Dengue induces iNOS expression and nitric oxide synthesis in platelets through IL-1R
IntroductionDengue is an arthropod-born disease caused by dengue virus (DENV), that may manifest as a mild illness or severe form, characterized by hemorrhagic fever and shock. Nitric oxide (NO) is a vasodilator signaling molecule and an inhibitor of platelet aggregation known to be increased in pla...
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Frontiers Media S.A.
2022-12-01
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Online Access: | https://www.frontiersin.org/articles/10.3389/fimmu.2022.1029213/full |
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author | Mariana Brandi Mendonça Pinheiro Stephane Vicente Rozini Anna Cecíllia Quirino-Teixeira Giselle Barbosa-Lima Juliana F. Lopes Carolina Q. Sacramento Carolina Q. Sacramento Fernando A. Bozza Fernando A. Bozza Patrícia T. Bozza Eugenio D. Hottz Eugenio D. Hottz |
author_facet | Mariana Brandi Mendonça Pinheiro Stephane Vicente Rozini Anna Cecíllia Quirino-Teixeira Giselle Barbosa-Lima Juliana F. Lopes Carolina Q. Sacramento Carolina Q. Sacramento Fernando A. Bozza Fernando A. Bozza Patrícia T. Bozza Eugenio D. Hottz Eugenio D. Hottz |
author_sort | Mariana Brandi Mendonça Pinheiro |
collection | DOAJ |
description | IntroductionDengue is an arthropod-born disease caused by dengue virus (DENV), that may manifest as a mild illness or severe form, characterized by hemorrhagic fever and shock. Nitric oxide (NO) is a vasodilator signaling molecule and an inhibitor of platelet aggregation known to be increased in platelets from dengue patients. However, the mechanisms underlying NO synthesis by platelets during dengue are not yet elucidated. IL-1β is a pro-inflammatory cytokine able to induce iNOS expression in leukocytes and present in dengue patients at high levels. Nevertheless, the role of IL-1β in platelet activation, especially regarding iNOS expression, are not clear.MethodsWe prospectively followed a cohort of 28 dengue-infected patients to study NO synthesis in platelets and its relationship with disease outcomes. We used in vitro infection and stimulation models to gain insights on the mechanisms.Results and DiscussionWe confirmed that platelets from dengue patients express iNOS and produce higher levels of NO during the acute phase compared to healthy volunteers, returning to normal levels after recovery. Platelet NO production during acute dengue infection was associated with the presence of warning signs, hypoalbuminemia and hemorrhagic manifestations, suggesting a role in dengue pathophysiology. By investigating the mechanisms, we evidenced increased iNOS expression in platelets stimulated with dengue patients´ plasma, indicating induction by circulating inflammatory mediators. We then investigated possible factors able to induce platelet iNOS expression and observed higher levels of IL-1β in plasma from patients with dengue, which were correlated with NO production by platelets. Since platelets can synthesize and respond to IL-1β, we investigated whether IL-1β induces iNOS expression and NO synthesis in platelets. We observed that recombinant human IL-1β enhanced iNOS expression and dose-dependently increased NO synthesis by platelets. Finally, platelet infection with DENV in vitro induced iNOS expression and NO production, besides the secretion of both IL-1α and IL-1β. Importantly, treatment with IL-1 receptor antagonist or a combination of anti-IL-1α and anti-IL-1β antibodies prevented DENV-induced iNOS expression and NO synthesis. Our data show that DENV induces iNOS expression and NO production in platelets through mechanisms depending on IL-1 receptor signaling. |
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spelling | doaj.art-ef1eec77d1c54e9fa5dc0b041e0a59ea2022-12-22T03:47:59ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-12-011310.3389/fimmu.2022.10292131029213Dengue induces iNOS expression and nitric oxide synthesis in platelets through IL-1RMariana Brandi Mendonça Pinheiro0Stephane Vicente Rozini1Anna Cecíllia Quirino-Teixeira2Giselle Barbosa-Lima3Juliana F. Lopes4Carolina Q. Sacramento5Carolina Q. Sacramento6Fernando A. Bozza7Fernando A. Bozza8Patrícia T. Bozza9Eugenio D. Hottz10Eugenio D. Hottz11Laboratory of Immunothrombosis, Department of Biochemistry, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, BrazilLaboratory of Immunothrombosis, Department of Biochemistry, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, BrazilLaboratory of Immunothrombosis, Department of Biochemistry, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, BrazilLaboratory of Immunopharmacology, Oswaldo Cruz