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TF-FVIIa PAR2-β-arrestin in mouse signaling sustains organ dysfunction in coxsackievirus B3 infection

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Item Type:Article
Title:TF-FVIIa PAR2-β-arrestin in mouse signaling sustains organ dysfunction in coxsackievirus B3 infection
Creators: Kespohl, M. ORCID logoORCID: https://orcid.org/0000-0001-5897-8747, Goetzke, C.C. ORCID logoORCID: https://orcid.org/0000-0003-3407-7631, Althof, N., Bredow, C., Kelm, N. ORCID logoORCID: https://orcid.org/0009-0000-9041-8555, Pinkert, S., Bukur, T. ORCID logoORCID: https://orcid.org/0000-0001-9020-8857, Bukur, V., Grunz, K., Kaur, D., Heuser, A. ORCID logoORCID: https://orcid.org/0000-0002-3334-960X, Mülleder, M. ORCID logoORCID: https://orcid.org/0000-0001-9792-3861, Sauter, M. ORCID logoORCID: https://orcid.org/0000-0003-1864-1925, Klingel, K. ORCID logoORCID: https://orcid.org/0000-0003-0203-2498, Weiler, H., Berndt, N. ORCID logoORCID: https://orcid.org/0000-0001-5594-9940, Gaida, M.M. ORCID logoORCID: https://orcid.org/0000-0003-1499-7772, Ruf, W. ORCID logoORCID: https://orcid.org/0000-0002-6064-2166 and Beling, A. ORCID logoORCID: https://orcid.org/0000-0002-1826-5248
Abstract:BACKGROUND: Accumulating evidence implicates the activation of G-protein-coupled PARs (protease-activated receptors) by coagulation proteases in the regulation of innate immune responses. METHODS: Using mouse models with genetic alterations of the PAR2 signaling platform, we have explored contributions of PAR2 signaling to infection with coxsackievirus B3, a single-stranded RNA virus provoking multiorgan tissue damage, including the heart. RESULTS: We show that PAR2 activation sustains correlates of severe morbidity-hemodynamic compromise, aggravated hypothermia, and hypoglycemia-despite intact control of the virus. Following acute viral liver injury, canonical PAR2 signaling impairs the restoration process associated with exaggerated type I IFN (interferon) signatures in response to viral RNA recognition. Metabolic profiling in combination with proteomics of liver tissue shows PAR2-dependent reprogramming of liver metabolism, increased lipid droplet storage, and gluconeogenesis. PAR2-sustained hypodynamic compromise, reprograming of liver metabolism, as well as imbalanced IFN responses are prevented in β-arrestin coupling-deficient PAR2 C-terminal phosphorylation mutant mice. Thus, wiring between upstream proteases and immune-metabolic responses results from biased PAR2 signaling mediated by intracellular recruitment of β-arrestin. Importantly, blockade of the TF (tissue factor)-FVIIa (coagulation factor VIIa) complex capable of PAR2 proteolysis with the NAPc2 (nematode anticoagulant protein c2) mitigated virus-triggered pathology, recapitulating effects seen in protease cleavage-resistant PAR2 mice. CONCLUSIONS: These data provide insights into a TF-FVIIa signaling axis through PAR2-β-arrestin coupling that is a regulator of inflammation-triggered tissue repair and hemodynamic compromise in coxsackievirus B3 infection and can potentially be targeted with selective coagulation inhibitors.
Keywords:Heart Failure, Infections, Inflammation, Myocarditis, Proteomics, Animals, Mice
Source:Arteriosclerosis Thrombosis and Vascular Biology
ISSN:1079-5642
Publisher:American Heart Association
Volume:44
Number:4
Page Range:843-865
Date:April 2024
Official Publication:https://doi.org/10.1161/ATVBAHA.123.320157
PubMed:View item in PubMed

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