Abstract
The activation of CD4+ T helper cells is strictly dependent on the presentation of antigenic peptides by MHC class II (MHC-II) molecules. MHC-II expression is primarily regulated at the transcriptional level by the AIR-1 gene product CIITA (class II transactivator). Thus, CIITA plays a pivotal role in the triggering of the adaptive immune response against pathogens. Besides this well known function, we recently found that CIITA acts as an endogenous restriction factor against HTLV-1 (human T cell lymphotropic virus type 1) and HTLV-2 oncogenic retroviruses by targeting their viral transactivators Tax-1 and Tax-2, respectively. Here we review our findings on CIITA-mediated inhibition of viral replication and discuss similarities and differences in the molecular mechanisms by which CIITA specifically counteracts the function of Tax-1 and Tax-2 molecules. The dual function of CIITA as a key regulator of adaptive and intrinsic immunity represents a rather unique example of adaptation of host-derived factors against pathogen infections during evolution.
INTRODUCTION
Adaptive and innate immune responses represent the most powerful tool used by the host to counteract infectious agents. Additional intrinsic defense systems against viral infections have been recently identified. They include host-encoded restriction factors, initially described for their inhibitory effect on immunodeficiency virus type 1 (HIV-1) infection (reviewed in Wolf and Goff, 2008), such as apolipoprotein B mRNA-editing catalytic polypeptides (APOBECs; Sheehy et al., 2002; ; Refsland and Harris, 2013), TRIM (tripartite motif) family members (Stremlau et al., 2004; Ozato et al., 2008; ), tetherin (Neil et al., 2008; ), and sterile alpha motif (SAM) and HD domain-containing protein 1 (SAMHD1) (; Sharkey, 2013). Most of these anti-viral proteins were uncovered through the discovery of viral factors that counteract their function, implying that viruses are resistant to the restriction factors of their natural hosts. Although these findings suggested a cross-species restriction, further studies demonstrated that restriction factors may limit pathogenicity in vivo even in their specific host (reviewed in Ross, 2009). Besides HIV, the phenomenon of viral restriction has been investigated in other viral infections including oncogenic human T cell lymphotropic virus type 1 (HTLV-1) infection. HTLV-1 was the first human oncogenic retrovirus to be discovered (Poiesz et al., 1980). HTLV-1 is closely related to the less pathogenic HTLV-2 virus. The genomes of these viruses code for similar structural, enzymatic, and regulatory proteins (; Nicot et al., 2005). Among them, the transcriptional activators, named Tax-1 (HTLV-1) and Tax-2 (HTLV-2) share roughly 77% amino acid sequence homology and have conserved functional regions. Both viruses infect primarily T lymphocytes, but their infection is associated with different disease manifestations. HTLV-1 is the etiologic agent of an aggressive form of adult T cell leukemia/lymphoma (ATLL), of a neurological disorder designated HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and inflammatory disorders (Yoshida et al., 1982; Uchiyama, 1997; ). Tax-1 plays a major role in the onset of leukemogenesis by regulating cell cycle progression, cell growth, apoptosis, and DNA repair (; ; ; Matsuoka and Jeang, 2007; Yasunaga and Matsuoka, 2011). HTLV-2 has been linked to HAM/TSP “like” cases, whereas no clear epidemiological link to lymphoproliferative malignancies has been demonstrated (; Roucoux and Murphy, 2004). Comparative studies of Tax-1 and Tax-2 functions brought to light major phenotypic differences in their viral transactivating capacity, transforming activity, modulation of cellular genes expression, and subcellular localization (Semmes et al., 1996; Tanaka et al., 1996; ; Sieburg et al., 2004; Shoji et al., 2009; ; Rende et al., 2012; Turci et al., 2012).
