Viral Infection & Chronicity


Fernando Real
CNRS researcher

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Francois Trottein
CNRS research director

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The Viral Infection & Chronicity (VICI) team, led by Fernando Real and François Trottein, investigates how time shapes viral infections. VICI focuses on the mechanisms of viral infection chronicity, addressing persistent health issues from post-acute infection syndromes. These syndromes arise after acute viral infections resolve, featuring long-term inflammation, immune suppression, and virus persistence that heighten risks of secondary infections, metabolic diseases, impaired recovery, and accelerated aging. Key drivers include latency in cellular reservoirs, stochastic reactivation, innate immune reprogramming, cellular senescence, and gut microbiota alterations, often intensified in aging populations where inflammation, immunosuppression, and dysbiosis exacerbate sequelae.

VICI’s research program investigates chronic disorders from acute viruses like influenza A (IAV) and SARS-CoV-2, alongside persistent infections such as HIV-1, using translational models and human cohorts, primarily HIV patients. Age-related changes in reservoirs, such as increased permissiveness and prolonged virus release, are examined to explain worsened outcomes in the elderly. Four synergistic objectives guide the work: identifying reservoirs and reactivation’s role in impairments; probing altered hematopoiesis and bone marrow progenitor reprogramming; assessing senescent cells’ contributions to inflammation and immunity; and evaluating gut dysbiosis effects on post-viral syndromes.

Fundamental insights aim to accelerate therapies targeting acute severity and long-term chronicity, including innovative immunomodulatory/antiviral drugs. By clarifying virus persistence, immune reprogramming, and aging interactions, VICI seeks interventions to mitigate post-acute sequelae across viral infections.

Bone marrow viral reservoirs and hematopoietic injury (FR)

We investigate whether HIV-1 (and selected RNA viruses) chronically infect hematopoietic stem and progenitor cells (HSPC) and megakaryocyte-biased progenitors, and whether terminally differentiated progeny inherit virus and dysfunction, thereby impairing immune homeostasis and immune reconstitution, in line with previous demonstrations by the team leader and group (J Mol Cell Biol 2024, Sci Trans Med 2020).  Using hiPSC-derived bone marrow organoids, primary human bone marrow and advanced megakaryocyte/platelet models, this axis will (i) map viral reservoirs in defined progenitor subsets, (ii) determine how infection remodels myelopoiesis (including non-canonical megakaryopoiesis and fibrosis), and (iii) evaluate how virus-containing megakaryocytes and platelets fuel peripheral immune injury and limit curative strategies such as HSPC transplantation.

Reprogramming of myeloid progenitors in Post-Acute Infection Syndromes (FR)

Building on trained immunity concepts and previous investigations by the team leader on immune-metabolic reprogramming on myeloid HIV reservoirs (Nat Commun 2022) we will first exploit clinically relevant trained immunity inducers to epigenetically educate HSPC and megakaryocyte progenitors toward an antiviral, low-inflammatory profile, aiming at durable reservoir restriction and improved immune restoration in people living with HIV.  In parallel, it will investigate how acute infection by SARS-CoV-2, IAV and emerging alphaviruses (MAYV/CHIKV, col. UFRJ-Brazil) imprints megakaryocyte progenitors to generate dysfunctional megakaryocytes that sustain viral persistence, tissue inflammation/fibrosis and hematopoietic aging in PAIS, and test interventions targeting these trained megakaryocytes in murine and human PAIS models.

Myeloid cell membranes as biocompatible platform for targeted antiviral therapies (FR)

Platelet membrane-cloaked nanoparticles are proposed as a biocompatible drug delivery platform to target and eliminate persistently HIV-infected cells.  By coating antiviral drug–loaded synthetic nanoparticles with platelet membranes, this biomimetic system improves specificity, reduces hemolysis, and enhances biodistribution.  Platelet membranes naturally home to inflammatory sites, interact with monocytes and CD4 T cells, and are cleared by tissue macrophages, enabling targeting of both lymphoid and myeloid HIV reservoirs in blood and tissues.  This versatile technology could be extended to other chronic viral infections (CIFRE, col. EFS, Centrale Lille).

