Bacterial colonization dampens influenza-mediated acute lung injury via induction of M2 alveolar macrophages
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Updated: May 10, 2026

Isolation and In Vitro Culture of Murine and Human Alveolar Macrophages
Published on: April 20, 2018
Jian Wang1, Fengqi Li, Rui Sun
1Department of Immunology, School of Life Sciences, University of Science and Technology of China, Hefei, Anhui, China.
Abstract:
While the presence of airway bacteria is known to be associated with improved immunity against influenza virus, the mechanism by which endogenous microbiota influence antiviral immunity remains unclear. Here we show that specific pathogen-free mice are more sensitive to influenza-mediated death than mice living in a natural environment. Priming with Toll-like receptor 2-ligand(+) Staphylococcus aureus, which commonly colonizes the upper respiratory mucosa, significantly attenuates influenza-mediated lung immune injury. Toll-like receptor 2 deficiency or alveolar macrophage depletion abolishes this protection. S. aureus priming recruits peripheral CCR2(+)CD11b(+) monocytes into the alveoli that polarize to M2 alveolar macrophages in an environment created by Toll-like receptor 2 signalling. M2 alveolar macrophages inhibit influenza-mediated lethal inflammation via anti-inflammatory cytokines and inhibitory ligands. Our results suggest a previously undescribed mechanism by which the airway microbiota may protect against influenza-mediated lethal inflammation.
Insights
Airway bacteria like Staphylococcus aureus prime the immune system to protect against lethal influenza. This involves Toll-like receptor 2 signaling, which recruits monocytes that become anti-inflammatory M2 macrophages.
Area of Science:
- Immunology
- Microbiology
- Respiratory Medicine
Background:
- Airway bacteria are linked to better immunity against influenza virus.
- The exact mechanisms of how the body's own microbes affect antiviral immunity are not fully understood.
Purpose of the Study:
- To investigate how airway microbiota influences the immune response to influenza virus.
- To elucidate the specific mechanisms by which Staphylococcus aureus colonization protects against influenza-induced lung injury.
Main Methods:
- Used specific pathogen-free mice and mice from a natural environment to compare influenza sensitivity.
- Administered Staphylococcus aureus priming to mice and assessed protection against influenza-mediated lung injury.
- Investigated the roles of Toll-like receptor 2 (TLR2) and CCR2(+)CD11b(+) monocytes in the protective mechanism.
Main Results:
- Mice in a natural environment were less susceptible to lethal influenza than specific pathogen-free mice.
- Priming with Staphylococcus aureus significantly reduced influenza-induced lung immune injury.
- Protection was dependent on Toll-like receptor 2 signaling and the recruitment of peripheral monocytes that differentiated into M2 alveolar macrophages.
- M2 macrophages suppressed lethal inflammation through anti-inflammatory cytokines and inhibitory ligands.
Conclusions:
- Airway microbiota, specifically Staphylococcus aureus, can protect against lethal influenza by modulating the immune response.
- A novel mechanism involves TLR2-mediated recruitment and polarization of monocytes into M2 alveolar macrophages, which dampen excessive inflammation.
- These findings highlight a previously unrecognized role of the airway microbiome in host defense against viral respiratory infections.
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