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16 5

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May. 2014

doi: 10.7499/j.issn.1008-8830.2014.05.023

1 2 1
1. 2. 400014
HMPVHMPV
1 PRRs
HMPV PAMP Toll 3 4 I
F N

2014165548-554
Toll

Pathogenesis of human metapneumovirus infection and research on attenuated live


vaccine
TANG Mao-Zhi, DOU Ying, ZHAO Xiao-Dong. Department of Nephritic Immunology, Children's Hospital of Chongqing
Medical University, Chongqing 400014, China (Email: tmzm0130@163.com)
Abstract: Numerous studies have indicated that human metapneumovirus (hMPV) is an important viral pathogen
in acute respiratory infections in children, presenting similar manifestations with respiratory syncytial virus (RSV).
HMPV infection peaks in the winter-spring season and is more prevalent in younger ages, especially in children less than
1 year old. Host innate immune response has been implicated in recognition of pathogen-associated molecular patterns
(PAMPs) of the virus. This recognition occurs through host pattern recognition receptors (PRRs). Toll like receptors
(TLRs) are one of the largest class of PRRs which initiate and regulate adaptive immune responses. Some studies have
indicated that TLR 3 and TLR 4 may play critical roles in hMPV infection. Construction of recombinant mutant viruses
lacking one or two N-linked glycosylation sites in the F protein by using site-directed mutagenesis and reverse genetics
may be helpful for developing attenuated live vaccines.
[Chin J Contemp Pediatr, 2014, 16(5): 548-554]
Key words: Human metapneumovirus; Innate immunity; Toll-like receptor; Attenuated live vaccine

120

HMPV

[1]

WHO

[5] HMPV

5 [2] [3]

HMPV

RSV

HMPV

HMPV

RSV HMPV

[4]

3 1

2013-11-042014-02-09
cstc2013jjB10029

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1HMPV

70%~80%

HMPV 2001

HMPV A

2004

[21]HMPV RSV

HMPV HMPV Vero-E6

[4]

0~6

HMPV

HMPV IgG 6

HMPV

[6]

100 HMPV Ebihara

[7]

[5,24]

HMPV

2HMPV

14.6%~35.8%HMPV

HMPV 3' 5' N-P-M-F-M2-SH-

G-L 9 FG SH

NPL

HMPV 10%~27.8%6 ~2

HMPV

5.1%~8.2%2~6 4.5% >6

F G

0.2%~1.9%

[4,8-9]

[10-12]

RSV

1.7% HMPV

G SH

[13]

HMPV

HMPV

13 10 HMPV

G HMPV F

HMPV

[25-26] F

AB A1

RSV F

A2B1B2 2007~2011

HMPV F Arg-Gly-AspRGD

HMPV A2b

RGD

A2b

[9,15]

[14]

[16]

v1

2009~2010 B1

[27]HMPV

HMPV

F0

A2 A2aA2b

F1 F2 HMPV

A2b B2

F pH

A2

[5,28]F F

Li [23]

A2b A2

[28]Chang [29]

HRB H435 pH

pH H435

A2

MPRSS2

A1 B1

[12,17-22]

HMPV

F
[30]

RSV
30%~40%

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[40] RSV TLR3

3HMPV

gob5 mRNAIL-13 IL-5

[41]

HMPV A549

TLR3 TLR3 PolyI:C

HMPV HMPV

3.1HMPV

polyI:C TLR3 HMPV

[31]

[39,42]

TLR3 HMPV

TLR3 HMPV

TLR4 MyD88

TLR3 TRIF

NF-B I HMPV TLR4

HMPV

PRRs

I [31]

PAMPs

TLR7~9 MyD88

PRRs Toll TLRs

NF-B TRAF3

RLRs

7IRF7 I [5]

NLRs

HMPV HMPV

TLRs

TLR7~8 [39]

TLRs I

HMPV TLR7/8

[32-33]

TLRs

3.2HMPV

TLR3
dsRNATLR4 RSV F TLR7~8
ssRNA

[34-36]

TLR2

hMPV

A549 ,

HMPV TLR3~4TLR7~9

T CTL

IFN- TNF- ,

2~4

HA

[37]

[38-39]

TLRs

HMPV IRF-3 NF-B

FG SH HMPV

TLR3 RSV

AB 95%
[33]

TLR3

Skiadopoulos

ds-RNA MyD88

TRIF I

HMPV HMPV

[5]

HMPV SHG F

NF-B RSV

G SH

TLR3

HMPV F
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HMPV

[49] HMPV

CD3+CD4+CD25+CD8+CD19+

RSV HMPV F

CD19 CD23 NK

HMPV

[34-35]

HMPV [50]

