[HTML][HTML] Metabolic shifts modulate lung injury caused by infection with H1N1 influenza A virus

KE Nolan, LA Baer, P Karekar, AM Nelson, KI Stanford… - Virology, 2021 - Elsevier
KE Nolan, LA Baer, P Karekar, AM Nelson, KI Stanford, LM Doolittle, LE Rosas…
Virology, 2021Elsevier
Influenza A virus (IAV) infection alters lung epithelial cell metabolism in vitro by promoting a
glycolytic shift. We hypothesized that this shift benefits the virus rather than the host and that
inhibition of glycolysis would improve infection outcomes. A/WSN/33 IAV-inoculated
C57BL/6 mice were treated daily from 1 day post-inoculation (dpi) with 2-deoxy-d-glucose (2-
DG) to inhibit glycolysis and with the pyruvate dehydrogenase kinase (PDK) inhibitor
dichloroacetate (DCA) to promote flux through the TCA cycle. To block OXPHOS, mice were …
Abstract
Influenza A virus (IAV) infection alters lung epithelial cell metabolism in vitro by promoting a glycolytic shift. We hypothesized that this shift benefits the virus rather than the host and that inhibition of glycolysis would improve infection outcomes. A/WSN/33 IAV-inoculated C57BL/6 mice were treated daily from 1 day post-inoculation (d.p.i.) with 2-deoxy-d-glucose (2-DG) to inhibit glycolysis and with the pyruvate dehydrogenase kinase (PDK) inhibitor dichloroacetate (DCA) to promote flux through the TCA cycle. To block OXPHOS, mice were treated every other day from 1 d.p.i. with the Complex I inhibitor rotenone (ROT). 2-DG significantly decreased nocturnal activity, reduced respiratory exchange ratios, worsened hypoxemia, exacerbated lung dysfunction, and increased humoral inflammation at 6 d.p.i. DCA and ROT treatment normalized oxygenation and airway resistance and attenuated IAV-induced pulmonary edema, histopathology, and nitrotyrosine formation. None of the treatments altered viral replication. These data suggest that a shift to glycolysis is host-protective in influenza.
Elsevier
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