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Updated: Jul 12, 2026

An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
USP18-driven macrophage M2 polarization through fatty acid β-oxidation inhibits immune responses induced by RSV
Dannv Yang1, Liyan Zhao1, Li Liu1
1Department of Pediatrics, Zhuji People's Hospital of Zhejiang Province, Zhuji City, China, 311800.
Introduction:
Respiratory syncytial virus (RSV) is a leading cause of severe lower respiratory infections in infants under six months, with limited treatment options available. Macrophages play a pivotal role in antiviral immunity, where their polarization state directly modulates immune responses.
Methodology:
The expression changes of ubiquitin-specific protease 18 (USP18) in RSV-infected samples were analyzed through the Gene Expression Omnibus database. An RSV infection model was established in C57BL/6 mice, and USP18 expression in lung tissues was measured by quantitative polymerase chain reaction (qPCR). Adenovirus-mediated USP18 knockdown was performed via tail vein injection, and its effects on immune cells were assessed using enzyme-linked immunosorbent assay (ELISA) and qPCR. THP-1 macrophage models with USP18 overexpression and knockdown were constructed. The effects of USP18 on macrophage polarization, immune function, and fatty acid β-oxidation during RSV infection were evaluated using immunofluorescence, ELISA, fatty acid oxidation (FAO) assays, boron-dipyrromethene (BODIPY) staining, and Western blot.
Results:
USP18 was markedly overexpressed in RSV-infected samples. USP18 knockdown in mice alleviated lung damage, reduced M2 macrophage markers, and enhanced CD8+ T cell activity. Cellular experiments demonstrated that USP18 promotes M2 macrophage polarization by enhancing fatty acid β-oxidation and regulating the expression of related enzymes, including ACLY, FASN, and ACC1. Elevated USP18 in macrophages during RSV infection inhibits CD8+ T cell activation, contributing to immune suppression. These effects were reversible with FAO inhibitors.
Conclusions:
USP18 upregulation in RSV-infected cells induces M2 macrophage polarization via fatty acid β-oxidation, thereby promoting immune suppression.
Insights
Ubiquitin-specific protease 18 (USP18) promotes M2 macrophage polarization and immune suppression during respiratory syncytial virus (RSV) infection by enhancing fatty acid oxidation. USP18 knockdown alleviates lung damage and enhances T cell activity in mice.
Area of Science:
- Immunology
- Virology
- Cell Biology
Background:
- Respiratory syncytial virus (RSV) causes severe infant respiratory infections with limited treatments.
- Macrophages are key in antiviral immunity, with polarization state influencing immune response.
Purpose of the Study:
- To investigate the role of ubiquitin-specific protease 18 (USP18) in RSV infection.
- To determine USP18's effect on macrophage polarization and immune function during RSV infection.
Main Methods:
- Analyzed USP18 expression in RSV-infected samples via Gene Expression Omnibus database and mouse models (qPCR).
- Performed USP18 knockdown in mice and THP-1 macrophages (adenovirus-mediated, tail vein injection).
- Assessed macrophage polarization, immune function, and fatty acid oxidation (FAO) using ELISA, immunofluorescence, BODIPY staining, and Western blot.
Main Results:
- USP18 was overexpressed in RSV-infected samples.
- USP18 knockdown in mice reduced lung damage, M2 macrophage markers, and enhanced CD8+ T cell activity.
- USP18 promoted M2 macrophage polarization via enhanced fatty acid β-oxidation, inhibiting CD8+ T cell activation and causing immune suppression.
Conclusions:
- USP18 upregulation in RSV infection drives M2 macrophage polarization through fatty acid β-oxidation.
- This process contributes to immune suppression during RSV infection, highlighting USP18 as a potential therapeutic target.
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