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.

Respiratory Research
|November 23, 2018
PubMed

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.
Abstract

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