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Am J Respir Cell Mol Biol . Recurrent H1N1 Influenza A virus infections cause airway hyperinnervation and cough hypersensitivity via the IFN-γ-JAK-

tetano

Editor, Senior Moderator
Am J Respir Cell Mol Biol


. 2026 Apr 13:aanag075.
doi: 10.1093/ajrcmb/aanag075. Online ahead of print.
Recurrent H1N1 Influenza A virus infections cause airway hyperinnervation and cough hypersensitivity via the IFN-γ-JAK-ERK1/2-CDK5 pathway

Zheng Deng[SUP] 1 2 [/SUP], Dongting Xu[SUP] 1 2 [/SUP], Zhengyang Lin[SUP] 1 2 [/SUP], Wenbin Ding[SUP] 1 2 [/SUP], Mengxi Luo[SUP] 1 2 [/SUP], Yun Chen[SUP] 1 2 [/SUP], Kefang Lai[SUP] 1 2 [/SUP]


Affiliations
Abstract

Rationale: Chronic cough patients present with increased airway sensory nerve density-a pathology often initiated by recurrent viral infections, notably H1N1. Infection-induced IFN-γ acts via its highly expressed receptors to promote neurite outgrowth in vitro.
Objectives: To investigate the role of IFN-γ as a mediator in the development of airway hyperinnervation and cough hypersensitivity induced by recurrent H1N1 viral infections.
Methods: We studied the effects and underlying mechanisms of recurrent H1N1 viral infections on airway hyperinnervation and subsequent cough hypersensitivity.
Measurements and main results: Recurrent H1N1 viral infections in mice significantly enhanced cough sensitivity and airway inflammation, accompanied by elevated pulmonary IFN-γ + T cells/IFN-γ levels, vagal CDK5 activity, and airway nerve density. Anti-IFN-γ treatment abrogated these effects-cough hypersensitivity, IFN-γ + T cell infiltration, CDK5 upregulation, and airway hyperinnervation. Roscovitine treatment markedly attenuated viral infection-induced cough hypersensitivity, CDK5 activation in vagal ganglia, and airway hyperinnervation. Viral infections did not change gene expressions of IFN-γ receptors in vagal ganglia. Neither anti-IFN-γ nor roscovitine alleviated viral infection-induced airway inflammation. No evidence of airway hyperinnervation was observed following a single-dose H1N1 infection, either in the short term or long term. IFN-γ sensitized mouse vagal sensory neurons. Pharmacological inhibition of the JAK-ERK1/2-CDK5 pathways decreased IFN-γ-induced neurite outgrowth in mouse vagal sensory neurons.
Conclusions: Recurrent H1N1 viral infections may cause airway hyperinnervation and cough hypersensitivity via the IFN-γ-JAK-ERK1/2-CDK5 pathways. Recurrent H1N1 viral infection-induced cough hypersensitivity may be mediated, in part, by IFN-γ-mediated airway hyperinnervation.

Keywords: Airway hyperinnervation; Chronic cough; Cyclin-dependent kinase 5; Interferon-γ; Viral infections.

 
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