Abstract

Endogenous plasma levels of the immunomodulatory carbohydrate-binding protein galectin-9 (Gal-9) are elevated during HIV infection and remain elevated after antiretroviral therapy (ART) suppression. We recently reported that Gal-9 regulates HIV transcription and potently reactivates latent HIV. However, the signaling mechanisms underlying Gal-9-mediated viral transcription remain unclear. Given that galectins are known to modulate T cell receptor (TCR)-signaling, we hypothesized that Gal-9 modulates HIV transcriptional activity, at least in part, through inducing TCR signaling pathways. Gal-9 induced T cell receptor ζ chain (CD3ζ) phosphorylation (11.2 to 32.1%; P = 0.008) in the J-Lat HIV latency model. Lck inhibition reduced Gal-9-mediated viral reactivation in the J-Lat HIV latency model (16.8–0.9%; P < 0.0001) and reduced both Gal-9-mediated CD4+ T cell activation (10.3 to 1.65% CD69 and CD25 co-expression; P = 0.0006), and IL-2/TNFα secretion (P < 0.004) in primary CD4+ T cells from HIV-infected individuals on suppressive ART. Using phospho-kinase antibody arrays, we found that Gal-9 increased the phosphorylation of the TCR-downstream signaling molecules ERK1/2 (26.7-fold) and CREB (6.6-fold). ERK and CREB inhibitors significantly reduced Gal-9-mediated viral reactivation (16.8 to 2.6 or 12.6%, respectively; P < 0.0007). Given that the immunosuppressive rapamycin uncouples HIV latency reversal from cytokine-associated toxicity, we also investigated whether rapamycin could uncouple Gal-9-mediated latency reactivation from its concurrent pro-inflammatory cytokine production. Rapamycin reduced Gal-9-mediated secretion of IL-2 (4.4-fold, P = 0.001) and TNF (4-fold, P = 0.02) without impacting viral reactivation (16.8% compared to 16.1%; P = 0.2). In conclusion, Gal-9 modulates HIV transcription by activating the TCR-downstream ERK and CREB signaling pathways in an Lck-dependent manner. Our findings could have implications for understanding the role of endogenous galectin interactions in modulating TCR signaling and maintaining chronic immune activation during ART-suppressed HIV infection. In addition, uncoupling Gal-9-mediated viral reactivation from undesirable pro-inflammatory effects, using rapamycin, may increase the potential utility of recombinant Gal-9 within the reversal of HIV latency eradication framework.

Highlights

  • Antiretroviral therapy (ART) effectively suppresses HIV replication but does not achieve viral eradication due to the persistence of latently-infected, long-lived CD4+ T cells [1, 2]

  • Confirming dose-dependent relationship, we found that recombinant Gal-9 (rGal-9) is able to phosphorylate CD3ζ starting from 25 nM in the J-Lat 5A8 HIV latency model (Supplementary Figure 2)

  • Given that Gal-9 is known to cross-link several surface proteins, some of which are involved in T cell receptor (TCR) signaling and that Gal-9 can induce TCR signaling [22], we hypothesized that Gal-9 promotes HIV transcriptional activity through TCR signaling transduction

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Summary

Introduction

Antiretroviral therapy (ART) effectively suppresses HIV replication but does not achieve viral eradication due to the persistence of latently-infected, long-lived CD4+ T cells [1, 2]. This persistent infection leads to continued immune activation, chronic inflammation, and ongoing damage to multiple organ systems [3, 4]. We reported that the endogenous levels of Gal-9 are associated with HIV transcription in vivo, in plasma of HIV-infected, ART-suppressed individuals [8]. The signaling pathways by which Gal-9 modulates HIV transcriptional activity remain unclear

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