Document 0133 DOCN M9650133 TI HIV-1-Tat modulates the function of monocytes and alters their interactions with microvessel endothelial cells. A mechanism of HIV pathogenesis. DT 9605 AU Lafrenie RM; Wahl LM; Epstein JS; Hewlett IK; Yamada KM; Dhawan S; Laboratory of Developmental Biology, National Institute of Dental; Research, Bethesda, MD 20892, USA. SO J Immunol. 1996 Feb 15;156(4):1638-45. Unique Identifier : AIDSLINE MED/96164596 AB Monocytes are major targets of HIV infection in patients with AIDS. In vitro infection of monocytes with HIV is associated with increased expression of beta 2 integrins, which increases both monocyte aggregation and monocyte/endothelial adhesion as well as monocyte metalloproteinase (MMP-9) expression. Treatment of primary monocytes with soluble HIV-Tat protein mimicked many of the properties of HIV infection of monocytes. Tat treatment up-regulated the expression of the beta 2 integrins, which was associated with the formation of large aggregates of monocytes and increased adhesion to endothelial monolayers. Treatment of monocytes with Tat increased their adhesion to both untreated and TNF-alpha-treated endothelial monolayers, and adhesion was inhibited by inclusion of anti-beta 2 and anti-ICAM-1 Abs. The increased adhesion of activated monocytes was accompanied by substantial disruption of the endothelial monolayers, with retraction or detachment of individual endothelial cells. Tat treatment of monocytes up-regulated the synthesis and release of the protease MMP-9, providing a potential mechanism to explain endothelial cell/basement membrane detachment. Thus, extracellular Tat is capable of activating monocytes even in the absence of HIV infection. Our studies demonstrate that many of the effects of HIV infection on monocyte homotypic and heterotypic adhesion, protease secretion, and disruption of the endothelium can be mimicked by treatment with HIV-Tat protein alone. These results suggest a mechanism where monocytes could be inappropriately activated by HIV-Tat, secreted by HIV-infected cells, causing them to extravasate into underlying tissues and ultimately contribute to tissue damage as seen during the progression of AIDS. DE Cell Adhesion Cell Aggregation Cells, Cultured Collagenases/GENETICS/METABOLISM Endothelium, Vascular/*IMMUNOLOGY Gene Expression Regulation, Viral Gene Products, tat/*IMMUNOLOGY Human HIV-1/*IMMUNOLOGY/PATHOGENICITY Monocytes/*IMMUNOLOGY Receptors, Cytoadhesin/*METABOLISM RNA, Messenger/GENETICS JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).