Abstract

BackgroundRespiratory syncytial virus (RSV) is an important cause of lower respiratory tract infection in young children. The degree of disease severity is determined by the host response to infection. Lung macrophages play an important early role in the host response to infection and we have used a systems-based approach to examine the host response in RSV-infected lung-derived macrophage cells.ResultsLung macrophage cells could be efficiently infected (>95%) with RSV in vitro, and the expression of several virus structural proteins could be detected. Although we failed to detect significant levels of virus particle production, virus antigen could be detected up until 96 hours post-infection (hpi). Microarray analysis indicated that 20,086 annotated genes were expressed in the macrophage cells, and RSV infection induced an 8.9% and 11.3% change in the global gene transcriptome at 4 hpi and 24 hpi respectively. Genes showing up-regulated expression were more numerous and exhibited higher changes in expression compared to genes showing down-regulated expression. Based on gene ontology, genes with cytokine, antiviral, cell death, and signal transduction functions showed the highest increases in expression, while signalling transduction, RNA binding and protein kinase genes showed the greatest reduction in expression levels. Analysis of the global gene expression profile using pathway enrichment analysis confirmed that up-regulated expression of pathways related to pathogen recognition, interferon signalling and antigen presentation occurred in the lung macrophage cells challenged with RSV.ConclusionOur data provided a comprehensive analysis of RSV-induced gene expression changes in lung macrophages. Although virus gene expression was detected, our data was consistent with an abortive infection and this correlated with the activation of several antivirus signalling pathways such as interferon type I signalling and cell death signalling. RSV infection induced a relatively large increase in pro-inflammatory cytokine expression, however the maintenance of this pro-inflammatory response was not dependent on the production of infectious virus particles. The sustained pro-inflammatory response even in the absence of a productive infection suggests that drugs that control the pro-inflammatory response may be useful in the treatment of patients with severe RSV infection.

Highlights

  • Respiratory syncytial virus (RSV) is an important cause of lower respiratory tract infection in young children

  • Two distinct virus structures are formed in RSV-infected epithelial cells that lead to a productive infection, called virus filaments and inclusion bodies

  • RSV exhibits similar replication characteristics in alveolar macrophage and pulmonary macrophage cells Alveolar macrophage (AMΦ) cells represent a minor population of the total pulmonary lung macrophage population

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Summary

Introduction

Respiratory syncytial virus (RSV) is an important cause of lower respiratory tract infection in young children. Human respiratory syncytial virus (RSV) is responsible for approximately 64 million infections and 160,000 deaths each year [1]. It is the most important cause of lower respiratory tract (LRT) infections in young children and neonates, and it is a significant cause of acute LRTassociated death in young children in developing countries [2]. The mature RSV particle comprises a ribonucleoprotein (RNP) complex that is surrounded by a protein shell formed by the matrix protein. The virus filaments form at the plasma membrane on the surface of infected cells and are sites where the virus structural proteins interact to form mature filamentous virus particles. The inclusion bodies are the sites in the cell where the RNPassociated proteins and virus-specific RNA accumulate [13,14,15], suggesting that inclusion bodies may be accumulations of pre-assembled virus RNPs prior to packaging into the progeny virus

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