Skip to main content
Top
Published in: Respiratory Research 1/2014

Open Access 01-12-2014 | Research

Macrophage activation state determines the response to rhinovirus infection in a mouse model of allergic asthma

Authors: Jun Young Hong, Yutein Chung, Jessica Steenrod, Qiang Chen, Jing Lei, Adam T Comstock, Adam M Goldsmith, J Kelley Bentley, Uma S Sajjan, Marc B Hershenson

Published in: Respiratory Research | Issue 1/2014

Login to get access

Abstract

Background

The mechanisms by which viruses cause asthma exacerbations are not precisely known. Previously, we showed that, in ovalbumin (OVA)-sensitized and -challenged mice with allergic airway inflammation, rhinovirus (RV) infection increases type 2 cytokine production from alternatively-activated (M2) airway macrophages, enhancing eosinophilic inflammation and airways hyperresponsiveness. In this paper, we tested the hypothesis that IL-4 signaling determines the state of macrophage activation and pattern of RV-induced exacerbation in mice with allergic airways disease.

Methods

Eight week-old wild type or IL-4 receptor knockout (IL-4R KO) mice were sensitized and challenged with OVA and inoculated with RV1B or sham HeLa cell lysate.

Results

In contrast to OVA-treated wild-type mice with both neutrophilic and eosinophilic airway inflammation, OVA-treated IL-4R KO mice showed increased neutrophilic inflammation with few eosinophils in the airways. Like wild-type mice, IL-4R KO mice showed OVA-induced airway hyperreactivity which was further exacerbated by RV. There was a shift in lung cytokines from a type 2-predominant response to a type 1 response, including production of IL-12p40 and TNF-α. IL-17A was also increased. RV infection of OVA-treated IL-4R KO mice further increased neutrophilic inflammation. Bronchoalveolar macrophages showed an M1 polarization pattern and ex vivo RV infection increased macrophage production of TNF-α, IFN-γ and IL-12p40. Finally, lung cells from OVA-treated IL-4R KO mice showed reduced CD206+ CD301+ M2 macrophages, decreased IL-13 and increased TNF-α and IL-17A production by F4/80+, CD11b+ macrophages.

