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Published on: March 2, 2016
Role of infection in the development and exacerbation of asthma
Theresa W Guilbert1, Loren C Denlinger
1Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, 600 Highland Avenue, K4/944, CSC-4108, Madison, WI 53792, USA. tguilbert@wisc.edu
Abstract:
Respiratory infections are associated with wheezing illnesses in all ages and may also impact the development and severity of asthma. Respiratory tract infections caused by viruses, Chlamydophila or Mycoplasma have been hypothesized to have significant roles in the pathogenesis of asthma. Progress is being made toward establishing the mechanisms by which these agents can cause acute wheezing and impact the pathophysiology of asthma. Host factors probably contribute to the risk of asthma inception and exacerbation, and these contributions may also vary with respect to early- versus adult-onset disease. This review discusses these various associations as they pertain to the development and exacerbation of asthma.
Insights
Respiratory infections, including viral, Chlamydophila, and Mycoplasma, are linked to wheezing and asthma development. Host factors also influence asthma risk and severity across different age groups.
Area of Science:
- Respiratory Medicine
- Infectious Diseases
- Allergology
Background:
- Respiratory infections are frequently linked to wheezing illnesses across all age groups.
- These infections may significantly influence the development and severity of asthma.
- Viruses, Chlamydophila, and Mycoplasma are specifically implicated in asthma pathogenesis.
Purpose of the Study:
- To review the associations between respiratory infections and the development and exacerbation of asthma.
- To explore the mechanisms by which respiratory pathogens contribute to asthma.
- To examine the role of host factors in asthma inception and exacerbation.
Main Methods:
- Literature review of studies on respiratory infections and asthma.
- Analysis of proposed mechanisms linking pathogens to wheezing and asthma pathophysiology.
- Discussion of host factors influencing asthma development and severity.
Main Results:
- Evidence suggests respiratory infections play a role in acute wheezing and asthma pathophysiology.
- Mechanisms of infection-induced asthma are being elucidated.
- Host factors are critical in determining asthma risk and exacerbation, with variations based on onset age.
Conclusions:
- Respiratory infections are significant factors in asthma development and exacerbation.
- Understanding pathogen-host interactions is key to managing asthma.
- Individual host factors modulate the impact of infections on asthma across the lifespan.
Related Concept Videos
Asthma I: Introduction
Asthma-I: Introduction
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma III: Clinical Manifestations
