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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
High torquetenovirus loads are correlated with bronchiectasis and peripheral airflow limitation in children
Massimo Pifferi1, Fabrizio Maggi, Davide Caramella
1Department of Pediatrics, University of Pisa, Pisa, Italy. m.pifferi@med.unipi.it
Insights
Torquetenovirus (TTV) infection is highly prevalent in children with bronchiectasis. Higher TTV loads correlate with increased bronchiectasis severity and reduced lung function, particularly in peripheral airways.
Area of Science:
- Pediatric Pulmonology
- Viral Infections
- Respiratory Diseases
Background:
- Recurrent lower respiratory tract infections and bronchiectasis are significant health concerns in children.
- Torquetenovirus (TTV) is a common human virus with largely unknown clinical implications.
Purpose of the Study:
- To determine the prevalence of TTV infection in children diagnosed with bronchiectasis.
- To investigate the relationship between TTV viral loads and the severity of bronchiectasis.
- To assess the correlation between TTV loads and pulmonary function tests in affected children.
Main Methods:
- High-resolution computed tomography (HRCT) was used to assess bronchiectasis severity in 38 children.
- Plasma samples were analyzed for TTV DNA detection and quantification.
- Spirometry was performed in 21 of the subjects to evaluate lung function.
Main Results:
- TTV infection was detected in 81.6% (31/38) of the pediatric patients.
- A significant positive correlation was observed between TTV viral loads and bronchiectasis severity (r = 0.548; P = 0.01).
- TTV loads showed a significant inverse correlation with measures of airflow limitation, including FEF25-75% and FEF25-75%/FVC (P < 0.018).
Conclusions:
- TTV infection is highly prevalent in children suffering from bronchiectasis.
- Elevated TTV viral loads are associated with increased bronchiectasis severity.
- TTV infection correlates with airflow limitation in the peripheral airways and reduced overall lung function in children with bronchiectasis.
Background:
The aim of the study was to evaluate the prevalence of torquetenovirus (TTV) infection in a group of children with recurrent lower respiratory tract infections and radiologic evidence of bronchiectasis. Correlations between TTV loads and severity of bronchiectasis and between TTV loads and lung function were evaluated.
Methods:
In 38 subjects, high-resolution computed tomography (HRCT) and plasma tests for TTV detection and quantification were done. In 21/38 subjects, spirometry was also performed.
Results:
TTV was found in 31/38 (81.6%) patients. The correlation between TTV loads and severity of bronchiectasis was statistically significant (r = 0.548; P = 0.01). TTV loads showed inverse correlation with FEF25-75% (r = -0.541; P = 0.011), and FEF25-75%/FVC (r = -0.512; P = 0.018). Inverse correlation was found also between severity of bronchiectasis and functional lung parameters: FEF25-75% (r = -0.635; P = 0.002), FEV1/FVC (r = -0.541; P = 0.011), and FEF25-75%/FVC (r = -0.645; P = 0.002).
Conclusions:
This study demonstrated the high prevalence of TTV infection in children with bronchiectasis. Moreover, we have shown a significant correlation between TTV loads and airflow limitation within the peripheral airways, as well as between severity of bronchiectasis and decrease of lung function.
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