Studies on the role of restriction factors in HTLV-1 infection are controversial. HTLV-1 replicates in the same cells as HIV-1 and it does not express an accessory protein analogous to HIV-1 Vif that inactivates hAPOBEC3G. Nevertheless, HTLV-1 seems to be relatively resistant to hAPOBEC3 proteins (; Ohsugi and Koito, 2007). have shown that resistance of HTLV-1 to hAPOBEC3G is mediated by the C-terminus of gag, which seems to exclude hAPOBEC3G from virions. Other reports have shown that hAPOBEC3G is packaged into HTLV-1 particles, but with opposite effects on virion infectivity (Navarro et al., 2005; Sasada et al., 2005). Interestingly, it has been hypothesized that non-sense mutations in viral genes induced by hAPOBEC3G might allow the virus to escape the host immune response (). Studies related to a possible effect of tetherin on HTLV-1 infectivity indicated that tetherin reduces cell-free infectivity of HTLV-1 with a minor effect on cell-to-cell transmission (). Finally, evidence of HTLV-1 resistance to SAMHD1-mediated restriction have been recently reported ().
Another cellular protein with anti-viral function is the MHC class II (MHC-II) transactivator, also designated CIITA (class II transactivator). The gene encoding CIITA and the elucidation of its function as the master regulator of MHC-II gene transcription and, thus, of antigen presentation to CD4+ T helper cells (TH) were first discovered in our laboratory (). Upon antigen recognition TH cells coordinate both humoral and cellular immune responses to eradicate pathogen infections and fight tumors (). This prominent role of CIITA in the homeostasis of the immune system has emerged from the elucidation of the molecular defect at the basis of the bare lymphocyte syndrome (BLS), a severe form of combined immunodeficiency, characterized by the loss of expression of MHC-II molecules (Yang et al., 1988; Steimle et al., 1993; Reith and Mach, 2001). CIITA is a protein of 1130 amino acids localized in both the nucleus and the cytoplasm; it contains four functional domains: the N-terminal transcription activation domain (AD); the proline/serine/threonine-rich region (P/S/T); the GTP-binding domain (GBD), and the C-terminal leucine-rich repeats (LRR) that are critical for the subcellular distribution of the protein (). The integrity of CIITA domains is critical for the activation function on the MHC-II promoter. CIITA regulates MHC-II gene expression by coordinating sequential steps of the transcription process from the assembly of the general transcriptional machinery and the recruitment of coactivators and chromatin remodeling factors, to the binding of transcription elongation factors (). CIITA is recruited to MHC-II promoters via the interaction with DNA-bound factors including the regulatory factor X (RFX) complex and the trimeric NF-Y complex (; ; ; Zhu et al., 2000; , ). Both constitutive and IFNγ-inducible expression of MHC-II is controlled by CIITA, whose gene is regulated at transcriptional level by three distinct promoters driving CIITA expression in different cell lineages (Reith et al., 2005).
Several years ago, we discovered that CIITA restricts HIV-1 infection by acting at the level of viral replication. The molecular mechanism at the basis of this inhibition is the competition between CIITA and HIV-1 Tat transactivator for the cyclin T1 subunit of the elongation complex P-TEFb (positive transcription elongation factor b; ). In this review we summarize our knowledge of the role of CIITA as a restriction factor for HTLV-1 and HTLV-2 viruses. We discuss the results on the inhibition of Tax-1 and Tax-2 functions by CIITA and concentrate on novel insights into the mechanisms through which CIITA operates this suppressive function.
