Abstract

Worldwide spread of influenza A virus (IAV) strains, which are resistant to currently available anti- influenza agents such as viral neuraminidase inhibitors, has encouraged identification of new target molecules for anti-influenza agents. Reactive oxygen species (ROS) causing oxidative stress play a pivotal role in the pathogenesis of lung injuries induced by infection with IAVs, therefore suggesting that anti-oxidative therapeutics targeting cellular molecules could be beneficial against IAV infection without inducing drug-resistant IAV strains. We recently found that the normal cellular prion protein, PrPC, whose conformational conversion into the amyloidogenic isoform, PrPSc, in the brain is a key pathogenic event in prion diseases, is expressed by lung epithelial cells and exerts a protective role against IAV infection in mice by reducing ROS in infected lungs. The Cu content and activity of anti- oxidative enzyme Cu/Zn-superoxide dismutase, or SOD1, were lower in the lungs of PrPC-knockout mice, suggesting that the anti-oxidative activity of PrPC is probably attributable to its function of activating SOD1 through regulating Cu content in lungs. Here, we introduce PrPC as a novel modulator of influenza and its potential implication for anti-oxidative therapies for IAV infection. We also introduce other candidate targets reported for anti- oxidative anti-influenza therapies.

Highlights

  • Influenza A viruses (IAVs) are enveloped, negative sense, single-stranded RNA viruses, causing seasonal epidemics of influenza affecting about 20% of the world population annually, with 250,000-500,000 deaths each year (Fiore et al, 2008)

  • Imai et al showed that macrophages are crucial for causing acute lung injury after infection with H5N1 virus by producing Nox2 oxidase-dependent superoxide and oxidized phospholipids (Imai et al, 2008). These results suggest that Nox2 oxidase-mediated production of superoxide in macrophages could have a detrimental role in the pathogenesis of IAV infection, and that Nox2 oxidase could be a potential cellular target for anti-influenza agents

  • We showed that the Reactive oxygen species (ROS)-producing enzyme xanthine oxidase (XO) was higher in Prnp0/0 lungs than in WT lungs after infection with IAV/PR8, and treatment with the XO inhibitor allopurinol reduced the mortality of Prnp0/0 and WT mice to a similar rate (Chida et al, 2018)

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Summary

Introduction

Influenza A viruses (IAVs) are enveloped, negative sense, single-stranded RNA viruses, causing seasonal epidemics of influenza affecting about 20% of the world population annually, with 250,000-500,000 deaths each year (Fiore et al, 2008). We recently identified that the normal cellular prion protein, PrPC, could have a protective role against lethal infection with IAVs in mice by functioning as an anti-oxidative molecule by regulating an anti-oxidative enzyme in lungs (Chida et al, 2018).

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