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Published on: March 14, 2019
Viral infections in wheezing disorders.
1Faculty of Health and Medical Sciences, Dept of Respiratory Medicine, Child and Adolescent Health Service, University of Western Australia, Perth, Australia peter.lesouef@uwa.edu.au.
New research explores how respiratory viruses cause wheezing in children and tests interventions like antibodies and bacterial lysates to prevent asthma. Studies show promise for reducing wheezing exacerbations and potentially preventing childhood asthma.
Area of Science:
- Pediatric Respiratory Medicine
- Immunology
- Virology
Background:
- Virus-induced wheeze is a significant concern in children.
- Rhinovirus-C (RV-C) infection is linked to decreased CDHR3 and interferon-β, favoring viral replication.
- Novel interventions are being investigated to manage wheezing exacerbations.
Purpose of the Study:
- To review recent advancements in understanding virus-induced wheeze mechanisms.
- To summarize findings on novel therapeutic interventions for wheezing in children.
- To highlight the potential of bacterial lysates in preventing childhood asthma.
Main Methods:
- Review of recent studies on respiratory virus mechanisms in children.
- Analysis of clinical trial data for anti-viral antibodies, anti-immunoglobulin E therapy, and prednisolone.
- Examination of research on bacterial lysates for immunomodulation.
Main Results:
- RV-C infection is associated with reduced CDHR3 and interferon-β expression.
- Anti-RSV and anti-IgE therapies decreased wheezing exacerbations.
- Prednisolone efficacy in RV-induced wheeze was dependent on viral load (>7000 copies·mL⁻¹).
- Bacterial lysates show potential for reducing virus-induced wheezing.
Conclusions:
- Understanding virus-induced wheeze mechanisms is advancing.
- Several interventions show promise in reducing wheezing exacerbations.
- Bacterial lysates are a promising avenue for preventing childhood asthma, with a large study now underway.
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