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Published ahead of print on October 5, 2006, doi:10.1164/rccm.200604-561OC

Am. J. Respir. Crit. Care Med., Volume 174, Number 12, December 2006, 1342-1351

A more recent version of this article appeared on December 15, 2006
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Submitted on April 24, 2006
Accepted on October 5, 2006

Cigarette Smoke Impacts Immune Inflammatory Responses to Influenza in Mice

Clinton S Robbins1, Carla M.T. Bauer2, Neda Vujicic2, Gordon J Gaschler2, Brian D Lichty2, Earl G Brown3, and Martin R Stampfli4*

1 Department of Pathology and Molecular Medicine, McMaster University, Centre for Gene Therapeutics, Hamilton, Ontario, Canada; Department of Biology, McMaster University, Hamilton, Ontario, Canada, 2 Department of Pathology and Molecular Medicine, McMaster University, Centre for Gene Therapeutics, Hamilton, Ontario, Canada, 3 Department of Biochemistry, Microbiology and Immunology, University of Ottawa, Ottawa, Ontario, Canada, 4 Department of Pathology and Molecular Medicine, McMaster University, Centre for Gene Therapeutics, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada

* To whom correspondence should be addressed. E-mail: stampfli{at}mcmaster.ca.

Rationale: Studies have shown that cigarette smoke impacts respiratory host defense mechanisms; however, it is poorly understood how these smoke-induced changes impact the overall ability of the host to deal with pathogenic agents. Objective: The objective of this study was to investigate the impact of mainstream cigarette smoke exposure on immune inflammatory responses and viral burden following respiratory infection with influenza A. Methods: C57BL/6 mice were sham- or smoke-exposed for three to five months and infected with either 2.5x103 pfu (low dose) or 2.5x105 pfu (high dose) influenza virus. Measurements and Main Results: While smoke exposure attenuated the airways inflammatory response to low dose infection, we observed increased inflammation in smoke- compared to sham-exposed mice following infection with high dose influenza, despite a similar rate of viral clearance. The heightened inflammatory response was associated with increased expression of TNF{alpha}, IL-6 and type 1 interferon in the airway, and increased mortality. Importantly, smoke exposure did not interfere with the development of influenza-specific memory responses; sham- and smoke-exposed animals were equally protected upon viral re-challenge. Conclusion: Our study suggests that in mice cigarette smoke affects primary antiviral immune-inflammatory responses, while secondary immune protection remains intact.


Key words: Chronic Obstructive Pulmonary Disease, Immunity, Inflammation, Neutrophils




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G. J. Gaschler, C. C. J. Zavitz, C. M. T. Bauer, M. Skrtic, M. Lindahl, C. S. Robbins, B. Chen, and M. R. Stampfli
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[Abstract] [Full Text] [PDF]




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