Conclusions

OVA-treated IL-4R KO mice show neutrophilic airway inflammation constituting a model of allergic, type 1 cytokine-driven neutrophilic asthma. In the absence of IL-4/IL-13 signaling, RV infection of OVA-treated mice increased type 1 cytokine and IL-17A production from conventionally-activated macrophages, augmenting neutrophilic rather than eosinophilic inflammation. In mice with allergic airways inflammation, IL-4R signaling determines macrophage activation state and the response to subsequent RV infection.
Appendix
Available only for authorised users
Literature
1.
go back to reference Loke PN, Nair M, Parkinson J, Guiliano D, Blaxter M, Allen J: IL-4 dependent alternatively-activated macrophages have a distinctive in vivo gene expression phenotype. BMC Immunol. 2002, 3: 7-10.1186/1471-2172-3-7.PubMedPubMedCentralCrossRef Loke PN, Nair M, Parkinson J, Guiliano D, Blaxter M, Allen J: IL-4 dependent alternatively-activated macrophages have a distinctive in vivo gene expression phenotype. BMC Immunol. 2002, 3: 7-10.1186/1471-2172-3-7.PubMedPubMedCentralCrossRef
2.
go back to reference Muller U, Stenzel W, Kohler G, Werner C, Polte T, Hansen G, Schutze N, Straubinger RK, Blessing M, McKenzie AN, Brombacher F, Alber G: IL-13 induces disease-promoting type 2 cytokines, alternatively activated macrophages and allergic inflammation during pulmonary infection of mice with Cryptococcus neoformans. J Immunol. 2007, 179: 5367-5377. 10.4049/jimmunol.179.8.5367.PubMedCrossRef Muller U, Stenzel W, Kohler G, Werner C, Polte T, Hansen G, Schutze N, Straubinger RK, Blessing M, McKenzie AN, Brombacher F, Alber G: IL-13 induces disease-promoting type 2 cytokines, alternatively activated macrophages and allergic inflammation during pulmonary infection of mice with Cryptococcus neoformans. J Immunol. 2007, 179: 5367-5377. 10.4049/jimmunol.179.8.5367.PubMedCrossRef
3.
go back to reference Ford A, Dasgupta P, Mikhailenko I, Smith E, Noben-Trauth N, Keegan A: Adoptive transfer of IL-4Ralpha + macrophages is sufficient to enhance eosinophilic inflammation in a mouse model of allergic lung inflammation. BMC Immunol. 2012, 13: 6-10.1186/1471-2172-13-6.PubMedPubMedCentralCrossRef Ford A, Dasgupta P, Mikhailenko I, Smith E, Noben-Trauth N, Keegan A: Adoptive transfer of IL-4Ralpha + macrophages is sufficient to enhance eosinophilic inflammation in a mouse model of allergic lung inflammation. BMC Immunol. 2012, 13: 6-10.1186/1471-2172-13-6.PubMedPubMedCentralCrossRef
4.
go back to reference Melgert BN, ten Hacken NH, Rutgers B, Timens W, Postma DS, Hylkema MN: More alternative activation of macrophages in lungs of asthmatic patients. J Allergy Clin Immunol. 2011, 127: 831-833. 10.1016/j.jaci.2010.10.045.PubMedCrossRef Melgert BN, ten Hacken NH, Rutgers B, Timens W, Postma DS, Hylkema MN: More alternative activation of macrophages in lungs of asthmatic patients. J Allergy Clin Immunol. 2011, 127: 831-833. 10.1016/j.jaci.2010.10.045.PubMedCrossRef
5.
go back to reference Message SD, Laza-Stanca V, Mallia P, Parker HL, Zhu J, Kebadze T, Contoli M, Sanderson G, Kon OM, Papi A, Jeffery PK, Stanciu LA, Johnston SL: Rhinovirus-induced lower respiratory illness is increased in asthma and related to virus load and Th1/2 cytokine and IL-10 production. Proc Natl Acad Sci U S A. 2008, 105: 13562-13567. 10.1073/pnas.0804181105.PubMedPubMedCentralCrossRef Message SD, Laza-Stanca V, Mallia P, Parker HL, Zhu J, Kebadze T, Contoli M, Sanderson G, Kon OM, Papi A, Jeffery PK, Stanciu LA, Johnston SL: Rhinovirus-induced lower respiratory illness is increased in asthma and related to virus load and Th1/2 cytokine and IL-10 production. Proc Natl Acad Sci U S A. 2008, 105: 13562-13567. 10.1073/pnas.0804181105.PubMedPubMedCentralCrossRef
6.
go back to reference Nagarkar DR, Bowman ER, Schneider D, Wang Q, Shim J, Zhao Y, Linn MJ, McHenry CL, Gosangi B, Bentley JK, Tsai WC, Sajjan US, Lukacs NW, Hershenson MB: Rhinovirus infection of allergen-sensitized and -challenged mice induces eotaxin release from functionally polarized macrophages. J Immunol. 2010, 185: 2525-2535. 10.4049/jimmunol.1000286.PubMedPubMedCentralCrossRef Nagarkar DR, Bowman ER, Schneider D, Wang Q, Shim J, Zhao Y, Linn MJ, McHenry CL, Gosangi B, Bentley JK, Tsai WC, Sajjan US, Lukacs NW, Hershenson MB: Rhinovirus infection of allergen-sensitized and -challenged mice induces eotaxin release from functionally polarized macrophages. J Immunol. 2010, 185: 2525-2535. 10.4049/jimmunol.1000286.PubMedPubMedCentralCrossRef
7.
go back to reference Newcomb DC, Sajjan U, Nanua S, Jia Y, Goldsmith AM, Bentley JK, Hershenson MB: Phosphatidylinositol 3-kinase is required for rhinovirus-induced airway epithelial cell interleukin-8 expression. J Biol Chem. 2005, 280: 36952-36961. 10.1074/jbc.M502449200.PubMedCrossRef Newcomb DC, Sajjan U, Nanua S, Jia Y, Goldsmith AM, Bentley JK, Hershenson MB: Phosphatidylinositol 3-kinase is required for rhinovirus-induced airway epithelial cell interleukin-8 expression. J Biol Chem. 2005, 280: 36952-36961. 10.1074/jbc.M502449200.PubMedCrossRef
8.
go back to reference Schneider D, Hong JY, Popova AP, Bowman ER, Linn MJ, McLean AM, Zhao Y, Sonstein J, Bentley JK, Weinberg JB, Lukacs NW, Curtis JL, Sajjan US, Hershenson MB: Neonatal rhinovirus infection induces mucous metaplasia and airways hyperresponsiveness. J Immunol. 2012, 188: 2894-2904. 10.4049/jimmunol.1101391.PubMedPubMedCentralCrossRef Schneider D, Hong JY, Popova AP, Bowman ER, Linn MJ, McLean AM, Zhao Y, Sonstein J, Bentley JK, Weinberg JB, Lukacs NW, Curtis JL, Sajjan US, Hershenson MB: Neonatal rhinovirus infection induces mucous metaplasia and airways hyperresponsiveness. J Immunol. 2012, 188: 2894-2904. 10.4049/jimmunol.1101391.PubMedPubMedCentralCrossRef
