Macrophage migration inhibitory factor enhances influenza-associated mortality in mice

Candice A Smith1, Daniel J Tyrell1, Upasana A Kulkarni1

  • 1Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.

JCI Insight
|July 12, 2019
PubMed

Insights

Targeting macrophage migration inhibitory factor (MIF) could combat influenza. Studies show that reducing MIF levels in mice lessens inflammation and mortality from influenza virus infection, suggesting MIF as a therapeutic target.

Area of Science:

  • Immunology
  • Virology
  • Respiratory Medicine

Background:

  • Annual influenza epidemics cause significant mortality despite antiviral treatments.
  • Host immune responses are crucial for controlling influenza virus infection.
  • The role of macrophage migration inhibitory factor (MIF) in influenza pathogenesis is not well understood.

Purpose of the Study:

  • To investigate the role of macrophage migration inhibitory factor (MIF) in influenza viral infection.
  • To determine if targeting MIF can serve as a therapeutic strategy against influenza.

Main Methods:

  • Utilized Mif-deficient mice, wild-type (WT) mice, and transgenic (Tg) mice overexpressing MIF.
  • Administered antibody-mediated blockade of MIF in WT mice during infection.
  • Analyzed lung inflammation, viral load, mortality, mitophagy protein levels (parkin), and type I/III interferon (IFN) responses.
  • Conducted in vitro assays using human lung epithelial cells and recombinant human MIF.

Main Results:

  • Mif-deficient mice exhibited reduced inflammation, viral load, and mortality compared to WT controls.
  • Tg mice overexpressing MIF showed increased inflammation, viral load, and mortality.
  • Antibody blockade of MIF improved survival in WT mice during influenza infection.
  • Mif-deficient lungs had lower parkin levels and augmented antiviral IFN responses post-infection.
  • In vitro, recombinant human MIF increased influenza virus infection in lung epithelial cells.

Conclusions:

  • Macrophage migration inhibitory factor (MIF) impairs host antiviral immunity and exacerbates inflammation during influenza infection.
  • Targeting MIF represents a potential therapeutic approach to mitigate influenza virus disease burden.

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