Page 12 - MI-1-1
P. 12

Microbes & Immunity                                      RANTES/CCL5 and ezrin peptide RepG3 for long COVID



            3.6. RANTES/CCL5 and influenza A infection         Persistent infection of basal keratinocytes with HPV-16 or

            RANTES/CCL5 expression amplifies T-cell immunity   HPV-18 is likely to induce cancer.
            and inhibits the replication of influenza A virus. This   These  cancer-causing  hrHPVs  have  evolved
            upregulation of RANTES/CCL5 is dependent on PKC    mechanisms to evade both innate and adaptive immune
            activation. RANTES/CCL5 also induces the upregulation   defenses. Innate immune defenses by pattern recognition
            of “SAM domain and HD domain-containing protein 1”   receptors (PRRs) are compromised by hrHPV proteins
            (SAMHD1), an antiviral restriction factor for influenza A. 36  blocking TLR signaling through TRAF3 > TANK-binding
                                                               kinase downstream to NF-κB and proinflammatory
            3.7. RANTES/CCL5 and dengue virus infection        cytokine expression in the nucleus. Programmed adaptive
            Mosquitos are vectors for dengue virus (DENV) infection,   immune defenses are also compromised by hrHPV, which
            which causes hemorrhagic fever, which is a major   inhibits RANTES/CCL5 expression and secretion, leading
            world health problem in the tropics. It is estimated that   to weak T-cell help, compromised B-cell mediated antibody
                                                                                    +
            390 million dengue infections occur each year, of which   production, and poor CD8  CTL responses.
            96 million manifest as hemorrhagic fever. High levels of
            RANTES/CCL5  expression  prevent  the  development  of   3.10. RANTES/CCL5 and LCMV infection
            severe dengue fever by amplification of T-cell immunity   LCMV is a prevalent human viral pathogen that infects
            and inhibition of the virus life cycle. Dengue virus uses   2%–5% of the population of the US and Europe and causes
            the CCR5 receptor, which is blocked by high levels of   substantial neurological problems, including meningitis.
            RANTES/CCL5, to directly inhibit DENV infection.    RANTES/CCL5 is vital for the control of systemic LCMV
                                                         37
            Increased hepatic RANTES/CCL5 levels in the liver protect   infection in humans to prevent acute LCMV infection
            patients with acute dengue from liver damage and elevated   from becoming chronic. Serum levels of RANTES/CCL5
            serum transaminase levels. 38                      are higher in patients with chronic LCMV infection than
                                                               in patients with acute LCMV infection.
            3.8. RANTES/CCL5 and herpes virus sexual infections
                                                                 During the acute LCMV infection phase, macrophages
            According to the WHO, about 3.7 billion people under   are one of the main cell types infected by LCMV, which is
            the age of 50 have herpes simplex virus type 1 (HSV-1)   a pre-emptive strike by the virus on the immune defense
            infection, the  main  cause  of oral  herpes.  An  estimated   against LCMV. During chronic LCMV infection, CD8
                                                                                                             +
            490 million people aged 15–49  years worldwide have   T-cells become exhausted and dysfunctional. CD8  T-cells
                                                                                                       +
            herpes simplex virus Type 2 (HSV-2) infection, the main   lose their capacity for cytokine production and cytotoxicity
            cause of sexually transmitted genital herpes infections.   while inhibitory receptor expression increases, hindering
            Herpes simplex virus infection leads to chronic disease   the ability to control LCMV infection.
            and regular acute outbreaks. In chronically infected HSV
            patients, the virus lies dormant in the infected trigeminal   In the mouse infection model of LCMV, RANTES/
            ganglia. RANTES/CCL5 is upregulated to maintain    CCL5-producing CD4 T-cells are essential to control
                                                                                 +
            memory T lymphocytes near neurons and can prevent   viremia, which can persist for 2–3 months. In contrast, if
                                                                   +
            the reactivation of HSV and herpetic lesions.  HSV-1 and   CD4 T-cells are transiently depleted at the time of infection
                                                39
            HSV-2 are neurotropic viruses that can cause encephalitis   by LCMV, the mice become viremic for life. In mice lacking
                                                                   +
            in newborns and immunocompromised people. RANTES/  CD4  T-cells producing RANTES/CCL5, LCMV viral
            CCL5 expression is increased during herpetic encephalitis   titers are much higher. In null-RANTES/CCL5 mutant
            and amplifies T-cell recruitment to the central nervous   mice, CD4  T-cell help is non-functional, resulting in a
                                                                        +
            system. 40                                         substantial reduction in the cytotoxic potential of virus-
                                                               specific CD8 T-cells against LMCV infection. Mice lacking
                                                                         +
            3.9. RANTES/CCL5 and HPV sexual infections         RANTES/CCL5 signaling have reduced virus-specific CD8
                                                                                                             +
                                                                                      +
            Human papillomavirus (HPV) is a sexually transmitted   T-cell numbers, severe CD8  T-cell exhaustion, reduced
            small  double-stranded  DNA  virus  that  infects  production of cytokines, higher expression of inhibitory
            undifferentiated keratinocytes of the squamous epithelia of   receptors, and higher LCMV viral loads. 23
            the anogenital and head and neck regions.  The prevalence   3.11. RANTES/CCL5 and other virus infections
                                             41
            of HPV is approximately 31% of the global population,
            and 21% of the global population carries high-risk HPV   High levels of RANTES/CCL5 expression are vital for
            (hrHPV) variant genotypes that induce cervical and   defense against flaviviruses such as WNV and yellow fever
            other cancers. The most prevalent cancer-causing hrHPV   virus (YFV). The YFV is the causative agent of hemorrhagic
            genotype is HPV-16, which infects 5% of the population.   fever that causes severe liver injury and jaundice, hence the


            Volume 1 Issue 1 (2024)                         6                                doi: 10.36922/mi.2474
   7   8   9   10   11   12   13   14   15   16   17