title: Evidence for a cytopathogenicity determinant in HIV-1 Vpr.
abstract: HIV-1 is cytopathic for CD4(+) T lymphocytes in vitro and this property of HIV-1 is generally considered to account for some of its in vivo cytopathogenicity. Thus, the extent of lymphocyte depletion correlates with the level of viremia whereas low levels of viral replication are typically associated with stable lymphocyte levels and asymptomatic infection such as is observed in non-progressors. Here, we describe a non-progressor who did not fit this general pattern in that CD4(+) T lymphocyte homeostasis was maintained in the face of high-level viral replication. Biological viral isolates from this patient replicated in primary lymphocytes without inducing cytopathicity. Because this phenotype is reminiscent of Vpr-deleted viruses, we examined the contribution of the Vpr gene to the viral phenotype. Vpr alleles derived from this patient contained both premature stop codons and an unusual Q3R polymorphism. Insertion of patient-derived Vpr alleles or a Q3R substitution into a cytopathic HIV-1 clone resulted in a marked impairment of cytopathicity without affecting viral replication efficiency. The effect of Vpr on cytopathicity was unrelated to reported activities of Vpr including virion association, interaction with uracil DNA glycosylase, G(2) arrest, or enhancement of macrophage infection but correlated with the ability of Vpr to induce host cell apoptosis. This study suggests the presence of a determinant of in vivo cytopathogenicity within HIV-1 Vpr and further indicates that viral replication can be uncoupled from cytopathicity in vitro and in vivo.
authors.affiliation: Program in Molecular Medicine, University of Massachusetts Medical School, 373 Plantation Street, Worcester, MA 01605, USA.
authors.forename: Mohan
authors.initials: M
authors.lastname: Somasundaran
authors.forename: Mark
authors.initials: M
authors.lastname: Sharkey
authors.forename: Beda
authors.initials: B
authors.lastname: Brichacek
authors.forename: Katherine
authors.initials: K
authors.lastname: Luzuriaga
authors.forename: Michael
authors.initials: M
authors.lastname: Emerman
authors.forename: John L
authors.initials: JL
authors.lastname: Sullivan
authors.forename: Mario
authors.initials: M
authors.lastname: Stevenson
mesh_terms: D000483:Alleles; D017209:Apoptosis / Q000235:genetics / Q000502:physiology; D015496:CD4-Positive T-Lymphocytes / Q000473:pathology / Q000821:virology; D003588:Cytopathogenic Effect, Viral / Q000235:genetics / Q000502:physiology*; D016336:Gene Products, vpr / Q000235:genetics / Q000502:physiology*; D016334:Genes, vpr; D015658:HIV Infections / Q000473:pathology / Q000821:virology; D020276:HIV Long-Term Survivors; D015497:HIV-1 / Q000235:genetics / Q000302:isolation & purification / Q000472:pathogenicity*; D006801:Humans; D066298:In Vitro Techniques; D009154:Mutation; D011110:Polymorphism, Genetic; D054325:vpr Gene Products, Human Immunodeficiency Virus
chemical_list: D016336:Gene Products, vpr; D054325:vpr Gene Products, Human Immunodeficiency Virus