Prior immunity to influenza A virus (IAV) in mice changes the outcome to a subsequent lymphocytic choriomeningitis virus (LCMV)infection
During a lifetime the immune system is shaped by a history of infections. Prior infections with one pathogen may influence the severity of disease outcome to a subsequent infection with an unrelated pathogen, a phenomenon known as heterologous immunity (1). Enhanced immunopathology, which can be mediated by the activation of cross-reactive memory T cells, is one of the harmful consequences of heterologous immunity. For instance, it has been proposed during human infections that cross-reactive IAV-specific memory CD8 ϩ T cells can contribute to the induction of severe fulminant hepatitis during hepatitis C virus (HCV) infection and induction of acute infectious mononucleosis during Epstein-Barr virus (EBV) infection (2-4).Lung pathology is a common manifestation of respiratory infections and can vary greatly in severity in different individuals infected with the same pathogen. To investigate the role of altered immunopathology during heterologous immunity in a controlled experimental setting, we utilized a mouse model of IAV-immune mice infected with lymphocytic choriomeningitis virus (LCMV) (5). We initially chose these two viruses because they are phylogenetically unrelated and because they are naturally spread through infection of the respiratory mucosa and induce significant inflammation in the lung (6-11). Influenza virus is an extremely common respiratory pathogen in humans, and LCMV, which induces a flu-like illness in humans, is also a relatively common pathogen, with 5 to 14% of the general population being serologically positive (12). These IAV-immune mice infected with LCMV could develop acute lung injury similar to that seen in individuals that died during the H1N1 IAV pandemic in 1918, with enhanced bronchus-associated lymphoid tissue (BALT), mononuclear pneumonia, necrotizing bronchiolitis, vasculitis, and bronchiolization (13, 14) The severity of lung pathology varied among genetically identical mice from mild pneumonitis to severe mononuclear pneumonia, necrotizing bronchiolitis, and bronchiolization, an abnormal alveolar epithelial repair process considered premalignant and associated with idiopathic pulmonary fibrosis in humans. Although counterintuitive, severity of pathology did not directly correlate with LCMV titers. Instead, increased pathology was dependent on cross-reactive IAV-specific memory CD8 ϩ T cells (15). Disease severity was directly correlated with and could be predicted by the frequency of two IAV epitope-specific CD8 ϩ T-cell populations, PB1 703 and PA 224 , which are crossreactive with LCMV-GP 34 and -GP 276 , respectively. Eradication or functional ablation of these pathogenic populations of IAV-specific memory T cells using mutant viral strains, peptide-based tolerization strategies, or short-term anti-gamma interferon (IFN-␥) treatment prevented this pathology.Here, we continue to investigate this mouse model to determine if there are ot...