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Journal of Virology, July 2001, p. 5921-5929, Vol. 75, No. 13
Division of Infectious Diseases, Department
of Internal Medicine,1 and Department of
Microbiology and Immunology,2 University of
Texas Medical Branch, Galveston, Texas 77555-0435
Received 27 December 2000/Accepted 9 April 2001
Infection of humans with influenza A virus (IAV) results in a
severe transient leukopenia. The goal of these studies was to analyze
possible mechanisms behind this IAV-induced leukopenia with emphasis on
the potential induction of apoptosis of lymphocytes by the virus.
Analysis of lymphocyte subpopulations after exposure to IAV showed that
a portion of CD3+, CD4+, CD8+, and
CD19+ lymphocytes became apoptotic (terminal
deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling
positive). The percentage of cells that are infected was shown to be
less than the percentage of apoptotic cells, suggesting that direct
effects of cell infection by the virus cannot account fully for the
high level of cell death. Removal of monocytes-macrophages after IAV
exposure reduced the percent of lymphocytes that were apoptotic.
Treatment of virus-exposed cultures with anti-tumor necrosis factor
alpha did not reduce the percentage of lymphocytes that were apoptotic.
In virus-exposed cultures treated with anti-FasL antibody, recombinant
soluble human Fas, Ac-DEVD-CHO (caspase-3 inhibitor), or Z-VAD-FMK
(general caspase inhibitor), apoptosis and production of the active
form of caspase-3 was reduced. The apoptotic cells were
Fas-high-density cells while the nonapoptotic cells expressed a low
density of Fas. The present studies showed that Fas-FasL signaling
plays a major role in the induction of apoptosis in lymphocytes after exposure to IAV. Since the host response to influenza virus commonly results in recovery from the infection, with residual disease uncommon,
lymphocyte apoptosis likely represents a part of an overall beneficial
immune response but could be a possible mechanism of disease pathogenesis.
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.73.13.5921-5929.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Human Lymphocyte Apoptosis after Exposure to
Influenza A Virus
*
Corresponding author. Mailing address: Division of
Infectious Diseases, Department of Internal Medicine, University of
Texas Medical Branch, 301 University Ave., Galveston, TX 77555-0435. Phone: (409) 747-1950. Fax: (409) 772-6527. E-mail:
jnichols{at}utmb.edu.
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