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Human immunodeficiency virus 1 and its envelope protein gp120 reduce synaptodendritic complexity. However, the mechanisms contributing to this pathological feature are still not understood. The proneurotrophin brain-derived neurotrophic factor promotes synaptic simplification through the activation of the p75 neurotrophin receptor (p75NTR). Here, we have used gp120 transgenic (gp120tg) mice to investigate whether p75NTR has a role in gp120-mediated neurotoxicity. Old (~10 months) gp120tg mice exhibited an increase in proneurotrophin brain-derived neurotrophic factor levels in the hippocampus as well as a decrease in the number of dendritic spines when compared to age-matched wild type. These effects were not observed in 3- or 6-month-old mice. To test if the reduction in spine density and morphology is caused by the activation of p75NTR, we crossed gp120tg mice with p75NTR null mice. We found that deletion of only 1 copy of the p75NTR gene in gp120tg mice is sufficient to normalize the number of hippocampal spines, strongly suggesting that the neurotoxic effect of gp120 is mediated by p75NTR. These data indicate that p75NTR antagonists could provide an adjunct therapy against synaptic simplification caused by human immunodeficiency virus 1.
Despite the introduction of combination antiretroviral therapy (Ellis et al., 2007; Everall et al., 2009), older human immunodeficiency virus 1 (HIV)-positive adults are at a high risk for developing mild to severe cognitive abnormalities, termed HIV-associated neurocognitive disorders (HANDs). Therefore, new therapeutic approaches must be developed to prevent the neurologic deficits observed in these individuals. The key to access a new therapy is a better understanding of the molecular mechanisms underlying HIV neurotoxicity.
HIV positive, cognitively impaired subjects exhibit synaptic pruning and neuronal injury (Ellis et al., 2007). Loss of synapses in HAND subjects does not result from direct intrinsic viral infection given that neurons are not infected but, most likely, is caused by neurotoxins (Haughey et al., 2004) or viral proteins released by infected microglia (Kaul et al., 2001). Indeed, some HIV subjects develop HIV encephalitis (HIVE), a neuroinflammatory condition characterized by the presence of activated and infected microglia (Persidsky et al., 1997). Nevertheless, since the introduction of antiretroviral therapies, only a small percent of HIV-positive patients develop HIVE (Gelman, 2015), suggesting that inflammation alone may not be sufficient to cause synaptic pruning and justifying the investigation for additional mechanisms of decreased synaptic plasticity.
Cognitive alterations may be promoted by conditions that alone affect cognitive functions such as aging or cardiovascular and cerebrovascular diseases. In addition, aging may have an additive effect on HAND neuropathology (Canizares et al., 2014) because aging (Driscoll et al., 2012; Erickson et al., 2010) and HAND subjects (Bachis et al., 2012) both exhibit low levels of brain-derived neurotrophic factor (BDNF), a potent prosurvival neurotrophic factor that plays a role in hippocampal plasticity (Kang and Schuman, 1995; Minichiello et al., 2002; Patterson et al., 1996) including spine morphology (Tyler and Pozzo-Miller, 2003). Moreover, BDNF is decreased by an acute injection of gp120 into the brain (Nosheny et al., 2004) or in a mouse model of HAND (Lee et al., 2013), in which the HIV protein gp120 is chronically overexpressed under an astrocytic promoter (Toggas et al., 1994). It is then plausible to suggest that the neurological features observed in HAND subjects could be due to a lack of a proper supply of BDNF and other neurotrophic factors to neurons that could accelerate the aging process of the brain.
BDNF binds and activates a receptor complex composed of the tropomyosin-related kinase receptor B (TrkB), and the p75 neurotrophin receptor (p75NTR). This receptor complex organizes the signaling cascade events that promote synaptic plasticity (Chao et al., 2006). However, TrkB and p75NTR can also exert an opposing functional action on neurons. In fact, while TrkB promotes neuronal survival and maturation of dendritic spines, p75NTR inhibits axonal growth (Kaplan and Miller, 2003) and mediates apoptosis (Teng et al., 2005). An intriguing level of complexity for p75NTR was recently added when it was discovered that proneurotrophin brain-derived neurotrophic factor (proBDNF), the larger glycosylated precursor of BDNF, has higher affinity for p75NTR than BDNF and, therefore, it is considered a neuronal proapoptotic ligand (Teng et al., 2005; Volosin et al., 2006; Woo et al., 2005). proBDNF is increased in the brain of HIV-positive subjects as well as in rat cortical cultures exposed to gp120 (Bachis et al., 2012). Moreover, p75NTR inhibitors block the gp120-mediated terminal retraction as well as neuronal apoptosis (Bachis et al., 2012). Thus, gp120’s neurotoxic profile appears to involve its indirect ability to activate p75NTR. However, these data were obtained in vitro. In this study, we aim at establishing whether gp120 promotes the increase in proBDNF, which, in turn, activates p75NTR in vivo. We used gp120 transgenic (gp120tg) mice, which exhibit impaired cognitive behavior and synaptic simplification (Toggas et al., 1994) and other pathological features similar to HAND. These animals were intercrossed with p75NTR null mice to obtain p75+/− gp120tg mice. Here, we report that the reduction of p75NTR expression significantly decreases the neurotoxic effect of gp120.