9.
go back to reference Weischenfeldt J, Porse B: Bone marrow-derived macrophages (BMM): isolation and applications. Cold Spring Harb Protoc. 2008, 2008: pdb.prot5080-CrossRef Weischenfeldt J, Porse B: Bone marrow-derived macrophages (BMM): isolation and applications. Cold Spring Harb Protoc. 2008, 2008: pdb.prot5080-CrossRef
10.
go back to reference Laan M, Cui ZH, Hoshino H, Lotvall J, Sjostrand M, Gruenert DC, Skoogh BE, Linden A: Neutrophil recruitment by human IL-17 via C-X-C chemokine release in the airways. J Immunol. 1999, 162: 2347-2352.PubMed Laan M, Cui ZH, Hoshino H, Lotvall J, Sjostrand M, Gruenert DC, Skoogh BE, Linden A: Neutrophil recruitment by human IL-17 via C-X-C chemokine release in the airways. J Immunol. 1999, 162: 2347-2352.PubMed
11.
go back to reference Ye P, Rodriguez FH, Kanaly S, Stocking KL, Schurr J, Schwarzenberger P, Oliver P, Huang W, Zhang P, Zhang J, Shellito JE, Bagby GJ, Nelson S, Charrier K, Peschon JJ, Kolls JK: Requirement of interleukin 17 receptor signaling for lung CXC Chemokine and granulocyte colony-stimulating factor expression, neutrophil recruitment, and host defense. J Exp Med. 2001, 194: 519-528. 10.1084/jem.194.4.519.PubMedPubMedCentralCrossRef Ye P, Rodriguez FH, Kanaly S, Stocking KL, Schurr J, Schwarzenberger P, Oliver P, Huang W, Zhang P, Zhang J, Shellito JE, Bagby GJ, Nelson S, Charrier K, Peschon JJ, Kolls JK: Requirement of interleukin 17 receptor signaling for lung CXC Chemokine and granulocyte colony-stimulating factor expression, neutrophil recruitment, and host defense. J Exp Med. 2001, 194: 519-528. 10.1084/jem.194.4.519.PubMedPubMedCentralCrossRef
12.
go back to reference Jones CE, Chan K: Interleukin-17 Stimulates the expression of interleukin-8, growth-related oncogene-α, and granulocyte–colony-stimulating factor by human airway epithelial Cells. Am J Respir Cell Mol Biol. 2002, 26: 748-753. 10.1165/ajrcmb.26.6.4757.PubMedCrossRef Jones CE, Chan K: Interleukin-17 Stimulates the expression of interleukin-8, growth-related oncogene-α, and granulocyte–colony-stimulating factor by human airway epithelial Cells. Am J Respir Cell Mol Biol. 2002, 26: 748-753. 10.1165/ajrcmb.26.6.4757.PubMedCrossRef
13.
go back to reference Chen Y, Thai P, Zhao Y-H, Ho Y-S, DeSouza MM, Wu R: Stimulation of airway mucin gene expression by interleukin (IL)-17 through IL-6 paracrine/autocrine loop. J Biol Chem. 2003, 278: 17036-17043. 10.1074/jbc.M210429200.PubMedCrossRef Chen Y, Thai P, Zhao Y-H, Ho Y-S, DeSouza MM, Wu R: Stimulation of airway mucin gene expression by interleukin (IL)-17 through IL-6 paracrine/autocrine loop. J Biol Chem. 2003, 278: 17036-17043. 10.1074/jbc.M210429200.PubMedCrossRef
14.
go back to reference Ferretti S, Bonneau O, Dubois GR, Jones CE, Trifilieff A: IL-17, produced by lymphocytes and neutrophils, is necessary for lipopolysaccharide-induced airway neutrophilia: IL-15 as a possible trigger. J Immunol. 2003, 170: 2106-2112. 10.4049/jimmunol.170.4.2106.PubMedCrossRef Ferretti S, Bonneau O, Dubois GR, Jones CE, Trifilieff A: IL-17, produced by lymphocytes and neutrophils, is necessary for lipopolysaccharide-induced airway neutrophilia: IL-15 as a possible trigger. J Immunol. 2003, 170: 2106-2112. 10.4049/jimmunol.170.4.2106.PubMedCrossRef
15.
go back to reference Shahrara S, Pickens SR, Mandelin AM, Karpus WJ, Huang Q, Kolls JK, Pope RM: IL-17–mediated monocyte migration occurs partially through CC chemokine ligand 2/monocyte chemoattractant protein-1 induction. J Immunol. 2010, 184: 4479-4487. 10.4049/jimmunol.0901942.PubMedPubMedCentralCrossRef Shahrara S, Pickens SR, Mandelin AM, Karpus WJ, Huang Q, Kolls JK, Pope RM: IL-17–mediated monocyte migration occurs partially through CC chemokine ligand 2/monocyte chemoattractant protein-1 induction. J Immunol. 2010, 184: 4479-4487. 10.4049/jimmunol.0901942.PubMedPubMedCentralCrossRef
16.
go back to reference Chen K, Pociask DA, McAleer JP, Chan YR, Alcorn JF, Kreindler JL, Keyser MR, Shapiro SD, Houghton AM, Kolls JK, Zheng M: IL-17RA is required for CCL2 expression, macrophage recruitment, and emphysema in response to cigarette smoke. PLoS One. 2011, 6: e20333-10.1371/journal.pone.0020333.PubMedPubMedCentralCrossRef Chen K, Pociask DA, McAleer JP, Chan YR, Alcorn JF, Kreindler JL, Keyser MR, Shapiro SD, Houghton AM, Kolls JK, Zheng M: IL-17RA is required for CCL2 expression, macrophage recruitment, and emphysema in response to cigarette smoke. PLoS One. 2011, 6: e20333-10.1371/journal.pone.0020333.PubMedPubMedCentralCrossRef
17.
go back to reference Newcomb DC, Sajjan US, Nagarkar DR, Wang Q, Nanua S, Zhou Y, McHenry CL, Hennrick KT, Tsai WC, Bentley JK, Lukacs NW, Johnston SL, Hershenson MB: Human rhinovirus 1B exposure induces phosphatidylinositol 3-kinase-dependent airway inflammation in mice. Am J Respir Crit Care Med. 2008, 177: 1111-1121. 10.1164/rccm.200708-1243OC.PubMedPubMedCentralCrossRef Newcomb DC, Sajjan US, Nagarkar DR, Wang Q, Nanua S, Zhou Y, McHenry CL, Hennrick KT, Tsai WC, Bentley JK, Lukacs NW, Johnston SL, Hershenson MB: Human rhinovirus 1B exposure induces phosphatidylinositol 3-kinase-dependent airway inflammation in mice. Am J Respir Crit Care Med. 2008, 177: 1111-1121. 10.1164/rccm.200708-1243OC.PubMedPubMedCentralCrossRef
