Abstract
Despite the recent advances in antiretroviral therapy, human immunodeficiency virus type 1 (HIV-1) remains a global health threat. HIV-1 affects the central nervous system by releasing viral proteins that trigger neuronal death and neuroinflammation, and promotes alterations known as HIV-associated neurocognitive disorders (HAND). This disorder is not fully understood, and no specific treatments are available. Recently, we demonstrated that the HIV-1 envelope protein gp120IIIB induces a functional upregulation of the α7-nicotinic acetylcholine receptor (α7) in neuronal cells. Furthermore, this upregulation promotes cell death that can be abrogated with receptor antagonists, suggesting that α7 may play an important role in the development of HAND. The partial duplication of the gene coding for the α7, known as CHRFAM7A, negatively regulates α7 expression but its role in HIV infection has not been studied. Hence, we studied both CHRNA7 and CHRFAM7A regulation patterns in various gp120IIIB in vitro conditions. In addition, we measured CHRNA7 and CHRFAM7A expression levels in postmortem brain samples from patients suffering from different stages of HAND. Our results demonstrate the induction of CHRNA7 expression accompanied by a significant downregulation of CHRFAM7A in neuronal cells when exposed to pathophysiological concentrations of gp120IIIB. Our results suggest a dysregulation of CHRFAM7A and CHRNA7 expressions in the basal ganglia from postmortem brain samples of HIV+ subjects and expand the current knowledge about the consequences of HIV infection in the brain.
Similar content being viewed by others
Avoid common mistakes on your manuscript.
Introduction
The human immunodeficiency virus type 1 (HIV-1) is considered one of the principal pandemics of the twenty-first century with approximately 34 million of subjects infected globally (Joint United Nations Programme on HIV/AIDS (UNAIDS) 2013). In addition to developing acquired immunodeficiency syndrome (AIDS), infected individuals may also develop neurological complications known as HIV-associated neurocognitive disorders (HAND). HAND include asymptomatic neurocognitive impairment (ANI), mild neurocognitive disorder (MND), and HIV-associated dementia (HAD) (Antinori et al. 2007). HAD results in disabling cognitive impairment accompanied by motor dysfunction, speech problems, and overt behavioral changes (González-Scarano and Martín-García 2005; Clifford and Ances 2013). Although the incidence of HAD has decreased (Bhaskaran et al. 2008), the prevalence of HAND, mostly of the milder forms of neurocognitive impairment (ANI and MND), could be as high as 50 % of patients (Sacktor et al. 2002; Cysique et al. 2004; Heaton et al. 2011). Moreover, the high prevalence of HAND occurs despite administration of combined antiretroviral therapy (cART) (Mothobi and Brew 2012). For instance, under cART, HAND persist despite systemic or brain viral load reduction or control (Cysique and Brew 2011; Koneru et al. 2014).
HIV is unable to infect neurons due to their lack of primary CD4 receptors; however, neuronal expression of both CCR5 and CXCR4 secondary receptors could allow viral interactions (Hesselgesser et al. 1997). Several hypotheses have emerged to explain the cause of HAND including the neurotoxic properties of viral proteins and the severe uncontrolled chronic neuroinflammation (Kong et al. 1996; Heaton et al. 2011). Particularly, the HIV-1 viral envelope protein gp120 has been reported to have various neurotoxic properties in vitro and in vivo including the inhibition of adult neural progenitor cells proliferation, neuronal damage and induction of apoptosis, and cell death of human neuronal cells (Toggas et al. 1994; Meucci and Miller 1996; Hesselgesser et al. 1998; Jana and Pahan 2004; Bardi et al. 2006; Okamoto et al. 2007; Ballester et al. 2012). Moreover, the severity of brain damage correlates with gp120 levels (Desai et al. 2013).
The alpha7 nicotinic acetylcholine receptor (α7) is one of the most common receptors expressed in the mammalian brain (Dani and Lester 2001). The α7 subunit is encoded by the CHRNA7 gene in chromosome 15 and is composed of ten exons (Gault et al. 1998). Interestingly, the CHRNA7 has a counterpart gene named CHRFAM7A (Gault et al. 1998). The CHRFAM7A gene product, dupα7, exerts a regulatory/inhibitory role on the α7 ion channel activity and expression (de Lucas-Cerrillo et al. 2011; Araud et al. 2011), although a recent work has challenged these results showing that dupα7 and α7 can form functional heteropentamers with altered responses to choline and varenicline (Wang et al. 2014). This may be due to differences in the expression system used that could influence ion channel functionality and assembly—the first study used oocytes while the most recent used Neuro2a cells, and the use of α7’s chaperone RIC-3 in Neuro2a cells but not in oocytes. For a comprehensive review about dupα7 refer to (Costantini et al. 2014). Notwithstanding, although the α7 has been amply studied in CNS, very little is known about its role in the neuropathology of HIV infection. We recently demonstrated that gp120IIIB induces a functional α7 upregulation in neuronal cells and that the expression of gp120IIIB in the brain of a transgenic mouse model also induces the overexpression of α7 in the brain, particularly in the striatum, basal ganglia’s primary input (Ballester et al. 2012). Moreover, we found that the activation of upregulated α7 in these neuronal cells induces cell death in a calcium-dependent manner (Ballester et al. 2012). In light of the possible role of α7 in the HIV neuropathogenesis, we evaluated the mRNA expression patterns of CHRNA7 and CHRFAM7A and the expression ratio CHRNA7:CHRFAM7A upon gp120IIIB application in a human neuronal cell line and in postmortem brain samples from HIV-infected patients expressing different severity stages of neurocognitive impairment.
