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在流感相关的肺曲霉病期间,17型免疫信号的恢复不足以提供保护。

Restoration of Type 17 immune signaling is not sufficient for protection during influenza-associated pulmonary aspergillosis.

作者信息

Ahmad Aijaz, Singh Ravineel Bhan, Nickolich Kara, Pilewski Matthew, Ngeow Caden, Frempong-Manso Kwame, Robinson Keven

机构信息

Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA.

出版信息

bioRxiv. 2024 Aug 12:2024.07.01.601559. doi: 10.1101/2024.07.01.601559.

DOI:10.1101/2024.07.01.601559
PMID:39185245
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11343153/
Abstract

Influenza-associated pulmonary aspergillosis (IAPA) is a severe complication of influenza infection that occurs in critically ill patients and results in higher mortality compared to influenza infection alone. Interleukin-17 (IL-17) and the Type 17 immune signaling pathway cytokine family are recognized for their pivotal role in fostering protective immunity against various pathogens. In this study, we investigate the role of IL-17 and Type 17 immune signaling components during IAPA. Wild-type mice were challenged with influenza A H1N1 (Flu) and then exposed to ATCC42202 resting conidia on day 6 post-influenza infection, followed by the quantification of cytokines and chemokines at 48 hours post-fungal infection. Gene and protein expression levels revealed that IL-17 and Type 17 immune cytokines and antimicrobial peptides are downregulated during IAPA compared to mice singularly infected solely with . Restoration of Type 17 immunity was not sufficient to provide protection against the increased fungal burden observed during IAPA. These findings contrast those observed during post-influenza bacterial super-infection, in which restoration of Type 17 immune signaling protects against exacerbation seen during super-infection. Our study highlights the need for future studies to understand the immune mechanisms that increase susceptibility to fungal infection.

摘要

流感相关肺曲霉病(IAPA)是流感感染的一种严重并发症,发生于重症患者,与单纯流感感染相比,死亡率更高。白细胞介素-17(IL-17)和17型免疫信号通路细胞因子家族因其在促进针对各种病原体的保护性免疫中起关键作用而受到认可。在本研究中,我们调查了IL-17和17型免疫信号成分在IAPA中的作用。野生型小鼠用甲型H1N1流感病毒(流感)攻击,然后在流感感染后第6天暴露于ATCC42202静止分生孢子,随后在真菌感染后48小时对细胞因子和趋化因子进行定量分析。基因和蛋白质表达水平显示,与仅感染流感的小鼠相比,IAPA期间IL-17和17型免疫细胞因子及抗菌肽表达下调。恢复17型免疫不足以抵御IAPA期间观察到的真菌负荷增加。这些发现与流感后细菌重叠感染期间的观察结果形成对比,在流感后细菌重叠感染中,恢复17型免疫信号可防止重叠感染期间出现的病情加重。我们的研究强调,未来研究需要了解增加真菌感染易感性的免疫机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ce/11343153/df2d878577b2/nihpp-2024.07.01.601559v2-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ce/11343153/59d79f7fc4aa/nihpp-2024.07.01.601559v2-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ce/11343153/df2d878577b2/nihpp-2024.07.01.601559v2-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ce/11343153/59d79f7fc4aa/nihpp-2024.07.01.601559v2-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ce/11343153/df2d878577b2/nihpp-2024.07.01.601559v2-f0002.jpg

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本文引用的文献

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mBio. 2024 Jun 12;15(6):e0198223. doi: 10.1128/mbio.01982-23. Epub 2024 Apr 23.
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The IL-17 family in diseases: from bench to bedside.IL-17 家族与疾病:从基础到临床。
Signal Transduct Target Ther. 2023 Oct 11;8(1):402. doi: 10.1038/s41392-023-01620-3.
3
Dysregulated pulmonary inflammatory responses exacerbate the outcome of secondary aspergillosis following influenza.
肺部炎症反应失调会加重流感继发曲霉病的病情。
mBio. 2023 Oct 31;14(5):e0163323. doi: 10.1128/mbio.01633-23. Epub 2023 Sep 8.
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Lung epithelial and myeloid innate immunity in influenza-associated or COVID-19-associated pulmonary aspergillosis: an observational study.流感相关或 COVID-19 相关肺曲霉病中肺上皮细胞和髓样固有免疫:一项观察性研究。
Lancet Respir Med. 2022 Dec;10(12):1147-1159. doi: 10.1016/S2213-2600(22)00259-4. Epub 2022 Aug 24.
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IL-17 and IL-17-producing cells in protection versus pathology.白细胞介素-17 及其产生细胞在保护与病理中的作用。
Nat Rev Immunol. 2023 Jan;23(1):38-54. doi: 10.1038/s41577-022-00746-9. Epub 2022 Jul 5.
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The Role of IL-17-Producing Cells in Cutaneous Fungal Infections.IL-17 产生细胞在皮肤真菌感染中的作用。
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