Aging and respiratory infections (FT)

Despite the availability of various vaccines and antimicrobial drugs, aging worsens the outcomes of respiratory infections. Our general objective is to define age-associated factors that predispose to and/or exacerbate respiratory infections (acute and resolution phases). We aim to develop new strategies for reinforcing host’s defense against respiratory pathogens and/or to favoring repair processes that take place in the lungs. Within that framework, our team has a strong interest for the gut microbiota, which is known to be critical in human health and illness, including during respiratory infections. We expect that a better understanding of the gut/lung axis will be instrumental in conceiving novel therapeutic options for patients, notably in high-risk populations such as the elderly. We also have a strong interest in cellular senescence, a phenomenon that accelerates with aging and is a major contributor to so-called inflammaging.

Gut microbiota and aging (FT)

The gut microbiota plays a critical role in health and disease. Our group has recently patented several therapeutic applications in infections, including compounds produced by the gut microbiota such as short-chain fatty acids (ANR ACROBAT). We have shown that these metabolites attenuate secondary disease outcomes during influenza - including bacterial superinfection (Cell Reports 2020). More recently, we have characterized 3-indole propionic acid (IPA), a tryptophan microbial-derived metabolite, as an antiviral and anti-inflammatory component (Gut Microbes 2024, Start-AIRR IPA-VIR).  Pharmacological approaches, next-generation probiotics and postbiotics are being developed. These notably include bacterial strains selected for their strong anti-inflammatory potential and their ability to produce short-chain fatty acids or IPA in symbiosis with specific nutrients (Front Immunol 2024). We have reported the marked impact of influenza and SARS-CoV-2 on gut microbiota’s composition and function (Cell Reports 2020, Infect & Immun 2021, Gut Microbes 2020, 2022a, 2022b). This might be important in the long-term effect of respiratory viral infection.

Aging strongly influences the functionality of the gut microbiota. Our recent data demonstrate the importance of the age-related alteration of the gut microbiota in pulmonary defense against respiratory infection (ANR GUTSY). Moreover, the virus-induced dysbiosis is exacerbated in aged individuals and this likely plays a major part on disease severity (Gut Microbes 2025, Sci Report 2025). In collaboration with B. Lucas (Inst Cochin, Paris), we are investigating how an aged microbiota alters the T cell compartment and contributes to immune responses during influenza infection (MicrobioTaging, France 2030, PEPR SAM).

Cellular senescence and respiratory infections (FT)

We have a strong interest in cellular senescence, a biological process that affects cell function. We have recently investigated the role of age-associated, naturally occurring senescent cells, as well as stress- (virus-) induced senescent cells, during experimental influenza and COVID-19 (ANR INFLUENZAGING and SENOCOVID). To this end, we have developed complementary approaches, including pharmacological (senolytic) and genetic strategies (coll S Adnot, Inst Mondor). Our data show that respiratory infection associates with cellular senescence and that this phenomenon is exacerbated in old individuals (Am J Respir Cell Mol Biol 2022, Nature Aging 2023, Aging Cell 2025). Age-related cellular senescence favours the severity of COVID19 and influenza (Nature Aging 2023, Aging Cell 2025, submitted). In particular, senescent cells are important in mitigating the repair processes that occur in the lungs post-pneumonia. Our objective is to better characterize the nature of senescent cells during infection and to optimize protocol to more selectively deplete them (SENINFLU, submitted).

In addition to our focus on aging in the context of respiratory infection, our laboratory is also investigating how aging alters immune responses following vaccination (France Vaccin 2030).

We are seeking postdoctoral fellows with experience in preclinical models, flow cytometry, and immune labeling (IF/IHC).

Keywords:
Respiratory infections, Post-acute Infection Syndromes, HIV/AIDS, Emergent Virus, Myeloid cells, immune reprogramming, Aging, Gut microbiota, Cellular senescence, Pro/prebiotics, Senolytics, Therapy, Vaccine.

  • ANRS PRFI 2025 « Extramedullary Megakaryocytes in the onset of Emerging MAYV/CHIKV post-acute infection syndromes ». (MEGARO) F Real/coord (DaPoian/UFRJ-Brazil)
  • ANRS 2026-1 Contrat d’Initiation « Platelet cloaking of drug-carrying nanoparticles to target HIV reservoirs ». F Real/coord
  • Région Hauts-de-France START-AiRR  « Metal-Organic Frameworks (MOF) as drug delivery systems against persistent Human Immunodeficiency Virus (HIV) ». F Real/coord
  • UNIVERSITÉ DE LILLE Cross-disciplinary Program « Multi Organ System for Assessing Infection and Chronicity». (MOSAIC) (A. Grassart/coord; F Real/WP leader)
  • ANR APP générique 2023 (01/10/2023-31/03/2027). « Determining how age-associated gut microbiota dysfunction impairs the host’s defense against respiratory infections » (GUTSY). F Trottein/coord (H. Sokol/ St Antoine)
  • PEPR SAM  - France 2030: « Microbiota and age-related T-cell dysfunction » (MicrobioTaging). B. Lucas/coord (01/012026-31/12/2030).
  • France vaccin 2030 : « Administration NAsale de Vaccins Innovants contre le pathogène X  – NAsal VaccInation against pathogen X (NAVIX). (N. Mielcarek/coord)