Materials and methods
Reagents
All reagents were purchased from Sigma - Aldrich unless otherwise specified.
Cell culture and treatments
SH-SY5Y neuronal cell line was obtained from ATCC (Manassas, VA). Cells were incubated at 37 °C with 5 % CO2 in DMEM/F-12 media supplemented with 10 % fetal bovine serum, 1 % penicillin/streptomycin, and 1.2 g of NaHCO3. Cultures were performed in 12-well plates followed by treatments with gp120IIIB (Fitzgerald Industries International, Concord, MA) at 0.0015, 0.015, 0.15, 1.5, or 15 nM for the indicated time. For time-dependent experiments, the concentration of gp120IIIB was 0.15 nM. The CXCR4 antagonist, AMD3100 (EMD Chemicals, Inc., Gibbstown, NJ), was used at 1 μM and added 10 min prior to gp120IIIB application. The range of gp120 concentrations tested here was based on gp120 quantification studies using plasma, serum, and tissues from HIV-infected subjects (Gilbert et al. 1991; Oh et al. 1992; Santosuosso et al. 2009; Rychert et al. 2010). To our knowledge, there are no quantification studies to determine gp120 in the brain or cerebrospinal fluid (CSF). However, there is a robust body of evidence demonstrating that indeed gp120 is present in the central nervous system and CSF, even though no evidence of quantification is available in the literature (Buzy et al. 1989; Rolfs and Schumacher 1990; Ruţă et al. 1998; Cashion et al. 1999; Jones et al. 2000; Ohagen et al. 2003; Pillai et al. 2006). Moreover, the existence of anti-gp120 antibodies in the CNS unequivocally attests to its presence (Lucey et al. 1993; Di Stefano et al. 1996; Trujillo et al. 1996).
RNA extraction and quantitative RT-PCR assay
In SH-SY5Y neuronal cells, total RNA samples were extracted using TRIzol Reagent (Invitrogen Corporation, Carlsbad, CA). To eliminate possible genomic contamination, extracted RNA was treated with DNase using the Ambion DNA-free kit (Ambion, Austin, TX). Quantification of total RNA was performed using a Nanodrop system (Thermo Scientific, Waltham, MA). The cDNA synthesis was carried out using 0.75 μg of total RNA with the iScript™ cDNA Synthesis Kit (Bio-Rad Laboratories, Inc., Hercules, CA) following the manufacturer’s instructions. After optimization of the PCR conditions, real-time PCR experiments were performed using the iQ™ SYBR® Green Supermix (Bio-Rad Laboratories, Inc., Hercules, CA) in a Mastercycler® Ep Realplex Thermal Cycler (Eppendorf, NY). CHRNA7 and GAPDH primers where used at a final concentration of 400 nM, CHRFAM7A primers at 100 nM together with 100 ng of cDNA. Primers were designed using IDT Designer Software (Integrated DNA Technologies, Inc.). The primers employed to amplify the genes of interest from cells and tissue samples were the following: CHRNA7 forward, 5′-GCTCCGGGACTCAACATG-3′; reverse, 5′-GGGATTGTAGTTCTTGACCAGC-3′; CHRFAM7A forward, 5′-CCGAAGTTACTGGCCTCTATC-3′ reverse, 5′-CTGAGTCGTGTAGATAAGCTCTC-3′, and for GAPDH: forward, 5′-GCTCTCTGCTCCTCCTGTTC-3′, reverse, 5′-GACTCCGACCTTCACCTTCC-3′. All primers were used with an annealing temperature of 55 °C.
Tissue processing and RNA extraction
Postmortem brain tissues from HIV-infected patients were obtained from the Texas NeuroAIDS Research Center (IRB#: 98–402), California NeuroAIDS Tissue Network (IRBs#: 00000353, 00000354, 00000355, and 000002758), and UCLA National Neurological AIDS Bank (IRB#: 10000525). Tissue samples were pulverized in liquid nitrogen under RNase-free conditions. RNA extraction was performed using TRIzol Reagent (Invitrogen, Eugene, OR) following manufacturer’s instructions. The RNA integrity was assayed in 1 % electrophoresis agarose gel. Samples were processed for qRT-PCR as described above.
Statistical analyses
To evaluate the statistical significance of changes in expression levels of CHRNA7 and CHRFAM7A in neuronal cells, we used one-way ANOVA followed by Holm-Sidak’s multiple comparison test which allowed corrections for multiple comparisons with a fixed alpha value (0.05). Spearman correlation was used to identify correlations between CHRFAM7A and CHRNA7 expression levels in neuronal cells. The detected outliers were excluded from analysis. Statistical analysis was conducted using the GraphPad Prism 6 software (GraphPad Software, San Diego, CA, www.graphpad.com).
