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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 8

H1N1-infected Mmp-9–/– mice had higher frequencies of lung CD4+ T cells and lower frequencies of lung CD25+Foxp3+ CD4+ T cells, and reduced expression of 2 inhibitory receptors (Tim3 and PD1) on CD8+ T cells compared with H1N1-infected WT mice.

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H1N1-infected Mmp-9–/– mice had higher frequencies of lung CD4+ T cells ...
WT and Mmp-9–/– mice were infected with an LD20 inoculum of H1N1 via the intranasal route, and the lungs were removed on day 3 (3–11 mice per group), day 7 (17–29 mice per group), and day 10 (3–11 mice per group) postinfection (p.i.). Uninfected (UC) mice (3–6 mice per group) served as controls. Cells in enzymatic lung digests were immunostained for CD45+CD4+ and CD45+CD8+ T cells, CD4+CD25+Foxp3+ T regulatory cells, and inhibitory surface receptors (Tim3 and PD1), and analyzed using flow cytometry. The percentages of lung CD45+ leukocytes that were CD4+ T cells (A) and CD8+ T cells (C) were quantified. Gating was conducted on the CD4+ and CD8+ T cells for lymphocyte subsets including CD4+CD25+Foxp3+ T regulatory cells (B) and CD8+ T cells that were Tim3 and PD1 double negative, Tim3+, PD1+, or Tim3 and PD1 double positive on day 7 p.i. (D). The box-and-whisker plots show the medians and 25th and 75th percentiles, and the whiskers show the 10th and 90th percentiles. Data were analyzed with 1-way ANOVAs followed by pair-wise testing with Mann-Whitney U tests. *P < 0.05 versus the group indicated.

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