IAVs are enveloped viruses classified in the Orthomyxoviridae family3. They contain eight single-stranded RNA molecules with negative polarity3. In humans, IAVs cause seasonal epidemics and occasional pandemics of important consequence when novel viruses are introduced in the human population4. Moreover, seasonal IAVs are highly and rapidly transmitted between humans producing an elevated economic loss worldwide every year2,5. IAV symptoms include cough, nasal congestion, fever, malaise, headache, anorexia and myalgia, but the virus can also produce a more severe disease in immunocompromised patients6. In fact, the World Health Organization (WHO) calculates that seasonal influenza viruses cause 300,000 - 500,000 deaths worldwide every year1. There are only two classes of drugs currently approved by the Food and Drug Administration (FDA) for influenza prophylaxis and treatment in humans: neuraminidase (NA) inhibitors (e.g., oseltamivir) and blockers of the M2 ion channel (e.g., amantadine); however, the emergence of drug-resistant virus variants is an increasing concern. Vaccination, therefore, remains the best medical option to protect humans against IAVs infections. To date, three types of influenza vaccines licensed by the FDA for human use are available: recombinant viral hemagglutinin (HA) protein vaccines, inactivated influenza vaccines (IIV), and live-attenuated influenza vaccines (LAIV)5,7. The three vaccines are designed to induce adaptive immune response against the viral HA protein, the major target of neutralizing antibodies against IAVs.
A validated mouse model to study IAV infection in vivo
Animal models have been used to study, among others, IAV pathogenesis8,9,10,11, viral factors that contribute to disease12 and/or viral transmission13,14, and to test the efficacy of new vaccines or antiviral drugs9,10,15. Mice (Mus musculus) are the most extensively used animal model for IAV research for several reasons: 1) the immune system is evolutionarily similar to that present in humans; 2) low cost, including animal purchase, housing and reproduction; 3) small size to easily manipulate and store; 4) minimal host variability to obtain homogeneous responses and results; 5) a large knowledge of mice biology, including genome sequence; 6) many available molecular biology and/or immunology reagents; 7) available knock out (KO) mice to study the contribution of a given host protein on viral infection; and, 8) multiple mouse strains that can be exploited to evaluate the genetic basis of infections.
There are several mouse strains currently available to study IAV in vivo. Age, immune status, sex, genetic background and mouse strain as well as routes of infection, dose and viral strains all influence the outcome of IAV infection in mice. The most common mouse strains used in IAV research are C57BL/6, BALB/C and, more recently, DBA.2 mice since they are more susceptible to IAV disease than the two former strains16,17,18,19,20. Importantly, the immune response also can be different depending on the mouse strain18,19,20. Thus, it is very important to recover all the available information about the mouse and IAV strain to choose the best option for the experiment to be conducted.
Although mouse is a good animal model of infection for in vivo studies with IAV, they have several limitations, which need to be considered in the experimental design. For instance, a major limitation of using mice for in vivo studies is that IAVs do not transmit among mice. Thus, for transmission studies, more accepted animal models (e.g., ferrets or guinea pigs) are used16,17,21. In addition, there are several differences between the manifestations of IAV in mice and humans. Unlike humans, mice do not develop fever upon IAV infection; conversely they present with hypothermia16,17. In mice, IAV replication is concentrated in the lower respiratory tract (lungs) rather than the upper airways. Thus, virulence of IAV in mice is not always correlated to that seen in humans. Altogether, because the advantages outweigh the limited disadvantages, mouse represents the first animal model used to evaluate influenza viral pathogenesis, immunogenicity and protective efficacy in vaccine and antiviral studies. Moreover, it would not be ethically acceptable to conduct studies with IAV using large animal models without previous evidence in a small animal model of IAV infection. In this manuscript, we describe how to infect mice intranasally (i.n.) with IAV, how to monitor the severity and progress of viral infection and how to carry out the experiments required to evaluate humoral immune responses and protection efficacy.