Dysbiosis of the nasal microbiome exacerbates influenza-induced respiratory disease
To elucidate the potential connection of nasal microbiota homeostasis to influenza susceptibility, we created a model of nasal microbiota dysbiosis in three-month-old beagles by locally applying a combination of mupirocin and neomycin ointment to the nasal cavity. Nasal swabs were collected before and after the antibiotic treatment, and 16S rRNA sequencing was employed to assess the changes in the nasal microbiome. The absolute abundance of nasal microbiota was evaluated via quantitative real-time PCR (RT-qPCR). As anticipated, short-term administration of combination antibiotics in the nasal cavity significantly reduced the microbial absolute abundance (Fig.S1A). Considering the significant decrease in bacterial abundance following treatment with compounded antibiotics, subsequent analyses were conducted based on the relative abundance obtained through equal-weight resampling. We observed a relatively decreased α-diversity after antibiotic treatment in both Chao1 and Richness indices (Fig. 1A). Furthermore, principal coordinate analysis (PCoA) based on Bray-Curtis distances indicated significantly different nasal microbial structures compared with those before antibiotic treatment (Fig. 1B). Then we conducted differential analyses at the phylum and genus levels. We noticed that combination antibiotic treatment caused expansion of the phylum Proteobacteria (Fig. S1B), which is considered as a signature of gut dysbiosis[35]. We also observed a significant increase in the ratio of Psychrobacter, Achromobacter, Ralstonia, Blautia and Escherichia-Shigella, along with a decrease in the abundance of Bacteroides, Leucobacter, Lactobacillus and Lachnoclostridium at the genus level (Fig.S1C, p < 0.05, Benjamini-Hochberg).
To gain further insights into the potential impact of antibiotic-mediated nasal microbiome dysbiosis on host functionality, the PICRUSt2, a robust tool for predicting functional pathways base on microbial community composition[36], was utilized to assess the influences of antibiotic treatment on the contributions of microbiomes to host-associated pathways. Subsequently, the EasyAmplicon package was used for KEGG (Kyoto Encyclopedia of Genes and Genomes, https://www.kegg.jp/) three-level classification and the DESeq2 package was used for differential analysis at the KEGG third level[30]. We observed significant differences in the viral infection and apoptosis pathways affected by the microbiomes between before and after antibiotic treatment (Fig. 1C). Given this, we hypothesize that the nasal microbiome disturbance caused by short-term antibiotic treatment might affect the host's ability to resist influenza infection. To explore this, we administered a combination of antibiotics to beagles and then inoculated in nasal with 107 PFU (plaque forming unit) of H3N2 virus (A/canine/Jiangsu/06/2011, JS/10) (Abx group). The dogs without antibiotic treatment but with virus infection were categorized as the infection control group (WT group), and the untreated and uninfected dogs served as the normal control group (Nor group). The experiment was divided into three stages: the Before stage, which indicates the period prior to antibiotic treatment; the Clean stage, representing the period following antibiotic treatment but before viral infection; and the Infected stage, denoting the period after viral infection. A detailed overview of the experimental workflow was provided in Fig. 1d. On the second day post-virus infection, both the WT and Abx groups exhibited symptoms such as runny nose, sneezing, and poor appetite. Furthermore, the Abx group demonstrated more severe clinical symptoms compared to the WT group, including elevated body temperature (Fig. 1E) and weight loss (Fig. 1F). By the third day post-infection, the Abx group presented with distinct wet rales in the lungs, rapid breathing, and persistent high fever. Clinical symptoms during the infection process were scored according to the criteria established by John [37]. The data indicated significant differences in clinical score among the three groups, with the Abx group presenting the highest clinical score (Fig. 1G, p < 0.001, Tukey's HSD). Through plaque assay, we observed that the Abx group exhibited higher viral titers in both the nasal cavity and lungs compared to the WT groups (Fig. 1H, p < 0.001, Tukey's HSD).
