The macrophage-intrinsic MDA5/IRF5 axis drives HIV-1 intron-containing RNA-induced inflammatory responses

Sita Ramaswamy1, Hisashi Akiyama1, Jacob Berrigan1

  • 1Department of Virology, Immunology & Microbiology, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.

Insights

Melanoma differentiation-associated protein 5 (MDA5) senses HIV-1 intron-containing RNA (icRNA) in macrophages, driving type I interferon responses. This pathway, involving IRF5, contributes to chronic inflammation in older people living with HIV.

Area of Science:

  • Immunology
  • Virology
  • Molecular Biology

Background:

  • Persistent HIV-1 reservoirs cause immune activation despite antiretroviral therapy (ART).
  • HIV-1-infected macrophages mediate chronic innate immune activation via unclear mechanisms.
  • HIV-1 intron-containing RNA (icRNA) cytoplasmic expression activates MAVS-mediated type I interferon (IFN) responses.

Purpose of the Study:

  • To elucidate the role of MDA5 in sensing HIV-1 icRNA and initiating innate immune responses.
  • To investigate the downstream signaling pathways, including IRF5, involved in HIV-1 icRNA-induced inflammation.
  • To explore age-related differences in HIV-1 icRNA sensing and pro-inflammatory responses.

Main Methods:

  • Macrophages were used to study HIV-1 icRNA sensing pathways.
  • MDA5 and RIG-I expression and function were modulated.
  • Interferon (IFN) and IP-10 responses were measured.
  • Monocytes and macrophages from younger and older individuals were analyzed.

Main Results:

  • MDA5, not RIG-I or endosomal TLRs, is essential for sensing HIV-1 icRNA and inducing type I IFN and IP-10 in macrophages.
  • MDA5-dependent induction of IP-10 requires IRF5 activation.
  • Macrophages from older individuals exhibit higher constitutive IRF5 and enhanced HIV-1 icRNA-induced IP-10 production.
  • Ablation of IRF5 attenuated the enhanced inflammatory response in older macrophages.

Conclusions:

  • MDA5 is a key sensor of HIV-1 icRNA in macrophages, initiating MAVS-dependent type I IFN and IP-10 responses.
  • IRF5 is a critical mediator of the pro-inflammatory cascade downstream of MDA5-mediated HIV-1 icRNA sensing.
  • Dysregulation of the MDA5-IRF5 pathway may contribute to chronic inflammation in older people living with HIV.