Reducing the impact of influenza‐associated secondary pneumococcal infections

EJ Mifsud, AC Tan, KR Short, LE Brown… - Immunology and cell …, 2016 - Wiley Online Library
EJ Mifsud, AC Tan, KR Short, LE Brown, BY Chua, DC Jackson
Immunology and cell biology, 2016Wiley Online Library
When administered prophylactically, we show that the Toll‐like receptor‐2 (TLR‐2) agonist
PEG‐Pam2Cys (pegylated‐S‐(2, 3‐bis (palmitoyloxy) propyl) cysteine) not only mediates
potent anti‐viral activity against influenza virus but also reduces the impact of secondary
infections with Streptococcus pneumoniae (the pneumococcus) by reducing (i) pulmonary
viral and bacterial burdens,(ii) the levels of proinflammatory cytokines that normally
accompany influenza and S. pneumoniae secondary infections and (iii) the vascular …
When administered prophylactically, we show that the Toll‐like receptor‐2 (TLR‐2) agonist PEG‐Pam2Cys (pegylated‐S‐(2,3‐bis(palmitoyloxy)propyl)cysteine) not only mediates potent anti‐viral activity against influenza virus but also reduces the impact of secondary infections with Streptococcus pneumoniae (the pneumococcus) by reducing (i) pulmonary viral and bacterial burdens, (ii) the levels of proinflammatory cytokines that normally accompany influenza and S. pneumoniae secondary infections and (iii) the vascular permeability of the pulmonary tract that can allow bacterial invasion of the blood in mice. We also show that an inactivated detergent‐disrupted influenza virus vaccine formulated with the Pam2Cys‐based adjuvant R4‐Pam2Cys provides the host with both immediate and long‐term protection against secondary pneumococcal infections following influenza virus infection through innate and specific immune mechanisms, respectively. Vaccinated animals generated influenza virus‐specific immune responses that provided the host with long‐term protection against influenza virus and its sequelae. This vaccine, which generates an immediate response, provides an additional countermeasure, which is ideal for use even in the midst of an influenza outbreak.
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