Department of Microbiology and Immunology and.
Pathology, University of Iowa, Iowa City, Iowa, USA.
J Clin Invest. 2021 Jun 1;131(11). doi: 10.1172/JCI147201.
Worse outcomes occur in aged compared with young populations after infections with respiratory viruses, including pathogenic coronaviruses (SARS-CoV, MERS-CoV, and SARS-CoV-2), and are associated with a suboptimal lung milieu ("inflammaging"). We previously showed that a single inducible phospholipase, PLA2G2D, is associated with a proresolving/antiinflammatory response in the lungs, and increases with age. Survival was increased in naive Pla2g2d-/- mice infected with SARS-CoV resulting from augmented respiratory dendritic cell (rDC) activation and enhanced priming of virus-specific T cells. Here, in contrast, we show that intranasal immunization provided no additional protection in middle-aged Pla2g2d-/- mice infected with any of the 3 pathogenic human coronaviruses because virtually no virus-specific antibodies or follicular helper CD4+ T (Tfh) cells were produced. Using MERS-CoV-infected mice, we found that these effects did not result from T or B cell intrinsic factors. Rather, they resulted from enhanced, and ultimately, pathogenic rDC activation, as manifested most prominently by enhanced IL-1β expression. Wild-type rDC transfer to Pla2g2d-/- mice in conjunction with partial IL-1β blockade reversed this defect and resulted in increased virus-specific antibody and Tfh responses. Together, these results indicate that PLA2G2D has an unexpected role in the lungs, serving as an important modulator of rDC activation, with protective and pathogenic effects in respiratory coronavirus infections and immunization, respectively.
与年轻人相比,呼吸道病毒感染后老年人的预后更差,包括致病性冠状病毒(SARS-CoV、MERS-CoV 和 SARS-CoV-2),这与肺部环境不佳(“炎症老化”)有关。我们之前曾表明,一种单一的诱导型磷脂酶 PLA2G2D 与肺部的促解决/抗炎反应有关,并随年龄增长而增加。由于呼吸道树突状细胞 (rDC) 的激活增强和病毒特异性 T 细胞的增强,感染 SARS-CoV 的原始 Pla2g2d-/- 小鼠的存活率增加。相比之下,我们在此表明,鼻内免疫接种并不能为感染任何 3 种致病性人类冠状病毒的中年 Pla2g2d-/- 小鼠提供额外的保护,因为几乎没有产生病毒特异性抗体或滤泡辅助性 CD4+T(Tfh)细胞。使用 MERS-CoV 感染的小鼠,我们发现这些效应不是由于 T 或 B 细胞内在因素造成的。相反,它们是由于增强的、最终是致病性的 rDC 激活造成的,最明显的表现是增强了 IL-1β 的表达。野生型 rDC 转移到 Pla2g2d-/- 小鼠中,并结合部分 IL-1β 阻断,可逆转这种缺陷,并导致增加的病毒特异性抗体和 Tfh 反应。总之,这些结果表明 PLA2G2D 在肺部中具有意想不到的作用,作为 rDC 激活的重要调节剂,在呼吸道冠状病毒感染和免疫接种中分别具有保护和致病作用。