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Title: | Severe pandemic 2009 H1N1 influenza disease due to pathogenic immune complexes | Authors: | Monsalvo, Ana Clara Batalle, Juan P. Lopez, M. Florencia Krause, Jens C. Klemenc, Jennifer Zea, Johanna Maskin, Bernardo Bugna, Jimena Rubinstein, Carlos Aguilar, Leandro Dalurzo, Liliana Libster, Romina Savy, Vilma L. Baumeister, Elsa Aguilar, Liliana Cabral, Graciela Font, Julia Solari, Liliana Weller, Kevin P. Johnson, Joyce Echavarria, Marcela Edwards, Kathryn M. Chappell, James D. Crowe, James E. Williams, John V. Melendi, Guillermina A. Polack, Fernando P. |
Keywords: | Subtipo H1N1 del Virus de la Influenza A;Pandemias;Virus de la Influenza A | Issue Date: | Feb-2011 | Publisher: | Nature Research | Journal: | Nature Medicine | Abstract: | Pandemic influenza viruses often cause severe disease in middle-aged adults without preexisting comorbidities. The mechanism of illness associated with severe disease in this age group is not well understood. Here we find preexisting serum antibodies that cross-react with, but do not protect against, 2009 H1N1 influenza virus in middle-aged adults. Nonprotective antibody is associated with immune complex-mediated disease after infection. We detected high titers of serum antibody of low avidity for H1-2009 antigen, and low-avidity pulmonary immune complexes against the same protein, in severely ill individuals. Moreover, C4d deposition--a marker of complement activation mediated by immune complexes--was present in lung sections of fatal cases. Archived lung sections from middle-aged adults with confirmed fatal influenza 1957 H2N2 infection revealed a similar mechanism of illness. These observations provide a previously unknown biological mechanism for the unusual age distribution of severe cases during influenza pandemics. |
Description: | Fil: Monsalvo, Ana Clara. Fundacion INFANT, Buenos Aires; Argentina. Fil: Batalle, Juan P. Fundacion INFANT, Buenos Aires; Argentina. Fil: Lopez, M Florencia. Fundacion INFANT, Buenos Aires; Argentina. Fil: Krause, Jens C. Department of Pediatrics, Vanderbilt University, Nashville, TN; Estados Unidos. Fil: Klemenc, Jennifer. Department of Pediatrics, Vanderbilt University, Nashville, TN; Estados Unidos. Fil: Hernandez, Johanna Zea. . Fundacion INFANT, Buenos Aires; Argentina. Fil: Maskin, Bernardo. Hospital Nacional Prof. Alejandro Posadas, Buenos Aires; Argentina. Fil: Bugna, Jimena. Fundacion INFANT, Buenos Aires; Argentina. Fil: Rubinstein, Carlos. Hospital Dr Federico Abete, Malvinas Argentinas, Buenos Aires; Argentina. Fil: Aguilar, Leandro. Hospital Dr Federico Abete, Malvinas Argentinas, Buenos Aires; Argentina. Fil: Dalurzo, Liliana. Hospital Italiano, Buenos Aires; Argentina. Fil: Libster, Romina. Fundacion INFANT, Buenos Aires; Argentina. Fil: Savy, Vilma. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas; Argentina. Fil: Baumeister, Elsa. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas; Argentina. Fil: Aguilar, Liliana. Hospital Nacional Prof. Alejandro Posadas, Buenos Aires; Argentina. Fil: Cabral, Graciela. Hospital Nacional Prof. Alejandro Posadas, Buenos Aires; Argentina. Fil: Font, Julia. Hospital Nacional Prof. Alejandro Posadas, Buenos Aires; Argentina. Fil: Solari, Liliana. Hospital Nacional Prof. Alejandro Posadas, Buenos Aires; Argentina. Fil: Weller, Kevin P. Department of Pediatrics, Vanderbilt University, Nashville, TN; Estados Unidos. Fil: Johnson, Joyce. Department of Pathology, Vanderbilt University, Nashville, TN; Estados Unidos. Fil: Echavarria, Marcela. Department of Microbiology, CEMIC, Buenos Aires; Argentina. Fil: Edwards, Kathryn M. Department of Pediatrics, Vanderbilt University, Nashville, TN; Estados Unidos. Fil: Chappell, James D. Department of Pathology, Vanderbilt University, Nashville, TN; Estados Unidos. Fil: Crowe, James E. Department of Pediatrics, Vanderbilt University, Nashville, TN; Estados Unidos. Fil: Williams, John V. Department of Pediatrics, Vanderbilt University, Nashville, TN; Estados Unidos. Fil: Melendi, Guillermina A. Fundacion INFANT, Buenos Aires; Argentina. Fil: Polack, Fernando P. Fundacion INFANT, Buenos Aires; Argentina. |
URI: | http://sgc.anlis.gob.ar/handle/123456789/472 | ISSN: | 1546-170X | Rights: | openAccess Closed Access |
Appears in Collections: | Publicaciones Publicaciones INEI |
Files in This Item:
File | Description | Size | Format | |
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Naturemedicine,2011,17(2),195-199..pdf | Artículo en inglés | 2.86 MB | Adobe PDF | View/Open |
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