Morphine exposure exacerbates HIV-1 Tat driven changes to neuroinflammatory factors in cultured astrocytes

Despite antiretroviral therapy human immunodeficiency virus type-1 (HIV-1) infection results in neuroinflammation of the central nervous system that can cause HIV-associated neurocognitive disorders (HAND). The molecular mechanisms involved in the development of HAND are unclear, however, they are likely due to both direct and indirect consequences of HIV-1 infection and inflammation of the central nervous system. Additionally, opioid abuse in infected individuals has the potential to exacerbate HIV-comorbidities, such as HAND. Although restricted for productive HIV replication, astrocytes (comprising 40–70% of all brain cells) likely play a significant role in neuropathogenesis in infected individuals due to the production and response of viral proteins. The HIV-1 protein Tat is critical for viral transcription, causes neuroinflammation, and can be secreted from infected cells to affect uninfected bystander cells. The Wnt/β-catenin signaling cascade plays an integral role in restricting HIV-1 infection in part by negatively regulating HIV-1 Tat function. Conversely, Tat can overcome this negative regulation and inhibit β-catenin signaling by sequestering the critical transcription factor TCF-4 from binding to β-catenin. Here, we aimed to explore how opiate exposure affects Tat-mediated suppression of β-catenin in astrocytes and the downstream modulation of neuroinflammatory genes. We observed that morphine can potentiate Tat suppression of β-catenin activity in human astrocytes. In contrast, Tat mutants deficient in secretion, and lacking neurotoxic effects, do not affect β-catenin activity in the presence or absence of morphine. Finally, morphine treatment of astrocytes was sufficient to reduce the expression of genes involved in neuroinflammation. Examining the molecular mechanisms of how HIV-1 infection and opiate exposure exacerbate neuroinflammation may help us inform or predict disease progression prior to HAND development.

The Wnt/ β-catenin pathway has been implicated in suppressing replication of HIV-1 in multiple cell types, including astrocytes, and conversely, downregulation of Wnt/β-catenin signaling by inflammatory cytokines promotes HIV-1 replication [59][60][61][62][63]. Interestingly, HIV-1 Tat has also been shown to inhibit Wnt/β-catenin signaling in astrocytes, therefore alleviating, in part, the negative regulation of Tat-mediated transactivation of the LTR by β-catenin [60,63,64]. βcatenin is a central mediator of cell adhesion and transcriptional activity within the nucleus. Wnt ligands are derived from small glycoproteins and bind to seven-transmembrane frizzled receptors and low-density lipoprotein receptor related protein 5 and 6 (LRP5/6) co-receptors to transduce a signal leading to removal of phosphate groups and increased downstream stability of β-catenin. When bound to members of the T-cell factor/lymphoid enhancer factor (TCF/LEF) family of transcription factors, β-catenin can modulate the activity of hundreds of target genes. Compared to other cell types and despite robust levels of signaling, less is known about the role of Wnt/ β-catenin in astrocyte function [59,62,65]. Approximately 150 β-catenin-regulated genes are estimated in primary astrocytes are comprising at least five broad categories including inflammation, transport, exocytosis, apoptosis, and trafficking [61]. Of these, β-catenin responsive genes that are neuroinflammatory in nature include BDNF (Brain-Derived Neurotrophic Factor), a member of the BDNF/TrkB (Tropomyosin receptor kinase B) signaling axis [66][67][68].
In addition to neurotoxicity associated with HIV-1 infection, mounting evidence suggests exacerbation of these effects in the presence of opiates [69][70][71][72]. Illicit use and drug abuse contribute significantly to HIV-1 infections and transmission [73], therefore elucidating the interaction between the cells of the CNS, opiates, and HIV-1 Tat is necessary to understanding HAND disease progression. The mu opioid receptor is the most common target of opiates and is expressed on many different cell types; morphine, a derivative of heroin, binds to this receptor at a very high affinity. The effects of Tat and morphine on cells of the CNS have been explored extensively in vitro and in vivo, and phenotypes observed could correlate with symptoms of neurodegeneration [30]. For example, in vitro expression of Tat, exposure to morphine, or both has been demonstrated to decrease fidelity of the BBB and subsequently increase immune cells transmigration across the barrier in vitro [74]. Additionally, in vivo Tat expression or morphine exposure in transgenic mice can decrease the proliferation of cells of the CNS, as well as affecting reaction times and performance testing [75,76].
