抗病毒治疗因病毒干扰对甲型流感病毒与严重急性呼吸综合征冠状病毒2型合并感染产生的反直觉效应。

Counterintuitive effect of antiviral therapy on influenza A-SARS-CoV-2 coinfection due to viral interference.

作者信息

Cheemarla Nagarjuna R, Mihaylova Valia T, Watkins Timothy A, Foxman Ellen F

机构信息

Department of Laboratory Medicine, Yale School of Medicine, New Haven, CT, 06520.

Department of Immunobiology, Yale School of Medicine, New Haven, CT, 06520.

出版信息

bioRxiv. 2023 Feb 8:2023.02.07.527372. doi: 10.1101/2023.02.07.527372.

Abstract

The resurgence of influenza and continued circulation of SARS-CoV-2 raise the question of how these viruses interact in a co-exposed host. Here we studied virus-virus and host-virus interactions during influenza A virus (IAV) -SARS-CoV-2 coinfection using differentiated cultures of the human airway epithelium. Coexposure to IAV enhanced the tissue antiviral response during SARS-CoV-2 infection and suppressed SARS-CoV-2 replication. Oseltamivir, an antiviral targeting influenza, reduced IAV replication during coinfection but also reduced the antiviral response and paradoxically restored SARS-CoV-2 replication. These results highlight the importance of diagnosing coinfections and compel further study of how coinfections impact the outcome of antiviral therapy.

摘要

流感的再度流行以及严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的持续传播引发了这样一个问题:在共同暴露的宿主中,这些病毒是如何相互作用的。在此,我们使用人呼吸道上皮细胞的分化培养物,研究了甲型流感病毒(IAV)与SARS-CoV-2共感染期间的病毒-病毒以及宿主-病毒相互作用。IAV与SARS-CoV-2共同暴露增强了SARS-CoV-2感染期间的组织抗病毒反应,并抑制了SARS-CoV-2的复制。奥司他韦是一种针对流感的抗病毒药物,在共感染期间可减少IAV复制,但也会降低抗病毒反应,且反常地恢复了SARS-CoV-2的复制。这些结果凸显了诊断合并感染的重要性,并促使人们进一步研究合并感染如何影响抗病毒治疗的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb07/9934525/9c5410a3b01a/nihpp-2023.02.07.527372v1-f0001.jpg

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