Endolysosome Iron Chelation Inhibits HIV-1 Protein-Induced Endolysosome De-Acidification-Induced Increases in Mitochondrial Fragmentation, Mitophagy, and Cell Death

People with human immunodeficiency virus-1 (PLWH) experience high rates of HIV-1-associated neurocognitive disorders (HANDs); clinical symptoms range from being asymptomatic to experiencing HIV-associated dementia. Antiretroviral therapies have effectively prolonged the life expectancy related to PLWH; however, the prevalence of HANDs has increased. Implicated in the pathogenesis of HANDs are two HIV-1 proteins, transactivator of transcription (Tat) and gp120; both are neurotoxic and damage mitochondria. The thread-like morphological features of functional mitochondria become fragmented when levels of reactive oxygen species (ROS) increase, and ROS can be generated via Fenton-like chemistry in the presence of ferrous iron (Fe2+). Endolysosomes are central to iron trafficking in cells and contain readily releasable Fe2+ stores. However, it is unclear whether the endolysosome store is sufficient to account for insult-induced increases in levels of ROS, mitochondrial fragmentation, autophagy, and cell death. Using U87MG astrocytoma and SH-SY5Y neuroblastoma cells, we determined that chloroquine (CQ), Tat, and gp120 all (1) de-acidified endolysosomes, (2) decreased endolysosome numbers and increased endolysosome sizes, (3) increased mitochondrial numbers (fragmentation), (4) increased autophagosome numbers, (5) increased autolysosome numbers, (6) increased mitochondrial fragments within endolysosomes, and (7) increased cell death. These effects were all blocked by the endolysosome-specific iron chelator deferoxamine (DFO). Thus, the endolysosome de-acidification-induced release of endolysosome Fe2+ is sufficient to account for inter-organellar signaling events and cell biology consequences of HIV-1 proteins, including mitochondrial fragmentation, autophagy, and cell death.


Introduction
People living with human immunodeficiency virus-1 (PLWH) exhibit a high prevalence of HIV-1-associated neurocognitive disorders (HANDs); clinical symptomatology ranges from being "asymptomatic" to experiencing neurocognitive impairment and HIV-1associated dementia [1]. Although antiretroviral therapies (ARTs) now effectively prolong life expectancy related to PLWH to near full lifespan, neurological complications persist [2]. Implicated in the pathogenesis of HANDs are HIV-1 virotoxic proteins including the transactivator of transcription (Tat) and gp120; they are neurotoxic, de-acidify endosomes and lysosomes (referred to as endolysosomes), and adversely affect mitochondria [3].
Both HIV-1 Tat and gp120 cause mitochondrial dysfunction and cell death [4][5][6][7]. Mitochondria are dynamic organelles that cycle between fission and fusion, processes that control their shape and numbers. Normal and functional mitochondria exhibit thread-like

Confocal Microscopy for Mitophagy Detection
Mitophagy was detected using a Mtphagy dye (mitophagy detection kit) as per the manufacturer's protocol (Dojindo Molecular Technologies, Rockville, MD, USA). Mtphagy dye accumulates in intact mitochondria, and when mitophagy is induced, damaged mitochondria enter lysosomes and the Mtphagy dye emits fluorescence at an excitation of 530 nm and emission at 700 nm. U87MG cells (1 × 10 5 ) were seeded on 35 mm 2 dishes, and following incubation overnight at 37 • C and 5% CO 2 , cells were incubated at 37 • C and 5% CO 2 with 0.1 nM of Mtphagy dye for 30 min. Cells were washed twice with warm 1× PBS, followed by the addition of fresh media. Cells were treated with respective treatments for 24 h. After 24 h, cells were washed gently with warm 1× PBS and re-suspended in 1× PBS containing 50 nM of LysoTracker TM Green DND 26 (ThermoFisher Scientific, L7526) and 1 µg/mL Hoechst 33,342 (Invitrogen, c, H3570) for 10 min in the dark at 37 • C and 5% CO 2 . Next, cells were washed with 1× PBS three times, and mitophagy was observed with our spinning disk confocal microscope (Oxford Instruments, Concord, MA, USA) at an excitation of 530 nm and an emission of 700 nm. The acquired images were analyzed using Imaris software version 9.9.0. Mean fluorescence intensities (MFIs) and co-localization were quantified from 50 cells from each of three independent experiments.

