Abstract:A human isolate of type A Hong Kong influenza virus (H3N2) was adapted to mice by serial passage. Lung homogenates from mice who received low passage levels contained about the same quantity of virus (10
6.2−6.95
50% tissue culture infective doses/ml) as those from mice who received high passage levels (10
5.95−6.45
50% tissue culture infective doses/ml); however, death occurred only in animals given high-passage virus. Passage 3 (P3) and passage 9 (P9) viruses w… Show more
“…The viral titers in the lungs and the hemagglutinin antibody titers did not differ in the two groups [14]. Wyde et al observed that athymic nude (T cell deficient) mice exhibited increased survival times and had less cell infiltration with no destruction of the lungs, compared with immune-competent control mice which suffered severe lung destruction [15]. The thymuses of the control mice were markedly reduced in size at the time of death, suggesting the depletion of cortical lymphocytes [10,15].…”
Section: Pathologic Studiesmentioning
confidence: 99%
“…However, it is likely that the innate immune response plays a crucial role in influenza virus elimination from the host [5,17]. It has been reported that nude mice which have no T cells [15,25] and 'Rag2' knockout mice which lack an acquired immune system [26] showed a similar clinical course compared to wild type animals when infected with influenza viruses. In cotton rat models, virus specific T cells and antibodies appear after virus clearance in the airways and lung inflammatory response peaks after virus is cleared [5,27].…”
Section: Host Response To Viral Insultsmentioning
confidence: 99%
“…Wyde et al observed that athymic nude (T cell deficient) mice exhibited increased survival times and had less cell infiltration with no destruction of the lungs, compared with immune-competent control mice which suffered severe lung destruction [15]. The thymuses of the control mice were markedly reduced in size at the time of death, suggesting the depletion of cortical lymphocytes [10,15]. Eichelberger reported that viral clearance in the airways of cotton rats appeared before the establishment of adaptive immunity (antibodies and antigen-specific T cells) in the host and that the expression of genes which may be associated with the innate immune response was upregulated until day 10 after infection [5,27].…”
Section: Pathologic Studiesmentioning
confidence: 99%
“…However, it is still unclear whether antiviral drugs protect against rapidly progressive pneumonia or extrapulmonary diseases, because there have been no controlled clinical studies [55]. Since the initial viral load of an inoculation is associated with the clinical phenotype (tracheitis model and fatal pneumonia model) [4,5,15] and the time of appearance of lung lesions in experimental animals [32], early antiviral treatment is beneficial in reducing the initial immune response. Our results of corticosteroid treatment on influenza virus infections were obtained from a small series of patients.…”
Section: Corticosteroids and Influenza Virus Infectionsmentioning
confidence: 99%
“…Some experimental and clinical studies have also suggested that the pathogenesis of lung injury in influenza infections is associated with excessive host response including the cell-mediated immune reaction [7,[14][15][16][17]. It is postulated that infected hosts with progressive pneumonia may have an inadequate innate immune response to the initial viral insult.…”
It has been believed that acute lung injury in influenza virus infections is caused by a virus-induced cytopathy; viruses that have multiplied in the upper respiratory tract spread to lung tissues along the lower respiratory tract. However, some experimental and clinical studies have suggested that the pathogenesis of acute lung injury in influenza virus infections is associated with excessive host response including a cell-mediated immune reaction. During the pandemic H1N1 2009 influenza A virus infections in Korea, we experienced a dramatic effect of immune-modulators (corticosteroids) on the patients with severe pneumonia who had significant respiratory distress at presentation and those who showed rapidly progressive pneumonia during oseltamivir treatment. We also found that the pneumonia patients treated with corticosteroids showed the lowest lymphocyte differential and that the severity of pneumonia was associated with the lymphocyte count at presentation. From our findings and previous experimental and clinical studies, we postulated that hyperactive immune cells (T cells) may be involved in the acute lung injury of influenza virus infections, using a hypothesis of 'protein homeostasis system'; the inducers of the cell-mediated immune response are initially produced at the primary immune sites by the innate immune system. These substances reach the lung cells, the main target organ, via the systemic circulation, and possibly the cells of other organs, including myocytes or central nerve system cells, leading to extrapulmonary symptoms (e.g., myalgia and rhabdomyolysis, and encephalopathy). To control these substances that may be possibly toxic to host cells, the adaptive immune reaction may be operated by immune cells, mainly lymphocytes. Hyperimmune reaction of immune cells produces higher levels of cytokines which may be associated with acute lung injury, and may be controlled by early use of immune-modulators. Early initiation and proper dosage of immune-modulators with antiviral agents for severe pneumonia patients may reduce morbidity and prevent progressive fatal pneumonia.
