Abstract

Infection with the influenza A (H1N1) virus is a major challenge for public health because it can cause severe morbidity and even mortality in humans. The over-secretion of inflammatory cytokines (cytokine storm) is considered to be a key contributor to the severe pneumonia caused by H1N1 infection. It has been reported that hypoxia-inducible factor 1-alpha (HIF-1α) is associated with the production of proinflammatory molecules, but whether HIF-1α participates in the acute inflammatory responses against H1N1 infection is still unclear. To investigate the role of HIF-1α in H1N1 infection, the expression and nuclear translocation of HIF-1α in A549 and THP-1 cell lines infected with H1N1 virus were observed. The results showed that without altering the intracellular mRNA or protein expression of HIF-1α, H1N1 infection only induced nuclear translocation of HIF-1α under normal oxygen concentrations. The use of 2-methoxyestradiol (2ME2), a HIF-1α inhibitor that blocks HIF-1α nuclear accumulation, in H1N1-infected cells decreased the mRNA and protein expression of tumor necrosis factor-alpha (TNF-α) and interleukin (IL)-6 and increased the levels of IL-10. In contrast, H1N1-infected cells under hypoxic conditions had increased HIF-1α nuclear accumulation, increased expression of TNF-α and IL-6 and decreased levels of IL-10. In conclusion, our data implied that in vitro H1N1 infection induced nuclear translocation of HIF-1α without altering the expression of HIF-1α, which may promote the secretion of proinflammatory cytokines during H1N1 infection.Emerging Microbes & Infections (2017) 6, e39; doi:10.1038/emi.2017.21; published online 24 May 2017

Highlights

  • IntroductionSince it first emerged in Mexico in the early 2009,1 H1N1 viral infections have been recorded in most areas of the world[2,3,4] and are an important cause of severe acute pneumonia, which often results in acute respiratory distress syndrome (ARDS), a syndrome with a high risk of mortality.[5,6,7] H1N1 infection represents a severe challenge and a significant threat to public health.Many factors may complicate the severe respiratory syndrome caused by influenza virus infection, of which, the cytokine storm is a key contributor in modulating the immune response.[8,9] High levels of proinflammatory cytokines were characterized in the sera of patients infected with the H1N1, H5N1 and H7N9 influenza viruses.[9,10,11] Proinflammatory cytokines, such as tumor necrosis factor-alpha (TNF-α) and interleukin (IL)-6, promote inflammation and directly damage the alveolar–capillary membrane, leading to edema and surfactant inactivation.[12,13] Diffused inflammation and damage of alveolar and capillary lung structures can cause progressive hypoxemia, eventually leading to ARDS.[14]

  • H1N1 infection of A549 and THP-1 cells induced nuclear translocation of Hypoxia-inducible factor (HIF)-1α but did not alter HIF-1α mRNA and total protein levels To investigate the influence of H1N1 infection on the expression of HIF-1α, A549 and THP-1 cells were infected with H1N1 at different

  • The results showed that HIF-1α mRNA expression was not upregulated in either A549 or THP-1 cells infected with H1N1 compared with the non-infected controls (Figures 1A and 1B), the virus RNA levels increased with the infection dosage (Figures 1C and 1D)

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Summary

Introduction

Since it first emerged in Mexico in the early 2009,1 H1N1 viral infections have been recorded in most areas of the world[2,3,4] and are an important cause of severe acute pneumonia, which often results in acute respiratory distress syndrome (ARDS), a syndrome with a high risk of mortality.[5,6,7] H1N1 infection represents a severe challenge and a significant threat to public health.Many factors may complicate the severe respiratory syndrome caused by influenza virus infection, of which, the cytokine storm is a key contributor in modulating the immune response.[8,9] High levels of proinflammatory cytokines were characterized in the sera of patients infected with the H1N1, H5N1 and H7N9 influenza viruses.[9,10,11] Proinflammatory cytokines, such as tumor necrosis factor-alpha (TNF-α) and interleukin (IL)-6, promote inflammation and directly damage the alveolar–capillary membrane, leading to edema and surfactant inactivation.[12,13] Diffused inflammation and damage of alveolar and capillary lung structures can cause progressive hypoxemia, eventually leading to ARDS.[14].

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