Laboratório de Immunofarmacologia, Instituto Oswaldo Cruz, and.
Blood. 2013 Nov 14;122(20):3405-14. doi: 10.1182/blood-2013-05-504449. Epub 2013 Sep 5.
Dengue is the most frequent hemorrhagic viral disease and re-emergent infection in the world. Although thrombocytopenia is characteristically observed in mild and severe forms of dengue, the role of platelet activation in dengue pathogenesis has not been fully elucidated. We hypothesize that platelets have major roles in inflammatory amplification and increased vascular permeability during severe forms of dengue. Here we investigate interleukin (IL)-1β synthesis, processing, and secretion in platelets during dengue virus (DV) infection and potential contribution of these events to endothelial permeability during infection. We observed increased expression of IL-1β in platelets and platelet-derived microparticles from patients with dengue or after platelet exposure to DV in vitro. We demonstrated that DV infection leads to assembly of nucleotide-binding domain leucine rich repeat containing protein (NLRP3) inflammasomes, activation of caspase-1, and caspase-1-dependent IL-1β secretion. Our findings also indicate that platelet-derived IL-1β is chiefly released in microparticles through mechanisms dependent on mitochondrial reactive oxygen species-triggered NLRP3 inflammasomes. Inflammasome activation and platelet shedding of IL-1β-rich microparticles correlated with signs of increased vascular permeability. Moreover, microparticles from DV-stimulated platelets induced enhanced permeability in vitro in an IL-1-dependent manner. Our findings provide new evidence that platelets contribute to increased vascular permeability in DV infection by inflammasome-dependent release of IL-1β.
登革热是全球最常见的出血性病毒性疾病和再现感染。虽然血小板减少症在登革热的轻、重形式中都有特征性表现,但血小板活化在登革热发病机制中的作用尚未完全阐明。我们假设血小板在登革热重症患者中炎症放大和血管通透性增加方面发挥重要作用。在这里,我们研究了登革病毒(DV)感染期间血小板中白细胞介素(IL)-1β的合成、加工和分泌,以及这些事件对感染期间内皮通透性的潜在贡献。我们观察到登革热患者的血小板和血小板衍生的微颗粒中 IL-1β的表达增加,或体外血小板暴露于 DV 后。我们证明 DV 感染导致核苷酸结合域富含亮氨酸重复蛋白(NLRP3)炎性小体的组装、半胱天冬酶-1 的激活和半胱天冬酶-1依赖性 IL-1β的分泌。我们的研究结果还表明,血小板衍生的 IL-1β主要通过依赖于线粒体活性氧触发 NLRP3 炎性小体的机制,通过微颗粒释放。炎性小体的激活和血小板释放富含 IL-1β的微颗粒与血管通透性增加的迹象相关。此外,来自 DV 刺激的血小板的微颗粒以 IL-1 依赖的方式在体外诱导增强的通透性。我们的研究结果提供了新的证据,表明血小板通过依赖炎性体的 IL-1β释放有助于 DV 感染中血管通透性的增加。