Key result
Higher ARRDC4 expression in EV71 infection is strongly linked to elevated proinflammatory cytokines like TNF-α.
Case-Control (n=60)
Yes
ARRDC4 positively regulates EV71-induced innate immune responses by promoting K63 polyubiquitination of MDA5 through TRIM65, suggesting it as a potential therapeutic target for EV71-induced inflammation.
ARRDC4 may represent an intervention target in EV71 HFMD; extends innate immunity mechanisms but remains hypothesis-generating pending clinical validation.
Enterovirus 71 (EV71) is the main causative agent of hand, foot and mouth disease (HFMD), which induces significantly elevated levels of cytokines and chemokines, leading to local or system inflammation and severe complications, whereas the underlying regulatory mechanisms and the inflammatory pathogenesis remain elusive. ARRDC4 is one member of arrestins family, having important roles in glucose metabolism and G-protein-coupled receptors (GPCRs) related physiological and pathological processes, however, the function of ARRDC4 in innate immune system is largely unknown. Here we identified that ARRDC4 expression was increased after EV71 infection in THP-1-derived macrophages and verified in EV71-infected HFMD patients and the healthy candidates. The expression level of ARRDC4 was positively correlated with the serum concentration of IL-6, TNF-α and CCL3 in clinical specimens. ARRDC4 interacted with MDA5 via the arrestin-like N domain, and further recruited TRIM65 to enhance the K63 ubiquitination of MDA5, resulting in activation of the downstream innate signaling pathway and transcription of proinflammatory cytokines during EV71 infection. Our data highlight new function of ARRDC4 in innate immunity, contributing to the better understanding about regulation of MDA5 activation after EV71 infection, and also suggest ARRDC4 may serve as a potential target for intervention of EV71-induced inflammatory response.
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Meng et al. (2017) conducted a case-control in Hand, foot and mouth disease (Enterovirus 71 infection) (n=60). Enterovirus 71 (EV71) infection vs. Healthy controls was evaluated on Correlation between ARRDC4 mRNA expression and serum TNF-α concentration (r = 0.6685, p=<0.001). In EV71-infected patients, ARRDC4 expression was significantly upregulated and positively correlated with serum concentrations of proinflammatory cytokines such as TNF-α (r=0.6685, P<0.001).
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