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HIV-1 Trafficking to the Dendritic Cell–T-Cell InfectiousSynapse Uses a Pathway of Tetraspanin Sorting to theImmunological Synapse
Eduardo Garcia1, Marjorie Pion1, AnnegretPelchen-Matthews2, Lucy Collinson2, Jean-Francois Arrighi1, Guillaume Blot1, FlorenceLeuba1, Jean-Michel Escola1, NicolasDemaurex3, Mark Marsh2 and Vincent Piguet1,*
1Department of Dermatology and Venereology, UniversityHospital of Geneva, Geneva, Switzerland2MRC Laboratory for Molecular Cell Biology and CellBiology Unit, and Department of Biochemistry andMolecular Biology, University College London, GowerStreet, London WC1E 6BT, UK3Department of Cell Physiology and Metabolism,University of Geneva Medical Center, Geneva,Switzerland*Corresponding author: Vincent Piguet,[email protected]
Dendritic cells (DCs) are essential components of theearly events of HIV infection. Here, we characterizedthe trafficking pathways that HIV-1 follows during itscapture by DCs and its subsequent presentation to CD4+
T cells via an infectious synapse. Immunofluorescencemicroscopy indicates that the virus-containing com-partment in mature DCs (mDCs) co-labels for thetetraspanins CD81, CD82, and CD9 but contains littleCD63 or LAMP-1. Using ratio imaging of pH-reportingfluorescent virions in live DCs, we show that HIV-1 isinternalized in an intracellular endocytic compartmentwith a pH of 6.2. Significantly, we demonstrate thatthe infectivity of cell-free virus is more stable at mildlyacidic pH than at neutral pH. Using electron micro-scopy, we confirm that HIV-1 accumulates in intra-cellular vacuoles that contain CD81 positive internalmembranes but overlaps only partially with CD63.When allowed to contact T cells, HIV-1-loaded DCsredistribute CD81, and CD9, as well as internalizedHIV-1, but not the immunological synapse markersMHC-II and T-cell receptor to the infectious synapse.Together, our results indicate that HIV-1 is internalizedinto a non-conventional, non-lysosomal, endocyticcompartment in mDCs and further suggest that HIV-1 isable to selectively subvert components of theintracellular trafficking machinery required for formationof the DC–T-cell immunological synapse to facilitate itsown cell-to-cell transfer and propagation.
Key words: dendritic cells, endosomes, HIV, infectioussynapse, trans infection
Received 14 March 2005, revised and accepted for pub-lication 23 March 2005, published on-line 29 April 2005
Dendritic cells (DCs) are believed to be crucial mediators
of the early events in HIV-1 infection following sexual
transmission [reviewed in (1,2)]. Dendritic cells reside in
the skin and mucosal tissues in a resting ‘immature’ state
until they encounter pathogens. Upon exposure to a
variety of stimuli, DCs are activated to a mature antigen
presenting state (3). Changes during DC maturation
considerably modify the DC intracellular trafficking
machinery allowing, for example, the rapid translocation
of MHC-II from lysosomes to the cell surface [reviewed in
(3)]. Maturation is closely linked with the migration of DCs
from peripheral tissues to secondary lymphoid organs.
Within these tissues, activated mature DCs (mDCs)
interact with antigen-specific T cells to initiate immune
responses (4,5).
HIV-1 infects Langerhans cells (LCs) and other types of
myeloid DCs both in vivo and in vitro [reviewed in (1,6)],
although this infection is inefficient compared with CD4þ
T cells. In addition, DCs can capture HIV-1 in an infectious
form and transfer this virus to CD4þ T cells in trans,
leading to massive levels of HIV-1 replication in DC–T-cell
clusters (7). Indeed, this DC-mediated trans infection is
believed to be the most efficient route for HIV-1 infection
of T cells [reviewed in (1,8)]. In immature DC (iDCs) sub-
types, the C-type lectin DC-SIGN (CD209) is the principal
molecule mediating HIV-1 trans infection to CD4þ T cells
(9,10). In DC-SIGN negative DC subsets, such as LCs, HIV
capture can occur through other C-type lectins, such as
the mannose receptor and Langerin (11).
Importantly, HIV-1 captured by DCs remains infectious for
several days in vitro, whereas free virus rapidly loses
infectivity (9,12). Although significant viral degradation
occurs after HIV-1 capture by DCs (13), the mechanisms
that mediate the prolonged retention of DC-associated
viral infectivity are currently unclear. Nevertheless, virus
internalization by DCs appears to be a prerequisite for
efficient transfer of HIV-1 infection to T cells in trans and
may explain why trypsin treatment of HIV-exposed DCs
does not decrease the efficiency of DC-mediated virus
transmission to T cells (12).
Upon contact with uninfected CD4þ T cells, internalized
HIV-1 recycles rapidly to sites of contact between DCs
and T cells (10,13,14). By analogy to the immunological
synapse involved in antigen presentation (15), these
sites of virus transfer have been termed ‘infectious’ or
‘virological’ synapses [reviewed in (16)]. The focusing of
Traffic 2005; 6: 488–501Copyright # Blackwell Munksgaard 2005
Blackwell Munksgaard doi: 10.1111/j.1600-0854.2005.00293.x
488
virions at the synapse may contribute to the observed
efficient infection of T cells by HIV-loaded DCs (7,17).
In order to understand the mechanisms involved in DC-
mediated trans infection in more detail, we here describe
a morphological study of a compartment into which HIV-1
is sequestered following capture and internalization in
monocyte-derived DCs. Using a combination of ratio
imaging of pH-reporting fluorescent virions, confocal and
electron microscopy, we show that HIV-1 is efficiently
captured and internalized by both immature and mature
DCs, at least in part via clathrin-mediated endocytosis.
Surprisingly, after internalization, HIV-1 does not accumu-
late in lysosomes but localizes in a mildly acidic compart-
ment (pH 6.2). Furthermore, confocal and electron
microscopic studies demonstrate that this compartment
is distinct from the classical late endosome/multivesicular
body (MVB) compartment but contains tetraspanins such
as CD81 and CD9. Finally, we show that upon contact
with T cells, internalized HIV-1 redistributes rapidly to
form infectious synapses in which the tetraspanins CD81
and CD9 are also observed. Given the apparent role of
CD81 as a component of the immunological synapse
(18,19), we suggest that HIV-1 is able to exploit a pathway
responsible for the delivery of key components involved in
immunological synapse formation and T-cell activation to
facilitate its transfer to CD4þ T cells.
