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Influenza Virus Specific CD8+ T Cells Exacerbate Infection Following High Dose Influenza Challenge of Aged Mice

Identifieur interne : 000978 ( Ncbi/Merge ); précédent : 000977; suivant : 000979

Influenza Virus Specific CD8+ T Cells Exacerbate Infection Following High Dose Influenza Challenge of Aged Mice

Auteurs : E. M. Parzych [États-Unis] ; L. J. Dimenna [États-Unis] ; B. P. Latimer [États-Unis] ; J. C. Small [États-Unis] ; S. Kannan [États-Unis] ; B. Manson [États-Unis] ; M. O. Lasaro [États-Unis] ; E. J. Wherry [États-Unis] ; H. C. Ertl [États-Unis]

Source :

RBID : PMC:3800650

Abstract

Influenza viruses cause severe illnesses and death, mainly in the aged population. Protection afforded by licensed vaccines through subtype-specific neutralizing antibodies is incomplete, especially when the vaccine antigens fail to closely match those of the circulating viral strains. Efforts are underway to generate a so-called universal influenza vaccine expressing conserved viral sequences that induce broad protection to multiple strains of influenza virus through the induction of CD8+ T cells. Here we assess the effect of a potent antiviral CD8+ T cell response on influenza virus infection of young and aged mice. Our results show that CD8+ T cell-inducing vaccines can provide some protection to young mice, but they exacerbate influenza virus-associated disease in aged mice, causing extensive lung pathology and death.