CIITA INHIBITS BOTH HTLV-1 AND HTLV-2 VIRAL REPLICATION
Beside inhibiting HIV-1 transcriptional elongation, CIITA inhibits also the replication of HTLV-1 and HTLV-2. As far as HTLV-1, we demonstrated that exogenously expressed CIITA in 293T cells transfected with the HTLV-1 molecular clone pACH resulted in strong inhibition of HTLV-1 virus production. More importantly, in promonocytic cells endogenously expressed CIITA produced the same effect (Tosi et al., 2011). Two phenotypically and functionally distinct clones of the promonocytic U937 cell line, named Minus and Plus, previously characterized for their inefficient or efficient capacity to support productive HIV-1 infection, respectively (), were studied. Interestingly, we found that the Minus clone expresses CIITA and MHC-II, whereas the Plus clone does not express either. Minus and Plus clones were transfected with the pACH plasmid and assessed for viral expression by measuring p19 antigen in the cell supernatants. Remarkably, and similarly to what observed with the HIV-1 infection, we found that the two clones had a different behavior with respect to HTLV-1 infection. The p19 levels were drastically reduced in the supernatants of CIITA-positive Minus clone, compared with the CIITA-negative Plus clone. Moreover, the stable expression of CIITA in the Plus clone after transfection with CIITA cDNA, reverted its permissive phenotype to the Minus-like non-permissive one (Figure 1A), demonstrating that CIITA is a major restriction factor for HTLV-1. As far as HTLV-2 infection, we found that cells of both the T- and B-lineage are less permissive to HTLV-2 replication in the presence of CIITA. In particular, by using the isogenic B cell system, consisting of CIITA-positive Raji cells and its CIITA-negative derivative RJ.2.2.5 (), it was found that RJ.2.2.5 sustained very high levels of virus replication, whereas a profound inhibition of viral replication was observed in Raji parental cells, although both cell lines were equally infected by HTLV-2. Thus, physiologic levels of CIITA were able to strongly inhibit HTLV-2 expression. Consistent with this observation, the permissive RJ2.2.5 cells stably transfected with CIITA cDNA became refractory to HTLV-2 replication showing almost undetectable levels of p19 antigen upon viral infection (, Figure 1B).
FIGURE 1
Overall, our observations indicated that physiologic amounts of CIITA may inhibit viral expression in cells that are natural target of HTLV-1 and HTLV-2 infection, suggesting that in vivo the virus may replicate preferentially in cells lacking CIITA. In this regard, it is interesting that during dendritic cell (DC) maturation induced by different stimuli (LPS, CD40L, Sendai virus, Salmonella typhimurium, IFNα, and TNFα), the expression of MHC-II molecules is increased due to an enhanced transport of preformed molecules to the cell surface. In contrast, de novo biosynthesis of MHC-II mRNA is shut off because of the epigenetic silencing of CIITA gene (
CIITA TARGETS Tax-1 AND Tax-2 TRANSACTIVATORS TO INHIBIT VIRAL EXPRESSION
In searching for the molecular mechanisms through which CIITA inhibits HTLV-1 and HTLV-2 viral replication, we found that CIITA targets the viral transactivators Tax-1 and Tax-2. Indeed, we showed that exogenous CIITA could inhibit the Tax-1- and Tax-2-mediated HTLV LTR transactivation in LTR-driven luciferase gene reporter assays (
FIGURE 2

Schematic representation of CIITA regions involved in the suppression ofTax function and in CIITA-Tax association. At the top is a diagram of CIITA with its domains: AD, activation domain; P/S/T, proline/serine/threonine-rich domain; GBD, GTP-binding domain; and LRR, leucine-rich repeats. The black box represents the minimal domain from positions 64–144 that is necessary to block the transcription function of Tax (Tax-inhibition, middle). Hatched (positions 1–252) and gray (positions 253–410) boxes represent the two regions of CIITA interacting with Tax (Tax interaction, bottom).
Accordingly, HTLV-2 replication was found to be strongly suppressed in RJ.2.2.5 B cells stably transfected with the N-terminal 1–321 fragment of CIITA, which localizes mostly in the nucleus. In contrast, the cytoplasmic mutant CIITA 322–1130, which does not contain the minimal inhibitory domain, did not significantly inhibit HTLV-2 expression (Tosi et al., 2006).
Similarly, cytoplasmic CIITA mutants containing the region 64–144 and partially and /or temporarily accumulating in the nucleus, inhibited Tax-1 transactivation. This was observed with a mutant having the internal deletion of the region 253–410 mediating dimerization of CIITA (Tosi et al., 2002) and accumulating in the nucleus after treatment with Leptomycin B (LMB), an inhibitor of CRM1-mediated nuclear export. Importantly, the study of this mutant in relation to Tax-1 inhibition, provided new insights on the cellular biology of CIITA. For the first time, phosphorylation-dependent dimerization of CIITA has been defined as a critical post-translational modification (PTM) required for CIITA nuclear retention and, thus, transcriptional activity on MHC-II promoters (Tosi et al., 2011). However, because full length CIITA has a dual nuclear and cytoplasmic localization, our findings do not exclude that CIITA might also inhibit Tax in the cytoplasm. Studies are in progress to assess whether cytoplasmic CIITA mutants containing the N-terminal inhibitory region, still inhibit Tax. These experiments will clarify whether CIITA exerts its suppressive function on Tax in both the nucleus and the cytoplasm, potentially revealing a more complex picture, as CIITA might exploit distinct molecular mechanisms to inhibit Tax in the two cellular compartments.
