Muc5ac mediates anti-viral immunity and virus-induced parasympathetic nerve dysfunction

Abstract

Respiratory viruses can induce excessive bronchoconstriction in both asthmatic and healthy airways. Airway mucins such as Muc5ac form the first line of defense against inhaled pathogens. However, when produced in excess, they can also contribute to airway narrowing and mucus plug formation in asthma. In this study, we investigated the role of airway mucins in host defense against parainfluenza virus and in virus-induced airway hyperresponsiveness using Muc5ac-deficient (Muc5ac-/-) C57BL/6 mice. Parainfluenza virus infection induced airway hyperresponsiveness to inhaled methacholine in wild-type mice, an effect that was abolished in Muc5ac-/- mice. Parainfluenza virus-induced airway hyperresponsiveness was reversed by vagotomy, demonstrating it is mediated by parasympathetic nerve dysfunction. Muc5ac-/- mice exhibited higher viral titers, increased bronchoalveolar lavage cellularity, and elevated antiviral cytokine levels, but did not develop airway hyperresponsiveness. We did not see mucus plugging in any of our animals. Together, these findings indicate that Muc5ac is important for host defense against parainfluenza virus but paradoxically is also required for virus-induced airway hyperresponsiveness.