18.
go back to reference Ordonez CL, Shaughnessy TE, Matthay MA, Fahy JV: Increased Neutrophil numbers and IL-8 levels in airway secretions in acute severe asthma: clinical and biologic significance. Am J Respir Crit Care Med. 2000, 161: 1185-1190. 10.1164/ajrccm.161.4.9812061.PubMedCrossRef Ordonez CL, Shaughnessy TE, Matthay MA, Fahy JV: Increased Neutrophil numbers and IL-8 levels in airway secretions in acute severe asthma: clinical and biologic significance. Am J Respir Crit Care Med. 2000, 161: 1185-1190. 10.1164/ajrccm.161.4.9812061.PubMedCrossRef
19.
go back to reference Griffin GK, Newton G, Tarrio ML, Bu D-x, Maganto-Garcia E, Azcutia V, Alcaide P, Grabie N, Luscinskas FW, Croce KJ, Lichtman AH: IL-17 and TNF-α sustain neutrophil recruitment during inflammation through synergistic effects on endothelial activation. J Immunol. 2012, 188: 6287-6299. 10.4049/jimmunol.1200385.PubMedPubMedCentralCrossRef Griffin GK, Newton G, Tarrio ML, Bu D-x, Maganto-Garcia E, Azcutia V, Alcaide P, Grabie N, Luscinskas FW, Croce KJ, Lichtman AH: IL-17 and TNF-α sustain neutrophil recruitment during inflammation through synergistic effects on endothelial activation. J Immunol. 2012, 188: 6287-6299. 10.4049/jimmunol.1200385.PubMedPubMedCentralCrossRef
20.
go back to reference Lin KL, Suzuki Y, Nakano H, Ramsburg E, Gunn MD: CCR2+ monocyte-derived dendritic cells and exudate macrophages produce influenza-induced pulmonary immune pathology and mortality. J Immunol. 2008, 180: 2562-2572. 10.4049/jimmunol.180.4.2562.PubMedCrossRef Lin KL, Suzuki Y, Nakano H, Ramsburg E, Gunn MD: CCR2+ monocyte-derived dendritic cells and exudate macrophages produce influenza-induced pulmonary immune pathology and mortality. J Immunol. 2008, 180: 2562-2572. 10.4049/jimmunol.180.4.2562.PubMedCrossRef
21.
go back to reference Tighe RM, Liang J, Liu N, Jung Y, Jiang D, Gunn MD, Noble PW: Recruited exudative macrophages selectively produce CXCL10 after noninfectious lung injury. Am J Respir Cell Mol Biol. 2011, 45: 781-788. 10.1165/rcmb.2010-0471OC.PubMedPubMedCentralCrossRef Tighe RM, Liang J, Liu N, Jung Y, Jiang D, Gunn MD, Noble PW: Recruited exudative macrophages selectively produce CXCL10 after noninfectious lung injury. Am J Respir Cell Mol Biol. 2011, 45: 781-788. 10.1165/rcmb.2010-0471OC.PubMedPubMedCentralCrossRef
22.
go back to reference Winther B, Farr B, Turner RB, Hendley JO, Gwaltney JM, Mygind N: Histopathologic examination and enumeration of polymorphonuclear leukocytes in the nasal mucosa during experimental rhinovirus colds. Acta Otolaryngol Suppl. 1984, 413: 19-24.PubMedCrossRef Winther B, Farr B, Turner RB, Hendley JO, Gwaltney JM, Mygind N: Histopathologic examination and enumeration of polymorphonuclear leukocytes in the nasal mucosa during experimental rhinovirus colds. Acta Otolaryngol Suppl. 1984, 413: 19-24.PubMedCrossRef
23.
go back to reference Fraenkel DJ, Bardin PG, Sanderson G, Lampe F, Johnston SL, Holgate ST: Lower airways inflammation during rhinovirus colds in normal and in asthmatic subjects. Am J Respir Crit Care Med. 1995, 151: 879-886.PubMed Fraenkel DJ, Bardin PG, Sanderson G, Lampe F, Johnston SL, Holgate ST: Lower airways inflammation during rhinovirus colds in normal and in asthmatic subjects. Am J Respir Crit Care Med. 1995, 151: 879-886.PubMed
24.
go back to reference Gern JE, Dick EC, Lee WM, Murray S, Meyer K, Handzel ZT, Busse WW: Rhinovirus enters but does not replicate inside monocytes and airway macrophages. J Immunol. 1996, 156: 621-627.PubMed Gern JE, Dick EC, Lee WM, Murray S, Meyer K, Handzel ZT, Busse WW: Rhinovirus enters but does not replicate inside monocytes and airway macrophages. J Immunol. 1996, 156: 621-627.PubMed
25.
go back to reference Stöckl J, Vetr H, Majdic O, Zlabinger G, Kuechler E, Knapp W: Human major group rhinoviruses downmodulate the accessory function of monocytes by inducing IL-10. J Clin Invest. 1999, 104: 957-965. 10.1172/JCI7255.PubMedPubMedCentralCrossRef Stöckl J, Vetr H, Majdic O, Zlabinger G, Kuechler E, Knapp W: Human major group rhinoviruses downmodulate the accessory function of monocytes by inducing IL-10. J Clin Invest. 1999, 104: 957-965. 10.1172/JCI7255.PubMedPubMedCentralCrossRef
26.
go back to reference Laza-Stanca V, Stanciu LA, Message SD, Edwards MR, Gern JE, Johnston SL: Rhinovirus replication in human macrophages induces NF-{kappa}B-dependent tumor necrosis factor alpha production. J Virol. 2006, 80: 8248-8258. 10.1128/JVI.00162-06.PubMedPubMedCentralCrossRef Laza-Stanca V, Stanciu LA, Message SD, Edwards MR, Gern JE, Johnston SL: Rhinovirus replication in human macrophages induces NF-{kappa}B-dependent tumor necrosis factor alpha production. J Virol. 2006, 80: 8248-8258. 10.1128/JVI.00162-06.PubMedPubMedCentralCrossRef
27.
go back to reference Hall DJ, Bates ME, Guar L, Cronan M, Korpi N, Bertics PJ: The role of p38 MAPK in rhinovirus-induced monocyte chemoattractant protein-1 production by monocytic-lineage cells. J Immunol. 2005, 174: 8056-8063. 10.4049/jimmunol.174.12.8056.PubMedCrossRef Hall DJ, Bates ME, Guar L, Cronan M, Korpi N, Bertics PJ: The role of p38 MAPK in rhinovirus-induced monocyte chemoattractant protein-1 production by monocytic-lineage cells. J Immunol. 2005, 174: 8056-8063. 10.4049/jimmunol.174.12.8056.PubMedCrossRef
28.
