Bystander monocytic cells drive infection-independent NLRP3 inflammasome response to SARS-CoV-2

ABSTRACT The pathogenesis of COVID-19 is associated with a hyperinflammatory immune response. Monocytes and macrophages play a central role in this hyperinflammatory response to SARS-CoV-2. NLRP3 inflammasome activation has been observed in monocytes of patients with COVID-19, but the mechanism and...

Full description

Saved in:
Bibliographic Details
Main Authors: Leon L. Hsieh, Monika Looney, Alexis Figueroa, Guido Massaccesi, Georgia Stavrakis, Eduardo U. Anaya, Franco R. D'Alessio, Alvaro A. Ordonez, Andrew S. Pekosz, Victor R. DeFilippis, Petros C. Karakousis, Andrew H. Karaba, Andrea L. Cox
Format: Article
Language:English
Published: American Society for Microbiology 2024-10-01
Series:mBio
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/mbio.00810-24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850185217469317120
author Leon L. Hsieh
Monika Looney
Alexis Figueroa
Guido Massaccesi
Georgia Stavrakis
Eduardo U. Anaya
Franco R. D'Alessio
Alvaro A. Ordonez
Andrew S. Pekosz
Victor R. DeFilippis
Petros C. Karakousis
Andrew H. Karaba
Andrea L. Cox
author_facet Leon L. Hsieh
Monika Looney
Alexis Figueroa
Guido Massaccesi
Georgia Stavrakis
Eduardo U. Anaya
Franco R. D'Alessio
Alvaro A. Ordonez
Andrew S. Pekosz
Victor R. DeFilippis
Petros C. Karakousis
Andrew H. Karaba
Andrea L. Cox
author_sort Leon L. Hsieh
collection DOAJ
description ABSTRACT The pathogenesis of COVID-19 is associated with a hyperinflammatory immune response. Monocytes and macrophages play a central role in this hyperinflammatory response to SARS-CoV-2. NLRP3 inflammasome activation has been observed in monocytes of patients with COVID-19, but the mechanism and consequences of inflammasome activation require further investigation. In this study, we inoculated a macrophage-like THP-1 cell line, primary differentiated human nasal epithelial cell (hNEC) cultures, and primary monocytes with SARS-CoV-2. We found that the activation of the NLRP3 inflammasome in macrophages does not rely on viral replication, receptor-mediated entry, or actin-dependent entry. SARS-CoV-2 productively infected hNEC cultures without triggering the production of inflammasome cytokines IL-18 and IL-1β. Importantly, these cytokines did not inhibit viral replication in hNEC cultures. SARS-CoV-2 inoculation of primary monocytes led to inflammasome activation and induced a macrophage phenotype in these cells. Monocytic cells from bronchoalveolar lavage (BAL) fluid, but not from peripheral blood, of patients with COVID-19, showed evidence of inflammasome activation, expressed the proinflammatory marker CD11b, and displayed oxidative burst. These findings highlight the central role of activated macrophages, as a result of direct viral sensing, in COVID-19 and support the inhibition of IL-1β and IL-18 as potential therapeutic strategies to reduce immunopathology without increasing viral replication.IMPORTANCEInflammasome activation is associated with severe COVID-19. The impact of inflammasome activation on viral replication and mechanistic details of this activation are not clarified. This study advances our understanding of the role of inflammasome activation in macrophages by identifying TLR2, NLRP3, ASC, and caspase-1 as dependent factors in this activation. Further, it highlights that SARS-CoV-2 inflammasome activation is not a feature of nasal epithelial cells but rather activation of bystander macrophages in the airway. Finally, we demonstrate that two pro inflammatory cytokines produced by inflammasome activation, IL-18 and IL-1β, do not restrict viral replication and are potential targets to ameliorate pathological inflammation in severe COVID-19.
format Article
id doaj-art-aa0e19b78c824561aa71c9c28ac4ee3b
institution OA Journals
issn 2150-7511
language English
publishDate 2024-10-01
publisher American Society for Microbiology
record_format Article
series mBio
spelling doaj-art-aa0e19b78c824561aa71c9c28ac4ee3b2025-08-20T02:16:49ZengAmerican Society for MicrobiologymBio2150-75112024-10-01151010.1128/mbio.00810-24Bystander monocytic cells drive infection-independent NLRP3 inflammasome response to SARS-CoV-2Leon L. Hsieh0Monika Looney1Alexis Figueroa2Guido Massaccesi3Georgia Stavrakis4Eduardo U. Anaya5Franco R. D'Alessio6Alvaro A. Ordonez7Andrew S. Pekosz8Victor R. DeFilippis9Petros C. Karakousis10Andrew H. Karaba11Andrea L. Cox12Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USADepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USADepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USADepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USADepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USAW. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USADepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USADepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USAW. