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Updated: Jul 12, 2025

An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
Host Responses to Respiratory Syncytial Virus Infection
Ayse Agac1, Sophie M Kolbe1, Martin Ludlow1
1Research Center for Emerging Infections and Zoonoses, University of Veterinary Medicine Hannover, 30559 Hannover, Germany.
Insights
Respiratory syncytial virus (RSV) causes significant illness in infants and older adults. This review explores host immune responses to RSV and discusses new vaccines and treatments.
Area of Science:
- Virology
- Immunology
- Public Health
Background:
- Respiratory syncytial virus (RSV) is a major global health concern, particularly for infants and the elderly.
- Widespread childhood infection by age two and common reinfections highlight challenges in achieving lasting immunity.
- Limited antigenic variation in RSV contrasts with other respiratory viruses, suggesting immunity duration is key.
Purpose of the Study:
- To review the host immune response to RSV infection, starting with epithelial cells and progressing to innate and adaptive immunity.
- To examine immunomodulatory and pathogenic mechanisms employed by RSV during infection.
- To discuss current RSV vaccine candidates and alternative therapeutic strategies.
Main Methods:
- Literature review of host responses to RSV.
- Analysis of immunomodulatory and pathogenic mechanisms.
- Survey of existing and emerging vaccine and treatment options.
Main Results:
- Epithelial cells form the initial barrier against RSV, followed by complex innate and adaptive immune responses.
- RSV employs specific mechanisms to modulate the host immune system, contributing to pathogenesis.
- Recent advancements include FDA-approved vaccines for older adults and pregnant women to protect infants.
Conclusions:
- Understanding the intricate host response is crucial for developing effective RSV interventions.
- New vaccines targeting RSV offer promising protection for vulnerable populations.
- Continued research into immunomodulation and alternative treatments is essential for combating RSV disease.
Abstract:
Respiratory syncytial virus (RSV) infections are a constant public health problem, especially in infants and older adults. Virtually all children will have been infected with RSV by the age of two, and reinfections are common throughout life. Since antigenic variation, which is frequently observed among other respiratory viruses such as SARS-CoV-2 or influenza viruses, can only be observed for RSV to a limited extent, reinfections may result from short-term or incomplete immunity. After decades of research, two RSV vaccines were approved to prevent lower respiratory tract infections in older adults. Recently, the FDA approved a vaccine for active vaccination of pregnant women to prevent severe RSV disease in infants during their first RSV season. This review focuses on the host response to RSV infections mediated by epithelial cells as the first physical barrier, followed by responses of the innate and adaptive immune systems. We address possible RSV-mediated immunomodulatory and pathogenic mechanisms during infections and discuss the current vaccine candidates and alternative treatment options.
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