HMPV

CD4+ CD8+T
CD4+T

5 HMPV

IL-6IL-1
TNF [36]

HMPV CTL Th2

HMPV

IL-4IL-10 IFN-

CTL CTL

HMPV [51-53]

Th1 IL-12 IFN-

cDNA

Th1

CTL HMPV

CTL HMPV

[39,43]

RSV

Th1/Th2 Th2

HMPV

Schowalter [26]
HMPV F

HMPV 4 F
3 57172353

HMPV

N- Western

Blot 3 WT F1

HMPV Th2

57172353

[5,54]

[44-45]

GFP HMPV

SH

NL/1/00WT cDNA

G M2-2

3 N-

6160 3200

M1 57 M2 172

4000

M3 353 M4

57+172 M5 172+353

[46]

M6 57+353 M7 57+172+353

HMPV SH rHMPV-

SHs 21

M1M2M4 M3M5M6M7

rHMPV-SHs

21 RSV F

353 353

[54]

[47-48]

M1M2M4 F

HMPV

[25]

Talaat

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WT
F

[54]

[55]

WT

Vero E6

WT 4

F HMPV

M1 WT

10 pfu/mL M2 M4

10 pfu/mL

F 57 172 353

M1 WT
M2M4 WT 1:110:1100:1

1000:1 Vero E6 M1 WT

N HMPV

M1 15
M2 WT 1:1 M2

1 HMPV

1 10:1

M2

M2 8 5
M2 100:1 1000:1

M4 M2

4 d M2 M4
WT 1:1 M4

1 10:1 M4
5 100:1 M4

M2

8 1000:1

5 d M4

201010106676 F

M2
F 172

WT M1

M2M4 M2 M4

[54]

[1]

WT BALB/c

pneumonia in developing countries[J]. The Lancet, 2013, 1(7):

5 d 105pfu/gM1

574-584
[2]

WT M4

[3]

SCID

, , , . 2000-2010 5
[J]. , 2012, 33(6):

WT M1 SCID

558-561.
[4]

M2 M4

Chen X, Zhang ZY, Zhao Y, et al. Acute lower respiratory tract


infections by human metapneumovirus in children in Southwest

[56]

China: a 2-year study[J]. Pediatr Pulmonol, 2010, 45(8): 824-831.

WT

[5]

Abed Y, Boivin G. Human metapneumovirus infection in


immunocompromised child[J]. Emerg Infect Dis, 2008, 14(5): 854-

M2 M4

856.

M1 WT

Bryce J, Boschi-Pinto C, Shibuya K, et al. WHO estimates of the


causes of death in children[J]. Lancet, 2005, 365(9465): 1147-1152.

3 d M2

[54]

Izadnegahdar R, Cohen AL, Klugman KP, et al. Childhood

[6]

, , , . 0~6
[J]. , 2007, 8(22): 579-582.

[7]

M2

Ebihara T, Endo R, Kikuta H, et al. Seroprevalence of human


metapneumovirus in Japan[J]. J Med Virol, 2003, 70(2): 281-283.

[8]

Ji W, Wang Y, Chen Z, et al. Human metapneumovirus in children


with acute respiratory tract infections in Suzhou, China 20052006[J]. Scand J Infect Dis, 2009, 41(10): 735-744.

[9]

552

Lu G, Li J, Xie Z, et al. Human metapneumovirus associated with

16 5

Vol.16 No.5

2014 5

Chin J Contemp Pediatr

May. 2014

community-acquired pneumonia in children in Beijing, China[J]. J

roles for proteolytic processing and low pH[J]. J Virol, 2006,

Med Virol, 2013, 85(1): 138-143.


[10]

80(22): 10931-10934.

Yahia S, Kandeel AY, Hammad E, et al. Human metapneumovirus

[27]

(hMPV) in acute respiratory infection: a clinic-based study in


Egypt[J]. Indian J Pediatr, 2012, 79(10): 1323-1327.
[11]

Sci U S A, 2009, 106(5): 1566-1571.

Heikkinen T, Osterback R, Peltola V, et al. Human

[28]

metapneumovirus infections in children[J]. Emerg Infect Dis,

importance in entry[J]. J Virol, 2009, 83(3): 1511-1522.

Williams JV, Edwards KM, Weinberg GA, et al. Population-

[29]

based incidence of human metapneumovirus infection among

[14]

F-mediated membrane fusion[J]. J Virol, 2012, 86(18): 9843-9853.

Li J, Wang Z, Gonzalez R, et al. Prevalence of human

[30]

of human metapneumovirus in Vero cells expressing the

Beijing, China[J]. J Infect, 2012, 64(1): 96-103.

transmembrane serine protease TMPRSS2[J]. J Virol, 2008,

Tu CC, Chen LK, Lee YS, et al. An outbreak of human

82(17): 8942-8946.
[31]

patients in Taiwan[J]. Scand J Infect Dis, 2009, 41(5): 363-367.


