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The HIV Envelope Protein GP120 Modulates The Biology of Human Hepatic Stellate Cells: A Link Between HIV Infection and Liver Fibrogenesis
  1. Raffaele Bruno
  1. Division Infectious and Tropical Diseases, University of Pavia-Foundation IRCCS San Matteo Hospital, Italy
    1. Sara Galastri
    1. Dipartimento di Medicina Interna, University of Florence, Italy
      1. Paolo Sacchi
      1. Division Infectious and Tropical Diseases, University of Pavia-Foundation IRCCS San Matteo Hospital, Italy
        1. Serena Cima
        1. Division Infectious and Tropical Diseases, University of Pavia-Foundation IRCCS San Matteo Hospital, Italy
          1. Alessandra Caligiuri
          1. Dipartimento di Medicina Interna, University of Florence, Italy
            1. Raffaella DeFranco
            1. Dipartimento di Medicina Interna, University of Florence, Italy
              1. Stefano Milani
              1. Center for Research, Transfer and Higher Education Deno THE University of Florence, Italy
                1. Sandra Gessani
                1. Istituto Superiore di Sanità, Rome, Italy
                  1. Laura Fantuzzi
                  1. Istituto Superiore di Sanità, Rome, Italy
                    1. Francesco Liotta
                    1. Dipartimento di Medicina Interna, Italy
                      1. Francesca Frosali
                      1. Dipartimento di Medicina Interna, Italy
                        1. Giorgio Antonucci
                        1. INMI L. Spallanzani - IRCCS, Rome, Italy
                          1. Massimo Pinzani
                          1. Dipartimento di Medicina Interna, University of Florence, Italy
                            1. Fabio Marra (f.marra{at}dmi.unifi.it)
                            1. Dipartimento di Medicina Interna, University of Florence, Italy

                              Abstract

                              Objective: In patients with HCV/HIV co-infection, a faster progression of liver fibrosis to cirrhosis has been reported. In this study we investigated whether gp120, a HIV envelope protein, modulates the biology of human hepatic stellate cells (HSC), key cell types in the pathogenesis of fibrosis.

                              Methods: Myofibroblastic HSC were isolated from normal human liver tissue. Gene expression was measured by real time PCR. Cell migration was assessed in Boyden chambers. Intracellular signalling pathways were evaluated using phosphorylation-specific antibodies or by transfection of a reporter plasmid.

                              Results: Transcripts for the chemokine receptors CCR5 and CXCR4, which bind gp120, were detectable in human HSC. Upon exposure to M-tropic recombinant gp120, which binds CCR5, a significant increase in HSC chemotaxis was observed (1.6±0.3 –fold, P=0.03). The effects of gp120 were prevented by protein inactivation. gp120 also resulted in a significant increase in secretion (1.5±0.3-fold, P=0.03) and gene expression (1.47±0.13-fold, P=0.02) of the pro-inflammatory chemokine MCP-1, and in increased gene expression of tissue inhibitor of metalloprotease-1 and interleukin-6 (2.03±0.57-fold, P=0.02). gp120-induced migration required Akt activation. gp120 also induced activation of NF-κB and p38MAPK. Preincubation of HSC with TAK779, a CCR5 receptor antagonist, prevented gp120-mediated chemotaxis and MCP-1 secretion. Expression of CCR5 was detectable in areas of inflammation and fibrogenesis in liver biopsies of patients with HCV/HIV coinfection.

                              Conclusions: This study shows that HIV-gp120 modulates different aspects of HSC biology, including directional cell movement and expression of pro-inflammatory cytokines. These results identify a direct pathway possibly linking HIV infection with liver fibrogenesis via envelope proteins.

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