Abstract

(1) Background: viral infections are a frequent cause of chronic obstructive pulmonary disease (COPD) exacerbations, which are responsible for disease progression and mortality. Previous reports showed that IL-20 cytokines facilitate bacterial lung infection, but their production and their role in COPD and viral infection has not yet been investigated. (2) Methods: C57BL/6 WT and IL-20 Rb KO mice were chronically exposed to air or cigarette smoke (CS) to mimic COPD. Cytokine production, antiviral response, inflammation and tissue damages were analyzed after PVM infection. (3) Results: CS exposure was associated with an increase in viral burden and antiviral response. PVM infection in CS mice enhanced IFN-γ, inflammation and tissue damage compared to Air mice. PVM infection and CS exposure induced, in an additive manner, IL-20 cytokines expression and the deletion of IL-20 Rb subunit decreased the expression of interferon-stimulated genes and the production of IFN-λ2/3, without an impact on PVM replication. Epithelial cell damages and inflammation were also reduced in IL-20 Rb-/- mice, and this was associated with reduced lung permeability and the maintenance of intercellular junctions. (4) Conclusions: PVM infection and CS exposure additively upregulates the IL-20 pathway, leading to the promotion of epithelial damages. Our data in our model of viral exacerbation of COPD identify IL-20 cytokine as a potential therapeutic target.

Highlights

  • Published: 5 December 2021Chronic obstructive pulmonary disease (COPD) remains a major cause of morbidity and mortality worldwide

  • AE-chronic obstructive pulmonary disease (COPD) are more frequently associated with bacterial infections, virus infections with Influenza A virus (IAV), respiratory syncytial virus (RSV) and rhinovirus (RV) are frequent as well as bacteria plus virus co-infections

  • An exacerbation is a striking event in COPD patient, which marks the transition from stability to a rapid decline of lung function [21]

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Summary

Introduction

Published: 5 December 2021Chronic obstructive pulmonary disease (COPD) remains a major cause of morbidity and mortality worldwide. Chronic exposure to cigarette smoke (CS) triggers inflammatory processes that alters lung barrier functions and reduce immune defense mechanisms, leading to increased susceptibility to respiratory infections with both bacteria and viruses [1]. Such infections further alter the clinical status of COPD patients and are responsible for acute exacerbation episodes. These episodes trigger a vicious circle by favoring the development of a new exacerbation and decrease survival rates in patients with acute exacerbations of COPD (AE-COPD), from 80% to 30% over a five-year period [2]. AE-COPD are more frequently associated with bacterial infections, virus infections with Influenza A virus (IAV), respiratory syncytial virus (RSV) and rhinovirus (RV) are frequent as well as bacteria plus virus co-infections

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