Results
Mature DCs capture and transfer HIV-1 through an
infectious synapse
Peripheral blood monocytes were induced to differentiate
into iDCs in the presence of GM-CSF and IL-4 and subse-
quently activated with lipopolysaccharide (LPS) to obtain
mDCs (LPS-mDCs). As expected, mDCs expressed high
cell-surface levels of classical markers associated with DC
maturation such as CD83 (Figure 1A).
To examine whether mDCs could capture HIV-1, we used
a well-characterized FACS-based assay to measure viral
capture by detecting intracellular accumulation of the viral
p24gag protein. After incubating LPS-mDCs with HIV-1 for
2 h at 37 �C, p24gag could be detected in more than 50%
of the cells (Figure 1B). Similar results were obtained for
iDCs (data not shown). The observed FACS signals were
likely to indicate internalized HIV-1 because similar results
were seen when virus-pulsed DCs were treated with
trypsin to remove surface-bound HIV (data not shown).
We also tested whether LPS-mDCs pulsed with virus
could enhance transfer of HIV-1 infection to target cells
in trans as reported (7,9). For this purpose, we incubated
LPS-mDCs with HIV-1 for 2 h at 37 �C and then measured
viral transfer to Jurkat CD4þ T cells in a single round
infection assay. As expected, HIV-1 infection could be
transferred from mDCs to target cells in trans
(Figure 1C). To determine whether infection of T cells
occurred via formation of an infectious synapse between
DCs and CD4þ T cells, we analysed cell conjugates by
immunofluorescence. Monocyte-derived LPS-mDCs were
loaded with HIV-1, washed, and co-cultured with Jurkat
cells for 30 min before fixation, permeabilization, and
staining with appropriate antibodies. In mDCs, HIV was
taken up into a compartment that appeared clustered on
one side of the cell (Figure 1D, left). When the mDCs
encountered T cells, the virus re-distributed to the zone
of contact between the DC and the T cell. Infectious
synapses were considered to have formed when >75%
of the virus was focused in this contact zone. After 30 min
of incubation of HIV-1-pulsed LPS-mDCs and uninfected T
cells, approximately 40% of mDCs were observed trans-
ferring HIV-1 through infectious synapses to CD4þ T cells
as previously reported (10). Significantly, bona fide DC–T-
cell immunological synapse markers [MHC-II (HLA-DR)
and T-cell receptor (CD3)] were not enriched in the
DC–T-cell infectious synapse (Figure 1D, center and right).
HIV-1 accumulates in a mildly acidic endocytic
compartment
Measurement of the pH in endocytic organelles has
revealed that the acidity of the lumen increases from
pH 6.2–6.8 in early and recycling endosomes to 5.5–6.1
in late endosomes/MVBs and 5.0–5.5 in lysosomes
(20,21). To study the fate of HIV-1 internalized by DCs,
we used ratio imaging of pH-reporting fluorescent virions
in live DCs. For this purpose, we treated HIV-1 virions with
aldrithiol (AT)-2 to inactivate infectivity (for live experi-
ments). Then, we labeled AT-2-treated HIV-1 virions with
a pH-sensitive fluorescent probe (FITC) using a similar
method to that described for adenovirus (22). A significant
fraction of the AT-2-treated HIV-1 particles labeled with FITC
retained their capacity to interact with HIV-1 receptors and
undergo fusion (data not shown). Furthermore, AT-2-treated
HIV or SIV captured by DCs can recycle to DC–T-cell
infectious synapses (13), indicating that AT-2 treatment
does not alter the trafficking of HIV captured by DCs.
Subsequently, we incubated HIV-1-AT-2-FITC with iDCs or
LPS-mDCs for 2 h at 37 �C. The cells were then washed
with PBS and allowed to adhere to coverslips for 1 h. The
pH of the intracellular compartment containing HIV-1-AT-2-
FITC was assessed by ratio fluorescence imaging of the
internalized pH-sensitive FITC in living cells. HIV-1-AT-2-
FITC accumulated in structures that were more scattered
in iDCs (data not shown) and more clustered in mDCs
(Figure 2A). Strikingly, when we quantified the pH of inter-
nalized FITC-AT-2-HIV in endocytic organelles in mDCs,
we observed that the virus accumulated in an intracellular
compartment with a mean pH of 6.12. A Gaussian fit
analysis of the results confirmed that a majority of HIV-1
containing endocytic vesicles had a pH of 6.24 (Figure 2B).
Similarly, in iDCs, HIV-1-AT-2-FITC accumulated in a com-
partment with a pH of 6.22 (data not shown). This result
was significant because our previous studies, using a
HIV-1 Localization in Human Dendritic Cells
Traffic 2005; 6: 488–501 489
similar method, demonstrated that the DC-specific recep-
tor DC-SIGN accumulated in vesicles with a pH of 5.47 in
iDCs (compatible with late endosomes/lysosomes) and
6.45 in mDCs (early endosomes) (23). Thus, HIV-1-AT-2-
FITC captured by DCs was targeted to an intracellular
endocytic compartment with an internal pH similar to
that of early endosomes but distinct from late endosomes
and lysosomes.
Because HIV-1 accumulates in organelles with a pH of
approximately 6.2, we tested the effect of different pH
media on HIV-1 infectivity. Infectious virus was incubated
for up to 5 days at 37 �C in media adjusted to pH values
ranging from 5.0 to 7.5. Surprisingly, though the infectivity
of virus incubated at all pHs declined, virus treated at
pH 5.5, 6.0, or 6.5 was preserved significantly longer
than virus incubated at neutral or above (pH 7–7.5) or
more acidic (pH 5.0) (Figure 2C).
Next, we compared the degradation of HIV-1 in DCs with
that of a well-characterized endocytic tracer, horseradish
peroxidase (HRP), using a FACS-based assay. In iDCs,
HRP was poorly degraded, but upon LPS-induced DC
maturation, HRP was degraded at a faster rate, in agree-
ment with the findings of (21) (Figure 2D). We also
observed that the internalized HRP co-localized at least in
part with LAMP-1 in iDCs and mDCs, consistent with
lysosomal degradation for this protein (data not shown).
