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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 11, 2013
Prevalence of viral respiratory tract infections in children with asthma
Nino Khetsuriani1, N Neely Kazerouni, Dean D Erdman
1Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Insights
Symptomatic rhinovirus infections significantly increase asthma exacerbations in children. Targeted therapies against rhinovirus are crucial for reducing asthma flare-ups and improving respiratory health.
Area of Science:
- Pediatric Respiratory Medicine
- Infectious Diseases
- Asthma Research
Background:
- Viral respiratory infections are linked to asthma exacerbations.
- The role of novel viruses in pediatric asthma control remains unclear.
Purpose of the Study:
- To investigate the contribution of common and novel respiratory viruses to asthma exacerbations in children.
- Utilized PCR assays for comprehensive viral detection.
Main Methods:
- Analyzed respiratory specimens from children (2-17 years) with asthma exacerbations (n=65) and well-controlled asthma (n=77).
- Tested for a panel of viruses including rhinovirus, RSV, metapneumovirus, and others.
Main Results:
- Respiratory virus infection was strongly associated with asthma exacerbations (63.1% vs 23.4%).
- Rhinovirus was the most prevalent and significantly associated virus (OR, 6.8).
- Rhinovirus prevalence was similar in asymptomatic cases, indicating symptomatic infection drives exacerbations.
Conclusions:
- Symptomatic rhinovirus infections are a key factor in pediatric asthma exacerbations.
- Developing rhinovirus-specific therapies is essential for asthma management.
Background:
Previous studies support a strong association between viral respiratory tract infections and asthma exacerbations. The effect of newly discovered viruses on asthma control is less well defined.
Objective:
We sought to determine the contribution of respiratory viruses to asthma exacerbations in children with a panel of PCR assays for common and newly discovered respiratory viruses.
Methods:
Respiratory specimens from children aged 2 to 17 years with asthma exacerbations (case patients, n = 65) and with well-controlled asthma (control subjects, n = 77), frequency matched by age and season of enrollment, were tested for rhinoviruses, enteroviruses, respiratory syncytial virus, human metapneumovirus, coronaviruses 229E and OC43, parainfluenza viruses 1 to 3, influenza viruses, adenoviruses, and human bocavirus.
Results:
Infection with respiratory viruses was associated with asthma exacerbations (63.1% in case patients vs 23.4% in control subjects; odds ratio, 5.6; 95% CI, 2.7- 11.6). Rhinovirus was by far the most prevalent virus (60% among case patients vs 18.2% among control subjects) and the only virus significantly associated with exacerbations (odds ratio, 6.8; 95% CI, 3.2-14.5). However, in children without clinically manifested viral respiratory tract illness, the prevalence of rhinovirus infection was similar in case patients (29.2%) versus control subjects (23.4%, P > .05). Other viruses detected included human metapneumovirus (4.6% in patients with acute asthma vs 2.6% in control subjects), enteroviruses (4.6% vs 0%), coronavirus 229E (0% vs 1.3%), and respiratory syncytial virus (1.5% vs 0%).
Conclusion:
Symptomatic rhinovirus infections are an important contributor to asthma exacerbations in children.
Clinical Implications:
These results support the need for therapies effective against rhinovirus as a means to decrease asthma exacerbations.
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