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USAVaccine and Gene Therapy Institute, Oregon Health and Science University, Portland, Oregon, USADepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USADepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USADepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USAABSTRACT The pathogenesis of COVID-19 is associated with a hyperinflammatory immune response. Monocytes and macrophages play a central role in this hyperinflammatory response to SARS-CoV-2. NLRP3 inflammasome activation has been observed in monocytes of patients with COVID-19, but the mechanism and consequences of inflammasome activation require further investigation. In this study, we inoculated a macrophage-like THP-1 cell line, primary differentiated human nasal epithelial cell (hNEC) cultures, and primary monocytes with SARS-CoV-2. We found that the activation of the NLRP3 inflammasome in macrophages does not rely on viral replication, receptor-mediated entry, or actin-dependent entry. SARS-CoV-2 productively infected hNEC cultures without triggering the production of inflammasome cytokines IL-18 and IL-1β. Importantly, these cytokines did not inhibit viral replication in hNEC cultures. SARS-CoV-2 inoculation of primary monocytes led to inflammasome activation and induced a macrophage phenotype in these cells. Monocytic cells from bronchoalveolar lavage (BAL) fluid, but not from peripheral blood, of patients with COVID-19, showed evidence of inflammasome activation, expressed the proinflammatory marker CD11b, and displayed oxidative burst. These findings highlight the central role of activated macrophages, as a result of direct viral sensing, in COVID-19 and support the inhibition of IL-1β and IL-18 as potential therapeutic strategies to reduce immunopathology without increasing viral replication.IMPORTANCEInflammasome activation is associated with severe COVID-19. The impact of inflammasome activation on viral replication and mechanistic details of this activation are not clarified. This study advances our understanding of the role of inflammasome activation in macrophages by identifying TLR2, NLRP3, ASC, and caspase-1 as dependent factors in this activation. Further, it highlights that SARS-CoV-2 inflammasome activation is not a feature of nasal epithelial cells but rather activation of bystander macrophages in the airway. Finally, we demonstrate that two pro inflammatory cytokines produced by inflammasome activation, IL-18 and IL-1β, do not restrict viral replication and are potential targets to ameliorate pathological inflammation in severe COVID-19.https://journals.asm.org/doi/10.1128/mbio.00810-24inflammasomecytokinesSARS-CoV-2NLRP3macrophages
spellingShingle Leon L. Hsieh
Monika Looney
Alexis Figueroa
Guido Massaccesi
Georgia Stavrakis
Eduardo U. Anaya
Franco R. D'Alessio
Alvaro A. Ordonez
Andrew S. Pekosz
Victor R. DeFilippis
Petros C. Karakousis
Andrew H. Karaba
Andrea L. Cox
Bystander monocytic cells drive infection-independent NLRP3 inflammasome response to SARS-CoV-2
mBio
inflammasome
cytokines
SARS-CoV-2
NLRP3
macrophages
title Bystander monocytic cells drive infection-independent NLRP3 inflammasome response to SARS-CoV-2
title_full Bystander monocytic cells drive infection-independent NLRP3 inflammasome response to SARS-CoV-2
title_fullStr Bystander monocytic cells drive infection-independent NLRP3 inflammasome response to SARS-CoV-2
title_full_unstemmed Bystander monocytic cells drive infection-independent NLRP3 inflammasome response to SARS-CoV-2
title_short Bystander monocytic cells drive infection-independent NLRP3 inflammasome response to SARS-CoV-2
title_sort bystander monocytic cells drive infection independent nlrp3 inflammasome response to sars cov 2
topic inflammasome
cytokines
SARS-CoV-2
NLRP3
macrophages
url https://journals.asm.org/doi/10.1128/mbio.00810-24
work_keys_str_mv AT leonlhsieh bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT monikalooney bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT alexisfigueroa bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT guidomassaccesi bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT georgiastavrakis bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT eduardouanaya bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT francordalessio bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT alvaroaordonez bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT andrewspekosz bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT victorrdefilippis bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT petrosckarakousis bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT andrewhkaraba bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2
AT andrealcox bystandermonocyticcellsdriveinfectionindependentnlrp3inflammasomeresponsetosarscov2