This will be particularly relevant for Tax-2, which, differently from Tax-1, exhibits a predominant cytoplasmic distribution with some accumulation in nuclear bodies (Meertens et al., 2004a; Sheehy et al., 2006; Turci et al., 2009).
A relevant finding of our studies, instrumental in understanding the complex picture of the CIITA-mediated inhibition of Tax-1 and Tax-2 function, was the demonstration of the in vivo molecular interaction between CIITA and Tax-1/Tax-2 (Orlandi et al., 2011; Tosi et al., 2011). Since CIITA is localized predominantly in the nucleus but also to a lesser extent in the cytoplasm, one possible scenario is that the cytoplasmic fraction of CIITA could bind Tax itself or a cellular factor crucial for Tax transactivation, inhibiting their nuclear translocation. Intriguingly, our interaction studies revealed that CIITA associates in vivo with Tax-1 and Tax-2 by using two adjacent regions at the N-terminus (Figure 2). The region 1–252 mediates both the binding to the transactivators and their functional inhibition, whereas the region 253–410 binds to, but does not inhibit Tax proteins (Orlandi et al., 2011; Tosi et al., 2011). We suggested that the two regions form a single Tax-interacting surface in the context of the entire CIITA molecule, but only the presence of the minimal domain 64–144 confers inhibitory properties to this association. Tax-1 region involved in this interaction spans amino acids sequence 1 to 108, including the CREB (cAMP response element-binding protein)-binding domain (
Overall, our findings suggest that CIITA-mediated inhibition of Tax activity could rely on the physical association between the two factors. We know that this binding occurs off DNA, but it is still unclear whether Tax–CIITA complexes are recruited on the HTLV LTR (Figure 3A). If this were case, two hypotheses are equally plausible. Tax bound to CIITA is not assembled on the viral promoter and this correlates with the inhibition of Tax-mediated LTR activation (Figure 3B). Alternatively, the binding of CIITA to Tax could still permit its recruitment on the LTR, but not its transcription function. CIITA might prevent the interaction of Tax with components of the transcriptional machinery required for HTLV LTR transactivation (Figure 3C). In this context, it is intriguing that, as discussed below, the direct interaction of Tax-1 with PCAF (P300/CBP-associated factor), which cooperates with Tax-1 to activate transcription from the LTR (
FIGURE 3

CIITA-Tax interaction might differently affectTax-mediated activation of the viral LTR promoter.(A) In the absence of CIITA, Tax-1 is recruited by CREB to the viral LTR and promote the formation of an higher order multiprotein complex activating transcription. (B) CIITA binds Tax and prevents its recruitment to the LTR promoter. (C) Tax bound to CIITA is recruited to the LTR, but its transcription function is impaired.
Tax AND CIITA USE COMMON CELLULAR FACTORS TO CONTROL TRANSCRIPTION OF THEIR TARGET PROMOTERS
Tax interacts with a multitude of cellular factors, forming the so called Tax interactome, to modulate the expression of viral and host genes (
Table 1
| Proteins | Function | Reference |
|---|---|---|
| CREB | Transcriptional activators | |
| NF-YB | Pise-Masison et al. (1997), Tosi et al. (2011), Orlandi et al. (2011), | |
| TFIID | Basal transcription factors | |
| CBP, p300 | Chromatin remodeling factors | |
| PCAF | ||
| HDAC1 | ||
| BRG1 | Wu et al. (2004) | |
| CARM1 | ||
| P-TEFb | Transcription elongation factors | Zhou et al. (2006), |
Physical and functional interaction shared by Tax and CIITA.
