1
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Groen K, Kuratli R, Enkelmann J, Fernbach S, Wendel-Garcia PD, Staiger WI, Lejeune M, Sauras-Colón E, Roche-Campo F, Filippidis P, Rauch A, Trkola A, Günthard HF, Kouyos RD, Brugger SD, Hale BG. Type I interferon autoantibody footprints reveal neutralizing mechanisms and allow inhibitory decoy design. J Exp Med 2025; 222:e20242039. [PMID: 40111224 PMCID: PMC11924951 DOI: 10.1084/jem.20242039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2024] [Revised: 01/14/2025] [Accepted: 02/14/2025] [Indexed: 03/22/2025] Open
Abstract
Autoantibodies neutralizing type I interferons (IFN-Is; IFNα or IFNω) exacerbate severe viral disease, but specific treatments are unavailable. With footprint profiling, we delineate two dominant IFN-I faces commonly recognized by neutralizing IFN-I autoantibody-containing plasmas from aged individuals with HIV-1 and from individuals with severe COVID-19. These faces overlap with IFN-I regions independently essential for engaging the IFNAR1/IFNAR2 heterodimer, and neutralizing plasmas efficiently block the interaction of IFN-I with both receptor subunits in vitro. In contrast, non-neutralizing autoantibody-containing plasmas limit the interaction of IFN-I with only one receptor subunit and display relatively low IFN-I-binding avidities, thus likely hindering neutralizing function. Iterative engineering of signaling-inert mutant IFN-Is (simIFN-Is) retaining dominant autoantibody targets created potent decoys that prevent IFN-I neutralization by autoantibody-containing plasmas and that restore IFN-I-mediated antiviral activity. Additionally, microparticle-coupled simIFN-Is were effective at depleting IFN-I autoantibodies from plasmas, leaving antiviral antibodies unaffected. Our study reveals mechanisms of action for IFN-I autoantibodies and demonstrates a proof-of-concept strategy to alleviate pathogenic effects.
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Affiliation(s)
- Kevin Groen
- Institute of Medical Virology, University of Zurich , Zurich, Switzerland
| | - Roger Kuratli
- Institute of Medical Virology, University of Zurich , Zurich, Switzerland
| | - Jannik Enkelmann
- Institute of Medical Virology, University of Zurich , Zurich, Switzerland
| | - Sonja Fernbach
- Institute of Medical Virology, University of Zurich , Zurich, Switzerland
| | - Pedro D Wendel-Garcia
- Institute of Intensive Care Medicine, University Hospital Zurich, University of Zurich , Zurich, Switzerland
| | - Willy I Staiger
- Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Marylène Lejeune
- Biobank IISPV-Node Tortosa, Hospital Verge de la Cinta, Institut d'Investigació Sanitària Pere Virgili (IISPV) , Tortosa, Spain
| | - Esther Sauras-Colón
- Clinical Studies Unit, Hospital Verge de la Cinta, Institut d'Investigació Sanitària Pere Virgili (IISPV) , Tortosa, Spain
| | - Ferran Roche-Campo
- Intensive Care Unit, Hospital Verge de la Cinta, Institut d'Investigació Sanitària Pere Virgili (IISPV), Tortosa, Spain
| | - Paraskevas Filippidis
- Infectious Diseases Service, Department of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Andri Rauch
- Department of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Alexandra Trkola
- Institute of Medical Virology, University of Zurich , Zurich, Switzerland
| | - Huldrych F Günthard
- Institute of Medical Virology, University of Zurich , Zurich, Switzerland
- Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Roger D Kouyos
- Institute of Medical Virology, University of Zurich , Zurich, Switzerland
- Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Silvio D Brugger
- Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Benjamin G Hale
- Institute of Medical Virology, University of Zurich , Zurich, Switzerland
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2
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Manivasagam S, Han J, Teghanemt A, Keen H, Sownthirarajan B, Cheng B, Singh A, Lewis A, Vogel OA, Loganathan G, Huang L, Panis M, Meyerholz DK, tenOever B, Perez JT, Manicassamy S, Issuree PD, Manicassamy B. Transcriptional repressor Capicua is a gatekeeper of cell-intrinsic interferon responses. Cell Host Microbe 2025; 33:512-528.e7. [PMID: 40132591 PMCID: PMC11985295 DOI: 10.1016/j.chom.2025.02.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2024] [Revised: 01/27/2025] [Accepted: 02/27/2025] [Indexed: 03/27/2025]
Abstract
Early detection of viral infection and rapid activation of host antiviral defenses through transcriptional upregulation of interferons (IFNs) and IFN-stimulated genes (ISGs) are critical for controlling infection. However, aberrant production of IFN in the absence of viral infection leads to auto-inflammation and can be detrimental to the host. Here, we show that the DNA-binding transcriptional repressor complex composed of Capicua (CIC) and Ataxin-1 like (ATXN1L) binds to an 8-nucleotide motif near IFN and ISG promoters and prevents erroneous expression of inflammatory genes under homeostasis in humans and mice. By contrast, during respiratory viral infection, activation of the mitogen-activated protein kinase (MAPK) pathway results in rapid degradation of the CIC-ATXN1L complex, thereby relieving repression and allowing for robust induction of IFN and ISGs. Together, our studies define a new paradigm for host regulation of IFN and ISGs through the evolutionarily conserved CIC-ATXN1L transcriptional repressor complex during homeostasis and viral infection.
