Influenza A virus facilitates Streptococcus pneumoniae transmission and disease
Abstract
Streptococcus pneumoniae (the pneumococcus) kills approximately 1.6 million people annually. Pneumococcal infections predominantly manifest as pneumonia, sepsis, meningitis, and otitis media. S. pneumoniae is also a member of the normal nasopharyngeal flora, colonizing up to 80% of children. Infection with influenza A virus (IAV) has been associated with both pneumococcal disease and transmission. However, to date no animal model has been available to investigate the role of IAV in the spread of S. pneumoniae. Here we investigate pneumococcal-influenza synergism with a particular focus on the role of IAV on pneumococcal transmission. Infant mice were colonized with S. pneumoniae and subsequently infected with IAV 3 d later. Using this novel model we show increased pneumococcal colonization and disease in the presence of IAV. Notably, in vivo imaging showed that IAV was essential for the transmission of S. pneumoniae from colonized ("index") mice to their naive cohoused littermates ("contacts"). Transmission occurred only when all mice were infected with IAV and was prevented when an IAV-neutralizing antibody was used to inhibit IAV replication in either index mice or contact mice. Together, these data provide novel insights into pneumococcal-influenza synergism and may indicate a previously unappreciated role of IAV in the spread of S. pneumoniae.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In experimental in vitro models, viral infections increase the colonization rates of various bacteria in the URT, including S. pneumoniae and H. influenzae.
“In experimental in vitro models, viral infections increase the colonization rates of various bacteria in the URT (90–95), including S. pneumoniae and H. influenzae (86–88).”
From Respiratory viral infection-induced microbiome alterations and secondary bacterial pneumonia. (2018) · cites this paper as [95]
In a study of mice colonized with S. pneumoniae and then infected with influenza A virus 3 days after, S. pneumoniae transmission occurred only when all mice were infected with influenza and was blocked by an influenza-neutralizing antibody.
“In a study of mice colonized with S. pneumoniae and then infected with influenza A virus 3 days after, S. pneumoniae transmission occurred only when all mice were infected with influenza and was blocked by an influenza-neutralizing antibody”
From Respiratory viral infection-induced microbiome alterations and secondary bacterial pneumonia. (2018) · cites this paper as [95]
Animal studies using murine models have shown that influenza predisposes to bacterial pneumonia.
“Animal studies using murine models have shown that influenza predisposes to bacterial pneumonia.”
From Bacterial and viral infections associated with influenza (2013) · cites this paper as [9]
In another study using infant mice, influenza virus was shown to be essential for pneumococcal transmission in a co-housed group.
“In another study using infant mice, influenza virus was shown to be essential for pneumococcal transmission in a co‐housed group”
From Bacterial and viral infections associated with influenza (2013) · cites this paper as [9]
Cites
The principles and practice of medicine
(1938) · The American Journal of Surgery · doi:10.1016/s0002-9610(38)91188-2 · Cited by 1,657 · see citing works
The role of Streptococcus pneumoniae virulence factors in host respiratory colonization and disease
Kadioglu, A., Weiser, J. N., Paton, J. C., & Andrew, P. W. (2008) · Nature Reviews Microbiology · doi:10.1038/nrmicro1871 · Cited by 1,147 · see citing works
Insights into the Interaction between Influenza Virus and Pneumococcus
McCullers, J. A. (2006) · Clinical Microbiology Reviews · doi:10.1128/cmr.00058-05 · Cited by 846 · see citing works
Gray, B. M., Converse, G. M., & Dillon, H. C. (1980) · The Journal of Infectious Diseases · doi:10.1093/infdis/142.6.923 · Cited by 797 · see citing works
