Why the study?
The mechanism of how enterovirus A71 infects the upper oro-digestive tract remains largely unclear.
Does Enterovirus A71 infection induce apoptosis and cytokine production in human tonsillar epithelial cells?
Does Enterovirus A71 infection induce apoptosis and cytokine production in human tonsillar epithelial cells?
EV-A71 infection of human tonsillar epithelial cells triggers intrinsic apoptosis and MAPK-regulated cytokine induction, highlighting the tonsillar crypt epithelium's role in viral pathogenesis.
Suggests tonsillar epithelium contributes to EV-A71 pathogenesis; leaves open in vivo relevance and MAPK-targeted interventions.
Enterovirus A71 (EV-A71) has emerged as a clinically important neurotropic virus following poliovirus eradication. Recent studies have shown that human tonsillar epithelial cell lines (UT-SCC-60A and UT-SCC-60B) were susceptible to EV-A71, suggesting that human tonsillar crypt epithelium could be important in EV-A71 pathogenesis. However, the mechanism about how EV-A71 infects the upper oro-digestive tract remains largely unclear. In this study, we demonstrated that the human tonsillar epithelial cells infected with EV-A71 underwent apoptotic, in which cytochrome c was released from the mitochondria to the cytosol and caspase-9 was activated, while caspase-2 and -8 were not cleaved or activated during the infection. A selective inhibitor of caspase-9, Z-LEHD-FMK, inhibited the cleavage of the executioner caspase-3 and -7, indicating that only mitochondria-mediated intrinsic apoptotic pathway was activated in EV-A71-infected tonsillar epithelial cells. No evidence of pyroptosis or necroptosis was involved in the cell death. EV-A71 infection induced interferon, pro-inflammatory cytokines and chemokines, including IFN-β, IL-6, CCL5, and TNF-α in tonsillar epithelial cells, which may play a critical role in EV-A71-caused herpangina. Our data indicated that the induction of the cytokines was partially regulated by the mitogen-activated protein kinases (MAPKs) signaling pathway. The findings unveiled the host response to EV-A71 and its regulation mechanism, and will further our understanding the significance about the tonsillar crypt epithelium as the initial and primary portal in viral pathogenesis for EV-A71 infection.
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Sun et al. (2021) studied this question.
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