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1 Hematology/Oncology, Boston University School of Medicine, Boston, Massachusetts, United States
2 Pathology, Barnes Jewish Hospital, St. Louis, Missouri, United States
3 Hematology/Oncology, Boston Univ School of Medicine, Boston, Massachusetts, United States
* To whom correspondence should be addressed. E-mail: khartsho{at}bu.edu.
Surfactant protein D (SP-D) and neutrophils participate in the early innate immune response to influenza A virus (IAV) infection. SP-D increases neutrophil uptake of IAV and modulates neutrophil respiratory burst responses to IAV; however, neutrophil proteases have been shown to degrade SP-D and human neutrophil peptide defensins (HNPs) bind to SP-D and can cause precipitation of SP-D from bronchoalveolar lavage fluid (BALF). BALF has significant antiviral activity against IAV. We first added neutrophils to BALF during incubation with IAV. Addition of neutrophils to BALF caused significantly greater clearance of IAV from culture supernatants than BALF alone and this effect was significantly more pronounced when neutrophils were activated during incubation with the virus. In contrast, if activated neutrophils were incubated with BALF prior to addition of virus they caused a reduction in antiviral activity of BALF. This effect correlated with depletion of SP-D from BALF. Activation of neutrophils with agonists that induce primary granule release (including release of HNPs) caused SP-D depletion but phorbol myristate acetate (PMA) which causes only secondary granule release did not. The ability of activated neutrophils to deplete SP-D from BALF was partially, but not fully, corrected with protease inhibitors, but unaffected by inhibition of neutrophil respiratory burst responses. These results suggest that chronic neutrophilic inflammation (e.g., as in chronic smoking or cystic fibrosis) may reduce SP-D levels and predispose to IAV infection. In contrast, acute inflammation as occurs during the early phase of IAV infection may promote neutrophil mediated viral clearance.
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