Aberrant innate immune response in lethal infection of macaques with the 1918 influenza virus.
Abstract
The 1918 influenza pandemic was unusually severe, resulting in about 50 million deaths worldwide. The 1918 virus is also highly pathogenic in mice, and studies have identified a multigenic origin of this virulent phenotype in mice. 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, may be a feature shared by the virulent influenza viruses.
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Where lymphopenia occurs, studies have shown a corresponding increase in macrophages, supported by increases in IP-10, IL-8, IL-6, and MCP-1.
“Where lymphopenia occurs, studies have shown a corresponding increase in macrophages.”
From Secondary bacterial infections associated with influenza pandemics (2017) · cites this paper as Kobasa et al., 2007
Strong upregulation of IL-6, IL-8, CCL2, and CCL5 cytokine and chemokine gene expression in the lungs was mirrored by elevated levels of IL-8, CCL2, and CCL5 in the sera of infected animals.
“For example, strong upregulation of IL-6, IL-8, CCL2, and CCL5 cytokine and chemokine gene expression in the lungs was mirrored by elevated levels of IL-8, CCL2, and CCL5 in the sera of infected animals (78).”
From Into the Eye of the Cytokine Storm (2012) · cites this paper as [78]
Cites
A SIMPLE METHOD OF ESTIMATING FIFTY PER CENT ENDPOINTS12
REED, L. J., & Muench, H. (1938) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a118408 · Cited by 20,341 · see citing works
A simple method of estimating 50 per cent end points
Muench, H. (1938) · Medical Entomology and Zoology · Cited by 8,377 · see citing works
Minimum information about a microarray experiment (MIAME)-toward standards for microarray data
Brazma, A., Hingamp, P., Quackenbush, J., Sherlock, G., Spellman, P., Stoeckert, C., Aach, J., Ansorge, W., Ball, C. A., Causton, H. C., et al. (2001) · Nature Genetics · doi:10.1038/ng1201-365 · Cited by 4,109 · see citing works
Differential roles of MDA5 and RIG-I helicases in the recognition of RNA viruses
Kato, H., Takeuchi, O., Sato, S., Yoneyama, M., Yamamoto, M., Matsui, K., Uematsu, S., Jung, A., Kawai, T., Ishii, K. J., et al. (2006) · Nature · doi:10.1038/nature04734 · Cited by 3,888 · see citing works
RIG-I-mediated antiviral responses to single-stranded RNA bearing 5’-phosphates
Pichlmair, A., Schulz, O., Tan, C. P., Näslund, T. I., Liljeström, P., Weber, F., & Reis e Sousa, C. (2006) · Science · doi:10.1126/science.1132998 · Cited by 2,210 · see citing works
Updating the accounts: global mortality of the 1918–1920 "Spanish" influenza pandemic.
Johnson, N. P. A. S., & Mueller, J. (2002) · Bulletin of the History of Medicine · doi:10.1353/bhm.2002.0022 · Cited by 1,980 · see citing works
Fatal outcome of human influenza A (H5N1) is associated with high viral load and hypercytokinemia.
