RSV Infection in Neonatal Mice Induces Pulmonary Eosinophilia Responsible for Asthmatic Reaction

Dan Zhang1,2,3, Jie Yang2, Yuanhui Zhao2,4

  • 1State Key Laboratory of Pharmaceutical Biotechnology, Medical School, Nanjing University, Nanjing, China.

Frontiers in Immunology
|February 21, 2022
PubMed

Insights

Early-life respiratory syncytial virus (RSV) infection exacerbates allergic asthma by promoting eosinophil activity. These eosinophils worsen lung inflammation and asthma symptoms, highlighting their role in post-infection allergic responses.

Area of Science:

  • Immunology
  • Pediatric Respiratory Medicine
  • Allergy and Asthma Research

Background:

  • Respiratory syncytial virus (RSV) is a major cause of infant respiratory infections and a risk factor for childhood asthma.
  • Eosinophilic airway inflammation is a key feature of pediatric asthma, but the precise role of eosinophils in virus-induced asthma remains unclear.

Purpose of the Study:

  • To investigate the role of pulmonary eosinophils in exacerbating allergic asthma following early-life respiratory syncytial virus (RSV) infection.
  • To elucidate the mechanisms by which RSV-induced eosinophilia contributes to allergic respiratory inflammation and asthma development.

Main Methods:

  • Neonatal mouse model of RSV infection followed by allergen challenge.
  • Analysis of immune cell populations (eosinophils, ILC2, CD4+ T cells, macrophages) in the lungs.
  • Adoptive transfer of eosinophils from infected mice into naive recipients.
  • Assessment of asthma phenotypes (airway hyperresponsiveness, inflammation, mucus production).
  • Evaluation of antigen presentation molecule expression on eosinophils.

Main Results:

  • RSV infection in neonatal mice led to eosinophilia and exacerbated allergic asthma responses upon allergen stimulation.
  • Adoptive transfer of eosinophils from RSV-infected mice worsened allergic lung inflammation and asthma symptoms in naive mice.
  • RSV-infected eosinophils showed increased expression of CD80, CD86, and MHC II, promoting CD4+ T cell accumulation.
  • Treatment with indomethacin attenuated the lung pathology induced by eosinophil transfer.

Conclusions:

  • Pulmonary eosinophils play a significant role in mediating the proinflammatory responses that link early-life RSV infection to allergic asthma.
  • RSV infection primes eosinophils to enhance antigen presentation and promote T cell responses, contributing to severe allergic airway disease.
  • Targeting eosinophil-mediated inflammation may be a therapeutic strategy for preventing or treating asthma associated with early-life viral infections.

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