Rubella virus (RuV) infection during pregnancy can cause abortion, stillbirth, and embryonic defects, leading to congenital rubella syndrome (CRS). The molecular mechanisms of RuV-induced damage to placental endothelial cells (EC) and its control on EC function were investigated. The study found that RuV can infect EC, inducing the production of antiviral interferons and CXCL10, which inhibit angiogenesis and migration of EC.
Rubella virus (RuV) infection during pregnancy can lead to abortion, stillbirth, and embryonic defects, resulting in congenital rubella syndrome (CRS). It is estimated that there are still 100,000 cases of CRS per year in developing regions with a mortality rate of over 30%. The molecular pathomechanisms remain largely unexplored. Placental endothelial cells (EC) are frequently infected with RuV. RuV reduced the angiogenic and migratory capacity of primary human EC, as confirmed by treatment of EC with serum from RuV IgM-positive patients. Next generation sequencing analysis revealed the induction of antiviral interferon (IFN) type I and III and CXCL10. The RuV-induced transcriptional profile resembled the effects of IFN-beta treatment. The RuV-mediated inhibition of angiogenesis was reversed by treatment with blocking and neutralizing antibodies targeting CXCL10 and the IFN-beta receptor. The data identify an important role for antiviral IFN-mediated induction of CXCL10 in the control of EC function during RuV infection.
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