Given the established importance of Tat-mediated suppression of Wnt/β-catenin signaling in HIV-1 infected astrocytes, here we explored the compounding effects of morphine exposure and HIV-1 Tat expression on β-catenin signaling in human astrocytes. We confirmed previously reported results by our laboratory and others that Tat expression is sufficient to downregulate βcatenin activity, as measured from a β-catenin promoter reporter, in both an astrocyte cell line (U87MG) and in primary fetal astrocytes (PFAs). Interestingly, the presence of morphine potentiates the effects of Tat on suppression of β-catenin activity. We also found that morphine exposure, Tat expression, or a combination of the two are able to decrease the active form of β-catenin protein in PFAs. Despite donor to donor variability, we observe recovery of β-catenin activity in the presence of Tat mutants W11F, W11Y, and C31R compared to WT Tat in PFAs in the presence or absence of morphine. Finally, we observed loss of expression of genes associated with neuroinflammation in the presence of morphine in U87MG cells and PFAs. Taken together, these results suggest a compounding effect of morphine exposure on β-catenin activity in astrocytes which could affect neuroinflammation and/or neurotoxicity in HIV-1 infected individuals.

Cells
U87MG cells (ATCC) were maintained in Eagles Minimal Essential Media (EMEM) supplemented with 10% Fetal Bovine Serum (FBS), 4.5 g/L of L-glutamine, and 1% penicillin/streptomycin. Primary fetal astrocytes (PFAs) were maintained in Astrocyte Growth Media composed of Dulbecco's Modified Eagle Media/Ham's F-12 (DMEM/F-12) supplemented with 15% FBS (exosome free), 4.5 g/L of L-glutamine, 100 ug/mL gentamicin, 10 ug/mL Amphotericin B, and 20 ug/mL insulin. PFAs were obtained from the Temple University Comprehensive Neu-roAIDS Center (CNAC), Basic Science Core I according to standard procedure. In brief, Fetal brain tissue (gestational age, 16-18 weeks) was obtained from elective abortion procedures performed in full compliance with National Institutes of Health and Temple University ethical guidelines. The tissue was washed with cold Hanks balanced salt solution (HBSS), meninges and blood vessels were removed. For glial cultures, tissue in HBSS was digested with 0.25% trypsin for 30 min at 37˚C. Trypsin was neutralized with FBA, and the tissue was further dissociated to obtain single-cell suspensions. For glial cultures, cells were plated in mixed glial growth media (same as Astrocyte Growth Media, but with 10% FBS). The mixed culture was maintained under 10% C0 2 for 5 days, and the medium was fully replaced to remove any cell debris. To enrich for microglia and astrocytes, flasks were placed on an orbital shaker for 14-18 hours at 200 rpm in growth media. Detached cells constitute the microglial component of the culture and were collected and plated into a new flask containing microglial media. Monolayers that remain after shaking constitute the astrocytes and are fed with astrocyte media. Purity of cell type specific cultures was assessed by immunolabeling with anti-GFAP and-GLAST1 for astrocytes, -lba-1 and-CD11b for microglial and-MAP2 or-neurofilament for neurons. Three individual PFA donors are included in this study (Donor #1, Donor #2, Donor #3) and are used in experiments where indicated. Cells were cultured at 37˚C in 5% CO 2 .

β-catenin luciferase assay
24 hours post-transfection or post-treatment, where indicated, cells were lysed with passive lysis buffer (Promega). Cell lysates were incubated in equal volumes with the DualGlo luciferase reagent (Promega) and luciferase was measured in a luminometer. Data shown represent the average of technical triplicates.