Detection of Damaged and Intact Mitochondria
Mtphagy dye was used to detect damaged and intact mitochondria. U87MG cells were seeded in 24-well plates at a density of 1.0 × 10 5 cells/well and were incubated overnight at 37 • C and 5% CO 2 . To detect damaged mitochondria, cells were stained with Mtphagy dye (0.1 nM) and incubated at 37 • C for 30 min. After 30 min, cells were washed twice with 1× PBS and supplemented with fresh media. Cells were treated for 24 h and washed twice with 1× PBS prior to being collected into separate Eppendorf tubes. Cells were analyzed with an Attune NxT flow cytometer (ThermoFisher, Waltham, MA, USA) using the FL2 channel. Flow cytometry data were collected from a minimum of 10,000 cells per condition.
To detect intact mitochondria, cells were treated for 24 h and then incubated with Mtphagy dye (0.1 nM) for 30 min at 37 • C. Cells were washed, collected into separate Eppendorf tubes, and analyzed with an Attune NxT flow cytometer (ThermoFisher) using the FL2 channel. Flow cytometry data were collected from a minimum of 10,000 cells per condition.

Cell Death Assay
Cell viability was determined using a Propidium Iodide (PI) staining solution and flow cytometry according to the manufacturer's protocol (MP Biomedicals, LLC, Irvine, CA, USA). U87MG cells were seeded at a density of 60,000 cells/well in 24-well plates, and cells were treated for 24 h. After 24 h, cells were collected into separate Eppendorf tubes and then centrifuged (5418 R, Eppendorf, Enfield, CT, USA) at 400× g for 10 min. Cell pellets were collected and resuspended in PI staining solution (3 µM of PI stain in PBS), mixed, and incubated at room temperature for 15 min in the dark. An Attune NxT Flow cytometer (ThermoFisher) with channel FL2 was used to detect cell death. Each sample was mixed properly before recording the response. Flow cytometry data were collected from a minimum of 20,000 cells per condition.

Statistics
All data were described as mean ± standard deviation (SD). Comparisons between treatment and control groups used either two-tailed Student's t-tests or one-way ANOVA with appropriate post hoc tests. p values less than 0.05 were considered statistically significant. GraphPad Prism 9.3.1 software was used to perform all statistical analyses. No pre-determined exclusion criteria were performed. Normal distribution was assessed for statistical analysis by using the Shapiro-Wilk test (p < 0.05 was considered as not to conform to a normal distribution). The Kruskal-Wallis non-parametric test was used to compare data that had a skewed distribution. Results were based on experiments conducted at least three separate times, each time in triplicate.

HIV-1 Tat-and gp120-Induced Increases in Mitochondrial Fragmentation Were Blocked by DFO
Next, we determined the effects of HIV-1 Tat and gp120 on mitochondrial morphology, including numbers of mitochondria per cell, mitochondrion volume (size), mitochondrial damage, and mitochondrial intactness. HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (30 µM) significantly (p < 0.0001) increased mitochondrial numbers and significantly (p < 0.0001) decreased mitochondrion volumes as compared to controls (Figure 2A-C). The pre-treatment of cells for 1 h with the endolysosome-specific iron chelator DFO (50 µM) significantly (p < 0.0001) blocked HIV-1 Tat-, gp120-and CQ-induced mitochondrial fragmentation (Figure 2A-C). To determine the extent to which HIV-1 Tat, gp120, and CQ damaged mitochondria, we used Mtphagy dye and initially showed that CQ increased the mean fluorescence intensity as damaged mitochondria entered acidic endolysosomes ( Figure S1). Using this method, we were able to determine the levels of intact and damaged mitochondria. HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (30 µM) significantly (p < 0.0001) increased MFI (mitochondrial damage) when the stain was added prior to treatment ( Figure 2D) and significantly (p < 0.0001) decreased MFI (intact mitochondria) when the stain was added after the treatment ( Figure 2E). The pre-treatment of cells for 1 h with DFO (50 µM) significantly (p < 0.0001) blocked HIV-1 Tat-, and gp120-and CQ-induced increases in damaged mitochondria ( Figure 2D) and decreases in intact mitochondria ( Figure 2E).

