Gut probiotic Lactobacillus rhamnosus attenuates PDE4B-mediated interleukin-6 induced by SARS-CoV-2 membrane

Minh Tan Pham1, Albert Jackson Yang1, Ming-Shan Kao1

  • 1Department of Biomedical Sciences and Engineering, National Central University, Taoyuan, 32001, Taiwan.

Insights

SARS-CoV-2 membrane glycoprotein elevates interleukin-6 (IL-6) via PDE4B. Lactobacillus rhamnosus plus mycelia reduces IL-6 by activating Ffar2, offering a probiotic strategy against COVID-19 cytokine storms.

Area of Science:

  • Immunology
  • Microbiology
  • Virology

Background:

  • The SARS-CoV-2 membrane glycoprotein's role in COVID-19 pathogenesis, particularly cytokine storm induction, requires further elucidation.
  • Interleukin-6 (IL-6) is a key mediator of the cytokine storm observed in severe COVID-19.
  • Phosphodiesterase 4B (PDE4B) has been implicated in IL-6 signaling pathways.

Purpose of the Study:

  • To investigate the role of SARS-CoV-2 membrane glycoprotein in inducing IL-6 production.
  • To explore the involvement of PDE4B in membrane glycoprotein-induced IL-6 signaling.
  • To evaluate the potential of Lactobacillus rhamnosus (L. rhamnosus) and its fermentation products in mitigating the cytokine storm.

Main Methods:

  • Mice were intranasally inoculated with SARS-CoV-2 membrane glycoprotein or green fluorescent protein (GFP).
  • PDE4B knockout mice and wild-type mice were used to assess PDE4B's role in IL-6 signaling.
  • Mice were supplemented with L. rhamnosus EH8 strain mycelia, and its effect on PDE4B and IL-6 was analyzed.
  • The role of free fatty acid receptor 2 (Ffar2) was investigated using an Ffar2 antagonist (GLPG-0974).

Main Results:

  • Intranasal inoculation with SARS-CoV-2 membrane glycoprotein significantly increased IL-6 levels in bronchoalveolar lavage fluid (BALF).
  • This IL-6 increase was substantially reduced in PDE4B knockout mice, confirming PDE4B's essential role.
  • L. rhamnosus mycelia fermentation produced butyric acid, which down-regulated PDE4B expression and IL-6 secretion in macrophages.
  • Supplementation with L. rhamnosus plus mycelia decreased membrane glycoprotein-induced PDE4B expression and IL-6 secretion in mice.
  • The probiotic effect was abolished by Ffar2 antagonism, indicating Ffar2's involvement in the gut-lung axis.

Conclusions:

  • SARS-CoV-2 membrane glycoprotein induces IL-6 production through a PDE4B-dependent pathway.
  • Lactobacillus rhamnosus, through its mycelia and butyric acid production, can down-regulate PDE4B and IL-6.
  • Activation of Ffar2 in the gut-lung axis by L. rhamnosus offers a potential therapeutic strategy for managing COVID-19-associated cytokine storms.