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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
Respiratory syncytial virus group A and B genotypes and disease severity among Cuban children
Clara Savón1, Angel Goyenechea, Odalys Valdés
1Instituto de Medicina Tropical Pedro Kourí, Havana, Cuba. clara@ipk.sld.cu
Insights
Respiratory syncytial virus (RSV) F1 genotype in infants is linked to moderate to severe illness. This study identified RSV genotypes associated with varying disease severity in Cuban infants.
Area of Science:
- Virology
- Pediatric Infectious Diseases
Background:
- Respiratory syncytial virus (RSV) is a primary cause of severe lower respiratory tract infections in infants.
- While comorbidities increase illness severity, the role of specific RSV genotypes remains unclear.
Purpose of the Study:
- To investigate the association between RSV genotypes and disease severity in infants.
- To identify specific RSV genetic profiles linked to acute respiratory disease (ARD) outcomes.
Main Methods:
- Analyzed 40 RSV group A and B strains from Cuban infants over five seasons.
- Utilized polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) to genotype N and F genes.
- Correlated identified genotypes with clinical disease severity (very mild to severe).
Main Results:
- Detected three N genotypes (NP4, NP3 most frequent) but found no clear link to disease severity.
- Identified five F gene genotypes (F1, F2, F5, F9, F11).
- Found F9 and F11 genotypes associated with very mild disease, while F1 genotype correlated with moderate to severe illness.
Conclusions:
- Established a relationship between specific RSV genotypes and disease severity in infants.
- The F1NP4 genotype combination was linked to moderate to severe ARD.
- At least five N and F genotype combinations circulated among the studied infants.
Background:
Respiratory syncytial virus (RSV) is the leading cause of serious lower tract infections in infants. Comorbid conditions such as chronic diseases and prematurity have been associated with greater severity illness, but virus genotypes and disease severity is still unknown.
Methods:
Forty selected strains of RSV group A and B from Cuban infants with acute respiratory disease (ARD) over five seasons were studied. Viral RNA was extracted and polymerase chain reaction (PCR) was carried out using direct primers directed to parts of the nucleoprotein (N) and fusion (F) genes, respectively. Amplicons were digested using restriction fragment length polymorphism (RFLP) to define the association between virus and disease severity. Disease severity was assessed as very mild, mild, moderate, and severe.
Results:
Three of six known N genotypes were detected. NP4 and NP3 were found more frequently; moreover, it was difficult to establish a relationship between N genotypes and disease severity. Five genotypes in F gene were found: F1, F2, F5, F9 and F11; F9 and F11 were associated with very mild disease, but F1 genotype appears to be associated with moderate to severe disease.
Conclusions:
At least five combinations of N and F genotypes circulated in the studied infants in Cuba. Patients with F1NP4 genotype showed moderate to severe disease. Relationship between genotypes and disease severity was established.
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