Abstract

The emergence of avian H7N9 influenza A virus in humans with associated high mortality has highlighted the threat of a potential pandemic. Fatal H7N9 infections are characterized by hyperinflammation and increased cellular infiltrates in the lung. Currently there are limited therapies to address the pathologies associated with H7N9 infection and the virulence factors that contribute to these pathologies. We have found that PB1-F2 derived from H7N9 activates the NLRP3 inflammasome and induces lung inflammation and cellular recruitment that is NLRP3-dependent. We have also shown that H7N9 and A/Puerto Rico/H1N1 (PR8)PB1-F2 peptide treatment induces significant mitochondrial reactive oxygen production, which contributes to NLRP3 activation. Importantly, treatment of cells or mice with the specific NLRP3 inhibitor MCC950 significantly reduces IL-1β maturation, lung cellular recruitment, and cytokine production. Together, these results suggest that PB1-F2 from H7N9 avian influenza A virus may be a major contributory factor to disease pathophysiology and excessive inflammation characteristic of clinical infections and that targeting the NLRP3 inflammasome may be an effective means to reduce the inflammatory burden associated with H7N9 infections.

Highlights

  • The emergence of avian H7N9 influenza A virus in humans with associated high mortality has highlighted the threat of a potential pandemic

  • H7N9-derived PB1-F2 Peptide Induces IL-1␤ in Murine Macrophages and Human PBMCs—We have previously demonstrated that aggregated PB1-F2 derived from the PR8 strain of influenza A viruses (IAVs) (H1N1) activates the NLRP3 inflammasome, contributing to disease pathophysiology [13]

  • We examined the inflammatory potential of aggregated PB1-F2 derived from the recently identified novel avian-origin H7N9 IAV

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Summary

Introduction

The emergence of avian H7N9 influenza A virus in humans with associated high mortality has highlighted the threat of a potential pandemic. Our identification of MCC950 as a potent inhibitor of H7N9 PB1-F2-induced lung inflammation and cellular influx suggests that novel therapies that target the NLRP3 inflammasome may provide an effective treatment to reduce the mortality associated with pathogenic H7N9 IAV and offset the ineffectiveness of current antiviral treatments in the later stages of infection.

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