Sequential targeting of interferon pathways for increased host resistance to bacterial superinfection during influenza

PLoS Pathog. 2021 Mar 9;17(3):e1009405. doi: 10.1371/journal.ppat.1009405. eCollection 2021 Mar.

Abstract

Bacterial co-infections represent a major clinical complication of influenza. Host-derived interferon (IFN) increases susceptibility to bacterial infections following influenza, but the relative roles of type-I versus type-II IFN remain poorly understood. We have used novel mouse models of co-infection in which colonizing pneumococci were inoculated into the upper respiratory tract; subsequent sublethal influenza virus infection caused the bacteria to enter the lungs and mediate lethal disease. Compared to wild-type mice or mice deficient in only one pathway, mice lacking both IFN pathways demonstrated the least amount of lung tissue damage and mortality following pneumococcal-influenza virus superinfection. Therapeutic neutralization of both type-I and type-II IFN pathways similarly provided optimal protection to co-infected wild-type mice. The most effective treatment regimen was staggered neutralization of the type-I IFN pathway early during co-infection combined with later neutralization of type-II IFN, which was consistent with the expression and reported activities of these IFNs during superinfection. These results are the first to directly compare the activities of type-I and type-II IFN during superinfection and provide new insights into potential host-directed targets for treatment of secondary bacterial infections during influenza.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Coinfection / immunology*
  • Disease Susceptibility
  • Humans
  • Interferons / immunology*
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Orthomyxoviridae Infections / immunology*
  • Pneumonia, Pneumococcal / immunology*
  • Signal Transduction / immunology
  • Superinfection / immunology*

Substances

  • Interferons