On the eighth day of infection, extensive hemorrhagic spots were observed in the lungs of the Abx group. Histopathological examination of the turbinate mucosa revealed that in the WT group, the pseudostratified columnar ciliated epithelium was partially necrotic and exfoliated, whereas in the Abx group, severely altered pseudostratified columnar ciliated epithelium was observed. (Fig. 1I). The quantification for the thickness of nasal and trachea epithelia by SlideViewer indicated that antibiotic treatment-mediated dysbiosis in the nasal microbiome exacerbates the disruption of the nasal epithelium and tracheal mucosal epithelial barrier during influenza infection (Fig. S2A, p < 0.001, Tukey's HSD). The histopathological examination of the lung tissue in the WT group showed widespread alveolar wall thickening, accompanied by scattered infiltration of lymphocytes and neutrophils; in contrast, the lung of the Abx group showed severe alveolar wall thickening, accompanied by the infiltration of large numbers of lymphocytes and neutrophils and a small number of macrophages (Fig. S2B). In addition, a significant appearance of epithelial proliferation was exhibited in the lung of the Abx group, characterized by enlarged nuclei and mitotic patterns and an observable amount of cell necrosis and nuclear fragmentation (Fig. 1I, Fig. S2B). Then we scored the histopathological changes in the nasal, tracheal, and lung tissues based on the evaluation criteria outlined and described elsewhere[38].The data indicated that the Abx group obtained the highest scores across nasal, tracheal, and lung, with significant differences observed among the three groups (Fig. 1J, p < 0.05, Tukey's HSD). In the Nor group, no obvious histopathological changes were observed in the turbinate bone, trachea, and lung tissues. Similarly, the immunofluorescence detection for influenza virus Nucleoprotein (NP) across the nasal, tracheal and lung regions among the groups showed a consistent trend with histological scoring (Fig. 1K, L, p < 0.05, Tukey's HSD). These results imply that dysbiosis of the nasal microbiome enhances susceptibility of influenza infections and exacerbates pathophysiology in the affected dogs.
Community dynamics and functional changes of nasal microbiota during respiratory tract infection
Microbiota residing in the nasal cavity have been reported to be associated with susceptibility to and severity of RTIs [1, 4, 39]. To explore which microbes play a pivotal role in the host's resistance to influenza infection, we characterized the bacterial compositions to reveal differences in the microbial communities among the Nor, WT and Abx groups. The ternary plot indicates that regardless of influenza virus infection, the high-abundance microbial communities (genus level: relative abundance > 0.5%) in the Abx group showed a significant loss after antibiotic treatment (Fig. 2A, Fig. S5A). Meanwhile, during the entire experimental period, the Chao1 and Richness diversity indices in the Abx group showed a sustained decline, a trend that continued even post-viral infection. (Fig. S4A, B; p < 0.001). To evaluate the similarity of the bacterial communities among the above three groups, the PCoA was performed using the Bray-Curtis distance matrix. The results of the PCoA suggested that the divergence of the samples from the Abx group became distinct compared to the Nor and WT groups both before and after virus infection (Fig. S4C, p < 0.001, Wilcoxon rank-sum test). However, regardless of virus infection, no significant differences were observed between the Nor and WT groups (Fig. S4C, p > 0.05, Wilcoxon rank-sum test).
To further explore the bacterial genus enriched in the Nor, WT and Abx groups at different stages (Before, Clean, Infected), a differential enrichment analysis was conducted using DESeq2, combined with one-way ANOVA. Relative abundance analysis revealed that compared to the WT group, a diminished proportion of bacterial genus Lactobacillus was identified in the Abx group, while an inverse trend was observed for Moraxella (Fig. 2B, Fig. S5B, p < 0.05, Tukey's HSD). To further ascertain whether this change was attributable to antibiotic treatment or influenza infection, we conducted intra-group comparisons for Abx and WT groups before and after virus infection. Interestingly, we found that, irrespective of the Abx or WT group, the relative abundance of Lactobacillus showed no significant difference before and after virus infection. In contrast, for Moraxella, both the Abx and WT groups exhibited a notable increase, with the relative abundance in the Abx group significantly surpassing that in the WT group (Fig. S6, p < 0.05, Tukey's HSD). Then we conducted a correlation analysis on the microbial communities before and after infection in both the Abx and WT groups. After antibiotic treatment, the proportions of Lactobacillus were observed to be negatively associated with Moraxella. Additionally, after virus infection, the proportions of Lactobacillus, Megamonas, Prevotella_9 and Lachnoclostridium were observed to have a negative association with Moraxella (Fig. 2C, Fig. S7, p < 0.05, Benjamini-Hochberg). Therefore, we further speculate that these changes in microbial communities may also correlate with the viral titers in the nasal and lung tissues. As expected, a significant correlation was observed between nasal microbiota and virus titers in the nasal and lung tissues (Fig. 2D). The virus titers presented negative correlations to the bacterial genus Lactobacillus, Megamonas, Prevotella_9 and Lachnoclostridium, but a positive association with Moraxella. Similarly, such changes of Lactobacillus and Moraxella were also observed in dogs with antibiotic treatment but not infected with influenza virus (Fig. S8).