Url:
DOI: 10.1155/2013/876314
PubMed: 24187666
PubMed Central: 3800650

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PMC:3800650

Le document en format XML

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<p>Influenza viruses cause severe illnesses and death, mainly in the aged population. Protection afforded by licensed vaccines through subtype-specific neutralizing antibodies is incomplete, especially when the vaccine antigens fail to closely match those of the circulating viral strains. Efforts are underway to generate a so-called universal influenza vaccine expressing conserved viral sequences that induce broad protection to multiple strains of influenza virus through the induction of CD8
<sup>+</sup>
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<sup>+</sup>
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<sup>+</sup>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Biomed Res Int</journal-id>
<journal-id journal-id-type="iso-abbrev">Biomed Res Int</journal-id>
<journal-id journal-id-type="publisher-id">BMRI</journal-id>
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<issn pub-type="ppub">2314-6133</issn>
<issn pub-type="epub">2314-6141</issn>
<publisher>
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<article-id pub-id-type="pmid">24187666</article-id>
<article-id pub-id-type="pmc">3800650</article-id>
<article-id pub-id-type="doi">10.1155/2013/876314</article-id>
<article-categories>
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<title-group>
<article-title>Influenza Virus Specific CD8
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T Cells Exacerbate Infection Following High Dose Influenza Challenge of Aged Mice</article-title>
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<given-names>J. C.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kannan</surname>
<given-names>S.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Manson</surname>
<given-names>B.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="I5">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lasaro</surname>
<given-names>M. O.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="I6">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wherry</surname>
<given-names>E. J.</given-names>
</name>
<xref ref-type="aff" rid="I7">
<sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ertl</surname>
<given-names>H. C.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="I7">
<sup>7</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Wistar Institute, Philadelphia, PA 19104, USA</aff>
<aff id="I2">
<sup>2</sup>
Drexel University, Philadelphia, PA 19104, USA</aff>
<aff id="I3">
<sup>3</sup>
Columbia University, New York, NY 10027, USA</aff>
<aff id="I4">
<sup>4</sup>
Graduate Group of the University of Pennsylvania, Philadelphia, PA 19104, USA</aff>
<aff id="I5">
<sup>5</sup>
Cheyney University, Thornbury Township, PA 19139, USA</aff>
<aff id="I6">
<sup>6</sup>
Boehringer Ingelheim GMBH, Ridgefield, CT D6877, USA</aff>
<aff id="I7">
<sup>7</sup>
Department of Microbiology and Institute for Immunology, University of Pennsylvania, Philadelphia, PA 19104, USA</aff>
<author-notes>
<corresp id="cor1">*H. C. Ertl:
<email>ertl@wistar.upenn.edu</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Kelvin To</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>26</day>
<month>9</month>
<year>2013</year>
</pub-date>
<volume>2013</volume>
<elocation-id>876314</elocation-id>
<history>
<date date-type="received">
<day>3</day>
<month>4</month>
<year>2013</year>
</date>
<date date-type="rev-recd">
<day>3</day>
<month>6</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>4</day>
<month>6</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2013 E. M. Parzych et al.</copyright-statement>
<copyright-year>2013</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Influenza viruses cause severe illnesses and death, mainly in the aged population. Protection afforded by licensed vaccines through subtype-specific neutralizing antibodies is incomplete, especially when the vaccine antigens fail to closely match those of the circulating viral strains. Efforts are underway to generate a so-called universal influenza vaccine expressing conserved viral sequences that induce broad protection to multiple strains of influenza virus through the induction of CD8
<sup>+</sup>
T cells. Here we assess the effect of a potent antiviral CD8
<sup>+</sup>
T cell response on influenza virus infection of young and aged mice. Our results show that CD8
<sup>+</sup>
T cell-inducing vaccines can provide some protection to young mice, but they exacerbate influenza virus-associated disease in aged mice, causing extensive lung pathology and death.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Vaccine-induced NP-specific CD8
<sup>+</sup>