Robinson, K. A. (2001) · JAMA · doi:10.1001/jama.285.13.1729 · Cited by 654 · see citing works
Neonatal and early life vaccinology
Siegrist, C. (2001) · Vaccine · doi:10.1016/s0264-410x(01)00028-7 · Cited by 590 · see citing works
Baumgarth, N., Herman, O. C., Jager, G. C., Brown, L. E., Herzenberg, L. A., & Chen, J. (2000) · The Journal of Experimental Medicine · doi:10.1084/jem.192.2.271 · Cited by 583 · see citing works
Self-citationCellular effectors mediating Th17-dependent clearance of pneumococcal colonization in mice
Zhang, Z., Clarke, T. B., & Weiser, J. N. (2009) · Journal of Clinical Investigation · doi:10.1172/jci36731 · Cited by 453 · see citing works
McCullers, J. A., & Rehg, J. E. (2002) · The Journal of Infectious Diseases · doi:10.1086/341462 · Cited by 423 · see citing works
Didierlaurent, A., Goulding, J., Patel, S., Snelgrove, R., Low, L., Bebien, M., Lawrence, T., van Rijt, L. S., Lambrecht, B. N., Sirard, J.-C., et al. (2008) · The Journal of Experimental Medicine · doi:10.1084/jem.20070891 · Cited by 399 · see citing works
Brundage, J. F. (2006) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(06)70466-2 · Cited by 386 · see citing works
Role of Neuraminidase in Lethal Synergism between Influenza Virus and Streptococcus pneumoniae
McCullers, J. A., & Bartmess, K. C. (2003) · The Journal of Infectious Diseases · doi:10.1086/368163 · Cited by 384 · see citing works
The Principles and Practice of Medicine
Osler, S. W. (1944) · Southern Medical Journal · doi:10.1097/00007611-194407000-00016 · Cited by 348 · see citing works
van der Sluijs, K. F., van Elden, L. J. R., Nijhuis, M., Schuurman, R., Pater, J. M., Florquin, S., Goldman, M., Jansen, H. M., Lutter, R., & van der Poll, T. (2004) · The Journal of Immunology · doi:10.4049/jimmunol.172.12.7603 · Cited by 331 · see citing works
O’Brien, K. L., Walters, M. I., Sellman, J. S., Quinlisk, P., Regnery, H. L., Schwartz, B., & Dowell, S. F. (2000) · Clinical Infectious Diseases · doi:10.1086/313772 · Cited by 280 · see citing works
Briles, D. E., Crain, M. J., Gray, B. M., et al. (1992) · Infection and Immunity · doi:10.1128/iai.60.1.111-116.1992 · Cited by 264 · see citing works
Self-citationSpecies comparison of anatomical and functional immune system development
Holsapple, M. P., West, L. J., & Landreth, K. S. (2003) · Birth Defects Research Part B Developmental and Reproductive Toxicology · doi:10.1002/bdrb.10035 · Cited by 251 · see citing works
McNamee, L. A., & Harmsen, A. G. (2006) · Infection and Immunity · doi:10.1128/iai.00789-06 · Cited by 233 · see citing works
Gwaltney, J. M., Sande, M. A., AUSTRIAN, R. C., & Hendley, J. O. (1975) · The Journal of Infectious Diseases · doi:10.1093/infdis/132.1.62 · Cited by 165 · see citing works
Yagupsky, P., Porat, N., Fraser, D., PRAJGROD, F., MERIRES, M., McGee, L., Klugman, K. P., & Dagan, R. (1998) · The Journal of Infectious Diseases · doi:10.1086/515239 · Cited by 164 · see citing works
Trappetti, C., Kadioglu, A., Carter, M., Hayre, J. K., Iannelli, F., Pozzi, G., Andrew, P. W., & Oggioni, M. R. (2009) · The Journal of Infectious Diseases · doi:10.1086/598483 · Cited by 152 · see citing works
The impact of HIV on Streptococcus pneumoniae bacteraemia in a South African population
Jones, N., Huebner, R. E., KHOOSAL, M., et al. (1998) · AIDS · doi:10.1097/00002030-199816000-00013 · Cited by 125 · see citing works
Airborne Transmission of Influenza Virus Infection in Mice
Schulman, J. L., & Kilbourne, E. D. (1962) · Nature · doi:10.1038/1951129a0 · Cited by 119 · see citing works
Sá‐Leão, R., Nunes, S., Brito‐Avô, A., et al. (2007) · Journal of Clinical Microbiology · doi:10.1128/jcm.01551-07 · Cited by 118 · see citing works
EXPERIMENTAL TRANSMISSION OF INFLUENZA VIRUS INFECTION IN MICE
Schulman, J. L., & Kilbourne, E. D. (1963) · The Journal of Experimental Medicine · doi:10.1084/jem.118.2.267 · Cited by 117 · see citing works
