Plasminogen controls inflammation and pathogenesis of influenza virus infections via fibrinolysis.

Plasminogen controls inflammation and pathogenesis of influenza virus infections via fibrinolysis.
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DOI:
10.1371/journal.ppat.1003229
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发表时间:
2013-03
期刊:
影响因子:
6.7
通讯作者:
Riteau B
Riteau B
中科院分区:
医学1区
文献类型:
--
作者:
Berri F;Rimmelzwaan GF;Hanss M;Albina E;Foucault-Grunenwald ML;Lê VB;Vogelzang-van Trierum SE;Gil P;Camerer E;Martinez D;Lina B;Lijnen R;Carmeliet P;Riteau B

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Detrimental inflammation of the lungs is a hallmark of severe influenza virus infections. Endothelial cells are the source of cytokine amplification, although mechanisms underlying this process are unknown. Here, using combined pharmacological and gene-deletion approaches, we show that plasminogen controls lung inflammation and pathogenesis of infections with influenza A/PR/8/34, highly pathogenic H5N1 and 2009 pandemic H1N1 viruses. Reduction of virus replication was not responsible for the observed effect. However, pharmacological depletion of fibrinogen, the main target of plasminogen reversed disease resistance of plasminogen-deficient mice or mice treated with an inhibitor of plasminogen-mediated fibrinolysis. Therefore, plasminogen contributes to the deleterious inflammation of the lungs and local fibrin clot formation may be implicated in host defense against influenza virus infections. Our studies suggest that the hemostatic system might be explored for novel treatments against influenza. Influenza viruses, including H5N1 bird influenza viruses continue to form a major threat for public health. Available antiviral drugs for the treatment of influenza are effective to a limited extent and the emergence of resistant viruses may further undermine their use. The symptoms associated with influenza are caused by replication of the virus in the respiratory tract and the host immune response. Here, we report that a molecule of the fibrinolytic system, plasminogen, contributes to inflammation caused by influenza. Inhibiting the action of plasminogen protected mice from severe influenza infections, including those caused by H5N1 and H1N1 pandemic 2009 viruses and may be a promising novel strategy to treat influenza.
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