Letter
Nature 445, 319-323 (18 January 2007) | <ABBR title="Digital Object Identifier" minmax_bound="true">doi</ABBR minmax_bound="true">:10.1038/nature05495; Received 11 September 2006; Accepted 29 November 2006
Aberrant innate immune response in lethal infection of macaques with the 1918 influenza virus
Darwyn Kobasa<SUP minmax_bound="true">1</SUP>, Steven M. Jones<SUP minmax_bound="true">2,</SUP><SUP minmax_bound="true">3</SUP>, Kyoko Shinya<SUP minmax_bound="true">5</SUP>, John C. Kash<SUP minmax_bound="true">6</SUP>, John Copps<SUP minmax_bound="true">8</SUP>, Hideki Ebihara<SUP minmax_bound="true">2,</SUP><SUP minmax_bound="true">9,</SUP><SUP minmax_bound="true">10,</SUP><SUP minmax_bound="true">11</SUP>, Yasuko Hatta<SUP minmax_bound="true">12</SUP>, Jin Hyun Kim<SUP minmax_bound="true">12</SUP>, Peter Halfmann<SUP minmax_bound="true">12</SUP>, Masato Hatta<SUP minmax_bound="true">12</SUP>, Friederike Feldmann<SUP minmax_bound="true">2</SUP>, Judie B. Alimonti<SUP minmax_bound="true">2</SUP>, Lisa Fernando<SUP minmax_bound="true">2</SUP>, Yan Li<SUP minmax_bound="true">1</SUP>, Michael G. Katze<SUP minmax_bound="true">6,</SUP><SUP minmax_bound="true">7</SUP>, Heinz Feldmann<SUP minmax_bound="true">2,</SUP><SUP minmax_bound="true">4</SUP> and Yoshihiro Kawaoka<SUP minmax_bound="true">9,</SUP><SUP minmax_bound="true">10,</SUP><SUP minmax_bound="true">11,</SUP><SUP minmax_bound="true">12</SUP>
Top of page The 1918 influenza pandemic was unusually severe, resulting in about 50 million deaths worldwide<SUP minmax_bound="true">1</SUP>. The 1918 virus is also highly pathogenic in mice, and studies have identified a multigenic origin of this virulent phenotype in mice<SUP minmax_bound="true">2, </SUP><SUP minmax_bound="true">3, </SUP><SUP minmax_bound="true">4</SUP>. However, these initial characterizations of the 1918 virus did not address the question of its pathogenic potential in primates. Here we demonstrate that the 1918 virus caused a highly pathogenic respiratory infection in a cynomolgus macaque model that culminated in acute respiratory distress and a fatal outcome. Furthermore, infected animals mounted an immune response, characterized by dysregulation of the antiviral response, that was insufficient for protection, indicating that atypical host innate immune responses may contribute to lethality. The ability of influenza viruses to modulate host immune responses, such as that demonstrated for the avian H5N1 influenza viruses<SUP minmax_bound="true">5</SUP>, may be a feature shared by the virulent influenza viruses.
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Nature 445, 319-323 (18 January 2007) | <ABBR title="Digital Object Identifier" minmax_bound="true">doi</ABBR minmax_bound="true">:10.1038/nature05495; Received 11 September 2006; Accepted 29 November 2006
Aberrant innate immune response in lethal infection of macaques with the 1918 influenza virus
Darwyn Kobasa<SUP minmax_bound="true">1</SUP>, Steven M. Jones<SUP minmax_bound="true">2,</SUP><SUP minmax_bound="true">3</SUP>, Kyoko Shinya<SUP minmax_bound="true">5</SUP>, John C. Kash<SUP minmax_bound="true">6</SUP>, John Copps<SUP minmax_bound="true">8</SUP>, Hideki Ebihara<SUP minmax_bound="true">2,</SUP><SUP minmax_bound="true">9,</SUP><SUP minmax_bound="true">10,</SUP><SUP minmax_bound="true">11</SUP>, Yasuko Hatta<SUP minmax_bound="true">12</SUP>, Jin Hyun Kim<SUP minmax_bound="true">12</SUP>, Peter Halfmann<SUP minmax_bound="true">12</SUP>, Masato Hatta<SUP minmax_bound="true">12</SUP>, Friederike Feldmann<SUP minmax_bound="true">2</SUP>, Judie B. Alimonti<SUP minmax_bound="true">2</SUP>, Lisa Fernando<SUP minmax_bound="true">2</SUP>, Yan Li<SUP minmax_bound="true">1</SUP>, Michael G. Katze<SUP minmax_bound="true">6,</SUP><SUP minmax_bound="true">7</SUP>, Heinz Feldmann<SUP minmax_bound="true">2,</SUP><SUP minmax_bound="true">4</SUP> and Yoshihiro Kawaoka<SUP minmax_bound="true">9,</SUP><SUP minmax_bound="true">10,</SUP><SUP minmax_bound="true">11,</SUP><SUP minmax_bound="true">12</SUP>
- <LI id=a1 minmax_bound="true">Respiratory Viruses, and, <LI id=a2 minmax_bound="true">Special Pathogens Program National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba R3E 3R2, Canada <LI id=a3 minmax_bound="true">Department of Immunology and, <LI id=a4 minmax_bound="true">Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba R3E 3R2, Canada <LI id=a5 minmax_bound="true">The Avian Zoonosis Research Centre, Tottori University, Tottori 680-8550, Japan <LI id=a6 minmax_bound="true">Department of Microbiology, School of Medicine, and <LI id=a7 minmax_bound="true">Washington National Primate Research Center, University of Washington, Seattle, Washington 98195, USA <LI id=a8 minmax_bound="true">National Centre for Foreign Animal Diseases, Canadian Food Inspection Agency, Canadian Science Centre for Human and Animal Health, Winnipeg, Manitoba R3E 3M4, Canada <LI id=a9 minmax_bound="true">Division of Virology, Department of Microbiology and Immunology and <LI id=a10 minmax_bound="true">International Research Center for Infectious Diseases, Institute of Medical Science, University of Tokyo, Tokyo 108-8639, Japan <LI id=a11 minmax_bound="true">CREST, Japan Science and Technology Agency, Saitama 322-0012, Japan
- Department of Pathobiological Sciences, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
Top of page The 1918 influenza pandemic was unusually severe, resulting in about 50 million deaths worldwide<SUP minmax_bound="true">1</SUP>. The 1918 virus is also highly pathogenic in mice, and studies have identified a multigenic origin of this virulent phenotype in mice<SUP minmax_bound="true">2, </SUP><SUP minmax_bound="true">3, </SUP><SUP minmax_bound="true">4</SUP>. However, these initial characterizations of the 1918 virus did not address the question of its pathogenic potential in primates. Here we demonstrate that the 1918 virus caused a highly pathogenic respiratory infection in a cynomolgus macaque model that culminated in acute respiratory distress and a fatal outcome. Furthermore, infected animals mounted an immune response, characterized by dysregulation of the antiviral response, that was insufficient for protection, indicating that atypical host innate immune responses may contribute to lethality. The ability of influenza viruses to modulate host immune responses, such as that demonstrated for the avian H5N1 influenza viruses<SUP minmax_bound="true">5</SUP>, may be a feature shared by the virulent influenza viruses.
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