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PNAS: Mapping the innate signaling cascade essential for cytokine storm during influenza virus infection

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  • PNAS: Mapping the innate signaling cascade essential for cytokine storm during influenza virus infection

    Mapping the innate signaling cascade essential for cytokine storm during influenza virus infection

    John R. Teijaroa,
    Kevin B. Walsha,1,
    Stephanie Ricea,
    Hugh Rosenb,c,2, and
    Michael B. A. Oldstonea,2

    aDepartment of Immunology and Microbial Science,
    bDepartment of Chemical Physiology, Skaggs Institute for Chemical Biology, and
    cScripps Research Institute Molecular Screening Center, The Scripps Research Institute, La Jolla, CA 92037

    Contributed by Michael B. A. Oldstone, January 30, 2014 (sent for review December 5, 2013)

    Significance

    Cytokine storm plays an essential and commanding role in the clinical outcome and pathogenesis of influenza virus infection. We previously documented that a small molecule that activates sphingosine-1-phosphate-1 receptor (S1P1R) signaling is primarily responsible for blunting cytokine storm to protect the infected host from the consequences of influenza infection. In the present study, we map host innate signaling pathways of cytokine storm and chart where along those pathways the drug is effective. We find that the efficacy of S1P1R agonist in blunting cytokine storm is through global inhibition downstream of myeloid differentiation primary response gene 88 and IFN-β promoter stimulator-1 signaling.
    Abstract

    During pathogenic influenza virus infection, robust cytokine production (cytokine storm), excessive inflammatory infiltrates, and virus-induced tissue destruction all contribute to morbidity and mortality. Earlier we reported that modulation of sphingosine-1-phosphate-1 receptor (S1P1R) signaling provided a chemically tractable approach for the effective blunting of cytokine storm, leading to the improvement of clinical and survival outcomes. Here, we show that S1P1R agonist treatment suppresses global cytokine amplification. Importantly, S1P1R agonist treatment was able to blunt cytokine/chemokine production and innate immune cell recruitment in the lung independently of endosomal and cytosolic innate sensing pathways. S1P1R signaling suppression of cytokine amplification was independent of multiple innate signaling adaptor pathways for myeloid differentiation primary response gene 88 (MyD88) and IFN-β promoter stimulator-1 signaling, indicating a common pathway inhibition of cytokine storm. We identify the MyD88 adaptor molecule as responsible for the majority of cytokine amplification observed following influenza virus challenge.


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