Breeding pairs of gp120tg mice were received from E. Masliah (University of California San Diego, San Diego, CA). These mice, which express gp120 under the control of a modified glial fibrillary acidic protein promoter, have been previously characterized in terms of behavior and neuropathology (Toggas et al., 1994). Gp120tg females were intercrossed with C57BL/6 male p75NTR−/− mice (The Jackson Laboratory, Bar Harbor, ME) to generate males and females p75+/− gp120tg. Wild-type (WT) littermates (gp120 null/p75+/+) were generated from these colonies and used as controls. Mice were maintained in our facility for up to 12 months. For these studies, 3- to 4-month-old, 6- to 7-month-old, and 9- to 12-month-old mice (both gender) were used. Mice were euthanized at different time points either by intracardial exsanguination or cervical dislocation. All studies were carried out following the Guide for the Care and Use of Laboratory Animals as adopted and promulgated by the US National Institutes of Health and approved by the Georgetown University Animal Care and Use Committee.
Frozen human hippocampal samples of HIV-positive subjects were obtained from the National NeuroAIDS Tissue Consortium. A total of 6 HIV-positive cases with no neurocognitive impairment and 6 HIV-positive cases with HIV-associated dementia were used. The characteristics of these samples are described in Table 1.
Lysates were prepared by using gentle sonication of mouse hippocampi or human frozen tissues in lysis buffer composed of 1× Tris-buffered saline (TBS), 1% NP-40, 1% Triton-100, 1-mM phenylmethylsulfonyl fluoride, 10% glycerol, and protease inhibitor cocktail (Sigma-Aldrich, St Louis, MO, USA) on ice. The homogenates were incubated for 5–10 minutes on ice and then centrifuged at 14,000g for 5 minutes at 4 °C. Supernatants were collected and stored at −80 °C. Total protein content was determined by Bradford Coomassie Blue colorimetric assay. Lysates were loaded onto a NuPAGE 4%–12% Bis-Tris gel (Invitrogen, Carlsbad, CA, USA) and transferred to a polyvinylidene difluoride membrane using the iBlot device (Invitrogen). Membranes were blocked with 5% milk in phosphate-buffered saline and 0.05% Tween and incubated with antibodies specific for either p75NTR (1:100, a gift from Bruce Carter, Vanderbilt University) or TrkB (1:3000, Cell Signaling, Danvers, MA, USA). Membranes were stripped and reprobed with mouse monoclonal anti β-actin antibody (1:10,000, Sigma-Aldrich) to control for artifacts due to loading. Immune complexes were detected by the corresponding secondary antibody and chemiluminescence reagent (Thermo Fisher Scientific Inc). The intensity of immunoreactive bands was quantified using Quantity One 1-D (Bio-Rad Laboratories, Inc, Hercules, CA, USA) and expressed in arbitrary units after normalization to β-actin immunoreactivity.
ProBDNF levels were analyzed as described previously (Bachis et al., 2012). In brief, hippocampal lysates, prepared as above, were precleared using agarose resin according to the manufacturer’s instructions (Thermo Scientific Pierce, Rockford, IL, USA) and then incubated with an anti-proBDNF antibody (5 µg, Sigma-Aldrich) for 18 hours at 4 °C. Samples were centrifuged at 3000g for 2 minutes at 4 °C to collect immunoprecipitated complexes. Beads were washed in lysis buffer, and total protein content was determined by Bradford Coomassie Blue colorimetric assay. The same amount of immune complexes was loaded onto sodium dodecyl sulfate polyacrylamide gel electrophoresis for separation. Proteins were transferred to a polyvinylidene difluoride membrane (Bio-Rad) and blocked with TBS-T (25-mM Tris and 1% Tween) containing 5% milk powder. Blots were then incubated overnight with an anti-proBDNF antibody (1:2500, Sigma). After 3 washes with TBS-T, the blots were incubated with peroxidase-conjugated secondary antibody (dilution 1:1000; Santa Cruz Biotec, Inc, Santa Cruz, CA, USA) for 1 hour at room temperature. Immunoreactivity was detected by enhanced chemiluminescence (Thermo Scientific Pierce).
