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

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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