Results
gp120IIIB promotes the downregulation of CHRFAM7A in neuronal cells
Neuronal cells were exposed to various concentrations of gp120IIIB including those within the pathophysiological range quantified in HIV-infected patients (0.0015, 0.015, and 0.15 nM) (Gilbert et al. 1991; Oh et al. 1992; Santosuosso et al. 2009; Rychert et al. 2010). Measurements of CHRNA7 and CHRFAM7A levels after addition of pathophysiological relevant gp120IIIB concentrations show that the CHRFAM7A was downregulated in a dose-dependent manner, and that the expression of CHRNA7 was induced (Fig. 1a). Noteworthy is that this effect in CHRFAM7A expression levels is sustained even when supraphysiological concentrations of gp120IIIB were used (15 nM). Further evaluation shows that CHRNA7:CHRFAM7A expression ratios increase with the gp120IIIB treatment (Fig. 1b).
A pathophysiological dose of gp120IIIB time-dependently dysregulates CHRNA7 and CHRFAM7A expression in neuronal cells
CXCR4 is a coreceptor employed by HIV to infect immune cells and is expressed by neurons (Hesselgesser et al. 1997). Neuronal cells exposed to gp120IIIB (0.15 nM) at different time points showed that the α7 gene, CHRNA7, was upregulated after 12 h post gp120IIIB exposure whereas CHRFAM7A downregulation initiated as early as 15 min post gp120IIIB application, and lasted for 24 h (Fig. 2a). Moreover, a ratio analysis demonstrates an early increase in the CHRNA7:CHRFAM7A expression (Fig. 2b).
A CXCR4 antagonist abrogates the gp120IIIB-induced dysregulation of CHRNA7
To determine whether the CHRNA7 and CHRFAM7A dysregulation depends on CXCR4 stimulation, an antagonist (AMD3100) was applied prior to gp120IIIB addition. Our results show that CXCR4 blockade abrogates gp120IIIB-induced upregulation of CHRNA7 (Fig. 3). Unexpectedly, CHRFAM7A was downregulated by AMD3100 in the absence of gp120IIIB (Fig. 3a).
The CHRNA7 and CHRFAM7A expression levels in the basal ganglia of HIV-infected subjects
It is known that the basal ganglia is an area of the brain that is severely affected in HIV-infected patients (Woods et al. 2009) and contains some of the brain’s highest viral load (Kure et al. 1990). We recently found that the CHRNA7 gene product, α7, is upregulated in the striatum (a component of the basal ganglia) of mice expressing gp120IIIB in the brain (Ballester et al. 2012). Here, we examined CHRNA7, CHRFAM7A, and CHRNA7:CHRFAM7A levels in the basal ganglia of HIV-infected postmortem basal ganglia samples representing different stages of neurological impairment. Table 1 summarizes the subject characteristics. Evaluation of CHRFAM7A and CHRNA7 genes in HIV+ patients shows that CHRNA7 is significantly expressed at higher levels than CHRFAM7A (Fig. 4a), which is consistent with what we observed in the neuronal cells (Fig. 1a). The CHRNA7:CHRFAM7A ratio of the HIV+ group was increased in these patients (Fig. 4b). Examination of CHRNA7 levels in basal ganglia from HIV-infected subjects suffering from different stages of cognitive impairment showed no significant differences (Fig. 4c). In terms of CHRFAM7A, at first glance, patients with normal cognition are not different from HIV− (Fig. 4d) but detailed examination of the distribution of CHRFAM7A levels in normal cognition patients demonstrates two distinguishable groups identified as subgroups A and B (Fig. 4d). Evaluation of these groups revealed that subgroup A is upregulated while subgroup B is downregulated for CHRFAM7A expression (Fig. 4d). Furthermore, examination of CHRFAM7A levels in the minor cognitive-motor disorder (MCMD) group suggests that only HIV+ patients with low CHRFAM7A levels develop MCMD (Fig. 4e). Ratio analysis demonstrates no significant differences in the CHRNA7:CHRFAM7A expression ratio in the basal ganglia of these patients, and a linear trend analysis showed a non-significant (P = 0.08) increment in CHRNA7:CHRFAM7A with increasing cognitive impairment severity (Fig. 4f).
Discussion
HIV-infected patients suffer from cognitive disorders associated with the infection. In a previous report, we demonstrated that gp120IIIB is capable of inducing a functional upregulation of the α7 in neuronal cells and that this upregulation promotes cell death in a calcium-dependent manner (Ballester et al. 2012). In the current study, we expand these observations demonstrating that gp120IIIB induces the upregulation of the α7 gene CHRNA7 and the downregulation of its partial duplication, CHRFAM7A, in neuronal cells. The significant reduction in CHRFAM7A expression could imply that dupα7’s dominant negative effect on α7’s functionality may be concomitantly reduced, thus providing a modulatory/regulatory explanation for our previous observations (Ballester et al. 2012). Because of dupα7’s dominant negative regulatory effect on α7, we evaluated the CHRNA7:CHRFAM7A ratio as indicative of the α7 functionality and found that gp120IIIB indeed does modify the ratio. In our study, we also used different concentrations of gp120IIIB to better understand its effects on CHRNA7 and CHRFAM7A expressions. Our results show that the greatest observed reduction in CHRFAM7A expression together with a CHRNA7 induction occurs within the pathophysiological range of gp120IIIB documented for HIV-infected patients.