Novel Strategy to Prevent Otitis Media Caused by Colonizing Streptococcus pneumoniae
McCullers, J. A., Karlström, Å., Iverson, A., Loeffler, J. M., & Fischetti, V. A. (2007) · PLoS Pathogens · doi:10.1371/journal.ppat.0030028 · Cited by 110 · see citing works
Briles, D. E., Novak, L., Hotomi, M., van Ginkel, F. W., & King, J. D. (2005) · Infection and Immunity · doi:10.1128/iai.73.10.6945-6951.2005 · Cited by 95 · see citing works
Self-citationWadowsky, R. M., Mietzner, S. M., Skoner, D. P., Doyle, W. J., & Fireman, P. (1995) · Infection and Immunity · doi:10.1128/iai.63.4.1153-1157.1995 · Cited by 92 · see citing works
Murine model for evaluation of protective immunity to influenza virus
Novak, M. J., Moldoveanu, Z., Schafer, D. P., et al. (1993) · Vaccine · doi:10.1016/0264-410x(93)90339-y · Cited by 90 · see citing works
EXPERIMENTAL TRANSMISSION OF INFLUENZA VIRUS INFECTION IN MICE
Schulman, J. L., & Kilbourne, E. D. (1963) · The Journal of Experimental Medicine · doi:10.1084/jem.118.2.257 · Cited by 90 · see citing works
JANSEN, A. G. S. C., SANDERS, E. A. M., VAN DER ENDE, A., VAN LOON, A. M., HOES, A. W., & HAK, E. (2008) · Epidemiology and Infection · doi:10.1017/s0950268807000271 · Cited by 85 · see citing works
A new integrative reporter plasmid for Streptococcus pneumoniae
Halfmann, A., Hakenbeck, R., & Brückner, R. (2007) · FEMS Microbiology Letters · doi:10.1111/j.1574-6968.2006.00584.x · Cited by 84 · see citing works
Burghout, P., Bootsma, H. J., Kloosterman, T. G., Bijlsma, J. J. E., Jongh, C. E. V. D. G., Kuipers, O. P., & Hermans, P. W. M. (2007) · Journal of Bacteriology · doi:10.1128/jb.00573-07 · Cited by 75 · see citing works
Adegbola, R. A., Obaro, S., Biney, E., et al. (2001) · The Pediatric Infectious Disease Journal · doi:10.1097/00006454-200107000-00018 · Cited by 73 · see citing works
Beard, S. J., Salisbury, V. C., Lewis, R. J., et al. (2002) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.46.2.538-542.2002 · Cited by 58 · see citing works
Epidemiological studies of Streptococcus pneumoniae in infants: methods of isolating pneumococci
Converse, G. M., & Dillon, H. C. (1977) · Journal of Clinical Microbiology · doi:10.1128/jcm.5.3.293-296.1977 · Cited by 54 · see citing works
Brown, L. E., Murray, J. M., WHITE, D. O., et al. (1990) · Archives of Virology · doi:10.1007/bf01311008 · Cited by 53 · see citing works
Self-citationJoyce, E. A., Popper, S. J., & Falkow, S. (2009) · BMC Genomics · doi:10.1186/1471-2164-10-404 · Cited by 49 · see citing works
Speshock, J. L., Doyon‐Reale, N., Rabah, R. M., Neely, M. N., & Roberts, P. C. (2007) · Infection and Immunity · doi:10.1128/iai.01943-06 · Cited by 44 · see citing works
Malley, R., Stack, A. M., Ferretti, M. L., Thompson, C. M., & Saladino, R. A. (1998) · The Journal of Infectious Diseases · doi:10.1086/597600 · Cited by 43 · see citing works
Mozdzanowska, K., Feng, J., & Gerhard, W. (2003) · Journal of Virology · doi:10.1128/jvi.77.15.8322-8328.2003 · Cited by 37 · see citing works
Transmission of avian H9N2 influenza viruses in a murine model
Wu, R. J., Sui, Z., Liu, Z., Liang, W., Yang, K., Xiong, Z., & Di-ping, X. (2009) · Veterinary Microbiology · doi:10.1016/j.vetmic.2009.09.068 · Cited by 18 · see citing works
Survival of pneumococcus on hands and fomites
Smith‐Vaughan, H., Crichton, F., Beissbarth, J., et al. (2008) · BMC Research Notes · doi:10.1186/1756-0500-1-112 · Cited by 14 · see citing works
(1978) · The Lancet · doi:10.1016/s0140-6736(78)90425-7 · Cited by 8 · see citing works
Rytel, M. W., & Schulman, J. L. (1969) · Journal of General Virology · doi:10.1099/0022-1317-5-3-429 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Viral and Bacterial Interactions in the Upper Respiratory Tract
Bosch, A. A. T. M., Biesbroek, G., Trzcinski, K., Sanders, E. A. M., & Bogaert, D. (2013) · PLoS Pathogens · doi:10.1371/journal.ppat.1003057 · Cited by 651 · see citing works
Respiratory viral infection-induced microbiome alterations and secondary bacterial pneumonia.