, , , . 2007-2011

derived dendritic cells[J]. J Immunol, 2011, 187(1): 47-54.


[32]

contributions of the human metapneumovirus F, G, and SH

, , , .

surface glycoproteins to the induction of neutralizing antibodies


and protective immunity[J]. Virology, 2006, 345(2): 492-501.

2011, 25(1): 11-13.

[33]

human metapneumovirus genetic lineages are highly related

clinical features of human metapneumovirus isolated from Korean

antigenically, and the fusion (F) protein is a major contributor to


this antigenic relatedness[J]. J Virol, 2004, 78(13): 6927-6937.

Nidaira M, Taira K, Hamabata H, et al. Molecular epidemiology of

[34]

human metapneumovirus from 2009 to 2011 in Okinawa, Japan[J].


[35]

Arabpour M, Samarbafzadeh AR, Makvandi M, et al. The highest


[36]

to antiviral immunity and pathogenesis in experimental human

Microbiol, 2008, 26(2): 123-126.

metapneumovirus infection[J]. J Virol, 2008, 82(17): 8560-8569.

Carr MJ, Waters A, Fenwick F, et al. Molecular epidemiology of

[37]

J Virol, 2002, 76(17): 8729-8736.

Qaisy LM, Meqdam MM, Alkhateeb A, et al. Human

[38]

metapneumovirus in Jordan: prevalence and clinical symptoms in


[39]

metapneumovirus is associated with aberrant immunity and

Zhang C, Du LN, Zhang ZY, et al. Detection and genetic diversity

impaired virus clearance in BALB/c mice[J]. J Virol, 2005, 79(10):


5971-5978.

respiratory infections in Southwest China[J]. J Clin Microbiol,

[40]

2012, 50(8): 2714-2719.


Li J, Ren L, Guo L, et al. Evolutionary dynamics analysis of

Virol, 2005, 79(6): 3350-3357.


[41]

Rudd BD, Smit JJ, Flavell RA, et al. Deletion of TLR3 alters the

dominant epidemic[J]. PLoS One, 2012, 7(3): e34544.

pulmonary immune environment and mucus production during

Peiris JS, Tang WH, Chan KH, et al. Children with respiratory

respiratory syncytial virus infection[J]. J Immunol, 2006, 176(3):

disease associated with metapneumovirus in Hong Kong[J]. Emerg

1937-1942.

Infect Dis, 2003, 9(6): 628-633.

[42]

Guerrero-Plata A, Baron S, Poast JS, et al. Activity and regulation

Biacchesi S, Skiadopoulos MH, Yang L, et al. Recombinant

of alpha interferon in respiratory syncytial virus and human

human Metapneumovirus lacking the small hydrophobic SH and/

metapneumovirus experimental infections[J]. J Virol, 2005,

or attachment G glycoprotein: deletion of G yields a promising

79(16): 10190-10199.

vaccine candidate[J]. J Virol, 2004, 78(23): 12877-12887.


[26]

Rudd BD, Burstein E, Duckett CS, et al. Differential role for TLR3
in respiratory syncytial virus-induced chemokine expression[J]. J

human metapneumovirus subtype A2: genetic evidence for its

[25]

Alvarez R, Tripp RA. The immune response to human

Diagn Microbiol Infect Dis, 2012, 74(3): 288-291.


of human metapneumovirus in hospitalized children with acute

[24]

. Toll [D].
, 2010.

hospitalized pediatric patients and molecular virus characterization[J].

[23]

Bieback K, Lien E, Klagge IM, et al. Hemagglutinin protein of


wild-type measles virus activates toll-like receptor 2 signaling[J].

510-516.

[22]

Kolli D, Bataki EL, Spetch L, et al. T lymphocytes contribute

accompanied by acute respiratory infections[J]. Indian J Med

human metapneumovirus in Ireland[J]. J Med Virol, 2008, 80(3):


[21]

, , , .
[J]. , 2010, 20(7): 923-924.

prevalence of human metapneumovirus in Ahwaz children

[20]

, , , .
[J]. , 2009, 27(2): 145-148.

Jpn J Infect Dis, 2012, 65(4): 337-340.


[19]

Skiadopoulos MH, Biacchesi S, Buchholz UJ, et al. The two major

Kim HR, Cho AR, Lee MK, et al. Genotype variability and
children, 2007 to 2010[J]. J Mol Diagn, 2012, 14(1): 61-64.

[18]

Skiadopoulos MH, Biacchesi S, Buchholz UJ, et al. Individual

, 2012, 26(2): 99-101.


