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.
Abstract

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