Immunohistochemical and in situ hybridization studies of influenza A virus infection in human lungs

J. Guarner, W. J. Shieh, J. Dawson, K. Subbarao, M. Shaw, T. Ferebee, T. Morken, K. B. Nolte, A. Freifeld, N. Cox, S. R. Zaki

Research output: Contribution to journalArticle

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Abstract

Influenza viruses are responsible for acute febrile respiratory disease. When deaths occur, definitive diagnosis requires viral isolation because no characteristic viral inclusions are seen. We examined the distribution of influenza A virus in tissues from 8 patients with fatal infection using 2 immunohistochemical assays (monoclonal antibodies to nucleoprotein [NP] and hemagglutinin [HA]) and 2 in situ hybridization (ISH) assays (digoxigenin-labeled probes that hybridized to HA and NP genes). Five patients had prominent bronchitis; by immunohistochemical assay, influenza A staining was present focally in the epithelium of larger bronchi (intact and detached necrotic cells) and in rare interstitial cells. The anti-NP antibody stained primarily cell nuclei, and the anti-HA antibody stained mainly the cytoplasm. In 4 of these cases, nucleic acids (ISH) were identified in the same areas. Three patients had lymphohistiocytic alveolitis and showed no immunohistochemical or ISH staining. Both techniques were useful for detection of influenza virus antigens and nucleic acids in formalin-fixed paraffin-embedded tissues and can enable further understanding of fatal influenza A virus infections in humans.

Original languageEnglish (US)
Pages (from-to)227-233
Number of pages7
JournalAmerican journal of clinical pathology
Volume114
Issue number2
DOIs
StatePublished - Dec 1 2000

Fingerprint

Nucleoproteins
Influenza A virus
Hemagglutinins
Virus Diseases
In Situ Hybridization
Orthomyxoviridae
Lung
Nucleic Acids
Anti-Idiotypic Antibodies
Staining and Labeling
Digoxigenin
Bronchitis
Bronchi
Cell Nucleus
Paraffin
Human Influenza
Formaldehyde
Cytoplasm
Fever
Epithelium

Keywords

  • Immunohistochemistry
  • In situ hybridization
  • Influenza A virus
  • Lungs
  • Pathology

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

Guarner, J., Shieh, W. J., Dawson, J., Subbarao, K., Shaw, M., Ferebee, T., ... Zaki, S. R. (2000). Immunohistochemical and in situ hybridization studies of influenza A virus infection in human lungs. American journal of clinical pathology, 114(2), 227-233. https://doi.org/10.1309/HV74-N24T-2K2C-3E8Q

Immunohistochemical and in situ hybridization studies of influenza A virus infection in human lungs. / Guarner, J.; Shieh, W. J.; Dawson, J.; Subbarao, K.; Shaw, M.; Ferebee, T.; Morken, T.; Nolte, K. B.; Freifeld, A.; Cox, N.; Zaki, S. R.

In: American journal of clinical pathology, Vol. 114, No. 2, 01.12.2000, p. 227-233.

Research output: Contribution to journalArticle

Guarner, J, Shieh, WJ, Dawson, J, Subbarao, K, Shaw, M, Ferebee, T, Morken, T, Nolte, KB, Freifeld, A, Cox, N & Zaki, SR 2000, 'Immunohistochemical and in situ hybridization studies of influenza A virus infection in human lungs', American journal of clinical pathology, vol. 114, no. 2, pp. 227-233. https://doi.org/10.1309/HV74-N24T-2K2C-3E8Q
Guarner, J. ; Shieh, W. J. ; Dawson, J. ; Subbarao, K. ; Shaw, M. ; Ferebee, T. ; Morken, T. ; Nolte, K. B. ; Freifeld, A. ; Cox, N. ; Zaki, S. R. / Immunohistochemical and in situ hybridization studies of influenza A virus infection in human lungs. In: American journal of clinical pathology. 2000 ; Vol. 114, No. 2. pp. 227-233.
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