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Matrix metalloproteinase-9 deficiency protects mice from severe influenza A viral infection
Joselyn Rojas-Quintero, … , Kevin S. Harrod, Caroline A. Owen
Joselyn Rojas-Quintero, … , Kevin S. Harrod, Caroline A. Owen
Published December 20, 2018
Citation Information: JCI Insight. 2018;3(24):e99022. https://doi.org/10.1172/jci.insight.99022.
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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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