IL-17A plays a critical role in RSV infection in children and mice

Xin Long1,2, Jun Xie1,2, Luo Ren1,2

  • 1Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, No.136, Zhongshan 2nd Road, Yuzhong District, Chongqing, 400014, People's Republic of China.

Virology Journal
|February 16, 2023
PubMed

Insights

Interleukin-17A (IL-17A) exacerbates respiratory syncytial virus (RSV) infection in children and mice, leading to airway dysfunction. Targeting IL-17A may offer therapeutic benefits for severe RSV cases.

Area of Science:

  • Immunology
  • Respiratory Medicine
  • Virology

Background:

  • Interleukin-17A (IL-17A) is linked to asthma, but its role in respiratory syncytial virus (RSV) infection remains unclear.
  • Conflicting data exists regarding IL-17A's involvement in RSV pathogenesis.

Purpose of the Study:

  • To investigate the role of IL-17A in RSV infection and associated airway dysfunction.
  • To explore the cellular sources and regulatory pathways of IL-17A in RSV infection.

Main Methods:

  • Clinical analysis of RSV-infected children's nasopharyngeal aspirates for cytokine levels.
  • Murine model of RSV infection using wild-type and IL-17A knockout mice.
  • Assessment of bronchoalveolar lavage fluid, lung histopathology, airway hyperresponsiveness, and specific immune cell populations.

Main Results:

  • IL-17A levels were elevated in RSV-infected children and correlated with pneumonia severity.
  • RSV infection increased IL-17A in murine models, and its neutralization or absence alleviated airway inflammation, lung damage, and hyperresponsiveness.
  • IL-17A production was modulated by CD4+ T cells (decreasing) and CD8+ T cells (increasing), with parallel increases in IL-6, IL-21, IL-23R, and RORγt.

Conclusions:

  • IL-17A exacerbates RSV-induced airway dysfunction in both pediatric and murine models.
  • CD4+ T cells are identified as the primary source of IL-17A during RSV infection.
  • The IL-6/IL-21-IL-23R-RORγt signaling pathway may play a role in regulating IL-17A production in RSV.
Abstract