Department of Dermatology and Allergy, University Hospital Bonn, Bonn, Germany.
Department of Allergy, Research Institute Hospital 12 de Octubre, Madrid, Spain.
Immunology. 2020 Oct;161(2):83-93. doi: 10.1111/imm.13240. Epub 2020 Aug 17.
Viral infections and atopic diseases are closely related and contribute to each other. The physiological deficiencies and immune mechanisms that underlie atopic diseases can result in a suboptimal defense against multiple viruses, and promote a suitable environment for their proliferation and dissemination. Viral infections, on the other hand, can induce per se several immunological mechanisms involved in allergic inflammation capable to promote the initiation or exacerbation of atopic diseases such as atopic asthma. In a world that is affected more and more by factors that significantly impact the prevalence of atopic diseases, coronavirus disease 2019 (COVID-19) induced by the novel coronavirus severe acute respiratory syndrome (SARS-CoV-2) is having an unprecedented impact with still unpredictable consequences. Therefore, it is of crucial importance to revise the available scientific literature regarding the association between common respiratory viruses and asthma, as well as the newly emerging data about the molecular mechanisms of SARS-CoV-2 infection and its possible relation with asthma, to better understand the interrelation between common viruses and asthma and its potential meaning on the current global pandemic of COVID-19.
病毒感染与特应性疾病密切相关且相互影响。特应性疾病的生理缺陷和免疫机制可导致机体对多种病毒的防御能力不足,并为其增殖和传播创造有利环境。另一方面,病毒感染本身可诱导多种参与过敏炎症的免疫机制,从而促进特应性疾病(如特应性哮喘)的发生或恶化。在一个越来越多的因素显著影响特应性疾病流行的世界中,新型冠状病毒严重急性呼吸综合征(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)正产生前所未有的影响,其后果尚难以预测。因此,重新审查有关常见呼吸道病毒与哮喘之间的关联以及关于 SARS-CoV-2 感染的分子机制及其与哮喘可能的关系的现有科学文献至关重要,以便更好地理解常见病毒与哮喘之间的相互关系及其对当前 COVID-19 全球大流行的潜在意义。