A comprehensive look at Respiratory Syncytial Virus (RSV): from pathogenesis to prevention

Omid Salahi Ardekani1, Parisa Hasannezhad2,3, Yasaman Goudarzi1

  • 1Department of Virology, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Insights

Respiratory Syncytial Virus (RSV) significantly impacts global health, especially in infants. New vaccines and monoclonal antibodies offer promising prevention strategies against this severe respiratory pathogen.

Area of Science:

  • Virology
  • Immunology
  • Public Health

Background:

  • Respiratory Syncytial Virus (RSV) is a major cause of severe respiratory illness in infants and children globally.
  • RSV infection presents with variable severity, ranging from mild upper respiratory symptoms to life-threatening lower respiratory tract disease.
  • The virus has a substantial impact on healthcare systems and public health resources.

Purpose of the Study:

  • To provide a comprehensive overview of Respiratory Syncytial Virus (RSV).
  • To discuss the epidemiology, clinical manifestations, and therapeutic strategies for RSV.
  • To review the latest advancements in RSV vaccine development and its potential as an oncolytic agent.

Main Methods:

  • This narrative review synthesizes existing literature on RSV.
  • Key aspects covered include epidemiology, clinical presentation, treatment options, and vaccine research.
  • The review also explores the emerging role of RSV in oncolytic virotherapy.

Main Results:

  • Three RSV vaccines (Arexvy, Abrysvo, mRESVIA) are now FDA-approved.
  • Monoclonal antibodies like Nirsevimab and Clesrovimab are recommended for infant protection.
  • Understanding RSV seasonality is crucial for effective immunization program planning.

Conclusions:

  • RSV poses a significant global health challenge, necessitating effective prevention and treatment strategies.
  • The development of vaccines and monoclonal antibodies marks a significant advancement in combating RSV.
  • Further research into RSV, including its oncolytic potential, is warranted.

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