Abstract

Pathogenesis of HIV-associated neurocognitive disorders (HAND) is mediated through the infiltration of perivascular macrophages into the brain with the secretion of viral, neurotoxic and inflammatory proteins. One of these proteins is cathepsin B (CATB), a lysosomal cysteine protease that induces neuronal apoptosis, and increases in plasma and cerebrospinal fluid from HIV-1 infected patients (Cantres-Rosario et al. AIDS 27(3):347–356, 2013). Cocaine further potentiates CATB neurotoxicity in vitro and in vivo (Zenón et al. J NeuroImmune Pharmacol 9(5):703–715, 2014). Modulation of sigma-1 (Sig1R) by cocaine increases oxidative species, cytokines and other factors that promote lysosomal disruption. However, the role of Sig1R in CATB secretion and HIV-1 replication in macrophages exposed to cocaine is unknown. We hypothesized that pharmacological modulation of Sig1R would alter CATB secretion from HIV-1 infected macrophages in vitro and in vivo. To test our hypothesis, monocyte derived-macrophages (MDM) from HIV-1 seronegative donors were isolated, infected with HIV-1ADA, and pretreated with Sig1R antagonist (BD1047) or Sig1R agonist (PRE-084) prior to cocaine exposure and followed for 3,6,9 and 11 days post-infection (dpi). Experiments in vivo were conducted using the HIV encephalitis mouse model (HIVE) with BD1047 treatments prior to cocaine for 14 days. Results demonstrate that in presence of cocaine, BD1047 decreases CATB secretion at 11 dpi, while PRE-084 did not have an effect. In the mouse model, BD1047 treatment prior to cocaine decreased CATB expression, cleaved caspase-3 an p24 antigen levels, reduced astrocytosis, but did not increase MAP-2 or synaptophysin. Results demonstrate that Sig1R plays a role in the modulation of CATB levels in HIV-1 infected MDM exposed to cocaine in vitro and in vivo.Graphical ᅟ

Highlights

  • Human Immunodeficiency Virus (HIV-1) infection affects over 40 million people worldwide and more than 1.1 million people in the United States

  • The sigma 1 receptor (Sig1R) antagonist BD1047 dihydrobromide was titrated from 0.001 μM to 10 μM to determine the best concentration that does not affect viability, HIV-1 infectivity, or cathepsin B (CATB) secretion in macrophages prior to testing antagonist/cocaine treatments

  • As the Iba-1 recognize both human and mouse antigens, this phenomenon can be explained by the fact that a fixed number of human macrophages are injected into the striatum and that mice microglia might not be susceptible to activation as seen in human microglia.In this study, we explored the possibility of an effect of a Sig1R agonist administered prior to cocaine on HIV-1 infection and CATB levels in monocyte derived-macrophages (MDM)

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Summary

Introduction

Human Immunodeficiency Virus (HIV-1) infection affects over 40 million people worldwide and more than 1.1 million people in the United States. J Neuroimmune Pharmacol (2019) 14:226–240 users are more vulnerable to develop HIV associated neurocognitive disorders (HAND) than HIV-seropositive non-cocaine users. Considerable information suggests that peripheral extravasation of monocytes through the blood brain barrier (BBB) exacerbates HAND pathogenesis by secreting neurotoxic components, viral products, and inflammatory cytokines that induce damage to neural tissue. An addictive psychostimulant, increases HIV-1 viral replication but promotes inflammatory responses of diverse immune cells, including macrophages, that disrupt the bloodbrain barrier (Dalvi et al 2014), facilitates transmigration of infected monocytes into the brain (Yao et al 2010), and amplifies the inflammatory genes response in macrophages (Atluri et al 2016). The inflammatory products include cathepsin B (CATB), a cysteine protease found in lysosomes. CATB plays an important role in antigen processing and presentation, and when secreted, it can induce neuronal death (Rodríguez-Franco et al 2012)

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