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2014 ; 88
(17
): 10214-27
Nephropedia Template TP
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Twit Text #
English Wikipedia
Activation of A1-adenosine receptors promotes leukocyte recruitment to the lung
and attenuates acute lung injury in mice infected with influenza A/WSN/33 (H1N1)
virus
#MMPMID24965449
Aeffner F
; Woods PS
; Davis IC
J Virol
2014[Sep]; 88
(17
): 10214-27
PMID24965449
show ga
We have shown that bronchoalveolar epithelial A1-adenosine receptors (A1-AdoR)
are activated in influenza A virus-infected mice. Alveolar macrophages and
neutrophils also express A1-AdoRs, and we hypothesized that activation of
A1-AdoRs on these cells will promote macrophage and neutrophil chemotaxis and
activation and thereby play a role in the pathogenesis of influenza virus-induced
acute lung injury. Wild-type (WT) C57BL/6 mice, congenic A1-AdoR knockout (A1-KO)
mice, and mice that had undergone reciprocal bone marrow transfer were inoculated
intranasally with 10,000 PFU/mouse influenza A/WSN/33 (H1N1) virus.
Alternatively, WT mice underwent daily treatment with the A1-AdoR antagonist
8-cyclopentyl-1,3-dipropylxanthine (DPCPX) from 1 day prior to inoculation.
Infection increased bronchoalveolar lining fluid (BALF) adenosine comparably in
WT and A1-KO mice. Infection of WT mice resulted in reduced carotid arterial O2
saturation (hypoxemia), lung pathology, pulmonary edema, reduced lung compliance,
increased basal airway resistance, and hyperresponsiveness to methacholine. These
effects were absent or significantly attenuated in A1-KO mice. Levels of BALF
leukocytes, gamma interferon (IFN-?), and interleukin 10 (IL-10) were
significantly reduced in infected A1-KO mice, but levels of KC, IP-10, and MCP-1
were increased. Reciprocal bone marrow transfer resulted in WT-like lung injury
severity, but BALF leukocyte levels increased only in WT and A1-KO mice with WT
bone barrow. Hypoxemia, pulmonary edema, and levels of BALF alveolar macrophages,
neutrophils, IFN-?, and IL-10 were reduced in DPCPX-treated WT mice. Levels of
viral replication did not differ between mouse strains or treatment groups. These
findings indicate that adenosine activation of leukocyte A1-AdoRs plays a
significant role in their recruitment to the infected lung and contributes to
influenza pathogenesis. A1-AdoR inhibitor therapy may therefore be beneficial in
patients with influenza virus-induced lung injury. IMPORTANCE: Because antiviral
drugs are of limited efficacy in patients hospitalized for influenza
virus-induced respiratory failure, there is an urgent need for new therapeutics
that can limit the progression of lung injury and reduce influenza death rates.
We show that influenza A virus infection results in increased production of the
nucleoside adenosine in the mouse lung and that activation of A1-subtype
adenosine receptors by adenosine contributes significantly to both recruitment of
innate immune cells to the lung and development of acute lung injury following
influenza virus infection. We also show that treatment with an A1-adenosine
receptor antagonist reduces the severity of lung injury in influenza
virus-infected mice. Our findings indicate that adenosine plays an important and
previously unrecognized role in the innate immune response to influenza virus
infection and suggest that drugs which can inhibit either generation of adenosine
or activation of A1-adenosine receptors may be beneficial in treating influenza
patients hospitalized for respiratory failure.
|Acute Lung Injury/*immunology/pathology
[MESH]
|Adoptive Transfer
[MESH]
|Animals
[MESH]
|Cell Movement
[MESH]
|Disease Models, Animal
[MESH]
|Influenza A Virus, H1N1 Subtype/immunology/*physiology
[MESH]