Functional analysis of nasal microbiota based on the PICRUSt2 and KEGG database revealed substantial differences among the Nor, WT and Abx groups after antibiotic treatment. Notably, these differences encompass pathways associated with the infection of pathogenic microorganisms, including Kaposi sarcoma-associated herpesvirus (KSHV) infection, Herpes simplex virus 1 (HSV-1) infection, Hepatitis C virus (Hepacivirus C), Human cytomegalovirus (HCMV) infection, Human immunodeficiency virus 1 (HIV-1) infection, Epstein-Barr virus (EBV) infection, Hepatitis B and Influenza A, cell junctions (tight, adherens, and gap junctions), as well as autophagy and Toll and Imd signaling pathways (Fig. S9). After viral infection, the WT and Abx groups demonstrated functional distinctions primarily in pathogenic microbial infection-related pathways and autophagy, with no significant variances in cell junction pathways, and the Toll and Imd signaling pathway. However, the Nor group exhibited noteworthy differences in cell communication pathways compared to both the Abx and WT groups (Fig. 2E,). The data led us to speculate that these differences in functional pathways might correlate with changes in Lactobacillus and Moraxella. Therefore, we conducted a correlation analysis between the abundance of the two bacterial genus before and after infection and their contribution to pathways. Our data indicate that after antibiotic treatment, Lactobacillus had a significant negative correlation with the pathway associated with pathogenic infections; in contrast, Moraxella exhibited a significant positive correlation with the pathway associated with pathogenic infections (Fig. S10, p < 0.05, Benjamini-Hochberg). Given these data, we speculate that the abundance of Lactobacillus and Moraxella in the nasal microbiome may be associated with susceptibility to influenza infection.
Dysbiosis of the nasal microbiome diminishes the antiviral response within the nasal cavity
To deeper understand the host-microbiota interplay and its potential connection to influenza susceptibility, we conducted a transcriptomic profiling of nasal tissues collected from the Nor, WT, and Abx groups. Our transcriptome data revealed 947 and 950 differentially expressed genes (DEGs) from WT versus Nor and Abx versus Nor comparisons, respectively. Also, when compared to the WT group, we identified 723 genes up-regulated and 308 genes down-regulated (Fig. 3A). A total of 2784 DEGs yielded by inter-group comparisons (Fig. 3B) were subjected to clustering analysis based on the Fuzzy C-means (FCM) algorithm, resulting in the identification of 5 distinct clusters (Fig. 3C). Notably, Cluster3 and Cluster5 displayed contrasting trends. Specifically, Cluster3 predominantly comprised inflammation-related genes (e.g., NLRP3, IL1β), while Cluster5 was enriched with genes associated with innate immunity (e.g., Mx1, OASL, OAS1, OAS2, OAS3, ISG15, ISG20, IFIH1). This observation suggests that dysbiosis of nasal microbiota may attenuate host innate immune antiviral responses to some extent. Subsequently, we performed the KEGG enrichment analysis and found that the DEGs were mainly enriched in 9 modules, including viral infectious disease, bacterial infectious disease, signal transduction, transport and catabolism, signaling molecules and interaction, immune system, cellular processes, cellular community, and cell growth and death (Fig. S11A, p < 0.05, Benjamini-Hochberg). Further, the gene set enrichment analysis (GSEA) for the Abx group identified a significant enrichment of the genes associated with viral disease, including influenza A, coronavirus disease (COVID-19), Epstein-Barr virus (EBV) infection, Hepatitis C, herpes simplex virus 1 (HSV-1) infection, human immunodeficiency virus 1 (HIV-1), Hepatitis B, and human T-cell leukemia virus 1 (HTLV-1) infection. Additionally, some inflammation-related pathways were enriched, including IL-17, tumor necrosis factor (TNF), RIG-I-like receptor, Toll-like receptor, cytosolic DNA-sensing, NOD-like receptor, and Janus kinase (JAK)-signal transducer and activator of transcription (STAT) signaling pathways (Fig.S11B, p < 0.05, Benjamini-Hochberg). The protein-protein interaction (PPI) networks for DEGs were subsequently constructed using STRING (https://string-db.org/) with a minimum required interaction score of 0.4. We can effectively categorize the DEGs into five distinct clusters (Fig. 3d). Within these clusters, genes are primarily associated with natural immune response and antiviral defense (Cluster 1), mucin formation on mucosal surfaces (Cluster 2), epithelial barrier function (Cluster 3), inflammation (Cluster 4), and biological processes related to autophagy (Cluster 5) (Fig. 3e). In Cluster 1, notably, genes involved in regulating interferon production (IFIH1, IRF1, IRF9, STAT1 and STAT2) and interferon-mediated antiviral proteins (Mx1, OAS1, OAS2, OAS3, OASL, IFI27L2, IFI35, IFI44, IFI44L, IFIT2, IFIT3, ISG15, ISG20, TRIM14, TRIM22 and TRIM25) exhibit a significant reduction in expression levels in the Abx group compared to the WT group (Fig. 3E, p < 0.05, Benjamini-Hochberg). Therefore, we speculate that the disruption of nasal microbiota may, to some extent, attenuate the host's antiviral immune response. Additionally, the transcript level of cytokines and pertinent signaling pathways in the bloodstream following viral infection (Fig. 3F) showed a consistent trend with that observed in the nasal transcriptome analysis (Fig. 3E).
Our transcriptome data also indicate a significant increase in the expression levels of mucin-associated genes (MUC1, MUC4, MUC15 and MUC20) in the Abx group compared to the WT group (Fig. 3E, Cluster 2, p < 0.01, Benjamini-Hochberg). It is known that mucin acts as a frontline defense, forming a protective barrier against viruses and bacteria. However, excessive mucus production contributes to complications in respiratory diseases, such as heightened susceptibility to infections, compromised lung function, and increased mortality[40, 41]. Following influenza infection, the Abx group exhibited pronounced rhinorrhea and a higher frequency of sneezing. These findings suggest, to some extent, that the heightened transcriptional levels of mucins in the Abx group may exacerbate influenza virus infection. Correspondingly, our histopathological examination indicated that the dysbiosis of nasal microbiota exacerbated the disruption of mucosal barrier following influenza infection (Fig.S2A). However, at the transcriptional level of barrier-related genes, no consistent trend was observed in the Abx group compared to the WT and Nor groups (Fig. 3c, Cluster 3,). Therefore, we further conducted an immunofluorescence analysis of the tight junction protein ZO-1 (TJP1), and demonstrated that ZO-1 expression at the infection site was lower in the Abx group than in the WT group (Fig. 3G).
Disruption of nasal microbiota exacerbates the dysbiosis of lung microbiota following influenza infection.
