Document 3327 DOCN M94A3327 TI HIV-infected cells can kill CD4+ cells upon contact. DT 9412 AU Nardelli B; Gonzalez CJ; Schechter M; Valentine FT; Department of Medicine, NYU Medical Center, NY 10016. SO Int Conf AIDS. 1994 Aug 7-12;10(1):101 (abstract no. PA0023). Unique Identifier : AIDSLINE ICA10/94369248 AB OBJECTIVE: To explore an additional phenomenon by which HIV-1-infected cells may cause the depletion of CD4+ lymphocytes in vivo. METHODS: Stimulated PBMC from seronegative donors were infected with HIV-1 clinical isolates. After several days in culture, infected PBMC or CD4+ lymphocytes were incubated with autologous uninfected CD4+ cells that were prelabeled with 51Chromium. RESULTS: After overnight coculture, high levels of uninfected target cell lysis, as measured by 51Cr release, were observed when the infected PBMC were used as effector cells. Cytotoxicity was not found when uninfected PMBC were used as effectors. The kinetics of the killing were rapid, since significant cytolysis occurred after 2 hr. coculture. Moreover, incubation of the target cells with AZT did not prevent the cell lysis. Syncytia formation was not observed at any time during the PBMC assays. Binding of gp120 on the infected cells with the CD4 receptor on the uninfected cells was a required step, since preincubation of the target cells with soluble gp120, antibodies against CD4 receptor, or soluble CD4 inhibited the killing. CD8+ lymphocytes used as target cells were not lysed. DISCUSSION AND CONCLUSIONS: These results indicate that HIV-infected cells are capable of killing autologous normal CD4+ cells via a rapid direct mechanism involving gp120-CD4 interaction but not requiring productive viral infection of the CD4+ cells. They suggest, therefore, that a new mechanism of CD4+ cell death might be involved in HIV-1 pathogenicity. DE Antigens, CD4/METABOLISM Cell Death/DRUG EFFECTS Human HIV Envelope Protein gp120/METABOLISM HIV Infections/METABOLISM/*MICROBIOLOGY/PATHOLOGY HIV-1/PHYSIOLOGY/*PATHOGENICITY In Vitro Leukocytes, Mononuclear/MICROBIOLOGY Protein Binding T4 Lymphocytes/DRUG EFFECTS/*MICROBIOLOGY/PATHOLOGY Zidovudine/PHARMACOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).