Immune cellular networks underlying recovery from influenza virus infection in acute hospitalized patients

Nguyen, THO; Koutsakos, M; van de Sandt, CE; Crawford, JC; Loh, L; Sant, S; Grzelak, L; Allen, EK; Brahm, T; Clemens, EB; Auladell, M; Hensen, L; Wang, Z; Nüssing, S; Jia, X; Günther, P; Wheatley, AK; Kent, S; Aban, M; Deng, YM; Laurie, KL; Hurt, AC; Gras, Stephanie; Rossjohn, J; Crowe, J; Xu, J; Jackson, D; Brown, LE; La Gruta, N; Chen, Weisan; Doherty, PC; Turner, SJ; Kotsimbos, TC; Thomas, PG; Cheng, AC; Kedzierska, K

doi:10.26181/60bf202f30cd6

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Immune cellular networks underlying recovery from influenza virus infection in acute hospitalized patients

Version 2 2021-07-21, 01:07

Version 1 2021-06-01, 05:51

journal contribution

posted on 2021-07-21, 01:07 authored by THO Nguyen, M Koutsakos, CE van de Sandt, JC Crawford, L Loh, S Sant, L Grzelak, EK Allen, T Brahm, EB Clemens, M Auladell, L Hensen, Z Wang, S Nüssing, X Jia, P Günther, AK Wheatley, S Kent, M Aban, YM Deng, KL Laurie, AC Hurt, Stephanie GrasStephanie Gras, J Rossjohn, J Crowe, J Xu, D Jackson, LE Brown, N La Gruta, Weisan ChenWeisan Chen, PC Doherty, SJ Turner, TC Kotsimbos, PG Thomas, AC Cheng, K Kedzierska

How innate and adaptive immune responses work in concert to resolve influenza disease is yet to be fully investigated in one single study. Here, we utilize longitudinal samples from patients hospitalized with acute influenza to understand these immune responses. We report the dynamics of 18 important immune parameters, related to clinical, genetic and virological factors, in influenza patients across different severity levels. Influenza disease correlates with increases in IL-6/IL-8/MIP-1α/β cytokines and lower antibody responses. Robust activation of circulating T follicular helper cells correlates with peak antibody-secreting cells and influenza heamaglutinin-specific memory B-cell numbers, which phenotypically differs from vaccination-induced B-cell responses. Numbers of influenza-specific CD8+ or CD4+ T cells increase early in disease and retain an activated phenotype during patient recovery. We report the characterisation of immune cellular networks underlying recovery from influenza infection which are highly relevant to other infectious diseases.

History

Publication Date

2021-05-11

Journal

Nature communications

Volume

12

Issue

1

Article Number

2691

Pagination

(p. 2691)

Publisher

Springer Science and Business Media LLC

ISSN

2041-1723

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