Seasonal coronavirus infections trigger NLRP3 inflammasome activation in macrophages but is therapeutically

Yang Li1, Yining Wang1, Yunlong Li1

  • 1Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, Netherlands.

Antiviral Research
|July 17, 2023
PubMed

Insights

Seasonal coronaviruses trigger inflammation via the TLR4/NF-κB/NLRP3 pathway. Targeting this axis with anti-inflammatory and antiviral drugs may treat infections and reduce replication.

Area of Science:

  • Immunology
  • Virology
  • Pharmacology

Background:

  • Seasonal coronaviruses are common but lack approved treatments.
  • Pathogenic mechanisms, including inflammasome activation, are poorly understood.
  • Elevated Interleukin-1 beta (IL-1β) suggests inflammasome involvement in some patients.

Purpose of the Study:

  • To investigate the role of the inflammasome pathway in seasonal coronavirus infection.
  • To identify potential therapeutic targets for seasonal coronavirus infections.

Main Methods:

  • Cultured human macrophages were infected with seasonal coronaviruses.
  • NLRP3 inflammasome activation was assessed via Toll-like receptor 4 (TLR4) ligation and Nuclear Factor-kappa B (NF-κB) activation.
  • The effects of pharmacological inhibitors, including dexamethasone and flufenamic acid, were evaluated.
  • Combined antiviral and anti-inflammatory drug treatments were tested.

Main Results:

  • Human macrophages support the complete lifecycle of seasonal coronaviruses.
  • Infection activated the NLRP3 inflammasome through TLR4 and NF-κB pathways.
  • Dexamethasone and flufenamic acid attenuated inflammasome activation.
  • Combined therapies inhibited both viral replication and the inflammatory response.

Conclusions:

  • The TLR4/NF-κB/NLRP3 signaling axis is crucial in seasonal coronavirus-induced inflammation.
  • This pathway represents a promising therapeutic target.
  • Combination therapy with antiviral and anti-inflammatory drugs shows potential for treating seasonal coronaviruses.