Regulation of IFN-γ by IL-13 dictates susceptibility to secondary postinfluenza MRSA pneumonia.

Regulation of IFN-γ by IL-13 dictates susceptibility to secondary postinfluenza MRSA pneumonia.
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DOI:
10.1002/eji.201444582
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发表时间:
2014-11
影响因子:
5.4
通讯作者:
Harmsen, Allen G.
Harmsen, Allen G.
中科院分区:
医学3区
文献类型:
--
作者:
Rynda-Apple, Agnieszka;Harmsen, Ann;Erickson, Anfin S.;Larson, Kyle;Morton, Rachelle V.;Richert, Laura E.;Harmsen, Allen G.

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流感感染后第7天小鼠的超级感染至少部分通过IFN-γ信号传导增加的下游效应加剧了细菌性肺炎。本研究表明,流感感染后3天,小鼠对耐甲氧西林金黄色葡萄球菌(MRSA)超级感染的易感性降低,但这段时间内的超级感染加剧了流感疾病。这是由于IL-13信号有利于通过抑制IFN-γ解决MRSA感染,但不利于清除流感病毒。然而,如果超级感染直到流感感染接近消退(第7天)才发生,IL-13信号被抑制,至少部分是由于IL-13诱饵受体(IL-13Rα2)的上调,这反过来导致IFN-γ信号的增加和细菌感染的加剧。了解这些细胞因子后遗症对于开发流感-MRSA合并感染的免疫疗法至关重要,因为在错误的时间干扰这些后遗症可能会增加对MRSA和/或流感的易感性。
Super infection in mice at day 7 post-influenza infection exacerbates bacterial pneumonia at least in part via downstream effects of increased IFN-γ signaling. Here we show that up to 3 days post-influenza infection mice have reduced susceptibility to super infection with methicillin-resistant Staphylococcus aureus (MRSA), but that super infection during that time exacerbated influenza disease. This was due to IL-13 signaling that was advantageous for resolving MRSA infection via inhibition of IFN-γ, but was detrimental to clearance of influenza virus. However, if super infection did not occur until the near resolution of influenza infection (day 7), IL-13 signaling was inhibited, at least in part by up regulation of IL-13 decoy receptor (IL-13Rα2), which in turn caused increases in IFN-γ signaling and exacerbation of bacterial infection. Understanding these cytokine sequelae is critical to development of immunotherapies for influenza-MRSA coinfection since perturbations of these sequelae at the wrong time could increase susceptibility to MRSA and/or influenza.
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