Current Staff

BENTALEB Cyrine
Post-doc (Inserm)
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BORDAS Clément
PhD student (Univ Lille)
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BOUR Agathe
PhD student (Univ Lille)
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DARDAILLON Anaïs
PhD student (Univ Lille / CIFRE)
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DERUYTER Lucie
Technician (Univ Lille)
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HEUMEL Séverine
Technician (IPL)
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JUCKEL Dylan
Post-doc (IPL)
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REAL Fernando
CNRS researcher (CRCN)
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TROTTEIN François
CNRS research director (DRCE)
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VALENTIN Clara
Post doc (Inserm)
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WOLOWCZUK Isabelle
CNRS research director (DR2)
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BARTHELEMY Johanna (2019-2022), PhD, supervised by I. Wolowczuk
Grant: CPER-CTRL 2019, DESTRESS-Flu project
Project: Influenza and SARS-CoV-2 respiratory viral infections and white adipose tissue.

BOGARD Gemma (2020-2023), PhD, supervised by I. Wolowczuk
Grant: ANR RESILIENCE COVID-19 2021, COVID-HEART project
Project : Study of the contribution of the white adipose tissue to the severity of respiratory viral infections: the cases of influenza and COVID-19

BRITO-RODRIGUES Patricia (2023-2024), PhD, supervised by F. Trottein
Project : Impact of respiratory virus infection on gut microbiota functionality in aged individuals 

COBANOGLU Ozmen (2021-2024), PhD, supervised by F. Trottein
Grant : Influenzaging, ANR
Role of age-related senescent cells in immune responses

COURTIN Noëmie, supervised by F. Real
Assistante Ingénieure (CNRS) (2024-2025)
Grant : Région HdF STaRS
Project : Targeting megakaryocytes and platelets harboring viruses for efficient immunological restoration 

 

DELVAL Lou (2021-2025), PhD, supervised by F. Trottein
Grant : ANR Influenzaging
Project : Role of cellular senescence during respiratory viral infection

DEVISME Christelle (2023-2025), supervised by F. Real
Grant : Région HdF STaRS

GOMES MACHADO Marina (2019-2022), PhD, supervised by F. Trottein
Grant: ANR ACROBAT
The role of acetate in macrophage’s response against Streptococcus pneumoniae

SILVA ANGULO Fabiola (2022-2024), post-doc, supervised by F. Trottein
Grant : ANR DREAM
Project : Determining how age-related dysfunction of the circadian cycle influences innate immune defenses against respiratory infections 

SENCIO Valentin (2015-2021), PhD and post-doc, supervised by F. Trottein
Grant : ANR SENOCOVID, ANR DREAM
Project : Impact of virus-induced dysbiosis on influenza outcomes

Gut dysbiosis during influenza contributes to pulmonary pneumococcal superinfection through altered short-chain fatty acid production. Sencio V, Barthelemy A, Tavares LP, Gomes Machado M, Soulard D, Cuinat C, Noordine ML, Salomé-Desnoulez S, Deryuter L, Thomaz Viera A, Paget C, Milligan G, Ulven T, Wolowczuk I,  Faveeuw C, Le Goffic R, Thomas M, Ferreira S, Mauro M Teixeira MM and Trottein  F (2020). Cell Reports. 30, 2934-2937..

Real F, Capron C, Sennepin A, Arrigucci R, Zhu A, Sannier G, Zheng J, Xu L, Massé JM, Greffe S, Cazabat M, Donoso M, Delobel P, Izopet J, Eugenin E, Gennaro ML, Rouveix E, Cramer Bordé E, Bomsel M (2020). Platelets from HIV-infected individuals on antiretroviral drug therapy with poor CD4+ T cell recovery can harbor replication-competent HIV despite viral suppression. Sci Transl Med. Mar 18;12(535).

