RSV infection in neonatal mice and gastrointestinal microbiome alteration contribute to allergic predisposition

Alexander D Ethridge1, Kazuma Yagi2, Llilian Arzola Martínez2

  • 1Immunology Graduate Program, Rackham Graduate School, University of Michigan, Ann Arbor, MI, USA; Department of Pathology, University of Michigan, Ann Arbor, MI, USA.

Mucosal Immunology
|April 25, 2025
PubMed

Insights

Early life respiratory syncytial virus (RSV) infection alters the gut microbiome, increasing asthma risk. Microbiome restoration can mitigate this, highlighting its role in allergic disease development.

Area of Science:

  • Microbiology
  • Immunology
  • Pulmonology

Background:

  • Infant respiratory syncytial virus (RSV) infection elevates the risk of developing wheezing and asthma.
  • Early-life microbiome alterations in the lung or gut are increasingly linked to pulmonary disease development.
  • RSV infection in early life causes long-term changes in both gastrointestinal and lung microbiomes.

Purpose of the Study:

  • To investigate the distinct contributions of early life (EL) RSV infection and gut microbiome status to allergic disease.
  • To determine if EL RSV infection or subsequent gut microbiome alterations drive increased susceptibility to asthma.

Main Methods:

  • Germ-free neonatal mice were infected with RSV and subsequently colonized with specific microbiomes before cockroach allergen (CRA)-induced asthma.
  • Mice were colonized with either an RSV-associated or a naive adult microbiome after RSV infection and then exposed to CRA.
  • Airway hyperreactivity (AHR), mucus production, and eosinophil infiltration were assessed as measures of allergic airway disease.

Main Results:

  • EL RSV infection in germ-free animals led to increased airway disease, which was reduced by microbiome colonization.
  • Transferring a naive adult microbiome protected against enhanced AHR from CRA exposure.
  • Transferring an RSV-associated neonatal microbiome did not protect against CRA-induced allergic responses.

Conclusions:

  • Both early life RSV infection and associated microbiome alterations contribute to allergic predisposition.
  • Microbiome restoration can ameliorate RSV-induced increases in airway disease.
  • The composition of the gut microbiome plays a critical role in modulating the immune response to allergens.