Dai Pei, Tang Zhongxiang, Qi Mingming, Liu Dan, Bajinka Ousman, Tan Yurong
Department of Medical Microbiology, Xiangya School of Medicine, Central South University, Changsha, China.
China-Africa Research Centre of Infectious Diseases, School of Basic Medical Sciences, Central South University, Changsha, China.
Pediatr Allergy Immunol. 2022 Jan;33(1):e13651. doi: 10.1111/pai.13651. Epub 2021 Aug 27.
Respiratory viral infections (RSV) can induce acute asthma attacks, thereby destroying lung function and accelerating the progression of the disease. However, medications in the stable phase of asthma are often not effective for acute attacks induced by viral infections. We aimed to clarify the possible mechanism of viral infection-induced asthma through fatty acid metabolism.
The airway resistances, inflammatory injuries, and oxidative stress in the RSV-induced animal models were significantly higher than those in the control group at acute phase (7 days) and chronic phase (28 days). Moreover, the concentrations of the medium- and long-chain fatty acids in lung tissue at (28 days) were significantly increased, including 14:0 (myristic acid), 16:0 (palmitic acid, PA), 18:1 (oleic acid, OA), and 18:2 (linoleic acid, LA) using non-targeted metabonomics. Airway epithelial cells treated with RSV showed the reduced expression of FSP27, RAB8A, and PLIN5, which caused the fusion and growth of lipid droplet (LD), and increased expression of the LD dispersion gene perilipin 2. There was also a decrease in PPARγ expression and an increase in the fatty acid catabolism gene PPARα, causing lipid oxidation, free fatty acid releases, and an upsurge in IL-1, IL-2, IL-4, and IL-6 expression, which could be abrogated by GPR40 inhibitor. Treated mice or epithelial cells with C18 fatty acid exhibited inhibition of epithelial proliferation, increases of inflammation, and oxidative damage.
RSV promoted lipid dispersion and utilization, causing enlarged oxidative injuries and an upsurge in the pro-inflammatory cytokines, leading to the progression of airway hyperresponsiveness (AHR).
呼吸道病毒感染(RSV)可诱发急性哮喘发作,从而破坏肺功能并加速疾病进展。然而,哮喘稳定期的药物通常对病毒感染诱发的急性发作无效。我们旨在通过脂肪酸代谢阐明病毒感染诱发哮喘的可能机制。
在急性期(7天)和慢性期(28天),RSV诱导的动物模型的气道阻力、炎症损伤和氧化应激显著高于对照组。此外,使用非靶向代谢组学分析发现,在28天时肺组织中中链和长链脂肪酸的浓度显著增加,包括14:0(肉豆蔻酸)、16:0(棕榈酸,PA)、18:1(油酸,OA)和18:2(亚油酸,LA)。用RSV处理的气道上皮细胞显示FSP27、RAB8A和PLIN5的表达降低,这导致脂滴(LD)融合和生长,以及LD分散基因 perilipin 2的表达增加。PPARγ表达也降低,脂肪酸分解代谢基因PPARα表达增加,导致脂质氧化、游离脂肪酸释放以及IL-1、IL-2、IL-4和IL-6表达激增,而这可被GPR40抑制剂消除。用C18脂肪酸处理的小鼠或上皮细胞表现出上皮增殖抑制、炎症增加和氧化损伤。
RSV促进脂质分散和利用,导致氧化损伤扩大和促炎细胞因子激增,从而导致气道高反应性(AHR)进展。