TNF/iNOS-producing dendritic cells are the necessary evil of lethal influenza virus infection

Proc Natl Acad Sci U S A. 2009 Mar 31;106(13):5306-11. doi: 10.1073/pnas.0900655106. Epub 2009 Mar 11.

Abstract

Respiratory infection with highly pathogenic influenza A viruses is characterized by the exuberant production of cytokines and chemokines and the enhanced recruitment of innate inflammatory cells. Here, we show that challenging mice with virulent influenza A viruses, including currently circulating H5N1 strains, causes the increased selective accumulation of a particular dendritic cell subset, the tipDCs, in the pneumonic airways. These tipDCs are required for the further proliferation of influenza-specific CD8(+) T cells in the infected lung, because blocking their recruitment in CCR2(-/-) mice decreases the numbers of CD8(+) effectors and ultimately compromises virus clearance. However, diminution rather than total elimination of tipDC trafficking by treatment with the peroxisome proliferator-activated receptor-gamma agonist pioglitazone moderates the potentially lethal consequences of excessive tipDC recruitment without abrogating CD8(+) T cell expansion or compromising virus control. Targeting the tipDCs in this way thus offers possibilities for therapeutic intervention in the face of a catastrophic pandemic.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CD8-Positive T-Lymphocytes / immunology
  • Cell Movement / immunology
  • Cell Proliferation
  • Dendritic Cells / immunology*
  • Dendritic Cells / metabolism
  • Influenza A Virus, H5N1 Subtype
  • Influenza A virus / immunology*
  • Lung Diseases / immunology
  • Lung Diseases / virology
  • Mice
  • Mice, Knockout
  • Nitric Oxide Synthase Type II / biosynthesis
  • Orthomyxoviridae Infections / immunology*
  • Receptors, CCR2 / deficiency
  • Receptors, CCR2 / physiology
  • Tumor Necrosis Factor-alpha / biosynthesis

Substances

  • Ccr2 protein, mouse
  • Receptors, CCR2
  • Tumor Necrosis Factor-alpha
  • Nitric Oxide Synthase Type II