An adenoviral vector encoding an inflammation-inducible antagonist, HMGB1 Box A, as a novel therapeutic approach to inflammatory diseases

ABSTRACT Influenza, as well as other respiratory viruses, can trigger local and systemic inflammation resulting in an overall “cytokine storm” that produces serious outcomes such as acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). We hypothesized that gene therapy platforms cou...

Full description

Saved in:
Bibliographic Details
Main Authors: Kari Ann Shirey, John Joseph, Lynda Coughlan, Haye Nijhuis, Alan W. Varley, Jorge C. G. Blanco, Stefanie N. Vogel
Format: Article
Language:English
Published: American Society for Microbiology 2025-02-01
Series:mBio
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/mbio.03387-24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832096526500888576
author Kari Ann Shirey
John Joseph
Lynda Coughlan
Haye Nijhuis
Alan W. Varley
Jorge C. G. Blanco
Stefanie N. Vogel
author_facet Kari Ann Shirey
John Joseph
Lynda Coughlan
Haye Nijhuis
Alan W. Varley
Jorge C. G. Blanco
Stefanie N. Vogel
author_sort Kari Ann Shirey
collection DOAJ
description ABSTRACT Influenza, as well as other respiratory viruses, can trigger local and systemic inflammation resulting in an overall “cytokine storm” that produces serious outcomes such as acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). We hypothesized that gene therapy platforms could be useful in these cases if the production of an anti-inflammatory protein reflects the intensity and duration of the inflammatory condition. The recombinant protein would be produced and released only in the presence of the inciting stimulus, avoiding immunosuppression or other unwanted side effects that may occur when treating infectious diseases with anti-inflammatory drugs. To test this hypothesis, we developed AdV.C3-Tat/HIV-Box A, an inflammation-inducible cassette that remains innocuous in the absence of inflammation but releases HMGB1 Box A, an antagonist of high mobility group box 1 (HMGB1), in response to inflammatory stimuli such as lipopolysaccharide (LPS) or influenza virus infection. We report here that this novel inflammation-inducible HMGB1 Box A construct in a non-replicative adenovirus (AdV) vector mitigates lung and systemic inflammation therapeutically in response to influenza infection. We anticipate that this strategy will apply to the treatment of multiple diseases in which HMGB1-mediated signaling is a central driver of inflammation.IMPORTANCEMany inflammatory diseases are mediated by the action of a host-derived protein, HMGB1, on Toll-like receptor 4 (TLR4) to elicit an inflammatory response. We have engineered a non-replicative AdV vector that produces HMGB1 Box A, an antagonist of HMGB1-induced inflammation, under the control of an endogenous complement component C3 (C3) promoter sequence, that is inducible by LPS and influenza in vitro and ex vivo in macrophages (Mϕ) and protects mice and cotton rats therapeutically against infection with mouse-adapted and human non-adapted influenza strains, respectively, in vivo. We anticipate that this novel strategy will apply to the treatment of multiple infectious and non-infectious diseases in which HMGB1-mediated TLR4 signaling is a central driver of inflammation.
format Article
id doaj-art-90f57e300d364945aba05cbaebc0dd84
institution Kabale University
issn 2150-7511
language English
publishDate 2025-02-01
publisher American Society for Microbiology
record_format Article
series mBio
spelling doaj-art-90f57e300d364945aba05cbaebc0dd842025-02-05T14:00:48ZengAmerican Society for MicrobiologymBio2150-75112025-02-0116210.1128/mbio.03387-24An adenoviral vector encoding an inflammation-inducible antagonist, HMGB1 Box A, as a novel therapeutic approach to inflammatory diseasesKari Ann Shirey0John Joseph1Lynda Coughlan2Haye Nijhuis3Alan W. Varley4Jorge C. G. Blanco5Stefanie N. Vogel6Department of Microbiology and Immunology, University of Maryland, School of Medicine, Baltimore, Maryland, USASigmovir Biosystems Inc., Rockville, Maryland, USADepartment of Microbiology and Immunology, University of Maryland, School of Medicine, Baltimore, Maryland, USADepartment of Microbiology and Immunology, University of Maryland, School of Medicine, Baltimore, Maryland, USAIndependent Researcher, Plano, Texas, USASigmovir Biosystems Inc., Rockville, Maryland, USADepartment of Microbiology and Immunology, University of Maryland, School of Medicine, Baltimore, Maryland, USAABSTRACT Influenza, as well as other respiratory viruses, can trigger