2013
DOI: 10.1371/journal.ppat.1003229
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Plasminogen Controls Inflammation and Pathogenesis of Influenza Virus Infections via Fibrinolysis

Abstract: Detrimental inflammation of the lungs is a hallmark of severe influenza virus infections. Endothelial cells are the source of cytokine amplification, although mechanisms underlying this process are unknown. Here, using combined pharmacological and gene-deletion approaches, we show that plasminogen controls lung inflammation and pathogenesis of infections with influenza A/PR/8/34, highly pathogenic H5N1 and 2009 pandemic H1N1 viruses. Reduction of virus replication was not responsible for the observed effect. H… Show more

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Cited by 79 publications
(74 citation statements)
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“…In line with our observations, a reduction of fibrinogen levels with the snake venom ancrod also increased the severity of IAV infection in mice. 88 Taken together, these results suggest that antithrombotic therapy may have an adverse effect during IAV infection by increasing lung hemorrhages and mortality.…”
Section: Roles Of the Coagulation Cascade And Platelets In Mouse Modementioning
confidence: 82%
“…In line with our observations, a reduction of fibrinogen levels with the snake venom ancrod also increased the severity of IAV infection in mice. 88 Taken together, these results suggest that antithrombotic therapy may have an adverse effect during IAV infection by increasing lung hemorrhages and mortality.…”
Section: Roles Of the Coagulation Cascade And Platelets In Mouse Modementioning
confidence: 82%
“…Furthermore, IL-1 plays an important role in hemostasis deregulation through tissue factor induction. Since hemostasis deregulation emerges as a key pathway in cytokine storm induced by influenza viruses [3,4,18], it seems reasonable to speculate that human signature residues in the M2 protein of AIVs may be involved in cytokine storm via IL-1 production and hemostasis deregulation.…”
Section: Discussionmentioning
confidence: 99%
“…This is despite the fact that the past documented pandemics (i.e. 1918 H1N1, 1957 H2N2, 1968 H3N2 and 2009 H1N1) were caused by viruses of non-highly pathogenic subtypes 4 and possessed some genes of avian origin. Moreover, the recent pandemic threat due to a novel reassortant avian-origin influenza A (H7N9) virus found in China is of low pathogenic pathotype [12].…”
Section: Introductionmentioning
confidence: 98%
“…Plasmin and fibrin are activated serine proteases that increase during influenza possibly activating viral hemagglutinin, and serve as markers of inflammation. 12 It is known that the viral hemagglutinin binds plasminogen which may have a role in its activation and infection of pulmonary cells. 13 A molecular mechanism explaining synergistic mortality during simultaneous malaria and influenza infections therefore may be the cooperative interaction of parasite and host proteins, which may exaggerate pulmonary infection and inflammation.…”
mentioning
confidence: 99%
“…13 A molecular mechanism explaining synergistic mortality during simultaneous malaria and influenza infections therefore may be the cooperative interaction of parasite and host proteins, which may exaggerate pulmonary infection and inflammation. 12 Such inflammation may have increased pulmonary failure or led to ineffective host response to secondary bacterial pneumonias that appear to have been the proximate cause of death of most victims of the 1918 influenza pandemic.…”
mentioning
confidence: 99%