TREM-2 promotes macrophage survival and lung disease after respiratory viral infection

K Wu, DE Byers, X Jin, E Agapov… - Journal of Experimental …, 2015 - rupress.org
K Wu, DE Byers, X Jin, E Agapov, J Alexander-Brett, AC Patel, M Cella, S Gilfilan…
Journal of Experimental Medicine, 2015rupress.org
Viral infections and type 2 immune responses are thought to be critical for the development
of chronic respiratory disease, but the link between these events needs to be better defined.
Here, we study a mouse model in which infection with a mouse parainfluenza virus known
as Sendai virus (SeV) leads to long-term activation of innate immune cells that drive IL-13–
dependent lung disease. We find that chronic postviral disease (signified by formation of
excess airway mucus and accumulation of M2-differentiating lung macrophages) requires …
Viral infections and type 2 immune responses are thought to be critical for the development of chronic respiratory disease, but the link between these events needs to be better defined. Here, we study a mouse model in which infection with a mouse parainfluenza virus known as Sendai virus (SeV) leads to long-term activation of innate immune cells that drive IL-13–dependent lung disease. We find that chronic postviral disease (signified by formation of excess airway mucus and accumulation of M2-differentiating lung macrophages) requires macrophage expression of triggering receptor expressed on myeloid cells-2 (TREM-2). Analysis of mechanism shows that viral replication increases lung macrophage levels of intracellular and cell surface TREM-2, and this action prevents macrophage apoptosis that would otherwise occur during the acute illness (5–12 d after inoculation). However, the largest increases in TREM-2 levels are found as the soluble form (sTREM-2) long after clearance of infection (49 d after inoculation). At this time, IL-13 and the adapter protein DAP12 promote TREM-2 cleavage to sTREM-2 that is unexpectedly active in preventing macrophage apoptosis. The results thereby define an unprecedented mechanism for a feed-forward expansion of lung macrophages (with IL-13 production and consequent M2 differentiation) that further explains how acute infection leads to chronic inflammatory disease.
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