Abstract

BackgroundAdverse drug reactions (ADRs) are a significant problem for HIV patients, with the risk of developing ADRs increasing as the infection progresses to AIDS. However, the pathophysiology underlying ADRs remains unknown. Sulphamethoxazole (SMX) via its active metabolite SMX-hydroxlyamine, when used prophylactically for pneumocystis pneumonia in HIV-positive individuals, is responsible for a high incidence of ADRs. We previously demonstrated that the HIV infection and, more specifically, that the HIV-1 Tat protein can exacerbate SMX-HA-mediated ADRs. In the current study, Jurkat T cell lines expressing Tat and its deletion mutants were used to determine the effect of Tat on the thiol proteome in the presence and absence of SMX-HA revealing drug-dependent changes in the disulfide proteome in HIV infected cells.Protein lysates from HIV infected Jurkat T cells and Jurkat T cells stably transfected with HIV Tat and Tat deletion mutants were subjected to quantitative slot blot analysis, western blot analysis and redox 2 dimensional (2D) gel electrophoresis to analyze the effects of SMX-HA on the thiol proteome.ResultsRedox 2D gel electrophoresis demonstrated that untreated, Tat-expressing cells contain a number of proteins with oxidized thiols. The most prominent of these protein thiols was identified as peroxiredoxin. The untreated, Tat-expressing cell lines had lower levels of peroxiredoxin compared to the parental Jurkat E6.1 T cell line. Conversely, incubation with SMX-HA led to a 2- to 3-fold increase in thiol protein oxidation as well as a significant reduction in the level of peroxiredoxin in all the cell lines, particularly in the Tat-expressing cell lines.ConclusionSMX-HA is an oxidant capable of inducing the oxidation of reactive protein cysteine thiols, the majority of which formed intermolecular protein bonds. The HIV Tat-expressing cell lines showed greater levels of oxidative stress than the Jurkat E6.1 cell line when treated with SMX-HA. Therefore, the combination of HIV Tat and SMX-HA appears to alter the activity of cellular proteins required for redox homeostasis and thereby accentuate the cytopathic effects associated with HIV infection of T cells that sets the stage for the initiation of an ADR.

Highlights

  • Adverse drug reactions (ADRs) are a significant problem for HIV patients, with the risk of developing ADRs increasing as the infection progresses to Acquired immunodeficiency syndrome (AIDS)

  • As post-translational modification of activated cysteine residues of proteins is critical in redox regulation, we evaluated the effect of SMX-HA/ SMX-NO on the oxidation of protein cysteine thiols using Redox two-dimensional (R2D) gel electrophoresis to test for increased oxidation of redox-regulated proteins to Protein-protein disulphide (PSSP) and PSSP’

  • The R2D SDS-PAGE experiments confirmed SMX-HA enhanced oxidative stress leading to the increased formation of mixed protein disulphides and the hyperoxidation of peroxiredoxin 1 (Prx1) in Jurkat T cells

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Summary

Introduction

Adverse drug reactions (ADRs) are a significant problem for HIV patients, with the risk of developing ADRs increasing as the infection progresses to AIDS. During HIV infection, oxidative stress contributes to the impaired responsiveness, apoptosis and depletion of CD4+ T cells [2,3,4,5,6]. There is a strong association between decreased survival of HIV-infected individuals and low thiol levels [2, 7, 8]. This oxidative stress is primarily due to the HIV-1 transactivator of transcription (Tat) [9]. Tat influences the cellular redox state by two mechanisms; by depleting antioxidant concentrations and/or increasing oxidant levels. Tat can induce ROS production in multiple cell types [13,14,15]

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