de Jong, M. D., Simmons, C. P., Thanh, T. T., Hien, V. M., Smith, G. J. D., Chau, T. N. B., Hoang, D. M., Van Vinh Chau, N., Khanh, T. H., Dong, V. C., et al. (2006) · Nature Medicine · doi:10.1038/nm1477 · Cited by 1,858 · see citing works
Characterization of the reconstructed 1918 Spanish influenza pandemic virus
Tumpey, T. M., Basler, C. F., Aguilar, P. V., Zeng, H., Solórzano, A., Swayne, D. E., Cox, N. J., Katz, J. M., Taubenberger, J. K., Palese, P., et al. (2005) · Science · doi:10.1126/science.1119392 · Cited by 1,327 · see citing works
Generation of influenza A viruses entirely from cloned cDNAs
Neumann, G., Watanabe, T., Ito, H., Watanabe, S., Goto, H., Gao, P., Hughes, M., Perez, D. R., Donis, R. O., Hoffmann, E., et al. (1999) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.96.16.9345 · Cited by 1,280 · see citing works
Self-citationCharacterization of the 1918 influenza virus polymerase genes
Taubenberger, J. K., Reid, A. H., Lourens, R. M., Wang, R., Jin, G., & Fanning, T. G. (2005) · Nature · doi:10.1038/nature04230 · Cited by 1,065 · see citing works
Influenza A Virus Lacking the NS1 Gene Replicates in Interferon-Deficient Systems
García‐Sastre, A., Egorov, A., Matassov, D., Brandt, S., Levy, D. E., Durbin, J. E., Palese, P., & Muster, T. (1998) · Virology · doi:10.1006/viro.1998.9508 · Cited by 1,000 · see citing works
Hayden, F. G., Fritz, R., Lobo, M. C., Alvord, W. G., Strober, W., & Straus, S. E. (1998) · Journal of Clinical Investigation · doi:10.1172/jci1355 · Cited by 680 · see citing works
Lethal H5N1 influenza viruses escape host anti-viral cytokine responses
Seo, S. H., Hoffmann, E., & Webster, R. G. (2002) · Nature Medicine · doi:10.1038/nm757 · Cited by 652 · see citing works
Origin and evolution of the 1918 “Spanish” influenza virus hemagglutinin gene
Reid, A. H., Fanning, T. G., Hultin, J. V., & Taubenberger, J. K. (1999) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.96.4.1651 · Cited by 607 · see citing works
Genomic analysis of increased host immune and cell death responses induced by 1918 influenza virus
Kash, J. C., Tumpey, T. M., Proll, S. C., Carter, V., Perwitasari, O., Thomas, M. J., Basler, C. F., Palese, P., Taubenberger, J. K., García-Sastre, A., et al. (2006) · Nature · doi:10.1038/nature05181 · Cited by 551 · see citing works
Self-citationEnhanced virulence of influenza A viruses with the haemagglutinin of the 1918 pandemic virus
Kobasa, D., Takada, A., Shinya, K., Hatta, M., Halfmann, P., Theriault, S., Suzuki, H., Nishimura, H., Mitamura, K., Sugaya, N., et al. (2004) · Nature · doi:10.1038/nature02951 · Cited by 455 · see citing works
Self-citationLi, S., Min, J.-Y., Krug, R. M., & Sen, G. C. (2006) · Virology · doi:10.1016/j.virol.2006.01.005 · Cited by 332 · see citing works
Basler, C. F., Reid, A. H., Dybing, J. K., Janczewski, T. A., Fanning, T. G., Zheng, H., Salvatore, M., Perdue, M. L., Swayne, D. E., García‐Sastre, A., et al. (2001) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.031575198 · Cited by 277 · see citing works
Krug, R. M., Yuan, W., Noah, D. L., & Latham, A. G. (2003) · Virology · doi:10.1016/s0042-6822(03)00119-3 · Cited by 263 · see citing works
Al‐Shahrour, F., Mínguez, P., Vaquerizas, J. M., Conde, L., & Dopazo, J. (2005) · Nucleic Acids Research · doi:10.1093/nar/gki456 · Cited by 254 · see citing works
Pathogenesis of Influenza A (H5N1) Virus Infection in a Primate Model
Rimmelzwaan, G. F., Kuiken, T., van Amerongen, G., Bestebroer, T. M., Fouchier, R. A. M., & Osterhaus, A. D. M. E. (2001) · Journal of Virology · doi:10.1128/jvi.75.14.6687-6691.2001 · Cited by 248 · see citing works
Characterization of the 1918 “Spanish” influenza virus neuraminidase gene