SDS-PAGE and Western blotting
24 hours post-treatment, cells were lysed in RIPA buffer (ThermoFisher) with Halt™ Protease inhibitor Cocktail (ThermoFisher) and incubated under agitation at 4˚C. Lysates were briefly homogenized by syringe and debris were cleared by centrifugation. Cell lysates were incubated in equal volume Bolt™ Sample Reducing Agent (Invitrogen) and Bolt™ LDS sample buffer (Invitrogen) for 10min at 98˚C. Cell lysates were separated on Bolt™ 4-12% Bis-Tris plus gels (Ther-moFisher) at 200 volts. Transfer of proteins to 0.2um pore size PVDF membranes was performed using Mini Blot Module (Invitrogen) transfer cassettes and Bolt™ transfer buffer made with 10% methanol and Bolt™ antioxidant (Invitrogen). Proteins were transferred at 20 volts for 1 hour. Membranes were blocked in 5% milk in PBS with 0.1% Nonidet™ P-40 (NP-40) detergent at 25˚C for 1 hour, stained with primary antibodies at 4˚C overnight, washed, and stained with secondary antibodies at 25˚C for 1 hour. The α-total β-catenin antibody (Thermo-Fisher, cat #MA1-301) and the α-active β-catenin antibody (US Biological Life Sciences, cat# C2069-47) were used at a 1:1000 dilution. The antibody against total β-catenin recognizes all forms of the protein, however, the antibody against active β-catenin recognizes unphosphorylated Ser32 and Ser37. The α-GAPDH antibody (Abcam, cat# ab9485) was used at a 1:3000 dilution. Membrane chemiluminescent signals were imaged with BioRad imager and Quantity One software. Images were analyzed, processed and quantitated using ImageJ software. The mean gray scale values for total and active β-catenin were normalized to GAPDH.
Reverse transcription was performed using the SuperScript III RT kit (ThermoFisher) using 1 μg of input RNA. The cDNA samples were diluted 1:20 and 1μl of sample template was added to a reaction mix containing 2.5μl of SYBR 1 green mix, 1.5μl of primer (5μM stock; Table 1) and 1μl of RNase-free water. The qPCR reaction was run using under the following conditions:

Statistics and data analysis
Data from biological or technical triplicates in experiments were statistically analyzed in GraphPad PRISM using two-tailed unpaired Student's t test. Where indicated, data were statistically analyzed in GraphPad PRISM using two-way ANOVA followed by Tukey's multiple comparisons test. P-values were calculated as significant as follows: � , p � 0.05; �� , p � 0.01; ��� , p � 0.001; ���� , p � 0.0001.

HIV-1 Tat expression suppresses β-catenin activity in astrocytes
We have recently determined that HIV-1 Tat-mediated suppression of specific miRNAs affects downstream signaling from the Wnt/β-catenin pathway [81]. The modulation of β-catenin activity by Tat could alleviate repression of basal HIV-1 transcription, resulting in enhanced neuroinflammation in the CNS [60,63,64]. To confirm our previous results and to address the ability of Tat to modulate β-catenin activity in physiologically relevant cells, we utilized the U87MG astrocytic cell line and primary fetal astrocyte (PFA) donors in our study. We cotransfected these cells with increasing concentrations of a full length, wildtype Tat (Tat 101 WT) expression construct and a β-catenin responsive luciferase reporter construct in the presence of LiCl to stimulate β-catenin activity (Fig 1). LiCl acts as an agonist of the β-catenin signaling pathway by inhibiting GSK3β activity and stabilizing uninhibited β-catenin [82]. Tat expression was confirmed by Western Blot analysis (S1 Fig) and LTR-Luciferase reporter (Data not shown). In both U87MGs ( Fig 1A) and PFAs (Fig 1B), we observed Tat-mediated suppression of β-catenin signaling. At the highest concentration of Tat, we observed a greater than 4-fold suppression in U87MG cells (p = 0.0011) and a 3-fold suppression in PFAs compared to the no Tat control (p = 0.0027). These data demonstrate that Tat can suppress β-catenin activity in both immortalized and primary astrocytes.

