The inflammasome potentiates influenza/Staphylococcus aureus superinfection in mice

Keven M Robinson1, Krishnaveni Ramanan1, Michelle E Clay2

  • 1Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

JCI Insight
|April 6, 2018
PubMed

Insights

The inflammasome protein ASC aids bacterial clearance but also causes lung inflammation and death during superinfections. Inhibiting ASC may reduce illness and fatalities in these critical conditions.

Area of Science:

  • Immunology
  • Pulmonary Medicine
  • Microbiology

Background:

  • Secondary bacterial respiratory infections frequently complicate acute and chronic lung injuries.
  • Influenza and bacterial pneumonia serve as a clinically relevant model for studying host defense during pulmonary superinfections.
  • Multiprotein inflammasomes orchestrate IL-1β production and drive inflammation in response to infection.

Purpose of the Study:

  • To investigate the inflammasome's role in viral/bacterial superinfection.
  • To evaluate the impact of ASC inflammasome on host defense and inflammation during superinfection.

Main Methods:

  • Utilized ASC knockout (ASC-/-) mice to assess inflammasome-independent mechanisms.
  • Employed a neutrophil elastase inhibitor and anakinra (IL-1 receptor antagonist) to probe IL-1β pathways.
  • Administered MCC950 to inhibit NLRP3 inflammasome during influenza infection.

Main Results:

  • ASC-/- mice showed protection against bacterial superinfection with reduced lung inflammation.
  • IL-1β production was observed via an ASC inflammasome-independent pathway in knockout mice.
  • Neutrophil elastase inhibition blocked this ASC-independent IL-1β production, while anakinra confirmed IL-1's necessity for bacterial clearance.
  • Delayed NLRP3 inhibition reduced bacterial load and inflammatory cytokines during superinfection.

Conclusions:

  • ASC enhances bacterial clearance but also contributes to inflammation and mortality during superinfections.
  • Targeting ASC presents a potential therapeutic strategy to mitigate morbidity and mortality associated with bacterial superinfections.

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