Alveolar macrophages protect mice from MERS-CoV-induced pneumonia and severe disease

Rudragouda Channappanavar1, Muneeswaran Selvaraj1, Sunil More1

  • 1Oklahoma State University, Stillwater, OK.

Insights

Alveolar macrophages (AMs) are crucial for controlling Middle East respiratory syndrome coronavirus (MERS-CoV) infection. Their depletion worsens MERS-CoV disease by impairing T-cell responses and increasing lung inflammation.

Area of Science:

  • Immunology
  • Virology
  • Pathogenesis

Background:

  • Human coronaviruses (hCoVs) cause severe respiratory illness, with lethal pneumonia mechanisms unclear.
  • Alveolar macrophages (AMs) are vital for antiviral defense and tissue tolerance in respiratory infections.
  • AM dysfunction is linked to severe COVID-19, suggesting a role in other hCoV diseases.

Purpose of the Study:

  • To investigate the role of AMs in Middle East respiratory syndrome coronavirus (MERS-CoV) pathogenesis.
  • To understand how AMs influence host defense and disease severity during MERS-CoV infection.

Main Methods:

  • Used a mouse model of MERS-CoV infection with human dipeptidyl peptidase 4 (hDPP4-KI) mice.
  • Depleted AMs using clodronate (CL) liposomes to assess their impact on MERS-CoV pathogenesis.
  • Analyzed lung tissues for immune cell activity (neutrophils, CD4 T-cells), inflammation, and lesions.

Main Results:

  • AM depletion significantly increased morbidity and mortality in MERS-CoV infected hDPP4-KI mice.
  • AM-deficient lungs showed increased neutrophil activity but a reduced MERS-CoV-specific CD4 T-cell response.
  • Enhanced MERS severity in AM-depleted mice correlated with increased lung inflammation and lesions.

Conclusions:

  • Alveolar macrophages are critical for mounting an effective virus-specific T-cell response during MERS-CoV infection.
  • AMs play a key role in controlling excessive inflammation and limiting lung pathology in MERS-CoV infection.
  • These findings highlight AMs as important targets for therapeutic strategies against severe coronavirus respiratory diseases.

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