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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
Pediatric Asthma and Viral Infection
M Luz Garcia-Garcia1, Cristina Calvo Rey1, Teresa Del Rosal Rabes2
1Servicio de Pediatría, Hospital Universitario Severo Ochoa, Leganés, Madrid, España.
Respiratory viral infections like RSV and rhinovirus are key triggers for infant wheezing and asthma. Bronchiolitis, often caused by these viruses, is linked to long-term respiratory issues, especially in genetically predisposed children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Respiratory viral infections, particularly respiratory syncytial virus (RSV) and rhinovirus, are primary risk factors for wheezing in young children.
- Bronchiolitis, the most common acute respiratory infection in infants, is frequently caused by RSV (approx. 70%) and rhinovirus.
- The link between viral bronchiolitis and subsequent recurrent wheezing or asthma has been observed for decades, though causality remains debated.
Purpose of the Study:
- To explore the association between respiratory viral infections and the development of wheezing and asthma in children.
- To investigate the role of specific viruses, such as RSV and rhinovirus, in pediatric respiratory illnesses.
- To understand the potential mechanisms linking viral infections to chronic respiratory conditions like asthma.
Main Methods:
- Review of existing literature on respiratory viral infections, bronchiolitis, and asthma in pediatric populations.
- Analysis of epidemiological data linking viral etiologies to wheezing and hospitalization rates.
- Examination of immunological factors potentially mediating the relationship between viral infections and asthma development.
Main Results:
- Respiratory syncytial virus (RSV) and rhinovirus are significant contributors to infant bronchiolitis and subsequent wheezing.
- A strong association exists between rhinovirus-induced bronchiolitis and the development of recurrent wheezing and asthma.
- Respiratory viruses are identified in over 90% of children hospitalized for wheezing, highlighting their role in exacerbations.
Conclusions:
- Respiratory viral infections, especially RSV and rhinovirus, are strongly associated with wheezing and asthma development in children.
- Bronchiolitis, particularly when caused by rhinovirus, may indicate a predisposition to asthma.
- Altered immune responses to viral infections in genetically susceptible individuals are likely central to the viral infection-asthma link.
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