Interestingly, no loss of signal was observed for HIV-1
over the first 4 h after internalization either in iDCs or
mDCs. However, after 24 h the cell-associated HIV-1
signal was decreased by approximately 90% in iDCs and
approximately 50% in mDCs (Figure 2D). Although we
cannot rule out in this assay that loss of signal is due to
HIV-1 recycling to the DC surface, it may be also due to
DC-mediated viral degradation. This result indicates that
HIV-1 virions are retained in iDCs and mDCs over the first
mDC mDC
mDC
T
T
HIV-1 HIV-1 HIV-1H
IV-1
HIV-1
HLA-DRHLA-DR CD3
DC-SIGN p24gag Moc
k
CD
83
100 100100
128
0
101 101
101
102 102
102
103 103
103
fl2
104
104 Mock 30
20
10
0Per
cent
age
of p
24ga
g + T
cel
ls
A B C
D
Figure 1: Mature dendritic cells
(mDCs) captureand transferHIV-
1 infection to CD4+ T cells via an
infectious synapse. A) FACS ana-
lysis of lipopolysaccharide-matured
mDCs. LPS-mDCs were positive
for DC-SIGN and CD83. B) LPS-
mDCs were pulsed with HIV-1 for
2 h at 37 �C, then fixed, stained
intracellular HIV p24gag, and ana-
lysed by FACS. About 50% of the
cells were positive for p24gag. C)
LPS-mDCs transfer HIV-1 infectiv-
ity to Jurkat CD4þ T cells in trans.
LPS-mDCs were incubated with
HIV-1 and co-cultured with non-
infected Jurkat cells treated with
Indinavir (1 mM). Forty-eight hours
post – co-culture, viral transfer was
determined by flowcytometric ana-
lysis of p24gag on CD3þ cells. D)
LPS-mDCs were incubated with
HIV-1 for 2 h at 37 �C. HIV-1 accu-
mulates in an intracellular ‘viral
endosome’ (D, left). Upon encoun-
tering Jurkat CD4þ T cells, HIV-1 is
redistributed from this intracellular
compartment to the zoneofcontact
(infectious synapse) between the
DC and the CD4þ T cell (D, center
and right). Immunological synapse
markers [MHC-II (HLA-DR, center)
and T-cell receptor (CD3, right)] do
not appear enriched in the infec-
tious synapse. This result is repre-
sentative of approximately 20
infectious synapses in each condi-
tion. (green, immunostaining of
HIV-1 p24gag; red (left and center),
HLA-DR; and red (right), CD3]
Bar ¼ 5 mm.
Garcia et al.
490 Traffic 2005; 6: 488–501
hours and are also detectable after 24 h in the absence of
viral replication. Furthermore, the loss of the HIV p24gag
signal differed from that of a classical endocytic tracer
targeted to lysosomes.
Intracellular localization of HIV-1 captured by mDCs
To further analyse the compartment in which HIV-1 accu-
mulates after internalization by DCs, we labeled cells with
several established markers of endocytic compartments,
including EEA1 (early endosomes), TGN46 (trans-Golgi
network), lysobisphosphatidic acid (LBPA), CD63 (late
endosome/MVB), CD81, CD9, HLA-DM, MHC-II (MHC-II
compartment) and LAMP-1 (lysosomes). HIV-1-GFP was
incubated with LPS-mDC for 2 h at 37 �C, to allow viral
capture and internalization. Cells were then washed with
PBS, allowed to adhere to coverslips for 1 h at 37 �C,fixed, and stained with appropriate antibodies and ana-
lysed by immunofluorescence microscopy. Most of the
cellular markers analysed did not show significant co-
localization with HIV-1 (Figure 3A). However, some
tetraspanins (CD81, CD82, CD9, and CD53) did show
significant overlap with internalized HIV-1 in the LPS-
mDC (Figure 3A and S1 available online at http://
www.traffic.dk/suppmat/6_6c.asp). By contrast, the inter-
nalized virus showed only limited overlap with the late
endosome/MVB marker CD63 and no co-staining with
LBPA or LAMP-1.
In iDCs, HIV-1 was transiently distributed to scattered
peripheral vesicles (Figure S2A available online at http://
www.traffic.dk/suppmat/6_6c.asp) that did not co-localize
with any of the marker antibodies tested (data not shown).
However, after 4–5 h incubation with iDCs, the virus
started to cluster in a perinuclear compartment (data not
shown). This clustering became very obvious after 24 h
(Figure 3B and S2 available online at http://www.traffic.dk/
suppmat/6_6c.asp), suggesting that the virus induced DC
maturation. At this point, the clustered intracellular HIV in
these HIV-1 treated DCs (HIV-mDCs) also co-localized
with CD81, but not with late endosome or lysosome
markers (CD63 and LAMP-1), with HLA-DM or with
MHC-II HLA-DR (Figure 3B). Some other morphological
7.0
6.0
5.0
pH
pH
50
40
30
20
10
05.0 5.5 6.0 6.5 7.0
mDC
mDC
106
105
104
103
102
101
5.05.56.06.57.0
0 1 2 3 4 5
0 h
4 h
24 h
180
160
140
120
100
80
60
40
20
0
HRP HIV
medium
Detection threshold
Days post-incubation iDC iDCmDC mDC
Num
ber
of F
ITC
+ v
esic
les
Tot
al s
igna
l (%
)
Infe
ctio
us u
nits
/ml
A B
C D
Figure 2: HIV-1 accumulates in a mildly acidic dendritic cell (DC) intracellular compartment. LPS-mDCs were incubated for 2 h at 37 ˚Cwith HIV-1-AT-2-FITC to allow internalization. The pH of HIV-1-AT-2-FITC positive vesicles was measured. A) A composite image of one
representative LPS-mDC integrating fluorescence and pH scaled in pseudocolors (side bar) is shown. The HIV-1-AT-2-FITC-positive vesicular
structures exhibit the blue coloration indicative of a pH of 6.1–6.2. Bar ¼ 5 mm. B) Distribution of HIV-1-AT-2-FITC-positive vesicles along the
endocytic pH gradient inmDCs,with Gaussian fit (red line). C)Mildly acidic pH stabilizes HIV-1 infectivity. Equal aliquots of HIV-1weremixedwith
DC culture medium adjusted to specific pH values ranging from 5.0 to 7.0 or with non-adjusted culture medium (pH 7.5–7.8) (medium) at 37 �Cfor various periods of time. Infectious units permillilitre contained in supernatantswere then determined. Each value represents themean of two
independent experiments. D) Quantitative decay of intracellular HRP and HIV-1 p24gag in DC-SIGN þ iDCs and LPS-mDCs. Horseradish
peroxidase and p24gag amounts measured at each time point are expressed as a percentage relative to the 100% starting points. Histograms
represent three independent experiments � SEM.
