AIDS is associated with an enhanced apoptotic decay of various cell types, in particular lymphocytes, monocytes, and neurons. The mechanisms of this deregulated cellular turnover are complex and involve host factors, direct viral effects, and soluble viral proteins including gp120, Tat, Nef, and viral protein R (Vpr)
1 2 3 4. Although none of these mechanisms or factors, taken on their own, can explain the AIDS-associated depletion of important cell types, it appears important to understand their function individually. The 14-kD protein Vpr is abundant in virions
3 5 and is detectable in the sera of HIV-1 carriers, correlating with the viral load
6. Vpr is likely to be important for AIDS pathogenesis, and loss-of-function mutations of Vpr are negatively selected in vivo
7. Vpr interacts with multiple intracellular targets and has pleiotropic effects on viral replication, cell cycle, and differentiation
3 5. In addition, Vpr kills lymphocytes
8, monocytes
9, and neurons
10, either upon infection with
vpr-positive HIV-1 isolates
8 9 or upon extracellular addition of the Vpr protein
10 11. Intrigued by the pleiotropic cytotoxic potential of Vpr, we decided to explore the apoptogenic mode of action of this HIV-1 accessory protein.
Apoptosis research has recently been boosted by the development of cell-free systems in which isolated organelles (nuclei, mitochondria, cytosol, etc.) are coincubated in vitro
12 13 14 15 16 17 18 19. This approach has generated evidence that mitochondrial intermembrane proteins, including cytochrome
c, apoptosis inducing factor (AIF), procaspases, and heat shock proteins, are released during apoptosis and are crucial for the activation of caspases and DNases
17 18 19 20 21 22 23. The mechanism responsible for mitochondrial membrane permeabilization has been found to involve proapoptotic members of the Bcl-2 family (Bax, Bak, Bid, etc.; reference 24–28) and/or the permeability transition pore complex (PTPC), a polyprotein complex organized around the two most abundant proteins of the inner and outer mitochondrial membranes, the adenine nucleotide translocator (ANT; inner membrane) and the voltage-dependent anion channel (VDAC; outer membrane). ANT, VDAC, Bcl-2, and Bax physically interact within the inner–outer membrane contact site
27 28 29 30. Cell-free systems also allow mapping of the site of action of xenobiotic apoptosis inducers. Schematically, two classes of inducers can be distinguished. First, a variety of different inducers act directly on mitochondria and/or purified PTPC. This is true for experimental anticancer agents such as lonidamine
31, betulinic acid
32, arsenite
33, and diamide
34, as well as for toxins such as salicylate
35 and mastoparan
16. In contrast, the majority of apoptosis inducers act indirectly on mitochondria, e.g., via triggering of the ceramide pathway, increases in Ca
2+ levels, effects on the subcellular distribution of proteins from the Bcl-2/Bax family, caspase activation, or shifts in redox potentials, which then affect the PTPC (and perhaps alternative permeabilization mechanisms
16 24 25 26 27 28 36 37 38.
Based on the above premises, we decided to elucidate the apoptogenic mode of action of Vpr, both in cells and in cell-free systems. Our results indicate that Vpr can directly target mitochondrial PTPC and permeabilize mitochondrial membranes in cell-free systems. Moreover, Vpr can act on purified PTPC or PTPC components reconstituted into synthetic membranes. Cell lacking key proteins from the PTPC become relatively resistant to the cytotoxic effect of Vpr. Thus, Vpr represents a novel type of viral peptide that can interact with the PTPC to permeabilize mitochondrial membranes and trigger the apoptotic program.