Alteration of the gut microbiota following SARS-CoV-2 infection correlates with disease severity in hamsters. Sencio V, Machelart A, Robil C, Benech N, Hoffmann E, Galbert C, Deryuter L, Heumel H, Hantute-Ghesquier A, Flourens A, Brodin P, Infanti  F, Richard V, Dubuisson J, Grangette C, Sulpice T,  Wolowczuk I, Pinet F, Prévot V, Belouzard S, Briand F, Duterque-Coquillaud M, SokoL H and F Trottein (2022).  Gut Microbes 14(1):2018900.

Real F, Zhu A, Huang B, Belmellat A, Sennepin A, Vogl T, Ransy C, Revol M, Arrigucci R, Lombès A, Roth J, Gennaro ML, Bouillaud F, Cristofari S, Bomsel M (2022). S100A8-mediated metabolic adaptation controls HIV-1 persistence in macrophages in vivo Nat Commun. 2022 Oct 11;13(1):5956.

Removal of senescent cells reduces the viral load and attenuates pulmonary and systemic inflammation in SARS-CoV-2-infected, aged hamsters. Delval L, Hantute-Ghesquier A, Sencio V, Flaman JM, Robil C, Silva Angulo F, Lipskaia L, Çobanoğlu O, Lacoste AS, Machelart A,, Danneels A, Corbin M,  Deryuter L, Heumel S,  Idziorek T,  Seron K, Sauve F, Bongiovanni A, Prévot V, Wolowczuk I, Belouzard S, Saliou JM, Gosset P*, Bernard D*, Rouillé Y,  Adnot S, Duterque-Coquillaud M and Trottein F (2023). Nature Aging 3(7):829-845.

SARS-CoV-2 infection induces persistent adipose tissue damage in aged golden Syrian hamsters. Bogard G , Barthelemy J, Hantute-Ghesquier A, Sencio V, Brito-Rodrigues P, Séron K, Robil C, Flourens A, Florence Pinet F, Eberlé D, Trottein F, Duterque-Coquillaud M, and Wolowczuk I (2023). Cell Death Dis. 14(2):75.

Shotgun metagenomics and systemic targeted metabolomics highlight indole-3-propionic acid as a protective gut microbial metabolite against influenza infection. Heumel S, Vinícius de Rezende Rodovalho V, Urien C,  Specque F, Brito Rodrigues P, Robil C, Delval L, Sencio V, Descat A, Deruyter L, Ferreira S, Gomes Machado M, Barthelemy A, Silva Angulo F, Haas JT, Goosens JF, Wolowczuk W, Grangette C, Rouillé Y, Grimaud G, Lenski M, Hennart B, Aurélio Ramirez Vinolo M, and Trottein F (2024). Gut Microbes.16(1):2325067.

Bentaleb C, Adrouche S, Finkelstein J, Devisme C, Callens N, Capron C, Bomsel M, Real F (2025). HIV-1 inhibits IFITM3 expression to promote the infection of megakaryocytes.J Mol Cell Biol. Mar 21;16(9):mjae042.

Impact of aging on gut-lung-adipose tissue interactions and lipid metabolism during influenza infection in mice. Bogard G, Makki K, Brito-Rodrigues P, Tan J, Molendi-Coste O, Barthelemy J, Descat A, Bouilloux F, Lecoeur C, Grangette C, Robil C, Goossens J-F, Gosset P, Macia L, Trottein F, and Wolowczuk I (2025). Sci Rep. 15, 37414.

Integrative metagenomics and metabolomics reveal age-associated gut microbiota and metabolite alterations in a hamster model of COVID-19. Brito Rodrigues P, de Rezende Rodovalho V, Nicolas Benech N, Sencio V, Silva Angulo F, Robil C, DelvaL L, Haas J, Descat A, Goosens JF, Wolowczuk I, Grangette C, Hot D, Sokol H, Aurélio Ramirez Vinolo M and Trottein F (2025). Gut Microbes. 17(1):2486511.

Rev-erb-α antagonism in alveolar macrophages protects against pneumococcal infection in elderly mice. S Silva Angulo F, Vanessa Joseph C, Brito Rodrigues P, Bicharel M, Bourgignon T, Deryuter L, Fourcot M, Delhaye S, Sencio V, Delval L, Salomé-Desmoulez S, Heumel S, Haas J, Staels B, Machelart A,  Valet P, Gref R , Adnot S, Vandel J,  Duez H, Pourcet B and Trottein F  (2025). Cell Reports. 44(2):115273.