Involvement of the platelet-activating factor receptor in host defense against Streptococcus pneumoniae during
Koenraad F van der Sluijs1, Leontine J R van Elden, Monique Nijhuis
1Laboratory of Experimental Immunology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. kvandersluijs@amc.uva.nl
Abstract:
Although influenza infection alone may lead to pneumonia, secondary bacterial infections are a much more common cause of pneumonia. Streptococcus pneumoniae is the most frequently isolated causative pathogen during postinfluenza pneumonia. Considering that S. pneumoniae utilizes the platelet-activating factor receptor (PAFR) to invade the respiratory epithelium and that the PAFR is upregulated during viral infection, we here used PAFR gene-deficient (PAFR-/-) mice to determine the role of this receptor during postinfluenza pneumococcal pneumonia. Viral clearance was similar in wild-type and PAFR-/- mice, and influenza virus was completely removed from the lungs at the time mice were inoculated with S. pneumoniae (day 14 after influenza infection). PAFR-/- mice displayed a significantly reduced bacterial outgrowth in their lungs, a diminished dissemination of the infection, and a prolonged survival. Pulmonary levels of IL-10 and KC were significantly lower in PAFR-/- mice, whereas IL-6 and TNF-alpha were only trendwise lower. These data indicate that the pneumococcus uses the PAFR leading to severe pneumonia in a host previously exposed to influenza A.
Insights
Platelet-activating factor receptor (PAFR) plays a key role in severe pneumonia following influenza A infection. Blocking PAFR in mice significantly reduced bacterial growth and improved survival after secondary Streptococcus pneumoniae infection.
Area of Science:
- Immunology
- Microbiology
- Pathology
Background:
- Secondary bacterial pneumonia is a common complication of influenza.
- Streptococcus pneumoniae is a frequent cause of post-influenza pneumonia.
- Streptococcus pneumoniae uses the platelet-activating factor receptor (PAFR) to invade respiratory cells, which is upregulated during viral infections.
Purpose of the Study:
- To investigate the role of PAFR in post-influenza pneumococcal pneumonia using PAFR gene-deficient (PAFR-/-) mice.
Main Methods:
- Comparison of viral clearance, bacterial outgrowth, infection dissemination, survival rates, and pulmonary cytokine levels between wild-type and PAFR-/- mice after sequential influenza A and Streptococcus pneumoniae infections.
Main Results:
- Viral clearance was comparable between wild-type and PAFR-/- mice.
- PAFR-/- mice showed significantly reduced bacterial outgrowth and infection dissemination.
- PAFR-/- mice exhibited prolonged survival and lower pulmonary levels of IL-10 and KC.
Conclusions:
- The platelet-activating factor receptor (PAFR) is utilized by Streptococcus pneumoniae during secondary pneumonia following influenza A infection.
- Targeting PAFR may offer a therapeutic strategy to mitigate severe outcomes of post-influenza bacterial pneumonia.
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