Role of NOX2 and DUOX2 in the antiviral airway responses
The mucosal linings of the airways are constantly exposed to an array of microbial pathogens. During the course of respiratory viral infection, Airway epithelial cells (AEC) actively participate in the innate antiviral immune response by limiting the spread of respiratory viruses and by fostering a proinflammatory environment that attracts and activates players of the immune system. A key step in the establishment of the antiviral and proinflammatory state is the activation of Transcription Factors (TFs), such as Nuclear Factor (NF)-κB and Interferon Regulatory Factor 3 (IRF-3), which regulate the expression of antiviral and proinflammatory cytokines. For the efficient functioning of these events, the signaling pathways involved underlie strict regulatory mechanisms. Recent data suggest that Reactive Oxygen Species (ROS), which are produced upon viral infection, are able to regulate these intracellular signaling pathways. One important source of ROS is the NADPH oxidase (NOX) family of enzymes, which is composed of NOX1-5 and Dual Oxidase (DUOX) 1 and DUOX2. The aim of our study was to identify the NADPH oxidase(s) that regulate(s) antiviral and proinflammatory mechanisms following infection of AEC with Respiratory syncytial virus (RSV), which causes major human lower respiratory tract complications, and Sendai virus (SeV), a non pathogenic virus. During the course of our studies we identified that NOX2 is a key molecule in the early proinflammatory response to RSV and SeV infection. We demonstrate that NOX2 is necessary for the activation of NF-κB. Consequently, NOX2 impacts on the proinflammatory cytokine secretion upon AEC infection. Further, we observed that expression of the ROS-generating NADPH oxidase DUOX2 is strongly increased following infection of AEC with SeV. We identified that DUOX2 induction requires the synergistic stimulation by IFNβ and TNFα. Importantly, DUOX2 exhibited ROS-dependent antiviral action. We identified that DUOX2 was necessary for sustaining the levels of late antiviral cytokines IFNβ and IFNλ. When AEC were infected with RSV, DUOX2 expression was barely detectable. Our data reveal that RSV has developed an evasion mechanism to counteract DUOX2 induction likely contributing to RSV pathogenicity.  In conclusion, our work demonstrates for the first time the specific implication of NOX2 and DUOX2 in the antiviral and proinflammatory response to respiratory virus infection.
virus airways innate immunity cytokines interferons Reactive Oxygen Species NADPH oxidase cytokines