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Environ Res . One Health: Subchronic exposure to low ambient hydrogen sulfide increases mortality of influenza A virus infection in mice

tetano

Editor, Senior Moderator
Environ Res


. 2024 Dec 3:120536.
doi: 10.1016/j.envres.2024.120536. Online ahead of print. One Health: Subchronic exposure to low ambient hydrogen sulfide increases mortality of influenza A virus infection in mice

Dong-Suk Kim[SUP] 1 [/SUP], Wahed Firoz[SUP] 2 [/SUP], Cristina M Santana Maldonado[SUP] 1 [/SUP], Phillip C Gauger[SUP] 3 [/SUP], Abigail Weir[SUP] 1 [/SUP], Nicole Baumgarth[SUP] 4 [/SUP], Wilson K Rumbeiha[SUP] 5 [/SUP]



Affiliations
Abstract

The environment plays an important role in modulating susceptibility and severity of respiratory tract infections. Influenza is a significant zoonotic disease globally. Hydrogen sulfide (H[SUB]2[/SUB]S), a respiratory tract irritant and toxic gas, is ubiquitous in the environment. The interaction of environmental H[SUB]2[/SUB]S exposure and influenza is unknown. In this pilot study we tested the hypothesis that subchronic exposure to ambient H[SUB]2[/SUB]S worsens the outcome of influenza A virus (IAV) infection in mice. Male C57BL6 mice were exposed either to room air (RA), or to 5 or 10 ppm H[SUB]2[/SUB]S for 2 h, 5 days a week for 5 weeks, followed by a single exposure either to phosphate buffered saline (sham) or a sublethal IAV intranasal dose of 10 plaque-forming units and observed for up to 28 days post inoculation (DPI). 10 ppm H[SUB]2[/SUB]S alone suppressed growth. Mice challenged with IAV following exposure to 5 or 10 ppm H[SUB]2[/SUB]S were most severely affected and euthanized on DPI 6 to 7 or DPI 4, respectively. In contrast, mice exposed to RA and challenged with IAV only showed minor weight loss. Viral titer in lung homogenates was 11-fold higher in mice pre-exposed to 5 ppm H[SUB]2[/SUB]S and challenged with IAV compared to the RA-IAV group on DPI 3. BALF concentrations of TNF-α, IL-6, and IL-10 cytokines were significantly higher in mice exposed to H[SUB]2[/SUB]S and challenged with IAV compared to sham groups. Lung pathology was most severe in mice exposed to H[SUB]2[/SUB]S and challenged with IAV. Collectively, the study shows that mice subchronically exposed to low levels of H[SUB]2[/SUB]S overly reacted to a nonlethal dose of IAV, suffering severe lung injury and mortality. This suggests that communities and workers subchronically exposed to ambient H[SUB]2[/SUB]S concentrations used in this study or higher are at higher risk for developing very severe IAV infections and mortality.

Keywords: Hydrogen sulfide; Influenza A Virus; Lung injury; One Health; Sublethal.

 
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