Regulation of Macrophage-mediated Immunity to Influenza Virus Infection PDF Download

Author: François Coulombe
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Languages : en
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Book Description
"Influenza virus infection causes a complex respiratory disease inflicting a persistent threat to human health worldwide and presenting challenges to clinicians who are left with no available therapeutic interventions. The broad complexity of the disease is the consequence of host-pathogen interactions, which may result in severe influenza- associated illness and death. Severity of influenza infections correlates with the ability of the virus to reach and replicate within the lower respiratory tract, where it encounters alveolar macrophages. These cells reside in close contact with the respiratory epithelium of the lower airways and are the first immune cells to make contact with the influenza virus. Despite evidence showing their critical role in anti-viral immunity and in the maintenance of pulmonary homeostasis, the regulatory mechanisms that drive macrophage function during severe influenza virus infection are poorly defined.The first part of the work presented herein focuses on the function of host-derived lipid mediators, known as eicosanoids, in the regulation of macrophage function during influenza virus infection. Using mice deficient in various components of the eicosanoid biosynthesis pathways, we first established that influenza virus specifically hijacks the prostaglandin E2 pathway to subvert macrophage function and suppress both innate and adaptive immune responses. We identified two distinct pathways through which prostaglandin E2 paralyzed macrophage anti-viral immunity: type I interferon and apoptosis. The impairment of these two pathways severely hinders the innate immune response as type I interferon directly counteracts viral replication, while apoptosis blocks the cellular machinery crucial for viral amplification/dissemination. In addition, we found that prostaglandin E2 suppresses adaptive immunity to influenza virus infection. Importantly, prostaglandin E2-deficient mice were more protected against influenza and pharmacological inhibition of prostaglandin E2 recapitulated this protective effect against the virus.Next, we demonstrated that mice deficient in the 5-lipoxygenase pathway showed remarkable protection against influenza infection. This protection was associated with a concomitant lack of lipoxin A4 up-regulation in infected mice, as well as early expansion of granulocyte macrophage-colony stimulating factor (GM-CSF)-secreting alveolar macrophages in the airways. GM-CSF has a well-established protective role against pulmonary viral infection and specific inhibition of GM-CSF in 5-lipoxygenase deficient mice abrogated their protection against influenza.The second part of this thesis focuses on the consequences of macrophage death modality during the course of influenza virus infection. While host-induced apoptosis of infected cells is a mechanism to restrict viral replication, influenza virus paradoxically has been shown to induce early apoptosis in immune cells, especially in monocytes/macrophages, via its PB1-F2 accessory protein. Here, we demonstrate that the host NLRX1 receptor can effectively interact with the influenza virus pro-apoptotic protein PB1-F2 in macrophage mitochondria, thereby preventing PB1-F2-induced apoptosis and leading to increased type I interferon production by macrophages. The interaction between host NLRX1 and viral PB1-F2 in macrophages was furthermore critical for the control of influenza virus replication.Taken together, our results suggest that eicosanoids and apoptosis act in concert as critical regulators of macrophage-mediated immunity against severe influenza virus infection. We propose that macrophages act as the cellular switch initiating the pulmonary anti-viral responses by monitoring the balance between virus-triggered or host-triggered production of eicosanoids and induction of apoptosis. We further envision that immunotherapies targeting specific eicosanoids offer promising avenues for treatment of influenza and potentially other viral infections." --