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O070 - EXTRAPULMONARY SYNERGISM: INFLUENZA PROMOTES STREPTOCOCCUS PNEUMONIAE CARDIAC PATHOGENESIS (ID 823)
Abstract
Background
It has been extensively reported that primary influenza infection promotes the development of a lethal form of Streptococcus pneumoniae (Spn) pulmonary disease. Recently, pneumonia events caused by both viruses and bacteria have been directly associated with cardiac damage. It is not known whether viral-bacterial synergy extends to extrapulmonary organs such as the heart.
Methods
Here we used a mouse model of secondary infection (SI) were mice are infected with pandemic influenza A virus (IAV) and then challenged with Spn. Using label-free quantitative proteomics we assessed the effects of SI to cardiac biology. We determined cardiac bacterial titers, and used immunoblots and isogenic deletion bacterial mutants to validate proteomic observations. We used mice deficient in necroptosis to discern the requirement of this pathway in vitro and in vivo.
Results
We report that primary infection with pandemic IAV leads to increased Spn translocation to the myocardium. We also observed that each infection alone led to proteomic changes in the heart, and these were exacerbated in the SI model. Gene ontology analysis of significantly upregulated proteins showed increased innate immune activity, oxidative processes, and changes to ion homeostasis during SI. Immunoblots confirmed increase complement, antioxidants and ACE2. Using an in vitro model of SI, we observed that influenza enhances Spn cell cytotoxicity and bacterial adhesion to cardiomyocytes. Mice deficient in necroptosis showed enhanced innate immune responses and mitochondrial function, and decreased virus-associated pathways.
Conclusions
The presented results provide the first in vivo evidence that influenza infection promotes Spn infiltration, necrotic damage, and proteomic remodeling of the heart.