Reid, A. H., Fanning, T. G., Janczewski, T. A., & Taubenberger, J. K. (2000) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.100140097 · Cited by 228 · see citing works
Kash, J. C., Mühlberger, E., Carter, V., Grosch, M. N., Perwitasari, O., Proll, S. C., Thomas, M. J., Weber, F., Klenk, H. D., & Katze, M. G. (2006) · Journal of Virology · doi:10.1128/jvi.80.6.3009-3020.2006 · Cited by 172 · see citing works
Self-citationMatikainen, S., Sirén, J., Tissari, J., Veckman, V., Pirhonen, J., Severa, M., Sun, Q., Lin, R., Meri, S., Uzé, G., et al. (2006) · Journal of Virology · doi:10.1128/jvi.80.7.3515-3522.2006 · Cited by 152 · see citing works
Skoner, D. P., Gentile, D. A., Patel, A. V., & Doyle, W. J. (1999) · The Journal of Infectious Diseases · doi:10.1086/314823 · Cited by 152 · see citing works
Existing antivirals are effective against influenza viruses with genes from the 1918 pandemic virus
Tumpey, T. M., García‐Sastre, A., Mikulasova, A., Taubenberger, J. K., Swayne, D. E., Palese, P., & Basler, C. F. (2002) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.212519699 · Cited by 127 · see citing works
Pathology of Human Influenza A (H5N1) Virus Infection in Cynomolgus Macaques (Macaca fascicularis)
Kuiken, T., Rimmelzwaan, G. F., van Amerongen, G., & Osterhaus, A. D. M. E. (2003) · Veterinary Pathology · doi:10.1354/vp.40-3-304 · Cited by 127 · see citing works
Baas, T., Baskin, C. R., Diamond, D. L., García-Sastre, A., Bielefeldt-Ohmann, H., Tumpey, T. M., Thomas, M. J., Carter, V. S., Teal, T. H., Van Hoeven, N., et al. (2006) · Journal of Virology · doi:10.1128/jvi.00851-06 · Cited by 121 · see citing works
Self-citationNovel Origin of the 1918 Pandemic Influenza Virus Nucleoprotein Gene
Reid, A. H., Fanning, T. G., Janczewski, T. A., Lourens, R. M., & Taubenberger, J. K. (2004) · Journal of Virology · doi:10.1128/jvi.78.22.12462-12470.2004 · Cited by 118 · see citing works
Characterization of the 1918 “Spanish” Influenza Virus Matrix Gene Segment
Reid, A. H., Fanning, T. G., Janczewski, T. A., McCall, S. A., & Taubenberger, J. K. (2002) · Journal of Virology · doi:10.1128/jvi.76.21.10717-10723.2002 · Cited by 110 · see citing works
Wason, I. M., Winternitz, M. C., McNamara, F. P., Winternitz, M. C., & Winternitz, M. C. (2010) · Cited by 98 · see citing works
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Into the Eye of the Cytokine Storm
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Self-citationThe Pathology of Influenza Virus Infections
Taubenberger, J. K., & Morens, D. M. (2008) · Annual Review of Pathology: Mechanisms of Disease · doi:10.1146/annurev.pathmechdis.3.121806.154316 · Cited by 1,111 · see citing works
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Loo, Y.-M., Fornek, J., Crochet, N., Bajwa, G., Perwitasari, O., Martinez-Sobrido, L., Akira, S., Gill, M. A., García-Sastre, A., Katze, M. G., et al. (2008) · Journal of Virology · doi:10.1128/jvi.01080-07 · Cited by 1,071 · see citing works
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Rosshart, S. P., Vassallo, B. G., Angeletti, D., Hutchinson, D. S., Morgan, A. P., Takeda, K., Hickman, H. D., McCulloch, J. A., Badger, J. H., Ajami, N. J., et al. (2017) · Cell · doi:10.1016/j.cell.2017.09.016 · Cited by 862 · see citing works
Teijaro, J. R., Walsh, K. B., Cahalan, S., Fremgen, D. M., Roberts, E., Scott, F., Martinborough, E., Peach, R., Oldstone, M. B. A., & Rosen, H. (2011) · Cell · doi:10.1016/j.cell.2011.08.015 · Cited by 688 · see citing works
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Steed, A. L., Christophi, G. P., Kaiko, G. E., Sun, L., Goodwin, V. M., Jain, U., Esaulova, E., Artyomov, M. N., Morales, D. J., Holtzman, M. J., et al. (2017) · Science · doi:10.1126/science.aam5336 · Cited by 569 · see citing works