We also studied the kinetics of the gp120IIIB-induced CHRNA7 and CHRFAM7A dysregulation. Our results demonstrate that the gp120IIIB first induces a reduction in CHRFAM7A expression (15 min) followed by CHRNA7 induction (12 h), shedding light on the regulatory/modulatory mechanism behind the α7 upregulation which points to an early regulatory mechanism (before 15 min) by the CHRFAM7A gene. These results, together with our previous published observations demonstrating that the functional upregulation of α7 in neuronal cells promote cell death and that the α7 upregulation appears to be restricted to the basal ganglia (Ballester et al. 2012), are consistent with: (i) the neuronal apoptosis and cell death in the presence of gp120IIIB (X4), gp120 R5, and supernatants containing HIV-1 (Hesselgesser et al. 1998; Catani et al. 2000; Xu et al. 2004), (ii) the neuronal apoptosis identified in postmortem brain from adults and pediatric HIV-infected patients (Adle-Biassette et al. 1995; Gelbard et al. 1995), (iii) the basal ganglia neuronal density reduction in HIV-infected patients (Everall et al. 1995), (iv) autopsy studies of patients with HAD showing that the greatest burden of neuropathology is found in the basal ganglia (Brew et al. 1995), (v) the large accumulation of gp120 in humans’ basal ganglia (Jones et al. 2000), and (vi) the neuronal dysfunction and cellular destruction identified in a transgenic mice expressing gp120 in the brain (Corboy et al. 1992; Toggas et al. 1994; Berrada et al. 1995).
Although neurons do not express CD4, they express functional CXCR4 and CCR5 coreceptors enabling gp120 to interact with them and activate signaling pathways leading to neuronal cell death (Kaul et al. 2005; Kaul et al. 2007). The role of CXCR4 in the gp120-mediated neurotoxicity can be direct, through the activation of neuronal receptors by gp120, or indirect through the stimulation of glial cells leading to release of neurotoxic factors (Ghafouri et al. 2006). The activation of CXCR4 by SDF-1α (CXCR4 endogenous agonist) or gp120 has been implicated in the mechanism for neuronal dysfunction during HAD (Hesselgesser et al. 1998; Zheng et al. 1999). Herein, we report alterations in the gene expression of a cholinergic receptor and its partial duplication which are both amply distributed through the brain. Dysregulation of these genes under neuropathological settings is not new. For instance, the ratio of CHRNA7:CHRFAM7A mRNA levels is different in bipolar subjects when compared to unaffected controls (De Luca et al. 2006). Moreover, in vitro studies have demonstrated that two pro-inflammatory mediators, characteristic of HIV-1 infection, LPS and IL-1β, decrease CHRFAM7A expression leading to the suggestion that chronic pro-inflammatory responses might change the CHRFAM7A:CHRNA7 expression ratio (Benfante et al. 2011; van der Zanden et al. 2012). gp120IIIB is unable to promote CHRNA7:CHRFAM7A alterations in the presence of AMD3100, an antagonist of CXCR4, suggesting that the gp120IIIB-induced CHRNA7:CHRFAM7A dysregulation is CXCR4-dependent.
The cognitive impairments observed in HIV-infected subjects are the consequence of neurological alterations in the brain that compromise neural tracts resulting in significant damage and alterations of specific areas. The basal ganglia, which is one of the most severely affected areas in these patients (Berger and Nath 1997; Berger and Arendt 2000; Berger et al. 2000; von Giesen et al. 2001; Woods et al. 2009), contains cholinergic neurons and interneurons that express α7 (Azam et al. 2003; Bonsi et al. 2011). To better understand the clinical implications of our findings, analysis of CHRNA7 and CHRFAM7A genes was performed on postmortem basal ganglia samples from HIV-infected individuals with different levels of neurological impairment severity. Our results demonstrate that regardless of the neurological impairment severity, the CHRNA7 was not significantly altered as compared to HIV− subjects. However, comparing the expression of the CHRNA7 and CHRFAM7A genes within HIV-infected patients reveals that the CHRNA7 expression is significantly increased in these patients (Fig. 4a). Interestingly, a closer look at the CHRFAM7A gene expression levels revealed two distinct populations within the normal cognition group: subgroups A and B. Of note, a significant increase was detected in the expression of the CHRFAM7A gene in subgroup A when compared to the HIV− group and subgroup B, and a significant reduction in the expression of CHRFAM7A in subgroup B was detected when compared to the HIV− group and subgroup A. In addition, comparing the CHRFAM7A expression in both subgroups reveals a statistically significant difference. A provocative hypothesis on the existence of these two discernible subgroups within the normal cognition group is that the patients exhibiting elevated levels of CHRFAM7A are less likely of suffering from HIV-associated cognition problems, and those with low levels of CHRFAM7A, within subgroup B, are more susceptible to develop neurological impairment as lower CHRFAM7A expression levels could imply a potentiation of the α7 receptor expression, increased calcium influx, and ultimate neuronal cell death (de Lucas-Cerrillo et al. 2011; Araud et al. 2011; Ballester et al. 2012). Because the tissues employed in this study were collected before patients presenting ANI were distinguished from patients displaying normal cognition, subgroups A and B could comprise patients with either normal cognition or ANI. It is tempting to hypothesize that subgroup A comprise patients with normal cognition, and subgroup B comprise patients that presented ANI as patients presenting ANI are known to progress to more severe stages (Grant et al. 2014). Taking this into account, our results may imply that alterations in the expression of CHRNA7 and CHRFAM7A, or the CHRNA7:CHRFAM7A ratio might be detrimental to the cognitive performance of these patients.
