Chikungunya virus persists in joint-associated macrophages and promotes chronic disease

Thomas Morrison1, Kristen Zarrella2, Ryan Sheridan1

  • 1Department of Immunology & Microbiology, University of Colorado School of Medicine, Aurora, CO, USA.

Research Square
|July 18, 2025
PubMed

Insights

Chronic alphavirus infection causes joint inflammation. Inflammatory macrophages harbor viral RNA, contributing to sustained pain and inflammation. Targeting viral replication may reduce chronic disease.

Area of Science:

  • Virology
  • Immunology
  • Rheumatology

Background:

  • Arthritogenic alphaviruses cause persistent musculoskeletal pain and inflammation.
  • Mechanisms underlying chronic alphavirus-induced joint disease are not fully understood.

Purpose of the Study:

  • Investigate the cellular and molecular mechanisms driving chronic joint inflammation in alphavirus-infected mice.
  • Identify key cellular players and pathways involved in sustained joint pathology.

Main Methods:

  • Single-cell RNA sequencing (scRNA-seq) of joint-associated tissues.
  • Spatial transcriptomics and flow cytometry.
  • In vivo CD4+ T cell depletion and CHIKV replication inhibition.

Main Results:

  • Accumulation of inflammatory macrophages expressing TNF, NLRP3, IL1B, and MHC-II in chronic alphavirus infection.
  • Macrophages harbored CHIKV RNA, suggesting active viral replication.
  • CD4+ T cells accumulated and influenced macrophage MHC-II expression.
  • Inhibiting CHIKV replication reduced viral RNA and joint inflammation.

Conclusions:

  • Macrophages harbor replicating alphavirus RNA and contribute to chronic joint inflammation.
  • Viral RNA replication is a key driver of sustained joint disease.
  • CD4+ T cells play a role in modulating macrophage-driven inflammation.