Critical role of phospholipase A2 group IID in age-related susceptibility to severe acute respiratory syndrome–CoV infection

R Vijay, X Hua, DK Meyerholz, Y Miki… - Journal of Experimental …, 2015 - rupress.org
R Vijay, X Hua, DK Meyerholz, Y Miki, K Yamamoto, M Gelb, M Murakami, S Perlman
Journal of Experimental Medicine, 2015rupress.org
Oxidative stress and chronic low-grade inflammation in the lungs are associated with aging
and may contribute to age-related immune dysfunction. To maintain lung homeostasis,
chronic inflammation is countered by enhanced expression of proresolving/antiinflammatory
factors. Here, we show that age-dependent increases of one such factor in the lungs, a
phospholipase A2 (PLA2) group IID (PLA2G2D) with antiinflammatory properties,
contributed to worse outcomes in mice infected with severe acute respiratory syndrome …
Oxidative stress and chronic low-grade inflammation in the lungs are associated with aging and may contribute to age-related immune dysfunction. To maintain lung homeostasis, chronic inflammation is countered by enhanced expression of proresolving/antiinflammatory factors. Here, we show that age-dependent increases of one such factor in the lungs, a phospholipase A2 (PLA2) group IID (PLA2G2D) with antiinflammatory properties, contributed to worse outcomes in mice infected with severe acute respiratory syndrome-coronavirus (SARS-CoV). Strikingly, infection of mice lacking PLA2G2D expression (Pla2g2d−/− mice) converted a uniformly lethal infection to a nonlethal one (>80% survival), subsequent to development of enhanced respiratory DC migration to the draining lymph nodes, augmented antivirus T cell responses, and diminished lung damage. We also observed similar effects in influenza A virus–infected middle-aged Pla2g2d−/− mice. Furthermore, oxidative stress, probably via lipid peroxidation, was found to induce PLA2G2D expression in mice and in human monocyte–derived macrophages. Thus, our results suggest that directed inhibition of a single inducible phospholipase, PLA2G2D, in the lungs of older patients with severe respiratory infections is potentially an attractive therapeutic intervention to restore immune function.
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