Local production of inflammatory mediators during childhood parainfluenza virus infection

Rana E El Feghaly1, Lindsay McGann, Cynthia A Bonville

  • 1Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY 13210, USA.

Abstract

Insights

Parainfluenza virus (PIV) infection presents a range of illnesses. Elevated levels of chemokine ligand 8 (CXCL8) in nasal washes indicate more severe PIV disease, particularly with respirovirus infections.

Area of Science:

  • Pediatric infectious diseases
  • Virology
  • Immunology

Background:

  • Parainfluenza virus (PIV) is a common cause of respiratory illness in children.
  • Understanding the clinical spectrum and biochemical markers of PIV disease severity is crucial for effective management.

Purpose of the Study:

  • To delineate the clinical manifestations of PIV infections.
  • To identify biochemical markers associated with PIV disease severity.

Main Methods:

  • Retrospective review of medical records for 165 children with PIV-positive nasal wash cultures (1998-2008).
  • Analysis of 26 inflammatory mediators in nasal wash samples using Luminex bead proteomics.

Main Results:

  • Lower respiratory tract infection (LRTI) occurred in 44% of patients, with higher incidence in PIV3 and PIV4 infections.
  • PIV-infected patients exhibited elevated nasal concentrations of several inflammatory mediators, including interleukin-6 and CXCL8.
  • Higher CXCL8 levels were associated with LRTI, severe illness, and respirovirus (PIV1/3) infections compared to rubulavirus (PIV2/4) infections.

Conclusions:

  • PIV infection leads to a spectrum of respiratory illnesses.
  • Elevated CXCL8 in nasal washes is a marker for more severe PIV disease, especially with respirovirus types.

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