@article{37f922ee5d7840109741b79d134ef3c4,
title = "Inflammation induced by influenza virus impairs human innate immune control of pneumococcus",
abstract = "Colonization of the upper respiratory tract by pneumococcus is important both as a determinant of disease and for transmission into the population. The immunological mechanisms that contain pneumococcus during colonization are well studied in mice but remain unclear in humans. Loss of this control of pneumococcus following infection with influenza virus is associated with secondary bacterial pneumonia. We used a human challenge model with type 6B pneumococcus to show that acquisition of pneumococcus induced early degranulation of resident neutrophils and recruitment of monocytes to the nose. Monocyte function was associated with the clearance of pneumococcus. Prior nasal infection with live attenuated influenza virus induced inflammation, impaired innate immune function and altered genome-wide nasal gene responses to the carriage of pneumococcus. Levels of the cytokine CXCL10, promoted by viral infection, at the time pneumococcus was encountered were positively associated with bacterial load.",
keywords = "Journal Article, Immunity, Innate/immunology, Double-Blind Method, Humans, Nasal Mucosa/immunology, Influenza, Human/immunology, Inflammation/immunology, Streptococcus pneumoniae, Pneumococcal Infections/immunology, Neutrophils/immunology, Chemokine CXCL10/immunology, Monocytes/immunology, Coinfection/immunology, Chemotaxis, Leukocyte/immunology",
author = "Jochems, {Simon P} and Fernando Marcon and Carniel, {Beatriz F} and Mark Holloway and Elena Mitsi and Emma Smith and Gritzfeld, {Jenna F} and Carla Sol{\'o}rzano and Jes{\'u}s Rein{\'e} and Sherin Pojar and Elissavet Nikolaou and German, {Esther L} and Angie Hyder-Wright and Helen Hill and Caz Hales and {de Steenhuijsen Piters}, {Wouter A A} and Debby Bogaert and Hugh Adler and Seher Zaidi and Victoria Connor and Gordon, {Stephen B} and Jamie Rylance and Nakaya, {Helder I} and Ferreira, {Daniela M}",
note = "Funding Information: S.B.G. and D.M.F. are supported by the Medical Research Council (grant MR/ M011569/1), the Bill and Melinda Gates Foundation (grant OPP1117728) and the National Institute for Health Research Local Comprehensive Research Network. Flow cytometric acquisition was performed on a BD LSR II funded by a Wellcome Trust Multi-User Equipment Grant (104936/Z/14/Z). S.P.J. received support from the Royal Society of Tropical Medicine and Hygiene for NanoString analysis. H.I.N. is supported by the S{\~a}o Paulo Research Foundation (FAPESP; grants 2013/08216-2 and 2012/19278-6). We thank all volunteers for participating in this study, and R. Robinson, C. Lowe, L. Lazarova, K. Piddock and I. Wheeler for clinical support. We also acknowledge M. Mina for his input in study design. Publisher Copyright: {\textcopyright} 2018, The Author(s), under exclusive licence to Springer Nature America, Inc.",
year = "2018",
month = dec,
doi = "10.1038/s41590-018-0231-y",
language = "English",
volume = "19",
pages = "1299--1308",
journal = "Nature immunology",
issn = "1529-2908",
publisher = "Nature Publishing Group",
number = "12",
}