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Affiliation(s)
| | - Julianna Han
- Department of Microbiology, University of Chicago, Chicago, IL, USA
| | - Athmane Teghanemt
- Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
| | - Henry Keen
- Bioinformatics Division of the Iowa Institute of Human Genetics, University of Iowa, Iowa City, IA, USA
| | | | - Boyang Cheng
- Department of Microbiology and Immunology, University of Iowa, Iowa City, IA, USA
| | - Abhiraj Singh
- Department of Microbiology and Immunology, University of Iowa, Iowa City, IA, USA
| | - Abigail Lewis
- Department of Microbiology and Immunology, University of Iowa, Iowa City, IA, USA
| | - Olivia A Vogel
- Department of Microbiology and Immunology, University of Iowa, Iowa City, IA, USA; Department of Microbiology, University of Chicago, Chicago, IL, USA
| | - Gayathri Loganathan
- Department of Microbiology and Immunology, University of Iowa, Iowa City, IA, USA
| | - Lei Huang
- Center for Research Informatics, The University of Chicago, Chicago, IL 60637, USA
| | - Maryline Panis
- Department of Microbiology, New York University, New York, NY, USA
| | | | | | - Jasmine T Perez
- Department of Microbiology, University of Chicago, Chicago, IL, USA
| | | | - Priya D Issuree
- Department of Internal Medicine, University of Iowa, Iowa City, IA, USA.
| | - Balaji Manicassamy
- Department of Microbiology and Immunology, University of Iowa, Iowa City, IA, USA.
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3
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Sun Y, Wei Y, Han X, Wang Y, Yin Q, Zhang Y, Yang T, Zhang J, Sun K, Fang F, Zhang S, Yuan K, Li M, Zhao G. Effect of Inoculation Volume on a Mouse Model of Influenza Virus Infected with the Same Viral Load. Vaccines (Basel) 2025; 13:173. [PMID: 40006720 PMCID: PMC11860169 DOI: 10.3390/vaccines13020173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2024] [Revised: 01/23/2025] [Accepted: 02/01/2025] [Indexed: 02/27/2025] Open
Abstract
BACKGROUND Influenza is a highly contagious respiratory disease that poses significant health and economic burdens. Mice are commonly used as animal models for studying influenza virus pathogenesis and the development of vaccines and drugs. However, the viral volume used for nasal inoculation varies substantially in reported mouse influenza infection models, and the appropriate viral dose is crucial for reproducing experimental results. METHODS Mice were inoculated with mouse lung-adapted strains of influenza virus A/Puerto Rico/8/34 (H1N1) via intranasal administration of 10 μL, 20 μL, and 40 μL at doses of 200 plaque-forming units (PFU) and 2000 PFU. This study investigated the impact of varying viral inoculum volumes on murine outcomes at identical doses and assessed the disparities across diverse dosage levels. RESULTS Regarding weight change trajectories, mortalities, lung tissue viral titers, and pathological manifestations, the group that received the 40 μL inoculation volume within the low-dose infection mice (200 PFU) manifested a statistically significant divergence from those inoculated with both the 10 μL and 20 μL volumes. Within the context of high-dose infections (2000 PFU), groups that received inoculation volumes of 20 μL and 40 μL exhibited marked disparities when compared to those receiving the 10 μL volume. CONCLUSIONS Disparities in inoculation volume, even under uniform infection dosages, engender differential outcomes in pathogenicity. Of particular note, the viral replication efficacy at a 20 μL inoculation volume demonstrates conspicuous fluctuations across diverse infection dose regimens.