HIV-1 Localization in Human Dendritic Cells
Traffic 2005; 6: 488–501 491
changes similar to those observed during LPS-induced DC
maturation (in the absence of HIV-1) were observed in HIV-
mDCs when compared to iDC, e.g. MHC-II was redistribu-
ted from intracellular compartments to the DC surface,
while CD81 and CD9 were removed from the cell surface
to an intracellular location (Figure 3A,B and S3 available
online at http://www.traffic.dk/suppmat/6_6c.asp). Thus,
after 24 h, HIV-1 induced at least partial maturation in the
DC (compared to full maturationwith LPS) (data not shown),
consistent with other studies (24,25).
To analyse the co-localization of HIV-1 with late endo-
somal/MVBmarkers more quantitatively, we used immuno
fluorescence and confocal microscopy. HIV-mDCs or LPS-
mDCs were processed for immunofluorescent labeling as
described above. In HIV-mDCs, pixel analysis indicated
that approximately 90% of HIV-1 co-localized with CD81,
approximately 20% of HIV-1 co-localized with CD63, and
less than 10% with LAMP-1, HLA-DM, or HLA-DR
(Figure 3C, center). As expected, approximately 70–80%
of HLA-DM and CD63 co-localized with LAMP-1 in these
cells, showing a typical late endosome/lysosome distribu-
tion (Figure 3C, right). Observations with LPS-mDCs were
similar to HIV-mDCs. Pixel analysis indicated that approxi-
mately 60–80% of HIV-1-GFP co-localized with CD81,
CD82, and CD9 (Figure 3C, left) and that up to 30–50%
of the total staining for CD81, CD82, CD53, and CD9
overlapped with HIV-1-GFP in LPS-mDCs (data not
shown). Only approximately 5% of HIV-1 co-localized
with LBPA (Figure 3C, left). HIV-1 co-localized partly with
CD63 (approximately 35% of virus overlapped with CD63).
However, the bulk of CD63 staining did not overlap with
HIV-1 (only 5% of the total CD63 staining co-localized with
HIV-1, data not shown) consistent with observations in
HIV-mDCs. These data indicate (i) that internalized HIV-1
reorganizes endocytic compartments in iDCs in a manner
that is similar to LPS and (ii) that HIV-1 is located in a ‘viral
endosome’ that is distinct from early endosomes (defined
by EEA1) or ‘classical’ late endosomes/lysosomes
(defined by CD63, LBPA, and LAMP-1). This subcompart-
ment is characterized by the presence of the tetraspanins
CD81, CD82, and CD9 and the absence of LAMP-1. Of
note, this CD81þ/LAMP-1– compartment is also present in
LPS-mDCs (in the absence of HIV-1, see below and
Figure 6). Therefore, we use in the present article the
term ‘viral endosome’ operationally, pending further func-
tional studies of this novel endocytic compartment.
Analysis of the HIV-1-containing endosome
compartment by electron microscopy
To examine the structure of the virus-containing endo-
somal compartments in more detail, we analysed iDCs or
EEA1 MHC-II TGN46
CD63 LBPA LAMP-1
CD53CD9CD81
A
Figure 3: Continued on next page.
Garcia et al.
492 Traffic 2005; 6: 488–501
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Co-
loca
lizat
ion
(%)
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(%)
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lizat
ion
(%)
LBP
A
CD
63
CD
81
CD
81
CD
82
CD
9
CD
53
CD
63
CD
63
CD
81
HLA
-DM
HLA
-DM
HLA
-DR
HLA
-DR
LAM
P-1
Percentage of HIV-1 co-localizedwith cellular markers
(LPS-mDC)
Percentage of HIV-1 co-localizedwith cellular markers
(HIV-mDC)
Percentage of cellular markers co-localized with LAMP-1
(HIV-mDC)
HIV-1
HIV-1
HIV-1
HIV-1
CD81
CD63
HLA-DM
HLA-DR
LAMP-1
LAMP-1
LAMP-1
LAMP-1
B
C
Figure 3: Analysis of HIV-1 intracellular compartment. Immature DCs were incubated for 24 h at 37 �C with HIV-1 (HIV-mDC), or
LPS-mDCs were incubated for 2 h at 37 �C with HIV-1, to allow internalization. A) LPS-mDCs loaded with HIV-1 were analysed by
immunofluorescence microscopy. One representative LPS-mDC is depicted here with the corresponding cellular markers [green, HIV-1-
GFP; red, cellular markers; and blue, DAPI (nucleus)] Bar ¼ 5 mm. B) HIV-mDCs loaded with HIV-1 were analysed by confocal microscopy.
One representative HIV-mDC is depicted here with the corresponding cellular markers (green, immunostaining for HIV-1 p24gag; red,
cellular markers; and blue, LAMP-1) Bar ¼ 5 mm. C) Quantification of the percentage of HIV-1 co-localized with the cellular markers in
LPS-mDCs (left) and in HIV-mDCs (center) (confocal images for LPS-mDCs and HIV-mDCs). Quantification of the percentage of LAMP-1
co-localized with the cellular markers in HIV-mDCs (right).
HIV-1 Localization in Human Dendritic Cells
Traffic 2005; 6: 488–501 493
LPS-mDCs by immunolabeling and electron microscopy.
Cells were pulsed with HIV-1 for 2 h at 37 �C, fixed, andprocessed for cryosectioning and immunolabeling.
Labeling with antibodies against the viral matrix protein
(p17/MA) identified numerous virions as electron-dense,
slightly irregular particles of diameter 100–130 nm, some
of which contained a darker center representing the viral
core. Virus particles were found at the cell surface, often
tangled deeply among the numerous membrane protru-
sions and microvilli, or in pockets, folds or deeper invagi-
nations of the plasma membrane. In addition, viruses
were seen in coated vesicles, indicating that HIV-1 capture
and internalization by DCs occurred at least in part via
clathrin-mediated endocytosis (Figure 4).
In iDCs, some labeled virus particles were seen in small
vesicles (approximately 200-nm diameter) throughout the
cytoplasm but frequently found close to the plasma mem-
brane. By contrast, in the mDCs, large numbers of viruses
were observed in more complex vacuoles ranging in size
from 0.4 to 1.8 mm that are likely to represent the viral
endosome observed by immunofluorescence (Figure 5A).
