Marois Isabelle, Cloutier Alexandre, Garneau Émilie, Lesur Olivier, Richter Martin V
*Pulmonary Division, Department of Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Centre de Recherche du CHUS, Québec, Canada; and Intensive Care Unit, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
*Pulmonary Division, Department of Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Centre de Recherche du CHUS, Québec, Canada; and Intensive Care Unit, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada
FASEB J. 2015 Mar;29(3):973-87. doi: 10.1096/fj.14-260687. Epub 2014 Nov 20.
The clinical benefits of oseltamivir (Tamiflu) are well established, but the effects of antiviral treatment on the immune response are poorly understood. By use of flow cytometric analyses and the mouse model, we thoroughly investigated the impact of such a treatment on the immune response and the generation of protective immunity to influenza. We demonstrated that influenza-specific CD8(+) effector T cell recruitment was reduced up to 81% in the lungs of mice treated with oseltamivir (5 or 50 mg/kg twice daily; EC50 49 nM in vitro) compared to saline controls, but cell generation was unaffected in draining lymph nodes. Importantly, we showed that oseltamivir administration significantly decreased the pools of tissue-resident and circulating effector memory (93.7%) and central memory CD8(+) T cells (45%) compared to saline controls. During heterologous secondary infection, a decreased memory CD8(+) T cell pool combined with reduced generation of secondary influenza-specific effectors in the lymph nodes resulted in 10-fold decreased CD8(+) T cell recall responses, which increased mouse morbidity and delayed viral clearance. Furthermore, antiviral administration led to a significant 5.7-fold decreased production of functional anti-influenza antibodies. Thus, our study demonstrates that antiviral treatment affects the development of the adaptive immune response and protective immunity against influenza.
奥司他韦(达菲)的临床益处已得到充分证实,但抗病毒治疗对免疫反应的影响却知之甚少。通过流式细胞术分析和小鼠模型,我们全面研究了这种治疗对免疫反应以及流感保护性免疫产生的影响。我们证明,与生理盐水对照组相比,用奥司他韦(5或50毫克/千克,每日两次;体外半数有效浓度为49纳摩尔)治疗的小鼠肺部,流感特异性CD8(+)效应T细胞募集减少了81%,但引流淋巴结中的细胞生成未受影响。重要的是,我们发现与生理盐水对照组相比,给予奥司他韦显著减少了组织驻留和循环效应记忆(93.7%)以及中枢记忆CD8(+) T细胞(45%)的数量。在异源二次感染期间,记忆CD8(+) T细胞池减少,同时淋巴结中二次流感特异性效应细胞的生成减少,导致CD8(+) T细胞回忆反应降低10倍,这增加了小鼠的发病率并延迟了病毒清除。此外,抗病毒治疗导致功能性抗流感抗体的产生显著减少5.7倍。因此,我们的研究表明抗病毒治疗会影响适应性免疫反应的发展以及对流感的保护性免疫。