[HTML][HTML] Alveolar macrophages are essential for protection from respiratory failure and associated morbidity following influenza virus infection

C Schneider, SP Nobs, AK Heer, M Kurrer… - PLoS …, 2014 - journals.plos.org
C Schneider, SP Nobs, AK Heer, M Kurrer, G Klinke, N Van Rooijen, J Vogel, M Kopf
PLoS pathogens, 2014journals.plos.org
Alveolar macrophages (AM) are critical for defense against bacterial and fungal infections.
However, a definitive role of AM in viral infections remains unclear. We here report that AM
play a key role in survival to influenza and vaccinia virus infection by maintaining lung
function and thereby protecting from asphyxiation. Absence of AM in GM-CSF-deficient
(Csf2−/−) mice or selective AM depletion in wild-type mice resulted in impaired gas
exchange and fatal hypoxia associated with severe morbidity to influenza virus infection …
Alveolar macrophages (AM) are critical for defense against bacterial and fungal infections. However, a definitive role of AM in viral infections remains unclear. We here report that AM play a key role in survival to influenza and vaccinia virus infection by maintaining lung function and thereby protecting from asphyxiation. Absence of AM in GM-CSF-deficient (Csf2−/−) mice or selective AM depletion in wild-type mice resulted in impaired gas exchange and fatal hypoxia associated with severe morbidity to influenza virus infection, while viral clearance was affected moderately. Virus-induced morbidity was far more severe in Csf2−/− mice lacking AM, as compared to Batf3-deficient mice lacking CD8α+ and CD103+ DCs. Csf2−/− mice showed intact anti-viral CD8+ T cell responses despite slightly impaired CD103+ DC development. Importantly, selective reconstitution of AM development in Csf2rb−/− mice by neonatal transfer of wild-type AM progenitors prevented severe morbidity and mortality, demonstrating that absence of AM alone is responsible for disease severity in mice lacking GM-CSF or its receptor. In addition, CD11c-Cre/Ppargfl/fl mice with a defect in AM but normal adaptive immunity showed increased morbidity and lung failure to influenza virus. Taken together, our results suggest a superior role of AM compared to CD103+ DCs in protection from acute influenza and vaccinia virus infection-induced morbidity and mortality.
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