Functional Impairment of Mononuclear Phagocyte System by the Human Respiratory Syncytial Virus

Karen Bohmwald1, Janyra A Espinoza1, Raúl A Pulgar1

  • 1Millennium Institute on Immunology and Immunotherapy, Departamento de Genética Molecular y Microbiología, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, Chile.

Frontiers in Immunology
|December 13, 2017
PubMed

Insights

The mononuclear phagocyte system (MPS), including monocytes, macrophages, and dendritic cells, plays a critical role in the early immune response to human respiratory syncytial virus (hRSV). These cells are vital for viral clearance and controlling inflammation in hRSV-induced bronchiolitis.

Area of Science:

  • Immunology
  • Virology
  • Respiratory Medicine

Background:

  • The mononuclear phagocyte system (MPS), comprising monocytes, macrophages (MΦ), and dendritic cells (DCs), is crucial for innate immunity against pathogens like human respiratory syncytial virus (hRSV).
  • hRSV is a major cause of severe lower respiratory tract infections, particularly in infants and the elderly, leading to bronchiolitis, pneumonia, and potentially asthma.
  • MPS cells in the airways are among the first responders to hRSV infection, influencing both viral clearance and immunopathology.

Purpose of the Study:

  • To review and discuss the multifaceted roles of the lung mononuclear phagocyte system during hRSV infection.
  • To elucidate the involvement of MPS components in the pathogenesis of hRSV-induced bronchiolitis and reactive airway diseases.
  • To highlight the importance of alveolar macrophages (AMs) as key sentinels in the early innate immune response to hRSV.

Main Methods:

  • This is a review article, synthesizing findings from existing scientific literature.
  • Analysis of studies focusing on the cellular and molecular interactions between hRSV and MPS components.
  • Examination of the contribution of monocytes, macrophages, and dendritic cells to inflammation and immune responses during hRSV infection.

Main Results:

  • Alveolar macrophages are essential for early hRSV recognition, viral clearance, and control of immunopathology, despite the importance of adaptive immunity.
  • Monocytes, MΦs, and DCs significantly contribute to acute inflammation associated with hRSV-induced bronchiolitis and asthma exacerbation.
  • hRSV infection can impair the phagocytic and microbicidal functions of monocytes and MΦs against other pathogens, and different DC subsets play distinct roles.

Conclusions:

  • The lung mononuclear phagocyte system is central to the host's defense against hRSV, influencing disease severity and outcomes.
  • Understanding the dynamics of MPS cells in hRSV infection is critical for developing effective therapeutic strategies against respiratory infections and related airway diseases.
  • Further research into the specific functions of different MPS subsets, particularly DCs, in hRSV infection is warranted.

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