HIV-1 induces cardiomyopathyby cardiomyocyte invasion and gp120, Tat, and cytokine apoptotic signaling

We examined heart tissues of AIDS patients with or without HIV cardiomyopathy (HIVCM) by immunohistochemistry, in situ polymerase chain reaction, in situ riboprobe hybridization, and the TUNEL technique for apoptosis. In HIVCM tissues, only inflammatory cells, but not endothelial cells or cardiomyoc...

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Veröffentlicht in:Cardiovascular toxicology 2004, Vol.4 (2), p.97-108
Hauptverfasser: Fiala, Milan, Popik, Waldemar, Qiao, Jian-Hua, Lossinsky, Albert S, Alce, Timothy, Tran, Kenix, Yang, Wendy, Roos, Kenneth P, Arthos, James
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container_end_page 108
container_issue 2
container_start_page 97
container_title Cardiovascular toxicology
container_volume 4
creator Fiala, Milan
Popik, Waldemar
Qiao, Jian-Hua
Lossinsky, Albert S
Alce, Timothy
Tran, Kenix
Yang, Wendy
Roos, Kenneth P
Arthos, James
description We examined heart tissues of AIDS patients with or without HIV cardiomyopathy (HIVCM) by immunohistochemistry, in situ polymerase chain reaction, in situ riboprobe hybridization, and the TUNEL technique for apoptosis. In HIVCM tissues, only inflammatory cells, but not endothelial cells or cardiomyocytes, displayed HIV-1 DNA and RNA. However, macrophages, lymphocytes, and--in a patchy fashion--cardiomyocytes and endothelial cells exhibited virus envelope protein gp120. Macrophages infiltrated the myocardium in a perivascular fashion and expressed tumor necrosis factor family ligands; adjacent cardiomyocytes suffered apoptosis. In vitro HIV-1 strongly invaded neonatal rat ventricular myocytes (NRVMs) and coronary artery endothelial cells (CAECs) and induced microvilli but did not replicate. HIV-1, gp120, or Tat induced Erk 1/2 phosphorylation, activation of caspase-3, and apoptosis of NRVMs and CAECs; all of these were inhibited by a MAPK/ERK-kinase (MEK) inhibitor U0126. The pathogenesis of HIVCM involves HIV-1 replication in inflammatory cells and induction of cardiomyocyte apoptosis by (1) the extrinsic pathway through apoptotic ligands and (2) the intrinsic pathway through direct virus entry and gp120- and Tat-proapoptotic signaling.
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Animals
Animals, Newborn
Apoptosis
Cardiomyopathies - etiology
Cardiomyopathies - metabolism
Cardiomyopathies - pathology
Caspase 3
Caspases - metabolism
Cells, Cultured
Coronary Vessels - metabolism
Coronary Vessels - pathology
Coronary Vessels - ultrastructure
Cytokines - physiology
DNA, Viral - metabolism
Endothelial Cells - metabolism
Endothelial Cells - pathology
Endothelial Cells - ultrastructure
Extracellular Signal-Regulated MAP Kinases - metabolism
Gene Products, tat - physiology
HIV Envelope Protein gp120 - physiology
HIV Infections - complications
HIV-1
Human immunodeficiency virus 1
Humans
Immunohistochemistry
In Situ Hybridization
In Situ Nick-End Labeling
Macrophages - virology
Myocytes, Cardiac - metabolism
Myocytes, Cardiac - pathology
Myocytes, Cardiac - ultrastructure
Phosphorylation
Polymerase Chain Reaction
Rats
RNA, Viral - metabolism
Signal Transduction
tat Gene Products, Human Immunodeficiency Virus
title HIV-1 induces cardiomyopathyby cardiomyocyte invasion and gp120, Tat, and cytokine apoptotic signaling
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