Institute, Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, BrazilLaboratory of Immunopharmacology, Oswaldo Cruz Institute, Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, BrazilLaboratory of Immunopharmacology, Oswaldo Cruz Institute, Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, BrazilNational Institute for Science and Technology on Innovation in Diseases of Neglected Populations (INCT/IDPN), Center for Technological Development in Health (CDTS), Fiocruz, Rio de Janeiro, BrazilNational Institute of Infectious Disease Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilD’Or Institute for Research and Education, Rio de Janeiro, BrazilLaboratory of Immunopharmacology, Oswaldo Cruz Institute, Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, BrazilLaboratory of Immunothrombosis, Department of Biochemistry, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, BrazilLaboratory of Immunopharmacology, Oswaldo Cruz Institute, Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, BrazilIntroductionDengue is an arthropod-born disease caused by dengue virus (DENV), that may manifest as a mild illness or severe form, characterized by hemorrhagic fever and shock. Nitric oxide (NO) is a vasodilator signaling molecule and an inhibitor of platelet aggregation known to be increased in platelets from dengue patients. However, the mechanisms underlying NO synthesis by platelets during dengue are not yet elucidated. IL-1β is a pro-inflammatory cytokine able to induce iNOS expression in leukocytes and present in dengue patients at high levels. Nevertheless, the role of IL-1β in platelet activation, especially regarding iNOS expression, are not clear.MethodsWe prospectively followed a cohort of 28 dengue-infected patients to study NO synthesis in platelets and its relationship with disease outcomes. We used in vitro infection and stimulation models to gain insights on the mechanisms.Results and DiscussionWe confirmed that platelets from dengue patients express iNOS and produce higher levels of NO during the acute phase compared to healthy volunteers, returning to normal levels after recovery. Platelet NO production during acute dengue infection was associated with the presence of warning signs, hypoalbuminemia and hemorrhagic manifestations, suggesting a role in dengue pathophysiology. By investigating the mechanisms, we evidenced increased iNOS expression in platelets stimulated with dengue patients´ plasma, indicating induction by circulating inflammatory mediators. We then investigated possible factors able to induce platelet iNOS expression and observed higher levels of IL-1β in plasma from patients with dengue, which were correlated with NO production by platelets. Since platelets can synthesize and respond to IL-1β, we investigated whether IL-1β induces iNOS expression and NO synthesis in platelets. We observed that recombinant human IL-1β enhanced iNOS expression and dose-dependently increased NO synthesis by platelets. Finally, platelet infection with DENV in vitro induced iNOS expression and NO production, besides the secretion of both IL-1α and IL-1β. Importantly, treatment with IL-1 receptor antagonist or a combination of anti-IL-1α and anti-IL-1β antibodies prevented DENV-induced iNOS expression and NO synthesis. Our data show that DENV induces iNOS expression and NO production in platelets through mechanisms depending on IL-1 receptor signaling.https://www.frontiersin.org/articles/10.3389/fimmu.2022.1029213/fullplateletsnitric oxideiNOSIL-1Rdengue |
spellingShingle | Mariana Brandi Mendonça Pinheiro Stephane Vicente Rozini Anna Cecíllia Quirino-Teixeira Giselle Barbosa-Lima Juliana F. Lopes Carolina Q. Sacramento Carolina Q. Sacramento Fernando A. Bozza Fernando A. Bozza Patrícia T. Bozza Eugenio D. Hottz Eugenio D. Hottz Dengue induces iNOS expression and nitric oxide synthesis in platelets through IL-1R Frontiers in Immunology platelets nitric oxide iNOS IL-1R dengue |
title | Dengue induces iNOS expression and nitric oxide synthesis in platelets through IL-1R |
title_full | Dengue induces iNOS expression and nitric oxide synthesis in platelets through IL-1R |
title_fullStr | Dengue induces iNOS expression and nitric oxide synthesis in platelets through IL-1R |
title_full_unstemmed | Dengue induces iNOS expression and nitric oxide synthesis in platelets through IL-1R |
title_short | Dengue induces iNOS expression and nitric oxide synthesis in platelets through IL-1R |
title_sort | dengue induces inos expression and nitric oxide synthesis in platelets through il 1r |
topic | platelets nitric oxide iNOS IL-1R dengue |
url | https://www.frontiersin.org/articles/10.3389/fimmu.2022.1029213/full |
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