Abstract

Programmed cell death and especially necroptosis, a programmed and regulated form of necrosis, have been recently implicated in the progression and outcomes of influenza in mouse models. Moreover, Z-DNA/RNA binding protein 1 (ZBP1) has been identified as a key signaling molecule for necroptosis induced by Influenza A virus (IAV). Direct evidence of IAV-induced necroptosis has not been shown in infected lungs in vivo. It is also unclear as to what cell types undergo necroptosis during pulmonary IAV infection and whether ZBP1 expression can be regulated by inflammatory mediators. In this study, we found that IAV infection induced ZBP1 expression in mouse lungs. We identified that mediators implicated in the pathogenesis of IAV infection including interferons (IFNs), TNFα, and agonists for Toll-like receptors 3 and 4 were potent inducers of ZBP1 expression in primary murine alveolar epithelial cells, bone marrow derived macrophages, and dendritic cells. We further found that IAV infection induced a strong necroptosis through phosphorylation of the necroptosis effector mixed lineage kinase domain-like protein in infiltrating immune cells and alveolar epithelial cells by day 7 post-infection. Lastly, we found different cell type-specific responses to IAV-induced cell death upon inhibition of caspases and/or necroptosis pathways. Our findings provide direct evidence that IAV infection induces necroptosis in mouse lungs, which may involve local induction of ZBP1 and different programmed cell death signaling mechanisms in alveolar epithelial and infiltrating inflammatory cells in the lungs.

Highlights

  • Influenza is a highly contagious, acute respiratory disease that can promote exacerbations of airway and lung disorders as well as cardiovascular diseases (Estabragh and Mamas, 2013; Michael et al, 2013; Short et al, 2014)

  • We found that the phosphorylation of mixed lineage kinase domain-like protein (MLKL) (p-MLKL) at Ser345 was markedly induced by Influenza A virus (IAV) infection in mouse lungs on days 6 and 7 post-infection (Figure 1, 2nd panel)

  • These results indicate that IAV infection induces Z-DNA/RNA binding protein 1 (ZBP1) expression and necroptosis in moue lungs

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Summary

INTRODUCTION

Influenza is a highly contagious, acute respiratory disease that can promote exacerbations of airway and lung disorders as well as cardiovascular diseases (Estabragh and Mamas, 2013; Michael et al, 2013; Short et al, 2014). The influenza outbreak in the United States during the 2017–2018 season caused illness in millions of people and an estimated 959,000 hospitalizations and 79,400 deaths from influenza according to the Center for Disease Control (www.cdc.gov/flu/about/burden/2017-2018.htm) This incidence was higher than in any season since the 2009 pandemic. Recent studies in murine models have identified a protein called Z-DNA/RNA binding protein 1 (ZBP1; known as DAI/DLM-1) as a key mediator of IAV-induced programmed cell death including apoptosis, necroptosis, and pyroptosis through its interaction with RIPK3, controlling the progression of influenza and animal survival (Kuriakose et al, 2016; Thapa et al, 2016; Kesavardhana et al, 2017; Kuriakose and Kanneganti, 2018).

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