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严重呼吸道合胞病毒感染 1 年后的鼻咽抽吸细胞因子水平。

Nasopharyngeal aspirate cytokine levels 1 yr after severe respiratory syncytial virus infection.

机构信息

Servicio de Pediatría, Hospital Clínico Universitario, 47005 Valladolid, Spain.

出版信息

Pediatr Allergy Immunol. 2009 Dec;20(8):791-5. doi: 10.1111/j.1399-3038.2009.00868.x. Epub 2009 Feb 28.

Abstract

Respiratory syncytial virus (RSV) infection is an important cause of recurrent wheezing in infants. Nevertheless, the link between RSV infection and wheezing has yet to be elucidated at the molecular level. Here, we present a preliminary study on the evolution of the immune response in the respiratory tract at long-term after RSV infection. Twenty-seven immune mediators were profiled in nasopharyngeal aspirates (NPAs) obtained from 20 children hospitalized due to a severe infection by RSV at discharge from hospital and again 1 yr later. The same mediators were profiled in parallel in NPAs from 12 healthy controls. In the year following discharge, 85% (17/20) of children of the RSV group suffered at least one episode of wheezing documented by the pediatrician. On the contrary, wheezing episodes were observed only in 25% (3/12) of children in the control group. While most of the mediators profiled returned to normal levels by 1 yr after discharge from hospital, RSV children showed a persistent nasal hyper-secretion of VEGF, G-CSF, IL-10, IL-6, IFN-gamma, IL-7 and IL-13. In previous works VEGF, IL-10 and IFN-gamma have been put in relation with the pathogenesis of post-virus induced asthma. G-CSF, IL-6, IL-7 and IL-13 are increased in respiratory and plasma samples of asthmatic patients. Here, we evidence for the first time a persistent elevation of these mediators as late as 1 yr after severe RSV disease resolution, reinforcing their possible implication in the pathogenesis of wheezing.

摘要

呼吸道合胞病毒 (RSV) 感染是婴儿反复喘息的重要原因。然而,RSV 感染与喘息之间的联系尚未在分子水平上阐明。在这里,我们介绍了一项关于 RSV 感染后长期呼吸道免疫反应演变的初步研究。在出院时和 1 年后再次从 20 名因 RSV 严重感染而住院的儿童的鼻咽抽吸物 (NPA) 中分析了 27 种免疫介质,并在 12 名健康对照者的 NPA 中同时分析了相同的介质。在出院后的 1 年内,85%(17/20)的 RSV 组儿童至少发生了 1 次由儿科医生记录的喘息发作。相比之下,在对照组中仅观察到 25%(3/12)的儿童有喘息发作。虽然出院后 1 年内大多数被分析的介质恢复到正常水平,但 RSV 儿童表现出 VEGF、G-CSF、IL-10、IL-6、IFN-γ、IL-7 和 IL-13 的鼻分泌物持续增加。在以前的研究中,VEGF、IL-10 和 IFN-γ 与病毒诱导的哮喘发病机制有关。G-CSF、IL-6、IL-7 和 IL-13 在哮喘患者的呼吸道和血浆样本中增加。在这里,我们首次证明这些介质的持续升高在 RSV 疾病缓解后长达 1 年,这强化了它们在喘息发病机制中的可能作用。

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