Inhibition of pulmonary antibacterial defense by interferon-gamma during recovery from influenza infection

Nat Med. 2008 May;14(5):558-64. doi: 10.1038/nm1765. Epub 2008 Apr 27.

Abstract

Secondary bacterial infection often occurs after pulmonary virus infection and is a common cause of severe disease in humans, yet the mechanisms responsible for this viral-bacterial synergy in the lung are only poorly understood. We now report that pulmonary interferon-gamma (IFN-gamma) produced during T cell responses to influenza infection in mice inhibits initial bacterial clearance from the lung by alveolar macrophages. This suppression of phagocytosis correlates with lung IFN-gamma abundance, but not viral burden, and leads to enhanced susceptibility to secondary pneumococcal infection, which can be prevented by IFN-gamma neutralization after influenza infection. Direct inoculation of IFN-gamma can mimic influenza infection and downregulate the expression of the class A scavenger receptor MARCO on alveolar macrophages. Thus, IFN-gamma, although probably facilitating induction of specific anti-influenza adaptive immunity, suppresses innate protection against extracellular bacterial pathogens in the lung.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Analysis of Variance
  • Animals
  • Bronchoalveolar Lavage Fluid / cytology
  • Bronchoalveolar Lavage Fluid / immunology
  • CD4 Antigens / genetics
  • CD4 Antigens / immunology
  • CD8 Antigens / genetics
  • CD8 Antigens / immunology
  • Complement C3 / genetics
  • Complement C3 / immunology
  • Enzyme-Linked Immunosorbent Assay
  • Immunity, Innate / drug effects
  • Immunity, Innate / immunology*
  • Interferon gamma Receptor
  • Interferon-gamma / immunology*
  • Interferon-gamma / pharmacology
  • Interleukin-10 / genetics
  • Interleukin-10 / immunology
  • Lung / drug effects
  • Lung / immunology*
  • Macrophages / drug effects*
  • Macrophages / immunology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Microscopy, Fluorescence
  • Orthomyxoviridae Infections / immunology*
  • Pneumococcal Infections / immunology*
  • Receptors, Immunologic / metabolism
  • Receptors, Interferon / genetics
  • Receptors, Interferon / immunology

Substances

  • CD4 Antigens
  • CD8 Antigens
  • CD8 antigen, alpha chain
  • Complement C3
  • Marco protein, mouse
  • Receptors, Immunologic
  • Receptors, Interferon
  • Interleukin-10
  • Interferon-gamma