Morphine treatment potentiates Tat effects on β-catenin activity in astrocytes
Given the correlates between substance abuse and HIV-1 infection, we next wanted to determine the combined effect of morphine and Tat expression on β-catenin signaling in U87MGs and PFAs. We again co-transfected these cells with increasing concentrations of Tat 101 WT and the β-catenin luciferase reporter construct in the presence of LiCl. One day post-transfection, we treated cells with or without increasing concentrations of morphine (U87MGs: 50nM, 500nM; PFAs: 500nM); morphine concentrations were selected based on literature describing optimal stimulation of cells with minimal toxicity [83][84][85]. In the absence of Tat, morphine treatment (500nM) resulted in a small, but non-significant suppression of β-catenin activity in U87MGs (Fig 2A) and PFAs (Fig 2B). At low concentrations of Tat, morphine treatment (50nM in U87MGs and 500nM in PFAs) results in a further reduction of β-catenin signaling compared to the untreated control. At high concentrations of Tat, however, we observed little to no effect of morphine treatment on β-catenin signaling due to efficient suppression of Tat alone.
We verified the effect of Tat and morphine on β-catenin suppression in PFAs, by measuring the levels of active (unphosphorylated at Ser37 and Thr41) and total β-catenin proteins using antibodies specific for the two forms of the protein (Fig 3). Compared to untreated cells,  https://doi.org/10.1371/journal.pone.0230563.g002 morphine increased total β-catenin levels but did not change active β-catenin levels, resulting in a decrease in the ratio of active to total β-catenin (~1.5 fold; Fig 3B). In contrast, Tat expression (low) in PFAs lowered active β-catenin levels compared to the untransfected control, resulting in a larger decrease in the ratio of active to total β-catenin compared to morphine alone (~2 fold; Fig 3B). Finally, a combination of Tat expression and morphine treatment further reduced the ratio of active to total β-catenin. Taken together, these results suggest that the observed loss of β-catenin activity with Tat expression and/or morphine treatment correlates with a loss of the active form of β-catenin protein in astrocytes.

Donor-dependent effects of WT Tat and Tat mutants on β-catenin suppression in PFAs
Here, we have demonstrated that HIV-1 Tat can suppress β-catenin activation, however, to further define this phenotype, we explored the connection to Tat function. Tat is encoded by HIV-1 on two exons, the first of which is sufficient for the primary function of Tat to act as the viral transactivator and drive the transcriptional elongation of viral genes [86][87][88]. The functions of Tat encoded by the second exon contribute to viral replication and the modulation of interferon-stimulated genes in antigen presenting cells [89,90]. Widely used laboratoryadapted strains of HIV-1 produce a truncated form of Tat, encoded by the first exon plus 14 amino acids of exon 2, Tat 86 . The full-length transcript, however, encodes for the full-length form of Tat, Tat 101 . To determine if the two different Tat variants have an effect on suppression of β-catenin activity, we co-transfected two PFA donors (Donor #1 and Donor #2) with increasing concentrations of a Flag-tagged truncated Tat (Tat 86 ) and or a Flag-tagged full length (Tat 101 ) Tat expression construct and a β-catenin responsive luciferase reporter construct. In this experiment we utilized the compound BIO (also known as 6BIO or 6-bromoindirubin-3 0 -oxime), a potent GSK3β inhibitor, to stimulate β-catenin activity [91]. Although PFAs from two different donors differentially activated β-catenin signaling in the presence of BIO, both Tat 86 and Tat 101 effectively suppressed β-catenin activity in a dosedependent manner (Fig 4A). These data suggest that the effect of Tat on β-catenin activity is not due to Tat function attributed to the second exon.
