.[Abstract]

Weissman, D., Dybul, M., Daucher, M. B., Davey, R. T., Jr, Walker, R. E. & Kovacs, J. A. (2000). Interleukin-2 up-regulates expression of the human immunodeficiency virus fusion coreceptor CCR5 by CD4+ lymphocytes in vivo. J Infect Dis 181, 933–938.[CrossRef][Medline]

Received 23 August 2005; accepted 20 March 2006.


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