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Neutrophil Dysfunction in the Airways of Children with Acute Respiratory Failure Due to Lower Respiratory Tract Viral and Bacterial Coinfections
by
Grunwell, Jocelyn R.
, Dobosh, Brian S.
, Margaroli, Camilla
, Giacalone, Vincent D.
, Stephenson, Susan
, Brown, Milton R.
, Fitzpatrick, Anne M.
, Tirouvanziam, Rabindra
in
13/106
/ 13/31
/ 14/1
/ 14/34
/ 631/250/2504/223/1699
/ 692/699/1785/3193
/ Adolescent
/ Bacteria
/ Bacterial Infections - immunology
/ Bacterial Infections - microbiology
/ Bacterial Infections - pathology
/ Bacterial Infections - virology
/ Cell activation
/ Child
/ Child, Preschool
/ Children
/ Coinfection - immunology
/ Coinfection - microbiology
/ Coinfection - pathology
/ Coinfection - virology
/ Elastase
/ Female
/ Genotype & phenotype
/ Haemophilus influenzae - immunology
/ Humanities and Social Sciences
/ Humans
/ Infant
/ Infant, Newborn
/ Leukocyte migration
/ Leukocytes (neutrophilic)
/ Male
/ multidisciplinary
/ Neutrophils
/ Neutrophils - immunology
/ Neutrophils - pathology
/ Peroxidase
/ Phenotypes
/ Respiratory burst
/ Respiratory Burst - immunology
/ Respiratory distress syndrome
/ Respiratory Distress Syndrome - immunology
/ Respiratory Distress Syndrome - microbiology
/ Respiratory Distress Syndrome - pathology
/ Respiratory Distress Syndrome - virology
/ Respiratory failure
/ Respiratory therapy
/ Respiratory tract
/ Respiratory Tract Infections - immunology
/ Respiratory Tract Infections - microbiology
/ Respiratory Tract Infections - pathology
/ Respiratory Tract Infections - virology
/ Science
/ Science (multidisciplinary)
/ Staphylococcus aureus - immunology
/ Virus Diseases - immunology
/ Virus Diseases - microbiology
/ Virus Diseases - pathology
/ Virus Diseases - virology
2019
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Neutrophil Dysfunction in the Airways of Children with Acute Respiratory Failure Due to Lower Respiratory Tract Viral and Bacterial Coinfections
by
Grunwell, Jocelyn R.
, Dobosh, Brian S.
, Margaroli, Camilla
, Giacalone, Vincent D.
, Stephenson, Susan
, Brown, Milton R.
, Fitzpatrick, Anne M.
, Tirouvanziam, Rabindra
in
13/106
/ 13/31
/ 14/1
/ 14/34
/ 631/250/2504/223/1699
/ 692/699/1785/3193
/ Adolescent
/ Bacteria
/ Bacterial Infections - immunology
/ Bacterial Infections - microbiology
/ Bacterial Infections - pathology
/ Bacterial Infections - virology
/ Cell activation
/ Child
/ Child, Preschool
/ Children
/ Coinfection - immunology
/ Coinfection - microbiology
/ Coinfection - pathology
/ Coinfection - virology
/ Elastase
/ Female
/ Genotype & phenotype
/ Haemophilus influenzae - immunology
/ Humanities and Social Sciences
/ Humans
/ Infant
/ Infant, Newborn
/ Leukocyte migration
/ Leukocytes (neutrophilic)
/ Male
/ multidisciplinary
/ Neutrophils
/ Neutrophils - immunology
/ Neutrophils - pathology
/ Peroxidase
/ Phenotypes
/ Respiratory burst
/ Respiratory Burst - immunology
/ Respiratory distress syndrome
/ Respiratory Distress Syndrome - immunology
/ Respiratory Distress Syndrome - microbiology
/ Respiratory Distress Syndrome - pathology
/ Respiratory Distress Syndrome - virology
/ Respiratory failure
/ Respiratory therapy
/ Respiratory tract
/ Respiratory Tract Infections - immunology
/ Respiratory Tract Infections - microbiology
/ Respiratory Tract Infections - pathology
/ Respiratory Tract Infections - virology
/ Science
/ Science (multidisciplinary)
/ Staphylococcus aureus - immunology
/ Virus Diseases - immunology
/ Virus Diseases - microbiology
/ Virus Diseases - pathology
/ Virus Diseases - virology
2019
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Neutrophil Dysfunction in the Airways of Children with Acute Respiratory Failure Due to Lower Respiratory Tract Viral and Bacterial Coinfections
by
Grunwell, Jocelyn R.