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Affiliation(s)
- Yali Sun
- Public Health School, Mudanjiang Medical University, Mudanjiang 157011, China; (Y.S.); (T.Y.); (K.S.); (K.Y.)
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Yuwei Wei
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Xuelian Han
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Yuan Wang
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Qi Yin
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Yuhang Zhang
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
- School of Basic Medical Sciences, Anhui Medical University, Hefei 230032, China
| | - Tiantian Yang
- Public Health School, Mudanjiang Medical University, Mudanjiang 157011, China; (Y.S.); (T.Y.); (K.S.); (K.Y.)
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Jiejie Zhang
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
- School of Basic Medical Sciences, Anhui Medical University, Hefei 230032, China
| | - Keyu Sun
- Public Health School, Mudanjiang Medical University, Mudanjiang 157011, China; (Y.S.); (T.Y.); (K.S.); (K.Y.)
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Feimin Fang
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
- School of Basic Medical Sciences, Anhui Medical University, Hefei 230032, China
| | - Shuai Zhang
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
- School of Life Sciences, Anhui Agricultural University, Hefei 230036, China
| | - Kai Yuan
- Public Health School, Mudanjiang Medical University, Mudanjiang 157011, China; (Y.S.); (T.Y.); (K.S.); (K.Y.)
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Min Li
- State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Sciences, Beijing 100071, China; (Y.W.); (X.H.); (Y.W.); (Q.Y.); (Y.Z.); (J.Z.); (F.F.); (S.Z.)
| | - Guangyu Zhao
- Public Health School, Mudanjiang Medical University, Mudanjiang 157011, China; (Y.S.); (T.Y.); (K.S.); (K.Y.)
- Laboratory of Advanced Biotechnology, Academy of Military Medical Sciences, Beijing 100071, China
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4
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Liang CY, Huang I, Han J, Sownthirarajan B, Kulhankova K, Murray NB, Taherzadeh M, Archer-Hartmann S, Pepi L, Manivasagam S, Plung J, Sturtz M, Yu Y, Vogel OA, Kandasamy M, Gourronc FA, Klingelhutz AJ, Choudhury B, Rong L, Perez JT, Azadi P, McCray PB, Neelamegham S, Manicassamy B. Avian influenza A viruses exhibit plasticity in sialylglycoconjugate receptor usage in human lung cells. J Virol 2023; 97:e0090623. [PMID: 37843369 PMCID: PMC10688379 DOI: 10.1128/jvi.00906-23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 09/14/2023] [Indexed: 10/17/2023] Open
Abstract
IMPORTANCE It is well known that influenza A viruses (IAV) initiate host cell infection by binding to sialic acid, a sugar molecule present at the ends of various sugar chains called glycoconjugates. These sugar chains can vary in chain length, structure, and composition. However, it remains unknown if IAV strains preferentially bind to sialic acid on specific glycoconjugate type(s) for host cell infection. Here, we utilized CRISPR gene editing to abolish sialic acid on different glycoconjugate types in human lung cells, and evaluated human versus avian IAV infections. Our studies show that both human and avian IAV strains can infect human lung cells by utilizing any of the three major sialic acid-containing glycoconjugate types, specifically N-glycans, O-glycans, and glycolipids. Interestingly, simultaneous elimination of sialic acid on all three major glycoconjugate types in human lung cells dramatically decreased human IAV infection, yet had little effect on avian IAV infection. These studies show that avian IAV strains effectively utilize other less prevalent glycoconjugates for infection, whereas human IAV strains rely on a limited repertoire of glycoconjugate types. The remarkable ability of avian IAV strains to utilize diverse glycoconjugate types may allow for easy transmission into new host species.
