Chen Gang, Ma Xiuchang, Wu Jinhuan, Yan Yi, Qian Wenxian, Chen Apeng, Yi Changhua, Tian Man
Department of Pediatrics, First People's Hospital of Lianyungang, Xuzhou Medical University Affiliated Hospital of Lianyungang (Lianyungang Clinical College of Nanjing Medical University), Lianyungang, China.
Department of Respiratory, Children's Hospital of Nanjing Medical University, Nanjing, China.
Influenza Other Respir Viruses. 2025 Sep;19(9):e70156. doi: 10.1111/irv.70156.
Respiratory syncytial virus (RSV) is one of the leading causes of severe respiratory diseases in children, especially in infants. The immune responses induced by RSV infection are a fairly complex process that can contribute significantly to disease severity. Despite decades of research on RSV, many immune mechanisms remain to be explored. A full exploration of these immune responses can contribute to the discovery of new therapeutic and prophylactic approaches. Despite significant advancements in vaccine development and monoclonal antibody research, effective therapeutic options remain limited. This review focuses on how the immune system reacts when children contract the respiratory syncytial virus. We describe the biological characteristics of RSV, viral-cell interactions, immune evasion, innate immunity (including pattern recognition receptors and inflammatory cells), and adaptive immunity (including CD4+ and CD8+ T cells and humoral immune response). Understanding the complicated immune response to RSV infection is essential for developing effective interventions and vaccine developments. This review aims to deepen the understanding of the impact of Respiratory Syncytial Virus (RSV) on the immune system and to contribute to the advancement of practical therapeutic strategies.
呼吸道合胞病毒(RSV)是导致儿童尤其是婴儿严重呼吸道疾病的主要原因之一。RSV感染诱导的免疫反应是一个相当复杂的过程,可显著影响疾病的严重程度。尽管对RSV进行了数十年的研究,但许多免疫机制仍有待探索。全面探究这些免疫反应有助于发现新的治疗和预防方法。尽管疫苗开发和单克隆抗体研究取得了重大进展,但有效的治疗选择仍然有限。本综述重点关注儿童感染呼吸道合胞病毒时免疫系统的反应。我们描述了RSV的生物学特性、病毒与细胞的相互作用、免疫逃逸、固有免疫(包括模式识别受体和炎症细胞)以及适应性免疫(包括CD4+和CD8+T细胞以及体液免疫反应)。了解对RSV感染的复杂免疫反应对于开发有效的干预措施和疫苗至关重要。本综述旨在加深对呼吸道合胞病毒(RSV)对免疫系统影响的理解,并推动实用治疗策略的进步。