Viral infections in wheezing disorders

Over the past year, studies into virus-induced wheeze in children have shifted towards investigations that examine the mechanisms by which respiratory viruses cause wheeze and an increase in studies examining the effects of novel interventions to reduce wheezing exacerbations. Studies on rhinovirus...

Full description

Bibliographic Details
Main Author: Peter Le Souëf
Format: Article
Language:English
Published: European Respiratory Society 2018-04-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/27/147/170133.full
_version_ 1818097126353141760
author Peter Le Souëf
author_facet Peter Le Souëf
author_sort Peter Le Souëf
collection DOAJ
description Over the past year, studies into virus-induced wheeze in children have shifted towards investigations that examine the mechanisms by which respiratory viruses cause wheeze and an increase in studies examining the effects of novel interventions to reduce wheezing exacerbations. Studies on rhinovirus species (RV)-C infection have found that this is associated with a decrease in expression of CDHR3, the cellular receptor specific for this virus, and a decrease in interferon-β expression, both of which are likely to favour RV-C infection. Recent clinical trials in children have found a decrease in wheezing exacerbations with both anti-respiratory syncytial virus antibody and anti-immunoglobulin E antibody therapy, and a clinical trial of prednisolone in children with their first RV-induced wheeze showed that only those with an RV viral count >7000 copies·mL−1 responded. Further studies on the effects of bacterial lysates on immune system function continue to support the potential of this approach to reduce virus-induced wheezing exacerbations in children. These studies and many previous investigations into immunomodulation using bacterial lysates have led to the funding and commencement of a large study in which long-term administration of a bacterial lysate in young children will be assessed for its ability to prevent asthma.
first_indexed 2024-12-10T23:15:34Z
format Article
id doaj.art-a515ad53531b4899a78de4704e3a4bbe
institution Directory Open Access Journal
issn 0905-9180
1600-0617
language English
last_indexed 2024-12-10T23:15:34Z
publishDate 2018-04-01
publisher European Respiratory Society
record_format Article
series European Respiratory Review
spelling doaj.art-a515ad53531b4899a78de4704e3a4bbe2022-12-22T01:29:51ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172018-04-012714710.1183/16000617.0133-20170133-2017Viral infections in wheezing disordersPeter Le Souëf0 Faculty of Health and Medical Sciences, Dept of Respiratory Medicine, Child and Adolescent Health Service, University of Western Australia, Perth, Australia Over the past year, studies into virus-induced wheeze in children have shifted towards investigations that examine the mechanisms by which respiratory viruses cause wheeze and an increase in studies examining the effects of novel interventions to reduce wheezing exacerbations. Studies on rhinovirus species (RV)-C infection have found that this is associated with a decrease in expression of CDHR3, the cellular receptor specific for this virus, and a decrease in interferon-β expression, both of which are likely to favour RV-C infection. Recent clinical trials in children have found a decrease in wheezing exacerbations with both anti-respiratory syncytial virus antibody and anti-immunoglobulin E antibody therapy, and a clinical trial of prednisolone in children with their first RV-induced wheeze showed that only those with an RV viral count >7000 copies·mL−1 responded. Further studies on the effects of bacterial lysates on immune system function continue to support the potential of this approach to reduce virus-induced wheezing exacerbations in children. These studies and many previous investigations into immunomodulation using bacterial lysates have led to the funding and commencement of a large study in which long-term administration of a bacterial lysate in young children will be assessed for its ability to prevent asthma.http://err.ersjournals.com/content/27/147/170133.full
spellingShingle Peter Le Souëf
Viral infections in wheezing disorders
European Respiratory Review
title Viral infections in wheezing disorders
title_full Viral infections in wheezing disorders
title_fullStr Viral infections in wheezing disorders
title_full_unstemmed Viral infections in wheezing disorders
title_short Viral infections in wheezing disorders
title_sort viral infections in wheezing disorders
url http://err.ersjournals.com/content/27/147/170133.full
work_keys_str_mv AT peterlesouef viralinfectionsinwheezingdisorders