HIV Impairs Alveolar Macrophage Function via MicroRNA-144-Induced Suppression of Nrf2

Xian Fan1, Shannon C Murray1, Bashar S Staitieh1

  • 1Division of Pulmonary, Allergy, Critical Care & Sleep Medicine, Emory University School of Medicine, Atlanta, Georgia.

Abstract

Insights

In HIV-1 infection, miR-144 impairs alveolar macrophage function by suppressing Nrf2. Inhibiting miR-144 restores macrophage defenses and improves lung health in HIV patients.

Area of Science:

  • Immunology
  • Molecular Biology
  • Virology

Background:

  • HIV-1 infection compromises alveolar macrophage (AM) immune function, leading to oxidative stress and increased pneumonia risk, even with anti-retroviral therapy.
  • HIV-1 proteins are known to suppress antioxidant defenses and phagocytosis by inhibiting nuclear factor (erythroid-derived 2)-like 2 (Nrf2).

Purpose of the Study:

  • To investigate the role of miR-144 in mediating HIV-1-induced suppression of Nrf2 in alveolar macrophages.
  • To determine if modulating miR-144 can restore AM function and improve lung health in the context of HIV-1 infection.

Main Methods:

  • Primary AMs from HIV-1 transgenic rats and ex vivo HIV-1-infected human monocyte-derived macrophages (MDMs) were utilized.
  • miR-144 expression was modulated using mimics and inhibitors to assess effects on Nrf2/ARE activity and AM functions in vitro and in vivo.

Main Results:

  • miR-144 levels were elevated in AMs from HIV-1 transgenic rats and HIV-1-infected human MDMs.
  • Upregulating miR-144 impaired Nrf2 expression, bacterial phagocytosis, and hydrogen peroxide scavenging in macrophages.
  • Antagonizing miR-144 reversed these deficits, but this protective effect was dependent on Nrf2 expression.

Conclusions:

  • miR-144 plays a critical role in HIV-1-mediated suppression of Nrf2 and subsequent alveolar macrophage immune dysfunction.
  • Inhibiting miR-144 offers a potential therapeutic strategy to restore AM function and enhance lung health in individuals with HIV.