Abstract
Influenza viruses are among the most common causes of human respiratory infections [1], and among the most significant because they cause high morbidity and mortality. Influenza outbreaks have apparently occurred since at least the Middle Ages, if not since ancient times [2]. In the elderly, in infants, and in people with chronic diseases, influenza is associated with especially high mortality. In the United States, influenza results in approximately 200,000 hospitalizations and 36,000 deaths in a typical endemic season [3]. In addition to annual winter outbreaks, pandemic influenza viruses occasionally emerge [4,5], as they have every eight to 41 years, for at least several centuries. Up to 50% of the population can be infected in a single pandemic year, and the number of deaths caused by influenza can dramatically exceed what is normally expected [6].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wright P F, Neumann G, Kawaoka Y (2005) Orthomyxoviruses. In: Fields Virology (Knipe, D. M. and Howley, P. M., eds.), 5th ed. Philadelphia: Lippincott Williams & Wilkins, pp. 1691–1740.
Hirsch A (1883) Handbook of Geographical and Historical Pathology, New Sydenham Society, London.
Thompson W W, Shay D K, Weintraub E et al (2003) Mortality associated with influenza and respiratory syncytial virus in the United States, JAMA 289:179–186.
Taubenberger J K & Morens D M (2006) 1918 Influenza: the mother of all pandemics, Emerg Infect Dis 12:15–22.
Morens D M & Fauci A S (2007) The 1918 influenza pandemic: insights for the 21st century, J Infect Dis 195:1018–1028.
Simonsen L (1999) The global impact of influenza on morbidity and mortality, Vaccine 17(Suppl. 1):S3-S10.
Morens D M, Taubenberger J K, Fauci A S (2009) The persistent legacy of the 1918 influenza virus, N Engl J Med. 361(3):225–229.
Taubenberger J K, Morens D M, Fauci A S (2007) The next influenza pandemic: can it be predicted? JAMA 297:2025–2027.
Johnson N P & Mueller J (2002) Updating the accounts: global mortality of the 1918–1920 “Spanish” influenza pandemic, Bull Hist Med 76:105–115.
Taubenberger. K, Reid A H, Krafft A E et al (1997) Initial genetic characterization of the 1918 “Spanish” influenza virus, Science 275:1793–1796.
Taubenberger J K, Reid A H, Lourens R M et al (2005) Characterization of the 1918 influenza virus polymerase genes, Nature 437:889–893.
Rabadan R, Levine A J, Robins H (2006) Comparison of avian and human influenza A viruses reveals a mutational bias on the viral genomes, J Virol 80:11887–11891.
Travis W D, Colby T V, Koss M N, (2002) Non-Neoplastic Disorders of the Lower Respiratory Tract, American Registry of Pathology and the Armed Forces Institute of Pathology, Washington, D.C.
Taubenberger J K & Layne S P (2001) Diagnosis of influenza virus: coming to grips with the molecular era, Mol Diagn 6:291–305.
Palese P, Tumpey T M, Garcia-Sastre A (2006) What can we learn from reconstructing the extinct 1918 pandemic influenza virus? Immunity 24:121–124.
Tumpey T M, Basler C F, Aguilar P V et al (2005) Characterization of the reconstructed 1918 Spanish influenza pandemic virus, Science 310:77–80.
Morens D M, Taubenberger J K, Fauci A S (2008) Predominant role of bacterial pneumonia as a cause of death in pandemic influenza: implications for pandemic influenza preparedness, J Infect Dis 198:962–970.
Stevens J, Blixt O, Glaser L et al (2006) Glycan microarray analysis of the hemagglutinins from modern and pandemic influenza viruses reveals different receptor specificities, J Mol Biol 355: 1143–1155.
Logan W (1921) A study of the pneumococcus and streptococcus groups in their relation to influenza, Edinburgh Med J 26:294–312.
Bogart D B, Liu C, Ruth W E et al (1975) Rapid diagnosis of primary influenza pneumonia, Chest 68:513–517.
Guarner J, Paddock C D, Shieh W J et al (2006) Histopathologic and immunohistochemical features of fatal influenza virus infection in children during the 2003–2004 season, Clin Infect Dis 43:132–140.
Opie E L, Blake F G, Small J C et al (1921) Epidemic Respiratory Disease: The Pneumonias and Other Infections of the Respiratory Tract Accompanying Influenza and Measles, C. V. Mosby Co., St. Louis, MO.
Hers J (1955) The Histopathology of the Respiratory Tract in Human Influenza, H. E. Stenfert, Leiden.