go back to reference Korpi-Steiner NL, Bates ME, Lee W-M, Hall DJ, Bertics PJ: Human rhinovirus induces robust IP-10 release by monocytic cells, which is independent of viral replication but linked to type I interferon receptor ligation and STAT1 activation. J Leukoc Biol. 2006, 80: 1364-1374. 10.1189/jlb.0606412.PubMedCrossRef Korpi-Steiner NL, Bates ME, Lee W-M, Hall DJ, Bertics PJ: Human rhinovirus induces robust IP-10 release by monocytic cells, which is independent of viral replication but linked to type I interferon receptor ligation and STAT1 activation. J Leukoc Biol. 2006, 80: 1364-1374. 10.1189/jlb.0606412.PubMedCrossRef
29.
go back to reference Johnston SL, Papi A, Monick MM, Hunninghake GW: Rhinoviruses induce interleukin-8 mRNA and protein production in human monocytes. J Infect Dis. 1997, 175: 323-329. 10.1093/infdis/175.2.323.PubMedCrossRef Johnston SL, Papi A, Monick MM, Hunninghake GW: Rhinoviruses induce interleukin-8 mRNA and protein production in human monocytes. J Infect Dis. 1997, 175: 323-329. 10.1093/infdis/175.2.323.PubMedCrossRef
30.
go back to reference Khaitov MR, Laza-Stanca V, Edwards MR, Walton RP, Rohde G, Contoli M, Papi A, Stanciu LA, Kotenko SV, Johnston SL: Respiratory virus induction of alpha-, beta- and lambda-interferons in bronchial epithelial cells and peripheral blood mononuclear cells. Allergy. 2009, 64: 375-386. 10.1111/j.1398-9995.2008.01826.x.PubMedCrossRef Khaitov MR, Laza-Stanca V, Edwards MR, Walton RP, Rohde G, Contoli M, Papi A, Stanciu LA, Kotenko SV, Johnston SL: Respiratory virus induction of alpha-, beta- and lambda-interferons in bronchial epithelial cells and peripheral blood mononuclear cells. Allergy. 2009, 64: 375-386. 10.1111/j.1398-9995.2008.01826.x.PubMedCrossRef
31.
go back to reference Schreiber MT, Schuler B, Li L, Hall DJ: Activation of the small G-protein Rac by human rhinovirus attenuates the TLR3/IFN-α axis while promoting CCL2 release in human monocyte-lineage cells. Innate Immun. 2013, 19: 278-289. 10.1177/1753425912460709.PubMedCrossRef Schreiber MT, Schuler B, Li L, Hall DJ: Activation of the small G-protein Rac by human rhinovirus attenuates the TLR3/IFN-α axis while promoting CCL2 release in human monocyte-lineage cells. Innate Immun. 2013, 19: 278-289. 10.1177/1753425912460709.PubMedCrossRef
32.
go back to reference Karta MR, Wickert LE, Curran CS, Gavala ML, Denlinger LC, Gern JE, Bertics PJ: Allergen challenge in vivo alters rhinovirus-induced chemokine secretion from human airway macrophages. J Allergy Clin Immunol. 2014, 133: 1227-1230. 10.1016/j.jaci.2014.01.003. e1224PubMedPubMedCentralCrossRef Karta MR, Wickert LE, Curran CS, Gavala ML, Denlinger LC, Gern JE, Bertics PJ: Allergen challenge in vivo alters rhinovirus-induced chemokine secretion from human airway macrophages. J Allergy Clin Immunol. 2014, 133: 1227-1230. 10.1016/j.jaci.2014.01.003. e1224PubMedPubMedCentralCrossRef
33.
go back to reference Bentley JK, Sajjan US, Dzaman MB, Jarjour NN, Lee W-M, Gern JE, Hershenson MB: Rhinovirus colocalizes with CD68- and CD11b-positive macrophages following experimental infection in humans. J Allergy Clin Immunol. 2013, 132: 758-761. 10.1016/j.jaci.2013.04.020. e753PubMedPubMedCentralCrossRef Bentley JK, Sajjan US, Dzaman MB, Jarjour NN, Lee W-M, Gern JE, Hershenson MB: Rhinovirus colocalizes with CD68- and CD11b-positive macrophages following experimental infection in humans. J Allergy Clin Immunol. 2013, 132: 758-761. 10.1016/j.jaci.2013.04.020. e753PubMedPubMedCentralCrossRef
34.
go back to reference Wills-Karp M, Luyimbazi J, Xu X, Schofield B, Neben TY, Karp CL, Donaldson DD: Interleukin-13: central mediator of allergic asthma. Science. 1998, 282: 2258-2261.PubMedCrossRef Wills-Karp M, Luyimbazi J, Xu X, Schofield B, Neben TY, Karp CL, Donaldson DD: Interleukin-13: central mediator of allergic asthma. Science. 1998, 282: 2258-2261.PubMedCrossRef
35.
go back to reference Kelly-Welch AE, Melo MEF, Smith E, Ford AQ, Haudenschild C, Noben-Trauth N, Keegan AD: Complex role of the IL-4 receptor α in a murine model of airway inflammation: expression of the IL-4 receptor α on nonlymphoid cells of bone marrow origin contributes to severity of inflammation. J Immunol. 2004, 172: 4545-4555. 10.4049/jimmunol.172.7.4545.PubMedCrossRef Kelly-Welch AE, Melo MEF, Smith E, Ford AQ, Haudenschild C, Noben-Trauth N, Keegan AD: Complex role of the IL-4 receptor α in a murine model of airway inflammation: expression of the IL-4 receptor α on nonlymphoid cells of bone marrow origin contributes to severity of inflammation. J Immunol. 2004, 172: 4545-4555. 10.4049/jimmunol.172.7.4545.PubMedCrossRef
36.
go back to reference Dasgupta P, Chapoval S, Smith E, Keegan A: Transfer of in vivo primed transgenic T cells supports allergic lung inflammation and FIZZ1 and Ym1 production in an IL-4Ralpha and STAT6 dependent manner. BMC Immunol. 2011, 12: 60-10.1186/1471-2172-12-60.PubMedPubMedCentralCrossRef Dasgupta P, Chapoval S, Smith E, Keegan A: Transfer of in vivo primed transgenic T cells supports allergic lung inflammation and FIZZ1 and Ym1 production in an IL-4Ralpha and STAT6 dependent manner. BMC Immunol. 2011, 12: 60-10.1186/1471-2172-12-60.PubMedPubMedCentralCrossRef
37.
go back to reference Shirey KA, Pletneva LM, Puche AC, Keegan AD, Prince GA, Blanco JCG, Vogel SN: Control of RSV-induced lung injury by alternatively activated macrophages is IL-4Rα-, TLR4-, and IFN-β-dependent. Mucosal Immunol. 2010, 3: 291-300. 10.1038/mi.2010.6.PubMedPubMedCentralCrossRef Shirey KA, Pletneva LM, Puche AC, Keegan AD, Prince GA, Blanco JCG, Vogel SN: Control of RSV-induced lung injury by alternatively activated macrophages is IL-4Rα-, TLR4-, and IFN-β-dependent. Mucosal Immunol. 2010, 3: 291-300. 10.1038/mi.2010.6.PubMedPubMedCentralCrossRef
