PULMONARY EDEMA IN INFLUENZAL PNEUMONIA OF THE MOUSE AND THE RELATION OF FLUID IN THE LUNG TO THE INCEPTION OF

C G Harford1, M Hara,

  • 1Department of Medicine and the Oscar Johnson Institute for Medical Research, Washington University School of Medicine, St. Louis.

Insights

Pulmonary edema, a complication of influenza virus infection in mice, increases susceptibility to secondary bacterial pneumonia. This fluid buildup in the lungs allows inhaled bacteria to grow, leading to severe lung lesions.

Area of Science:

  • Pathology
  • Microbiology
  • Immunology

Background:

  • Influenza virus infection in mice leads to pulmonary edema.
  • Pulmonary edema is associated with increased susceptibility to secondary bacterial pneumonia in humans.

Purpose of the Study:

  • To investigate the role of pulmonary edema in the pathogenesis of secondary bacterial pneumonia following influenza virus infection in mice.
  • To understand the mechanisms by which pulmonary edema enhances susceptibility to bacterial growth in the lung.

Main Methods:

  • Induction of influenza viral lesions in mice.
  • Inhalation exposure to Streptococcus pneumoniae.
  • Assessment of bacterial growth, inflammatory cell migration, and phagocytic activity in the lung.

Main Results:

  • Mice with influenza-induced pulmonary edema showed increased susceptibility to inhaled pneumococci.
  • Pneumococci readily grew in the pulmonary fluid, leading to bacterial pneumonia.
  • Delayed polymorphonuclear leukocyte migration and slow macrophage phagocytosis contributed to bacterial proliferation.

Conclusions:

  • Pulmonary edema resulting from influenza virus infection in mice adequately explains the enhanced growth of inhaled pneumococci.
  • Impaired immune cell function in the edematous lung facilitates secondary bacterial pneumonia.
  • Findings in mice correlate with increased risk of secondary bacterial pneumonia in humans with pulmonary edema.