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Published on: September 26, 2012
Post-viral atopic airway disease: pathogenesis and potential avenues for intervention
Syed-Rehan A Hussain1,2,3, Asuncion Mejias3,4,5, Octavio Ramilo3,4,5
1a Division of Allergy and Immunology , Nationwide Children's Hospital - The Ohio State University College of Medicine , Columbus , OH , USA.
Insights
Respiratory viral infections in early childhood can lead to atopy and asthma. Research is exploring genetic factors and biomarkers to develop personalized therapies for these conditions.
Area of Science:
- Pediatric Respiratory Medicine
- Immunology
- Viral Pathogenesis
Background:
- Wheezing in early childhood is frequently linked to viral infections like RSV and RV.
- The mechanisms by which respiratory viruses induce asthma and atopy are under active investigation.
- Current management for asthma lacks curative therapies, and no preventative treatments exist for post-viral induced atopy.
Purpose of the Study:
- To review current literature on the development of post-viral atopy and asthma.
- To summarize the underlying mechanisms involved in viral-induced asthma.
- To highlight the role of animal models, genetic polymorphisms, and biomarkers in understanding pathogenesis and informing future interventions.
Main Methods:
- Literature review of published studies on viral-induced atopy and asthma.
- Focus on findings from animal models elucidating pathogenic pathways.
- Analysis of genetic polymorphisms associated with asthma development.
Main Results:
- Respiratory viral infections can initiate pathways leading to atopy and asthma.
- Animal models have identified key mechanisms contributing to post-viral airway disease.
- Specific genetic factors and biomarkers are associated with increased asthma risk following viral infections.
Conclusions:
- Understanding the pathogenesis of viral-induced asthma requires further investigation into genetic factors and biomarkers.
- Development of effective personalized therapies for asthma and prevention of post-viral atopy is contingent on this deeper understanding.
- There is a critical need for novel prophylactic and curative strategies for asthma and related conditions.
Abstract:
Introduction: In early childhood, wheezing due to lower respiratory tract illness is often associated with infection by commonly known respiratory viruses such as respiratory syncytial virus (RSV) and human rhinovirus (RV). How respiratory viral infections lead to wheeze and/or asthma is an area of active research. Areas covered: This review provides an updated summary of the published information on the development of post-viral induced atopy and asthma and the mechanisms involved. We focus on the contribution of animal models in identifying pathways that may contribute to atopy and asthma following respiratory virus infection, different polymorphisms that have been associated with asthma development, and current options for disease management and potential future interventions. Expert commentary: Currently there are no prophylactic therapies that prevent infants infected with respiratory viruses from developing asthma or atopy. Neither are there curative therapies for patients with asthma. Therefore, a better understanding of genetic factors and other associated biomarkers in respiratory viral induced pathogenesis is important for developing effective personalized therapies.
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