Excessive neutrophil levels in the lung underlie the age-associated increase in influenza mortality.

Abstract:

:Neutrophils clear viruses, but excessive neutrophil responses induce tissue injury and worsen disease. Aging increases mortality to influenza infection; however, whether this is due to impaired viral clearance or a pathological host immune response is unknown. Here we show that aged mice have higher levels of lung neutrophils than younger mice after influenza viral infection. Depleting neutrophils after, but not before, infection substantially improves the survival of aged mice without altering viral clearance. Aged alveolar epithelial cells (AECs) have a higher frequency of senescence and secrete higher levels of the neutrophil-attracting chemokines CXCL1 and CXCL2 during influenza infection. These chemokines are required for age-enhanced neutrophil chemotaxis in vitro. Our work suggests that aging increases mortality from influenza in part because senescent AECs secrete more chemokines, leading to excessive neutrophil recruitment. Therapies that mitigate this pathological immune response in the elderly might improve outcomes of influenza and other respiratory infections.

journal_name

Mucosal Immunol

journal_title

Mucosal immunology

authors

Kulkarni U,Zemans RL,Smith CA,Wood SC,Deng JC,Goldstein DR

doi

10.1038/s41385-018-0115-3

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

545-554

issue

2

eissn

1933-0219

issn

1935-3456

pii

10.1038/s41385-018-0115-3

journal_volume

12

pub_type

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