I型干扰素反应的调节可有效抑制恒河猴体内的SARS-CoV-2复制和炎症。

Modulation of type I interferon responses potently inhibits SARS-CoV-2 replication and inflammation in rhesus macaques.

作者信息

Hoang Timothy N, Viox Elise G, Upadhyay Amit A, Strongin Zachary, Tharp Gregory K, Pino Maria, Nchioua Rayhane, Hirschenberger Maximilian, Gagne Matthew, Nguyen Kevin, Harper Justin L, Marciano Shir, Boddapati Arun K, Pellegrini Kathryn L, Tisoncik-Go Jennifer, Whitmore Leanne S, Karunakaran Kirti A, Roy Melissa, Kirejczyk Shannon, Curran Elizabeth H, Wallace Chelsea, Wood Jennifer S, Connor-Stroud Fawn, Kasturi Sudhir P, Levit Rebecca D, Gale Michael, Vanderford Thomas H, Silvestri Guido, Busman-Sahay Kathleen, Estes Jacob D, Vaccari Monica, Douek Daniel C, Sparrer Konstantin M J, Kirchhoff Frank, Johnson R Paul, Schreiber Gideon, Bosinger Steven E, Paiardini Mirko

机构信息

Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA.

These authors contributed equally.

出版信息

bioRxiv. 2022 Oct 24:2022.10.21.512606. doi: 10.1101/2022.10.21.512606.

Abstract

Type-I interferons (IFN-I) are critical mediators of innate control of viral infections, but also drive recruitment of inflammatory cells to sites of infection, a key feature of severe COVID-19. Here, and for the first time, IFN-I signaling was modulated in rhesus macaques (RMs) prior to and during acute SARS-CoV-2 infection using a mutated IFNα2 (IFN-modulator; IFNmod), which has previously been shown to reduce the binding and signaling of endogenous IFN-I. In SARS-CoV-2-infected RMs, IFNmod reduced both antiviral and inflammatory ISGs. Notably, IFNmod treatment resulted in a potent reduction in (i) SARS-CoV-2 viral load in Bronchoalveolar lavage (BAL), upper airways, lung, and hilar lymph nodes; (ii) inflammatory cytokines, chemokines, and CD163+MRC1-inflammatory macrophages in BAL; and (iii) expression of Siglec-1, which enhances SARS-CoV-2 infection and predicts disease severity, on circulating monocytes. In the lung, IFNmod also reduced pathogenesis and attenuated pathways of inflammasome activation and stress response during acute SARS-CoV-2 infection. This study, using an intervention targeting both IFN-α and IFN-β pathways, shows that excessive inflammation driven by type 1 IFN critically contributes to SARS-CoV-2 pathogenesis in RMs, and demonstrates the potential of IFNmod to limit viral replication, SARS-CoV-2 induced inflammation, and COVID-19 severity.

摘要

I型干扰素(IFN-I)是病毒感染先天控制的关键介质,但也会促使炎症细胞募集到感染部位,这是重症COVID-19的一个关键特征。在此,首次在恒河猴(RM)急性感染SARS-CoV-2之前和期间,使用一种突变的IFNα2(IFN调节剂;IFNmod)来调节IFN-I信号传导,该调节剂先前已被证明可减少内源性IFN-I的结合和信号传导。在感染SARS-CoV-2的恒河猴中,IFNmod降低了抗病毒和炎症相关的干扰素刺激基因(ISG)。值得注意的是,IFNmod治疗导致以下各项显著降低:(i)支气管肺泡灌洗(BAL)、上呼吸道、肺和肺门淋巴结中的SARS-CoV-2病毒载量;(ii)BAL中的炎性细胞因子、趋化因子和CD163+MRC1炎性巨噬细胞;以及(iii)循环单核细胞上Siglec-1的表达,Siglec-1可增强SARS-CoV-2感染并预测疾病严重程度。在肺部,IFNmod还减轻了急性SARS-CoV-2感染期间的发病机制,并减弱了炎性小体激活和应激反应途径。这项使用针对IFN-α和IFN-β途径的干预措施的研究表明,I型干扰素驱动的过度炎症在恒河猴的SARS-CoV-2发病机制中起关键作用,并证明了IFNmod在限制病毒复制、SARS-CoV-2诱导的炎症和COVID-19严重程度方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e45/9628196/c1b1bd6414d7/nihpp-2022.10.21.512606v1-f0001.jpg

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