The host inflammatory response contributes to disease severity in Crimean-Congo hemorrhagic fever virus infected mice

PLoS Pathog. 2022 May 19;18(5):e1010485. doi: 10.1371/journal.ppat.1010485. eCollection 2022 May.

Abstract

Crimean-Congo hemorrhagic fever virus (CCHFV) is an important human pathogen. In cell culture, CCHFV is sensed by the cytoplasmic RNA sensor retinoic acid-inducible gene I (RIG-I) molecule and its adaptor molecule mitochondrial antiviral signaling (MAVS) protein. MAVS initiates both type I interferon (IFN-I) and proinflammatory responses. Here, we studied the role MAVS plays in CCHFV infection in mice in both the presence and absence of IFN-I activity. MAVS-deficient mice were not susceptible to CCHFV infection when IFN-I signaling was active and showed no signs of disease. When IFN-I signaling was blocked by antibody, MAVS-deficient mice lost significant weight, but were uniformly protected from lethal disease, whereas all control mice succumbed to infection. Cytokine activity in the infected MAVS-deficient mice was markedly blunted. Subsequent investigation revealed that CCHFV infected mice lacking TNF-α receptor signaling (TNFA-R-deficient), but not IL-6 or IL-1 activity, had more limited liver injury and were largely protected from lethal outcomes. Treatment of mice with an anti-TNF-α neutralizing antibody also conferred partial protection in a post-virus exposure setting. Additionally, we found that a disease causing, but non-lethal strain of CCHFV produced more blunted inflammatory cytokine responses compared to a lethal strain in mice. Our work reveals that MAVS activation and cytokine production both contribute to CCHFV pathogenesis, potentially identifying new therapeutic targets to treat this disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cytokines
  • Disease Models, Animal
  • Hemorrhagic Fever Virus, Crimean-Congo* / genetics
  • Hemorrhagic Fever, Crimean*
  • Mice
  • Mice, Knockout
  • Severity of Illness Index
  • Tumor Necrosis Factor Inhibitors

Substances

  • Cytokines
  • Tumor Necrosis Factor Inhibitors

Grants and funding

Funded by a grant awarded to J.W.G. from the Military infectious disease program area T. https://mrdc.amedd.army.mil/index.cfm/program_areas/medical_research_and_development/midrp_overview The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.