DFO Blocked HIV-1 Tat-, gp120-and CQ-Induced Increases in Autophagosome Numbers but Not Volumes
Next, we determined the effects of HIV-1 Tat and gp120 as well as CQ on autophagosome numbers and volume. HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (30 µM) significantly (p < 0.0001) increased the number of autophagosomes ( Figure 3A,B) and autophagosome volume ( Figure 3A,C) as compared to controls. The pre-treatment of cells for 1 h with DFO significantly (p < 0.0001) reduced HIV-1 Tat-, gp120-, and CQ-induced increases in the number of autophagosomes ( Figure 3B). However, the pre-treatment of cells for 1 h with DFO did not significantly affect HIV-1 Tat-, gp120-and CQ-induced increases in autophagosome volume ( Figure 3C).

DFO Blocked HIV-1 Tat-, gp120-, and CQ-Induced Increased Accumulation of Damaged Mitochondria in Autophagosomes
Next, using U87MG cells, we determined whether Tat-, gp120-and CQ-induced increases in mitochondrial damage led to the accumulation of damaged mitochondrial in autophagosomes. CQ (30 µM) and to a lesser extent HIV-1 Tat (100 nM) and gp120 (1 nM) significantly (p < 0.0001) increased the accumulation of mitochondrial fragments within autophagosomes as compared to controls ( Figure 4A,B). The pre-treatment of cells for 1 h with DFO (50 µM) resulted in the statistically significant (p < 0.0001) reversal of the increased accumulation of damaged mitochondria in autophagosomes induced by HIV-1 Tat, gp120, and CQ ( Figure 4A,B).

HIV-1 Tat, gp120, and CQ Decreased Endolysosome Numbers and Increased Endolysosome Volumes
Endolysosome activity is strongly dependent on their numbers and volumes [24]. Using U87MG cells, next, we determined effects of HIV-1 Tat, gp120, and CQ on endolysosome numbers per cell and endolysosome volumes. The treatment of cells for 24 h with HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (30 µM) significantly (p < 0.0001) decreased the numbers of endolysosomes per cell as compared to controls ( Figure 5A,B) and significantly (p < 0.0001) increased endolysosome volumes (size) as compared to controls ( Figure 5A,C). Pre-treatment for 1 h with DFO significantly (p < 0.0001) blocked CQ-, Tat-, and gp120induced decreases in the number of endolysosomes per cell and blocked the increase in endolysosome volume when comparing the control and treated groups ( Figure 5B,C). Tat-, and gp120-induced increases in damaged mitochondria and decreases in intact mitochondria. Image analysis and quantification was performed on five independent experiments with 30 cells quantified for each experimental condition (n = 150). Error bars represent standard deviation (SD) of five independent experiments. A one-way ANOVA multiple comparisons test was used to compare control group and treatment group. Cells were chosen randomly during image acquisition and analysis from the microscope field of view, and no cells were intentionally excluded. Scale bars are 10 μm for the image and 3 μm for the inset. * p < 0.05, ** p < 0.01, *** p < 0.001 and **** p < 0.0001.  (1 nM) increased autophagosome numbers and volume, and DFO significantly (p < 0.0001) decreased autophagosome formation but did not reduce changes in autophagosome volumes. Image analysis and quantification were performed from five independent experiments with 30 cells quantified for each experimental condition (n = 150). Error bars represent standard deviation (SD) of five independent experiments. A one-way ANOVA multiple comparisons test was used to compare data from control and treatment groups. Cells were chosen randomly during image acquisition and analysis from the microscope field of view, and no cells were intentionally excluded. Scale bars are 10 μm for the image and 3 μm for the inset. ** p < 0.01, *** p < 0.001, and ****p < 0.0001; n.s.: nonsignificant. (1 nM) increased autophagosome numbers and volume, and DFO significantly (p < 0.0001) decreased autophagosome formation but did not reduce changes in autophagosome volumes. Image analysis and quantification were performed from five independent experiments with 30 cells quantified for each experimental condition (n = 150). Error bars represent standard deviation (SD) of five independent experiments. A one-way ANOVA multiple comparisons test was used to compare data from control and treatment groups. Cells were chosen randomly during image acquisition and analysis from the microscope field of view, and no cells were intentionally excluded. Scale bars are 10 µm for the image and 3 µm for the inset. ** p < 0.01, *** p < 0.001, and **** p < 0.0001; n.s.: non-significant.
creases in mitochondrial damage led to the accumulation of damaged mitochondrial in autophagosomes. CQ (30 μM) and to a lesser extent HIV-1 Tat (100 nM) and gp120 (1 nM) significantly (p < 0.0001) increased the accumulation of mitochondrial fragments within autophagosomes as compared to controls ( Figure 4A,B). The pre-treatment of cells for 1 h with DFO (50 μM) resulted in the statistically significant (p< 0.0001) reversal of the increased accumulation of damaged mitochondria in autophagosomes induced by HIV-1 Tat, gp120, and CQ ( Figure 4A,B).  Error bars represent standard deviation (SD) of five independent experiments. A one-way ANOVA multiple comparisons test was used to compare control group and treatment group. Cells were chosen randomly during image acquisition and analysis from the microscope field of view, and no cells were intentionally excluded. Scale bars are 10 µm for the image and 3 µm for the inset. * p < 0.05, ** p < 0.01, *** p < 0.001 and **** p < 0.0001.

