Macrophage PPAR-γ suppresses long-term lung fibrotic sequelae following acute influenza infection

Su Huang1, Nick P Goplen1, Bibo Zhu1

  • 1Thoracic Diseases Research Unit, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Rochester, Minnesota, United States of America.

Plos One
|October 5, 2019
PubMed

Insights

Nuclear receptor PPAR-γ deficiency in myeloid cells impairs lung repair after influenza infection, leading to sustained inflammation and fibrosis. This suggests PPAR-γ is crucial for resolving lung damage, particularly in elderly populations.

Area of Science:

  • Immunology
  • Pulmonary Medicine
  • Molecular Biology

Background:

  • Influenza virus causes severe respiratory illness with significant mortality.
  • Pulmonary sequelae, including lung remodeling, can occur after respiratory infections, disproportionately affecting the elderly.
  • Macrophages play a key role in tissue repair and response to influenza.

Purpose of the Study:

  • To investigate the role of Peroxisome proliferator-activated receptor gamma (PPAR-γ) in myeloid cells during influenza-induced lung inflammation and repair.
  • To determine if PPAR-γ deficiency in macrophages affects lung remodeling and fibrosis post-influenza.

Main Methods:

  • Utilized a mouse model with myeloid cell-specific PPAR-γ deficiency.
  • Infected mice with influenza virus and assessed pulmonary inflammation, collagen deposition, and gene expression in lung macrophages.
  • Analyzed lung tissue for extracellular matrix deposition and changes in gene expression.
  • Compared responses to bleomycin-induced lung injury in PPAR-γ deficient mice.

Main Results:

  • Myeloid cell-specific PPAR-γ deficiency delayed the resolution of pulmonary inflammation following influenza infection.
  • These mice exhibited increased and sustained collagen deposition, indicating dysfunctional lung remodeling.
  • Lung macrophages showed a pro-fibrotic gene signature, with impaired activation of damage repair genes.
  • PPAR-γ deficient macrophages conferred resistance to bleomycin-induced weight loss without affecting extracellular matrix deposition.

Conclusions:

  • Intrinsic PPAR-γ deficiency in myeloid cells impairs lung recovery after influenza infection, leading to progressive fibrosis.
  • PPAR-γ in macrophages appears to be a pathogen-specific regulator of organ recovery, not a universal damage response pathway.
  • These findings highlight a potential therapeutic target for managing post-influenza lung complications, especially in vulnerable populations.