HIV-1 cell-to-cell infection induces inflammasome activation.

(A) Wildtype (WT) or CARD8 knockout (KO) THP-1 cells were infected with HIV-1LAI at the same MOI in the presence or absence of DEAE-dextran (10µg/mL) then harvested after 24 hours and assayed for: left) percent infection via intracellular p24gag, middle) inflammasome activation by IL-1β secretion via IL-1R reporter assay, and right) cell death via propidium iodide (PI) dye uptake using flow cytometry. (B) SUPT1 or THP-1 cells were primed with Pam3CSK4 (500ng/mL) overnight then treated with 5μM ValboroPro (VbP) for 24 hours then assessed for IL-1β secretion as in (A). (C) Schematic illustrating experimental setup for SUPT1:THP-1 cell coculture. (D) THP-1 cells were primed overnight with Pam3CSK4 prior to coculture. SUPT1 cell were either mock infected or infected with HIV-1LAI then cocultured with primed WT THP-1 cells 20 hours post infection. Mock- or HIV-1LAI-infected SUPT1 cells were either mixed with the THP-1 cells or put in a transwell with a virus-permeable membrane in the presence or absence of DEAE-dextran. DEAE-dextran was added to the mock but not the mixed condition. Supernatant from the cocultures were harvested 3 days after starting the coculture and assayed for IL-1β secretion as in A) and B). Dotted line indicates limit of detection (LoD). Datasets represent mean ± SD (A-B: n=2; D n=4 biological replicates). A-B: Two-way ANOVA with Tukey’s test D: One-way ANOVA with Tukey’s test using GraphPad Prism 10. ns = not significant, *p<0.05,**p<0.01, ***p<0.001, ****p<0.0001.

HIV-1 cell-to-cell infection induces inflammasome activation.

(A) SUPT1 or THP-1 cells were primed with Pam3CSK4 (500ng/mL) overnight then treated with 5μM ValboroPro (VbP) for 24 hours then assessed for cell death via propidium iodide (PI) uptake. (B) SUPT1 cells were cocultured with THP-1 cells as in Figure 1D and supernatant in the cell-to-cell condition and in the supernatant outside of the transwell was sampled and measured for cell-free infectious HIV virions via reverse transcriptase (RT) assay. Datasets represent mean ± SD (A: n=2; B: n=4 biological replicates). B: Two-way ANOVA with Tukey’s test using GraphPad Prism 10. ns = not significant

HIV-1 cell-to-cell transmission induces CARD8-dependent activation largely independent of NLRP3.

(A) SUPT1 cells were either mock-infected or infected with HIV-1LAI for 18-20 hours prior to coculture with wildtype (WT) or CARD8 knockout (KO) THP-1 cells. The coculture was harvested 72 hours later to probe for IL-1β secretion in the coculture supernatant via IL-1R reporter assay. THP-1 cells were primed with Pam3CSK4 (500ng/mL) for 16-24 hours prior to coculture. SUPT1 cells were infected with HIV-1LAI such that 30% of the cells were positive for intracellular p24gag after 18-20 hours. (B) SUPT1 cells were either mock or HIV-1LAI-infected as in (A) for 18-20 hours then incubated in DMSO, lopinavir (LPV), MCC950, or VX765 at 0.01%, 5μM, 10μM, or 1μg/mL, respectively, for 15 minutes prior to coculturing with primed WT THP-1 cells. The coculture was assessed for subsequent inflammasome activation after 72 hours as in (A). Dotted line indicates limit of detection (LoD). Datasets represent mean ± SD (n=3 biological replicates). Two-way ANOVA with Dunnett’s test using GraphPad Prism 10. ns = not significant, *p<0.05,**p<0.01, ***p<0.001, ****p<0.0001.

HIV-dependent inflammasome activation is largely NLRP3- independent.

(A) Wildtype THP-1 cells were pre-treated with either DMSO, lopinavir (LPV), MCC950, or VX765 at 0.01%, 5μM, 10μM, or 1μg/mL, respectively, for 15 minutes prior to 4-hour treatment with 5μg/mL nigericin. Subsequent inflammasome activation was assessed via (A-left) IL-1β secretion via IL-1R reporter assay and (A-right) cell death via propidium iodide (PI) dye uptake. (B) Wildtype THP-1 cells were pre-treated with indicated inhibitors as in (A) then infected with either HIV-1LAI or increasing amounts of VSV-G pseudotyped HIV-1LAI (HIV-1LAI- VSVG) in the presence of 10μg/mL DEAE-dextran. Subsequent inflammasome activation was assessed 24 hours post infection via IL-1β secretion and cell death as in (A). Dotted line indicates limit of detection (LoD). Datasets represent mean ± SD (A: n=3, B: n=2 biological replicates). One-way (A) or Two-way (B) ANOVA with Dunnett’s test using GraphPad Prism 10. ns = not significant, *p<0.05,**p<0.01, ***p<0.001, ****p<0.0001.

