Immunotherapy targeting the Streptococcus pyogenes M protein or streptolysin O to treat or prevent influenza A superinfection

Viral infections complicated by a bacterial infection are typically referred to as coinfections or superinfections. Streptococcus pyogenes, the group A streptococcus (GAS), is not the most common bacteria associated with influenza A virus (IAV) superinfections but did cause significant mortality dur...

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Veröffentlicht in:PloS one 2020-06, Vol.15 (6), p.e0235139
Hauptverfasser: Herrera, Andrea L, Van Hove, Christopher, Hanson, Mary, Dale, James B, Tweten, Rodney K, Huber, Victor C, Diel, Diego, Chaussee, Michael S
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Van Hove, Christopher
Hanson, Mary
Dale, James B
Tweten, Rodney K
Huber, Victor C
Diel, Diego
Chaussee, Michael S
description Viral infections complicated by a bacterial infection are typically referred to as coinfections or superinfections. Streptococcus pyogenes, the group A streptococcus (GAS), is not the most common bacteria associated with influenza A virus (IAV) superinfections but did cause significant mortality during the 2009 influenza pandemic even though all isolates are susceptible to penicillin. One approach to improve the outcome of these infections is to use passive immunization targeting GAS. To test this idea, we assessed the efficacy of passive immunotherapy using antisera against either the streptococcal M protein or streptolysin O (SLO) in a murine model of IAV-GAS superinfection. Prophylactic treatment of mice with antiserum to either SLO or the M protein decreased morbidity compared to mice treated with non-immune sera; however, neither significantly decreased mortality. Therapeutic use of antisera to SLO decreased morbidity compared to mice treated with non-immune sera but neither antisera significantly reduced mortality. Overall, the results suggest that further development of antibodies targeting the M protein or SLO may be a useful adjunct in the treatment of invasive GAS diseases, including IAV-GAS superinfections, which may be particularly important during influenza pandemics.
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subjects Animal models
Animals
Antibodies
Antibodies, Bacterial - blood
Antibodies, Bacterial - immunology
Antigens, Bacterial - immunology
Antigens, Bacterial - metabolism
Antisera
Bacterial diseases
Bacterial infections
Bacterial Outer Membrane Proteins - antagonists & inhibitors
Bacterial Outer Membrane Proteins - immunology
Bacterial Outer Membrane Proteins - metabolism
Bacterial Proteins - antagonists & inhibitors
Bacterial Proteins - immunology
Bacterial Proteins - metabolism
Biology and Life Sciences
Care and treatment
Carrier Proteins - antagonists & inhibitors
Carrier Proteins - immunology
Carrier Proteins - metabolism
Coinfection - microbiology
Coinfection - therapy
Coinfection - virology
Control
Female
Host-Pathogen Interactions - drug effects
Host-Pathogen Interactions - immunology
Humans
Immune Sera - immunology
Immune Sera - pharmacology
Immune serum
Immunization
Immunization (passive)
Immunotherapy
Immunotherapy - methods
Infections
Influenza
Influenza A
Influenza A virus - immunology
Influenza A virus - physiology
Medical treatment
Medicine and Health Sciences
Methods
Mice, Inbred BALB C
Morbidity
Mortality
Orthomyxoviridae Infections - immunology
Orthomyxoviridae Infections - therapy
Orthomyxoviridae Infections - virology
Pandemics
Penicillin
Prevention
Proteins
Rabbits
Research and Analysis Methods
Streptococcal Infections - immunology
Streptococcal Infections - microbiology
Streptococcal Infections - therapy
Streptococcal M protein
Streptococcus infections
Streptococcus pyogenes
Streptococcus pyogenes - immunology
Streptococcus pyogenes - metabolism
Streptococcus pyogenes - physiology
Streptolysins - antagonists & inhibitors
Streptolysins - immunology
Streptolysins - metabolism
Superinfection
Superinfection - microbiology
Superinfection - therapy
Superinfection - virology
Viruses
title Immunotherapy targeting the Streptococcus pyogenes M protein or streptolysin O to treat or prevent influenza A superinfection
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