Reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogens

ABSTRACT Bacterial infections can induce exuberant immune responses that can damage host tissues. Previously, we demonstrated that systemic Escherichia coli infection in mice causes tissue damage in the liver. This liver necrosis is associated with the expression of endogenous retroviruses, chromoso...

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Main Authors: Karthik Hullahalli, Katherine G. Dailey, Ryan Acbay, Masataka Suzuki, George I. Balazs, Matthew K. Waldor
Format: Article
Language:English
Published: American Society for Microbiology 2025-02-01
Series:mBio
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Online Access:https://journals.asm.org/doi/10.1128/mbio.03412-24
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author Karthik Hullahalli
Katherine G. Dailey
Ryan Acbay
Masataka Suzuki
George I. Balazs
Matthew K. Waldor
author_facet Karthik Hullahalli
Katherine G. Dailey
Ryan Acbay
Masataka Suzuki
George I. Balazs
Matthew K. Waldor
author_sort Karthik Hullahalli
collection DOAJ
description ABSTRACT Bacterial infections can induce exuberant immune responses that can damage host tissues. Previously, we demonstrated that systemic Escherichia coli infection in mice causes tissue damage in the liver. This liver necrosis is associated with the expression of endogenous retroviruses, chromosomally integrated retroviruses that encode a reverse transcriptase. Furthermore, nucleotide/nucleoside reverse transcriptase inhibitors (NRTIs) completely prevent tissue damage and subsequent bacterial growth within necrotic lesions. Since liver necrosis is linked to heightened systemic inflammatory responses, we hypothesized that NRTIs diminish inflammation caused by E. coli infection and may also have broad impacts on the systemic immune response to bacterial pathogens. Here, we tested this hypothesis by characterizing the effects of NRTIs on the innate immune response to bacteria. In the liver, NRTI administration following E. coli inoculation reduced the expression of a large repertoire of proinflammatory transcripts. NRTIs also had systemic anti-inflammatory effects, including reducing proinflammatory cytokine levels in serum in response to E. coli in different mouse strains. The anti-inflammatory effects of NRTIs were also apparent in response to lipopolysaccharide (LPS) and Staphylococcus aureus, suggesting that the molecular mechanisms underlying the immunomodulatory functions of NRTIs are likely conserved across distinct immune signaling pathways. Moreover, in a model of lethal LPS shock, NRTI administration prevented hypothermia and death. Together, our observations reveal that NRTIs can potently impede systemic inflammatory responses during Gram-positive and Gram-negative bacterial infections. Our findings lay the groundwork for further investigation of the therapeutic scope of NRTIs and the mechanisms underlying their anti-inflammatory effects across non-retroviral infectious diseases.IMPORTANCEInflammatory responses are critical for host control of bacterial infection, but excessive inflammation can damage host tissues and lead to sepsis. Understanding how innate immune responses are controlled during infection is important for developing new approaches to dampen excessive inflammation. In previous work, we found that tissue damage caused by excessive inflammatory responses may be driven by endogenous reverse transcriptases. Here we demonstrate that treatment of mice with reverse transcriptase inhibitors leads to broad reductions in systemic proinflammatory responses during bacterial infections and can protect mice from acute death in a lethal model of sepsis. Our findings indicate that uncovering the mechanisms underlying the anti-inflammatory functions of reverse transcriptase inhibitors may lead to new therapeutics for bacterial infectious diseases.
