A novel outbred mouse model of 2009 pandemic influenza and bacterial co-infection severity

PLoS One. 2013 Dec 6;8(12):e82865. doi: 10.1371/journal.pone.0082865. eCollection 2013.

Abstract

Influenza viruses pose a significant health risk and annually impose a great cost to patients and the health care system. The molecular determinants of influenza severity, often exacerbated by secondary bacterial infection, are largely unclear. We generated a novel outbred mouse model of influenza virus, Staphylococcus aureus, and co-infection utilizing influenza A/CA/07/2009 virus and S. aureus (USA300). Outbred mice displayed a wide range of pathologic phenotypes following influenza virus or co-infection ranging broadly in severity. Influenza viral burden positively correlated with weight loss although lung histopathology did not. Inflammatory cytokines including IL-6, TNF-α, G-CSF, and CXCL10 positively correlated with both weight loss and viral burden. In S. aureus infection, IL-1β, G-CSF, TNF-α, and IL-6 positively correlated with weight loss and bacterial burden. In co-infection, IL-1β production correlated with decreased weight loss suggesting a protective role. The data demonstrate an approach to identify biomarkers of severe disease and to understand pathogenic mechanisms in pneumonia.

Publication types

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

MeSH terms

  • Animals
  • Animals, Outbred Strains
  • Bacterial Load
  • Chick Embryo
  • Coinfection*
  • Cytokines / biosynthesis
  • Cytokines / genetics
  • Disease Models, Animal
  • Gene Expression
  • Influenza A Virus, H1N1 Subtype
  • Influenza A virus*
  • Lung / microbiology
  • Lung / pathology
  • Lung / virology
  • Male
  • Mice
  • Orthomyxoviridae Infections / genetics
  • Orthomyxoviridae Infections / metabolism
  • Orthomyxoviridae Infections / pathology
  • Orthomyxoviridae Infections / virology*
  • Phenotype
  • Pneumonia / genetics
  • Pneumonia / microbiology
  • Pneumonia / pathology
  • Pneumonia / virology
  • Staphylococcal Infections / genetics
  • Staphylococcal Infections / metabolism
  • Staphylococcal Infections / microbiology*
  • Staphylococcal Infections / pathology
  • Staphylococcus aureus*
  • Viral Load
  • Weight Loss

Substances

  • Cytokines