In this study, we tested the hypothesis that higher levels of neurological impairment could be associated with alterations in CHRNA7 or CHRFAM7A expression levels. Whether this dysregulation is responsible for the destruction of cholinergic neurons within the basal ganglia of HIV-infected patients remains to be determined. However, the available evidence points in that direction. For instance, (i) the basal ganglia of HIV-infected patients is compromised (Berger and Nath 1997; Berger et al. 2000; von Giesen et al. 2001; Woods et al. 2009) and (ii) the α7 upregulation in the basal ganglia of transgenic mice expressing gp120 in the brain predispose this area to cell death events similar to what was detected in α7-upregulated neuronal cells (Ballester et al. 2012). Together, this evidence leads us to suggest that the alterations in the CHRNA7:CHRFAM7A expression might be implicated in the basal ganglia alterations observed in HIV-infected subjects with neurological impairments. This interpretation is supported by several lines of evidence showing that the motor dysfunction suffered by subjects, under pathological circumstances, involves compromised basal ganglia interneurons (Bonsi et al. 2011) reminiscent of MCMD-suffering patients.
In conclusion, we showed that gp120IIIB is capable of dysregulating the CHRNA7/CHRFAM7A expression in neuronal cells. Moreover, this dysregulation was detected in postmortem brain samples recovered from HIV-infected patients with different stages of HAND. The present study is limited in that the results from HIV+ patients basal ganglia may be hindered by the lack of statistical power to detect small changes in expression levels as statistically significant given the dispersion in the data, and that the normal cognition group may actually include HIV+ patients that presented asymptomatic neurocognitive impairment (ANI) because the tissues were collected before ANI was established as a classification category of HIV-induced neurocognitive disorders. Nevertheless, our results raise fundamental questions about the role of α7 and dupα7 in HIV-induced neurological disorders and warrant further statistically powered investigations using an increased number of brain samples from HIV-infected subjects under different stages of HAND. In addition, further studies aimed at exploring the CCR5 tropic gp120 (gp120JRFL) effects on α7 expression in neuronal cells are warranted. It would be interesting to determine whether CCR5 stimulation influences α7 expression as occurs with the CXCR4 tropic-specific gp120IIIB. In fact, it is known that activation of these G-protein-coupled receptors produces similar signaling pathways (Davis et al. 1997; Lee et al. 2003) that, in the presence of gp120, could lead to death of neuronal cells (Catani et al. 2000); therefore, it would not be surprising that both gp120s produce similar responses.
References
Adle-Biassette H, Levy Y, Colombel M et al (1995) Neuronal apoptosis in HIV infection in adults. Neuropathol Appl Neurobiol 21:218–227
Antinori A, Arendt G, Becker JT et al (2007) Updated research nosology for HIV-associated neurocognitive disorders. Neurology 69:1789–1799. doi:10.1212/01.WNL.0000287431.88658.8b
Araud T, Graw S, Berger R et al (2011) The chimeric gene CHRFAM7A, a partial duplication of the CHRNA7 gene, is a dominant negative regulator of α7*nAChR function. Biochem Pharmacol 82:904–914. doi:10.1016/j.bcp.2011.06.018
Azam L, Winzer-Serhan U, Leslie FM (2003) Co-expression of alpha7 and beta2 nicotinic acetylcholine receptor subunit mRNAs within rat brain cholinergic neurons. Neuroscience 119:965–977
Ballester LY, Capó-Vélez CM, García-Beltrán WF et al (2012) Up-regulation of the neuronal nicotinic receptor α7 by HIV glycoprotein 120: potential implications for HIV-associated neurocognitive disorder. J Biol Chem 287:3079–3086. doi:10.1074/jbc.M111.262543
Bardi G, Sengupta R, Khan MZ et al (2006) Human immunodeficiency virus gp120-induced apoptosis of human neuroblastoma cells in the absence of CXCR4 internalization. J Neurovirol 12:211–218. doi:10.1080/13550280600848373
Benfante R, Antonini RA, De Pizzol M et al (2011) Expression of the α7 nAChR subunit duplicate form (CHRFAM7A) is down-regulated in the monocytic cell line THP-1 on treatment with LPS. J Neuroimmunol 230:74–84. doi:10.1016/j.jneuroim.2010.09.008
