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Activation of STAT3-mediated ciliated cell survival protects against severe infection by respiratory syncytial virus
Caiqi Zhao, … , Paul H. Lerou, Xingbin Ai
Caiqi Zhao, … , Paul H. Lerou, Xingbin Ai
Published November 1, 2024
Citation Information: J Clin Invest. 2024;134(21):e183978. https://doi.org/10.1172/JCI183978.
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Research Article Infectious disease Article has an altmetric score of 8

Activation of STAT3-mediated ciliated cell survival protects against severe infection by respiratory syncytial virus

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Abstract

Respiratory syncytial virus (RSV) selectively targets ciliated cells in human bronchial epithelium and can cause bronchiolitis and pneumonia, mostly in infants. To identify molecular targets of intervention during RSV infection in infants, we investigated how age regulates RSV interaction with the bronchial epithelium barrier. Employing precision-cut lung slices and air-liquid interface cultures generated from infant and adult human donors, we found robust RSV virus spread and extensive apoptotic cell death only in infant bronchial epithelium. In contrast, adult bronchial epithelium showed no barrier damage and limited RSV infection. Single nuclear RNA-Seq revealed age-related insufficiency of an antiapoptotic STAT3 activation response to RSV infection in infant ciliated cells, which was exploited to facilitate virus spread via the extruded apoptotic ciliated cells carrying RSV. Activation of STAT3 and blockade of apoptosis rendered protection against severe RSV infection in infant bronchial epithelium. Lastly, apoptotic inhibitor treatment of a neonatal mouse model of RSV infection mitigated infection and inflammation in the lung. Taken together, our findings identify a STAT3-mediated antiapoptosis pathway as a target to battle severe RSV disease in infants.

Authors

Caiqi Zhao, Yan Bai, Wei Wang, Gaurang M. Amonkar, Hongmei Mou, Judith Olejnik, Adam J. Hume, Elke Mühlberger, Nicholas W. Lukacs, Rachel Fearns, Paul H. Lerou, Xingbin Ai

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Figure 3

Age-related apoptotic cell death causes severe RSV infection in neonatal bronchial epithelium.

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Age-related apoptotic cell death causes severe RSV infection in neonatal...
(A) Schematic of Z-VAD-FMK treatment of neonatal ALI cultures. Z-VAD-FMK (40 μM) was applied in the bottom chamber 2 hours prior to RSV infection until the assays performed at 6 hpi and 2 dpi in B–E. (B) Relative levels of RSV L gene at 6 hpi by RT-qPCR. (C) Representative double staining for RSV F (green) and c-Casp-3 (red) at 2 dpi. Blue color is nucleus staining and the overlay of red, green, and blue shows as pink color. (D) Relative levels of RSV L gene at 2 dpi by RT-qPCR. (E) Relative abundances of RSV F+ and c-Casp-3+ cells at 2 dpi quantified from double stained images. (F) Schematic of RSV-GFP infection (1 × 106 pfu) of infant hPCLSs pretreated with vehicle or Z-VAD-FMK (40 μM) 2 hours prior to infection. (G) Representative images of RSV-GFP (green) and c-Casp-3 (red) staining in control and Z-VAD-FMK–treated infant hPCLSs. The contour of RSV-GFP+ cells was outlined in panels showing enlarged areas. Blue color is nucleus staining and the overlay of red, green, and blue shows as pink color. Solid lines mark basement membrane and dotted lines mark the enlarged areas. (H) Relative abundance of RSV-GFP+ cells and RSV+c-Casp-3+ cells in bronchial epithelium of infant hPCLSs. Each dot represents quantification of 1 airway. A total of 9 airways from 2 donors, 4–5 airways per donor, were quantified. Each dot (except for panel H) represents 1 donor. Bar graphs represent mean ± SEM. Statistical significance was calculated by 2-tailed Student’s t test in B, D, E, and H. Solid lines mark basement membrane. **P < 0.01, ***P < 0.001. Scale bar: 50 μm.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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