Host genetics of severe influenza: from mouse Mx1 to human IRF7

Michael J Ciancanelli1, Laurent Abel2, Shen-Ying Zhang2

  • 1St Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA.

Insights

Host genetics significantly influence influenza severity. A deficiency in Interferon Regulatory Factor 7 (IRF7) was linked to life-threatening influenza, highlighting its critical role in protective immunity.

Area of Science:

  • Immunology
  • Genetics
  • Virology

Background:

  • Influenza typically causes mild illness, but severe cases suggest underlying host genetic factors.
  • While viral virulence explains population-level differences, individual variability in influenza severity remains poorly understood.
  • Previous studies identified mouse genes like Mx1 and those in interferon pathways as crucial for influenza immunity.

Purpose of the Study:

  • To investigate the genetic basis of severe influenza in humans.
  • To identify host genes critical for protective immunity against influenza viruses.
  • To understand the role of interferon-dependent pathways in severe influenza outcomes.

Main Methods:

  • Utilized forward and reverse genetics in mice to study influenza susceptibility genes.
  • Conducted in vitro studies with mouse and human cells to elucidate cell-intrinsic protection mechanisms.
  • Employed whole exome sequencing in a patient with life-threatening influenza to identify genetic defects.

Main Results:

  • Mouse genetics studies identified interferon-inducible Mx1 and other IFN-α/β and -λ pathway genes.
  • Human genetic studies have not yet identified significant influenza susceptibility variants.
  • A patient with life-threatening influenza was found to be deficient in IRF7, an essential gene for protective immunity.

Conclusions:

  • Host genetic factors, particularly IRF7, are crucial for protective immunity against severe influenza.
  • Interferon-α/β and -λ signaling pathways are vital for controlling influenza infection in humans.
  • Next-generation sequencing holds promise for unraveling the genetic determinants of severe influenza.