Extracellular vesicles from CLEC2-activated platelets enhance dengue virus-induced lethality via CLEC5A/TLR2

Nat Commun. 2019 Jun 3;10(1):2402. doi: 10.1038/s41467-019-10360-4.

Abstract

Platelet-leukocyte interactions amplify inflammatory reactions, but the underlying mechanism is still unclear. CLEC5A and CLEC2 are spleen tyrosine kinase (Syk)-coupled C-type lectin receptors, abundantly expressed by leukocytes and platelets, respectively. Whereas CLEC5A is a pattern recognition receptor (PRR) to flaviviruses and bacteria, CLEC2 is the receptor for platelet-activating snake venom aggretin. Here we show that dengue virus (DV) activates platelets via CLEC2 to release extracellular vesicles (EVs), including exosomes (EXOs) and microvesicles (MVs). DV-induced EXOs (DV-EXOs) and MVs (DV-MVs) further activate CLEC5A and TLR2 on neutrophils and macrophages, thereby induce neutrophil extracellular trap (NET) formation and proinflammatory cytokine release. Compared to stat1-/- mice, simultaneous blockade of CLEC5A and TLR2 effectively attenuates DV-induced inflammatory response and increases survival rate from 30 to 90%. The identification of critical roles of CLEC2 and CLEC5A/TLR2 in platelet-leukocyte interactions will support the development of novel strategies to treat acute viral infection in the future.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Platelets / metabolism*
  • Cell-Derived Microparticles / immunology
  • Cell-Derived Microparticles / metabolism
  • Cytokines / immunology
  • Dengue / immunology*
  • Dengue / virology
  • Dengue Virus / immunology*
  • Exosomes / immunology
  • Exosomes / metabolism
  • Extracellular Traps / immunology
  • Extracellular Vesicles / immunology*
  • Extracellular Vesicles / metabolism
  • Humans
  • Inflammation
  • Lectins, C-Type / genetics
  • Lectins, C-Type / immunology*
  • Macrophages / immunology*
  • Mice
  • Mice, Knockout
  • Neutrophils / immunology*
  • Platelet Activation
  • Receptors, Cell Surface / genetics
  • Receptors, Cell Surface / immunology*
  • STAT1 Transcription Factor / genetics
  • Survival Rate
  • Toll-Like Receptor 2 / immunology*

Substances

  • CLEC1B protein, human
  • CLEC5A protein, human
  • Clec5a protein, mouse
  • Cytokines
  • Lectins, C-Type
  • Receptors, Cell Surface
  • STAT1 Transcription Factor
  • Stat1 protein, mouse
  • Tlr2 protein, mouse
  • Toll-Like Receptor 2