Human immunodeficiency virus (HIV) infection is characterized by impaired cell-mediated immune responses, which are primarily manifested by a progressive decline in the number and function of CD4 ϩ T cells. Of note, the qualitative loss in the CD4 ϩ T-cell function begins well in advance of its quantitative decline during HIV infection (31, 59, 68), although there is a selective loss of memory/effector CD4 ϩ
CCR5ϩ cells occurring early after HIV/simian immunodeficiency virus infection, particularly in the mucosal areas (reviewed in references 8, 52, and 55). This implies that the impairment in immune response could be due to mechanisms other than direct viral destruction. HIV-1 binds through its envelope glycoprotein, gp120, to the CD4 receptor molecule (13). The CD4 receptor plays a critical role during antigenic stimulation by major histocompatibility complex (MHC)-bearing cells. It is important in subsequent signal transduction through activation of the CD4-associated tyrosine kinase, p56Lck (Lck) (22), which in turn modulates T-cell differentiation as well as T-cell receptor (TCR)-induced signaling (67). This phenomenon could involve an up-or a downregulation of signaling effects depending on the timing of CD4 engagement relative to TCR-induced stimulation (26). Indeed, in vitro studies have demonstrated that CD4-induced stimulation, in the absence of or prior to TCR engagement, leads to apoptosis of the cell (1, 5) or inhibition of subsequent TCR-induced T-cell activation (6), which underscores the possible role of CD4 engagement in HIV pathogenesis.Lck is a member of the Src family of non-receptor tyrosine kinases expressed primarily in thymocytes and lymphocytes and predominantly in T cells. In MHC II-restricted T cells, approximately 75 to 95% of cellular Lck is found associated with the cytoplasmic portion of CD4, involving about 85 to 95% of CD4 molecules (7). Lck interacts specifically with CD4 molecule through a dicysteine motif which binds to a corresponding motif in the cytoplasmic domain of the CD4 molecule (62). TCR-induced signaling involves the activation of lck, which, in turn, phosphorylates the immuno-receptor tyrosine activation motifs (ITAMs) within the TCR complex, as well as the tyrosine kinase ZAP-70 that docks onto the phosphorylated ITAMs. In T lymphocytes, following stimulation, Lck redistributes into lipid rafts and accumulates at the stable region between T cells and antigen-presenting cells, the immunological synapse (IS) (20,43,60). Together with cytoskeletal reorganization (15,27,34,66), the membrane lipid raft domains are thought to orchestrate protein interactions in space and time by regulating raft coalescence and/or to control the recruitment of proteins to these domains. The temporal and