In addition, Tax and CIITA share several functional features. Neither are classical DNA-binding transcription factors, but instead interact with a platform of DNA-bound proteins to be recruited to the target promoters. Among them, CREB plays a major role promoting the formation of a multiprotein complex on DNA required for the full transcriptional activation (
Several families of proteins binding to the Y-box sequence have been previously identified (
Several chromatin modifying factors, such as Brahma-related gene 1 (BRG1) and histone acetyltransferases (HATs) are commonly used by Tax and CIITA (Table 1). While it is well established that the recruitment of HATs to the 21-bp repeats by Tax plays a critical role in transactivation, it is not clear whether the ATP-dependent chromatin remodeling factor BRG1, also participates in Tax-mediated transactivation. Controversial reports have been published in the past on Tax-1–BRG1 functional interplay. In one study BRG1 was shown to interact with Tax-1 physically and functionally and to enhance its capacity to transactivate LTR promoter (Wu et al., 2004;
The HATs p300, CBP, and PCAF participate with CIITA to the formation of an active MHC-II enhanceosome (
Overall, the findings discussed above highlight the central role of both Tax and CIITA in transcription through the coordination of enhanceosome complex assembly and the control of transcription initiation and elongation.
CIITA EXPLOITS DIFFERENT MOLECULAR MECHANISMS TO INHIBIT THE VIRAL TRANSACTIVATORS Tax-1 AND Tax-2
On the basis of what has been described in the previous section, the hypothesis that the physical interaction between CIITA and Tax may solely account for the observed CIITA-mediated inhibition of Tax-dependent LTR transactivation could reflect only part of the complex molecular interplay between the viral and cellular transactivators. Thus, we hypothesized that CIITA might inhibit Tax-mediated transcription also by sequestering one or more of those factors that are commonly used by CIITA and Tax for their specific transcriptional regulatory functions. This idea was further supported by our previous finding that CIITA inhibits HIV-1 replication by competing with Tat for the binding to cyclin T1 of P-TEFb complex (
FIGURE 4

Distinct mechanisms account for CIITA-mediated inhibition of HTLV-1Tax-1 and HTLV-2Tax-2.(A) The cellular factors PCAF and CREB/ATF, required for CIITA-mediated MHC-II transcription, are sequestered by CIITA and are no longer available to interact physically and functionally with Tax-1. This results in the inhibition of HTLV-1 LTR transactivation (-). (B) CIITA facilitates the interaction between Tax-2 and NF-Y, an inhibitor of Tax-2 transcription function.
Besides PCAF, the over-expression of CREB and ATF1 transcription factors restored CIITA-inhibited Tax-1 transactivation. Because the N-terminal region of Tax-1 interacting with CIITA includes CREB-binding site (Wu et al., 2004; Tosi et al., 2011), it is not surprising that the two factors compete for Tax-1. In the presence of CIITA, CREB might be no longer available for the recruitment of Tax-1 on the 21-bp repeats, thus preventing the assembly of the multiprotein complex required for optimal HTLV-1 LTR transactivation (Figure 4A).
Overall, these results indicate relevant differences in CIITA-mediated suppression of Tax-1 and Tax-2. The sequestration of HATs is not the major mechanism through which CIITA inhibits Tax-2, which, as discussed above, is functionally suppressed by NF-Y, another essential component of MHC-II enhanceosome. Interestingly, NF-Y cooperates with CIITA to inhibit Tax-2 transactivating function suggesting that CIITA might behave as a bridging factor to assemble a defective Tax-2/CIITA/NF-Y transcriptional complex (Tosi et al., 2006; Figure 4B). It has been reported that NF-Y interacts with PCAF (
Future efforts will be devoted to assess whether CIITA inhibits Tax by sequestering other commonly used factors or by inhibiting their physical interaction with Tax-1 and/or Tax-2. At the present we can only exclude competition between CIITA and Tax for cyclin T1-binding. Indeed, the region of CIITA mediating Tat suppression differs from that required to inhibit both Tax-1 and Tax-2, indicating that CIITA blocks HIV-1 and HTLVs through different molecular mechanisms (data not shown).
