Neonatal hyperoxia enhances the inflammatory response in adult mice infected with influenza A virus

Michael A O'Reilly1, Shauna H Marr, Min Yee

  • 1Department of Pediatrics, Box 850, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Rochester, NY 14642, USA. michael_oreilly@urmc.rochester.edu

Insights

Neonatal hyperoxia exposure in mice leads to increased lung inflammation and mortality when infected with influenza A virus as adults. This suggests early lung injury may permanently alter immune responses, worsening respiratory infections.

Area of Science:

  • Pulmonary Medicine
  • Immunology
  • Developmental Biology

Background:

  • Neonatal hyperoxia exposure in mice results in simplified lungs and reduced function, mimicking bronchopulmonary dysplasia (BPD) in humans.
  • BPD survivors face a higher risk of respiratory infections, prompting investigation into hyperoxia's impact on influenza A virus infection response.

Purpose of the Study:

  • To investigate if neonatal hyperoxia exacerbates influenza A virus infection severity in adult mice.

Main Methods:

  • Adult female mice were exposed to room air or hyperoxia from postnatal days 1-4.
  • Mice were subsequently infected with a sublethal dose of influenza A virus.

Main Results:

  • Mice with neonatal hyperoxia showed significantly higher numbers of airway macrophages, neutrophils, and lymphocytes upon infection.
  • Increased inflammation correlated with elevated monocyte chemotactic protein-1 (CCL2), while other cytokines and antibody responses were largely unchanged.
  • Mortality increased by Day 14 post-infection in the hyperoxia group, linked to persistent inflammation and fibrosis.

Conclusions:

  • Neonatal hyperoxia disrupts lung development and reprograms innate immune pathways in the lung.
  • This reprogramming may contribute to the heightened pathology and reduced resistance to respiratory viral infections observed in individuals with a history of BPD.
Abstract

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