Influenza, evolution, and the next pandemic
Identifieur interne : 000034 ( France/Analysis ); précédent : 000033; suivant : 000035Influenza, evolution, and the next pandemic
Auteurs : David S. Fedson [France]Source :
- Evolution, Medicine, and Public Health [ 2050-6201 ] ; 2018.
Abstract
Mortality rates in influenza appear to have been shaped by evolution. During the 1918 pandemic, mortality rates were lower in children compared with adults. This mortality difference occurs in a wide variety of infectious diseases. It has been replicated in mice and might be due to greater tolerance of infection, not greater resistance. Importantly, combination treatment with inexpensive and widely available generic drugs (e.g. statins and angiotensin receptor blockers) might change the damaging host response in adults to a more tolerant response in children. These drugs might work by modifying endothelial dysfunction, mitochondrial biogenesis and immunometabolism. Treating the host response might be the only practical way to reduce global mortality during the next influenza pandemic. It might also help reduce mortality due to seasonal influenza and other forms of acute critical illness. To realize these benefits, we need laboratory and clinical studies of host response treatment before and after puberty.
Url:
DOI: 10.1093/emph/eoy027
PubMed: 30455951
PubMed Central: 6234328
Affiliations:
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Fedson</name><affiliation wicri:level="1"><nlm:aff id="eoy027-aff1">57, chemin du Lavoir, Sergy Haut, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>57, chemin du Lavoir, Sergy Haut</wicri:regionArea><wicri:noRegion>Sergy Haut</wicri:noRegion><wicri:noRegion>Sergy Haut</wicri:noRegion></affiliation></author></analytic><series><title level="j">Evolution, Medicine, and Public Health</title><idno type="eISSN">2050-6201</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>Mortality rates in influenza appear to have been shaped by evolution. During the 1918 pandemic, mortality rates were lower in children compared with adults. This mortality difference occurs in a wide variety of infectious diseases. It has been replicated in mice and might be due to greater tolerance of infection, not greater resistance. Importantly, combination treatment with inexpensive and widely available generic drugs (e.g. statins and angiotensin receptor blockers) might change the damaging host response in adults to a more tolerant response in children. These drugs might work by modifying endothelial dysfunction, mitochondrial biogenesis and immunometabolism. Treating the host response might be the only practical way to reduce global mortality during the next influenza pandemic. It might also help reduce mortality due to seasonal influenza and other forms of acute critical illness. To realize these benefits, we need laboratory and clinical studies of host response treatment before and after puberty.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wells, Jck" uniqKey="Wells J">JCK Wells</name></author><author><name sortKey="Nesse, Rm" uniqKey="Nesse R">RM Nesse</name></author><author><name sortKey="Sear, R" uniqKey="Sear R">R Sear</name></author><author><name sortKey="Johnstone, Ra" uniqKey="Johnstone R">RA Johnstone</name></author><author><name sortKey="Stearns, Sc" uniqKey="Stearns S">SC. Stearns</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fedson, Ds" uniqKey="Fedson D">DS. Fedson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fedson, Ds" uniqKey="Fedson D">DS Fedson</name></author><author><name sortKey="Dunnill, P" uniqKey="Dunnill P">P. 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Fang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country></list><tree><country name="France"><noRegion><name sortKey="Fedson, David S" sort="Fedson, David S" uniqKey="Fedson D" first="David S" last="Fedson">David S. Fedson</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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