DFO Increased HIV-1 Tat-, gp120-, and CQ-Induced Increased Fusion between Endolysosomes and Autophagosomes
Next, we determined the effects of HIV-1 Tat, gp120, and CQ on fusion between autophagosomes and endolysosomes to form autolysosomes and the ability of DFO to affect those changes. HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (30 µM) significantly (p < 0.0001) increased the fusion between endolysosomes and autophagosomes; these treatments increased the number of autolysosomes per cell as compared to controls ( Figure 6A,B). Pre-treatment for 1 h with DFO significantly (p < 0.0001) increased the percentage of endolysosomes fused with autophagosomes induced by CQ, Tat, and gp120 treatments. This potentiation of the effects of HIV-1 Tat, gp120 and CQ may have resulted from DFO-induced increases in endolysosome numbers, as illustrated in Figure 5B, and/or DFO-induced decreases in autophagosome numbers, as illustrated in Figure 3B. Next, we investigated whether HIV-1 Tat-, gp120-, and CQ-induced mitochondrial damage led to the accumulation of damaged mitochondria in endolysosomes of U87MG cells. HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (30 µM) significantly (p < 0.0001) increased the accumulation of damaged mitochondrial fragments within endolysosomes as compared to controls ( Figure 7A,B). Pre-treatment for 1 h with DFO significantly (p < 0.0001) blocked the accumulation of damaged mitochondria in endolysosomes induced by HIV-1 Tat, gp120, and CQ ( Figure 7A,B). These findings were further validated using the mitophagy-specific fluorescence-based dye (Mtphagy). In U87MG cells stained with Mtphagy dye for 30 min, HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (100 nM) significantly (p < 0.0001) increased the accumulation of damaged mitochondria in endolysosomes as compared to controls at 24 h ( Figure 8A,B). The pre-treatment of cells for 1 h with DFO (50 µM) significantly (p < 0.0001) blocked the HIV-1 Tat-, gp120-, and CQ-induced increases in damaged mitochondria in endolysosomes ( Figure 8B).

DFO Blocked HIV-1 Tat-, gp120-, and CQ-Induced Cell Death
Cell viability was determined using propidium iodide 24 h after the addition of HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (30 µM). HIV-1 Tat, gp120, and CQ significantly (p < 0.0001) increased cell death as compared to controls (Figure 9). Pre-treatment for 1 h with DFO significantly (p < 0.0001) blocked HIV-1 Tat-, gp120-, and CQ-induced cell death ( Figure 9). Cells 2022, 11, x FOR PEER REVIEW 12 of 20  by HIV-1 Tat, gp120, and CQ ( Figure 7A,B). These findings were further validated using the mitophagy-specific fluorescence-based dye (Mtphagy). In U87MG cells stained with Mtphagy dye for 30 min, HIV-1 Tat (100 nM), gp120 (1 nM), and CQ (100 nM) significantly (p < 0.0001) increased the accumulation of damaged mitochondria in endolysosomes as compared to controls at 24 h ( Figure 8A,B). The pre-treatment of cells for 1 h with DFO (50 μM) significantly (p < 0.0001) blocked the HIV-1 Tat-, gp120-, and CQ-induced increases in damaged mitochondria in endolysosomes ( Figure 8B). aged mitochondrial fragments inside endolysosomes increased by CQ (30 μM), Tat (100 nM), and gp120 (1 nM). Image analysis and quantification was performed from five independent experiments with 30 cells quantified for each experimental condition (n = 150). Error bars represent standard deviation (SD) of five independent experiments. A one-way ANOVA multiple comparisons test was used to compare control and treatment groups. Cells were chosen randomly during image acquisition and analysis from the microscope field of view, and no cells were intentionally excluded. Scale bars are 10 μm for the image and 2 μm for the inset. *** p < 0.001 and **** p < 0.0001. Image analysis and quantification were performed from five independent experiments with 30 cells quantified for each experimental condition (n = 150). Error bars represent standard deviation (SD) of five independent experiments. A one-way ANOVA multiple comparisons test was used to compare control and treatment groups. Cells were chosen randomly during image acquisition and analysis from the microscope field of view, and no cells were intentionally excluded. Scale bar is 10 µm. **** p < 0.00001.

