Monkeys infected with a resurrected virus that was responsible for history's
deadliest epidemic have given scientists a better idea of how the 1918 Spanish
flu attacked so quickly and relentlessly: by turning victims' bodies against
them.
The research, which found that an over-stimulated immune system killed even
as it tried to fight the flu, helps explain why many of the 50 million people
who died in the epidemic were healthy young adults. Conventional flu usually
claims mostly the very young and very old.
This new look at an old killer gives doctors ideas on how to fight the
current bird flu if it develops the ability to spreads from human to human, as
many scientists fear it will. The 1918 virus, which was reconstructed with
reverse genetics, exists today only in two labs where scientists are studying
it.
Scientists said they were struck by how suddenly and overwhelmingly the 1918
flu struck seven macaques that were tested in a high-level biosafety lab in
Winnipeg, Canada. The virus spread faster than a normal flu bug and triggered a
"storm" response in the animal's immune systems.
Their bodies' defenses went haywire, not knowing when to stop, researchers
said. The lungs became inflamed and filled with blood and other fluids.
The scientists believe the virus had the same effect on humans.
"Essentially people are drowned by themselves," said University of Wisconsin
virology professor Yoshihiro Kawaoka, lead author of a study published in the
journal Nature.
The experiment was supposed to last 21 days, but after eight days the monkeys
were so sick feverish, in pain and having difficulty breathing that ethical
guidelines forced the researchers to euthanize them.
"There was some surprise that it was that nasty," University of Washington
virologist and study co-author Michael Katze said. "It was the robustness of the
immune system that helped victimize them."
The virus was simply overwhelming, researchers said.
"It's a very good replicating virus and therefore it can affect more of the
immune system and thereby triggers what one refers to as a cytokine storm," said
Peter Palese, chairman of the microbiology department at Mount Sinai School of
Medicine in New York, who was not part of the study but has worked on the
resurrected virus before. Cytokines transmit messages among cells in the immune
system.
No other flu virus is deadly to monkeys, and the speed in its spread and the
overwhelming immune system response is only similar to those in the H5N1 bird
flu, Kawaoka said.
The bird flu has spread around the world intermittently, but has yet to
develop the ability to transmit person-to-person. If it does, scientists believe
understanding the 1918 flu may give them clues about how to protect people
from it.