38.
go back to reference Arora S, Olszewski MA, Tsang TM, McDonald RA, Toews GB, Huffnagle GB: Effect of cytokine interplay on macrophage polarization during chronic pulmonary infection with Cryptococcus neoformans. Infect Immun. 2011, 79: 1915-1926. 10.1128/IAI.01270-10.PubMedPubMedCentralCrossRef Arora S, Olszewski MA, Tsang TM, McDonald RA, Toews GB, Huffnagle GB: Effect of cytokine interplay on macrophage polarization during chronic pulmonary infection with Cryptococcus neoformans. Infect Immun. 2011, 79: 1915-1926. 10.1128/IAI.01270-10.PubMedPubMedCentralCrossRef
39.
go back to reference Hardison SE, Herrera G, Young ML, Hole CR, Wozniak KL, Wormley FL: Protective immunity against pulmonary cryptococcosis is associated with STAT1-mediated classical macrophage activation. J Immunol. 2012, 189: 4060-4068. 10.4049/jimmunol.1103455.PubMedPubMedCentralCrossRef Hardison SE, Herrera G, Young ML, Hole CR, Wozniak KL, Wormley FL: Protective immunity against pulmonary cryptococcosis is associated with STAT1-mediated classical macrophage activation. J Immunol. 2012, 189: 4060-4068. 10.4049/jimmunol.1103455.PubMedPubMedCentralCrossRef
40.
go back to reference Müller U, Stenzel W, Piehler D, Grahnert A, Protschka M, Köhler G, Frey O, Held J, Richter T, Eschke M, Kamradt T, Brombacher F, Alber G: Abrogation of IL-4 receptor-α-dependent alternatively activated macrophages is sufficient to confer resistance against pulmonary cryptococcosis despite an ongoing Th2 response. Int Immunol. 2013, 25: 459-470. 10.1093/intimm/dxt003.PubMedCrossRef Müller U, Stenzel W, Piehler D, Grahnert A, Protschka M, Köhler G, Frey O, Held J, Richter T, Eschke M, Kamradt T, Brombacher F, Alber G: Abrogation of IL-4 receptor-α-dependent alternatively activated macrophages is sufficient to confer resistance against pulmonary cryptococcosis despite an ongoing Th2 response. Int Immunol. 2013, 25: 459-470. 10.1093/intimm/dxt003.PubMedCrossRef
41.
go back to reference Potian JA, Rafi W, Bhatt K, McBride A, Gause WC, Salgame P: Preexisting helminth infection induces inhibition of innate pulmonary anti-tuberculosis defense by engaging the IL-4 receptor pathway. J Exp Med. 2011, 208: 1863-1874. 10.1084/jem.20091473.PubMedPubMedCentralCrossRef Potian JA, Rafi W, Bhatt K, McBride A, Gause WC, Salgame P: Preexisting helminth infection induces inhibition of innate pulmonary anti-tuberculosis defense by engaging the IL-4 receptor pathway. J Exp Med. 2011, 208: 1863-1874. 10.1084/jem.20091473.PubMedPubMedCentralCrossRef
42.
go back to reference Page C, Goicochea L, Matthews K, Zhang Y, Klover P, Holtzman MJ, Hennighausen L, Frieman M: Induction of alternatively activated macrophages enhances pathogenesis during severe acute respiratory syndrome coronavirus infection. J Virol. 2012, 86: 13334-13349. 10.1128/JVI.01689-12.PubMedPubMedCentralCrossRef Page C, Goicochea L, Matthews K, Zhang Y, Klover P, Holtzman MJ, Hennighausen L, Frieman M: Induction of alternatively activated macrophages enhances pathogenesis during severe acute respiratory syndrome coronavirus infection. J Virol. 2012, 86: 13334-13349. 10.1128/JVI.01689-12.PubMedPubMedCentralCrossRef
43.
go back to reference Wang Q, Miller DJ, Bowman ER, Nagarkar DR, Schneider D, Zhao Y, Linn MJ, Goldsmith AM, Bentley JK, Sajjan US, Hershenson MB: MDA5 and TLR3 initiate pro-inflammatory signaling pathways leading to rhinovirus-induced airways inflammation and hyperresponsiveness. PLoS Pathog. 2011, 7: e1002070-10.1371/journal.ppat.1002070.PubMedPubMedCentralCrossRef Wang Q, Miller DJ, Bowman ER, Nagarkar DR, Schneider D, Zhao Y, Linn MJ, Goldsmith AM, Bentley JK, Sajjan US, Hershenson MB: MDA5 and TLR3 initiate pro-inflammatory signaling pathways leading to rhinovirus-induced airways inflammation and hyperresponsiveness. PLoS Pathog. 2011, 7: e1002070-10.1371/journal.ppat.1002070.PubMedPubMedCentralCrossRef
44.
go back to reference Yao Z, Painter SL, Fanslow WC, Ulrich D, Macduff BM, Spriggs MK, Armitage RJ: Human IL-17: a novel cytokine derived from T cells. J Immunol. 1995, 155: 5483-5486.PubMed Yao Z, Painter SL, Fanslow WC, Ulrich D, Macduff BM, Spriggs MK, Armitage RJ: Human IL-17: a novel cytokine derived from T cells. J Immunol. 1995, 155: 5483-5486.PubMed
45.
go back to reference Molet S, Hamid Q, Davoineb F, Nutku E, Tahaa R, Pagé N, Olivenstein R, Elias J, Chakir J: IL-17 is increased in asthmatic airways and induces human bronchial fibroblasts to produce cytokines. J Allergy Clin Immunol. 2001, 108: 430-438. 10.1067/mai.2001.117929.PubMedCrossRef Molet S, Hamid Q, Davoineb F, Nutku E, Tahaa R, Pagé N, Olivenstein R, Elias J, Chakir J: IL-17 is increased in asthmatic airways and induces human bronchial fibroblasts to produce cytokines. J Allergy Clin Immunol. 2001, 108: 430-438. 10.1067/mai.2001.117929.PubMedCrossRef
46.
go back to reference Song C, Luo L, Lei Z, Li B, Liang Z, Liu G, Li D, Zhang G, Huang B, Feng Z-H: IL-17-producing alveolar macrophages mediate allergic lung inflammation related to asthma. J Immunol. 2008, 181: 6117-6124. 10.4049/jimmunol.181.9.6117.PubMedCrossRef Song C, Luo L, Lei Z, Li B, Liang Z, Liu G, Li D, Zhang G, Huang B, Feng Z-H: IL-17-producing alveolar macrophages mediate allergic lung inflammation related to asthma. J Immunol. 2008, 181: 6117-6124. 10.4049/jimmunol.181.9.6117.PubMedCrossRef