Hanada, S., Pirzadeh, M., Carver, K. Y., & Deng, J. C. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.02640 · Cited by 495 · see citing works
Nakamura, S., Davis, K. M., & Weiser, J. N. (2011) · Journal of Clinical Investigation · doi:10.1172/jci57762 · Cited by 280 · see citing works
Bacterial and viral infections associated with influenza
Joseph, C., Togawa, Y., & Shindo, N. (2013) · Influenza and Other Respiratory Viruses · doi:10.1111/irv.12089 · Cited by 250 · see citing works
Marks, L. R., Davidson, B. A., Knight, P. R., & Hakansson, A. P. (2013) · mBio · doi:10.1128/mbio.00438-13 · Cited by 240 · see citing works
Identifying the interaction between influenza and pneumococcal pneumonia using incidence data.
Shrestha, S., Foxman, B., Weinberger, D. M., Steiner, C., Viboud, C., & Rohani, P. (2013) · Science Translational Medicine · doi:10.1126/scitranslmed.3005982 · Cited by 148 · see citing works
Loving, C. L., Brockmeier, S. L., Vincent, A. L., Palmer, M. V., Sacco, R. E., & Nicholson, T. L. (2010) · Microbial Pathogenesis · doi:10.1016/j.micpath.2010.06.004 · Cited by 95 · see citing works
Mina, M. J., McCullers, J. A., & Klugman, K. P. (2014) · mBio · doi:10.1128/mbio.01040-13 · Cited by 91 · see citing works
Grijalva, C. G., Griffin, M. R., Edwards, K. M., Williams, J. V., Gil, A. I., Verastegui, H., Hartinger, S. M., Vidal, J. E., Klugman, K. P., & Lanata, C. F. (2014) · Clinical Infectious Diseases · doi:10.1093/cid/ciu148 · Cited by 72 · see citing works
Kuster, S. P., Tuite, A. R., Kwong, J. C., McGeer, A., the Toronto Invasive Bacterial Diseases Network, & Fisman, D. N. (2011) · PLoS Medicine · doi:10.1371/journal.pmed.1001042 · Cited by 52 · see citing works
Karppinen, S., Teräsjärvi, J., Auranen, K., Schuez-Havupalo, L., Siira, L., He, Q., Waris, M., & Peltola, V. (2017) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201702-0357oc · Cited by 50 · see citing works
Wren, J. T., Blevins, L. K., Pang, B., King, L. B., Perez, A. C., Murrah, K. A., Reimche, J. L., Alexander-Miller, M. A., & Swords, W. E. (2014) · Infection and Immunity · doi:10.1128/iai.01856-14 · Cited by 31 · see citing works
Short, K. R., Vissers, M., de Kleijn, S., Zomer, A. L., Kedzierska, K., Grant, E., Reading, P. C., Hermans, P. W. M., Ferwerda, G., & Diavatopoulos, D. A. (2014) · Journal of Innate Immunity · doi:10.1159/000353905 · Cited by 20 · see citing works
Self-citationDE LASTOURS, V., MALOSH, R., RAMADUGU, K., SRINIVASAN, U., DAWID, S., OHMIT, S., & FOXMAN, B. (2016) · Epidemiology and Infection · doi:10.1017/s0950268816001473 · Cited by 20 · see citing works
- Authors
- Diavatopoulos, D. A., Short, K. R., Price, J. T., Wilksch, J. J., Brown, L. E., Briles, D. E., Strugnell, R. A., & Wijburg, O. L.
- Affiliations
- The University of Melbourne (AU)
- Monash University (AU)
- University of Alabama at Birmingham (US)
- Corresponding author
- Diavatopoulos, Dimitri A.
- ORCID
- Venue
- The FASEB Journal
- Publisher
- Wiley
- Published
- 2010-01-22
- Volume
- 24
- Issue
- 6
- Pages
- 1789-1798
- ISSN
- 0892-6638 (ISSN-L)
- 1530-6860
- OpenAlex
- W2145411867
- Cited by
- 192
- References
- 46
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 7 · 2023: 15 · 2022: 8 · 2021: 12 · 2020: 10 · 2019: 9 · 2018: 13 · 2017: 16 · 2016: 17 · 2015: 13 · 2014: 16 · 2013: 23 · 2012: 10
- FWCI
- 9.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The FASEB Journal (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
- Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
- Health Sciences › Medicine › Epidemiology › Respiratory viral infections research
- Keywords
- Streptococcus pneumoniae, influenza A virus, pneumococcal transmission, nasopharyngeal carriage, neonatal mice, animal models, in vivo imaging, bacterial co-infection, pneumococcal infection
- MeSH terms
- Animals, Animals, Newborn, Cells, Cultured, Dogs, Female, Kidney, Lung, Mice, Inbred C57BL, Nasopharynx, Influenza A virus, Pneumonia, Pneumococcal, Streptococcus pneumoniae, Virus Replication, Viral Load, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review