T cell responses in young (left) and aged C57Bl/5 female mice (right) in response to vaccination. Groups of young mice (6–8 weeks,
<italic>n</italic>
= 20) and aged mice (>18 months,
<italic>n</italic>
= 23) were vaccinated with 10
<sup>10</sup>
 vp of AdC68NP, given IM. They were bled 2, 4, 6, and 8 weeks after vaccination. PBMCs were isolated and stained with an NP-specific tetramer and antibodies to CD8 to identify the frequency of NP-specific CD8
<sup>+</sup>
T cells. A portion of AdC68NP-primed mice were then boosted with 0.8 × 10
<sup>5</sup>
TCID
<sub>50</sub>
of A/X31, along with age-matched groups of previously naïve mice.</p>
</caption>
<graphic xlink:href="BMRI2013-876314.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Vaccine-induced numbers of NP-specific CD8
<sup>+</sup>
T cells in the blood, spleen, and lung. Groups of young and aged mice were vaccinated with 10
<sup>10</sup>
 vp of AdC68NP, given IM. A portion of these primed mice, along with age-matched groups of naïve mice, were subsequently boosted at 2 months after priming with 0.8 × 10
<sup>5</sup>
TCID
<sub>50</sub>
of A/X31, given IN. 2 months after the boost, cohorts were euthanized before or after challenge with 3LD
<sub>50</sub>
A/PR8. Lymphocytes were harvested from the blood, spleen, and lungs of these mice and underwent tetramer and CD8 staining to determine the total number of tetramer
<sup>+</sup>
CD8
<sup>+</sup>
cells in each compartment. Graphs show numbers of NP-specific CD8
<sup>+</sup>
T cells over 10
<sup>7</sup>
live PBMCs (upper row) or per all live mononuclear cells from spleens (middle rows) or lungs (low rows). The bars reflect group averages ± SD; gray bars represent young mice and black bars represent aged mice. Asterisks indicate significant differences between groups at the
<italic>P</italic>
≤ 0.05 level.</p>
</caption>
<graphic xlink:href="BMRI2013-876314.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Cytokine production by vaccine-induced NP-specific CD8
<sup>+</sup>
T cells. Groups of young and aged mice were either vaccinated with 10
<sup>10</sup>
 vps of AdC68NP only (young and aged:
<italic>n</italic>
= 4 each) or were then subsequently boosted 8 weeks later with 0.8 × 10
<sup>5</sup>
TCID
<sub>50</sub>
of A/X31 (young:
<italic>n</italic>
= 4, aged not tested as all died following infection). Additional age-matched groups were added that received only A/X31 boost (young and aged:
<italic>n</italic>
= 4 each). All mice were then challenged with 3LD
<sub>50</sub>
A/PR8 2 months following the boost, along with age-matched control groups (young:
<italic>n</italic>
= 5, aged:
<italic>n</italic>
= 3). At day 20 following the challenge, splenocytes were isolated, and an ICS was conducted to detect production of IFN-
<italic>γ</italic>
(G), IL-2 (I), and TNF-
<italic>α</italic>
(T).</p>
</caption>
<graphic xlink:href="BMRI2013-876314.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>(a) Survival of young and aged mice following A/PR8 challenge. (b) Weight loss following A/PR8 challenge. (c) Lung viral titers in lungs at day 5 after A/PR8 challenge. (d) Lung histology. (e) Lung infiltrates.</p>
</caption>
<graphic xlink:href="BMRI2013-876314.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Comparison of CD8
<sup>+</sup>
T cell frequencies and phenotypes between protected and nonprotected aged mice.</p>
</caption>
<graphic xlink:href="BMRI2013-876314.005"></graphic>
</fig>
<table-wrap id="tab1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<p>Experimental study design.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1">Groups</th>
<th align="center" rowspan="1" colspan="1">Groups of mice
<break></break>
(nos. of mice)</th>
<th align="center" rowspan="1" colspan="1">Prime</th>
<th align="center" rowspan="1" colspan="1">Analyses after the prime (compartment)</th>
<th align="center" rowspan="1" colspan="1">Boost (time after prime)</th>
<th align="center" rowspan="1" colspan="1">Analyses after the boost (compartment)</th>
<th align="center" rowspan="1" colspan="1">Challenge (time after prime)</th>
<th align="center" rowspan="1" colspan="1">Time of analyses after challenge (compartment)</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="8" align="center" rowspan="1">Experiment 1 (Figures
<xref ref-type="fig" rid="fig1">1(a)</xref>
and
<xref ref-type="fig" rid="fig1">1(b)</xref>
)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 1</td>
<td align="center" rowspan="1" colspan="1">Young (15)</td>
<td align="center" rowspan="4" colspan="1">AdC68NP</td>
<td align="center" rowspan="4" colspan="1">Wks 2, 4, 6, and 8
<break></break>
(blood)</td>
<td align="center" rowspan="2" colspan="1"> None</td>
<td align="center" rowspan="6" colspan="1">Wks 2, 4, 6, 8
<break></break>
(blood)</td>
<td align="center" rowspan="8" colspan="1">A/PR8 (mo 4)</td>
