Alveolar-like Macrophages Attenuate Respiratory Syncytial Virus Infection

Respiratory Syncytial Virus (RSV) is the leading cause of acute lower respiratory infections in young children and infection has been linked to the development of persistent lung disease in the form of wheezing and asthma. Despite substantial research efforts, there are no RSV vaccines currently ava...

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Main Authors: Bárbara N. Porto, Michael L. Litvack, Yuchen Cen, Irene Lok, Sheena Bouch, Michael J. Norris, Wenming Duan, Cameron Ackerley, Martin Post, Theo J. Moraes
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/10/1960
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author Bárbara N. Porto
Michael L. Litvack
Yuchen Cen
Irene Lok
Sheena Bouch
Michael J. Norris
Wenming Duan
Cameron Ackerley
Martin Post
Theo J. Moraes
author_facet Bárbara N. Porto
Michael L. Litvack
Yuchen Cen
Irene Lok
Sheena Bouch
Michael J. Norris
Wenming Duan
Cameron Ackerley
Martin Post
Theo J. Moraes
author_sort Bárbara N. Porto
collection DOAJ
description Respiratory Syncytial Virus (RSV) is the leading cause of acute lower respiratory infections in young children and infection has been linked to the development of persistent lung disease in the form of wheezing and asthma. Despite substantial research efforts, there are no RSV vaccines currently available and an effective monoclonal antibody targeting the RSV fusion protein (palivizumab) is of limited general use given the associated expense. Therefore, the development of novel approaches to prevent RSV infection is highly desirable to improve pediatric health globally. We have developed a method to generate alveolar-like macrophages (ALMs) from pluripotent stem cells. These ALMs have shown potential to promote airway innate immunity and tissue repair and so we hypothesized that ALMs could be used as a strategy to prevent RSV infection. Here, we demonstrate that ALMs are not productively infected by RSV and prevent the infection of epithelial cells. Prevention of epithelial infection was mediated by two different mechanisms: phagocytosis of RSV particles and release of an antiviral soluble factor different from type I interferon. Furthermore, intratracheal administration of ALMs protected mice from subsequent virus-induced weight loss and decreased lung viral titres and inflammation, indicating that ALMs can impair the pathogenesis of RSV infection. Our results support a prophylactic role for ALMs in the setting of RSV infection and warrant further studies on stem cell-derived ALMs as a novel cell-based therapy for pulmonary viral infections.
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spelling doaj.art-e532adcc097e4f64a84d86176a1363a72023-11-22T20:18:40ZengMDPI AGViruses1999-49152021-09-011310196010.3390/v13101960Alveolar-like Macrophages Attenuate Respiratory Syncytial Virus InfectionBárbara N. Porto0Michael L. Litvack1Yuchen Cen2Irene Lok3Sheena Bouch4Michael J. Norris5Wenming Duan6Cameron Ackerley7Martin Post8Theo J. Moraes9Program in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaProgram in Translational Medicine, Hospital for Sick Children, Toronto, ON M5G 0A4, CanadaRespiratory Syncytial Virus (RSV) is the leading cause of acute lower respiratory infections in young children and infection has been linked to the development of persistent lung disease in the form of wheezing and asthma. Despite substantial research efforts, there are no RSV vaccines currently available and an effective monoclonal antibody targeting the RSV fusion protein (palivizumab) is of limited general use given the associated expense. Therefore, the development of novel approaches to prevent RSV infection is highly desirable to improve pediatric health globally. We have developed a method to generate alveolar-like macrophages (ALMs) from pluripotent stem cells. These ALMs have shown potential to promote airway innate immunity and tissue repair and so we hypothesized that ALMs could be used as a strategy to prevent RSV infection. Here, we demonstrate that ALMs are not productively infected by RSV and prevent the infection of epithelial cells. Prevention of epithelial infection was mediated by two different mechanisms: phagocytosis of RSV particles and release of an antiviral soluble factor different from type I interferon. Furthermore, intratracheal administration of ALMs protected mice from subsequent virus-induced weight loss and decreased lung viral titres and inflammation, indicating that ALMs can impair the pathogenesis of RSV infection. Our results support a prophylactic role for ALMs in the setting of RSV infection and warrant further studies on stem cell-derived ALMs as a novel cell-based therapy for pulmonary viral infections.https://www.mdpi.com/1999-4915/13/10/1960Respiratory Syncytial Virusalveolar macrophagesstem cellsrespiratory infection
spellingShingle Bárbara N. Porto
Michael L. Litvack
Yuchen Cen
Irene Lok
Sheena Bouch
Michael J. Norris
Wenming Duan
Cameron Ackerley
Martin Post
Theo J. Moraes
Alveolar-like Macrophages Attenuate Respiratory Syncytial Virus Infection
Viruses
Respiratory Syncytial Virus
alveolar macrophages
stem cells
respiratory infection
title Alveolar-like Macrophages Attenuate Respiratory Syncytial Virus Infection
title_full Alveolar-like Macrophages Attenuate Respiratory Syncytial Virus Infection
title_fullStr Alveolar-like Macrophages Attenuate Respiratory Syncytial Virus Infection
title_full_unstemmed Alveolar-like Macrophages Attenuate Respiratory Syncytial Virus Infection
title_short Alveolar-like Macrophages Attenuate Respiratory Syncytial Virus Infection
title_sort alveolar like macrophages attenuate respiratory syncytial virus infection
topic Respiratory Syncytial Virus
alveolar macrophages
stem cells
respiratory infection
url https://www.mdpi.com/1999-4915/13/10/1960
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