RSV infection-elicited high MMP-12-producing macrophages exacerbate allergic airway inflammation with neutrophil

Airi Makino1,2,3, Takehiko Shibata1,2,3, Mashiro Nagayasu2,3

  • 1Department of Microbiology, Tokyo Medical University, Tokyo 160-8402, Japan.

Iscience
|October 27, 2021
PubMed

Insights

Respiratory syncytial virus (RSV) infection worsens asthma by increasing matrix metalloproteinase-12 (MMP-12). Inhibiting MMP-12 may offer a new asthma treatment strategy.

Area of Science:

  • Immunology
  • Respiratory Medicine
  • Virology

Background:

  • Respiratory syncytial virus (RSV) infection exacerbates bronchial asthma.
  • No licensed RSV vaccine or specific treatments are currently available.
  • Alveolar macrophages play a role in airway inflammation.

Purpose of the Study:

  • To investigate the role of matrix metalloproteinase-12 (MMP-12) in RSV-induced asthma exacerbation.
  • To explore MMP-12 as a potential therapeutic target for asthma.

Main Methods:

  • Mice were subjected to allergic airway inflammation (house dust mite antigen - HDM) and infected with RSV.
  • MMP-12 expression, viral load, neutrophil infiltration, and airway hyperresponsiveness (AHR) were measured.
  • Mice were genetically deficient in MMP-12 or treated with an MMP-12 inhibitor (MMP408) or dexamethasone.

Main Results:

  • RSV infection in HDM-sensitized mice significantly increased MMP-12, viral load, neutrophil infiltration, and AHR.
  • These exacerbations were attenuated in MMP-12-deficient mice and those treated with MMP408.
  • Dexamethasone treatment did not attenuate the exacerbations.
  • M2-like macrophages were identified as producers of MMP-12, with production promoted by RSV-induced IFN-β and IL-4 receptor expression.

Conclusions:

  • RSV-induced MMP-12 production by alveolar macrophages exacerbates allergic airway inflammation and asthma.
  • Targeting MMP-12 presents a novel therapeutic strategy for managing RSV-associated asthma exacerbations.