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Cocaine modulates dendritic cell-specific C type intercellular adhesion molecule-3-grabbing nonintegrin expression by dendritic cells in HIV-1 patients.

Abstract
We report that cocaine may act as cofactor in HIV pathogenesis by increasing dendritic cell-specific C type ICAM-3-grabbing nonintegrin (DC-SIGN) expression on dendritic cells (DC). Our results show that cocaine-using, long-term nonprogressors and normal progressors of HIV infection manifest significantly higher levels of DC-SIGN compared with cocaine-nonusing long-term nonprogressors and normal progressors, respectively. Furthermore, in vitro HIV infection of MDC from normal subjects cultured with cocaine and/or HIV peptides up-regulated DC-SIGN, confirming our in vivo finding. Cocaine, in synergy with HIV peptides, also up-regulates DC-SIGN gene expression by MDC. Furthermore, the cocaine-induced effects were reversed by a D1 receptor antagonist demonstrating the specificity of the reaction. Our results indicate that cocaine exacerbates HIV infection by up-regulating DC-SIGN on DC and these effects are mediated via dysregulation of MAPKs. These data are the first evidence that cocaine up-regulates the expression of DC-SIGN on DC. A better understanding of the role of DC-SIGN in HIV infection may help to design novel therapeutic strategies against the progression of HIV disease in the drug-using population.
AuthorsMadhavan P N Nair, Supriya D Mahajan, Stanley A Schwartz, Jessica Reynolds, Robert Whitney, Zail Bernstein, Ram P Chawda, Don Sykes, Ross Hewitt, Chiu Bin Hsiao
JournalJournal of immunology (Baltimore, Md. : 1950) (J Immunol) Vol. 174 Issue 11 Pg. 6617-26 (Jun 01 2005) ISSN: 0022-1767 [Print] United States
PMID15905500 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antigens, CD
  • CLEC4M protein, human
  • Cell Adhesion Molecules
  • DC-specific ICAM-3 grabbing nonintegrin
  • Dopamine Antagonists
  • Gene Products, tat
  • HIV Envelope Protein gp120
  • ICAM3 protein, human
  • Lectins, C-Type
  • Receptors, Cell Surface
  • Receptors, Dopamine
  • tat Gene Products, Human Immunodeficiency Virus
  • Mitogen-Activated Protein Kinases
  • Cocaine
Topics
  • Antigens, CD (metabolism)
  • Cell Adhesion Molecules (biosynthesis, genetics)
  • Cell Differentiation (drug effects, immunology)
  • Cocaine (pharmacology)
  • Dendritic Cells (drug effects, immunology, metabolism, virology)
  • Dopamine Antagonists (pharmacology)
  • Drug Synergism
  • Gene Expression Regulation (drug effects, immunology)
  • Gene Products, tat (pharmacology)
  • HIV Envelope Protein gp120 (pharmacology)
  • HIV Infections (enzymology, immunology, metabolism, pathology)
  • HIV-1 (drug effects, immunology)
  • Humans
  • Lectins, C-Type (biosynthesis, genetics)
  • MAP Kinase Signaling System (drug effects, immunology)
  • Mitogen-Activated Protein Kinases (antagonists & inhibitors, physiology)
  • Receptors, Cell Surface (biosynthesis, genetics)
  • Receptors, Dopamine (metabolism)
  • Virus Replication (drug effects, immunology)
  • tat Gene Products, Human Immunodeficiency Virus

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