To further explore the effect of Tat function on β-catenin suppression, we investigated the secretory properties of Tat. Tat is actively secreted to the extracellular space by HIV-1 infected cells; a function which allows Tat to interact with other cells and cell types, potentially modulating cell signaling [45,46,92]. The translocation of Tat across membranes relies on a single tryptophan, W11, which is indispensable for Tat's transactivation function [41]. To explore whether the lack of secretory function of Tat affects cellular accumulation and subsequently βcatenin activation, we utilized mutations at Tat W11, Tat W11F and Tat W11Y, in our studies. We co-transfected two PFA donors (Donor #1 and Donor #2) with Flag-tagged full-length Tat expression constructs, Tat 101 WT, Tat 101 W11F, or Tat 101 W11Y and a β-catenin responsive luciferase reporter construct in the presence of BIO (1mM) to stimulate β-catenin activity. Despite donor-specific differences in the ability to stimulate β-catenin activity, WT Tat was the most effective at suppressing β-catenin activity compared to the W11F and W11Y Tat mutants (Fig 4B). Residue C31 has been predicted to have a role in HAND due to differences between subtype B and C (C31S) viruses and associated outcomes. In order to examine this in subtype B, Tat Sanger sequences from the CNS AIDS Research and Eradication Study (CARES) Cohort were assessed for any mutations at this position. While C31S was not present, C31R was present and we tested this variant. Similar to W11F and W11Y, we observed no appreciable effects of C31R on Tat-mediated suppression of β-catenin activity (Fig 4B,  p = 0.0262).
We next determined the effect of Tat mutants on suppression of β-catenin activity in the presence of morphine. We co-transfected two PFA donors (Donor #1 and Donor #2) with Flag-tagged Tat expression constructs Tat 101 WT, Tat 101 W11F, Tat 101 W11Y, or Tat 101 C31R and a β-catenin responsive luciferase reporter construct in the presence of BIO (1mM) to stimulate β-catenin activity and in the presence or absence of morphine (500nM). Compared to the untreated control, we observed no change in β-catenin activity with Tat 101 C31R in either PFA donor (Fig 4C). In contrast, we observed an increase in β-catenin activity in cells expressing Tat 101 W11F in both PFA donors compared to the untreated control ( Fig 4C). Finally, we observed donor-dependent effects in cells expressing Tat 101 W11Y with Donor 1 supporting an increase, but Donor 2 supporting a suppression of β-catenin activity in the presence of morphine compared to the untreated control ( Fig 4C).

Morphine treatment affects expression of TrkB, NLRP-1, and BDNF genes in astrocytes
Our previous analysis of cellular miRNAs modulated by Tat expression revealed multiple protein targets and pathways that may contribute to neuroinflammation, such as glucocorticoid signaling, axonal guidance, neurotrophin/Trk signaling, and cytokine/chemokine signaling [81]. We were particularly interested in Trk signaling because TrkB is a receptor for BDNF and the dysregulation of this pathway has been implicated in degenerative changes in the CNS [93]. Additionally, BDNF gene expression has been shown to be directly regulated by the Wnt/ β-catenin pathway [67,68]. Furthermore, NLRP-1 was of interest because it is a gene responsive to glucocorticoid signaling; glucocorticoids being inhibitors of the Wnt/β-catenin signaling cascade [94]. Based on these predictions, and the correlates to Wnt/β-catenin signaling, we measured gene expression changes of TrkB, BDNF and NLRP-1 in U87MG cells and PFAs using RT-qPCR.
