Diet-induced obesity impairs the T cell memory response to influenza virus infection

EA Karlsson, PA Sheridan, MA Beck - The Journal of Immunology, 2010 - journals.aai.org
The Journal of Immunology, 2010journals.aai.org
Abstract The Centers for Disease Control and Prevention has suggested that obesity may be
an independent risk factor for increased severity of illness from the H1N1 pandemic strain.
Memory T cells generated during primary influenza infection target internal proteins common
among influenza viruses, making them effective against encounters with heterologous
strains. In male, diet-induced obese C57BL/6 mice, a secondary H1N1 influenza challenge
following a primary H3N2 infection led to a 25% mortality rate (with no loss of lean controls) …
Abstract
The Centers for Disease Control and Prevention has suggested that obesity may be an independent risk factor for increased severity of illness from the H1N1 pandemic strain. Memory T cells generated during primary influenza infection target internal proteins common among influenza viruses, making them effective against encounters with heterologous strains. In male, diet-induced obese C57BL/6 mice, a secondary H1N1 influenza challenge following a primary H3N2 infection led to a 25% mortality rate (with no loss of lean controls), 25% increase in lung pathology, failure to regain weight, and 10-to 100-fold higher lung viral titers. Furthermore, mRNA expression for IFN-γ was> 60% less in lungs of obese mice, along with one third the number of influenza-specific CD8+ T cells producing IFN-γ postsecondary infection versus lean controls. Memory CD8+ T cells from obese mice had a> 50% reduction in IFN-γ production when stimulated with influenza-pulsed dendritic cells from lean mice. Thus, the function of influenza-specific memory T cells is significantly reduced and ineffective in lungs of obese mice. The reality of a worldwide obesity epidemic combined with yearly influenza outbreaks and the current pandemic makes it imperative to understand how influenza virus infection behaves differently in an obese host. Moreover, impairment of memory responses has significant implications for vaccine efficacy in an obese population.
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