Abstract

Despite evidence of augmented Natural Killer (NK) cell responses after influenza vaccination, the role of these cells in vaccine-induced immunity remains unclear. Here, we hypothesized that NK cells might increase viral clearance but possibly at the expense of increased severity of pathology. On the contrary, we found that NK cells serve a homeostatic role during influenza virus infection of vaccinated mice, allowing viral clearance with minimal pathology. Using a diphtheria toxin receptor transgenic mouse model, we were able to specifically deplete NKp46+ NK cells through the administration of diphtheria toxin. Using this model, we assessed the effect of NK cell depletion prior to influenza challenge in vaccinated and unvaccinated mice. NK-depleted, vaccinated animals lost significantly more weight after viral challenge than vaccinated NK intact animals, indicating that NK cells ameliorate disease in vaccinated animals. However, there was also a significant reduction in viral load in NK-depleted, unvaccinated animals indicating that NK cells also constrain viral clearance. Depletion of NK cells after vaccination, but 21 days before infection, did not affect viral clearance or weight loss—indicating that it is the presence of NK cells during the infection itself that promotes homeostasis. Further work is needed to identify the mechanism(s) by which NK cells regulate adaptive immunity in influenza-vaccinated animals to allow efficient and effective virus control whilst simultaneously minimizing inflammation and pathology.

Highlights

  • Influenza viruses are a significant cause of respiratory tract infections, leading to seasonal epidemics and unpredictable pandemics

  • These results suggest that the immune response to acute influenza infection, whether in a naïve or vaccinated animal, is characterized by an influx of CD11b+ cells and activated Natural Killer (NK) cells

  • Given the decreased viral burden but increased weight loss upon influenza challenge in vaccinated NK cell-depleted mice compared to NK cell-sufficient mice (Figure 2E, males and 3A, females), we examined the lungs for histological evidence of pathology

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Summary

Introduction

Influenza viruses are a significant cause of respiratory tract infections, leading to seasonal epidemics and unpredictable pandemics. Influenza affects ∼20–30% of children and 5–10% of adults, resulting in 3–5 million cases of severe illness with up to 500,000 deaths, annually [1]. The very young, old, and immunocompromised are at greatest risk of succumbing to severe illness and death [2]. Vaccination with live-attenuated or inactivated influenza virus is the most effective method for reducing infections at both the individual and population level [3, 4]. Adaptive immune responses play a key role in the resolution of influenza infection, innate immune responses play an essential role in restricting virus replication and limiting the scale of the initial infection [5].

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