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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
Viral respiratory infection and the link to asthma
1Division of Pediatric Allergy, Immunology, and Rheumatology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA. gern@medicine.wisc.edu
Insights
Viral respiratory infections trigger childhood asthma and wheezing. Understanding these host-pathogen interactions is key to developing effective treatments for at-risk infants and children.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Immunology
Background:
- Viral respiratory infections are a primary cause of acute wheezing in infants and a common trigger for asthma exacerbations in children.
- Severe infant viral infections increase the likelihood of developing asthma later in childhood.
- The precise mechanisms linking viral infections to asthma pathogenesis are still being elucidated.
Purpose of the Study:
- To explore the complex relationship between viral respiratory infections and childhood wheezing and asthma.
- To review current understanding of pathogenesis, host factors, and treatment strategies.
- To highlight the importance of host-pathogen interactions in determining disease severity and long-term outcomes.
Main Methods:
- Review of existing literature on viral respiratory infections, wheezing, and asthma.
- Analysis of host factors, including immune responses and allergies.
- Evaluation of current treatment approaches for virus-induced wheezing and asthma exacerbations.
Main Results:
- A growing list of respiratory viruses are implicated in acute wheezing and asthma exacerbations.
- Host factors such as respiratory allergy and interferon responses influence the risk of virus-induced wheezing.
- Effective antiviral therapies are lacking, making treatment challenging.
Conclusions:
- Understanding host-pathogen interactions is crucial for identifying individuals at risk of severe respiratory illness and long-term sequelae.
- Further research into these interactions can guide the development of novel and more effective therapeutic strategies for virus-induced asthma and wheezing.
- Personalized approaches considering host factors may improve management of viral-induced respiratory conditions in children.
Abstract:
Viral respiratory infections are closely associated with wheezing illnesses and exacerbations of asthma throughout childhood, and yet there are a number of remaining questions pertaining to the specific nature of this relationship. Infection with an expanding list of respiratory viruses is an important cause of acute wheezing in infancy, and viruses are detected in most exacerbations of asthma throughout childhood. Furthermore, infants who develop severe viral respiratory infections are more likely to have asthma later in childhood. There has been progress in understanding the pathogenesis of viral respiratory illnesses, and this has led to new insights into how these processes might differ in asthma. Several host factors, including respiratory allergy and virus-induced interferon responses, modify the risk of virus-induced wheezing. In the absence of effective antiviral therapies, treatment of virus-induced wheezing and exacerbations of asthma can be challenging, and studies evaluating current treatment strategies are reviewed. Understanding the host-pathogen interactions that determine the severity of respiratory illnesses and long-term sequelae is likely to be of great help in identifying at-risk individuals, and in designing new and more effective treatments.
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