Discussion
People living with HIV-1 who take effective antiretroviral therapeutics are now living almost full life spans but experience a high prevalence of HANDs, which deteriorate their quality of life [1]. Implicated in the pathogenesis of HANDs are the HIV-1 viral proteins Tat and gp120; both are neurotoxic, increase levels of ROS, induce mitochondria dysfunction and mitophagy, and cause neural cell death [5,25].
Endolysosomes are acidic organelles known for their physiological importance and pathological relevance [26][27][28][29]. Endolysosomes contain high levels of divalent cations including Fe 2+ , and these endolysosome iron stores are central to iron trafficking and redox signaling [13,14,30]. Iron homeostasis is linked to endolysosome acidity, whereupon endolysosome de-acidification triggers iron dysregulation. Fe 2+ levels in endolysosomes are sufficient to affect Fe 2+ levels in cytosol and in mitochondria. Indeed, the gp120-induced de-acidification of endolysosomes decreased Fe 2+ levels in endolysosomes, increased Fe 2+ levels in cytosol and mitochondria, increased levels of ROS in cytosol and mitochondria, and increased cell death [16,31]. Further, those neurotoxic effects were all blocked by the addition of the endolysosome-specific iron chelator deferoxamine; these are findings that Figure 9. DFO blocked HIV-1 Tat-and gp120-induced cell death. Propidium iodide was used to measure cell death on U87MG cells after 24 h of treatment with CQ (30 µM), Tat (100 nM), and gp120 (1 nM). Cell death was significantly (p < 0.0001) increased by Tat (100 nM), gp120 (1 nM), and CQ (30 µM); 1 h pre-treatment with DFO (50 µM) blocked CQ-, Tat-, and gp120-induced cell death. A one-way ANOVA with a Tukey's post hoc multiple comparisons test was used for analysis. Each data point represents the mean fluorescence from 20,000 cells performed independently at least five times for each group (n = 100,000). n = total number of cells for each group plotted. **** p < 0.0001.

