
| 10.1371/journal.ppat.1003188
http://scihub22266oqcxt.onion/10.1371/journal.ppat.1003188
 C3585175!3585175!23468627
free
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PLoS+Pathog 2013 ; 9 (2): � Nephropedia Template TP
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Macrophage-expressed IFN-? Contributes to Apoptotic Alveolar Epithelial Cell Injury in Severe Influenza Virus Pneumonia #MMPMID23468627H�gner K; Wolff T; Pleschka S; Plog S; Gruber AD; Kalinke U; Walmrath HD; Bodner J; Gattenl�hner S; Lewe-Schlosser P; Matrosovich M; Seeger W; Lohmeyer J; Herold SPLoS Pathog 2013[Feb]; 9 (2): � PMID23468627show ga
Influenza viruses (IV) cause pneumonia in humans with progression to lung failure and fatal outcome. Dysregulated release of cytokines including type I interferons (IFNs) has been attributed a crucial role in immune-mediated pulmonary injury during severe IV infection. Using ex vivo and in vivo IV infection models, we demonstrate that alveolar macrophage (AM)-expressed IFN-? significantly contributes to IV-induced alveolar epithelial cell (AEC) injury by autocrine induction of the pro-apoptotic factor TNF-related apoptosis-inducing ligand (TRAIL). Of note, TRAIL was highly upregulated in and released from AM of patients with pandemic H1N1 IV-induced acute lung injury. Elucidating the cell-specific underlying signalling pathways revealed that IV infection induced IFN-? release in AM in a protein kinase R- (PKR-) and NF-?B-dependent way. Bone marrow chimeric mice lacking these signalling mediators in resident and lung-recruited AM and mice subjected to alveolar neutralization of IFN-? and TRAIL displayed reduced alveolar epithelial cell apoptosis and attenuated lung injury during severe IV pneumonia. Together, we demonstrate that macrophage-released type I IFNs, apart from their well-known anti-viral properties, contribute to IV-induced AEC damage and lung injury by autocrine induction of the pro-apoptotic factor TRAIL. Our data suggest that therapeutic targeting of the macrophage IFN-?-TRAIL axis might represent a promising strategy to attenuate IV-induced acute lung injury.�
  
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