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Publication : IL-9 aggravates SARS-CoV-2 infection and exacerbates associated airway inflammation.

First Author  Sadhu S Year  2023
Journal  Nat Commun Volume  14
Issue  1 Pages  4060
PubMed ID  37429848 Mgi Jnum  J:337936
Mgi Id  MGI:7508483 Doi  10.1038/s41467-023-39815-5
Citation  Sadhu S, et al. (2023) IL-9 aggravates SARS-CoV-2 infection and exacerbates associated airway inflammation. Nat Commun 14(1):4060
abstractText  SARS-CoV-2 infection is known for causing broncho-alveolar inflammation. Interleukin 9 (IL-9) induces airway inflammation and bronchial hyper responsiveness in respiratory viral illnesses and allergic inflammation, however, IL-9 has not been assigned a pathologic role in COVID-19. Here we show, in a K18-hACE2 transgenic (ACE2.Tg) mouse model, that IL-9 contributes to and exacerbates viral spread and airway inflammation caused by SARS-CoV-2 infection. ACE2.Tg mice with CD4(+) T cell-specific deficiency of the transcription factor Forkhead Box Protein O1 (Foxo1) produce significantly less IL-9 upon SARS-CoV-2 infection than the wild type controls and they are resistant to the severe inflammatory disease that characterises the control mice. Exogenous IL-9 increases airway inflammation in Foxo1-deficient mice, while IL-9 blockade reduces and suppresses airway inflammation in SARS-CoV-2 infection, providing further evidence for a Foxo1-Il-9 mediated Th cell-specific pathway playing a role in COVID-19. Collectively, our study provides mechanistic insight into an important inflammatory pathway in SARS-CoV-2 infection, and thus represents proof of principle for the development of host-directed therapeutics to mitigate disease severity.
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