Levels of BDNF, furin, tissue plasminogen activator (tPA), interleukin-1β (IL-1β), IL-6, and tumor necrosis factor α (TNFα) in the hippocampus were determined using enzyme-linked immunosorbent assay (ELISA) according to the manufacturer’s instructions with minor modifications described elsewhere (Bachis et al., 2010, 2012). Furin, ILs, and TNFα DuoSet ELISA kits were from R&D System (Minneapolis, MN, USA); tPA ELISA from Molecular Innovations, Inc (Peary Court, Novi, MI, USA), and BDNF Emax from Promega Corporation (Madison, WI, USA). The ELISA for BDNF has a negligible cross reactivity with proBDNF (~2.5%) as determined by running in parallel a standard curve with proBDNF.
Golgi-Cox staining was performed using FD Rapid GolgiStain Kit according to the manufacturer instructions (FD Neurotechologies, Inc, Columbia, MD, USA). Measurements of spine count were performed in fully impregnated hippocampal neurons from the cornus ammonis 1 (CA1), CA2, CA3, and dentate gyrus (DG) subregions. All analyzed neurons displayed a dendritic tree without obvious truncations and impregnation without breaks. To minimize errors during the analysis, the measurement of dendritic branch was done on fragments that were straight, in the same focus plane, and had a length of at least 30 µm. Two separate counts were performed—dendritic spines on basal shaft and dendritic spines on the apical oblique (AO), which project off the apical dendrite. Spines in the basal shaft dendrites, which project directly off the cell soma, were counted along 30-µm sections of the shaft (between 30–100 µm from the soma). Spines in the primary AO dendrites were counted in a 30-µM section of the primary AO, 100 µm away from the soma. Images were coded, and dendritic spines were counted in a blinded fashion using Nikon imaging software. We averaged a total of 32 neurons per animal from a total of 6 mice per group.
Immunohistochemistry for microglia was performed as described with minor alterations (Campbell et al., 2015). Briefly, fixed brains were transferred to 30% sucrose, and serial sections (30 µm) throughout the hippocampus were prepared by a sliding microtome (Microm International, Heidelberg, Germany). Sections were blocked in phosphate saline–blocking buffer (1% bovine serum albumin, 0.2% Triton X-100) for 1 hour at room temperature prior to primary antibody incubation. To detect microglia, slices were incubated with an antibody against ionized calcium-binding adapter molecule 1 (Iba-1, 1:1000, Wako Chemicals USA, Inc, Richmond, VA, USA) overnight at 4 °C followed by AlexaFluor 594 goat anti-rabbit secondary antibody (1:2000, Invitrogen) for 1 hour at room temperature. Sections were washed with 1× phosphate-buffered saline with 0.2% Triton X-100. Slices were then incubated with 4′, 6-diamidino-2-phenylindole (1:10,000, Sigma) for 10 minutes at room temperature and then mounted using Fluoro- Gel with TES buffer (Electron Microscopy Sciences, Hatfield, PA, USA). Images were analyzed with a Nikon Eclipse Ni microscope at 450-nm and 594-nm wavelengths.
Statistical analyses were performed using GraphPad Prism software (GraphPad Software, Inc). Comparison of more than 2 groups was done using analysis of variance followed by Tukey post hoc test for multiple comparisons. Results are presented as mean ± standard error of mean. p values of <0.05 indicate statistical significance.
Gp120 increases proBDNF in cultured neurons in vitro (Bachis et al., 2012). To ascertain whether gp120 exerts the same effect in vivo, we measured proBDNF immunoreactivity in lysates of hippocampi from gp120tg mice by Western blot analysis following immunoprecipitation with an anti-proBDNF antibody. WT littermates were used as controls. We started with 9- to12-month-old mice because gp120tg mice exhibit age-dependent impaired cognitive behaviors (Toggas et al., 1994). Incubation of the membranes with an antibody against proBDNF revealed an immunoreactive band of ~34 KDa in both WT and gp120tg mice (Fig. 1A). When compared to age-matched WT, the intensity of proBDNF immunoreactivity was stronger in gp120tg mice (Fig. 1A and C). We then analyzed hippocampal lysates from 3- to 4-month-old and 6- to 7-month-old mice to ascertain whether the increase in proBDNF is age related. We found no difference in proBDNF levels between gp120 and WT mice at these age points (Fig. 1B and C).
