Segmented filamentous bacteria reprogramming of alveolar macrophages limits postinfluenza bacterial pneumonia

Vu L Ngo1,2, Carolin M Lieber1, Hirohito Abo1

  • 1Center for Translational Antiviral Research, Georgia State University Institute for Biomedical Sciences, Atlanta GA 30303, USA.

Science Immunology
|January 2, 2026
PubMed

Insights

Gut bacteria, specifically segmented filamentous bacteria (SFB), reprogram alveolar macrophages (AMs) to prevent depletion and enhance bacterial defense after influenza A virus (IAV) infection. This gut-lung axis protection combats secondary bacterial pneumonia.

Area of Science:

  • Immunology
  • Microbiology
  • Respiratory Medicine

Background:

  • Respiratory viral infections, like influenza A virus (IAV), impair alveolar macrophages (AMs), increasing susceptibility to bacterial pneumonia.
  • Segmented filamentous bacteria (SFB) colonizing the gut can reprogram AMs, potentially offering protection against secondary infections.

Purpose of the Study:

  • To investigate if SFB colonization protects mice against secondary bacterial infections (Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus) following IAV infection.
  • To determine if SFB-induced AM reprogramming is essential and sufficient for this protective effect.

Main Methods:

  • Mice were infected with IAV and subsequently challenged with bacteria, with or without prior SFB colonization.
  • AM depletion and transplantation experiments were performed to assess the role of AMs.
  • Ex vivo analysis of AMs from SFB-colonized mice was conducted to examine epigenetic and functional changes.

Main Results:

  • SFB colonization significantly protected mice against secondary bacterial infections by Streptococcus pneumoniae, Haemophilus influenzae, and Staphylococcus aureus after IAV infection, reducing pathogen loads and disease severity.
  • AM depletion abrogated SFB-mediated protection, while transplantation of AMs from SFB-colonized mice conferred protection, confirming their necessity and sufficiency.
  • Ex vivo analysis showed that SFB reprogrammed AMs to resist IAV-induced depletion and enhanced their bacterial killing capacity through oxidative phosphorylation and complement-dependent phagocytosis, maintaining this phenotype even in an inflamed environment.

Conclusions:

  • Gut microbiota composition, particularly SFB, plays a crucial role in modulating host defense against secondary bacterial pneumonia following respiratory viral infections.
  • SFB-induced epigenetic reprogramming of AMs enhances their innate immune functions, providing a robust defense mechanism against diverse bacterial pathogens.
  • Targeting the gut microbiota represents a potential therapeutic strategy to bolster lung immunity and prevent severe outcomes of co-infections.