Laboratory of Molecular Biology, Clinical Research Institute of Montreal, Montreal, Quebec, Canada.
Department of Laboratory Medicine, University of California, San Francisco, California, USA.
J Virol. 2021 Aug 10;95(17):e0047121. doi: 10.1128/JVI.00471-21.
Human immunodeficiency virus (HIV) or simian immunodeficiency virus (SIV) infection causes myelodysplasia, anemia, and accumulation of inflammatory monocytes (CD14 CD16) through largely unknown cellular and molecular pathways. The mouse cells thought to be equivalent to human CD14 CD16 cells are CD11b Gr1 myeloid-derived suppressor cells (MDSC). We used HIV transgenic (Tg) mouse models to study MDSC, namely, CD4C/Nef Tg mice expressing in dendritic cells (DC), pDC, CD4 T, and other mature and immature myeloid cells and CD11c/Nef Tg mice with a more restricted expression, mainly in DC and pDC. Both Tg strains showed expansion of granulocytic and CD11b Gr1 cells with MDSC characteristics. Fetal liver cell transplantation revealed that this expansion was stroma-independent and abrogated in mixed Tg/non-Tg 50% chimera. Tg bone marrow (BM) erythroid progenitors were decreased and myeloid precursors increased, suggesting an aberrant differentiation likely driving CD11b Gr1 cell expansion, apparently cell autonomously in CD4C/Nef Tg mice and likely through a bystander effect in CD11c/Nef Tg mice. Hck was activated in Tg spleen, and Nef-mediated CD11b Gr1 cell expansion was abrogated in Hck/Lyn-deficient Nef Tg mice, indicating a requirement of Hck/Lyn for this Nef function. IL-17 and granulocyte colony-stimulating factor (G-CSF) were elevated in Nef Tg mice. Increased G-CSF levels were normalized in Tg mice treated with anti-IL-17 antibodies. Therefore, Nef expression in myeloid precursors causes severe BM failure, apparently cell autonomously. More cell-restricted expression of Nef in DC and pDC appears sufficient to induce BM differentiation impairment, granulopoiesis, and expansion of MDSC at the expense of erythroid maturation, with IL-17→G-CSF as one likely bystander contributor. HIV-1 and SIV infection often lead to myelodysplasia, anemia, and accumulation of inflammatory monocytes (CD14 CD16), with the latter likely involved in neuroAIDS. We found that some transgenic (Tg) mouse models of AIDS also develop accumulation of mature and immature cells of the granulocytic lineage, decreased erythroid precursors, and expansion of MDSC (equivalent to human CD14 CD16 cells). We identified Nef as being responsible for these phenotypes, and its expression in mouse DC appears sufficient for their development through a bystander mechanism. Nef expression in myeloid progenitors may also favor myeloid cell expansion, likely in a cell-autonomous way. Hck/Lyn is required for the Nef-mediated accumulation of myeloid cells. Finally, we identified G-CSF under the control of IL-17 as one bystander mediator of MDSC expansion. Our findings provide a framework to determine whether the Nef>Hck/Lyn>IL-17>G-CSF pathway is involved in human AIDS and whether it represents a valid therapeutic target.
人类免疫缺陷病毒 (HIV) 或猴免疫缺陷病毒 (SIV) 通过很大程度上未知的细胞和分子途径感染导致骨髓增生异常、贫血和炎症性单核细胞 (CD14 CD16) 的积累。被认为与人类 CD14 CD16 细胞相当的小鼠细胞是 CD11b Gr1 髓源性抑制细胞 (MDSC)。我们使用 HIV 转基因 (Tg) 小鼠模型来研究 MDSC,即表达 在树突状细胞 (DC)、pDC、CD4 T 和其他成熟和未成熟髓样细胞中的 CD4C/Nef Tg 小鼠,以及主要在 DC 和 pDC 中表达受限的 CD11c/Nef Tg 小鼠。这两种 Tg 株都表现出粒细胞和 CD11b Gr1 细胞的扩增,具有 MDSC 特征。胎肝细胞移植显示,这种扩增与基质无关,并且在 50%的混合 Tg/非 Tg 嵌合体中被废除。Tg 骨髓 (BM) 红细胞前体减少,髓样前体增加,表明异常分化可能导致 CD11b Gr1 细胞的扩增,在 CD4C/Nef Tg 小鼠中显然是细胞自主的,在 CD11c/Nef Tg 小鼠中可能通过旁观者效应。在 Tg 脾脏中激活了 Hck,并且在 Hck/Lyn 缺陷型 Nef Tg 小鼠中,Nef 介导的 CD11b Gr1 细胞扩增被废除,表明 Hck/Lyn 是这种 Nef 功能所必需的。Nef Tg 小鼠中升高了白细胞介素-17 (IL-17) 和粒细胞集落刺激因子 (G-CSF)。用抗白细胞介素-17 抗体治疗 Tg 小鼠可使升高的 G-CSF 水平正常化。因此,Nef 在髓样前体中的表达导致严重的 BM 衰竭,显然是细胞自主的。在 DC 和 pDC 中更局限的 Nef 表达似乎足以诱导 BM 分化障碍、粒细胞生成和 MDSC 的扩增,以牺牲红细胞成熟为代价,IL-17→G-CSF 可能是一个潜在的旁观者贡献者。HIV-1 和 SIV 感染常导致骨髓增生异常、贫血和炎症性单核细胞 (CD14 CD16) 的积累,后者可能与神经艾滋病有关。我们发现一些艾滋病转基因 (Tg) 小鼠模型也会积累成熟和未成熟的粒细胞谱系细胞、减少红细胞前体和 MDSC 的扩增(相当于人类 CD14 CD16 细胞)。我们确定 Nef 是这些表型的罪魁祸首,其在小鼠 DC 中的表达通过旁观者机制似乎足以使其发育。髓样前体中的 Nef 表达也可能有利于髓样细胞的扩增,可能是细胞自主的。Hck/Lyn 是 Nef 介导的髓样细胞积累所必需的。最后,我们确定了受白细胞介素-17 控制的 G-CSF 作为 MDSC 扩增的一个旁观者介质。我们的研究结果为确定 Nef>Hck/Lyn>IL-17>G-CSF 途径是否参与人类艾滋病以及它是否代表一个有效的治疗靶点提供了一个框架。