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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
Respiratory syncytial virus bronchiolitis and asthma - insights from recent studies and implications for therapy
Beena Mailaparambil1, Ruth Grychtol, Andrea Heinzmann
1Centre for Pediatrics and Adolescent Medicine, University of Freiburg, D-79106 Freiburg, Germany.
Insights
Severe respiratory syncytial virus (RSV) infection in infants may be linked to childhood asthma development. Genetic studies explore common pathways and potential targeted therapies for both conditions.
Area of Science:
- Pediatric respiratory infections
- Immunogenetics
- Asthma research
Background:
- Respiratory syncytial virus (RSV) is a major cause of infant respiratory illness, leading to significant disease burden and hospitalizations.
- The relationship between severe RSV bronchiolitis in infancy and the later development of asthma remains a critical area of research and debate.
- A shared genetic predisposition for exaggerated inflammatory responses in the lungs could underlie both conditions.
Purpose of the Study:
- To review current genetic findings in bronchial asthma and severe RSV bronchiolitis.
- To discuss the potential causal link between infantile RSV bronchiolitis and childhood asthma, considering epidemiological evidence.
- To explore the implications of genetic research for targeted drug therapies for both diseases.
Main Methods:
- Literature review of genetic studies on asthma and RSV bronchiolitis.
- Analysis of epidemiological data investigating the association between early RSV infection and later asthma diagnosis.
- Synthesis of current understanding regarding common and distinct genetic pathways.
Main Results:
- Genetic studies are crucial for elucidating shared and divergent mechanisms in asthma and RSV bronchiolitis.
- Epidemiological evidence is being considered to assess the relationship between severe RSV bronchiolitis and childhood asthma.
- Findings have the potential to reshape the understanding and therapeutic strategies for both conditions.
Conclusions:
- Understanding the genetic underpinnings of RSV bronchiolitis and asthma may reveal common inflammatory pathways.
- Further genetic research is essential to clarify the etiological relationship and inform therapeutic interventions.
- This review highlights the importance of genetic insights for developing targeted treatments for pediatric respiratory diseases.
Abstract:
Infection with respiratory syncytial virus (RSV) is a leading cause of upper and lower respiratory tract infection in infants. It is accompanied by a considerably disease burden and a hospitalisation rate of up to 3% in infected infants. Besides, it is still a matter of intensive discussion whether severe RSV infection in early infancy causes the development of asthma later in live or whether RSV bronchiolitis just chronologically precedes asthma in children who are susceptible to asthma. The latter could be due to a common genetic background of both diseases predisposing to an exaggerated inflammatory response of the lungs to allergens and pathogens. Genetic studies might help to elucidate the mechanisms leading to both diseases and to highlight common as well as diverse pathways. The results of such investigations will influence the current understanding of the diseases and might even change our therapeutical approaches to both disorders. This review summarizes current findings in the genetics of bronchial asthma and severe RSV bronchiolitis. The question whether a relationship exists between severe RSV bronchiolitis in infancy and childhood asthma will also be discussed by taking recent epidemiological studies in account. A special focus is laid on the implications of these findings for a targeted drug therapy of both diseases.
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