While the upper airway accommodates the most substantial biomass and stable microbial communities, the lungs are continually exposed to these bacteria through micro-aspiration. Given this, we pose a question: Can nasal microbiota disruption lead to changes in lung microbiota, and thus exacerbate influenza infection? To answer this, we performed the 16S rRNA gene amplicon sequencing of lung samples. The specific sampling and analysis procedure is depicted in Fig. 4A. To investigate the composition and distribution characteristics of lung microbiota among different groups, we utilized the EasyAmplicon package for taxonomy analysis. Our results reveal that at the phylum level, Proteobacteria, Firmicutes, Bacteroidetes, Actinobacteria, Fusobacteria and Acidobacteria dominate the bacterial taxa in the canine lung (Fig. 4B). At the genus level, Bifidobacterium, Lactobacillus, Bacillus, Moraxella, Streptococcus, Bacteroides and Nitratireductor constitute the predominant microbial communities in the canine lung (Fig. 4C). This composition bears resemblance to the microbiota found in the human lung[11, 12]. Additionally, the Abx group exhibited significantly lower relative abundances of Firmicutes and Bacteroidetes compared to the Nor and WT groups (Fig. S12A, p < 0.05, Tukey-Kramer). However, no significant differences were noted in Proteobacteria, Firmicutes and Bacteroidetes between the Nor and WT groups (Fig. S12A, p > 0.05, Tukey-Kramer). The differential analysis at the genus level revealed that, compared to the WT group, the relative abundances of Moraxella, Nitratireductor, Mesorhizobium, Marvinbryantia and Mycobacterium were significantly higher in the Abx group, but the opposite was true for Lactobacillus and Odoribacter (Fig. 4D, Fig. S12B, C, p < 0.05, Tukey-Kramer). In the analysis of species diversity, we observed significant differences in both α-diversity and β-diversity between the Abx and the WT or Nor groups (p < 0.05, Tukey-Kramer), but no significant difference was found between the Nor and WT groups (Fig. 4E, F). Further, we determine the contribution of pulmonary microbiota to host pathways. The functional analysis of pulmonary microbiota by PICRUSt2 indicates significant differences in several pathways between the Abx group and the WT group. These include the viral infection-related pathway (influenza A, Hepatitis B, Hepatitis C, HCMV infection, EBV infection, KSHV infection, HSV1 infection and HIV infection), autophagy-related pathway (mTOR signaling pathway), apoptosis pathway, cell junctions (tight junction, adherens junction and gap junction), and Toll and Imd signaling pathways (Fig. 4G, p < 0.05, Benjamini-Hochberg). Additionally, the two bacterial genera, Lactobacillus and Veillonella, have a notable positive correlation with the signaling pathways including mTOR, and Toll and Imd, while a significant negative correlation with viral infection-related pathways. In contrast, Mycobacterium, Mesorhizobium and Nitratireductor exhibited a distinct positive correlation with viral infection-related pathways (Fig. 4H, S13, p < 0.05). Collectively, these findings indicate that disruption in the nasal microbiota exacerbates the dysbiosis of lung microbiota during influenza infection. Furthermore, microbial communities of the lung exhibit homogeneous alterations that have been observed in the nasal microbiota.
Disruption of lung microbiota exacerbates inflammatory response and barrier damage in influenza infection
To better comprehend the potential impact of lung microbiota dysbiosis following influenza infection, we conducted transcriptome sequencing on three groups of lung tissues and performed differential analysis on mRNA expression matrices using the DEseq2 package. Our data revealed 909 and 920 DEGs from WT versus Nor and Abx versus Nor comparisons, respectively; in comparison to the WT group, 905 genes showed up-regulation while 305 genes exhibited down-regulation in the Abx group (Fig.S14A). The union of DEGs from inter-group comparisons yielded a total of 2,225 genes (Fig. S14B). The clustering analysis for the DEGs based on the Fuzzy-c means (FCM) algorithm identified four distinct clusters (Fig. S14C). Interestingly, we observed the emergence of two distinct clusters (Cluster 2 and Cluster 4) among the differentially expressed genes in the lung transcriptome. Cluster 2 includes several canonical interferon-stimulated genes (ISGs), such as Mx1, OASL, OAS1, OAS2, OAS3, and ISG15. In contrast, Cluster 4 comprises inflammation-related genes, including IL1α, IL1β, NLRP3, and IL18. These differentially expressed genes are also present in the nasal tissue transcriptome data. Subsequently, the KEGG and GSEA results showed significant enrichment in 7 modules, including viral infectious disease, bacterial infectious disease, transport and catabolism, immune system, signal transduction, cellular community, and cell growth and death in the Abx group (Fig. S14D, E). Remarkably, these enrichment patterns closely resembled those observed in the nasal transcriptome (Fig. 3C). Furthermore, we also conducted STRING