CONCLUSION
In this review we provided an update on the anti-viral features that make CIITA a fundamental link between adaptive and intrinsic immunity against HTLV infections. By inducing MHC-II expression and, thus, antigen presentation, CIITA triggers the activation of TH cells, which, in turn, orchestrate the adaptive immune responses against pathogens. In addition, CIITA has a direct inhibitory effect on the replication of HTLV-1 and HTLV-2 retroviruses by suppressing the transcriptional function of their viral transactivators. CIITA exploits different ways to exert this latter inhibitory function: it binds Tax-1 and Tax-2; it specifically modulates the interaction of Tax-1 and Tax-2 with relevant cellular factors; and it affects the subcellular localization of the two viral transactivators. Thus, CIITA seems to have evolved multiple strategies to be more effective in the inhibition of Tax function. It is known that other host restriction factors may target different steps of viral life cycle to block HIV-1 infection. Nevertheless, the restriction is more effective in species other than the human species, because HIV-1 has developed countermeasures against these innate defenses. In contrast, CIITA is a peculiar restriction factor because restricts HIV-1, HTLV-1, and HTLV-2 in their natural host (
HTLV-1 and HTLV-2 viruses preferentially infect and replicate in human T lymphocytes, which express MHC-II molecules upon activation. It must be stressed, however, that whereas the expression of MHC-II molecules on the cell surface last for several days, CIITA expression is time-limited because of its very short half-life (Schnappauf et al., 2003). Thus, sustained expression of CIITA might be required to control HTLV replication. Interestingly, as discussed above, cell surface MHC-II molecule expression in mature DCs is up-regulated, whereas the expression of CIITA is silenced. This might, at least in part, explain why HTLV-1 productive infection is not counteracted in DCs (
Besides its role as transcriptional activator of HLTV genome transcription, Tax plays a major role in viral pathogenesis and T cell immortalization (
Statements
Acknowledgments
This work was supported by the following grants to Roberto S. Accolla: Fondazione Cariplo “Cellular and molecular basis of human retroviral-dependent pathology” (2008–2230); Associazione Italiana Ricerca sul Cancro “New strategies of tumor vaccination and immunotherapy based on optimized triggering of anti-tumor CD4+ T cells” (AIRC IG 8862); Italian Ministry of University and Research project PRIN “New strategies of immunointervention against tumors” (2008-WXF7KK); FOCOVA 2012 “New Strategies of Tumor Vaccination and Immunotherapy”; University of Insubria “FAR 2009” and “FAR 2010” to Giovanna Tosi. Rawan Abdallah is a student in the PhD Program of Experimental Medicine and Oncology, University of Insubria, and she is granted by Fondazione Cariplo: Post-graduate Program of Excellence in Innovative Biomedical Technologies 2009-2957. Greta Forlani was supported by University of Insubria and Regione Lombardia Consortium Project DOTE-UNIRE: TumVac, New Strategies of Anti-Tumor Vaccination.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
restriction factors, CIITA, HTLV-1 Tax-1, HTLV-2 Tax-2, viral replication
Citation
Forlani G, Abdallah R, Accolla RS and Tosi G (2013) The MHC-II transactivator CIITA, a restriction factor against oncogenic HTLV-1 and HTLV-2 retroviruses: similarities and differences in the inhibition of Tax-1 and Tax-2 viral transactivators. Front. Microbiol. 4:234. doi: 10.3389/fmicb.2013.00234
Received
19 June 2013
Accepted
30 July 2013
Published
22 August 2013
Volume
4 - 2013
Edited by
Umberto Bertazzoni, University of Verona, Italy
Reviewed by
Hideki Hasegawa, National Institute of Infectious Diseases, Japan; David W. Brighty, University of Dundee, UK
Copyright
© Forlani, Abdallah, Accolla and Tosi.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Roberto S. Accolla, Laboratory of General Pathology and Immunology, Department of Surgical and Morphological Sciences, University of Insubria, Via Ottorino Rossi 9, 21100 Varese, Italy e-mail: roberto.accolla@uninsubria.it; accolla.roberto@gmail.com
This article was submitted to Virology, a section of the journal Frontiers in Microbiology.
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