These virus-containing structures often had a rounded or
elongated appearance and some seemed to consist of
clusters of several vacuoles, although these could be
interconnected in adjacent planes of section. Although
some of these virus-containing vacuoles were close to
the cell surface, they did not have obvious connections
to the plasma membrane; analysis of cells pulsed on ice
with HRP indicated that at least 20% of the virus vacuoles
were not accessible from the cell surface. The virus
vacuoles on mDCs often contained other intraluminal
membrane structures including small vesicles of 50–80-nm
diameter resembling the intraluminal vesicles of MVBs
(black arrow in Figure 5A). On some vacuoles, we observed
coated structures resembling clathrin-coated pits appar-
ently fusing into or budding away from the compartment
(see Figure 5B).
When LPS-mDCs cryosections were double stained for var-
ious cellular markers and HIV p17/MA, we found that the
virus-containing vacuoles consistently labeled for the tetra-
spanin CD81, which was usually seen on the small internal
vesicles (Figure 5B, black arrows). Similarly, we could
detect some CD63 on the small vesicles (Figure 5C, black
arrows). Although the CD63 gold particle densities on the
vesicles were comparable with the labeling seen for CD81,
the bulk of the cellular CD63 was seen over more juxta-
nuclear MVBs and lysosome structures, which were inten-
sely labeled but did not contain virus. Thus, as suggested by
the immunofluorescence labeling (Figure S3 available online
at http://www.traffic.dk/suppmat/6_6c.asp), virus-containing
vacuoles represent a subpopulation of the CD63 contain-
ing structures present in these cells. The virus-containing
endosomeswere also weakly labeled by an antibody against
MHC class II (Figure 5D). In contrast, prominent labeling
for this antigen was seen at the cell surface (Figure 5D,
white arrows), as expected for mDCs. The MHC class-II
staining in the virus-containing vacuoles appeared to be
associated mainly with the internal membranes (black
arrow) and not the limiting membrane, suggesting that
the virus-containing vacuoles are not continuous with
the plasma membrane but are discrete cytoplasmic
structures. The results described here are compared
with results from confocal immunofluorescence and
immunofluorescence on semithin crysection experiments
summarized in Table 1.
Thus, the compartment to which HIV-1 is sequestered
after internalization into mDCs has the appearance of a
MVB with internal membranes and small intraluminal vesi-
cles that contain various tetraspanin molecules and some
MHC class-II antigens (see Table 1). Although these vesi-
cles have characteristics similar to the vesicles in MVBs,
the virus-containing endosome appears to be distinct from
the main MVB and lysosome compartment in these cells.
We refer to this compartment as the ‘viral endosome’.
Figure 4: HIV is internalized by mDCs via clathrin-mediated endocytosis. Ultrathin cryosections of HIV-1-pulsed LPS-mDCs were
labeled with antibodies against HIV p17 (PAG 10 nm, left-hand panel) or p17 (PAG 15 nm) plus CD81 (PAG 5 nm, centre and right panels).
Virus particles could frequently be seen in coated vesicles, suggesting that HIV-1 is internalized, at least in part, through clathrin-
dependent endocytosis. Bars ¼ 100 nm.
Garcia et al.
494 Traffic 2005; 6: 488–501
HIV-1 and CD81 recycle to the infectious synapse
HIV-1 is rapidly routed to the DC surface when cells
pulsed with the virus encounter CD4þ T cells. To analyse
the pathway of HIV-1 trafficking from the viral endosome
to the DC–T-cell infectious synapse, we used our infec-
tious synapse assay (see above and Figure 1D). Because
HIV-1 did not co-localize in the infectious synapse either
with the T-cell receptor or MHC-II but shared trafficking
pathways with some tetraspanins such as CD81, we ana-
lysed the distribution of the tetraspanins CD81, CD9, and
CD63 as well as LAMP-1 at the infectious synapse. In
LPS-mDCs that had not been exposed to HIV, approxi-
mately 90% of the CD81 staining (quantified by confocal
microscopy) was in an intracellular compartment that did
not co-localize with LAMP-1, while 10% was at or close to
the cell surface. CD63 co-localized extensively with
LAMP-1 in the same conditions (Figure 6A, lines 1 and
2). Adding CD4þ T cells induced some re-location of
CD81 to the cell surface in a small proportion of the cells
but did not significantly alter the distribution of CD63 or
LAMP-1 (Figure 6A, lines 3 and 4). As staining for CD81
Table 1: Summary of co-localizations between cellular markers
and HIV-1 in LPS-mDCs
Cellular markers IF/confocal IF on cryosection EM
CD81 þþþ þþþ Yesa
CD9 þþþ þþþ Yesa
CD63 þ þ Yesb
CD53 þ ND ND
CD82 þþ ND ND
MHC-II – � Yesc
LAMP-1 – – ND
LBPA – – ND
EEA1 – ND ND
TGN46 – ND ND
þþþ, strong; þþ, medium; þ, weak, þ/–; or –, very weak or none;
ND: not defined, IF: immunofluorescence, EM: electronmicroscopy.aA majority of the intracellular maker co-localizes with HIV-1.bThe majority of CD63 is in MVB/lysosomes. Only a minority of
intracellular CD63 co-localizes with HIV-1.cThe majority of MHC-II is at the plasma membrane. Weak staining of
intracellularMHC-II is observedonlyon the internalmembranesof theviral
endosome and never on the limiting membrane of the viral endosome.
p17-10
p17 - 15
p17 - 15
p17 - 15
CD81 - 5
MHC-II - 5CD63 - 5
A B
C D
Figure 5: Ultrastructure of the viral endosome compartment. A) Ultrathin cryosections of HIV-1-pulsed LPS-mDCs were labeled with
antibodies against the HIV-1 matrix protein MA/p17 and PAG 10 nm. The large vacuole contains numerous labeled virus particles, while the
black arrow identifies one of the small internal vesicles. (B, C, D) Sections were double labeled for HIV-1 p17 (PAG 15 nm) and the cellular
markers B) CD81; C) D63; or D) MHC class II with PAG 5 nm. Black arrows show internal vesicles or membranes labeled with the markers.
Note the coated buds on the limiting membrane of the vacuoles shown in B (white arrowheads). In D), strong labeling for MHC-II is observed
at invaginations of the plasma membrane nearby (white arrows). Note the coated bud on this membrane (black arrowhead). Bars ¼ 200 nm.