47.
go back to reference Newcomb DC, Zhou W, Moore ML, Goleniewska K, Hershey GKK, Kolls JK, Peebles RS: A functional IL-13 receptor is expressed on polarized murine CD4+ Th17 cells and IL-13 signaling attenuates Th17 cytokine production. J Immunol. 2009, 182: 5317-5321. 10.4049/jimmunol.0803868.PubMedPubMedCentralCrossRef Newcomb DC, Zhou W, Moore ML, Goleniewska K, Hershey GKK, Kolls JK, Peebles RS: A functional IL-13 receptor is expressed on polarized murine CD4+ Th17 cells and IL-13 signaling attenuates Th17 cytokine production. J Immunol. 2009, 182: 5317-5321. 10.4049/jimmunol.0803868.PubMedPubMedCentralCrossRef
48.
go back to reference Douwes J, Gibson P, Pekkanen J, Pearce N: Non-eosinophilic asthma: importance and possible mechanisms. Thorax. 2002, 57: 643-648. 10.1136/thorax.57.7.643.PubMedPubMedCentralCrossRef Douwes J, Gibson P, Pekkanen J, Pearce N: Non-eosinophilic asthma: importance and possible mechanisms. Thorax. 2002, 57: 643-648. 10.1136/thorax.57.7.643.PubMedPubMedCentralCrossRef
49.
go back to reference Fabbri LM, Boschetto P, Zocca E, Milani G, Pivirotto F, Plebani M, Burlina A, Licata B, Mapp CE: Bronchoalveolar neutrophilia during late asthmatic reactions induced by toluene diisocyanate. Am Rev Respir Dis. 1987, 136: 36-42. 10.1164/ajrccm/136.1.36.PubMedCrossRef Fabbri LM, Boschetto P, Zocca E, Milani G, Pivirotto F, Plebani M, Burlina A, Licata B, Mapp CE: Bronchoalveolar neutrophilia during late asthmatic reactions induced by toluene diisocyanate. Am Rev Respir Dis. 1987, 136: 36-42. 10.1164/ajrccm/136.1.36.PubMedCrossRef
50.
go back to reference Martin RJ, Cicutto LC, Smith HR, Ballard RD, Szefler SJ: Airways inflammation in nocturnal asthma. Am Rev Respir Dis. 1991, 143: 143-351.CrossRef Martin RJ, Cicutto LC, Smith HR, Ballard RD, Szefler SJ: Airways inflammation in nocturnal asthma. Am Rev Respir Dis. 1991, 143: 143-351.CrossRef
51.
go back to reference Park HS, Jung KS, Hwang SC, Nahm DH, Yim HE: Neutrophil infiltration and release of IL-8 in airway mucosa from subjects with grain dust-induced occupational asthma. Clin Exp Allergy. 1998, 28: 724-730. 10.1046/j.1365-2222.1998.00299.x.PubMedCrossRef Park HS, Jung KS, Hwang SC, Nahm DH, Yim HE: Neutrophil infiltration and release of IL-8 in airway mucosa from subjects with grain dust-induced occupational asthma. Clin Exp Allergy. 1998, 28: 724-730. 10.1046/j.1365-2222.1998.00299.x.PubMedCrossRef
52.
go back to reference Frew AJ, Chan H, Lam S, Chan-Yeung M: Bronchial inflammation in occupational asthma due to western red cedar. Am J Respir Crit Care Med. 1995, 151: 340-344. 10.1164/ajrccm.151.2.7842189.PubMedCrossRef Frew AJ, Chan H, Lam S, Chan-Yeung M: Bronchial inflammation in occupational asthma due to western red cedar. Am J Respir Crit Care Med. 1995, 151: 340-344. 10.1164/ajrccm.151.2.7842189.PubMedCrossRef
53.
go back to reference Jatakanon A, Uasuf C, Maziak W, Lim S, Chung KF, Barnes PJ: Neutrophilic inflammation in severe persistent asthma. Am J Respir Crit Care Med. 1999, 160: 1532-1539. 10.1164/ajrccm.160.5.9806170.PubMedCrossRef Jatakanon A, Uasuf C, Maziak W, Lim S, Chung KF, Barnes PJ: Neutrophilic inflammation in severe persistent asthma. Am J Respir Crit Care Med. 1999, 160: 1532-1539. 10.1164/ajrccm.160.5.9806170.PubMedCrossRef
54.
go back to reference Pavord ID, Brightling CE, Woltmann G, Wardlaw AJ: Non-eosinophilic cor ticosteroid unresponsive asthma. Lancet. 1999, 353: 2213-2214. 10.1016/S0140-6736(99)01813-9.PubMedCrossRef Pavord ID, Brightling CE, Woltmann G, Wardlaw AJ: Non-eosinophilic cor ticosteroid unresponsive asthma. Lancet. 1999, 353: 2213-2214. 10.1016/S0140-6736(99)01813-9.PubMedCrossRef
55.
go back to reference Chu H, Trudeau J, Balzar S, Wenzel S: Peripheral blood and airway tissue expression of transforming growth factor beta by neutrophils in asthmatic subjects and normal control subjects. J Allergy Clin Immunol. 2000, 106: 1115-1123. 10.1067/mai.2000.110556.PubMedCrossRef Chu H, Trudeau J, Balzar S, Wenzel S: Peripheral blood and airway tissue expression of transforming growth factor beta by neutrophils in asthmatic subjects and normal control subjects. J Allergy Clin Immunol. 2000, 106: 1115-1123. 10.1067/mai.2000.110556.PubMedCrossRef
56.
go back to reference Anees W, Huggins V, Pavord ID, Robertson AS, Burge PS: Occupational asthma due to low molecular weight agents: eosinophilic and non-eosinophilic variants. Thorax. 2002, 57: 231-236. 10.1136/thorax.57.3.231.PubMedPubMedCentralCrossRef Anees W, Huggins V, Pavord ID, Robertson AS, Burge PS: Occupational asthma due to low molecular weight agents: eosinophilic and non-eosinophilic variants. Thorax. 2002, 57: 231-236. 10.1136/thorax.57.3.231.PubMedPubMedCentralCrossRef
57.
go back to reference Green RH, Brightling CE, Woltmann G, Parker D, Wardlaw AJ, Pavord ID: Analysis of induced sputum in adults with asthma: identification of subgroup with isolated sputum neutrophilia and poor response to inhaled corticosteroids. Thorax. 2002, 57: 875-879. 10.1136/thorax.57.10.875.PubMedPubMedCentralCrossRef Green RH, Brightling CE, Woltmann G, Parker D, Wardlaw AJ, Pavord ID: Analysis of induced sputum in adults with asthma: identification of subgroup with isolated sputum neutrophilia and poor response to inhaled corticosteroids. Thorax. 2002, 57: 875-879. 10.1136/thorax.57.10.875.PubMedPubMedCentralCrossRef
58.