<td align="center" rowspan="8" colspan="1">Day 20
<break></break>
(blood)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 2</td>
<td align="center" rowspan="1" colspan="1">Aged (13)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 3</td>
<td align="center" rowspan="1" colspan="1">Young (4)</td>
<td align="center" rowspan="4" colspan="1">A/X31 (mo 2)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 4</td>
<td align="center" rowspan="1" colspan="1">Aged (13)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 5</td>
<td align="center" rowspan="1" colspan="1">Young (5)</td>
<td align="center" rowspan="4" colspan="1"> None</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 6</td>
<td align="center" rowspan="1" colspan="1">Aged (10)</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 7</td>
<td align="center" rowspan="1" colspan="1">Young (25)</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="2" colspan="1"> None</td>
<td align="center" rowspan="2" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 8</td>
<td align="center" rowspan="1" colspan="1">Aged (33)</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" colspan="8" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td colspan="8" align="center" rowspan="1">Experiment 2 (Figures
<xref ref-type="fig" rid="fig2">2(a)</xref>
,
<xref ref-type="fig" rid="fig2">2(b)</xref>
, and
<xref ref-type="fig" rid="fig2">2(c)</xref>
)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 1</td>
<td align="center" rowspan="1" colspan="1">Young (5)</td>
<td align="center" rowspan="4" colspan="1">AdC68NP</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="2" colspan="1">None</td>
<td align="center" rowspan="8" colspan="1">Wk 8
<break></break>
(blood, spleen, and lung)</td>
<td align="center" rowspan="8" colspan="1">A/PR8 (mo 4)</td>
<td align="center" rowspan="8" colspan="1">Days 5, 20
<break></break>
(blood, spleen, and lung)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 2</td>
<td align="center" rowspan="1" colspan="1">Aged (8)</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 3</td>
<td align="center" rowspan="1" colspan="1">Young (5)</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="4" colspan="1">A/X31 (mo 2)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 4</td>
<td align="center" rowspan="1" colspan="1">Aged (5)</td>
<td align="center" rowspan="1" colspan="1">None</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 5</td>
<td align="center" rowspan="1" colspan="1">Young (5)</td>
<td align="center" rowspan="4" colspan="1"> None</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 6</td>
<td align="center" rowspan="1" colspan="1">Aged (5)</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 7</td>
<td align="center" rowspan="1" colspan="1">Young (2)</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="2" colspan="1">None</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 8</td>
<td align="center" rowspan="1" colspan="1">Aged (4)</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" colspan="8" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td colspan="8" align="center" rowspan="1">Experiment 3 (Figures
<xref ref-type="fig" rid="fig3">3(a)</xref>
and
<xref ref-type="fig" rid="fig3">3(b)</xref>
)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 1</td>
<td align="center" rowspan="1" colspan="1">Young (4)</td>
<td align="center" rowspan="3" colspan="1">AdC68NP</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="2" colspan="1">None</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="7" colspan="1">A/PR8 (mo 4)</td>
<td align="center" rowspan="7" colspan="1">Day 20
<break></break>
(spleen)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 2</td>
<td align="center" rowspan="1" colspan="1">Aged (4)</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 3</td>
<td align="center" rowspan="1" colspan="1">Young (4)</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="3" colspan="1">A/X31 (mo 2)</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 4</td>
<td align="center" rowspan="1" colspan="1">Young (5)</td>
<td align="center" rowspan="4" colspan="1"> None</td>
<td align="center" rowspan="1" colspan="1">None</td>
<td align="center" rowspan="1" colspan="1">None</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 5</td>
<td align="center" rowspan="1" colspan="1">Aged (4)</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 6</td>
<td align="center" rowspan="1" colspan="1">Young (5)</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="2" colspan="1">None</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 7</td>
<td align="center" rowspan="1" colspan="1">Aged (3)</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" colspan="8" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td colspan="8" align="center" rowspan="1">Experiment 4 (Figures
