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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
Rhinovirus infections in infancy and early childhood
Elisabeth Kieninger1, Oliver Fuchs, Philipp Latzin
1Dept of Paediatrics, University Children's Hospital of Bern, Inselspital, Bern, Switzerland.
Insights
Rhinovirus (RV) infections are common in young children, causing respiratory illnesses. Early RV infections may increase the risk of developing childhood asthma, but the exact mechanisms require further investigation.
Area of Science:
- Pediatric Infectious Diseases
- Respiratory Medicine
- Immunology
Background:
- Rhinoviruses (RVs) are frequent causes of respiratory infections in infants and young children.
- These infections range from mild to severe, often requiring hospitalization.
- RVs are implicated in the development of recurrent wheeze and asthma in early childhood.
Purpose of the Study:
- To review the role of RVs in infant and early childhood respiratory diseases.
- To discuss the association between RV infections and the development of childhood wheeze and asthma.
- To explore the underlying mechanisms linking RVs to asthma development.
Main Methods:
- Literature review of studies on RV infections in infants and children.
- Analysis of data linking early-life RV infections to later asthma development.
- Discussion of proposed pathogenetic mechanisms.
Main Results:
- Rhinovirus infections are a significant cause of respiratory morbidity in young children.
- Evidence suggests a link between early-life RV-induced wheezing and later asthma diagnosis.
- The precise role of RVs in asthma pathogenesis remains under investigation.
Conclusions:
- Rhinoviruses are critical pathogens in early childhood respiratory health.
- Further research is needed to elucidate the mechanisms by which RVs contribute to asthma development.
- Understanding this link is crucial for potential preventative strategies.
Abstract:
Rhinovirus (RV) infections occur early and recurrently in life, imposing a significant burden of disease on infants and young children. They are the most frequent causative agents of both upper and lower respiratory tract infections in this age group and are associated with a broad variety of clinical outcomes, ranging from asymptomatic infections to severe respiratory disease requiring hospitalisation. In addition to their impact on short-term morbidity, RVs are also debated as important pathogens in the development of recurrent wheeze and/or asthma. Several studies in infants at high-risk for atopy and asthma and in hospitalised children have demonstrated that recurrent wheezing illnesses induced by RVs early in life are a risk factor for the development of asthma later in childhood. However, underlying mechanisms are poorly understood. The question whether RVs are directly involved in the development of childhood wheeze and asthma, or whether symptomatic RV infections only represent a proxy for infants prone to develop obstructive lung diseases, is still open. In this review we provide an overview on the role of RVs as important disease-causing agents from infancy to early childhood and discuss their contribution to the subsequent development of childhood wheeze and/or asthma.
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