Stegemann Sabine, Dahlberg Sofia, Kröger Andrea, Gereke Marcus, Bruder Dunja, Henriques-Normark Birgitta, Gunzer Matthias
Otto-von-Guericke University, Institute of Molecular and Clinical Immunology, Magdeburg, Germany.
PLoS One. 2009;4(3):e4840. doi: 10.1371/journal.pone.0004840. Epub 2009 Mar 17.
Influenza A virus (IAV) causes respiratory tract infections leading to recurring epidemics with high rates of morbidity and mortality. In the past century IAV induced several world-wide pandemics, the most aggressive occurring in 1918 with a death toll of 20-50 million cases. However, infection with IAV alone is rarely fatal. Instead, death associated with IAV is usually mediated by superinfection with bacteria, mainly Streptococcus pneumoniae. The reasons for this increased susceptibility to bacterial superinfection have not been fully elucidated. We previously demonstrated that triggering of TLR7 causes immune incompetence in mice by induction of lymphopenia. IAV is recognized by TLR7 and infections can lead to lymphopenia. Since lymphocytes are critical to protect from S. pneumoniae it has long been speculated that IAV-induced lymphopenia might mediate increased susceptibility to superinfection. Here we show that sub-lethal pre-infections of mice with IAV-PR8/A/34 strongly increased their mortality in non-lethal SP infections, surprisingly despite the absence of detectable lymphopenia. In contrast to SP-infection alone co-infected animals were unable to control the exponential growth of SP. However, lymphopenia forced by TLR7-triggering or antibody-mediated neutropenia did not increase SP-susceptibility or compromise the ability to control SP growth. Thus, the immune-incompetence caused by transient lympho- or leukopenia is not sufficient to inhibit potent antibacterial responses of the host and mechanisms distinct from leukodepletion must account for increased bacterial superinfection during viral defence.
甲型流感病毒(IAV)可引起呼吸道感染,导致发病率和死亡率居高不下的反复流行。在过去的一个世纪里,IAV引发了几次全球大流行,最严重的一次发生在1918年,死亡人数达2000万至5000万例。然而,仅感染IAV很少会致命。相反,与IAV相关的死亡通常是由细菌的重复感染介导的,主要是肺炎链球菌。这种对细菌重复感染易感性增加的原因尚未完全阐明。我们之前证明,触发TLR7会通过诱导淋巴细胞减少导致小鼠免疫功能不全。IAV可被TLR7识别,感染可导致淋巴细胞减少。由于淋巴细胞对于抵御肺炎链球菌至关重要,长期以来人们一直推测IAV诱导的淋巴细胞减少可能介导对重复感染易感性的增加。在此我们表明,用IAV-PR8/A/34对小鼠进行亚致死性预感染会显著增加它们在非致死性肺炎链球菌感染中的死亡率,令人惊讶的是,尽管没有可检测到的淋巴细胞减少。与单独的肺炎链球菌感染相比,共同感染的动物无法控制肺炎链球菌的指数增长。然而,由TLR7触发或抗体介导的中性粒细胞减少所导致的淋巴细胞减少并没有增加对肺炎链球菌的易感性,也没有损害控制肺炎链球菌生长的能力。因此,由短暂的淋巴细胞减少或白细胞减少引起的免疫功能不全不足以抑制宿主强大的抗菌反应,在病毒防御期间细菌重复感染增加的原因必定是不同于白细胞减少的机制。