To determine the effect of Tat expression and/or morphine treatment on neuroinflammatory related genes, we transfected astrocytes with the Flag-tagged Tat 101 WT expression vector in the presence or absence of morphine (500nM). 48 hours post-transfection/treatment, RNA was harvested, processed to cDNA using reverse transcription, and primers were used to amplify target mRNAs (Table 1). Quantitative PCR C (t) values were normalized to GAPDH levels and then treatment groups were compared to the control. In U87MG cells, treatment with morphine alone was sufficient to decrease gene expression of TrkB and NLRP-1 (Fig 5A  and 5B). Tat expression alone also decreased gene expression of NLRP-1 but also resulted in a moderate increase in TrkB expression (Fig 5A and 5B). Tat and morphine in combination potentiated downregulation of gene expression of both TrkB and NLRP-1 to a greater degree than morphine treatment alone (Fig 5A and 5B). We were not able to detect BDNF in U87MG cells (data not shown).
We performed the same experiment in PFAs from three independent donors; in general, we observe similar trends compared to the U87MG experiment, however we do observe donor-to-donor variability. We measured a decrease in TrkB gene expression levels in the presence of morphine and in combination with Tat expression in Donor #1, #2 and #3, (-0.12, -0.63, -0.69, respectively) similar to our data in U87MG cells (Fig 5C). TrkB mRNA expression did not appear to be affected by Tat expression alone with fold changes of -0.04, -0.25, 0.1 for Donor #1, #2, and #3, respectively. We also observed morphine-mediated suppression of NLRP-1 and BDNF gene expression in the majority of PFA donors (Fig 5D and 5E). In Donor #2 and Donor #3, Tat expression resulted in a decrease in NLRP-1 and BDNF gene expression (Fig 5D and 5E). Strikingly, Tat and morphine in combination resulted in an increase in NLRP-1 and BDNF gene expression in Donor #2 only, whereas the other two donors under the same conditions resulted in a decrease in gene expression (Fig 5D and 5E). Taken together, morphine treatment results in a consistent loss of expression from neuroinflammatory related genes in U87MG cells and in three PFA donors. Tat expression in morphine treated cells may potentiate this loss of expression, but the phenotype is donor-dependent.  harvested and expression levels were determined as in Fig 5. Regardless of the mutant, Tat expression did not significantly alter TrkB expression in any of the three PFA donors (Fig 6A). NLRP-1 and BDNF expression was variably affected by Tat mutant expression in a donordependent manner (Fig 6B and 6C). It is therefore difficult to conclude that gain or loss of gene expression can be attributed to specific function of these mutants.

Discussion
Current estimates of opiate use disorder diagnoses in the United States number near two million, suggesting a significant reciprocal risk between individuals that abuse drugs intravenously and HIV-1 infection rates [30]. Neurocognitive deficits associated with long-term HIV-1 infection can be exacerbated with opiate abuse due to detrimental effects on immune cells. In this study, we explored possible mechanisms underlying the worsening neurocognitive outcomes associated with HIV-1 infection and opiate use. As a result of combined HIV-1 Tat expression and morphine exposure, we observed suppression of β-catenin signaling, a wellcharacterized neuroprotective pathway against HIV-1 directed neuroinflammation, in human astrocytes.
The dysregulation of β-catenin signaling has been correlated with several neurodegenerative disorders such as Alzheimer's and bipolar disorder [65]. Here, we explored the contribution of opiate exposure, specifically morphine, to HIV-1 Tat mediated suppression of βcatenin signaling. Our study design was strengthened by existing data showing that methamphetamine exposure and Tat expression can downregulate β-catenin signaling in astrocytes [95]. Our data show that morphine can independently suppress β-catenin signaling in astrocytes in both the U87MG cell line and in primary human cells (Fig 2). This represents a potential mechanism by which opiate abuse may render the CNS more vulnerable to infection and establishment of virus in the CNS.
