Mx1は,抗ウイルス耐性および致死性インフルエンザへの先天的な経路を明らかにします
Padmini S Pillai1, Ryan D Molony1, Kimberly Martinod2
1Department of Immunobiology, Yale School of Medicine, New Haven, CT 06520, USA.
まとめ
インフルエンザAウイルス (IAV) 耐性が低下した高齢者は,細菌感染が増加します. これらの脆弱な集団における死亡率は,ウイルス負荷ではなく,カスパースに依存する病理と関連しています.
科学分野:
- 免疫学
- ウイルス学
- ゲロントロジー
背景:
- インフルエンザAウイルス (IAV) は,年配の成人に不釣り合いな影響を及ぼし,年配の成人に著しい死亡率をもたらします.
- 高齢者のIAVに感染した単細胞は,インターフェロン産生が低下しているが,炎症性反応は無傷である.
- 年齢に関係するIAVの脆弱性を理解するには,宿主-病原体の相互作用を in vivo で調べる必要があります.
研究 の 目的:
- IAV感染の文脈における抗ウイルス反応の障害のインビボの結果を調査する.
- IAV感染時の高齢者の死亡率増加の原因となるメカニズムを特定する.
- IAVの病原性における細菌の共感染と炎症体の活性化の役割を明らかにする.
主な方法:
- ヒトのインターフェロン誘発抗ウイルスエフェクターである機能的なMx遺伝子を発現するマウスを利用した.
- MavsとTlr7に欠陥があるマウスモデルを用いて 弱まった抗ウイルス抵抗を模倣した.
- 評価されたウイルス負荷,細菌負荷,炎症体活性化 (カスペーゼ-1/11) および中性粒子の依存性組織損傷.
主要な成果:
- 抵抗力が低下したマウス (MavsとTlr7欠乏症) は,呼吸器のバクテリアの負荷が増加した.
- 死亡率は,ウイルス負荷またはMyD88依存のシグナリングとは無関係でした.
- 死亡率は,細菌負荷,カスパース-1/11活性化,中性粒子の媒介による組織損傷に決定的に依存していた.
結論:
- 抗ウイルス防御機能が低下した個体では,重度のIAV疾患に対する感受性は,カスパースに依存する病理によって引き起こされ,細菌による共感染によって悪化します.
- これは,脆弱な集団におけるIAV関連死亡における炎症体活性化と二次細菌感染症の重要な役割を強調しています.
- カスパースに依存する経路をターゲットにすることで,インフルエンザの流行中に高齢者の重篤なアウトカムを緩和する治療戦略を提供することができる.
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