HIV-1 Localization in Human Dendritic Cells
Traffic 2005; 6: 488–501 495
CD81
CD63
CD81
CD63
CD63
CD81
CD81
CD63
LAMP-1
LAMP-1
LAMP-1
LAMP-1
LAMP-1
LAMP-1
LAMP-1
LAMP-1
HIV-1
HIV-1
HIV-1
HIV-1
+H
IV-1
–HIV
-1
+T
+T
A
B
Figure 6: HIV-1 subverts the trafficking pathways of components of the DC–T-cell immunological synapse. A) Distribution of CD81
and LAMP-1 (Lines 1 and 3) or CD63 and LAMP-1 (Lines 2 and 4) in LPS-mDCs alone (in absence of HIV-1, Lines 1 and 2) or after incubation
with Jurkat CD4þ T cells (Lines 3 and 4). B) LPS-mDCs were incubated with HIV-1 to allow internalization and incubated with Jurkat CD4þ T
cells for 30 min to allow infectious synapse formation. The pattern of HIV-1, CD81, and LAMP-1 (Lines 1 and 3) or HIV-1, CD63, and LAMP-1
(Lines 2 and 4) is shown in LPS-mDCs alone (Lines 1 and 2) or after incubation with the Jurkat CD4þ T cells (Lines 3 and 4). CD81
redistributes from its intracellular pool to the infectious synapse. This result is representative of three independent experiments. (green,
immunostaining of HIV-1 p24gag; red, cellular markers; and blue, LAMP-1). Bar ¼ 5 mm.
Garcia et al.
496 Traffic 2005; 6: 488–501
and CD9 was very weak in CD4þ T cells [Figure 6 (data not
shown)], our assay mainly follows CD81 and CD9 on the
DC side of the synapse.
In LPS-mDCs pulsed with HIV-1 (in the absence of T cells),
HIV co-localized with CD81, but not with CD63 or LAMP-1
(Figure 6B, lines 1 and 2). Strikingly, when the virus-pulsed
LPS-mDCs were incubated with CD4þ T cells, the intra-
cellular CD81 and CD9 disappeared and were completely
redistributed to the infectious synapses [Figures 6B (line
3) and 7]. In contrast, there was no apparent redistribution
of CD63 or LAMP-1 (Figure 6B, line 4). We quantified the
percentage of infectious synapses that showed redistribu-
tion and focusing of CD81 and CD9. Strikingly, 90–100%
of DC–T-cell conjugates presenting virus at their zone of
contact also relocated CD81 and CD9 in the synapse zone
(Figure 7). Interestingly, even in the absence of virus,
some DC–T-cell conjugates (approximately 30–40%)
showed a partial redistribution of CD9 or CD81 from intra-
cellular compartments to the DC–T-cell contact zone. This
indicates that HIV-1 stimulates the redistribution of CD9
and CD81 to the DC–T-cell contact zone in a similar way to
that which occurs during formation of antigen-dependent
immunological synapses (19).
Discussion
Our results demonstrate that, in immature and mature
DCs, intact HIV-1 particles are captured and internalized
into an intracellular endocytic compartment with novel
properties that may facilitate cell-to-cell transmission of
infectious virus. A major role for DCs in facilitating HIV-1
spread within infected individuals has been proposed
(7,17). Moreover, studies from several laboratories have
indicated that endocytosis of infectious virus is important
for this activity (12). However, except for the fact that HIV-
1 can be recycled to the specialized areas of DC–T-cell
zone of contact, termed infectious or virological synapses,
the fate of the internalized virus within DCs has remained
unclear (10,13,14).
Here, we show that the internalized virus accumulated in a
clustered intracellular compartment characterized by the
presence of the tetraspanins CD81, CD82, and CD9.
Although this compartment contained some (though not
the majority) of the cellular CD63, it was distinct from
HLA-DM and LAMP-1-containing lysosomes. Immuno-
electron microscopy confirmed that HIV-1 particles accu-
mulated in intracellular vacuoles that contained some
intraluminal vesicles reminiscent of exosomes. pH meas-
urements indicated that this compartment has a mildly
acidic pH, and studies with cell-free virus suggested that
this is the optimum pH to maintain HIV-1 infectivity. When
HIV-1-loaded DCs were allowed to contact T cells, the
virus, together with the markers CD81 and CD9, was
relocated to the infectious synapse.
In addition, we noticed that HIV-1 treatment could induce
reorganization of the endocytic compartments in iDCs
similar to that observed for LPS-induced activation. HIV-1
treatment induced the translocation of MHC-II to the cell
surface and the intracellular accumulation of the tetraspa-
nins CD81 and CD9. This result is consistent with the fact
that HIV might induce at least some degree of DC matura-
tion, possibly via Toll-like receptor 8 (26), in a similar
manner to LPS-induced maturation via TLR-4. Although
HIV-1-induced DC maturation is not as extensive as that
following LPS treatment (data not shown), several
changes associated with DC maturation have been
observed after HIV-1 binding, including cytokine secretion
and cell migration (24,25,27).
Maturation alters the endocytic trafficking in DCs, e.g.
shutting down some pathways such as macropinocytosis
(28). We, therefore, compared the degradation of HIV-1 in
DCs to that of HRP, a well-characterized endocytic tracer.
In iDCs, HRP was poorly degraded, but upon LPS-induced
DC maturation, HRP was degraded at a faster rate, con-
sistent with the finding that DC maturation activates lyso-
somal function (21). Interestingly, no loss of the HIV-1 p24
signal was observed over the first 4 h after internalization
either in iDCs or mDCs. However, after 24 h, DC-associated
HIV-1 degradation occurred faster in iDCs when compared
with LPS-mDCs, in agreement with (13). Although we
cannot rule out in this assay that loss of signal is due to
some HIV-1 recycling to the cell surface, DC-mediated
viral degradation is the most likely explanation for our
results. Together, our data indicate that the properties of
the viral endosome during DC developmental stages are
distinct from the ‘classical’ lysosomes to which HRP is
targeted. Interestingly, we could observe HIV-1 in coated
100
90
80
70
60
50
40
30
20
10
0
CD
63
CD
81
CD
81
CD
9
CD
9
CD
63
Mock +HIV-1
Red
istr
ibut
ion
(%)
Figure 7: HIV-1 stimulates the redistribution of tetraspanins
to the infectious synapse. Quantification of the redistribution of
tetraspanins from intracellular pools to DC–T-cell zone of contact
in the presence (right) or absence of virus (left). Results are
representative of three or four independent experiments including
SD.