Previous studies have shown that gp120 decreases the release of BDNF in vitro by reducing its processing from proBDNF (Bachis et al., 2012). To confirm this result in vivo, we measured the levels of BDNF by ELISA in hippocampal lysates from WT and age-matched gp120tg mice. We found that gp120 evokes an age-dependent decrease in the levels of BDNF, starting at 6–7 months. This decrease was greater in 9- to 12-month-old gp120tg mice (Fig.1D), suggesting that gp120 affects the processing of proBDNF in vivo as well.
ProBDNF is processed to mature BDNF by several enzymes including furin and the tPA and/or plasmin system (Seidah et al., 1996). Our earlier study has shown that HIV and gp120 decrease the levels of these enzymes in human postmortem brain and neuronal cultures, respectively (Bachis et al., 2012). Therefore, we determined the level of furin and tPA in WT and gp120tg mice. To provide a correlation between the age-dependent changes in proBDNF and BDNF, furin and tPA levels were determined in the 3 groups of mice. We found a significant age-dependent decrease in the levels of furin (Fig. 2A) as well as tPA levels (Fig. 2B) in gp120tg mice when compared to WT. This decrease correlated with the age-dependent reduction of BDNF levels (Fig. 1C) because the levels of either furin or tPA were greatly diminished in 9- to 12-month-old gp120tg when compared to 6- to 7-month-old mice (Fig. 2).
Inflammation has been reported as one of the main events responsible for HIV-induced neuronal degeneration (Lisi et al., 2012; Persidsky and Gendelman, 2002; Tong et al., 2000). Therefore, to examine whether proBDNF is an event that may occur concomitantly with inflammation, we analyzed Iba-1-positive cells (microglia) in the hippocampus by immunohistochemistry, as well as the levels of proinflammatory cytokines IL-1β, IL-6, and TNFα, by ELISA. These cytokines are activated in the brain of HIV-positive subjects (Persidsky et al., 1997). We found no significant differences between WT and gp120tg mice in the number of Iba-1-positive cells (Fig. 3A) or in IL-1β (Fig. 3B), IL-6 (Fig. 3C), or TNFα (Fig. 3D) in any age examined.
BDNF has been shown to increase spine density of hippocampal neurons (Chapleau and Pozzo-Miller, 2012). Conversely, proBDNF negatively regulates spine formation (Koshimizu et al., 2009). To determine whether the increase in proBDNF correlates with a reduction in spine density, we analyzed the number of spines in individual hippocampal neurons by Golgi staining (Fig. 4A). Spines were analyzed throughout the hippocampus, including the CA1–3 and DG regions. The number of spines was not significantly different between the 6-month-old WT and gp120tg mice (not shown). However, throughout various hippocampal regions, neurons of 9- to 12-month-old gp120tg mice exhibited a significant decrease in spine numbers when compared to WT (Fig. 4B).
The number of hippocampal spines is increased and maintained by TrkB (Ji et al., 2005; von Bohlen und Halbach et al., 2008), the receptor tyrosine kinase TrkB, which is rapidly activated upon binding to BDNF (Soppet et al., 1991). To determine whether gp120 affects TrkB levels, we measured TrkB immunoreactivity in hippocampal lysates from WT and gp120tg mice (Fig. 5A). Western blot analysis revealed an age-dependent decrease in the levels of TrkB in gp120tg mice. In fact, we found a ~50% reduction of TrkB immunoreactive band in 9- to 12-month-old gp120tg mice when compared to age-matched WT mice (Fig. 5A). Although this result was obtained in an experimental animal model of HIV dementia, it may be also significant for human subjects. In fact, we have found that the hippocampal levels of TrkB are decreased in HIV-positive subjects with dementia (Table 1) when compared to HIV-positive individuals with no cognitive impairment (Fig. 5B).
Adult hippocampal spines are also modulated by p75NTR (Zagrebelsky et al., 2005). Because this receptor is upregulated in the hippocampus by seizure-induced brain damage (Volosin et al., 2008), we examined whether overexpression of gp120 modifies the levels of p75NTR expression. Lysates from WT and gp120tg mice were analyzed for p75NTR immunoreactivity by Western blot (Fig. 6A). There were no differences in the levels of p75NTR between WT and gp120tg mice at any age examined (Fig. 6B). Therefore, it appears that gp120 decreases TrkB without affecting the expression of p75NTR.