Brundage J F (2006) Interactions between influenza and bacterial respiratory pathogens: implications for pandemic preparedness, Lancet Infect Dis 6:303–312.
Memoli M J, Morens D M, Taubenberger J K (2008) Pandemic and seasonal influenza: therapeutic challenges, Drug Discov Today 13:590–595.
Fodor E, Devenish L, Engelhardt O G et al (1999) Rescue of influenza A virus from recombinant DNA, J Virol 73:9679–9682.
Kash J C, Basler C F, Garcia-Sastre A et al (2004) Global host immune response: pathogenesis and transcriptional profiling of type A influenza viruses expressing the hemagglutinin and neuraminidase genes from the 1918 pandemic virus, J Virol 78:9499–9511.
Kash J C, Tumpey T M, Proll S C et al (2006) Genomic analysis of increased host immune and cell death responses induced by 1918 influenza virus, Nature 443: 578–581.
Taubenberger J K (2006) Influenza hemagglutinin attachment to target cells: ‘birds do it, we do it…’ Future Virol 1:415–418.
Kuiken T & Taubenberger J K (2008) The pathology of human influenza revisited, Vaccine 26:D59-D66.
Korteweg C & Gu J (2008) Pathology, molecular biology, and pathogenesis of avian influenza A (H5N1) infection in humans, Am J Pathol 172:1155–1170.
Stevens J, Blixt O, Tumpey T M et al (2006) Structure and receptor specificity of the hemagglutinin from an H5N1 influenza virus, Science 312:404–410.
Reid A H, Janczewski T A, Lourens R M et al (2003) 1918 influenza pandemic caused by highly conserved viruses with two receptor-binding variants, Emerg Infect Dis 9:1249–1253.
Stevens J, Corper A L, Basler C F et al (2004) Structure of the uncleaved human H1 hemagglutinin from the extinct 1918 influenza virus, Science 303:1866–1870.
Yamada S, Suzuki Y, Suzuki T et al (2006) Haemagglutinin mutations responsible for the binding of H5N1 influenza A viruses to human-type receptors, Nature 444:378–382.
Tumpey T M, Maines T R, N Van Hoeven et al (2007) A two-amino acid change in the hemagglutinin of the 1918 influenza virus abolishes transmission, Science 315:655–659.
Qi L, Kash J C, Dugan V G et al (2009) Role of sialic acid binding specificity of the 1918 influenza virus hemagglutinin protein in virulence and pathogenesis in mice, J. Virol 11:11.
Tumpey T M, Garcia-Sastre A, Mikulasova A et al (2002) Existing antivirals are effective against influenza viruses with genes from the 1918 pandemic virus, Proc Natl Acad Sci USA 99:13849–13854.
Kobasa D, Takada A, Shinya K et al (2004) Enhanced virulence of influenza A viruses with the haemagglutinin of the 1918 pandemic virus, Nature 431:703–707.
Chandrasekaran A, Srinivasan A, Raman R et al (2008) Glycan topology determines human adaptation of avian H5N1 virus hemagglutinin, Nat Biotechnol 26: 107–113.
Srinivasan A, Viswanathan K, Raman R et al (2008) Quantitative biochemical rationale for differences in transmissibility of 1918 pandemic influenza A viruses, Proc Natl Acad Sci USA 105:2800–2805.
Swayne D E (2007) Understanding the complex pathobiology of high pathogenicity avian influenza viruses in birds, Avian Dis 51:242–249.
Conenello G M, Zamarin D, Perrone L A et al (2007) A single mutation in the PB1-F2 of H5N1 (HK/97) and 1918 influenza A viruses contributes to increased virulence, PLoS Pathog 3:1414–1421.
Kobasa D, Jones S M, Shinya K et al (2007) Aberrant innate immune response in lethal infection of macaques with the 1918 influenza virus, Nature 445:319–323.
Homeland Security Council (2006) National Strategy for Pandemic Influenza Implementation Plan, The White HouseHouseH. Washington, DC.
Acknowledgements.
We thank all of our collaborators. This research was supported by the Intramural Research Program of the NIAID and the NIH.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Kash, J.C., Taubenberger, J.K. (2010). The 1918 Influenza Pandemic: Pathology and Pathogenesis. In: Georgiev, V. (eds) National Institute of Allergy and Infectious Diseases, NIH. Infectious Disease. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-512-5_36
Download citation
DOI: https://doi.org/10.1007/978-1-60761-512-5_36
Published:
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-60761-511-8
Online ISBN: 978-1-60761-512-5
eBook Packages: MedicineMedicine (R0)