Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, USA.
J Virol. 2012 Apr;86(8):4194-203. doi: 10.1128/JVI.06967-11. Epub 2012 Feb 15.
There is an incomplete understanding of the differences between neonatal immune responses that contribute to the increased susceptibility of neonates to some viral infections. We tested the hypothesis that neonates are more susceptible than adults to mouse adenovirus type 1 (MAV-1) respiratory infection and are impaired in the ability to generate a protective immune response against a second infection. Following intranasal infection, lung viral loads were greater in neonates than in adults during the acute phase but the virus was cleared from the lungs of neonates as efficiently as it was from adult lungs. Lung gamma interferon (IFN-γ) responses were blunted and delayed in neonates, and lung viral loads were higher in adult IFN-γ(-/-) mice than in IFN-γ(+/+) controls. However, administration of recombinant IFN-γ to neonates had no effect on lung viral loads. Recruitment of inflammatory cells to the airways was impaired in neonates. CD4 and CD8 T cell responses were similar in the lungs of neonates and adults, although a transient increase in regulatory T cells occurred only in the lungs of infected neonates. Infection of neonates led to protection against reinfection later in life that was associated with increased effector memory CD8 T cells in the lungs. We conclude that neonates are more susceptible than adults to acute MAV-1 respiratory infection but are capable of generating protective immune responses.
人们对导致新生儿更容易感染某些病毒的新生儿免疫反应差异的认识还不完全。我们检验了这样一个假设,即与成年人相比,新生儿更容易受到小鼠腺病毒 1 型(MAV-1)呼吸道感染的影响,并且在产生针对第二次感染的保护性免疫反应的能力上存在缺陷。鼻内感染后,在急性期新生儿肺部的病毒载量高于成年人,但病毒从新生儿肺部清除的速度与从成年人肺部清除的速度一样快。新生儿肺部的γ干扰素(IFN-γ)反应较弱且延迟,而成年 IFN-γ(-/-)小鼠肺部的病毒载量高于 IFN-γ(+/+)对照小鼠。然而,向新生儿给予重组 IFN-γ对肺部病毒载量没有影响。向气道募集的炎症细胞在新生儿中受损。CD4 和 CD8 T 细胞反应在新生儿和成年人的肺部相似,尽管仅在感染的新生儿肺部才会出现调节性 T 细胞的短暂增加。新生儿感染导致生命后期再次感染的保护作用,这与肺部效应记忆 CD8 T 细胞的增加有关。我们得出的结论是,与成年人相比,新生儿更容易受到急性 MAV-1 呼吸道感染的影响,但能够产生保护性免疫反应。