We have previously shown that a p75NTR-blocking antibody inhibits gp120-mediated synaptic pruning in vitro (Bachis et al., 2012), suggesting that activation of p75NTR is crucial for the neurotoxic effect of gp120. However, TrkB deficiency can lead to a reduction of synapses and spine density in the hippocampus (Otal et al., 2005). To determine the role of p75NTR, we have inter-crossed p75NTR null mice with gp120tg mice to obtain 9- to 12-month-old mice transgenic for gp120 and with only 1 allele for p75NTR (p75+/− gp120tg). We did not use p75NTR null mice because these animals exhibit a profound deficit in cognitive and motor activities accompanied by loss of neurons (Peterson et al., 1999). Spine counts of hippocampal sections revealed that the removal of 1 copy of p75NTR alone does not affect spine density (Fig. 7) but rescues the reduction of spine density observed in the CA1–3 regions of gp120tg mice (Fig. 7), suggesting that the lack of 1 p75NTR allele is sufficient to confer neuroprotection against gp120.
Analyses of spines in the DG revealed a different scenario. In fact, the DG of p75+/− gp120tg mice exhibited more spines when compared to that of gp120tg mice (Fig. 7) but contained fewer spines than WT or p75NTR+/− mice (Fig. 7). Thus, it appears that a lower expression of p75NTR may be neuroprotective against gp120 in the CA regions, but it may only partially prevent gp120 toxicity in the DG.
Disruption of neurocognitive functioning is one of the most frequent complications in patients infected with HIV and appears to be linked to hippocampal dysfunction (Maki et al., 2009). The complexity of dendrites and synapses is compromised in HAND subjects (Masliah et al., 1997). Several mechanisms have been proposed to explain this pathological scenario, including an increased inflammatory environment. However, only a fraction of HAND patients (~20%) suffer from HIVE (Gelman, 2015). Thus, we have used transgenic mice overexpressing gp120 that exhibit synaptodendritic simplifications (Toggas et al., 1994) and impaired neurogenesis (Lee et al., 2013), to study the mechanisms whereby HIV decreases synaptic plasticity. These mice have cognitive decline as measured by Morris water maze testing (Toggas et al., 1994). Moreover, they exhibit a significant deficit in long-term potentiation in the hippocampal CA1 area (Krucker et al., 1998), suggesting that the memory circuitry involving the hippocampus is compromised. In this study, we report that long-term overexpression of gp120, such as that obtained in aged mice, reduces spine density in the hippocampus.
We have also tested the hypothesis that dendrite spine density, which is controlled by neurotrophins (Tanaka et al., 2008), is decreased by a lack of trophic support. We have found that, in the hippocampus of gp120tg mice, the total levels of BDNF as well as its tyrosine kinase receptor TrkB, undergo an age-dependent decline, whereas proBDNF, which inhibits synaptic plasticity by activating p75NTR (Woo et al., 2005), is increased. Our data suggest that gp120 promotes an environment that is conducive for the activation of p75NTR. This mechanism, when associated with aging, could be a risk factor for promoting synaptic simplifications seen in HAND. In fact, we have discovered that the reduction of p75NTR expression is sufficient to inhibit the neurotoxic effect of the viral protein even in old animals. Overall, our data support the notion that increasing the endogenous production of BDNF could be a therapeutic strategy to reverse the toxic effect of gp120 (Lee et al., 2013) and perhaps to slow down the progression of premature aging seen in HAND subjects (Canizares et al., 2014; Chang et al., 2013).
One important finding reported in our study is the reduction of furin and tPA levels in old gp120tg mice. This result is in line with the previous data showing reduced furin levels in the cortex and striatum of HIV-associated dementia subjects as well as a decrease in tPA levels in vitro by gp120 (Bachis et al., 2012). Furin is an endoprotease that participates in the conversion of proBDNF into mature BDNF intracellularly (Mowla et al., 2001). tPA, upon release, activates the protease plasmin extracellularly, which cleaves proBDNF to mature BDNF. This conversion is critical for long-term potentiation (Pang et al., 2004). Gp120tg mice exhibited an aged-dependent reduction of tPA levels when compared to WT. Because the total levels of BDNF are decreased in aged gp120tg mice, it appears that gp120 interferes with the physiological processing of proBDNF by reducing significantly the levels of key enzymes necessary for its cleavage. How gp120 reduces furin and tPA levels is still a matter of speculation. Furin has been shown to traffic between the trans-Golgi network to early endosomes to be recycled (Molloy et al., 1998). Gp120 is also transported in endosomes (Bachis et al., 2006). Thus, gp120 might change furin trafficking and help promote furin degradation, perhaps through ubiquitination. tPA is contained in secretory granules that are axonally transported (Lochner et al., 1998). Gp120 binds to microtubules (Avdoshina et al., 2016; Bachis et al., 2006) and may disrupt their function, including axonal transport. On the other hand, the decrease in tPA levels may reflect the loss of synapses that is seen in gp120tg mice (Toggas et al., 1994). Clearly, more experiments are needed to support these hypotheses.
