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Matrix metalloproteinase-9 deficiency protects mice from severe influenza A viral infection
Joselyn Rojas-Quintero, Xiaoyun Wang, Jennifer Tipper, Patrick R. Burkett, Joaquin Zuñiga, Amit R. Ashtekar, Francesca Polverino, Amit Rout, Ilyas Yambayev, Carmen Hernández, Luis Jimenez, Gustavo Ramírez, Kevin S. Harrod, Caroline A. Owen
Joselyn Rojas-Quintero, Xiaoyun Wang, Jennifer Tipper, Patrick R. Burkett, Joaquin Zuñiga, Amit R. Ashtekar, Francesca Polverino, Amit Rout, Ilyas Yambayev, Carmen Hernández, Luis Jimenez, Gustavo Ramírez, Kevin S. Harrod, Caroline A. Owen
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Research Article Infectious disease Pulmonology

Matrix metalloproteinase-9 deficiency protects mice from severe influenza A viral infection

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Abstract

Matrix metalloproteinase-9 (MMP-9) cleaves various proteins to regulate inflammatory and injury responses. However, MMP-9’s activities during influenza A viral (IAV) infections are incompletely understood. Herein, plasma MMP-9 levels were increased in patients with pandemic H1N1 and seasonal IAV infections. MMP-9 lung levels were increased and localized to airway epithelial cells and leukocytes in H1N1-infected WT murine lungs. H1N1-infected Mmp-9–/– mice had lower mortality rates, reduced weight loss, lower lung viral titers, and reduced lung injury, along with lower E-cadherin shedding in bronchoalveolar lavage fluid (BALF) samples than WT mice. H1N1-infected Mmp-9–/– mice had an altered immune response to IAV with lower BALF PMN and macrophage counts, higher Th1-like CD4+ and CD8+ T cell subsets, lower T regulatory cell counts, reduced lung type I interferon levels, and higher lung interferon-γ levels. Mmp-9 bone marrow–chimera studies revealed that Mmp-9 deficiency in lung parenchymal cells protected mice from IAV-induced mortality. H1N1-infected Mmp-9–/– lung epithelial cells had lower viral titers than H1N1-infected WT cells in vitro. Thus, H1N1-infected Mmp-9–/– mice are protected from IAV-induced lung disease due to a more effective adaptive immune response to IAV and reduced epithelial barrier injury due partly to reduced E-cadherin shedding. Thus, we believe that MMP-9 is a novel therapeutic target for IAV infections.

Authors

Joselyn Rojas-Quintero, Xiaoyun Wang, Jennifer Tipper, Patrick R. Burkett, Joaquin Zuñiga, Amit R. Ashtekar, Francesca Polverino, Amit Rout, Ilyas Yambayev, Carmen Hernández, Luis Jimenez, Gustavo Ramírez, Kevin S. Harrod, Caroline A. Owen

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Figure 1

MMP-9 levels were increased in blood and/or lung samples from IAV-infected human subjects and WT mice.

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MMP-9 levels were increased in blood and/or lung samples from IAV-infect...
(A) MMP-9 protein levels were measured in plasma samples obtained from human patients diagnosed with A/California/07/2009 H1N1 strain influenza infection (n = 66) or seasonal IAV infection (n = 10), or uninfected healthy control subjects (n = 14) using an ELISA. For subjects infected with seasonal influenza, samples were obtained within the first 2 weeks of onset of symptoms. For subjects infected with H1N1, samples were obtained during the first 30 days after they were admitted to the intensive care unit. *P < 0.001 versus the group indicated. (B) WT mice were infected an LD20 inoculum of H1N1 IAV by the intranasal route. Serum Mmp-9 levels were measured in infected mice on days 1–10 postinfection or uninfected control (UC) WT mice using an ELISA (n = 5–7 mice/group). *P < 0.05 versus uninfected controls. (C) WT mice were infected with a LD20 inoculum by the intranasal route. At postinfection intervals, lungs were removed from infected mice or uninfected controls (UC) and Mmp-9 protein levels were measured using ELISA and normalized to total protein levels (4–5 mice/group). *P < 0.05 versus uninfected controls. All box-and-whisker plots show medians and 25th and 75th percentiles, and the whiskers show the 10th and 90th percentiles. All data were analyzed with 1-way ANOVAs followed by pair-wise testing with Mann-Whitney U tests.

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