Abstract

Patients with HIV infection have decreased numbers of osteoblasts, decreased bone mineral density and increased risk of fracture compared to uninfected patients; however, the molecular mechanisms behind these associations remain unclear. We questioned whether Gp120, a component of the envelope protein of HIV capable of inducing apoptosis in many cell types, is able to induce cell death in bone-forming osteoblasts. We show that treatment of immortalized osteoblast-like cells and primary human osteoblasts with exogenous Gp120 in vitro at physiologic concentrations does not result in apoptosis. Instead, in the osteoblast-like U2OS cell line, cells expressing CXCR4, a receptor for Gp120, had increased proliferation when treated with Gp120 compared to control (P<0.05), which was inhibited by pretreatment with a CXCR4 inhibitor and a G-protein inhibitor. This suggests that Gp120 is not an inducer of apoptosis in human osteoblasts and likely does not directly contribute to osteoporosis in infected patients by this mechanism.

Highlights

  • Prior to the advent of highly active antiretroviral therapy (HAART), HIV infection was considered to be fatal

  • Because the number of osteoblasts is decreased in HIV-infected patients, and Gp120 has been shown to have pro-apoptotic effects on multiple cell types, we first sought to determine whether Gp120 induces apoptosis in human immortalized fetal osteoblasts

  • These results indicate that Gp120 itself does not induce apoptotic cell death in these osteoblasts tested

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Summary

Introduction

Prior to the advent of highly active antiretroviral therapy (HAART), HIV infection was considered to be fatal. Administration of HAART, in resource-rich settings, has dramatically changed the clinical course of the disease, with patients newly infected with HIV expected to have a near normal life expectancy. HIV-infected patients have lower bone mineral density, and higher prevalences of both osteopenia and osteoporosis, compared to age and sex matched HIVuninfected controls [2,3,4]. This translates into an increased risk of fracture and decreased rate of fracture healing [5,6]. The cause of the increased bone disease seen in HIV infection, remains unclear

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