Type III interferons disrupt the lung epithelial barrier upon viral recognition

Achille Broggi1, Sreya Ghosh1, Benedetta Sposito1,2

  • 1Harvard Medical School, Boston Children's Hospital, Division of Immunology, Boston, MA, USA.

Science (New York, N.Y.)
|June 13, 2020
PubMed

Insights

Type III interferons (IFN-λ) cause lung damage and increase susceptibility to bacterial infections during viral respiratory illnesses like COVID-19. This suggests new therapeutic strategies targeting IFN-λ.

Area of Science:

  • Immunology
  • Virology
  • Respiratory Medicine

Background:

  • Lower respiratory tract viral infections cause significant mortality.
  • Severe cases often involve immune dysregulation rather than high viral load.
  • Type III interferons (IFN-λ) are key antiviral proteins, but their role in severe disease is unclear.

Purpose of the Study:

  • To investigate the role of type III interferons (IFN-λ) in the pathogenesis of RNA virus-induced respiratory infections.
  • To determine the clinical relevance of IFN-λ in coronavirus disease 2019 (COVID-19) and other viral respiratory diseases.

Main Methods:

  • Analysis of IFN-λ levels in the airways of COVID-19 patients.
  • In vivo studies using a mouse model with synthetic viral RNA to assess IFN-λ function.
  • Evaluation of lung barrier integrity and susceptibility to secondary bacterial infections in mice.

Main Results:

  • IFN-λ was detected in the lower airways but not the upper airways of COVID-19 patients.
  • In mice, IFN-λ induced by lung dendritic cells led to lung barrier damage.
  • This damage increased susceptibility to lethal bacterial superinfections.

Conclusions:

  • IFN-λ contributes to lung pathology and secondary bacterial infections during viral respiratory infections.
  • These findings challenge the protective role of IFN-λ in severe disease and suggest it may be a therapeutic target.
  • Targeting IFN-λ could be beneficial for treating infections caused by viruses like influenza and SARS-CoV-2.