Role of tissue protection in lethal respiratory viral-bacterial coinfection

AM Jamieson, L Pasman, S Yu, P Gamradt, RJ Homer… - Science, 2013 - science.org
AM Jamieson, L Pasman, S Yu, P Gamradt, RJ Homer, T Decker, R Medzhitov
Science, 2013science.org
Secondary bacterial pneumonia leads to increased morbidity and mortality from influenza
virus infections. What causes this increased susceptibility, however, is not well defined. Host
defense from infection relies not only on immune resistance mechanisms but also on the
ability to tolerate a given level of pathogen burden. Failure of either resistance or tolerance
can contribute to disease severity, making it hard to distinguish their relative contribution. We
employ a coinfection mouse model of influenza virus and Legionella pneumophila in which …
Secondary bacterial pneumonia leads to increased morbidity and mortality from influenza virus infections. What causes this increased susceptibility, however, is not well defined. Host defense from infection relies not only on immune resistance mechanisms but also on the ability to tolerate a given level of pathogen burden. Failure of either resistance or tolerance can contribute to disease severity, making it hard to distinguish their relative contribution. We employ a coinfection mouse model of influenza virus and Legionella pneumophila in which we can separate resistance and tolerance. We demonstrate that influenza virus can promote susceptibility to lethal bacterial coinfection, even when bacterial infection is controlled by the immune system. We propose that this failure of host defense is due to impaired ability to tolerate tissue damage.
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