A Time Course for Susceptibility to Staphylococcus aureus Respiratory Infection during Influenza in a Swine Model

Elizabeth A Smith1, Sandeep R P Kumar, Jagadeeswaran Deventhiran

  • 1Department of Dairy Science, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA.

Insights

Secondary bacterial infections after influenza A virus (IAV) are serious. This study shows pigs are a good model for studying IAV and methicillin-resistant Staphylococcus aureus (MRSA) coinfections and their susceptibility timing.

Area of Science:

  • Veterinary Medicine
  • Infectious Disease
  • Microbiology

Background:

  • Bacterial superinfections, particularly with methicillin-resistant Staphylococcus aureus (MRSA), significantly increase morbidity and mortality following influenza A virus (IAV) infection.
  • Limited treatment options due to virulent IAV strains and antibiotic-resistant bacteria necessitate better understanding of disease pathogenesis.
  • Pigs, natural hosts to both IAV and S. aureus, offer a relevant animal model due to physiological and immunological similarities to humans.

Purpose of the Study:

  • To establish and validate a pig model for studying the pathogenesis of IAV and S. aureus coinfection.
  • To determine the time course of susceptibility to secondary S. aureus infection following IAV challenge in pigs.
  • To investigate the impact of IAV infection on susceptibility to MRSA.

Main Methods:

  • Nursery pigs were infected intranasally with IAV.
  • Following IAV infection, pigs were challenged with MRSA at various time points.
  • Lung pathology, bacterial load (MRSA colony-forming units), and immune cell populations in bronchoalveolar lavage fluid were analyzed.

Main Results:

  • The intranasal challenge model in pigs effectively replicated IAV and S. aureus coinfection.
  • Lung pathology scores and MRSA bacterial loads were evaluated in dual-infected pigs.
  • Flow cytometry revealed differences in immune cell responses between treatment groups.

Conclusions:

  • The study validates the use of nursery pigs as an appropriate model for investigating IAV and S. aureus coinfection.
  • The findings provide crucial insights into the temporal window of increased susceptibility to secondary S. aureus infections post-IAV.
  • This model aids in understanding the pathogenesis of severe respiratory coinfections and informs potential therapeutic strategies.