[J]. ,
[17]

Kolli D, Bao X, Liu T, et al. Human metapneumovirus


glycoprotein G inhibits TLR4-dependent signaling in monocyte-

[J].
[16]

Shirogane Y, Takeda M, Iwasaki M, et al. Efficient multiplication

metapneumovirus in adults with acute respiratory tract infection in

metapneumovirus infection in hospitalized psychiatric adult


[15]

Chang A, Hackett BA, Winter CC, et al. Potential electrostatic


interactions in multiple regions affect human metapneumovirus

hospitalized children[J]. J Infect Dis, 2010, 201(12): 1890-1898.


[13]

Schowalter RM, Chang A, Robach JG, et al. Low-pH triggering


of human metapneumovirus fusion: essential residues and

2008, 14(1): 101-106.


[12]

Cseke G, Maginnis MS, Cox RG, et al. Integrin alphavbeta1


promotes infection by human metapneumovirus[J]. Proc Natl Acad

[43]

Herd KA, Mahalingam S, Mackay IM, et al. Cytotoxic T-lymphocyte

Schowalter RM, Smith SE, Dutch RE. Characterization of human

epitope vaccination protects against human metapneumovirus

metapneumovirus F protein-promoted membrane fusion: critical

infection and disease in mice[J]. J Virol, 2006, 80(4): 2034-2044.

553

16 5

Vol.16 No.5

2014 5

Chin J Contemp Pediatr

May. 2014

[44]

Yim KC, Cragin RP, Boukhvalova MS, et al. Human

metapneumovirus induces protection against challenge with

metapneumovirus: enhanced pulmonary disease in cotton

homologous or heterologous strains[J]. J Gen Virol, 2007, 88(Pt

rats immunized with formalin-inactivated virus vaccine and

10): 2702-2709.

challenged[J]. Vaccine, 2007, 25(27): 5034-5040.


[45]

[51]

study of altered clinical reactivity to respiratory syncytial

disease and Th2 response following human metapneumovirus

(RS) virus infection in children previously vaccinated with an

infection in mice immunized with the inactivated virus[J]. J Gen

inactivated RS virus vaccine[J]. Am J Epidemiol, 1969, 89(4):

Virol, 2007, 88(Pt 12): 3391-3400.


[46]

405-421.

Talaat KR, Karron RA, Thumar B, et al. Experimental infection of

[52]

adults with recombinant wild-type human metapneumovirus[J]. J

14(4): 297-309.

Falsey AR, Walsh EE. Safety and immunogenicity of a respiratory

[53]

syncytial virus subunit vaccine (PFP-2) in the institutionalized

inactivated vaccine[J]. Am J Epidemiol, 1969, 89(4): 422-434.

Groothuis JR, King SJ, Hogerman DA, et al. Safety and

[54]

fusion protein on replication of human metapneumovirus in vitro

(PFP-2) vaccine in seropositive children with bronchopulmonary

and in mouse lungs[J]. J Gen Virol, 2011, 92(Pt 7): 1666-1675.


[55]

Murphy BR, Sotnikov AV, Lawrence LA, et al. Enhanced

, , , .
[J].

pulmonary histopathology is observed in cotton rats immunized

, 2010, 30(8): 771-774.

with formalin-inactivated respiratory syncytial virus (RSV) or

[50]

Zhang J, Dou Y, Wu J, et al. Effects of N-linked glycosylation of the

immunogenicity of a purified F protein respiratory syncytial virus


dysplasia[J]. J Infect Dis, 1998, 177(2): 467-469.
[49]

Kim HW, Canchola JG, Brandt CD, et al. Respiratory syncytial


virus disease in infants despite prior administration of antigenic

elderly[J]. Vaccine, 1997, 15(10): 1130-1132.


[48]

Moss WJ, Polack FP. Immune responses to measles and measles


vaccine: challenges for measles control[J]. Viral Immunol, 2001,

Infect Dis, 2013, 208(10): 1669-1678.


[47]

Kapikian AZ, Mitchell RH, Chanock RM, et al. An epidemiologic

Hamelin ME, Couture C, Sackett MK, et al. Enhanced lung

[56]

Yu CM, Li RP, Chen X, et al. Replication and pathogenicity of

purified F glycoprotein and challenged with RSV 3-6 months after

attenuated human metapneumovirus F mutants in severe combined

immunization[J]. Vaccine, 1990, 8(5): 497-502.

immunodeficiency mice[J]. Vaccine, 2012, 30(2): 231-236.

Herfst S, de Graaf M, Schrauwen EJ, et al. Immunization


of Syrian golden hamsters with F subunit vaccine of human

2014-06-03-034
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20~23 :

extracorporial membrane oxygenation, ECMO

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BPDROP

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523900
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