clustering analysis on the DEGs, utilizing protein interaction scores as the criteria, resulting in the classification of four distinct clusters. It was found that MUC1, IL6, TLR6, TLR2, TLR4, IL1B, CCL2, OCLN, TJP1/ZO-1, CLDN1 and RHOA1 were interconnected within Cluster 1, 2 and 3 (Fig. 5A). Normalization of the expression levels of these genes based on the Nor group showed that interferon-stimulated genes (ISGs), including OAS1, OAS2, Mx1, Mx2, ISG15, IFIT2, IFIT3 and TRIM25, were significantly downregulated in the Abx group (Fig. 5B, ISGs, p < 0.05, Benjamini-Hochberg). Furthermore, the Abx group exhibited higher expression levels of inflammatory factors (IL1β, IL6, IL17β, IL18, NLRP3, CCL2, CXCL8 and CXCL14) and various TLRs (TLR1, TLR2, TLR3, TLR6, TLR7 and TLR8) compared to the WT group (Fig. 5B, p < 0.05, Benjamini-Hochberg). Our transcriptomic analysis also revealed that genes related to RhoA signaling (Rac1, RHOA1, LIMK1 and LIMK2), which primarily contribute to the destabilization of adherens junctions (AJs) and increase in endothelial permeability[42], were consistently upregulated in the Abx group (Fig. 5B, p < 0.05, Benjamini-Hochberg). Notably, the transcription levels of nearly all MUCIN genes, especially MUC4 (109.51 folds), MUC5B (57.01 folds) and MUC16 (12.27 folds), showed significant upregulation in the Abx group compared to the WT group (Fig. 5D, p < 0.05, Benjamini-Hochberg). We also utilized RT- qPCR to assess the transcription levels of inflammatory and IFN-related cytokines, and the results were generally consistent with the transcriptomic data (Fig. 5C).
To evaluate whether the DEGs are correlated with the distinct distribution of lung microbiota, we conducted a Mantel test correlation analysis on cytokines and differential lung microbiota. Our data indicates a significant positive correlation between antivirus-related (IFNβ1, IFNα, OAS1, Mx1, PKR, ISG15, Myd88, Mx2) and inflammation-related (IL6, TNFα, Bax, Caspase3) genes and Lactobacillus (Fig. 5D, p < 0.01, Mantel's R > = 0.4), but a notable negative correlation between the above genes and Moraxella (Fig. 5D, p < 0.01, Mantel's R > = 0.4). Based on Pearson correlation coefficient analysis, Lactobacillus exhibited a significant positive correlation with the transcription of IFNβ1 and Myd88 (Fig. 5E, Pearson's R > 0.7, p < 0.001, Benjamini-Hochberg), but a significant negative correlation with TNFα and caspase3 transcription (Fig. 5E, Pearson's R < − 0.7, p < 0.001, Benjamini-Hochberg). In contrast, Moraxella demonstrated a completely opposite trend to Lactobacillus. Then we assessed the phosphorylation status of key proteins in the inflammatory and IFN pathways through Western blot analysis. Compared with the WT group, the phosphorylation levels of IRF3 and TBK1 (TANK-binding kinase 1) were higher, while the phosphorylation levels of inflammation-related proteins, for example, NF-κB/p65, were lower in the Abx group (Fig. 5F). This finding further confirms that microbial dysbiosis in the lung diminishes the host's antiviral response.
Lactobacillus exerts antiviral effects in vitro by activating IFN-mediated pathways.
Lactic acid bacteria (LAB) are known as probiotic organisms and have been increasingly reported to exert powerful biological actions. In this study, we isolated ten strains of LAB from the nasal cavity, oral cavity and rectum of experimental beagles and conducted in vitro antiviral assays in two different setups (Fig. 7A). Our data showed that Lactobacillus plantarum C123 (L.p) exhibited significant in vitro antiviral activity, whether by pre-treating A549 cells before influenza infection or co-infection with influenza virus (Fig. 7B). Cytotoxicity evaluation using CCK-8 assay showed that Lactobacillus plantarum C123 did not exhibit cytotoxicity against A549 cells. Further, we used the dual-luciferase reporter assay to evaluate IFN-β and NF-κB/p65 promoter activities, and found that Lactobacillus plantarum C123 could significantly enhance the activation of the IFN-β promoter, but not affect the NF-κB/p65 promoter activity (Fig. 7C). The TBK1-IRF3 signaling cascade, which integrates RNA- and DNA-sensing pathways during viral infection, plays a critical role in the production of type I interferons and is subject to tight regulation[43].To investigate whether the antiviral effects of Lactobacillus plantarum C123 rely on upstream regulation of the IFN pathway, we assessed TBK1 phosphorylation levels in A549 cells following exposure to Lactobacillus plantarum C123 and influenza infection. Interestingly, both total and phosphorylated TBK1 levels increased in the early stages of infection (1h, 4h, 8h) in both the pre-treatment and co-infection groups. However, at later stages (12h, 24h), both total and phosphorylated TBK1 levels significantly decreased in the co-infection group. Additionally, influenza virus NP protein levels were consistently lower in the co-infection group compared to the virus-infected group (Fig. 7d). Thus, we speculate that Lactobacillus plantarum C123 may activate additional antiviral pathways beyond the IFN axis.