, Dobosh, Brian S.
, Margaroli, Camilla
, Giacalone, Vincent D.
, Stephenson, Susan
, Brown, Milton R.
, Fitzpatrick, Anne M.
, Tirouvanziam, Rabindra
in
13/106
/ 13/31
/ 14/1
/ 14/34
/ 631/250/2504/223/1699
/ 692/699/1785/3193
/ Adolescent
/ Bacteria
/ Bacterial Infections - immunology
/ Bacterial Infections - microbiology
/ Bacterial Infections - pathology
/ Bacterial Infections - virology
/ Cell activation
/ Child
/ Child, Preschool
/ Children
/ Coinfection - immunology
/ Coinfection - microbiology
/ Coinfection - pathology
/ Coinfection - virology
/ Elastase
/ Female
/ Genotype & phenotype
/ Haemophilus influenzae - immunology
/ Humanities and Social Sciences
/ Humans
/ Infant
/ Infant, Newborn
/ Leukocyte migration
/ Leukocytes (neutrophilic)
/ Male
/ multidisciplinary
/ Neutrophils
/ Neutrophils - immunology
/ Neutrophils - pathology
/ Peroxidase
/ Phenotypes
/ Respiratory burst
/ Respiratory Burst - immunology
/ Respiratory distress syndrome
/ Respiratory Distress Syndrome - immunology
/ Respiratory Distress Syndrome - microbiology
/ Respiratory Distress Syndrome - pathology
/ Respiratory Distress Syndrome - virology
/ Respiratory failure
/ Respiratory therapy
/ Respiratory tract
/ Respiratory Tract Infections - immunology
/ Respiratory Tract Infections - microbiology
/ Respiratory Tract Infections - pathology
/ Respiratory Tract Infections - virology
/ Science
/ Science (multidisciplinary)
/ Staphylococcus aureus - immunology
/ Virus Diseases - immunology
/ Virus Diseases - microbiology
/ Virus Diseases - pathology
/ Virus Diseases - virology
2019
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Neutrophil Dysfunction in the Airways of Children with Acute Respiratory Failure Due to Lower Respiratory Tract Viral and Bacterial Coinfections
Journal Article
Neutrophil Dysfunction in the Airways of Children with Acute Respiratory Failure Due to Lower Respiratory Tract Viral and Bacterial Coinfections
2019
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Overview
Neutrophils are recruited to the airways of patients with acute respiratory distress syndrome (ARDS) where they acquire an activated pro-survival phenotype with an enhanced respiratory burst thought to contribute to ARDS pathophysiology. Our
in vitro
model enables blood neutrophil transepithelial migration into cell-free tracheal aspirate fluid from patients to recapitulate the primary airway neutrophil phenotype observed
in vivo
. Neutrophils transmigrated through our model toward airway fluid from children with lower respiratory viral infections coinfected with bacteria had elevated levels of neutrophil activation markers but paradoxically exhibited an inability to kill bacteria and a defective respiratory burst compared with children without bacterial coinfection. The airway fluid from children with bacterial coinfections had higher levels of neutrophil elastase activity, as well as myeloperoxidase levels compared to children without bacterial coinfection. Neutrophils transmigrated into the aspirate fluid from children with bacterial coinfection showed decreased respiratory burst and killing activity against
H
.
influenzae
and
S
.
aureus
compared to those transmigrated into the aspirate fluid from children without bacterial coinfection. Use of a novel transmigration model recapitulates this pathological phenotype
in vitro
that would otherwise be impossible in a patient, opening avenues for future mechanistic and therapeutic research.
Publisher
Nature Publishing Group UK,Nature Publishing Group
Subject
/ 13/31
/ 14/1
/ 14/34
/ Bacteria
/ Bacterial Infections - immunology
/ Bacterial Infections - microbiology
/ Bacterial Infections - pathology
/ Bacterial Infections - virology
/ Child
/ Children
/ Elastase
/ Female
/ Haemophilus influenzae - immunology
/ Humanities and Social Sciences
/ Humans
/ Infant
/ Male
/ Respiratory Burst - immunology
/ Respiratory distress syndrome
/ Respiratory Distress Syndrome - immunology
/ Respiratory Distress Syndrome - microbiology
/ Respiratory Distress Syndrome - pathology
/ Respiratory Distress Syndrome - virology
/ Respiratory Tract Infections - immunology
/ Respiratory Tract Infections - microbiology
/ Respiratory Tract Infections - pathology
/ Respiratory Tract Infections - virology
/ Science
/ Staphylococcus aureus - immunology
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