Relevance of angiotensin-(1-7) and its receptor Mas in pneumonia caused by influenza virus and post-influenza pneumococcal infection

• Autor(a) principal: Eliza Mathias Melo
• Data de Publicação: 2021
• Outros Autores: Juliana Lemos Del Sarto, Juliana Priscila Vago da Silva, Luciana Pádua Tavares, Flávia Rago Glória Gonçalves, Ana Paula de Faria Gonçalves, Marina Gomes Machado, Irene Aranda-Pardos, Bruno Vinícius Santos Valiate, Geovanni Dantas Cassali, Vanessa Pinho, Lirlândia Pires de Sousa, Noelia Alonso-Gonzalez, Maria José Campagnole dos Santos, Michael Bader, Robson Augusto Souza dos Santos, Alexandre de Magalhães Vieira Machado, Stephan Ludwig, Mauro Martins Teixeira
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.1016/j.phrs.2020.105292; http://hdl.handle.net/1843/54167
• topic: Influenza virus; Streptococcus pneumoniae; Angiotensin-(1-7); Inflammation; Resolution; Infection; Orthomyxoviridae; Vírus da influenza A; Streptococcus pneumoniae; Angiotensinas; Inflamação; Infecções

Resolution failure of exacerbated inflammation triggered by Influenza A virus (IAV) prevents return of pulmonary homeostasis and survival, especially when associated with secondary pneumococcal infection. Therapeutic strategies based on pro-resolving molecules have great potential against acute inflammatory diseases. Angiotensin-(1–7) [Ang-(1–7)] is a pro-resolving mediator that acts on its Mas receptor (MasR) to promote resolution of inflammation. We investigated the effects of Ang-(1–7) and the role of MasR in the context of primary IAV infection and secondary pneumococcal infection and evaluated pulmonary inflammation, virus titers and bacteria counts, and pulmonary damage. Therapeutic treatment with Ang-(1–7) decreased neutrophil recruitment, lung injury, viral load and morbidity after a primary IAV infection. Ang-(1–7) induced apoptosis of neutrophils and efferocytosis of these cells by alveolar macrophages, but had no direct effect on IAV replication in vitro. MasR-deficient (MasR−/−) mice were highly susceptible to IAV infection, displaying uncontrolled inflammation, increased viral load and greater lethality rate, as compared to WT animals. Ang-(1–7) was not protective in MasR−/− mice. Interestingly, Ang-(1–7) given during a sublethal dose of IAV infection greatly reduced morbidity associated with a subsequent S. pneumoniae infection, as seen by decrease in the magnitude of neutrophil influx, number of bacteria in the blood leading to a lower lethality. Altogether, these results show that Ang-(1–7) is highly protective against severe primary IAV infection and protects against secondary bacterial infection of the lung. These effects are MasR-dependent. Mediators of resolution of inflammation, such as Ang-(1–7), should be considered for the treatment of pulmonary viral infections.