Berger JR, Arendt G (2000) HIV dementia: the role of the basal ganglia and dopaminergic systems. J Psychopharmacol Oxf Engl 14:214–221
Berger JR, Nath A (1997) HIV dementia and the basal ganglia. Intervirology 40:122–131
Berger JR, Nath A, Greenberg RN et al (2000) Cerebrovascular changes in the basal ganglia with HIV dementia. Neurology 54:921–926
Berrada F, Ma D, Michaud J et al (1995) Neuronal expression of human immunodeficiency virus type 1 env proteins in transgenic mice: distribution in the central nervous system and pathological alterations. J Virol 69:6770–6778
Bhaskaran K, Mussini C, Antinori A et al (2008) Changes in the incidence and predictors of human immunodeficiency virus-associated dementia in the era of highly active antiretroviral therapy. Ann Neurol 63:213–221. doi:10.1002/ana.21225
Bonsi P, Cuomo D, Martella G et al (2011) Centrality of striatal cholinergic transmission in basal ganglia function. Front Neuroanat 5:6. doi:10.3389/fnana.2011.00006
Brew BJ, Rosenblum M, Cronin K, Price RW (1995) AIDS dementia complex and HIV-1 brain infection: clinical-virological correlations. Ann Neurol 38:563–570. doi:10.1002/ana.410380404
Buzy JM, Brenneman DE, Siegal FP et al (1989) Cerebrospinal fluid from cognitively impaired patient with acquired immunodeficiency syndrome shows gp120-like neuronal killing in vitro. Am J Med 87:361–362
Cashion MF, Banks WA, Bost KL, Kastin AJ (1999) Transmission routes of HIV-1 gp120 from brain to lymphoid tissues. Brain Res 822:26–33
Catani MV, Corasaniti MT, Navarra M et al (2000) gp120 induces cell death in human neuroblastoma cells through the CXCR4 and CCR5 chemokine receptors. J Neurochem 74:2373–2379
Clifford DB, Ances BM (2013) HIV-associated neurocognitive disorder. Lancet Infect Dis 13:976–986. doi:10.1016/S1473-3099(13)70269-X
Corboy JR, Buzy JM, Zink MC, Clements JE (1992) Expression directed from HIV long terminal repeats in the central nervous system of transgenic mice. Science 258:1804–1808
Costantini TW, Dang X, Coimbra R et al (2014) CHRFAM7A, a human-specific and partially duplicated α7-nicotinic acetylcholine receptor gene with the potential to specify a human-specific inflammatory response to injury. J Leukoc Biol. doi:10.1189/jlb.4RU0814-381R
Cysique LA, Brew BJ (2011) Prevalence of non-confounded HIV-associated neurocognitive impairment in the context of plasma HIV RNA suppression. J Neurovirol 17:176–183. doi:10.1007/s13365-011-0021-x
Cysique LA, Maruff P, Brew BJ (2004) Prevalence and pattern of neuropsychological impairment in human immunodeficiency virus-infected/acquired immunodeficiency syndrome (HIV/AIDS) patients across pre- and post-highly active antiretroviral therapy eras: a combined study of two cohorts. J Neurovirol 10:350–357. doi:10.1080/13550280490521078
Dani JA, Lester RA (2001) Nicotinic acetylcholine receptors in neurons. In: eLS. John Wiley & Sons, Ltd
Davis CB, Dikic I, Unutmaz D et al (1997) Signal transduction due to HIV-1 envelope interactions with chemokine receptors CXCR4 or CCR5. J Exp Med 186:1793–1798
De Luca V, Likhodi O, Van Tol HHM et al (2006) Regulation of alpha7-nicotinic receptor subunit and alpha7-like gene expression in the prefrontal cortex of patients with bipolar disorder and schizophrenia. Acta Psychiatr Scand 114:211–215. doi:10.1111/j.1600-0447.2006.00785.x
de Lucas-Cerrillo AM, Maldifassi MC, Arnalich F et al (2011) Function of partially duplicated human α7 nicotinic receptor subunit CHRFAM7A gene: potential implications for the cholinergic anti-inflammatory response. J Biol Chem 286:594–606. doi:10.1074/jbc.M110.180067
Desai M, Hu N, Byrd D, Yu Q (2013) Neuronal apoptosis in HIV-1-associated central nervous diseases and neuropathic pain. In: Rudner J (ed) Apoptosis. InTech
Di Stefano M, Gray F, Leitner T, Chiodi F (1996) Analysis of ENV V3 sequences from HIV-1-infected brain indicates restrained virus expression throughout the disease. J Med Virol 49:41–48. doi:10.1002/(SICI)1096-9071(199605)49:1<41::AID-JMV7>3.0.CO;2-K
Everall I, Barnes H, Spargo E, Lantos P (1995) Assessment of neuronal density in the putamen in human immunodeficiency virus (HIV) infection. Application of stereology and spatial analysis of quadrats. J Neurovirol 1:126–129
Gault J, Robinson M, Berger R et al (1998) Genomic organization and partial duplication of the human alpha7 neuronal nicotinic acetylcholine receptor gene (CHRNA7). Genomics 52:173–185. doi:10.1006/geno.1998.5363