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Affiliation(s)
- Chieh-Yu Liang
- Department of Microbiology and Immunology, University of Iowa, Iowa City, lowa, USA
| | - Iris Huang
- Department of Microbiology, University of Chicago, Chicago, Illinois, USA
| | - Julianna Han
- Department of Microbiology, University of Chicago, Chicago, Illinois, USA
| | | | | | - Nathan B. Murray
- Complex Carbohydrate Research Center, University of Georgia, Athens, Georgia, USA
| | - Mehrnoush Taherzadeh
- Complex Carbohydrate Research Center, University of Georgia, Athens, Georgia, USA
| | | | - Lauren Pepi
- Complex Carbohydrate Research Center, University of Georgia, Athens, Georgia, USA
| | | | - Jesse Plung
- Department of Microbiology and Immunology, University of Iowa, Iowa City, lowa, USA
- Department of Microbiology, University of Chicago, Chicago, Illinois, USA
| | - Miranda Sturtz
- Department of Microbiology and Immunology, University of Iowa, Iowa City, lowa, USA
| | - Yolanda Yu
- Department of Microbiology, University of Chicago, Chicago, Illinois, USA
| | - Olivia A. Vogel
- Department of Microbiology and Immunology, University of Iowa, Iowa City, lowa, USA
- Department of Microbiology, University of Chicago, Chicago, Illinois, USA
| | | | | | | | - Biswa Choudhury
- Department of Cellular and Molecular Medicine, University of California San Diego, La Jolla, California, USA
| | - Lijun Rong
- Department of Microbiology and Immunology, University of Illinois, Chicago, Illinois, USA
| | - Jasmine T. Perez
- Department of Microbiology, University of Chicago, Chicago, Illinois, USA
| | - Parastoo Azadi
- Complex Carbohydrate Research Center, University of Georgia, Athens, Georgia, USA
| | - Paul B. McCray
- Department of Microbiology and Immunology, University of Iowa, Iowa City, lowa, USA
- Department of Pediatrics, University of Iowa, Iowa City, lowa, USA
| | - Sriram Neelamegham
- Department of Chemical and Biomedical Engineering, University at Buffalo, Buffalo, New York, USA
| | - Balaji Manicassamy
- Department of Microbiology and Immunology, University of Iowa, Iowa City, lowa, USA
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5
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Lin X, Zhu M, Zhao X, Si L, Dong M, Anirudhan V, Cui Q, Rong L, Du R. Optimization and applications of an in vivo bioluminescence imaging model of influenza A virus infections. Virol Sin 2023; 38:631-634. [PMID: 37141991 PMCID: PMC10436047 DOI: 10.1016/j.virs.2023.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 04/26/2023] [Indexed: 05/06/2023] Open
Abstract
•The in vivo BLI model of IAV infections can simplify the determination of viral load in living animals. •The in vivo BLI model of IAV infections allow longitudinal measurements of virus infection/spread in living animals. •The in vivo BLI model of IAV infections improved the throughput of animal models. •The advanced BLI models can facilitate studies in both basic and applied virology.
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Affiliation(s)
- Xiaojing Lin
- Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, 50355, China
| | - Murong Zhu
- Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, 50355, China
| | - Xiujuan Zhao
- Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, 50355, China
| | - Longlong Si
- CAS Key Laboratory of Quantitative Engineering Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, 518055, China
| | - Meiyue Dong
- Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, 50355, China
| | - Varada Anirudhan
- Department of Microbiology and Immunology, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA
| | - Qinghua Cui
- Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, 50355, China; Qingdao Academy of Chinese Medical Sciences, Shandong University of Traditional Chinese Medicine, Qingdao, 266122, China.
| | - Lijun Rong
- Department of Microbiology and Immunology, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
| | - Ruikun Du
- Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, 50355, China; Qingdao Academy of Chinese Medical Sciences, Shandong University of Traditional Chinese Medicine, Qingdao, 266122, China.
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6
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Waghmare A, Krantz EM, Baral S, Vasquez E, Loeffelholz T, Chung EL, Pandey U, Kuypers J, Duke ER, Jerome KR, Greninger AL, Reeves DB, Hladik F, Cardozo-Ojeda EF, Boeckh M, Schiffer JT. Reliability of Self-Sampling for Accurate Assessment of Respiratory Virus Viral and Immunologic Kinetics. J Infect Dis 2022; 226:278-286. [PMID: 32710762 PMCID: PMC7454707 DOI: 10.1093/infdis/jiaa451] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 07/20/2020] [Indexed: 12/16/2022] Open
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic demonstrates the need for accurate and convenient approaches to diagnose and therapeutically monitor respiratory viral infections. We demonstrated that self-sampling with mid-nasal foam swabs is well-tolerated and provides quantitative viral output concordant with flocked swabs. Using longitudinal home-based self-sampling, we demonstrate that nasal cytokine levels correlate and cluster according to immune cell of origin. Periods of stable viral loads are followed by rapid elimination, which could be coupled with cytokine expansion and contraction. Nasal foam swab self-sampling at home provides a precise, mechanistic readout of respiratory virus shedding and local immune responses.
