Critical Adverse Impact of IL-6 in Acute Pneumovirus Infection

J Immunol. 2019 Feb 1;202(3):871-882. doi: 10.4049/jimmunol.1800927. Epub 2018 Dec 21.

Abstract

Severe respiratory virus infections feature robust local host responses that contribute to disease severity. Immunomodulatory strategies that limit virus-induced inflammation may be of critical importance, notably in the absence of antiviral vaccines. In this study, we examined the role of the pleiotropic cytokine IL-6 in acute infection with pneumonia virus of mice (PVM), a natural rodent pathogen that is related to respiratory syncytial virus and that generates local inflammation as a feature of severe infection. In contrast to Influenza A, PVM is substantially less lethal in IL-6 -/- mice than it is in wild-type, a finding associated with diminished neutrophil recruitment and reduced fluid accumulation in lung tissue. Ly6Chi proinflammatory monocytes are recruited in response to PVM via a CCR2-dependent mechanism, but they are not a major source of IL-6 nor do they contribute to lethal sequelae of infection. By contrast, alveolar macrophages are readily infected with PVM in vivo; ablation of alveolar macrophages results in prolonged survival in association with a reduction in virus-induced IL-6. Finally, as shown previously, administration of immunobiotic Lactobacillus plantarum to the respiratory tracts of PVM-infected mice promoted survival in association with diminished levels of IL-6. We demonstrated in this study that IL-6 suppression is a critical feature of the protective mechanism; PVM-infected IL-6 -/- mice responded to low doses of L. plantarum, and administration of IL-6 overcame L. plantarum-mediated protection in PVM-infected wild-type mice. Taken together, these results connect the actions of IL-6 to PVM pathogenesis and suggest cytokine blockade as a potential therapeutic modality in severe infection.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Animals
  • Inflammation
  • Interleukin-6 / immunology*
  • Interleukin-6 / pharmacology
  • Lactobacillus plantarum / immunology
  • Lung / immunology
  • Macrophages, Alveolar / immunology
  • Macrophages, Alveolar / virology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Murine pneumonia virus / immunology*
  • Pneumovirus Infections / immunology*
  • Probiotics / administration & dosage
  • Recombinant Proteins / immunology
  • Recombinant Proteins / pharmacology
  • Respiratory System / immunology
  • Respiratory System / virology

Substances

  • Interleukin-6
  • Recombinant Proteins