Influenza A virus facilitates Streptococcus pneumoniae transmission and disease
Dimitri A Diavatopoulos1, Kirsty R Short, John T Price
1Department of Microbiology and Immunology, University of Melbourne, Melbourne, Victoria, Australia. d.diavatopoulos@cukz.umcn.nl
Insights
Influenza A virus (IAV) is essential for the transmission of Streptococcus pneumoniae (pneumococcus) between mice. This study establishes a novel animal model to investigate this pneumococcal-influenza synergism and transmission dynamics.
Area of Science:
- Microbiology
- Virology
- Infectious Diseases
Background:
- Streptococcus pneumoniae causes millions of deaths annually, leading to pneumonia, sepsis, and meningitis.
- S. pneumoniae colonizes the nasopharynx, especially in children, and influenza A virus (IAV) infection is linked to pneumococcal disease and transmission.
- A lack of animal models has hindered the study of IAV's role in pneumococcal spread.
Purpose of the Study:
- To investigate the synergistic relationship between pneumococcal and influenza infections.
- To determine the role of IAV in the transmission of S. pneumoniae using a novel infant mouse model.
Main Methods:
- Infant mice were colonized with S. pneumoniae and then infected with IAV.
- In vivo imaging was used to track pneumococcal transmission between colonized (index) and naive (contact) mice.
- IAV-neutralizing antibodies were employed to assess the necessity of IAV replication in transmission.
Main Results:
- IAV infection led to increased pneumococcal colonization and disease severity in mice.
- IAV was critical for the transmission of S. pneumoniae from index to contact mice.
- Inhibiting IAV replication in either index or contact mice prevented pneumococcal transmission.
Conclusions:
- IAV plays a crucial role in facilitating the transmission of S. pneumoniae.
- This research provides new insights into pneumococcal-influenza synergism.
- IAV may have a previously unrecognized role in the spread of pneumococcal infections.
Abstract:
Streptococcus pneumoniae (the pneumococcus) kills approximately 1.6 million people annually. Pneumococcal infections predominantly manifest as pneumonia, sepsis, meningitis, and otitis media. S. pneumoniae is also a member of the normal nasopharyngeal flora, colonizing up to 80% of children. Infection with influenza A virus (IAV) has been associated with both pneumococcal disease and transmission. However, to date no animal model has been available to investigate the role of IAV in the spread of S. pneumoniae. Here we investigate pneumococcal-influenza synergism with a particular focus on the role of IAV on pneumococcal transmission. Infant mice were colonized with S. pneumoniae and subsequently infected with IAV 3 d later. Using this novel model we show increased pneumococcal colonization and disease in the presence of IAV. Notably, in vivo imaging showed that IAV was essential for the transmission of S. pneumoniae from colonized ("index") mice to their naive cohoused littermates ("contacts"). Transmission occurred only when all mice were infected with IAV and was prevented when an IAV-neutralizing antibody was used to inhibit IAV replication in either index mice or contact mice. Together, these data provide novel insights into pneumococcal-influenza synergism and may indicate a previously unappreciated role of IAV in the spread of S. pneumoniae.
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