“…Several studies have reported that exacerbation with bacteria ( H. influenzae ), virus (rhinovirus), or a surrogate for virus-induced innate immunity (poly(I:C)) accelerates the progression of cigarette smoke-induced emphysema in mice (Foronjy, et al, 2014, Ganesan, et al, 2014, Kang, et al, 2008, Tanabe, et al, 2013). In addition, mice exposed to cigarette smoke and then infected with influenza virus H1N1 or H3N1 had increased in the number of immune cells in the BAL fluid and a 10-fold increase in lung virus titers (Bauer, et al, 2010, Gualano, et al, 2008).…”