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Dissecting Innate Immune Signaling in Viral Evasion of Cytokine Production
Published on: March 2, 2014
Influence of viral infection on the relationships between airway cytokines and lung function in asthmatic children
Toby C Lewis1,2,3, Ediri E Metitiri1, Graciela B Mentz3
1Departments of Pediatrics and Communicable Diseases, University of Michigan Medical School, 1150 W. Medical Center Dr., Building MSRB2, Room 3570B, Ann Arbor, MI, 48109-5688, USA.
Insights
In asthmatic children, pro-inflammatory cytokines worsen lung function without viral infection but protect against decline during infection. This suggests a potential therapeutic role in viral-induced asthma exacerbations.
Area of Science:
- Pediatric respiratory medicine
- Immunology
- Pulmonology
Background:
- Longitudinal studies on asthma inflammation and lung function are limited.
- Investigating specific cytokines that impair airflow and the impact of viral infections is crucial.
Purpose of the Study:
- To identify cytokines associated with reduced airflow in asthmatic children.
- To determine how respiratory viral infections influence the relationship between cytokines and lung function.
Main Methods:
- Studied 53 children over one year, collecting nasal lavage samples during surveillance and illness.
- Analyzed 392 surveillance and 203 illness samples for 7 mRNAs and 10 proteins.
- Used generalized estimating equations to assess associations between biomarkers, lung function, and viral infection.
Main Results:
- Viral infection increased cytokines and decreased forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1).
- Significant interactions were observed between biomarkers and viral status affecting lung function.
- Cytokines like IL-4, IL-13, CCL5, CCL20, and CCL24 were associated with less severe lung function decline during infection, unlike in the absence of infection.
Conclusions:
- Pro-inflammatory cytokines drive airflow obstruction in asthmatic children, particularly without viral infection.
- Viral infections reverse this relationship, with cytokines potentially offering protection against lung function decline.
- Findings suggest a protective role for certain inflammatory responses during viral infections and implications for treating viral-induced asthma exacerbations.
Background:
Few longitudinal studies examine inflammation and lung function in asthma. We sought to determine the cytokines that reduce airflow, and the influence of respiratory viral infections on these relationships.
Methods:
Children underwent home collections of nasal lavage during scheduled surveillance periods and self-reported respiratory illnesses. We studied 53 children for one year, analyzing 392 surveillance samples and 203 samples from 85 respiratory illnesses. Generalized estimated equations were used to evaluate associations between nasal lavage biomarkers (7 mRNAs, 10 proteins), lung function and viral infection.
Results:
As anticipated, viral infection was associated with increased cytokines and reduced FVC and FEV1. However, we found frequent and strong interactions between biomarkers and virus on lung function. For example, in the absence of viral infection, CXCL10 mRNA, MDA5 mRNA, CXCL10, IL-4, IL-13, CCL4, CCL5, CCL20 and CCL24 were negatively associated with FVC. In contrast, during infection, the opposite relationship was frequently found, with IL-4, IL-13, CCL5, CCL20 and CCL24 levels associated with less severe reductions in both FVC and FEV1.
Conclusions:
In asthmatic children, airflow obstruction is driven by specific pro-inflammatory cytokines. In the absence of viral infection, higher cytokine levels are associated with decreasing lung function. However, with infection, there is a reversal in this relationship, with cytokine abundance associated with reduced lung function decline. While nasal samples may not reflect lower airway responses, these data suggest that some aspects of the inflammatory response may be protective against viral infection. This study may have ramifications for the treatment of viral-induced asthma exacerbations.
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