go back to reference Okamoto T, Gohil K, Finkelstein EI, Bove P, Akaike T, van der Vliet A: Multiple contributing roles for NOS2 in LPS-induced acute airway inflammation in mice. Am J Physiol Lung Cell Mol Physiol. 2004, 286: L198-L209.PubMedCrossRef Okamoto T, Gohil K, Finkelstein EI, Bove P, Akaike T, van der Vliet A: Multiple contributing roles for NOS2 in LPS-induced acute airway inflammation in mice. Am J Physiol Lung Cell Mol Physiol. 2004, 286: L198-L209.PubMedCrossRef
59.
go back to reference Maris NA, van der Sluijs KF, Florquin S, de Vos AF, Pater JM, Jansen HM, van der Poll T: Salmeterol, a β2-receptor agonist, attenuates lipopolysaccharide-induced lung inflammation in mice. Am J Physiol Lung Cell Mol Physiol. 2004, 286: L1122-L1128. 10.1152/ajplung.00125.2003.PubMedCrossRef Maris NA, van der Sluijs KF, Florquin S, de Vos AF, Pater JM, Jansen HM, van der Poll T: Salmeterol, a β2-receptor agonist, attenuates lipopolysaccharide-induced lung inflammation in mice. Am J Physiol Lung Cell Mol Physiol. 2004, 286: L1122-L1128. 10.1152/ajplung.00125.2003.PubMedCrossRef
60.
go back to reference Stenfors N, Pourazar J, Blomberg A, Krishna MT, Mudway I, Helleday R, Kelly FJ, Frew AJ, Sandström T: Effect of ozone on bronchial mucosal inflammation in asthmatic and healthy subjects. Respir Med. 2002, 96: 352-358. 10.1053/rmed.2001.1265.PubMedCrossRef Stenfors N, Pourazar J, Blomberg A, Krishna MT, Mudway I, Helleday R, Kelly FJ, Frew AJ, Sandström T: Effect of ozone on bronchial mucosal inflammation in asthmatic and healthy subjects. Respir Med. 2002, 96: 352-358. 10.1053/rmed.2001.1265.PubMedCrossRef
61.
go back to reference Nagarkar DR, Wang Q, Shim J, Zhao Y, Tsai WC, Lukacs NW, Sajjan U, Hershenson MB: CXCR2 is required for neutrophilic airway inflammation and hyperresponsiveness in a mouse model of human rhinovirus infection. J Immunol. 2009, 183: 6698-6707. 10.4049/jimmunol.0900298.PubMedPubMedCentralCrossRef Nagarkar DR, Wang Q, Shim J, Zhao Y, Tsai WC, Lukacs NW, Sajjan U, Hershenson MB: CXCR2 is required for neutrophilic airway inflammation and hyperresponsiveness in a mouse model of human rhinovirus infection. J Immunol. 2009, 183: 6698-6707. 10.4049/jimmunol.0900298.PubMedPubMedCentralCrossRef
62.
go back to reference McLean GR, Walton RP, Shetty S, Peel TJ, Paktiawal N, Kebadze T, Gogsadze L, Niespodziana K, Valenta R, Bartlett NW, Johnston SL: Rhinovirus infections and immunisation induce cross-serotype reactive antibodies to VP1. Antiviral Res. 2012, 95: 193-201. 10.1016/j.antiviral.2012.06.006.PubMedCrossRef McLean GR, Walton RP, Shetty S, Peel TJ, Paktiawal N, Kebadze T, Gogsadze L, Niespodziana K, Valenta R, Bartlett NW, Johnston SL: Rhinovirus infections and immunisation induce cross-serotype reactive antibodies to VP1. Antiviral Res. 2012, 95: 193-201. 10.1016/j.antiviral.2012.06.006.PubMedCrossRef
63.
go back to reference Bartlett NW, Walton RP, Edwards MR, Aniscenko J, Caramori G, Zhu J, Glanville N, Choy KJ, Jourdan P, Burnet J, Tuthill TJ, Pedrick MS, Hurle MJ, Plumpton C, Sharp NA, Bussell JN, Swallow DM, Schwarze J, Guy B, Almond JW, Jeffery PK, Lloyd CM, Papi A, Killington RA, Rowlands DJ, Blair ED, Clarke NJ, Johnston SL: Mouse models of rhinovirus-induced disease and exacerbation of allergic airway inflammation. Nat Med. 2008, 14: 199-204. 10.1038/nm1713.PubMedPubMedCentralCrossRef Bartlett NW, Walton RP, Edwards MR, Aniscenko J, Caramori G, Zhu J, Glanville N, Choy KJ, Jourdan P, Burnet J, Tuthill TJ, Pedrick MS, Hurle MJ, Plumpton C, Sharp NA, Bussell JN, Swallow DM, Schwarze J, Guy B, Almond JW, Jeffery PK, Lloyd CM, Papi A, Killington RA, Rowlands DJ, Blair ED, Clarke NJ, Johnston SL: Mouse models of rhinovirus-induced disease and exacerbation of allergic airway inflammation. Nat Med. 2008, 14: 199-204. 10.1038/nm1713.PubMedPubMedCentralCrossRef
64.
go back to reference Chen Y, Hamati E, Lee PK, Lee WM, Wachi S, Schnurr D, Yagi S, Dolganov G, Boushey H, Avila P, Wu R: Rhinovirus induces airway epithelial gene expression through double-stranded RNA and IFN-dependent pathways. Am J Respir Cell Mol Biol. 2006, 34: 192-203. 10.1165/rcmb.2004-0417OC.PubMedPubMedCentralCrossRef Chen Y, Hamati E, Lee PK, Lee WM, Wachi S, Schnurr D, Yagi S, Dolganov G, Boushey H, Avila P, Wu R: Rhinovirus induces airway epithelial gene expression through double-stranded RNA and IFN-dependent pathways. Am J Respir Cell Mol Biol. 2006, 34: 192-203. 10.1165/rcmb.2004-0417OC.PubMedPubMedCentralCrossRef
65.
go back to reference Palmenberg AC, Spiro D, Kuzmickas R, Wang S, Djikeng A, Rathe JA, Fraser-Liggett CM, Liggett SB: Sequencing and analyses of all known human rhinovirus genomes reveal structure and evolution. Science. 2009, 324: 55-59. 10.1126/science.1165557.PubMedPubMedCentralCrossRef Palmenberg AC, Spiro D, Kuzmickas R, Wang S, Djikeng A, Rathe JA, Fraser-Liggett CM, Liggett SB: Sequencing and analyses of all known human rhinovirus genomes reveal structure and evolution. Science. 2009, 324: 55-59. 10.1126/science.1165557.PubMedPubMedCentralCrossRef
Metadata
Title
Macrophage activation state determines the response to rhinovirus infection in a mouse model of allergic asthma
Authors
Jun Young Hong
Yutein Chung
Jessica Steenrod
Qiang Chen
Jing Lei
Adam T Comstock
Adam M Goldsmith
J Kelley Bentley
Uma S Sajjan
Marc B Hershenson
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2014
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/1465-9921-15-63

Other articles of this Issue 1/2014

Respiratory Research 1/2014 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.