“…The viral titers in the lungs and the hemagglutinin antibody titers did not differ in the two groups [14]. Wyde et al observed that athymic nude (T cell deficient) mice exhibited increased survival times and had less cell infiltration with no destruction of the lungs, compared with immune-competent control mice which suffered severe lung destruction [15]. The thymuses of the control mice were markedly reduced in size at the time of death, suggesting the depletion of cortical lymphocytes [10,15].…”
Section: Pathologic Studiesmentioning
confidence: 99%
“…However, it is likely that the innate immune response plays a crucial role in influenza virus elimination from the host [5,17]. It has been reported that nude mice which have no T cells [15,25] and 'Rag2' knockout mice which lack an acquired immune system [26] showed a similar clinical course compared to wild type animals when infected with influenza viruses. In cotton rat models, virus specific T cells and antibodies appear after virus clearance in the airways and lung inflammatory response peaks after virus is cleared [5,27].…”
Section: Host Response To Viral Insultsmentioning
confidence: 99%
“…Wyde et al observed that athymic nude (T cell deficient) mice exhibited increased survival times and had less cell infiltration with no destruction of the lungs, compared with immune-competent control mice which suffered severe lung destruction [15]. The thymuses of the control mice were markedly reduced in size at the time of death, suggesting the depletion of cortical lymphocytes [10,15]. Eichelberger reported that viral clearance in the airways of cotton rats appeared before the establishment of adaptive immunity (antibodies and antigen-specific T cells) in the host and that the expression of genes which may be associated with the innate immune response was upregulated until day 10 after infection [5,27].…”
Section: Pathologic Studiesmentioning
confidence: 99%
“…However, it is still unclear whether antiviral drugs protect against rapidly progressive pneumonia or extrapulmonary diseases, because there have been no controlled clinical studies [55]. Since the initial viral load of an inoculation is associated with the clinical phenotype (tracheitis model and fatal pneumonia model) [4,5,15] and the time of appearance of lung lesions in experimental animals [32], early antiviral treatment is beneficial in reducing the initial immune response. Our results of corticosteroid treatment on influenza virus infections were obtained from a small series of patients.…”
Section: Corticosteroids and Influenza Virus Infectionsmentioning
confidence: 99%
“…Some experimental and clinical studies have also suggested that the pathogenesis of lung injury in influenza infections is associated with excessive host response including the cell-mediated immune reaction [7,[14][15][16][17]. It is postulated that infected hosts with progressive pneumonia may have an inadequate innate immune response to the initial viral insult.…”
It has been believed that acute lung injury in influenza virus infections is caused by a virus-induced cytopathy; viruses that have multiplied in the upper respiratory tract spread to lung tissues along the lower respiratory tract. However, some experimental and clinical studies have suggested that the pathogenesis of acute lung injury in influenza virus infections is associated with excessive host response including a cell-mediated immune reaction. During the pandemic H1N1 2009 influenza A virus infections in Korea, we experienced a dramatic effect of immune-modulators (corticosteroids) on the patients with severe pneumonia who had significant respiratory distress at presentation and those who showed rapidly progressive pneumonia during oseltamivir treatment. We also found that the pneumonia patients treated with corticosteroids showed the lowest lymphocyte differential and that the severity of pneumonia was associated with the lymphocyte count at presentation. From our findings and previous experimental and clinical studies, we postulated that hyperactive immune cells (T cells) may be involved in the acute lung injury of influenza virus infections, using a hypothesis of 'protein homeostasis system'; the inducers of the cell-mediated immune response are initially produced at the primary immune sites by the innate immune system. These substances reach the lung cells, the main target organ, via the systemic circulation, and possibly the cells of other organs, including myocytes or central nerve system cells, leading to extrapulmonary symptoms (e.g., myalgia and rhabdomyolysis, and encephalopathy). To control these substances that may be possibly toxic to host cells, the adaptive immune reaction may be operated by immune cells, mainly lymphocytes. Hyperimmune reaction of immune cells produces higher levels of cytokines which may be associated with acute lung injury, and may be controlled by early use of immune-modulators. Early initiation and proper dosage of immune-modulators with antiviral agents for severe pneumonia patients may reduce morbidity and prevent progressive fatal pneumonia.
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