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Generation and Assembly of Virus-Specific Nucleocapsids of the Respiratory Syncytial Virus
Published on: July 27, 2021
Respiratory viruses and eosinophils: exploring the connections
Helene F Rosenberg1, Kimberly D Dyer, Joseph B Domachowske
1Eosinophil Biology Section, Laboratory of Allergic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA. hrosenberg@niaid.nih.gov
Insights
Eosinophilic leukocytes play an unclear role in respiratory syncytial virus (RSV) infection, potentially impacting disease severity and virus clearance. Further research is needed to clarify their exact function in antiviral defense.
Area of Science:
- Immunology
- Virology
- Pulmonology
Background:
- Respiratory syncytial virus (RSV) is a major pediatric pathogen with no available vaccine.
- A historical RSV vaccine trial showed immunopathology, with eosinophils recruited to the lungs.
- The precise role of eosinophils in RSV infection remains incompletely understood.
Purpose of the Study:
- To review the role of eosinophilic leukocytes in the pathogenesis and pathophysiology of respiratory virus infections.
- To examine the involvement of eosinophils in response to RSV infection and vaccination.
- To explore eosinophils' contribution to viral clearance and host defense.
Main Methods:
- Review of existing literature on eosinophils and respiratory virus infections, with a focus on RSV.
- Analysis of experimental models (mice, cotton rats) and human infant data.
- Consideration of studies investigating eosinophils in vaccine-induced immunopathology and primary infection.
Main Results:
- Eosinophils are recruited to the lungs in response to RSV antigens, particularly in infants and experimental models.
- The contribution of eosinophils to severe disease following RSV infection or vaccination is unclear.
- The role of eosinophils in viral clearance and host defense is still under investigation.
Conclusions:
- The exact role of virus-elicited eosinophils in respiratory syncytial virus infection (whether beneficial, detrimental, or neutral) requires further clarification.
- Understanding eosinophil involvement is crucial for developing effective RSV vaccines and treatments.
- Emerging research suggests eosinophils may even be targets of viral infection.
Abstract:
In this review, we consider the role played by eosinophilic leukocytes in the pathogenesis and pathophysiology of respiratory virus infection. The vast majority of the available information on this topic focuses on respiratory syncytial virus (RSV; Family Paramyxoviridae, genus Pneumovirus), an important pediatric pathogen that infects infants worldwide. There is no vaccine currently available for RSV. A formalin-inactivated RSV vaccine used in a trial in the 1960s elicited immunopathology in response to natural RSV infection; this has been modeled experimentally, primarily in inbred mice and cotton rats. Eosinophils are recruited to the lung tissue in response to formalin-inactivated RSV vaccine antigens in humans and in experimental models, but they may or may not be involved in promoting the severe clinical sequelae observed. Pulmonary eosinophilia elicited in response to primary RSV infection has also been explored; this response is particularly evident in the youngest human infants and in neonatal mouse models. Although pulmonary eosinophilia is nearly always perceived in a negative light, the specific role played by virus-elicited eosinophils - negative, positive or neutral bystander - remain unclear. Lastly, we consider the data that focus on the role of eosinophils in promoting virus clearance and antiviral host defense, and conclude with a recent study that explores the role of eosinophils themselves as targets of virus infection.
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