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. 2021 Jul 1;58(1):2001584.
doi: 10.1183/13993003.01584-2020. Print 2021 Jul.

TLR2-mediated innate immune priming boosts lung anti-viral immunity

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Free article

TLR2-mediated innate immune priming boosts lung anti-viral immunity

Jason Girkin et al. Eur Respir J. .
Free article

Abstract

Background: We assessed whether Toll-like receptor (TLR)2 activation boosts the innate immune response to rhinovirus infection, as a treatment strategy for virus-induced respiratory diseases.

Methods: We employed treatment with a novel TLR2 agonist (INNA-X) prior to rhinovirus infection in mice, and INNA-X treatment in differentiated human bronchial epithelial cells derived from asthmatic-donors. We assessed viral load, immune cell recruitment, cytokines, type I and III interferon (IFN) production, as well as the lung tissue and epithelial cell immune transcriptome.

Results: We show, in vivo, that a single INNA-X treatment induced innate immune priming characterised by low-level IFN-λ, Fas ligand, chemokine expression and airway lymphocyte recruitment. Treatment 7 days before infection significantly reduced lung viral load, increased IFN-β/λ expression and inhibited neutrophilic inflammation. Corticosteroid treatment enhanced the anti-inflammatory effects of INNA-X. Treatment 1 day before infection increased expression of 190 lung tissue immune genes. This tissue gene expression signature was absent with INNA-X treatment 7 days before infection, suggesting an alternate mechanism, potentially via establishment of immune cell-mediated mucosal innate immunity. In vitro, INNA-X treatment induced a priming response defined by upregulated IFN-λ, chemokine and anti-microbial gene expression that preceded an accelerated response to infection enriched for nuclear factor (NF)-κB-regulated genes and reduced viral loads, even in epithelial cells derived from asthmatic donors with intrinsic delayed anti-viral immune response.

Conclusion: Airway epithelial cell TLR2 activation induces prolonged innate immune priming, defined by early NF-κB activation, IFN-λ expression and lymphocyte recruitment. This response enhanced anti-viral innate immunity and reduced virus-induced airway inflammation.

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Conflict of interest statement

Conflict of interest: J. Girkin reports grants, personal fees for consultancy and non-financial support for travel to meetings from Ena Therapeutics Pty Ltd, during the conduct of the study; and has a patent PCT/AU2018/050295 issued. Conflict of interest: S-L. Loo reports grants from Ena Therapeutics, during the conduct of the study. Conflict of interest: C. Esneau has nothing to disclose. Conflict of interest: S. Maltby has nothing to disclose. Conflict of interest: F. Mercuri is an employee of Ena Therapeutics, and has a patent PCT/AU2018/050295 pending, and a patent PCT/AU2011/001225 issued. Conflict of interest: B. Chua is a co-founder and shareholder of Ena Therapeutics Pty Ltd. Conflict of interest: A.T. Reid has nothing to disclose. Conflict of interest: P.C. Veerati has nothing to disclose. Conflict of interest: C.L. Grainge has nothing to disclose. Conflict of interest: P.A.B. Wark has nothing to disclose. Conflict of interest: D. Knight reports grants from Boehringer Ingelheim, outside the submitted work. Conflict of interest: D. Jackson is co-founder and shareholder of Ena Therapeutics Pty. Ltd, and has a patent PCT/AU2018/050295 pending, and a patent PCT/AU2011/001225 issued. Conflict of interest: C. Demaison is an employee of Ena Therapeutics, and has a patent PCT/AU2018/050295 pending, and a patent PCT/AU2011/001225 issued. Conflict of interest: N.W. Bartlett reports grants, personal fees for consultancy and other (stock options) from Ena Therapeutics, during the conduct of the study; has a patent PCT/AU2018/050295 issued.

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