Inflammatory and redox reprogramming of macrophages by HIV cell-to-cell transmission inhibits bone resorption

Franco A Sviercz1, Patricio Jarmoluk1, Constanza Russo1

  • 1Laboratorio de Inmunopatología Viral, Instituto de Investigaciones Biomédicas en Retrovirus y Sida (INBIRS), Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina.

Frontiers in Immunology
|December 1, 2025
PubMed

Insights

Human immunodeficiency virus (HIV) cell-to-cell spread impairs osteoclast differentiation by reprogramming macrophage precursors. This viral transmission causes inflammation and oxidative stress, blocking bone formation and offering potential therapeutic targets.

Area of Science:

  • Immunology
  • Cell Biology
  • Bone Biology

Background:

  • People with HIV often experience bone loss, a complication whose underlying mechanisms related to viral spread remain incompletely understood.
  • Osteoclastogenesis, the process of bone-resorbing cell formation, is crucial for bone remodeling and is implicated in bone diseases.

Purpose of the Study:

  • To investigate whether cell-to-cell transmission of HIV from infected CD4+ T cells to macrophages reprograms these precursors and impairs osteoclast differentiation.
  • To elucidate the molecular mechanisms, including inflammasome activation, adhesion molecule upregulation, and reactive oxygen species (ROS) production, involved in HIV-induced osteoclastogenesis defects.

Main Methods:

  • Co-culture of Jurkat cells infected with R5- or X4-tropic HIV with human monocyte-derived macrophages (M0/M1/M2).
  • Quantification of HIV infection markers (p24/GFP), inflammasome activation and cell death (IL-1β, AnnexinV/7-AAD), adhesion molecules/tetraspanins (ICAM-1, LFA-1, CD9/CD63/CD81), mitochondrial ROS (mROS), and osteoclastogenesis markers (TRAP, actin ring, bone resorption).

Main Results:

  • R5 HIV infection of macrophages via cell-to-cell contact sustained viral replication and significantly reduced osteoclast formation and bone resorption.
  • HIV-exposed macrophages exhibited inflammasome-linked cell death and IL-1β induction, with enhanced cell-cell adhesion and upregulation of ICAM-1, LFA-1, and tetraspanins.
  • HIV-infected T cells induced pro-inflammatory cytokine profiles, skewing macrophages toward an M1-like state and promoting ROS accumulation, which impaired osteoclastogenesis.

Conclusions:

  • HIV cell-to-cell spread reprograms macrophage precursors, inducing inflammation and redox imbalance that critically blocks osteoclast differentiation and function.
  • Targeting inflammasome activation, adhesion pathways, and ROS production presents potential therapeutic strategies to preserve bone health in individuals with HIV.
Abstract

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