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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
Age-related difference in immune responses to respiratory syncytial virus infection in young children
Hai Lee Chung1, Hye Jin Park, So Yeon Kim
1Department of Pediatrics, School of Medicine, Catholic University of Taegu, Taegu, Korea. hlchung@cu.ac.kr
Insights
Immune responses to respiratory syncytial virus (RSV) infection differ significantly with age in infants. Older infants show heightened cytokine responses, suggesting age-related immune development impacts RSV bronchiolitis severity.
Area of Science:
- Immunology
- Pediatrics
- Virology
Background:
- The immune system undergoes significant development during infancy.
- Respiratory syncytial virus (RSV) bronchiolitis is a common infection in young children.
- Understanding age-related immune responses to RSV is crucial for managing bronchiolitis.
Purpose of the Study:
- To investigate age-related differences in cytokine responses to RSV infection.
- To compare immune responses between infants under 6 months and children over 12 months.
- To analyze cytokine profiles in relation to RSV bronchiolitis severity.
Main Methods:
- Forty-five children under 24 months with acute RSV bronchiolitis were enrolled.
- Patients were divided into two age groups: < or =6 months and > or =12 months.
- Serum cytokine levels (IFN-gamma, IL-10, IL-4, IL-13) were measured using ELISA and compared to age-matched controls.
Main Results:
- Infants < or =6 months had higher baseline IFN-gamma and IL-13 than older controls (> or =12 months).
- RSV infection in children > or =12 months was associated with significantly higher IFN-gamma, IL-10, and IL-13 levels compared to controls.
- RSV infection in infants < or =6 months showed a trend toward lower IFN-gamma and no significant difference in IL-10 or IL-13 compared to controls.
Conclusions:
- Significant age-related differences exist in cytokine responses to RSV infection during early life.
- The developmental stage of the immune system influences the cytokine profile during RSV bronchiolitis.
- These findings suggest age-specific immune responses should be considered in managing RSV bronchiolitis.
Abstract:
There have been longitudinal studies of the developmental change of the immune system during the first year of life. The aim of this study was to investigate if there is any age-related difference in cytokine responses to respiratory syncytial virus (RSV) infection between the patients under 6 months of age and the patients over 12 months of age compared with age-matched controls. Forty-five children < or =24 months of age who were admitted with acute RSV bronchiolitis were enrolled. The patients were divided into two groups: the infants < or =6 months old and the young children > or =12 months old. Immune response to RSV infection was determined by measuring the serum concentrations of cytokines and compared with age-matched controls. Serum samples were obtained on admission and analyzed for interferon (IFN)-gamma, interleukins (IL)-10, -13, and -4 using ELISA. Comparing the cytokine levels of two control groups, both IFN-gamma and IL-13 were lower in the children > or =12 months of age than in the infants < or =6 months of age. IL-10 and IL-4 showed no significant changes with age. Comparing with age-matched controls, IFN-gamma levels were significantly higher in RSV group > or =12 months of age, but showed a tendency toward lower levels in RSV group < or =6 months of age. Both IL-10 and IL-13 levels were significantly higher in RSV group > or =12 months of age, but showed no significant difference in RSV group < or =6 months of age. Our study demonstrated a significant age-related difference in immune response to RSV infection during early life. It suggests that the developmental changes in cytokine responses to RSV infection may be considered in the control of RSV bronchiolitis in young children.
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