Excessive cytokine response to rapid proliferation of highly pathogenic avian influenza viruses leads to fatal systemic capillary leakage in chickens

PLoS One. 2013 Jul 9;8(7):e68375. doi: 10.1371/journal.pone.0068375. Print 2013.

Abstract

Highly pathogenic avian influenza viruses (HPAIVs) cause lethal infection in chickens. Severe cases of HPAIV infections have been also reported in mammals, including humans. In both mammals and birds, the relationship between host cytokine response to the infection with HPAIVs and lethal outcome has not been well understood. In the present study, the highly pathogenic avian influenza viruses A/turkey/Italy/4580/1999 (H7N1) (Ty/Italy) and A/chicken/Netherlands/2586/2003 (H7N7) (Ck/NL) and the low pathogenic avian influenza virus (LPAIV) A/chicken/Ibaraki/1/2005 (H5N2) (Ck/Ibaraki) were intranasally inoculated into chickens. Ty/Italy replicated more extensively than Ck/NL in systemic tissues of the chickens, especially in the brain, and induced excessive mRNA expression of inflammatory and antiviral cytokines (IFN-γ, IL-1β, IL-6, and IFN-α) in proportion to its proliferation. Using in situ hybridization, IL-6 mRNA was detected mainly in microglial nodules in the brain of the chickens infected with Ty/Italy. Capillary leakage assessed by Evans blue staining was observed in multiple organs, especially in the brains of the chickens infected with Ty/Italy, and was not observed in those infected with Ck/NL. In contrast, LPAIV caused only local infection in the chickens, with neither apparent cytokine expression nor capillary leakage in any tissue of the chickens. The present results indicate that an excessive cytokine response is induced by rapid and extensive proliferation of HPAIV and causes fatal multiple organ failure in chickens.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, Viral / immunology
  • Antigens, Viral / metabolism
  • Brain / metabolism
  • Brain / pathology
  • Capillary Permeability*
  • Chickens
  • Cytokines / genetics*
  • Cytokines / immunology
  • Evans Blue / metabolism
  • Influenza A Virus, H5N2 Subtype
  • Influenza A Virus, H7N1 Subtype
  • Influenza A Virus, H7N7 Subtype
  • Influenza A virus / physiology*
  • Influenza in Birds / genetics*
  • Influenza in Birds / immunology
  • Influenza in Birds / mortality
  • Virus Replication*

Substances

  • Antigens, Viral
  • Cytokines
  • Evans Blue

Grants and funding

This work was supported by the Programs of Founding Research Centers for Emerging and Re-Emerging Infectious Diseases, and Global Centers of Excellence Program by the Ministry of Education, Culture, Sports, Science, and Technology, Japan, and partially by the Program of Strategic Fund for Promotion of Science and Technology of the Japan Science and Technology Agency. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.