Chronic Oxidative Stress and Comorbidities in the HIV-1 Transgenic Rat
Frank Denaro
1*
, Myla Worthington
1
, Francesca Benedetti
2
, Sabrina Curreli
2
, Davide Zella
2
, Joseph
Bryant
2
1.
Morgan State University, Department of Biology, Baltimore, MD, USA.
2.
Institute of Human Virology, University of Maryland Medical Center, Baltimore, MD, USA.
* Corresponding author: frank.denaro@morgan.edu
The pathogenesis of AIDS comorbidities are the result of a number of mechanisms that can ultimately
lead to cell death. One such mechanism for which there is accumulating evidence is chronic oxidative
stress (COS). The impact of COS is not limited only to HIV infected cells. Uninfected cells have been
shown to experience COS in patients and models of AIDS. Affected cells can have altered physiology and
can die early. This makes the impact of COS far reaching, because the HIV reservoir cells are not the only
cell types which are dying or displaying altered functions. This mechanism is believed to be dependent on
the HIV proteins (for example: GP-120, Tat) that the infected cells release. These viral products have been
demonstrated to cause oxidative stress in experimental cell cultures. Importantly, the process of COS has
given insight to the comorbidities that are becoming more evident as the patients age. Currently, antiviral
treatment is very effective and has improved and extended life. But even with the elimination of most
opportunistic infections and keeping the HIV viral load very low, various tissues still display evidence of
pathology. It is believed that the low levels of the viral proteins produced by the reservoirs, (which are not
eliminated by the antivirals), produce the pathology slowly over time. This is why the magnitude of the
comorbidities develop as the patient ages. It also explains why some non-infected cell types display
pathology.
There are a number of organs/tissues that display pathology and altered function. It was recognized early
in the AIDS epidemic that the brain, kidney, heart and endothelium displayed acute pathological changes
as well as long term ones. Analysis revealed that HIV infected cells were of low frequency in these tissues.
When studies have ruled out opportunistic infections, other mechanisms were sought to explain the
pathology. One mechanism is inflammation with a “bystander effect”. But, Anti-viral therapy resulted in
a noted drop of infected cells, and inflammatory cell infiltrates also became more infrequent. Therefore,
the toxic characteristics of the HIV viral proteins are now a focus for the generation of HIV comorbidities.
We have developed a noninfectious transgenic model which produces HIV-1 viral proteins [1]. In this
model GP-120, Tat and Nef have been identified in cells of the immune system. Also, Gp-120 has been
identified and measured in sera and CSF. The release of viral proteins into the blood provide a means by
which many cell types can be exposed to those viral proteins. To identify COS, we initially used an
immunocytochemical marker for Nitrotyrosine (NT) which can detect the interaction of nitric oxide with
tyrosine [2]. With this marker, we were able to identify NT in the brains of HIV infected Humans,
monkeys and the HIV-1 transgenic rat [2]. Further analysis of the HIV-1 transgenic rat revealed their
pathology is a time-dependent process. This is similar to the evolution of the pathology in humans [3]. In
the present study we sought to further characterize the cell types and locations of NT labeling cells in the
brain, heart, kidney and endothelia cells. The present survey in the HIV Tg Rat reveals that NT labeling
can be found in tissues and organs which displays mark pathology, consistent with HIV infection.
Moreover, these tissues display evidence for early senescence [3]. Evidence for the role of COS in long
term HIV infected patients is becoming stronger. This suggests that the HIV-1 TG rat may play important
1160
doi:10.1017/S1431927619006536
Microsc. Microanal. 25 (Suppl 2), 2019
© Microscopy Society of America 2019
https://doi.org/10.1017/S1431927619006536
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