HIV-1 Localization in Human Dendritic Cells
Traffic 2005; 6: 488–501 497
vesicles (Figure 4), suggesting that, at least in part, HIV-1
could reach the viral endosome by clathrin-mediated endo-
cytosis, a pathway that is reported not to be affected by
DC maturation (28). However, the precise events that
allow HIV-1 to reach the viral endosome and avoid lyso-
somal degradation remain to be identified. One possibility
is that HIV-1 uses clathrin-mediated endocytosis to reach
the viral endosome directly. Alternatively, the virus may be
delivered to early endosomes, or even late endosomes,
and be actively sorted from these compartments to the
viral endosome.
After demonstrating that HIV-1 accumulates in a compart-
ment of pH of 6.1–6.2, we tested the direct effect of
media with a pH ranging from 5.0 to 7.5 on the infectivity
of cell-free HIV-1. Although most infectivity was lost over
time, we showed that virus incubated in mildly acidic pH
medium (approximately 6.0) retained infectivity signifi-
cantly longer than virus incubated in neutral/more alkaline
(7.5) or more acidic conditions (5.0) (Figure 2C). These
results may provide an alternative explanation for the
results of Kwon et al. (12), who showed that agents that
neutralize endosomal pH and affect the proper endosomal
trafficking in DCs also prevent HIV-1 transmission to T
cells. Correct trafficking of HIV-1 through the endocytic
pathway after internalization is obviously essential for
virus transmission, and perturbation of endosomal pH
might influence this trafficking. However, the finding that
HIV-1 infectivity is retained better at a mildly acidic pH,
similar to that found in viral endosomes, raises the possi-
bility that increasing endosomal pH could reduce the infec-
tivity of virus sequestered in the DC viral endosome. This
result is important, because even if a minimal fraction of
viral infectivity is retained at pH 6.0 after 3–4 days, very
small amounts of virus can be transferred from DCs to
T cells in trans, a process known as ‘trans enhancement of
HIV-1 infection to T cells’ (9,12,29). Nevertheless, given
that the contents of endosomal compartments and extra-
cellular culture supernatants are very different, the infec-
tivity of HIV-1 retained within the viral endosome will
require further analysis.
Characterization of the compartment where HIV-1 accu-
mulates by immunofluorescence showed that it shares
some features with late endosomes/MVBs in both LPS-
mDCs and HIV-mDCs, but that it is clearly distinct from
‘classical’ late endosomes or lysosomes. InternalizedHIV-1 did
not significantly co-localize with well-characterized cellular
marker proteins including EEA-1 (early endosomes),
TGN46 (trans-Golgi network), and LBPA or LAMP-1(lyso-
somes), extending the results from others showing that
HIV-1 did not co-localize with early endosomes (transfer-
rin) or lysosomes (LAMP-1) (12,13,30). However, HIV-1
did co-localize with a number of tetraspanins (CD81,
CD82, and CD9) and with a subpopulation of the cellular
CD63. Interestingly, recent observations demonstrated
that in HIV-infected human primary macrophages, a cell
type related to DCs, assembling HIV-1 can bud directly
into a late endosome/MVB compartment that also con-
tains CD63 and CD81 (31). Furthermore, the cellular
machinery involved in MVB formation (the ESCRT machin-
ery) has been found to be required to complete HIV-1
assembly (32). These observations have lead to the pro-
posal that HIV-1 might subvert similar trafficking pathways
for viral budding in macrophages and for transfer of viral
infection from DCs to T cells (31,33). However, in macro-
phages HIV-1 buds into the endosome compartment,
while in the DCs, the virus reaches its intracellular com-
partment by endocytosis in the absence of viral
replication.
We have also demonstrated that on encountering T cells,
DCs can translocate HIV-1 from this intracellular compart-
ment to the DC–T-cell infectious synapse. The presence of
a synapse between a virus-carrying cell and an uninfected
target cell is not restricted to HIV-1 in the DC–T-cell situa-
tion (7,10,13,14) and may well be a general mechanism of
viral propagation (34,35). Cell-to-cell transmission is likely
to favor HIV-1 replication because it avoids the rate-
limiting step of virus diffusion prior to attachment.
Furthermore, cell-to-cell transmission may reduce viral
neutralization by antibodies and complement (36) and
potentially allows for T-cell activation concurrently with
viral infection. As such, the presence of cellular antigens
implicated in T-cell activation in the infectious synapse is
potentially important.
Remarkably, upon contact with CD4þ T cells, HIV-1-pulsed
LPS-mDCss transported their intracellular pools of virus,
as well as the tetraspanins CD81 and CD9, to the infec-
tious synapse. The tetraspanin CD81 has been linked to
several functions including intracellular signaling (37) and
modulation of T-cell activation (18). Interestingly, in anti-
gen-presenting cells, CD81 facilitates MHC class-II-
mediated antigen presentation (38), and CD81 redistri-
butes to the central zone of the antigen-dependent immu-
nological synapse both on the APC side and on the T-cell
side (19). Interestingly, in the HIV-1-loaded DC, bona fide
immunological synapse markers such as HLA-DR and CD3
did not cluster in the infectious synapse. Further analysis
is required to determine the impact of the selective
recruitment of CD81 and CD9 to the DC–T-cell zone of
contact (in the absence of MHC-II and of the T-cell recep-
tor) on CD4þ T-cell activation and HIV-1 replication. The
fact that HIV-1 in DCs appears to follow, at least in part,
the trafficking pathway that CD81 uses to redistribute
from its intracellular pools to the immunological synapse
identifies a clear relationship between the DC–T-cell infec-
tious synapse and a DC–T-cell immunological synapse and
suggests that HIV-1 ‘highjacks’ a pathway involved in
trafficking components of the immunological synapse, in
order to mediate infection of T cells in trans.
In LPS-mDCs (in the absence of HIV-1), CD81 and CD9
were also observed clustered intracellularly in a similar
pattern and did not co-localize with CD63 or LAMP-1,
Garcia et al.
498 Traffic 2005; 6: 488–501
suggesting that HIV-1 might target a pre-existing tetra-
spanin-rich endosomal compartment. The function of this
CD81þ/CD9þ but CD63low/LAMP-1– vesicle-containing
endosome is unclear, but it might be implicated in antigen
processing, e.g. antigen degradation rates in this compart-
ment might be lower than in classical lysosomes, and this
may be a way to store antigens for prolonged periods of
time. Interestingly, much of the CD81 in the viral endo-
some was seen associated with the intraluminal exo-
some-like vesicles and not the limiting membrane.
