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Chronic inflammation is a leading cause of HIV-associated early morbidities and mortality1,2,3. There are multiple mechanisms whereby HIV can activate inflammatory signaling, and recent evidence suggests a role for the P2X receptors in HIV entry which are calcium-gating adenosine triphosphate (ATP) receptors3,4,5,6,7,8,9,10. The P2X subtype of purinergic receptors (P2XR) may be important facilitators of this inflammation. However, the molecular mechanisms of HIV-P2XR interactions are largely unknown and may impact early and late HIV-1 viral life cycle steps. Defining the pathways and kinetics driving HIV-associated chronic inflammation is critical to advancing treatment options for people with HIV.
To assess whether HIV-1 directly agonizes P2X receptors, P2XR activation and HIV-1 infection must be measured in parallel. Assays of P2XR activity and HIV-1 infection have been independently established: Cellular calcium influx is an indicator of P2XR activation, and HIV-1 productive infection can be quantified by RNA abundance. Fluorescence detection of calcium influx is possible with the Fluo-4 calcium-sensitive dye, and HIV-1 infection can be visualized with the mCherry fluorescent reporter virus HIV-NLCI11,12,13,14,15.
Because these indicators of P2X activation (acute cellular calcium influx) and HIV-1 infection (HIV-1 RNA synthesis) occur on different timescales (minutes versus days), there lacks a high-throughput method that allows for paired analysis of P2XR activation and HIV-1 infection. Standard high-throughput experimental techniques, such as flow cytometry, allow for the population analysis but cannot assess the relationship between acute and longitudinal events in single cells. Alternatively, single-cell imaging with standard fluorescence microscopy is low-throughput. These experimental limitations present a need for novel, high-throughput techniques to measure associations between acute and longitudinal cellular events directly.
An optofluidic system described is a novel platform capable of single-cell sorting and isolation, culturing, imaging, and software automation16,17,18,19. This system presents an integrated, high-throughput alternative to the limitations of traditional imaging methods. The Beacon platform consists of a carbon dioxide (CO2) and temperature-controlled incubator that supports cells contained on a chip. The chip possesses photosensitive transistors that generate an electrical gradient in response to targeted light. This resulting dielectrophoretic force is used to move individual cells across the nanofluidic chip to the desired regions. Cells are sorted into pens on the chip, which provide a barrier to isolate individual cells physically. Continuous laminar flow of growth media throughout the chip prevents cell migration from the pens while allowing for small-particle diffusion of nutrients and experiment-specific reagents. A fluorescence microscope sits above the chip. Software automation is used to capture images of the chip at the user-specified time point.
All cell characterization was performed using an optofluidic system for single-cell selection and manipulation. This system consists of integrated mechanical, microfluidic, and optical components that enable single-cell manipulation, assay, culture, and imaging. Cells are loaded and cultured on the disposable nanofluidic device consisting of 3,500 individual chambers (pens), each capable of holding sub-nanoliter volume. Cells can be positioned within pens using light-induced dielectrophoretic "cages" and cultured under temperature- and CO2-controlled conditions. The microfluidics permit perfusion of media or buffers on the chip for cell culture or drug treatment. An actuated needle allows for the import and export of cells from incubated and shuttered well plates. The chip area can be imaged at 4x or 10x magnification in brightfield and fluorescent channels (including DAPI, FITC, TRed, or Cy5) to characterize cellular phenotypes or functional analysis. The entire system is automated using software that can be used for predesigned workflows or custom experiments.
Relationships between HIV-1 infection and P2XR have been studied, but a high-throughput procedure to directly characterize these interactions in parallel has not been reported. Here, the authors describe a methodology to study HIV-P2XR interactions through tracking acute calcium influx and subsequent HIV-1 productive infection at the single-cell level. Notably, this establishes a novel tool that allows for direct, high-throughput, longitudinal measurement of multiple targets in single cells.