1. Capillary leakage provides nutrients and antioxidants for rapid pneumococcal proliferation in influenza-infected lower airways
- Author
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Sender, Vicky, Hentrich, Karina, Pathak, Anuj, Tan Qian Ler, Alicia, Embaie, Bethel Tesfai, Lundström, Susanna L., Gaetani, Massimiliano, Bergstrand, Jan, Nakamoto, Rei, Sham, Lok-To, Widengren, Jerker, Normark, Staffan, and Henriques-Normark, Birgitta
- Subjects
Inflammation ,Respiratory System ,Biological Sciences ,Microbiology ,Models, Biological ,Antioxidants ,Pneumococcal Infections ,Capillaries ,pneumococci ,Mice, Inbred C57BL ,Oxidative Stress ,Streptococcus pneumoniae ,Glucose ,Bacterial Proteins ,Orthomyxoviridae Infections ,Phagocytosis ,Influenza, Human ,bacteria ,influenza A virus ,Animals ,Humans ,Oxidation-Reduction ,redox imbalance ,Molecular Chaperones - Abstract
Significance Mechanisms for why influenza A virus (IAV) infections sensitize for pneumococcal infections are not clear. Here, we show that IAV-induced capillary leakage results in influx of nutrients and antioxidants to the lungs, thereby promoting pneumococcal growth in the lower respiratory tract. The evoked inflammation leads to redox imbalances that require bacterial adaptation to the oxidized environment, including induction of the pneumococcal chaperone/protease HtrA that protects the bacteria from clearance by the immune system. The results give us insight into the delicate interplay between the bacteria and the host environment during coinfections that needs to be explored in order to find novel therapeutic approaches., Influenza A virus (IAV)-related mortality is often due to secondary bacterial infections, primarily by pneumococci. Here, we study how IAV-modulated changes in the lungs affect bacterial replication in the lower respiratory tract (LRT). Bronchoalveolar lavages (BALs) from coinfected mice showed rapid bacterial proliferation 4 to 6 h after pneumococcal challenge. Metabolomic and quantitative proteomic analyses demonstrated capillary leakage with efflux of nutrients and antioxidants into the alveolar space. Pneumococcal adaptation to IAV-induced inflammation and redox imbalance increased the expression of the pneumococcal chaperone/protease HtrA. Presence of HtrA resulted in bacterial growth advantage in the IAV-infected LRT and protection from complement-mediated opsonophagocytosis due to capsular production. Absence of HtrA led to growth arrest in vitro that was partially restored by antioxidants. Pneumococcal ability to grow in the IAV-infected LRT depends on the nutrient-rich milieu with increased levels of antioxidants such as ascorbic acid and its ability to adapt to and cope with oxidative damage and immune clearance.
- Published
- 2020