Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, K4-948 CSC-9988, Madison, WI 53792, USA.
Immunol Allergy Clin North Am. 2010 Nov;30(4):497-511, vi. doi: 10.1016/j.iac.2010.08.005. Epub 2010 Sep 24.
There is increasing evidence that experiencing viral wheezing illnesses early in life, especially in conjunction with allergic sensitization, is an important risk factor for the onset of asthma. In this review, the potential advantages and disadvantages of using rodent models of virus-induced chronic airway dysfunction to investigate the mechanisms by which early-life viral respiratory tract infections could initiate a process leading to chronic airway dysfunction and the asthmatic phenotype are discussed. The potential usefulness of rodent models for elucidating the viral, host, environmental, and developmental factors that might influence these processes is emphasized. There is a need for the continued development of rodent models of early-life viral respiratory tract infections that include the development of chronic airway dysfunction, the capacity to add components of allergic sensitization and allergic airway inflammation, and the ability to address both immunologic and physiologic consequences. Investigation of these rodent models should complement the research from pediatric cohort studies and begin to bring us closer to understanding the role of viral respiratory tract infections in the inception of childhood asthma.
越来越多的证据表明,生命早期经历病毒性喘息疾病,特别是与过敏致敏同时发生,是哮喘发病的一个重要危险因素。在这篇综述中,讨论了利用病毒诱导的慢性气道功能障碍的啮齿动物模型来研究生命早期呼吸道病毒感染如何引发导致慢性气道功能障碍和哮喘表型的机制的潜在优势和劣势。强调了啮齿动物模型在阐明可能影响这些过程的病毒、宿主、环境和发育因素方面的潜在用途。需要继续开发包括慢性气道功能障碍、过敏致敏和过敏性气道炎症成分添加能力以及解决免疫和生理后果能力的生命早期病毒性呼吸道感染的啮齿动物模型。对这些啮齿动物模型的研究应补充儿科队列研究的研究,并开始使我们更深入地了解呼吸道病毒感染在儿童哮喘发病中的作用。