Daily oscillations of pulmonary function depend on the rhythmic activity of the
circadian timing system. Environmental tobacco/cigarette smoke (CS) disrupts
circadian clock leading to enhanced inflammatory responses. Infection with influenza
A virus (IAV) increases hospitalization rates and death in susceptible individuals,
including patients with Chronic Obstructive Pulmonary Disease (COPD). We
hypothesized that molecular clock disruption is enhanced by IAV infection, altering
cellular and lung function, leading to severity in airway disease phenotypes.
C57BL/6J mice exposed to chronic CS, BMAL1 knockout (KO) mice and wild-type
littermates were infected with IAV. Following infection, we measured diurnal rhythms
of clock gene expression in the lung, locomotor activity, pulmonary function,
inflammatory, pro-fibrotic and emphysematous responses. Chronic CS exposure combined
with IAV infection altered the timing of clock gene expression and reduced locomotor
activity in parallel with increased lung inflammation, disrupted rhythms of
pulmonary function, and emphysema. BMAL1 KO mice infected with IAV showed pronounced
detriments in behavior and survival, and increased lung inflammatory and
pro-fibrotic responses. This suggests that remodeling of lung clock function
following IAV infection alters clock-dependent gene expression and normal rhythms of
lung function, enhanced emphysematous and injurious responses. This may have
implications for the pathobiology of respiratory virus-induced airway disease
severity and exacerbations.