Clinical and epidemiological synergy exists between the globally important sexually transmitted infections, gonorrhea and HIV.
Neisseria gonorrhoeae
,
which causes gonorrhea, is particularly adept at driving HIV-1 expression, but the molecular determinants of this relationship remain undefined.
N. gonorrhoeae
liberates a soluble factor that potently induces expression from the HIV-1 LTR in coinfected cluster of differentiation 4-positive (CD4
+
) T lymphocytes, but this factor is not a previously described innate effector. A genome-wide mutagenesis approach was undertaken to reveal which component(s) of
N. gonorrhoeae
induce HIV-1 expression in CD4
+
T lymphocytes. A mutation in the ADP-heptose biosynthesis gene,
hldA
,
rendered the bacteria unable to induce HIV-1 expression. The
hldA
mutant has a truncated lipooligosaccharide structure, contains lipid A in its outer membrane, and remains bioactive in a TLR4 reporter-based assay but did not induce HIV-1 expression. Mass spectrometry analysis of extensively fractionated
N. gonorrhoeae-
derived supernatants revealed that the LTR-inducing fraction contained a compound having a mass consistent with heptose-monophosphate (HMP). Heptose is a carbohydrate common in microbes but is absent from the mammalian glycome. Although ADP-heptose biosynthesis is common among Gram-negative bacteria, and heptose is a core component of most lipopolysaccharides,
N. gonorrhoeae
is peculiar in that it effectively liberates HMP during growth. This
N. gonorrhoeae-
derived HMP activates CD4
+
T cells to invoke an NF-κB–dependent transcriptional response that drives HIV-1 expression and viral production. Our study thereby shows that heptose is a microbial-specific product that is sensed as an innate immune agonist and unveils the molecular link between
N. gonorrhoeae
and HIV-1.