Discussion
People living with HIV-1 who take effective antiretroviral therapeutics are now living almost full life spans but experience a high prevalence of HANDs, which deteriorate their quality of life [1]. Implicated in the pathogenesis of HANDs are the HIV-1 viral proteins Tat and gp120; both are neurotoxic, increase levels of ROS, induce mitochondria dysfunction and mitophagy, and cause neural cell death [5,25].
Endolysosomes are acidic organelles known for their physiological importance and pathological relevance [26][27][28][29]. Endolysosomes contain high levels of divalent cations including Fe 2+ , and these endolysosome iron stores are central to iron trafficking and redox signaling [13,14,30]. Iron homeostasis is linked to endolysosome acidity, whereupon endolysosome de-acidification triggers iron dysregulation. Fe 2+ levels in endolysosomes are sufficient to affect Fe 2+ levels in cytosol and in mitochondria. Indeed, the gp120-induced de-acidification of endolysosomes decreased Fe 2+ levels in endolysosomes, increased Fe 2+ levels in cytosol and mitochondria, increased levels of ROS in cytosol and mitochondria, and increased cell death [16,31]. Further, those neurotoxic effects were all blocked by the addition of the endolysosome-specific iron chelator deferoxamine; these are findings that indicate that the endolysosome pool of Fe 2+ is sufficient to account for those downstream events. Because Fe 2+ generates ROS via Fenton-like chemistry and increased levels of ROS can damage mitochondria and induce cell death [8,32,33], it was important to determine the extent to which the endolysosome pool of Fe 2+ was sufficient to account for HIV-1 Tat-, gp120-, and for comparison, CQ-induced effects on downstream events including mitochondrial fragmentation, mitophagy, and cell death.
Principally, we found that HIV-1 Tat, gp120, and CQ de-acidified endolysosomes, decreased numbers of endolysosomes yet increased endolysosome size, increased the number and size of autophagosomes, increased the number of mitochondria via mitochondrial fragmentation, increased the number of autolysosomes, increased damaged mitochondrial fragments within endolysosomes, and induced cell death, effects that were all blocked by the endolysosome-specific iron chelator DFO. Thus, those effects appear to be downstream of endolysosome de-acidification and an efflux of the readily releasable store of endolysosome Fe 2+ .
Autophagy is a highly dynamic and conserved pathway that is central to maintaining cellular homeostasis via the sequestration and delivery of damaged proteins and organelles to endolysosomes where they are degraded; increasingly, autophagy dysfunction has been linked to the pathogenesis of various neurodegenerative diseases [18,19]. Endolysosome de-acidification via agents such as CQ affects the degradative and autophagic abilities of endolysosomes [22]; CQ inhibited autophagic degradation, increased the formation of autophagosomes, and activated autophagy [22]. However, relatively little is known about how endolysosome de-acidification agents induce autophagy and disrupt thread-like functional mitochondria via fragmentation that undergo mitophagy and degradation inside endolysosomes. Because of the close connection between endolysosome dysfunction and neurodegeneration [34][35][36], our findings that the endolysosome de-acidification-induced release of endolysosome iron caused increases in mitochondria ROS and fragmentation as well as autophagy (mitophagy) suggest that endolysosomes function to maintain cellular homeostasis through the enhanced degradation of damaged mitochondria.
We and others have shown that CQ, HIV-1 Tat, and gp120 de-acidify endolysosomes and cause an efflux of cations from endolysosomes sufficient to induce cytotoxicity [15,[37][38][39]. Specifically, the endolysosome de-acidification-induced release of Fe 2+ from endolysosomes was sufficient to increase Fe 2+ and ROS levels in cytosol and mitochondria and cause mitochondrial damage. Here, we examined the effects of CQ, HIV-1 Tat, and gp120 on the number and sizes of endolysosomes, autophagosomes, and mitochondria at treatment intervals of 24 h because CQ has a very long half-life in humans [23] and HIV-1 proteins can remain elevated for extended periods of time in PLWH [40][41][42]. At 24 h, endolysosome enzyme activity was at its lowest level [22] and CQ, HIV-1 Tat, and gp120 decreased the numbers of endolysosomes yet increased their size, increased the numbers and sizes of autophagosomes, and increased the number of mitochondria due to fragmentation. Increased numbers of autophagosomes are indicative of cytotoxicity [43][44][45] and may result from insult-induced decreases in the number of endolysosomes [44]. Additionally, in agreement with previous studies [3,25], here, we observed that HIV-1 Tat and gp120 increased mitochondrial fragmentation and increased the number of separate and independent mitochondria. One of the known initiating factors that induces mitochondria fragmentation is ROS [8,32]. Consistent with findings from previous studies of others and ourselves, Tat and gp120 increase levels of mitochondrial ROS. Here, we report that HIV-1 proteins induce the fragmentation of thread-like mitochondria into many smaller separate mitochondria [3,15,37].
