Taye Sima Solomon, Puebla-Clark Lucinda, Gonzalez-Orozco Maria, Endrino Mark Joseph, Shelite Thomas R, Tseng Hsiang-Chi, Martinez-Martinez Yazmin B, Huante Matthew B, Federman Hannah G, Gbedande Komi, Menachery Vineet D, Siracusa Mark C, Endsley Mark A, Dann Sara M, Endsley Janice J, Rajsbaum Ricardo, Stephens Robin
Center for Immunity and Inflammation, New Jersey Medical School, Rutgers Health, Newark, NJ, United States.
Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, United States.
Immunohorizons. 2025 Aug 25;9(9). doi: 10.1093/immhor/vlaf032.
The pathology of severe COVID-19 is due to a hyperinflammatory immune response persisting after viral clearance. To understand how the immune response to SARS-CoV-2 is regulated to avoid severe COVID-19, we tested relevant immunoregulatory cytokines. Transforming growth factor β (TGF-β), interleukin (IL)-10, and IL-4 were neutralized upon infection with mouse-adapted SARS-CoV-2 (CMA3p20), a model of mild disease; lung inflammation was quantified by histology and flow cytometry at early and late time points. Mild weight loss and lung inflammation including consolidation and alveolar thickening were evident 3 d postinfection (dpi), and inflammation persisted to 7 dpi. Coinciding with early monocytic infiltrates, CCL2 and granulocyte colony-stimulating factor were transiently produced 3 dpi, while IL-12 and CCL5 persisted to 7 dpi, modeling viral and inflammatory phases of disease. Neutralization of TGF-β, but not IL-10 or IL-4, significantly increased lung inflammatory monocytes and elevated serum but not lung IL-6. Neutralization of IL-4 prolonged weight loss and increased early perivascular infiltration without changing viral titer. Anti-IL-4 reduced expression of Arg1, a gene associated with alternative activation of macrophages. Neutralizing TGF-β and IL-4 had differential effects on pathology after virus control. Lung perivascular infiltration was reduced 7 dpi by neutralization of IL-4 or TGF-β, and periairway inflammation was affected by anti-TGF-β, while alveolar infiltrates were not affected by either. Anti-IL-4 prolonged IL-12 to 7 dpi along with reduced IL-10 in lungs. Overall, the immunoregulatory cytokines TGF-β and IL-4 dampen initial inflammation in this mouse-adapted SARS-CoV-2 infection, suggesting that promotion of immunoregulation could help patients in early stages of disease.
重症 COVID-19 的病理机制是病毒清除后持续存在的过度炎症免疫反应。为了解如何调节针对严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的免疫反应以避免出现重症 COVID-19,我们检测了相关的免疫调节细胞因子。在用适应小鼠的 SARS-CoV-2(CMA3p20,一种轻症模型)感染后,转化生长因子β(TGF-β)、白细胞介素(IL)-10 和 IL-4 被中和;在早期和晚期时间点通过组织学和流式细胞术对肺部炎症进行定量分析。感染后 3 天(dpi)出现轻度体重减轻和肺部炎症,包括实变和肺泡增厚,炎症持续至 7 dpi。与早期单核细胞浸润同时出现的是,感染后 3 dpi 时短暂产生 CCL2 和粒细胞集落刺激因子,而 IL-12 和 CCL5 持续至 7 dpi,模拟疾病的病毒感染期和炎症期。中和 TGF-β 而非 IL-10 或 IL-4 可显著增加肺部炎性单核细胞数量,并使血清中 IL-6 升高,但肺部的 IL-6 未升高。中和 IL-4 会延长体重减轻时间,并增加早期血管周围浸润,而病毒滴度不变。抗 IL-4 降低了与巨噬细胞替代激活相关的基因 Arg1 的表达。在病毒得到控制后,中和 TGF-β 和 IL-4 对病理变化有不同影响。通过中和 IL-4 或 TGF-β,感染后 7 dpi 时肺部血管周围浸润减少,抗 TGF-β 影响气道周围炎症,而两者均不影响肺泡浸润。抗 IL-4 使肺部的 IL-12 延长至 7 dpi,同时降低 IL-10。总体而言,免疫调节细胞因子 TGF-β 和 IL-4 可减轻这种适应小鼠的 SARS-CoV-2 感染中的初始炎症,这表明促进免疫调节可能有助于处于疾病早期的患者。
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