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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 syncitial virus in children with acute respiratory infections
R Hemalatha1, G Krishna Swetha, M Seshacharyulu
1Department of Microbiology, National Institute of Nutrition, Jamia-Osmania, Hyderabad, India. rhemalathanin@yahoo.com
Insights
Respiratory Syncytial Virus (RSV) infection is linked to bronchiolitis in young infants. Higher levels of Interleukin-8 were observed in RSV-positive children, indicating a strong inflammatory response.
Area of Science:
- Pediatric Infectious Diseases
- Immunology
- Nutritional Science
Background:
- Respiratory Syncytial Virus (RSV) is a common cause of acute respiratory infections in infants.
- Nutritional status and its impact on RSV infection severity require further investigation.
Purpose of the Study:
- To investigate the nutritional status of children diagnosed with Respiratory Syncytial Virus (RSV) infection.
- To analyze the association between RSV infection and clinical manifestations like bronchiolitis, pneumonia, and upper respiratory tract infections (URTI).
Main Methods:
- 126 children aged 4-24 months with acute respiratory infections were assessed for RSV.
- Nasopharyngeal aspirates were collected for RSV detection and cytokine analysis (ELISA).
- Clinical data including URTI, bronchiolitis, and pneumonia prevalence were recorded.
Main Results:
- 46.66% of children tested positive for RSV.
- RSV was more prevalent in children with bronchiolitis compared to URTI and pneumonia.
- Elevated levels of Interleukin-2 and Interleukin-8 were found in RSV-positive children, decreasing after 5 days.
Conclusions:
- RSV is frequently associated with bronchiolitis in younger infants, particularly those with normal birth weight.
- Pro-inflammatory cytokine Interleukin-8 (IL-8) is significantly elevated in the nasopharyngeal aspirates of children with RSV infection.
Objective:
To study the nutritional status of children with Respiratory Syncitial virus infection.
Methods:
One hundred and twenty six children with acute respiratory infection, between the age of 4-24 months, were investigated for RSV infection with bronchiolitis, pneumonia and upper respiratory tract infection. Nasopharyngeal aspirates were collected and cytokine responses were determined by ELISA. Upper respiratory tract infections were detected in 16.66%, bronchiolitis in 30.15% and Pneumonia in 53.17% children.
Results:
Of the 126 patients, 46.66% children were positive for RSV while 58.33% were negative for RSV. Children with bronchiolitis were more commonly positive for RSV compared to URTI and pneumonia. RSV was almost equally distributed among boys (42.5%) and girls (48.7%). More children were RSV positive when the mean age lesser (8.4 mo) was compared to RSV negative (9.93 mo). Well nourished children and children with normal birth weight had more RSV positives, though not statistically significant. In a sub sample analysis of cytokines done (n=25), Interleukin-2 and Interleukin-8 levels were higher in the RSV positive children and these levels declined after 5 days of illness.
Conclusions:
RSV is more commonly associated with bronchiolitis in younger infants with normal birth weight or more weight for age (WFA). Proinflammatory cytokine IL-8 was secreted at high concentrations in the nasopharyngeal aspirate in all the children.
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