We also found that CQ, HIV-1 Tat, and gp120 damaged mitochondria, decreased numbers of intact mitochondria, increased mitochondria within endolysosomes and autophagosomes, and increased endolysosome-autophagosome fusion (autolysosome). Endolysosome degradation is dependent on an acidic lumen [46]; CQ, Tat, and gp120 significantly increase endolysosome pH, and the de-acidification of endolysosomes disrupts autophagic flux [22,37,47,48]. Thus, the insult-induced disruption in autophagic flux appears to be more related to the de-acidification-induced inhibition of endolysosome degradation than the inhibition of fusion between autophagosomes and endolysosomes.
The formation of ROS is iron-based, and cell death can be caused by increases in oxidative damage and mitochondrial dysfunction [49]. Others and ourselves have shown that the chelation of endolysosome stores of iron with DFO can block CQ-, HIV-1 Tat-, and gp120-induced mitochondrial fragmentation and cell death. The rescue of ROS-induced cell death by ROS scavengers has been previously demonstrated [50]. DFO is known to acidify endolysosomes, chelate iron, and decrease levels of ROS [51]. A combination of these effects likely explains the protective actions of DFO against HIV-1 protein-induced cell death. Thus, the stores of endolysosome Fe 2+ releasable by endolysosome de-acidification appear to be sufficient to account for insult-induced mitochondrial dysfunction and cell death. Endolysosome dysfunction appears to be an early event, with the release of its Fe 2+ stores causing mitochondrial damage and initiating autophagy, yet the result is damaged mitochondria being delivered to endolysosomes for degradation, where there is a decrease in the enzyme activity of these degradation machines ( Figure 10). Thus, endolysosome the de-acidification-induced inter-organellar signaling of endolysosome Fe 2+ may be key to understanding CQ-, Tat-, and gp120-induced adverse effects, including damaged mitochondria, cell death, and cytotoxicity. nation of these effects likely explains the protective actions of DFO against HIV-1 proteininduced cell death. Thus, the stores of endolysosome Fe 2+ releasable by endolysosome deacidification appear to be sufficient to account for insult-induced mitochondrial dysfunction and cell death. Endolysosome dysfunction appears to be an early event, with the release of its Fe 2+ stores causing mitochondrial damage and initiating autophagy, yet the result is damaged mitochondria being delivered to endolysosomes for degradation, where there is a decrease in the enzyme activity of these degradation machines ( Figure 10). Thus, endolysosome the de-acidification-induced inter-organellar signaling of endolysosome Fe 2+ may be key to understanding CQ-, Tat-, and gp120-induced adverse effects, including damaged mitochondria, cell death, and cytotoxicity. Figure 10. The endolysosome ferrous iron efflux induced by CQ-, Tat-, and gp120-induced de-acidification of endolysosomes increases mitochondrial ROS and fragmentation, autophagy activation, and increased cell death. (1) CQ and the HIV-1 proteins Tat and gp120 increased endolysosome pH, which is known to (2) induce a decrease in endolysosome Fe 2+ levels and (3) an efflux in Fe 2+ from Figure 10. The endolysosome ferrous iron efflux induced by CQ-, Tat-, and gp120-induced deacidification of endolysosomes increases mitochondrial ROS and fragmentation, autophagy activation, and increased cell death. (1) CQ and the HIV-1 proteins Tat and gp120 increased endolysosome pH, which is known to (2) induce a decrease in endolysosome Fe 2+ levels and (3) an efflux in Fe 2+ from endolysosomes into the cytosol and (4) an increase in mitochondrial Fe 2+ and (5) ROS levels. The effects on mitochondrial ROS levels result in (6) the fragmentation of mitochondria and the (7) activation of autophagy, as seen by the formation of autophagosomes and (8) the fusion of autophagosomes with endolysosomes (autolysosomes). (9) Damaged mitochondria then appear in endolysosomes for degradation; however, the endolysosome pH is elevated, and as demonstrated previously, inactive degradation enzymes due to an elevated pH means the endolysosome enzymes are not degrading the damaged mitochondria as needed. (10) This may lead to cell death. In addition, the fragmented mitochondria result in a decrease in bioenergetics and may result in cell death as well. The endolysosome-specific iron chelator deferoxamine DFO blocks the CQ-, Tat-, and gp120induced endolysosome iron efflux, the increase in mitochondrial iron and ROS levels, the increase in fragmentation, as well as the increase in cell death.
A few limitations to this study are worthy of comment. First, only DFO was used to chelate iron and reduce ROS levels. Second, we used only SH-SY5Y cells and U87MG astrocytoma cells; thus, our findings would benefit from replication in primary cultured neural cells. Third, cell death was only assessed using PI staining, and it would be interesting to further investigate the mechanisms by which cell death occurred. Finally, it would be interesting to determine the extent to which various ROS scavengers could block HIV-1 protein-induced cell death. These limitations can be addressed in future studies.