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Morris, D. E., Cleary, D. W., & Clarke, S. C. (2017) · Frontiers in Microbiology · doi:10.3389/fmicb.2017.01041 · Cited by 576 · see citing works
Lupfer, C., Thomas, P. G., Anand, P. K., Vogel, P., Milasta, S., Martinez, J., Huang, G., Green, M., Kundu, M., Chi, H., et al. (2013) · Nature Immunology · doi:10.1038/ni.2563 · Cited by 384 · see citing works
Cameron, M. J., Ran, L., Xu, L., Danesh, A., Bermejo-Martin, J. F., Cameron, C. M., Muller, M. P., Gold, W. L., Richardson, S. E., Poutanen, S. M., et al. (2007) · Journal of Virology · doi:10.1128/jvi.00527-07 · Cited by 386 · see citing works
Baskin, C. R., Bielefeldt-Ohmann, H., Tumpey, T. M., Sabourin, P. J., Long, J. P., García-Sastre, A., Tolnay, A.-E., Albrecht, R., Pyles, J. A., Olson, P. H., et al. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0813234106 · Cited by 361 · see citing works
Self-citationKlein, S. L. (2012) · BioEssays · doi:10.1002/bies.201200099 · Cited by 284 · see citing works
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Cillóniz, C., Shinya, K., Peng, X., Korth, M. J., Proll, S. C., Aicher, L. D., Carter, V. S., Chang, J. H., Kobasa, D., Feldmann, F., et al. (2009) · PLoS Pathogens · doi:10.1371/journal.ppat.1000604 · Cited by 210 · see citing works
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Perrone, L. A., Ahmad, A., Veguilla, V., Lu, X., Smith, G., Katz, J. M., Pushko, P., & Tumpey, T. M. (2009) · Journal of Virology · doi:10.1128/jvi.00207-09 · Cited by 143 · see citing works
Cilloniz, C., Pantin-Jackwood, M. J., Ni, C., Goodman, A. G., Peng, X., Proll, S. C., Carter, V. S., Rosenzweig, E. R., Szretter, K. J., Katz, J. M., et al. (2010) · Journal of Virology · doi:10.1128/jvi.00553-10 · Cited by 136 · see citing works
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- Authors
- Kobasa, D., Jones, S. M., Shinya, K., Kash, J. C., Copps, J., Ebihara, H., Hatta, Y., Hyun Kim, J., Halfmann, P., Hatta, M., Feldmann, F., Alimonti, J. B., Fernando, L., Li, Y., Katze, M. G., Feldmann, H., & Kawaoka, Y.
- Affiliations
- Public Health Agency of Canada (CA)
- Tottori University (JP)
- University of Washington (US)
- Canadian Food Inspection Agency (CA)
- University of Wisconsin–Madison (US)
- Corresponding author
- Kawaoka, Yoshihiro
- ORCID
- Venue
- Nature
- Published
- 2007-01-18
- Volume
- 445
- Issue
- 7125
- Pages
- 319-323
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2073234751
- Cited by
- 934
- References
- 31
- Citations by year
- 2026: 9 · 2025: 11 · 2024: 6 · 2023: 22 · 2022: 36 · 2021: 46 · 2020: 40 · 2019: 40 · 2018: 36 · 2017: 51 · 2016: 37 · 2015: 32 · 2014: 49 · 2013: 66 · 2012: 62
- FWCI
- 68.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Public Health Agency of Canada
- Public Health Agency
- Japan Society for the Promotion of Science (CREST)
- Japan Science and Technology Agency (CREST)
- Core Research for Evolutional Science and Technology
- Topics
- Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
- Life Sciences › Immunology and Microbiology › Immunology › interferon and immune responses
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- Spanish flu pandemic, innate immune suppression, cynomolgus macaque model, H5N1 avian influenza, respiratory distress
- MeSH terms
- Animals, Disease Models, Animal, Female, Gene Expression Regulation, Humans, Immunity, Innate, Influenza, Human, Lung, Macaca fascicularis, Mice, Inbred BALB C, Time Factors, Virus Replication, Survival Rate, Cytokines, Chemokines, Oligonucleotide Array Sequence Analysis, Gene Expression Profiling, Mice, Influenza A Virus, H1N1 Subtype
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