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Absorption of Nasal and Bronchial Fluids: Precision Sampling of the Human Respiratory Mucosa and Laboratory Processing of Samples
Published on: January 21, 2018
Nasal lavage leukotrienes in infants with RSV bronchiolitis
Liviana Da Dalt1, Silvia Callegaro, Silvia Carraro
1Department of Pediatrics, University of Padova, Padova, Italy. dadalt@pediatria.unipd.it
Insights
Infants with respiratory syncytial virus (RSV) bronchiolitis have higher levels of cysteinyl leukotrienes (Cys-LTs) in nasal fluid. These elevated Cys-LT levels persist for at least one month post-infection, suggesting a role in infant lung damage.
Area of Science:
- Pediatrics
- Immunology
- Respiratory Medicine
Background:
- Respiratory syncytial virus (RSV) bronchiolitis is a common infant infection.
- Persistent reactive airway disease can follow acute RSV bronchiolitis.
- The role of leukotrienes in RSV-induced lung damage is under investigation.
Purpose of the Study:
- To measure leukotriene levels in infants during and after RSV bronchiolitis.
- To investigate the potential role of leukotrienes in the pathogenesis of RSV bronchiolitis sequelae.
Main Methods:
- Collected nasal lavage fluid (NLF) from infants with RSV bronchiolitis and healthy controls.
- Measured cysteinyl leukotrienes (Cys-LTs) and leukotriene B4 (LTB4) in NLF.
- Collected a second NLF sample one month after acute infection for follow-up measurements.
Main Results:
- Significantly higher NLF Cys-LT levels were found in infants with RSV bronchiolitis compared to controls.
- Elevated Cys-LT levels persisted one month after the acute RSV infection.
- No significant differences in LTB4 levels were observed between groups.
Conclusions:
- Cys-LTs are significantly increased in infants with acute RSV bronchiolitis.
- Sustained elevation of Cys-LTs suggests a potential role in the long-term lung damage following RSV bronchiolitis.
Abstract:
Respiratory syncytial virus (RSV) bronchiolitis is a very common infection in infants and, after the acute phase, a number of patients develop a reactive airway disease that lasts for years. Although the pathogenesis of the lung damage after RSV bronchiolitis is still largely unknown, previous studies suggest that leukotrienes may play an active part in it. The aim of this study was to measure leukotriene levels in the nasal lavage fluid (NLF) collected in infants during RSV bronchiolitis and 1 month later. Cysteinyl leukotrienes (Cys-LTs) and leukotriene B(4) (LTB(4)) were measured in the NLF of 22 infants with their first episode of RSV bronchiolitis and 16 healthy infants. A second NLF sample was collected to measure leukotriene levels 1 month after the acute disease. NLF Cys-LT levels were significantly higher in infants with RSV bronchiolitis than in healthy controls [950 pg/ml (285.5-2155.9) vs. 110.5 pg/ml (66.5-451.3), p = 0.01], and they remained so a month after the acute infection (p = 0.02). A subanalysis showed no difference in Cys-LTs concentrations, either between bronchiolitis infants with and without a family history of atopy, or between those with and without passive exposure to cigarette smoke. No significant difference was found between the LTB(4) levels measured in the bronchiolitis cases and the control children. Cys-LTs are significantly increased in the NLF of infants with acute RSV bronchiolitis, and remain so at 1-month follow-up, suggesting a possible role of these eicosanoids in the pathogenesis of the disease.
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