HIV-1 infection can impact on CNS functions resulting in neurodegeneration and HIV-1 associated dementia (HAD) (
Lipton & Gendelman, 1995). The pathogenic events triggered by HIV-1 in the brain ultimately result in neuronal loss and CNS dysfunction. Neurons are rarely infected with HIV-1
in vivo and most evidence suggests that macrophages and microglial cells are the primary target cells for productive HIV-1 infection in the CNS (
Lipton & Gendelman, 1995). Astrocytes also can be infected with HIV-1
in vitro and
in vivo, although with lower efficiency than T cells and macrophages (
Brack-Werner, 1999). There is general agreement, however, that HIV-1 can persist in astrocytes for prolonged periods in a low productive, non-cytolytic state, from which it can be induced by physiologic stimuli, such as TNF-α (
Shahabuddin et al., 1992;
Tornatore et al., 1991).
HIV-1 infection results in downregulation of the glutamate transporter, especially the astrocyte-specific Excitatory Amino Acid Transporter-2 (EAAT2), in astrocytes (
Wang et al., 2003). Lack of EAAT2 precludes removal of glutamate from synaptic clefts and the accumulation of glutamate induces excitotoxicity and damage to neurons (
Choi, 1988). Treatment of astrocytes with gp120, an HIV-1 envelope protein, alters cell physiology (
Benos et al., 1994a;
Benos et al., 1994b), including downregulation of glutamate transport (
Wang et al., 2003), which is essential for normal neuronal functions, as indicated by increased D-aspartate efflux from astrocytes. Impairment of glutamate transport is also observed after incubation of human astrocytes with TNF-α (
Fine et al., 1996) or co-cultivation with T cells infected with human T cell leukemia virus type I (HTLV-I) (
Szymocha et al., 2000), and similar defects are found in feline astrocytes after infection with feline immunodeficiency virus (FIV) (
Yu et al., 1998). More recent studies indicate that ligation of the HIV-1 coreceptor CXCR4 on astrocytes, by either stromal cell-derived factor 1 (SDF-1) or gp120 can stimulate a novel signaling pathway that involves Ca
2+-dependent release of glutamate (
Sharma & Vijayaraghavan, 2001) in a process including activation of the CXCR4 receptor, an autocrine/paracrine TNF-α-dependent signaling, and prostaglandin production (
Bezzi et al., 2001). These results suggest that HIV-1, gp120, and other neuropathogenic agents can alter specific signaling pathways in astrocytes in a way that may impair important physiological functions of these cells in neuronal signal transmission and response to brain injury.
Based on the profound alterations occurring in astrocyte physiology following HIV-1 infection, or treatment with gp120 and TNF-α, we assumed that modifications in gene expression would occur that correlate with and may be causative of these functional changes. Using a robust and selective rapid subtraction hybridization approach (RaSH) method developed in our laboratory (
Boukerche et al., 2007;
Jiang et al., 2000), we have addressed these possibilities (
Su et al., 2002;
Su et al., 2003b). Limited amounts of RNA and technical complexities are factors that can prevent the efficient use of classical subtraction hybridization approaches for identifying differentially expressed genes. The RaSH (
Boukerche et al., 2007;
Jiang et al., 2000) approach was able to ameliorate these problems in gene identification and cloning when employing subtraction hybridization. RaSH consists of library construction from double-stranded cDNAs that are enzymatically digested into small fragments, ligated to adapters and PCR amplified followed by incubation of tester and driver PCR fragments (
Boukerche et al., 2007;
Jiang et al., 2000). A schematic of this approach employed in early passage primary human fetal astrocytes (PHFA) and HIV-1 infection is outlined in . RaSH has been successfully used for identifying known and novel differentially expressed cDNAs, including genes related to terminal differentiation of cancer cells (
Jiang et al., 2000;
Kang et al., 2001), genes displaying elevated expression as a function of acquisition of enhanced metastatic ability (
Bouckerche et al., 2004), genes displaying differential expression in HIV-1 resistant versus sensitive human T-cell clones (
Simm et al., 2001), genes upregulated as a function of infection of PHFA with HIV-1 or treatment with gp120 (astrocyte elevated genes,
AEGs) and genes downregulated as a function of infection of PHFA with HIV-1 or treatment with gp120 (astrocyte suppressed genes,
ASGs) (
Kang et al., 2005;
Su et al., 2003b;
Su et al., 2002).
To avoid cloning genes displaying normal cell cycle fluctuations in astrocytes, RNAs were isolated and pooled from 6, 12 and 24 hrs and 3 and 7 days uninfected and infected cells and were used to produce temporal cDNA libraries for RaSH. By subtracting temporal cDNAs derived from uninfected PHFA from temporal cDNAs (
Su et al., 2003b;
Su et al., 2002) derived from HIV-1 infected cells, a series of genes displaying elevated expression in virus infected cells, astrocyte elevated genes (
AEGs), were identified. Both known and novel
AEGs (total of 15), at the time of initial identification and isolation, including
AEG-1, were identified that displayed early or late expression kinetics following HIV-1 infection or treatment with gp120. The comparable pattern of gene expression changes following HIV-1 infection or gp120 treatment suggested that HIV-1 exposure of astrocytes, even in the absence of productive infection, could induce profound changes in cellular gene expression and physiology.
The full-length cDNA of the novel
AEG-1 gene was obtained using a novel modified rapid amplification of cDNA ends (RACE) approach called C-ORF (complete open reading frame technology) and bioinformatics (
Kang & Fisher, 2007;
Kang & Fisher, 2005;
Kang et al., 2005). This cloning has permitted a detailed analysis of the functional properties of this intriguing gene providing new insights into the processes of cancer development, progression to metastasis and neurodegeneration.