Gelbard HA, James HJ, Sharer LR et al (1995) Apoptotic neurons in brains from paediatric patients with HIV-1 encephalitis and progressive encephalopathy. Neuropathol Appl Neurobiol 21:208–217
Ghafouri M, Amini S, Khalili K, Sawaya BE (2006) HIV-1 associated dementia: symptoms and causes. Retrovirology 3:28. doi:10.1186/1742-4690-3-28
Gilbert M, Kirihara J, Mills J (1991) Enzyme-linked immunoassay for human immunodeficiency virus type 1 envelope glycoprotein 120. J Clin Microbiol 29:142–147
González-Scarano F, Martín-García J (2005) The neuropathogenesis of AIDS. Nat Rev Immunol 5:69–81. doi:10.1038/nri1527
Grant I, Franklin DR, Deutsch R et al (2014) Asymptomatic HIV-associated neurocognitive impairment increases risk for symptomatic decline. Neurology 82:2055–2062. doi:10.1212/WNL.0000000000000492
Heaton RK, Franklin DR, Ellis RJ et al (2011) HIV-associated neurocognitive disorders before and during the era of combination antiretroviral therapy: differences in rates, nature, and predictors. J Neurovirol 17:3–16. doi:10.1007/s13365-010-0006-1
Hesselgesser J, Halks-Miller M, DelVecchio V et al (1997) CD4-independent association between HIV-1 gp120 and CXCR4: functional chemokine receptors are expressed in human neurons. Curr Biol 7:112–121
Hesselgesser J, Taub D, Baskar P et al (1998) Neuronal apoptosis induced by HIV-1 gp120 and the chemokine SDF-1 alpha is mediated by the chemokine receptor CXCR4. Curr Biol 8:595–598
Jana A, Pahan K (2004) Human immunodeficiency virus type 1 gp120 induces apoptosis in human primary neurons through redox-regulated activation of neutral sphingomyelinase. J Neurosci Off J Soc Neurosci 24:9531–9540. doi:10.1523/JNEUROSCI.3085-04.2004
Joint United Nations Programme on HIV/AIDS (UNAIDS) (2013) Global Report: UNAIDS report on global AIDS epidemic 2013.
Jones MV, Bell JE, Nath A (2000) Immunolocalization of HIV envelope gp120 in HIV encephalitis with dementia. AIDS Lond Engl 14:2709–2713
Kaul M, Zheng J, Okamoto S et al (2005) HIV-1 infection and AIDS: consequences for the central nervous system. Cell Death Differ 12(Suppl 1):878–892. doi:10.1038/sj.cdd.4401623
Kaul M, Ma Q, Medders KE et al (2007) HIV-1 coreceptors CCR5 and CXCR4 both mediate neuronal cell death but CCR5 paradoxically can also contribute to protection. Cell Death Differ 14:296–305. doi:10.1038/sj.cdd.4402006
Koneru R, Olive MF, Tyor WR (2014) Combined antiretroviral therapy reduces brain viral load and pathological features of HIV encephalitis in a mouse model. J Neurovirol 20:9–17. doi:10.1007/s13365-013-0223-5
Kong LY, Wilson BC, McMillian MK et al (1996) The effects of the HIV-1 envelope protein gp120 on the production of nitric oxide and proinflammatory cytokines in mixed glial cell cultures. Cell Immunol 172:77–83. doi:10.1006/cimm.1996.0217
Kure K, Weidenheim KM, Lyman WD, Dickson DW (1990) Morphology and distribution of HIV-1 gp41-positive microglia in subacute AIDS encephalitis. Pattern of involvement resembling a multisystem degeneration. Acta Neuropathol (Berl) 80:393–400
Lee C, Liu Q-H, Tomkowicz B et al (2003) Macrophage activation through CCR5- and CXCR4-mediated gp120-elicited signaling pathways. J Leukoc Biol 74:676–682. doi:10.1189/jlb.0503206
Lucey DR, VanCott TC, Loomis LD et al (1993) Measurement of cerebrospinal fluid antibody to the HIV-1 principal neutralizing determinant (V3 loop). J Acquir Immune Defic Syndr 6:994–1001
Meucci O, Miller RJ (1996) gp120-induced neurotoxicity in hippocampal pyramidal neuron cultures: protective action of TGF-beta1. J Neurosci Off J Soc Neurosci 16:4080–4088
Mothobi NZ, Brew BJ (2012) Neurocognitive dysfunction in the highly active antiretroviral therapy era. Curr Opin Infect Dis 25:4–9. doi:10.1097/QCO.0b013e32834ef586
Oh SK, Cruikshank WW, Raina J et al (1992) Identification of HIV-1 envelope glycoprotein in the serum of AIDS and ARC patients. J Acquir Immune Defic Syndr 5:251–256
Ohagen A, Devitt A, Kunstman KJ et al (2003) Genetic and functional analysis of full-length human immunodeficiency virus type 1 env genes derived from brain and blood of patients with AIDS. J Virol 77:12336–12345
Okamoto S, Kang Y-J, Brechtel CW et al (2007) HIV/gp120 decreases adult neural progenitor cell proliferation via checkpoint kinase-mediated cell-cycle withdrawal and G1 arrest. Cell Stem Cell 1:230–236. doi:10.1016/j.stem.2007.07.010
