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A Method to Assess Fc-mediated Effector Functions Induced by Influenza Hemagglutinin Specific Antibodies
Published on: February 23, 2018
Immunity to the conserved influenza nucleoprotein reduces susceptibility to secondary bacterial infections
Laura Haynes1, Frank M Szaba, Sheri M Eaton
1Trudeau Institute, Saranac Lake, NY 12983, USA. lhaynes@trudeauinstitute.org
Abstract:
Influenza causes >250,000 deaths annually in the industrialized world, and bacterial infections frequently cause secondary illnesses during influenza outbreaks, including pneumonia, bronchitis, sinusitis, and otitis media. In this study, we demonstrate that cross-reactive immunity to mismatched influenza strains can reduce susceptibility to secondary bacterial infections, even though this fails to prevent influenza infection. Specifically, infecting mice with H3N2 influenza before challenging with mismatched H1N1 influenza reduces susceptibility to either Gram-positive Streptococcus pneumoniae or Gram-negative Klebsiella pneumoniae. Vaccinating mice with the highly conserved nucleoprotein of influenza also reduces H1N1-induced susceptibility to lethal bacterial infections. Both T cells and Abs contribute to defense against influenza-induced bacterial diseases; influenza cross-reactive T cells reduce viral titers, whereas Abs to nucleoprotein suppress induction of inflammation in the lung. These findings suggest that nonneutralizing influenza vaccines that fail to prevent influenza infection may nevertheless protect the public from secondary bacterial diseases when neutralizing vaccines are not available.
Insights
Cross-reactive immunity to influenza can reduce the risk of secondary bacterial infections like pneumonia, even if it doesn't prevent the initial flu. This immunity, even from non-neutralizing vaccines, offers protection against severe bacterial complications.
Area of Science:
- Immunology
- Virology
- Infectious Diseases
Background:
- Influenza infections lead to over 250,000 annual deaths globally.
- Secondary bacterial infections, such as pneumonia and otitis media, frequently complicate influenza outbreaks.
Purpose of the Study:
- To investigate if cross-reactive immunity to influenza can mitigate susceptibility to secondary bacterial infections.
- To explore the potential of non-neutralizing influenza vaccines in preventing severe bacterial complications.
Main Methods:
- Mice were infected with one influenza strain (H3N2) and subsequently challenged with a different strain (H1N1).
- Mice were vaccinated with influenza nucleoprotein and challenged with H1N1 influenza.
- Susceptibility to secondary infections with Streptococcus pneumoniae (Gram-positive) and Klebsiella pneumoniae (Gram-negative) was assessed.
Main Results:
- Pre-infection with H3N2 influenza reduced susceptibility to secondary H1N1-induced bacterial infections.
- Vaccination with influenza nucleoprotein also decreased susceptibility to lethal bacterial infections post-H1N1 challenge.
- Both T cells and antibodies (Abs) were found to contribute to defense against influenza-induced bacterial diseases.
Conclusions:
- Cross-reactive immunity, even if non-neutralizing, can protect against secondary bacterial infections following influenza.
- Influenza nucleoprotein-specific immunity plays a role in suppressing lung inflammation and reducing bacterial susceptibility.
- Non-neutralizing influenza vaccines may offer public health benefits by preventing severe secondary bacterial diseases.
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