Apoptosis or programmed cell death contributes to the elimination of damaged, aged, or virus-infected cells (
13). Apoptosis can be initiated by an extrinsic pathway in which death receptors expressed at the cell surface trigger receptor-activation of caspases leading to mitochondrial membrane permeabilization (MMP) (
6,
18,
42). Alternatively, a cell-intrinsic apoptotic pathway can act directly on mitochondria, leading first to mitochondrial membrane permeabilization and then activation of execution caspases (
6,
18,
30,
42). MMP is tightly regulated by Bcl2 family proteins which contain both pro- and antiapoptotic members (
2,
5,
29). Once triggered, MMP marks the “point of no return” for the apoptotic process (
29,
58), whether it be a caspase-dependent or caspase-independent death (
26,
39,
50). Because apoptosis is used as a means by the host to defend against invading pathogens, viruses understandably have evolved strategies that target the intrinsic and extrinsic apoptotic pathways. Increasingly, examples illustrate that many viruses, including human immunodeficiency virus type 1 (HIV-1), hepatitis B virus, Sindbis virus, and baculovirus, encode proteins that modulate cell death (reviewed in reference
4).
Human immunodeficiency virus (HIV) principally infects T helper (T
H) cells and cells of the monocyte-macrophage lineage, which express the CD4 cell surface protein. The gradual and selective loss of the CD4 subset of T-lymphocytes is a central feature of the pathogenesis of HIV which correlates with the progression from asymptomatic HIV infection to AIDS. Several mechanisms have been proposed to explain this decline, including the rapid turnover and death of infected host cells, as well as “bystander” cell death via indirect means (
17). Moreover, several HIV-1 proteins, including Nef, Vif, Vpr, Vpu, Tat, and Rev, have been implicated in apoptosis induction.
HIV-1 Vpr, a 96-amino-acid, 14-kDa protein, is critically involved in HIV-1 pathogenesis in vivo (
10,
15,
16). Several functions have been attributed to Vpr including (i) interaction with and translocation of the HIV-1 preintegration complex through the nuclear pore, (ii) induction of apoptosis, (iii) induction of host cell cycle arrest during G
2-to-M transition, and (iv) stimulation of viral gene expression (
1,
7,
9,
12,
14,
19-
21,
25,
32,
40,
41,
43,
46,
48,
53,
55,
60,
61). Studies have documented Vpr-induced apoptosis in human fibroblasts, T-cell lines, and primary cells, including lymphocytes and monocytes (
1,
23,
38,
44,
47). Indeed, death of uninfected bystander T cells has also been attributed to secreted Vpr protein. Among several explanations, a leading mechanistic model suggests that Vpr induces cellular apoptosis through dysregulation of MMP. Using isolated mitochondria, others have found that Vpr can target the mitochondrial permeability transition pore complex and promote permeabilization of mitochondrial membranes (
23). Whether Vpr's mitochondrion effect can be entirely explained through its binding of inner mitochondria membrane protein, adenine nucleotide translocator (ANT), remains to be clarified (
52).
Apoptosis of infected cells may mute the host's immune response to the virus (
54). In this regard, we wanted to further understand the details of Vpr's interaction with mitochondria and its apoptotic consequences. Here, we report the identification of HAX-1 (for HS1-associated protein X-1) as a new mitochondrial target for Vpr. HS-1 (for hematopoietic lineage cell-specific protein 1) is a B-cell signaling protein that is a substrate for intracellular protein tyrosine kinases involved in the immune response to extracellular stimuli and in cell differentiation induced by cytokines. HAX-1 was initially reported as an HS-1-binding protein; HAX-1 is a 279-amino-acid (35-kDa) protein with homology to Bcl2. HAX-1 has been shown by others to be an antiapoptotic factor (
51). We now document that (i) Vpr binds HAX-1 directly, (ii) overexpression of Vpr causes the egress of HAX-1 from the mitochondria into the cytoplasm, and (iii) overexpression of HAX-1 counters the proapoptotic effect of Vpr in cells.