Increased Levels of Plasma Galectin-9 in Patients with Influenza Virus Infection

  • Katoh Shigeki
    Department of Respiratory Medicine, Kawasaki Medical School
  • Ikeda Masaki
    Department of Respiratory Medicine, Kawasaki Medical School
  • Shimizu Hiroki
    Department of Respiratory Medicine, Kawasaki Medical School
  • Mouri Keiji
    Department of Respiratory Medicine, Kawasaki Medical School
  • Obase Yasushi
    Department of Respiratory Medicine, Kawasaki Medical School
  • Kobashi Yoshihiro
    Department of Respiratory Medicine, Kawasaki Medical School
  • Fukushima Kiyoyasu
    Division of Respiratory Disease, Japanese Red Cross Nagasaki Genbaku Isahaya Hospital
  • Hirashima Mistuomi
    Department of Immunology and Immunopathology, Faculty of Medicine, Kagawa University
  • Oka Mikio
    Department of Respiratory Medicine, Kawasaki Medical School

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抄録

Galectin-9 (Gal-9) is a β-galactoside-binding protein involved in various biologic processes, including cell aggregation, adhesion, chemoattraction, and apoptosis. Little is known, however, about the regulation mechanisms of Gal-9 production. Recent studies reported high plasma Gal-9 levels in humans infected with human immunodeficiency virus-1 and dengue virus. Viral respiratory infections such as influenza are common human illnesses. A synthetic double-stranded RNA, polyinosinic-polycytidylic acid (PolyIC), mimics the effects of viruses in various cell types and induces the expression of Gal-9 in endothelial cells. To examine the potential link between viral infection and Gal-9 expression, we measured plasma Gal-9 concentrations in patients with influenza. Subjects were 43 patients with influenza virus infection, 20 with pneumococcal pneumonia, and 20 healthy adults. Gal-9 concentrations in the plasma and in culture supernatants of human airway epithelial cells were measured using an enzyme-linked immunosorbent assay. Plasma Gal-9 concentrations were higher in patients with influenza infection than in patients with pneumococcal pneumonia and healthy subjects (p < 0.05). Patients with influenza were effectively differentiated from those with pneumococcal pneumonia or healthy subjects, based on the plasma levels of Gal-9 (p < 0.0001). Furthermore, using a human airway epithelial cell line, we showed that the presence of PolyIC but not lipopolysaccharides increased the Gal-9 concentration in the culture medium (p < 0.05), suggesting that PolyIC enhanced Gal-9 production. These findings support our proposal that Gal-9 production is induced by influenza virus infection in humans. In conclusion, plasma Gal-9 could be a new biomarker for patients with influenza infection.

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