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      MDA5 and TLR3 Initiate Pro-Inflammatory Signaling Pathways Leading to Rhinovirus-Induced Airways Inflammation and Hyperresponsiveness

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          Abstract

          Rhinovirus (RV), a single-stranded RNA picornavirus, is the most frequent cause of asthma exacerbations. We previously demonstrated in human bronchial epithelial cells that melanoma differentiation-associated gene (MDA)-5 and the adaptor protein for Toll-like receptor (TLR)-3 are each required for maximal RV1B-induced interferon (IFN) responses. However, in vivo, the overall airway response to viral infection likely represents a coordinated response integrating both antiviral and pro-inflammatory pathways. We examined the airway responses of MDA5- and TLR3-deficient mice to infection with RV1B, a minor group virus which replicates in mouse lungs. MDA5 null mice showed a delayed type I IFN and attenuated type III IFN response to RV1B infection, leading to a transient increase in viral titer. TLR3 null mice showed normal IFN responses and unchanged viral titers. Further, RV-infected MDA5 and TLR3 null mice showed reduced lung inflammatory responses and reduced airways responsiveness. Finally, RV-infected MDA5 null mice with allergic airways disease showed lower viral titers despite deficient IFN responses, and allergic MDA5 and TLR3 null mice each showed decreased RV-induced airway inflammatory and contractile responses. These results suggest that, in the context of RV infection, binding of viral dsRNA to MDA5 and TLR3 initiates pro-inflammatory signaling pathways leading to airways inflammation and hyperresponsiveness.

          Author Summary

          Rhinovirus (RV) is the most frequent cause of acute respiratory tract infection in humans. RV has emerged as the most frequent pathogen associated with exacerbations of asthma. However, the mechanisms by which RV causes asthma flare-ups are not precisely known. We studied the requirements of two receptors which bind viral double-stranded RNA, melanoma differentiation-associated gene (MDA)-5 and Toll-like receptor (TLR)-3, for RV-induced airway responses using specific knockout mice. We found that MDA5 and TLR3 deficiencies had modest effects on viral titer. However, MDA5 and TLR3 knockout mice showed significantly reduced airway inflammation and responsiveness in response to RV infection. Mice with allergic airways disease also showed reduced airway responses. These results suggest that, in the context of RV infection, TLR3 and MDA5 initiate pro-inflammatory signaling pathways which lead to airways inflammation and hyperresponsiveness.

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          Most cited references37

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          RIG-I-mediated antiviral responses to single-stranded RNA bearing 5'-phosphates.

          Double-stranded RNA (dsRNA) produced during viral replication is believed to be the critical trigger for activation of antiviral immunity mediated by the RNA helicase enzymes retinoic acid-inducible gene I (RIG-I) and melanoma differentiation-associated gene 5 (MDA5). We showed that influenza A virus infection does not generate dsRNA and that RIG-I is activated by viral genomic single-stranded RNA (ssRNA) bearing 5'-phosphates. This is blocked by the influenza protein nonstructured protein 1 (NS1), which is found in a complex with RIG-I in infected cells. These results identify RIG-I as a ssRNA sensor and potential target of viral immune evasion and suggest that its ability to sense 5'-phosphorylated RNA evolved in the innate immune system as a means of discriminating between self and nonself.
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            Community study of role of viral infections in exacerbations of asthma in 9-11 year old children.

            To study the association between upper and lower respiratory viral infections and acute exacerbations of asthma in schoolchildren in the community. Community based 13 month longitudinal study using diary card respiratory symptom and peak expiratory flow monitoring to allow early sampling for viruses. 108 Children aged 9-11 years who had reported wheeze or cough, or both, in a questionnaire. Southampton and surrounding community. Upper and lower respiratory viral infections detected by polymerase chain reaction or conventional methods, reported exacerbations of asthma, computer identified episodes of respiratory tract symptoms or peak flow reductions. Viruses were detected in 80% of reported episodes of reduced peak expiratory flow, 80% of reported episodes of wheeze, and in 85% of reported episodes of upper respiratory symptoms, cough, wheeze, and a fall in peak expiratory flow. The median duration of reported falls in peak expiratory flow was 14 days, and the median maximum fall in peak expiratory flow was 81 l/min. The most commonly identified virus type was rhinovirus. This study supports the hypothesis that upper respiratory viral infections are associated with 80-85% of asthma exacerbations in school age children.
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              Asthmatic bronchial epithelial cells have a deficient innate immune response to infection with rhinovirus

              Rhinoviruses are the major trigger of acute asthma exacerbations and asthmatic subjects are more susceptible to these infections. To investigate the underlying mechanisms of this increased susceptibility, we examined virus replication and innate responses to rhinovirus (RV)-16 infection of primary bronchial epithelial cells from asthmatic and healthy control subjects. Viral RNA expression and late virus release into supernatant was increased 50- and 7-fold, respectively in asthmatic cells compared with healthy controls. Virus infection induced late cell lysis in asthmatic cells but not in normal cells. Examination of the early cellular response to infection revealed impairment of virus induced caspase 3/7 activity and of apoptotic responses in the asthmatic cultures. Inhibition of apoptosis in normal cultures resulted in enhanced viral yield, comparable to that seen in infected asthmatic cultures. Examination of early innate immune responses revealed profound impairment of virus-induced interferon-β mRNA expression in asthmatic cultures and they produced >2.5 times less interferon-β protein. In infected asthmatic cells, exogenous interferon-β induced apoptosis and reduced virus replication, demonstrating a causal link between deficient interferon-β, impaired apoptosis and increased virus replication. These data suggest a novel use for type I interferons in the treatment or prevention of virus-induced asthma exacerbations.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS Pathog
                plos
                plospath
                PLoS Pathogens
                Public Library of Science (San Francisco, USA )
                1553-7366
                1553-7374
                May 2011
                May 2011
                26 May 2011
                : 7
                : 5
                : e1002070
                Affiliations
                [1 ]Department of Molecular and Integrative Physiology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
                [2 ]Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
                [3 ]Department of Microbiology and Immunology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
                [4 ]Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
                Washington University School of Medicine, United States of America
                Author notes

                Conceived and designed the experiments: QW DJM USS MBH. Performed the experiments: QW ERB DRN DS YZ MJL AMG JKB. Analyzed the data: QW DJM JKB USS MBH. Contributed reagents/materials/analysis tools: DJM. Wrote the paper: QW MBH.

                Article
                10-PLPA-RA-4242
                10.1371/journal.ppat.1002070
                3102730
                21637773
                ce0f640b-cf33-45ba-9d96-c268f6c6372d
                Wang et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
                History
                : 28 September 2010
                : 29 March 2011
                Page count
                Pages: 18
                Categories
                Research Article
                Medicine
                Clinical Immunology
                Immune System
                Cytokines
                Immunity
                Innate Immunity
                Allergy and Hypersensitivity
                Infectious Diseases
                Viral Diseases
                Rhinovirus Infection
                Pulmonology
                Asthma
                Respiratory Infections

                Infectious disease & Microbiology
                Infectious disease & Microbiology

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