a Division of Allergy and Immunology , Nationwide Children's Hospital - The Ohio State University College of Medicine , Columbus , OH , USA.
b Center for Clinical and Translational Research , Research Institute at Nationwide Children's Hospital , Columbus , OH , USA.
Expert Rev Clin Immunol. 2019 Jan;15(1):49-58. doi: 10.1080/1744666X.2019.1541737. Epub 2018 Nov 3.
: In early childhood, wheezing due to lower respiratory tract illness is often associated with infection by commonly known respiratory viruses such as respiratory syncytial virus (RSV) and human rhinovirus (RV). How respiratory viral infections lead to wheeze and/or asthma is an area of active research. : This review provides an updated summary of the published information on the development of post-viral induced atopy and asthma and the mechanisms involved. We focus on the contribution of animal models in identifying pathways that may contribute to atopy and asthma following respiratory virus infection, different polymorphisms that have been associated with asthma development, and current options for disease management and potential future interventions. : Currently there are no prophylactic therapies that prevent infants infected with respiratory viruses from developing asthma or atopy. Neither are there curative therapies for patients with asthma. Therefore, a better understanding of genetic factors and other associated biomarkers in respiratory viral induced pathogenesis is important for developing effective personalized therapies.
在儿童早期,由于下呼吸道疾病而喘息常常与常见的呼吸道病毒感染有关,例如呼吸道合胞病毒(RSV)和人类鼻病毒(RV)。呼吸道病毒感染如何导致喘息和/或哮喘是一个活跃的研究领域。
这篇综述提供了已发表的关于病毒后诱导特应性和哮喘发展以及相关机制的信息的最新总结。我们专注于动物模型在确定可能导致呼吸道病毒感染后特应性和哮喘的途径方面的贡献、与哮喘发展相关的不同多态性,以及目前的疾病管理选择和潜在的未来干预措施。
目前,尚无预防疗法可预防感染呼吸道病毒的婴儿患上哮喘或特应性。对于哮喘患者也没有治愈疗法。因此,更好地了解呼吸道病毒诱导发病机制中的遗传因素和其他相关生物标志物对于开发有效的个体化疗法非常重要。