local and systemic inflammation resulting in an overall “cytokine storm” that produces serious outcomes such as acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). We hypothesized that gene therapy platforms could be useful in these cases if the production of an anti-inflammatory protein reflects the intensity and duration of the inflammatory condition. The recombinant protein would be produced and released only in the presence of the inciting stimulus, avoiding immunosuppression or other unwanted side effects that may occur when treating infectious diseases with anti-inflammatory drugs. To test this hypothesis, we developed AdV.C3-Tat/HIV-Box A, an inflammation-inducible cassette that remains innocuous in the absence of inflammation but releases HMGB1 Box A, an antagonist of high mobility group box 1 (HMGB1), in response to inflammatory stimuli such as lipopolysaccharide (LPS) or influenza virus infection. We report here that this novel inflammation-inducible HMGB1 Box A construct in a non-replicative adenovirus (AdV) vector mitigates lung and systemic inflammation therapeutically in response to influenza infection. We anticipate that this strategy will apply to the treatment of multiple diseases in which HMGB1-mediated signaling is a central driver of inflammation.IMPORTANCEMany inflammatory diseases are mediated by the action of a host-derived protein, HMGB1, on Toll-like receptor 4 (TLR4) to elicit an inflammatory response. We have engineered a non-replicative AdV vector that produces HMGB1 Box A, an antagonist of HMGB1-induced inflammation, under the control of an endogenous complement component C3 (C3) promoter sequence, that is inducible by LPS and influenza in vitro and ex vivo in macrophages (Mϕ) and protects mice and cotton rats therapeutically against infection with mouse-adapted and human non-adapted influenza strains, respectively, in vivo. We anticipate that this novel strategy will apply to the treatment of multiple infectious and non-infectious diseases in which HMGB1-mediated TLR4 signaling is a central driver of inflammation.https://journals.asm.org/doi/10.1128/mbio.03387-24TLR4MD-2HMGB1Box AinfluenzaLPS
spellingShingle Kari Ann Shirey
John Joseph
Lynda Coughlan
Haye Nijhuis
Alan W. Varley
Jorge C. G. Blanco
Stefanie N. Vogel
An adenoviral vector encoding an inflammation-inducible antagonist, HMGB1 Box A, as a novel therapeutic approach to inflammatory diseases
mBio
TLR4
MD-2
HMGB1
Box A
influenza
LPS
title An adenoviral vector encoding an inflammation-inducible antagonist, HMGB1 Box A, as a novel therapeutic approach to inflammatory diseases
title_full An adenoviral vector encoding an inflammation-inducible antagonist, HMGB1 Box A, as a novel therapeutic approach to inflammatory diseases
title_fullStr An adenoviral vector encoding an inflammation-inducible antagonist, HMGB1 Box A, as a novel therapeutic approach to inflammatory diseases
title_full_unstemmed An adenoviral vector encoding an inflammation-inducible antagonist, HMGB1 Box A, as a novel therapeutic approach to inflammatory diseases
title_short An adenoviral vector encoding an inflammation-inducible antagonist, HMGB1 Box A, as a novel therapeutic approach to inflammatory diseases
title_sort adenoviral vector encoding an inflammation inducible antagonist hmgb1 box a as a novel therapeutic approach to inflammatory diseases
topic TLR4
MD-2
HMGB1
Box A
influenza
LPS
url https://journals.asm.org/doi/10.1128/mbio.03387-24
work_keys_str_mv AT kariannshirey anadenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT johnjoseph anadenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT lyndacoughlan anadenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT hayenijhuis anadenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT alanwvarley anadenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT jorgecgblanco anadenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT stefanienvogel anadenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT kariannshirey adenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT johnjoseph adenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT lyndacoughlan adenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT hayenijhuis adenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT alanwvarley adenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT jorgecgblanco adenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases
AT stefanienvogel adenoviralvectorencodinganinflammationinducibleantagonisthmgb1boxaasanoveltherapeuticapproachtoinflammatorydiseases