Influenza virus and Staphylococcus aureus super-infection disrupts spatially coordinated cellular immunity in the

Tianhao Liu1,2, Leigh M Miller1, Brooke P Dresden1

  • 1Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.

Communications Biology
|November 23, 2025
PubMed

Insights

Bacterial super-infections after influenza impair immune cell movement and communication in the lung. This spatial analysis reveals disrupted immune cell coordination, impacting pathogen clearance and inflammation during secondary bacterial pneumonia.

Area of Science:

  • Pulmonary immunology
  • Infectious disease pathology
  • Spatial transcriptomics

Background:

  • Influenza-associated bacterial super-infections increase lung morbidity and mortality.
  • Previous research explored immune system dysregulation but lacked spatial context.
  • Understanding immune cell spatial coordination is crucial for super-infection.

Purpose of the Study:

  • To characterize immune cell coordination during lung super-infection using spatial transcriptomics.
  • To compare spatial immune cell responses in super-infection versus single infections.
  • To identify spatial disruptions impacting pathogen clearance and immune signaling.

Main Methods:

  • Utilized 10X Genomics Visium spatial transcriptomics platform.
  • Compared deconvoluted data from super-infection, influenza, and Staphylococcus aureus models.
  • Analyzed cell colocalization, signaling pathways, and confirmed with immunofluorescence staining.

Main Results:

  • Super-infection inhibited neutrophil and interstitial macrophage recruitment to airways.
  • Impaired recruitment likely hinders pathogen clearance in super-infected lungs.
  • Disrupted interactions were observed between CD4+ T cells, B cells, and dendritic cells.

Conclusions:

  • Constructed a spatial atlas of lung super-infection revealing immune cell recruitment and signaling impacts.
  • Secondary bacterial challenge significantly alters immune cell spatial coordination.
  • Findings offer insights into aberrant lung inflammation and potential therapeutic targets.

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