Deadly interactions: Synergistic manipulations of concurrent pathogen infections potentially enabling future

Kevin Roe1

  • 1USPTO, San Jose, CA, USA.

Drug Discovery Today
|September 3, 2023
PubMed

Insights

Influenza viruses and coronaviruses, like SARS-CoV-2, pose significant health threats. Influenza virus manipulations can worsen these infections and promote dangerous bacterial pneumonias, increasing pandemic risks.

Area of Science:

  • Virology
  • Immunology
  • Microbiology

Background:

  • Influenza viruses and novel coronaviruses, such as SARS-CoV-2, are major global health concerns.
  • Concurrent infections with these viruses amplify disease severity and mortality risks.
  • Influenza virus possesses multiple mechanisms that can enhance coronavirus and bacterial pathogen virulence.

Purpose of the Study:

  • To elucidate the specific molecular mechanisms by which influenza viruses augment the pathogenicity of coronaviruses (including SARS-CoV-2).
  • To investigate how influenza virus-mediated cellular manipulations can predispose individuals to secondary bacterial pneumonias.
  • To highlight the potential for co-infections to drive more severe pandemics.

Main Methods:

  • Review of existing literature on viral co-infections and host-pathogen interactions.
  • Analysis of known influenza virus replication and immune evasion strategies.
  • Examination of cellular pathways targeted by influenza viruses relevant to coronavirus and bacterial infections.

Main Results:

  • Influenza viruses employ eight key strategies to enhance viral replication and immune suppression.
  • These strategies include inhibiting host transcription factors, cytokine production, and cellular defenses.
  • Specific manipulations facilitate RNA viral replication, exosome secretion, cholesterol synthesis, autophagy, and glucocorticoid production, all benefiting viral or bacterial co-pathogens.

Conclusions:

  • Influenza virus's multifaceted cellular manipulations create a permissive environment for SARS-CoV-2 and other coronaviruses.
  • These viral strategies also exacerbate the risk and severity of secondary bacterial pneumonias.
  • The combination of viral co-infections and antimicrobial resistance poses a significant threat for future severe pandemics.

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