SARS-CoV-2 和流感病毒的合并感染会导致仓鼠的肺炎更严重和持续时间更长。

Co-infection of SARS-CoV-2 and influenza virus causes more severe and prolonged pneumonia in hamsters.

机构信息

Department of Emerging Infectious Diseases, Institute of Tropical Medicine (NEKKEN), Nagasaki University, 1-12-4 Sakamoto, Nagasaki, Nagasaki, 852-8523, Japan.

National Research Center for the Control and Prevention of Infectious Diseases (CCPID), Nagasaki University, Nagasaki, Japan.

出版信息

Sci Rep. 2021 Oct 28;11(1):21259. doi: 10.1038/s41598-021-00809-2.

Abstract

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is currently a serious public health concern worldwide. Notably, co-infection with other pathogens may worsen the severity of COVID-19 symptoms and increase fatality. Here, we show that co-infection with influenza A virus (IAV) causes more severe body weight loss and more severe and prolonged pneumonia in SARS-CoV-2-infected hamsters. Each virus can efficiently spread in the lungs without interference by the other. However, in immunohistochemical analyses, SARS-CoV-2 and IAV were not detected at the same sites in the respiratory organs of co-infected hamsters, suggesting that either the two viruses may have different cell tropisms in vivo or each virus may inhibit the infection and/or growth of the other within a cell or adjacent areas in the organs. Furthermore, a significant increase in IL-6 was detected in the sera of hamsters co-infected with SARS-CoV-2 and IAV at 7 and 10 days post-infection, suggesting that IL-6 may be involved in the increased severity of pneumonia. Our results strongly suggest that IAV co-infection with SARS-CoV-2 can have serious health risks and increased caution should be applied in such cases.

摘要

新型冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)引起,目前是全球严重的公共卫生关注问题。值得注意的是,与其他病原体的合并感染可能会使 COVID-19 症状加重,并增加死亡率。在这里,我们发现甲型流感病毒(IAV)的合并感染会导致感染 SARS-CoV-2 的仓鼠体重下降更严重,肺炎更严重且持续时间更长。两种病毒在肺部均可有效传播,彼此之间无干扰。然而,在免疫组织化学分析中,在合并感染仓鼠的呼吸道中并未在同一部位检测到 SARS-CoV-2 和 IAV,这表明两种病毒在体内可能具有不同的细胞嗜性,或者每种病毒可能在细胞内或相邻区域抑制另一种病毒的感染和/或生长。此外,在感染 SARS-CoV-2 和 IAV 的仓鼠血清中,在感染后 7 和 10 天检测到 IL-6 显著增加,这表明 IL-6 可能参与了肺炎的严重程度增加。我们的结果强烈表明,SARS-CoV-2 与 IAV 的合并感染可能会带来严重的健康风险,在这种情况下应更加谨慎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e969/8553868/2fd514b39b60/41598_2021_809_Fig1_HTML.jpg

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