Cell-to-cell HIV infection induces CARD8-dependent activation in monocyte-derived macrophages (MDMs).

(A) MDMs were cocultured with SUPT1 cells expressing CCR5 (SUPT1-CCR5) that were mock-, HIV-1LAI- or HIV-1NL4.3-BaL-infected then assayed for inflammasome activation 48 hours post-coculture for IL-1β secretion. Fifteen minutes before starting the coculture, SUPT1-CCR5 cells infected with HIV-1NL4.3-BaL were pre-treated with either DMSO, lopinavir (5μM), nevirapine (50μM), MCC950 (10μM ) or VX765 (1μg/mL), inhibiting HIV-1 protease (HIVPR), HIV-1 reverse transcriptase (HIVRT), NLRP3, or caspase 1 (CASP1), respectively. SUPT1-CCR5 cells were infected with HIV-1LAI and HIV-1NL4.3-BaL such that 2% and 7% of cells, respectively, were positive for intracellular p24gag after 24 hours. (B) MDMs from 3 independent healthy donors were knocked out (KO) for either AAVS1 or CARD8 using a Synthego gene KO kit and were immunoblotted using an anti-CARD8 antibody or anti-vinculin. Full-length and FIIND-processed CARD8 intermediates are marked with a purple arrow. Table between CARD8 and vinculin blot shows Synthego gene KO% scores for each donor KO line. (C) AAVS1 and CARD8 KO MDM lines were primed with Pam3CSK4 (500ng/mL) overnight and then treated with ValboroPro (VbP) for 24 hours before assessing for IL-1β secretion. (D) AAVS1 and CARD8 KO MDM lines were cocultured with SUPT1-CCR5 cells mock-, or HIV-1NL4.3-BaL-infected then assayed for inflammasome activation 48 hours post-coculture for IL-1β secretion. Dotted line indicates limit of detection (LoD). Datasets represent mean ± SD (A: n=3 independent donors, C-D: n=3 technical replicates per donor). (A) One-way or (D) two-way ANOVA with Tukey’s test (using GraphPad Prism 10. ns = not significant, *p<0.05,**p<0.01, ***p<0.001, ****p<0.0001.

Protease inhibitor resistance mutations and relative CARD8 cleavage.

Protease inhibitor resistant strains of HIV-1 differentially cleave and activate CARD8.

(A) HEK293T cells were transfected with a construct encoding CARD8 with an N-terminal mCherry tag (mCherry-CARD8) and indicated HIV-1 proviral constructs. Protease inhibitor-resistant (PI-R) clones of HIV-1 are a subset of a panel expressing prototypical multidrug resistant HIV-1 protease (HIVPR) in an NL4.3 backbone (Table S1). Top: Immunoblotting using anti-mCherry antibody to detect mCherry-CARD8. The full-length (mc-CARD8) and FIIND-processed bands are indicated as well as the HIVPR cut product. The band at ∼45 kDa is the result of cleavage by the 20S proteasome. % CARD8 cleavage was calculated by quantifying the HIVPR cut band relative to the HIV-1LAI control using BioRad Image Lab 6. Middle: Immunoblotting with an anti-p24gag antibody showing HIV-1gag cleavage products p41gag and p24gag, and/or full-length HIV-1gag, p55gag. %p24/p55 was calculated from the ratio of p24gag versus p55gag product by quantifying the volume of the p24gag bands versus the p55gag band relative to the HIV-1LAI control using BioRad Image lab 6. Bottom: Immunoblotting with an anti-vinculin antibody to detect vinculin as a loading control. (B) HEK293T cells were transfected with human caspase 1 and human pro-IL-1β, and either carrier vector or indicated HIV-1 proviruses then probed for IL-1β secretion 24 hours post-transfection via IL-1R reporter assay. (C) HEK293T cells were transfected with indicated HIV-1 proviruses (300ng). 24 hours post-transfection either wildtype (WT) or CARD8 knockout (KO) THP-1s were overlayed on the transfected HEK293T cells in a 1:1 ratio. THP-1s were primed with Pam3CSK4 overnight prior to coculture. Supernatants were harvested 24 hours post coculture to assay for IL-1β secretion as in (B). Dotted line indicates limit of detection (LoD). Datasets represent mean ± SD (n=4 biological replicates). p-Values were determined by two-way ANOVA with Dunnett’s test using GraphPad Prism 10. ns = not significant, *p<0.05,**p<0.01, ***p<0.001, ****p<0.0001.