Most of the initial data supporting a role for BDNF in neuronal differentiation and axonal outgrowth have been obtained from the developing central nervous system (Klein et al., 1993; McAllister et al., 1995; Zagrebelsky et al., 2005). Evidence has shown that BDNF also modulates synaptic plasticity and spine density in the adult hippocampus (Otal et al., 2005; Yacoubian and Lo, 2000). Moreover, recent results have shown that there is a functional antagonism between TrkB and p75NTR and suggested that p75NTR is crucial for the initial dendritic spine formation whereas TrkB participates in spine maintenance (Chapleau and Pozzo-Miller, 2012). In our study, we observed a significant decrease in TrkB in the hippocampus of aged gp120tg mice concomitantly with an increase in proBDNF, suggesting that while TrkB signaling is decreased, that of p75NTR is increased. Unlike mature BDNF, proBDNF decreases synaptic plasticity in the hippocampus (Yang et al., 2014), suggesting that gp120 creates an imbalance between prosurvival and anti-survival signaling cascades that favors the inhibition of synaptic plasticity and causes the loss of spines. However, we cannot exclude the role that TrkB plays in spine formation. A decrease in TrkB may reflect the synaptic simplification previously reported in these animals (Toggas et al.,1994). On the other hand, we should also consider the outcome of previous in vitro data showing that either an intracellular inhibitor of p75NTR or a blocking antibody for p75NTR reverses and/or prevents the pruning property of gp120 (Bachis et al., 2012). To better refine the role of p75NTR, we intercrossed p75 null mice with gp120tg and found that the neurotoxic effect of gp120 on spine number is greatly diminished when only 1 p75NTR allele is present. Overall, our data suggest a scenario in which gp120, by increasing proBDNF levels, indirectly activates p75NTR.
The gp120tg mouse is one of the animal models used to study the mechanisms underlying the neuropathological and behavioral abnormalities seen in HAND. These animals exhibit loss of synapses that are commonly seen in HAND (Toggas and Mucke, 1996) and other neurodegenerative diseases such as Parkinson’s disease (PD) and Alzheimer’s disease (AD). Functional magnetic resonance imaging has shown that HIV promotes a pattern of degradation in brain function similar to aging (Thomas et al., 2013). However, HAND subjects are on average younger than AD or PD patients. There are several mechanisms that could explain how HIV promotes neuronal injury in aging, including metabolic and inflammatory processes, cardiovascular diseases, and immune senescence. However, data presented here and elsewhere have shown that gp120tg mice develop pathological abnormalities later in life but prior to 1 year of age, suggesting that gp120, like HIV, accelerates the aging of the brain, most likely by reducing the neurotrophic factor environment. This hypothesis has been suggested to explain the neuropathological alterations seen in PD, AD, and HAND because synaptic loss correlates with a significant decline in BDNF expression seen in these diseases (Bachis et al., 2012; Connor et al., 1997; Kunugi et al., 2001; Nagatsu et al., 2000).
We have observed an age-dependent decrease of the trophic factor environment in favor of a proapoptotic setting in an animal model of HIV infection of the brain. This phenomenon can lead to the synaptic simplification seen in HAND subjects. Because the neurotoxic effect of gp120 is greatly diminished in p75NTR heterozygous mice, blocking p75NTR function could mitigate the neurotoxic effect of HIV.
This work was supported by HHS grants NS079172 and NS074916. Special thanks to Dr. Eliezer Masliah (University of California San Diego, San Diego, CA) for the breading pairs of gp120tg mice, to Dr. Bruce Carter (Vanderbilt University, Nashville, TE) for the gift of the p75NTR antibody, and Lino Tessarollo (NCI-Frederick, MD) for discussions and advice with the animal studies. The authors are grateful to the National NeuroAIDS Tissue Consortium for providing human brain tissues.
The authors have no conflicts of interest to disclose.