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spelling doaj-art-fcb3f4437b2f4330b42e20685a2db9822025-02-05T14:00:48ZengAmerican Society for MicrobiologymBio2150-75112025-02-0116210.1128/mbio.03412-24Reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogensKarthik Hullahalli0Katherine G. Dailey1Ryan Acbay2Masataka Suzuki3George I. Balazs4Matthew K. Waldor5Department of Microbiology, Harvard Medical School, Boston, Massachusetts, USADepartment of Microbiology, Harvard Medical School, Boston, Massachusetts, USADepartment of Microbiology, Harvard Medical School, Boston, Massachusetts, USADepartment of Microbiology, Harvard Medical School, Boston, Massachusetts, USADepartment of Microbiology, Harvard Medical School, Boston, Massachusetts, USADepartment of Microbiology, Harvard Medical School, Boston, Massachusetts, USAABSTRACT Bacterial infections can induce exuberant immune responses that can damage host tissues. Previously, we demonstrated that systemic Escherichia coli infection in mice causes tissue damage in the liver. This liver necrosis is associated with the expression of endogenous retroviruses, chromosomally integrated retroviruses that encode a reverse transcriptase. Furthermore, nucleotide/nucleoside reverse transcriptase inhibitors (NRTIs) completely prevent tissue damage and subsequent bacterial growth within necrotic lesions. Since liver necrosis is linked to heightened systemic inflammatory responses, we hypothesized that NRTIs diminish inflammation caused by E. coli infection and may also have broad impacts on the systemic immune response to bacterial pathogens. Here, we tested this hypothesis by characterizing the effects of NRTIs on the innate immune response to bacteria. In the liver, NRTI administration following E. coli inoculation reduced the expression of a large repertoire of proinflammatory transcripts. NRTIs also had systemic anti-inflammatory effects, including reducing proinflammatory cytokine levels in serum in response to E. coli in different mouse strains. The anti-inflammatory effects of NRTIs were also apparent in response to lipopolysaccharide (LPS) and Staphylococcus aureus, suggesting that the molecular mechanisms underlying the immunomodulatory functions of NRTIs are likely conserved across distinct immune signaling pathways. Moreover, in a model of lethal LPS shock, NRTI administration prevented hypothermia and death. Together, our observations reveal that NRTIs can potently impede systemic inflammatory responses during Gram-positive and Gram-negative bacterial infections. Our findings lay the groundwork for further investigation of the therapeutic scope of NRTIs and the mechanisms underlying their anti-inflammatory effects across non-retroviral infectious diseases.IMPORTANCEInflammatory responses are critical for host control of bacterial infection, but excessive inflammation can damage host tissues and lead to sepsis. Understanding how innate immune responses are controlled during infection is important for developing new approaches to dampen excessive inflammation. In previous work, we found that tissue damage caused by excessive inflammatory responses may be driven by endogenous reverse transcriptases. Here we demonstrate that treatment of mice with reverse transcriptase inhibitors leads to broad reductions in systemic proinflammatory responses during bacterial infections and can protect mice from acute death in a lethal model of sepsis. Our findings indicate that uncovering the mechanisms underlying the anti-inflammatory functions of reverse transcriptase inhibitors may lead to new therapeutics for bacterial infectious diseases.https://journals.asm.org/doi/10.1128/mbio.03412-24reverse transcriptase inhibitorsinflammationsepsis
spellingShingle Karthik Hullahalli
Katherine G. Dailey
Ryan Acbay
Masataka Suzuki
George I. Balazs
Matthew K. Waldor
Reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogens
mBio
reverse transcriptase inhibitors
inflammation
sepsis
title Reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogens
title_full Reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogens
title_fullStr Reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogens
title_full_unstemmed Reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogens
title_short Reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogens
title_sort reverse transcriptase inhibitors diminish systemic proinflammatory responses to bacterial pathogens
topic reverse transcriptase inhibitors
inflammation
sepsis
url https://journals.asm.org/doi/10.1128/mbio.03412-24
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AT ryanacbay reversetranscriptaseinhibitorsdiminishsystemicproinflammatoryresponsestobacterialpathogens
AT masatakasuzuki reversetranscriptaseinhibitorsdiminishsystemicproinflammatoryresponsestobacterialpathogens
AT georgeibalazs reversetranscriptaseinhibitorsdiminishsystemicproinflammatoryresponsestobacterialpathogens
AT matthewkwaldor reversetranscriptaseinhibitorsdiminishsystemicproinflammatoryresponsestobacterialpathogens