The placental derived protein syncytin-1 impairs antiviral responses and exaggerates inflammatory responses to influenza (#147)
Pregnant women are particularly susceptible to influenza and the recent pandemic shows that poor outcomes including death continue to occur. The placenta releases the endogenous retroviral envelope protein syncytin-1, which has been demonstrated to have immunosuppressive properties. We hypothesised that exposure of peripheral monocytes (PBMCs) from healthy women to syncytin-1 would impair antiviral responses to pandemic H1N109pdm, reflecting the impaired immune response seen in PBMCs from pregnant women.
Methods: Recombinant syncytin-1 was produced in BL21 (DE3) E. coli cells by using the pET-28b-based expression vector, purified on Hitrap IMAC HP column then Sephadex column. We exposed PBMCs from non-pregnant women to H1N109pdm in the presence and absence of syncytin-1 and compared the early immune response with that of PBMCs from pregnant women exposed to H1N109pdm. PBMCs were characterised using flow cytometry, with a separate panel to determine dendritic cell and lymphocyte lineages. Release of interferon (IFN)-α, IFN-γ, IL-10, IL-2, IL-6 and IL-1β were measured by cytometric bead array, IFN-λ by ELISA.
Results; Exposure of PBMCs to H1N109pdm by 48 hours resulted in the release of IFN-α/λ/γ, however PBMCs from pregnant women had significantly reduced release of IFN-α/λ. In the presence of syncytin-1, PBMCs from non-pregnant women behaved like those from pregnant women with a marked reduction in IFN-α/λ. In addition they demonstrated enhanced release of IL-10 as well as IL-6 and IL-1β.
Conclusions; Exposureof PBMCsto syncytin-1 led to a marked impairment in antiviral IFN responses. In addition it led to the release of potentially immunosuppressive IL-10, but pro-inflammatory IL-6 and IL-1β. Our data indicates for the first time that a placental derived protein, syncytin-1 may be responsible for the heightened vulnerability of pregnant women to influenza as well as other viral and bacterial infections.