Abstract

Pulmonary viral infections can exacerbate or trigger the development of allergic airway diseases via multiple mechanisms depending upon the infectious agent. Respiratory vaccinia virus transmission is well established, yet the effects of allergic airway disease on the host response to intra-pulmonary vaccinia virus infection remain poorly defined. As shown here BALB/c mice with preexisting airway disease infected with vaccinia virus developed more severe pulmonary inflammation, higher lung virus titers and greater weight loss compared with mice inoculated with virus alone. This enhanced viremia was observed despite increased pulmonary recruitment of CD8+ T effectors, greater IFNγ production in the lung, and high serum levels of anti-viral antibodies. Notably, flow cytometric analyses of lung CD8+ T cells revealed a shift in the hierarchy of immunodominant viral epitopes in virus inoculated mice with allergic airway disease compared to mice treated with virus only. Pulmonary IL-10 production by T cells and antigen presenting cells was detected following virus inoculation of animals and increased dramatically in allergic mice exposed to virus. IL-10 modulation of host responses to this respiratory virus infection was greatly influenced by the localized pulmonary microenvironment. Thus, blocking IL-10 signaling in virus-infected mice with allergic airway disease enhanced pulmonary CD4+ T cell production of IFNγ and increased serum anti-viral IgG1 levels. In contrast, pulmonary IFNγ and virus-specific IgG1 levels were reduced in vaccinia virus-treated mice with IL-10 receptor blockade. These observations demonstrate that pre-existing allergic lung disease alters the quality and magnitude of immune responses to respiratory poxviruses through an IL-10-dependent mechanism.

Highlights

  • Respiratory viral infections such as rhinovirus, respiratory syncytial virus (RSV) and influenza are known to exacerbate or trigger the development of allergic airway disease (AAD) [1,2]

  • Poxvirus Clearance was Impaired in Animals with AAD To induce allergic disease in the airways of animals, AAD mice were sensitized by i.p. injections of OVA/alum followed by repeated inhalation challenges with OVA (Fig. 1A)

  • Respiratory viruses can induce or worsen pulmonary inflammation and tissue damage associated with allergic lung disease, with such changes being driven in part by the viral pathogen [1,2]

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Summary

Introduction

Respiratory viral infections such as rhinovirus, respiratory syncytial virus (RSV) and influenza are known to exacerbate or trigger the development of allergic airway disease (AAD) [1,2]. Murine models of experimentally induced AAD have shown that allergic airway inflammation increases susceptibility to respiratory viruses, resulting in enhanced inflammation and alterations in host immune responses [3,4,5,6,7]. How the allergic microenvironment and cytokine-mediators within the atopic lung alter host responses and immunity to poxviruses remains poorly defined. Intranasal inoculation of poxviruses, such as VV, promotes high levels of the Th1 cytokine IFNc and measurable IL-17 and IL-10 production in the lungs of mice [13,14,15]. During respiratory cowpox inoculation in mice deficient in IL-10, pulmonary infiltrates increased but failed to enhance virus clearance [15]. Whether changes in the atopic lung would influence VV clearance or the role of IL-10 in pulmonary immunity to respiratory poxviruses, has yet to be tested

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