Lactobacillus inhibits virus replication by interfering with influenza-induced incomplete autophagy
It has been known that influenza viruses employ various strategies to enhance self-replication, including the initiation of autophagy process and its subsequent block of the fusion of autophagosomes with lysosomes[44–46]. TBK1 is a versatile serine/threonine protein kinase with established roles in innate immunity, metabolism, autophagy, cell death, and inflammation. TBK1 within cells can be degraded through the autophagy pathway[47, 48]. In our investigation, we find the enrichment of autophagy-related pathways in both nasal and lung microbiota functional predictions, as well as in transcriptomic KEGG enrichment analyses. Moreover, our nasal transcriptome analysis reveals heightened expression levels of pivotal autophagy-related genes. (ATG9B, GABARAPL2, MAP1LC3B/LC3B and SQSTM1/p62) in the Abx group compared to the WT group (Fig. 3C, Cluster5, p < 0.0001, Benjamini-Hochberg). This led to us to speculate that nasal microbiota might modulate host autophagy to suppress viral replication. Therefore, we further investigated the occurrence of autophagy at the nasal infection site in the three groups. Semi-quantitative fluorescence analysis revealed that, in the Nor group, the expression of MAP1LC3B/LC3B and SQSTM1/p62 in the nasal cavity was primarily localized in basal cells; in the WT group, expression of MAP1LC3B/LC3B and SQSTM1/p62 could be detected in both ciliated epithelial cells and basal cells; in the Abx group, expression of MAP1LC3B/LC3B and SQSTM1/p62 was elevated in basal cells, accompanied by a substantial accumulation of SQSTM1/p62 in tissues (Fig. 7A). To investigate whether cellular autophagy levels are altered in response to influenza infection (strain used in this experiment), we stably transfected influenza-infected A549 cells with the GFP-LC3B. We observed a significant increase in GFP-LC3B autophagosomes in influenza-infected cells compared to uninfected cells at 24 hours post-infection (Fig. 7B). This elevated autophagosome count, along with blocked autophagic flux, was further confirmed by western blot analysis of endogenous lipidated and SQSTM1/p62 levels following influenza virus infection (Fig. 7C). To further investigate whether Lactobacillus can interfere with this process, we conducted in vitro co-infection experiments of Lactobacillus plantarum C123 and influenza virus, as depicted in Fig. 6d. The results revealed that compared to the single virus infection group, SQSTM1/p62 gradually accumulated with longer virus-exposure time, while in the co-infection group, SQSTM1/p62 levels exhibited a significant decrease at 24 hours post-infection, along with a marked reduction in intracellular NP and M1 proteins compared to the single virus infection group (Fig. 7e). To rule out the possibility that reduced viral titers were due to a decrease in cell viability caused by Lactobacillus, we assessed cytotoxicity at 24 hours post-infection. The results showed that Lactobacillus plantarum C123 mono-infection did not induce cytotoxicity, and no significant difference in cytotoxicity was found between the single virus infection and co-infection groups (Fig. 7F). We also stably transfected influenza-infected A549 cells with the GFP-RFP-LC3B, and observed a significant retention of green fluorescence in only influenza-infected cells compared to the co-infection cells at 24 hours post-infection (Fig. 7G). Based on these data, we speculate that nasal microbiota is involved in the regulation of autophagy and its flux during influenza infection, reversing the inhibition of host autophagic flux induced by influenza virus and accelerating the virus clearance.