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Affiliation(s)
- Alpana Waghmare
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
- Department of Pediatrics, University of Washington, Seattle, Washington, USA
- Center for Clinical and Translational Research, Seattle Children’s Research Institute, Seattle, Washington, USA
| | - Elizabeth M Krantz
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Subhasish Baral
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Emma Vasquez
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Tillie Loeffelholz
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - E Lisa Chung
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Urvashi Pandey
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
- Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA
| | - Jane Kuypers
- Department of Laboratory Medicine, University of Washington, Seattle, Washington, USA
| | - Elizabeth R Duke
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
- Department of Medicine, University of Washington, Seattle, Washington, USA
| | - Keith R Jerome
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
- Department of Laboratory Medicine, University of Washington, Seattle, Washington, USA
| | - Alexander L Greninger
- Department of Laboratory Medicine, University of Washington, Seattle, Washington, USA
| | - Daniel B Reeves
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Florian Hladik
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
- Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA
- Department of Medicine, University of Washington, Seattle, Washington, USA
| | - E Fabian Cardozo-Ojeda
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Michael Boeckh
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
- Department of Medicine, University of Washington, Seattle, Washington, USA
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Joshua T Schiffer
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
- Department of Medicine, University of Washington, Seattle, Washington, USA
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
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7
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Influenza sequelae: from immune modulation to persistent alveolitis. Clin Sci (Lond) 2020; 134:1697-1714. [PMID: 32648583 DOI: 10.1042/cs20200050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 06/25/2020] [Accepted: 07/01/2020] [Indexed: 02/06/2023]
Abstract
Acute influenza virus infections are a global public health concern accounting for millions of illnesses worldwide ranging from mild to severe with, at time, severe complications. Once an individual is infected, the immune system is triggered in response to the pathogen. This immune response can be beneficial ultimately leading to the clearance of the viral infection and establishment of immune memory mechanisms. However, it can be detrimental by increasing susceptibility to secondary bacterial infections and resulting in permanent changes to the lung architecture, in the form of fibrotic sequelae. Here, we review influenza associated bacterial super-infection, the formation of T-cell memory, and persistent lung injury resulting from influenza infection.
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8
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Waghmare A, Krantz EM, Baral S, Vasquez E, Loeffelholz T, Chung EL, Pandey U, Kuypers J, Duke ER, Jerome KR, Greninger AL, Reeves DB, Hladik F, Cardozo-Ojeda EF, Boeckh M, Schiffer JT. Reliability of self-sampling for accurate assessment of respiratory virus viral and immunologic kinetics. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2020:2020.04.03.20051706. [PMID: 32511581 PMCID: PMC7276008 DOI: 10.1101/2020.04.03.20051706] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
The SARS-CoV-2 pandemic demonstrates the need for accurate and convenient approaches to diagnose and therapeutically monitor respiratory viral infections. We demonstrated that self-sampling with foam swabs at home is well-tolerated and provides quantitative viral output concordant with flocked swabs. Nasal cytokine levels correlate and cluster according to immune cell of origin. Periods of stable viral loads are followed by rapid elimination, which could be coupled with cytokine expansion and contraction using mathematical models. Nasal foam swab self-sampling at home provides a precise, mechanistic readout of respiratory virus shedding and local immune responses.
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Affiliation(s)
- Alpana Waghmare
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
- Department of Pediatrics, University of Washington
- Center for Clinical and Translational Research, Seattle Children’s Research Institute
| | - Elizabeth M. Krantz
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
| | - Subhasish Baral
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
| | - Emma Vasquez
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
| | - Tillie Loeffelholz
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
| | - E. Lisa Chung
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
| | - Urvashi Pandey
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
- Department of Obstetrics and Gynecology, University of Washington
| | - Jane Kuypers
- Department of Laboratory Medicine, University of Washington
| | - Elizabeth R Duke
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
- Department of Medicine, University of Washington
| | - Keith R. Jerome
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
- Department of Laboratory Medicine, University of Washington
| | | | - Daniel B. Reeves
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
| | - Florian Hladik
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
- Department of Obstetrics and Gynecology, University of Washington
- Department of Medicine, University of Washington
| | | | - Michael Boeckh
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
- Department of Medicine, University of Washington
- Clinical Research Division, Fred Hutchinson Cancer Research Center
| | - Joshua T. Schiffer
- Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center
- Department of Medicine, University of Washington
- Clinical Research Division, Fred Hutchinson Cancer Research Center
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