TY - JOUR A1 - Sharma, Niharika A1 - Stegemann-Koniszewski, Sabine A1 - Christen, Henrike A1 - Boehme, Julia A1 - Kershaw, Olivia A1 - Schreiber, Jens A1 - Guzmán, Carlos A1 - Bruder, Dunja A1 - Hernandez-Vargas, Esteban Abelardo T1 - In vivo neutralization of pro-inflammatory cytokines during secondary streptococcus pneumoniae infection post influenza a virus infection T2 - Frontiers in immunology N2 - An overt pro-inflammatory immune response is a key factor contributing to lethal pneumococcal infection in an influenza pre-infected host and represents a potential target for therapeutic intervention. However, there is a paucity of knowledge about the level of contribution of individual cytokines. Based on the predictions of our previous mathematical modeling approach, the potential benefit of IFN-γ- and/or IL-6-specific antibody-mediated cytokine neutralization was explored in C57BL/6 mice infected with the influenza A/PR/8/34 strain, which were subsequently infected with the Streptococcus pneumoniae strain TIGR4 on day 7 post influenza. While single IL-6 neutralization had no effect on respiratory bacterial clearance, single IFN-γ neutralization enhanced local bacterial clearance in the lungs. Concomitant neutralization of IFN-γ and IL-6 significantly reduced the degree of pneumonia as well as bacteremia compared to the control group, indicating a positive effect for the host during secondary bacterial infection. The results of our model-driven experimental study reveal that the predicted therapeutic value of IFN-γ and IL-6 neutralization in secondary pneumococcal infection following influenza infection is tightly dependent on the experimental protocol while at the same time paving the way toward the development of effective immune therapies. KW - co-infection KW - mathematical modeling KW - IFN-γ neutralization KW - IL-6 neutralization KW - Influenza Virus KW - Streptococcus pneumoniae Y1 - 2019 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/51866 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-518660 SN - 1664-3224 N1 - Copyright © 2019 Sharma-Chawla, Stegemann-Koniszewski, Christen, Boehme, Kershaw, Schreiber, Guzmán, Bruder and Hernandez-Vargas. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. VL - 10 IS - Art. 1864 SP - 1 EP - 15 PB - Frontiers Media CY - Lausanne ER -