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A Precise Pathogen Delivery and Recovery System for Murine Models of Secondary Bacterial Pneumonia
Published on: September 21, 2019
Innate Immune Cell Suppression and the Link With Secondary Lung Bacterial Pneumonia
David J Morgan1, Joshua Casulli1, Christine Chew1
1Manchester Collaborative Centre for Inflammation Research, The Lydia Becker Institute of Immunology and Inflammation, University of Manchester, Manchester, United Kingdom.
Abstract:
Secondary infections arise as a consequence of previous or concurrent conditions and occur in the community or in the hospital setting. The events allowing secondary infections to gain a foothold have been studied for many years and include poor nutrition, anxiety, mental health issues, underlying chronic diseases, resolution of acute inflammation, primary immune deficiencies, and immune suppression by infection or medication. Children, the elderly and the ill are particularly susceptible. This review is concerned with secondary bacterial infections of the lung that occur following viral infection. Using influenza virus infection as an example, with comparisons to rhinovirus and respiratory syncytial virus infection, we will update and review defective bacterial innate immunity and also highlight areas for potential new investigation. It is currently estimated that one in 16 National Health Service (NHS) hospital patients develop an infection, the most common being pneumonia, lower respiratory tract infections, urinary tract infections and infection of surgical sites. The continued drive to understand the mechanisms of why secondary infections arise is therefore of key importance.
Insights
Secondary bacterial lung infections often follow viral illnesses like influenza. This review examines how viral infections impair bacterial defenses, increasing infection risk, especially in vulnerable populations.
Area of Science:
- Infectious Diseases
- Immunology
- Pulmonology
Background:
- Secondary infections are common in both community and hospital settings.
- Factors predisposing to secondary infections include malnutrition, chronic illness, and immune suppression.
- Viral infections, such as influenza, can increase susceptibility to bacterial lung infections.
Purpose of the Study:
- To review and update the understanding of defective bacterial innate immunity following viral respiratory infections.
- To highlight potential areas for future research into secondary bacterial lung infections.
- To use influenza virus infection as a model, with comparisons to rhinovirus and respiratory syncytial virus.
Main Methods:
- Literature review of studies on secondary bacterial infections post-viral infection.
- Focus on mechanisms of impaired bacterial innate immunity.
- Comparative analysis of different viral respiratory infections (influenza, rhinovirus, RSV).
Main Results:
- Viral infections can compromise the lung's ability to fight off bacterial pathogens.
- Specific examples of viral-bacterial interactions are discussed, using influenza as a primary model.
- Identified gaps in current knowledge regarding host-pathogen interactions.
Conclusions:
- Understanding the mechanisms of secondary bacterial lung infections is crucial for public health.
- Further research is needed to develop targeted interventions against these infections.
- Defective bacterial innate immunity following viral infections represents a significant clinical challenge.
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