Pillai SK, Pond SLK, Liu Y et al (2006) Genetic attributes of cerebrospinal fluid-derived HIV-1 env. Brain J Neurol 129:1872–1883. doi:10.1093/brain/awl136
Rolfs A, Schumacher HC (1990) Early findings in the cerebrospinal fluid of patients with HIV-1 infection of the central nervous system. N Engl J Med 323:418–419. doi:10.1056/NEJM199008093230614
Ruţă SM, Mătuşa R, Cernescu CC (1998) Cerebrospinal fluid Western blot profiles in the evolution of HIV-1 pediatric encephalopathy. Rom J Virol 49:61–71
Rychert J, Strick D, Bazner S et al (2010) Detection of HIV gp120 in plasma during early HIV infection is associated with increased proinflammatory and immunoregulatory cytokines. AIDS Res Hum Retroviruses 26:1139–1145. doi:10.1089/aid.2009.0290
Sacktor N, McDermott MP, Marder K et al (2002) HIV-associated cognitive impairment before and after the advent of combination therapy. J Neurovirol 8:136–142. doi:10.1080/13550280290049615
Santosuosso M, Righi E, Lindstrom V et al (2009) HIV-1 envelope protein gp120 is present at high concentrations in secondary lymphoid organs of individuals with chronic HIV-1 infection. J Infect Dis 200:1050–1053. doi:10.1086/605695
Toggas SM, Masliah E, Rockenstein EM et al (1994) Central nervous system damage produced by expression of the HIV-1 coat protein gp120 in transgenic mice. Nature 367:188–193. doi:10.1038/367188a0
Trujillo JR, Navia BA, Worth J et al (1996) High levels of anti-HIV-1 envelope antibodies in cerebrospinal fluid as compared to serum from patients with AIDS dementia complex. J Acquir Immune Defic Syndr Hum Retrovirol Off Publ Int Retrovirol Assoc 12:19–25
van der Zanden EP, Hilbers FW, Verseijden C et al (2012) Nicotinic acetylcholine receptor expression and susceptibility to cholinergic immunomodulation in human monocytes of smoking individuals. Neuroimmunomodulation 19:255–265. doi:10.1159/000335185
von Giesen HJ, Wittsack HJ, Wenserski F et al (2001) Basal ganglia metabolite abnormalities in minor motor disorders associated with human immunodeficiency virus type 1. Arch Neurol 58:1281–1286
Wang Y, Xiao C, Indersmitten T et al (2014) The duplicated α7 subunits assemble and form functional nicotinic receptors with the full-length α7. J Biol Chem 289:26451–26463. doi:10.1074/jbc.M114.582858
Woods SP, Moore DJ, Weber E, Grant I (2009) Cognitive neuropsychology of HIV-associated neurocognitive disorders. Neuropsychol Rev 19:152–168. doi:10.1007/s11065-009-9102-5
Xu Y, Kulkosky J, Acheampong E et al (2004) HIV-1-mediated apoptosis of neuronal cells: proximal molecular mechanisms of HIV-1-induced encephalopathy. Proc Natl Acad Sci U S A 101:7070–7075. doi:10.1073/pnas.0304859101
Zheng J, Thylin MR, Ghorpade A et al (1999) Intracellular CXCR4 signaling, neuronal apoptosis and neuropathogenic mechanisms of HIV-1-associated dementia. J Neuroimmunol 98:185–200
Acknowledgments
We are very grateful for Dr. Valerie Wojna’s valuable suggestions and in depth review of this manuscript. We thank the National NeuroAIDS Tissue Consortium (NNTC) and the Data Coordinating Center (DCC) which is a project funded by the National Institute of Mental Health and the National Institute of Neurological Disorders and Stroke under the following grants: U24MH100928 (California NeuroAIDS Tissue Network), U24MH100930 (Texas NeuroAIDS Research Center), and U24MH100929 (UCLA National Neurological AIDS Bank). This research was supported by the National Institutes of Health-NINDS and National Institute of General Medical Sciences (NIGMS) grants (1P20GM103642 and 2U54NS43011 to José A. Lasalde-Dominicci), the RISE Program from NIGMS (2R25GM061151 to Manuel Delgado-Vélez and Orestes Quesada), and MARC Program from NIGMS (5T34GM007821 to Orestes Quesada and Felix M. Ramos). Research reported in this publication was supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under Award Number U54MD007587 and the National Institute of Mental Health (NIMH) grant Number P30MH075673-07 to Carlos A. Báez-Pagán. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no competing interests.
Rights and permissions
About this article
Cite this article
Ramos, F.M., Delgado-Vélez, M., Ortiz, Á.L. et al. Expression of CHRFAM7A and CHRNA7 in neuronal cells and postmortem brain of HIV-infected patients: considerations for HIV-associated neurocognitive disorder. J. Neurovirol. 22, 327–335 (2016). https://doi.org/10.1007/s13365-015-0401-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13365-015-0401-8