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Published on: June 27, 2020
CXCL5 into the upper airways of children with influenza A virus infection
Annett Duemmler1, Aurea Rosalía Montes-Vizuet, Julio Santiago Cruz
1University of Bremen, Germany.
Insights
Elevated levels of chemokine CXCL5 (also known as ENA-78) were observed in children with influenza, indicating its role in neutrophil recruitment during respiratory infections.
Area of Science:
- Immunology
- Virology
- Respiratory Medicine
Background:
- Neutrophil infiltration is a key aspect of influenza pathogenesis.
- The precise regulators of neutrophil influx during influenza remain unclear.
- Chemokine CXCL5/ENA-78 is a known neutrophil chemoattractant implicated in inflammatory conditions.
Purpose of the Study:
- To investigate the release of CXCL5 in children experiencing natural influenza infection.
- To understand the role of CXCL5 in the context of influenza-induced respiratory symptoms.
Main Methods:
- CXCL5 concentration was measured using an immunoenzyme assay.
- Samples were collected from nasal aspirates of children diagnosed with influenza A.
- Comparisons were made between symptomatic and asymptomatic periods in the same children.
Main Results:
- CXCL5 levels were significantly higher in symptomatic children compared to their asymptomatic state (1850 pg/mL vs. 30 pg/mL).
- Purified CXCL5 from patient samples demonstrated neutrophil chemotactic activity in vitro.
- These findings provide the first in vivo evidence for CXCL5's role in influenza.
Conclusions:
- CXCL5 plays a significant role in neutrophil influx during proven upper respiratory influenza infections.
- CXCL5 may represent a potential therapeutic target for influenza-related respiratory diseases.
Background:
Neutrophil infiltration is a major feature in the pathogenesis of influenza infection. The factors regulating the neutrophil influx are not fully understood. The chemokine CXCL5/ENA-78 is a potent neutrophil chemoattractant, that has been implicated in several inflammatory diseases. Our objectives was to study the release of CXCL5 in children with natural acquired influenza.
Methods:
CXCL5 concentration was investigated by immunoenzyme assay in nasal aspirates of children (n = 18) in whom respiratory symptoms were precipitated predominantly by influenza A virus.
Results:
There were increased CXCL5 levels in nasal aspirates when children were symptomatic as compared with samples from the same children when they had been asymptomatic for four weeks (medians 1850 pg/mL vs. 30 pg/mL, p < 0.005). We purified CXCL5 from these samples, and demonstrated biological neutrophil chemotactic activity.
Conclusions:
It is the first in vivo data that suggest an important role for CXCL5 in neutrophil influx in proven upper respiratory influenza infection. We suggest that CXCL5 might provide a target for therapeutic intervention in influenza induced respiratory diseases.
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