Reducing the impact of influenza-associated secondary pneumococcal infections

Edin J Mifsud1, Amabel C Tan1, Kirsty R Short1

  • 1Department of Microbiology and Immunology at the Peter Doherty Institute of Infection and Immunity, The University of Melbourne, Parkville, VIC, Australia.

Insights

Toll-like receptor-2 (TLR-2) agonist PEG-Pam2Cys reduces influenza and secondary pneumococcal infections. A novel vaccine with R4-Pam2Cys adjuvant offers immediate and long-term protection against influenza and pneumococcus.

Area of Science:

  • Immunology
  • Virology
  • Microbiology

Background:

  • Influenza virus infections can lead to severe secondary bacterial pneumonia.
  • Streptococcus pneumoniae (pneumococcus) is a common cause of secondary pneumonia post-influenza.
  • Current treatments for secondary infections following influenza are limited.

Purpose of the Study:

  • To investigate the prophylactic efficacy of a Toll-like receptor-2 (TLR-2) agonist against influenza and secondary pneumococcal infections.
  • To evaluate a novel inactivated influenza virus vaccine formulated with a Pam2Cys-based adjuvant for protection against secondary pneumococcal infections.

Main Methods:

  • Administration of PEG-Pam2Cys in a mouse model of influenza and secondary S. pneumoniae infection.
  • Assessment of viral and bacterial burdens, cytokine levels, and vascular permeability.
  • Vaccination with an inactivated influenza virus vaccine plus R4-Pam2Cys adjuvant followed by challenge with influenza and S. pneumoniae.

Main Results:

  • PEG-Pam2Cys reduced pulmonary viral and bacterial loads, proinflammatory cytokines, and vascular permeability.
  • The Pam2Cys-adjuvanted vaccine conferred immediate and long-term protection against secondary pneumococcal infections.
  • Vaccinated mice exhibited robust influenza virus-specific immune responses.

Conclusions:

  • TLR-2 agonists show promise in preventing severe outcomes of influenza and secondary bacterial infections.
  • A novel inactivated influenza vaccine with a Pam2Cys adjuvant provides comprehensive protection against influenza and subsequent pneumococcal infections.
  • This vaccine represents a valuable countermeasure, particularly during influenza outbreaks.

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