<xref ref-type="fig" rid="fig4">4(a)</xref>
,
<xref ref-type="fig" rid="fig4">4(b)</xref>
,
<xref ref-type="fig" rid="fig4">4(c)</xref>
, and
<xref ref-type="fig" rid="fig4">4(e)</xref>
)
<sup>1</sup>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 1</td>
<td align="center" rowspan="1" colspan="1">Young (15) [5]</td>
<td align="center" rowspan="4" colspan="1">AdC68NP</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="2" colspan="1">None</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="8" colspan="1">A/PR8 (mo 4)</td>
<td align="center" rowspan="8" colspan="1">Checked daily for weight loss and survival;
<break></break>
viral titers in lungs tested on day 5;
<break></break>
lung infiltrates tested on day 5.</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 2</td>
<td align="center" rowspan="1" colspan="1">Aged (13) [15] [
<bold>
<italic>7</italic>
</bold>
]</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 3</td>
<td align="center" rowspan="1" colspan="1">Young (4) [5]</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="4" colspan="1">A/X31 (mo 2)
<sup>2</sup>
</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 4</td>
<td align="center" rowspan="1" colspan="1">Aged (8) [5] [
<bold>
<italic>5</italic>
</bold>
]</td>
<td align="center" rowspan="1" colspan="1">None</td>
<td align="center" rowspan="1" colspan="1">None</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 5</td>
<td align="center" rowspan="1" colspan="1">Young (5) [5]</td>
<td align="center" rowspan="4" colspan="1"> None</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 6</td>
<td align="center" rowspan="1" colspan="1">Aged (10) [7] [
<bold>
<italic>4</italic>
</bold>
]</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 7</td>
<td align="center" rowspan="1" colspan="1">Young (25) [9]</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="2" colspan="1">None</td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Group 8</td>
<td align="center" rowspan="1" colspan="1">Aged (38) [11] [
<bold>
<italic>7</italic>
</bold>
]</td>
<td align="center" rowspan="1" colspan="1"></td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>
<sup>1</sup>
Number of mice tested for survival are shown in (), numbers of mice tested for viral loads are shown in regular font in [], and numbers of mice used to determine subsets of lung infiltrating cells are shown on bold italic in []. </p>
</fn>
<fn>
<p>
<sup>2</sup>
Some of the mice were primed at a young age. They were boosted ~18 months later.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Connecticut</li>
<li>Pennsylvanie</li>
<li>État de New York</li>
</region>
<settlement>
<li>New York</li>
</settlement>
<orgName>
<li>Université Columbia</li>
</orgName>
</list>
<tree>
<country name="États-Unis">
<region name="Pennsylvanie">
<name sortKey="Parzych, E M" sort="Parzych, E M" uniqKey="Parzych E" first="E. M." last="Parzych">E. M. Parzych</name>
</region>
<name sortKey="Dimenna, L J" sort="Dimenna, L J" uniqKey="Dimenna L" first="L. J." last="Dimenna">L. J. Dimenna</name>
<name sortKey="Dimenna, L J" sort="Dimenna, L J" uniqKey="Dimenna L" first="L. J." last="Dimenna">L. J. Dimenna</name>
<name sortKey="Ertl, H C" sort="Ertl, H C" uniqKey="Ertl H" first="H. C." last="Ertl">H. C. Ertl</name>
<name sortKey="Ertl, H C" sort="Ertl, H C" uniqKey="Ertl H" first="H. C." last="Ertl">H. C. Ertl</name>
<name sortKey="Kannan, S" sort="Kannan, S" uniqKey="Kannan S" first="S." last="Kannan">S. Kannan</name>
<name sortKey="Kannan, S" sort="Kannan, S" uniqKey="Kannan S" first="S." last="Kannan">S. Kannan</name>
<name sortKey="Lasaro, M O" sort="Lasaro, M O" uniqKey="Lasaro M" first="M. O." last="Lasaro">M. O. Lasaro</name>
<name sortKey="Lasaro, M O" sort="Lasaro, M O" uniqKey="Lasaro M" first="M. O." last="Lasaro">M. O. Lasaro</name>
<name sortKey="Latimer, B P" sort="Latimer, B P" uniqKey="Latimer B" first="B. P." last="Latimer">B. P. Latimer</name>
<name sortKey="Latimer, B P" sort="Latimer, B P" uniqKey="Latimer B" first="B. P." last="Latimer">B. P. Latimer</name>
<name sortKey="Manson, B" sort="Manson, B" uniqKey="Manson B" first="B." last="Manson">B. Manson</name>
<name sortKey="Manson, B" sort="Manson, B" uniqKey="Manson B" first="B." last="Manson">B. Manson</name>
<name sortKey="Parzych, E M" sort="Parzych, E M" uniqKey="Parzych E" first="E. M." last="Parzych">E. M. Parzych</name>
<name sortKey="Small, J C" sort="Small, J C" uniqKey="Small J" first="J. C." last="Small">J. C. Small</name>
<name sortKey="Small, J C" sort="Small, J C" uniqKey="Small J" first="J. C." last="Small">J. C. Small</name>
<name sortKey="Wherry, E J" sort="Wherry, E J" uniqKey="Wherry E" first="E. J." last="Wherry">E. J. Wherry</name>
</country>
</tree>
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