Similarly, the MHC class II and CD63 labeling was also
mainly associated with the internal membranes. Whether
these antigens are released into the synapse as exosomes
remains unclear but warrants further investigation. The
tetraspanin-rich compartment may allow antigen sharing
between DCs by transferring some antigens from DCs to
other DCs or other antigen-presenting cells and might
then be exploited as an escape route for viruses such as
HIV-1 to avoid lysosomal degradation.
In conclusion, our studies identify a trafficking pathway
that is shared by molecules that function in the DC–T-cell
immunological synapse (CD81 and CD9) and by HIV-1
captured by DCs, allowing it to be transported in a retro-
grade manner from its viral endosome to the DC–T-cell
infectious synapse. The elucidation of HIV-1 trafficking in
DCs and of DC–T-cell infectious synapse formation begins
to provide us with insights into the interactions between
retroviruses and the highly organized endocytic machinery
of DCs, cells that are central for immune responses and
HIV-1 transmission.
Materials and Methods
Preparation of human primary DCsMonocytes from buffy coats were obtained according to institutional guide-
lines of the ethical committee of the University of Geneva. Monocytes
were induced to differentiate into iDC for 6 days with 50 ng/mL GM-CSF
and IL-4 or into mDC by further addition of LPS (20 ng/mL) for the last 2
days (LPS-mDC). Alternatively, iDCs were ‘matured’ by pulsing them with
HIV-1 for 24 h (MOI ¼ 5) and called HIV-mDC. Dendritic cells were har-
vested at day 6, analysed by flow cytometry, and used in subsequent
assays. Additional technical details are available in (10,29).
Viral stocksViral stocks production and viral titers were described previously (29). To
track HIV-1 particles, we prepared GFP-labeled HIV-1 X4 (HIV-1-GFP) by
incorporation of WxxF-GFP into virions through interaction with HIV-1-VPR
in a similar manner as in (39). HIV-1-AT-2-FITC was generated using a
modified version of the protocol used by Greber et al. to study adenoviral
entry (22) and described in supplemental online Material and Methods
available at http://www.traffic.dk/suppmat/6_6c.asp.
Antibodies and reagentsMost antibodies used in this study have been previously described (29).
The rabbit polyclonal anti-LAMP-1 was a gift from M. Fukuda (Cancer
Research Center, La Jolla, CA, USA) (40). Additional antibodies are
described in supplemental online Material and Methods available at
http://www.traffic.dk/suppmat/6_6c.asp.
Flow cytometric analysisFlow cytometric analysis was performed as described (10,29).
Viral capture and transfer assaysViral capture and transfer assays were performed as described previously
(10) with minor modifications available in supplemental online Material and
Methods available at http://www.traffic.dk/suppmat/6_6c.asp.
PH measurement studiesThe pH of the organelles to which internalized HIV-1-AT-2-FITC virions
were targeted was measured by ratio fluorescence imaging of a pH-
sensitive probe as previously described (23,41).
Variation of cell-free medium pH and effect on HIV
InfectivityAliquots of HIV-1 were added to DC culture medium adjusted to pH 5.0,
5.5, 6.0, 6.5, and 7.0 at 37 �C. Viral infectivity was monitored at 1-day
intervals using a single round infectivity assay on CD4þ HeLa P4-2 cells.
Proteolysis assaysDegradation assays in living cells were performed as in (21) with minor
modifications available in supplemental Material and Methods available at
http://www.traffic.dk/suppmat/6_6c.asp.
Immunofluorescence microscopy and confocal
microscopyTo localize HIV-1, LPS-mDCs (105 cells/condition) were loaded with HIV-1
GFP (MOI ¼ 10) for 2 h at 37 �C. HIV-mDCs were pulsed with HIV-1
(MOI ¼ 5) for 24 h, washed twice in PBS, and left to adhere on poly
L-lysine-treated (Sigma-Aldrich, St. Louis, MO, USA) glass coverslips for
1 h at 37 �C. Cells were then fixed 20 min at room temperature in 3%
paraformaldehyde, permeabilized with 0.05% saponin (Sigma-Aldrich), and
washed with PBS containing 0.2% bovine serum albumin (BSA; Sigma-
Aldrich) and human IgG (20 mg/condition). Cells were stained with primary
antibodies and secondary donkey anti-mouse coupled to rhodamine
(Jackson ImmunoResearch Laboratories, West Grove, PA, USA). Nuclei
were stained with DAPI (Molecular Probes, Eugene, OR, USA).
Alternatively, triple labeling of HIV-mDCs was done as follows: iDCs pulsed
with HIV-1 (MOI ¼ 5) were stained with primary antibodies against CD81,
HLA-DM [both monoclonal and from BD PharMingen (San Diego, CA,
USA)], CD63 [monoclonal (1B5)] and LAMP-1 [polyclonal; a gift from
M. Fukuda (Cancer Research Center)]. After extensive washes in BSA/
saponin-containing PBS, cells were then stained with secondary donkey
anti-mouse antibodies coupled to rhodamine or secondary donkey anti-
rabbit antibodies coupled to Cy-5 (Jackson ImmunoResearch
Laboratories). In order to avoid unspecific labeling, cells were incubated
20 min at room temperature in PBS containing BSA, saponin, and mouse
serum (0.5 mg/mL). Finally, HIV-1-p24gag was detected using a monoclonal
anti-HIV-1-p24gag (KC57) coupled to FITC (Coulter, Miami, FL, USA).
Infectious synapse assays were performed as previously described (10)
with minor modifications available in supplemental Material and Methods
available at http://www.traffic.dk/suppmat/6_6c.asp.
Immunolabeling of cryosections for electron
microscopyImmunolabeling of cryosections for electron microscopy was performed
with minor modifications from (31). Details are available in supplemental
online Material and Methods available at http://www.traffic.dk/suppmat/
6_6c.asp.
HIV-1 Localization in Human Dendritic Cells
Traffic 2005; 6: 488–501 499
Acknowledgments
We thank Q. Sattentau, D. Trono, and U. Greber for helpful discussions. We
thank J. Gruenberg for providing us with the anti-LBPA antibody (6C4) and
M. Fukuda for the polyclonal anti-LAMP-1 antibody. We thank S. Arnaudeau
for assistance during analysis of confocal images. This work was supported
by the Swiss National Science Foundation grant no. 3345–67200.01,
Leenaards Foundation, NCCR oncology and the Geneva Cancer League to
VP. VP is the recipient of a ‘Professor SNF’ position (PP00A�68785). MM,
AP-M, and LC are supported by the UK Medical Research Council.
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