Mainz: An innovative mechanism that the innate immune system uses to control
viral infections has been uncovered by researchers at the University
Medical Centers in Mainz and Freiburg. Central to this is the discovery
that two different but related elements of the immune system can act
together in concert to fight, for example, rotavirus infections.
Infection with rotavirus is the most common cause of diarrhea in
children around the world. The results of the research have recently
been published in the eminent scientific journal Nature Immunology.
The innate immune system is able to combat
infective pathogens such as viruses, bacteria, and parasites on several
levels. Among other things, so-called 'interferons' play an important
role in antiviral defense. These are special proteins which are quickly
released in response to a viral infection and which can trigger a
relevant immune response against the cells under attack. At the same
time, so-called 'innate lymphoid cells' (ILCs) are a significant factor
in the functioning of the innate immune system. ILCs are mainly active
in inner and outer body surfaces where they produce special proteins, in
this case interleukins, and thus participate in an early stage of the
immune response to infection by viruses, bacteria, and parasites.
The researchers were able to use the example of
the rotavirus to demonstrate how such an infection could be very
effectively battled. The mechanism involves the interaction of special
interferons (interferon-lambda, IFN-λ) with special interleukins
(IL-22), the latter of which are expressed by a subgroup of ILCs called
ILC3 cells. Rotaviruses are highly contagious pathogens which cause
vomiting and diarrhea. Rotavirus infection is the most frequent cause of
diarrhea in children and is responsible for more than 500,000 deaths
around the world each year. It attacks the epithelial cells that coat
the intestine and damages them.
"We were able to show that interferon-lambda
(IFN-λ), although a required factor, is not capable by itself to control
rotavirus infection but that the presence of interleukin-22 (IL-22) is
also necessary to effectively combat rotavirus," explained Professor
Andreas Diefenbach of the Department of Medical Microbiology and Hygiene
of the Mainz University Medical Center. The researchers were able to
identify the mechanism underlying this synergistic effect. They
discovered that both messenger substances act jointly to optimally fight
rotavirus by triggering the formation of antiviral proteins
particularly in the epithelial cells of the intestine; these effectively
prevent the synthesis of new virus particles.
It is already known that the messenger substance
interleukin-22 has a variety of functions in immune response reactions,
such as, for example, defending the intestines and lungs against
bacterial infections. In addition, interleukin-22 makes an important
contribution to tissue repair processes in the intestines following
damage to the intestinal epithelium following exposure to radiation.
"Our new discovery that interleukin-22 acts as a sort of reinforcement
for interferon is so exciting because it could have implications for the
design of future immunotherapy concepts", said Diefenbach. Interferons
are used, for example, in the immunotherapy of often refractory chronic
viral infections such as hepatitis.
The researchers postulate that the innovative
mechanism in which two components of the innate immune system
collaborate effectively in the epithelial cells may have developed in
the course of evolution as a secondary line of immune defense in an
environment in which viruses have continually changed and adapted.
Because rotavirus is a particular threat to children, the researchers
also hope to acquire insight into the functioning of the immune system
at the beginning of life before the acquired immune system has had time
to fully develop.