Department of Medicine, University of California-San Francisco, San Francisco, California, USA.
Microbiol Spectr. 2022 Dec 21;10(6):e0362222. doi: 10.1128/spectrum.03622-22. Epub 2022 Oct 31.
The incidence of human papillomavirus (HPV)-associated anogenital and oropharyngeal cancer in human immunodeficiency virus (HIV)-infected individuals is substantially higher than in HIV-uninfected individuals. HIV may also be a risk factor for the development of HPV-negative head and neck, liver, lung, and kidney cancer. However, the molecular mechanisms underlying HIV-1-associated increase of epithelial malignancies are not fully understood. Here, we showed that HPV-16-immortalized anal AKC-2 and cervical CaSki epithelial cells that undergo prolonged exposure to cell-free HIV-1 virions or HIV-1 viral proteins gp120 and tat respond with the epithelial-mesenchymal transition (EMT) and increased invasiveness. Similar responses were observed in HPV-16-infected SCC-47 and HPV-16-negative HSC-3 oral epithelial cancer cells that were cultured with these viral proteins. EMT induced by gp120 and tat led to detachment of poorly adherent cells from the culture substratum; these cells remained capable of reattachment, upon which they coexpressed both E-cadherin and vimentin, indicative of an intermediate stage of EMT. The reattached cells also expressed stem cell markers CD133 and CD44, which may play a critical role in cancer cell invasion and metastasis. Inhibition of transforming growth factor (TGF)-β1 and MAPK signaling and vimentin expression, and restoration of E-cadherin expression reduced HIV-induced EMT and the invasive activity of HPV-16-immortalized anal and cervical epithelial cells. Collectively, our results suggest that these approaches along with HIV viral suppression with antiretroviral therapy (ART) might be useful to limit the role of HIV-1 infection in the acceleration of HPV-associated or HPV-independent epithelial neoplasia. HPV-16-immortalized genital and oral epithelial cells and HPV-negative oral cancer cells that undergo prolonged contact with cell-free HIV-1 virions or with viral proteins gp120 and tat respond by becoming more invasive. EMT cells induced by HIV-1 in cultures of HPV-16-immortalized anal and cervical epithelial cells express the stem cell markers CD133 and CD44. These results suggest that the interaction of HIV-1 with neoplastic epithelial cells may lead to their de-differentiation into cancer stem cells that are resistant to apoptosis and anti-cancer drugs. Thus, this pathway may play a critical role in the development of invasive cancer. Inhibition of TGF-β1 and MAPK signaling and vimentin expression, and restoration of E-cadherin expression reduced HIV-induced EMT and the invasiveness of HPV-16-immortalized anal and cervical epithelial cells. Taken together, these results suggest that these approaches might be exploited to limit the role of HIV-1 infection in the acceleration of HPV-associated or HPV-independent epithelial neoplasia.
人乳头瘤病毒(HPV)相关的肛门生殖器和口咽癌在人类免疫缺陷病毒(HIV)感染个体中的发病率明显高于未感染 HIV 的个体。HIV 也可能是 HPV 阴性的头颈部、肝脏、肺部和肾脏癌症发生的一个风险因素。然而,HIV-1 相关的上皮恶性肿瘤增加的分子机制尚不完全清楚。在这里,我们发现 HPV-16 永生化的肛门 AKC-2 和宫颈 CaSki 上皮细胞在长时间接触无细胞 HIV-1 病毒颗粒或 HIV-1 病毒蛋白 gp120 和 tat 后会发生上皮-间充质转化(EMT)和侵袭性增加。在 HPV-16 感染的 SCC-47 和 HPV-16 阴性的 HSC-3 口腔上皮癌细胞中也观察到了类似的反应,这些细胞在培养过程中用这些病毒蛋白进行培养。gp120 和 tat 诱导的 EMT 导致贴壁不良的细胞从培养基质上脱落;这些细胞在重新附着后仍然能够同时表达 E-钙粘蛋白和波形蛋白,表明处于 EMT 的中间阶段。重新附着的细胞还表达了干细胞标记物 CD133 和 CD44,这可能在癌细胞的侵袭和转移中起关键作用。抑制转化生长因子(TGF)-β1 和 MAPK 信号和波形蛋白的表达,以及恢复 E-钙粘蛋白的表达,减少了 HIV 诱导的 EMT 和 HPV-16 永生化的肛门和宫颈上皮细胞的侵袭活性。综上所述,这些方法以及用抗逆转录病毒疗法(ART)抑制 HIV 病毒,可能有助于限制 HIV-1 感染在加速 HPV 相关或 HPV 无关的上皮肿瘤发生中的作用。
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