To further explore the mechanism of Tat suppression of β-catenin activity, we utilized Tat expression constructs that encoded Tat proteins of various lengths or containing functional mutations. In the absence of Tat, a transcriptional inhibitor complex including β-catenin can bind upstream of the viral promoter, preventing the binding of RNA pol II, therefore effectively stalling transcription [60,61,64]. In the presence of Tat, Tat antagonizes β-catenin, displaces the complex, and promotes HIV-1 transcription through recruitment of cellular factors. Tat also enhances the degradation of β-catenin. The ability of Tat to suppress β-catenin signaling has been associated with the first 72 amino acids of the Tat protein [63]. In accordance with these findings, we show that both truncated (Tat 86 ) and full-length Tat (Tat 101 ) can suppress β-catenin signaling (Fig 4A). Tat also contains several functional domains with variable and conserved residues. In particular, a highly conserved tryptophan at residue 11 in the proline-rich domain is required for efficient secretion of Tat. We observed that mutations at this position, W11F and W11Y, which abrogate Tat secretion and uptake, are unable to suppress βcatenin activity compared to WT Tat in the presence or absence of morphine (Fig 4B and 4C). Tat produced during the viral life cycle can be efficiently exported from the infected cell; therefore, this mechanism likely contributes to antigenicity and neurotoxicity in the CNS environment. Loss of suppression by the W11Y mutant suggests that efficient Tat secretion may be important in suppression of β-catenin signaling, perhaps via bystander effect. Therefore, we expect in an environment where few astrocytes are infected that Tat will not induce efficient βcatenin suppression in bystander cells if its secretion function is lost. Transfection of Tat 101 W11Y at high levels suppressed β-catenin similar to WT (data not shown). We speculate that at low concentrations of Tat, the protein can freely move to a neighboring cell and cause βcatenin inhibition in bystander cells allowing our assay to observe a greater overall reduction in β-catenin activity. Whereas Tat W11Y loses the ability to exit the cell and is limited to downregulating β-catenin in the local astrocyte. Further experiments will be required to test this hypothesis.
Finally, we investigated the effect of Tat and morphine on genes involved with inflammation and neurodysregulation, TrkB, NLRP-1, and BDNF. We consistently measured a decrease in expression of all genes in the presence of morphine with U87MG cells and PFAs across all donors (Fig 5). We also observed variability in gene expression levels between U87MGs and PFAs (comparing Fig 5A, 5B to 5C-5E) in response to Tat and morphine. These data may highlight differences between the responses of astrocytes depending on developmental stage. Adult exposure to HIV-1 and morphine is likely to have different effects than early life infection or even in utero exposure to opiates. Noting gene expression differences between adult astrocytes and fetal astrocytes, this may warrant different approach towards diagnostics, treatment, and management depending on the stage of development of the CNS.
We observed appreciable donor to donor variability in our experiments involving PFAs. Of interest is the reversal of β-catenin activity suppression of all three Tat mutants in the presence of morphine in PFA Donor #1 (Fig 4C). We also observed fluctuation between donors when determining the effect of Tat mutants on gene expression of TrkB, NLRP-1, and BDNF (Fig 6).
It is possible that there are no significant effects of Tat expression on these genes and instead Tat acts at the protein level.
Interestingly, all three genes investigated in this study are regulated by different transcriptional pathways (from literature based on neuronal cells): BDNF is directly regulated by the Wnt/ β-catenin pathway, TrkB is regulated by PKA/CREB, and NLRP-1 is controlled by NF-κB [67,[96][97][98]. These data suggest that although we observe a measurable loss of β-catenin activity with morphine exposure, the presence of this drug is likely affecting other regulatory pathways independent of the β-catenin mechanism. Dysregulation of BDNF has been observed in HIV-1-infected individuals and BDNF levels can be altered by drugs of abuse, including alcohol, heroin, and cocaine [99][100][101][102]. These studies are complicated by changing receptor levels and the ratio of mature to pro BDNF in the setting of inflammation [103][104][105]. Studies suggest that the mu-opioid receptor (MOR) plays a central role in mediating neurotoxic effects. Our results confirm this effect in an ex vivo setting with a single cell type. The results from this investigation suggest that abuse of morphine in HIV-1-infected individuals interacts with Tat leading to alterations not only in β-catenin levels, but also its activity in primary astrocyte. This in turn contributes to the underlying mechanism of HAND, furthering our understanding of this poorly understood mechanism.