Influenza A inhibits Th17-mediated host defense against bacterial pneumonia in mice

A Kudva, EV Scheller, KM Robinson… - The Journal of …, 2011 - journals.aai.org
A Kudva, EV Scheller, KM Robinson, CR Crowe, SM Choi, SR Slight, SA Khader, PJ Dubin…
The Journal of Immunology, 2011journals.aai.org
Staphylococcus aureus is a significant cause of hospital and community acquired
pneumonia and causes secondary infection after influenza A. Recently, patients with hyper-
IgE syndrome, who often present with S. aureus infections of the lung and skin, were found
to have mutations in STAT3, required for Th17 immunity, suggesting a potential critical role
for Th17 cells in S. aureus pneumonia. Indeed, IL-17R−/− and IL-22−/− mice displayed
impaired bacterial clearance of S. aureus compared with that of wild-type mice. Mice …
Abstract
Staphylococcus aureus is a significant cause of hospital and community acquired pneumonia and causes secondary infection after influenza A. Recently, patients with hyper-IgE syndrome, who often present with S. aureus infections of the lung and skin, were found to have mutations in STAT3, required for Th17 immunity, suggesting a potential critical role for Th17 cells in S. aureus pneumonia. Indeed, IL-17R−/− and IL-22−/− mice displayed impaired bacterial clearance of S. aureus compared with that of wild-type mice. Mice challenged with influenza A PR/8/34 H1N1 and subsequently with S. aureus had increased inflammation and decreased clearance of both virus and bacteria. Coinfection resulted in greater type I and II IFN production in the lung compared with that with virus infection alone. Importantly, influenza A coinfection resulted in substantially decreased IL-17, IL-22, and IL-23 production after S. aureus infection. The decrease in S. aureus-induced IL-17, IL-22, and IL-23 was independent of type II IFN but required type I IFN production in influenza A-infected mice. Furthermore, overexpression of IL-23 in influenza A, S. aureus-coinfected mice rescued the induction of IL-17 and IL-22 and markedly improved bacterial clearance. These data indicate a novel mechanism by which influenza A-induced type I IFNs inhibit Th17 immunity and increase susceptibility to secondary bacterial pneumonia.
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