Remy
Administrator
This seems like it is an important finding!
These scientists found that elderly people were more likely to die from the flu because they had low levels of interferon combined with normal amounts of inflammasomes.
The inflammasomes were actually responsible for the increased rate of mortality because they damaged the tissues with an out of control inflammatory response that was not balanced by appropriate interferon secretion.
So maybe it's not either immune deficiency or hyperimmune...maybe it's both at once. What do you think, @Strike me lucky?
These scientists found that elderly people were more likely to die from the flu because they had low levels of interferon combined with normal amounts of inflammasomes.
The inflammasomes were actually responsible for the increased rate of mortality because they damaged the tissues with an out of control inflammatory response that was not balanced by appropriate interferon secretion.
So maybe it's not either immune deficiency or hyperimmune...maybe it's both at once. What do you think, @Strike me lucky?
They found that the secretion of key antiviral proteins, known as interferons, was significantly reduced in older adults.
"It shows that older people may be more susceptible to influenza because they cannot mount an antiviral response," said Akiko Iwasaki, professor of immunobiology, investigator at the Howard Hughes Medical Institute, and the study's senior author.
To prove that theory, the research team created mice models that mimicked the reduced immune response in older adults. Specifically, they blocked genes that enable the immune system to detect flu, allowing the virus to replicate unchecked. They determined that inflammation was behind the damage that leads to flu deaths.
"We found that the virus replication itself wasn't enough to kill the mice, but needed the host response," said Iwasaki. That response includes neutrophils, or white blood cells responsible for inflammation that fights infection. Neutrophils are activated by the inflammasomes, a heavy-duty inflammatory response reserved for virulent infections. While battling the virus, those cells also destroy tissue in the lungs.
The finding highlights potential new strategies for combating flu. "It has a lot of promise in terms of how we might treat older people who are infected with flu," said Iwasaki. "If what we see in the mouse is true for humans, instead of trying to block virus replication, we should go after the immune cells that are destroying the lungs." A drug that targets inflammation -- either by blocking neutrophils or pro-inflammatory enzymes known as inflammasome caspases -- could prolong survival in older people with flu, she said.
Story Source:
The above post is reprinted from materials provided by Yale University. The original item was written by Ziba Kashef. Note: Materials may be edited for content and length.
Journal Reference:
- P. S. Pillai, R. D. Molony, K. Martinod, H. Dong, I. K. Pang, M. C. Tal, A. G. Solis, P. Bielecki, S. Mohanty, M. Trentalange, R. J. Homer, R. A. Flavell, D. D. Wagner, R. R. Montgomery, A. C. Shaw, P. Staeheli, A. Iwasaki. Mx1 reveals innate pathways to antiviral resistance and lethal influenza disease. Science, 2016; 352 (6284): 463 DOI: 10.1126/science.aaf3926