Evasion by stealth: inefficient immune activation underlies poor T cell response and severe disease in

Jincun Zhao1, Jingxian Zhao, Nico Van Rooijen

  • 1Department of Microbiology, University of Iowa, Iowa City, Iowa, USA.

Plos Pathogens
|October 24, 2009
PubMed

Insights

Alveolar macrophages impair immune responses during severe respiratory infections. Depleting these cells or activating them corrects immune defects, improving survival in a mouse model of SARS.

Area of Science:

  • Immunology
  • Virology
  • Respiratory Medicine

Background:

  • Severe Acute Respiratory Syndrome (SARS) caused significant illness and death globally.
  • A mouse-adapted SARS virus (MA15) replicates human disease features, including high morbidity and mortality in BALB/c mice.

Purpose of the Study:

  • To investigate the role of respiratory dendritic cells (rDCs) and alveolar macrophages (AMs) in SARS pathogenesis.
  • To identify therapeutic strategies to improve immune responses and survival in a mouse model of SARS.

Main Methods:

  • MA15 infection in BALB/c mice.
  • Assessment of virus clearance, rDC activation and migration, and T cell responses.
  • Treatment with clodronate liposomes to deplete AMs.
  • Activation of AMs and rDCs using poly I:C.
  • Adoptive transfer of bone marrow-derived dendritic cells (BMDCs).

Main Results:

  • Severe SARS disease correlated with slow virus clearance and delayed rDC activation/migration, leading to poor T cell responses.
  • Depletion of AMs using clodronate liposomes corrected these immune defects and improved survival.
  • Poly I:C pretreatment activated AMs and rDCs, nullifying inhibitory AM effects.
  • Adoptive transfer of activated BMDCs protected mice from lethal MA15 infection.

Conclusions:

  • Alveolar macrophages play an inhibitory role in the immune response to SARS-CoV infection.
  • Targeting AMs or enhancing DC function may be a viable therapeutic strategy for severe respiratory viral infections like SARS.